On Wednesday, October 18, 2017, at 6:00 pm

Dr. Mary Ann Ley Presents

“Diabetes/Blood Sugar”

Tired After Eating?
Crave Sweets?
Bruise Easily?
Can’t Sleep?
Digestive Problems?

Come to this free health seminar on Wednesday, October 18, 2017, at 6:00 pm and find out if blood sugar dysfunction is affecting your overall health.

110 W. Padonia Road

Timonium, MD 21093


Dr. Mary Ann Ley Presents

“Anti-Aging Tips”

Wednesday, October 4, 2017, at 6:00 pm

Did you know you can boost collagen with your diet? Come join us and find out what you can eat to make you feel and look younger!

Bring a friend and learn more!

Seminar held at Achieve Wellness Chiropractic Center

110 W. Padonia Road

Timonium, MD 21093

Picture credit: Nick Youngson – link to – http://nyphotographic.com/


The summer months bring on loads of fresh produce from the garden, and what better way to use a bumper crop of cucumbers than to make this delicious cucumber salad? Choose whatever herbs you wish to change the flavors to your liking, and serve this with burgers, steak, or grilled chicken. My family loves this!


  • 4 cups cucumbers, cubed or sliced thinly
  • 1/4 cup cream cheese
  • 1 Tbsp white wine or apple cider vinegar, or juice from fermented sauerkraut or pickles (Be sure to use herbs that compliment, rather than interfere with, the flavors of the ferment )*
  • 2 Tbsp fresh herbs, minced (basil/mint/tarragon is my favorite combination)
  • 1 tsp unrefined salt
  • 1/2 Tsp ground black pepper

Mix all ingredients together in a bowl and let sit for 20-30 minutes in the refrigerator before serving, for flavors to meld. Serve chilled.

*For example, Garlic dill pickle juice: fresh dill, mint, tarragon

Plain sauerkraut juice: any herbs you like!

Credit: Maureen Diaz – https://www.westonaprice.org/summertime-creamy-cucumber-salad/

Gluten Free & More



Gluten Free & More
Do you have inflammation? Bloating and digestive issues? Skin issues? Struggling with weight loss? Aching joints? Is going gluten free for you? Join us to learn the benefits of going gluten free.

Thursday August 24th at 7pm

All Seminars Held at Achieve Wellness Chiropractic Center
110 West Padonia Road, Timonium, MD 21093
To reserve your seat call: (410)-628-WELL (9355)         

Blackberry Cornmeal Cobbler

This dessert is made from whole grains and has no added refined sugars—and yet remains deliciously addictive! Plus, it takes only five minutes to prepare (plus baking time). For a variation, substitute blueberries, raspberries, or strawberries for the blackberries.

Adapted from Bow and Arrow Foods


  • ⅓ cup organic corn masa harina
  • ⅓ cup organic sprouted whole wheat pastry flour
  • 1 ½ teaspoons baking powder
  • ⅛ teaspoon sea salt
  • ⅔ cup organic whole grass fed milk
  • ⅓ cup pure organic maple syrup
  • 2 teaspoons vanilla
  • 2 cups fresh organic blackberries or 1 (10 oz.) bag frozen organic blackberries
  • Coconut oil to coat the baking pan


  1. Preheat oven to 400°F. Lightly coat the baking pan with coconut oil and set aside.
  2. In a medium bowl, whisk together corn masa harina, flour, baking powder, and salt. Add milk, maple syrup, and vanilla. Whisk again until just thoroughly combined.
  3. Pour mixture into lightly oiled pan. Evenly top with blackberries.
  4. Bake 45 minutes, or until nicely golden-brown. Cool for five minutes before serving.

This recipe is easy and very healthy. Your kids will love it and so will your guests. This recipe and other great cornmeal recipes appeared in my blog regarding nixtalamation of corn. https://www.seleneriverpress.com/corn-cornmeal-primer-nixtamalization-must-read/

Dr. Mary Ann Ley Presents

“Good Fats/Bad Fats”

Thursday July 27th at 7:00 PM

Learn which fats are actually healthy for you and help with metabolism and weight loss; which ones drive inflammation and much more!

