Methods: Four patients with neck and / or back pain were examined and radiographs revealed
DISH. The patients were diagnosed with vertebral subluxation, complicated by DISH at the
cervical spine. All patients were treated with chiropractic manipulation using Diversified and / or
Gonstead technique. Group Pre VAS scores were compared to group Post VAS scores using
the paired t test. A statistically significant difference was considered to be present if the
two-tailed p-value was < an alpha of 0.05.