Our Techniques & Services

Dr. Bottesch will be pleased to explain the nature of each available treatment before you are treated, will offer his opinions about which techniques and therapies would be best suited for your condition, and will then offer you a choice of which treatment you would feel most comfortable in receiving.
We, at Bloomin’ Health Chiropractic Clinic will provide for and manage the health needs of each patient and perform all of the duties and responsibilities of a non-surgical conservative spine specialist. The techniques and procedures performed on each patient are tailored to the patient’s specific needs, and are dependent on, and modified in relation to the patient’s age, physical condition and general health status. Techniques and procedures used will include, but will not be limited to the following:
Techniques for the General Public:

  • Diversified Technique
  • Flexion/Distraction
  • Drop Table Technique
  • Mobilization
  • Manual Soft Tissue Therapy
  • Rehabilitative Therapy
  • Electrotherapy (Interferential Current)
  • Ultrasound
  • Physical Modalities (Heat & Ice)

Techniques for the Geriatric Population:

  • Gentle Diversified Technique
  • Flexion Distraction
  • Drop Table Technique
  • Gentle Mobilization
  • Activator Technique
  • Manual Soft Tissue Therapy
  • Rehabilitative Therapy
  • Ultrasound
  • Physical Modalities (Heat & Ice)

Diversified Technique - Available In Office and House Calls

This technique is the most common technique performed by chiropractors and typically results in a “pop”. The patient is positioned in a way that easily allows the chiropractor to impart proper motion back into restricted joints. This what the general public most commonly associates with chiropractic treatment. This Technique can be performed more gently for elderly patients.

Important Features: Research relates that hearing the “audible pop” of an adjustment drives the successful outcome of a treatment.

Benefits: Restores proper motion to restricted joints, aids in normalizing muscle tone and provides pain relief.
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Flexion Distraction - Available In Office at Bloomsburg

This technique is utilized to increase the space within the joints of the low back as well as within the spinal canal. Increasing the space is accomplished by flexing and stretching the low back; therefore potentially providing for relief from disc herniations and spinal cord compression as well as providing an excellent stretch of the joints of the low back.

Important Features: Flexion and axial distraction of the affected area of the spine.

Benefits: Potential relief from disc herniations and spinal canal stenosis.
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Drop Table Technique - Available In Office and modified for House Calls

This technique is the perfect technique for those patients who do not like to hear the “pop” of normal adjustments. It utilizes a drop mechanism that is built into the table, which can be "dropped" by leaning into the table with the right amount of pressure. This particular technique uses the weight of both the doctor and the patient to restore proper motion to a restricted region of the spine in a more gentle fashion.

Important Features: Utilizes the weight of both the patient and the doctor to gently perform the adjustment.

Benefits: Restores proper motion to restricted joints without hearing the “audible pop” of a normal chiropractic adjustment.
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Activator Technique - Available In Office and House Calls

This technique utilizes instrument-assisted manipulation, meaning that an impulsing tool is placed on the joint and then delivers an impulse into that specific joint. It should be stressed that this device is not a hypodermic syringe. There is a soft pad that sits on the end of the device that touches the patient. Before this tool is used, Dr. Bottesch assesses the spine for joints that exhibit restricted motion. Once those joints have been found, the soft end of the instrument (called the "Activator") is placed on that specific joint and then the device is given a gentle squeeze. The squeeze delivers an impulse directly into that specific joint. The instrument can be adjusted to provide a comfortable, yet therapeutic impulse into a restricted motion segment. This technique can be utilized effectively with elderly patients who may not tolerate a diversified adjustment well.





Important Features: The device uses a low velocity, high amplitude force to deliver the adjustment (as opposed to the chiropractor’s hand). Very useful for osteoporotic elderly patients.

Benefits: Another method of attempting to restore proper joint motion without hearing the “audible pop” of a normal chiropractic adjustment.
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Mobilization - Available In Office and House Calls

This technique is performed by rhythmically moving a particular joint through it's natural ranges of motion in order to gently restore proper motion to a restricted region of the spine. Manual distraction of the neck and low back is also included in this technique. Distraction of both regions is designed to reduce the compressive forces on the discs of the cervical and lumbar spine, in essence lifting upwards on your head and/or your low back to take pressure off of the discs.

Important Features: Decompression of an affected joint and a gentle rhythmic restoration of spinal joint motion.

Benefits: Very gentle way of re-establishing spinal motion without any typical chiropractic manipulation.
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Manual Soft Tissue Therapy & Manipulation - Available In Office and House Calls

Otherwise known as therapeutic massage, this therapy allows the doctor to relieve the tension and pain within particular muscles and joints to facilitate the healing process. Very specific stretches will also be used in combination with the therapeutic massage in order to lengthen muscles that have been short and tight for quite some time.

Important Features: By reducing the tension of the local musculature, the chiropractic adjustment can be made more easily and comfortably for the patient.

Benefits: Relief of muscular tension and pain.
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Rehabilitative Therapy - Available In Office and House Calls

Otherwise known as therapeutic exercise and postural re-training, this therapy is designed specifically for each individual patient to target and improve their own personal postural faults and muscular imbalances. Prevention is the key to this type of therapy, by stabilizing and strengthening the appropriate muscles; the objective goal is to minimize the possibility of re-injury.




Important Features: Exercises are prescribed based on the presenting complaint of the patient and will typically be slightly different for each person (no two complaints are exactly alike).

Benefits: To achieve stabilization of the area and prevent re-injury to the best extent.
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Electrotherapy - Available In Office

This modality uses safe and effective electrical current to slow the conduction of the nerves of an area that is particularly painful in a patient. The theory behind the use of this modality revolves around the idea that by using a particular type of electricity, Dr. Bottesch will be able to stimulate your brain to release endogenous (meaning made by your own body) opiods (natural pain killers).

Important Features: Conservative, drug-free pain management.

Benefits: Slows the conduction of nerve impulses, thereby reducing pain felt in the area.
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Ultrasound - Available In Office

This modality uses a form of deep heat produced by the transducer head (seen in the photo at the left), which can be utilized to treat various acute and chronic musculoskeletal conditions.

Important Features: Use of an instrument to provide deep heat to an injured area.

Benefits: Conservative method of breaking up adhesions surrounding a particular injury.
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Physical Modalities - Available In Office

Properly utilizing heat and ice at the appropriate point in time during the process of healing is thought to aid in a faster recovery from various musculoskeletal injuries.


Important Features: Conservative, drug-free method for reducing muscular tension and inflammation associated with acute and chronic musculoskeletal injuries.

Benefits: Reduces muscular tension and inflammation within muscles and joints.
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For more information regarding chiropractic techniques please click here.