Pain Management

Dr. Draesel believes in an integrative approach to medicine
utilizing various forms of physical medicine.
Conditions / Symptoms

Peripheral Neuropathy

There are many causes for peripheral neuropathy but they usually fall under physical, chemical/metabolic, and autoimmune. The two main causes are diabetic neuropathy and spinal stenosis.
A peripheral nerve carries information to and from the brain. They also carry signals to and from the spinal cord to the rest of the body.

Neuropathy means problem with nerve/s. neuropathy can involve one nerve, a group of nerves or the whole body.
Neuropathy is damage or problem with nerves. Peripheral neuropathy may involve a single nerve, a group of nerves or the whole body.

When someone feels a person touch their arm, they feel it in their brain not arm. A sensation is felt and a transmission is sent up a pathway to the brain where the brain interrupts the message. One who has peripheral neuropathy has a bad signal heading to the brain. In order, for a nerve cell to fire off a signal, sodium that is outside the nerve cell must enter the cell through sodium gate channel and immediately exit. The edition of sodium causes the reaction for the nerve to fire. With peripheral neuropathy sodium enters the cell but lingers or does not exit all. This causes many peripheral neuropathy symptoms such as pain, tingling, burning, numbness, and stabbing pain.

Treatment Plan

In order order to treat peripheral neuropathy successfully one needs to help the body communicate biochemically. Our office utilizes a electroanalgesic machine which uses 8 to 10,000 pulses per second of electric current to painlessly help the positively charged sodium ion to enter and exit the nerve cell.
The use the deep tissue laser therapy will help through biostimulation of the body. Biostimulation causes the excitation of the mitochondria by the laser light to release ATP. The increase in ATP with increase energy to allow the cells to heal.

Some treatments include:

  • Neuranalgesic therapy.
  • Deep Tissue Laser Therapy.
  • Blood Panel Nutritional Therapy.
  • Spinal Decompression.
  • Lymphatic Drainage.
  • Manual Therapy.
  • Whole body Cryotherapy.

Sports injuries

Exercise is something you want to do, it’s good for you, although it can sometimes cause injuries.

The most common sports injuries are

  • Sprains and strains.
  • Knee injuries.
  • Swollen muscles.
  • Hip pain.
  • Shin pain.
  • Shoulder pain (rotator cuff injuries).
  • Fracture.
  • Dislocations.
  • Achilles tendon injuries.
  • Connective tissue pain.

We currently treat CrossFit athletes, cyclists, triathletes, tennis players, golfers, basketball players, soccer players, volley ball players, racquet ball players, strongman competitors, Olympic lifters, gymnastics, and the list goes on.

We have a unique integrated approach towards treating our sports injury patients. The first step is proper diagnosis through a complete history, orthopedic and neurological examination.
Treatments vary depending upon injury, timing and mechanism. They may include:

Manual therapies : Active Release Technique, Graston Technique, myofascial release, trigger point therapy, neuromuscular therapy and cross friction massage.

Manipulation therapy: Laser Therapy, Wholebody Cryotherapy, Physical Therapy, Passive therapies (electrical stimulation, ultrasound, heat, ice), Mechanical traction therapy and Kenisio taping.


Sciatica

Sciatica is the general term applied to radiating pain from the lower back down the leg caused by irritation and inflammation of the sciatic nerve. Often caused by disc herniation and compression on the sciatic nerve, sciatica can be both irritating and painful.

Symptoms:

  • Pain down lower back.
  • Sharp pain when leg is straightened.
  • Pain upon sitting or standing for long periods.
  • Weakness or tingling down the leg.

Physical examination and diagnostic testing are used to diagnose sciatica and the cause of the sciatica. Upon diagnosis, a treatment plan to reduce or eliminate the pain will be created.

Treatment Plan

Varies based on findings from exam may include:

  • Non-surgical Spinal Decompression.
  • Class IV Deep Tissue Lasery.
  • Whole body Cryotherapy.
  • Physical therapy.
  • Myofascial Release.
  • Manipulative Therapy (adjustment).
  • Neuroanalgesic Therapy.
  • Lymphatic Drainage.
  • Blood Panel Nutritional Therapy.

