Acute and Chronic Pain

Sports/Dance injuries

Lateral Epicondylitis (Tennis Elbow)
Medial Epicondylitis (Golfer’s Elbow)
Stinger
Rotator Cuff Tear
Rotator Cuff Impingement
SLAP Lesion (labral tear)
Shoulder Instability/Subluxation
Spondylolysis/Spondylolisthesis
Stress Fracture
Muscle/Ligament Sprain/Strain
Little Leaguer’s Elbow
Snapping Hip Syndrome

Sports Hernia
Hip Labral Tears
Meniscal Tears
ACL/PCL Tears
MCL/LCL Sprain/Strain
Achilles Tendonitis
Achilles Tendon Rupture
Tibialis Tendonitis
Shin Splints
Tibial Stress Fracture
Exercise Induced Compartment Syndrome

Arthritis

Osteoarthritis
Shoulder
Spine
Hands
Hip
Knee

Rheumatoid Arthritis
Seronegative Spondyloarthropathy
Ankylosing Spondylitis
Reiter’s Syndrome
Psoriatic Arthritis

Fibromyalgia

Fibromyalgia is a condition that is characterized by diffuse pain, aching, stiffness and fatigue that involves multiple areas of the body. Pain is widespread above and below the waist, and on the right and left side of the body. It is typically accompanied by headaches, multiple tender points, and morning stiffness. It most frequently affects women in the 20-60 age group.

Fibromyalgia is a chronic condition and usually lasts more than 3 months. Many patients go undiagnosed for long periods of time, but there is no need to suffer. Fibromyalgia can be successfully treated by a combination therapy that may include medications, physical therapy, tender point injections, biofeedback, aerobic exercise and acupuncture.

Neck/Head injuries

Cervical Sprain/Strain
Cervical Muscle Spasm
Myofascial (Muscle) Pain Syndrome / Trigger Points
Cervical Disc Herniation
Cervical Radiculopathy (nerve impingement)

Cervical Facet Joint Syndrome
Tension Headaches
Cervicogenic Headaches related to neck pain)
Migraine Headaches
Whiplash Injury

Mid Back injuries

Thoracic Sprain/Strain
Thoracic Muscle Spasm
Myofascial Pain Syndrome/Trigger Points
Thoracic Rib Subluxation

Thoracic Facet Joint Syndrome
Scoliosis
Costochondritis
Compression Fractures

Low Back injuries

Lumbosacral Sprain/Strain
Lumbar Muscle Spasm
Myofascial Pain Syndrome/Trigger Points
Lumbar Disc Herniation
Lumbar Radiculopathy (nerve impingement)
Lumbar Facet Joint Syndrome
Spondylolisthesis (slippage of a vertebra)
Spondylolysis (fracture)

Degenerative Disc Disease
Degenerative Joint Disease (arthritis)
Compression fracture
Osteoporosis
Spinal Stenosis (narrowing of the spinal canal)
Sacroiliac Joint Dysfunction/Sacroiliitis
Piriformis Syndrome
Ankylosing Spondylitis
Sciatica

Shoulder injuries

Frozen Shoulder
Rotator Cuff Impingement
Rotator Cuff Tear
Rotator Cuff Sprain/Strain
Biceps Tendon Tendonitis
Subacromial/Subdeltoid Bursitis

SLAP Lesion (labral tear)
Shoulder Subluxation/Instability
Thoracic Outlet Syndrome
Arthritis
Fracture

Elbow injuries

Lateral Epicondylitis (Tennis Elbow)
Medial Epicondylitis (Golfer’s Elbow)
Ulnar Nerve Compression (Ulnar Neuropathy)

Little Leaguer’s Elbow
Olecranon Bursitis
Fracture

Wrist/Hand injuries

Wrist and Hand Fractures
DeQuervain's Tenosynovitis
Ganglion Cyst
Carpal Tunnel Syndrome

Dupuytren’s Contracture
Wrist and Hand Sprain/Strain
Trigger Finger
Arthritis

Hip injuries

Tendonitis
Trochanteric Bursitis
Labral Tears
Osteoarthritis

Snapping Hip Syndrome
Sports Hernia
Hip/Thigh Sprain/Strain

Knee injuries

Meniscal Tears
ACL/PCL Tears
MCL/LCL Sprain/Strain
Patello-femoral Syndrome
Patella Tendonitis

Prepatellar Bursitis
Pes Anserine Bursitis
Iliotibial Band Syndrome
Chondromalacia Patella
Arthritis

Ankle/Foot injuries

Ankle and Foot Sprain/Strain
Fractures
Achilles Tendonitis
Achilles Tendon Rupture
Tibialis Tendonitis
Shin Splints
Tibial Stress Fracture
Exercise Induced Compartment Syndrome

Ankle Instability
Tarsal Tunnel Syndrome
Plantar Fasciitis
Morton’s Neuroma
Metatarsalgia
Stress Fractures
Arthritis

Orthopedic Conditions

Rotator Cuff Tear
Separated Shoulder
Arthroscopic Shoulder Surgeries
SLAP Lesion
Frozen Shoulder
Arm/Elbow/Forearm/Wrist Fractures
Carpal Tunnel Release
Dupuytren's Contracture Release
Vertebral Compression Fractures

Lumbar Laminectomy
Total Hip Replacement
Total Knee Replacement
Hip/Leg/Knee/Ankle Fractures
Achilles Tendon Rupture
Hip/Knee/Ankle Arthroscopic Surgeries
ACL/PCL Tears
Meniscal Tears
Labral Tears

Muscle weakness and imbalance

Muscle weakness and imbalance can result from different types of neurological and neuromuscular conditions such as stroke, nerve injury, impingement, multiple sclerosis or a multitude of other nerve or muscle injuries. Frequently this weakness and imbalance could result from poor posture, improper exercise, or a lack of exercise. Sitting at a desk for a majority of the day with poor posture may increase weakness causing a lengthening of the muscles in the upper back and between the shoulder blades. Sitting with shoulders forward and the head and neck down will also result in the shortening of the muscles in the chest wall.

If these muscles are held in that compromising position (i.e. sitting at a desk for a prolonged period), the back muscles will remain in a weakened, overstretched state. In addition the muscles in the chest wall will remain in a contracted, shortened state. This muscle weakness and imbalance will continue even after leaving the desk for the day. In turn the biomechanics of the shoulder joint, neck, and upper back will be altered resulting in neck and upper back pain. The improper functioning of these areas which are necessary for movement in sports related activity and daily life increases overall risk of injury.

Muscle imbalance creates poor stabilization of the joint, but can be reversed by preventative conditioning and strengthening of the weakened muscles. Despite the long term effects of this postural issue, one can correct this imbalance with specific exercises focused on strengthening the weaker and overstretched muscles in the back while at the same time stretching the constricted muscles of the chest wall. The goal is to restore the muscle balance by preventative conditioning, strengthening, and stretching. With adequate and effective training, pain and discomfort from postural imbalance can be relieved.