Q & A

Q: What kinds of conditions do you treat?

A: Chiropractic care is used most often to treat neuromusculoskeletal complaints, including but not limited to back pain, neck pain, pain in the joints of the arms or legs, and headaches. These can be long-standing, chronic complaints or acute injuries. Below is a partial list of conditions commonly treated at our office.

Achilles Tendonitis
Meniscus Problems
Adhesive Capsulitis (Frozen Shoulder)
Ankle Sprain/Strain
Morton's Neuroma
Ankylosing Spondylitis
Muscle Spasm
Myofascial Pain
Carpal Tunnel Syndrome
Patellofemoral Pain Syndrome
Cervical Disc Syndrome
Patellar Tracking Problems
Cervicobrachial Syndrome
Piriformis Syndrome
Claw Toes
Plantar Fasciosis (“Fasciitis”)
Costosternal Sprain/Strain
Post-Surgical Rehabilitation
Degenerative Disc Disease
Postural Syndrome
Degenerative Joint Disease
Rib Dysfunction
Disc Herniations or Bulges
Rib Sprain/Strain
Elbow Sprain/Strain
Rotator Cuff Strain
Facet Syndrome
Runner's Knee
Groin Pull
Sacroiliac Sprain/Strain
Hallux Rigidus
Hallux Valgus Spinal Stenosis
Sports Injuries
Hand Pain
T4 Syndrome
Thoracic Sprain/Strain
Hip Sprain/Strain
Thoracic Outlet Syndrome
Hip Arthritis
TMJ Disorders
Iliotibial Band Syndrome
Knee Arthritis
Traumatic Injuries & Bone Healing
Lateral Epicondylitis (Tennis Elbow)
Trigger Finger
Lumbar Sprain/Strain
Medial Epicondylitis (Golfer's Elbow)


Follow these links for more specific information about our approach to returning to activity, performance care, avoiding or delaying surgery, chronic pain relief and long-term wellbeing.

Q: Many of those conditions are not spine-related. How do you treat non-spine related problems with chiropractic?

A: Dr. Holderegger uses a variety of methods to treat both spinal and non-spinal complaints, including manipulation, mobilization and various soft tissue techniques. Find out more about the methods that may be used to treat your condition.

Q: I am afraid of adjustments. Can you still help me?

A: Dr. Holderegger has extensive training in gentle treatment modalities for any of the conditions she treats and will tailor your care to your specific needs and preferences. Find out more about our treatment methods.

Q: Why do I need to see the chiropractor multiple times?

A: Like most treatments, chiropractic is not a one-shot deal. Just like medicines or exercises it requires time and repetition to work. Unlike many other treatments however, chiropractic treatment is hands-on and needs to be performed by the doctor in-office. At Centered in Motion we also use the time of your visit to teach you skills to help make your treatments last and to avoid a re-occurrence of your complaint. The doctor's direct supervision ensures that you successfully transition to independent home care.

Q: Do I need a referral from my doctor?

A: Chiropractors are first contact physicians, and are so defined in federal and state regulations. This means that technically no referral is necessary. There are however some insurance plans that have their own rules and require a referral for chiropractic care in order to cover these services. Please check with your insurance carrier before making an appointment. Dr. Holderegger also requires a referral for any patients who are being treated for a worker's compensation injury.

Q: Does my insurance cover chiropractic?

A: There are many different insurance companies and many different coverage plans. We are "in network" with these insurance companies. To find out your complete plan benefits, you can call the number on your insurance card. We will also call your insurance to verify coverage at your first visit. Regardless of insurance coverage, patients are financially responsible for all services not paid for by insurance. They are also responsible for any applicable annual deductibles, copayments or non-covered services as may be required by the insurance plan.

More information on Medicare coverage of Chiropractic here.

Q: What if I don't have insurance?

A: Billing insurance takes a significant amount of time and effort. This is why we offer a discounted flat rate with payment at time of service: A first visit/ new problem exam and treatment costs $120, subsequent visits $70. Our discounted flat rates for full time students without chiropractic insurance (proof of enrollment required) are $60 for the first visit/ new problem exam and treatment, $40 for subsequent visits.

