How do I know if I have a Vertebral Subluxation Complex? The only way to truly know if you have a Vertebral Subluxation Complex (subluxation) is to have a trained chiropractor evaluate your spine. A chiropractor uses several methods to detect subluxations to be sure that you have one before we treat you. Here at Kanawha Valley Family Chiropractic, we do a complete biomechanical examination to determine the exact areas of problem in your spine. Even if there is no pain in a certain area there may still be a problem. In fact pain is a relatively poor indicator of a subluxation. Think of chiropractic just like regular dentistry. When you see your dentist and tell them that one tooth hurts, do they just check that one tooth? No a responsible dentist looks at your entire mouth to look for the small problems before they become major problems. Chiropractic works in just the same way.