Chiropractic Care

What should I expect on my first chiropractic visit?

At your first visit you will be asked to complete a thorough health history. After reviewing this history, we will speak with you about your specific health concerns and goals. Next, you will be examined to determine the nature, extent and cause of any health concerns. Other factors related to your general health and wellness will be considered. If indicated, diagnostic imaging and clinical laboratory studies can be performed. Based on this evaluation, we will provide you with our professional opinion about your health status and recommendations for care, which may include ways to modify lifestyle behaviors to better manage your condition. At the Health Centers of UWS, we believe that every patient is unique and should be treated in a highly individualized manner.

What is a chiropractic adjustment?

An adjustment, or chiropractic manipulation, is a specific technique used to create motion in joints of the body that aren’t moving as they should. Lack of normal joint function can impair not only the mobility of affected joints, but also muscles, nerves and thereby other functions of the body.

A chiropractic physician is highly skilled in using his or her hands to manipulate the joints of the spine or extremities, done so by applying a specific force in a precise direction to the joint. Sometimes there is a “pop” or noise that happens when the joint has been adjusted. This noise is nothing to be alarmed about, nor does it happen every time a chiropractor adjusts a patient. Recent studies have shown that this noise results from naturally occurring gasses surrounding the joint capsule There are many different techniques for chiropractic adjustments, and your doctor will explain specifically how the adjustment will be performed for your situation.

Is chiropractic safe?

Chiropractic care is safe and effective for treating low back pain, neck pain, headaches and other conditions in the spine and extremities. There have been many research studies done on the effectiveness and safety of the chiropractic adjustment.* Your chiropractic physician will help determine if you are a candidate for chiropractic care by performing a history and physical examination during your visit to the Health Centers of UWS.

*Bronfort, et al. Chiropractic & Osteopathy 2010 18:3 “Effectiveness of manual therapies: the UK evidence report” *Goodman et al. (2013), Journal of the American Medical Association
*Korthals-de Bos et al (2003), British Medical Journal
*Haas et al (2005), Journal of Manipulative and Physiological Therapeutics

How do I know if I need chiropractic care?

People of all ages seek care from a chiropractic physician for a variety of reasons. Some have been involved in an accident or have had a traumatic injury with pain or altered function. Others receive chiropractic care to maintain their health and functionality. To determine if you are a candidate for chiropractic care, your doctor will perform a thorough history and examination. It will be determined at the time of your exam if further tests, such as x-rays and lab tests, are warranted.

I’ve heard that many patients that start chiropractic care choose to receive care for the rest of their lives. Is this true?

The answer to this question depends on the reasons and goals for treatment. Many injuries or conditions will be resolved after the completion of a specific care plan that may include in-office treatment and home care recommendations. Some circumstances may require longer treatment to continue to achieve desired levels of health and function. Many factors such as posture, work environment, sleeping habits, and activity levels play into whether a condition will respond to care in the expected time frame. Some patients choose to receive periodic treatment throughout their lives and practice healthy lifestyles to maintain improvements and overall wellbeing. Your doctor will outline the specific prognosis for your conditions and provide you with recommendations for care. Patients always have the opportunity to ask questions and make their own decisions about the care they receive.

Massage Therapy

What should I expect on my first massage therapy visit?

At your first visit you will be asked to complete a health history. You will meet with a licensed massage therapist and/or a student massage therapist to evaluate your health status and establish goals for your treatment. In preparation for your massage, you may undress to the degree you are most comfortable. You will remain covered with sheets during your massage to maintain your privacy and only the area being massaged will be uncovered. If your appointment is with a student, the clinic supervisor will enter the massage room one or more times during the treatment to assist the student, provide feedback, and in some cases, demonstrate techniques. At the end of the massage, you will be asked to complete a short evaluation form to rate the student’s performance.

Sports Medicine

What should I expect on my first sports clinic visit?

Your initial visit is comprised of a comprehensive evaluation to determine the cause of your injury or pain origin and possible underlying conditions. Then your clinician will discuss an appropriate treatment plan with you. The actual treatment may consist of soft tissue mobilization, chiropractic manipulation/mobilization, taping and rehabilitation/active care. Plan on spending at least an hour at you first visit.

What type of injuries do you treat?

Our sports medicine team can treat acute traumatic injuries and chronic overuse injuries with associated pain and dysfunction. We can also perform pre- and post-surgical rehabilitation.

What type of patients do you treat?

We treat athletes of all ages and skill levels. Our team has experience working with high school, collegiate, semi-professional, Olympic-level and professional athletes. We also treat the recreational “weekend warrior” athlete.

What types of clinicians will I be treated by at the sports clinic?

Most of our clinicians are chiropractic physicians (DCs), with expertise and experience working with sports-related injuries and conditions. Our team also has certified athletic trainers (ATCs) and other medical providers.

What is K (Kinesiology)-tape?

K-tape is an elastic tape that lifts the skin microscopically and helps stabilize and depressurize an area. This gives injured muscles and ligaments the chance to rebuild and restore. K-tape can also be applied to help prevent injuries, improve posture and alignment, and help drain fluids into the lymphatic ducts to decrease swelling and of bruising.

What is IASTM Technique?

