Assessment is necessary before treatment. The initial evaluation reviews your history and might include questions about exercise, diet, emotional issues and life style stresses. A thorough musculoskeletal examination is conducted and your tension patterns are analyzed. The single most important task of this session is to come to an understanding of the problem and determine the best approach to resolving it. Findings are discussed and, if appropriate, recommendations are made for treatment. Recommendations may include muscular therapy, friction therapy, acupuncture, physical therapy, cranio-sacral therapy, exercise, injection therapy, surgical or other medical consult and so forth. There is time for you to ask questions and you are welcome to call if questions arise after you leave.