Dr. Giang

Examination – A chiropractic examination is performed every time a new patient comes for evaluation of their medical condition. During an examination, the doctor of chiropractic will ask the patient many questions regarding the history of the patient’s complaints and the and any other systemic illnesses that might attribute to the pain. The doctor will then perform various neurological exams, functional exams, muscle tests, and orthopedic tests to further evaluate the patient’s condition. If necessary, an x-ray will be taken in the office, or the doctor might refer a patient out for more testing or follow up with another specialist.


Dr. Giang

Adjustment/Manipulation - A chiropractic adjustment is a low controlled force that a doctor of chiropractic applies to the restricted joint allowing the joint to return to full mobility. Doctors of chiropractic are well trained in chiropractic adjustments and are the only doctors who are capable of performing adjustments.




Dr. Giang

X-rays – After performing a chiropractic examination, the doctor will determine if x-rays are necessary to further aid in diagnosing the patient along with ruling out any contraindications to therapy. Radiographic images reveal abnormalities in skeletal structure such as fractures, degeneration, osteoporosis, and malposition. Other than the skeletal structure, abnormalities in the soft tissues may be visualized including calcification of the soft tissues, edema, and tumors.



Dr. Giang

Spinal Decompression – Spinal decompression is used by doctors of chiropractic to decrease pressure on the spinal nerves caused by disc herniations or disc bulges that do not exceed the recommended amount for a surgical candidate. When using spinal decompression, the patient will lie comfortably on a bed while one part of the spine is secured and the other part of the spine is slowing pulled away to decrease intradiscal pressure therefore producing a vacuum effect on the nucleus pulposus of the within the disc. This helps the disc material to slowly be sucked back in and causing the pressure of the pinched nerve to be relieved.


Dr. Giang

Electric Muscle Stimulation – Electric muscle stimulation is used to help strengthen muscles that are affected, relax those same muscles, and decrease pain in the affected area. When using EMS, the doctor of chiropractic or the chiropractic assistant will place 2-4 pads in the area of complaint. These pads are then connected to wires that go directly to the machine, which provides the impulses necessary for the treatment. The sensation begins as light pricks and can increase to muscle contraction. Treatment is not painful but may feel odd to some patients who have never had EMS before. Treatment can last from 15-20 minutes per area.


Dr. Giang

Therapeutic Ultrasound – Therapeutic ultrasound is utilized by emitting ultrasound waves from a machine that goes deep into injured tissues, helping to decrease inflammation and help break down soft tissue adhesions that may have formed. When using therapeutic ultrasound, a wand connected to the main machine is used to emit the waves and it can only contact the skin through a barrier of conductive gel. Without the gel, the ultrasound waves will not be able to travel because it cannot travel through air.



Dr. Giang

Laser Therapy – Low-level laser therapy is used to speed up healing of injured tissues. A red light is usually emitted directly above the injured tissues to stimulate ATP formation in the cells which aids in cell stabilization and activity. This helps bring in oxygen to the cells, increase circulation, and decrease pain and inflammation.




Dr. Giang

Massage Therapy – Massage therapy is effective in increasing superficial blood flow, lymphatic flow and decreasing edema. Massage is also used to relax muscles and help prevent adhesions and fibrosis. Massage therapy performed as a part of treatment normally lasts approximately 5 minutes per session because it is only a small portion of the whole treatment.




Dr. Giang

Trigger Point Therapy – Trigger point therapy is the treatment of overly irritable spots within tight bands of muscle or muscle's fascia, mostly inside the muscle belly. It is used to separate fascial tissue from adhered muscles fibers. When being performed, the doctor will press with a moderate amount of pressure down onto the trigger point and hold for approximately 5-7 seconds and repeated several times. The amount of pressure is normally determined by the patient's pain tolerance.



Dr. Giang

Therapeutic Exercises/Stretches – Most patients will be shown exercises and stretches that need to be performed within the clinic or at home. These exercises are very important in recovery because they help the weak muscles regain strength and flexibility, therefore making it more difficult for the patient to reinjure him or herself in the future.




Dr. Giang

Hot/Cold Packs – Hot and cold packs are normally used for different reasons. Cold packs are applied in order to decrease swelling and inflammation. The cause of this is that when ice is applied to the body, it causes blood circulation to slow down, therefore causing the blood vessels to constrict and decreasing inflammation. Most of the time, ice is recommended immediately after an injury for 72 hours because one of the first ways the body reacts after injury is by increasing swelling and inflammation. Heat on the other hand increases temperature, blood flow and metabolism of the body. This causes tight muscles to relax. For both hot and cold therapies, an average of 20 minutes is allowed of use at a time. Patients might be burned if a hot or cold pack is applied for too long.