Evaluate first. Then treat, measure and adapt.

Evaluate

The first visit is a conversation, an exam and a reading of your imaging, in that order. We want to know when it started, what changes it, what you have tried and what happened. We examine the spine and the nerves that leave it: strength, reflexes, sensation, the movements that reproduce your pain. Then we look at your MRI or X-rays with those findings in front of us, rather than the other way around.

We are looking for agreement between your story, the exam and the picture. When they agree, we know what to treat. When they do not, we say so.

Treat

If spinal decompression is appropriate, your first treatment happens the same day. You are seated and reclined, and the table gently separates the vertebrae to take pressure off the disc and the nerve beside it, directed at the low back or the neck, with settings set for you. How it works, in plain English.

Measure

Before treatment starts we record the numbers that matter for your condition: pain at rest and with activity, how long you can sit or stand or walk, the nerve findings, the movements that are limited. Those same numbers are checked as care goes on. Progress is something we can show you, not something we ask you to take on faith.

Adapt

Treatment changes with your response. Settings change, the plan changes, and if the numbers are not moving we tell you and talk about what that means, including when a different kind of care is the right answer.