Back Clinic Chiropractic Examination. An initial chiropractic examination for musculoskeletal disorders will typically have four parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may be performed. Our office provides additional Functional and Integrative Wellness Assessments in order to bring greater insight into a patient’s physiological presentations.
Consultation:
The patient will meet the chiropractor which will assess and question a brief synopsis of his or her lower back pain, such as:
Duration and frequency of symptoms
Description of the symptoms (e.g. burning, throbbing)
Areas of pain
What makes the pain feel better (e.g. sitting, stretching)
What makes the pain feel worse (e.g. standing, lifting).
Case history. The chiropractor identifies the area(s) of complaint and the nature of the back pain by asking questions and learning more about different areas of the patient’s history, including:
Family history
Dietary habits
Past history of other treatments (chiropractic, osteopathic, medical and other)
Occupational history
Psychosocial history
Other areas to probe, often based on responses to the above questions.
Physical examination: We will utilize a variety of methods to determine the spinal segments that require chiropractic treatments, including but not limited to static and motion palpation techniques determining spinal segments that are hypo mobile (restricted in their movement) or fixated. Depending on the results of the above examination, a chiropractor may use additional diagnostic tests, such as:
X-ray to locate subluxations (the altered position of the vertebra)
A device that detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance that requires manipulation.
Laboratory Diagnostics: If needed we also use a variety of lab diagnostic protocols in order to determine a complete clinical picture of the patient. We have teamed up with the top labs in the city in order to give our patients the optimal clinical picture and appropriate treatments.
Physical therapists (PT’s) are healthcare professionals who treat patients of all ages with back or neck ailments. Your spine surgeon, physiatrist, orthopedist, primary care physician, neurosurgeon and your chiropractor may refer you to a physical therapist as portion of your non-operative plan of treatment. An organized physical therapy plan may be an intrinsic portion of your after-care following back surgery. PT’s practice in a variety of settings for example hospitals, outpatient clinics, rehabilitation centers, and nursing homes. �Myself, I am a Chiropractor. �There are clear differences that sometimes creates confusion, and for that reason I have posted this in order to create conversation regarding the similarities and contrasts.
Goals of Physical Therapy
The primary goals�of physical therapy include: maintain practical skill and improve, build endurance and physical strength, increase flexibility, reduce pain, and prevent impairment. PTs also instruct patients the best way to exercise to enhance overall physical fitness, move about safely (biomechanics and ergonomics), and injury prevention. Physical therapists also help patients with long-term physical incapacity (eg, spinal cord injury).
Physical therapy may contain passive modalities; the individual is administered to treatments by the PT. Modalities include myofascial release, different types of massage, ultrasound, ice or heat. Some of these treatments could be administered before lively therapeutic exercise.
Rebuild endurance, flexibility and strength after back surgery, also as specific physical needs associated with surgical aftercare.
Coordinated Care
Your physical therapist may work directly for or with your physician, therapist, chiropractor and other healthcare providers to organize aspects of your physical treatment. For instance, your doctor may send the physical therapist pertinent parts of your graph, such as present medications, your analysis, and results of imaging studies.
During the first consultation, the physical therapist talks with you about symptoms, analysis, and your medical history. Many patients with a back or neck ailment experience pain that is severe, chronic, and/or episodic. Severity the location, type, and variables that decrease or increase pain are significant, and the PT will ask you many questions regarding pain.
Education and Clinical Training
Physical therapists are healthcare professionals who passed a state licensing examination and have completed an accredited physical therapy program. The program includes medical ethics academic learning, and evidence-based medicine with clinical use outside the classroom. After graduation, a PT may advance experience and knowledge by participating in areas of their interest. Now all physical therapists graduate with a Doctor of Physical Therapy (DPT) degree.
Through the American Board of Physical Therapy Specialties, a PT can eventually be a board certified specialist in a specific area such as orthopaedics, pediatrics, or geriatrics. There are various areas of specialization.
Selecting A Physical Therapist
Many states permit you to attend a physical therapist without a physician�s referral. What questions should you keep in mind about picking out a physical therapist, even though you can definitely ask your physician for a recommendation? Listed below are some questions to consider.
What is the physical therapist�s training and educational history?
Does the physical therapist frequently treat patients with my difficulty?
How many times per week do I need physical therapy?
Will I Be provided by the physical therapist with a customized home exercise plan?
Am I comfortable with a female or male physical therapist?
Taking Charge
Bear in mind a physical therapist is a precious healthcare professional and member of your medical team. While physical therapy may be challenging or demanding at first, you are offered many benefits by a PT. It’s an opportunity to take charge of your back or neck pain, while building a stronger more resilient body.
