Kevin Perrino, D.C. BCAO,C.C.S.P

Atlas Orthogonal Chiropractor

Board Certified Chiropractic Sports Physician

Atlas Orthogonal Upper Cervical Technique
This method focuses on the structure, function and bio-mechanics of the upper cervical spine (neck). The Atlas is the top vertebrae of the spine and supports the head. Orthogonal means at right angle to or square. If the Atlas is not square to the head and spine (referred to as subluxated) then the head and spine are by necessity out of alignment. We use an adjustment instrument that is safe, gentle, and delivers a precise impulse to the exact area needed as determined by X-rays, without physical manipulation.

Activator Method
Utilizing a hand-held instrument referred to as an activator, this instrument delivers a very precise adjustment. One of the gentler chiropractic techniques, this method is a good alternative for people who are sensitive to being touched, have reduced range of motion, whiplash, those with osteoporosis or arthritis, and for children, the elderly or people who do not like the “popping” sound of getting adjusted.

Thompson Drop Technique
A "segmental drop table" is used to enhance the motion of the segment or area to be adjusted, most commonly the mid-back, low back and pelvic area.


Chiropractic physiologic therapeutics encompasses the diagnosis and treatment of disorders of the body, using the natural forces of healing such as air, cold, electricity, rest, exercise, traction, heat, light, massage, water, and other forces of nature. To use these forces on a rational basis, the practitioner must have knowledge of their actions and an understanding of their predictable effects on the tissues and pathophysiologic processes involved.

The word physiotherapy is generally considered to be a shortened form for physiologic therapeutics: treatment by physical or mechanical means.

The term physical therapy is used in reference to the application of specific modalities, including rehabilitative procedures, concerning the restoration of function and prevention of disability following disease, injury, or loss of a body part. [1] The phrase may also be considered synonymous with the term adjunctive therapy. To improve circulation, strengthen muscles, improve or normalize joint motion, and normalize other functional imbalances, for example, the therapeutic properties of the natural forces of healing described above are applied.

[1] Thomas CL (ed):Taber’s Cyclopedic Medical Dictionary, ed 14. Philadelphia, F.A. Davis, 1981, p 1098.

Chiropractic Techniques offered at Head and Neck Center of Hawai'i LLC