There are many common symptoms that signal the need for chiropractic or massage therapy. Select a symptom for more information:

CHIROPRACTIC
     Headaches & Migraines
     Hip, Leg, Knee, Foot & Sciatica
     Lower Back Pain
     Stress, Fatigue, Cold & Flus
     Upper Back/Neck/Shoulder/Arm Pain
     Whiplash
     Numbness/Tingling/Pinched Nerves
     Pregnancy/Pre-Natal
     Animal Chiropractic

ORTHOTICS
     Plantar Fasciitis
     Knee Pain & Shin Splints
     Lower Back Pain
     Sports/Athletics
     Self Examination

MASSAGE THERAPY
     Fatigue
     Stress/Relaxation
     Flexibility/Mobility
     Shoulder Pain
     Athletic Injuries

We ask new patients to download, print, and complete the appropriate forms below and bring to your first appointment. All files are in PDF format.

Patient Health Questionnaire

Patient Information - ADULT

Patient Information - CHILD

Worker's Comp Questionnaire

Accidental Injury Form

What to Expect During Your First Visit

 Orthotics and Self Examination

Getting the answers a few simple questions can provide valuable insight into the cause(s) of your back, joint or foot pain. When the back acts up, check the feet!

  1. Do you stand or walk on hard surfaces for more than 4 hours a day?
  2. Do you participate regularly in any physical sport (basketball, baseball, tennis, golf, bowling, etc.)?
  3. Are you age 40 or over?
  4. Have you ever had a prior injury to your knee, back, or neck?
  5. Do your shoes wear unevenly?
  6. Do you have joint pain while standing, walking, or running?
    Is one of your legs shorter than the other?
  7. Do you have knock-knees or bow legs?
  8. Do you have any obvious foot problems (bunions, corns, flat feet, etc.)?
  9. Do your feet "toe out" when you're walking?

If you give an affirmative answer to any of the above, consider yourself a likely candidate for flexible, custom-made orthotics.

 

© 2013 Theresa L. Burns, D.C.   •   692 W. Schuylkill Road, Pottstown, PA 19465   •   Phone: (484) 624-3726   •   Fax: (484) 949-8495

Gentle Chiropractic

Headaches & Migraines
Hip, Leg, Knee, Foot & Sciatica
Lower Back Pain
Stress, Fatigue, Cold & Flus
Upper Back/Neck/Shoulder/Arm Pain
Whiplash
Numbness/Tingling/Pinched Nerves
Pregnancy/Pre-Natal
Decompression Therapy

Orthotics

Plantar Fasciitis
Knee Pain & Shin Splints
Lower Back Pain
Sports/Athletics
Self Examination
Massage Therapy

Fatigue
Stress/Relaxation
Flexibility/Mobility
Shoulder Pain
Athletic Injuries

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