Fibromyalgia
Fibromyalgia causes widespread pain in the muscles, but this syndrome causes many other symptoms. Pressing on tender points can diagnose fibromyalgia, but the exam still does not explain all of your symptoms.

Fibromyalgia symptoms are described as a flu-like infection that doesn’t go away. It leaves one feeling exhausted and unable to think. People with fibromyalgia will have trouble sleeping and wake up stiff and achy. Your symptoms can be debilitating and you probably feel as though you have to push yourself to get anything done.

Top Ten Fibromyalgia Symptoms:

  • Pain all over.
  • Fatigue.
  • Sleep difficulties.
  • Brain fog.
  • Morning stiffness.
  • Muscle knots, cramping, weakness.
  • Digestive disorders.
  • Headaches/migraines.
  • Balance problems.
  • Itchy/burning skin.

We have our own approach to diagnosis and treating fibromyalgia.

Therapies include:

  • Laser therapy over tender points.
  • Whole body cryotherapy.
  • Lymphatic drainage.
  • Nutrition based on blood testing deficiency.

 


Upper Body Pain- Shoulder Pain, Chest and Extremities

Rotator Cuff Injury
A rotator cuff injury is injury to the joint of the shoulder. There are many different types of joints in the body. The shoulder is known as a ball and socket kind of joint. It allows for a 360 degree movement so it allows you to move your arm in a full circular rotation.

Acute Rotator Cuff Strain
Acute rotator cuff strain is an injury to the supraspinatus, infraspinatus, teres minor, and/or subscapularis muscles or tendons. Repetitive moments and overuse by doing activities such as overhead throwing, weighlifting, and other sports can contribute to the injury. The level of severity can be classified as mild moderate and severe, with healing time of up to a year in severe cases.

Symptoms:

  • Popping or tearing at moment injury occurred.
  • Pain and weakness after tear.
  • Pain in shoulder, arm and elbow.
  • Muscle spasms of shoulder and surrounding areas.
  • Loss of strength during rotation and abduction.

Thoracic Outlet Syndrome
Thoracic Outlet Syndrome occurs when the structures that innervate(cords of the brachial plexus) and vascularize(subclavian artery and vein) the arm become impinged or compressed, causing symptoms in chest that can extend down the arm. More commonly it develops in females. Causes include repetitive pushing or pulling activity, tight subclavian muscles, tight pectoralis minor (pec minor syndrome) or anomalous scalene muscle. Neurological examination can help diagnosis this condition.

Symptoms:

  • Pain extending down arm into hand.
  • Numbness tingling in upper arm and shoulder.
  • Tenderness upon palpation.
  • Tight chest muscles.
  • Constant achy pain.

Shoulder Impingement Syndrome
Irritation of the biceps brachi or rotator cuff tendons and compression upon them is a shoulder impingement syndrome. Repetitive motions and chronic inflammation and anatomical changes due to aging can result in an impingement syndrome. Another major factor is a muscle imbalance in the upper body (upper cross syndrome) over development of the pectoralis muscles will cause a neurological muscle inhibition to the opposite muscle group (rhomboids). This imbalance will cause a rounding of the shoulders that will cause the bones structures in the shoulder to impinge on the soft tissue (tendons, and bursa). This occurs in this occurs in athletes especially those that utilize the upper body repetitive motions ie., crossFit athletes, baseball players, softball players, football players, basketball players, powerlifters Olympic lifters, bodybuilders, and martial artists. These are just a few of the specific sports that may cause a hyper development in the pectoralis muscles. The imbalance can also occur because of occupation; such as, those that are on the computer for extended hours, those reading for extended hours, and anyone that has repetitive use to the upper body.

Symptoms:

  • Localized pain in shoulder.
  • Pain during flexion and abduction.
  • Pain in lateral deltoid, arm, elbow.
  • Pain that is worse after activity or after sleeping on hard surface.

