A female runner stops to hold her lower back which is in pain.

How Do Chiropractors Know What to Treat?

When it comes to addressing pain and discomfort in the body, your chiropractor in Bend, Oregon plays a pivotal role in diagnosing and treating a wide range of musculoskeletal issues. But how do they know exactly what to treat and where to adjust? The process is both an art and a science, involving a comprehensive assessment that combines patient history, physical examinations, diagnostic imaging, and specialized tests. This careful and methodical approach ensures that each patient receives a personalized treatment plan aimed at restoring health and enhancing well-being. In this blog post, we explore the various techniques and methodologies your Bend chiropractic team uses to determine the best course of treatment, providing insights into the process behind effective chiropractic care.

Here is a comprehensive overview of how chiropractors know where to adjust:

Initial Consultation and Patient History

  • Comprehensive Medical History: Your chiropractor begins by gathering a detailed medical history, including past injuries, surgeries, and any chronic conditions.
  • Lifestyle and Occupation: Understanding your lifestyle and occupation can provide insights into potential sources of musculoskeletal issues.
  • Pain Location and Description: Describe your pain, including its location, intensity, and duration.
  • Activity Impact: Discuss your symptoms affect daily activities and movements.

Physical Examination

  • Visual Assessment: Your chiropractor will observe your posture, looking for misalignments or imbalances in the spine and body.
  • Standing and Sitting: Examination in different positions to identify any deviations from normal posture.
  • Joint Flexibility: Your Bend chiropractor will assess the flexibility and range of motion in the spine and other joints.
  • Movement Restrictions: Identify areas where movement is restricted or painful.
  • Spinal Palpation: Your chiropractor uses their hands to feel the spine for abnormalities, such as muscle tightness, tenderness, or misalignments.
  • Soft Tissue Palpation: Assess the condition of surrounding muscles and tissues for tightness or spasms.

Diagnostic Imaging

  • Spinal Alignment: X-rays provide a clear view of the spinal alignment and help identify any structural issues.
  • Bone Health: Check for signs of degeneration, fractures, or other abnormalities.
  • Soft Tissue Examination: MRI or CT scans are used to examine soft tissues, such as discs, nerves, and muscles.
  • Detailed Images: Provide detailed images to identify issues not visible on X-rays.

Neurological and Orthopedic Tests

  • Reflex Testing: Evaluate the reflexes to check for nerve function and potential neurological issues.
  • Sensory Tests: Assess sensation and strength in different parts of the body to identify nerve compression or damage.
  • Specialized Movements: Your chiropractor will use specific movements and positions to isolate and identify problem areas.
  • Joint Stability: Test for joint stability and identifying any structural weaknesses.

Motion Palpation

  • Spinal Movement: Your chiropractor will assess the movement of each vertebra during various motions.
  • Segmental Mobility: Identify segments of the spine that are not moving correctly or are restricted.
  • Evaluating Joint Play: Assess the small movements within the joint to detect restrictions or misalignments.
  • Functional Movements: Observe how the spine and joints move during normal functional activities.

Functional Assessment

  • Walking Patterns: Analyze your walking patterns to identify any imbalances or irregularities.
  • Foot Alignment: Check the alignment and function of your feet as they relate to overall posture and spinal health.
  • Daily Activities: Assess how your perform daily activities to identify movements that may contribute to pain or dysfunction.
  • Repetitive Movements: Evaluate repetitive movements that might be causing or exacerbating musculoskeletal issues.

Patient Feedback

  • Adjusting Techniques: Monitor how you respond to specific adjustments to determine effectiveness.
  • Symptom Improvement: Incorporate your feedback on symptom improvement to guide future adjustments.
  • Pain Levels: Regularly discuss pain levels and functional improvements with the patient.
  • Adjustment Modifications: Modify adjustment techniques based on patient feedback and progress.

Your chiropractor in Bend will take a comprehensive approach to determine where to adjust, combining patient history, physical examinations, diagnostic imaging, and functional assessments. This holistic method ensures that each adjustment is tailored to the individual’s specific needs, promoting optimal spinal health and overall well-being. By continuously monitoring and adjusting their techniques based on patient feedback and progress, your chiropractor can provide effective and personalized care to meet your health goals.

What Does your Bend Chiropractor Treat?

An African American man sits up in bed rubbing his neck in pain.

