Chiropractic Adjustment Built Around You
Dr. James Bergtold, DC has adjusted more than 5,000 patients across 25+ years of practice, and he still examines, images and explains what he finds before he adjusts anything. You can read more about Dr. Bergtold's training and treatment philosophy before your first visit to the Park Central Court clinic in Naples.
When Stiffness and Pain Call for a Chiropractic Adjustment
Most people who walk in have been managing pain for months. Turning your head to back out of the driveway sends a catch through the neck. A morning at the desk leaves the low back locked and aching. Sleep breaks up. Golf, tennis and long walks on the beach get shelved. Pills dull the edge for a few hours, stretching helps until it does not, and the pain keeps circling back because nothing has changed the way the joint actually moves.
A chiropractic adjustment targets the joint that stopped moving instead of chasing the symptom. Dr. Bergtold examines your spine, reviews on-site X-rays when they are warranted, and applies a specific, controlled force to restore motion at that segment. Restoring glide typically calms the muscle guarding around it and eases pressure on the nerve, which is why patients with back pain and sciatica often notice a change within the first few visits of chiropractic care in Naples.
What Is a Chiropractic Adjustment?
The Science of Spinal Motion
A chiropractic adjustment applies a controlled force to a spinal or extremity joint that has lost normal motion. The NIH National Center for Complementary and Integrative Health lists it among the standard non-drug options for back pain.
Restricted joints change how a segment loads, which irritates nearby nerves and locks muscles into guarding. The thrust restores glide, and the pop you may hear is gas leaving the joint fluid, not bone. Many patients feel looser the same visit, and disc cases are often paired with spinal decompression.
Chiropractic Adjustment Treatment Areas
Spine, Nerves and Extremities
Low Back Pain
Restores lumbar motion and eases pressure on irritated nerves
Neck Pain and Stiffness
Frees restricted cervical joints that limit turning and looking up
Sciatica and Leg Pain
Reduces nerve irritation that sends pain down the buttock and leg
Herniated Disc
Improves segment mechanics so the disc is loaded more evenly
Headaches and Migraines
Addresses upper cervical restriction that drives head pain
Whiplash and Auto Injury
Restores motion lost after a collision and calms muscle guarding
Benefits of Chiropractic Adjustments
Drug-Free Pain Relief





- 01
Drug-Free Relief
Addresses the joint restriction itself without pills or injections
- 02
Same-Visit Change
Many patients notice easier motion before they leave the table
- 03
No Downtime
Return to work, driving and normal activity the same day
- 04
Guideline-Backed
Recommended for low back pain by the American College of Physicians
- 05
Tailored Force
Classic manual or low-force techniques chosen for your comfort
- 06
Whole-Case Approach
Adjustments combine with laser, decompression and rehab when needed
Chiropractic Adjustment vs. Alternatives
Who Is a Good Candidate for Chiropractic Adjustment?
Finding the Right Approach
Ideal Candidates for Chiropractic Adjustment
- Adults with mechanical low back or neck pain that worsens in certain positions
- Patients with disc-related pain, sciatica or a pinched nerve confirmed on exam
- People recovering from a car collision or a sports strain
- Desk workers and drivers with posture-driven headaches and shoulder tension
- Seniors and children, treated with low-force techniques scaled to their frame, including pediatric chiropractic care
- Patients who want a drug-free option before considering injections or surgery
Who Should Wait or Avoid Chiropractic Adjustment
- Suspected or confirmed spinal fracture, bone tumor or spinal infection
- Severe osteoporosis or other bone-weakening disease in the area to be treated
- Cauda equina signs such as saddle numbness or new bowel or bladder changes
- Unstable spondylolisthesis, or inflammatory arthritis with upper cervical instability
- Recent spinal surgery or hardware at the segment in question
- Bleeding disorders or unstable anticoagulation, which call for a modified approach
What Happens During a Chiropractic Adjustment
Step-by-Step Process
- 01
Exam
Dr. Bergtold tests motion, palpates each segment and orders on-site X-rays when your history calls for it.
- 02
Findings Review
Dr. Bergtold walks you through the exam and any X-ray findings before he touches the spine.
- 03
Positioning
You are set up on the adjusting table so the target joint is isolated and the muscles around it can relax.
- 04
Adjustment
He applies a specific manual thrust, or a low-force drop-table or instrument technique, to restore motion.
- 05
Recheck
He retests the segment, explains what changed and adds therapy or home movement when the case needs it.
- 06
Home Plan
You leave with a short set of movements, posture notes and a visit schedule sized to your case.
Risks and Side Effects
What to Know
Common Chiropractic Adjustment Side Effects
The most common reaction is temporary soreness in the treated area, similar to how muscles feel after a first workout. Mild stiffness, tiredness or a short headache can also occur. These reactions are typically mild, usually settle within 24 to 48 hours, and tend to lessen as your body adapts over the first few visits.
Rare Complications
Serious complications are rare. Reported events include aggravation of a disc injury and, with cervical treatment, arterial injury that the literature describes as very uncommon. Careful screening matters more than technique alone, so any red flag finding is referred out rather than adjusted.
Safety and Screening in Naples
Chiropractic is a licensed, regulated profession in Florida, and the American Chiropractic Association publishes the practice standards its members follow. Dr. Bergtold screens with history, orthopedic and neurologic testing and on-site imaging when indicated, and uses low-force methods for patients with osteoporosis or acute pain.
Chiropractic Adjustment Cost in Naples
Pricing and Payment Options
How Much Does a Chiropractic Adjustment Cost in Naples?
