Before your first visit, we have some paperwork for you to fill out. The paperwork provides us with general information about yourself and the problem you are seeing us for. You can download and fill out the form ahead of time here. Please bring these completed forms with you to your first appointment. Alternately, you may contact our office and we will email them to you before your first appointment, along with any outcome assessment forms that are appropriate.
History & Examination
In order to determine what your problem is, the doctors and physical therapists will first take a patient history, asking questions about your current problem and your overall health history. Next, chiropractic, orthopedic, and functional exams will be performed. Information from the history and examination help determine what structures you have injured, whether chiropractic treatment or physical therapy can help, and what exercises or other home care measures are indicated.
Most problems do not require x-rays or advanced imaging (MRI, CT), but if necessary they will be done at Martha Jefferson Hospital, where a medical radiologist as well as Dr. Spillman will review the films.
Review of Findings
Following the history and examination, we will explain your diagnosis and discuss how chiropractic treatment or physical therapy can help, the role of posture and exercises, the length of treatment, or, when appropriate, referrals to other providers. A treatment plan will be outlined that typically includes a combination of in-office treatment, therapeutic exercises to be done at home, as well as any appropriate ergonomic or activity modifications. Our goal is to release each patient returned to full activity without pain, with the lowest possible chance of re-injury.
Same Day Treatment
Once finished with the history and exam, patients will generally be provided with their first treatment during this same visit. This usually includes spinal adjustments, manual therapy, physical therapy, and exercises.
Prior to leaving, patients will be given instructions on certain activities or procedures to be conducted at home. This may include ice or heat application, avoidance of certain activities or positions, posture and activity advice, as well as home exercises and/or stretches.
You will be given a convenient appointment time for any necessary follow-up visits.