What to Expect on Your First Visit

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.

Learn More

If you are interested in speaking with Dr. Gary Weinstein visit www.weinsteinchiro.com or call 412-269-0444 to schedule an appointment.

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