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Our Approach

Front Office

Each injured person can have one or many different types of health problems. As injuries can affect how you feel and move about, we evaluate the structural and functional aspects and provide individual recommendations for your best healing and future health outcome. Without appropriate treatment, one may be subjected to periodic flare-ups, progressive worsening or chronic aches, pains and stiffness of degeneration (arthritis) and neurologic related symptoms.

Joint or bone traumas such as fractures or dislocations require a visit to emergency rooms, trauma units and/or orthopaedic surgeons to tend to those needs. Other injuries that are not as traumatic but are likewise short or long term disrupting are the spinal or other bodily joint misalignments, however mild or sometimes overlooked. Emergency facility physicians or other medical specialists may advise you of no broken bones and that the x-rays look normal, but do not specialize in the treatment of the otherwise overlooked “subtle” or “not so subtle” injuries and may or may not recommend medication for these muscular, joint, nerve and or disk damaging injuries. Though medications can provide relief, additional structural and functional assessment should be a consideration.

We Are Proud

Neck, back , shoulders, knees and TMJ (temporomandibular “jaw”) and / or other joints and associated soft tissue discs, (muscles, ligaments, tendons) can be disrupted enough that greatly need the knowledge, experience and skill to provide medically researched care as provided at this office.

If after a recent or not-so-recent accident and concerned about ongoing symptoms of aches, pains or dysfunction of bodily wellbeing, whether already have been under the care of one or more health care providers, you need another opinion from a physician with training and experienced emphasis on these conditions related to trauma - we're here to help you!

Our approach is to evaluate as well as provide treatment, advice or coordinate treatment as necessary with a patient's physician and may include specialty physicians to achieve the best results.

Treatment Time Frames

In-office treatment time may last 5-15 minutes which includes doctor assessment each visit for appropriate care determination and treatment or could last 10-30 minutes depending upon each individual's treatment needs according to their condition. We realize people need to tend to their work and home demands and that is taken into consideration with the patient, but skilled treatment should not be rushed.

Duration of treatment for recovery also depends upon the degree of injury and each individual’s response to care. Some patients respond to ease of symptoms in less than two weeks though others may require a longer recovery time to allow “transition time” of improving structural and functional healing to within normal limits and with stability. However, some traumas or conditions may leave an individual with such a residual weakness that periodic supportive or “preventing a worsening” treatment may be recommended.

If medication is all that is necessary to achieve easing symptoms, that recommendation will be advised or at least provided as an option. However, structural and functional compromise will require our appropriate attention to avoid living with less than optimal bodily functioning leading to joint wear and tear arthritis and potential nerve damage related conditions.

Types of Treatment

Various types of treatment may be provided to most quickly and comfortably ease symptoms and return one to pre-injury status. Any of the following treatments may be provided at this office:

Massage, ultrasound, laser, spinal adjustment (hand and or instrument provided), traction/decompression, deep tissue massage, gentle manipulation of the shoulder, TMJ (temporomandibular “jaw”), wrist and/or knee, heat therapy, EMS (electrical muscle stimulation), interferential, physiotherapeutic myofascial trigger point, flexion-distraction spine treatment, spinal and muscular rehabilitation, stretching and myofascial release.

Substantial Research

Spinal Adjustment

Sometimes referred to as manipulation, at our office, adjustment means a gentle, more specific repositioning of a slight bone or joint misalignment, such as a vertebra of the spine, a shoulder, wrist or knee. A determination is made through specific analysis of x-ray and our gentle hands-on spinal or joint movement/ assessment and positioning analysis. One or more vertebrae that are misaligned (also known as a subluxation) from trauma or other stresses can have abnormal movement causing it to inflame the joints of the vertebrae it would normally align with. It could also be misaligned to the degree that it could cause nerve or disk irritation and pain or other nerve associated conditions.

The objective of the chiropractic adjustment is to reduce or eliminate misalignment to decrease or eliminate pain, muscle spasm and nerve irritation, if present, to decrease symptoms and to improve function and health. When pain, spasms or patient apprehension does not allow comfortable treatment, relaxing, pain easing therapeutics or medication will be recommended. We want your experiences to be a good one.

There are two types of spinal adjustments utilized at this office. One provided by the Doctor’s skilled, experienced hands and the other provided by the doctor provided instrument as explained in the next section. The adjustment made by Dr. Boylan consists of a hand applied quick and light to moderate pressure/thrust motion to a misaligned vertebra. Most of the time it is accompanied by an audible release of a small amount of gas (oxygen, nitrogen and carbon dioxide) that sounds like a “popping” or “cracking” sound. This is a mostly painless procedure (though short duration, seconds of minor discomfort may occur). By far, in comparison, 99.9% of patients surveyed at this office stated they would much rather have the adjustment than a pain relieving shot (injection). Therapy application may be provided to ease associated muscle, tendon or ligament pain or inflamation to assist in the body’s improvement rate. In times of acute pain, a therapy application to reduce pain and spasm allowing for an easier adjustment may also be provided. We want your treatment experience to be a pleasant one.

Instrument Adjustment

There are times when either due to pain, advanced osteoporosis or a patient just doesn’t like the “popping” or “cracking” noise associated with the hands-on approach to treatment, an instrument called Impulse® may be utilized. Highly researched for superior effectiveness of improving outcome results, this treatment is a hand held device that, as provided by the doctor, produces a light to moderate force of rapid tapping applied to a misaligned vertebra. It may also be applied to various degrees of rigid muscle to provide a comfortable relaxing treatment. Neuromechanical.com

Our various procedures are gentle, safe, effective treatment for ligament damage conditions as well as disc problems including: herniations, bulges and severe degeneration of the joints.

Cox® Treatment

Cox® flexion distraction decompression treatment is a chiropractic adjusting procedure. It is a specific level application of long y axis and flexion distraction vector mild force to treat the following spinal conditions: disc herniation, spinal stenosis, disc degeneration, spondylolisthesis, facet syndrome subluxation, transitional segment, scoliosis, and nerve compression. Coxtechnique.com