Biceps Tendonitis
Biceps tendonitis occurs when the long tendon and the tendon sheath of the biceps brachii become inflamed.

Symptoms:

  • Increased pain during stretching.
  • Increased pain with pressure on bicipital groove.
  • Popping with flexion.
  • Pain with flexion and abduction.

Treatment varies based on examination and history to determine diagnosis.

Treatments may include:

  • Graston Technique.
  • Active Release Technique.
  • Deep tissue laser therapy.
  • Whole body cryotherapy.
  • Steroid Injection.
  • PRP injection.
  • Soft tissue manipulation.
  • Chiropractic manipulation.
  • Physical therapy.
  • Manual therapy.

Hand and Wrist

Trigger finger syndrome
Swelling of the flexor digitorum tendon causing a snapping leading to the finger to be locked in flexed position.

Symptoms:

  • Inability to straighten finger.
  • Locked flexed finger.
  • Pain in finger.

Treatments may include but not limited to:

  • Graston Technique.
  • Active Release Technique.
  • Deep tissue laser therapy.
  • Whole body cryotherapy.
  • Steroid Injection.
  • PRP injection.
  • Soft tissue manipulation.

Carpal Tunnel Syndrome
When one thinks of carpal tunnel syndrome, one may think of someone who does a repetitive motion such as typing. Carpal tunnel is actually caused by a pinched nerve within the wrist. The nerve gets pinched when there is a compression of the surrounding tissues upon the nerve. Sometimes it’s caused by a repetitive motion as mentioned above or sometimes it’s caused by the anatomy of the wrist, when the size of the wrist is too small to accommodate the nerves and other tissues of the wrist, resulting in compression.

Symptoms:

  • Numbness in hand or fingers.
  • Tingling sensation in hand or fingers.
  • Weakness in hand.
  • Pain during use of hand or during certain patterns of hand movement.

Treatments may include but not limited to:

  • Graston Technique.
  • Active Release Technique.
  • Deep tissue laser therapy.
  • Whole body cryotherapy.

Knee Pain
The knee is composed of cartilage, fluid-filled sacs known as bursa, blood vessels and bone. Aging creates a generalized “wear and tear” to the structure of the knee. Often times this damage to the knee results in pain. The pain may be present at all times or only during physical activity. Pain is usually a sign of inflammation. By reducing the inflammation, the pain will be reduced. Physical therapy can be used to reduce pain but sometimes additional medicinal treatment by Internist is needed.

Examples of Diagnoses:

  • Sprains(Anterior medial posterior cruciate sprain).
  • Meniscus tears.
  • Chrondromalaci patella.
  • Bowed knees.
  • Jumper’s knee.
  • IT (iliotibial) band syndrome band syndrome.
  • Knee bursitis.
  • Patella dislocation.

Treatment plans vary based on mechanism and diagnosis may include but not military to:

  • Graston Technique.
  • Active Release Technique.
  • Deep tissue laser therapy.
  • Whole body cryotherapy.
  • Steroid Injection.
  • PRP injection.
  • Soft tissue manipulation.
  • Chiropractic manipulation.
  • Whole body vibration.
  • Physical therapy.
  • Manual therapy.
  • Kinesio Taping.

Foot Pain
Foot pain can be one of the most irritating and most difficult to heal injuries simply because the activities of daily life make it difficult to hard to stay off the feet.

