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Paperwork Once you arrive, there will be entrance forms to fill out. If you are filing insurance, remember to bring your insurance card with you on the first visit. If you are not sure whether or not your insurance will cover chiropractic care, please call the number on the back of your card to find out exactly what to expect from your insurance company. *If you are under any of the following insurance plans you will need to fill out additional paperwork once you arrive. BlueCross BlueShield of ND BlueCross BlueShield of MN Cigna Healthcare Great-west Healthcare Health Partners Patient Choice Healthcare Medica United Healthcare (some plans) *If you were in a car accident please bring your claim number with you. *If it is a work injury please bring the necessary paperwork from your employer. History The doctor will ask the appropriate questions specific to your condition. He will gather all the necessary information of not only your present complaints but also past health issues, accidents, surgeries, medications, dietary lifestyle and your previous treatment for the condition. The doctor may then perform other exams if necessary. Other exams include taking your vitals and performing orthopedic exams. Chiropractic Exam Instrumentation The doctor will use a highly sensitive heat detection instrument called a Nervoscope. It enables him to key in on those areas of increased temperature due to the hyperemia (increased blood flow) at the site of the subluxation. Static Palpation This is a process in which each spinal joint is palpated (touched by the doctor's fingers) for tenderness, tight muscles and edema (swelling) which are present with a subluxation.
Motion Palpation This portion of the exam involves the doctor palpating each segment and through either active or passive participation on the patient's part, the spinal vertebrae are put through all three axes (directions) of normal motion to determine if there is a deficiency in any or all of the movements. If there is, the joint is "fixated".
 Visualization Visualization of motion and posture are ways to cross-reference all other findings.
 Full Spine Xrays The spine is one neurological and musculoskeletal kinetic chain. That is, it all works together. Any one subluxation can produce your symptom or prevent your primary area of pain from responding or resolving no matter where it is located.
Typically, where you hurt a subluxation will be present. Strange as it may seem, conditions such as sciatica (pain down one's leg that usually is caused from a lower back condition) may be caused by a subluxation in your neck and migraine headaches could be caused by a subluxation in your lower back!
The Gonstead chiropractor looks at the "whole picure" not just the part that hurts. Full spine films involve the standing, that is, weight bearing position because the body operates on two legs. It is best to evaluate stress to the spinal joints in the upright position. Spinal curvatures (scoliosis) appear different standing than laying down. The pelvis also presents different weight bearing than laying down.
The films are taken with a total of three exposures. The frontal view is taken in one piece. This is the ONLY way to determine exactly how many vertebrae you have. Yes, people do not all have the same amount of spinal segments. The typical number are: cervical (neck) 7; thoracic (mid back with ribs) 12, some patients have 11 others 13; lumbar (low back) 5, some patients have 4 others 6. Since the Gonstead doctor wants to be as specific as possible, this information is vital in order to avoid adjusting the wrong segment when counting by palpation to the exact vertebral subluxation.
While this differential may not occur very often in the human population to matter to many practitioners, it would certainly matter to the patient who got the wrong segment adjusted due to a lack of complete information. Another reason for taking one frontal view is to assist in determining whether the upper neck is balanced over the center of the pelvis.
All required measures are taken to insure the exposures are taken with the least amount of radiation via the use of high speed screens, collimation, gonadal shielding and automatic chemical processing.
The Gonstead Adjustment The Gonstead adjustment is high velocity with low amplitude. In other words it is very quick and painless. A cavitation ("cracking" noise) is often heard, which signals the doctor that the adjustment has been made. Other times, a cavitation may not be heard, but the doctor and often the patient will feel the bone move back in to its proper position. The Gonstead adjustment does not put any rotation into the spine, but focuses on moving the vertebrae forward while setting it back onto the intervertebral disc.
To learn more click on Gonstead Method.
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