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Cervical  / Skull
Condition
Explanation
Treatment
Arthritic / Degenerative Conditions
As we age, the weight of our head on our spine causes pressure through the disc and the joints of the spine. This eventually causes wearing out of the joints and flattening of the discs.  The condition can cause pain from the discs flattening into the nerves and the joints from the pressure can get very sensitive.
Therapies targeted at the problem can help relieve inflammation, reduce pressure on the nerves, and restore mobility to the spinal segments.  Cervical traction can reduce pressure on the discs and nerves, Electro-Acupressure can reduce nerve sensitization, and manual therapy to the tissue structures can relieve tension and spasms around the area.  Along with these modalities, proper alignment through chiropractic adjustments, stretching of tight structures, mobilizing the bogged down joints, physical therapy to improve posture, and modalities to reduce pain and inflammation all can be effective to treat these conditions.
Whiplash
Whiplash traditionally occurs from fast acceleration /deceleration of the head on the neck and can be forward and back or side to side.  Even in collisions of 5 Miles Per Hour, the weight of the head and momentum can cause serious trauma to the underlying ligaments, muscles, discs, and spinal joints.
Studies have shown that early return to mobility is best for Whiplash.  Gentle guided return to motion can be accomplished by reducing pain, inflammation from the trauma, and improving healing through enhancing circulation and lymphatic drainage. Modalities like moist heat,electrical stimulation, ultrasound, Class IV Laser , intermittent traction, electro-acupressure, all help reduce the spasms from the traumatic event.  Deep tissue myofascial work, chiropractic adjustments, and joint mobilizations all help restore proper functioning of the cervical spine.  Once motion is restored and pain controlled, a course of rehabilitative exercises to re-teach the deep spinal muscles to stabilize the spine will further accelerate the healing process.  If needed, trigger point injections can help reduce spasms.
Migraines / Cluster Headaches
Headaches can be debilitating. Often times headaches can be related to vascular conditions in the brain and even sensitivities and allergic reactions.  There are some, however, whose headaches come from issues in the cervical spine like disc herniations and muscle tension.
Treatment geared at improving blood flow, reducing muscle tension, removing pressure on the discs, and creating a better flow within the spinal column can drastically reduce the frequency and intensity of headaches. Chiropractic adjustments to align the spine, physical therapy to improve postural support, and modalities like ultrasound, Class IV Laser , traction, and massage all can be of great help.  Sometimes, trigger point injections can help reduce the spasms as well.  In certain instances, Botox to the musculature at the base of the skull can be of assistance in reducing the tension that causes headaches.
TMJ Disorders
The Temporo-Mandibular Joint or TMJ is the large joint of the jaw.  It actually has a disc that can become very loose or even trapped causing popping and locking of the jaw usually on one side.  For some, the joint can get very tight from trauma, teeth grinding, and other issues. TMJ disorders are very frustrating and painful.
Forward head posture is actually the primary contributing factor for TMJ disorders. Correcting posture, loosening a tight TMJ or tightening a loose TMJ can restore proper motion to the jaw.  Ultrasound or Class IV Laser to the joint capsule, strengthening exercises, chiropractic adjustments, and education of home treatment are a standard protocol.  Combined with a comprehensive program, TMJ disorders are often treatable with conservative care.
Pinched Nerve / Stiff Neck
Sometimes from improper pillow positions, quick movements, injuries in sports or accidents, one’s neck can feel like it is stuck in one position and moving to the painful side causes a sharp stabbing shock. This can be called a stiff neck, or a pinched nerve, or in medical terms acute torticollis.  It is very painful, severely restricts range of motion, and can be accompanied by headaches and even nausea sometimes.  Typically the underlying cause is a combination of joint capsular pain, severe muscle spasm, and nerve root irritation all compounding one another.
Getting to the root of the problem helps alleviate this painful condition.  Modalities to reduce the spasm and pain like electrical stimulation, ultrasound, and Class IV Laser, moist heat, and gentle mobilizations can begin to restore motion to the locked segments.  Once the pain and inflammation subside, deeper stretching, traction, and more aggressive mobilizations and adjustments can help fully restore function.  Therapeutic exercises to turn the affected muscle groups back on, and massage are incorporated as well.
