Frequently Asked Questions

How do virtual visits (live video telehealth) work?

• For those who want convenient, accessible care at home or work, try a telehealth appointment. Research has found that over 80% of musculoskeletal conditions are not only rapidly reversible, but do not require hands on care. Dr. Rob will coach you through the self-assessment and treatment process, just like an in-person visit. • Another person is highly recommended to be present for at least the initial few visits. Under Dr. Rob’s guidance, they can assist with self-diagnostic procedures, exercises, and stretches. They also double as a good camera operator. • You will receive very specific instructions to prepare for your telehealth appointment via email the day before. Many people love not only the ability to treat themselves, but the ability to do it nearly anywhere without driving to the doctor’s office.

What should I expect from my first visit?

• The initial visit will take about 60 minutes. We ask that you show up 15 minutes prior to your appointment to complete some paperwork. Feel free to wear clothes you are able to move in; such as, workout clothes. • The appointment will start with a thorough medical history and physical examination. This is important because we need to understand your condition so we can treat it appropriately. • We are not looking to treat your symptoms, but rather, find and treat the root cause of your ailment. We want you to be able to make informed decisions about your treatment so we will explain our findings and treatment options. Together, we will develop a clear, precise treatment plan. Treatment can begin the first day, but more complex cases may need 2-3 visits to fully understand. You will get on the road to recovery.

How am I self assessing and self treating?

• The key to Active Spine & Joint Rehab’s accurate diagnosis, and therefore effective treatment, is utilizing a Response Based Assessment. After a thorough history to narrow down the possible diagnoses to 2 or 3 highly likely options, you will be asked to perform a few movements or positions. • Based on your symptom’s and your body’s response to these movements, you and Dr. Rob will be able to tell if you’re in the >80% of people who have rapid responding conditions. Either way, your symptoms and body’s response will identify the correct treatment. This way we assess, not guess, what the root cause of your problem is. • You likely will be asked to perform 1-2 specific, simple movements frequently over the first 2-3 days of care, carefully noting your body’s response to these moves. The data you collect will be vital to Dr. Rob in properly diagnosing you.

What is treatment like?

• You are always in a 1- on- 1 setting with the doctor for the entire visit; however, the exact treatment and treatment plan vary based on individual patient’s needs. You are unique and your body’s response to treatment is also unique. We will continue to evaluate, re evaluate and modify your treatments every visit. There are no cookie-cutter protocols at Active Spine & Joint Rehab. Our goal is for your treatment to be as laser focused as possible, which will result in getting relief quickly. • Although treatments vary, you can expect that we will ask questions, coach you through rehabilitative and performance exercises, and may utilize hands on treatments like chiropractic adjustments. The treatment plan is a team effort, therefore, you will be asked to move around, answer questions and provide feedback. Working together is the only way we will achieve the optimal results that will get you feeling and moving better, quickly. Let’s get you back in motion!

How many visits does it typically take to resolve a condition?

Our treatment plans are typically 6-10 visits over the course of 4-6 weeks. Your treatment plan may be shorter or longer, depending on factors such as, the type of injury and/or how long you have been in pain. Regardless, if we are not making progress, we will find a new solution. We will reevaluate and change the treatment either in-house or refer you to someone who can help.

Do you really offer a money back guarantee for virtual visits?

• Yes. For virtual visits only, we will identify if you’re a good fit for online care in 1-2 visits, and if we can’t help you, you’ll get your money back. Dr. Rob will discuss other treatment options with you. We want you to get the help you need, whether it's in-person care, or even if it’s not with us.

Once I start treatment, do I have to go forever?

• No. We want to empower you to take control of your physical health, so you don’t. Those patients that participate in the Response Based Assessment and perform their home exercises, learn how to assess and treat their own problem, along with a prevention plan you can use for a lifetime. Our goal is that you no longer need us- unless you have a different injury in the future. • Those patients who opt for more traditional chiropractic care, we make sure chiropractic care is right for you. This will be done by taking a history and physical exam. If warranted, we will send you for x-rays, MRI, CT or Ultrasound, but this only happens in rare cases. If we find chiropractic care will benefit you, then we will suggest an estimated treatment period. This period is typically 12 visits or less. • If you will not benefit from our care, then we will suggest other options or refer you to another doctor. Each person is unique and responds differently and we will design your treatment plan to meet your specific needs.

How do house calls work?

