Treatment costs as of January 2014
- First visit: € 69,00
- Repeat visits: € 53,00
- Foot scan: € 8,00
Prices may change over time.
Please ask our front desk about the current prices (+31 70 3941157)
Tissue which has been strained too heavily or has been under tension for too long will become damaged. This results in local inflammation with symptoms such as pain, palor (redness), stiffness and swelling (edema).
By applying ice to the appropriate site for a certain period, complaints may strongly decrease or even be prevented, whereas heat will generate the opposite effect. Heat may be pleasant at first, but will worsen the swelling and pain. Cold on the other hand will decrease swelling and has a sedating effect.
Note. Not to be applied to face, throat or genitals!
- Fold a cloth around the cold-pack (can be obtained at our practice)
- Apply the package to the painful area (or another area as instructed by the chiropractor):
- - arms and legs: 10-15 minutes
- - neck: 10 minutes
- - back: 15 minutes
- Check area regularly
- Remove cold-pack immediately if the skin becomes stiff, frozen or extremely red
- The procedure may be repeated every 2 hours
If you are unsure or have queries regarding the application of ice, please read the instructions again or call the practice, +31 (0)70 3941157.
After treatment care
Subsequent to each treatment the chiropractor will advise you about the kind of activities you can and cannot carry out in order to facilitate the recovery process and prevent relapse. A common advice in the early treatment phase is to rest a little, not to exercise sports on the day of treatment, not to lift things and not to carry out heavy physical activities. In addition, it may be helpful to cool down and relieve the affected site by applying a "cold-pack" or a bag of ice (see icing).
At later stages advice will become more specific. For each patient the maximum level of strain and exercise will be determined. A stepwise exercise plan will be provided and if applicable a specific sports training program. In this phase of treatment the use of a 'hot-pack' rather than a 'cold-pack' will be advised.
The actual treatment
During repeat visits the chiropractor repeats various tests from the first visit to evaluate progress. Treatment will start following these tests. As treatment has been tailored to your complaint, body and circumstances it will be different for each individual (see also treatment techniques). Repeat visits take approx. 15 minutes. For more information on the treatment plan follow the link to treatment phases.
Opposite to what is being said chiropractic is not a tough treatment technique. In fact, most patients do not experience pain at all during treatment! Chiropractic treatment techniques range from muscle stretching and manipulations (see box) to applying subtle impulses by using a special device or a special treatment table. Since chiropractors have many techniques available, they treat patients from all age categories: from babies to the elderly (zie specific patient groups).
Difference with other therapies
Chiropractic is different from manual therapy, physiotherapy, osteopathy or Sickenz therapy. Chiropractor Brussee used to be a physiotherapist and manual therapist before initiating his training as a chiropractor. He knows about the differences by experience and is happy to help you with queries regarding this issue.
In order to recover from either acute or chronic complaints it may be necessary to add exercises or other adjustments to the chiropractic treatment plan. In view of the physiotherapy background of the chiropractors in Chiropractie Brussee there is ample experience with exercise programs for post-operative hernia patients, back patients, arm-and leg injuries and specific sports injuries. The chiropractors do appreciate that certain patients need specialized supervision by for example a physiotherapist or remedial therapist, while other patients just need clear advice. It may also be advised to change the work situation in collaboration with an ergotherapist or 'arbodienst' (see collaborations).
In our practice we enjoy working in an extensive collaborative network. It is our experience that this contributes to an efficient and patient oriented care. We have good experience working with GPs, remedial therapists, (sport) physiotherapists and for example anesthesiologists from pain clinics. Chiropractie Brussee is unique in the sense that it has developed a collaborative network with specialized sports physicians and participates in the regional support group for talents in sport in the area of the Hague (see Athletes). More information about collaborative partners is provided on page collaborations.
For new patients the first and second visit are used to carefully analyze the complaints, to assess as to whether chiropractic care is indeed indicated and develop a treatment plan. If applicable, treatment will be initiated on the second visit. It is our belief that adequate communication about our steps and decisions is a relevant part of the treatment process.
First visit (intake)
Before meeting with the chiropractor the assistant will ask you to complete a query form about your complaint. You may also download this form from the site to be completed at home and bring it at your first visit (download questionnaire.pdf). The chiropractor will use the form to discuss your present complaints and medical history. Subsequently you will undergo a physical examination in which the chiropractor applies neurological, orthopaedic and chiropractic evaluation methods. Joints in the spine as well as in the arms and legs will be checked carefully. The chiropractor will evaluate as to whether and how movement disorders can have exerted an effect on the nerve function. The first visit takes 30-45 minutes.
The chiropractor may deem it nessary to have further examinations done (eg. X-rays, EMG), for example to help judging (bone) tissue condition and to exclude pathology and special risks. The chiropractor will take the additional imaging material into account while making the treatment plan.
Chiropractors distinguish themselves by an excellent training in radiology and diagnostics. They have been trained in taking x-rays and in reading x-rays and scans (eg. MRI). Imaging material is important for making a sound decision on the possibilities of chiropractic treatment and for adequately tailoring treatment to the patient.
Second visit (report of findings)
During the second visit the chiropractor will extensively discuss the findings and recommendations from the first visit and additional examinations with you. This should clarify as to whether or not chiropractic care is indicated for your problems and treatment is instigated if indeed indicated. The treatment technique depends on the results from the first visit and imaging material. If there is suspicion of an underlying disease (pathology) your treating physician will be contacted with your permission. The second visit takes 30 minutes. Repeat (treatment) visits take 10 to 15 minutes.