No! The body is a machine and all of its part need to be working together to function at 100%. A subluxation or misalignment can happen anywhere there is improper movement. Shoulders, elbows, wrists, feet, TMJ, etc, all contain joints that move and these joints can misalign just as the spine. These subluxations can cause a disfunction in the body which can lead to multiple issues such as difficulty doing normal daily activities. Dr. Matt is a Certified Chiropractic Extremity Practitioner, so he has had extra education for adjusting extremities.