Chiropractic (Joint Manipulation)

In Phoenix, AZ

Joint manipulation or joint mobilization, from the perspective of the joint-by-joint approach theorized by Gray Cook, refers to a systematic method of assessing and addressing joint mobility and stability imbalances throughout the body. This approach recognizes that the human body is an interconnected kinetic chain, and imbalances or restrictions in one joint can have cascading effects on other joints and overall movement patterns.

The joint-by-joint approach involves evaluating and addressing mobility and stability at each joint by categorizing them as either a “mobility joint” or a “stability joint.” Mobility joints are designed for a greater range of motion, while stability joints are meant to provide more stable foundations for movement.

For example, in the lower body, the ankle and hip are considered mobility joints, while the knee and lumbar spine are stability joints. In the upper body, the shoulder and thoracic spine are mobility joints, while the elbow and cervical spine are stability joints.

By assessing the mobility and stability requirements of each joint, this approach aims to identify areas of restriction or excessive mobility, and then apply appropriate joint mobilization techniques or stability exercises to restore balance and optimal function.

How do you mobilize and stabilize these joints?

Joint mobilization techniques may include various manual therapy techniques, such as joint distraction, rhythmic mobilizations, or sustained stretches, to improve joint range of motion and flexibility. Stability exercises, on the other hand, focus on strengthening the muscles surrounding the stability joints to enhance control and reduce excessive joint translation or rotation.

The joint-by-joint approach emphasizes the importance of addressing both mobility and stability imbalances concurrently, as an overemphasis on one aspect without addressing the other can lead to compensatory patterns and potential injury risk.

By systematically assessing and addressing joint mobility and stability throughout the body, Gray Cook’s joint-by-joint approach aims to improve overall movement quality, reduce pain and injury risk, and enhance functional performance in various activities and sports.

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How do the Physicians at TriMotus integrate this philosophy into treatment?

Building upon the principles of Gray Cook’s joint-by-joint approach, the practitioners at TriMotus seamlessly integrate this philosophy into their chiropractic adjustments and joint mobilization techniques. By recognizing the intricate relationships between mobility and stability joints throughout the body, our physicians can deliver targeted, comprehensive care that addresses the root causes of imbalances and dysfunction.

Through meticulous assessments and a deep understanding of functional anatomy, our practitioners identify areas of restricted mobility or excessive joint translation, which can contribute to compensation patterns and potential injury risks.  We employ precise chiropractic adjustments and joint mobilization techniques to restore proper joint mechanics and alleviate restrictions in mobility joints, such as the ankles, hips, shoulders, and thoracic spine.

Simultaneously, our physicians address stability deficits in the corresponding stability joints, such as the knees, lumbar spine, elbows, and cervical spine. By utilizing targeted exercises and manual therapy techniques, they enhance the muscular support and control around these stable joints, promoting optimal joint congruency and reducing excessive joint translation or rotation.

This holistic approach, rooted in the joint-by-joint philosophy, ensures that imbalances are not addressed in isolation but rather within the context of the entire kinetic chain. By harmonizing mobility and stability throughout the body, our practitioners at TriMotus empower patients to move with greater efficiency, reduced pain, and a lower risk of injury, ultimately enhancing their overall quality of life and functional performance.

Candidates for Joint Manipulation Work

A wide range of individuals can be great candidates for the joint-by-joint approach to chiropractic adjustments and joint mobilizations offered at TriMotus. This includes:

Athletes and active individuals seek to optimize their performance, reduce injury risk, and improve movement efficiency. The systematic assessment and treatment of mobility and stability imbalances can significantly enhance their functional capabilities.

Individuals recovering from injuries or dealing with chronic pain conditions, such as back pain, neck pain, or joint-related issues. By addressing the root causes of imbalances, this approach can facilitate a more comprehensive and lasting recovery.

Patients with postural imbalances, compensatory movement patterns, or musculoskeletal conditions like scoliosis or hypermobility syndromes. The joint-by-joint philosophy can help restore proper alignment and joint mechanics, alleviating strain and improving overall function.

Aging individuals or those with degenerative joint conditions can benefit from targeted joint mobilizations and stability exercises, helping to maintain mobility, reduce pain, and improve quality of life.

Anyone looking to improve their overall movement quality, body mechanics, and functional abilities in daily activities or specific sports can greatly benefit from the comprehensive assessments and tailored treatment plans offered through this approach.

38% Functional

27% Physical

35% Mindset

Dr. Cameron Khavari

Dr. Cameron Khavari , DC, MUAC

Owner / Chiropractic and Functional Medicine Physician

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The Joint-by-Joint Approach

The joint-by-joint approach is used in exercise programming, rehabilitation, athletic performance, and functional movement screening. Though initially created as a chiropractic model, TriMotus utilizes the comprehensive approach in all its care to enhance movement efficiency, lower injury risks, and improve overall health and performance.

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Patient Reviews

Robert Hedeen is the most caring and knowledgeable chiropractor. Paperwork and scheduling was very easy. He provided education and exercises to do at home, so I continued to get better between visits as well.

ONE OF THE BEST IN THE VALLEY! I’ve been coming here for almost a month, and am already moving and feeling better than I have in years. After several other doctors and naturopaths failed to help me, I was referred here and couldn’t be happier with the level of knowledge and professionalism I’ve received.

Dr. Cam is amazing at his work/practice. He was highly referred by a trusted friend who I told did not do him justice. He is the best practitioner in the rehab chiro business I have had work on me.

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