First, enjoy our state of the art facility. Once all paper work is filled in(see Patient Forms ) the doctor will begin with a thorough examination and will assess your areas of concern, as well as carefully considering your health history. Dr. Spruch is trained in x-ray techniques and in order to make an accurate diagnosis may ask x-rays of your back and neck. Only after this initial examination will they offer a recommended course of treatment. Based on the analysis of your initial examination, your treatment could consist of chiropractic adjustments, therapies, and rehabilitation. If Dr. Spruch feels that you would benefit from acupuncture he will perform an Electro-Meridian Imaging evaluation to assess your body's energy dynamics. This test helps determine the ideal acupuncture points to select for your acupuncture treatments.