Back In Line Chiropractic is a modern facility known for its range of gentle Chiropractic techniques and other therapy services. Please find listed some of the major services we provide in our office. A detailed description of each service is provided below. If you’ve been to a chiropractor before and prefer to be adjusted in a particular way, let Dr. Lee Echelbarger know. We want you to relax, enjoy and fully benefit from your chiropractic care.
All massages are performed by female certified massage therapists.
There are many different types of massage therapy techniques to aid in resolving your muscular conditions. These techniques range from the ancient Eastern European and Asian techniques such as acupressure to modern Western techniques such as the Swedish massage, deep tissue massage and even prenatal massage. There are a wide variety of massage therapy techniques that are used to achieve different goals for the body and we will utilize the technique that works best for your condition. Massage has many therapeutic benefits beyond muscle relaxation including:
Dr. Lee Echelbarger has developed a unique procedure called the Neurological Body Massage. This technique revolutionizes the art of massage with the use of a unique neurological assessment to determine exactly which muscle spasms are helpful to supporting your spine and which ones are distorting it. With today’s technology, we can measure the exact electrical voltage your brain is sending to your muscles. This allows us to identify exactly where our therapeutic massage is going to provide you the greatest degree of relief. Once the computerized scan (surface electromyography, sEMG) is performed on your muscles, the results are printed out. The certified massage therapist then compares those results with the skeletal structure assessment findings and an analysis is made of which muscles need to be worked on to provide the client with the maximum relief. Once those key muscles are treated, the second component of the massage begins. Here we incorporate a whole body relaxation massage technique that addresses the reflexology points as well as the key postural muscles that are under the greatest strain in our day to day lives. The result is a relaxing, dramatically effective massage that will provide a longer lasting result than your typical massage. It provides the precise corrective therapy to the exact causes of your musculo-skeletal imbalances. Reward yourself, you deserve it.
Pettibon System for Scoliosis conditions
Sacro Occipital Technique
Neurological Body Massage: ($80/hour)
Electrical Muscle Stimulation
Active Release Technique®
Foot Levelers Orthotics
On-Premise X-Ray Facility
The Palmer Package is a variety of techniques taught at the Palmer College of Chiropractic in Davenport, Iowa, the birthplace of chiropractic in 1895.
The Palmer Package is a set of adjusting tools that equip chiropractors with what they need to help just about any spinal problem. The main techniques include:
Thompson: This technique is both a system of chiropractic analysis and a way to minimize the amount of energy needed to adjust the spine using a special table with drop-away sections.
Diversified: First, an analysis of your spine is performed. With the malposition of one or more spinal bones identified, a specific manual thrust is administered, based on experience, practice and a thorough understanding of spinal mechanics.
Gonstead: A small heat-sensing instrument and full spine X-rays may be used to reveal subluxation patterns in the spine. To adjust your lower spine and pelvis, we’ll have you lie on your side. Subluxations in the middle back are corrected as you assume a comfortable kneeling position. When you're seated, we can restore the integrity of your spine without twisting or rotating your neck.
Toggle Recoil: While you’re in a totally relaxed state, usually lying on your side, a high-speed, low-force thrust is delivered to the upper bones of your spine and the hands are quickly withdrawn. This allows the body to use the energy as it sees fit to “reset” the spinal joints.
The Thompson Technique, developed by Dr. J. Clay Thompson, has evolved into a system of analysis and a way of adjusting the full spine. The combination produces precise adjustments and high levels of patient comfort.
A System of Analysis
Early chiropractors noticed that subluxations would produce the appearance of a short, or contracted leg. Using a protocol of comparing leg lengths while the patient turned their head, helped determine whether the subluxation was in the upper, middle or lower back.
After gently lowering you to a prone position, individual drop pieces give way, reducing the amount of energy needed to adjust your spine.
Terminal Point Table
What patients often notice first is our segmental “drop” table. After stepping onto the platform, the table gently lowers you into a horizontal position. This helps preserve any leg length inequality.
Individual cushions or “drop pieces” located along our table surface, support each area of your spine until the thrust is delivered. Then, each drop-piece gently gives way, reducing the amount of energy needed to move a specific spinal segment.
Popular and Patented
So unique is this approach, Dr. Thompson was granted a patent in 1955. Since then, because of its precision and patient results, it is a technique used around the world.
At Back In Line Chiropractic, we use an adjusting style commonly referred to as “Diversified.”
First, an analysis of your spine is performed. This can initially involve a case history and X-ray pictures of your spine.
A special hand arrangement called a “pisiform contact” is used to deliver a specific thrust at the right place and the right time.
