This video explains what a new patient can expect when they consult with Graham Chiropractic. The first step is the history process. In the history Dr. Graham will ask a battery of questions. First and foremost is the pain pattern. The pain pattern most of the time, according to Dr. Graham, will give him a very good idea of which nerve root is affected. For example a patient with sciatic pain may describe her pattern of pain as starting in the lower right side of her back and radiating into the right thigh, calf, ankle and side of the outer foot. This is a classic pain pattern of the L5-S1 nerve root. So this pattern given by the patient and verified by Dr. Graham, is the key to the consultation.
Next Dr. Graham takes a traumatic history to have some idea of how many jolts his patients has had that could have led to their condition. He is concerned with such traumas as car wrecks; old slips and falls; sport injuries, etc. He is equally concerned with postural habits such as how many hours a day does the patient sit, etc.
After this part of the history is taken Dr. Graham then asks specific questions regarding the pain. For example in the case of sciatica he will want to know how many minutes of sitting before it starts getting worse. Does sneezing or coughing make it worse, etc. This line of questioning will help him formulate whether this may be a disc bulge, disc herniation or a pinched nerve from something else.
The second part of the patient process is the examination. The examination is performed in an attempt to see what test or tests reproduce the pain. Dr. Graham does this with range of motion testing, an orthopedic evaluation and neurological testing. Finally, Dr. Graham does a postural assessment to determine to what degree faulty posture may be contributing to the problem. So Dr. Graham will be concerned about an un-level hips, shoulders, or even pronated feet.
When the physical examination is completed Dr. Graham takes x-rays of the spine. These are usually postural type x-rays which will include the spinal column in its entirety. Dr. Graham states that this is important because sometimes a problem in the back can be influenced or even caused from a problem in an other area of the spine such as the neck.
The next step is a review of the findings with his patient. This will include viewing the x-rays and the physical examination findings. This is the time that Dr. Graham can let the patient know what their diagnosis is. For example, it might be sciatica pain caused from a bulging or herniated disc, or from stenosis. Dr. Graham will also discuss what he believes will be needed to correct the problem and an approximate time frame. He will also let his patient know at this time whether further testing may be needed such as an MRI or if a joint consultation should be set up with another professional such as an orthopedist or neurosurgeon.
Lastly, Dr. Graham will use the most advance corrective measures to eliminate the patients problem. Currently, Dr. Graham is correcting most lower back and neck conditions with a computerized adjusting instrument (iQ). This instrument is precise, painless, and safe. Dr. Graham reports that he has had stellar success with bulging disc cases, herniated discs, sciatica, and neck and arm pain.
This video should give you a better understanding of the procedures in his office.