COVID-19 Resources and Virtual Care Information

New or Established Patients. Book a virtual visit here or simply send an email to atapplin@valleyspineandsport.com to set it up.

How can a virtual visit help me?

Virtual visits are available for both new and existing patients. Connect with Dr. Alex via phone, email, text or face-to-face video messaging if needed. This can be helpful to discuss your condition and design rehab program with self-care recommendations to reduce pain and keep you moving. Emailed rehab programs with videos are available.

Virtual Rehabilitation: Progress and review your therapeutic exercise program via Zoom or other video conferencing software.

Virtual Runners Gait Assessment: In combination with a consultation, using zoom screen share, get visual feedback on the specific mechanics that may be feeding into your injury. This has worked well so far.

Virtual Visits Are 100% covered right now.

Some great news! Most insurance companies are now covering virtual rehabilitation and virtual injury consultations with no cost to the patient. This is an easy way to get a customized rehab plan for your injury, a second opinion, one-on-one rehab or simply advice. I’ve done a running gait analysis already and a second opinion on a knee injury with specific rehab as our go-to. There are a lot of ways to get out of pain and past your injury from home. All covered 100% if billing your insurance. Who knows how long insurance will allow this, but it’s good news for today! Share this with your friends (unless you don’t like them).

For now, our billing specialist has given a guarantee that the patient will not be billed. This will not last long. Feel free to give our billing specialist Sara a call or send an email if you have specific questions on your plan. Phone: (920) 221-3244 Email: vmbilling@sbcglobal.net

Dr. Alex is still seeing patients in the office. New or established patients can book HERE. Please read the information below.

Who can be seen in the office?

You can be seen in the office if you:
1. Have not had any respiratory symptoms including shortness of breath, cough, sore throat or fever.
2. Have not been in contact with any individuals or worked in a facility with recognize COVID-19 cases.

What extra steps have been taken to make in-office appointments as safe as possible?

What Extra steps have been taken to make in-office appointments as safe as possible:
1. Dr. Alex is the only individual in the office(both locations). All ancillary staff are offsite. As a small operation, there is less exposure in our facilities as we do not have multiple providers with other patients in the office at one time.
2. The CDC’s best practices for avoiding the spread of this coronavirus are the practices we use daily. This includes sanitation of tables between patients as well as frequently touched surfaces.
3. Visits are on time. This minimizes time in the waiting area.

I’m posting some other helpful and sometimes funny things on facebook right now so watch for other resources there. Stay Healthy!

VIRTUAL CASE STUDIES:

1. Meniscus tear rehab opinion. MRI review and discussion of conservative treatment options for the various types of meniscus lesions and her specific condition. A detailed exercise program prescribed as per the latest evidence-based guidelines.

2. Ankle pain in a runner with running gait assessment. Two specific kinds of tendinopathy diagnosed with specific loading protocols prescribed. A running gait analysis was performed via Zoom with video screen share with running faults discussed and training modifications recommended as well as rehabilitation shared via video.

3. Low back pain flare up from an existing patient. Understanding of his previous contributing factors were considered. Rehabilitation recommended including video for foot and ankle strengthening as well as a specific spine strengthening exercise for pelvic obliquity and scoliosis.

4. Proximal hamstring tendinopathy. A surgical consult from another physician was recommended to this patient for partial thickness tearing and tendinopathy. My opinion was sought after in terms of conservative treatment options and referral recommendations to the appropriate specialist. We discussed my opinions on PRP, steroid injections, modalities including Shockwave therapy and laser therapy as well as appropriate rehabilitation for this specific condition including specific tendon loading protocols as well as some less utilize strategies including Blood Flow Restriction Training. Additionally, she is a runner and we had a long discussion about training modifications for the time being. Coordination of care was completed.

5. Low back pain with sciatica. Acute flare up. Walked through various exercises to alleviate leg pain. He’ll need to be seen in the office for follow up but we were able to help with some exercise and advice in the short term.

6. Neck pain from home station set up. Discussion of ergonomics, posture breaks and the neck and posture exercises.

7. Low back pain. Worse right now with stress. We worked on specific breathing techniques to help with low back pain and hip hinging with breathing techniques to lengthening and strengthen the spine.

8. Arm paresthesias/tingling while sitting at a desk. Identified the most likely nerve structures involved based on location and provoking activities. Specific stretches and nerve gliding exercises prescribed.

9. Knee pain with running and jumping in a former track athlete. Identified the most probably cause of knee pain based on location of pain and I brought the patient through a systematic movement screen(SFMA) to identify other biomechanical factors that may be leading to the injury. Site vs Source of injury as we say in chiropractic sports medicine.

10. Pregnancy related back pain. A few tests on video to identify SI joint dysfunction with 2 or 3 SI joint provocation test positive over the video chat. Recommendations with a specific kind of belt and specific exercise do’s and don’ts.

11. Wrist pain. Based on the location of pain(ulnar sided wrist pain), a specific kind of brace was recommended(wrist widget) and specific kind of exercise to strengthen the wrist was recommended.