Chiropractic Techniques at At Last Chiropractic

A thoughtful approach to how an adjustment is delivered.

Some patients prefer an instrument-assisted adjustment. Others are interested in focused upper-neck care or an approach adapted for pregnancy. At At Last Chiropractic, the technique follows the evaluation—not the other way around. We consider your concerns, health history, examination findings, comfort, and goals before recommending care.

Our office in Lithia offers Torque Release Technique, Orthospinology upper cervical care, and pregnancy-conscious care using the Webster Technique when appropriate. Dr. Carissa Taylor also brings advanced pediatric training to the evaluation and care of children.


Chiropractor holding the Integrator adjusting instrument used in Torque Release Technique

Torque Release Technique: A Focused, Instrument-Assisted Approach

If you prefer an adjustment without traditional manual twisting or cracking, Torque Release Technique, or TRT, may be an option to discuss with your chiropractor.

TRT uses a handheld instrument called the Integrator to deliver a brief, controlled mechanical impulse at a selected contact point. The chiropractor selects the instrument setting and contact based on the evaluation. You may hear a click and feel a quick, localized impulse.

Dr. Anthony Taylor and Dr. Carissa Taylor hold Advanced Proficiency Certification in Torque Release Technique.
Their recommendations account for your examination findings, comfort and goals.

What does the research tell us?

Early TRT research includes a randomized residential-treatment study that reported better program retention with TRT. That finding was published as a short abstract and does not establish TRT as a treatment for addiction or other unrelated medical conditions. Broader research on spinal adjustment suggests modest benefits for some back and
neck pain; those results are not specific to TRT.

Read more about Torque Release Technique in Lithia


Learn about TRT and the Integrator

Read the early TRT research abstract (PDF)

Read the NIH overview of spinal adjustment


Orthospinology Upper Cervical Care

A closer look at the top of your spine.

The upper cervical region includes the atlas and axis, the first two vertebrae of the neck. These joints help support the head and allow much of its movement. Orthospinology focuses on evaluating this region and planning a specific upper cervical adjustment when appropriate.

Our evaluation begins with your history and examination. When clinically indicated, specialized radiographs help assess upper cervical alignment and guide the proposed adjustment. We explain the purpose of imaging and review the findings with you.

Our instrument-assisted approach uses a carefully selected contact and direction without traditional manual neck twisting. Patients may seek an evaluation for neck discomfort, restricted motion or headaches that may be associated with neck dysfunction.

Dr. Anthony Taylor has completed Orthospinology Level I and
Level II training
through the Society of Chiropractic
Orthospinology.

Read more about upper cervical care in Lithia


Explore Orthospinology patient information

Infographic showing the atlas and axis vertebrae at the top of the neck

Webster Technique infographic illustrating pelvic alignment during pregnancy

Webster Technique & Pregnancy-Conscious Care

As pregnancy changes the way you move, everyday positions can start to feel different. We offer evaluations for pregnancy-related back, hip and pelvic discomfort, with positioning and techniques adapted to your stage of pregnancy and comfort.

The Webster Technique is a chiropractic assessment and adjustment focused on sacral and sacroiliac joint function. Dr. Carissa Taylor holds Webster Technique certification and has completed the ICPA’s 80-hour Perinatal Certification Program.

Before care begins, we review your history, discuss your concerns and explain our recommendations. Webster care does not involve manually turning a baby and is not a treatment for breech presentation. Your obstetrician or midwife manages fetal position and delivery planning.

Read more about the Webster Technique in Lithia


Learn about the Webster Technique

Explore ICPA perinatal certification


Pediatric Chiropractic Care: A Gentle Touch, Thoughtful Attention

Parents deserve to understand exactly what a chiropractic visit involves for their child. Dr. Carissa Taylor begins with your questions, your child’s health history and an age-appropriate examination. Any recommendation is based on the findings and your child’s individual needs.

What does an adjustment feel like for a child?

When an adjustment is appropriate, Dr. Carissa uses very light, gentle contacts, with pressure and positioning adapted to the child’s age, size and clinical needs. She explains the contact before applying it and responds to the child’s comfort throughout the visit. An examination does not automatically lead to an adjustment.

Training dedicated to pediatric care

Dr. Carissa Taylor, DC, CACCP has completed advanced education focused on the evaluation and chiropractic care of children:

ICPA Pediatric Certification (CACCP)

Completion of the 200-hour certification program.

Read about CACCP certification

48-hour SOT® Pediatric Practitioner Certificate Program

Completed through Peak Potential Institute with Dr. Martin Rosen and Dr. Nancy Watson. SOT stands for Sacro Occipital Technique; this program focuses on pediatric spinal and cranial evaluation and adjusting approaches.

Explore the SOT® pediatric program

How we approach your child’s safety

Safety starts with deciding whether care is appropriate at all. We consider your child’s history, examination findings and any reasons to modify care or recommend another evaluation. We discuss the expected benefits, potential risks and alternatives before you decide.


Meet Dr. Carissa and our chiropractic team

Understand Your Options Before You Begin

Your initial evaluation includes a health history, consultation, postural and biomechanical assessment, and relevant examination and neurologic testing. Motion-series and/or postural X-rays are recommended when clinically necessary.

At a separate Report of Findings visit, we explain the examination results, discuss any recommended care and answer your questions. If you agree to proceed and care is appropriate, treatment can begin at that visit.

Visit At Last Chiropractic at 5611 Skytop Drive in Lithia, near FishHawk West. We welcome patients from Lithia, FishHawk, Riverview, Brandon and Valrico.

Explore Our New Patient Offer

Call 813-461-6500