• To perform a thorough history and examination to understand your condition, very well.
• To clearly explain your condition (diagnosis) and your prognosis, as well as answer your questions.
• We will tell you what we recommend & why, while giving you options and respecting your choices, at all times.
• We will monitor and discuss your progress toward meeting your goals.
• We will refer or change our approach if either you, or us, feel that we are not satisfied with expected results for you.
• We will not continue to treat or recommend follow up care if we, or you, feel that we are not seeing proper results over a reasonable period of time.
• We will seek maximum reasonable improvement or satisfactory stability with all our patients.
• We will recommend a reasonable periodic treatment plan to effectively manage and support those conditions which we cannot "cure" completely.
• We will give self-help exercises or other self-help activities to empower you, in order for you to achieve or maintain your maximum reasonable improvement and desired health potential.
• We will seek an acceptable "base-line" of health status with you. This "base-line" is your maximum reasonable improvement experience or expectation. With any acute injuries or setbacks, our goal will be to return you to your proper "base-line" of health and wellness as quickly as possible.

"You tend to get out of it what you put into it" - to a point. At that point, if we are not getting appreciable improvement, we will not keep "putting more into it" in the form of continued frequency of treatment. When there is a plateau of expected improvement, we will decrease care frequency until we find: "What is the least amount of treatment that will support the best results with reasonable periodic care." We strive to keep your baseline as high as reasonably possible with you, for a long and healthy life!

The duration of treatment, or care plan, depends mainly upon 2 factors:

1. How much do you want to accomplish? (You tend to get out of it what you put into it, not more)
2. How "willing" or "stubborn" is the condition to change, improve and stabilize at a satisfactory level? This is determined by chronicity and severity as well as other complication factors, which may impede full recovery.