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What To Expect

First Visit


Brief Paperwork

Upon entering the office, we have some brief paperwork for you to fill out. The paperwork provides us with general information about yourself and your condition.

Consultation

Once the paperwork has been completed, you will have a consultation with the doctor to discuss your health-related problems, concerns, as well as potential treatment options.

History and Examination

In order to determine what your actual problem is, the doctor will ask you various questions related to your condition. Next, a number of specialized tests will be performed to determine which tissues are affected and to what extent.

X-ray Studies

Your specific condition may require us to take x-rays to either rule out more serious conditions or assist us in developing the most effective treatment plan for you.

Same Day Treatment

Once finished with the examination and all appropriate studies, patients will generally be provided with their first treatment during this same visit. This may include spinal adjustments, physical therapies, and/or soft tissue therapies.

Home Instructions

Prior to leaving, patients will be given instructions on certain activities or procedures to be conducted at home. This may include ice or heat application instructions, avoidance of certain activities or positions, as well as home exercises and/or stretches.

Schedule Your Next Appointment

You will be given a convenient appointment time for your follow-up visit. Generally speaking, patients are seen within 1-2 days and are provided with a complete review of findings. Treatment options for your condition will also be discussed during this time.

Phases of Care

Treatments and treatment frequency depends on many factors, but recovery follows these phases of care.

Acute Care - Symptom Relief Phase


This is for the relief of symptoms from your presenting complaint. While Acute Care will provide you with significant symptomatic relief, it does not provide long term protection. Condition recurrence and relapses are more common in this level of care. Symptom relief can occur as quickly as in a single visit, but more commonly within 1-3 weeks of care. As a general rule, the longer the symptoms have been present, the longer the treatment time required.

Corrective Care - Postural Stabilization Phase


This is the most common type of care we provide. In this phase, our goals are to improve coordination, balance and strengthen core stability muscles. This type of care provides a greater level of correction of your problem and protection from recurrences. The length of time to achieve these goals depends on many factors. The chronicity of the original complaint, any permanent structural changes that are present (the presence of degenerative arthritis, for example), daily activities, and patient compliance to treatment all effect recovery time. In a simple uncomplicated case, this phase may take from several weeks to 4-6 months to complete. A complicated case may take 6-12 months. Correction and complete relief, in some severely complicated cases, may never be possible. In that rare case, periodic supportive care may be necessary to maintain the gains made by acute and corrective phase care.

Wellness/Prevention Phase


Once correction is achieved, periodic well visit treatments may help to prevent the onset of symptomatic problems, help to boost your immune system function and help with a general feeling of well being.


A Typical Case


While symptoms and conditions between patients may be similar, each person responds at their own individual pace. Recovery may occur at differing rates and may be influenced by lifestyle, occupation, nutrition, stress/emotional factors, past or current complicating health complaints, past similar complaints, cause of onset, or even genetic factors.

The Therapeutic Trial

Based on your history and examination findings, you will begin a trial treatment regimen. Most often our initial treatment frequency will be three times a week for a two to three week trial period. During this time, it is expected that you will achieve a minimum of 50-75% improvement (50% for chronic conditions, 75% for acute conditions).

Once therapy has begun, symptoms of pain and discomfort in a simple back sprain/strain condition typically respond quickly. It is not unusual for an acute condition to be completely pain free within the initial two-week period. As a general rule, the longer the condition has been present, or the more complicating factors, the longer a condition may take to respond.

Trial Therapy Evaluation

Following the initial trial, your condition will be re-evaluated. If treatment has helped you to reach your short-term goals, a new treatment plan will be prescribed to continue the process of improvement.

If your condition fails to improve satisfactorily, the re-evaluation will determine whether additional or alternative treatment is necessary, if further diagnostic tests are needed, or if referral to a specialist required.

Two-Week Treatment Cycles

As long as your condition continues to demonstrate progressive improvement, the two-week cycles of therapy will continue until your long-term treatment goals are reached. As a general rule, chronic or complicated conditions require longer treatment times.

In our experience, the average uncomplicated case of pain requires between 10-12 visits to complete the Acute Care - Symptom Relief Phase of care. For an uncomplicated condition, the typical course of care begins with a treatment frequency of three times a week for the first two weeks, followed by twice a week treatment for one week, one treatment a week for one week, one treatment after two weeks and a final visit four weeks later.

Exercise

You will be taught therapeutic exercises, specific for your condition, to assist in your recovery. Occassionally, you may need to perform the exercises under your doctor's supervision. These exercises are the key component of the Corrective Care - Postural Stabilization Phase of care.

Symptom Relief

When your symptoms resolve, you will be discharged from the Acute Care - Symptom Relief Phase of care. Depending on your desired goals, the Corrective Care - Postural Stabilization Phase, or Wellness/Prevention Phase of care may begin.


FREQUENTLY ASKED QUESTIONS ABOUT ACUPUNCTURE


WHAT IS ACUPUNCTURE?

Acupuncture is the insertion of fine needles into the body at specific points shown as effective in the treatment of specific health problems. These points have been mapped by the Chinese over a period of two thousand years. Recently, electromagnetic research has confirmed their locations.