Your Bend chiropractors are healthcare professionals who specialize in diagnosing and treating disorders of the musculoskeletal system, particularly those related to the spine. Their approach emphasizes manual adjustment and manipulation of the spine and other joints to provide pain relief and improve function. Here are some of the primary conditions and issues that chiropractors treat:

1. Back Pain

Lower Back Pain:

  • Chronic Pain: Chiropractors in Central Oregon frequently treat chronic lower back pain, often caused by poor posture, prolonged sitting, or repetitive strain.
  • Acute Pain: Sudden injuries or strains from lifting heavy objects can also lead to lower back pain, which chiropractic care can help alleviate.

Upper Back Pain:

  • Postural Issues: Poor posture and sedentary lifestyles contribute to upper back pain, which chiropractors address through spinal adjustments and posture correction.
  • Muscle Strain: Overuse or tension in the muscles can lead to pain, treated through targeted adjustments and therapeutic exercises.

2. Neck Pain

Cervical Spine Issues:

  • Whiplash: Commonly resulting from auto accidents, whiplash involves the rapid back-and-forth movement of the neck, leading to pain and stiffness that chiropractors treat with gentle adjustments.
  • Degenerative Disc Disease: Age-related wear and tear on the cervical spine can cause neck pain, which chiropractic care can help manage.

Tech Neck:

  • Posture Correction: The increasing use of smartphones and computers leads to forward head posture and neck strain, addressed through chiropractic adjustments and ergonomic advice.

3. Headaches and Migraines

Tension Headaches:

  • Muscle Tension: Often resulting from muscle tension in the neck and shoulders, tension headaches can be alleviated by chiropractic adjustments and muscle relaxation techniques.
  • Stress Relief: Chiropractors may also recommend lifestyle changes and stress management techniques to reduce headache frequency.


  • Spinal Alignment: Misalignments in the cervical spine can contribute to migraines, and chiropractic adjustments aim to correct these misalignments and reduce migraine frequency and severity.

4. Joint Pain and Dysfunction

Shoulder Pain:

  • Rotator Cuff Injuries: Chiropractors can help manage shoulder pain from rotator cuff injuries through adjustments and rehabilitative exercises.
  • Frozen Shoulder: This condition, characterized by stiffness and pain in the shoulder joint, can be treated with chiropractic techniques to improve mobility.

Knee Pain:

  • Arthritis: Chiropractic care can help manage the pain and stiffness associated with knee arthritis through adjustments and supportive therapies.
  • Patellar Tracking Issues: Misalignment of the knee cap can cause pain and be addressed with specific chiropractic adjustments.

5. Sciatica

Nerve Compression:

  • Spinal Adjustments: Sciatica, characterized by pain radiating down the leg from the lower back, is often caused by nerve compression. Chiropractic adjustments aim to relieve this pressure and alleviate lower back and hip pain.
  • Exercise Recommendations: Chiropractors may also prescribe exercises to strengthen the muscles supporting the spine and reduce sciatica symptoms.

6. Sports Injuries

Strains and Sprains:

  • Acute Injuries: Chiropractors treat acute sports injuries like strains and sprains with adjustments, soft tissue therapy, and rehabilitation exercises.
  • Injury Prevention: They also provide advice on injury prevention through proper biomechanics and conditioning.

7. Carpal Tunnel Syndrome

Wrist and Hand Pain:

  • Nerve Compression: Caused by compression of the median nerve, carpal tunnel syndrome can be managed with chiropractic adjustments to the wrist and recommendations for ergonomic changes.
  • Rehabilitation Exercises: Chiropractors may also suggest exercises to strengthen the muscles of the wrist and hand.

8. Scoliosis

Spinal Curvature:

  • Postural Correction: Chiropractic wellness can help manage the symptoms of scoliosis, a condition characterized by an abnormal lateral curvature of the spine.
  • Pain Management: Adjustments and exercises aim to improve spinal alignment and reduce pain associated with scoliosis.

Chiropractors treat a wide range of conditions related to the musculoskeletal system, focusing on non-invasive techniques to alleviate pain and improve function. Their chiropractic treatment addresses the root causes of discomfort, promoting optimal health. Whether dealing with chronic back pain, acute injuries, or postural issues, chiropractic care offers a natural and effective solution for many individuals seeking pain relief and better health. Contact our chiropractors in Bend today for an initial consultation.