Seminar held at Achieve Wellness Chiropractic Center

110 W. Padonia Road

Timonium, MD 21093


Mystified by chiropractors? You’ve got a lot of company. Many people don’t understand what a chiropractor does.

“Think of a chiropractor as a doctor who cares for any kind of muscle, joint or bone pain,” advises Andrew Bang, DC, from Cleveland Clinic’s Center for Integrative and Lifestyle Medicine.

It’s important to inform your primary care physician about any pain you’re experiencing, whether recent or chronic (lasting more than three months). Your primary care doctor can rule out potentially serious problems that need treatment.

Chiropractors can complement the traditional medical care you receive. Here are three things you should know about what they do — and don’t do:

1. Chiropractors don’t prescribe medication

“Chiropractors do not prescribe medication; this allows us to think outside the box,” says Dr. Bang. “Many people would rather take a pill than change a few lifestyle habits, but I see finding an alternative approach as a huge positive because it empowers patients to take control of their health.”

A chiropractor may prescribe:

  • Soft-tissue therapy: To relax tight muscles, relieve spasm and release tension in the fascia (the connective tissue that surrounds each muscle)
  • Adjustments: To gently realign joints and increase range of motion
  • Joint bracing/taping (e.g., Kinesio taping): To support sprained joints or muscles as they heal
  • Exercises and stretches: To restore and maintain mobility and range of motion
  • Referrals to integrative medicine experts: For guidance on diet and nutrition to reduce inflammation and promote weight loss

“Treatments generally do not hurt. But soreness — similar to what you might feel after a workout — is a common side effect,” says Dr. Bang. “Over time, however, your muscles adjust.

2. Chiropractors don’t just treat the back and neck

Chiropractors can treat pain anywhere in the body: in the head and jaws, the shoulders, the elbows and wrists, the hips and pelvis, and the knees and ankles.

“We look at the whole musculoskeletal system and treat the root of the problem. We make sure not only that the joints are moving properly, but also that surrounding muscles are functioning well,” says Dr. Bang.

After your primary care physician has evaluated your pain, chiropractors can offer complementary care for many common problems:

  • Headaches
    “A lot of headaches and migraines are caused by tension in the jaw,” Dr. Bang says. “Maybe patients are unaware that they clench their jaw at night. My job is to relieve jaw muscle tension to increase blood flow, which ultimately helps alleviate the headaches.”
  • Plantar fasciitis
    Podiatrists typically recommend orthotics and massage for temporary relief of this painful foot condition. But chiropractors also make sure the joints in the foot are mobile, then work upward to evaluate other possible causes. “Sometimes the knees or lower back are the real problem, affecting the way patients walk, which eventually leads to plantar fasciitis,” he says.
  • Generalized shoulder pain
    If shoulder pain persists but an MRI shows no problem, chiropractors will assess the muscles surrounding the shoulder blade. They may also look for ribs that are restricted and prevent the shoulder from moving properly.

Chiropractors treat problems in people of all ages. “Depending on the patient, the intensity and force of treatments vary,” says Dr. Bang. All patients are screened to ensure that they are good candidates for chiropractic care. For example, many older patients have some thinning or softening of the bones that would rule out joint manipulation.

If chiropractic care is too risky for a patient, “we will guide them to the right people and resources,” says Dr. Bang.

3. Chiropractors focus on prevention

The goal of chiropractic care is to restore your health over the long term, rather than to relieve your symptoms over the short term. So a chiropractor will ask how you move throughout the day (standing, sitting, walking) and how you sleep at night.

Learning how to position your body at your desk, when you’re standing and moving, and when you’re in bed — and incorporating stretches into your daily routine — can be invaluable in preventing future problems.

