Initial visits are typically longer because it is important to gather information about your symptoms to create a diagnosis.

History

The history is where you tell your story.

This is the part where you tell me where it hurts, when it started to hurt and what makes it worse.

Then, I will ask you to go deeper.

There are injuries and medical conditions in the past that can have an impact to today’s issue. For example, being an elite figure skater during childhood can create issues with the way you activate your core at the gym. We develop motor patterns that become subconscious and as adults, we don’t know how to adjust these patterns to different types of activities. This “go to” motor pattern, can cause injuries like hip and knee pain for example.

Car accidents

I know, it’s hard to recount past traumas, however even the smallest perceived trauma can have lasting effects. I’ve had patients in my office who downplayed past accidents where they lost consciousness, the car flipped over and the “jaws of life” were required to remove them from the scene. As they recounted the trauma, they said it was “no big deal” and that “no follow up treatment was required.”

Trauma gets stored in the body.

And so, as the holistic detective I gather information about your lifestyle, level of activity, quality of sleep and stress levels to get the whole picture.

Physical examination

In this phase, I do a postural assessment as well as a joint specific assessment in the areas that need to be assessed.

Chiropractors assess beyond the spine. I also assess shoulders, wrists, ankles and hips. Basically if it’s a joint or a muscle, I will assess it if it part of your symptoms.

Specificity and Big Picture

I also investigate kinetic chains. In this way, I don’t “spot search” or “spot treat”. I keep the biomechanics of the movement in mind.

The goal is to improve performance, therefore if you have knee pain, but we don’t address foot posture or the stability in your spine and pelvis, then we won’t get a full reason why your body is functioning the way it is.

Anatomy Lesson

After the assessment is complete, I will sit with you to discuss the findings and teach you a mini anatomy lesson so that you understand WHY and WHAT is happening.

When you are empowered to know what is going on, then you can make a positive change.

Report of Findings & Consent

A copy of the summary of findings will be emailed to you with a list of self-care action steps to support your treatment plan.

Treatment options like: Chiropractic, Medical Acupuncture, Myofascial Release, Kinesiotaping and Prescribed Exercise Rehabilitation will be offered.

Once you decide which tools you feel comfortable to heal your issue, then formal consent it taken.

Treatment

Then it’s healing time.

Treatment is always offered at your initial visit.

Exercise prescription

Every new patient will be prescribed a curated set of exercises and stretches that will support the healing of their condition via the Physitrack app. The app is free and you will get a complete video library through which you can track your pain levels and your attendance.

It’s all about accountability when you want transformation.

Well there you have it.

The initial visit is all about:

  1. Gathering information
  2. Assessing your body’s mobility, strength and neurological signs
  3. Empowering you with information
  4. Consent
  5. Treatment
  6. Tools for your successful transformation

Now over to you.

If you have a goal that you want to accomplish, comment below.

Dr. Blessyl Buan

Sore wrists don’t need to hold you back from your Yoga or Pilates practice.

In the age of constant smart phone use, raising young children or having a full-time job that requires the use of your hands, it’s not surprising that your wrists can hold you back when practising Yoga or Pilates. Repetitive strain can cause tension and pain in the flexor and extensor muscles that course along the forearm and control the movement of the fingers. You will also find that the muscles that control movement of the thumb are also stiff and painful. This chronic muscular tension can negatively impact the alignment of the carpal bones of the wrist, thereby reducing joint mobility.

This misalignment can be experienced as a “pinching” sensation when weight-bearing on the hand. Wrist extension is required while doing Plank exercises, Chatturanga or Downward Dog. Even more advanced asanas like Astavakrasana (Eight-Angle Pose) or Pilates Leg Pull Front depend on strong wrists.

If you can relate, warming up can help to improve joint mobility and reduce pain during your practice. Here are 3 exercises to do before your class begins:

  1. Wrist rotations: Circle your hands clockwise eight times then repeat counterclockwise eight times. This improves circulation and warms up the joints.

2. Wrist flexor stretch with overpressure: Positioning yourself on all fours, place the heel of your hands on the mat in front of you with your hands palms down and your fingers pointing towards your knees. Place a gentle over pressure on your wrists by leaning forward and backwards. You should feel a stretch along the surface of your forearms that face away from you.

3. Wrist extensor stretch with overpressure: Positioning yourself on all fours, place your wrists on the mat in front of you with your hands palms up and your fingers pointing towards your knees. Place a gentle over pressure on your wrists by leaning forward and backwards. You should feel a stretch along the surface of your forearms that face away from you.

If during your practice your wrists are still sore, you can roll the end of your mat several times to create a cushion that will support your wrists in slight flexion. If it is still painful in certain poses, take a rest in child pose. As you continue to practice, stretch and strengthen, your tolerance in wrist weight bearing will improve. If recovery is too lengthy and you are starting to feel concerned, see your health care provider.