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South Sound Pain Relief Clin nic

Providing Qualitty Conservative Musculoskeletal Care C Since 2002

SSPRC M Mission To Serve Our Patients byy Relieving g Pain and Restoring Health H Through Conservative, Manual Care. Conservative Care

SSPRC Vision We provide:  Conservative, manual interrventions for musculoskeletal conditions.  A welcoming environment that t contributes to healing and wellwell-being. g  Personal empowerment thrrough understanding health problems.  Referral network of healthc care providers.  Prompt, p , considerate service e.

SSPRC Values Clinical Excellence  Integrity I t it  Compassion  Patient Empowerment  Professionalism 

Our Office Guarantee Our O office ffi guarantee t e is i simple i l and d reflects fl t the integritty of our staff:

“We serve our commun nityy for the benefit of the patients. If we cannot ot help a patient with our services,, we will reefer them to the most appropriate pro oviders who can. �

Where To o Find Us Our office is located in n West Olympia in the Parkmont Office Com mplex, near the West Ol Olympia i Athletic Athl ti Clu Club b and d the th Red R d Cross. C Phone: (360)-943 943--2940 F Fax: (360)-943 943--5616

Office Hours Dr. Neely’s Hours Monday 8-1 and 3 3--6 Tuesday 8-1 and 3 3--6 Thursday 8-1 and 3 3--6 Friday 8-1 and 3 3--6

M Massage Th Therapy H Hours Monday y Tuesday Wednesday Thursday Friday Saturday

8-7:30 8-7:30 8 8--7:30 8-7:30 8-7:30 8-11

*Hours are variable based on therapist availability.

Introducing the Doctors and d Staff S ff Michael W.. Neely, DC Elod T T. Borromiza, romiza DC Christin Brrown, LMP Yarrow Y M Mo organ, LMP Elizabeth Srnka, S LMP Laura We esen, LMP Jennifer Veitenh hans,, Front Desk

Dr. Michae el W. Neely 

Owner of South Sound Pain Relief Clinic, formerly Integral Chiropractic.

Director of Anatomy, Physiology, and Pathology – Bodymechanics School of Myotherapy and Massage

The only Graston Technique Instrument Assisted Soft Tissue Manipulation practitioner currently in the South Sound Region.

Dr. Elod T.. Boromiza 

Dr. Boromiza is a g graduate of New York Chiropractic College.

Completed interdisciplinary rotations in the Veterans Administration Hospitals in Rochester and Canadaigua Canadaigua,, New York.

Dr. Boromiza will be joining us later this summer, 2009.

Meet Ou ur Staff Jennifer Veitenhans Front Desk Staff Jennifer has many years of experience in the health care fi ld serving field, i patients ti t and d staff by keeping the office g smoothlyy in a warm,, running friendly environment.

Massage Therapist T Yarrow Morgan, LMP ď Ž

Yarrow has over fourteen years working in the massage field, with h over 8 years in a clinical setting. setting She specializes in injury treatmentt, deep tissue, and pregnancy massage. Yarrow integrates Reiki t i i into training i t her h treatments t t t and d she is an experienced doula. Yarrow also teaches postural assessment and massage g technique at the Bodymechanics School.

Massage Therapist T Laura Wesen, Wesen, LMP ď Ž

Laura has over twelve years working g in the massage g profession, with six years in a clinical setting. She holds an advanced certification in Medical Massage and completed the doula program at Seattle Midwifery School. Laura specializes in injury treatment, deep tissue, pregnancy massage, and relaxation.

Massage Therapist T ď Ž

Shannon McFall, LMP Shannon is a graduate of the Bodymechanics School. Shannon has trained in deep tissue, injury treatment, sports massage, pregnancy massage, generall relaxation, l and structural relief techniques. Shannon is also currentlyy in the e process of obtaining her craniosacral certification. certification

Massage Therapist T Timothy Ames, LMP ď Ž

Tim is also a graduate of the Bodymechanics School. School He has trained in injury treatment, deep tissue, Swedish, d h sports massage, and general relaxation. Tim has worked in a clinical setting since his graduation from massage school. school

What Do We W Treat ? 

We e specialize spec a e in tthe ee evalua a ua ation at o a and d treatment t eat e t o of neuromusculoskeletal (NMS S) disorders.

We excel in the treatment of low back pain, neck pain, and headaches, including disc d injury, and soft tissue injuries.

Virtually 100% of what we treat is of a musculoskeletal origin and responds very well w to conservative NMS care.