IASTM stands for instrument assisted soft tissue mobilization and is a method of soft tissue treatment that utilizes instruments instead of hands. The material of the instruments may consist of stainless steel, plastic or wood. They are an extension of the clinician to assist in detecting and treating acute and chronic soft tissue injuries and inflammation. The instruments create a controlled microtrauma to the affected soft tissue causing a local inflammatory response and facilitates a cascade of healing activities that result in proper remodeling of affected soft tissue structures.

How can I make an appointment?

Call the UWS Campus Health Center at 503-255-6771 and specify that you would like to schedule an appointment with one of our sports medicine clinicians.

If I am not currently participating in sports, may I still make an appointment with the sports medicine clinic?

Yes, definitely! We realize that many people are not currently involved in sports but experience chronic symptoms due to earlier sport or athletic-related injuries.

What services does the UWS sports medicine team provide at sporting events?

The team provides pre- and post-event taping, stretching, chiropractic care, soft-tissue manipulation, injury consultation and injury evaluation. During the event we provide, first responder care, first aid and injury assessment and treatment (which may include referral to the appropriate health care provider).

Does UWS sports medicine cover sporting events?

Yes. If interested, contact Dr. Craig Kawaoka, the clinical director of the MS in exercise and sports science program. In your communication with him, please include the type of sporting event, location, date(s) and time(s), number of participants, etc. A determination is then made about whether the UWS sports medicine team is the appropriate group to cover your particular event. An agreement/contract will be created to confirm specific details.

Diagnostic Imaging

What is digital plain film imaging (x-ray)?

X-rays allow your doctor to visualize areas within your body not normally seen. Utilizing low doses of ionizing radiation, x-rays aid in diagnosing fractures, arthritis and many other conditions that directly impact your care. The Imaging Center of UWS uses state-of-the-art equipment making certain that your radiographs are of the highest quality possible. Your x-rays are taken and interpreted by highly qualified individuals who are dedicated to ensuring that the results of your study are given to your doctor, usually within the same day. There is no special preparation needed for this exam.

What is musculoskeletal ultrasound (MSK)?

Musculoskeletal (MSK) diagnostic ultrasound is an injury assessment modality that uses sound waves to create images of painful or injured areas in the body. This technique provides high resolution images. Musculoskeletal ultrasound is known to be effective in improving the care of patients with a variety of musculoskeletal injuries. Although MRI dominated as an imaging procedure for many years in North America, musculoskeletal ultrasound is now emerging as an affordable alternative to MRI. Historically this technique was developed in the German-speaking countries, mainly Germany and Switzerland, and is now being utilized throughout Europe.

Is MSK safe?

Ultrasound imaging is safe, noninvasive and without risk factors. It can also be used in patients when MRI is contraindicated. There is no radiation involved and can therefore be used repeatedly if clinically necessary.

Is MSK accurate?

There are certain anatomic regions like the shoulder where this technique has proven to be equal or superior to MRI. As opposed to MRI, MSK ultrasound does not only provide static visualization but it adds a dynamic component. Ligaments, tendons and muscles can be tested under the application of stress. This allows testing the integrity of soft tissue structures and helps to evaluate pain with motion.

Is MSK affordable?

The cost of MSK ultrasound is lower than the insurance deductible for an MRI.

Is MSK efficient?

The ultrasound is easily portable and allows the examiner to immediately screen for injuries at any location. This explains the high utilization of this technique in professional athletics. No patient preparation is needed for this procedure. Please refer to the Information Sheet for Musculoskeletal Ultrasound for a detailed list of indicators that your patient might need a MSK-ultrasound.

What is a calcaneal quantitative ultrasound for bone density screening?

The Imaging Center of UWS provides an inexpensive, risk-free screen for osteoporosis utilizing sound waves that measure the stiffness of the calcaneus. There is no special preparation is needed for this examination. This examination will be able to determine normal bone density, low bone density or osteoporosis. Screening is recommended if risk factors are present such as:

• Gender: Women are four-times more likely to experience depleting bone density than men.
• Age: The older you are, the greater your risk of osteoporosis.
• Body size: Small, thin women are at greater risk.
• Ethnicity: Caucasian and Asian women are at highest risk. Black and Hispanic women have a lower risk.
• Family history: Osteoporosis tends to run in families. If a family member has osteoporosis or breaks a bone, there is a greater chance that you will too.

How is insurance/payment processed?

We take care of the insurance verification process for all our patients. We discuss with the patient their form of payment and handle the billing process, if applicable.

Are you a physician?

If you are a physician and want to learn more about the Imaging Center of UWS or have questions about our diagnostic imaging services offered to physicians, please visit our physician-specific FAQs.

Payments

Does insurance cover my care?

The costs of health care services may be paid in full or in part by insurance, including private indemnity plans, managed care networks, Medicare, workers’ compensation and personal injury coverage. Even if you have insurance, you may be responsible for applicable deductibles, co-payments and any uncovered services. Our office staff will help determine the nature and extent of your coverage to ensure you understand your financial responsibilities in advance.

What if I don’t have insurance coverage?

The Health Centers of UWS strive to make health care accessible for all current and prospective patients. Our fees for services are intended to accommodate payment by those without insurance. Discounts are applied for services paid in full at the time of the visit, thereby reducing our processing costs. Reduced fees are extended to those meeting specific income criteria relative to federal poverty guidelines. Our staff members will be happy to help determine your eligibility for reduced fees for services.