To sum it up, understanding what chiropractors do is pretty simple: think of aches, pains, creaks and strains. If you’ve got a problem that involves your musculoskeletal system, a chiropractor can offer alternative methods of treatment.

This article is originally found on The Cleveland Clinic.

2017 Presentations

Partial list, more to come!
Sylvia Burgos Toftness
Bread and Soup: The How’s and Why’s of Making Bone Broth and Baking Sourdough Breads
Bread and soup – a combination that’s sustained cultures worldwide. How and why? Sylvia Burgos Toftness will describe how you can make bone broth in your home kitchen and why it’s absolutely worth the effort. She will also explain how sourdough not only creates great taste but also unlocks nutrients important to family health.
Natasha Campbell-McBride, MD
Gut and Psychology Syndrome
Dr. Campbell-McBride will be talking about GAP Syndrome or GAPS, which stands for Gut and Psychology/Gut and Physiology Syndrome.   In addition to the well published psychological and neurological disorders, there will be a wealth of information on autoimmune problems, allergies, asthma, eczema, MS, chronic fatigue syndrome, ME, fibromyalgia, arthritis, diabetes type one, chronic cystitis, chronic skin problems and many other physical conditions.  New information on GAPS for those familiar with Dr. Natasha’s work will be presented and discussed.  This seminar is a must for both those learning about GAPS for the first time and those who are already experienced. This seminar contains information used in the recent GAPS Practitioner Certification Courses.
Ask the Practitioner Panel                                        Friday 8:00-10:00 pm
Tom Cowan, MD, Natasha Campbell-McBride, MD, Louisa Williams, DC, Kim Schuette, CN and Ronda Nelson, PhD
Ben Greenfield
Why You’re Not Losing Weight: Fat Loss Frustration & What to Do About It
Are you eating the “perfect diet” but still frustrated by excess adipose tissue and weight gain, or an inability to lose weight? In this presentation from America’s top personal trainer and nutritionist, Ben Greenfield, you’ll discover the truth about how to get the scale moving, change your body composition, improve your aesthetics, and shift your metabolism into fat-burning mode.
Stefan Hagopian, DO
Chairs, Beds and Footwear – Negotiating Their Pervasive Influence in Our Daily Lives
Sitting may be the leading cause of back pain. While there are ways to mitigate that influence, we should also realize that chairs, beds and footwear are impacting us nearly twenty-four hours per day. Like the wrong chair, our mattresses and shoes can exert biomechanical pressures and strains which affect our joints, internal organs, nerves and vessels.  They can also restrict or divert the normal movement of fluids and energies in so many different places that we rarely connect the symptoms to the underlying causes.
Chris Knobbe
Macular Degeneration – Preventable and Treatable with an Ancestral Diet?
Could age-related macular degeneration (AMD) be another “disease of Western civilization,” produced by the consumption of processed food-laden diets?  Ophthalmologist and associate clinical professor emeritus, Chris Knobbe, MD, formerly of the University of Texas Southwestern Medical Center, will present the hypothesis he has proffered for the cause of AMD, along with a sampling of his group’s supportive research collected from twenty-five nations. Dr. Knobbe will also review pertinent existing dietary research that supports the hypothesis as well as plausible biological mechanisms whereby toxic, nutrient-deficient, processed foods may produce this potentially blinding disease.
Kiran Krishnan
Forget What You Know About Probiotic – A Paradigm Shift
A presentation on the most up-to-date understanding of the human microbiome, its origin, development, form and function as it relates to human health and wellness. An overview on the different strategies in probiotic therapy and an introduction into the role of commensal spore based probiotics. The presentation will also cover how a probiotic can protect its host by resolving a major disease driver, leaky gut.You are more bacteria than you are human with 10 trillion human cells outnumbered by over 100 trillion bacteria cells in and on your body. The human genome contributes just 1% genetic material to daily metabolic function compared to the 99% that is contributed by the microbiome. Understanding the form and function of the human microbiome is critical to understanding the human condition and the etiology of most common illnesses.
Karen Lyke, MS, CCN, DSc, CGP
The HPA (Hypothalamus-Pituitary-Adrenal) Axis: An Introduction to the Major Hormones which Operate and Maintain the Body
This introduction to hormones will cover the glands of the HPA (Hypothalamus – Pituitary – Adrenal) axis, their associated hormones and overall roles in maintaining day to day balance along with moderating changes as we go through life. Their interactions with the thyroid, pancreas and reproductive organs will be discussed as well as will the use of nutrient-dense foods to optimize their function. It should come as no surprise to Weston A. Price fans that traditional animal fats provide crucial support here.
Ronda Nelson, PhD
Nourishing Your Thyroid: The 7 Key Principles for Optimizing Thyroid Health
Part I:         Understanding How Your Thyroid Works
Thyroid dysfunctions are not as complicated as you might think. During this 2-hour session, Dr. Ronda Nelson will explore the unique physiology of the thyroid gland and its relationship with the other primary endocrine glands. Discussion will include a review of the four most common thyroid disorders and how they can be supported using a very common-sense approach.
Part II:         Bridging the Nutritional Gap
As with any endocrine gland, the thyroid requires certain nutrients to function. Learn which nutrients are the most crucial for optimal thyroid health, which foods should best be avoided (and it’s not cruciferous veggies!) and how you can create a customized diet that is thyroid-healthy!
Part III:     Proper Testing, Support and General Recommendations
In her final session, Dr. Nelson discusses which blood tests are most important for a thorough evaluation of the thyroid and what kinds of herbal or nutritional support may be needed to restore optimal function. She will also discuss thyroid-healthy lifestyle habits that can make the difference between having to live with fatigue, anxiety, and weight gain vs. having an energetic, vibrant lifestyle that makes each day better than the one before!

