What to Expect
The first visit includes taking a detailed history of the problem. We'll go over things like how long it has been going on, previous injuries, what makes it better, what makes it worse, and go over any previous treatment. We will then go through a functional movement exam and look at the way the patient moves through simple tasks such as walking, sitting, standing, and squatting. This gives us insights as to what could be the root of the problem. We will also feel the spine or extremity looking for movement restrictions and look at the patient's posture and their range of motion.
If it is determined that the problem is related to muscles or joints, the patient will be treated
the first day with a combination of adjustments, muscle release work, and/or rehabilitation exercises. The patient will then be given instructions for home such as sleeping advice, stretching, exercises, and what to do/what not to do in order for the patient to recover faster.
If it is determined that the problem is something more serious, or something that cannot be treated, or something that a different health professional is more equipped to treat, he will refer you out to whoever can better treat the problem
Second visit (if necessary)
The goal is always to fix problems in once visit but that is not always the case. Usually 3-7 days later a follow up visit will be scheduled. If the problem is improved, care will continue until it is 100% better. If the problem is the same, we will look for other ways to fix it. If the problem is worse, we will re-evaluate the course of treatment and alter it or refer out to another clinician or facility.
Third visit (if necessary)
Typically around 7-14 days after the initial visit. If a patient has not made progress by this point, Dr. Josh will either alter treatment or refer you out to someone who he thinks may be able to help. This also helps keeps costs to the patient low while maximizing treatment effectiveness.
X-rays only give a snapshot of the joint spaces are do not usually impact my treatment. I no longer have the ability to take them in office so if they are necessary due to a car accident or trauma, I will refer out for those images.