Be ready to provide your comprehensive medical history, which will be essential for preparing a course of treatment for you. Medical records, such as diagnostic test results, or imaging results, such as X-rays and MRIs, also will provide important information about your condition and will be reviewed.

Past medical history provides important insight that will allow your doctor to properly diagnose your problem. Such information may include whether you have or have had:

  • Bone disorders, such as osteoporosis
  • Circulatory problems (poor circulation could be a sign that you have a subluxation, for example)
  • Dizziness, blurred vision, ringing in ears
  • Heart conditions such as hypertension or high blood pressure
  • Infections, especially those affecting your spine
  • Injuries, such as bone fractures, muscle sprains, or disc injuries
  • Joint disorders such as arthritis
  • Sleep apnea

Be prepared to answer such questions as:

  • Did the onset of your pain immediately follow an injury?
  • Is there anything you do that improves or worsens the pain?
  • When and how did your pain start?
  • Where is the pain centered?

The physical exam

Based on your symptoms and medical history an appropiate physical examination will be performed starting with a review of systems, including vital signs, reflexes, and blood pressure.

Your doctor will evaluate your motor skills, balance, and gait, among other things through thorough orthopaedic and neurologic tests. Further diagnostic testing, if medically necessary, may be ordered by the doctor; NMS refers out for these services.  These tests may include MRIs, CT scans, X-rays, blood work, and other laboratory tests.

Your doctor may also consult with you about making important lifestyle changes, such as exercise, nutrition, and smoking cessation to improve your chances of healing faster or preventing further injury.