Tim O’Shea, DC
Detoxification Protocol for Autistics and Other Vaccine Injured
Defining vaccine injuries – symptoms and characteristics. What are the requirements of normal neurocranial development?    How is the formative neurology of the infant brain damaged by vaccine ingredients?  Can these bioaccumulative residuals be chelated out? Can cognitive function be improved?  What are the chances of full recovery?
Laura Schoenfeld,MPH, RD
STRESS PROOF: Creating a Diet and Lifestyle To Recover From “Adrenal Fatigue” or HPA-D
Part I: Defining “Stress” and the 4 Main Triggers of Adrenal Fatigue (HPA-D)
Part II: How Diet and Exercise Help (or Harm) Your HPA Axis Function
Part III: Supplements, Sleep, and Stress Management for Promoting A Healthy HPA-AxisStress is one of the biggest contributors to chronic health issues and poor quality of life. Did you know that your diet and lifestyle can play a huge role in how your body responds to stress? After working one-on-one with hundreds of clients, Laura Schoenfeld, MPH, RD has found that under-eating, overly restrictive dieting, inappropriate exercise, and inadequate attention to sleep and stress management is rampant in patients who are hoping to solve their health concerns through functional medicine and real food. In this seminar, Laura will teach you the five most important lifestyle factors that will influence the way your body responds to stress, maximize your energy and mental wellbeing, and improve your body’s ability to heal itself from chronic conditions.

