First Visit:

Dr. Winckler prefers to meet patients ahead of scheduling an examination.  This clarifies how much time will be needed and whether or not he is the best choice of doctor for the circumstance.  It is a chance for the patient to ask about the treatment and costs.  There is no charge for this initial consultation.

If you have pertinent lab reports or imaging, this is a good time to bring them.  If your imaging was performed by the Samaritan system in the last several years, he can go online to see them once he has your permission.


Benefits vary widely.  A call to your insurance company will tell you what to expect.  Or when you come for the consultation, the staff will copy your card and investigate benefits.


Due to the variety of treatment needs, and the nature of insurance and insurance coding, it is difficult to guess what your evaluation and care would cost without knowing more about you, hence the consultation.  Dr. Winckler tries to accommodate patients who are paying out-of-pocket by offering a pay-as-you-go discount and by being willing to discuss fees and strategies for keeping costs down.

The best money saver of all: Do your assigned exercises!  Exercises can easily cut the number of treatments required in half.


Allow 1-2 hours.  Dr. Winckler will ask questions and look at the problem area, and related areas, until he is reasonably certain of his working diagnosis.  This may include ordering further tests and imaging.  When this is concluded he will tell you what he thinks is causing your problem, and will outline factors leading up to or perpetuating it.  Then he will discuss what intervention is needed, and what exercise or other activity change may be required of you.

If you are being referred by another doctor, Dr. Winckler will provide a report to that doctor that includes his diagnosis and recommendations.


If Dr. Winckler accepts you as a patient, he will discuss with you what he thinks is needed and why.  Dr. Winckler is primarily a hands-on doctor, and prefers a technique called Nimmo Method, a system that uses finger pressure to find the sources of pain and dysfunction and release them.  Imagine acupuncture without the needles, and based on neurology and body mechanics rather than Chinese meridians.

When needed, he also uses a limited amount of traditional chiropractic adjustment, performed lightly, and supports his treatments with a variety of stretching, massage, and conditioning methods.  Expect to learn some exercises.  You should allow anywhere from 15 minutes to an hour for a treatment session, depending on complexity and number of areas treated.

Dr. Winckler believes in having solid goals for treatment, clear methods of monitoring progress, and an understanding of what constitutes success.  He wants you to feel better quickly and have the tools to stay feeling better.