First off let me say i have had a lot of experience with chiropractic work i have been getting this done since i was a child because it has slowly helped with my scoliosis. DR.Pam is the best i have ever been to not only does she listen to the concerns aches and pains that i know of but she truly looks at my posture and alignment of my body. i have never had a chiropractor have you sit in a massage chair then move you to the adjustment table and put heat or cold packs on you entire back then on top of that Dr. Pam gives you a little massage in your troubled areas to help with the adjustment then she does her magic. i have sent anyone i know that has problem with there back because i believe Dr. Pam and her husband are the best . i trust them so much i even let them adjust my children.