Man sitting in car holds his lower back from piriformis syndrome pain.

Chiropractic Solutions for Piriformis Syndrome Relief

Chiropractic treatment for Piriformis Syndrome represents a holistic approach focusing on reducing pain, increasing mobility, and improving overall function without the use of invasive procedures or pharmaceuticals. This condition, characterized by the piriformis muscle irritating the sciatic nerve, causes pain, tingling, and numbness in the buttocks and along the path of the sciatic nerve descending down the lower thigh and into the leg. Understanding the role of chiropractic care in managing this syndrome requires an in-depth look at various treatment modalities and their effectiveness.

Understanding Piriformis Syndrome

A graphic illustration depicting piriformis syndrome.

Before looking at chiropractic treatments, it’s essential to understand Piriformis Syndrome. The piriformis muscle is a small muscle located deep in the buttocks, behind the gluteal muscles. It plays a crucial role in allowing the thigh to rotate and move from side to side. In Piriformis Syndrome, the muscle becomes tight or spasms, causing irritation or compression of the sciatic nerve.

Piriformis Syndrome is a neuromuscular disorder caused when the piriformis muscle, located in the buttocks near the top of the hip joint, becomes tight or spasms, leading to irritation or compression of the sciatic nerve. This can result from injury, prolonged sitting, overuse, or biomechanical issues like pelvic misalignment or muscle imbalance.

Piriformis Syndrome presents a range of symptoms primarily centered around discomfort in the buttock and leg. The most common symptom is a deep, aching pain in the buttock, often exacerbated by sitting for prolonged periods or performing activities that involve the piriformis muscle. This pain can sometimes radiate down the back of the thigh, following the path of the sciatic nerve, leading to a condition commonly referred to as sciatica.

The symptoms of Piriformis Syndrome include:

  1. Deep, aching pain in the buttock area.
  2. Pain radiating down the back of the thigh, possibly reaching the lower leg and foot (similar to sciatica).
  3. Numbness or tingling along the back of the leg.
  4. Increased pain after prolonged sitting.
  5. Discomfort during activities like climbing stairs, squatting, or running.
  6. Sensation of tightness or restricted movement in the hip area.
  7. Lower back pain.
  8. Pain that improves with movement or walking.
  9. Difficulty sitting comfortably.
  10. Pain when pressure is applied to the piriformis muscle area.

Patients may also experience numbness or tingling along the leg, and in some cases, pain may extend to the lower back and down to the foot. Discomfort may worsen with everyday activities like climbing stairs, squatting, or running, and relief is often found by lying down or walking. Some individuals report a sensation of tightness or restricted movement in the hip area. It’s important to note that these symptoms can mimic other conditions, so accurate diagnosis by a healthcare professional is essential.

Piriformis Syndrome treatment often includes physical therapy focusing on stretching and strengthening exercises to alleviate muscle tightness and improve hip mobility. Chiropractic adjustments, massage therapy, and heat therapy are also beneficial treatment options. In some cases, medications for pain and inflammation or non-invasive treatment like shockwave therapy might be recommended.

Chiropractic Assessment

A female runner stops and holds her lower back and buttock from piriformis pain.

The first step in chiropractic care for this painful condition is an initial evaluation and thorough assessment. This assessment typically includes a review of the patient’s medical history, a physical examination, and possibly diagnostic imaging. Chiropractors focus on identifying the underlying causes, which could include spinal misalignments, muscular imbalances, or other biomechanical issues.

Spinal Adjustments

Chiropractors are renowned for their expertise in spinal adjustments or spinal manipulation. This manual therapy involves applying controlled force to the spine’s vertebrae that have abnormal movement patterns or fail to function normally. The objective of a chiropractic adjustment is to reduce subluxation, thereby increasing range of motion, reducing nerve irritability, and improving function. In the context of Piriformis Syndrome, adjustments can help realign the pelvis and lower back, reducing the tension in the piriformis muscle and alleviating pressure on the sciatic nerve.

Soft Tissue Therapies

Soft tissue therapies like myofascial release or trigger point therapy are integral to chiropractic treatment for Piriformis Syndrome. These therapies involve applying pressure to the piriformis muscle and surrounding tissues to release tension and knots. This can help alleviate a tight piriformis muscle, reduce pain, and improve flexibility, which is crucial in managing Piriformis Syndrome.

