Different conditions respond to different therapies, and often the respond to two or more therapies given concurrently. In general, physical therapy addresses the muscular and ligamentous component of musculoskeletal problems. Chiropractic addresses the spine, and all the associated structures, including the spinal nerves and intervertebral discs. Massage therapy is helpful for decreasing muscle spasm and tension, and for reducing adhesions and scar tissue in injuries. Together, these therapies have a powerful, synergistic effect that often far exceeds their effects when done individually.
That depends on a number of factors like the severity of the problem, the age and healing capability of the patient, and most importantly, the compliance with the treatment plan and home exercise program. However, in general, the multifaceted, integrated approach that we take, produces much faster results than a unidimensional approach.
That needs to be determined by a health care provider, but patients who typically can benefit from physical therapy are those who would benefit from strengthening or increasing flexibility of injured body parts. Physical therapy also helps with correcting poor posture, which is a problem that leads to many musculoskeletal conditions. Finally, patients who have had surgery usually need physical therapy to help restore function, strength and range of motion, as well as to minimize scar tissue that can decrease performance and function of the very area that was operated on.
Not only patients who have back pain are candidates from chiropractic care. This is a very common misconception about chiropractic treatment. Anyone who demonstrates spinal segmental dysfunction (joints not moving normally, or to the extent they are supposed to) would most certainly benefit from chiropractic care. Interestingly, this often does not produce pain or symptoms for years, but can be detected early through a number of different methods that chiropractors frequently employ. This can actually prevent degeneration and arthritis that would otherwise have occurred later in life and produced pain and restriction of movement.
When you first arrive, there will be a small amount of paperwork to complete which for most people takes no more than 5-10 minutes. After that, you will meet with one of our staff doctors for a thorough consultation, health history, and examination to determine the nature of your problem, what the best course of treatment would be, and if diagnostic testing (x-rays, MRI etc) is necessary. This usually takes between 20-30 minutes. Most patients do not start treatment on the first visit unless they are in severe pain. This allows us to review your findings with the therapists in detail and discuss our findings with other providers at Spine and Sports Medicine. In this respect, you are getting the benefit of several different healthcare provider's perspectives. For this reason, we think in most cases it is best to begin treatment on the second visit. Additionally, on the first visit you can expect to meet with someone who will briefly review your insurance policy and explain what your exact financial responsibility will be towards your care.
Absolutely. You can go to http://www.op.nysed.gov/opsearches.htm where you will find that all our providers hold current licenses with New York State.
Again, that depends on a number of factors like the severity of condition, age and healing ability, and compliance with treatment plan and recommendations. We do schedule regular follow-up visits with all our patients so we can closely monitor your progress. If it seems you are not progressing as quickly as we would expect, we may make changes to the treatment plan, recommend further testing, or refer to a specialist whom we work closely with. While we cannot predict how quickly a patient will respond, if you are accepted as a patient in our office, we do expect progress, and will not allow treatment to continue indefinitely if we are not seeing it.
We have been in business, at this location, since 1991. We started out as only a chiropractic clinic, but quickly realized the power and efficacy of multidisciplinary care, and have been an integrated practice since 1996 (unsure of date?)
First and foremost, you need to avoid letting other things take priority over your health while you are getting treatment with us. Obviously things like work and family are important too, and we make every effort to work around your busy life — but in order to get you well, we do expect that you will take your treatment with us seriously and make it a priority. Additionally, your doctors and providers will give you specific instructions as to activities and movements that you should refrain from while under care.
If the doctor determines it is necessary and appropriate to take x-rays, we can do them right in our office. Very rarely, we will send out for x-rays if a special or unusual study is required. Certain neurological testing like Nerve Conduction Velocity (NCV) and Electromyelogram (EMG) can also be done in our office by a neurologist. Other advanced imaging studies like MRI, diagnostic ultrasound, CT scans, and nuclear bone scans are typically referred out. Results from all diagnostic testing is reviewed with the patient on the subsequent visit.
The first visit is obviously longer than most because there is a small amount of paperwork that needs to be completed, and then the doctors will spend as much time with you as is necessary to determine the nature of your problem, and if in fact we will be able to help you. Additionally, sometimes x-rays (which can be completed on site)or other diagnostic testing (like neurological testing, muscle testing etc) are ordered and will also take additional time. However, in general, we try and keep the length of the first visit to an hour or less. Once you are an established patient, most visits are between 30-40 minutes, unless an evaluation is scheduled or test results need to be discussed. We make every effort to respect your time and keep visit time and waiting to a minimum.
Because we are a private practice and all of our patient treatment is on an outpatient basis, none of our doctors or staff work directly with any of the surrounding hospitals. However, of the doctors with whom we have close relationships with (orthopedists, neurologist, pain management etc), the work at Hospital for Special Surgery, Beth Israel, and Mount Sinai.
We do not charge anything to consult with one of our doctors and determine if our office is right for you. Beyond that, the cost of the first visit can vary greatly depending the depth of examination, whether or not x-rays or other diagnostic testing is performed, and if treatment it started on the first visit. Of course different insurance plans will also vary greatly in how much you are responsible for on the first visit. As a very general range though, the first visit ranges in cost from $100-$500.
We will accept most insurance provided it has out-of-network benefits. We do not participate in-network with insurance companies, so unfortunately HMOs cannot be used at Spine and Sports Medicine. Insurance policies vary greatly though, and we would be happy to verify any insurance policy to determine if it can be used at our office. If your plan has a deductible, do not be discouraged, as we have a number of payment options to make that easier for you. Sorry, but we do not accept Medicare of Medicaid.
Most of our patients actually seek out our office for the very reason that we offer all these therapies under one roof. However, not all patients are candidates for all these therapies. Additionally, not all patients want all these therapies, and we respect that. It is our job to make our best recommendations to get you well in the shortest amount of time possible, but as long as you are making an informed decision and know all your treatment options, we will support your decisions regarding your body and your health.
Provided the films are recent, are of good diagnostic quality, and provide the information we need to care for you safely and effectively, you may use previous imaging studies from another office or facility. If, however, the doctor feels it is necessary to take additional or new films, we can do this at our office.
Absolutely. We use high speed film, a high frequency machine, lead shielding, and collimation. We also will not take x-rays on women who might be pregnant, or who are trying to become pregnant. Additionally, we recently purchased all new, rare-earth cassettes which cut the exposure time of all our x-rays in half. We absolutely do not take x-rays unnecessarily, and take all precautions to make sure that when we do, it is safe for you. Please feel free to express and questions or concerns you have about this issue with our staff.
Unfortunately, the cost of MRI far exceeds that of plane film x-rays, so most insurance companies will not pay for MRI unless simpler, less expensive studies have been obtained, and usually not before a course of conservative treatment has been tried. However, there are exceptions to this, such as a severely acute injury. We do not perform MRI at the Spine and Sports Medicine facility, but we have a very good relationship with several of the best imaging centers in the city, and can usually get you an appointment same day if necessary.
New patients can normally be seen the same day they call. We understand that when you are in pain, you want relief quickly, so we will make every effort to get you in to see the doctor as quickly as possible. Once you are an established patient, it is very easy to make appointments that will fit into you busy schedule, since we are open 7am-7pm, Monday through Friday.
We pride ourselves in running a streamlined schedule and respecting your time, so any time is a good time. Of course there are times that our office is busier, like early in the morning, during lunch time, and after work — but that does not mean that you will wait. We will only schedule as many patients as we can comfortably accommodate at a given time. For this reason, once you are an established patient, we will always encourage you to schedule as far in advance as possible, to ensure you get the treatment times that are best for you.
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