Chiropractic adjustments often accompany a popping or cracking sound. This natural and harmless cause and effect creates occasional moments of anxiety for people unaccustomed to experiencing the benefits of an adjustment. People sometimes think the sound originates from bones popping or cracking or rubbing together. The actual source of the sounds associated with healthy adjustments comes from pressure being released from a joint. These joints accumulate pressure where two parts of the human skeleton fit together. Most joints exist to move by their natural design. Chiropractors assess and adjust misaligned and locked up spinal vertebrae to help the spine move freely and promote improved nervous system function.

Research from 2015 helped explain the mechanism for how a chiropractic adjustment reduces stress through a quick gentle force. The adjustment slightly separates the joint by overcoming the protective muscle reflexes and reducing adhesive scar tissue formation while improving motion. This process occurs without injury to any of the tissues involved. The popping or cracking noise simply comes from gas being released from the joint when the gapping occurs. Some adjustments take place without any noise heard or felt by the patient while other adjustments release enough pressure on a joint to produce an audible sound.

The spine consists of over 24 moveable bones called vertebrae. Chiropractors assess the alignment and movement of the vertebrae to locate any joints that become immobile or misaligned. These partially dislocated joints, called subluxations, represent a vitally influential aspect of human health due to the spine’s intimate connection with the nervous system. The spine houses and protects the spinal cord and nerves, providing openings to the spinal nerve roots that exit through each vertebra. Experts refer to the spine as a “neuro-spinal organ” because of the large amounts of tiny neurons located in and around the bones and joints of each vertebra. The health of the spine allows tiny neurons to give uninterrupted feedback to the brain so that appropriate messages can be delivered to and from all organs on a regular basis. The relationship between the spine and all organs of the body proves vital to overall health and function and details why a properly aligned spine represents an essential and proactive part of every family’s health plan.


PLoS One 2015
Real-Time Visualization of Joint Cavitation.”
Gregory N. Kawchuk, Jerome Fryer, Jacob L. Jaremko, Hongbo Zeng, Lindsay Rowe, and Richard Thompson

The current medical model of healthcare in most developed nations unintentionally fails to address a large component of health that plays a vital role in human function and performance. Failing to address the importance of human structure and its relationship to gravity proves costly. Chiropractors comprise a uniquely educated and scientifically trained profession focused on addressing spinal structure and biomechanics. These processes achieve extraordinary results extending far beyond pain relief by helping patients achieve optimal brain and nervous system function.

Science and research continually prove the extensive benefits of chiropractic. Many understand the positive influence of chiropractic on painful symptoms in the neck and back, but some people are surprised to learn that the list of overall health benefits from nervous system care produces a lengthy list of positive outcomes. Some notable influences of regular spinal care include better hormonal and organ function, prevention of bone and nerve degeneration, increased range of motion, and injury prevention. A study published in 2011 evaluated the data from all previous scientific literature and concluded that the best benefits achieved through chiropractic occur from proactive care over a period of time. Improving the health and function of the spine positively influences the brain, organs, nerves, bones, and soft tissue.

Utilizing chiropractic adjustments to optimize health and performance continues to expand in popularity and public awareness. Millions of patients understand that proactive health care represents the most effective and cost-efficient form of maintenance and wellness care available. People around the globe continue to learn that true health care does not originate from addressing pain and symptoms after they occur. Research concludes that genuine health comes from a proactive approach and specifically notes that, “chiropractic maintenance care optimizes levels of function and provides a process for achieving the best possible function and health.”

Unhealthy spinal joint motion produces negative short and long-term challenges. Immobilized or misaligned spinal joints experience degeneration within two to four weeks. Lack of spinal joint motion accompanies degeneration, neuroplastic changes, neural and muscle atrophy, and muscle weakness in that same window of time. People need to understand the importance of spinal care as a foundational aspect of overall health. A person choosing to indulge in an unhealthy diet or abstain from exercise for a few weeks or months can usually refocus and recommit to addressing those issues without permanently damaging their long-term health. Misaligned or immobilized vertebra begin producing long-term nerve, bone, and muscle degeneration within two to four weeks – even if pain and symptoms are not immediately present.

