We are primarily conservative spine care specialists that emphasize evidence-based treatments for the most common acute and chronic spine, joint, nerve and related disorders. Our initial concern is to help relieve your pain quickly. We provide care for auto, work, and sport injuries, as well as treatment for migraine and tension headaches, other stress related disorders, fibromyalgia, and other specific musculoskeletal disorders including such common problems as carpal tunnel syndrome, tennis elbow, frozen shoulder, as well as hand, foot and knee joint problems. Next, our goal is to help you prevent recurrence of pain by focusing on work and lifestyle modifications when necessary, in addition to providing health and wellness information, core strength training and other exercise as indicated to improve your spine and overall health.
Chiropractic Exam is performed upon your entrance to the clinic, and involves an initial consultation as well as tests that help us determine whether there are red flags (i.e., bloody discharge, unexplained fever, unexplained neurologic signs like numbness on the side of your face or entire side of your body, new bowel or bladder problems, unexplained cough, etc.) that might indicate you need care from another provider. Once we determine that your problem may benefit from chiropractic, we perform chiropractic, orthopedic and neurologic tests to establish a diagnosis and initial care plan. These may include state-of-the-art PulStar computer assisted compliance analysis (accurately measures stiffness between vertebrae), algometry (measures tenderness), computer-digitized muscle resistance (to measure muscle strength), and functional questionnaires (that measure activities of daily living disability).
X-Ray Exam may be performed in office in some cases when indicated, such as after motor vehicle trauma. Because many spine and joint problems respond to initial care, x-rays are not always indicated. However, they may be prescribed later if satisfactory progress is not achieved after initial care here. In either case ask the doctor if you have questions regarding whether or not x-rays are indicated in your case.
Chiropractic Adjustments and ancillary therapies are provided to reduce inflammation, improve range of motion to stiff joints, and restore circulation to related structures. Chiropractic adjustments typically include specific manual techniques used in the profession, while ancillary therapies may include work on muscles or tendons using mobilization, stretch procures, heat, cold or intersegmental traction as examples.
Massage Therapy includes a wide variety of manual
procedures for general health and rejuvenation, as well as targeted
myofascial release, massage, and lymphatic drainage procedures to restore
motion and reduce inflammation."
Exercise Training is performed to improve core trunk strength, stretch tight muscles, and prevent recurrence or your spine, joint and related health problems. Improvement in balance is a key component of exercise recommendations to older adults, while performance training may be important for athletes and workers. Your exercise plan will be individualized to meet your specific needs.
Lifestyle, Nutrition and Wellness Counseling includes providing advice and instruction regarding nutrition and diet, posture and sleep, work restrictions, home care, substance abuse and smoking cessation. The role of diet and correct lifestyle choices and their role in degenerative disease including degenerative spinal disorders is reviewed.
Referral for medical co-management or for Magnetic Resonance Imaging (MRI) performed at nearby imaging facilities may be indicated in some cases. When indicated by the presence of red flags during the initial case history, imaging of the spine or extremities may help to rule out comorbidities or complicating factors. However, even serious disc problems with arm or leg pain may respond to initial care here, so a spinal MRI is often not required prior to beginning chiropractic therapy. We may refer you to your primary care physician for medical co-management, to another specialist (such as an orthopedist, neurologist, or for pain management) when indicated, or directly to an imaging center depending upon the circumstances of your case. Your doctor will discuss these options with you prior to care, and again if you are not seeing steady improvement after your initial care here.
Light state-of-the-art computer assisted PulStar adjusting device used here in the analysis mode. Recent evidence presented by Dr. Leach at a research conference suggests that PulStar measures of stiffness correctly predict side and level of the neck which needs adjusting 89% of the time, in a series of 28 patients with moderate to severe pain.