Not Sure Where to Start?
If you’re not sure whether to start with Chiropractic or Physical Therapy, we can help. While all of our providers can effectively treat most conditions that come in, you may benefit more from seeing a specific provider. We offer free consultations with our providers either on the phone or in person in order to steer you in the right direction. Call and ask for a consultation today to learn about how we can help.
New Patient Experience
Before your first visit, we have some paperwork for you to fill out. Please complete these forms before your first appointment.
The new patient paperwork will help to guide our evaluation and give us information about your general health.
History & Examination
In order to determine a working diagnosis, the doctors will perform a full evaluation including a patient history, functional movement observation, range of motion and strength measurements, and any relevant special diagnostic tests.
Information from the history and examination help determine what structures you have injured. This allows us to develop a comprehensive and individualized treatment plan to help you achieve your goals
Review of Findings
Following the history and examination, we will explain your diagnosis and discuss how chiropractic and/or physical therapy can help. The treatments that will be incorporated and the prognosis will also be explained. This is a great time for you to ask your doctor any questions about anything on your mind related to the diagnosis and treatment recommendations.
Same Day Treatment
Once finished with the examination and review of findings, most patients will be provided with their first treatment:
- For Chiropractic patients, this generally consists of a chiropractic adjustment, soft tissue techniques, and/or modalities to reduce pain and discomfort.
- For Physical Therapy patients, a home program is usually demonstrated and performed to ensure proper completion and promote early pain free movement. Manual therapy may also be incorporated to provide symptom relief.
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.
Imaging Studies and Referral
Most injuries do not require x-rays or advanced imaging (MRI, CT). We never recommend imaging unless fracture or other serious pathologies are suspected. If necessary, imaging will be done at Martha Jefferson Hospital or UVA, where a medical radiologist as well as your doctor will review the films.
If your examination reveals something that requires attention from another medical professional, you will be promptly referred to insure comprehensive management of your condition.
1. Relief Care
Symptom relief is the first stage of care for most patients. Treatments focus on techniques and therapies which most quickly and effectively reduce pain and other discomfort, allowing the majority of individuals to continue their daily activities.
2. Corrective Care
The second stage of care consists of correcting the impairments discovered during the evaluation. This may include manual therapy (including manipulation), therapeutic exercise, neuromuscular re-education, therapeutic activities, and gait training.
This stage may also include advice on lifestyle modifications to promote overall well being. While office visits often includes both manual therapy as well as exercises, it is imperative that we address the whole person. We will likely ask about and give advice on other important factors in healing including ergonomics, nutrition, sleep, and training regimen.
It is extremely important that the patient comply with the home program given by the doctor. Tissues and structures that are not fully rehabilitated are prone to future problems. Patients should also be aware that once pain and discomfort have subsided, tissue healing and is often times incomplete and is prone to re-injury.
3. Chiropractic Wellness Care and Training
Once the tissues are healed, it is usually recommended the patient continue with wellness visits. Monthly check-ins with their chiropractor helps to ensure optimal spinal health. Research studies have show that monthly chiropractic visits significantly reduce the number of back and neck pain episodes per year. Chiropractic checkups provide similar benefits to the spine that dental checkups provide to the teeth. The goal of wellness visits is catching minor problems and disturbances before they have the opportunity to cause pain and disability.
We also offer training services led by our physical therapists. These sessions will build on what is learned through rehabilitation to improve strength, performance, and flexibility. If you aren’t a previous patient, a comprehensive performance exam will be performed to determine functional deficits that may be affecting performance. Training sessions will be designed to help clients reach individual goals whether that’s achieving a new personal best or just staying active and healthy.