Typically, a chiropractor will first take your medical history, perform a physical examination, and may use x-rays and lab tests to determine if chiropractic treatment is appropriate. The treatment plan may include one or more manual adjustments using a gentle thrust, or manipulation, to the spine or other part of the body. Many chiropractors also include exercise instruction, lifestyle changes and nutritional counseling into the treatment plan. Other treatments may include trigger point massage, electrical stimulation, ultrasound, heat and ice.