Regular and consistent chiropractic adjustments prove necessary for optimal health and wellness regardless of abnormal health symptoms. Infants, children, and adults benefit from chiropractic care to assess and address postural and structural spinal health. A healthy sign of the public conscience pursuing improved wellness comes from the growing number of families utilizing chiropractic care as a proactive approach to maximized performance and function. Genuine health care does not simply originate with a plan to address degeneration or pain after it begins. The proactive approach to long-term health for children and adults builds upon optimizing health within the brain, spine, and nervous system through chiropractic care.


Journal of Chiropractic Humanities December 6 2011
A theoretical basis for maintenance spinal manipulative therapy for the chiropractic profession.” David N. Taylor

Spinal pain represents the greatest single cause of disability in the world today. Low back pain also represents the most common type of spinal pain. Research estimates that over 80% of the population will experience back pain at some point in their lives. Agonizing back pain influences every aspect of life from walking and sleeping to simply sitting still and thinking with clarity. No wonder so many back pain sufferers’ resort to taking powerful medications for relief. 

Over-the-counter pain drugs usually serve as a first resort. Disappointment in those results eventually lead to doctor visits and more powerful prescription drugs, including the most harmful form of pain medication available: opioids. The physical and financial cost to treat low back pain increases while the results become worse because conventional pharmaceuticals and medicine do not fix the source of the pain. Chiropractic offers a better plan that costs less and pursues a permanent outcome which heals the body.

Research from 2015 compared outcomes for patients with low back pain. The results compared significant differences in patients treated by Chiropractic care verses those who sought relief through other methods. Subjects receiving care from a Chiropractor spent an average cost of $712 compared to $1992 for those choosing treatment from a different provider. Indirect costs of choosing conventional drug therapy also increase because of the dangerous side effects associated with medications. The amount of money saved by choosing Chiropractic care provides justification for why every back pain sufferer deserves to know that long-term healing and relief do exist.

Research continues to prove that Chiropractic usually represents the best approach to permanently resolving back pain. The most cost-effective and longest-lasting results do not come from a bottle of pills but from the immense healing power within the body. Chiropractic tends to be thought of simply as a method for treating back and neck pain. Evidence-based research continues to prove that outcome represents only a fraction of the healing potential found within the body when the nervous system aligns and operates to full potential.

The health and condition of the spine links directly to the health and function of the entire body through the brain and central nervous system. Misalignments in the spine create altered spinal mobility, leading to stress in the nervous system. Chiropractors improve mobility and increase the lines of nerve communication through gentle and precise adjustments. Back pain comprises a large number of patients who quickly realize that a natural, non-invasive approach to health care provides greater health and performance than a bottomless pit of pills and doctor bills. Chiropractic pursues optimal health. Experience greater levels of pain relief and overall vitality through Chiropractic care.

BMC Health Serv Res 15 June 2012
A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States.” Dagenais, S., Brady, O., Haldeman, S

A recent study shows that nearly 80% of the population between ages 18 to 44 keep cell phones with them almost every waking minute. Most estimates showing only having two hours a day without their phone in or near their hands. The stress of constantly looking down at a phone or device creates a dangerous condition known as “tech neck”. Body and spinal design do not come equipped with enduring the constant and sustained neck pressure. The need for chiropractic care continually grows as more people of all ages realize the imperative need to preserve the health and quality of life for both themselves and the next generation.

According to a 2017 study titled “Text Neck” published in the Spine Journal, spine surgeons noted a significant rise in the number of patients complaining of neck and upper back pain. Many of the patients were children. The research showed that “text neck” added extreme amounts of pressure and tension on the spine as the head position extended forward and downward to look at an electronic device. The average head weight on the neck amounts to between 10 to 12 pounds when resting in a neutral position. Any forward head flexion will add weight and pressure to the spine at varying degrees. Every 15 degrees of forward neck flexion adds between 9 and pounds of pressure on the spine. 60 degrees of forward flexion creates an extra 60 pounds of pressure on the spine. Neck flexion varies between 45 and 60 degrees when texting. A new diagnosis code called “text neck” has been established to categorize and address the damage incurred by common daily activities like using electronic devices.

