Instrument adjusting is a new technique developed to provide controlled treatments to the specific areas you’re having trouble with.

Dr. Ken Gilden uses Gonstead Palpation Techniques to locate the vertebral misalignment but instead of applying a manual Gonstead Adjustment Dr. Gilden will use an Instrument to deliver the the adjustment.

Impulse adjustments are high-tech.There is no popping or cracking with these adjustments , but rather very precise and targeted adjustments designed to specifically care for just the right areas.

The main difference between an Instrument Adjustment and a Manual Adjustment would be depth and speed of the adjustment.

• Manual Adjustment is deeper but not delivered as fast.
• An Instrument Adjustment is not very deep but it is delivered very fast.

Each person is different and may require Manual, Instrument or a combination of both types of Spinal Adjustments.