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(FAQs) Telehealth / Remote Chiropractic

What is telehealth?

Telehealth refers broadly to all remote, virtual healthcare related services that include clinical services, training, and even administrative services. Telemedicine refers more specifically to remote or virtual clinical services such as a consult with your doctor.

Dr. Melander offers “telechiro” to any patient for whom in-office or in-home care is not ideal.  Due largely to COVID-19 pandemic, telehealth services have become a mainstay means of communication between healthcare providers and their patients.

While there are certainly some aspects of patient care that require in-person appointments, there is still a great deal that can be accomplished virtually in a telemedicine or telechiro scenario.

As a great plus and convenience, the practice management system that Dr. Melander uses offers a telehealth video conference that is completely integrated within the scheduling system and meets every requirement mandated by patient privacy laws.

Benefits of Telehealth

The overriding benefit of telehealth is that patients can still receive high caliber care from their provider from the comfort of their own home.

Given the rampant fear, doubt, and anxiety about public interactions brought on by COVID-19, telehealth allows a patient to avoid any undue interaction with other people that might otherwise expose them to the virus.

Now, while it is easy to point at COVID-19 and say “this is why we have telehealth”, the truth is that telehealth will improve patient outcomes and very likely have a sustained favorable economic impact for long after COVID-19 is relevant.

The reasons for this are many, but in particular the ease of access to one’s provider, the potentially faster access to life-saving laboratory tests and imaging, and the opportunity to not miss work or familial requirements are at the top of the list.

Dr. Melander has completed many telehealth (telechiro) consultations with new and established patients and he has received nothing but favorable feedback regarding these interactions.  Many patients are curious how a telechiro session can be helpful without the sorts of hands-on treatment and 1-on-1 rehab exercise interactions many people expect from their chiropractor. 

The simple reality is that there is still a great deal that can be accomplished virtually, often with immediate benefits to the patient, even without any hands-on care.  Particularly with the experience of pain and injury, many people suffer from significant fear, doubt, anxiety, and confusion about their condition.

A telehealth or telechiro consultation is usually extremely effective and removing as much of the unknown as possible, and subsequently providing a clarity and understanding of the patient’s complaint.

Based on a great deal of current research and absolutely supported by Dr. Melander’s clinical experience, fear, doubt, anxiety, and confusion will worsen a patient’s pain, whereas clarity, understanding, advice, and rationalization are extremely effective at improving a patient’s pain experience.

    North Shore Spine and Sport Telehealth Services

    North Shore Spine and Sport offers 6 unique telehealth appointment opportunities that encompass new and established patient needs.

    Virtual New Patient Consultation

    Beginning with the Virtual New Patient Consultation, this 60-90 minute appointment includes a detailed health history, conversation regarding current complaint(s), an evaluation and discussion of pain provocative activity as well as range of motion, followed by a thorough discussion and demonstration of exercises and self-care strategies intended to empower the patient to be back in control of their issue.

    Whenever necessary, Dr. Melander will record a video of all the exercises and self-care strategies reviewed during the consult and send it to his patient within 48 hours.

    Virtual Established Patient Consultation

    North Shore Spine and Sport also offers a Virtual Established Patient Consultation, a 30 minute appointment that includes a conversation regarding current complaint(s), an evaluation/discussion of pain-provocative activity as well as range of motion, followed by a thorough discussion and demonstration of exercises and self-care strategies.

    Functional Range Assessment®

    Slightly outside of the clinical purview, Dr. Melander offers the Functional Range Assessment® virtually, which is a 90 minute standardized evaluation of range of motion intended to guide Dr. Melander in creating a mobility training program for his patient or client.

    Functional Range Conditioning

    In that vein, North Shore Spine and Sport and Dr. Melander offer virtual Functional Range Conditioning® mobility training sessions and standard personal training sessions, each of which is 60 minutes long.

    Virtual Group Mobility Training

    Lastly, North Shore Spine and Sport offers a virtual group mobility training class called Kinstretch® based on the Functional Range Conditioning® mobility training principles.

    North Shore Spine and Sport Telehealth Visit

    What to expect during a telehealth visit?

    For all clinically relevant telehealth appointments, patients of Dr. Melander at North Shore Spine and Sport can expect a conversation regarding current complaint(s), an evaluation and discussion of pain provocative activity as well as range of motion, followed by a thorough discussion and demonstration of exercises and self-care strategies intended to empower the patient to be back in control of their issue.

    For example, Dr. Melander did a virtual appointment with an established patient who is a college professor and had developed neck and upper back pains due to her school pivoting to online-only education. This woman had never spent so much time in front of the computer and she quickly began noticing pain and discomfort.

    This woman had only ever been treated in-person by Dr. Melander prior to COVID, but she reported pain relief within 1 day of the virtual appointment which she credited to removing fear and doubt, as well as the program of self-care and exercise that Dr. Melander crafted for her.

    For all exercise, mobility, and personal training related telehealth appointments, patients and clients of Dr. Melander at North Shore Spine and Sport can expect the same level of individualized attention and programming specific to their goals and desired outcomes that they would otherwise receive in person.

    These type of training-related telehealth appointments can be completed live, or, Dr. Melander can pre-record an entire workout sequence and make that workout available online to the targeted patient and client.

    Telehealth in the home

    The reality is that telehealth services may be one of the truly great widespread changes that amount from COVID-19.  Now, patients (and providers) can interact from the comfort of their own home and still accomplish the significant majority of what would otherwise occur in person.

    Curious about telehealth?  We get it, with a pandemic not everyone is comfortable with in person interactions and things may never be the same as pre-COVID again.  At North Shore Spine and Sport Dr. Melander offers telechiro appointments because he endeavors to help every person he can, you need only ask.

    our Chiropractic

    Dr. Melander has often described his work as new-school rehab, which is to say, an amalgamation of current best practices regarding pain or injury management, hands-on manual therapy or strength/mobility training, and endless advocacy and support for his patients.

