Diagnosis

The evaluation of patients begins with a detailed clinical questionnaire. A team of nurse practitioners supervises the data entry, scheduling of tests and physician consultations, travel arrangements and housing. The workup is exhaustive but usually completed over a two-day period.
Outpatient activities are conducted with a multidisciplinary approach. The detailed diagnostic workup includes six MRIs, C MRIs, dynamic X-rays, 3D CTs, high-definition imaging and morphometrics. These are followed by a screening evaluation by a nurse practitioner with clinical screens for Ehlers-Danlos Syndrome and tethered cord syndrome. Next comes a neurology visit. The diagnostic process culminates with a neurosurgical visit. The final product is a report of at least 11 pages.
The goals of the diagnostic workup are to:

• Establish the correct diagnosis.
• Educate the patient and answer their questions.
• Provide a list of management options.
• Discuss the preferred operative technique if surgery is required.

The development of a multidisciplinary approach to address the medical and surgical needs of patients combined with an active research program has elevated the Chiari Institute to the highest level of international recognition.(Chiariinstitute.com)

There are other clinics and institues that specialize in Chiari treatment.  I will touch on those later...

Have a wonderful and pain free night!