Legacy Clinic of Chiropractic

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PRP for the knee in The Villages

Platelet-rich plasma (PRP) Therapy is a novel procedure for knee pain management. The most common cause of knee pain is osteoarthritis. Cartilage is present between the bones. When the cartilage is damaged, it causes pain, swelling, and inflammation. PRP injections have become popular for the treatment of low to moderate-grade knee osteoarthritis.

What is PRP?

Platelet Rich Plasma is attained from the patient’s blood. A platelet is a type of blood cell that produce from the bone marrow. Platelets contain growth factors that help by stimulating the healing process.

How does PRP work?

Platelets contain special proteins called “growth factors” that help your blood clot. It also helps in cell growth and promotes the healing process. When Platelet Rich Plasma is injected into the target area, it helps your body to grow new cells and promotes the healing process. Since a large number of growth factors are present in the PRP injections, so it heals the target area faster.

What is the process of PRP for knee pain treatment?

The doctor can collect the blood and place the sample in a centrifuge device. The device spins the blood and helps to separate the platelets from the other ingredients of the blood. Then, the platelet-rich plasma is injected into the knee area. The doctor may use local anesthesia to numb the knee area. After treatment, you may experience an increase in pain for two weeks. You can notice an improvement in knee pain after a few weeks.

Is PRP treatment effective?

Platelet-rich plasma (PRP) Therapy is effective for the treatment of several conditions. Some factors affect the PRP results. It includes:

  1. Patient’s overall health
  2. Whether the disease is acute or chronic
  3. Preparation of PRP

Other purposes of PRP therapy:

Recently, PRP therapy is used for the treatment of several conditions such as:

  • Tendon injuries
  • Acute injuries
  • Spinal Stenosis
  • Osteoarthritis
  • Achilles Tendinosis
  • Back pain
  • Rotator cuff tear

Platelet-Rich Plasma (PRP) Therapy for the Knee in The Villages:

If you have knee pain or inflammation, you are a good candidate for Platelet Rich Plasma (PRP) Therapy. Legacy Clinic of Chiropractic offers PRP treatment for pain management of the knee. So, if you live in The Villages, you should visit the Legacy Clinic or Call 352-259-0024 to schedule your free consultation.

Are you looking for a chiropractor in The Villages? Visit Legacy Clinic to receive world-class medical treatment for your injuries.


Legacy Clinic has the following highlighted treatments:
• Chiropractors in The Villages
• Acupuncture in The Villages
• Prolozone in The Villages
• Spinal Decompression in The Villages
• PRP in The Villages

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Medicare Chiropractic Guidelines

Medicare chiropractic guidelines can be complex and often misunderstood. Understanding these guidelines is crucial for both chiropractic patients and chiropractors to ensure proper coverage and reimbursement.

The Role of Medical Necessity

First and foremost, Medicare will cover spinal manipulations performed by a chiropractor if they are deemed medically necessary. However, it is important to note that a chiropractic exam is required to determine the necessity of treatment. Medicare does not cover the cost of this exam. Additionally, other therapies such as massages and non-manipulative therapies are not covered under Medicare.

Coverage for Specific Conditions

Once it is determined that the treatment is medically necessary, Medicare will cover spinal manipulations to correct the specific condition. However, it is important to keep in mind that Medicare does not cover chronic conditions or maintenance care. If a condition is considered chronic or if the patient is not showing improvement within a specified timeframe (typically 30-45 days), Medicare will not provide coverage.

Navigating Medicare’s Unspoken Rules

It is worth mentioning that Medicare has established specific guidelines and rules that chiropractors must follow. These rules regarding chronic care, maintenance care, and acute care are not explicitly explained in the Medicare manual or when speaking with a Medicare representative. However, Legacy Clinic and many other offices in The Villages are aware of these rules and strictly follow them.

The Pitfalls of Non-Compliance

Unfortunately, there are some offices that do not adhere to the Medicare guidelines and may slip through the cracks. However, it is important to ensure that your chiropractor follows the Medicare rules to avoid potential issues with coverage and reimbursement. Some offices have even faced fines from Medicare for non-compliance before implementing proper guidelines.

Legacy Clinic: Leading by Example

At Legacy Clinic, we take pride in following the Medicare chiropractic guidelines. Our billing department not only handles our own billing but also provides consulting services to other offices to help them implement these guidelines effectively.