There are several diagnoses or causes for foot pain. Examples include:

  • Arthritis.
  • Injury (sprain, strain, or fracture).
  • Anatomical basis (tracking disorder, flat feet).
  • Skeletal abnormality (bunion formation, bone spur, etc.).
  • Lifestyle (work, long hours standing, improper footwear eg flip flops or high heels).
  • Plantar Fasciitis
    • Caused by sprain, acute trauma, inflammation, degeneration and pain of the plantar aponeurosis and flexor digitorum brevis at the point of attachment to the medial calcaneal tubercle of the calcaneus or heel bone.
    • Common in athletic people
    • If not treated, the acute pain can lead to heel spurs, degeneration and chronic pain
    • Symptoms
      • Pain in the arch region of the foot, heel/midfoot medial arch area
      • Pain increased upon walking, standing, running, etc
      • Pain worse at the end of day or first thing in morning after rest period

Treatment Plan
A history and physical exam is needed to properly diagnosis and make a treatment plan. Some typical treatments include: laser therapy,
Strength exercises, hot and cold therapy, manipulation, myofascial release, Graston Technique, Active Release Technique, ultrasound, whole body cryotherapy, Power Plate rehabilitation, and stretches.


Auto Accidents
What To Do After an Auto Accident. Auto accidents are unexpected and stressful. Even the most careful drivers may be involved. If you are in an accident, our clinic is committed to help restore your peace of mind as soon as possible. If you have recently been involved in an auto accident please call our office immediately.


Slip and Fall Accidents
Slips, trips, and falls are common accidents that happen every day, so it’s not surprising that people tend to brush them aside. Although, some slip and fall accidents can result in serious injuries. It is even possible to have fallen and think you were okay, only to discover later that you were injured.  It is important to get the medical attention one needs to document a treat the condition as soon as possible. If you have fallen please call our office as soon as possible. We Can Help!

Physical Therapy

The purpose is to decrease pain, increase function, and provide education on maintenance program to prevent further recurrences.
A physical therapy program usually has two components: passive physical therapy and active physical therapy.

  • Passive physical therapy is used to reduce a patient’s pain, muscle spasms, inflammation. It is called passive because the modalities are done to you.
    • Examples:
      • Ultrasound- sound waves applied to skin to penetrate tissues
      • Deep tissue laser therapy
      • Electrical stimulation
      • Use of the traction table
      • Manual therapies
      • Hot and Cold Therapy
  • Active physical therapy is active exercises. Active therapy requires you to take an active role.
    • Examples:
      • Strength exercises
      • Stretching exercises
      • Incorporation of the Power Plate whole body vibration technology- From rejuvenation and anti-aging treatments to rehabilitation and therapeutic massage, Power Plate provides exceptional results.
      • Resistance band exercises
      • Cross-over Symmetry
      • Range of Motion exercises
      • KorebalanceTM machine exercises- interactive computerized system that assesses balance and creates workouts that can be quantified to measure results. It aims to improve balance, coordination, reaction times, muscle strength and range of motion.
Chiropractic Medicine

Chiropractic is a health care profession that focuses on the body’s muscular, skeletal and nervous system. Chiropractic care is most often used to address neuro-musculoskeletal complaints, including but not limited to:

  • Low back pain.
  • Arthritis.
  • Sciatica.
  • Neck pain.
  • Headaches and migraines.
  • Shoulder pain.
  • Elbow pain.
  • Wrist pain and carpal tunnel syndrome.
  • Hip pain.
  • Knee pain.
  • Foot pain.
  • Plantar fasciitis.
  • Jaw pain and TMJ.
  • Scoliosis.
  • Muscle tightness and stiffness.
  • Fibromyalgia.
  • Stress.
  • Pain during pregnancy.
  • Sports injuries.
  • Workplace injuries.
  • Automobile accident injuries.
  • Slip and Falls.

Doctors of Chiropractic, practice a drug-free, hands-on approach to healthcare that includes patient clinical examination, diagnostic imaging (for example x-rays) and other diagnostic interventions to determine when chiropractic treatment is indicated. In addition, Chiropractors are well trained to help you enhance your health and wellness by taking preventive measures to avoid injuries and by providing nutritional and lifestyle counseling and prescribing therapeutic exercises. In addition, chiropractor can also advise you on ways to prevent potential health problems from occurring before they arise.