A study of over 7000 young adults showed that persistent neck and upper back pain directly associates with time spent text messaging. Accelerated neck and mid-back spinal degeneration becomes a likely side effect of the forward head flexion often experienced through texting. The increase in disc pressure during flexion contributes to disc degeneration, disc herniations, and abnormal neck curve alignment.

Chiropractic remains one of the most important and effective proactive interventions needed to minimize and reverse the negative effects of texting. The spine’s intimate relationship with the central nervous system details why having text neck poses such a serious threat to the health of current and future generations. The nervous system becomes imbalanced when the spine changes from an optimal position and normal mobility. Stress and imbalance in the nervous system leads to a myriad of unwanted symptoms involving immunity, digestion, attention, energy, breathing, headaches, and heart problems. Chiropractors detect and correct spinal misalignments to remove stress from the nervous system and allow the spine and body to function like it should.

5 Simple Strategies to Prevent or Minimize the Effects of “Text Neck”

  1. Hold and view cell phones and all electronic devices at eye level.
  2. Text with two hands. Using both hands creates more symmetry and minimizes spinal imbalances.
  3. Take frequent breaks from phones and computers throughout the day to move.
  4. Utilize 20 second stretches – Pull arms and shoulders back while tilting head up to look up every hour.
  5. See a Chiropractor regularly.

The Spine Journal: Official Journal of the North American Spine Society June 2017
“’Text neck’: an epidemic of the modern era of cell phones. Jason M Cuellar, Todd H Lanman

The Importance Of Chiropractic Continues To Rise

The debilitating effects of back pain torments millions of people worldwide. Approximately 700 million people suffer from back pain. Studies estimate that nearly 85% of the population will experience some form of back pain in their lifetime. Researchers warn that those experiencing low back pain experience a 13% increased risk of early death. Proactively eliminating the source of the low back pain before facing a permanent problem represents one of the most important health pursuits any individual can make.

Low back pain often falls into the category of being a nagging inconvenience that comes and goes. A 2017 medical study speaks to low back pain being symptomatic of something much more threatening. The research determined that subjects enduring back pain experienced an astonishing 13% higher risk of dying early compared to those who had no pain.

“This is a significant finding as many people think that back pain is not life-threatening,” said Paulo Ferreira, Associate Professor at the University of Sydney and contributor to the research.

The quantity of people exposed to the devastating effects of low back pain has become the most concerning aspect of this research. Statistics show that five out of every six people will suffer from back pain at some point in their life. People benefit from understanding that the reality of these episodes involves consequences beyond simply relieving the temporary pain. Pursuing proactive prevention and treatment of lower back pain proves paramount for long-term health.

Chiropractors help men, women, and children of all ages reduce and eliminate back pain. Research confirms that the benefits of chiropractic adjustments extend far beyond pain relief. Some links between low back pain and increased risk of early death can be explained with neuroscience. Subluxations, defined as small subtle shifts and altered movement in spinal vertebrae, interfere with the nervous system. Left undetected and uncorrected, a subluxation negatively influences the vital autonomic functions of the body.

Chiropractors specialize in the detection and correction of vertebral subluxations. Proactive health care does not simply focus on alleviating or preventing back pain. Nervous system care pursues maximized performance and function of the entire body. Optimal health means avoiding pain, suffering, and other challenges that otherwise manifest into significant issues later in life.  Back pain will continue to pose major problems for average citizens and the healthcare system. Chiropractors possess a proven track record of helping men and women of all ages overcome and prevent the onset of back pain without the use of drugs or surgery. Research continues to compile indisputable of evidence that chiropractic care combats the devastating effects of pain. Proactive health care begins with chiropractic.