Subsequent visits may include motion palpation, with the chiropractor feeling the spinal joints move as you turn and bend. Or, a leg check may be performed, to uncover an imbalance in the neck or lower spine.
With the malposition of one or more spinal bones identified, a specific manual thrust is administered. The direction, speed, depth and angle that are used is the result of years of experience, practice and a thorough understanding of spinal mechanics.
The energy delivered during the thrust may produce a slight “popping” sound from the shifting of gas and fluids in the joint. This sound may be interesting, but is not a guide as to the value or effectiveness of the adjustment.
While improving spinal biomechanics can reduce nervous system interferences, virtually all joints of the body can be adjusted to help restore proper range of motion.
Created and named after its developer, Dr. Burl Pettibon, this analytical approach to chiropractic is based on one of the most relentless forces we encounter: gravity.
High Level of Accountability
We’ll take pictures of your spine with you seated. You'll see your X-rays and learn what they tell us.
We start with a complete radiographic analysis of your spine. This gives us a clear picture of how your spine has adapted to the stress of gravity. (We’ll compare these initial views with what we see later as your care progresses.)
Turns out that sitting puts more stress on your spine than standing. So we always take your X-rays... seated. And we take them the same way each time. This way we can accurately compare how your body is adapting to our care without the influence of uneven leg lengths.
Three Types of Care
The first phase of care lasts two to three weeks. Since most people begin chiropractic care with an ache or pain, we start there. During this acute stage, we’ll show you specific home care procedures to accelerate your results.
The second stage of care is designed for those who want more lasting correction. This often takes up to three visits a week for three months or longer, depending upon the damage to your spine. This, combined with the at-home procedures, can produce extraordinary results.
The third stage of care is designed to maintain and enhance your postural correction, muscle strength and endurance. At this stage, visit frequency can usually be reduced.
A True Partnership
The truth is, we can’t “fix” you if you’re not willing to participate. Those who are truly interested in the lasting correction that is possible and do their homework, seem to get the best results. Simple as that.
The bones, nerves and muscles of the body allow us to move. When spinal joints (or other joints of the body) aren’t moving correctly, it’s a sign that something else is going on. We use a helpful diagnostic procedure call Motion Palpation
Spine and Extremities
We'll use our hands to feel how your joints react as you turn and bend.
Motion Palpation is a fancy way of saying, “feeling with the hands and fingers.” It’s simple. We’ll have you turn and bend and go through the range of motion of various joints of your body, both local and peripheral to your spine. As you do, we’ll apply a light pressure to the joint being tested to feel how things are moving.
Not only will we feel the joint, but we’ll also listen as you move. Long-standing problems can often produce grinding sounds or other noises. These can often give us a clue about what’s going on in the affected joint, directing the care we will be recommending.
Mainstream Diagnostic Procedure
Motion palpation is a popular diagnostic technique used by chiropractors since 1981. It quickly gained acceptance and is taught at chiropractic colleges throughout the world.
SOT stands for Sacro Occipital Technique, a chiropractic technique designed to help normalize the relationship between the pelvis and the head.
We are especially interested in the “tone” of your body, which is reflected in the tightness of your spinal cord.
The integrity of the spine, and the function of the nervous system it protects, begins with the pelvis. This foundation is constantly subjected to the pull of gravity. When stability is lost, it produces effects throughout your body.
Proper control of every cell and tissue of your body is affected by bones of the skull and tension on your spinal cord. Think of your spinal cord as a string on a harp. Is it flexible and healthy? Or stretched and drawn tight?
Blocking the Spine
We use wedge-shaped devices known as “blocks” to help correct your spine and properly “tune” your nervous system. By knowing exactly where to position these blocks, we use the weight of your body to make corrections, naturally.
Safe and Comfortable
By using gravity and your own body to effect correction, new healthier patterns of spinal function can result. Along with safe, consistent results, SOT is known for emphasizing patient comfort.
Named after its developer, Dr. Clarence Gonstead, this approach came from his engineering background. His “foundation principle” explains how a subluxation pattern in one area of the spine can produce compensatory changes in another.
After studying your health history, we conduct a complete examination. This generally includes full spine X-rays and precise analysis. Using a small heat-sensing instrument, subluxation patterns are revealed by slight differences in temperature. Finally, we use our fingertips to “palpate” or feel the location of individual bones and how they may differ from their normal position.
With a complete picture of your spine it’s time to make the needed corrections.
To adjust your lower spine and pelvis, we’ll have you lie on your side. Subluxations in the middle back are corrected as you assume a comfortable kneeling position. When you are seated, we can restore the integrity of your spine without twisting or rotating your neck.
