Frequently Asked Questions

Chiropractic First treats a wide range of musculoskeletal conditions and pain-related issues. Our most common cases include low back pain, neck pain, sciatica, herniated and bulging discs, degenerative disc disease, spinal stenosis, neuropathy, headaches, and migraines.

We also treat sports injuries, auto accident injuries, work-related injuries, shoulder pain, knee pain, hip pain, carpal tunnel syndrome, plantar fasciitis, and other extremity conditions. Dr. Townsend’s diverse training allows him to address conditions that many other providers refer out.

Whether your pain started from a specific injury or has developed gradually over time, we focus on identifying the root cause rather than just masking symptoms. Visit our conditions treated page for a complete list, or call (802) 474-4258 to discuss your specific situation.

Dr. Townsend uses a thorough, multi-step diagnostic process to identify exactly what is causing your pain. Your evaluation begins with a detailed conversation about your health history, when your symptoms started, what makes them better or worse, and any prior treatments you have tried.

Next, he performs a comprehensive physical examination that includes orthopedic testing, neurological assessment, range of motion evaluation, and palpation of the spine and affected areas. If clinically indicated, digital X-rays are taken on-site to visualize spinal alignment, disc spacing, and any structural abnormalities.

All of this information is combined to build a clear picture of your condition. Dr. Townsend then sits down with you to explain his findings in plain language, discusses your diagnosis, and outlines a recommended treatment plan with realistic expectations for recovery. This thorough approach is what allows him to develop truly personalized care rather than applying a generic protocol.

Yes, Chiropractic First accepts most major insurance plans including Blue Cross Blue Shield, Cigna, Aetna, United Healthcare, Medicare, and many others. We also work with auto insurance and workers’ compensation carriers for injury-related cases.

Before your first visit, our office will verify your insurance benefits so you know exactly what is covered and what your out-of-pocket costs will be. We handle the paperwork and billing directly with your insurance company to make the process as simple as possible.

If you have questions about your specific plan or would like us to check your benefits before scheduling, call us at (802) 474-4258 and we will be happy to help.

Your first visit to Chiropractic First is designed to be thorough and informative. Plan for approximately 45 to 60 minutes so Dr. Townsend can take the time needed to properly evaluate your condition.

When you arrive, you will complete a brief intake form covering your health history and current symptoms. Dr. Townsend will then sit down with you for a one-on-one consultation to discuss your pain, how it affects your daily life, and what your goals are for treatment.

Following the consultation, he performs a comprehensive examination including orthopedic and neurological testing. If X-rays are needed, they are taken on-site during the same visit. Once all the information is gathered, Dr. Townsend reviews his findings with you, explains your diagnosis, and presents a recommended treatment plan. In many cases, you will receive your first treatment on the same day.

Ready to get started? Schedule your first visit or call (802) 474-4258.

Yes, spinal decompression therapy is a safe, FDA-cleared, non-surgical treatment for disc injuries. At Chiropractic First, we use the SpineMED system, which is one of the most advanced and well-researched decompression platforms available.

The treatment works by gently stretching the spine using precise, computer-controlled traction. This creates negative pressure within the disc, which helps retract herniated or bulging disc material and promotes the flow of nutrients and oxygen into the damaged disc. Most patients find the treatment comfortable and relaxing — many even fall asleep during sessions.

Dr. Townsend has over 17 years of experience performing spinal decompression therapy and carefully screens every patient to ensure they are a good candidate before beginning treatment. Conditions that respond well to decompression include herniated discs, bulging discs, degenerative disc disease, sciatica, and spinal stenosis.

To learn more, visit our spinal decompression page or call (802) 474-4258 to find out if decompression is right for you.

The timeline for improvement varies depending on the severity and nature of your condition, how long you have been dealing with it, your overall health, and how closely you follow your treatment plan.

Many patients notice some improvement within the first few visits — reduced pain, better range of motion, or improved sleep. However, meaningful correction of the underlying problem typically takes longer. Acute conditions that are caught early may resolve in a few weeks, while chronic conditions or significant disc injuries may require several weeks to a few months of consistent care.

Dr. Townsend is transparent about what to expect from the start. During your initial evaluation, he will give you a realistic timeline for your specific condition so you know what to plan for. He also tracks your progress throughout treatment and adjusts your plan as needed to ensure you are moving in the right direction.

The key is not just eliminating pain but correcting the underlying cause so the problem does not keep coming back.

Yes, chiropractic care is widely recognized as one of the safest forms of healthcare for treating musculoskeletal conditions. Research consistently shows that chiropractic adjustments carry significantly fewer risks than common alternatives like prescription pain medications or spinal surgery.

At Chiropractic First, safety is a top priority. Dr. Townsend has over 24 years of clinical experience and more than 8,000 patients treated. He is trained in multiple adjustment techniques ranging from traditional manual adjustments to gentler, low-force methods. This allows him to match the technique to each patient’s comfort level, age, and condition.

Every patient receives a thorough examination — including X-rays when needed — before any treatment begins. This ensures that Dr. Townsend has a complete picture of your spinal health and can identify any conditions that may require a modified approach or referral to another provider.

If you have concerns about safety or want to discuss what treatment would involve for your specific situation, call (802) 474-4258 to speak with our office.

No, you do not need a referral to see a chiropractor in Vermont. Chiropractors are primary care providers, which means you can schedule an appointment directly without needing approval from your medical doctor first.

You can simply call (802) 474-4258 or request an appointment online to get started. If your condition does require coordination with another healthcare provider, Dr. Townsend will communicate directly with your physician to ensure you receive the best possible care.

Some insurance plans may have specific referral requirements for coverage purposes. If you are unsure whether your plan requires a referral, our office can verify your benefits before your first visit so there are no surprises.

The cost of chiropractic care at Chiropractic First depends on your specific condition, the treatments involved in your care plan, and your insurance coverage. We believe quality chiropractic care should be accessible and work with you to find an affordable path to relief.

Most major insurance plans are accepted, and our office handles all insurance verification and billing on your behalf. For patients without insurance or with high-deductible plans, we offer competitive self-pay rates.

We also offer a new patient special so you can get started with a comprehensive evaluation at a reduced cost. Dr. Townsend will always discuss costs and treatment options upfront so you can make an informed decision about your care.

Call (802) 474-4258 to learn about current pricing, verify your insurance benefits, or ask about our new patient offer.

Yes, Chiropractic First is a family-friendly practice and Dr. Townsend welcomes patients of all ages, including children and teenagers. Chiropractic care for kids is gentle, safe, and uses significantly less force than adult adjustments.

Children can benefit from chiropractic care for a variety of reasons. Active kids involved in sports may experience injuries or postural imbalances. Teenagers carrying heavy backpacks or spending long hours on devices often develop neck and upper back tension. Even younger children can develop spinal misalignments from falls, growth spurts, or everyday activity.

Dr. Townsend uses age-appropriate techniques and takes the time to make young patients feel comfortable and at ease. He also educates parents on posture, ergonomics, and injury prevention so the whole family can benefit.

Many of our patients bring their entire family to Chiropractic First for regular wellness care. Call (802) 474-4258 to schedule an appointment for your child or to ask any questions about pediatric chiropractic.