MyChiro Mobile Chiropractic · Sioux Falls, SD
What actually happens during a visit.
Most chiropractors walk in, ask two questions, and go straight to the table. Every MyChiro visit follows a deliberate sequence — soft tissue first, stretching second, adjustment third. Each stage earns the next.
The Approach
Three services. One coherent treatment.
By the time I position you for the adjustment, your nervous system has already been given two reasons to cooperate. The percussion reduces tone. The stretching restores range. The adjustment restores joint motion.
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In that order, every time, adapted to what each patient presents with. It's a more complete visit than most patients have experienced — and it's why results tend to come faster and hold longer.
1
Percussion Therapy
Reduces neuromuscular tone and breaks up fascial adhesions. Prepares the tissue for everything that follows.
2
PNF & PIR Stretching
Restores range of motion using neuromuscular cycles rather than passive holds. Gets the nervous system to cooperate.
3
Chiropractic Adjustment
Restores motion to restricted joints. Applied after the surrounding tissue has been prepared to receive it.
Chiropractic Adjustment
Restoring motion to joints that have stopped moving the way they should.
The adjustment is the most recognized part of chiropractic care — and the last thing I do in every visit.
A chiropractic adjustment is a precise, controlled force applied to a specific joint — most commonly in the spine — with the goal of restoring normal movement and reducing pain. When a joint loses its full range of motion, the surrounding tissue compensates. Muscles tighten. Nerves get irritated. Pain follows. The adjustment addresses the restriction directly.
I use three primary techniques depending on what each patient needs:
Diversified
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The most widely used manual technique in chiropractic. A high-velocity, low-amplitude thrust applied to specific spinal or extremity joints. Direct and effective for most presentations. You'll typically hear the joint cavitate — that's the pressure release that comes with the movement.
Thompson Drop Piece
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Uses a segmented table with sections that drop slightly during the adjustment, reducing the force required to move the joint. Particularly effective for lumbar and pelvic adjustments. Better for patients who are sensitive to the manual technique or have acute inflammation.
Activator Method
​A spring-loaded instrument that delivers a precise, low-force impulse to the joint. No twisting, no manual pressure. Used for patients who prefer a gentler approach, for upper cervical adjustments where precision matters most, and for extremity work — knees, shoulders, ankles.
Most visits involve more than one technique. I use what the patient in front of me needs, not what I happen to default to. If the Diversified technique isn't appropriate for a given segment, I switch tools. The goal is always the same — restore the motion, reduce the pain.
PNF & PIR Stretching
Getting the nervous system to cooperate before you ask the joint to move.
Static stretching works against your own neurology. These techniques work with it.
Holding a muscle in a lengthened position and waiting — the way most people stretch — engages a protective reflex called the stretch reflex. Your nervous system detects the tension and tells the muscle to resist. You end up fighting the tissue you're trying to release.
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PNF (Proprioceptive Neuromuscular Facilitation) and PIR (Post-Isometric Relaxation) work differently. Both use a cycle of gentle contraction followed by relaxation to access range of motion the nervous system would otherwise protect.
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With PIR — the technique I use most often — I move the muscle to the comfortable edge of its range, ask the patient to gently contract against light resistance for five to seven seconds, then guide them deeper into the stretch during the relaxation phase. Done three times, it unlocks range that no passive hold reaches.
PIR — Post-Isometric Relaxation
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Contract at end range for 5–7 seconds, then relax and move deeper. Uses the nervous system's own post-contraction relaxation response to gain range. Gentler, highly effective, and my primary stretching tool in clinic.
PNF — Proprioceptive Neuromuscular Facilitation
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Uses alternating cycles of contraction and relaxation to rapidly increase range of motion. More assertive than PIR. Used for athletes and patients with significant range limitations who respond well to a more active approac
Most visits involve more than one technique. I use what the patient in front of me needs, not what I happen to default to. If the Diversified technique isn't appropriate for a given segment, I switch tools. The goal is always the same — restore the motion, reduce the pain.
Percussion Therapy
Mechanical soft tissue work that prepares muscle for everything that follows.
Rapid, targeted pulses that reduce tone, increase blood flow, and create the conditions for the rest of the treatment to work.
Percussion therapy uses a handheld device to deliver rapid, repetitive pulses directly into muscle tissue. It increases local blood flow, reduces neuromuscular tone — the background tension muscles hold even at rest — and mechanically addresses adhesions in the fascia that have formed from chronic overuse or sustained poor posture.
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I use it primarily as a preparatory tool rather than a standalone treatment. Run over the thoracic erectors before a mid-back adjustment, over the hip musculature before a lumbar mobilization, over the upper trapezius before a cervical adjustment. The tissue responds better. The joint moves more freely. The adjustment holds longer.
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For patients with chronic muscle tension — the kind that's been there for months or years and has become structural — percussion therapy is often what creates the window for the other treatments to work. You can't stretch a muscle that won't release, and you can't adjust a joint that's being held rigid by surrounding tissue.
Neuromuscular tone reduction
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Reduces the resting tension muscles carry — especially in chronically overworked regions like the upper traps, lumbar erectors, and hip flexors. Creates an immediate window of reduced resistance before stretching begins.
Fascial adhesion work
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Mechanically addresses the tissue restrictions that accumulate from repetitive strain, sustained postures, and old injuries. Restores the glide between muscle layers that proper movement depends on.
Percussion first, always. The sequence isn't arbitrary. Reducing tone before stretching means the stretching is more effective. Stretching before adjusting means the adjustment requires less force and holds longer. Each stage compounds the one before it.
Every Service
Delivered to Your Door
Your Chiropractor
Dr. Lucas Marchand
I was born in India and adopted as an infant, grew up in Storm Lake, Iowa, and have called Sioux Falls home since 1993. I played every sport I could — football, basketball, soccer, track — and earned a football scholarship to Wayne State College. That background informs everything about how I think about the body, movement, and pain.
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I've been doing this in Sioux Falls since 2016. Every visit is with me — no associates, no rotating staff. I know my patients' histories because I was there for all of them.
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Outside the van I'm training most mornings, maintaining a 75-gallon reef tank, and spending time with my girlfriend, our dog Toto, and a community I've been part of for thirty years.
Ready to feel the difference?
Same-day appointments available. The fully equipped clinic comes to you — home, office, or driveway.
Or call / text (605) 201-4862