Frequently Asked Questions

Why is this technique not being utilized by more health care providers?

Most have never heard of lever adjusting or Micro Alignment Therapy.  They have never had the experience of receiving a lever adjustment, nor do they know of patients who want lever adjustments.

“Because many practitioners were not aware of its existence, they have never had the opportunity to learn it until now.”


New scientific paradigms in any profession are not adopted without understanding how they address limitations of the existing paradigm and/or advance the profession.

The role of research is to analyze the accepted paradigms of the profession.

It falls to clinicians to evaluate and incorporate techniques that expand their practice and promote greater utilization of chiropractic.

This technique must be learned to be appreciated.  Through the leadership of   Dr. Barbara James, health care providers can now study this amazing technique to further their practice.

Leading the movement of patient-centered care through Micro Alignment Therapy
Dr Barbara James – leading the movement of patient-centered care through Micro Alignment Therapy.

Does this technique use special equipment?

No special adjusting tables or diagnostic equipment is needed.  Health practitioners can use their existing tables, although higher tables may be preferred for less practitioner lower back strain.

Improvement can be demonstrated with all standard palpation and diagnostic equipment such as SEMG and thermography.

micro alignment therapy
Patient receiving Micro Alignment Therapy on wrist by Dr. Barbara James

What are the benefits for patients?

Ideal for people who did not respond well to deep pressure/force or impulse techniques of adjustment

Very relaxing and gentle, is well-received by patients.

Results are experienced within 2 – 4 sessions and alignment holds well.

Soft tissue Micro Alignment will assist good joint alignment, so it works well in situations where different therapies are required, e.g.  After a motor vehicle injury.

Micro Alignment corrections can be used throughout the whole body to assist optimum body performance (often areas of pain are not the only areas requiring alignment to help the body release pain signals).

It also works well for patients who want to assist their healing with stretching and postural correction techniques.

The techniques can be modified to assist patients with special needs, for example if they cannot lie on their stomach they may be treated sitting, on their side or even standing.

What are the benefits for health care providers?

Integrates well with existing methods of soft tissue and joint correction.

Does not require special equipment for analysis or therapy

Micro analysis can pinpoint specific areas requiring correction, it is quick and provides good patient feedback on improvement

Is not physically demanding

Will expand your scope of practice and attract many new patients who are looking for a gentler therapy that gives good results.

It is enjoyable and rewarding to expand your skills and help people to heal quickly

Patients who receive great benefit are highly motivated to complete their healing, and refer others in for your services.

Helps to teach people the value of whole body alignment for optimum healing, and many people will return for wellness care.

Patient receiving Micro Alignment Therapy
A gentle Micro Alignment Adjustment received to patient’s neck and upper back.

How do patients respond to treatment?

Each person responds differently to Micro Alignment Therapy.   Some patients experience some immediate relief of their symptoms, while others will not see improvement until they have had two or more adjustments.

In general, the longer a patient’s joints have been misaligned, the more adjustments are required to provide relief.

As with all manual therapies, occasional joint tenderness and inflammation may occur following treatment, but this may be treated simply with ice and rest.

What is the sound sometimes heard during the lever adjustment?

Not all lever adjustments make a sound and often the lever movement can be repeated a few times in the same area without a sound.

The sound is distinctly different from the “cavitation” of an impulse adjustment.   It sounds like the “click of a light switch turning on”.

The sound can be heard by patients and by the doctor, but is not usually heard by anyone else in the room.

Without the benefit of studies to research what the sound is, it can only be explained as a sound made by the pisiform lever as it moves the contact surface.

When the hook of the pisiform bone is understood to be a moving fulcrum or partial cam, the sound of the movement comes from the pisiform as it induces movement in the joint or tendon.