Introduction to Your First Neck Pain Consultation
What Happens During Your First Visit for Neck Pain?
When you schedule your initial appointment for neck pain, the primary goal is to understand the root cause of your discomfort so that an effective treatment plan can be developed. Your healthcare provider will begin by reviewing your medical history, which involves answering questions about your symptoms, previous injuries, and any treatments you have tried.
The Diagnostic Process
The physical exam includes tests of your neck's flexibility, posture, and muscle strength, and may involve checking for nerve irritation or weakness in your arms or hands. Imaging tests like X-rays or MRI scans might be recommended based on findings to get a clear picture of your spine.
Preparing for Your Appointment
You can improve your first-visit experience by preparing a timeline of your symptoms and any prior medical imaging or treatments. Wearing comfortable clothing and bringing a list of your current medications, including over-the-counter supplements, will help the doctor provide a thorough evaluation.
What to Expect After
Following diagnosis, a personalized treatment plan will likely involve a combination of therapies such as gentle chiropractic adjustments, physical therapy exercises, and pain relief techniques. Your provider will also discuss follow-up visits and home care strategies to support your healing journey.
What to Expect During Your Initial Evaluation
Medical History Review
At the start of your first chiropractic visit consultation, your doctor or spine specialist will carefully review your medical history. This includes discussing the onset and duration of your neck pain, previous injuries, any treatments you've tried, and factors that may trigger or worsen your symptoms. They may also inquire about medications and general health to understand your condition better.
Physical Examination Components
The physical exam is comprehensive and includes assessing your posture and neck range of motion. The doctor checks for tenderness, reducing muscle tightness and spasms, and any neurological signs such as numbness, tingling, or weakness in your arms or hands. Tests like the Spurling test or neurological reflex exams help identify nerve irritation or compression.
Diagnostic Imaging and Tests
Depending on your symptoms and exam findings, imaging tests such as X-rays for neck pain or MRI for neck pain may be recommended to look for structural problems like herniated discs, spinal misalignments, or nerve impingement. In some cases, further diagnostic tests like CT scans for neck pain or electromyography (EMG) for neck pain might be used for detailed nerve evaluation.
Symptom and Functional Assessment
The specialist will also evaluate how your neck pain affects daily activities and movement. They will note any limitations in flexibility or function and assess the severity and pattern of your symptoms to tailor a diagnosis and treatment plan.
What happens during the initial consultation for neck pain?
During the initial consultation, the specialist reviews your detailed medical history including prior injuries, duration, intensity, and triggers of your symptoms. A thorough physical examination in chiropractic, assessing posture, range of motion, muscle strength, neurological signs like numbness or weakness, and possible nerve irritation is performed. Diagnostic tools such as X-rays or MRI scans may be ordered to evaluate structural causes. This process aims to identify the exact source of pain and develop an individualized diagnosis.
Treatment Approach at the Orthopedic Spine Institute of St. Louis

What conditions does the Orthopedic Spine Institute of St. Louis treat?
The Orthopedic Spine Institute of St. Louis manages a wide range of spinal diseases and conditions. These include herniated discs, degenerative disc disease, spinal stenosis care, scoliosis treatment, kyphosis treatment, spondylolisthesis, radiculopathy, and sciatic pain. They also handle complex spinal deformities and spinal tumor treatment in both adults and children. Their services address everything from acute injuries to chronic pain and structural abnormalities.
How does the Orthopedic Spine Institute of St. Louis approach patient care?
The institute emphasizes a patient-centered spine care and conservative care philosophy. Initial treatments prioritize nonoperative spinal care options such as physical therapy for spine, medications for spinal pain, and spinal injections. [Dr. David S. Raskas] leads with a focus on thorough diagnosis and customized plans tailored to each patient's specific needs. For cases requiring surgery, minimally invasive spine surgery techniques are employed to promote faster recovery and minimize discomfort.
What types of treatments are offered at the Orthopedic Spine Institute of St. Louis?
Treatment options begin conservatively, including pain medications, physical and manual therapies, acupuncture, and massage. Diagnostic tools like electromyography help identify nerve-related pains. When surgery is indicated, minimally invasive procedures such as microsurgical discectomy, laminotomy, and anterior cervical decompression and fusion are performed. Each treatment plan is designed to restore function, alleviate pain, and improve quality of life.
How does the institute support and educate patients?
Patient education is a vital part of their care philosophy. The team provides comprehensive guidance throughout the treatment journey, empowering patients with knowledge about their conditions and therapies. Support services include detailed patient journey guides and tailored rehabilitation programs to ensure effective recovery and ongoing spine health.
Preparing for Your First Office Visit

How can patients prepare for their first spine specialist appointment?
Preparing thoroughly for your first visit to a spine specialist can improve your care and treatment outcomes. Here are practical steps to get ready:
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Gather Medical Records and Imaging: Bring all relevant medical documentation, including previous imaging results such as X-rays for neck pain, CT scans, and MRIs for neck pain. These help the specialist understand your spinal condition in detail.
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Track Symptom History: Develop a clear timeline of your symptoms. Note when the pain or discomfort started, the nature of your pain (sharp, dull, intermittent), triggers, and any previous treatments you have tried. See resources on creating a symptom and injury timeline.
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Define Treatment Goals: Consider what you hope to achieve through treatment. Whether it's reducing pain, improving mobility, or returning to daily activities, clarifying your goals assists your specialist in tailoring a care plan. Learn more about setting treatment goals for spine care.
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Prepare Questions and Support: Writing down questions beforehand ensures you address all your concerns during the appointment. Bringing a support person can be valuable—they can help with note-taking, provide additional medical history, and offer emotional support during the consultation. Tips on preparing questions and bringing a support person.
Taking these steps helps create a focused and effective first office visit for neck pain, setting the stage for better diagnosis and personalized treatment planning.
Scheduling Your Appointment and Insurance Information

Appointment booking methods
Patients seeking care at the [Orthopedic Spine Institute of St. Louis] can conveniently book appointments through their website using secure online forms. For those wanting to see [Dr. David S. Raskas] specifically, scheduling is available both via the Institute’s platform and directly through Mercy Hospital St. Louis located in Des Peres. This ensures flexibility and ease of access for patients.
Insurance acceptance and verification
The Orthopedic Spine Institute] accepts all major insurance plans, including Medicare, to serve a broad patient base. They collaborate with various private insurance providers, encouraging patients to verify their individual coverage ahead of their appointment. This helps avoid surprises and streamlines the care process.
Patient accessibility and support
The clinic emphasizes patient-first care, with a focus on thorough initial evaluations and personalized treatment strategies. Their staff is dedicated to supporting patients through the appointment process, answering insurance questions, and ensuring an approachable, comfortable environment for all visitors.
Summary: The Path to Effective Neck Pain Care Begins Here
Importance of thorough evaluation
A detailed medical history and physical exam are essential to identify the causes of neck pain. This evaluation includes symptom timelines, neurological testing, and often diagnostic imaging to detect misalignments, nerve issues, or serious underlying conditions.
Patient-centered treatment planning
Treatment plans are tailored to each patient's unique needs. They often combine chiropractic adjustments, physical therapy, pain management, and minimally invasive procedures focused on restoring function and alleviating pain.
Encouragement to seek expert care early
Early consultation with a spine specialist or orthopedic expert helps prevent worsening symptoms and guides effective, personalized care to improve quality of life and reduce long-term disability.
