At Lakota Wellness, our approach to chiropractic care goes beyond quick fixes and impersonal treatments.
Dr. Elyse Saltalamachia is one of the few chiropractors in the area who continues to provide true hands-on manual therapy and adjustments.
In an era when many practices rely heavily on instruments or minimal contact—especially following COVID—Dr. Elyse’s commitment to real, physical chiropractic care sets her apart.
She uses her skillful hands to help patients find relief from pain, restore proper function, and promote long-term healing for a wide range of conditions.
What Are Manual Adjustments?

Manual adjustments are the cornerstone of chiropractic care at Lakota Wellness. Unlike automated tools or instrument-based methods, manual adjustments involve precise, hands-on techniques applied by the chiropractor to realign the spine and joints.
These adjustments can improve mobility, relieve pressure on nerves, reduce muscle tension, and enhance overall body function.
Dr. Elyse specializes in back pain, neck pain, and extremity adjustments, tailoring each session to the patient’s unique needs.
By focusing on hands-on care, she is able to:
- Correct spinal misalignments that contribute to pain or discomfort
- Reduce muscle tension and joint stiffness
- Enhance nerve function and communication throughout the body
- Support natural healing and recovery from injuries
Why Hands-On Care Matters
After COVID, many chiropractic offices shifted away from traditional hands-on care to minimize contact, often relying on machines or guided self-care exercises. While these methods can be helpful, they often lack the precision and effectiveness of manual therapy.
Dr. Elyse believes in the power of true, hands-on treatment and has maintained this practice to ensure patients receive the best possible care.
Hands-on adjustments allow Dr. Elyse to feel exactly where tension, misalignment, or dysfunction exists, providing real-time feedback and adjustment.

This approach not only addresses symptoms but also helps identify and correct the root causes of pain and dysfunction.
Conditions Treated with Manual Adjustments
Manual adjustments at Lakota Wellness can help patients suffering from a wide variety of conditions, including:
- Chronic back pain and stiffness
- Neck pain and headaches
- Joint dysfunction and limited mobility
- Sports injuries and repetitive strain issues
- Postural imbalances and muscle tension
By combining hands-on spinal and joint adjustments with targeted soft tissue therapies, Dr. Elyse helps patients regain function, reduce pain, and improve their overall quality of life.
Comprehensive Manual Therapy
At Lakota Wellness, manual adjustments can be combined with a comprehensive manual therapy protocol to maximize results.
Depending on the patient’s needs, Dr. Elyse may incorporate advanced soft tissue techniques, including:

- Myofascial Release Therapy: Gentle, targeted pressure is applied to the fascia and soft tissues to release tension, improve circulation, and restore range of motion.
- Cupping Therapy: Suction cups are used to increase blood flow, reduce inflammation, and support tissue healing in areas of chronic tension or pain.
This combination of therapies allows Dr. Elyse to create a customized treatment plan for each patient, ensuring that manual adjustments not only realign joints but also support the surrounding muscles and tissues for lasting relief.
Experience True Hands-On Chiropractic Care
For patients in Ocoee and surrounding areas, Dr. Elyse offers a unique and effective approach to chiropractic care that emphasizes real physical medicine, skillful manual adjustments, and comprehensive soft tissue therapy.
Unlike many offices today, Lakota Wellness remains dedicated to hands-on care to deliver results that machines and impersonal treatments simply cannot match.
Don’t settle for minimal-contact chiropractic care. Call us today at (407) 877-8707 to schedule an appointment and experience the difference that true manual adjustments and comprehensive therapy can make for your pain relief and long-term healing.
