Question 1

What does concierge chiropractic mean?

Accepted Answer

Concierge chiropractic is a one-on-one appointment with Dr. Palmer. Your follow-up appointment will usually be 30 minutes, although other appointment durations are offered based on your specific needs. Treatment is provided by Dr. Palmer only and she will work with you the entire visit from start to finish.

Question 2

What conditions are treated at Peak & Valley Chiropractic?

Accepted Answer

• Low back pain
 • Neck pain
 • Sciatica
 • Headaches & Migraine relief
 • Disc injuries & Disc herniations
 • Jaw pain
 • Nerve pain
 • Carpal tunnel
 • Shoulder impingement
 • Rotator cuff injuries
 • Knee pain
 • Tennis elbow
 • Golfer’s elbow
 • Scoliosis

Question 3

I just need to be adjusted. Why do I need an examination?

Accepted Answer

As a musculoskeletal clinician, Dr. Palmer is legally required to perform a history and examination before rendering treatment to any patient. It is important for her to make sure that she is providing you with the best care for what you are coming in with, whether that is care at Peak & Valley or a referral to another provider.

Question 4

If I need imaging, where can I do it?

Accepted Answer

If needed, imaging can be ordered through SMIL or SimonMed. Dr. Palmer will order the image and afterward, you can call to schedule an appointment at your earliest convenience. Dr. Palmer can access the images online once they are taken and review them with you.

Question 5

What are the three treatment pillars of Peak & Valley Chiropractic?

Accepted Answer

1.) Motion Palpation Institute (MPI) – MPI challenges the old school chiropractic paradigm. Motion palpation teaches providers how to become “the best palpator’s and adjustors on the planet.” MPI helps chiropractors become clinically excellent at functional assessments and highly competent with their hands-on adjusting skills. Providers trained in motion palpation are trained to know when to adjust and when not to adjust. Motion assessments are incorporated into appointments, which aids in knowing which area of the spine would benefit from chiropractic manipulation and create the most impactful change along the biomechanical chain.

2.) Mechanical Diagnosis & Therapy (MDT) – aka, the “McKenzie” technique. MDT is a “reliable assessment process intended for all musculoskeletal problems including pain in the back, neck, and extremities.” MDT allows trained clinicians to determine the cause of symptoms, such as- disc disorders, neurological injuries, arthritis, degenerative changes, and/or muscle spasms. MDT is a scientifically proven process that helps patients implement an exercise-based approach to managing symptoms on their own. It allows patients to learn the cause of their symptoms without the use of unnecessary imaging (x-rays and MRI’s) and teaches them proper management to empower them to take their health into their own hands.

3.) Clinical Neurodynamics – Clinical Neurodynamics is defined as, “the clinical application of mechanics and physiology of the nervous system as they relate to each other and are integrated with musculoskeletal function.” Practitioners trained in this assessment are able to apply specific treatment interventions that link a diagnosis with a causal mechanism (i.e. being able to treat the cause, not just the symptom). Providers are taught the manual skills necessary to assess for abnormalities in movement related to the nervous system. Put much simpler… Clinical Neurodynamics allows for proper assessment of how the nervous system (peripherally and centrally) contributes to our daily aches, pains, and “muscle tension”.

**Other sports medicine modalities can be used in conjunction with these treatment approaches, such as- FRC, DNS, trigger-point dry needling, cupping, IASTM, and pin & stretch muscle techniques.

Question 6

What should I wear to my appointment?

Accepted Answer

This will depend on the area of your body that you’d like to have assessed. Generally, we recommend a loose fitting shirt and athletic shorts to allow for a proper functional assessment. We can provide a gown or shorts if you would prefer.

Question 7

Do you utilize the "Palmer Method"?

Accepted Answer

The short answer, no.

Dr. Palmer is an evidence-based chiropractor who utilizes a thorough history and examination to rule in what is and is not indicated as a course of treatment for each patient. Routine x-rays are not taken and adjustments are not performed based on spinal “alignment”. While imaging can be informative, it does not always indicate pain generators and/or sites of dysfunction in the kinetic chain. The body is not a static creature. Therefore, a static picture in time does not encompass what is always needed when treating the spine. Dr. Palmer performs chiropractic manipulation in areas of the spine and/or extremities that are clinically indicated. She has been thoroughly trained utilizing the Motion Palpation Institute (MPI) assessment and applies adjustments to joints that are limited in range of motion.

Question 8

Where can I access your Notice of Privacy Practices?

Accepted Answer

Peak & Valley Chiropractic LLC’s Notice of Privacy Practices can be accessed here.(https://docs.google.com/document/d/1WmqlgPyWBGs-dD7NC_hQ8wmuaFtFZvIlHHbuDn2GRpo)

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