Commonly Trea ated Conditions  

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Neck pain, arm pain, and hea adache Low back and/or leg pain inclluding HNP/radiculopathy (usually treated conservativelly with flexionflexion-distraction, manipulation, and soft tissue release) Extremity sprain/strain Carpal/Tarsal Tunnel Syndrom mes Facet syndrome, myofascial pain p syndrome Motor vehicle and workers co ompensation injuries Fibromyalgia (multidisciplinarry approach preferred – MD/ DC/ counseling or psychotherrapy/ nutritional counseling/ exercise counseling) Scoliosis evaluation/ managem ment

Common Indications: Neck p pain,, cervicogenic g headaches, cervical disc syndromes with or without non-progressive radiculopathy (in conjunction with other modalities) d liti ) Lumbar Manipulation Common Indications: Low back L b k pain, i lumbar l b disc di syndromes with or without g radiculopathy y non-progressive (in conjunction with other modalities)

Cervical Manipulation

Treatment Modalities Offered Off db by tthe th Doctors D t 

Physical/ Manual Mediciine Procedures Including: – Joint manipulation/ mobilization bili ti – Multiple soft tissue therapies – Manual flexion/ distraction and inversion traction therapies

– Therapeutic stretching and d exercise i home h care training – Some modalities (ice/ heat/ ice massage) p g and bracing g – Taping – ADL/ nutritional counseling

Talus Manipulation

Lunate Manipulation

Most Common Indication:

Most Common Indication:

Talar immobility due t inversion to i i sprain i

Fallen lunate common in i C Carpall Tunnel Syndrome

Graston Technique T

Instrument Assisted So oft Tissue Manipulation ď Ž

Dr. Neely is currently the only certified Graston Instrument A Assisted Soft Tissue Manipulation practitio oner in the South Sound region. g

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For more information p please see the website: www.grastontechn

Graston Technique for Carpal Tunnel Syndrome

Clinical Mass sage Therapy Well over ninety percent of the massage provided at this clinic is clinical massage therapy therapy. O Our therapists excel at working with musculoskeletal injuries, primarily p under the referral of a physician. Techniques utilizzed on a case by case basis inclu ude:      

Deep Tissue Release Myofascial f l Release l Myofascial Triggerpoint Therapy Swedish Massage Pin and stretch Cross--fiber Friction Cross

    

Active/ Passive Range of Motion Mobilization Passive Positional Release Hydrotherapy Lymphatic drainage A large variety of gentle techniques q for fragile/ g / hypersensitive patients.

Clinical Mass sage Therapy 

In addition to being clin nically oriented, oriented our therapists have experience and training in working with specific ne eeds populations populations, such as: – Acute care patients (MVA A’s, acute injury, etc) – Pregnant patients – Hospital setting: fragile and a chronically ill patients – Geriatric and pediatric pa atients

Treatment Guidelines The doctors adhere to accepted p conservative treatment guidelines. In general, if a patient p att all with 22-4 weeks of does not respond care, treatment is terminated t and other factors are e considered.

General Treatm ment Guidelines Treattment ď Ž ď Ž

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2-4 weeks initially, follow wed by rere-evaluation. If improvement p is noted,, treatment continues with regular rere-evaluations, un ntil the condition is resolved or maximum me edical improvement is reached. The patient is referred to their PCP or an appropriate specialist if im mprovement is unsatisfactory at any poin nt.

Safety y Issues ď Ž

Patient safety is always a concern. c

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The doctors carefully screen each patient with a complete history and a problem specific, focused physical h l exam for f each h new w patient, which h h is followed f ll d by standard, conventional differential d diagnosis to determine if the patient is a candidate for conservative manual interventions.

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If a potential t ti l red d flag fl is i ide identified, tifi d ffurther th di diagnostic ti tests are ordered and/or th he patient is sent back to the referring physician for apprropriate treatment options options.

Dr. Neely Reviewing a Pl i Fil Plain Film Lumbar Series with a Patient

Manipulation Co ontraindications       

Progressive neurological de eficits Joint infection Fracture Joint instability Bone tumor (primary or me etastasis) History of cerebrovascular accident or bleeding d disorder d High risk pregnancy

Liab bility One of the greatest concerns regarding a p actor is that of liability. y referral to a chiropra However, there is a significant amount of research supporting th he safety and efficacy of chiropra hi actic i care. This is strongly refflected in the annual malpractice liability in nsurance premiums for chiropractic hi ti physicians h i i s, which hi h are exceedingly di l low. The average D.C C. in Washington pays a mere $2 $2,400 400 per year in malpractice premiums. premiums

Exploring The M Myths: “Drugs” Drugs 

One of the most common mythss surrounding chiropractic is the belief that chiropractors do not advocate a the use of medication or surgery.