    In Dr. Melander’s opinion, the best providers in the field of musculoskeletal injury are able to draw from multiple disciplines to create the most efficient and impactful care strategy for their patients.  If you are injured or hurting and not sure what to do, please reach out, it will be our greatest pleasure to help you.

    We serve Newburyport and surrounding North Shore communities, including: Newbury, West Newbury, Rowley, Byfield, Georgetown, Amesbury, Salisbury, Ipswich, Seabrook NH, Hampton NH, Rye NH.


    Appointment can be completed anywhere you have an internet connection


    Allows for scheduling appointments nearly anytime


    Your provider can be available at otherwise unlikely times

    Same Expert Service

    Everything a normal appointment contains minus hands-on therapy

    Reduces Cost

    For many reasons!

    Improves Patient Compliance

    You are never more than a video screen away

    Chiropractic FAQs

    We've compiled a list of common chiropractic questions to help you get all the answers you are looking for. If you have additional questions if our chiropractic and treatment services in North Shore would be a good fit for you, please contact our team. 

    How do I know if I should see a chiropractor?

    Chiropractors are trained in the evaluation and management (IE: treatment) of issues affecting the neuromusculoskeletal system (muscles, joints, connective tissue, nerves).  Many people associate chiropractic care with the spine only, but this is an inaccurate reflection of many chiropractors in the 21st century who are experts in treating spinal issues AND extremity issues (arms and legs).  As a general rule of thumb, if you have a painful condition that does not get better given a few days of activity modification you may want to consult a professional like a chiropractor.  Your chiropractor should be able to evaluate your painful condition, offer you some perspective and guidance relative to the painful condition, and help you care for the painful condition if treatment is warranted.  Like any profession though, each chiropractor has different clinical experience and different post-graduate education that may lend their practice toward a focus on sports injuries or pregnancy/neonatal care or neurologic issues or nutritional issues to name just a few.  If you are considering seeing a chiropractor, make sure that their experience and skill set seems like a proper match for your complaint and your ultimate goals.

    How do I choose a good chiropractor?

    Choosing a good chiropractor does not have to be a complicated process.  To begin with, ask your friends or family if they know someone they trust and can vet for you.  Next, check online as most chiropractors should have fairly informative websites relative to their clinical interests and experience that may help indicate whether they are a good fit for your issue.  If you are still not sure who to see after taking those steps, call your prospective chiropractor’s office as either the staff or the chiropractor will be more than happy to answer any questions and tell you if your issue is something commonly treated in that office.  Many people also like to read online reviews and while some online reviews can be misleading, if the significant majority of a chiropractor’s reviews are super positive then chances are you can trust the expertise of that provider.  Lastly, and arguably the most important step in choosing a good chiropractor, remember that you are in total control of your healthcare decision making.  If you go to an initial or follow-up appointment and you are not absolutely confident in the assessment and plan your chiropractor has rendered, then seek a second opinion.

    What can a chiropractor fix?

    A chiropractor can help you fix a wide variety of painful conditions related to the neuromusculoskeletal system such as headaches, back/neck pain, shoulder/elbow/wrist/hand pains, hip/knee/ankle/foot pains to name just a few.  Injuries of actual orthopedic compromise like fractures are best handled by orthopedists, but chances are if your pain/injury is non-surgical in nature then a chiropractor may be a great option to help you.  The best chiropractors will explain what they can about your pain/injury, offer guidance and likely treatment as efficiently as possible (days to weeks, maybe months in extreme situations), and then remove themselves and let your brain/body do the rest.  A great deal of research these days indicates that in many healthcare interactions providers should try and limit their patient’s dependency on them, opting instead for interventions and language that fosters resiliency and self-efficacy (independence).

    What happens at your first chiropractic appointment?

    Your first chiropractic appointment should include a detailed discussion of your health history and presenting complaint(s), an examination of your complaint(s), a discussion regarding what is indicated by the examination relative to prognosis and treatment plan, and finally some form of treatment/intervention assuming time permits.  Many painful conditions can be evaluated thoroughly and completely in a matter of minutes and certain treatment interventions could yield immediate relief, while other conditions may require more complex evaluations and more lengthy treatment plans.  Above all, you should leave your first chiropractic appointment feeling confident that your chiropractor is the best option to help you with your problem and you should leave feeling confident that you are on the road to recovery.

    How often should you see a chiropractor?

    You should see a chiropractor as often as you want or need.  Perhaps the most common criticism of chiropractors is that chiropractors “need to see you for the rest of your life”, and while there are unfortunately examples of chiropractors who advocate for this kind of dependency, the significant majority of chiropractors today want to help you as quickly as possible with no long-term commitments of any kind.  The best chiropractor will see you the minimally necessary number of times to help you overcome your issue and suggest you follow-up if there are any residual issues or new complaints sometime in the future.  Many patients however recognize how good they feel after chiropractic care and therefore wish to see their chiropractor with some kind of recurring frequency (IE: once/month, twice/year, or more).  These examples though should be dictated by the patient based on their assessment of their body’s needs and absolutely not dictated by the chiropractor based on some kind of pseudoscientific reasoning.

    Does insurance pay for chiropractor?

    In many cases, yes, insurance will help pay for chiropractic care assuming the chiropractor is participating with your health insurer.  If your chiropractor is not participating with health insurance, then it is still possible you have an out-of-network benefit with your insurer and can seek reimbursement that way.

    treatment  |  pain relief  |  mobility

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    Mon:  7:00 AM – 6:00 PM
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