Back and nerve
Neck and head
Injury and pregnancy
Hands-on care
Machines and therapy
Between visits
What it costs
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Spine and nerve care
Back pain, neck pain and sciatica rarely come from where they hurt. The first appointment is an examination that works out which joint, muscle or nerve is producing the pattern, and you hear what was found before any treatment is agreed.
What we treat
Six patterns make up most of the appointment book. Each one has its own page explaining how it is examined and what tends to change it.
Lower back pain that is worse getting out of a chair usually points at the disc or the facet joints, and the exam separates them.
Learn moreStiffness that limits a shoulder check while driving, often with a headache behind it, and often from hours at a screen.
Learn morePain running from the buttock down the leg. Several tissues imitate that line, so the name alone does not pick the treatment.
Learn moreHeadaches that start at the base of the skull behave differently from migraine, and the neck examination tells them apart.
Learn moreConfirmed or suspected disc pressure on a nerve root, where decompression is one of the options considered after testing.
Learn moreNeck and upper back pain after a collision, where the paperwork for an insurance claim matters as much as the treatment.
Learn moreHow it works
Pain is a poor witness about its own cause. A nerve irritated in the lower back sends the complaint to the calf, and a joint at the base of the neck sends it to the forehead. So the appointment starts with history and movement testing rather than with a table.
The examination checks what moves, what does not, and whether the nervous system is involved. Reflexes, strength and sensation testing separate a nerve problem from a joint or muscle problem, because those three respond to different things and a plan built on the wrong one stalls.
You then hear what was found, in plain words, with the reasoning. If chiropractic is a reasonable option you are told what it involves and what it costs before anything begins. If it is not, you are told that instead, and where to go for it.
Your first visit
Where the pain travels, what reliably sets it off, what you have already tried, and what you are trying to get back to doing.
Movement testing, orthopaedic tests and nerve checks, looking for which structure actually produces your pattern.
What was found and what it means, including the possibility that the answer is not chiropractic and belongs elsewhere.
What is proposed, roughly how many visits before a re-assessment, and what you can do between appointments.
Honest limits
Some presentations need a doctor the same day rather than an appointment next week. A foot that drags more as the hours pass, numbness around the saddle area, loss of bladder control, or a calf that is swollen, warm and tender all belong somewhere else first.
Others simply are not chiropractic problems. Pain that does not change with position, that wakes you every night regardless of what you do, or that arrives with fever or unexplained weight loss needs investigating rather than adjusting. Saying so is part of the examination.
Where care is reasonable, progress is checked rather than assumed. If leg pain is not retreating up the leg and the approach being used has had a fair trial, the plan changes or you are referred on. The warning signs are written out so you can recognise them yourself.
Common questions
Anything specific to your own back belongs in the examination rather than on a page, but these come up at almost every first visit.
Examined first, explained second, treated third. That order sounds obvious and it is not what I had experienced before.
They wrote down what they measured at the start, so when we reviewed it there was something real to compare.
Told me plainly that one of my problems was not theirs to treat and where to take it instead.
Straightforward and unhurried. The clinic is small, so popular appointment times go quickly.
From the blog
First Visit
The initial exam is not a formality. It is the measurement that every treatment decision traces back to. Here is what to expect, step by step.
Read article
Whiplash
A collision on the Gardiner Expressway or Don Valley Parkway can leave your neck injured for weeks. Learn what Ontario insurance covers, how recovery is measured, and why documentation matters.
Read article
Headaches
Hours at a desk or in traffic tighten the neck and trigger headaches. A clinic measures what is tight, treats it, and measures again.
Read articleNext step
One appointment covers the history, the testing and a plain explanation of what was found. What happens after that is a decision you make with the information in front of you.
General information, not medical advice. What applies to you is decided at the examination.