Diabetic / Peripheral Neuropathy

Peripheral Neuropathy

There are many causes for peripheral neuropathy but they usually fall under physical, chemical/metabolic, and autoimmune. The two main causes are diabetic neuropathy and spinal stenosis.
A peripheral nerve carries information to and from the brain. They also carry signals to and from the spinal cord to the rest of the body.

Neuropathy means problem with nerve/s. neuropathy can involve one nerve, a group of nerves or the whole body.
Neuropathy is damage or problem with nerves. Peripheral neuropathy may involve a single nerve, a group of nerves or the whole body.

When someone feels a person touch their arm, they feel it in their brain not arm. A sensation is felt and a transmission is sent up a pathway to the brain where the brain interrupts the message. One who has peripheral neuropathy has a bad signal heading to the brain. In order, for a nerve cell to fire off a signal, sodium that is outside the nerve cell must enter the cell through sodium gate channel and immediately exit. The edition of sodium causes the reaction for the nerve to fire. With peripheral neuropathy sodium enters the cell but lingers or does not exit all. This causes many peripheral neuropathy symptoms such as pain, tingling, burning, numbness, and stabbing pain.

Treatment Plan

In order order to treat peripheral neuropathy successfully one needs to help the body communicate biochemically. Our office utilizes a electroanalgesic machine which uses 8 to 10,000 pulses per second of electric current to painlessly help the positively charged sodium ion to enter and exit the nerve cell.
The use the deep tissue laser therapy will help through biostimulation of the body. Biostimulation causes the excitation of the mitochondria by the laser light to release ATP. The increase in ATP with increase energy to allow the cells to heal.

Some treatments include:

  • Neuranalgesic therapy.
  • Deep Tissue Laser Therapy.
  • Blood Panel Nutritional Therapy.
  • Spinal Decompression.
  • Lymphatic Drainage.
  • Manual Therapy.
  • Whole body Cryotherapy.
Whole Body Cryotherapy

What is whole body cryotherapy

Whole body cryotherapy is a revolutionary method of cold therapy involved in 2 to 3 minutes of exposure of the whole body to sub zero temperatures ranging from -200 Fahrenheit to -300 Fahrenheit.

This is not a medical procedure, but a surprisingly comfortable noninvasive option for people seeking exceptional results. At this extreme temperature, the body activate several mechanisms that have significant long-term benefits.

The innovative machine utilizes liquid nitrogen and converts it to a gas vapor that surrounds the body, exposing it to extreme cold for a very short period. There are various benefits to the exposure of extreme cold.

Whole body cryotherapy benefits

Athletic pre-workout performance and recovery:

  • Burn 500 to 800 cal per session.
  • Reduce pain and inflammation.
  • Decrease fatigue.
  • Decrease muscle soreness.
  • Psychological competitive edge.
  • Decreased recovery time.
  • Increased blood and lymph circulation.

 

Aesthetics / general wellness:

  • Tighter, healthier skin.
  • Cellulite reduction.
  • Stronger, fuller hair.
  • Stronger nails.
  • Fewer skin blemishes.
  • Increased libido.
  • Decreased anxiety.
  • Boost immune system.
  • Decreased depression.

Pain and symptom relief:

  • Quicker surgical recovery.
  • Quicker recovery room sports injuries.
  • Decrease inflammation.
  • Accelerates healing of sprain strain’s.
  • Aids in the treatment of rheumatoid arthritis, osteoarthritis, multiple multiple sclerosis, fibromyalgia pain, degenerative diseases of the joints and spine.

 

Non-Surgical Spinal Decompression

1. What causes low back pain?

Low back pain can be caused by a number of factors from injuries to the effects of aging. The spinal cord is protected by the vertebrae, which are made of bone. Between each vertebra are soft discs with a ligamentous outer layer. These discs function as shock absorbers to protect the vertebra and the spinal cord. Many of the problems that cause back pain are the result of herniation and degeneration of the intervertebral disc. Degeneration is a process where wear and tear causes deterioration of the disc. Herniations or bulging of the disc are protrusions from the disc that press on surrounding nerves, causing pain or numbness.

