A chiropractic adjustment is performed while the patient lays comfortably on their belly. As the patient simply relaxes, the chiropractor will begin gentle spinal manipulations. These movements feel similar to a massage with a bit of extra pressure at times. The adjustment is usually done using only the chiropractor's hands, although specialized chiropractic tools can be used if necessary. The chiropractor will gently but firmly guide the spine into the right position. Patients rarely experience any pain during adjustments, and relief can be almost immediate.