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TMJ Disorder -TemporoMandibular Joint Message Board
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Old 01-13-2009, 08:45 PM   #1
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CaydenJ HB User
What should I ask the Upper Cervical Chiro?

I will be going to see an upper cervical chiro soon for x-rays and testing so I would like to hear from you guys what questions I should ask. Do you have any good ones ranging from the general important "must ask" questions to the more in depth ones?

Thanks.

Also, does anyone know exactly what type of x-rays are needed? Meaning the angles etc.

Last edited by CaydenJ; 01-13-2009 at 11:06 PM.

 
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Old 01-14-2009, 09:28 AM   #2
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Thelma-Louise HB User
Re: What should I ask the Upper Cervical Chiro?

I have only been to one NUCCA chiro and stayed in treatment with him for 7-8 mos.

Obviously the important questions should be how much for the xray, how much for each visit and does he accept insurance or provide a statemetnt which includes diagnosis and procedure codes that you can submit to your med ins for some reimbursement. You may want to find out if he uses an orthogonal machine or does the adjustments manually.

The chiro I went to took 2 xrays - basically me standing up in front of the screen and then also did a surface EMG - basically a hand held wand attached to a computer which he rolled across the bare surface of my back to get a reading of muscle fatigue and tension along the c-spine and spinal column.

He then took the xray films and charted out measurements on it to determine if and how far the atlas was rotated and then put this up on the wall magnified so he could show me his measurements, and where my atlas was and where it should be - I was 3/4 degree rotated toward the left. He then prepared a pamphlet for me that outlined how long my treatment would take (est # of adjustments), how often I should go for the adjustments (2x weekly for the first 4 months and then 1x weekly afterwards) and an est of how much it would cost and he offered 2 diff payment options - pay for each adjustment on the day of the visit or pay a lump sum up front for a group of visits that would yield a discount of $5 off each individual visit. He also had me watch a video of an actual adjsutment being done so I would know what to expect. He did not accept insurance but did provide statements which I mailed to my med insurance and received partial reimbursement.

I found the first several adjustments were the most productive in terms of immediate results as that is when the atlas is mostly re-positioned - with subsequent adjustments more about keeping it in place or holding the adjustment.

Good Luck with your appt - I hope it turns out to be a positive experience for you.

Last edited by Thelma-Louise; 01-14-2009 at 09:29 AM.

 
Old 01-14-2009, 01:31 PM   #3
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loudawg HB User
Re: What should I ask the Upper Cervical Chiro?

Hi CaydenJ,
I would ask what is his / her recommendation for working with your TMJ dentist - is it recommended that you see your TMJ dentist immediately after adjustments? Does he / she work w/ TMJ dentists normally? If so who?

I would also ask about past experiences with TMJ-related patients.
-Loudawg

 
Old 01-14-2009, 01:39 PM   #4
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CaydenJ HB User
Re: What should I ask the Upper Cervical Chiro?

Thanks T-L. When I went to the first chiro for the consult and he measured me, he also did that muscle fatigue/tension scan and I got a red "SEVERE" reading. I'm guessing you got that as well.

How are things going for you? Are you still seeing the cranial chiro?

 
Old 01-14-2009, 03:55 PM   #5
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pipdog HB User
Re: What should I ask the Upper Cervical Chiro?

Cayden hi,

I would certainly ask what kind of experience they have in working in tandem with TMD dentists. The dentist I see said I should have my splint adjustment immediately after the NUCCA adjustment and in fact I shouldn't even close my mouth until the splint has been corrected. Luckily they are only 5 minutes apart.

I would also ask what makes them think you are a candidate for their type of care.

From my experience they won't take x-rays unless they have a strong suspicion that you have spinal misalignment issues. If you do then it will be visible in your posture as when the atlas is out the body will compensate, the head will be tilted, the shoulders and pelvis uneven and then the deal maker, one leg shorter than the other. If you have all of these then you can be pretty sure something is out of whack.

They take three x-rays, from the front the side and the back and its a proceadure as you have to be positioned into a certain very orthagonal position and when they get you there they clamp your head so you cant move.

Good luck with your appointment!

Last edited by pipdog; 01-14-2009 at 04:05 PM.

 
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