Your hands and your table will perform thousands of adjustments during your chiropractic career. Choosing the right table to prevent injury to your body and provide comfort for your patients requires looking at many factors, including design, flexibility and price
The drop table is becoming standard in most chiropractors’ offices, with both pin-drop tables and advancements like PHS Chiropractic’s ErgoStyle Drops changing the way chiropractors perform adjustments. Why? These tables offer a safer way for the DC to deliver care—with less fatigue by the end of the day. Julie Duck of ChiroEco.com breaks down how drop tables work and why they should be standard in your practice.
“If it ain’t broke, don’t fix it.”
The drop table would probably have never been invented if Dr. J. Clay Thompson had subscribed to this saying. As the by-chance inventor of the drop table, Thompson created a way of adjusting that has become part of the chiropractic profession, allowing patients to receive comfortable adjustments that are also comfortable for the DC to perform. The drop table is now standard in most chiropractic practices, and even the original tables created by Thompson himself are still in use at his alma mater, Palmer College of Chiropractic.
Birth of the drop table
The history behind the drop table is interesting, and if there are no such things as accidents, this surely is representative of such. As a Palmer student, Thompson purchased a used table with a broken headpiece. Because the headpiece would drop slightly when a thrust was delivered, Thompson began achieving great results. He only realized what a difference the “drop” made after purchasing a new table with a sturdy, stable headpiece. His patients verbalized their dislike of the new table, causing Thompson to think twice about his old table, the broken headpiece and whether it was related to his patients’ favorable results. The outcome, in turn, was the invention of the drop headpiece, and subsequent development of the Thompson Technique.
What makes the drop table so special? Its mechanism is based on the First Law of Motion by Newton that states “A body is in equilibrium if no force is acting upon it. If it is at rest, it remains so; if in motion, it persists in motion, unless an opposing force is met.” This law was the catalyst for a safer, low-force, high-velocity adjustment that was kinder to the DC. Additionally, the drop table allows DCs with smaller frames, such as women, to perform adjustments without becoming fatigued when the day is done.
A technique for the drop-table
It was only natural that Thompson develop an adjusting technique to accompany his drop table creation. The Thompson Technique, designed to be used with the Thompson table, utilizes a leg check to pinpoint vertebral subluxations. It consists of five categories that will identify whether the problem exists in the cervical or lumbo-sacral region, as well as help you to order each adjustment:
- Cervical Syndrome
- Positive Derefield
- Negative Derefield
- Bilateral Cervical Syndrome
The Thompson Technique is very effective when used with the drop table. However, the drop table also lends itself to many other techniques such as Gonstead, SOT, Diversified and Logan Basic, only adding to its versatility in the chiropractic practice.
Drop tables make sense
When compared to its predecessors—the flat table, divided table, spring lift, side posture table, knee chest table and others—the drop table makes sense because it provides you with a simple transition between your analysis of the patient and the phases of adjustment. Combined with the Thompson Technique, you are then provided with a guidance system to follow when adjusting the patient, leading you through a series of checks and balances that helps simplify your ability to adjust.
Drop tables are also kind to you and your patients in need of extremity adjusting. The drop feature allows you to manipulate most of the body’s joints with reduced physical demand on your part, while also being less demanding on your patient.
Additionally, because the physical stress placed upon you is greatly reduced, especially on your shoulders, you can feel confident that at the end of the day you won’t be dragging because your table has the “give” you need to bring a more sensible order to your daily routine.
Today, most chiropractic offices feature some type of drop table, with options such as a tilting headpiece, thoracic, lumbar or pelvic drops. Drops themselves are based on two different designs:
- Pin Drop: The pin-style drop is the most common and cost-
effective drop mechanism. When the drop is engaged, a pin in the center of the table cushion “pops” the table up.
- Patented ErgoStyle Drop: Pivotal Health Solutions holds the patent to a unique drop that elevates the entire cushion, rather than a single pin or point. This ergonomic design gives the adjusting table better accuracy and a smoother adjustment since patients no longer have to be precisely positioned above a pin. This feature also reduces the force that you need to apply, which reduces stress on you and your patient.
When shopping for a table, it is also important that you consider both your current and future needs. So while you may need to buy a basic table when you launch your practice, it is more cost effective to invest in one that that will be reliable and have the features you need for future growth.
The final consideration is price. Drop tables start as low as around $1,400 and range up to $7,500 for tables with multiple functions. But chiropractors should consider indirect costs and cost savings when contemplating buying a table. While pin-drops offer great value and quality, patented ergonomic Ergostyle drops can save wear and tear on your body because of their unique design. For a chiropractor, the hands, wrists and shoulders are the first “tools” that are injured during treatment, so an initial investment today can ensure that both you and your table age gracefully.
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