Multiple Locations in Jacksonville, St. Augustine, & Fernandina Beach, FL
(904) 743-2222

What to Expect on Your First Chiropractic Visit

What to Expect on Your First Chiropractic Visit

There is no need to be nervous about your first chiropractic visit.  If anything, the chiropractor helps you relax and “sets things straight” for you.

Many of our patients have not been to a chiropractor before coming to one of our offices.  Some of them are nervous because of stories they may have heard in the past.  Many people say they are afraid to “get their neck cracked.”  Then they are surprised about how their first visit proceeds.

chiropractic visit
Here is what it looks like during your first chiropractic visit:

  1. Just like any doctor’s office, the patient fills out some paperwork; and we need to verify the patient’s chiropractic coverage through their insurance.
  1. The chiropractor goes through a thorough history of all of the patient’s medical history including any past accidents, surgeries or illnesses to make sure they are candidates for chiropractic treatment.
  1. A detailed physical examination will be performed which may include temperature, blood pressure, posture analysis, reflex tests, muscle testing and range of motion as well as specialized neurologic and/or orthopedic tests. At that point, the chiropractor will determine if any x-rays, MRIs or any other imaging is warranted to rule out any pathology.

Many serious illnesses such as kidney infections, gallstones or even tumors can cause back pain. Chiropractors are trained to be able to recognize signs of serious pathology and refer the patient to get necessary testing done to exclude illnesses.

Since we can’t write prescriptions, we can also refer our patients to a medical doctor if this is something they need. Many chiropractors have an x-ray machine in office and may take x-rays on the first visit.

  1. As long as patients are candidates for physiotherapy, we may begin treatment with various modalities such as Electric Muscle Stimulation (EMS), therapeutic ultrasound, intersegmental traction, decompression, stretches, and/or exercises.

At this point, the patient’s muscles are usually more relaxed, and then we talk to them about doing an adjustment.  If they have been in an accident recently or do not want a manual adjustment, then we can do an instrument adjustment which is a gentler option.

Some of our patients are either not candidates for manual adjustments or prefer not to receive them. This simply means that we customize a treatment plan for them that does not include the adjustments that cause a cavitation or popping sound.

We encourage our patients to ask questions so they fully know what to expect from their time with us and feel comfortable about their treatment options at our clinic.


Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.