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Your first visit focuses on understanding your problem. Dr. Randall Trester reviews your health history, discusses your symptoms and goals, and performs a physical and chiropractic exam. If care is appropriate, he explains the findings and a suggested plan, and may begin gentle treatment the same day. The first visit usually takes a little longer than follow-ups.

If you are considering chiropractic care for the first time, it is natural to want to know exactly what will happen at your appointment. At West 1st Chiropractic, your first visit is designed to be clear, comfortable, and focused on you, so you can feel at ease from the moment you walk through the door.
You are welcomed and given time to share your health concerns, then guided step by step through a thorough assessment with Dr. Randall Trester. By the end of your first appointment, you will understand what is going on, what your options are, and how we can help you work toward pain-free, active living without relying on medication or invasive procedures.
Your first appointment is about more than a quick adjustment. It is an opportunity for you to be heard, to ask questions, and to start building a plan for long-term relief and better function. We look at the full picture of your health so any recommendations are based on a clear understanding of your body and your goals.
From the friendly greeting at reception to your time with Dr. Trester, everything is structured to reduce stress and make things straightforward. You will always know what is happening next and why it matters for your care.
During your first visit, you can expect benefits such as:
• A welcoming, low-pressure environment so you can relax and feel comfortable
• Time to discuss your pain, lifestyle, and goals in detail
• A thorough examination that looks beyond symptoms to possible underlying causes
• Clear explanations in plain language, without jargon
• A personalised plan outlining recommended care and next steps
When you arrive, office manager Shalene will greet you, help you with any initial paperwork, and answer questions about the visit. This first step is designed to be simple and supportive, especially if you are new to chiropractic care or feeling nervous.
You will then meet with Dr. Trester for a detailed health consultation. He will ask about your current symptoms, previous injuries, daily activities, work demands, and overall health history. From there, you will receive a chiropractic examination, which may include range of motion testing, postural analysis, and neurological checks. When appropriate, we may take digital X-rays on-site to get a clearer view of your spine and related structures.
After your examination, we take the time to review what we found and what it means for you. Instead of rushing into treatment without context, you receive a clear report of results that connects your symptoms to possible underlying issues.
Based on these findings, Dr. Trester will outline a tailored treatment plan that reflects your specific condition, your comfort level, and your health goals. This plan is designed to address the root cause of your pain where possible, support better function, and help you work toward long-term wellness, not just short-term relief.
People come to West 1st Chiropractic for many reasons, including back and neck pain, headaches and migraines, pregnancy-related discomfort, paediatric concerns, sports injuries, sciatica, whiplash, and other musculoskeletal issues. What they find is a clinic that prioritises careful listening, gentle care, and clear communication.
Our approach is centred on education and empowerment. We explain your condition, outline appropriate treatment options, and share self-care strategies so you can take an active role in your health between visits. With a combination of clinical expertise, modern assessment tools such as digital X-rays when needed, and genuine attention to your comfort, West 1st Chiropractic aims to be a trusted partner in your path to feeling and moving better.

Proudly serving the Kitsilano community and greater Vancouver area since 2003.
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