Sometimes you’ll hear a slight “popping” sound that we call cavitation. Sometimes you won't. Either way, better health is on the way!
The Gonstead Technique is acknowledged as one of the safest systems of evaluating and caring for the spine.
We use this popular adjusting technique because of the results it produces and the delighted patient response we see. This is largely due to its focus on the “foundation” of the spine and our non-force delivery style.
The Foundation of Your Spine
The sacrum is the “foundation” of your spine, so we start there.
Like your house, if you notice hairline cracks in your walls or ceiling, or doors and windows that don’t open properly, a settling foundation could be the culprit. Same with your spine.
Situated at the base of your spine, the 24 moving segments of your spinal column are supported by a triangular-shaped bone called the sacrum. The sacrum rests between the two bones that form your right- and left-hip. Naturally, problems down here can cause compensatory problems higher up in the spine.
Low Force Contact
After a thorough examination, I’ll have a clear visualization of how your sacrum is malpositioned.
Then, as you lie face down, I’ll use my thumb to apply a light pressure to the muscles that attach to the sacrum. (Knowing exactly where to deliver this light contact requires years of training and experience.) I’ll hold this contact for about 10 minutes or however long is needed to relax the muscles. With repeated visits, as muscle spasms are reduced, the sacrum is able to assume a more normal position.
Understandably, many are surprised that we focus our attention on the base of their spine when their symptoms may be in their upper back or even neck! But they love our low force approach and the excellent results we produce.
We use a fascinating, "cutting-edge" healing system called Bio-Energetic Synchronization Technique (B.E.S.T.). It’s a physical, yet non-forceful, energy-balancing procedure that helps restore the full healing potential of your body. Simply put, an imbalance in your electromagnetic field causes unequal leg length. We correct that by applying the appropriate electromagnetic energy to proper points on the body.
The Basic Procedure
Testing the strength of your arm in the Face-up position provides a feedback mechanism to measure your response.
Most of us use our past experiences to adapt, protect and advance our lives. Inappropriate responses in the past can get “locked” into our bodies, producing ill-health.
This Face-down Procedure identifies the relevant “pressure points” that need to be addressed to allow you to update your response based on your needs today, rather than a past experience. You’ll lay face down and we’ll lightly hold the appropriate pressure points along the spine. It feels great!
The Advanced Procedure
The Face-up Procedure is designed to remove higher brain interference from expression in the physical body. Stored emotional patterns are identified, followed by specific instructions about what to think about, eye position and a breathing pattern that helps your body “re-time” itself and discard patterns from the past. Sometimes we’ll test the strength of your arm, length of your legs or lightly tap points on your head and neck.
Perhaps this procedure sounds a bit strange! But rest assured it produces incredible results and delighted patients around the world.
Dr. Echelbarger has taken over 200 hours of continuing education in the field or extremity adjusting and has secured the Certified Chiropractic Extremity Practitioner (C.C.E.P.) degree from Palmer College of Chiropractic.
The chiropractic approach that works so well with the spine can be applied to other joints of your body. Virtually every articulation of your skeletal system is susceptible to fixations that can impair function and range of motion:
Carpal Tunnel issues.
Carpal tunnel syndrome is a common result of repetitive motions to abnormally functioning joints of the spine, arm and wrist. Chiropractic can be helpful.
Carpal tunnel syndrome is usually due to compression of the median nerve as it passes through the band of ligaments in your wrist. In many cases, the underlying cause is a misalignment of one or more joints of your neck, shoulder, elbow or wrist. Identifying the involved joint(s) and a program of chiropractic care can often avoid surgery.
Stress, teeth grinding and spinal problems can cause TMJ (temporomandibular joint) disorders where your jaw connects to your skull. (You can feel the joint move by placing your fingers in front of your ears and opening your mouth.) Skilled chiropractic care can restore proper nervous system control of involved muscles and ligaments, reducing pain, stiffness, clicking sounds or locked jaw.
Many shoulder problems originate in the area where the nerves branch from the spinal cord and exit the neck. Shoulder pain or pain radiating down the arm can be accompanied by weakness, numbness or tingling in the wrists or hands. Many patients report dramatic improvement with chiropractic care.
Classic tennis elbow (lateral epicondylitis) is a repetitive strain injury that often afflicts the dominant arm. It is seen among carpenters, mechanics, office workers, cashiers and those who perform repeated hammering, grasping and rotary forearm motions. A thorough examination followed by appropriate chiropractic care can produce excellent results.
