Miscellaneous Questions for P & Y

Miscellaneous Questions for P & Y

What type of schooling, training, or experience do Chiropractors have?

  • After receiving an undergraduate degree, Chiropractic school is an additional 4 years of intensive study, and internship.  An Atlas Orthogonal doctor has specialized training on top of that, with continuing education being ongoing throughout their professional work.

Why do I need an exam and X-rays at Pairmore & Young when I didn’t with other chiropractors?

  • The doctors use the X-ray films to then take very precise measurements of your upper cervical, thoracic, and lumbar spine in order for them to get a clear understanding of what is taking place along the spinal column, and to ensure that the Atlas Orthogonal technique and other treatment methods will be successful.  We want to take the guess-work out of what is taking place in your body, and make the appropriate adjustments.

Why is it necessary to take X-rays of the full spine if I am only having neck issues?

  • We do not recommend X-rays unless there is a clinical need.  During the doctor’s examination, it will become apparent which type of imaging may be needed.  If it is determined that X-rays are needed, then the doctors will run a full panel of X-rays to get a complete picture of your spinal health; they want to make sure they aren’t missing anything going on in the lower part of the spine, even though you may only be feeling something in your neck.

If I have X-rays or MRI’s that I’ve received from somewhere else, should I bring them in?

  • Please do!  We welcome any X-rays, MRI’s, or doctors notes you may have received elsewhere.

Is the radiation from the X-rays harmful?

  • Too much radiation can be harmful, however, we use the most up to date, lowest radiation X-ray technology that exists today in order to minimize any potential harmful effects.  The amount of radiation you will experience is equal to the amount that you would be exposed to on a flight to Seattle.

Why does the treatment plan require that I have to come in for an adjustment two times a week?

  • In order for the treatment plan to be successful, the doctors typically recommend a 3-4 week initial, intensive schedule to reduce discomfort and get the body back in alignment.  From there, periodic “tune-ups” may be required as needed.  Likewise, the longer someone has experienced challenging symptoms, the longer it may take to get them back into alignment or feeling better, so more frequent adjustments are recommended in that case.  Or, as Dr. Young would say, “It took God 6 days to make the world.  It took your mother 290 days to make you.  It took time to get in the shape YOU are in, and it will take time to get better.”
  • Take a look at our Road To Recovery document. 

How long will it take to see results?

  • This varies for each individual.  While some may feel an initial relief on their first visit, others may take a few adjustments in order to start noticing an improvement.  

Our practical course of ACTIVE CARE has the following goals:

  1. Within 1-2 weeks the pain pattern should be noticeably improved to both the doctor and patient.
  2. Within 4-6 weeks the pain pattern should be 50% improved.
  3. After that point, active exercise and strengthening can begin as warranted by the response to care and improving objective test results.
  4. MMI (medical maximum improvement) will be reached when pre-injury status is reached or test results (dynamic surface EMG) become static.

The practical course of CARE has the following goals:

  1. Frequency of care plan would be 3 times per week for 2 weeks, and then 2 times per week for 4 weeks, providing the goals described above are being met.
  2. Further dynamic surface EMG screening would be an appropriate clinical tool to assess these goals of care at a probable frequency of 30-45 days.

What if my work schedule does not allow for the suggested amount of appointments per week?

  • Our clinic hours are very accommodating, and we try our best to schedule your appointment at times that will work best for you.  We are open 9-6 Monday through Friday, and 9-1 on Saturdays.  A typical adjustment appointment is 15 minutes.

Will the exam hurt?

  • The exam is not painful.  However, if YOU are experiencing physical pain or difficulties in moving or bending, then you may experience some mild discomfort.  

What techniques do the doctors use?

  • The doctors specifically use the Atlas Orthogonal, activator, and the Gonstead techniques for spinal adjusting.

Will I receive an adjustment on the same day as my New Patient exam?

  • Most people are unfamiliar with the level of detail our doctors go into to accurately evaluate a case.  It takes time to study the X-rays, MRI’s, clinical notes, etc., and they want to be as thorough as possible.  Typically, you will not receive your adjustment on the same day, you will receive it at your next appointment, which is the Report of Findings appointment.  The exception to this is if you are from out of town, and have come in for a series of appointments, then we try to do the first two appointments in the same day, with some time in between for the doctors to go over the X-rays and exam notes.  

Will the adjustments hurt?

  • The Atlas Orthogonal and activator adjustments are not painful.  The manual adjustment of the Gonstead technique can cause some initial tension, but it should soon dissipate.

Will I hurt after the adjustment?

  • You may experience some initial soreness from your first couple of adjustments, due to the duration of time you’ve been experiencing symptoms of discomfort, and to the degree that your body is out of alignment.  However, this should improve with adherence to your treatment program, as your body adjusts to proper alignment.

What is the popping sound I sometimes hear when I get adjusted?

  • This sound is referred to as a “cavitation event”.  Cavitation means that the vertebrae are being gently and properly realigned, and the sound you hear is simply air bubbles in the fluid around the vertebrae being released. This allows the area, and surrounding areas, to heal.  However, you can receive an alignment without the popping sound, as not all joints pop, and those that do may not pop every time you receive an adjustment.

What activities can I do, or should I avoid?

  • The doctors will encourage certain activities, or may note any limitations to you when you receive your treatment plan.

Do we have a Physical Therapist on staff?

  • We do not have a Physical Therapist on staff, at this time.  Most of our patients have had extensive PT work done prior to seeing us already.  If our doctors determine that further Physical Therapy is needed, they will gladly refer you.

What kinds of treatment therapies do we have, and what do they do?

  • Muscle stimulation: this therapy is used to reduce muscle tension, spasm, and pain; it allows the targeted areas to feel looser.
  • Ultrasound: this therapy penetrates 3-4” into the body with sound waves, and encourages scar tissue to break up.
  • Laser treatment: this therapy is used primarily for reducing inflammation, and helps speed up the healing process.
  • Heat and ice packs: heat is used to increase circulation, and ice is used to reduce swelling and inflammation.

Am I welcome to see either of the doctors for my adjustments?

  • The doctors welcome you to visit either of them for your adjustments.  For continuity and care, however, it is best to pick one as your primary doctor, and use the other “as needed.”  Their personalities are each unique, and you may decide that you prefer one over the other, but the care you receive will be exemplary from either one.