1st visit: Cost R490.00 (20 – 30 min) During your initial visit your primary reason for visiting the Constantia Chiropractic Clinic will be assessed. This consultation will include certain, or all of the following: Full history (chiropractic and medical) Examination (including orthopedic, neurological, blood pressure, range of motion, static and motion palpation, muscle tone assessment, gait and balance assessment, myofascial assessment) Myofascial trigger point release Possible referral for X Ray evaluation Specific care plan Chiropractic adjustment 2nd and subsequent follow up visits (3 Phases of Care Plan): Cost R390.00 / visit (15 min) Follow up assessment X-Ray evaluation (if applicable) Chiropractic adjustment Possible additional management : – Graston technique – Stretching exercises – Strengthening exercises (possible referral for back care classes, osteoporosis care classes, muscle tone classes) – Posture and ergonomic advice – Nutritional advise and appropriate supplement recommendation Managing chiropractic conditions effectively requires three phases of care in order to provide the best results. Acute Phase Care This phase of care is designed to improve the motion and flexibility of the involved segments of your spine. During this phase, with improved joint mobility, there will be decreased swelling, inflammation and muscle spasm, leading to decreased pain. Through this phase patients are typically seen 2-3 times a week. Regular and repetitive treatments are absolutely necessary to facilitate the healing process. Corrective Phase Care Once joint motion of the involved spinal segments has been re-established, the frequency of care will decrease to once a week. During this time, you will be instructed on techniques that will aid in your long-term improvement. Therapeutic stretches, rehabilitative postural exercises, ergonomics, and other factors that promote the healing of supportive soft tissues (muscles, ligaments, tendon, connective tissue) will be discussed. Common factors that lead to relapse are insufficient muscular support, repetitive daily activities and joint degeneration. These factors must be addressed to achieve correction and/or stabilization of your condition. Wellness Phase Care Many people choose to continue benefiting from chiropractic with periodic spinal adjustments. These visits typically occur once every 4 to 6 weeks, on a maintenance and preventative basis. The goals of Wellness Care include locating minor problems before they become more serious, minimizing the arthritic changes that occur due to poor joint motion and alignment, reducing the likelihood of flare-ups in problem joints, and maximizing your quality of life by maintaining mobility as you age. Patients are guided through the 3 phases of care to return to, and maintain, full function in the quickest, but safest time frame.