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Source:
American Association of Physical Therapists. www.apta.org
Many people frequently seek medical attention to treat symptoms of back pain. Approximately three in four adults will experience some sort of back pain throughout their lifetime. Back pain is identified as a painful symptom which originates along the spine.
From acute back pain to chronic back pain, the symptoms can often vary. Acute back pain is characterized as a severe but temporary pain. Chronic back pain generally occurs on a daily basis and can go on for an extended period of time. Some individuals may experience severe symptoms while others may experience mild, deep, achy, burning or electric-like symptoms. These symptoms are typically manifested in conditions such as lumbar radiculopathy.
Back Pain and Other Symptoms
Back pain can also be accompanied by a variety of other symptoms, including tingling sensations, numbness, stiffness, achiness and weakness. Some physical activities may also aggravate back pain. Sitting, walking, standing, bending oveer and twisting at the waist are several types of movements which can worsen symptoms of back pain. Depending on the region of the spine affected and the diagnosis or cause, the symptoms may vary.
Many healthcare professionals specializing in back pain who can help diagnose the source of the individual’s symptoms. The spine is divided into several regions, the thoracic, lumbar, lumbosacral or sacrum. The symptoms of back pain may differ depending on which area of the spine is affected.
The thoracic spine is the upper and mid areas of the back, where the ribs attach to the spinal column.
The lumbar spine refers to the low back.
The lumbosacral is the low back, sacrum, and the tailbone, also known as the coccyx.
The sacrum refers to the part of the spine that located at the back of the pelvis.
The spine is a complex structure consisting of approximately 17 vertebral bones, extending between the upper back and tailbone, joints, the sacrum and tailbone. The spine is also surrounded by fibrous and muscular supporting structures, intervertebral discs, the spinal cord and nerve roots, and blood vessels. An injury such as a back sprain or strain caused by improperly lifting and twisting simultaneously, can often be a cause for back pain.
However, not all forms of back pain are caused by trauma or injury. Many back issues are congenital, meaning they occur at birth, degenerative, age-related, disease-related and they may also be associated with improper posture, obesity or unhealthy lifestyle habits, such as smoking. In some instances, the symptoms of back pain may be worse than the actual injury or condition. More over, when should you seek medical attention for back pain?
If you cannot stand upright.
Fever accompanies pain.
There is loss of bladder or bowel function or control
Leg pain and/or weakness progressively worsens.
And the pain is relentless or worsens.
Many patients with back pain have described feeling afraid and anxious, which is often also a normal symptom that can generally manifest with complications. Most people who experience upper, low or lower back pain, even down into one or both legs, will know when it�s time to seek medical care.
What to Expect from a Healthcare Specialist
Whether your back pain is mild or severe, temporary or chronic, and whether the symptoms require urgent medical core or not, make sure to seek medical attention to receive a proper diagnosis for your back pain. Once you’ve visited your healthcare provider, below is what you can expect from them.
A review of your medical history, including the medical history of immediate family members to determine if they’ve also had back issues. Some back problems, such as scoliosis and osteoporosis, may develop genetically.
Full discussion of when back pain started, what you were doing when pain began, current pain severity and characteristics, how pain may have changed since it began, and other similar questions. Your doctor wants to learn as much about your pain and symptoms before he examines you.
Physical examination evaluates your vital signs, such as your heart rate. It is not unusual for your blood pressure to be elevated as a result of pain. The doctor examines your spine, feeling for abnormalities and areas of tenderness.
Neurological examination will involve assessing sensation and function. The doctor may employ the pin prick test to determine if feeling is the same on both sides of the body. Function, flexibility and range of motion are also evaluated while you walk, bend forward and backward and during other movements. The doctor may also test your reflexes as well.
After a thorough examination, the healthcare professional may be able to determine the source of your back pain and other symptoms. To obtain more information about your specific back issue and to help confirm the diagnosis, the doctor may order an x-ray, CT scan, or MRI. Sometimes lab tests are ordered too. Keep in mind that an accurate diagnosis is essential to a well-developed treatment plan.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
If you’ve suffered an injury or a previous condition is aggravated as a result of an accident, seeking immediate medical attention is often the preferred course of action to ensure an injury or condition does not become more serious. While there are a variety of healthcare providers, such as chiropractors, who provide this service, choosing an experienced and qualified doctor can help change an individual’s recovery experience.
The best method to find a qualified chiropractor is through the referral of another healthcare provider or through a personal referral from a friend. The advice of someone who’s had a positive experience with another specialist is always valuable when choosing the best healthcare provider.
