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At Central New York Spine and Rehab, we understand that you may have questions about chiropractic care, cupping, adjustments, physiotherapy, massage, or any other services we offer. To help answer some of these questions, we have compiled a list of frequently asked questions. If you have any other questions or concerns, please don't hesitate to contact us.

  • What should I expect during my first chiropractic visit?
    Your very first appointment with us is usually 45 minutes to an hour. During this time, your provider will go over your medical history and your symptoms. Once your provider has a good amount of information about your medical history and current state of health, they will conduct a physical exam. During this process, you will be asked to lay down on the treatment table so the provider can examine the region of your complaint. Depending on your particular case, you may have to under go x-rays or further diagnostic testing. If your provider sees fit, they will begin treatment on the same visit. Treatment includes massage, cupping therapy and most likely an adjustment. This is to offer you some form of immediate relief if you are experiencing pain. One you have received treatment, your provider will sir down with you and discuss a few basic exercises you can do at home fore pain relief or to strengthen certain muscles. They may also offer advice on nutrition or a change in lifestyle habits. Remember, as with any physical medicine, you cannot expect your complaint to be magically healed after one treatment.
  • Will you be taking x-rays?
    In short, no. We do not x-ray every patient that comes into our clinic. Because of the cumulative and harmful effects of ionizing radiations, x-rays should only be performed when necessary and never as a routine office procedure. There is a common tendency among chiropractors to over use x-ray to hunt for "subluxations" and to promote unnecessary treatment. If you have had previous x-rays performed and would like our provider to view them, you are more than welcome to bring them in. If you have recently been involved in a motor vehicle accident or have experienced a traumatic event and your provider believes there could be a serious issue, you will be referred to a local imaging center to have imaging performed prior to receiving any treatment. In the vast majority of cases, non-complex first-time neck or back pain will resolve with time and simple treatment. In the absence of red flags, when symptoms have not been present for more than a few weeks and there has not been a serious injury, x-ray examination will rarely reveal the cause of the pain, which must be evaluated by physical examination, time, and observation. If symptoms become severe or persist for longer than a month, an x-ray exam might be indicated.
  • Do you take commercial insurance?
    We are currently not in-network with any commercial insurances. If you have out-of-network benefits, you may request a "super bill" from our office and submit it to your insurance company for reimbursement.
  • What is in-network?
    If you are seeing a doctor that accepts your health insurance, they are referred to as "in-network." This means that they signed a contract to accept that insurance. When the doctor's office accepts, they are given a fee schedule for all of the different services that the health insurance company will reimburse them for. The insurance company will then be allowed to dictate how many visits you are allowed to have. It does not matter if you are fully recovered, or not. Most insurance companies lump chiropractic, physical therapy and occupational therapy together for allotted visits.
  • What is out-of-network?
    If you go to an out-of-network provider, most of the time there will be a "flat-fee" for services. The reason our fees are priced relatively low is because we feel that chiropractic treatment is considered a necessity and should not be a luxury. With having a flat-fee and not accepting insurance, our providers are allowed to decide what care is in the best interested for each individual patient. We do not have to jump through hoops to get a service paid for if the insurance company does not allow it. For example, if you have an acute injury and your low back is in spasm, we would use electronic stimulation and ice. If your insurance company does not accept that as a service, then I am unable to perform that service on you, even though it would be beneficial for your condition. We do not agree with that logic, therefore we do not participate with insurance companies.
  • Why are you an out-of-network provider?
    The simplest way to explain why we are out-of-network with all commercial insurances is, being out of allows us to provide better care to our patients, resulting in better outcomes and faster results. After accepting commercial insurance for three years, the number of instances patients were denied services, or their treatment was delayed due to paperwork and insurance hang-ups was astronomical. Through handling claims with our health system in America, it has become glaringly obvious that our ability to help people is dictated and hindered by insurance and healthcare policies. Over the years, reimbursement for therapy services has gotten less and less, which has backed most, if not all in-network facilities into a corner. Healthcare clinics are forced to follow a model where insurance dictates all. If you have ever been to an in-network facility before, maybe a few of these forced practices sounds familiar: - 2-4 (if not more) patients at a time, per provider - Limited time spent with your provider - Having your provider spend more time on the computer than face-to-face with you - Exercises/drills supervised by assistant staff members - Multiple modalities (ice, heat electrical stimulation, ultrasound) performed each visit, and billed for all - Multiple treatments per week Unfortunately, this is how in-network clinics must function to make any sort of profit.
  • I was involved in a car accident. Do I have to pay out of pocket for treatment?
    No! In New York State, chiropractors bill your car insurance policy for your injuries. You do not have to pay for any treatments you receive. Please come to your first appointment prepared with your claim number and your care insurance company name.
  • What is chiropractic care?
    Chiropractic care is a health care profession based on interactions of the spine and nervous system, as well as the surrounding muscles.
  • Are chiropractors doctors?
    Yes- Doctors of Chiropractic (also known as chiropractors) are not medical doctors, but go through a similar education process to become licensed in the field of chiropractic care. In fact, educational requirements for chiropractors are among the most stringent of any health care profession.
  • What types of pain do chiropractors treat?
    Chiropractors are known for their expertise in caring for patients with back pain, neck pain and headaches/migraines. They also treat sports injuries and other disorders involving muscles, ligaments, joints and nerves.
  • What is a chiropractic adjustment?
    A chiropractic adjustment is the are of using a specific, controlled force in a precise direction that is applied to a spinal joint not moving properly or "locked up." The purpose of this natural and sage procedure is to eliminate interference in the nervous system and allow the joints of the spine to move properly. For the patient, this means improved spinal function, reduction in pain and increased range of motion.
  • Do adjustments hurt?
    Chiropractic manipulation is a highly controlled procedure that rarely causes discomfort because minimal force and gentle pressure are used. In fact, most patients experience relief immediately following treatment. Any reported soreness after an initial adjustment has been described similar to that associated with starting a new exercise program. Drinking plenty of water, using an ice pack,, and engaging in light stretching after your first visit can help ease any discomfort.
  • Are adjustments safe?
    Chiropractic care is widely recognized as one of the safest drug-free, non-invasive therapies available for the treatment of most back and neck problems. Spine adjustments are extremely safe when performed by a licensed chiropractor.
  • Are all patients adjusted the same way?
    Each patient's care is unique and therefore customized to meet their specific condition and needs. Your chiropractor will modify adjustments based on your size, weight, age and health condition.
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