• Until further notice due to COVID-19 shelter in place orders, these are reserved for urgent situations only, to prevent the need to go to the hospital or emergency room. Call to see if your situation qualifies. • Not driving to the doctor’s office saves you time, money, and frustration, so Dr. Rob will drive to your home or work. A trusted family member or friend is encouraged to be present with you. After schedulin, we will confirm that your address is within a reasonable radius of Grand Rapids and that no additional mileage fee is required. If you want us to come to your work, this will be approved by your employer and Dr. Rob first. • To receive the highest quality care during your appointment time, please ensure a quiet environment free from distractions and interruptions. A small open area is needed to set up a portable treatment table.

Do I need a referral?

• No, you do not need a referral.

Do you only treat spine problems?

• At Active Spine & Joint Rehab we treat many different conditions and areas of the body; including neck pain, shoulder pain, knee pain, feet pain and much more. If you have musculoskeletal pain, we can treat it!

Are you going to crack me? What if I don’t want to be cracked?

• Not all conditions respond to or need adjustments. This is why we offer many other services. If you do not want to be adjusted or are afraid to be adjusted, we will perform other therapies to get results, or you can try virtual visits to learn how to fix yourself. • Our goal is to make sure you are comfortable with your treatment plan. For this reason, Dr. Rob has received extensive training in techniques beyond adjustments.

Do chiropractors work with medical doctors or other specialists?

• Yes, we work with many local health specialists to provide the best care for each patient. We receive referrals from MDs and send updates to keep them informed during treatment and release the patient back to the MDs care once treatment is done.

Why should I go to you first instead of my medical doctor for my joint or muscle pain?

• Many active young adults want treatment options other than medications, injections, and surgery. MD’s are able to diagnose and treat many medical ailments, but most are not trained in the conservative care of musculoskeletal issues. We consider ourselves your primary care physician for musculoskeletal issues. • Dr. Rob at Active Spine & Joint Rehab will do a history and physical examination to assess and classify the reason for your pain and then discuss treatment options in-house or refer you to a provider who can help.

Will you x-ray me?

• No, we do not have an x-ray machine on the premises and do not rely on it for diagnostic purposes. Our approach is based on movement and your body’s symptom response; therefore, looking at a static image would not alter our treatment plan. • Imaging might be warranted if we find something in your history or physical examination, you are not progressing from treatment, and/or if your discomfort was caused by a trauma, such as a fall or car accident.

How much education is required to become a doctor of chiropractic?

• Four years of chiropractic college is required after completing specific undergraduate requirements. The chiropractic graduate school classes are very similar to medical school: however, the chiropractic student will spend more time on anatomy, nutrition, and chiropractic technique; whereas, the medical student will spend more time on pathology and pharmacology. As a result, a chiropractic physician has more training and experience in treating musculoskeletal pain without the use of prescription drugs.

Do you take my insurance?

• Active Spine & Joint Rehab works with all forms of insurance, but we do not bill insurance directly. We require payment at the time of service and provide you with a superbill to submit to your insurance for reimbursement. Your insurance company will send you a check in the mail based on your coverage.

Can I use my Health Savings Account (HSA) or Flex Card?

• Absolutely. If your HAS needs a superbill or itemized receipt, we will be more than happy to provide one.

Do you do personal injury or workers compensation cases?

• Yes. Please contact us and make sure to let us know that your injury is related to a MVA as we may need to collect additional information from you so we can correctly and more effectively process your appointment.

Why do you not bill insurance directly?

• You will walk away from care knowing how to fix your own problem, prevent it from coming back, and confidently manage any recurrences for a lifetime. In addition, we offer the added convenience of coming to you by driving or virtual online visits. Some of the therapies our clinicians are trained in such as McKenzie Method of Diagnosis & Therapy and functional rehabilitation, and telehealth appointments, are not fully covered by insurance. If your insurance covers chiropractic care, or any of our services, we will provide you with the forms to submit to your insurance for reimbursement. • Hate unexpected, large bills in the mail? Unlike insurance companies, you will never receive bills in the mail for treatments that weren’t covered because we have set, clear pricing that we discuss upfront, prior to any treatments. • This allows us to offer house calls, live video telehealth appointments, and helps keep out rates lower for our patients. It also llets Dr. Rob teach you how to fix yourself and choose the therapy that is best for the you, rather than choosing the therapy based on insurance reimbursements. • Dr. Rob founded Active Spine & Joint Rehab, so he could find to the root cause of your condition and empower you to own your physical health, so you can get back to doing what you love.

You do chiropractic care, right?

Yes! Dr. Rob is a chiropractor, and loves adjusting people. Some people prefer to just come in for adjustments as needed to keep themselves active and pain free. This approach is good, however ultimately you are reliant upon Dr. Rob for care. We offer the additional treatment options of learning self care and prevention and functional rehabilitation so you can help yourself stay pain free, and move better in daily life and your favorite activities.