2. How long does it take to see results?

Most patients report a reduction in pain after the first few sessions. Typically, significant improvement is obtained by the second week of treatment.

3. How long does it take?

Patients remain on the system for 30-45 minutes, daily for the first 2 weeks, three times a week for the following 2 weeks, and followed up by two times a week for the last 2 weeks.

4. Do I qualify for Spinal Decompression treatment?

Since I began using Spinal Decompression spinal disc decompression unit, I have been inundated with questions from both doctors and patients as to which cases it will best help. Obviously proper patient selection is essential to favorable outcomes, so let me explain to you of the Inclusion and Exclusion criteria so you may make the right decision since not everyone qualifies for Spinal Decompression treatment.

5. Am I a Good Candidate? (Inclusion Criteria)

Pain due to herniated and bulging lumbar discs that is more than four weeks old
Recurrent pain from a failed back surgery that is more than six months old.
Persistent pain from degenerated disc not responding to four weeks of therapy.
Patients available for four weeks of treatment protocol.
Patient at least 18 years of age.

6. Am I a Bad Candidate? (Exclusion Criteria)

  • Appliances such as pedicle screws and rods.
  • Pregnancy.
  • Prior lumbar fusion less than six months old.
  • Metastatic cancer.
  • Severe osteoporosis.
  • Spondylolisthesis (unstable).
  • Compression fracture of lumbar spine below L-1 (recent).
  • Pars defect.
  • Pathologic aortic aneurysm.
  • Pelvic or abdominal cancer.
  • Disc space infections.
  • Severe peripheral neuropathy.
  • Hemiplegia, paraplegia, or cognitive dysfunction.

7. Are there any side effects to the treatment?

Most patients do not experience any side effects. Though, there have been some mild cases of muscle spasm for a short period of time.

Deep Tissue Laser Therapy

Low level laser therapy (LLLT) devices have established the foundation for treatment of chronic and acute pain for over a decade. Recently, BIOLASE Technology has a new revolutionary tool to relieve pain: introducing the Diolase 10™. Diolase 10™ combines a unique wavelength, 940nm, and high power to provide optimal tissue penetration and enhanced biostimulatory effects, resulting in more effective treatment of acute and chronic pain.

The Diolase 10™ is a High Level Laser Therapy (HLLT) which is a non-invasive, pain and side effect free solution for relief of pain in muscles, nerves, ligaments, tendons, joints and scar tissue. The Diolase 10™ is MORE POWERFUL allowing a DEEPER PENETRATION, which means faster recovery time and fewer treatments. The Diolase 10™ will have you in oprtimal health in no time!

The Diolase 10™ is a product of years of clinical experience from Dr. Sheps and close work with the R & D team of BIOLASE Technology, to develop the Diolase 10™ laser and delivery system designed specifically for chiropractic, orthopedic, sports medicine and pain center markets.

During the development process there were numerous clinical success stories including Olympic athletes who needed to heal quickly and return to competition, celebrities, global business leaders, and geriatrics who had nearly given up hope on finding relief from their pain and related conditions.

INDICATIONS OF USE

Wound Healing
For over two decades, laser therapy has proven both painless and effective in the area of wound healing. The laser delivers light energy to the cells, assisting its natural healing process and decreasing wound recovery time. Laser therapy is ideal for patients who have wounds that have not responded to conventional treatment, suffer from chronic wounds, such as diabetics, and have burns or surgical incisions that are not healing. There are no known side effects and treatments are safe, fast and trouble-free.

Pain Management
Imagine a pain free lifestyle, without pills, surgery, needles or negative side effects. Diolase 10™ is the cutting edge of pain relief. Receiving laser therapy treatments can shift you out of your pain and increase your quality of life. Your level of pain severity will determine how often you should receive laser therapy.

