A friend suggested I see Dr. Patrick McAndrews for treatment of my chronic migraines(20 years) and recently developed hand pain(which I had assumed was from computer work). After reviewing my health history, symptoms, etc., and conducting an examination, he believed both problems were due to an issue with my cervical spine and described in very clear and logical terms how the they were related and helped me understand the mechanics of the nerves, muscles, and bones involved. He also shared well-regarded research data about migraines that I was not aware of, giving me a new sense of control. He approached treatment from a number of angles and explained the rational for each step/aspect with a clear definition how we would track improvement. I felt like he was very interested in even the small nuances of my pain and mobility issues and tailored treatment to my particular physical structure and situation. He also gave me good suggestions for things I should be doing at home in between visits. I am extremely impressed with his grasp of my particular problems and in more general terms, his ability to articulate bio-mechanical processes. He and his staff are very personable, the office is conveniently located, and the atmosphere is calm and quiet.