Here is a concise summary of the chiropractic session:
**Patient Profile**
* First-time chiropractic patient
* No major health issues, but experiencing pain in the right upper back/neck area
* Mostly on their feet for work
**Session Overview**
* Initial examination revealed:
+ Leg length discrepancy (left leg shorter than right)
+ Tension in the upper back and base of the neck
* Chiropractic adjustments were made to:
+ Thoracic spine
+ Lower back
+ Upper cervical area (neck)
* Additional trigger point therapy was applied to the scapula (shoulder blade) to release muscle adhesions
* Notable improvement in range of motion and reduced tension on one side, with plans to focus on the other side in future sessions
**Outcome**
* Patient reported a positive experience and noticeable improvements after the first session
* Follow-up appointments are planned to further address areas of tension and promote overall well-being.
Here are the key facts extracted from the text, numbered and in short sentences:
1. **Patient Information**: The patient is a first-time chiropractic patient with no prior chiropractic adjustments.
2. **Chief Complaint**: The patient's main issue is pain in the upper right area (unspecified, possibly referring to the upper back or shoulder).
3.. **Occupation**: The patient spends most of their time on their feet.
4. **Chiropractic Examination Process**:
* The examination involves checking leg length.
* The chiropractor palpates the spine to feel for symmetry, muscle tone, and potential subluxations.
5. **Subluxation Definition**: A subluxation refers to pressure on a nerve causing dysfunction in the body, akin to a pinched nerve.
6. **Adjustment Process**:
* Adjustments are made to relieve pressure on nerves.
* The patient may hear "pops" or "cracks" due to gas being released, similar to cracking knuckles.
7. **Specific Adjustment Areas**:
* Focus on the hips and upper thoracic/lower cervical areas due to leg length difference and patient complaint.
* Adjustment of the cervical thoracic junction.
8. **Post-Adjustment Checks**:
* Range of motion in the arms is assessed.
* Shoulder blade (scapula) movement and potential adhesions are evaluated.
9. **Therapy Technique**: A form of trigger point therapy is used to release adhesions in the scapula area.
10. **Follow-Up Implication**: The patient's tight side (right/left not specified) will be a focus area for future adjustments to improve range of motion.
11. **Practitioner Information**:
* Practitioner's name is Dr. Joseph Cipriano.
* Dr. Cipriano has a new office, Palmetto Physical Medicine, opening in Greenville on July 16th.