“Look well to the spine for the cause of disease.” - Hippocrates
About Dr. Urban
Dr. Urban has been practicing Chiropractic for over 25 years now. Dr. Urban is a graduate of Palmer College of Chiropractic in Davenport, Iowa (1991). He has built and maintained successful Chiropractic practices in Nebraska, Colorado and now in Hawaii on the beautiful island of Maui in Kahului.
Dr. Urban is proficient in the “GONSTEAD” art form of adjusting the spine.The Gonstead Method of Chiropractic care was developed by Dr. Clarence S. Gonstead of Mt Horeb, Wisconsin beginning in 1923. He refined his unique system over a 55 year period. The Gonstead Method focuses on being as specific as possible with the examination and treatment of the patient. Every patient is a unique case with specific subluxations and must not be given the same course of manipulation. The Gonstead practitioner believes that chiropractic care is not scientific unless the adjustment is specific.
Each patient carries his own doctor inside him. They come to us not knowing that truth. We are at our best when we give the doctor who resides within each patient a chance to work.
Albert Schweitzer, M.D.
Chiropractic is a powerful, effective and natural way to get and keep yourself healthy. Chiropractic recognizes the body’s innate ability to heal and it’s my position to help support this.
It is through “specific” spinal adjustments that subluxations (misalignments) can be corrected so that normal movement/positioning and function can help to improve upon the sensitive communication (nervous system function) that is so vital to your body’s potential to heal. When the spine is in alignment and the nervous system is functioning properly, your body knows how to heal, regulate and adapt appropriately to the many external stressors of everyday life.
Dr. Urban prefers to work with what is right within you (the intelligence of the body) then to focus on what is wrong with you (your symptoms). As you grow older, you should grow healthier…a realization that is often overlooked given our current medical mainstreams disposition on health!
Dr. Urban takes great pride in delivering a “specific” spinal adjustment to his clients. His approach does NOT treat everyone with the same twisting of the neck and lower back from both the right and left and the middle back from top to bottom. This approach could potentially harm individuals with an inappropriate impact to the joints of the spinal column that can result in “neurological insult”. Dr. Urban prefers to access each of his clients individually so to skillfully perform an appropriate “specific” spinal adjustment with the least amount of force that is carefully delivered to adequately address his client’s structural and neurological needs.
Plan your Visits
On your first visit to our office, you can expect to spend approximately 45 min. to 1 hour with Dr. Urban. Upon arrival, you will be asked to fill out our “initial visit forms” with details regarding your health history. Please note, our initial visit forms can be downloaded from the “contact” page. This saves valuable time when you have these forms filled out in advance. If you do not have a printer at home, we ask that you arrive 10-15 minutes early to your appointment to complete the forms in our office. After the forms are completed, you will watch a short video that gives you a brief introduction to chiropractic care and our office procedures. This information will show the many benefits from chiropractic care that go way beyond the obvious neck and back pain.
When you meet Dr. Urban, he will discuss all your health concerns with you to help determine the best course of care. Next, Dr. Urban will perform two different skin temperature tests. The first is using the “Tytron Thermography”. This instrument records temperature readings on both sides of the spine. Dr Urban is looking for asymmetries that show up as specific patterns along the spine demonstrating nerve irritation. The second instrument is called a “Nervoscope”. The nervoscope detects temperature changes as well but now pinpoints the particular area/areas that likely indicate where the nerve is being irritated. Both instruments are non-invasive and glide gently down the length of your back like two fingers sliding down each side of your spine.
Now, Dr. Urban will feel for the presence of swelling, tenderness and any abnormal texture or tightness in the muscles and other tissues of your back (static palpation). He is also feeling for motion in the spine while moving and bending you (motion palpation) to determine how easily/difficult each segment in your spine is moving in different directions. He is also visually looking for subtle changes in your posture or gait that may indicate a problem as well.
Next, we’ll take an x-ray (if appropriate). “Maui Imaging” in Kahului (just across the street in triangle square) takes all of Dr. Urban’s x-rays. The x-rays help Dr. Urban complete a thorough analysis of your spine.
Note: Maui Imaging does accept most insurances and will bill out if appropriate. Cash discounts are available as well.
The x-rays in the “Gonstead System”, aside from pathology, are used to determine the best way to adjust a segment SPECIFICALLY e.g., which side of the joint to contact and thrust on and which side to stabilize, the best line-of-drive and thrust mechanism to make a specific correction. The goal is to restore FUNCTION, not necessarily straighten misalignments that may be normal for that individual
After taking the necessary time to analyze your x-rays, Dr. Urban is ready to deliver your first specific spinal adjustment. The gonstead system was designed to be as specific and precise as possible! Great care is taken to adjust only that which is needed with the most accuracy and finesse as possible.
