Chiropractic Care

What should I expect on my first chiropractic visit?

At your first visit you will be asked to complete a thorough health history. After reviewing this history, we will speak with you about your specific health concerns and goals. Next, you will be examined to determine the nature, extent and cause of any health concerns. Other factors related to your general health and wellness will be considered. If indicated, diagnostic imaging and clinical laboratory studies can be performed. Based on this evaluation, we will provide you with our professional opinion about your health status and recommendations for care, which may include ways to modify lifestyle behaviors to better manage your condition. At the Health Centers of UWS, we believe that every patient is unique and should be treated in a highly individualized manner.

What is a chiropractic adjustment?

An adjustment, or chiropractic manipulation, is a specific technique used to create motion in joints of the body that aren’t moving as they should. Lack of normal joint function can impair not only the mobility of affected joints, but also muscles, nerves and thereby other functions of the body.

A chiropractic physician is highly skilled in using his or her hands to manipulate the joints of the spine or extremities, done so by applying a specific force in a precise direction to the joint. Sometimes there is a “pop” or noise that happens when the joint has been adjusted. This noise is nothing to be alarmed about, nor does it happen every time a chiropractor adjusts a patient. Recent studies have shown that this noise results from naturally occurring gasses surrounding the joint capsule There are many different techniques for chiropractic adjustments, and your doctor will explain specifically how the adjustment will be performed for your situation.

Is chiropractic safe?

Chiropractic care is safe and effective for treating low back pain, neck pain, headaches and other conditions in the spine and extremities. There have been many research studies done on the effectiveness and safety of the chiropractic adjustment.* Your chiropractic physician will help determine if you are a candidate for chiropractic care by performing a history and physical examination during your visit to the Health Centers of UWS.

*Bronfort, et al. Chiropractic & Osteopathy 2010 18:3 “Effectiveness of manual therapies: the UK evidence report” *Goodman et al. (2013), Journal of the American Medical Association
*Korthals-de Bos et al (2003), British Medical Journal
*Haas et al (2005), Journal of Manipulative and Physiological Therapeutics

How do I know if I need chiropractic care?

People of all ages seek care from a chiropractic physician for a variety of reasons. Some have been involved in an accident or have had a traumatic injury with pain or altered function. Others receive chiropractic care to maintain their health and functionality. To determine if you are a candidate for chiropractic care, your doctor will perform a thorough history and examination. It will be determined at the time of your exam if further tests, such as x-rays and lab tests, are warranted.

I’ve heard that many patients that start chiropractic care choose to receive care for the rest of their lives. Is this true?

The answer to this question depends on the reasons and goals for treatment. Many injuries or conditions will be resolved after the completion of a specific care plan that may include in-office treatment and home care recommendations. Some circumstances may require longer treatment to continue to achieve desired levels of health and function. Many factors such as posture, work environment, sleeping habits, and activity levels play into whether a condition will respond to care in the expected time frame. Some patients choose to receive periodic treatment throughout their lives and practice healthy lifestyles to maintain improvements and overall wellbeing. Your doctor will outline the specific prognosis for your conditions and provide you with recommendations for care. Patients always have the opportunity to ask questions and make their own decisions about the care they receive.

Massage Therapy

What should I expect on my first massage therapy visit?

At your first visit you will be asked to complete a health history. You will meet with a licensed massage therapist to evaluate your health status and establish goals for your treatment. In preparation for your massage, you may undress to the degree you are most comfortable. You will remain covered with sheets during your massage to maintain your privacy and only the area being massaged will be uncovered.

Sports Medicine

What should I expect on my first sports clinic visit?

Your initial visit is comprised of a comprehensive evaluation to determine the cause of your injury or pain origin and possible underlying conditions. Then your clinician will discuss an appropriate treatment plan with you. The actual treatment may consist of soft tissue mobilization, chiropractic manipulation/mobilization, taping and rehabilitation/active care. Plan on spending at least an hour at you first visit.

What type of injuries do you treat?

Our sports medicine team can treat acute traumatic injuries and chronic overuse injuries with associated pain and dysfunction. We can also perform pre- and post-surgical rehabilitation.

What type of patients do you treat?

We treat athletes of all ages and skill levels. Our team has experience working with high school, collegiate, semi-professional, Olympic-level and professional athletes. We also treat the recreational “weekend warrior” athlete.

What types of clinicians will I be treated by at the sports clinic?

Most of our clinicians are chiropractic physicians (DCs), with expertise and experience working with sports-related injuries and conditions. Our team also has certified athletic trainers (ATCs) and other medical providers.

What is K (Kinesiology)-tape?

K-tape is an elastic tape that lifts the skin microscopically and helps stabilize and depressurize an area. This gives injured muscles and ligaments the chance to rebuild and restore. K-tape can also be applied to help prevent injuries, improve posture and alignment, and help drain fluids into the lymphatic ducts to decrease swelling and of bruising.

What is IASTM Technique?

IASTM stands for instrument assisted soft tissue mobilization and is a method of soft tissue treatment that utilizes instruments instead of hands. The material of the instruments may consist of stainless steel, plastic or wood. They are an extension of the clinician to assist in detecting and treating acute and chronic soft tissue injuries and inflammation. The instruments create a controlled microtrauma to the affected soft tissue causing a local inflammatory response and facilitates a cascade of healing activities that result in proper remodeling of affected soft tissue structures.

How can I make an appointment?

Call the UWS Campus Health Center at 503-255-6771 and specify that you would like to schedule an appointment with one of our sports medicine clinicians.

If I am not currently participating in sports, may I still make an appointment with the sports medicine clinic?

Yes, definitely! We realize that many people are not currently involved in sports but experience chronic symptoms due to earlier sport or athletic-related injuries.

What services does the UWS sports medicine team provide at sporting events?

The team provides pre- and post-event taping, stretching, chiropractic care, soft-tissue manipulation, injury consultation and injury evaluation. During the event we provide, first responder care, first aid and injury assessment and treatment (which may include referral to the appropriate health care provider).

Does UWS sports medicine cover sporting events?

Yes. If interested, contact Dr. Craig Kawaoka, the clinical director of the MS in exercise and sports science program. In your communication with him, please include the type of sporting event, location, date(s) and time(s), number of participants, etc. A determination is then made about whether the UWS sports medicine team is the appropriate group to cover your particular event. An agreement/contract will be created to confirm specific details.


Does insurance cover my care?

The costs of health care services may be paid in full or in part by insurance, including private indemnity plans, managed care networks, Medicare, workers’ compensation and personal injury coverage. Even if you have insurance, you may be responsible for applicable deductibles, co-payments and any uncovered services. Our office staff will help determine the nature and extent of your coverage to ensure you understand your financial responsibilities in advance.

What if I don’t have insurance coverage?

The Health Centers of UWS strive to make health care accessible for all current and prospective patients. Our fees for services are intended to accommodate payment by those without insurance. Discounts are applied for services paid in full at the time of the visit, thereby reducing our processing costs. Reduced fees are extended to those meeting specific income criteria relative to federal poverty guidelines. Our staff members will be happy to help determine your eligibility for reduced fees for services.