First Visit

When you come to Synergy Chiropractic we want to develop a doctor - patient relationship where both parties participate in deveolping the type of care you will recieve. We want to design a treatment plan that is completely specific for your individual needs and concerns. Since each persons' body is a little different and responds differently, doesn't it make sense to treat the individual instead of just giving each "type" of patient a predesigned treatment? When you arrive at your first visit be ready to provide a detailed medical history and please bring any diagnostic test results and/or imaging results such as X-ray or MRI you may have related to your health concern. It is also advised that you look at the New Patient page and download the intake forms, fill them out, and bring them in with you to save time for both you and the doctor.

Certain things in your health history are particularly vital for assement of your condition and to be sure to cover any health risks or potential concerns that may or may not be unrelated to your present complaint. Some of the important points include whether you have or are presently experiencing any of the following:

  • Bone disorders, such as osteoporosis
  • Circulatory problems
  • Dizziness or blurred vision
  • Heart conditions such as hypertension or high blood pressure
  • Infections, especially if involving organs or bone
  • Injuries, such as bone fractures, muscle sprains, or disc injuries
  • Joint disorders such as arthritis
  • Changes and/or complete loss of certain body functions

Be prepared to answer such questions as:

  • Did the onset of your pain immediately follow an injury?
  • Is there anything you do that improves or worsens the pain?
  • When and how did your pain start?
  • What is your current diet/nutritional status like?
  • You willing to change certain lifestyle choices to obtain optimal health?

The Physical Exam

To begin we will check your vital signs, reflexes, and blood pressure in a variety of positions. Next, you will be asked to do a series of simple and easy activities or exercises. These orthopedic tests will provide information about your motor skills, balance, and gait, among others things. We will then preform manual muscle tests to certain regions where you just push against the doctors gentle resistance.This helps determine your range of motion, muscle tone and strength, and integrity of your nervous system.

Next, a short physical exam by the chiropractor will involve palpation, or use of the hands, to explore the alignment of your spine and other structures. We not only look for positioning of body structures, but also to see if any stimuli causes pain or reproduction of symptoms. Depending on your condition we may want you to consider diagnostic testing. These tests usually consist of blood work, hormone panels, and other tests of that type, but may include MRIs, CT scans, or X-rays.

Here is a list of the type of things you may experience in your exam:

  • Manual Muscle Testing – You will be asked to put a certain limb or part of your body in a position then told to hold it there while the doctor applies a gentle resistance. It isn't a test of strength, but more of neurological integrity of the muslce itself, so we are looking to see if the muscle is on (innervated properly) or off (deficient innervation). We also are lookin to see if there is any pain, inflammation, or imbalance in the joints of that specific area of the body.
  • Bend forward, sideways, and/or backwards – Misaligned spinal vertebrae can sometimes be detected during this exercise.
  • Walk a straight line – This test allows the doctor to analyze your gait, which can give valuable information about muscle and joint function.


Based on the information we gain from the physical exam and medical history we will discuss with you certain important lifestyle changes, such as exercise, dietary considerations, and any other items that would help keep your body in balance thereby improving your chances of healing faster or preventing further injury. We want to work with you in developing your treatment to make sure you understand what the therapy is and why we are doing it. It is important that you are motivated to restore your health and proper education and co-creation of therapy is the best way to do that. Nutritional supplements are often recommended as well to facilitate the healing process, but are often only temporary because supplementing with nutrients is not ment to be permanent, but merely "supplemental" to a healthy diet and lifestyle. Any questions or concerns will be addressed and after we have figured out what the best course of action is we will begin treatment as discussed.