What to Expect

Both Dr. Sansalone and Dr. Heintz were patients prior to becoming doctors of chiropractic. Dr. Sansalone first went to a chiropractor in high school for mid and low back pain. Dr. Heintz first went in college, against his father wishes, for chronic low back pain he thought he would have to live with the rest of his life. Because of this, they both understand the anxiety of seeing a chiropractor for the first time, whether as a brand new patient to chiropractic or trying a different chiropractor. They both had some of the same questions you may have. What exactly does a chiropractor do? Is it going to hurt? Will I have to go the rest of my life? Many of your questions can be answered in our FAQ section but the doctors and staff will be more than happy to answer any questions you may have.

What to Expect During the first visit:

Once you enter the office simply walk to the front window. You will be asked to sign in and one of our staff will ask you for your driver’s license and insurance card. If you have already filled out the new patient forms please give them to the front desk staff at this time. Please have a seat and we will be with you shortly.

One of our staff members will sit down with you and go over any additional paperwork you may need to fill out. Once paperwork is complete a chiropractic assistant (CA) will bring you to one of the exam rooms. They will go over your insurance benefits and then take your vitals and initial history. You may also be asked to wear a gown and/or shorts to allow the doctor to see the area of complaint. The doctor will come in and take a complete history and perform a physical examination. The doctors only take x-rays if they are needed to confirm your diagnosis or if they might change treatment options. We do not take x-rays on every patient.

Once the initial exam is complete, we usually will begin treatment the same day. If we were patients we would expect to be treated on the first day so we extend this same courtesy to our patients. Please note there are certain circumstances when we are unable treat on the same day.

Length of the first visit usually lasts between 30-90 minutes. Factors that contribute to the length of visit include:

  • Severity of condition
  • Additional therapies
  • May need x-rays
  • Whether patient fills out forms ahead of time
  • Having insurance information available prior to appointment
  • Arriving on time

Treatment Options:

Once the doctor finishes the exam he will make a preliminary diagnosis. He will explain what he thinks is causing your pain and what therapies he will use to address your condition. It is very important to the doctors you be comfortable with the treatment plan so feel free to ask any questions.

After Treatment:

Response: You will have one of three responses following your visit. There is no way of predicting how your body will respond to chiropractic. All three of the following responses are normal and can lead to overall improvement.

  1. You feel better.
  2. You feel the same.
  3. You feel worse.

Obviously the outcome we all strive for and want is the first. We would love for everyone who comes in with pain to leave feeling great, but unfortunately this is not realistic. Sometimes conditions take a few treatments to respond. This can be due to many factors: age, severity and type of injury. Whether you are a smoker or avid exerciser are just examples of what can affect response to treatment.

It is normal for your symptoms to gradually return after the first treatment. This is a very natural occurrence and do not become discouraged by this. Remember, the sprain ankle analogy. You would not expect ankle swelling to go away with one treatment of ice, would you? It is similar with chiropractic treatments. There is as adjustment period for the body to return to “normal”. The goal of the chiropractic adjustment is to restore proper joint motion (get the joints moving again). Restoring proper joint motion helps to reduce inflammation both in the joint and to surrounding tissues. Affected tissues also need to be addressed with treatment in order for the body to fully respond. This is why we typically perform soft tissue therapies to break up adhesions/ tension in the muscles and recommend rehabilitation to increase muscular strength and endurance. Hopefully, you feel better and stay better.

Ice versus heat. While heat makes most people feel better initially, most patients notice that heat causes an increase in pain within 30-60 minutes after the application. This is because heat increases circulation where it is applied leading to increased inflammation and swelling of that area. To reduce inflammation for an acute or new injury, your best treatment is ice. Heat is used more for chronic (older) injuries. Ice should be applied via a gel pack, ice bag or bag of frozen peas across the area of pain for 15 to 20 minutes of every hour in a cycle. An example cycle would be 6:00 to 6:15 and 7:00 to 7:15. Remember, when you put the ice pack on, the muscles are going to tighten up, and you may feel a little worse, but an hour later, you will feel better because you reduced the inflammation. Do not put ice directly on the skin. Place a damp towel on the area of complaint then lay the ice pack on top of the towel.

On the Second Visit:

The doctor will go over your diagnosis in more detail and go over your treatment plan. The goal of your plan is get you back in the game of life as quickly as possible.

Be realistic. In some cases it is not realistic to expect to be 100% pain free. Ask yourself, “What if the doctors could reduce my pain by 20%, 40%, or 60%?” Would that be better than what you am currently living with. The goal in these cases is pain management.

James Heintz, DC, CCSP
Brian Sansalone, DC, CCSP
Tanner Brusnighan, DC

League City Chiropractic
1200 East Main Street
League City, TX 77573
Phone: 281-332-3428 
Fax: 281-332-7593

Office Hours: 
Monday 8-6:30
Tuesday 8-8
Wednesday 7-6:30
Thursday 8-8
Friday 7-4:30
Sat 9-2

Payment Options: 
Payment Methods Accepted

  • Aetna
  • Blue Cross Of Texas
  • First Health Network
  • Great West Healthcare
  • Humana
  • Medicare
  • PacifiCare
  • UniCare
  • United Healthcare

Our Location

League City Chiropractic

League City Chiropractic
1200 East Main Street
League City, TX 77573
Phone: 281-332-3428