The hips and sacrum, considered the "pelvic girdle," is the foundation of your spine. These sacroiliac joints can affect nerves exiting the spine. While the chiropractic adjustment of the hips can produce excellent results, many hip problems can be caused from malfunctioning joints above or below the pelvis.
The ankle is the most frequently injured joint in the body. "Pronation," in which the feet flare outward and kneecaps rotate inward, is the most common foot problem. When weak arches cause the bones of the foot to drop to an unstable position, stress on the foot increases. Adjusting malfunctioning joints of the feet, combined with custom shoe orthotics, can reduce tenderness, improve your gait and stabilize the entire skeletal system.
While many health problems can be traced to the spine, other joints of the body can be involved. When chiropractic techniques are applied, range of motion can be improved and painful inflammation reduced. Without drugs or surgery!
The adhesive electrodes are applied to specific muscle groups that may be affected by pain and inflammation.
Also known as EMS, Electrical Muscle Stimulation is a form of electro therapy that uses a special type of electrical current to stimulate specific muscles. With strategically-placed electrode pads, low levels of electrical current excite the targeted muscles producing rhythmic contractions.
There are many types of electrical stimulation. Some are used to promote pain relief, reduce inflammation, avoid muscle atrophy and lessen muscle spasm:
Low Volt – For reducing muscle spasm and pain relief.
High Volt Galvanic– Muscle spasm reduction.
Russian Stimulation– Muscle strengthening.
Interferential– Pain and inflammation reduction.
Iontophoresis – A pain and swelling reduction technique.
Micro Current – Increase cellular metabolism to enhance healing.
We choose the approach that best matches your particular clinical presentation.
What Does EMS Feel Like?
At first, the electrical impulses can produce a slight tingling sensation. The impulses mimic the signals normally coming from your nervous system, causing the muscles to contract. As your body accommodates this muscle excitation, the intensity of your treatment may be slightly increased for maximum effect during the course of your 10- to 20-minute treatment.
Gently drawing apart each joint like an accordion allows the spine to reset, and the pumping action enhances soft tissue nutrition and rehabilitation.
Each of us is constantly in a battle—with gravity! A frequent casualty is the soft disc material that separates each spinal bone. Pressure from our weight, trauma from an accident and other causes can increase the pressure on a weakened disc. In extreme cases, the soft pulpy center of the disc can escape. That can be quite painful.
We use the latest technology to help relieve the effects of back pain due to herniated and degenerated discs. Since discs are constantly under weight-bearing pressure, they can be slow to heal. By gently "stretching” your spine, we help relieve pressure and enhance healing. This is called disc decompression.
First, we'll have you lie down on our specially-equipped table. Then, ever so slowly, we'll stretch your spine. And then relax it. Stretch. And relax. Our patients tell us this tractioning process is quite pleasant, even relaxing. Because they don’t feel the need to "guard” their spine, each sequence helps the damaged disc receive nourishment, expel cellular waste and enjoy reduced pressure. Then, healing can begin.
While not a cure-all, our decompression table is highly effective, especially when combined with chiropractic care. Our experience shows that decompression can be helpful in supporting cases prone to frequent relapses. Do you know someone we could help overcome the effects of gravity?
This is a gentle, non-force adjusting approach. The thing that most patients notice first is our special table. The movements of this table help traction the spine, opening up compressed spinal discs and reducing pressure on facet joints of the spine.
Gently drawing apart each joint like an accordion allows the spine to reset, and the pumping action enhances soft tissue nutrition and rehabilitation.
Named after its developer, Dr. James Cox, this highly-effective technique combines osteopathic principles with the specific, highly-directed approach used in chiropractic. The combination offers a conservative resolution of low back and leg pain that often averts the need for surgery.
The Cox Flexion-Distraction technique we use gives us the ability to place spinal joints in a more normal motion and position without pain or aggravating your condition.
By lying on the table, neutralizing the effects of gravity, we’re able to gently separate spinal joints and move them through a more normal range of motion. Patients find this surprisingly pleasant. We find it powerfully effective.
Think of your fascia as a body suit that connects all your tissues together.
Myofascial Release is a hands-on, whole-body approach for the evaluation and treatment of pain and the restoration of motion. This involves muscles and the connective tissue (fascia) that holds your entire body together.
You Body’s Body Suit
Think of fascia is a densely woven fabric, like a sweater, that connects all your organs, muscles and tissues. Even your heart, blood vessels, lungs and spinal cord. Fascia “holds you together.” Since it covers you from head to toe, think of it as a body suit that you live in.
