Prepare for Your First Visit


The initial visit is a comprehensive visit where your medical history and history of your condition will be reviewed, followed by a thorough physical examination. Typically, the initial visit lasts about 45-60 minutes.

1.       Registration  - You may complete our registration and history forms prior to your visit in order to save some time in the office.  Three options are available for completing these forms: (a) complete and submit forms securely on-line, (b) download, print and complete the forms on paper, (c) complete the paper forms in our office upon your arrival. Please arrive 15 minutes early to complete any in-office paperwork.

2.        History - After you complete the initial registration process, we will begin to discuss your health concerns and past medical history.  Some of this information may be submitted before your initial consultation by completing the on-line neck pain and / or back pain history.

3.        Physical examination will be completed, which has two primary components:  (1) neurological and orthopedic examinations to determine a clinical diagnosis and; (2) assessment of your posture, muscle function, flexibility and spinal joint function.  If clinically indicated, x-rays or other advanced diagnostic tests may be ordered to further evaluate your condition.

4.        Treatment Planning - The details of your diagnosis will be presented and discussed.  Any questions or concerns will be addressed at that time. Depending upon each patient's preference, we will communicate the details of the examination and treatment plan with your family physician. 

5.        Treatment- Treatments in our office may include stretches, exercises, therapy modalities (electrical muscle stimulation, TENS, ultrasound, mechanical traction), manual therapy procedures (trigger point therapy, myofascial release, contract-relax stretching), spinal  and extremity manipulation/adjustments (See "Services We Provide").

6.        Home Instructions - You may be provided instruction on modifying daily activities to avoid aggravating your condition. Self care pain management strategies will also be discussed to help manage your symptoms during the healing and rehabilitation process.

        Helping you to restore your health is our foremost objective. This requires a partnership between our patients and us.

Regular appointments typically range from 30-45 minutes in length, depending on your diagnosis.

Preparing for the examination and/or treatment. We recommend that you wear loose clothing such as shorts for lower back, hip and lower extremity injuries. Tank tops or loosely fitted shirts should be worn for neck, back and upper extremity injuries. Gowns are available if needed.