An impact head for a chiropractic adjustment tool or tapper that is easy to install, remains stable during lateral movements and easily exchangeable. The impact head comprises a central bore having a bore diameter disposed in the impact head at the attachment end, an annular slot concentrically disposed and parallel to the impact head central bore extending into the impact head from the attachment end of the impact head. The impact head is then attached to a reciprocating rod having a rod center bore and an annular reciprocating rod insert end wherein the reciprocating rod attaches by inserting the reciprocating rod insert end into the annular slot of the impact head and in a central insert having an insert diameter inserted into the impact head central.