Posts Tagged ‘adjustment’

Spinal Adjustments: An Interns Perspective

by Guest Blogger

This blog is brought to you by our summer intern, Jorell.

Jorell & NSPAH

I’ve been interning at North Shore Pro-Active Health for 4 weeks. I was given the opportunity to work alongside Dr. Jordan Leasure in assessing lifestyle solutions for patients seeking functional medicine services. But in the midst of observing these appointments, I’ve watched Dr. Jordan perform spinal adjustments on a few of her patients. Admittedly, prior to working at the clinic I have never sought out chiropractic or retaliatory services and never knew how powerful a healthy spine is in the context of a person’s overall livelihood in preventing chronic disease. 

History, Examination & Treatment

The full first-patient examination was both quick and comprehensive. Dr. Jordan asks questions regarding my current and past health concerns, what those health concerns are attributed to, my exercise patterns, my water drinking regimen, any family history of disease, and any history of drinking or smoking. She then goes through a whole upper body assessment that looks at my reflexes and resistance strength. After that, I was taken through a lower body assessment to look at any more possible physical stressors when my legs are lifted while on my back and stomach. Then came the actual adjustment starting with my neck. I am one of those people that tend to crack their necks from time to time and so this procedure was different in the sense of how my neck was cracked but also familiar because I didn’t feel anything after the adjustment. What I was most concerned about was the adjustment on my spine. At first Dr. Jordan had me lay on my stomach and take a deep breath. Surprisingly, after the exhale, I did not feel my spine crack despite clearly hearing it. This was followed by a second spine adjustment and an adjustment on my right leg.

Overall the process was painless and very easy. After walking around with my newly adjusted back and leg, I did feel a bit looser but really nothing else outside of that. I did go in the appointment slightly sore from exercising the day before and that may have hindered my ability to notice the full effects of the adjustment. I also did not go into the adjustment feeling any significant spine problems. Despite these small details, I was able to learn the importance of the adjustment and feel little benefits from it. I definitely recommend new patients to get adjusted and keep getting adjusted as preventative means towards maintaining a healthy lifestyle!

Why are Re-Examinations so Important?

by Kristin Stromberg, ATC

It’s that time again. Either after four weeks of treatment or ten visits our patients are scheduled for a re-examination with the doctor. Why you ask? To make you fill out more paperwork? To add more time to your appointment? Well, not exactly.

Every new patient completes a consultation and initial examination on their first visit.  Both aspects are extremely important.

Consultation/Subjective Findings: This is where you tell the doctors about your condition.  Types of questions the doctors may ask include: when did it start, symptoms you notice, pain/discomfort intensity, type of discomfort and most importantly how these symptoms are affecting your daily life.  Not all conditions we see can answer the same questions such as anxiety or insomnia vs. pain.  The consultation is all in your words.

Examination: The examination includes objective findings that can be measured and should be able to be replicated.  In our office this includes, but is not limited to orthopedic tests, range of motion, reflexes, spinal alignment and muscle tests.  We may include x-rays and even MRI’s from another provider to assess all the pieces of your case.

All of these aspects are then analyzed to determine a personalized treatment plan to get you back to 100%.  Once you are under care, the doctors will complete subsequent re-examinations to determine progress from the start of your initial care.

Typically after three to four weeks there is some change.  The main thing to consider is how consistent you are with care. If you are compliant with your visits and follow your recommendations from the doctor you will notice a quicker healing rate. If you skip many of your appointments and do not follow thru your home exercise program then your goals may not be met.

The day or two before your re-exam you are asked to fill out only a few pieces of information. We will compare that to your first visit and perform the same tests. This will help determine how the treatment plan is coming along. If improvements are being noted, then the doctor might recommend decreasing your visits. For some reason if the goals are not met then you and the doctor will discuss some options. As in trying more visits, switching up the home exercise program routine or even referring out if all other options are expired.

Our goal is not to keep our patients forever and we love to see them graduate and return as wellness patients. It is important to perform re-exams after so many visits as well as when the patients is ready to graduate and we can close their case so insurance companies also know they are done with care.

If you follow our recommendations and do your homework you will pass your re-exam with flying colors!! If you have any questions please call our office at 847-362-4476!