Kim Schuette, CN, Cert. GAPS Practitioner
Recovery from Bio-Identical Hormones
Despite the promises of “achieving balance naturally” via bio-identical hormones, many women are left fatigued, bloated, anxious and sleepless. The use of bio-identical hormones shares many of the same downsides that come with synthetic hormone replacement therapy and the use of the birth control pill. In this session, Kim will share the importance of balancing hormones naturally at any stage of life as well as how to gently detox and recover from the use of bio-identical hormones. Learn how to eat right for your detoxification pathways, especially methylation, glucuronidation and sulfur conjugation, that are intricately involved in processing and eliminating hormones. The end result will be a healthier, more energized you.
Stephanie Seneff, PhD
Everything You Wanted to Know About Glyphosate but Were Afraid to Ask
Glyphosate is the active ingredient in the herbicide, Roundup, the most popular herbicide in agriculture due to its perceived non-toxicity.  My research over the past several years has revealed that, contrary to claims, glyphosate is insidiously, cumulatively toxic to humans and to all life on earth. Furthermore, it works synergistically with toxic metals and other toxic chemicals to increase their ability to cause harm. This presentation will be divided into three sections as follows (1) description of the methylation and transsulfuration pathways and the ways in which glyphosate disrupts these; (2) glyphosate contamination in vaccines and the mechanisms by which glyphosate induces autoimmune and neurological diseases; and (3) an expose of the microcephaly epidemic in NE Brazil as one of the best models for how a complex interplay of toxic chemicals is ruining our health.  I will conclude with some suggestions for how to safeguard your family.

Kim Thompson
Gentle Movement                                              
Relax your body and prepare your mind for a day of learning. Wear clothing that allows you to move comfortably. All levels welcome.
How to Sit Comfortably
Good sitting alignment leaves you physically relaxed, mentally alert, and able to engage with the world around you. We’ll take a look at the role of the feet, knees, hips, spine, and shoulders for sitting postures that are simultaneously dynamic and restful.

Gentle Movement
Relax your body and prepare your mind for a day of learning. Wear clothing that allows you to move comfortably. All levels welcome.
Release Low Back Tension
The pelvis can go out of alignment in three basic ways. Learn techniques to bring it back into balance and relieve stress in the low back and hips.

Gentle Movement
Relax your body and prepare your mind for a day of learning. Wear clothing that allows you to move comfortably. All levels welcome.
Relieve Neck and Shoulder Tension
Learn simple and effective techniques you can do anytime, anywhere to release tight muscles in your jaw, neck and shoulders.

Donald K. Weber, DC
The Eight Critical Systems
There are the eight “critical” systems including the respiratory, digestive, circulatory, spinal fluid, cranial/spinal pump, nervous, cellular, and lymphatic systems. And the other nine systems are the immune, endocrine, integumentary (skin), musculoskeletal, muscular, reproductive, skeletal, colon, and urinary systems which will only work properly if ALL of the eight “critical” systems are working together. It seems that everyone has pieces of the puzzle, However, until now no one has put all eight of the “critical” pieces of the puzzle together into one perfectly functioning unit “necessary for “optimum health.”
Cilla Whatcott, PhD, HD, RHom, CCH
Real Immunity: Educate the Immune System Using Homeoprophylaxis
Homeoprophylaxis, also called HP, is a natural, non-toxic method for disease prevention. Learn how HP educates the immune system, supports healthy development, promotes robust long-term health and engenders a harmonious relationship between humans, bacteria and viruses.  HP is the perfect solution for those seeking an alternative.
Louisa Williams, MS, DC, ND
Exercise Tips from an Exercise Dropout! The Benefits of Active Stretching, Interval Training, and CBD Oil
In this dynamic presentation, the neuromuscular pitfalls of various popular exercise regimens such as yoga and aerobic classes will be discussed as well as demonstrated on participant volunteers. This talk will specifically address the physiological and hormonal benefits of active versus passive stretching, and interval training over boot camp aerobic classes. Additionally, the muscle toning and strengthening effects of CBD oil will be described and demonstrated. Further, the neuromuscular and psychological benefits that CBD oil engender will be addressed, and can help explain why individuals in this more positive state of mind are inclined to exercise more frequently, experience faster recovery time, and have reduced soreness post-exercise.
Lindsea Willon
Tone Your Hormones: How Exercise Affects Insulin Resistance & Inflammation
Current estimates show that one in three people will develop type 2 diabetes in their lifetime. Insulin resistance and diabetes are serious conditions with painful, costly and deadly side effects. In this presentation, nutritionist Lindsea Willon will provide you with an illuminating discussion of how insulin resistance develops, with a special focus on inflammation. With an eye on recovery, she will detail how diet and nutritional therapy can support healthy blood sugar regulation, as well as discuss recent findings on the effects of exercise training on inflammation and insulin resistance.

