Living a healthy lifestyle or returning from an injury is a journey that has many peaks and valleys. It is key to understand the patient’s goals and expectations, as there are many different tools that can be used to attain their picture of health. Understanding the patient’s goals and expectations will allow us to create a unique evidence based plan of management, that incorporates a multitude of tools including spinal manipulation, soft tissue therapy, education and rehabilitation. This unique, individual plan of management will provide each patient with the necessities they require to prevent any further setbacks. And therefore allow them to enjoy a physically active and healthy life.