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From Our Doctors

The Rock in Your Shoe — How the Adjustment Actually Works

A small misalignment you compensate around until the compensating ruins you. Dr. Ben Kuhn's rock-in-the-shoe analogy is the best plain answer to how this care works.

Dr. Chris Slininger
Craniocervical Specialist
August 26, 2026 · 3 min read

Walk a mile with a pebble in your shoe and you'll limp a little. Walk five years with it and your knee hurts, your hip hurts, your back hurts, and your gait has reorganized itself around a stone the size of a pea. Ben Kuhn uses that picture to explain craniocervical injury, and I've never found a better one. The misalignment is rarely dramatic. The compensating is what wrecks people.

Why do small misalignments do so much damage?

Because of where they sit and how long they stay. A minor positional fault in your mid-back is a shrug. The same few degrees at the top of the neck press on the corridor carrying everything your brain sends and receives, and they press on it every minute for years. Ben describes three kinds of damage: irritated neurology, mechanically stressed tissue, and disturbed fluid dynamics, meaning blood flow and the cerebrospinal fluid that can turn turbulent around a shifted junction. None of the three announces itself early. That's how someone ends up with a whiplash that "healed" years ago doing slow damage in the background, and symptoms that finally surface a long way from the cause.

What does recovery look like once the rock is out?

Mostly it looks like the body doing what it was built to do. Bracing releases. Posture stops fighting itself. Fluid moves the way it should. The doctor's contribution ended with the correction; everything after is the patient's own biology doing what it was always trying to do with a stone in its shoe. Timelines vary with how long the compensations had to set, and concussion-adjacent cases in particular unwind in stages rather than all at once. But the direction of travel changes fast. I tell patients: my job is just to remove the interference. The healing is yours, and your body is good at it.

Who is Ben Kuhn?

Dr. Ben Kuhn practices NUCCA at Providence Chiropractic in Edmonton, Alberta. Call (587) 412-1527.

Common Questions

Frequently asked questions

How is this different from having my neck cracked?

It's a different thing entirely. NUCCA-style corrections are calculated from your individual imaging and delivered with force so light many patients ask when the adjustment is happening. No twisting, no cracking, and the result gets verified with measurements afterward.

How long until I feel better?

Things start improving fairly quickly, but full recovery takes time. Compensations built over years release over weeks to months as the correction holds. Some people notice differences in days, and the deeper structural recovery keeps going long after.

My symptoms started years after my accident. Is that plausible?

It's the standard pattern, honestly. The injury plants the misalignment, compensation masks it, and symptoms surface when the body runs out of workarounds. A long gap between cause and complaint is exactly what the rock in the shoe predicts.

Ready to find the root cause?

If no one has examined your upper neck, that may be the piece that has been missing. That is the work we do at Cerebral in St. Petersburg, Florida.

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About the Author
Dr. Chris Slininger, D.C., D.C.C.J.P
Craniocervical Specialist

Dr. Chris Slininger is a Diplomate in Chiropractic Craniocervical Junction Procedures and the founder of Cerebral in St. Petersburg, FL, where he focuses on complex neurological cases.

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