Radiating nerve pain / Slipped disc
Radiating nerve pain often comes from an irritated or pinched nerve root in the cervical spine, but can also be while the nerves pass through the muscles of the anterior upper chest in what is known as cervical or thoracic radiculopathy.  This compression and irritation can be from trauma, postural tightness impingement, repetitive stain from work tasks, or from degenerative changes.  At times the pain can be numbness, pins and needles, burning, or shooting shocks.  Pain can come and go depending on the source.
Often times, a combined approach of reducing inflammation and pressure at all sites of compression is key.  Chiropractic adjustments, stretching, postural correction, are all paramount to relief.  Modalities to reduce the spasm and pain like electrical stimulation, ultrasound, Class IV Laser, moist heat, can all help.  Cervical traction should relieve pressure, as well.  Rehabilitative exercises can strengthen and balance the musculature to reduce pressure on the nerve chain.  A comprehensive approach will help reduce the nerve issues and restore proper function and relieve pain.
Shoulder Issues
Rotator cuff tears/tendonitis
The rotator cuff is a group of 4 muscles that come from the shoulder blade and anchor onto the top of the arm.  Their main function is to pull the arm into the shoulder joint to keep it properly positioned in activities overhead and away from the body. When they get weak, overused, with age, and with injury they can start to tear.  Tears can be large or small, but often, the size of the tear is almost irrelevant to the prognosis as studies have shown therapy and conservative care to be just as effective as surgery in most cases in non-traumatic tears.
Treatment for the shoulder usually works on reducing inflammation, improving rotator cuff functioning, and properly positioning the surrounding musculature that controls the shoulder blade for optimal shoulder functioning.  Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises through a formal PT program can improve shoulder mechanics.  Chiropractic adjustments for the joints surrounding the area can help with joint positioning.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Sports injuries
The shoulder complex is just that…complex. The shoulder blade, collar bone, humerus (arm bone) are all held together with muscles, ligaments, and joint capsules.  The functioning of the shoulder relies on perfect timing of all of these major muscle groups.  So with repetitive strain or sports trauma, even a small issue can make the whole shoulder dysfunctional, and very painful.  Common shoulder injuries include separations, dislocations, rotator cuff tears, and labral tears.
Treatment for the shoulder usually works on reducing inflammation, improving rotator cuff functioning, and properly positioning the surrounding musculature that controls the shoulder blade for optimal shoulder functioning.  In injuries where there is instability, like a separated shoulder, treatment will include specialized taping to immobilize the area without immobilizing the entire arm.  Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises through a formal PT program can improve shoulder mechanics.  Chiropractic adjustments for the joints surrounding the area can help with joint positioning.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Frozen Shoulder
Frozen shoulders happen for a variety of reasons.  It is a condition where the motion of the shoulder is severely restricted, especially out to the side and behind the back, and is accompanied by severe pain.  It usually gradually happens over months and even years.  Most people with frozen shoulders often have minor neck issues going on prior as well, that may contribute to the dysfunction as the neck nerves control the shoulder.  There are typically several small issues like bursitis, impingement, and tears underlying, but the entire picture is called a frozen shoulder.
Treatment cannot be aggressive as more pain will often reinforce a pain-inhibition cycle. That being said, it is essential to regain motion, regain strength, and regain timing of the shoulder muscles.  Treatment usually will incorporate both the neck and the shoulder complex, as often times nerve root disorders in the neck are the cause of the shoulder issues.  Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises to help with range of motion and shoulder strength through a formal PT program can improve shoulder mechanics.  Chiropractic adjustments for the joints surrounding the area and proper neck alignment for proper nerve firing can as well.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Elbow/Wrist
Tennis/Golfer’s Elbow
The wrist and finger extensors all meet at the lateral elbow in a common tendon.  On the opposite side of the elbow, the flexors do the same. With one hand tennis backhands and often in golf, these groups and tendons are strained.  Repetitive strain causes tearing and inflammation.  This can also cause irritation and entrapment to the nerves in the area. This condition can be very painful and is often throbbing and deep pain that stops the sports activity.  Even people who don’t golf or play tennis can get these conditions with repetitive hand motions like hammering, carrying heavy items, or even one time events like lifting something very heavy.
Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises to help with range of motion and strength is essential to healing. Chiropractic adjustments for the cervical spine that sends the nerves to the area, can greatly help as well.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Carpal Tunnel
The finger and wrist flexors run through a small area in the underside of the wrist. In that same area, there is a large blood supply artery and a large median nerve. As those flexor muscles get inflamed and damaged usually in repetitive type tasks, they compress these blood vessels and nerve causing numbness, pins and needles, and even weakness.  Many times, these nerve issues can be compounded with the same nerved being compressed further up at the elbow and towards the neck.
Treatment involves immobilizing the area to help it calm down. This is concurrently done during a treatment program consisting of stretching, modalities to reduce pain and inflammation like ClassIV laser, Ultrasound, deep tissue myofascial release,  and electro-acupressure.  As the inflammation calms down, therapeutic exercises are incorporated to reduce the strain on the muscle groups affected. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Thumb Tendonitis
The thumb, especially on your dominant hand, is one of the most used joints of the body.  In professions and activities where the thumb is used repetitively, and often times in trauma like hand on the steering wheel during an accident, these tendons that support the thumb can be damaged.
Treatment involves immobilizing the area to help it calm down. This is concurrently done during a treatment program consisting of stretching, modalities to reduce pain and inflammation like ClassIV laser, Ultrasound, deep tissue myofascial release,  and electro-acupressure.  As the inflammation calms down, therapeutic exercises are incorporated to reduce the strain on the muscle groups affected. In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Back Issues
Postural strain
The spine and its supporting muscles and ligaments are constantly under stress while sitting, standing, and moving.  Poor postural habits puts excess strain on these muscles, joints, ligaments, and even discs. The result is aching pain in the spine and even shooting pain as a result of disc damage.
Just re-teaching proper posture is only half the battle.  Introducing the proper joint mobility and improving the postural strength is needed for the body to properly attain and hold the proper posture. Teaching on desk set up and other ergonomics are also important.  Modalities to reduce pain and muscle spasm like ClassIV laser, Ultrasound, deep tissue myofascial release, and deep moist heat with electrical stimulation can all calm down the sensitized and painful tissues.  Therapeutic exercises and  Chiropractic adjustments are part of a complete program. Trigger point injections can help with focal spots of spasms if needed.
Slipped disc
Sometimes from awkward sleeping positions, quick movements, injuries in sports or accidents, one’s low back can feel like it is stuck in one position and standing straight up nearly impossible.  The pain can literally take your breath away and cause your knees to buckle. Typically the underlying cause is a combination of joint capsular pain, severe muscle spasm, and nerve root irritation all compounding one another.
Getting to the root of the problem helps alleviate this painful condition.  Modalities to reduce the spasm and pain like electrical stimulation, ultrasound, and Class IV Laser, moist heat, and gentle mobilizations can begin to restore motion to the locked segments.  Once the pain and inflammation subside, deeper stretching, and more aggressive mobilizations and adjustments can help fully restore function.  Therapeutic exercises to turn the affected muscle groups back on, and massage are incorporated as well.
Arthritic pain
As we age, the weight of our body on our spine causes pressure through the disc and the joints of the spine. This eventually causes wearing out of the joints and flattening of the discs.  The condition can cause pain from the discs flattening into the nerves and the joints from the pressure can get very sensitive.
Therapies targeted at the problem can help relieve inflammation, reduce pressure on the nerves, and restore mobility to the spinal segments.  Electro-Acupressure can reduce nerve sensitization, and manual therapy to the tissue structures can relieve tension and spasms around the area.  Along with these modalities, proper alignment through chiropractic adjustments, stretching of tight structures, mobilizing the bogged down joints, physical therapy to improve posture, and modalities to reduce pain and inflammation all can be effective to treat these conditions.
Trauma / Accidents
Quick unforeseen forces through the spine can cause disc trauma, herniations, ligamentous tears, muscle tears, and joint irritation.  This can be from car accidents, slip and fall trauma, or during athletic events.
Studies have shown that early return to mobility is best for traumatic injuries to the spine.  There are some occasions where a supportive brace can help in the initial phases, but pure bedrest is rarely needed. Gentle guided return to motion can be accomplished by reducing pain, inflammation from the trauma, and improving healing through enhancing circulation and lymphatic drainage. Modalities like moist heat,electrical stimulation, ultrasound, Class IV Laser , intermittent traction, electro-acupressure, all help reduce the spasms from the traumatic event.  Deep tissue myofascial work, chiropractic adjustments, and joint mobilizations all help restore proper functioning of the cervical spine.  Once motion is restored and pain controlled, a course of rehabilitative exercises to re-teach the deep spinal muscles to stabilize the spine will further accelerate the healing process.  If needed, trigger point injections can help reduce spasms.