Nothing could be further from th he truth. Our office works closely with and receives a large numbe er of referrals from area medical physicians. We also maintain an n extensive list of physicians to whom we refer.

We believe that conservative ma anual interventions are a good g frontline choice for appropriate conditions; c however, all therapies potentially have their place in th he spectrum of care and can be necessaryy to best serve a p patien nt’s needs. Medications and surgery are no different.

How much is enough? Myth: “Once Once a patient begins care e they have to keep going e, the rest of o their life.� Reality: The majority of patients come c in, get treated, get well, ll and d are re eleased l d from f care.

What about Su upportive Care? 

Once the patient’s presenting condition has resolved or reaches the point of maxim mum medical improvement, improvement they are released from actiive care.

If a patient chooses ongoin ng supportive care, they are encouraged to address all facets f of well being, not just the passive and active care e we offer at our office office.

Exercise,, nutrition,, activitie es of dailyy living, g, and stress management/ mental healtth are some of the other aspects of wellwell-being discussed. If professional intervention is deemed neccessary, y, we refer the patient p to the appropriate healthca are provider.

Frequency of S Supportive Care 

The recommended frequen ncy of supportive care is case dependent. dependent We counssel the patient on what would be most appropriate e for their specific issues, but allow the patient to be parrt of the decision in regards to supportive care care.

Some patients choose no supportive s care, some 11-2 times per year year, some 11-2 times t per month month.

Frequency recommendatio ons are primarily dependent on the chronicity and comp plexity of the condition(s) and the patient’s perceived d needs.

We always y strive to help p th he p patient to become as empowered and independe ent of the care that we provide as possible.

Education/Training/Skill 

Myth: y “Chiropractors p have a lim mited education.”

Reality: Chiropractors are well educated and trained. Chiropractors have completed minimum: m – 4 years of undergraduate studies – 4 years of doctoral study at an acccredited chiropractic college with heavy emphasis on neuromusculoskeleta al diagnosis and treatment – National and state board examinattions

Annual CE requirements q are ma aintained for continued licensure.

Additionally, postpost-graduate speccialties can be obtained in radiology, orthopedics, neurolog gy, rehabilitation, and others.

A Brief Overview w of Dr. Neely’s Crede dentials i l 

Doctor of Chiropractic – Western States Chiropractic College, C 2001

B h l Bachelors off Science S i – The Evergreen State College,, 1994

Director of Anatomy, Ph hysiology, and Pathology – Bodymechanics School of Myo otherapy and Massage, 2002 to present. t W Wrote t th the APP curricul i llum and d teaches t h the th subjects bj t as well. Complete Curriculum Vittae Available on Request

A Brief Ov verview of Dr. Boromiza’ i ’s ’ Credentials d i l  Doctor

of Chiropractic

– New York Chiropractic College, C 2007  Bachelors B h l off Science S i – The Evergreen g State College, g , 2002  Active Release Techn nique Certified – Upper Extremity Extremity, Low wer Extremity Extremity, Spinal Spinal, and Biomechanics Complete Curriculum Vittae Available on Request

Why Refer Patients P To A Chiroprractor? 

If your patient is not resp ponding to conventional medical care, a referral to o a chiropractor is often an appropriate pp p and effective alternative for NMS conditions. Patients appreciate your willingness to consider other options.

The very type of case which often frustrates medical physicians are the e very types of cases most commonly treated by DC’ss. LBP, leg pain, neck pain, and headaches are the t most common conditions diti treated t t d iin a ch hiropractic i ti office. ffi

Benefits of Referrals R to Chiropr hi ractors Specialty conservative NMS N care: 

Quick access

Thorough g NMS case management

Effective and safe treatment

I iti l and Initial d progress reports Beginning middle, Beginning, middle and endpoints of care High g patient p satisfaction

Rese earch ď Ž ď Ž

Our office houses a very large data base of research. A wealth of research existss demonstrating g the effectiveness and safety off manipulation.

If you wish to be added to our o monthly research update program, program jusst let us know know.

Conta act Us Our g goal is to exceed botth yyou and yyour p patient’s expectations for care. Ou ur desire is for your patient to report a very pleasan nt experience in this office. If you have questions or concerns c regarding the care we provide at our office or the appropriateness of the th care we can offer ff tto o your patients, ti t please l feel f l free to call.

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Office: (360 0)--943 0) 943--2940 Email: southsoun

Thank k You! No greater complimen nt can be paid than the ongoing g g trust and confide ence yyou p place in this office through yo our referrals. We will continue to do our o best to provide quality conservative NMS care c to your patients.

SSPRC Intro  
SSPRC Intro  

South Sound Pain Relief Clinic Office Intro