Your first visit generally begins with a discussion of your health history and the reason you are seeking care.
The doctor will then perform an appropriate examination based on your symptoms and clinical presentation.
Depending on your condition, the examination may include evaluation of your posture, spinal motion, muscle function, neurological findings, and other relevant areas.
If X-rays or other imaging are clinically indicated and available, they may also be reviewed or recommended.
The goal of the first visit is to understand your condition and determine whether chiropractic care is appropriate.
This depends on your individual situation.
After reviewing your history and examination findings, the doctor will determine whether an adjustment is appropriate.
Not every patient should be adjusted immediately.
If additional information, imaging, medical evaluation, or referral is necessary, that should be addressed before treatment.
Most chiropractic adjustments are not painful, although you may experience pressure or a brief sensation during the adjustment.
Some patients experience mild soreness afterward, particularly when an area has been irritated or has not been moving normally.
Your comfort and safety are important, and the technique should be appropriate for your individual condition.
Some chiropractic adjustments produce a popping or cracking sound.
This sound is generally associated with a rapid change in pressure within a joint and the release of gas from the joint fluid.
The sound itself is not what makes an adjustment effective.
A chiropractic adjustment can be performed without an audible popping sound.
Chiropractic care may help some people with certain types of mechanical low-back pain.
Back pain can have many causes, including muscle strain, joint problems, disc disorders, degenerative changes, injury, and other medical conditions.
A proper examination is important to determine whether chiropractic care is appropriate for your particular situation.
Sciatica refers to symptoms caused by irritation or compression of a nerve root in the lower back, commonly producing pain, tingling, numbness, or weakness that travels into the leg.
Depending on the cause and severity, some patients with sciatica may benefit from conservative chiropractic care.
However, not every case of sciatica is the same.
If neurological deficits, severe or progressive weakness, bowel or bladder changes, or other concerning symptoms are present, medical evaluation may be necessary.
A disc bulge or herniation does not automatically mean that surgery or chiropractic care is required.
Some people have disc abnormalities without symptoms, while others may experience significant pain or nerve-related symptoms.
Whether chiropractic care is appropriate depends on the individual's symptoms, examination findings, medical history, and any available imaging.
At Nova Gonstead Chiropractic, we consider these factors before recommending care.
Neck pain can have many causes, including muscle strain, prolonged poor posture, joint dysfunction, injury, degenerative changes, and nerve irritation.
A detailed examination can help determine whether the symptoms appear to be related to the cervical spine or surrounding musculoskeletal structures.
If chiropractic care is appropriate, treatment is individualized according to the patient's condition and examination findings.
Some headaches can be associated with the neck and musculoskeletal system.
For example, tension-type or neck-related headaches may involve the muscles and joints of the cervical spine.
However, headaches can also have many other causes.
A new, sudden, severe, or unusual headache—especially one accompanied by neurological symptoms—requires medical evaluation rather than assuming that it is a chiropractic problem.
Numbness and tingling can occur for many reasons.
Sometimes these symptoms are associated with irritation of a spinal nerve root, such as cervical radiculopathy or lumbar radiculopathy.
Other causes can involve peripheral nerves or medical and neurological conditions.
Because numbness and tingling can have different causes, a proper examination is important before determining whether chiropractic care is appropriate.
Yes, chiropractic care may be appropriate for some people following an automobile accident.
A collision can place significant forces on the spine, muscles, ligaments, and other tissues.
Some symptoms may appear immediately, while others may develop later.
After an accident, an evaluation can help identify injuries or mechanical problems that may require treatment or referral.
If you have been involved in an accident and experience neck pain, back pain, headaches, stiffness, or other symptoms, it is important to receive an appropriate medical evaluation.
Not every patient needs X-rays.
Imaging decisions should be based on the patient's history, symptoms, examination findings, and clinical indications.
When imaging is appropriate, X-rays or other diagnostic studies may provide useful information about the spine.
