Frequently Asked Questions

You’ll learn a lot at the first visit; get a jump start.

[accordion id=”faq1″ title=”How long will it take to feel better?”]Most patients walk out of the office feeling better- not necessarily cured, but better. This is, of course, a very difficult question because we see such a vast variety of patients. We see patients for low back pain, neck pain, shoulder dysfunction, knee complaints, ankle sprains, jaw pain, and migraine headaches, just to name a few chief complaints. Often times by the time a patient finds us, she or he has had the problem for a while and often has seen other health care providers with little or no improvement. Therefore, a generic answer to this question doesn’t work, but most patients feel dramatically better within the first couple of visits. We spend more time with each patient during the visit and therefore need to see them less often.

[accordion id=”faq2″ title=”How do you get patients out of care more quickly?”]Each patient is different and each visit is different because we know things probably shifted since we last saw you. By spending more time evaluating each patient at each visit, we find the root of that particular patient’s problem. This way, a patient gets better more quickly than if the doctor only spends a couple minutes at each visit treating the problem as it manifested during the initial visit. In short, we take extra time at each visit. We test and retest, we invest heavily in continuing education, and, at each visit, we listen to the patient and to the patient’s body.[/accordion]

[accordion id=”faq3″ title=”Why should I see you for my sports injury?”]Our doctors have obtained the postgraduate designation of Certified Chiropractic Sports Practitioner (CCSP®) by the American Chiropractic Board of Sports Physicians (ACBSP). In order to qualify for the CCSP® certification the doctor attended a 120 hour program. This instruction is specific to physical fitness and the evaluation and treatment of injuries encountered in sports. Following the completion of these hours, the doctor must then take and successfully pass comprehensive written board examination. This training aids the doctor in the prevention and treatment of athletic injuries by enhancing our diagnostic skills and patient care. The CCSP® accreditation exists to provide a uniform standard of education that assures teams and athletes that the doctor has met a minimum level of competency in chiropractic sports medicine. By having this additional training they are able to care for professional and Olympic athletes from across the globe.[/accordion]

[accordion id=”faq4″ title=”What should I expect on my first visit?”]You will spend about an hour face-to-face with your doctor. They will conduct a thorough medical history and go over the documents that you downloaded from this site and filled out before your arrival. They will listen to your concerns. They will answer your questions. During your adjustment, they will explain what they is doing and why and answer any new questions that come up once your are being adjusted. After your adjustment, they will retest you, double-checking our work. You will not feel rushed, left behind, or unclear about what is going on. Your goals will direct the visit.[/accordion]

[accordion id=”faq5″ title=”How will the adjustment help me?”]Chiropractic adjustments by themselves do not actually heal the body. Your body is controlled by your nervous system. Your nerves run signals back and forth between your body and your brain. The 24 moveable spinal vertebrae become misaligned from traumatic incidents like a fall, from the accumulative impact of common day-to-day behaviors like hunching over your laptop or walking unevenly all day. When they are out of alignment, they impede the nerves’ path. This further contributes to the stress on your body. In short, it makes it harder for all the millions of pieces in your body to do their jobs. Chiropractic adjustments help eliminate that imbalance or disruption so that the body can function at its true potential.[/accordion]

[accordion id=”faq6″ title=”How are you different?”]Our doctors are constantly studying to improve their  ability to provide you with the best healthcare possible. They prioritizes continuing education, seeking out seminars and programs through which they can improve their  skills and develop new ones. They always exceed the annual state-mandated continuing education hours in a quest to have you walk out feeling better. Both Dr. Cohen and Dr. Schilling obtained the postgraduate designation of Certified Chiropractic Sports Practitioner (CCSP®) by the American Chiropractic Board of Sports Physicians (ACBSP). To become certified in both, a doctor must attend a rigorous post-doctoral course and pass a practical examination. In San Francisco, there are no doctors who hold both certifications. The doctors integrate functional blood chemistry into their practice to identify imbalances in your metabolism, and, thus, sub-prime operation of your principal bodily functions. A blood chemistry panel measures biomarkers in your blood and urine to identify health risks and sources of health complaints.[/accordion]

[accordion id=”faq7″ title=”What is Applied Kinesiology (AK)?”]Applied Kinesiology is the use of manual muscle testing to evaluate body function through the dynamics of the musculoskeletal system. Basically, AK evaluates how efficiently the nerves are running between your brain and your muscles by testing how fast your muscles are “firing.” This shows the doctors where there are imbalances in the nervous system, in other words, where there are subluxations that they need to adjust. The great thing about AK is that the tests are fast and incredibly clear. You can see your body function better immediately by comparing a before and after test. This allows you to determine if the treatment is working at each visit.[/accordion]