Patient Responsibility and Awareness

It is important to note that if your doctor in your home state did not follow the Medicare rules, we are not responsible for any resulting issues. It is always best to ensure that your chiropractor is knowledgeable about and compliant with Medicare guidelines to ensure proper coverage and reimbursement.

Conclusion: Aligning Care with Guidelines

In conclusion, understanding Medicare chiropractic guidelines is essential for both patients and chiropractors. By being aware of these guidelines, patients can ensure that they receive appropriate coverage, while chiropractors can provide necessary care while adhering to Medicare regulations. Legacy Clinic and many other offices in The Villages are dedicated to following these guidelines, providing patients with quality chiropractic care that aligns with Medicare guidelines.

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PRP for shoulder – Volleyball player

Testimony Blog – Back playing volleyball after PRP for shoulder

Although the players are separated by a net, there is still a risk of getting injured during volleyball. Mostly, players are seen with ankle sprains that may affect one or both ankles. Acute knee injuries are less common for volleyball as compared with football, but they can injure knee ligaments that cause severe pain. Elite players use their shoulders, knees, and lower back which can lead to the occurrence of injuries.

Common injuries during Volleyball

  • Ankle sprain
  • Meniscus tear
  • Lower back pain
  • Patellofemoral pain syndrome
  • Collateral ligament injury
  • Jumper’s knee

What is PRP (Platelet Rich Plasma)?

Platelet-rich plasma therapy is a type of regenerative medicine in which a small amount of the patient’s own blood is used to create a source of healing platelets. This therapy can help to promote the repairing of damaged tissues. For this purpose, the blood sample is taken and a platelet is extracted from it. Now, the doctor can inject the platelet into the injured area to speed up the healing process.

Platelets consist of growth factors that stimulate the body’s own healing process. The PRP injections contain concentrated platelets to accelerate the healing process and help you in recovery. PRP is an advanced technique highly recommended due to its positive results.

PRP for Shoulder Treatment in Legacy Clinic:

Legacy Clinic of Chiropractor facilitates you with Platelet Rich Plasma (PRP) Therapy. Since PRP therapy helps treat musculoskeletal conditions, Dr. Aaron can use PRP treatment for many patients and shows remarkable results. Dr. Aaron Perry is a skilled and licensed acupuncture physician in Legacy Clinic who has done PRP therapy on many patients. Different athletes including Volleyball players got PRP therapy from Legacy Clinic of Chiropractic in The Villages that helped to speed up the recovery period. All the patients are satisfied with the PRP therapy and give positive reviews about the Legacy team and the treatment.

“I would like to thank Dr. for helping me stay on the court battling! As I rounded 50, injuries began to mount. In 2021 through a series of Prolozone Injections, he healed a meniscus tear in my knee! Most recently with the addition of PRP, he is healing my Shoulder Injury that had stopped me from competing. I am 3 weeks post Injection and every day it gets better! I am back to playing! Thanks, Dr. Aaron and the entire Legacy Team for keeping me healthy the past 5 years” – Eric 

PRP shoulder – Volleyball player
PRP shoulder – Volleyball player

If you have any questions regarding PRP therapy or want to get PRP treatment, call us at 352-259-0024 to schedule your free consultation at Legacy Clinic in The Villages.

Are you looking for a chiropractor in The Villages? Visit Legacy Clinic to receive world-class medical treatment for your injuries.


Legacy Clinic has the following highlighted treatments:
• Chiropractors in The Villages
• Acupuncture in The Villages
• Prolozone in The Villages
• Spinal Decompression in The Villages
• PRP in The Villages

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PRP Vs. Stem Cell: How PRP Is Better?

Persistent pain can boggle your mind and seriously affect your work efficiency. Managing chronic pain with medicines has side effects. Therefore, modern medicine is now knocking on the doors of natural healing to reduce pharmacological dependence.

Regenerative medicine is a branch of medicine that enhances the healing potential of the body. This allows the body to repair itself and cure the underlying problems. The modality is gaining rapid popularity across the globe.

The two most effective solutions offered by regenerative medicine include:

  • Plasma-rich platelet (PRP) injections
  • Stem cell injections

Today, we discuss how PRP and stem cells work to alleviate pain symptoms.

