Chiropractic Medicine

Zdrada, Maximillan – D.C. View Profile

Medically Integrated Chiropractic Medicine

As chiropractors of the division of physical medicine and rehabilitation (physiatry) we work in close collaboration with the physiatrists, neurologists, neurosurgeons and pain management specialists in order to evaluate, diagnose and manage/treat a wide variety of neuromusculoskeletal conditions.

Medically Integrated Chiropractic Approach

As medically integrated chiropractors, we utilize evidence-based research and best practices guidelines while applying clinical knowledge in many common and uncommon neuromusculoskeletal complaints. We are chiropractic physicians of the neuromusculoskeletal system and biomechanical (movement) function.  We treat and manage many conditions and symptoms from a plethora of diagnoses:

  • Intervertebral disc herniations
  • Degenerative Disc Disease
  • Sciatica
  • Low back pain
  • Neck pain
  • Headaches/Migraines
  • Postural Dysfunctions
  • Arthritis and other degenerative conditions
  • Scoliosis
  • Spondylolisthesis
  • Kyphosis
  • Post-Surgical Spine Pain (Failed Back Surgery)
  • Extremity Pain (Shoulders, Forearms, Wrists, Hands, Thighs, Legs, Ankles and Feet.
  • Motor Vehicle Accident injuries (including soft tissue damage and whiplash)
  • Workers Compensation
What to Expect on your First Day

Upon initial evaluation and consultation you will sit down with 1 of the chiropractic physicians for a thorough history, evaluation and physical examination.  The history taking portion of the examination is a very important part where we spend an extensive amount of time reviewing reports and relevant documents (from other comanaging providers including but not limited to diagnostic imaging and studies).  We take the time to understand your pain and then an expansive and detailed physical examination will take place. This is followed by a discussion with the patient about the potential diagnoses and formulate a specifically tailored treatment program and careful patient education pertinent to the diagnoses. Part of the examination process is determining what the pain generating tissues are and under what aberrant loads reproduce the symptom/s.  Through observation of movement, orthopedic and neuromusculoskeletal examination as well as soft tissue palpation we are able to determine what dysfunctional movement/muscle patterns are present. After the data is gathered, we sit down with the patient and created the specific treatment plan with the goal to decrease their symptoms while increasing the patient’s function and ability to do their activities of daily living. In summary, we evaluate and figure out what is going on with the patient and when necessary, refer them to the appropriate provider for comanagement.

Why Are We Here At NENA

To help integrate the world of Medicine and Manual/Conservative Interventions.

How Do We Fit Into the Group as a Larger Entity

We strive to work in coordination with physicians of many specialties as well as physical therapy and massage therapy in order to provide the patient the most effective care.

Our Alternative Approach to the Traditional Chiropractic Model

Chiropractors are best known for providing spinal manipulation as their primary and often only treatment.  The evidence based medically integrated chiropractic physician evaluates your biomechanical and postural patterns in order to focus in on the most appropriate diagnosis and treatment with you.  Our treatments are fluid and dynamic and not static; as our patients get better our exercises and therapeutic approach may adapt and change according to the needs of our patients. We utilize manual methods that include but are not limited to focused myofascial therapy, neuromuscular reeducation, therapeutic exercise, chiropractic manipulation when appropriate and a specific home exercise program. Our approach is to ascertain the underlying cause of the pain/symptoms rather than focus on pain alone. In our society we are very pain centric but unfortunately when all we do is treat pain we ignore the cause or the reason for the pain being there.  Through an attentive history and physical examination (if you are a candidate for our care) we determine the underlying aberrant loaded tissue and postural pattern (or movement pattern) and via manual treatments and a specifically tailored home exercise program we work with and manage with the patient's symptoms.  There is no effect without a cause and as evidence based chiropractic physicians we treat causes in order to help the patient restore function thereby decreasing pain and increasing their ability to do their activities of daily living.

Fostering an Independent Relationship

One of our core values as evidence based chiropractic physicians is to create and grow an independent relationship with our patients. One of our goals from the initial evaluation is to educate and empower our patients regarding their diagnosis. Through better understanding of the condition/s we can create realistic expectations for healing and recovery of the neuromusculoskeletal diagnosis.

Are you a candidate for medically integrated chiropractic medicine?

Our patient base range from all ages and all body types from young adolescents all the way up towards Centenerians.  Their complaints range from headaches, neck pain back pain to leg pain and arm pain.

If you would like to speak with one of our medically integrated chiropractic physicians call NENA and schedule a consultation with Dr. Schoonman or Dr. Zdrada.

Your goals are our goals. Disease doesn’t show up overnight and neither does health, we are either working towards one or the other, what is your choice?

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