Your First Visit

Preparing for Your Initial Visit

Please plan approximately 60 minutes for your initial visit to Spine & Injury Clinic of Laramie, PC. There are essentially 6 components to the visit.

1.) Registration - you may download all of our registration forms in order to save some time in the office. Two options are available: (a) download, print and complete (b) complete the paper forms in our office. Please click here to download our forms.

2.) History - After you complete the initial registration process, we will begin to discuss your health concerns and past medical history. Some of this information may be submitted before your initial consultation by completing the online history forms.

3.) Physical examination will be completed, which has two primary components: (1) neurological and orthopedic examinations to determine a clinical diagnosis and (2) assessment of your posture, muscle function, flexibility and spinal joint function. If diagnostic imaging is indicated, you will be referred to a local facility for the study.

4.) Treatment Planning - The details of your diagnosis will be presented and discussed. Depending upon each patient's preference, we will communicate the details of the examination and treatment plan with you.

5.) Treatment - Treatments in our office may include stretches, exercises, therapy modalities (electrical muscle stimulation, TENS, ultrasound), soft tissue relaxation techniques and spinal manipulation/adjustments (See "Techniques & Procedures").

Your First Adjustment

The chiropractic adjustment is also referred to as a joint "manipulation". Your doctor will apply his / her hands to the area of the spine to be treated in such a way as to mobilize the joints. Most commonly, the doctor will apply a quick, short manual movement to the joint. The joint usually elicits an audible "pop" or "crack," similar to when you "crack" your knuckles. You may sense movement of the joint. The joint "crack" is not necessary for treatment to be successful.

The goal of the chiropractic manipulation is to:

- Increase the joint mobility / range of motion
- Relieve pain
- Reduce muscle spasm
- Restore optimal joint function

Frequently Asked Questions....

Is chiropractic manipulation safe?
Approximately 20% of patients will experience some temporary stiffness and soreness following the first couple of treatments. The risk of serious injury has been estimated between one in one million to one in ten million. If you have specific concerns about potential complications from receiving chiropractic manipulations, please discuss them with the doctor before receiving treatment. Chiropractors receive the highest level of education on spinal manipulative therapy and administer greater than 90% of skilled manipulation services provided in the United States.

What should I do if I am uncomfortable following treatment?
Apply ice several times to the sore area for 15-20 minutes, with an hour between applications. Some patients also report benefits from over-the-counter medications such as ibuprofen or acetaminophen. Do not hesitate to contact your doctor if you are at all uncomfortable following treatment.

How much chiropractic care will I require?
Some factors that may influence recovery include the patient's age, his / her treatment goals, general health status, severity of the injury, chronicity of the problem, genetics and the number of prior episodes. Adhering to any prescribed home therapy is an integral part of recovery.

Some patients simply want relief from the immediate pain and may require only a few treatments. Others prefer to experience optimal health and require more intensive and comprehensive care. We will make recommendations that we believe are in the patient's best interest, but the choice is always up to the patient. Many individuals make chiropractic care part of their routine health maintenance, similar to exercising regularly.

What should I do after being adjusted?
Stay active. Try to use your full range of motion. Although you may feel better, you may not be fully recovered. Do not jump into strenuous activities too early. Do your home exercises and stretches as recommended.

What is the cracking sound that occurs during a chiropractic manipulation?
Spinal joints contain a lubricating fluid known as synovial fluid. Within the synovial fluid are dissolved gasses; mostly carbon dioxide. When the spine is manipulated, a vacuum is created within the joint and the dissolved gasses come out of solution, forming a gas bubble. This vacuum creates a "cracking" sound. The cracking sound is not necessary for treatment to be successful.

I have heard that knuckle cracking causes arthritis. Do chiropractic manipulations cause arthritis?
Contrary to what you may have been told, knuckle cracking actually does not cause joint arthritis. However, frequent knuckle crackers tend to experience more joint stiffness later in life.

Regardless, spinal adjustments / manipulations are quite different than knuckle cracking. When a spinal manipulation is performed, the joint is momentarily slightly gapped, separating the joint surfaces. On the other hand, knuckle cracking actually grinds the joint surfaces together, potentially damaging them. There is no current evidence to suggest that chiropractic manipulative therapy is detrimental to your spinal joints.

Is it true that once you have chiropractic treatment, you must keep going back?
No. On the contrary, our goal is to help our patients to become independent from care. Actually, many people elect to continue their chiropractic treatment after feeling well. Why? Because periodic elective care helps them feel and function better. Chiropractic care is an integral lifestyle component of many health conscious individual's wellness plan, which incorporates healthy eating, exercise and proper sleep.

How does the Doctor know where to perform a manipulation?
The doctor will palpate (feel) and examine your spine for several indicators of the need for a manipulation. These include:

- Regions of local muscle tightness and tenderness
- Asymmetry in the contours of the spine
- Restrictions in overall movement of the spine
- Abnormal postural deviations