Additionally, national associations including the American Chiropractic Association and state trade associations maintain listings of board certified chiropractors.
When an individual has a specific concern or is scheduling care for a child, for instance, they may want to choose a chiropractor who specializes in that specific area of medicine and has enough experience working with those type of cases. Calling a chiropractor office and discussing with the staff regarding the doctor’s specialization can help clear out some doubts. If you have insurance coverage, you will also want investigate whether or not that chiropractor you plan to receive treatment from is covered under your specific insurance plan.
What is Chiropractic?
What are the differences among chiropractors to be aware of?
It should be noted that the care recommendations you receive from one office may be quite different from those you receive from another office. In contrast to medicine, there is a much wider range of acceptable approaches and types of treatments given across chiropractic.
There are more than 100 named chiropractic methods, each varying in the approach to assessment and corrective techniques. Some rely on X-rays, while others utilize spinal motion or the responses to various “touch” point challenges. Examples of these various methods are Motion Palpation, Gonstead, and Applied Kinesiology, each employing their own assessment approach and type of adjustment.
Many chiropractors will incorporate a variety of methods in practice, adapting to the patient or to the problem at hand. These are often referred to as Diversified or Integrated techniques. No one approach has yet proved superior to another. If you are interested, you should ask about the techniques and why the chiropractor uses them, and perhaps scan the Web for more information.
Other questions you might ask when selecting a chiropractor:
How they feel about working collaboratively with your primary care doctor
How willing they are to refer you to specialists
What services they provide in their office, such as physiotherapy
Their preferred goals of care. Ask what is typically done on a first visit (you should expect to be treated, not just assessed). Continued care to sustain wellness is good practice, but this decision will need to come through thoughtful discussions between you and your chiropractor.
How much does it cost?
The cost of chiropractic care can vary greatly depending on where you live and the type of coverage you carry. If you have health insurance, check your insurance policies. Auto accidents and work injuries are generally also covered by insurance companies. Your policy may require you to utilize chiropractors only within your provider network, where it frequently must be approved in advance, may require a copay, or it may also have limits on the number of doctor visits covered under that insurance plan.
The cost of an initial visit can commonly include an examination and often a set of X-rays to help the healthcare professional properly diagnose and determine the correct form of treatment to follow. The cost of a moderate intake exam and X-rays can range around $160. The charges for more extensive examinations and X-rays may be significantly higher. Subsequent visits for chiropractic care can depend on each provider, however, they might be in the approximate range of $50 to $90 per visit, again related to the number of services needed for your treatment.
Compared with other forms of conservative care, coverage of chiropractic by insurance plans is extensive. According to the National Center for Complementary and Alternative Medicine , more than 50 percent of health maintenance organizations (HMOs), more than 75 percent of private health care plans, and all state workers’ compensation systems covered chiropractic treatment as of 2002.
In addition, Medicare covers chiropractic visits, and at least two dozen states cover chiropractic treatment under Medicaid.
When a person has experienced an injury or developed an aggravating condition due to an accident, its expected for them to receive immediate medical care. A variety of doctors can provide treatment to these individual’s however, finding a qualified and experienced specialist, such as a chiropractor, can help ensure the patient’s recovery is safe and effective.
In order to receive the proper diagnosis and treatment after experiencing an injury or aggravating condition, choosing the best chiropractor that can provide service to the patient’s individual needs can make a tremendous difference in their overall recovery.
Chiropractic is a healthcare profession which focuses on injuries and conditions of the musculoskeletal system and the nervous system as well as the effects of these on overall health. Chiropractic care is generally utilized to treat neuromusculoskeletal complications, including but not limited to: back pain, neck pain, joint pain and headaches.
What is a Doctor of Chiropractic?
Doctors of Chiropractic, abbreviated as DCs, also commonly known as chiropractors or chiropractic physicians, practice a hands-on, drug-free alternative treatment approach to healthcare, performing patient assessments, determining a diagnosis and following with an appropriate treatment. Chiropractors possess a wide variety of diagnostic skills and are also qualified to recommend therapeutic and rehabilitative exercises to patients, providing them with nutritional, dietary and lifestyle counseling in the process.
Chiropractors commonly evaluate patients using clinical examinations, laboratory testing, diagnostic imaging and other diagnostic interventions to establish the most appropriate time to begin chiropractic treatment. Chiropractors may also readily refer patients to receive care from other healthcare providers when chiropractic treatment is not suitable to treat the patient�s condition or the condition warrants co-management in conjunction with other healthcare providers.
