Your first visit will consist of an initial consultation and examination. Your complaints will be discussed and a full history taken. You will then go through a series of functional movement screens, muscle length assessments, joint range of motion assessments, orthopedic tests, neurological examination, and more pertaining to your particular complaint. Your doctor will then explain the findings and let you know what may be contributing to the problem and inform you of the expected course of treatment. Your doctor will discuss short term and long term goals with you and give you realistic expectations regarding your treatment plan.
Laying the Foundation
The body is an amazing thing and we often find that patients in pain have developed compensation patterns either due to their pain or that have led to their pain over time. Because our brain and nervous system influence the muscles of the body, we must stimulate the brain to cause tissues to adapt. These adaptations often take at minimum 4-6 weeks, but may take several months to fully change.
Imaging Studies: (X-rays, MRI's, etc)
We do not perform imaging in our offices, however we can refer out for imaging and often have results within 24 hours of the imaging study. If you think you need imaging, please consult with our doctors and we can discuss those possibilities!
If you already have imaging, please bring any images, discs, or reports with you so that your doctor may review them.
Phase 1: Relief Care
Your first couple visits will be based around reducing and managing your symptoms. This often involves education about postural correction, modification of movements or habits, as well as various treatments aimed at pain management. Our goals in this phase are to reduce the intensity, frequency, and duration of your pain and/or symptoms.
This phase often lasts anywhere from 2-4 weeks, depending on your condition.
Phase 2: Corrective/Restorative Care
Once we have been able to reduce or eliminate your pain, our goals shift to restoration of function. These new goals may be based around work duties, activities of daily living, recreational activities, exercise, etc. Pain often goes away very quickly, but the dysfunctions that caused the symptoms often remain. We must recover normal range of motion, strength, endurance, and tissue quality to ensure full recovery. If treatment is abandoned too soon, the likelihood of recurrence increases significantly.
Care in this phase becomes more focused on activity and performance in functional tests based on your goals and needs. In this phase you will be instructed on stretches, exercises, and things to do at home or work.
True tissue adaptation takes a minimum of 4-6 weeks.
Phase 3: Wellness Care
Once recovery of function has been reached, we transition to essentially maintenance care to prevent recurrences and keep you moving well.
Patients in this phase may come anywhere from 1x-4x/month.