Chiropractic Care



    The most common therapeutic procedure performed by doctors of chiropractic is
    known as “spinal manipulation,” also called “chiropractic adjustment.”   The purpose of
    manipulation is to restore joint mobility by manually applying a controlled force into
    joints that have become hypomobile – or restricted in their movement – as a result of a
    tissue injury. Tissue injury can be caused by a single traumatic event, such as
    improper lifting of a heavy object, or through repetitive stresses, such as sitting in an
    awkward position with poor spinal posture for an extended period of time. In either
    case, injured tissues undergo physical and chemical changes that can cause
    inflammation, pain, and diminished function for the sufferer. Manipulation, or
    adjustment of the affected joint and tissues, restores mobility, thereby alleviating pain
    and muscle tightness, and allowing tissues to heal.

    What is a Chiropractic Adjustment?

    Adjustments are done in many different ways based upon age, body type and Personal
    preference. The adjustment addresses five basic components:

    1. Osseous component: Motion and position of spinal vertebrae.
    2. Connective Tissue component: Muscle, ligaments, tendons.
    3. Disc component : The cushion between the vertebrae.
    4. Neurological component: Interference with nerve function.
    5. Biomechanical: Posture, abnormal spinal curvatures-front to back (kyphosis) and/or
    side to side (scoliosis).

    Phases of Care

         Phase I: Acute Care
    This phase of care lasts from seven to fourteen days. Its emphasis is on pain relief,
    restoration of cervical lordosis, and A to P spine balancing. During acute care, patients
    receive training on their home care equipment and procedures.

    Each visit to the clinic includes a visual functional, neurological, and postural
    examination. Patients are adjusted based on the visual, physical and radiographic
    examinations.    Spinal manipulation in our office will not apply painful compressive
    forces typically associated with conventional chiropractic. Instead,  distraction and
    accumulative type forces are utilized. These types of forces are more aligned with
    biomechanical functions, more effective for relieving nerve compression, pain,
    dysfunction, and most importantly, are necessary for spinal correction.  At the end of
    acute care, patients are reassessed to determine their progress and qualification for
    the next phase of care.

    Phase II: Rehabilitation and Correction
    The goal of rehabilitation is to achieve permanent correction. This usually requires a
    minimum of two rehabilitation sessions per week in the office for a period of one
    month.  During this phase, patients are trained to be doing their home care procedures
    twice a day.

    Each of the  visits includes a visual functional, neurological, and postural examination.
    Patients are adjusted based on the visual, physical and radiographic examinations. We
    ensure that patients are doing their home care procedures. Their compliance is
    formally checked after 30 to 45 days of rehabilitation.

    Rehabilitation continues until the correction goals are achieved. While many patients
    achieve permanent correction in the minimum time period, others may take 24 months
    or more, especially for those with torn ligaments.

    Phase III: Maintenance and Supportive Care
    The purpose of this last phase of care is to maintain and enhance patients' spinal
    correction and muscle strength and endurance. Once a month for a year, patients
    come to the clinic for a full functional, neurological and postural exam by the doctor.
    The Doctor Barry will only adjust patients if the exam indicates the need.


    In many cases, such as lower back pain, chiropractic care may be the primary method
    of treatment. When other medical conditions exist, chiropractic care may complement
    or support medical treatment by relieving the musculoskeletal aspects associated with
    the condition.  

    Doctors of chiropractic may assess patients through clinical examination, laboratory
    testing, diagnostic imaging and other diagnostic interventions to determine when
    chiropractic treatment is appropriate or when it is not appropriate.  Chiropractors will
    readily refer patients to the appropriate health care provider when chiropractic care is
    not suitable for the patient’s condition, or the condition warrants co-management in
    conjunction with other members of the health care team.


    Dr. Bryan W. Barry is available for a free postural analysis and to discuss how
    chiropractic care can improve your life.

          Call 203-288-2821 for your Free Health Consultation


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