European Journal of Pain (London, England) 2017 “Is this back pain killing me? All-cause and cardiovascular-specific mortality in older Danish twins with spinal pain”
M Fernandez1E Boyle 2 3J Hartvigsen 2 4M L Ferreira 5 6K M Refshauge 1C G Maher 5K Christensen 7J L Hopper 8P H Ferreira 1

Hi, my name is Dr. Aaron Casselman from Pinnacle Chiropractic. And I’ve got a quick video for you today about a situation that I hear a lot of patients mention to me when they first come in. That their lower back pain or back pain anywhere really, but usually lower back pain is moving around a lot. And it doesn’t stay in one spot. That’s very confusing for people. It’s actually super, super common. If you think about the spine, we’ve got 27 bones stacked on top of each other and each level there’s nine joints. There is so much going on in the spine. If you hurt one of these things, you can feel it almost anywhere. It’s really hard to pinpoint exactly where the problem is just based on where the pain location is. So when someone hurts their back, it’s going to start on the left and then moves to the right. And then I hear all the time. It works its way up to the middle or upper back.

This is really, really common it’s because the spine is so complex or so many joints in there. If you hurt your elbow, you’re going to have elbow pain. It’s basically a hinge. It’s not going to move around typically, maybe radiate a tad, but in general, it’s going to be right in your elbow. The spine is a totally different situation. In addition, the spine also houses your nervous system. So if you have a spinal issue, not only can that area hurt and they can move around that area. But now because of those nerves are coming out of your spine, you can have problems wherever those nerves go as well. So for example, if you have a neck issue, you can have pain all around your neck or even in your head.

But now because it’s in the neck, the nerves that come out of your neck, go down your arm into your hands. So you could have problems in your arm or hand even. And in the lower back, that same thing happens down into the leg or foot. A lot of people call that Sciatica. That’s because the nerves are coming out of the spine. So this pain moves around and you can feel in different parts of your body. And it’s actually really common. It’s actually more common for people to have moving pain around spinal issues, as opposed to the pain that just stays in the same place. Hopefully that cleared some stuff up for you. If you guys need anything or have any questions or anything, Pinnacle Chiropractic, I’m Dr. Aaron Casselman, talk to you soon.

An old adage instructs that good things come to those who wait. Waiting to make health care choices proves to be a major exception to the time-honored virtue of patience. Dental checkups, mammograms, prostate exams and physicals help detect problems early or address them before they turn into a larger problem. New research proves the value of early intervention to address back and sciatica pain.

Human beings tend to treat problems reactively rather than visualize problems on the horizon.  Preventative care and proactive of health decisions represent some of the smartest and most cost-effective approaches for the whole family. The brain tends to address issues of immediate concern. The brain usually waits (reactively) until pain presents before calling attention to a health issue. Too often the problem existed for a previous time and could have been addressed to a healthier end.

Compelling research published in October 2020 showed that early intervention proved to be an essential ingredient in achieving long-term health satisfaction. Improvements in functional disability, pain intensity, and overall satisfaction resulted for people who sought early therapy and manual care intervention compared to people who waited or elected to use drug-therapy. The standard medical process for people with back pain and sciatica usually involves drug therapy to mask the pain while waiting to see if the problem progresses. This reactive approach risks greater long-term expenditure and the dangers of regular use of powerful pharmaceuticals. The wait and see approach combined with pain medication acknowledges a problem exists but does nothing to repair, fix, or heal the issue but rather allows the condition to persist.

Chiropractic care and physical therapy interventions help address problems before they become bigger and more permanent. Chiropractors use objective and specialized testing to determine the location and extent of a problem that needs to be addressed. America prescribes more prescription drugs than any country in the world. That reality contrasts with parents and families making a conscious decision to raise children and pursue health choices that do not involve dependency or need for medications. Chiropractic and physical therapeutic healthcare continue to gain momentum and popularity because of research that reveals the benefits of working with the body and honoring its ability to heal itself. When it comes to health care, good things come to those who don’t wait.