HOW DOES ACUPUNCTURE WORK?

Modern Western medicine cannot explain how acupuncture works. Traditional acupuncture is based on ancient Chinese theories of the flow of Qi (Energy) and Xue (Blood) through distinct meridians or pathways that cover the body somewhat like the nerves and blood vessels do. According to ancient theory, acupuncture allows Qi to flow to areas where it is Deficient and away from where it is Excess. In this way, acupuncture regulates and restores the harmonious energetic balance of the body. In Chinese there is a saying, "There is no pain if there is free flow; if there is pain, there is no free flow."

HOW DEEP DO THE NEEDLES GO?

That depends upon the nature of the problem, the location of the points selected, the patient's size, age, and constitution, and upon the acupuncturist's style or school. Usually, needles are inserted from _ to 1 inch in depth.

DOES IT HURT?

One would assume inserting a needle into the skin would be painful since most of us can relate to being stuck with a pin or having a hypodermic injection. However, four Acupuncture needles can easily be inserted into the hollow tube of a hypodermic needle. Because of the extreme slenderness of the needle, most people compare the sensations to "less than a mosquito bite." A phenomenon referred to as "de qi" occurs when the energy is contacted. This sensation is felt as a mild to moderate heaviness or tingling either around the needle or traveling up or down the affected meridian, or energy pathway.

ARE THE NEEDLES CLEAN?

The best practice among acupuncturists in America today is to use sterilized, individually packaged, disposable needles. Needles should not be saved and reused for later treatments. This eliminates the possibility of transmitting a communicable disease by a contaminated needle.

CAN I BE TREATED WITHOUT THE USE OF NEEDLES?

We offer the use of gentle electronic stimulation to treat acupoints. You may also be given points to treat at home with acupressure. The principle of Acupuncture does not change, only the technique.

WHAT IS GUA SHA TREATMENT?

In Gua Sha, the skin is pressured, in strokes, by a round-edged instrument; this, in Western terms, extravasates blood and metabolic waste congesting the surface tissues and muscles, promoting normal circulation and metabolic processes. By resolving fluid and blood stasis, Gua Sha is valuable in the treatment of pain, in the prevention and treatment of acute infectious illness, upper respiratory and digestive problems, and many acute or chronic disorders. It is often used in conjunction with acupuncture treatment.

HOW MANY TREATMENTS WILL I NEED?

That depends upon the duration, severity, and nature of your complaint. You may need only a single treatment for an acute condition. A series of five to fifteen treatments may resolve many chronic problems. Some degenerative conditions may require many treatments over time. A small number of patients will experience a worsening of symptoms, as the body's energies are returning to normal. This is usual and no need for alarm. It is followed by improvement. The usual frequency of treatments is between two and four times a week.

ARE RESULTS PERMANENT?

For acute problems where there has been little or no organ system or tissue damage, results are often permanent. For chronic conditions, symptoms may recur from time to time. Generally a few additional treatments are sufficient to obtain relief. It's suggested that patients with severe or chronic conditions return for a booster treatment two to three times a year.

HOW WILL I BE DIAGNOSED?

Perhaps the cornerstone of Acupuncture examination is pulse diagnosis whereby the trained practitioner, by feeling the pulse, is able to determine the balance of the twelve (12) meridians. This ancient method of diagnosis is giving way to modern electronic evaluation referred to as "ryodoraku" or "electro meridian imaging" (EMI). The practitioner places a small painless electronic pen on the skin over specific Acupoints. By way of a sensitive metering device, the electro potential of the point is measured. This examination is extremely reliable and is quickly becoming the standard method of diagnosis internationally. EMI diagnosis is the method employed at Muschett Chiropractic.

WHAT DO I DO WHILE RECEIVING ACUPUNCTURE?

Relax. There is no need to be frightened. I you have any questions or concerns, ask your doctor to explain the treatment. We want you to be relaxed so that you can gain the most possible benefit from the treatment.
Do not change your position or move suddenly. If you are uncomfortable, tell your doctor.
If you find your treatment uncomfortable at any point, be sure to speak up so that your doctor can make the proper adjustments or stop the treatment.

CONDITIONS COMMONLY TREATED WITH ACUPUNCTURE

  • Allergies/asthma
  • Arthritis/joint problems
  • Back pain
  • Bladder/Kidney problems
  • Constipation/Diarrhea
  • Cough/Bronchitis
  • Depression
  • Dizziness
  • Drug addiction/smoking
  • Fatigue
  • Gynecological disorders
  • Headache/migraine
  • Health maintenance
  • Heart problems/palpitations
  • High blood pressure
  • Immune system deficiency
  • Knee pain
  • Neck pain/stiffness
  • Pain relief
  • Paralysis/numbness
  • Pre-menstrual syndrome
  • Sciatica
  • Sexual dysfunction
  • Shoulder pain
  • Skin problems
  • Sports injuries
  • Sprains and strains
  • Stress/Anxiety
  • Tendonitis
  • Weight control