Activator Method Efficacy and Risks (2024)

The Activator Method is usually considered safe and is used by chiropractors to treat neck and back pain of spinal origin, as well as pain in the extremities.

In This Article:

  • Activator Method Chiropractic Technique
  • Activator Method Practitioners
  • Activator Method: What to Expect
  • Activator Method Efficacy and Risks

Activator Adjustment Instrument Research

When compared to the use of high-velocity, low-amplitude manual manipulation (Diversified technique), the benefits of the Activator adjusting instrument were not proven to be better or worse. 1 Huggins T, Boras AL, Gleberzon BJ, et al. Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. Journal of the Canadian Chiropractic Association 2012;56(1):49-57.

In a low back pain study, 3 treatment methods were compared 2 National Board of Chiropractic Examiners. Job Analysis of Chiropractic 2005: A project report, survey analysis, and summary of the practice of chiropractic within the United States. Greeley, CO. January 2005.:

  • Manual-thrust manipulation using high-velocity low amplitude thrust
  • Mechanical-assisted manipulation using the Activator instrument
  • Usual medical care consisting of over-the-counter analgesic and NSAID medications and advice

At 4-weeks post-treatment, the study found a statistically significant advantage of manual-thrust manipulation for reducing pain and disability compared to either mechanical-assisted manipulation or usual medical care. At 3 and 6 months, however, none of these treatment groups were found superior to the others.

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While the Activator Method is a widely researched chiropractic technique, most of the research has been funded by the method's developer. Additionally, most of the studies were conducted in small groups of patients with a relatively brief follow-up period and lack of control groups. Independent studies with large patient groups are needed to determine efficacy with any significance.

When the Activator Method May Not be Used

As with any spinal manipulation or mobilization treatment, a careful clinical examination is required to ensure that the Activator method is not performed on a person who has pain being caused by:

  • Infection
  • Cancer
  • Fracture in the treatment area
  • Open wound in the treatment area
  • Serious neurological disorder

These conditions and other problems could potentially be worsened by using the Activator Method.

Activator Method Risks

When performed by a qualified medical professional on an appropriately selected patient, the Activator Method is relatively safe. Some people may experience an increase in discomfort or stiffness after the initial treatment. This feeling is typically similar to what is felt after receiving thrust manipulation or exercising, and it typically tends to subside within a day.

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While there is at least one documented case in the literature of a person experiencing a cerebral hemorrhage after receiving an Activator method treatment at the top of the neck, this risk is currently thought to be exceedingly rare. 3 Cerebral hemorrhage following chiropractic activator treatment—case report and review of literature. J Neurol Surg Rep. 2016; 77(4): e162-e167. doi: 10.1055/s-0036-1597626 For anyone concerned about having the Activator Method or other spinal manipulation performed on the neck (where more neural tissues and critical arteries are located closer to the surface), it is reasonable to request that this treatment not be performed in the cervical spine region.

See Gentle Chiropractic Techniques for Neck Pain

Before agreeing to have the Activator Method treatment, it is important to discuss the potential benefits and risks with the chiropractor or other qualified health care professional.

  • 1 Huggins T, Boras AL, Gleberzon BJ, et al. Clinical effectiveness of the activator adjusting instrument in the management of musculoskeletal disorders: a systematic review of the literature. Journal of the Canadian Chiropractic Association 2012;56(1):49-57.
  • 2 National Board of Chiropractic Examiners. Job Analysis of Chiropractic 2005: A project report, survey analysis, and summary of the practice of chiropractic within the United States. Greeley, CO. January 2005.
  • 3 Cerebral hemorrhage following chiropractic activator treatment—case report and review of literature. J Neurol Surg Rep. 2016; 77(4): e162-e167. doi: 10.1055/s-0036-1597626

Dr. Emma Minx is a chiropractor and founder of Minx Wellness. Additionally, she is the clinic director for Advanced Care Specialists. Dr. Minx is a certified chiropractic sports physician and also one of the team chiropractors for the Chicago Bears.

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Activator Method Efficacy and Risks (2024)

FAQs

Is the activator method legit? ›

The Activator is FDA approved. Prior to its approval, the theory and function of the device was researched for more than 30 years. It was then tested on numerous individuals with back and neck pain for 15 years. It was found to be safe and effective for performing chiropractic adjustments.

