An initial chiropractic consultation includes a thorough case history, posture exam, range of movement exam, orthopaedic, neurologic exam, palpation, muscle testing and subluxation findings. You will likely complete a health questionnaire and answer questions about your health history. Typically the chiropractor asks you to indicate where you are experiencing discomfort by marking the areas on a drawing of the human body.
What happens during the physical exam?
The chiropractor will start with a routine physical exam, then follow it with an exam that focuses on the spine, with particular attention given to the areas of complaint. The chiropractor will most likely examine your whole spine. For example, if you had a low back complaint, the chiropractor would also likely perform a neck exam because the adaptations resulting from injury or subluxation in one area can result in secondary irritations somewhere else in the spine. Your chiropractor will go over the examination results and explain the findings.
Some treatment may commence on the first visit, however if further tests or x-rays are required then these may be organised for you. In Australia, Medicare covers the cost of X-Rays.
If required, a local radiology centre will take X-rays of your spine prior to treatment. The purpose of the X-rays is to study the condition of the bony anatomy and soft tissues. It also helps the chiropractor understand the extent of wear, any anomalies in your spine, and other factors that will guide the development of the treatment plan.
Your treatment plan
Following the assessments, the chiropractor will develop a treatment plan that takes into account:
- The extent of your injury or irritation
- Your general health
- The condition of your spine as affected by age and previous injury
- What your goals are - this is most important item
Your goals of treatment should result from the discussion you have with your chiropractor. Many people seek simple relief of pain or discomfort, while others want to begin a regimen of ongoing care meant to improve their general health.
In initial consultations, your chiropractor will tell you the status of your condition and recommend an approach to care. Ask questions. As in any professional-patient relationship, trust and mutual understanding are vitally important.
What is a typical treatment?
"Adjustments" are usually the central part of chiropractic treatment. The chiropractic adjustment is a therapeutic manipulation that uses controlled force, leverage, direction, amplitude, and velocity directed at specific joints. In other words, an adjustment involves a lot more than simply opening up a joint. Your chiropractor will most often make these adjustments to the spine, but he or she might adjust other joints, such as the ankle, knee, wrist, elbow, or shoulder in order to restore structural alignment or to improve joint function. Again, proper structure is necessary for proper function, and proper extremity function is an important part of healthy daily living.
When being treated for a complaint such as back or neck pain, you will most likely receive a series of adjustments, separated by either a day or a few days, to incrementally reduce the irritation and improve normal function. This might continue for several weeks, usually diminishing in frequency.
If you can't tolerate the manual adjustments, you may instead receive mild or non-force techniques.