Extremity Adjustments in Kingsport, TN

Chiropractic isn't only about the spine. Shoulders, elbows, wrists, hips, knees, ankles and feet are joints too, and when one gets stiff or stops moving well, the muscles and tendons around it often take the strain. Extremity adjustments use the same principles as spinal adjustments: careful assessment, then a precise movement or mobilization to restore motion. At Elevate Sport and Spine in Kingsport, Dr. Preston Douglas, DC, CCSP, ATC (Tennessee License #3451) pairs them with soft tissue work and exercise, drawing on his athletic training background.

When extremity care makes sense

  • •A joint feels stiff, stuck, or doesn't move as far as the other side
  • •Pain with specific movements, like reaching overhead, gripping or squatting
  • •Recovering from a sprain or strain once the acute stage has passed
  • •A recurring problem that keeps coming back in the same spot
  • •Joint stiffness that's making the spine or another joint work harder

Joint by joint

JointWhat care may involve
ShoulderThe shoulder joint, collarbone joints and shoulder blade work together. Restoring motion in each, along with the upper back, often helps impingement and stiffness. Shoulder pain.
Elbow and forearmMobilization of the elbow and forearm joints alongside tendon loading for tennis and golfer's elbow. Elbow pain.
Wrist and handGentle wrist and hand mobilization, often with nerve glides, for wrist stiffness and some cases of hand numbness. Carpal tunnel.
HipHip joint mobilization to improve rotation and flexion, often combined with low back and pelvis care. Hip pain.
KneeCare for the kneecap and the joints above and below the knee, since the knee often takes load from a stiff hip or ankle. Knee pain.
Ankle and footRestoring ankle and foot motion after sprains and for heel pain, so you walk and land normally. Ankle sprain, Plantar fasciitis.

How it works

Dr. Douglas examines the painful joint and the joints next to it, since problems often start one joint away. Treatment may be a gentle, quick adjustment or a slower mobilization, depending on the joint and how irritable it is. It's usually combined with soft tissue work, such as instrument-assisted soft tissue mobilization, and corrective exercise so the joint can hold its new range. Athletes get a return-to-sport plan as part of sports medicine.

Safety and when we refer

Extremity adjustments are generally low risk after a proper exam. They aren't used on suspected fractures, unstable joints after dislocation, acute infections, or hot, swollen joints, which need a medical evaluation first. Suspected ligament, meniscus or major tendon tears are referred for imaging and an orthopedic opinion.

Common Questions

Ready to be seen?

Call 423-239-9122 or book online. We don't take walk-ins, but most new patients are seen within a week, and we check your insurance benefits before your first visit.