You’ve decided to visit a chiropractor, but you’re not
quite sure what to expect on your first visit. The following
page will help you feel at ease during your first chiropractic
During the first visit, the doctor of chiropractic—commonly
referred to as a chiropractor—will complete a
thorough examination that typically includes:
• Patient history
• Physical examination
• Diagnostic studies (when indicated)
• Diagnosis
• Chiropractic treatment plan
Patient History
Prior to your initial consultation, you will be asked to fill
out forms that provide background information about
your symptoms and condition. Questions may include:
• When did your pain/condition start?
• Where is the pain located?
• Did pain/condition immediately follow an injury or
• Is anything improves or worsens the pain?
• What treatments have you already tried, and how
successful were they?
You may also be asked to provide family medical history,
any pre-existing medical conditions or prior
injuries, and previous and current health providers and
To properly diagnose your problem and design a treatment
program, your doctor of chiropractic needs to
know about any of the following:
• Bone disorders such as osteoporosis
• Implants like pacemakers, artificial joints, cosmetic
implants, etc.
• Circulatory problems

• Dizziness or blurred vision
• Heart conditions such as hypertension
• Nausea
• Injuries, such as bone fractures, muscle
sprains/strains, or disc injuries
• Joint disorders such as arthritis
• Any current health condition for which you are
receiving care from another health care practitioner
When applicable, bring with you any copies of previous
tests (for example, MRI or X-ray reports), lab results,
and a list of any medications you are taking, including
over-the-counter medications, nutritional supplements,
vitamins, herbs, teas, and homeopathic and/or naturopathic
Chiropractic Physical Examination
The next step is a physical examination your chiropractor
will perform to evaluate your condition and
develop a working diagnosis. In addition to general
physical examination procedures such as blood pressure,
pulse, respiration, and temperature, the examination
will include specific orthopedic and neurological
tests to assess:
• Range of motion of the affected area that is observed
while you walk, turn, bend, or lift
• Muscle tone
• Muscle strength
• Neurological integrity
• Posture
Diagnostic Studies
Diagnostic studies help diagnose conditions more
accurately. The most common used by chiropractors
• X-ray
• MRI (magnetic resonance imaging), CT, or bone scan
• Laboratory tests


Many chiropractic offices have their own X-ray equipment,
but an MRI scan and more extensive tests may
be referred to an outside center.
The combination of the history, examination, and diagnostic
studies will allow your chiropractor to reach a
specific diagnosis, which will help the doctor of chiropractic
determine whether your condition or pain may
respond to chiropractic care.
The chiropractor will explain:
• The diagnosed condition
• The chiropractic treatment plan (or other recommended
• The anticipated length of care
If your chiropractor determines that your condition
would be more appropriately treated by another health
care professional, he or she will make the proper referral.
Your treatment plan may also involve collaborative
care with other health care providers, such as your primary
care physician, a physical therapist, or a neurologist.
In many cases, such as those involving lowerback
pain, chiropractic care may be the primary treatment
method. When other medical conditions exist,
chiropractic care may complement or support medical
treatment by relieving the musculoskeletal problems
associated with the condition.
If you and your doctor of chiropractic agree that chiropractic
will help, you will receive your first chiropractic
adjustment. While patients are typically asked to lie on
a specially designed table, the chiropractor most often
uses his or her hands to manipulate the joints of the
body, particularly the spine, to reduce pain and restore
or enhance joint function. Your doctor of chiropractic
will adapt the treatment plan to meet your specific
needs. Other treatments, including therapeutic ultrasound,
electrical muscle stimulation, ice and heat, traction,
soft-tissue massage, and rehabilitative exercises,
may also be used.

The extent and duration of the patient’s problems coupled
with the hands-on nature of the chiropractic treatment
may require numerous visits. Your doctor of chiropractic
should tell you how long you can expect the
treatment to last.
You may also receive instructions on certain activities
or procedures to conduct at home. This may include
ice or heat application, avoidance of certain activities
or positions, as well as home exercises and/or stretches.
There are thousands of good chiropractors available
that use sound, well-documented procedures. Choose
a chiropractor you are comfortable with, who addresses
your health concerns, and who uses sound principles
of modern health.


Chiropractic & Physical therapy to the Portland metro area: West Linn, Oregon City, Lake Oswego, and Tualatin. Owner & Chiropractor. Ryan Lambert Bellacov will give professional service to bring you pain relief.; Dr. Ryan Lambert with years of experience working with athletics.