Annals of Internal Medicine January 2021 Physical Therapy Referral From Primary Care for Acute Back Pain With Sciatica : A Randomized Controlled Trial.” Julie M Fritz, Elizabeth Lane, Molly McFadden, Gerard Brennan, John S Magel, Anne Thackeray, Kate Minick, Whitney Meier, Tom Greene

The presence of pain does not represent a strong indicator of a person’s overall health status. In other words, health cannot be accurately measured by the presence or absence of pain. Incredible amounts of research indicates that pain does not usually represent the root of a problem but alerts an individual to a greater problem that advanced far beyond the body’s ability to cope or manage. Pain usually represents a final symptom rather than a root cause. Achieving optimal health and healing means addressing the causes of health conditions rather than simply masking pain.

Many care providers agree that pain speaks loudest and stays longest. A problem existed long before the pain and demands attention before the pain will subside. Long term health and improvement without drugs or surgery require intervention that gets to the source. As a chiropractor I focus on finding and addressing the structural cause of painful problems rather than simply treating the symptoms or the effects of the cause.

Many parts, functions, and processes in the body cannot be felt. Cavities in teeth, plaque build-up in blood vessels, high cholesterol, and even cancer represent some of the many examples of silent problems that speak up loudly and painfully in the late stages of sickness. Consistent check-ups and teeth cleaning at the dentist, health physicals with the family physician, stress tests with the cardiologist, and cancer screenings serve as examples of health care providers understanding the immense value in proactive health care in advance of signs or symptoms. Regular spinal check-ups and adjustments with the chiropractor offer one of the most powerful forms of proactive health care available to men, women, and children.

The benefits of a chiropractic adjustment go far beyond pain relief, and the benefits begin to manifest in many ways that prevent pain from ever occurring.  Research from 2015 looked at spinal MRI scans of a large population of people who experienced no pain or symptoms. Over twenty percent of those studied were found to have disc degeneration, disc herniations, or protrusions in the spine with no symptoms. These ailments would eventually lead to chronic low back pain and the likelihood of needing to use powerful pharmaceuticals or invasive surgery. This example represents one of many ways in which a silent and unhealthy condition exists without pain until the condition becomes extremely advanced and nearly irreparable. 

The benefit of chiropractic has no prerequisite of pain. Kids, adults, and even infants of all ages experience the benefits of chiropractic without ever experiencing conditions in need of pain resolution. Chiropractic benefits everyone. Doctors of Chiropractic undergo extensive training and education that enables them to assess, diagnose, and begin the process of allowing the body to heal proactively. The proactive path to optimal health begins with chiropractic.


American Journal of Neuroradiology September 2015
MRI Findings of Disc Degeneration are More Prevalent in Adults with Low Back Pain than in Asymptomatic Controls: A Systematic Review and Meta-Analysis.”
W Brinjikji, F E Diehn, J G Jarvik, C M Carr, D F Kallmes, M H Murad, P H Luetmer

Research Reveals Shocking Effects Of Poor Posture On Overall Health

Startling research shows that increased usage of phones and computers bring about a variety of health challenges that compound over time. Surveys conclude that billions of people spend extensive time on cell phones every single day. Chiropractors face concern that cell phone usage occurs with the spine and neck in a flexed, forward position. Prolonged use of a cell phone with the head in a state of forward flexion creates a variety of unwanted health challenges. This health epidemic continues to create new conditions and diagnoses specifically to address forward head posture. Likewise, new strategies develop to counteract the stressors that occur from text neck and computer posture.

Time spent on cell phones continues to increase all over the world. A study performed in 2014 evaluated the effects of forward head posture stemming from the stresses of using cell phones and other devices. The findings clearly showed that computer screens, tablets, and cell phone use create forward head posture and add significant stress to the spine resulting in early spinal degeneration. Loss of the natural curve in the neck leads to incrementally increased stress on the cervical (neck) spine. The stresses accelerate early wear, tear, degeneration, and the increased possibility of surgery.

Poor posture occurs when the head and shoulders tilt forward and the mid back becomes rounded. The average person spends between two to four hours a day with their head flexed forward for reading and texting on their smart phones. This amounts to 700-1400 hours of excess, abnormal cervical spine stress per year. Research shows the average high school student spends even more time on their phone accounting for an extra 5000 hours in poor posture per year.