Sciatica
When the nerves exiting the spine are inflamed through irritation from a disc or from arthritic compression it can cause the nerve to shoot pain down the leg.  This can be from a disc issues, arthritis,  and stenosis.  Sometimes it can even be from a compression in the deep hip muscles like in a piriformis syndrome. Weight bearing through the leg is usually very painful and there may be numbness, burning, tingling and even weakness accompanied with this condition.
Often times, a combined approach of reducing inflammation and pressure at all sites of compression is key.  Chiropractic adjustments, stretching, postural correction, are all paramount to relief.  Modalities to reduce the spasm and pain like electrical stimulation, ultrasound, Class IV Laser, moist heat, can all help.  Lumbar traction could relieve pressure, as well.  Rehabilitative exercises can strengthen and balance the musculature to reduce pressure on the nerve chain.  A comprehensive approach will help reduce the nerve issues and restore proper function and relieve pain.
Hip Issues
Bursitis
There is a large fluid sack near the top of the hip bone that helps keep the tendons of the hip lubricated. From either tight musculature over top, poor mechanics of the leg, trauma, or even hip weakness, the bursa can get inflamed. Inflamed bursa, or bursitis can be very painful and even limit weight bearing on that hip.
Removing the forces that caused the bursitis is key to fixing the problem.  Often times stretching of tight muscle groups combined with strengthening of weak groups like the rotators and abductors will normalize the force around the hip and take the pressure off the bursa. Chiropractic adjustments to the pelvis and low back can help normalize these forces as well.  Modalities to improve healing such as electrical stimulation, ultrasound, Class IV Laser, moist heat, kineseo-taping, and myofascial tissue work can all accelerate healing.  Sometimes, fixing the abnormal gait through custom orthotics is needed to fix the hip (as we know the foot bone is connected to the hip bone).  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Arthritis
As the wear and tear of normal life takes it toll on the hip, the hip can get painful and significant reduction in motion can make even putting on shoes and socks difficult.  This can happen as young as 50! Arthritic hips can usually cause pain more in the groin area on the affected side and are often worse first thing in the morning, when getting up from sitting for long periods, and twisting of the hip.
Regaining motion in the hip can be effective through stretching and joint mobilizations.  Chiropractic adjustments to the hip, pelvis,and low back can also help normalize the motions in the area.  Strengthening the supporting area can reduce the strain on the joint as well.
Sacro-illiac Pain
Pain in the very low back/buttocks region that is sharp with weight bearing is often times related to a joint called the sacro-illiac joint; where the pelvis and sacrum meet.  This joint can be very tight or strained and loosened, both cause pain.  Slip and falls, and other traumas can aggravate this area. During and even before child birth this area can get loosened to a point of instability.  This can be an arthritic problem, as well.
Addressing the problem is key to success.  If the area is tight, then mobilizing the joint and stretching the area helps.  If the area is loose, and unstable, then exercises to hold the area tight, as well as an SI belt are key to relief.  Modalities for pain such as electrical stimulation, ultrasound, Class IV Laser, moist heat, kineseo-taping, and myofascial tissue work can all accelerate healing.  Chiropractic adjustments can help align this and surrounding joints, as well.
Knee Issues
Tendonitis
Tendons are not well supplied with blood flow.  Therefore small micro trauma over time or even one sudden injury can be difficult to heal.  Abnormal forces over long periods of time like pronating when walking, or outward rotated hips, or sudden use like trying a new workout routine can all trigger this condition.  The pain will be worse with movement and loading of the leg and relieved at rest.
Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises to help with range of motion and strength is essential to healing. Chiropractic adjustments for low back and pelvis which control the positioning of the knee can be of value.  Physical therapy to help restore function to the muscles in the area can help heal the tendon, as well.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Meniscus damage
There is a small disc of cartiledge between the knee bones that acts as a shock absorber.  Over time with normal wear and tear or accelerated through trauma or excess weight, these areas can tear or erode.  This can cause pain in the knee, pain that locks the knee at times, and often times causes a buckling sensation in the knee.  Usually it is just in one part of the knee (inside or outside) right at the joint line.
Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Physical therapy to help restore function to the muscles in the area can help heal the tendon, as well.  Visco-supplement injections of hyaluronic acid act like a gel barrier to cushion the joint and can in some instances help heal the joint.In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
ACL tears/ligament damage
There are strong ligaments on the outside and inside of the knee called the collateral ligaments. Inside the knee to prevent shearing forces and twisting of the knee, are the cruciates. Commonly injured in sports or trauma, the ACL and the MCL/LCL can be torn.  Tears cause pain and instability.
Therapy will help reduce the instability through maximizing the muscle groups that support and stabilize the area.  In the initial phases, modalities like Shockwave, ClassIV laser, Ultrasound, and Kineseo-Taping can all help stimulate healing.  If instability persists, specialized braces can be fitted to reduce the risk of further injury.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Arthritis
As the wear and tear of normal life takes it toll on the knee, the area can get painful and significant reduction in motion can make even putting on shoes and socks difficult.  This can happen as young as 50! Arthritic knees  are often worse first thing in the morning, when getting up from sitting for long periods, and twisting motions.
Regaining motion in the knee can be effective through stretching and joint mobilizations.   Strengthening the supporting area can reduce the strain on the joint as well. Visco-supplement injections of hyaluronic acid act like a gel barrier to cushion the joint and can in some instances help heal the joint.In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Patella-femoral Pain
Abnormal forces from improperly aligned legs and even trauma can cause pain in the cartiledge surfaces of the weight bearing bones of the knee and kneecap. This pain can be sharp, under the knee, and is often worse during repetitive activities like jogging or long walks and can linger for hours afterwards.
Normalizing the forces on the knee cap through strengthening, taping, bracing, and chiropractic adjustments for alignment all help reduce the pain and help heal the injured structures.  Modalities like Shockwave, ClassIV laser, Ultrasound, and Kineseo-Taping can all help stimulate healing.  Visco-supplement injections of hyaluronic acid act like a gel barrier to cushion the joint and can in some instances help heal the joint.In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Ankle / Foot Issues
Twisted ankle
Ankle sprains can occur in sports, trauma, and even in normal every day life.  They often have significant swelling and bruising. It will make weight bearing difficulty and range of motion guarded.  Ankle sprains can damage the ligaments, tendons, and joints in the area.
Sometimes, bracing, taping, and even crutches are needed in ths early phase to let the area calm down. Usually, early return to protected motion through guided therapeutic exercises will accelerate healing.  Modalities like Shockwave, ClassIV laser, Ultrasound, and Kineseo-Taping can all help stimulate healing.  In chronic cases or severe cases that don’t heal, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Achilles tendonitis
The large tendon behind the heel  has a lot of stress on it any time you are up and moving. Over time, strain can cause the tendon to break down, and become inflamed and painful. This can be accompanied with a bursitis and even a tear.  The tendon is not well supplied with blod, so healing is slow.  The pain will be with standing, walking, and pushing off.
Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises to help with range of motion and strength is essential to healing. Physical therapy to help restore function to the muscles in the area can help heal the tendon, as well.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Plantar Fasciitis
There is a tight band of fascia and muscles under the arch of the foot. These can get very inflamed and cause severe pain when walking barefoot, or during the first few minutes of walking after being at rest.  This can be a repetitive issue or from one time overuse.
Modalities like Shockwave, ClassIV laser, Ultrasound, deep tissue myofascial release, Kineseo-Taping can all help stimulate healing.  Therapeutic exercises to help with range of motion and strength is essential to healing. Physical therapy to help restore function to the muscles in the area can help heal the area, as well.  In some cases, when the healing is not occurring as well as it should, regenerative techniques like PRP or Stem Cell Therapy may be of great help.
Heel Spurs
Heel spurs are often the cause of tight muscles pulling on the heel bone either from under the foot or from the Achilles behind the heel.  This can cause intermittent or constant pain depending on the severity.  The pain can make wearing certain foot wear painful, and cause pain during and after using the foot a lot.
Modalities like Shockwave and ClassIV laser can help reduce the pain from the spur and in some cases reduce the spur itself.  Therapeutic exercises to help with range of motion and strength is essential to healing.  Custom orthotics may be needed to normalize the force on the foot/heel to prevent future recurrences.