However, imaging findings should always be considered together with the patient's clinical presentation rather than viewed in isolation.
There is no universal number of visits that applies to every patient.
The appropriate frequency and duration of care depend on factors such as:
Your treatment plan should be based on your individual condition rather than an arbitrary number of visits.
No.
The purpose of chiropractic care should be clearly explained and individualized.
Some patients seek care for a specific problem and stop when the condition has improved. Others choose periodic care as part of their personal approach to maintaining musculoskeletal function.
The decision should be based on your goals, condition, and discussion with your healthcare provider.
For appropriately selected patients, chiropractic care is generally considered a conservative treatment option for many musculoskeletal conditions.
However, no healthcare treatment is completely without risk.
Certain medical conditions may make particular chiropractic techniques inappropriate. This is why a proper history and examination are important before treatment.
Tell your chiropractor about previous injuries, surgeries, medical conditions, medications, and any new or unusual symptoms.
Children are different from adults, and any healthcare treatment for a child should be based on the child's individual needs and clinical circumstances.
If chiropractic care is being considered for a child, the doctor should first determine whether chiropractic treatment is appropriate and whether medical evaluation is necessary.
Pregnancy involves significant changes in posture, weight distribution, and biomechanics.
Some pregnant patients seek chiropractic care for musculoskeletal discomfort such as back or pelvic pain.
However, pregnancy requires individualized evaluation. The doctor should consider the patient's pregnancy status, symptoms, medical history, and any recommendations from the patient's obstetric or medical provider.
Not necessarily.
The location of pain does not always identify the source of a mechanical problem.
For example, a person experiencing leg pain may have a problem involving the lower back, while shoulder discomfort may be influenced by the cervical spine, thoracic spine, or shoulder mechanics.
A Gonstead examination looks at the patient's overall spinal and musculoskeletal mechanics to determine which areas may be relevant.
Comfortable clothing that allows reasonable movement is generally recommended.
Depending on the examination, you may be asked to perform certain movements or change positions.
Avoid clothing that significantly restricts movement.
Yes, if you have relevant medical records, imaging reports, or X-rays from previous evaluations, bringing them can be helpful.
Information about previous injuries, surgeries, diagnoses, and treatments can also help provide a more complete picture of your condition.
Insurance coverage varies depending on your insurance plan, benefits, and whether chiropractic services are covered under your specific policy.
Our office can discuss payment and insurance-related questions with you before beginning care.
Yes. We evaluate patients who have been involved in automobile accidents and may provide chiropractic care when appropriate.
If you were injured in an accident, bring any relevant accident, medical, imaging, or insurance information you have available.
Because automobile injuries can involve multiple structures, a thorough examination is important.
Some symptoms require medical evaluation rather than routine chiropractic care.
Seek urgent medical attention for symptoms such as:
These symptoms can indicate a medical or neurological emergency.
The goal is not simply to chase pain.
The goal is to understand the patient's condition, identify relevant spinal and musculoskeletal findings, and determine whether chiropractic care is appropriate.
When care is appropriate, the Gonstead approach emphasizes specific examination and individualized treatment.
Patients also have an important role in their recovery through appropriate exercise, posture, activity modification, sleep, nutrition, and other healthy lifestyle habits.
At Nova Gonstead Chiropractic in Fairfax, Virginia, our approach emphasizes careful examination and individualized chiropractic care.
Rather than automatically treating everyone the same way, we take the time to understand your history, symptoms, physical findings, and spinal mechanics.
Our goal is to help you better understand your condition and determine whether Gonstead chiropractic care may be appropriate for you.
If you have questions about your spine, posture, back pain, neck pain, sciatica, or an injury, contact Nova Gonstead Chiropractic to schedule an evaluation.
NoVA Gonstead Chiropractic Clinic
9514 Lee Hwy (Route 29), Suite B
Fairfax, VA 22031
(703) 359-6262