Chiropractic Care
Chiropractic care implements a wide variety of hands-on techniques including: diversified adjusting, active release technique, strain-counter-strain, myofascial release, activator, spinal manipulation, Cox flexion/distraction, and trigger point therapy. A more detailed explanation of a few of those techniques is listed for your convenience:
Active Release Technique (ART): ART is a patented, state-of-the-art soft tissue system/movement-based massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. Headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow are just a few of the many conditions that can be resolved quickly and permanently with ART. These conditions all have one important thing in common: they are often a result of overused muscles.
Spinal Manipulation/ Mobilization: Manipulation/mobilization is the precise controlled movement of a joint through its range-of-motion using one’s hands. It is often associated with a “cracking” sound. It has been a treatment technique used with success for thousands of years. Manipulation/mobilization is performed by chiropractors, physical therapists, and osteopathic physicians. There are hundreds of studies supporting the efficacy of manipulation/mobilization for acute/chronic spinal pain, migraine, and cervicogenic (neck related) headaches.
Myofascial Release: Myofascial Release is an effective hands-on technique that involves applying gentle sustained pressure into the Myofascial (muscle) connective tissue restrictions to eliminate pain and restore motion. This essential “time element” has to do with the viscous flow and the piezoelectric phenomenon: a low load (gentle pressure) applied slowly will allow muscle and fascia to elongate
Trigger Point Therapy: Trigger points are described as hyperirritable/painful spots in muscle that are associated with palpable nodules in taut bands of muscle fibers. The clinician uses compression/massaging of a trigger point which releases the muscle nodule thereby allowing pain relief and relaxation of the muscle.
Strain-Counterstrain/ Positional Release Technique: This is a very gentle technique in which the clinician gently contacts the painful trigger point/muscle and positions the body part in a relaxed position. This is held for 90 seconds and repeated on other dysfunctional muscles. This technique is often used with severe acute pain when the patient cannot tolerate other forms of treatment, such as with an acute whiplash injury.
Fascial Manipulation: There is a new technique used at Mishock Physical Therapy & Associates, called the Fascial Manipulation. This remarkable procedure allows us to detect and treat areas of dysfunctional muscle or fascia that may be leading to acute or chronic muscle pain and dysfunction. Fascia is a thin strong soft tissue that forms a continuous covering over muscles, nerves, and organs.
A Chiropractor, as defined by www.webmed.com, is someone who uses his or her hands to manipulate the spine into alignment. Chiropractic therapy may be used on its own or with other treatments (like physical therapy). Chiropractic seeks to restore joint function, eliminate pain, and prevent further injury.



"I was a former patient at Mishock PT, so I already knew the Barto office was warm and caring. But when I came back after my total knee replacement, that was confirmed even more so. The ladies in that office are so capable and really helped me get rid of my pain. I am on the path to feeling like my normal self and they helped me strengthen my leg muscles to the point where I no longer need a cane or a walker!!! They told me no pain, no gain, and I am so grateful for everything they did to help."





