Techniques

Chiropractic techniques at Cascade Chiropractic

Six established adjusting techniques plus spinal decompression, so your care is matched to your body and comfort.

Dr. Jacob Thomas, D.C. giving a gentle neck adjustment to a smiling patient

Dr. Jacob Thomas uses six chiropractic techniques: the Activator Method, Thompson Drop-Table, Gonstead, Diversified, Webster and Torque Release Technique (TRT). He also offers spinal decompression. Having several techniques means care can be gentle and low-force or hands-on and specific, depending on your exam and preference.

Activator Method

Dr. Thomas completed Activator Basic Protocol training in 2025. A small, spring-loaded handheld instrument delivers a quick, light impulse to a specific joint, with no twisting or popping. It is often chosen for patients who are sensitive, older, very sore or who simply prefer a gentle adjustment.

Thompson Drop-Table

Dr. Thomas completed Thompson Basic training in 2025. Sections of a special table rise slightly and drop a fraction of an inch as the adjustment is given. The drop helps move the joint, so less force is needed. Many patients describe it as a quick, gentle bump.

Gonstead

A hands-on, very specific technique. Dr. Thomas carefully analyzes how each segment of your spine moves, then adjusts only the areas that need it, often with you seated or lying on your side.

Diversified

The most widely used manual adjusting technique in chiropractic. Precise, hands-on adjustments restore normal motion to stiff joints in the spine and extremities. You may hear a gentle pop as gas releases from the joint.

Webster Technique

A specific chiropractic analysis and adjustment for the pelvis and sacrum, commonly used during pregnancy to support pelvic balance and comfort. Learn about our prenatal care and first trimester offer.

Torque Release Technique (TRT)

Dr. Thomas completed Torque Release Technique training in 2025. TRT is a gentle, low-force technique that uses a handheld instrument called the Integrator to deliver precise adjustments. Like Activator, it avoids twisting and is comfortable for most ages.

Spinal decompression

A non-surgical approach that gently stretches the spine to take pressure off discs and nerves. Read more on our spinal decompression page.

Learn more on our dedicated pages: Activator, Gonstead, Thompson Drop-Table and Webster.

Which technique is right for me?

Dr. Thomas chooses the approach based on your exam, your comfort and your goals, and explains each step before he starts. You can always ask for a lighter option.

This page is for general education and is not a diagnosis. Every patient receives an individual exam before care begins.

Related reading

Simple pricing

Clear prices, no surprises

A cash-pay practice with simple prices, similar to many insurance co-pays. You always know the cost before your visit.

Consultation

Free

Ask questions and find out whether chiropractic care is right for you.

New patient visit

$125

About one hour: a detailed case history and goals for care, a physical and orthopedic exam, and your first adjustment, with education throughout.

Regular visit

$50

Follow-up adjustments as part of your care plan.

Cards, digital wallets, HSA and FSACash-pay: rates similar to many co-paysFirst trimester? Free follow-up adjustment
5.0 stars on Google

What patients are saying

Real reviews from patients in North Lima and across the Mahoning Valley.

“Dr. Jacob is an exceptional doctor. He takes time to listen to your concerns, and plans care that is best suited for you. This is not a one size fits all approach, but rather an office that wants the absolute best for you.”

Irsa K. Google review

“Great experience with Jacob. I've had back and neck pain for years. He does his thing and it's almost instant relief. Great aftercare as well, and he even follows up to see how you are feeling and what to do!”

Christian E. Google review

“I was very happy with my experience here. The Dr took a lot of care to address my sore/stiff neck and back and I left feeling much better.”

Tiffany E. Google review

“Dr. Jake took the time to hear about my past injuries as well as what was currently affecting me. He understands pain and ways to alleviate it.”

Sarah S. Google review

“Grateful for a desperately needed adjustment prior to my piano trio dress rehearsal. Dr. Thomas was extremely nuanced, skilled and responsive. Would recommend to any Youngstown-based musicians.”

Carrie S. Google review

“Dr. Thomas provides excellent and individualized care for his patients!”

Greg H. Google review

“Dr. Jacob is an exceptional doctor. He takes time to listen to your concerns, and plans care that is best suited for you. This is not a one size fits all approach, but rather an office that wants the absolute best for you.”

Irsa K. Google review

“Great experience with Jacob. I've had back and neck pain for years. He does his thing and it's almost instant relief. Great aftercare as well, and he even follows up to see how you are feeling and what to do!”

Christian E. Google review

“I was very happy with my experience here. The Dr took a lot of care to address my sore/stiff neck and back and I left feeling much better.”

Tiffany E. Google review

“Dr. Jake took the time to hear about my past injuries as well as what was currently affecting me. He understands pain and ways to alleviate it.”

Sarah S. Google review

“Grateful for a desperately needed adjustment prior to my piano trio dress rehearsal. Dr. Thomas was extremely nuanced, skilled and responsive. Would recommend to any Youngstown-based musicians.”

Carrie S. Google review

“Dr. Thomas provides excellent and individualized care for his patients!”

Greg H. Google review
FAQ

Techniques questions

Does the Activator hurt?

Most people feel a quick tap and little or no discomfort. It is one of the gentlest adjustment methods available.

Will I hear a crack?

With manual techniques such as Diversified or Gonstead, you may hear a soft pop as gas releases from the joint. Activator, TRT and Thompson usually involve little or no popping.

Can I ask for a specific technique?

Yes. Tell Dr. Thomas what you prefer, and he will explain which options fit your exam.

Ready to feel better?

New patients welcome. No referral needed.

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