How This Works

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4 Easy Steps to Address Your Neurologic Symptoms
  1. Schedule Your Initial Phone consultation

  2. Intake Appointment

  3. In-Clinic Treatment

  4. Home Exercise Plan

What to expect from your Initial Phone Consultation?

 

We want to hear your story, answer your questions, and determine how we may be able to help.

 

Every patient we treat is different, so it is essential we learn about you. No detail is too trivial. 

 

Please be prepared to discuss your story and what you hope to gain from treatment. 

 

We know deciding where to seek treatment can be overwhelming, so we want to be as helpful as possible. This initial consultation, carried out by Claire Keiser, is your opportunity to ask any questions you may have about our practice, Dr. Keiser’s methodology, traveling to Chelsea, etc. 

What to expect from your Intake Appointment?

The Intake Appointment is the first opportunity for Dr. Keiser to evaluate what may be the source of your neurological symptoms. It will take place in 3 parts.

 

1. Tell Your Story.

 

2. Undergo a Comprehensive Physical and Neurological Exam.

3. Discuss Findings and Work To Create a Treatment Plan

 

In the clinic, we use the latest in non-invasive diagnostic technologies to get the best, objective picture of each patient’s individual neurophysiology and function.

 

Diagnostic Tests Used In Clinic:

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Comprehensive Physical and Neuro Exam

Dr. Keiser will complete a comprehensive, detailed Physical and Neurological Evaluation that typically takes about 30mins. This includes balance and gait analysis.

Video-Oculography (VOG)

VOG consists of a series of tests to evaluate individual eye movements, eye teaming, and the relationship between the visual and vestibular systems. This technology allows doctors to track the eye movements directly and better pinpoint areas of dysfunction that may be contributing to your symptoms

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Tilt Table Test

 

The Tilt Table Test assesses autonomic function with postural change and is used to better understand dysautonomia presentations. This allows doctors to take objective measurements of sympathetic and parasympathetic nervous system function that will inform your treatment plan. During the test, you will be hooked up to multiple EKG leads and blood pressure cuffs to get accurate physiological readings. Patients will lie on the table and follow a number of deep breathing commands throughout the test’s duration.

Pupillometer 

The Pupillometer is used to measure a patient’s pupillary reflexes while shining a light in their eye. This is another way to look at autonomic nervous system function and nervous system strain.

What to expect from In-Clinic Treatment?

 

Our individualized treatment programs are designed to get each component of your nervous system - vision, vestibular, autonomic, etc. functioning optimally, and then, effectively integrate them.

 

This focus on system integration is what sets Dr. Keiser’s functional approach apart from more traditional rehabilitation.

 

The key to effective treatment is applying the correct therapies in the right amount. 

 

To ensure each and every patient has the best possible program, Dr. Keiser works with patients for the entire duration of their appointment, reassesses frequently, and welcomes patient input.

 

How often do I come in?

 

Patients typically begin treatment following our Immersive Model.

This involves multiple treatment sessions each day for one to two weeks. This model of care allows patients to build a strong foundation in their new neural connections and feel some initial progress before starting to work at home.

What does treatment look like?

What your treatment looks like will depend on your specific case. Below are some of the treatments we offer.

What to expect after you leave the clinic?

Once you are showing strong improvements in the clinic we will tailor a program of exercises for you to continue making progress at home. 

 

Partnership=Results

 

The patients who consistently put forth effort and complete their home rehab see the best results. 

 

While cliche, “practice makes perfect” rings particularly true with regards to neuroplasticity. Just like a weightlifter will struggle to increase the amount they can lift if they don’t put in the time to do the reps, retraining the brain is also dependent on repeatedly activating the target pathways. 

 

Just like in the gym, we are cognizant of knowing when and how hard to push patients as they progress to more demanding tasks. To ensure we keep you on the right track, Dr. Keiser will check in frequently and schedule both remote and in person follow ups at routine intervals.

What sets our clinic apart?

Traditional approaches for many neurological conditions often leave people dissatisfied with their functionality. Many times medications are prescribed to mask or “manage” symptoms, rehabilitation is standardized to a “norm,” and often patients are given an arbitrary timeline for maximum symptom resolution. Rather than employ this methodology, we help you identify root causes and work with you to retrain function in your brain by applying the latest in clinical neuroscience.

 

At Nathan Keiser Chiropractic Neurology, we believe that with this individualized, functional approach, every patient can make improvements. If you feel like you have already tried everything and are stuck, don't feel alone. Many of our best recovery stories start this way. Our team is dedicated to helping every patient achieve their goals.

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