Does the torque release technique really work? ›

There are a lot of benefits to TRT over traditional chiropractic techniques. It allows your body to heal itself. With minimal force, this technique encourages the nervous system to correct itself. Eventually, your spine will move to its proper alignment and a host of other health benefits will follow.

Is Activator Method safe for the neck? ›

The Activator Method is usually considered safe and is used by chiropractors to treat neck and back pain of spinal origin, as well as pain in the extremities.

What is the activator method technique? ›

Activator Adjustment

During a typical adjustment with the Activator instrument, the chiropractor applies the device to the tissues at or near the affected joint. An initial pressure is followed by a quick thrust from the device, which feels much like having one's reflex tested by tapping the knee.

What is that gun that chiropractors use? ›

The Activator device is designed to mimic the effects of a manual spinal adjustment. Some chiropractors use the device because they find it is a more precise way of manipulating the spine. Due to the speed of the instrument, muscles are less likely to tense during treatment.

What is the clicking thing chiropractors use? ›

The Handheld Adjusting Tool, also know as an Activator, is a spring loaded device that when used applies a very quick, specific force to a joint to help restore movement, and it has been shown to be effective in helping spinal pain and Trigger Point (Muscle) Pain.

What are the benefits of chiropractic activators? ›

This instrument allows chiropractors to provide a quick, low-force impulse at specific points. There are two theoretical advantages of an Activator instrument-assisted treatment: High speed. The instrument is so quick that the body's muscles are less likely to tense in response, and resist the treatment.

What is the difference between arthrostim and activator? ›

The Arthrostim uses less force than the Activator, delivering gentle, rapid taps that can be more comfortable for some patients. The Activator's single impulse adjustment may feel more forceful to some patients leaving them sore afterwards, particularly those who are sensitive to manual adjustments.

Does active release technique really work? ›

ART is an effective treatment for a variety of conditions and injuries of the soft tissues, such as overuse and sports injuries. It can help relieve pain and stiffness and help restore your range of motion so you can return to your favorite activities.

Why do chiropractors tap your neck? ›

This technique, often associated with a popping sound, is used by chiropractors to relieve pain and improve spinal function. However, it's essential to explore into various aspects of this practice to understand its safety, benefits, and potential risks.

Are neck adjustments risky? ›

Serious complications associated with chiropractic adjustment are overall rare, but may include: A herniated disk or a worsening of an existing disk herniation. Compression of nerves in the lower spinal column. A certain type of stroke after neck manipulation.

What toxins are released after chiropractic adjustment? ›

This can result in the release of gases, such as oxygen and nitrogen, from the joints, which may cause a popping sound. However, it is important to note that toxins are not released during a chiropractic adjustment.

Is an Activator effective? ›

Each and every one of these trials demonstrated equivalent outcomes regardless of which method was used. That means based on the evidence, the “Activator thing” really does work.

What are the side effects of chiropractic Activator? ›

Are there any side effects associated with the Activator technique? There are no side-effects associated with the Activator technique. Unlike a manual chiropractic adjustment, the only joints that move are the ones that are being adjusted. This makes the activator method more comfortable and effective for patients.

What is the history of Activator Method? ›

Activator Technique History

The Activator Method Chiropractic Technique was pioneered and developed by Dr. Arlan Fuhr in 1967. It is primary used in the United States, Australia, Canada and New Zealand.

What are the benefits of the activator technique? ›

The Activator technique corrects the misalignment without excessive force, twisting or cracking. The muscles in the injured area do not have time to guard against the quick impulse so the joint moves easily. Our patients love the activator method because it is ultimately less stressful than a typical manual adjustment.

What is the Activator Method for sciatica? ›

In contrast to manual manipulation, the Activator Method is an instrumental treatment developed through extensive research and clinical trials. The Activator Adjusting Instrument delivers high-velocity but gentle impulses that restore spinal movement at a given vertebra or joint.

What is the Activator Method at Seattle chiropractor? ›

The Activator Methods Adjusting Instrument is a handheld spring-loaded tool that delivers a consistent low-force, high-speed thrust. Because it's many times faster than adjustments delivered by hand, the body rarely tightens to resist, making adjustments comfortable and effective.

Is active release technique the same as chiropractic? ›

Active Release Technique, or A.R.T., for short, is a type of Chiropractic treatment that focuses on treating the soft-tissue system of the body. And unlike traditional Chiropractic treatment, it uses massage-like movements rather than adjustments.

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