Sports Injuries
Overworking the body, a serious fall, or a rough collision with another athlete, typically causes sports injuries, such as sprains and fractures. This trauma not only takes you out of the game, but also may cause long-lasting side effects. Using BIOLASE’S Diolase 10™ laser, coupled with our existing protocols, assures you the most advanced and effective form of treatment for sports injuries. Our high-power laser allows for deep penetrative treatment of several connective areas within the injury. Diolase 10™ reduces both long and short-term side effects of injuries and accelerates the rate and quality of healing. In some cases, fractures have even healed at a multiplied speed.

Diabetic Neuropathy
Diabetics suffer from myriad of side effects including diabetic neuropathy, a common nerve problem that affects the feet and legs, causing pain or even loss of feeling. Diolase 10™ laser therapy is a new alternative to medications for treating this condition. Using Diolase 10™ laser therapy patients can expect to decrease their pain and numbness while improving their quality of life. Diabetics will still need to monitor and control their blood sugar levels, but they now have a non-invasive method to relieve pain.

Diolase 10™ is FDA Approved!
FDA Statement : The ezlase™ diode system emits energy in the near-infrared spectrum to provide topical healing for the purpose of elevating tissue temperature for a temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm, minor sprains and strains and minor muscular back pain; the temporary increase in local blood circulation; the temporary relaxation of muscle.

Manual Therapy

Graston Technique®
Graston Technique® is a Ground-breaking, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis or chronic inflammation. The Technique specifically:

  • Decreases overall time of treatment.
  • Fosters faster rehabilitation/recovery.
  • Reduces need for anti-inflammatory medication.
  • Resolves chronic conditions thought to be permanent.

The Technique accomplishes the aforementioned results through:

  • Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers
  • Increases skin temperature
  • Facilitates reflex changes in the chronic muscle holding pattern
  • Alters spinal reflux activity (facilitated segment)
  • Increases the rate and amount of blood flow to and from the area
  • Increases cellular activity in the region, including fibroblasts and mast cells
  • Increases histamine response secondary to mast cell activityOriginally developed by athletes, Graston Technique® is an interdisciplinary treatment used by more than 15,000 clinicians worldwide—including physical and occupational therapists, hand therapists, chiropractors, and athletic trainers.

 Active Release Techniques (ART)
ART is a patented state of the art soft tissue mobilization technique that treats problems with ligaments, tendons, muscles, fascia and nerves. The technique treats headaches, back pain, carpal tunnel syndrome, shin splints, shoulder pain, sciatica, plantar fasciitis, knee problems, and tennis elbow and many other conditions that can be resolved quickly and permanently with ART. The conditions all have a common important characteristic: they are a result of overused muscles.

The CAUSE of conditions of overuse are?
Muscles and soft tissues that are Over-used change in three important ways:

  • Acute conditions (pulls, tears, collisions, etc).
  • Accumulation of small tears (micro-trauma).
  • Not getting enough oxygen (hypoxia).

These factors may cause one’s body to produce tough, dense scar tissue in the affected area. The production of this scar tissue causes tissue to bind up and it ties down tissues that need to move freely. The buildup of scar tissue causes muscles to become shorter and weaker, tendons to tension causing tendonitis, and nerves can become trapped. The outcome may include reduced range of motion, loss of strength, and pain. If a nerve is trapped you may also feel tingling, numbness, and weakness.

What can one expect from ART treatment?
Each ART sessions combines a detailed examination with treatment. The ART provider uses their hands to evaluate the texture, tightness and movement of muscles, fascia, tendons, ligaments and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements.

Injection Therapy

PRP Injections 

Platelet Rich Plasma (PRP) is a by-product of blood (plasma). It is rich in platelets. Blood is drawn from a patient and spun in a centrifuge to form the PRP. It’s then injected to stimulate healing at the injection site. Also, the rush of blood to the injection site can have anti-aging properties. It’s safe because it’s your own blood and injections can be done in an afternoon.

Uses include:

  • Anti-aging- decreases in wrinkles around eyes, cheeks, neck, jawline
  • Stimulates hair growth on scalp
  • Stimulates Healing

Trigger point injection (TPI) facts

Trigger points are focal areas of muscle spasm, often located in the upper back and shoulder areas.
A trigger point injection involves the injection of medication directly into the trigger point.

