The first visit to the chiropractor can include different manual or physical exams of the body, including areas experiencing discomfort. Scans, tests and X-rays are taken to form a baseline for treatment as well as to expose problem areas. An initial consultation with a review of the test results is another important first step in chiropractic care.
Please describe what the physical chiropractic exam involves.
Dr. Gary Weinstein: The exam in our office involves an orthopedic, neurological and chiropractic exam. For orthopedic tests, there is about 66 different tests that are run based on the individual’s needs and concerns. The orthopedic tests are somewhat subjective. A lot of orthopedic tests are based on pain where we are looking for things like herniated discs and involvement that way. The neurologicals are again, that is what they do, we are checking for the neurological component of the problem and the chiropractic exam where we are looking for the subluxations, fixations and everything along those lines.
What type of equipment is used during the first chiropractic exam?
Dr. Gary Weinstein: We use our hands. The three parts that I described there are done by the doctor. We also use a surface EMG scan which shows us normal and abnormal nerve function, an asymmetry scan which shows us which side the muscles adjacent to the spine are pulling on harder one side than the other, an infrared thermal scan which shows us temperature difference one inch on each side of the spine as well as a computerized range of motion study. These are all computerized exams which allow us to a. give us a baseline of where you are but also, b. give us objective findings as far as follow-up exams. Not only do we track how you are doing subjectively, which is how you feel and how you function, but also objectively as well.
Are x-rays always taken during a first chiropractic visit?
Dr. Gary Weinstein: I would not say always but for the most part they are. It needs to be determined on an individual basis. There are some exceptions there but for the most part, we do take x-rays so that we can see what we are working with and what we are doing. I have been in practice for going on 34 years now and I have seen so many things show up on film that could not be determined otherwise that it is in the best interest of the patient and the doctor as well, so we can see what is happening. That way we can track that and we can also then take post films and we can show the patient, this is where you were, this is where you are. Objectively see, this is what is changing, these are our goals and we are reaching them. Films are very, very important in what we do.
What type of information is included in the report of findings?
Dr. Gary Weinstein: Well, when we do the report of findings, that would be the next day that you would come into the office. My doctors and I would have sat down, gone over everything, put all the pieces of the puzzle together. Then we sit down with the patient, oftentimes with their spouse as well, and explain to them what the tests were that we ran, what the results were, go over all the findings. We would show them their x-rays. Show them what normal is and also where they are and any phases of degeneration that are going on and point out the problems to them and what it would take. We then go over what it would take to get things, a. relieved but, b. more so corrected so that the underlying problems that they have and the symptoms that they’re experiencing don’t go on to haunt them for the rest of their lives.
How do you determine how often a patient should be seen for follow-up visit?
Dr. Gary Weinstein: We do that and it’s all objective but it’s also based on 34 years of experience. I know what patients, how they respond, what condition the spine is in, what it is going to take. There are also guidelines out there that show and determine this condition should take this many. Those are just general guidelines. Mainly it is based more on experience but also on our follow-up exams. We are doing follow-up exams so that we can see, measure, monitor the patient’s improvement, determine if we are on the right schedule, we are on the right track or do we need to alter it and change it. Visits are a dynamic aspect. Generally, I am pretty close. I have been doing this for a long time but we follow up so that we can know what we are doing and get the patient into the best treatment plan, what is best for them.
If you are interested in speaking with Dr. Gary Weinstein visit www.weinsteinchiro.com or call 412-269-0444 to schedule an appointment.
Such wonderful care, every visit! I started coming here for adjustments during my pregnancy. My back and sciatic nerve pain were unbearable. I literally could barely walk when I first came in. If it weren’t for Drs. Kristal, Gary, & Curtis, & I don’t know how I would have made it through the pregnancy without being confined to bedrest. Thank you all for such great continued care!
I have a major back anomaly and am avoiding surgery by going to Weinstein Chiropractic. Thank goodness my daughter found them through Groupon! Dr. Kristal knows how to realign not only my spine, but is also working on my ligaments and muscles. I can now walk on the treadmill and ride a bike, which is something I wasn’t able to do a year ago. Thank goodness for these dedicated docs!
I was experiencing excruciating pain in my lower back which was radiating down my legs. This was after having surgery that was supposed to relieve my pain and suffering. Often the only way I could get relief was to lie flat on my back on the floor. I began to think about going to see Dr. Weinstein, since a friend had highly recommended him to me. Unfortunately, I had an irrational fear and distrust of chiropractors.
When I finally overcame my fear and reluctance and decided to see Dr. Weinstein, I was very nervous. However, his calm demeanor and caring manner soon put me at ease. What was really amazing about my first visit with Dr. Weinstein was how much time he and his staff spent with me. They took a thorough and complete medical history, asked lots of questions about my health problems and gave me a very thorough exam both hands on and with diagnostic equipment.
I have to admit that I was very scared when Dr. Weinstein first adjusted me. I did not even want to allow him to adjust my cervical spine because of a congenital condition I have which involves my brain and cervical spine. Dr. Weinstein told me that if I let him adjust me on a regular basis, I would no longer need to take the medication that I was then taking for my condition. I politely listened to him but did not believe him. At the time, I was taking four pills a day. After treating with Dr. Weinstein on a regular basis, I quit taking that medication entirely.
I have now been treating with Dr. Weinstein for over ten years. To say that Dr. Weinstein has helped me would be a tremendous understatement. He has helped me work through the pain of auto accidents and the pains and strains that come when you are over 60 years old and shovel too much snow, or lift too much weight. Thanks to Dr. Weinstein, I now work out at the gym, ride bike trails and I am able to sit at my desk at work for hours when the need arises.
Go see Dr. Weinstein. Get adjusted. All you have to lose is your pain.