Chiropractic Care

Chiropractic care involves the diagnosis, treatment, and prevention of mechanical disorders of the musculoskeletal system. Manual spinal adjustments and joint mobilizations are performed to restore normal joint biomechanics, improve neural integrity, and reduce pain and dysfunction associated with musculoskeletal conditions. Treatment plans are evidence-informed and customized to the patient’s specific diagnosis and functional goals.

Corrective Postural Education

An individualized rehabilitative approach designed to restore muscular balance, joint stability, and neuro-motor control. Patients are guided through progressive corrective exercises that target underlying functional deficits, such as muscle inhibition, postural distortion patterns, or faulty movement mechanics. Postural re-education focuses on ergonomics, spinal alignment, and movement strategies to help strengthen the core and reduce mechanical stress to prevent recurrence of injury.

Myofascial Soft Tissue Therapies

These therapies address dysfunction in the fascia and surrounding musculature to reduce pain, improve mobility, and enhance tissue recovery. Techniques include:

• Trigger Point Therapy: Application of focused, sustained pressure to hypersensitive nodules within taut bands of skeletal muscle. This technique disrupts neuromuscular pain patterns and facilitates normalized muscle tone and range of motion.
• Manual Myofascial Release: Hands-on manipulation of fascial layers to release adhesions, reduce restrictions, and improve tissue glide.
• Massage-Based Techniques: Targeted soft tissue work to reduce muscular tension, increase circulation, and support recovery in overused or injured areas.
• Instrument-Assisted Soft Tissue Mobilization (IASTM): Use of specialized tools to detect and treat soft tissue fibrosis and chronic inflammation by stimulating a local inflammatory response to facilitate tissue remodeling.

Focused Extracorporeal Shock Wave Therapy (fESWT)

fESWT is a non-invasive, FDA-cleared treatment that delivers high-intensity, focused acoustic pressure waves to targeted areas of musculoskeletal dysfunction. It induces a controlled inflammatory response that stimulates neo-vascularization, tissue regeneration, and breakdown of calcific deposits. This modality is clinically indicated for chronic tendonitis (e.g., plantar fasciitis, lateral epicondylitis, Achilles tendonitis), myofascial trigger points, and delayed soft tissue healing. Treatment protocols are tailored based on tissue depth, chronicity, and patient response.

Cold Laser and Red Light Therapy

Both therapies utilize specific wavelengths of light to modulate biological processes and accelerate tissue healing, but differ in penetration depth and clinical application:

• Cold Laser Therapy (Low-Level Laser Therapy – LLLT): Uses coherent, monochromatic laser light in the 600–1000 nm range to penetrate deeper tissues. It promotes cellular regeneration, reduces inflammation, and enhances microcirculation. Commonly used for acute and chronic musculoskeletal injuries, including tendonitis, joint pain, and nerve irritation.

• Red Light Therapy: Uses non-coherent red and near-infrared light to stimulate mitochondrial activity and increase cellular ATP production. Often applied for superficial soft tissue recovery, mild inflammation, skin regeneration, and general pain modulation.

Focused Extracorporeal Shock Wave Therapy (fESWT)

1. RCT: fESWT for Chronic Plantar Fasciitis (Level I Evidence)
   https://pubmed.ncbi.nlm.nih.gov/25948515
   Findings: Significant pain relief with fESWT vs. placebo; well-powered multicenter trial.
   
2. RCT: fESWT in Cervical Spondylosis Treatment (2024)
   https://pubmed.ncbi.nlm.nih.gov/39560509
   Findings: Significant improvements in pain (VAS), neck function (NDI), ROM, and QoL.
3. Meta-Analysis: Focused vs. Radial Shock Wave Therapy for Musculoskeletal Pain (2024)
   https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-024-00884-8
   Findings: Focused ESWT shown to be more effective than radial ESWT in pain reduction.
   

Cold Laser Therapy and Red Light Therapy

1. Systematic Review & Meta-analysis (2018): Efficacy of LLLT for Musculoskeletal Pain
   https://pubmed.ncbi.nlm.nih.gov/28145397
   Findings: Clinically significant pain relief, especially when following WALT dosing.
   
2. Systematic Review (2023): High-Intensity Laser Therapy for Musculoskeletal Disorders
   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9963402
   Findings: HILT, a related therapy, reduces pain and improves function.
   
3. Narrative Review: Mechanisms and Applications of LLLT / Photobiomodulation
   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7357616
   Findings: Describes how LLLT reduces inflammation, promotes healing, and relieves pain.
4. Systematic Review & Meta-Analysis (2021): PBM for Tendinopathy
   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364035
   Findings: Red/NIR light therapy reduces pain and improves function, especially with exercise.