When a new patient makes an appointment with our office, we ask you to the office 30 minutes prior to the appointment. After the forms are completed, the initial assessment by a medical assistant will be performed, getting basic medical information, clarifying information that is presented on the forms, and checking vital signs. Following this, the neurologist will come into the room, and essentially recheck the clinical history, as this is one of the cornerstones of appropriate diagnosis. Following this, for the initial examination the patients will often be asked to disrobe, leaving the undergarments on, and being provided with a gown. The neurologic exam includes assessment of mental faculties, thinking abilities, reviewing the brainstem/cranial nerves. Assessing the function of the neck, the mid back and the low back, as well as the motor exam will be performed. Gait is tested if possible, to assess for various processes that affect the nervous system. The patient’s coordination will be assessed, as well as tendon reflexes.

An evaluation of the patient’s sensory exam will be obtained, to make sure that the sensation is appropriate and symmetric in the body. Following this exam, an overall impression will be obtained. The neurologist will use this as a basis for additional clinical testing, diagnostic testing, and treatment recommendations.


Payment is required at the time of service for all office visits. The amount required will depend on the type of insurance that you have. Therefore, it is necessary to bring your insurance information and checkbook or cash with you when you come for your appointment. We will verify your insurance coverage, and obtain pre-certification for you if that is required. We will file your primary insurance claim for you, and assist you in any problems or delays. If your insurance company has not paid within six weeks, we will expect payment from you directly.



Dr Kandel has written several books on his specialties, topics include back pain, migraine, headache.

Video Library

Spinal tips and exercise instructional video to help you learn how to relieve back and neck pain at home.

Headache Diary

Use this headache diary to keep track of headaches or migraines, then on your next visit bring it with you.


Did you know stretching and special exercises can help strengthen your neck, back, and spine? Simple stretches can reduce stiffness and tension.

In order for the spine to maintain its correct alignment, it must work with the soft tissue supporting the pelvis, trunk, thighs, and shoulder girdle. Exercise for the lower back, neck and proper postural alignment for routine activities are all equally important.

We hope the following home exercises help you! Not all exercises are suitable for everyone, physical activity always presents a risk of injury especially for persons with limited mobility. Please always consult your doctor before you begin.