Start Your Journey Back to Wellness

A spinal manipulation performed by St. Augustine Chiropractors Dr. Scott Fechter and Dr. Juliana Farrell, is a nonviolent, unobtrusive practice performed to restore balance to the spine and to help to improve the overall health of individuals. Not just anyone can perform what Dr. Scott Fechter  and  Dr. Juliana Farrell have mastered.  It requires  years of schooling  and discipline to be the top St. Augustine Chiropractor. Only a Chiropractor can perform these adjustments  as they have undergone the proper training.  Trust Dr. Fechter and the staff at The Pain Relief Centre to start your journey back to wellness.

A chiropractic adjustment is a safe, natural, noninvasive procedure used by the Chiropractor to restore and improve health. Learning the art of adjusting is a skill that requires years of study and practice. Chiropractic doctors are the only health care professionals trained to deliver the chiropractic adjustment. Spinal adjustments by any other individual or health care professional have been shown to be dangerous and less effective. Answers to some of the questions you may have regarding spinal adjustments can be found below.

What is manipulation of the spine?

Dr. Scott Fechter and/or Dr. Juliana Farrell manipulate the spine by applying meticulous adjustments to a patient’s vertebrae. The manipulation can also be targeted to the region of the pelvis to restore balance to this area. Your St. Augustine Chiropractor performs these manipulations using a specific device, or simply by using his hands.

When should spinal manipulation be performed?

Certain injuries, spinal conditions, or common daily tasks can put your spine out of balance. When this happens, a trip to a St. Augustine Chiropractor may be necessary to regain spinal balance. Dr. Scott Fechter and/or Dr. Juliana Farrell can perform a spinal manipulation to get your vertebrae back into their natural position. If you are wondering how this St. Augustine Chiropractor determines what spinal issues are present, he uses a series of exams to find which vertebrae are out of place. When a vertebra is found to be out of place, Dr. Scott Fechter and/or Dr. Juliana Farrell can correct the issue with spinal manipulation. 

What is the benefit of spinal manipulation?

Spinal manipulation helps to restore spinal balance, which in turn lessens discomfort, spasms, and nerve irritation. By alleviating these issues, other medical ailments including ear issues as well as bed-wetting in children can be eradicated. 

What other joints can be adjusted by St. Augustine Chiropractor Dr. Scott Fechter and Dr. Juliana Farrell?

Adjustments  do not solely target the spine and pelvic region as nearly every joint in the human body can benefit from an adjustment  The joints in our fingers and toes, limbs,  our jaw and the joints within the skull can be treated with Chiropractic manipulation.

Just like those of the spinal column, the other joints in our bodies need realignment every now and then. Imagine having stiff joints that don’t seem to loosen up even after stretching – a joint manipulation  may help alleviate stiffness and pain.  Many of our patients athletes and very active adults and whose joints receive a large amount of stress. An adjustment from Dr. Scott Fechter assists in getting individuals back to peak performance levels.

Just so you know...

We have all heard that it’s no good to pop or “crack” our knuckles or else we will end up with arthritic joints in time but is this true? NO! Clinical studies have determined that people who do this frequently are doing themselves a benefit by lessening the likelihood that they will end up with arthritis later in life! So, if you’re one of the people that loves the feeling of having their knuckles “crack”, keep it up – you’re not only providing relief when you do it and setting yourself up for a future with pain-free fingers!

Injuries we treat include, but are not limited to:

Headaches • Neck • Mid back pain • Numbness • Pain or tingling in the arms and hands • Dizziness

Decreased range of motion • Low Back Pain • Numbness and tingling in the legs or lower extremities • Shooting Pains • Sciatica • Herniated Discs • Shoulder Pain • Knee Pain • Hip Pain • Shooting Pains • Carpal Tunnel Syndrome • Wrist Pains • Ankle Pains • Foot Pain

Treatment Options

Chiropractic Care

Spinal manipulative therapy a.k.a. adjustments are used to put in motion back into the spine or extremity Cervical Mechanical

Traction, Spinal Decompression

Used for bulging cervical discs to create a degree of soft tissue tension and/or to allow for separation between joint surfaces.

Lumbar Mechanical Traction, Spinal Decompression

Treats herniated, bulging, and degenerative discs without surgery. State of the art technology gradually relieves neurocompression often associated with lower back pain. This process has been proven to relieve pain by enlarging disc space, reducing herniation and strengthening outer ligaments. It helps move herniated areas back into place, reversing high intradiscal pressures through application of negative pressure.

Electric Muscle Stimulation (EMS)

Increases blood flow which helps to decrease inflammation and bring nutrients necessary for healing injuries. Stimulates local nerve cells which can have a pain reducing/anesthetic effect.

Hot Packs

Application of superficial heat that is most effective in subacute or chronic conditions. Cold Packs: Application of cold for withdrawal of thermal energy used in acute and severe spasticity.


Sound waves pass through the skin (a deep penetrating modality) to increase local blood flow, reduces swelling and acute/chronic inflammation. Also used for breaking fibrotic adhesions and reducing muscle spasms.

Passive and Resistive Stretching

Used to increase muscle strength, endurance, flexibility, and mobility.

Intersegmental Traction, Spinal Decompression

Induces passive motion into the spine for the purpose of stretching spinal joints and increasing mobility. Since discs have a poor blood supply, they get nutrients from the circulation of fluids surrounding spinal joints. Fixations prevent this natural circulation and can cause thinning and degeneration. Intersegmental traction helps increase and restore necessary elasticity and motion to the spine.

Manual Therapy

Neuromuscular, Deep Tissue, Myofascial Release, and Trigger Point Massage Therapy used to reduce muscle spasms, break adhesions and release trigger points in the muscle tissues.

Digital X-Ray

Digital x-ray imaging use sensors instead of the traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also less radiation can be used to produce an image of similar contrast to conventional radiography.

Rehabilitative/Muscle Strengthening Equipment

One-on-one patient contact by the provider using dynamic activities with lifting stations to improve functional performance. *Including an 8-Way Cervical Rehabilitation Machine.

Stages of Care

Stage 1: We begin our care with a thorough examination that leads to a general assessment that guides our treatment. Our treatment starts with therapeutic modalities that reduce inflammation in the injured areas as well as stimulate the muscles to increase circulation. At this stage, we also use passive stretching to increase the range of motion in the injured areas.

Stage 2: We advance using stimulatory modalities and an exercise program designed for the restoration of function in the injured areas.

Stage 3: We increase the rehabilitation at this stage, designing treatments for a broader musculoskeletal rehabilitation using conventional strengthening and stretching exercises as well as isotronic resistance equipment.

Our facility uniquely provides a full range of therapeutic modalities under one roof that allows us to manage our patient’s conditions with effective and convenient care. Our care strives to decrease pain levels and increase function and wellness with state-of-the-art physiotherapy services. We use a multi-disciplinary approach to musculoskeletal injuries with Rehabilitative/Sports Medicine, Massage Therapy and Manipulative Therapy.