It cannot be over-emphasized how important diagnosis is to the successful treatment of a patient. Far too many patients fail to progress because of an incomplete, inaccurate or simplified diagnosis. For this reason, to maximize success, Dr. Guzman's approach includes the following:
1) There are only two patients scheduled per hour; even if a patient is slightly late for the
appointment or if the previous patient has a slightly extended treatment period with the doctor,
feeling rushed through treatment is indeed rare.
2) Dr. Guzman has developed a concise methodical procedure for maximizing the patient-
to-doctor conversation and the doctor-to-patient conversation, thus optimizing the medical
history exchange and assuring a more accurate diagnosis.
as a general rule, when the doctor takes your medical history, there may be questions similar to
these, in order to have a more accurate diagnosis:
where and how it hurts, what kind of pain, sharp, dull, achy, throbby? if it radiates, is it worse
in the morning or afternoon, does it cause you to lose sleep, what helps, what makes it feel
worse, if there was a specific event associated with the onset, previous injury or surgical history,
present medical conditions, family history, how you responded to previous diagnostic testing
results, etc . All these questions are vitally important in determining a more accurate
diagnosis.
Once this is completed, the doctor should have 75% of the working diagnosis. If at the end of the medical history exercise the doctor only has vague idea of what is wrong, generally you should start to feel uncomfortable. After completing the physical examination, the doctor generally picks up another 25% of the diagnosis. After completing the treatment, and noting how you responded or did not respond during or after the completion of the treatment, the doctor should have close to 100% of the working diagnosis.
3) If therapy offers relief, then there is a good chance the area treated was the correct location for
the therapy and it was also the correct therapy.
How long the therapy last is more of an indication of how seriously you are hurt. As a rule of
thumb, if you obtain more than 24 hours relief from the treatment, you are fairly stable
(injury-wise) and recovery or resolution should be shorter in nature than if the relief only lasted
one or two hour.
TREATMENT: Can consist of physical therapy modalities such as myofascial release therapeutic massage, combination therapy (simultaneous applied ultrasound/muscle stimulation), therapeutic exercise, and the
patient may be instructed on how to apply ice therapy or perform therapeutic exercises and stretches, for at-home program.
If required, spinal manipulation (Chiropractic adjustment) will be administered, and/or adjustment of the
joints of foot, ankle, wrist and elbow. Dr. Guzman's treatment emphasis posture, and correcting altered biomechanics, and can issue specialized braces and also computer-scanned foot orthotics if necessary
1) There are only two patients scheduled per hour; even if a patient is slightly late for the
appointment or if the previous patient has a slightly extended treatment period with the doctor,
feeling rushed through treatment is indeed rare.
2) Dr. Guzman has developed a concise methodical procedure for maximizing the patient-
to-doctor conversation and the doctor-to-patient conversation, thus optimizing the medical
history exchange and assuring a more accurate diagnosis.
as a general rule, when the doctor takes your medical history, there may be questions similar to
these, in order to have a more accurate diagnosis:
where and how it hurts, what kind of pain, sharp, dull, achy, throbby? if it radiates, is it worse
in the morning or afternoon, does it cause you to lose sleep, what helps, what makes it feel
worse, if there was a specific event associated with the onset, previous injury or surgical history,
present medical conditions, family history, how you responded to previous diagnostic testing
results, etc . All these questions are vitally important in determining a more accurate
diagnosis.
Once this is completed, the doctor should have 75% of the working diagnosis. If at the end of the medical history exercise the doctor only has vague idea of what is wrong, generally you should start to feel uncomfortable. After completing the physical examination, the doctor generally picks up another 25% of the diagnosis. After completing the treatment, and noting how you responded or did not respond during or after the completion of the treatment, the doctor should have close to 100% of the working diagnosis.
3) If therapy offers relief, then there is a good chance the area treated was the correct location for
the therapy and it was also the correct therapy.
How long the therapy last is more of an indication of how seriously you are hurt. As a rule of
thumb, if you obtain more than 24 hours relief from the treatment, you are fairly stable
(injury-wise) and recovery or resolution should be shorter in nature than if the relief only lasted
one or two hour.
TREATMENT: Can consist of physical therapy modalities such as myofascial release therapeutic massage, combination therapy (simultaneous applied ultrasound/muscle stimulation), therapeutic exercise, and the
patient may be instructed on how to apply ice therapy or perform therapeutic exercises and stretches, for at-home program.
If required, spinal manipulation (Chiropractic adjustment) will be administered, and/or adjustment of the
joints of foot, ankle, wrist and elbow. Dr. Guzman's treatment emphasis posture, and correcting altered biomechanics, and can issue specialized braces and also computer-scanned foot orthotics if necessary
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Dr. Guzman specializes in chronic problem/injuries with detailed attention to medical history and diagnosis, doctor administered therapy, co-ordination with other healthcare providers on patient's team, and non-rushed treatment times.
Dr. Guzman accepts Worker's Compensation
and Motor Vehicle Accident insurance
and Motor Vehicle Accident insurance