Cost depends on what the visit actually involves: whether it is a new patient exam, whether on-site X-rays are needed, how many regions are treated, and whether the adjustment is combined with therapy such as laser or decompression. A maintenance visit is priced differently than a full initial workup. Call (239) 593-6788 and we will quote your situation before you book.
Insurance Coverage for Chiropractic Care
We accept Blue Cross Blue Shield, Aetna, Medicare, Medicare Advantage, UnitedHealthcare and Cigna. Chiropractic manipulative treatment is a covered benefit under many of these plans, though visit limits, deductibles and copays vary by policy. Our office manager verifies your benefits before treatment starts so the numbers are clear up front.
Flexible Payment Options
- CareCredit - healthcare financing that spreads a treatment plan across monthly payments.
- Self-pay visits - available if your plan excludes chiropractic or your visit limit is used up.
- Auto accident claims - Florida personal injury protection often applies after a collision, and we handle the paperwork.
Why Choose Bergtold Chiropractic for Chiropractic Adjustments in Naples, FL
Naples' Trusted Chiropractor
25+ Years of Practice
More than 5,000 patients adjusted since the clinic opened in 2000
On-Site X-Ray
Imaging in the building, so screening happens before treatment
Low-Force Options
Drop-table and instrument techniques for seniors, kids and acute pain
Unhurried Visits
No cookie-cutter plans and no rushed appointments, with a bilingual team
Rated 5.0 by Patients
A 5.0 Google rating from more than 200 Naples patient reviews
Insurance Friendly
Major plans accepted, with CareCredit financing also available
Related Treatments
Treatments that pair well with adjustments at our Naples clinic.
Frequently Asked Questions About Chiropractic Adjustments
Your Questions Answered
How much does a chiropractic adjustment cost in Naples?
Cost varies with what the visit includes, so we quote it before you book. A first visit with an exam and on-site X-rays costs more than a follow-up adjustment. Most major plans, including Medicare, cover chiropractic manipulative treatment with a copay. Call (239) 593-6788 and we will verify your benefits and give you a number.
Does a chiropractic adjustment hurt?
Most patients describe the adjustment itself as quick pressure followed by relief rather than pain. If a joint is acutely inflamed, Dr. Bergtold uses a low-force drop-table or instrument technique instead of a manual thrust. Some soreness afterward is normal, similar to a first workout, and usually fades within a day or two.
How long does a chiropractic adjustment appointment take?
A routine adjustment visit runs about 10 to 20 minutes. Your first appointment takes longer, usually 45 minutes to an hour, because it includes history, orthopedic and neurologic testing, on-site X-rays when indicated, and a review of the findings before any treatment happens.
When will I feel results from a chiropractic adjustment?
Many patients notice easier motion before they get off the table, and reduced pain within the first two or three visits. Longstanding problems take longer because muscle guarding and disc changes do not reverse in one session. Most care plans are reassessed at two to six weeks to see what has actually changed.
How many chiropractic adjustments will I need?
That depends on how long the problem has been there and what the exam shows. A recent strain may resolve in a handful of visits, while a chronic disc or nerve case typically needs several weeks of care. Dr. Bergtold gives you a plan with a review point rather than an open-ended schedule.
What is the difference between a chiropractic adjustment and spinal decompression?
An adjustment is a hands-on force applied to a restricted joint to restore motion. Spinal decompression uses a motorized table to gently separate vertebrae and reduce pressure inside a disc. Many disc cases use both: the adjustment restores mechanics, decompression unloads the disc.
Are chiropractic adjustments safe for seniors and children?
Yes, when the technique is scaled to the patient. Seniors with thinning bone and children are treated with light, low-force methods such as drop-table or instrument adjusting rather than a manual thrust. Dr. Bergtold screens for osteoporosis and other risks first, and offers pediatric chiropractic care.
Does insurance cover chiropractic adjustments?
Often, yes. We accept Blue Cross Blue Shield, Aetna, Medicare, Medicare Advantage, UnitedHealthcare and Cigna, and chiropractic manipulative treatment is a covered benefit under many of those plans. Visit limits and copays vary, so our office verifies your specific coverage before treatment begins.
What is the popping sound during an adjustment?
That sound is cavitation: dissolved gas releasing from the fluid inside the joint as the surfaces separate slightly. It is not bone cracking and it is not a measure of how well the adjustment worked. Low-force techniques often produce no sound at all and still restore motion.
Can I see a chiropractor after a car accident in Naples?
Yes, and sooner is better. Florida personal injury protection generally requires care to start within 14 days of the collision. We examine for whiplash and other injuries, image when indicated, and document everything for your claim. This whiplash recovery timeline explains what to expect.
Do I need X-rays before my first adjustment?
Not always. X-rays are taken when your history or exam suggests a reason for them, such as trauma, longstanding pain, suspected instability or bone-weakening disease. Imaging is done on site, so screening and treatment happen in one visit rather than across two appointments and a referral.
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References
- Paige et al., JAMA. (2017). Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. PMID: 28399251.
- Rubinstein et al., BMJ. (2019). Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomised controlled trials. PMID: 30867144.
- Gross et al., Cochrane Database Syst Rev. (2015). Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment. PMID: 26397370.
- Qaseem et al., Ann Intern Med. (2017). Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. PMID: 28192789.
- Gouveia et al., Spine (Phila Pa 1976). (2009). Safety of chiropractic interventions: a systematic review. PMID: 19444054.
- American Chiropractic Association. (2025). Professional standards and patient guidance for spinal manipulation and chiropractic practice.