What is a trigger point?

Trigger points are focal areas of spasm and inflammation in skeletal muscle. The rhomboid and trapezius back muscles, located in the upper back and shoulder areas, are a common site of trigger points. In addition to the upper spine, trigger points can also occur in the low back or less commonly in the extremities.


Intra-Articular Injections

Intraarticular injection is the injection of a medication into a joint space, usually to reduce inflammation, such as in bursitis or fibromyositis. With the same technique abnormally excessive fluid may be withdrawn from the joint space. The fluid may be a result of trauma or inflammation.

Deep Tissue Laser Therapy

Low level laser therapy (LLLT) devices have established the foundation for treatment of chronic and acute pain for over a decade. Recently, BIOLASE Technology has a new revolutionary tool to relieve pain: introducing the Diolase 10™. Diolase 10™ combines a unique wavelength, 940nm, and high power to provide optimal tissue penetration and enhanced biostimulatory effects, resulting in more effective treatment of acute and chronic pain.

The Diolase 10™ is a High Level Laser Therapy (HLLT) which is a non-invasive, pain and side effect free solution for relief of pain in muscles, nerves, ligaments, tendons, joints and scar tissue. The Diolase 10™ is MORE POWERFUL allowing a DEEPER PENETRATION, which means faster recovery time and fewer treatments. The Diolase 10™ will have you in oprtimal health in no time!

The Diolase 10™ is a product of years of clinical experience from Dr. Sheps and close work with the R & D team of BIOLASE Technology, to develop the Diolase 10™ laser and delivery system designed specifically for chiropractic, orthopedic, sports medicine and pain center markets.

During the development process there were numerous clinical success stories including Olympic athletes who needed to heal quickly and return to competition, celebrities, global business leaders, and geriatrics who had nearly given up hope on finding relief from their pain and related conditions.

INDICATIONS OF USE

Wound Healing
For over two decades, laser therapy has proven both painless and effective in the area of wound healing. The laser delivers light energy to the cells, assisting its natural healing process and decreasing wound recovery time. Laser therapy is ideal for patients who have wounds that have not responded to conventional treatment, suffer from chronic wounds, such as diabetics, and have burns or surgical incisions that are not healing. There are no known side effects and treatments are safe, fast and trouble-free.

Pain Management
Imagine a pain free lifestyle, without pills, surgery, needles or negative side effects. Diolase 10™ is the cutting edge of pain relief. Receiving laser therapy treatments can shift you out of your pain and increase your quality of life. Your level of pain severity will determine how often you should receive laser therapy.

Sports Injuries
Overworking the body, a serious fall, or a rough collision with another athlete, typically causes sports injuries, such as sprains and fractures. This trauma not only takes you out of the game, but also may cause long-lasting side effects. Using BIOLASE’S Diolase 10™ laser, coupled with our existing protocols, assures you the most advanced and effective form of treatment for sports injuries. Our high-power laser allows for deep penetrative treatment of several connective areas within the injury. Diolase 10™ reduces both long and short-term side effects of injuries and accelerates the rate and quality of healing. In some cases, fractures have even healed at a multiplied speed.

Diabetic Neuropathy
Diabetics suffer from myriad of side effects including diabetic neuropathy, a common nerve problem that affects the feet and legs, causing pain or even loss of feeling. Diolase 10™ laser therapy is a new alternative to medications for treating this condition. Using Diolase 10™ laser therapy patients can expect to decrease their pain and numbness while improving their quality of life. Diabetics will still need to monitor and control their blood sugar levels, but they now have a non-invasive method to relieve pain.

Diolase 10™ is FDA Approved!
FDA Statement : The ezlase™ diode system emits energy in the near-infrared spectrum to provide topical healing for the purpose of elevating tissue temperature for a temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm, minor sprains and strains and minor muscular back pain; the temporary increase in local blood circulation; the temporary relaxation of muscle.