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Q: Can you help with spinal stenosis?
A: Spinal stenosis is a common condition in the elderly where a narrow spinal canal pinches on a spinal nerve root. Non-surgical care such as exercise, adjunctive procedures such as traction therapy and laser is the treatment of choice. We have helped many patients with this condition. If you are a candidate for surgery we would recommend a consultation for you.
Q: How long is the typical visit?
A: Each visit is based on the treatment plan that is prepared for you by one of the doctors. You should consider that 20 - 30 minutes time for a treatment but the time will vary based on your presentation that day, change in treatment plans and your condition. Every attempt will be made to make you aware of your care plan and allow you to plan and schedule appropriately.
Q: Can you help with a pinched nerve?
A: Yes. Pinched nerves in the neck or low back may cause arm or leg symptoms such as numbness, weakness or tingling. The appropriate examination is crucial in the diagnoses of this condition. The first line of treatment includes ergonomic advice, adjunctive therapies and chiropractic manipulative therapy. About 20% of the time, pinched nerve symptoms worsen in the first month or fail to resolve over a 1 to 3 month period. Such cases require additional testing such as with xray, MRI and more invasive treatments may be needed. We will make appropriate referrals in these instances.
Q: Can I see you for headache pain?
A: Absolutely. Chiropractic along with postural/ergonomic advice is a proven approach for many headaches. Occasionally, multidisciplinary management with other specialist is required and a team approach is utilized.
Q: Do you offer massage therapy?
A: Soft tissue massage or manual therapy is an integral part of most treatment programs and will be done only by the doctor. However, the goal of care is to get to the cause of the pain and the massage is mostly for temporary relief only.
Q: What type of treatment is used for knee problems?
A: Initially, the knee disorder is assessed and diagnosed. As an example, knee tendonitis will require a thorough evaluation of the foot and help as well as the knee. Proper foot wear and balance exercises along with specialized patello-femoral tracking exercise program is utilized as well as ultrasound therapy to reduce inflammation. Extremity manipulation is often needed to re-align the knee structures and kinesio taping can also be used to manage muscle inhibition and hypertonic.
Q: How long does it usually take to get better from a back pain episode?
A: About 80% of people with uncomplicated lower back pain are 75% better within 2-4 weeks.
Q: What is the most important things I can do for myself for back pain?
A: Stay active, drink clear fluids and work on core stabilization through exercise.
Q: If I have had back or neck surgery, can I see you postoperatively?
A: Yes. We have seen many patients after their surgery. We work closely with your specialist such as your surgeon so we can forge a team approach to the timing and intensity of your rehabilitation program.
Q: If I have sciatica, do I need surgery?
A: If you have any bowel or bladder incontinence or both legs are "giving way" then an urgent surgical consultation is required. However, 90% of people with sciatica will improve with conservative care. A proper evaluation is needed.
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