PRP Vs. Stem Cells

The main aim of both treatment modalities is to increase the healing capacity of the body. However, there are some notable differences between the two, which are discussed below:

Type Of Cells

Both types of cells are injected via prolotherapy (proliferation therapy). In PRP, platelets are extracted from the patient’s blood and injected at the site of injury.

On the other hand, stem cells are specialized cells with immense differentiation potential. These cells are usually obtained from the bone marrow and injected into the diseased part.

Conditions Managed

PRP carries growth factors that aid in quick healing. The clotting precursors (platelets) are important in managing soft tissue problems. You can expect the best results in conditions such as tendonitis, muscle injuries, and arthritis.

Stem cells do a wonderful job of regenerating the bone and cartilaginous tissues of a joint. Thus, individuals with osteoarthritis and other degenerative conditions can take maximum benefit from stem cells.

Why Is PRP Preferred Over Stem Cell Therapy?

Easier To Perform

Extraction of plasma-rich platelets is easier and a relatively easier procedure than stem cells.

Cost Effectivity

PRP injections are effective in alleviating pain from chronic conditions. This particular mode of treatment is cost-effective as compared to stem cell therapy. Thus, it is affordable for everyone.

Speeds Up Healing Process

While stem cells are ideal for degenerative conditions with severe organ (joint, muscle) damage, they have little significance in the healing pace. PRP is a rich source of growth factors that can amp up the healing process and reduce inflammation.

How Can Legacy Clinic Help?

The Legacy Clinic of Chiropractic offers treatment options that help you live a better life with chronic pain conditions. The PRP injection therapy here will help you significantly improve your quality of life.

So, don’t let pain ruin your life. Book your appointment today!

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PRP Testimonial: The Legacy Clinic

The Legacy Clinic of Chiropractic has been helping out aching patients for a very long time now. The expert professionals offer multiple treatment modalities tailored to the needs of the patients. Be it sports injuries, aging degenerations, or weight loss management, the Legacy Clinic has always gone far and beyond to help patients.

Residents of the Villages, Florida have taken the maximum benefit of the facility. This all-under-one-roof treatment center offers different non-surgical procedures that are effective and readily accepted by the patients. The best way to validate the authenticity of a clinic is to ask the patients about their experiences. So, today we are going to share one of the many successful treatment stories with you!

Edie: The Golfer

qc kinetics in the villages

Edie is a wonderful lady who likes to spend time playing golf. The amazing golfer started facing discomfort in the right knee which turned into persistent pain. Infuriated with the knee ache she got herself checked at the Legacy Clinic of Chiropractic where she got treatment from Dr. Perry.

The inability to walk due to knee pain made her fearful of her condition. She wanted to get a painless treatment for her knee that was long-lasting. So, Dr. Perry waved the magical wand, and out came PRP injections.

Platelet-rich plasma (PRP) is extracted from the patient’s blood and injected into the diseased site. The platelets along with the growth factors speed up the process of healing and remove inflammation from the region. This allows swift healing and consequent pain alleviation.

This highly efficacious treatment was given to Edie. She explains and we quote “The injection was completely painless.”

She claimed the treatment to be a pleasant experience.

She also expressed her joy at the progressive improvement in the knee she felt after the treatment. Edie was ecstatic to note a 50-70% reduction in pain just a few weeks after the injection.

Now she can easily play golf and knee pain is a thing of the past. She recommends the treatment to everyone and believes it to be an ideal alternative to surgery. You can listen to her views by clicking here.

So, don’t delay your joint pains and visit the Legacy Clinic of Chiropractic ASAP to live a healthy and active life.

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Ozempic Drug Side Effects

A lot of the time, exercising with flabby bellies and buttocks is extremely tough. Most obese individuals seek some pharmacological intervention to aid the fat-burning process. One famous drug known for causing instant weight loss is Ozempic. Many individuals across the globe try Ozempic only to find the drug to be a powerhouse of side effects and adversities.

Today, we shall discuss how Ozempic negatively affects your general health. Don’t worry; we won’t let your hopes die as we provide safe and effective weight loss alternatives to Ozempic!

What Is Ozempic?

Pharmacologically known as semaglutide, Ozempic is an FDA-approved drug for managing type 2 diabetic patients.

It is an injectable drug given every week to lower blood sugar levels. The drug induces the pancreas to produce more insulin.