Lastly, Dr. Urban will schedule your second visit to discuss his findings regarding your condition and determine a course of care.
**Dr. Urban enjoys working with difficult/extreme cases, especially where people have given up hope!
Upon returning for your second visit, Dr. Urban will review your x-ray findings, answer any additional questions you may have and discuss your current health care goals. The visit will generally take about 30 minutes. A treatment plan with follow-up visits will be determined based on your goals and the outcome you desire.
Dr. Urban offers several pre-payment plans that are both cost-effective and convenient to help assist in meeting your health care goals. If you have insurance and seek reimbursement, Dr. Urban will provide you with the necessary documentation for you to seek reimbursement on your own.
Dr. Urban understands the financial commitment that is sometimes required to reach the level of health care that you may desire. So, often times he is willing to go out of his way to help you achieve this.
Now that you and Dr. Urban have determined an appropriate course of care to help meet your health goals, follow-up visits are necessary/appropriate to effectively monitor your care. Follow-up visits are fairly quick, only taking a few minutes. So, your wait times are generally at a minimum.
Also, you can schedule your visits online without having to call our office. Patients often comment how easy and convenient it is to schedule online…just give it a try! To get the times you desire, be sure to schedule far enough in advance!
The number and frequency of adjustments vary from patient to patient. Everyone responds differently! There are many factors to consider when determining how long it will take for you to get well:
- How long you have had your problem and the degree to which it has progressed.
- Your current state of health/vitality
- The ability of your doctor to properly analyze your case and make the correct adjustment.
- The time you allow your body to recover
Subluxations of the spine rarely get better on their own. Follow the course of care that you and Dr. Urban have set up and stay consistent…consistency along with specific adjustments by Dr. Urban will help you get the results that you seek.
Just like brushing and flossing your teeth, eating nutritious foods or working out at the gym. Maintaining the integrity of your spine and nervous system makes good sense!
It’s much easier to stay well then to pay to get well! Call our office today to set up your first visit with Dr. Urban.
“Chiropractic is not designed to make you instantly feel better. It is designed to make you instantly heal better.”
James P. Urban D.C.
444 Hana Highway. Suite #213
Kahului, HI 96732
(Mon,Wed. & Thu.)
9am to 1pm and 3pm to 6pm.
(Tues & Fri)
9am to noon.
Click Here to download “New Patient History Form”
I sought Dr. Urban’s help after our recent move to Maui. I selected him because he is a graduate of Palmer College of Chiropractic. I knew Palmer College to be legitimate and felt that not knowing any doctors on Maui this was the one thing I had to go by in choosing a doctor. However, having said that, I never realized the difference an individual doctor could make!
Dr. Urban is the most professional, seriously caring Doctor of Chiropractic I have ever been to! He really studies your x-ray to determine how to proceed in adjusting what needs correcting. (And if you are rolling your eyes right now thinking you don’t need to spend the extra few dollars for an x-ray then think again! YOU NEED AN X-RAY!) I have been to several Chiropractors over the years, and I get it, they take an x-ray and nothing is ever mentioned to you about the outcome. The Chiropractor gives you the “general adjustment” (hips, back, neck), making the appropriate cracking noises leaving you feeling slightly better, but never really correcting anything long term. Dr. Urban is NOT this type of Chiropractor! There is NO “wham-bam-thank-you-maam” approach.
If this is what you are receiving or have received in the past, you need have only have one visit with Dr. Urban to know to never allow yourself to be treated in that manner again!
Dr. Urban reads your x-ray and goes over it with you so that you can understand it and see for yourself what’s wrong. He explains what his findings are and puts together a plan on how to correct it. Dr. Urban is head and shoulders above any Chiropractor I’ve ever been to. He genuinely cares about you and what he can do to help. How lucky are we to live in Paradise and then find such outstanding care to boot!
In my particular case, I had been on the losing side of a run-in with a large wave the previous year. Upon my return to Iowa, I explained to my previous Chiropractor what had happened. He never took an x-ray and proceeded to give me the “general adjustment” I described above. After moving here this year, I went to Dr. Urban and after viewing my x-ray he immediately asked if I’d had problems with my groin? Had I! I had been having problems standing after sitting for over a year! After reviewing my x-ray, Dr. Urban explained that my sacrum was rotated (twisted!). He adjusted it and I haven’t had any problems since! He has also been working to correct my mid-back (this I attribute to being chained to a desk my entire work life), and he is working on old injuries to my neck that I never knew I had! I’ve had pressure in my neck all my life. I thought I was just always stressed out!
Slowly, but surely Dr. Urban is putting me back together so that my husband and I can have the retirement we have always wanted. For this, I am truly grateful! Thank you Dr. Urban!!!Jane V.