What should I expect for my first visit?
Your first appointment will involve completing your new patient paperwork, an examination by one of our providers, and any treatment you may receive that visit.
How long should I plan for my first appointment?
For your first visit budget 10-20 minutes for the paperwork, another 5-15 minutes for the examination, and the length of your first treatment: 5-10 minutes for chiropractic adjusting, 15-30 minutes for acupuncture, and up to 1 hour or more for massage therapy based upon the length of message you’ve scheduled.
Will I receive treatment on my first visit?
If there are no contraindications (reasons to avoid receiving the service you’ve requested) then yes, you may receive a treatment your first visit. Occasionally, a provider may be concerned for the safety of the treatment requested. In that case, the provider may request some sort of study, typically an imaging study such as X-ray or MRI, be performed prior to rendering treatment.
Do you require X-rays or an MRI be performed prior to treatment?
In the absence of “red flags”, typically no imaging is needed. Ultimately that determination will be made by your treating provider. Currently, the American Chiropractic Association’s (ACA) “Choosing Wisely ® campaign recommendation states:In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain.” This stance is consistent with 7 other organizations including “the American College of Emergency Physicians, the North American Spine Society and the American College of Physicians.” Reference:https://www.acatoday.org/News-Publications/Publications/ACA-Blogs/ArtMID/6925/ArticleID/279/Choosing-Wisely-X-ray-Recommendations-Reflect-Evolving-Evidence-Accepted-Standards.
I have previous imaging and lab reports from another provider. Should I bring these?
Absolutely! Our position is the more information our provider has to determine the course of care, the better! For imaging, it is best to bring in the imaging report (the document created by the radiologist who interpreted your images and was sent to the requesting physician), not the images themselves unless asked to do so by the provider. When in doubt, bring both.
Something came up and I can’t make my appointment. Will I be charged?
When scheduling future appointments, all parties involved are “attempting to predict the future”. Our Financial Policy does state a $35 fee will be assessed for same-day cancellations. We understand that emergencies happen and will consider each case individually. Additionally, if one of our providers cancels the same day with you,
will be given $35 as a credit on your account for the inconvenience. Fair is fair after all.
I’m in ridiculously severe pain, should I come in?
If your pain is so severe and constant, it is all you can think about, you are unable to reasonably walk, talk, or process information correctly due to the pain intensity, or you believe you are having a life-threatening event such as a heart attack or stroke, this is not the correct place for you at this moment in time. Please present to an urgent care or emergency room department for immediate evaluation. If your pain is of lesser intensity than the description above and you do not believe you are having a life-threatening event, we are more than likely a good place to start. Your provider will ultimately determine if treatment here at our clinic is appropriate or if another provider would better suit your current needs.
QUESTIONS ABOUT ACUPUNCTURE:
What does acupuncture help with?
Acupuncture is considered a whole health system in and of itself. Throughout history it has been used for a myriad of conditions and symptoms.
I’ve never had acupuncture before, what should I expect?
Acupuncture can be performed in any position as long as there is access to the acupuncture site. You’ll work with your provider to determine the most comfortable position for you. Acupuncture is performed using needle inserting into the skin. The needles themselves are very thin, about the thickness of a human hair. Each site will be cleaned with isopropyl alcohol prior to needle insertion. Many patients report they don’t even feel the needle being inserted. If there is any discomfort, it is often described by patients as feeling a small pin prick. The pain, if present, will often dissipate in less than a minute. If it does not, let your provider know. Typical acupuncture sessions range for 15 minutes to 30 minutes. Work with your provider to determine the best treatment length for you.
QUESTIONS ABOUT CHIROPRACTIC:
I’ve never had a chiropractic adjustment before. What should I expect?
Chiropractic works to restore normal range of motion in a joint which has lost some degree of motion. After your exam and your provider has cleared to to receive chiropractic adjusting, you will typically lay face down on a chiropractic adjusting table which is a small bench with a face rest to make laying face down comfortable. Your provider will then assess either through motion palpation (feeling how your joints are moving by gently pushing into or moving the area under investigation), Activator Method ®, or some other method of determining correct joint motion. Your provider will then perform an adjustment.
