Nick M.
Gonstead chiropracticI noticed drastic changes. I felt more energetic, mood was better, got back into the gym. Athletic performance increased dramatically.
Gonstead chiropractic · Wayne, NJ
Get to the root cause of your pain.
Get your life back.
Back pain. Neck pain. Sciatica.
Let’s understand what’s holding you back.
Dr. Henry Madalian combines a careful examination with specific, hands-on chiropractic care to help you move more comfortably. No drugs, injections, or surgery.
Care with a personal connection.
Serving Wayne and North Jersey since 1988.
Chiropractic patient stories
Hear it from
our patients.
Nick and Charles share their experiences with Gonstead chiropractic care at our office.
More patient storiesIndividual experiences. Results vary.
Charles F.
Gonstead chiropracticThe pain in my neck, after several treatments, is probably about 95% gone. Things that I didn't even expect to go away went away. This is amazing.
Symptoms & conditions
What brings you in?
From everyday stiffness to an ongoing condition, your care starts with understanding what you’re feeling.
Talk with our office- 01
Back pain & sciatica
We evaluate back pain, stiffness and pain into a leg to identify appropriate care for your symptoms and movement.
- 02
Neck, shoulder & arm pain
Your examination considers joint movement, muscle tension, previous injuries and the activities that bring on discomfort.
- 03
Headaches & migraines
We assess whether neck or muscle problems contribute to your headaches, alongside medical care when needed.
- 04
Numbness, tingling & nerve symptoms
We assess symptoms in the hands, arms, legs and feet, including when further medical testing is appropriate.
- 05
Joint pain, posture & sports injuries
Care for joint discomfort and movement concerns, including hip, knee, foot and ankle pain. We also evaluate scoliosis, forward head posture and cervical alignment concerns.
- 06
TMJ & jaw discomfort
Dr. Madalian evaluates and treats musculoskeletal jaw symptoms associated with temporomandibular joint (TMJ) disorders. Your examination considers jaw movement, surrounding muscles, and neck symptoms to guide care, with dental or medical evaluation when needed.
Care for more complex concerns
Dr. Madalian also sees patients with the concerns below. Your history and examination guide which symptoms we can address and how care fits with your medical treatment.
- Widespread pain & tension
- Fibromyalgia · persistent muscle discomfort · stress-related tension
- Dizziness & balance
- Dizziness · vertigo · balance concerns
- Facial & neurological concerns
- Bell’s palsy · trigeminal neuralgia · neurologic dysfunction
Care focuses on associated muscle, joint and movement symptoms where appropriate. It does not replace medical diagnosis or treatment of the underlying condition.
Pregnancy & infant care · Wayne, NJ
Chiropractic care during pregnancy and infancy
Dr. Madalian specializes in chiropractic care for pregnant women and infants, with an individual assessment before any care is recommended.
Care during pregnancy
Back, pelvic, and joint discomfort can make everyday movement harder during pregnancy. Dr. Madalian evaluates your symptoms and adapts positioning and care to your stage of pregnancy and individual needs.
Chiropractic care complements, rather than replaces, care from your obstetrician or midwife.
Individual attention for infants
A visit starts with listening to your concerns, reviewing your baby’s health history, and assessing whether chiropractic care is appropriate. Recommendations are specific to your infant, with the approach, risks, and alternatives discussed before care.
Continue routine pediatric care. Concerns about feeding, growth, illness, or development should be evaluated by your baby’s pediatrician.
Chiropractic, explained
Understand the problem.
Be specific about the care.
Gonstead is a hands-on chiropractic approach built around a detailed examination and adjustments directed to selected joints.
Your spine isn’t working alone.
Joints, discs, muscles, and nerves work together when you bend, turn, sit, and walk. Pain can involve more than one of these structures.
01
Movement matters.
We look at how you move, not just where you hurt.
02
Symptoms need context.
The same symptom can have different causes. Your history and examination guide the next step.
03
Care should have a purpose.
An adjustment is a controlled movement applied to a joint. The goal is to help with pain and movement rather than adjusting everything at every visit.
A closer look at your examination
One instrument.
Part of a bigger picture.
A Nervoscope compares skin temperature on either side of the spine. In the Gonstead approach, that information is considered alongside your history, movement, and hands-on examination, not as a diagnosis on its own.
Your storySymptoms, history, and goals
ObservationPosture and movement
Hands-on assessmentJoint motion and tenderness
Imaging when appropriateBased on clinical need
From examination to adjustment
A method. Not a routine.
The examination helps Dr. Madalian decide where care may help, what to leave alone, and when a different approach is needed.
A clearer view · right here in Wayne
Advanced digital X-ray imaging,
here in our office.
When X-rays are appropriate for your evaluation, we can take digital images in-house. Dr. Madalian uses them to examine spinal structure and alignment alongside your symptoms and hands-on findings.
