Manipulation Techniques

          Manipulative techniques are forms of physical medicine that work to enable the body's own healing abilities by removing impediments, such as nerve compression or lack of blood flow.

Nixa Chiropractor's Manipulation Techniques

          Dr. Hunter Greenwood DC ND, awarded best chiropractor in Nixa, uses both chiropractic adjustments and naturopathic manipulative treatments (NMT)  to correct structural imbalances, improve structure and function, and relieve pain.

          After a careful examination and assessment, Dr. Greenwood determines an individualized approach for each patient.  This approach may include a variety of manipulation techniques, some of which Dr. Greenwood developed himself during his 37 years of practice.  

              Dr. Greenwood utilizes the best, state-of-the-art equipment, including the Thompson Drop Table, Cox Flexion Distraction Table, and the Pulstar System of Computerized Instrument Adjusting.  Below are examples of a few of the techniques Dr. Greenwood offers.

Chiropractic Adjustments on the Thompson Drop Table

          For manual (hands on) chiropractic adjusting and NMT, Dr. Hunter Greenwood utilizes the Thompson Drop Table, which runs on air pressure and allows greater comfort for the patient when adjusting or working on structural imbalances to improve blood flow.  

          The patient begins by standing at the table, which will drop them slowly into a horizontal position.  Dr. Greenwood may have them face forwards, backwards, or sideways, depending on the type of manipulation he is going to perform.  

           When the patient is laying face down, Dr. Greenwood can set the appropriate drop pieces on the table to the patient's weight and set it to drop slightly as he thrusts on the spine.  This dropping enhances the motion of the segment of the spine which is manipulated, generally the mid-back, low back or pelvic area, allowing movement with less force, which is easier for the patient.

          The Thompson table is very effective in treating:

  • Chronic Back Pain
  • Sciatica
  • Shoulder Pain
  • Hip Pain
  • Herniated or ruptured discs
  • Rib pain
  • Facet Syndrome
  • Spondylolisthesis
  • Stenosis
  • Arthritis and Join Pain
  • Arm and Leg Pain
  • Numbness and Tingling
  • Sports Injuries

Cox Flexion Distraction Table

          Flexion distraction tables allow for gentle, low force manipulation.  Although there are a variety of flexion distraction tables on the market, the others cannot match the quality and function of the original Cox Flexion Distraction Table.  It is the most advanced table of it's kind, enabling the doctor to help you return to health faster and more completely. 

           The Cox table is able to flex, extend, rotate, and decompress the spinal area as desired for spinal correction. This allows Dr. Greenwood to work with each patient in an individual manner, adapting the abilities of the table to the specific needs of each patient.  

          Research has shown that flexion distraction and decompression help relieve pain and return patients to health by lowering pressure where the spinal nerves exit the spine, widening the spinal canal foraminal area, and returning motion to the spinal joints.  This care is helpful for 

  • Sciatica
  • Low back and leg pain
  • Neck and arm pain
  • Herniated or ruptured discs
  • Facet syndrome
  • Spondylolisthesis
  • Stenosis
  • Pain that continues after back surgery
  • Numbness and tingling

           Dr. Hunter Greenwood DC is the only doctor within 300 miles of Nixa who offers the most advanced Cox Flexion Distraction Table.

PulStar System

        Although some chiropractors in Nixa utilize an activator for instrument adjusting, Dr. Hunter Greenwood prefers the PulStar Computerized System.  The PulStar allows for multiple precise, gentle instrument manipulation, making it an excellent choice for patients who prefer a gentle, non-manual, effective solution for their pain.  

          This computerized system adapts the weight and amplitude of multiple gentle force impulses to help move and release the spinal subluxation complex and, relieve pain, removing restrictions and restoring health.  

          Nixa chiropractor Dr. Greenwood directs multiple impulses at the areas he wants to treat to reduce restrictions and improve motion.  He will also utilize the PulStar to apply trigger point therapy to decrease muscle spasms and increase bloodflow to the affected area. The results display on the screen in real time.

              Dr. Greenwood guides the Pulstar instrument, with a two-pronged head, along your spine. The instrument sends out gentle pulses, and the sensor evaluates resistance and sends that information to the computer.   When spinal segmental motion is restored, the impulses automatically stop.

          The Pulstar computer system analyzes that information and provides a visual report on the computer screen in real time.  

          When vertebra are moving properly and tissue is normal, resistance is fairly constant.   But when there are restrictions in motion or inflammation, resistance is higher. 

           Dr. Greenwood utilizes this information and applies the instrument to deliver gentle, specific computer controlled impulses to the injured areas.   As these impulses are delivered, Dr. Greenwood and the system analyze the changes to deliver the maximum benefit to the patient.

          The instrument delivers a small, measured amount of pressure in each impulse.  Many patients find the treatment to be calming.  Your spine won’t be twisted, cracked, popped, or snapped.  Although no direct manual manipulations are performed, the spinal vertebra are moved a little bit at a time with each impulse and relief is often instant!

          Pulstar treatments are helpful for:

  • Back and Neck Pain
  • Arm, Hand, Leg, Knee and Foot Pain
  • Migraine and Tension Headaches
  • Whiplash
  • Repetitive Strain Conditions
  • Nerve Conditions
  • Pain that continues after back surgery
  • Fibromyalgia
  • Arthritis and joint pain
  • Carpal Tunnel
  • Plantar Fasciitis
  • Pain that continues after back surgery
  • Joint Pain from Lyme Disease

          Pulstar treatments also help stimulate your lymphatic system, which assists the body in removing toxins and waste materials that can cause congestion or tissue damage.

         Naturopathic Manipulative Treatments 

               As an experienced Naturopathic Physician, Dr. Greenwood also utilizes Naturopathic Manipulative Technique, a technique taught only in certified Naturopathic Universities, to improve blood flow and increase range of motion.    It involves naturopathic stretching and range of motion therapy and different techniques than chiropractic adjusting.

Additional Treatments

              Dr. Greenwood also utilizes a number of methods in adjusting and manipulating the cranium, neck, and extremities (arms, hand, finger, legs knees, and feet), that are direct and do not utilize any instruments or tables, but are extremely effective in bringing relief and restoring motion.

              He utilizes these manipulations to treat:

  • Neck Pain
  • Migraine and Tension Headaches
  • Whiplash
  • Pain from Sinus Congestion
  • TMJ
  • Hand and Finger Pain
  • Knee and Foot pain

             Dr. Greenwood  also includes many additional therapies as a part of your treatment that chiropractors in Nixa charge extra for. 

           If you are ready to get relief and start healing, call Dr. Greenwood today at 417-725-6655 or request an appointment below, and find out how he can help you.  

          Isn't it time YOU felt good again?

Request an appointment

Request Apppointment


Office Hours


5:00 am-12:00 pm

4:00 pm-6:00 pm


5:00 am-12:00 pm

4:00 pm-6:00 pm




5:00 am-12:00 pm

4:00 pm-6:00 pm


5:00 am-12:00 pm



5:00 am-10:00 am