Your chiropractic diagnostic Your health on a daily basis your chiropractic Therapeutic use of ice and heat Sleep Position report of findings Your pillow should keep your neck aligned with the Skull rest of your spine. HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN ICE : For severe injuries (first 48 hours), swellings, bruises, sprains, stabbing pains • On your back side, place a pillow under your knees or joint pains. to ease spinal tensions. NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • VERTEBRAE C1 1. Apply ice or gel pack. EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • C2 • On your side, a pillow between your knees will avoid C3 2. Always use a thin piece of cloth between the ice pack and your skin. SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS HEADACHES • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • Cervical C4 3. Apply ice for 10 to 12 minutes every hour. having a twisted torso and spine. C5 C6 4. In subacute or chronic conditions, ice can be used 2 to 3 times for 10 to 12 minutes • Never sleep on your stomach. TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES C7 every day. DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • T1 5. NEVER leave ice on for more than 12 minutes. Never apply ice during sleep. T2 Mattress Choice ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN EARACHES• SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • T3 A mattress should support your body weight. It should SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • T4 conform to your hips and shoulders. BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • T5 HEAT : For chronic muscle tensions, fatigue, mild pain (to relax muscles and Proper CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • T6 increase blood flow). TORTICOLLIS Thoracic 1. Apply gel pack, hot-water bottle, heating pad or take a warm bath or shower. mattress TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • T7 2. Wrap a wet tea towel around the heat source (except for electric heating pad) help HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN T8 the heat penetrate. NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • T9 3. Apply heat for 20 minutes only. NECK PAIN T10 4. NEVER apply heat on acute swelling (inflammation) or bruise. NEVER sleep on an EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS electric heating pad or heat pack. Mattress SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • T11 too soft TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES T12 IMPORTANT: Ask your chiropractor what option is best for you. Should your pain DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES •BURSITI TORTICOLLIS •S NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS L1 increase with either the use of ice or heat, let your chiropractor know as soon as possible. ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS L2 Lumbar Mattress SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • L3 Recommandations: too firm BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONSEPICON •D SCIATICYLITI PAINS • CHRONIC PAIN • SPRAINS • HEADACHES • L4 CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • Spinal L5 TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • S1 deformities S2 HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN S3 Your posture: The mirror of health TENDINITIS NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • Sacrum S4 The negative effects of Forward Head Posture. S5 EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • Coccyx 12 lbs / 5,2 kg 32 lbs / 13,9 kg 42 lbs / 18,25 kg Hyperkyphosis Hyperlordosis Scoliosis SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS NUMBNESS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES Your program of care DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • Your program of care consists of three steps. The frequency of visits and length of care depends on your health status. ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS ARTHRIT • NECK PAIN I•S BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • 1 Relief step 2 Rehabilitation step 3 Optimization and BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • At this stage, chiropractic adjustments are During this period, the frequency of wellness care CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • frequent and target pain reduction. Everyone adjustments is reduced. Your chiropractor This step encourages you to adopt daily lifestyle TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONSBACK • SCIATIC PAIN PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • reacts differently to adjustments. Some experience aims to optimize your spinal nervous function. changes and develop wellness strategies. Visits HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN feelings of well-being while others may experience to your chiropractor aim to optimize spinal and NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • soreness or discomfort. Whatever your situation, nervous system functions. please share with your chiropractor. EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS DISC • HERNIATIONSNUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • ______visits per week for ______weeks ______visit(s) per week for ______weeks TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES NORMAL AVANCED AVANCED ______visits per week for ______weeks ______visit(s) per month for ______months ______visit(s) per month DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • POSTURE 2 in / 5 cm 3 in / 7,5 cm This diagram shows how faulty SCIATIC PAIN ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • Progressive evaluation every ______visits Progressive evaluation every ______visits Progressive evaluation every ______visits Every 1 inch/2,5 cm of Forward Head Posture can add up feet imbalance can impact your SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • to 10 lbs/4,5 kg of apparent weight or resultant force on body’s global mechanic and create BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • your spine. Ref.: Kapandji, Physiology of Joints, Vol. 3 neurovertebral problems. Wellness Care VS Relief Care CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS C • HRONICEPICONDYLITIS •PAIN TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • WELLNESS CARE OPTIMAL YOUR DECISION Other recommendations and suggested lifestyle changes: HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN Neurovertebral function HEALTH optimization NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC SPRAINS PAIN • SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • REHABILITATION CARE SYMPTOM SPRAINS • HEADACHES • EARACHES • TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • Neurovertebral function RELAPSE RELIEF TORTICOLLIS • NECK PAIN • BURSITIS • EPICONDYLITIS • TENDINITIS • NUMBNESS • ARTHRITIS • BACK PAIN • DISC HERNIATIONS • SCIATIC PAIN • CHRONIC PAIN • SPRAINS • HEADACHES regeneration RELAPSE

RELAPSE DISC HERNIATIONS • SCIATIC PAIN • BACK PAIN • CHRONIC PAIN • HEADACHES • EARACHES • TORTICOLLIS • ARTHRITIS • NECK PAIN • BURSITIS • ÉPICONDYLITES • TENDINITES • ENGOURDISSEMENTS • ENTORSES •

RELIEF CARE Patient name: Date: Inflammation, OBVIOUS irritation and dysfunction = Chiropractic care SYMPTOMS