Ozempic is not approved for weight loss but is frequently prescribed by general physicians to aid weight loss.

How Does It Induce Weight Loss?

You can compare the effects of semaglutide to that of bariatric surgery. The drug mimics the action of insulin and, thus, induces weight loss in the following ways:

  • Makes you feel full quicker
  • Slows down the digestion process

It is sold under the name Wegovy for weight loss. Wegovy is an oral pill mainly used for weight loss. The drug can trim you down but is associated with numerous unwanted consequences.

Side Effects Associated With Ozempic

The most notable side effects of Ozempic (semaglutide) include:

Gastric Upset

Nausea, vomiting, and diarrhea are the most common side effects of the drug. As per reports, gastric adverse events such as nausea and vomiting are frequently seen in patients taking semaglutide.

In another study, it was concluded that Ozempic use should be minimized due to the gastrointestinal side effects and tendency to cause pancreatitis. It also induces diarrhea in obese patients taking it for weight loss. These symptoms may be associated with a significant stomach ache that interferes with daily activities.

Fatigue

You may feel fatigued by taking this drug. Persistent tiredness and an inability to complete tasks interfere with your work performance. This can be the outcome of drug-induced hypoglycemia (low blood sugar).

Liver Injury

The first case of Ozempic-induced liver injury was reported in 2021. The drug can deteriorate your liver which presents as abdominal pain, fatigue, nausea, vomiting, etc.

Kidney Issues

Patients presenting with gastric complications of the drug are at an increased risk of developing kidney disease. A clinical trial suggests doctors be cautious while prescribing Ozempic due to the adverse kidney events observed.

Pancreatitis

Individuals taking Ozempic for weight loss are at a greater risk of developing inflammation of the pancreas. The higher weight reductions can accompany serious health complications.

In addition to the organ damage, Ozempic results are not even permanent, and weight rebound is common after you stop taking the drug.

Safe Alternatives To Lose Weight

We suggest you stop risking your health for quick fat burning and shift to a safe and complete solution. The Weight Loss program by the The Legacy Clinic is an effective, easy-to-follow, and completely natural way to say goodbye to fat.

You can lose 25 lbs in just 40 days without strenuous exercises or strict diets. The program lets you control your hormones and naturally induces weight loss.

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What are Prolozone Injections

Prolozone therapy is a non-surgical procedure for the treatment of joint pain and musculoskeletal pain. Prolozone is a combination of neural therapy, ozone therapy, and prolotherapy. In this technique, the injections of a combination of anti-inflammatory medications, minerals, procaine, vitamins, and ozone gas (oxygen) are delivered into the degenerated joints and damaged tissues. Prolozone injections can help relieve chronic pain. Prolozone therapy is better than traditional prolotherapy because it consists of ozone gas that can repair joints of the body.

How does Prolozone Injection work?

Prolozone injections work as regenerative medicine. It is the combination of collagen-producing material and ozone gas that can initiate the process of natural healing. These injections play an important role in the regeneration of damaged tissues. When an ozone-containing injection is infused in a certain area of the body, it enhances the blood supply to that specific part. It also increases the nutrient supply to that area and the natural healing cycle of the body.

Reasons for using Prolozone Injections:

In some cases, patients have chronic pain due to musculoskeletal injury or disease. Prolozone therapy is an alternative solution to surgery for these patients. This is a pain relief injection therapy that can heal the ligaments and relieve the pain and disability. Prolozone injections can help treat the following conditions:

  • Sciatica
  • Hip arthritis
  • Knee arthritis
  • Chronic back pain
  • Carpal tunnel syndrome
  • Elbow pain
  • Degenerative discs of the spine
  • Rotator cuff injury

How do Prolozone injections reduce chronic pain?

In Prolozone therapy, injections of several nutrients in combination with ozone gas are infused into the painful joints, nerves, ligaments, and tendons. It works at the cellular level and is helpful for the stimulation of the immune system of the body. It enhances the amount of oxygen supply in the area reduces the pain and speeds up the recovery period. Additionally, it helps the damaged tissue regain its strength and tightness, which helps to stabilize the area and lessen pain.

How long do the results last?

Patients experience instant relief after receiving the first injection of Prolozone. This procedure is repeated 4 to 6 times after every two weeks. However, patients experience significant results after 3 to 5 sessions of Prolozone therapy. Additionally, your doctor will provide your treatment plan according to the condition.