Men’s Health Month

DID YOU KNOW?Male testosterone levels peak around age 20. After that there is a steady decline in this essential hormone in men. But you may not know there are some health risks associated with this decline.

Optimum testosterone levels contribute to: confidence, mental focus, happiness, muscle strength, increased energy, healthy libido and erections, and strong bones; A deficiency in testosterone levels contribute to low confidence, depression, abdominal fat, “man boobs”, constant fatigue, sleep problems, low libido and Erectile Dysfunction, and increased risk of osteoporosis.

There is an epidemic of low T levels in men over the age of 40 due to excess exposure to xenoestrogens (from toxins in our environment), phytoestrogens
(from increased consumption of SOY products, for example), too much stress, and other emasculating aspects of modern life.

Recent studies indicate that the testosterone level of the average male today is 25% less than it was in 1992 (Comparing men of the same ages).  Meanwhile, the average male estrogen level has increased an alarming 40% during the same time period. The studies also show that average male sperm counts are down 40% for that same time period. Millions of men are struggling with this.

More alarming is the fact that low-T is downright DEADLY to men… A study published in the Endocrine Society of Toronto found that men with lower Testosterone levels had a 33% increased risk of dying than men with higher T levels.

And if you thought that a prescription for Testosterone replacement therapy was the answer, think again!  

Introducing an external source of a hormone like Testosterone tells your body to produce LESS natural testosterone, thereby harming your production of the all important male hormone, and increasing estrogen levels through the breakdown of the external Testosterone prescription.  This excess estrogen from the “fake” Testosterone prescription can eventually lead to “man boobs” in the same way that steroids can lead to man boobs in bodybuilders that abused them years ago.

The thing most people do not realize is that testosterone is in a family of hormones which work together to provide optimal health. If you just give Testosterone to raise the low levels, you will eventually downregulate the body’s ability to make this hormone. The adrenal glands need to be supported, especially since stress and poor sleep are typically involved here.

So here are some things you can do safely and naturally to help raise testosterone levels:

1. Exercise , especially in the AM, and try High Intensity Interval Training (HIIT).  Overtraining in the gym also lowers testosterone…so the answer is not to just work out more.
2. Eat HEALTHY FATS, including CLA (Conjugated Linoleic Acid found in pasture raised eggs, grass-fed meats and some mushrooms)
3. Intermittent Fasting (you can ask me more about this)
4. Reduce Stress – meditation, breathing, yoga, etc.

5. Sleep – When you are sleep deprived the first result is the disruption of hormones .  This mostly is due to elevated cortisol levels (the stress hormone).


  • Vitamin D

Increasing levels of Vitamin D is another option that has respectable research to show its effectiveness.  Your goal is to have blood work showing 50ng/ml. Make sure you get the vitamin D3 with K2 .

  • Maca

This ancient herb offers safe and impressive results when proper dose and a quality brand is purchased.

  • Vitamin B6, Magnesium, Folic- Acid

As well as these HERBS and Glandulars:

Palmettoplex – Supports healthy prostate function
Symplex M – General Endocrine Glandular support for testes, adrenal, pituitary, and thyroid
Tribulus – supports healthy testosterone production, physical endurance and stamina (good for women as well)

What you want is a combination of nutritional and herbal supplements to provide foundational support for the male reproductive system health and function.

For the next 30 days, our office will be giving a 15% discount on the products we recommend to support your health in this way. Please let us know how we can better support your overall health.

If you would like to see if Nutrition Response Testing is for you, you may take advantage of our June special for 50% off.