Good upper spine and body posture defines as the ears being aligned with the shoulders and the scapula retracted. Proper alignment diminishes spinal stress. Not only does good posture create less wear and tear on the spine and discs, it also associates with elevated levels of testosterone, increases in serotonin, decreases in cortisol, and more feelings of confidence. Poor posture associates with reductions in testosterone levels, reduced serotonin, increased cortisol, and reduced feelings of confidence. Regular chiropractic adjustments working together with good posture habits help reduce the stressors of text neck and computer posture while increasing hormones associated with confidence, joy and self-esteem. Take the necessary action steps to avoid this preventable epidemic while still enjoying the benefits that technology affords.

4 Tips to Eliminate Postural Stress from Cell Phones

  1. Stay on track with your Chiropractic Treatment Plan – adjustments reduce wear and tear in the joints and discs, lower tension in the muscles, and improve function of the nervous system.
  2. Utilize Good Posture Habits and tools to support spinal curves and posture, especially when sitting. 
  3. Drink More Water – water forces movement to the bathroom every 60-90 minutes.
  4. Stretch the head, neck, shoulders, lower back, and legs 2x per day.

Surgical Technology International November 2014 Assessment of stresses in the cervical spine caused by posture and position of the head. Kenneth K Hansraj

New Research Sheds Light On A Painful Topic

Disc herniations plague millions of people every year. The most common route taken by most seeking pain relief comes from strong medication, cortisone shots, and back surgery. Back pain can be so severe that many suffering from such stabbing and burning pain resort to anything that produces even the slightest bit of comfort. Sleep becomes a chore and evening rest tends to be the worst for those suffering from the pain of a disc herniation. No amount of positioning provides enough pain relief to sleep as the minutes dwindle by before the start of another pain-filled workday. Solutions outside of drugs and surgery exist that reduce pain and promote healing for those suffering from disc herniations.

Sometimes people call a herniation a slipped disc. That image proves inaccurate because the discs within the spine cannot slip. The discs in the spine look somewhat like two dinner plates stacked with a water balloon in between them. The plates represent the bones, and the water balloon represents the gel comprising an intervertebral disc. Injuries, degeneration, continuous wear and tear, or a combination of all these factors cause a part of the water balloon to tear. The tear forces the gel-like substance to protrude outside the balloon. This resembles the mechanism of what happens with a herniated disc.

The cartilage material on the outside of the disc tears, and a gel-like substance protrudes out into the spinal canal. Discomfort and pressure on the nerves produce burning and stabbing pain along the path of the nerve. Disc herniations can heal without surgery and many therapies have been proven to help people suffering from disc herniations. Disc decompression, nutrition, lifestyle modifications, and natural therapies represent some pathways to success.

Research from 2014 studied a group of adults living with back pain, leg pain, and disc herniations (confirmed by an MRI). The patients receiving low back adjustments from a chiropractor achieved extraordinary results. The percentage of patients in this study reporting substantial improvement after one month of care was close to 80%. Approximately 90% of patients with back pain, leg pain, and disc herniations reported significant benefits from spinal adjustments after six months.

Unaddressed spinal subluxations also represent a cause of disc herniations. Proactive chiropractic care serves as a method of prevention evident in the research study. Chiropractors do not specifically target herniated discs or other symptoms related to the spine. A chiropractic adjustment improves spinal mobility and alignment and reduces interference in the nervous system to allow the body to better heal itself. Chiropractic represents a front-line option for those suffering from back pain, sciatica, or disc related issues. Options exist for those faced with a decision regarding whether or not to pursue invasive care like spinal surgery or the risk of powerful and addicting pharmaceuticals. Pain relief exists with chiropractic care.

Journal of Manipulative and Physiological Therapeutics March-April 2014
“Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up.” Serafin Leemann, Cynthia K Peterson, Christof Schmid, Bernard Anklin, Kim Humphreys