This is a manual procedure that utilizes highly advanced skills developed during the intensive training obtained during chiropractic education. The technique involves the practitioner using their hands to apply a controlled thrust, being a force of a specific magnitude or degree in a specific direction to a joint. Chiropractic manipulation is a specialized procedure, patient specific and rarely causes discomfort. Although it should not be assumed to be a quick fix, as with any other form of conservative therapy, patients often note immediate improvement in the symptoms experienced.