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What To Expect

What to Expect

  • History
    • A full history of current complaint(s)
    • Past medical history
    • Review of systems
    • Family history
  • New patient exam
    • The doctors will perform a focused musculoskeletal exam including:
      • Neurological (reflexes, sensory)
      • Muscle testing
      • Orthopedic exam- this allows the doctors to narrow down the specific diagnosis and eliminate other conditions that mimic your symptoms.
      • X-ray imaging- the source of your pain may be due to bony abnormalities that can be present from birth, as well as screen for any advanced degeneration of the spine, or more serious complications that may change prognosis of treatment.
    Education and home management:
    • Education is based on the history and exam as well as your specific diagnosis
      • it includes what to do at home (how to avoid causing flare ups, stretching, what motions to avoid, heat and ice instruction)
      • depending on diagnosis the doctors teach the patient the relevant anatomy and its role in static (staying still) and dynamic loads (movement), which is a key component of staying healthy and pain free
    • Treatment
      • Inferential may be used to activate endorphins and enkephalins which are the human body's own pain killers to aid in pain reduction.
      • Ultrasound therapy may be used to create deep heat and loosen tightened tissues that build up due to chronic insult and injury
      • Instrument assisted soft tissue technique may be used to help with proper healing of damaged tissues such as tendons and ligaments by facilitating the proper strand orientation of collagen growth, as well as help move any excess fluid in the area built up from the inflammatory response.
      • Flexion/distraction technique is used to restore proper spinal joint motion gaping facet joints and restoring proper nutrition to the disc since this type of tissue only gets nutrients from "imbibition" or pumping action achieved by movement of individual motion segments.
      • Spinal manipulation used to restore proper motion by providing a stretch reflex to the tightened surrounding muscle tissue and remove irritation to the facet joints that are richly supplied by the dorsal primary ramus nerve.
      • Rehabilitation services may be done as well to aid in proper muscle tone and re-education of previously injured muscular tissue and aid in restoring dynamic stability of the body, protecting the overuse of static stabilizers (ligaments) that poor posture and inactivity insult.