Dr. Puig is skilled in 6 specialised chiropractic techniques, which means he can pick the most suitable approach for each patient. At Centro Quiropráctico Puig in Estepona, that range of techniques makes a real difference to results.
SOT Technique (Sacro Occipital)
The Sacro Occipital Technique (SOT) focuses on the relationship between the sacrum and the occiput, the two ends of the spinal column. Using positional blocks and gentle adjustments, SOT helps correct imbalances in the craniosacral system that affect cerebrospinal fluid flow and the way the nervous system works. It is a technique particularly well suited to expectant mothers, children and patients who prefer a low-force approach. Dr. Puig is a certified SOT specialist.
Diversified Technique
The Diversified Technique is the most widely used in chiropractic worldwide. It involves manual high-velocity, low-amplitude (HVLA) adjustments applied directly to the dysfunctional vertebra. Its aim is to restore vertebral mobility and alignment straight away. It is the classic chiropractic adjustment, and Dr. Puig uses it with precision at his Estepona centre for a wide range of conditions.
Gonstead Technique
The Gonstead Technique is one of the most complete systems of analysis and adjustment in chiropractic. It uses five assessment criteria: visualisation, instrumentation with a nervoscope, static palpation, motion palpation and radiology. With that information, it identifies precisely which vertebra needs adjusting, minimising the force required. Dr. Puig uses this technique at Centro Quiropráctico Puig in Estepona.
Thompson Technique
The Thompson Technique, also known as Terminal Point or Drop Table, uses a special chiropractic table with sections that drop slightly as the adjustment is applied. This drop mechanism significantly reduces the force needed for the adjustment, making it more comfortable for the patient. It is particularly useful for patients who prefer a gentler adjustment or who have conditions that call for less force, such as older adults.
Cox Flexion-Distraction
The Cox Flexion-Distraction technique is a specialised protocol that uses a flexion-distraction table to decompress the intervertebral discs in a gentle, controlled way. It is the go-to technique for working with herniated discs, protrusions, spinal stenosis and sciatica. Through rhythmic flexion movements, it creates negative intradiscal pressure that supports the retraction of the herniated disc material. Dr. Puig uses this technique in Estepona with excellent results in patients looking for an alternative to spinal surgery.
Activator Method
The Activator Method uses a precision mechanical instrument (the Activator Adjusting Instrument) that delivers a quick, controlled impulse to the vertebra. It is a low-force technique ideal for patients who prefer to avoid the traditional manual adjustment, older adults, young children and people with osteoporosis. The instrument allows for great precision in both the direction and the force of the impulse. Dr. Puig is certified in the Activator Method and uses it regularly at his Estepona centre.
Our care approach
At Centro Quiropráctico Puig we follow a structured three-phase process to aim for lasting results:
- 1 Relief Phase: In the first few weeks, the focus is on quickly easing symptoms. Sessions are more frequent and become more spaced out as the pain settles. Most patients notice a significant improvement in this phase.
- 2 Stabilisation Phase: Over the first few months, we consolidate the progress. The body learns to hold the correction and reaches a new balance. Sessions become more spaced out as your spine builds stability.
- 3 Prevention Phase: Regular maintenance visits to help prevent setbacks and keep the nervous system working well. Much like looking after your teeth: prevention helps you avoid bigger problems down the line.
Why choose Quiropráctico Puig in Estepona?
- José María Puig Sobrino, Doctor of Chiropractic (D.C.), AEQ member (#1036)
- 4.9/5 on Google (126 reviews)
- No medication or surgery. A natural approach.
Frequently asked questions
After a full assessment that includes physical examination, postural analysis and specific tests, Dr. Puig selects the technique or combination of techniques best suited to each patient and their particular condition. The choice depends on factors such as age, the issue being worked with, the patient's preferences and the response to care.
The Cox Flexion-Distraction technique is particularly effective for herniated discs and protrusions. It uses a specialised table that decompresses the disc in a gentle, controlled way. That said, Dr. Puig may combine several techniques depending on the case to achieve the best results.
Yes. Low-force techniques such as SOT, Activator Method and Thompson are as effective as traditional manual adjustments. The difference is in the way the correction is applied, not in the outcome. They are ideal for expectant mothers, children, older adults or patients with certain conditions.
Discover our chiropractic centre in Estepona and find out how we can help with a personalised, professional approach.