Q: Is Chiropractic cost-effective?

A: Yes. Chiropractic care is less expensive and for many conditions has better long-term outcomes than more invasive procedures. By treating the whole person instead of just the injury site and by focusing on recovering healthy movement patterns and body awareness, chiropractic care facilitates lifestyles that serve to prevent future injuries and disease. Preliminary results from a 2009 study on the cost effectiveness of alternative medicine rank chiropractic as the most cost-effective treatment for neck and back pain as well as lumbar disc herniation. (P. Herman, "Systematic Review of Economic Evaluations: Can CAM be Cost Saving?")

Q: How does a chiropractic adjustment work?

A: Adjustments, whether they are done by hand, using a drop table or an instrument, have one thing in common: they deliver a precise stretch to a joint and its surrounding muscles. This stretch releases muscular or fibrous blockages and lets the joint return to normal movement. But that's not all! It also activates nerve endings called “proprioceptors” in the ligaments and muscles close to the joint. These nerve endings tell the body where the joint is in space (that's how you know if, for example, your toes are curled without having to look at them). The root cause for joint pain and dysfunction is that these proprioceptors aren't working properly Subsequently the joint movements aren't well balanced and coordinated. After an adjustment these nerve endings as well as the deep muscles remain activated for up to five days, thus giving the body time to effectively re-train the joint.

In addition to activating proprioceptors, adjustments calm down other nerve endings called "nociceptors". These nerves report adverse conditions such as lack of joint movement to the brain. The nociceptor type most of us know well is the pain receptor. It gets activated when all else fails, the body's emergency brake so to speak.

All these nociceptors are linked into a larger nerve network that reaches deep into the brain and controls such things as the release of stress hormones, blood pressure, immune function or mood. A restriction (reduced movement) of any joint in the body have a small but significant negative effect on overall health. The release of restrictions will have benefits beyond the immediate relief of better movement.

While a "pop" (a release of gas in the joint, just like when you crack your knuckles) and its associated release of endorphins usually feels good at the time, in the long term an adjustment will have the same effects, pop or no pop.

Learn more about treatment methods used at Centered in Motion.

Q: Is a chiropractic adjustment safe?

A: Chiropractic manipulation is a very safe form of therapy that is performed in selected cases. Like any form of therapy, there is a benefit-to-risk ratio. Cervical (neck) manipulation is the region with the greatest risk of serious complications. Depending upon the source, the risk has been reported to be one in four million (1:4,000,000) to one in twenty-five million (1:25,000,000). As a comparison, the risk associated with an exercise stress test performed during a physical examination on the general population is approximately one in ten thousand (1:10,000).* This means that getting your neck adjusted is at least 400 times safer than taking a stress test. *ACSM Guidelines for Exercise Testing and Prescription, 3rd edition

Q: What is a disc herniation?

A: Discs are flexible plates located between two vertebrae. They are made of a gel-like central substance surrounded by strong fibers that hold the disc together. They allow for movement of the spine while maintaining its ability to support your body weight. In a healthy spine flexibility and stability are balanced, thus allowing the body to move freely without undue wear on joints and discs. If this balance is compromised through bad posture, an accident or repetitive movements, increased wear leads to degeneration of the spinal joints and the discs. Under stress the fibrous ring that surrounds the gel develops weak spots. These spots begin to bulge outward to form a “bulging disc” and can eventually rupture, allowing the gel to escape: a “herniated disc”.

Many people with bulging discs experience no pain or other symptoms. In others there can be severe back pain or even pain and other symptoms into an arm or leg. Painful or not, bulging discs are an indicator that the spine's balance is compromised. Chiropractic combined with physical rehabilitation exercise helps restore this balance to alleviate pain and avoid continued degeneration of the discs and joints.

Herniated discs cause acute, severe pain due to the associated strong inflammatory response. Additionally there can be compression of the spinal cord or of an individual nerve root, which leads to numbness, tingling, weakness or pain into an arm or leg. Many herniated discs can be treated conservatively with chiropractic. However, many if not most cases are co-managed with a medical physician to ensure the best possible outcome.

Depending on the severity of the disc herniation, treatment can take up to one year.

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