Chiropractic treatment can vary with each patient and each chiropractor's specific style. Most commonly, treatment will involve manipulations or "adjustments," which involve precise handling and movement of joints or parts of the spine. This is when you may hear clicking or popping noises. This occurs as two surfaces of a joint move quickly, causing a change in pressure within the joint space that sometimes creates a bubble of gas to ‘pop.’ However, this sound is not significant and does not cause pain.
The chiropractor may also use a tool called an activator, which makes a loud clicking noise. The activator is a handheld, spring-loaded device that delivers a fast, precise impulse to the joint, producing a similar effect to manual manipulations. These manipulations are often combined with other manual therapies, such as joint mobilisation and soft tissue therapy. Soft tissue work may vary but can include massage guns, traditional massage, and sometimes dry needling using acupuncture needles. The chiropractor may also offer advice on exercise or rehabilitation, diet, lifestyle, and mental attitudes.