Number of treatments is dependent upon the diagnosis and prior treatment history. Increments of 10 visits is recommended to assess patient progress during that time. Patients with severe pain and stenosis with greater spinal pathologies on MRI or x-ray may require an upfront recommendation of 25 visits. Surprisingly, some patients with stenosis and severe spinal pathologies may respond within 10 treatments. Follow up treatment of continued care twice a month should then be recommended. The typical average is 10-25 treatments per patient.