December 4, 2025

Your Muscles and Spine Are Having a Conversation You Can't Hear

I've been adjusting spines for three decades. Over 1,000 patients walk through my doors every year. You know what I've learned? Most people think chiropractic care is about cracking your back and...

I've been adjusting spines for three decades. Over 1,000 patients walk through my doors every year. You know what I've learned?

Most people think chiropractic care is about cracking your back and calling it a day.

That's not how your body works.

Your muscles and your spine aren't separate systems operating independently. They're in constant communication. When one speaks, the other listens. Tight muscles pull bones out of alignment. Misaligned bones create muscle tension.

This feedback loop is why treating one without addressing the other often fails.

Here's what three decades of clinical observation and modern research tell us about why massage therapy and chiropractic adjustments work as a unified system.

The Neurological Conversation You Can't Feel

Your body runs on feedback loops you never consciously notice.

The stretch reflex arc is one of them. It's a negative feedback loop that maintains muscle length. When your muscles stretch, it triggers automatic spinal responses. Since your muscles are always under some degree of stretch, this reflex circuit creates what we call muscle tone.

Think of it as background noise your nervous system is constantly managing.

The communication runs both directions. Your muscles send signals up to your spine. Your spine sends signals back down to your muscles. This isn't a one-way street.

When this conversation gets disrupted, problems compound quickly.

How Tight Muscles Pull Your Skeleton Out of Position

I can feel it in the first thirty seconds of examining a patient.

Limited range of motion. Posture that's compensating for something. Muscles that won't release tension even when the person thinks they're relaxed.

When muscles get tight or hypertonic, the tension pulls on the bones they're attached to. This creates misalignments. The chemistry in your body affects muscle tone. When muscles lack the ability to relax, misalignments develop.

You're not imagining the tightness. It's physically pulling your skeleton into positions it wasn't designed to hold.

Here's where it gets worse.

Your body tries to compensate. Surrounding muscles work harder and unevenly. Some muscles become tight and strained. Others become weak and underutilized. This chronic imbalance becomes a significant source of pain and stiffness.

The longer this pattern runs, the deeper it gets encoded into your nervous system.

Why I Started With Adjustments and Changed My Mind

Early in my practice, I followed the standard protocol. Patient comes in. I assess. I adjust.

It worked. Patients got relief.

But I kept noticing something. Patients who came in with significant muscle tension would resist the adjustment. Not consciously. Their bodies just wouldn't release. The adjustment would take longer. The relief wouldn't last as long.

Then I started experimenting with sequence.

What if we loosened the muscles first? What if we gave the soft tissue a chance to release tension before asking the skeletal system to move?

The results changed my entire approach.

When muscles are tense, they resist adjustment. They make it harder to move and manipulate joints. A massage before adjustment eases this tension. Muscles become more pliable and receptive to chiropractic care.

The adjustment becomes easier. The patient experiences less discomfort. The correction holds longer.

What Actually Happens in a Combined Care Visit

You check in at the front desk.

You start with a 30-minute massage with one of our in-house massage therapists. This isn't a luxury spa treatment. It's clinical preparation. We're targeting the muscle groups that are pulling your spine out of alignment.

    After the massage, we move straight into the adjustment phase.

    First comes stim and ice. The electrical stimulation helps activate the muscles. The ice reduces any swelling around the nerves in your back. This typically takes a few minutes.

    Then I adjust.

    The entire visit takes a little under an hour. You're in and out. But the sequence matters. Each phase prepares your body for the next.

    Two Systems That Need Different Solutions

    I explain it to patients this way.

    You have a muscular system and a skeletal system. They're connected, but they can both have problems that need to be solved in different ways.

    Adjustments realign your vertebrae. They take pressure off pinched nerves. They restore mobility to restricted joints.

    But adjustments don't release chronically tight muscles.

    Massage addresses the soft tissue. It breaks up adhesions. It releases trigger points. It gives muscles permission to let go of tension they've been holding for months or years.

    When you address both systems in the right sequence, the results compound.

    What Changed When I Started Tracking Outcomes

    I'm not running controlled studies in my practice. I'm treating real people with real pain.

    But I pay attention to patterns.

    Patients who received both treatments in the right sequence recovered faster. They stayed better longer. They came back for maintenance care instead of crisis intervention.

    My primary metric is simple: patient satisfaction.

    At the end of the day, treatment is only as good as the patient says it is. I keep getting good reviews. People keep referring their friends and family. So I keep doing what works.

    After 30 years and over 30,000 patient outcomes, I trust the patterns I'm seeing.

    The Difference You'll Feel

    Most patients come in thinking their injury is catastrophic.

    They leave understanding it's solvable.

    That shift doesn't happen through reassurance. It happens through diagnostic clarity and effective treatment.

    When you address both the muscular system and the skeletal system, you're not just treating symptoms. You're interrupting the feedback loop that's been perpetuating your pain.

    Your muscles stop pulling your spine out of alignment.

    Your spine stops creating compensatory muscle tension.

    The conversation between your muscles and spine shifts from dysfunction to stability.

    What This Means for Your Recovery

    If you're dealing with chronic pain, limited range of motion, or recurring injuries, the problem might not be that you're not getting treated.

    The problem might be that you're only treating half the system.

    Massage without adjustment leaves the skeletal misalignment in place. Adjustment without massage fights against muscle tension that's pulling everything back out of position.

    Combined care addresses both.

    It's not about spending more time in treatment. It's about treating the right things in the right sequence.

    Your body already knows how to heal. Sometimes it just needs the structural support and soft tissue release to do what it's designed to do.

    That's what three decades of clinical practice has taught me. Your muscles and spine are having a conversation. When you help them communicate better, everything else starts to work.