What are the side effects of Prolozone injections?

Prolozone injections are considered to be safe because it is rare for patients to experience side effects. You may experience light sensitivity or bruises due to needles. Moreover, doctors can use medication to cause numbness before the treatment.

What results do I expect after the Prolozone therapy?

You can expect gradual pain in the pain after getting Prolozone therapy. After the first session, you can feel instant relief from pain. This treatment can reduce up to 75% of chronic pain permanently. However, you will receive booster doses after several months to maintain the results.

Benefits of Prolozone injections over prolotherapy:

  1. Prolozone injections contain ozone which provides oxygen in the damaged area of the body. Meanwhile, prolotherapy does not have this function and it is a very painful procedure. The pain due to prolotherapy lasts typically from days to weeks.
  2. Prolotherapy requires multiple injections but Prolozone therapy needs only a few. You can say that Prolozone is a faster, simpler, and less expensive procedure as compared to prolotherapy.
  3. You will notice great results when Prolozone injections are used intraarticularly. It is helpful for the regeneration of the damaged cartilage present in the knee, hips, and shoulders.

Prolozone therapy at Legacy Clinic in The Villages:

Legacy Clinic provides Prolozone therapy to alleviate chronic pain. Dr. Arron Perry is an experienced, acupuncture physician who works at the Legacy Clinic in The Villages. He is certified and trained to provide Prolozone injections to patients. The treatment consists of two phases. In the first phase, he may inject the solution of minerals, vitamins, and homeopathic remedies to provide proper nutrients to a certain area. This phase improves blood circulation and also reduces swelling and inflammation. In the second phase, ozone gas is provided to the treated area. Ozone gas can help provide oxygen and increase the production of red blood cells. The process causes a healing process in the injection site which can be effective in reducing the pain. If you have chronic pain in joints or muscles, you can schedule your appointment with Dr. Arro Perry at Legacy Clinic in The Villages, FL. 

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United health care chiropractor in The Villages

There are uncountable pain conditions that can tie you to the bed and make life miserable. Every year, adults bequeath healthy activities to sports injuries, accidents, and degenerative diseases.

Residents of the Villages, Florida, need not worry about pain management thanks to the Legacy Clinic of Chiropractic. This facility is laced with the best practitioners offering effective solutions to chronic pain patients.

Services Offered At The Legacy Clinic

The Legacy Clinic offers non-surgical treatment modalities to alleviate discomfort and improve your quality of life.

Chiropractic Treatment

Chiropractic treatment is gaining rapid popularity as an alternative to pharmacological treatment. A number of chronic issues, such as low back pain, can be effectively managed by visiting a chiropractor.

Manual Adjustment

This is a specialized type of chiropractic treatment based on realigning bodily structures. Spinal adjustment is great at correcting slipped discs and abnormal spine curvatures.

Physical Therapy

Physiotherapy enhances the mobility of the muscles and helps increase the joint range of motion. Regular sessions of physiotherapy help improve the quality of life in old patients.

Laser Treatment

Laser therapy is an advanced mode of treatment that helps eradicate deep-rooted issues in the muscles and the joints.

Massage Therapy

For ages, massage therapy has helped reduce pain and inflammation. The professional hands of a masseuse cast out pain and anxiety from the body.

Acupuncture

The Traditional Chinese Medicine treatment of acupuncture relaxes the mind and soul. It resets your body by ensuring a smooth flow of qi.

Weight Loss Management

Obesity is the root cause of plenty of ailments. Losing weight is a nightmare for most. Guided weight loss can be fun and easy to follow.

Injections/Prolotherapy

Several fluids and vitamins can help you unlock your body’s true potential. Glutathione and vitamin B12 drips strengthen the healing potential of the body.

Pain management and PRP injections also speed up the healing process while reducing pain and discomfort.

Will My Insurance Cover My Treatment Expenses?

Medical expenses can be burdensome for many. There are different insurance policies in the US that cover medical expenses.

Residents of the Villages can get their treatment at Legacy Clinic through an insurance policy.

United Healthcare Insurance

United Healthcare Insurance offers healthcare insurance in the Villages. United Healthcare patients can visit the Legacy Clinic of Chiropractic and avail of the insurance policy on different treatment modalities.

