When you book a combined care appointment at my office, you're getting more than two treatments back-to-back. You're getting a sequence I've refined over 30 years of treating patients who walk in tight, misaligned, and hurting.

Here's exactly what happens from check-in to checkout.

30 Minutes of Massage First

You check in at the front desk. Then you head straight to one of our massage therapists for 30 minutes of focused soft tissue work.

This isn't a relaxation massage. It's preparation.

If you mentioned tightness when you booked, that's my first signal. If I see limited range of motion during your exam or notice your posture is compensating for something, massage happens first. Your muscles need to release before I can realign anything effectively.

Tight muscles fight adjustments. Relaxed muscles accept them.

Stim and Ice Before the Adjustment

After massage, you move to the adjustment room. But I don't adjust you immediately.

First comes electrical stimulation to activate the muscles we just worked on. Then ice to reduce any swelling around the nerves in your back.

This phase takes about 10-15 minutes. It's not filler time. It's the bridge between soft tissue release and skeletal realignment.

The Adjustment

Now your body is ready. The muscles are loose. The inflammation is down. Your nervous system isn't in defense mode.

This is when I adjust your spine. I'm realigning vertebrae to take pressure off pinched nerves. Yes, you might hear cracking. That's gas releasing from the joint, not bones breaking.

Most patients think the adjustment is the whole treatment. It's actually the final step in a sequence designed to make that adjustment stick.

Why the Order Matters

I treat two connected systems: muscular and skeletal. They're not the same problem, and they don't respond to the same solution.

Your tight muscles can pull your spine out of alignment. Your misaligned spine can create muscle tension. Both need attention, but in the right order.

Massage first loosens what's locked. The adjustment realigns what's shifted. Stim and ice prep the transition between the two.

Skip the sequence, and you're fighting your own body during the adjustment.

Total Time: Under an Hour

From check-in to walking out, you're in my office for about 50-60 minutes.

That's not because I'm rushing you. It's because I've done this enough times to know exactly how long each phase needs to work.

After treating over 1,000 patients a year for three decades, I've learned what holds and what doesn't. Combined care in the right sequence holds better and keeps patients feeling good longer.

The proof? My patients keep coming back and leaving good reviews. That's the only metric that matters.

What You Should Expect

You'll feel looser after the massage. You'll feel aligned after the adjustment. And if we did it right, you'll feel better walking out than you did walking in.

That's not marketing language. That's what happens when you treat the whole system instead of just cracking someone's back and calling it done.

Book a combined care visit and experience the difference yourself. Call our Deerfield Beach office or schedule online. We accept all major insurance plans.