Does the Pop Matter? Chiropractic Spinal Adjustments and Brainwave Activity

By
Landon Amonette, DC

For many chiropractic patients, the audible “pop” during a spinal adjustment feels like a sign of success. That familiar sound, known as a cavitation, happens when gas bubbles collapse within a joint as pressure rapidly changes. Patients often associate this with relief, effectiveness, and a "reset" in their spine. But what if that sound isn’t as important as we think?

A recent study challenges the idea that an audible release is necessary for effective spinal adjustments. The research found that whether or not a pop occurs during an adjustment, brainwave activity remains unchanged, meaning the adjustment's effectiveness is not dependent on the sound.

This challenges long-standing assumptions in chiropractic care and offers valuable insights for both practitioners and patients. At Awesome Family Chiropractic, we emphasize evidence-based care, and studies like this help us refine our approach to improving patient health at every stage of life.

Understanding the Study: Adjustments, Brain Activity, and the Audible Pop

The study, published in a peer-reviewed chiropractic journal and highlighted by the Association of New Jersey Chiropractors (ANJC), sought to determine whether the presence of an audible release during a lumbar spine adjustment influenced brainwave activity.

Study Methodology

  • Participants: The study included individuals receiving lumbar spine adjustments, divided into two groups: one that experienced an audible pop during the adjustment and one that did not.
  • Measurement Tools: Brainwave activity was measured using electroencephalography (EEG), a widely accepted method for assessing neurological changes.
  • Procedure: Each participant received a high-velocity, low-amplitude (HVLA) thrust adjustment. Brainwave activity was recorded before and after the adjustment.
  • Findings: There was no significant difference in brainwave response between those who experienced an audible pop and those who did not. This suggests that the effectiveness of the adjustment is not dependent on the sound.

This is a game-changer for chiropractic care, especially for patients who assume that a louder adjustment equates to a better one.

What This Means for Patients of All Ages

Chiropractic care isn’t one-size-fits-all. This study reassures patients that adjustments are beneficial whether or not they produce an audible sound. Let’s look at what this means for different age groups.

Adults (35-70):

Many adults seek chiropractic care for chronic pain, mobility issues, or injury recovery. Some worry when an adjustment doesn’t “pop” like they expect. This study reassures them that an adjustment without a sound can still be just as effective.

At Awesome Family Chiropractic, we focus on technique and patient response, not just the sound of the adjustment. Whether using hands-on care or an instrument-assisted approach like the Activator, our goal is to help the nervous system function optimally.

Children & Teens:

Parents sometimes hesitate to bring their children to a chiropractor, worrying about adjustments being too aggressive. In reality, pediatric chiropractic care uses much gentler techniques. Since children’s joints contain more fluid and less gas, their adjustments rarely produce an audible pop. This study supports the idea that the absence of sound doesn’t mean the adjustment wasn’t effective.

At Awesome Family Chiropractic, we use safe, gentle adjustments to support healthy nervous system function in growing children—helping with posture, coordination, and even focus.

Elderly Patients (65+):

Older adults often have concerns about bone density and joint mobility. Some assume that without an audible pop, an adjustment wasn’t completed properly. However, this study reassures elderly patients that even light, low-force adjustments—such as those done with the Activator—are effective without needing to produce sound.

At Awesome Family Chiropractic, we tailor care for seniors to improve mobility, reduce pain, and enhance overall quality of life.

The Bigger Picture: Improving Healthcare Through Chiropractic

This study highlights a key principle: the effectiveness of chiropractic care isn’t about the sound—it’s about neurological function and movement restoration.

By spreading awareness of this research, we can help patients move beyond outdated expectations and focus on what really matters: better function, less pain, and improved well-being.

At Awesome Family Chiropractic, we’re committed to using the latest research to improve patient care. Whether you're coming in for chronic pain relief, better posture, or overall wellness, our approach is always backed by science and tailored to you.

Final Thoughts

The next time you get an adjustment, don’t worry about whether or not you hear a pop. What matters is how you feel afterward and how well your body functions. Chiropractic care works at a deeper level, influencing the nervous system and musculoskeletal health whether or not sound is present.

If you're ready to experience evidence-based chiropractic care, Awesome Family Chiropractic is here to help. We proudly serve the Alpine, La Mesa, and Santee communities with customized adjustments for all ages.

Want to learn more about how chiropractic can improve your health? Book an appointment today!

This blog is for educational purposes only and not a substitute for professional medical advice. Consult a healthcare provider before starting any new treatment. Outcomes and experiences discussed may vary. For immediate medical concerns, contact your physician.

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