Most patients first present to the office with a specific symptom (back pain, headaches, neck pain, etc.). A careful chiropractic evaluation is important on the first visit to find the underlying cause of your symptom and determine if chiropractic care can help. This will include a complete health history as well as a thorough orthopedic, neurological and chiropractic examination. X-rays may be taken to evaluate spinal integrity and any structural changes that may be due to injury, arthritis or abnormal posture. The examination helps to determine the areas which will be addressed with chiropractic treatment. These examination findings will be reviewed with you and your treatment options and goals for care discussed. A typical treatment program is likely to include manipulation (adjustments), exercises, postural advice and possible lifestyle modification. Progress is monitored with periodic reevaluations until your problem is resolved or you have reached your particular health goal. Chiropractic care is active treatment that requires patient participation.