Imaging is based on clinical need, not a routine requirement for every patient. Bring any existing images or reports for the doctor to review.
- 01
Observe
Posture, gait, and comfortable movement provide useful starting points.
- 02
Feel & assess
Static and motion palpation assess tenderness, tissue changes, and joint movement.
- 03
Put it together
Examination findings, instrumentation, and clinically indicated imaging inform the plan.
- 04
Adjust specifically
Positioning and technique are chosen for the joint being addressed and the person receiving care.
Soft-tissue care
Dr. Henry Madalian’s professional education includes Full Body training in Active Release Techniques.
Active Release Techniques is a hands-on approach to soft-tissue care that combines targeted pressure with movement to work with muscles, tendons, and fascia, the connective tissue surrounding muscles.
Soft-tissue care may be considered for neck and shoulder tension, muscle-related back pain, and discomfort associated with repetitive use. The goal is to ease discomfort and improve movement when soft tissues are contributing to symptoms. Your examination guides whether it belongs in your care plan.
Meet the training behind the hands
A personal connection
to Gonstead’s legacy.
Behind Dr. Madalian’s approach is a teaching relationship: he learned from Alex and Doug Cox, two doctors trained by Gonstead himself.
Dr. Henry Madalian
Gonstead chiropractic care
Wayne, New Jersey · Since 1988
01 / Foundation
Dr. Clarence Gonstead
Developed the system and taught the doctors who would carry its methods forward.
02 / Two teachers
Dr. Alex Cox
Dr. Doug Cox
Both trained with Gonstead and became teachers of his approach.
03 / Here in Wayne
Dr. Henry Madalian
Learned from both brothers; applies that training to each patient’s individual evaluation.
Your first visit
Leave with a clearer
understanding.
Bring your questions, relevant imaging or reports, and the everyday activities you want to do more comfortably.
Let’s start with a conversation
- 01
Tell us what’s changed.
We’ll discuss your symptoms, history, previous care, and goals.
- 02
Get an individual evaluation.
Dr. Madalian examines the relevant areas and explains whether further testing or a referral is needed.
- 03
Understand your options.
Discuss recommendations, expected costs, and how progress will be assessed before deciding on care.
A few good questions
Know what
to expect.
Have something else on your mind?
Our office is happy to help.
How is Gonstead different?
Gonstead combines a structured examination with specific positioning and hands-on adjustments. The focus is on the individual findings rather than simply performing the same sequence on everyone. It is one chiropractic approach, not a guarantee of better results than every other technique.
Can symptoms show up away from the spine?
Yes. For example, a nerve irritated in the lower back may cause pain down a leg. But pain, tingling, and headaches can also have causes unrelated to the spine. We evaluate that distinction rather than assuming every symptom needs an adjustment.
Chiropractic is not an established treatment for unrelated internal diseases. When findings suggest another medical problem, appropriate evaluation comes first.
Is chiropractic care safe for me?
Suitability depends on your health history and examination. Temporary soreness can occur; serious complications are rare but possible, including with neck manipulation. Dr. Madalian should discuss risks, alternatives, and consent before treatment.
Sudden severe headache, new weakness, or loss of bladder or bowel control needs urgent medical evaluation. Do not wait for a routine chiropractic appointment.
Will I need X-rays?
Not automatically. Imaging should be based on your symptoms, examination, and clinical need. Bring any existing reports so the doctor can review them.
Is a care plan more than adjustments?
It can be. Recommendations may include exercises, activity changes, or other appropriate services alongside chiropractic care. The plan should reflect your examination, your goals, and how you respond, not a fixed package for everyone.
Ask how progress will be measured and when your plan will be reassessed.
How does this fit with DRX decompression?
Chiropractic adjustments and DRX spinal decompression are different treatments. Some patients with disc-related symptoms may be candidates for one or both after evaluation. Neither is automatically necessary for every patient.
Learn about DRX at our office ↗What about payment and CareCredit?
Please contact our office to discuss your insurance benefits and payment options. CareCredit is available for eligible treatment packages, subject to office approval and credit approval. Ask our team for details.
Explore payment options ↗For the curious
A little more understanding.
From the original sources.
Explore the technique, browse publications, or take a closer look at the evidence.
01 / Visual guide
The Gonstead technique
See the examination methods and adjustment positions explained with images.
Gonstead Clinical Studies Society ↗02 / Research libraryResearch & publications
Browse the society’s collection of research references and abstracts.
Gonstead Clinical Studies Society ↗03 / Clinical readingClinical perspectives
Explore articles on assessment, technique, and clinical reasoning.
Gonstead Clinical Studies Society ↗Your next step
Schedule your chiropractic consultation.
Tell us what’s keeping you from feeling and moving like yourself. Our team will help you arrange a consultation with Dr. Madalian.
Wayne, NJ 07470Serving Wayne and the surrounding North Jersey communities since 1988.