[accordion id=”faq8″ title=”What is Functional Blood Chemistry?”]A blood chemistry panel is the most efficient screening tool for your doctor to assess your health. It is an effective and inexpensive way to identify imbalances in your metabolism, and, thus, sub-prime operation of your principal bodily functions.A blood chemistry panel measures biomarkers in your blood and urine after a short fast. We analyze the results in light of your thorough medical history, identifying patterns that indicate health risks. If there is disease indicated, we will refer you to the appropriate professional for further care. Generally, we find imbalances that we can address with supplements and lifestyle modifications like diet and activity. These conservative, non-invasive approaches allow us to act on early warning signals from your body, keep you in great health and prevent deterioration to disease.The blood chemistry analysis offered by ProActive Chiropractic differs from most blood tests in two key features: first, we measure 65+ biomarkers in your blood and urine, far more than most doctors consider. Second, we measure those biomarkers on the functional range, not the pathological range.The functional range gauges risk for disease before any disorder arises. The pathological range detects disease. In the common medical field, your lab work is “flagged” when you slide out of the pathological range. The pathological range compares your health to people with a disease, whereas the functional range compares you to your healthy ideal. The difference between these ranges is the degree of deviation that each considers healthy and the point on the spectrum at which your healthcare provider will intervene.[/accordion]

[accordion id=”faq9″ title=”Are neck adjustments safe?”]Yes, as safe as simply walking into your medical doctors office. The Neck Pain Task Force Report of the Bone and Joint Decade 2000-2010, a study sanctioned by the United Nations and the World Health Organization) indicates neck manipulation is a safe and effective form of health care,” according to the medical journal Spine. The study, which analyzed nine years’ worth of data from a population of 110-million person years, concluded that vertebrobasilar artery (VBA) stroke is a very rare event and that the risk of VBA stroke following a visit to a chiropractor’s office appears to be no different than the risk of VBA stroke following a visit to the office of a primary care medical physician (PCP).[/accordion]

[accordion id=”faq10″ title=”Will it hurt?”]It is not nearly as dramatic as you might think. Does cracking your knuckles hurt? No, but it sometimes makes an impressive noise! There are many different ways to make an adjustment to the body. If you’re afraid it might hurt or are anxious about any part of your visit, just let us know and we’ll find an approach that you’re comfortable with. Our doctors have many different high tech tools to assist with the corrections as well.[/accordion]

[accordion id=”faq11″ title=”Do you take insurance?”]We are not in-network, but provide patients with a superbill that they can submit to their insurance company if they have chiropractic coverage and the insurance company reimburses them directly. Much of what we do insurance companies consider outside of “medical necessity.” Their goal is to patch you up whereas our goal is to improve your health and prevent future problems as best we can. So they don’t value the extra time we take to teach you how to take care of your body and to look at you as a whole person. Insurance companies “streamlined” care so that you only get a few minutes with the doctor who quickly jumps to a conclusion as to what’s wrong and delivers the treatment (whether it’s a quick prescription or adjustment). As mentioned before, we practice healthcare the old-fashioned way and treat you the way we’d like to be treated. Health Savings Plans are a great fit because you can use pre-tax dollars for your care.[/accordion]

[accordion id=”faq12″ title=”How much does the care cost?”]The first exam and treatment is backed by our Unique Satisfaction Pledge. A follow-up visit is similar to the cost of a massage or a personal training session.  But let’s look at this closer because this is a complex question when weigh the options. To honestly answer the question you have to ask how much is your time worth. We typically get people better in 1/3 to 1/2 of the visits the doctor down the street takes. So how much is your time worth to commute there, wait in their office for 15 minutes to be put in a room to wait another 5 or 10 minutes to spend 2-10 minutes with the doctor three times a week. We rarely see a patient more than once a week and quickly push visits out to every 3 weeks. What’s your time worth? That said, as we tailor a treatment plan to your individual health needs, we are mindful of your economic concerns as well. Remember, our healthcare philosophy was born volunteering in third-world countries. Effective care that is efficient long term is our goal.[/accordion]

[accordion id=”faq13″ title=”How does chiropractic education compare to medical school?”]As a primary care provider, the doctor of chiropractic has a high level of education and training in areas of diagnosis and clinical sciences.  This document compares the similarities and differences in the programs.[/accordion]