This graphic illustrates your rehabilitation steps. The interruption of your chiropractic care program can cause relapses. 2 Rev. PROMO-CHIRO RF-02E © 2016 Each relapse diminishes the possibility of reaching your optimal heart. Accumulated, it can lead to permanent lesions. (osteoarthritis, diminishing mobility, etc.) Good to know symptomatic. allow usto detect new problems before they tuning becomeyourwill body’s neural and spinal function and chiropractic care) willhelpyou beat your best by fine perseverance. Keep inmindthat regular visits(periodic Your body’s complete recovery requires patience and • or functions; • you are painfree: An importantdecisionshouldbetaken before oronce and musclerecovery. Most symptoms subsidebefore proper spinalligament pain returns. To interrupt your care andconsult onlywhenthe in order to optimize your neuromusculoskeletal To follow ourrecommendations ofcontinued care WELCOMEWELCOME function. your spine. These adjustments allow your bodyto connect withitsabilityfor optimalnervous andspinal adjustments consist ofprecise low force, low amplitudemovements directed to oneorseveral vertebrae of Chiropractic adjustments, applied by handsorby instruments, helpcorrect spinalsubluxations. Spinal understanding ofthesenotionswillhelpyou inyour quest for optimalhealth. vertebral column alignment,ofadequate spinalmovement, ofgoodposture andoptimalnerve flow. The wise To understand what chiropractic candofor you, itisnecessary to understand theimportance ofproper The spinalcolumn isavitalpart ofthehumanbody. various optionsavailable to you. of dysfunctions includingvertebral subluxations. The following pagescontain your test results aswell asthe your coordination even your sportsperformances canbenefit from optimalspinalandnervous function. proper balance andregulate anormalbodytemperature of98,6˚For37,0˚C. Your muscularhealth,your reflexes, nervous system. This allows you to move freely, transmit information to the brain, manage its five senses,maintain It istherefore essential to reduce andhopefullyeliminate any vertebral subluxations that may interfere withyour The nervous system controls and coordinates all other organs and structures, and relates the individual to its environment. A We value your trust. between usisavitalpartofyour healthrecovery. you the highest standard chiropractic care. Feel free to ask questions about your progress. Clear communication You neednotfeel hopeless dueto painsanddiscomforts. Follow ourrecommendations. We promise to offer We are here to helpyou. Your chiropractor thorough chiropractic examination ofyour spineandnervous system was performed to findthepresence system imbalance. personal alarmsystem ofamuchlarger nervous THE EXPRESSION OFPAIN Pain you feel causes ofpain The hidden you feel isyour (1) Gray’s Anatomy, 30thedition (1) (L4, 5;S1,2,3) nerve (sciatic) Common peroneal Digital nerve Radial nerve (C8; T1) Ulnar nerve (C5, 6,7, 8;T1) Median nerve nerve (C5, 6,7) Musculocutaneous skin your autonomic nervous system Your organs are controlled by (L2, 3,4) Femoral nerve (Your musclesare controlled by your nerves) Your neuromuscular exam results Lumbar vertebra and spinalcord pulposus Nucleus fibrosus Annulus nerve Spinal process Spinous { Cranial nerves cord Spinal nerves Intercostal fluid Cerebrospinal { disc intervertebral Normal organs reproductive small intestine pancreas bladder gallbladder intestine large bronchi trachea salivairy glands lacrimal glands nasal mucosa kidney adrenal glands submandibular glands sublingual and eyes stomach liver Anterior tibialis heart Pectoralis major Wrist flexors fasciae latae Tensor Biceps brachii Adductors longus Peroneus * For understanding purposes only: This diagram represents asevere case of spinaldisc herniation.

slowing your breathing, activating your digestion andlowering your bloodpressure. The parasympathetic nervous system regulates optimalbodilyrhythms suchas digestive functionsandburnstheglucose reserves. cardiac andrespiratory rhythms, increases thearterial pressure, slows the The sympathetic nervous system governs defense and stress, speeds the There are two divisions: The autonomic nervous system works withoutyour awareness. (view from above) • The parasympathetic nervous system • The sympathetic nervous system Disc herniation* prolapse disc Intervertebral Quadriceps { Sternocleidomastoid { Abdominals Interosseous maximus Gluteus Gastrocnemius Latissimus dorsi Trapezius Infraspinatus extensors Wrist Deltoid Triceps Hamstring { iliac bones joined to the vertebrae 5 fused vertebrae Thoracic on thelevel depending 1 or2ribs, attached to each are Sacrum Your skeletal exam results Untreated VSC may leadto chronic pain. changes injointmobility, muscletone andneurological dysfunction. an impactonthenervous system. The mobilityloss may leadto in theligaments,musclesandtendons are affected andmay have mobility between two spinalsegments.Mechanoreceptors found Vertebral subluxation complex (VSC) occurs whenthere isalimited 12 Vertebral subluxation complex

{ { Normal } } } mobility and increased flexibility light for vertebrae Cervical vertebrae Lumbar Coccyx torso head and weight of support vertebrae merged 3 to 5 7 5 vertebra Subluxated disc intervertebral Affected Collarbone Sternum Fibula Tibia Femur head (Hip) Femoral Radius Ulna Humerus Frontal joint Inflamed Vertebral subluxation complex… chiropractic care. is themainreason ofregular • canreappear over thecourse ofyour activitiesof • • • • • •

can bepainfulornot daily living can reduce your vitality, energy andendurance positioning and/or thebirthprocess can belinked to faulty pre-birth intrauterine can affect every organ, tissue orbodysystem is often difficult to correct for longstanding issues is oneofthemainreason for chiropractic visits stress level ishigh mandibular joint Temporo- Floating rib Temporal (Pelvic bone) Ilium Ribs Patella { Calcaneus epicondyle Medial epicondyle Lateral Sacrum Scapula Coccyx Occipital Atlas ; however, itisoften (C1) felt whenyour Parietal Axis cage Rib Ischium { humerus Head of (C2)