When you’re healthy, the fascia is relaxed. Like our clothing, it has the ability to stretch and move without restriction. But that changes when we experience physical trauma, scarring or inflammation. Then, the fascia loses its pliability. It can become tight, restricted and a source of tension, reduced motion and even producing pain.
What You Can Expect
First, we’ll conduct a thorough evaluation, looking at your posture, your ability to turn, bend and move. We’ll identify specific movements that produce increased pain or discomfort.
Then, I’ll use my hands to locate the tender areas. Gently stretching the fascia and involved muscles causes them to release. This is not a massage! You’ll have some homework: drinking more water. By drinking more than your usual water intake, you’ll help flush out toxins that have built up and reduce soreness.
Your New Normal
Progress is rarely a straight line. Expect some ups and downs as your body learns it can abandon its defensive posture. As your body heals, your brain will eventually recognize your new posture and muscle tone as normal. With time, expect better movement, more strength, flexibility, improved posture and greater vitality.
Every session is a combination of an examination and an adjustment.
I'll use my hands to evaluate the texture, tightness and movement of muscles, fascia, tendons and ligaments. If scar tissue is present, I'll be able to feel it because it will be preventing soft tissues from moving properly. This can cause reduced range of motion, loss of strength and even pain. If nerve tissue is trapped, there may be tingling, numbness and weakness as well.
Runners and athletes of all types often suffer from injuries that respond to our approach. When problems are detected, I choose from over 500 specific protocols. I’ll apply precise amounts of pressure while you move or bend in specific ways that aid in the correction of your condition.
These manual maneuvers are normally applied at the site of your injury. Excellent results have been reported with the neuromuscular system:
This work will often resolve a number of common health complaints:
Carpal tunnel syndrome
Most of these conditions share one important common denominator: overused muscles. We use this technique because it’s a proven, state-of-the-art soft tissue system that helps many muscle-related conditions resolved quickly and permanently.
Ultrasound therapy is a treatment modality used to treat pain and inflammatory conditions, and to promote tissue healing. While ultrasound therapy is not effective for all chronic pain conditions, it may help reduce your pain if you have any of the following:
Carpal Tunnel Syndrome
Sprains and strains
Scar tissue pain
Types of Ultrasound Therapy
There are two main types of ultrasound therapy: thermal and mechanical. Both use sound waves generated through a transducer head (which looks a bit like a microphone) to penetrate soft tissues. The difference between the two types of ultrasound therapy is the rate at which the sound waves penetrate the tissues.
Thermal ultrasound therapy. Thermal ultrasound therapy uses a more continuous transmission of sound waves. The sound waves cause microscopic vibrations in the deep tissue molecules, increasing heat and friction. The warming effect encourages healing in the soft tissues by increasing the metabolism at the level of the tissue cells.
Mechanical ultrasound therapy. Mechanical ultrasound therapy uses pulses of sound waves to penetrate tissues. While this still has a minor warming effect on the tissues, it also causes expansion and contraction in the tiny gas bubbles of the soft tissues. This helps to decrease the inflammatory response, reducing tissue swelling and thus decreasing pain.
The type of ultrasound therapy you receive depends on your condition. If you have myofascial pain, or had a muscle strain or sprain that has not healed, your therapist will likely use thermal ultrasound therapy. If your pain is caused by scar tissue or swelling, such as with carpal tunnel syndrome, you may benefit more from mechanical ultrasound therapy.
Foot Levelers Orthotics
High-tech foot scans
Scans of your feet reveal pressure points, loss of arch and other critical information.
It surprises many that we will often focus on the feet, when the problem seems located in the neck or lower back. Yet, your pelvis and feet are the foundation of your spine. Problems in one area can create compensatory problems in the other.
That’s why we often recommend Foot Leveler Spinal Pelvic Stabilizers.
First, we use a high-tech digital scanner to take a picture of your feet while you are standing in a normal, weight-bearing stance. This image records areas of stress on each foot. They are used to analyze your feet. Up to 16 different data points are used to create a unique, one-of-a-kind shoe insert designed for your specific postural or structural challenge.
Remove the innersoles that come with your shoes and replace them with comfortable, supportive orthotics.
Better Posture Starts With Your Feet
These are custom shoe inserts that support all three arches in your feet. This creates a healthier, more attractive posture, plus a more stable foundation for your entire body. Though they may go unnoticed, these subtle imbalances can contribute to postural misalignments, knee pain, hip problems, head tilt, forward leaning head carriage and general fatigue.
Best of all, not only do they work great, they feel great!
On-Premise X-Ray Facility