So, if you are a United healthcare member looking for pain relief, click here to book an appointment with the best chiropractors in the Villages.

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Y Strap Adjustment

Chiropractic treatment is an amazing non-surgical modality to treat disturbances of the spine and joints. Modern chiropractors across the globe now use advanced equipment to enhance the mobility of patients’ joints.

A highly effective chiropractic tool of the present time is the Y-axis traction strap, more commonly known as the Ystrap. The bands of the strap form a y-shape, thus the name. It is highly efficient in realigning the spine.

What Is Y Strap Adjustment?

The Y-strap is designed to correct the head and neck region issues. The main purpose of this chiropractic strap is to decompress the vertebral (spinal) discs. Chiropractors wrap the strap around the patient’s neck and pull it to realign the spine.

Two different types of manipulation forces can be applied using the y-strap:

  • Slow/smooth stretching
  • High Velocity, Low Amplitude (HVLA) movement

Is Y-Strap Safe?

Yes, y-strap adjustment is a completely safe procedure for all. If performed by a trained professional, there is minimal chance of injury to the spine, thanks to the strong protective ligaments. 

Benefits Of Y Strap Adjustment

Y-strap adjustment offers the following benefits for patients:

Relieves Pain

Individuals suffering from chronic spinal disorders (spinal stenosis, etc.) and degenerative bone diseases (osteoarthritis) experience chronic, unresolved neck pain. Y-strap plays a crucial part in relieving chronic neck pain.

The strap can also safely manage acute, sharp neck pain. Chronic smartphone users can develop sudden neck pain from slouching (forward head posture). Text neck syndrome is such a condition that can be managed well using chiropractic adjustments.

Prevents Injury

By improving the spinal vertebrae’s mobility and range of motion, y-strap adjustment helps prevent future injuries. Improved motion means enhanced blood supply to the bones and muscles, which keeps twisting and straining at bay.

Improves Athletic Performance

Athletes taking y-strap adjustment sessions report improved sports performance. Pickleball players require efficient neck and shoulder muscles to take the lead; therefore, y-strap adjustment can greatly benefit sportspersons.

Can Be Used For Targeted Manipulation

Studies suggest that y-axis strap adjustment allows chiropractors to adjust and decompress the entire spine from the occiput to the sacrum (bones).

Y Strap Adjustment In The Village

Village, Florida residents can now say goodbye to neck pain and spasms. The Legacy Clinic of Chiropractic is offering y-strap adjustment in the Village. Don’t live with the burden of neck pain; visit the Legacy clinic today!

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Spanish Speaking Chiropractor In The Villages

According to the US Census Bureau, almost 27% of Florida’s population is Hispanic. The Villages, Florida, has a significant number of residents who have Spanish as their first language. Most of these inhabitants are old and incapable of learning new languages.

The language barrier is problematic when commuting and interacting with the outside world. However, this language issue is most pronounced when visiting a healthcare facility.

Accurate medical history is the key to a good diagnosis. Treatment and diagnosis are compromises if the patient and doctor can not communicate properly.

Dr.Ayo K. Adejunmobi: Spanish Speaking Chiropractor

Dr ayo chiropractor in the villages
Dr. Ayo, a chiropractor in the villages

Dr. Ayo K. Adejunmobi is an experienced chiropractic doctor who is serving at the Legacy Clinic of Chiropractic in Port Orange, Florida. Dr. Ayo Adejunmobi has treated patients of all ages. The full-of-life doc is an active basketball and soccer player who keenly examines sports injuries. He also pays special attention to managing the pain issues of the old.

In addition to his exceptional medical skills, Dr. Ayo is a fluent speaker of Spanish. Hispanic Village residents with pain disorders or injuries can easily speak their hearts out with Dr. Ayo.

Benefits Of Having A Spanish Speaking Chiropractor

Ease Of Communication

Patients find it a lot easier to convey their issues when the doctor understands their language. The issue is conveyed relatively more easily and quickly than with a non-Spanish speaker.

Greater Trust

A Spanish-speaking chiropractor earns greater trust of the patient than a non-speaker. This trust can increase the prognosis of the treatment.

Better Follow-Up

The language barrier puts the patient in doubt. Most patients hesitate to visit the same doctor again when they can not communicate properly. When the doctor understands and explains in your language, follow-ups are easier. Proper follow-ups improve the quality of the treatment.