Care and Management
> Chiropractic Care for Specific Conditions

Chiropractic Care for Herniated Disc

A herniated disc is a bulge that forms when the soft center of a spinal disc pushes through the disc wall. It can press harmfully against spinal nerves, causing pain and other symptoms. Let’s learn how chiropractic care may help.

Tummy Tuck (Classic Method)

This is a procedure to remove loose skin and fat from your stomach area. It tightens your abdomen, and gives it a more toned look. A tummy tuck can help you feel better about your body.

Addiction

How Opioids Affect the Brain

If you’ve had an injury or a surgery, your doctor may prescribe an “opioid.” This is a type of powerful painkiller. Opioids can mask severe pain. They may help when other pain control methods aren’t working. But they can also affect your brain in a way that’s harmful. You can become addicted. Let’s learn about how they interact with your brain.

Understanding the Opioid Crisis

If you’re taking an opioid to control pain, your doctor may have warned you about misuse. That’s because opioid misuse leads to addiction. And opioid addiction has become a widespread problem. Let’s learn about this public health crisis.

Pain Management

Opioid Medications

Opioids are a class of powerful drugs. They can control severe pain. Oxycodone, hydrocodone, and codeine are examples of prescription opioids. So are morphine and fentanyl.

Shockwave Therapy

This treatment is for soft tissue injuries. We use it to promote healing in muscles, tendons and ligaments. It may help relieve the pain of some injuries.

Care and Management
> Surgical Procedures
>> Head, Neck, Spine and Ribs
>>> Motion Preservation Procedures

Artificial Cervical Disc Replacement

This procedure replaces a degenerative or damaged spinal disc with an implant designed to preserve motion in your neck. This procedure can relieve the pain of compressed nerves in the cervical spine.

>> Knee and Lower Leg

ACL Reconstruction (Arthrex® RetroScrew)

This procedure replaces a damaged or torn anterior cruciate ligament, commonly called the ACL, with a tendon graft held in place by Arthrex RetroScrews. The surgeon uses a small camera called an arthroscope to visualize the inside of the knee during the procedure.

>> Knee and Lower Leg

Rotator Cuff Repair (Arthroscopic)

This surgery repairs a tear of the rotator cuff in your shoulder. The rotator cuff is the group of muscles and tendons. It holds the head of the humerus in the shoulder socket.

Care and Management
> Diagnostic Tests

Discography (Lumbar)

This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.

MRI (Magnetic Resonance Imaging)

This scan lets doctors see inside your body without using radiation. Instead, MRIs use magnets and radio waves. An MRI shows clear views of your soft tissues. It can show cancer and other problems.

> Minimally Invasive Surgeries

Mild® Procedure (Vertos Medical)

This procedure treats lumbar spinal stenosis. That’s a narrowing of the space around the spinal nerves in your lower back. The mild procedure makes more room for these nerves, relieving painful compression.

Spinal Cord Stimulator Implant (Trial Procedure)

Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.

> Non-Surgical and Rehabilitation Techniques
>> Ablation, Laser and Ultrasonic Techniques

Cervical Facet Radiofrequency Neurotomy

This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn’t helped by medications or physical therapy.

Radiofrequency Neurotomy of the Cervical Facets

This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn’t helped by medications or physical therapy.

Shockwave Therapy

This treatment is for soft tissue injuries. We use it to promote healing in muscles, tendons and ligaments. It may help relieve the pain of some injuries.

>> Epidural Ijections

Cervical Epidural Steroid Injection (without contrast)

This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.

Lumbar Epidural Steroid Injection (without contrast)

This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.

>> Nerve Blocks

Genicular Nerve Block (G Block)

This outpatient procedure is an injection of anesthetic to the genicular nerves. These are the sensory nerves that transmit pain signals from the knee to the brain. Anesthetizing these nerves can disrupt the pain signals caused by degeneration of the knee. A genicular nerve block can provide temporary pain relief. It may help determine if a patient is a candidate for nerve ablation, which can provide long-term pain relief.

Medial Branch Block

This is an injection of numbing medicine. It bathes the medial branch nerves, which attach to the facet joints of your spine. These nerves hurt when facet joints are injured or diseased. The injection helps find the source of your pain. And it may relieve your pain for a brief time.

Stellate Ganglion Block

A stellate ganglion nerve block is an injection that numbs branches of nerves in your neck. This helps doctors find and treat a number of problems linked to the nerves. Treatment may require a series of injections.

>> Pain-Relief Injections

Facet Joint Injections

The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.

Intradiscal Injection

This is an injection of medicine into a spinal disc. That’s a soft cushion that allows the bones of your spine to flex and twist. An intradiscal injection helps your doctor find or treat your pain.