In many instances, such as with lower back pain, chiropractic treatment may be an individual�s primary form of treatment. In other cases where severe, complicated injuries or conditions are present, chiropractic may be utilized to complement or support medical treatment by healing the musculoskeletal issues associated with the existing injury or condition.
Similar to doctors of medicine, abbreviated as MDs, doctors of chiropractic are subject to the boundaries established in state practice acts and are regulated by state licensing boards. A DC�s education in four-year doctoral graduate school programs is nationally accredited through an agency which operates under the auspices of the U.S. Department of Education. After graduating, chiropractors are required to pass national board exams in order to acquire a license to practice, where they must then maintain their license annually by earning continuing education, or CE, credits through state-approved CE programs.
What is Spinal Manipulation?
A spinal manipulation, also referred to as a chiropractic adjustment, is one of the most recognized and common therapeutic procedures performed by chiropractors. Chiropractic adjustments help restore the mobility of the joints and other structures of the body by utilizing the application of manual and controlled force against the joints which have become restricted in their movement, or hypomobile, due to tissue damage or injury. Tissue injury can be the result of a single traumatic circumstance, such as through the improper lifting of a heavy object or through repetitive and constant stress from sitting in improper positions with poor posture for an extended period of time. In both cases, the affected structures of the body can become physically and chemically altered, resulting in pain, inflammation and limited function. A spinal manipulation of the affected joints and tissues can ultimately restore mobility, improving the symptoms of pain and muscle tightness, allowing the tissues to heal on their own.
Chiropractic adjustments infrequently cause discomfort. However, patients may occasionally report feeling mild soreness or aching following treatment, which generally resolve within 12 to 48 hours. In contrast to other common treatments for pain, such as over-the-counter and prescription pain medications, the conservative approach of chiropractic care offers individuals a safe and effective, alternative treatment option for their specific injuries or conditions.
Why Choose Chiropractic?
Annually, chiropractors care for more than 30 million Americans, adults and children alike. Doctors of chiropractic are licensed to practice in all 50 states, as well as in the District of Columbia, and in many nations around the world.
An increasing list of research studies and reviews has established that the treatment methods and techniques provided by chiropractic physicians are both safe and effective. The evidence strongly supports the natural, whole-body and cost-effective approach of chiropractic care for a variety of conditions.
Chiropractic treatment is included in most health insurance plans, including: major medical plans, worker�s compensation, Medicare, some Medicaid plans, and Blue Cross Blue Shield plans for federal employees, among others.
Chiropractic is used widely by young and professional athletes to help prevent and treat injuries and/or aggravated conditions as well as to aid them achieve optimal health and wellness. Also commonly utilized by the general population, chiropractic care can help restore an individual�s original well being, increasing their strength, flexibility and mobility as well as decreasing symptoms such as pain, inflammation and discomfort caused by spinal complications. Following up with the chiropractor�s treatment recommendations can also help speed up the individual�s recovery process, helping them return to their everyday lifestyles.
What to Expect on Your First Visit
Many new patients are unsure about what to expect during their first appointment with a chiropractor. Foremost, a doctor of chiropractic will begin the consultation by taking a patient�s history and then performing a physical examination in order to develop a working diagnosis. Imaging or lab tests, including MRI, CT scans and/or X-rays, may be used to confirm a diagnosis.
The combination of the history, exam, and diagnostic study results will ultimately allow the chiropractor to determine a proper diagnosis for the individual�s injury or condition, which will then allow the healthcare professional to follow up with the best treatment procedures according to their overall health and wellness. If your chiropractor determines you would be more appropriately managed or co-managed by another healthcare professional, he or she will make the proper referral.
Through a process of shared decision-making, you and your chiropractic physician can establish which treatment methods and techniques will be right for you. As part of this process, the chiropractor will explain your injury and/or condition, recommend an appropriate treatment plan and finally, they will review the risks and benefits of all procedures with you.
As with all forms of treatment, time and patience is required to heal an injury or condition and visiting your chiropractor regularly can ensure the process is smooth and effective. Following the healthcare professional�s treatment plan accordingly is the best, most recommended decision you can take as an individual to achieve overall health and wellness.
Dr. Alex Jimenez is an El Paso Chiropractor who has been helping people recover from their specific injuries or conditions through the use of chiropractic adjustments and manipulations. With over 25 years of experience, Dr. Jimenez can provide safe and effective care to those in need.
Chiropractic treatment is a popular, alternative treatment option which is generally used to treat spinal complications, including back pain and neck pain. Commonly utilizing spinal adjustments and manual manipulations to restore the natural health of the spine, chiropractors can also recommend a variety of exercises and lifestyle changes to promote healing and speed up the recovery process for overall health and wellness.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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