top of page


We use a number of highly-effective adjusting approaches to help improve spinal biomechanics and reduce nervous system interference. The approach we use is based on our clinical judgment and years of experience. The primary adjusting techniques we use include:


Manual Adjusting Techniques


After identifying which vertebrae have lost their normal motion or position, a specific manual thrust is applied to free up “stuck” spinal joints.


Thompson Terminal Point technique is a system of analysis and a special table that reduces the amount of energy needed to adjust your spine.


This full spine approach relies on X-rays and a heat-sensing instrument for a thorough evaluation and documented results.


Is an upper cervical specific technique that only requires an adjustment to the top cervical segment, (Atlas) to give pain relief and regain balance to the nervous system.

Instrument Adjusting Techniques

Activator Method

This treatment method and device is an alternative to manual manipulation of the spine or extremity joints. 

This form of adjustment is non invasive and very comfortable for the patient.  It does not involve any twisting motion of the neck or body. 

Pro-Adjuster Method

This type of adjustment is performed with the patient sitting in a chair face forward and down.  Then the doctor will use a piezoelectric sensor to tap his way along the patient’s spine and measure the resistance.

Based on his finding the doctor will adjust accordingly. This form of adjustment is non invasive and very comfortable for the patient.  It does not involve any twisting motion of the neck or body. About 40% of our patients prefer this type of adjustment.

Flexion Distraction

Flexion Distraction is a chiropractic technique used to treat many conditions of the lumbar spine. It is a non-surgical technique aimed at increasing spinal motion and resolving disc bulges and disc herniations.

Electric Muscle Stimulation Therapy

The mechanism of the muscle stimulation is it delivers small pulsating currents directly on the muscles, which in turn promotes muscle stimulation, blood circulation and  muscle healing. The main benefit of electrical muscle stimulation therapy is pain relief.

Traction Therapy

The Triton traction device provides a treatment in static, intermittent, and cyclic distraction forces to relieve pressures on structures that may be causing pain of skeletal or muscular origin (cervical, thoracic, lumbar, hip, wrist, shoulder). Therapeutic distraction can be applied in a variety of programmable patterns, cycles and functions.

Instrument Assisted Soft Tissue Mobilization (IASTM) / Graston Therapy

This therapy is utilized in order to break down scar tissue and any myofascial restrictions in a patients muscle groups. This can help with chronic inflamed issues or acute problems. It uses a stainless steel instrument to assist the doctor when working on the treatment area.

Additional Services

Digital X-Ray

Digital X-rays benefit the patient in a variety of ways. Decreased radiation, clearer image quality for diagnosis, and less wait time for the patients are some of the benefits of digital radiography.

Sports Physicals

Dr. Nerem will complete sports physicals in his office.  Cost is $40 cash.  Patient is responsible for providing appropriate form.

bottom of page