Call 410 628-9355

Dr MaryAnn

Resources: Standard Process
Dr Mike Geary

The Activator Method Chiropractic Technique® is a diagnostic and treatment system used by some chiropractors to treat many types of back pain, neck pain, and headaches (both chronic and migraine).

 The Activator Method uses a small, hand-held instrument called the Activator Adjusting Instrument to deliver a gentle impulse force to the spine with the goal of restoring motion to the targeted spinal vertebra or joint.

It is an alternative to the traditional manual form of spinal manipulation, known as the high velocity low amplitude (HVLA) thrust.

Next to the Diversified technique, the Activator Adjusting Instrument is reported to be the most common therapeutic intervention used by chiropractors.

  1. According to the National Board of Chiropractic Examiners, more than half of full-time American chiropractors report using the Activator Method in their practices.
  2. The Activator Method is also commonly used in Canada, Australia, and New Zealand.

How the Activator Method is Thought to Work

The Activator Method Chiropractic Technique is a type of manipulation described as follows:

A spring-loaded, hand-held mechanical instrument called the Activator Adjusting Instrument provides a quick, low-force impulse at specific points.

There are two theoretical advantages of an Activator instrument-assisted treatment. The first is based on the speed of the device. The instrument is so quick that the body’s muscles are less likely to tense in response, and resist the treatment. The lack of muscle resistance may facilitate the treatment effectiveness. The second is that the applied force is localized and does not add any additional torque or bending movement to the joint.

Sometimes an evaluation of apparent leg length may also be performed. This evaluation is based on the theory that apparent differences in leg length may indicate where vertebral misalignments in the spine are present. However, this form of evaluation is controversial and there is a lack of clinical evidence to support this aspect of the process.

Activator providers may or may not use the evaluation method. Some chiropractors choose only to use the Activator Adjustment Instrument based on their physical examination findings alone.

Activator Method Development

The Activator Method was initially developed in 1967 by Dr. Arlan Fuhr. The first Activator adjusting instrument was patented in 1978 by Activator Methods International, Inc.

At the time of this article, there are 4 Activator instruments on the market: 1 beginner instrument (Activator I), 2 advanced spring-loaded instruments (Activators II, IV), and 1 mechanical, cordless instrument (Activator V). Most research has been done using the Activator IV instrument.

What to Expect with the Activator Method

The Activator Method Chiropractic Technique involves multiple steps. The chiropractor may use all of the steps, or may focus on only using the Activator instrument to adjust the spine.

A typical treatment will be done while the patient lies face down on the adjustment table. The treatment typically begins with the low back and progresses toward the head, targeting each vertebral segment individually.

The chiropractor will evaluate the patient for signs and symptoms to identify the joints of the spine or the extremities that may be the source of complaints and amenable to treatment with the Activator instrument.

Activator Adjustment

During a typical adjustment with the Activator, the chiropractor applies the Activator 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 your knee.

The patient remains still, with no twisting or turning as there often is for a traditional chiropractic adjustment (high-velocity, low-amplitude thrust).

After an adjustment, the chiropractor will often re-evaluate for correction of signs and symptoms associated with the complaint.

Treatment Plan

A practitioner will recommend a series of treatments, such as 1 to 2 times per week, for an initial period of 4 to 6 weeks, though the final decision is dependent on each individual case. Once the patient’s symptoms are improved, the Activator treatment is completed.

If the patient feels no pain relief after approximately 3 – 4 treatments, the chiropractor will stop the treatment and re-evaluate the patient’s symptoms and condition. For example, the patient may need a different type of manipulation and/or referral to a different type of spine specialist.


  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. Richards DM. The Activator story: development of a new concept in chiropractic. Chiropractic Journal of Australia 1994;24:28-32.
  4. Chiropractic adjusting instrument Patent No. US 4116235 A. patft.uspto.gov. Accessed June 19, 2013.

This Article was originally written by Steven G. Yeomans, DC and can be found at: Spine-Health