Conditions We Treat

Neck pain can develop from an injury, repetitive movements, poor posture, disc problems, joint dysfunction, or muscle strain. In some cases, irritation of the nerves in the cervical spine can also cause symptoms in the arms and hands.

We evaluate conditions such as:

• Acute and chronic neck pain
• Cervical sprains and strains
• Whiplash-associated disorders
• Neck pain following an automobile accident
• Bulging and herniated cervical discs
• Cervical degenerative disc disease
• Cervical joint dysfunction and facet irritation
• Cervical radiculopathy
• Arm pain originating from the neck
• Numbness and tingling in the arms or hands
• Muscle spasms and myofascial neck pain
• Restricted neck movement
• Postural neck pain
• Cervicogenic headaches

Depending on the findings, treatment may include chiropractic care, therapeutic exercise, soft-tissue treatment, massage therapy, spinal decompression when appropriate, rehabilitation, Class IV laser therapy, PEMF, and other conservative treatment options.

Spinal discs help support the spine and absorb pressure during movement. A disc injury may cause localized neck or back pain. In some cases, it can also irritate nearby nerves and produce pain, numbness, or tingling in an arm or leg.

We evaluate:

• Herniated discs
• Bulging discs
• Disc protrusions
• Degenerative disc disease
• Disc-related neck and low-back pain
• Discogenic pain
• Radicular pain
• Leg pain associated with lumbar disc injuries
• Arm pain associated with cervical disc injuries
• Numbness and tingling associated with disc disorders
• Reduced mobility related to spinal disc conditions

When appropriate, treatment may include non-surgical spinal decompression, chiropractic care, rehabilitation, soft-tissue therapy, Class IV laser therapy, and progressive movement exercises. Recommendations depend on the examination findings and the nature of the disc condition.

Some headaches are associated with the muscles, joints, and other structures of the neck. Restricted neck movement, muscle tension, and previous injuries may contribute to certain headache patterns.

We evaluate:

• Cervicogenic headaches
• Tension-type headache patterns
• Headaches following automobile accidents
• Post-whiplash headaches
• Headaches associated with neck muscle tension
• Headaches associated with restricted cervical movement
• Pain around the back of the head

New, sudden, severe, unusual, or neurologically concerning headaches may require additional medical evaluation or referral.

The arms, elbows, wrists, and hands contain joints, tendons, muscles, and peripheral nerves that can be affected by repetitive activity, overuse, trauma, or altered movement patterns.

We evaluate:

• Arm and elbow pain
• Lateral elbow pain
• Repetitive-strain injuries
• Overuse conditions
• Wrist and hand pain
• Carpal tunnel presentations
• Selected peripheral nerve entrapments
• Numbness and tingling in the hands
• Thoracic outlet presentations
• Grip weakness associated with musculoskeletal dysfunction
• Soft-tissue injuries

Care is based on the suspected source of symptoms and may involve rehabilitation, movement assessment, manual therapy, and other appropriate conservative treatments.

Knee pain can involve the joint, tendons, surrounding muscles, or movement patterns involving the hip and ankle. An assessment helps determine which structures may be contributing to discomfort and restricted function.

We evaluate:

• Knee pain and stiffness
• Knee osteoarthritis-related symptoms
• Patellofemoral dysfunction
• Sports-related knee pain
• Overuse injuries
• Tendon-related pain
• Myofascial pain around the knee
• Restricted knee mobility
• Mechanical knee dysfunction
• Post-injury knee pain

Depending on the diagnosis, care may include rehabilitation, manual therapy, progressive strengthening, shockwave therapy, Class IV laser therapy, and Knee-on-Trac therapy when appropriate.

Numbness, tingling, burning, and altered sensation can have several causes, including nerve irritation, spinal conditions, peripheral nerve entrapment, and certain medical conditions.

We evaluate symptoms such as:

• Burning sensations
• Pins-and-needles sensations
• Numbness and tingling
• Altered sensation
• Radiating arm or leg pain
• Selected peripheral nerve entrapments
• Sciatic nerve symptoms
• Upper-extremity nerve symptoms
• Grip or limb weakness associated with musculoskeletal dysfunction

Identifying the possible source of neurological symptoms is an important part of evaluation. When symptoms suggest a medical condition outside our scope of care, we recommend appropriate medical assessment or referral.

Work-related musculoskeletal conditions can develop suddenly during lifting or physical activity. They can also develop gradually because of repetitive movements, prolonged positions, or repeated physical demands.

We evaluate:

• Work-related back and neck injuries
• Shoulder injuries
• Lifting injuries
• Sprains and strains
• Repetitive-strain conditions
• Overuse injuries
• Joint injuries
• Myofascial pain
• Restricted movement
• Occupational musculoskeletal conditions

Our focus is to improve mobility, strength, and functional ability to support a safe return to work and everyday activities.

Muscles, fascia, tendons, ligaments, and other connective tissues can contribute to pain and restricted movement. These symptoms may follow an injury, repetitive activity, or prolonged muscle strain.

We evaluate:

• Myofascial pain
• Trigger-point-related pain
• Muscle tension and spasms
• Soft-tissue injuries
• Sprains and strains
• Scar-tissue restrictions
• Chronic muscular pain
• Post-traumatic soft-tissue dysfunction
• Movement restrictions associated with soft-tissue problems

Depending on the condition, treatment may include massage therapy, instrument-assisted soft-tissue treatment, therapeutic exercise, shockwave therapy, Class IV laser therapy, electrical therapies, and movement rehabilitation.

Previous injuries, surgeries, and long-standing conditions can affect how the body responds to new injuries. A careful assessment helps identify current limitations and determine whether additional evaluation is needed.

We commonly evaluate patients with:

• Previous automobile accident injuries
• Previous work or sports injuries
• Recurrent neck or back pain
• Previous disc injuries
• A history of surgery
• Pre-existing arthritis
• Long-standing musculoskeletal problems
• Chronic pain aggravated by a new injury

When possible, our evaluation considers the patient’s previous condition alongside the current symptoms and functional changes. This helps guide appropriate treatment recommendations and referrals when necessary.

Treatment recommendations depend on the patient’s condition, examination findings, medical history, goals, and response to care. Depending on individual needs, a care plan may include:

• Chiropractic care
• Non-surgical spinal decompression
• Therapeutic rehabilitation
• Corrective exercise
• Class IV laser therapy
• Shockwave therapy
• Pulsed electromagnetic field therapy (PEMF)
• HakoMed microcurrent therapy
• Electrical stimulation
• Therapeutic ultrasound
• Massage therapy
• Myofascial treatment
• Instrument-assisted soft-tissue therapy
• Knee-on-Trac therapy
• Hill IST therapy
• Teeter DFM therapy
• Reverse-hyperextension rehabilitation
• Red-light therapy
• Compression massage
• Hydrotherapy
• Digital diagnostic X-rays when indicated
• Progressive functional rehabilitation

Not every treatment is appropriate for every condition. Our recommendations are based on the clinical evaluation, the patient’s needs, and the expected benefits and limitations of available options.