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How Chiropractic Spinal Manipulation at Dr. Paulette Hugulet, DC, LLC Works to Ease Your Chronic Pain

December 30, 2025

If you're living with chronic musculoskeletal pain, you're likely looking at all your options for relief. Chiropractic spinal manipulation has surfaced as a valuable treatment option, and recent research is shedding light on exactly how and why it produces results.

THE SCIENCE BEHIND SPINAL MANIPULATION

Spinal manipulative therapy good goes beyond your spine. According to new research, it activates multiple helpful mechanisms throughout your nervous system. (3) When chiropractors apply controlled force to spinal joints, it arouses sensory receptors that shoot signals to your brain, helping to reduce pain perception and boost joint function. The pathways through which spinal manipulation delivers relief are complex and interconnected. Research shows that manipulation can decrease muscle tension, improve blood flow, and modulate pain signals traveling through your spinal cord. It also seems to influence the release of natural pain-relieving chemicals in your body, creating a cascade of therapeutic effects that extend throughout your musculoskeletal system.

GENTLE ALTERNATIVE: FLEXION-DISTRACTION TECHNIQUE

Not all spinal manipulation involves twisting motions and popping sounds. Dr. Paulette Hugulet, DC, LLC offers a gentler, non-thrust technique called flexion-distraction (aka Cox® Technic) that utilizes easy movements to decompress spinal joints. Recent ultrasound research has analyzed how this technique affects the spine via its controlled movement of spinal segments, showing its precision and mechanical effects on the spine. (1) (This builds on the foundational study of the biomechanical effects of Cox® Technic.) For patients who prefer a subtler approach or have conditions that make traditional manipulation unacceptable, flexion-distraction as performed at Dr. Paulette Hugulet, DC, LLC offers an effective alternative that still provides therapeutic benefits.

EVIDENCE OF EFFECTIVENESS

Multiple studies back the use of chiropractic care for chronic musculoskeletal conditions. A comprehensive review published in JBJS Reviews examined the evidence base and reported that spinal manipulation exhibits meaningful benefits for many patients suffering from chronic back and neck pain. (2) The research indicates that when appropriately applied, chiropractic care can be an effective component of a comprehensive pain management plan. Another study in the Journal of the Canadian Chiropractic Association explored the underlying mechanisms, revealing that spinal manipulation affects neuroplastic changes—essentially helping retrain how your nervous system processes pain signals over time. (3) The research keeps coming and gets more interesting all the time!

A SAFE, PATIENT-CENTERED APPROACH

When performed by licensed chiropractors, spinal manipulation has a strong safety profile. The key is working with a qualified practitioner like yours at Dr. Paulette Hugulet, DC, LLC who conducts careful assessments and develops a personalized chiropractic treatment plan based on your specific condition and needs.

Listen to this PODCAST with Dr. James Cox on The Back Doctors Podcast with Dr. Michael Johnson as he illustrates the process a chiropractic patient can anticipate going through with The Cox® Technic System of Spinal Pain Management toward relief.

CONTACT Dr. Paulette Hugulet, DC, LLC

If chronic pain is negatively impacting your quality of life in La Grande, schedule an appointment with us for chiropractic care that has the strong potential to offer the relief you've been wanting through evidence-based care with us at Dr. Paulette Hugulet, DC, LLC.