1, the pursuit of popping sound joint subluxation reset can be heard popping sound, especially low head shaking positive reset rotational subluxation for the patient’s symptoms can be significantly alleviated, or no improvement, why? Mr. Long has long given the answer, spine etiology typology: joint dysfunction, bone and joint damage, soft tissue injury, mixed type, simple joint dysfunction accounted for only 1/4, this type of patients after the reset effect, and not easy to recur, mostly young people for the first time, and most patients for spinal degeneration based on joint dysfunction, including soft tissue damage around the bone and joint, simple reset after the spine Degeneration and soft tissue injury did not improve, such patients apply the slow reset method, without the pursuit of popping sound, focusing on the application of traction under the orthopedic and hydroacupuncture therapy. 2, three-step positioning needs to be clear, palpation needs to be precise. Very often, due to the overlap of nerve distribution, the patient’s three-step positioning is not easy to clarify, at this time need to strengthen the use of palpation skills, subtle changes under the fingertips, as well as the clarity of the trigger point will help our positioning accuracy, the recent treatment of a patient with left-sided upper limb numbness, the onset of the anterior chest, back will have a twitching sensation, palpation to C4-6 left bend is the main, in C4-6 left hook vertebral joint in front of the pressure pain is obvious, adjust After finishing the upper segment and the cervicothoracic junction of the misalignment, the initial treatment focused on treatment to correct the middle segment of the hook vertebral joint rotation front, the effect was not obvious, after palpation C6 hook vertebral joint left pressure pain more obvious, the later treatment focused on adjusting the C6 left hook vertebral joint rotation front, the use of reverse movement method to adjust the spasm of the middle and posterior oblique muscles, 10 times after treatment relief, 20 times healed. In addition to affecting the nerve roots, the misalignment of the cervical joints can also affect the vertebral artery, sympathetic ganglion and other tissues, which cannot be ignored. The rotational misalignment of C1 and 2 and the lateral misalignment of C1 can easily trigger the third segment of the vertebral artery in the process of deformation and induce symptoms mainly vertigo. The symptoms of cephalofacial sympathetic ganglion are caused by the anterior rotation of the transverse process of the upper cervical segment. Many times with the patient’s complaints and diagnostic imaging, I will be preoccupied with the formality of palpation. When I encounter patients with thick muscles or atrophied muscles, palpation is difficult, so I need to pay full attention and experience carefully the subtle changes under the fingertips, the bumps and depressions of the joints, the surrounding tendon knots, and find the points with obvious pressure pain, especially those that trigger symptoms, which is the key to treatment. This is the key to treatment, and when the degree of symptoms induced by these points gradually diminishes, it is the establishment of the curative effect. 3.Joint misalignment and trigger points For many patients with neck, shoulder and back spasms and upper limb numbness, palpation can simultaneously palpate the lateral bending and side-swinging misalignment of the middle and lower cervical vertebrae, as well as the spasms of the anterior, middle and posterior oblique muscles, and the oblique muscles can all palpate the trigger points. Is the primary focus on correcting joint misalignment or on eliminating trigger points? Two sets of theories give two sets of answers, once on this issue specifically consulted Mr. Long, Mr. Long gave a very confident answer: correction of joint misalignment for the top, so far, my experience is: Long’s treatment of chiropractic in the three steps of the technique has been to relieve the soft tissue to do pavement, while the reverse movement method for the release of trigger point activity is better than the local massage. 4, strive for excellence encounter difficult problems, do not rush, do not easily doubt the superiority of the theory of spinal etiology, very often, or we are in the diagnosis, treatment is not in place. After a clear diagnosis, many problems take time to treat, for the lower cervical scoliosis misalignment caused by shoulder pain, hand numbness, it takes 10-20 treatments to close, but also must emphasize with the patient the importance of sleeping posture, the conditions also introduce cervical spine health exercises, help recovery. Spinal etiology involves a wide range of diseases, and due to the current refinement of hospital specialties, many diseases that may be related to spinal etiology are not accessible to us, but many patients can be accompanied by significant improvement in other symptoms while the pain and numbness are relieved. We need to solve them.