During your first appointment, I will take a detailed case history, including information about your current condition and overall medical history. This helps me gain a comprehensive understanding of your health.

Next, I will conduct a physical examination, assessing your posture, spine, feet, hips, and any other relevant areas. Based on my findings, I will provide a differential diagnosis and proceed with the appropriate treatment.

In the rare case that I discover an issue beyond my expertise, I will refer you to the appropriate specialist rather than proceeding with treatment.

Removing some clothing, such as your t-shirt, allows me to have a clear view of your spine, which is helpful during the examination and treatment. However, your comfort and relaxation are my top priorities. If you prefer not to remove your top, it's not mandatory. We can work around it by lifting the back of your shirt instead. The goal is for you to feel at ease throughout the session.

The most important thing is to bring yourself! However, if you have any relevant scans or a list of medications you're currently taking, it can be helpful to bring those along. For patients under 18, a parent or guardian must be present at all times during the appointment. Similarly, if someone is not of sound mind, such as an individual with dementia, they will need a designated person to accompany them and provide consent for the examination and treatment. If you would like to bring a chaperone for your own comfort, that is perfectly acceptable as well.

Approximately one in three patients may experience some adverse effects the day following treatment. The level of discomfort depends on the acuteness of your condition and the specific techniques used during your session.

For example, if you have never had a manipulation before, you may feel some effects the next day, similar to the sensation of having worked out at the gym. I always strive to work within your pain threshold and do not intend to cause you undue pain.

The goal of treatment is to purposefully stimulate your body tissues in a controlled manner to promote proper healing.

The sensation can be described as a "good pain," indicating that the treatment is beneficial, as opposed to a sharp, uncomfortable pain, which we aim to avoid.