Typical adjustment techniques at this clinic include manual, Activator Method ®, and drop table adjusting techniques. All three of these styles of adjusting are well tolerated by most people. Activator Method ® and drop table technique are both considered low force techniques, yet both are still very effective.
I don’t want my neck “cracked”, can you still help me?
It is always the recommendation of this clinic to start with low force techniques if you have any doubt about the adjustment being performed, and Activator Method® is a terrific alternative way to adjust for people who “don’t want to be cracked”. Again, work with your provider to determine the adjusting method(s) best for you.
What type of chiropractic adjusting do you provide?
The three most typically used techniques in this clinic are Diversified for manual technique, Activator Method® for which Dr Will Llewellyn has been Proficiency Rated for several years, and drop table technique.
Do I need to come in for treatment for the rest of my life?
In short: “no”. There are several types of complaints: acute (an injury just occurred), acute exacerbation or flare up of a chronic (long term) condition, and chronic complaints which have been present for months to years. The goal of acute and acute exacerbation is of course to reduce pain, but also to prevent unwanted progression of the complaint to a worse state, and to assist in healing of the affected tissue. For chronic complaints, it may be about pain reduction, but it’s also about restoring function as longer term complaints often impact one’s ability to perform tasks and activities. Treatment for these types of complaints are often considered “medically necessary”, and it is highly recommended you follow your providers recommendations for treatment.
If you’re no longer making progress or the complaint has resolved, you enter into “wellness”, “maintenance”, or “preventative” care phase of treatment. These types of treatment are never considered medically necessary, are always self-paid services, and 100% optional whether you continue with the care or not. Many people report they simply feel better, have more energy, or are able to move more easily with consistent care using acupuncture, chiropractic, massage therapy, and many of the other services we offer.
Remember, just because it’s not “medically necessary” doesn’t make the recommendation inappropriate. Just like a minor cut on a finger may not be considered medically necessary for stitches or oral antibiotics, it may still be prudent and beneficial to cleaned out the wound, apply over the counter antibacterial ointment, and cover with wound with a bandage in order to decrease the likelihood of infection.
This is the essence of maintenance, wellness, or preventative care: it is much easier to “maintain you where you’re at” then to “fix you” when you’re “broken”.
QUESTIONS ABOUT MASSAGE THERAPY:
I’ve never had massage therapy before. What should I expect?
When people think of a “massage”, people typically think of a Swedish massage which is applied directly to the skin using the practitioner’s hands. There are 5 classic strokes used in Swedish massage: vibration (short brisk wiggling stroke), petrissage (a kneading stroke), friction (brisk superficial rubbing), effleurage (long gliding stoke), tapotement (tapping or striking). Since other massage techniques have arisen over time, your practitioner will more than likely use a blended technique of multiple types of treatment to help your obtain your treatment goals.
Massage is often used for relaxation and to improve an overall sense of well being; therefore, massage therapy in those circumstances should not be painful as you are unlikely to relax if you are in pain! Let your provider know if you are experiencing any discomfort so the technique being applied may be appropriately altered.
Do I need to undress for my massage?
Most massages are performed directly to the skin so, “yes”. There are some techniques which may be applied through clothing, but these are much more limited. If you have any questions, ask your provider.
If you have requested a “full body” massage you will be asked to undress completely; however, as we always respect your comfort level, undress only as much as you feel comfort. Your provider will step out of the room while you change. Whether you have undressed completely or partially, you will be draped (covered with a cloth) during the massage. The drape will be moved to reveal the area our provider is currently work on and then returned when the area is finished.
What is the difference between massage therapy and manual therapy?
On first glance massage therapy and manual therapy seem very similar. Both techniques are applied by hand or manually. Both are often applied directly to the skin by the provider so undressing may be necessary for both. From a practical stand point, manual therapies are usually the more advanced procedures and techniques requiring specialized training verses a more generally taught technique such as Swedish massage. They are typically regionally applied, such as to the neck or right knee only, and rarely applied to the whole body. Manual therapy often attempts to accomplish a very specific therapeutic goal such as lymphatic drainage or myofascial release or some other benefit.
If you have any questions, feel free to ask your provider.