1. Patient history
2. Orthopedic/neurological exam
3. Imaging (x-ray, MRI) as necessary
Once the patient and doctor discuss the diagnosis, formulate and agree on
the treatment plan, treatment can begin. With manipulation there are
options to consider for manual techniques, including light force, and
instrument assisted procedures.
Physical medicine modalities may be used including traction, pulsed high
frequency diathermy, percussion, and massage, trigger point work with
active or passive range of motion. Supervised exercise therapy is utilized
when and where necessary. Pedal stabilization (orthotics) is provided if
needed. Activities of daily living and home exercise is discussed to
instruct you on how to do, when to do, and what not to do things based on
your individual case.
Here again, although the original complaint is spinal or other
musculoskeletal pain, which is important to control, the spinal structures
protect the spinal cord, an integral component of the nervous system,
which functions to help your body adapt to a constantly changing
environment. There is more to health than merely not being in pain.