Sacroiliac Joint Steroid Injection

This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.

Trigger Point Injections

This outpatient procedure is designed to reduce or relieve the pain of trigger points. These small, tender knots can form in muscles or in the fascia (the soft, stretchy connective tissue that surrounds muscles and organs). The trigger point injection procedure takes only a few minutes to complete.

Viscosupplementation for Arthritis of the Knee

This is an injection of medicine into the knee joint. It lubricates your knee so the bones can glide smoothly. It can help lessen the pain of arthritis.

>> Regenerative Therapies

PRP Therapy (Overview)

Platelet rich plasma therapy can help injured joints and other problems. It uses parts of your own blood to reduce pain and speed up healing.

PRP Therapy for Chronic Knee Pain

If you have pain in your knee, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your knee feel better and work better.

PRP Therapy for Shoulder Pain

If you have shoulder pain, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your shoulder feel better and work better.

> Prevention, Recovery and Daily Living

Exercising With Chronic Pain

We all know exercise is important for good health. But if you live with chronic pain, exercising can be hard. Pain often robs you of motivation. Some exercises may be too painful. But even with chronic pain, most people can exercise safely.

Living With Osteoarthritis

If you’ve been diagnosed with osteoarthritis, you may need to make some changes in your lifestyle. But you can still do many of the things you enjoy. You just have to take steps to manage your condition.

Managing Chronic Pain as You Age

As your body gets older, you may develop problems that cause long-lasting pain. Things like arthritis, nerve problems and issues with your blood vessels can really impact your quality of life. So let’s learn about some ways you can manage your pain.

Managing Neck Pain

If you’re dealing with neck pain, you know how frustrating it can be. Fortunately, you can try these simple strategies for managing neck pain.

Conditions
> General Systematic Conditions

Joint Pain

Joint pain is a common problem for many people. It can keep you from doing the things you want to do. It can make it hard for you to be as active as you like. Let’s take a moment to learn about the causes of joint pain, and what you can do about it.

> Head, Neck, and Spine

Compression Fractures of the Spine

This is a collapse of vertebral bone. It can affect one or more vertebrae. Compression fractures typically develop in your mid or lower back. This can change the shape of your spine.

Discogenic Pain

This pain comes from one of your spinal discs. Those are the soft cushions that allow the bones of your spine to flex and twist. Discogenic pain is a common reason for chronic lower back pain.

Herniated Disc

Between the vertebrae of your spine are soft discs. They let your spine twist and bend. They absorb shocks. But if damaged, the disc’s soft center can push through the disc wall. That’s a herniated disc. This bulge presses against nerves in your spine.

Osteoarthritis of the Spine

If you have back or neck pain that doesn’t go away, you may have osteoarthritis of the spine. Osteoarthritis is the most common form of arthritis. For many of us, it develops slowly as we age. And it can keep you from being as active as you like.

Spinal Stenosis

Your spinal nerves travel through your spinal canal and exit through openings we call “foramen.” If any of these spaces are too narrow, your nerves become compressed. We say you have “spinal stenosis.” It’s a problem that most often happens in the neck and lower back.

Where Lower Back Pain Begins

Lower back pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your lower back.

> Hip, Leg, and Knee

Knee Pain

Our knees take a lot of force. They support the weight of the body. They keep us upright and stable. They cushion us when we walk and run. So it’s not unusual to feel knee pain at some time in our lives. Let’s learn about knee pain, and what you can do about it.

Osteoarthritis of the Knee

Knee pain may keep you from being as active as you like. And it may come from a gradual breakdown of your knee’s cartilage. That’s a protective tissue on the ends of your bones. In a healthy knee, the bones glide smoothly against each other. But in a knee with osteoarthritis, cartilage begins to wear away. Bone rubs against bone. Bony bumps we call “bone spurs” may form.

> Shoulder, Arm, and Elbow

Biceps Tendonitis

This is a problem with a tendon in your shoulder. Most often, it’s the “long head of biceps” tendon. It travels from the front of your upper arm to the top of your shoulder socket. With this condition, the tendon becomes painfully inflamed or irritated.

Rotator Cuff Tear

The rotator cuff is a group of muscles and tendons in each shoulder. It holds your upper arm bone in your shoulder socket. It keeps your arm stable while allowing it to lift and rotate. Too much stress on the rotator cuff can cause a tear. This can be a painful injury.

General Education

Anatomy of the Spine

The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.

Pain Management (Overview)

If you suffer from pain, you know how hard it can be to live with. Pain management is a branch of medical care that specializes in pain control. It can help you enjoy a better quality of life.