Stretching and Strengthening Exercises

Chiropractors often recommend specific core muscle exercises to stretch and strengthen the muscles associated with Piriformis Syndrome. Stretching exercises aim to elongate the piriformis muscle, reducing spasms and tension. Strengthening exercises, on the other hand, focus on the muscles of the hips and lower back. By strengthening these muscles, patients can achieve better pelvic stability, which can help prevent future recurrences of Piriformis Syndrome.

Postural Education and Ergonomic Advice

Chiropractors provide valuable insights into the importance of posture and ergonomics in preventing and managing Piriformis Syndrome. Poor posture, especially while sitting for prolonged periods, can exacerbate the symptoms. Chiropractors may advise on ergonomic chairs, standing desks, and posture-corrective strategies to reduce the strain on the piriformis muscle and sciatic nerve.

Cold and Heat Therapy

Applying ice or heat can be an effective adjunct to chiropractic treatment for Piriformis Syndrome. Ice packs can reduce inflammation and alleviate acute pain, while heat therapy can relax tight muscles and improve blood circulation to the affected area.

Shockwave Therapy

Close up view of a chiropractor applying shockwave therapy to a patient's neck and shoulder to heal musculoskeletal issue.

Shockwave therapy is an increasingly popular treatment for Piriformis Syndrome, offering significant relief by targeting the root causes of the condition. This non-invasive technique uses high-energy sound waves to stimulate healing in the affected muscle. These sound waves promote blood flow, reduce muscle spasms, and encourage tissue repair, effectively addressing both inflammation and pain. By breaking down scar tissue and adhesions in the piriformis muscle, shockwave therapy can alleviate the pressure on the sciatic nerve, thereby reducing symptoms. Patients often experience a reduction in pain and an improvement in mobility after a series of treatments, making it a valuable tool in the management of Piriformis Syndrome.

Visit Total Body Chiropractic for Piriformis Pain Relief

Chiropractic treatment offers a comprehensive approach to managing Piriformis Syndrome, addressing not only the symptoms but also the root causes. By combining spinal adjustments, soft tissue therapies, exercise recommendations, and lifestyle advice, chiropractors can help patients achieve lasting relief and prevent recurrence. This approach emphasizes the body’s inherent ability to heal and maintain balance, making chiropractic care an increasingly popular choice for those suffering from Piriformis Syndrome and other musculoskeletal conditions. As with any medical treatment, it’s crucial for patients to consult with qualified healthcare professionals to determine a proper treatment plan for their individual needs. Make an appointment today with Total Body Chiropractic in Bend to get pain relief from Piriformis Syndrome.

What Can a Chiropractor Do for My Leg Pain?

Leg pain affects many people on a daily basis. Depending on the cause and everyone’s situation, symptoms of leg pain may present in various ways. For some, the pain begins in the lower back and travels down one or both legs. Some experience pain down the back of the legs (sciatica), some on the front of the thighs, and others down the side of the legs. Then there are others who experience pain only below the knee or solely in the feet or toes.

Pain can be associated with different parts of the body, like the hip, ankle, thigh, knees and feet but they would not be categorized as leg pain, and as such receive specific treatment in these areas. Doctors must perform an in-depth analysis or evaluation to deduce the specific cause of the leg pain. They will want to rule out that it isn’t caused by a fall or some other traumatic injury. It is important they rule out strains, disc issues and/or broken bones that might be creating the leg pain.

One of the more common leg pain issues is sciatica, an irritation of the sciatic nerve, which begins at the base of your spine. It is the largest nerve in the body and is joined to the lower lumbar and sacral regions. Pain associated with this nerve can be felt in regions of the lower leg, thigh, buttocks and calves. This ailment makes performing normal daily functions next to impossible, and relief is difficult when patients try to find a comfortable position. The location of the pain varies depending on the anatomical or neurological structures involved. The pain may be described in a variety of ways, including sharp, dull, heavy, aching, burning, numbness, and/or tingling.

During your initial consultation, the chiropractor will perform an evaluation to determine what abnormalities in your spine may be contributing to chronic pain in the leg. The doctor will utilize a physical exam, as well as X-rays, to assess the problem. Then prescribe a comprehensive, holistic regimen that includes dietary change suggestions, regular exercise and spinal adjustments, to help you get better as quickly as possible.