Patients, who are hesitant or tentative of manual manipulation, have an alternative option to receive instrument assisted manipulation.  After determining which joints are not moving properly, the doctor holds the instrument at a specific angle and it produces a consistent, high-speed and low force to the subluxated joint, restoring motion.  The instrument can be used on the spine and extremities.  One will not hear the classic "popping" with this adjustment; however, you receive the same results as with a classic manual adjustment.  Instrument assisted manipulation is many times faster than adjustments delivered by hand, and the body rarely tightens, making adjustments comfortable and effective.