Effective Treatment is Everything
Dr. Matt DeVille has treated thousands of complex joint and movement-related conditions including those that come from traumatic injury, sports activity, and surgery. Based on your specific condition and the extent of dysfunction and pain, a customized treatment will ensure that your case is met with the most optimal therapy, which may require several treatment sessions to correct your condition. Not all conditions can be treated solely with chiropractic therapy, but as a non-invasive, medication-free, approach, you can ensure the initial part of your care path is medically conservative, while untreatable conditions will be elevated to the appropriate specialists.
The conditions below represent some of the more common chiropractic concerns that patients present with, while others can also be successfully treated.
While medications are typically used to address arthritic conditions, chiropractic treatment may be used to provide adjustments to the joints to reduce restrictions and misalignments, which can reduce inflammation. By improving joint mobility and spinal health, treatment can support the body’s ability to manage osteo- and rheumatoid arthritis.
Bulging discs can affect spinal nerves. When a disc gets weak as we age it can bulge and place pressure on adjacent nerves. While pain is common, it may also cause radicular symptoms including numbness, tingling, cramping, weakness or any combination of the above. Lower back and neck areas are common locations for bulging discs, which is typical of car accidents, neck strain,s and heavy lifting.
Chiropractic treatment can improve the overall mobility of the spine, reducing swelling and allowing the vertebrae and disc to return to a more balanced position, thereby reducing pain, radicular symptoms, and muscle spasms.
Carpal Tunnel Syndrome
Though Carpal Tunnel Syndrome is not always related to the spine, assessment of the extremities can reveal opportunities for movement therapy. Chiropractic adjustments to the wrist, elbow, shoulder and upper spine help to ensure alignment that is codependent, while specific soft tissue treatment and corrective exercises can help relax surrounding muscles and tissues.
Degenerative disc disease
While medication and exercise are commonly used to address degenerative disc disease, chiropractic treatment can provide relief,especially to the lower back. Pain is reduced by relieving pressure and tension from surrounding tissues, helping to restore blood flow and promote healing, while releasing the body’s natural, pain-killing endorphins. Degenerative disc disease is a gradual process that may compromise the spine over time.
Degenerative joint disease
Unlike disc degeneration in the spine, Degenerative Joint Disease (DJD) or osteoarthritis can affect joint cartilage in any joint of the body. Although joint degeneration cannot be reversed, studies indicate that chiropractic spinal manipulation and soft tissue therapy may improve range of motion, relax adjacent musculature, improve joint coordination, and reduce pain.
While walking is a great way to keep your spine and joints healthy, some conditions may result in pain when standing, shifting weight, and walking. Our comprehensive evlaluation assess the entire body through comprehensive movement analysis. Evaluating posture, and balance, as well as and dysfunction into the lower back and hips, knees, ankles and feet is essential to determine the root cause of difficulty walking.
When spinal discs are damaged they can extend beyond their normal shape, causing compression the exiting spinal nerves. To help with diagnosis, an X-ray or MRI may be required. Our proven system ensures evaluation of the entire spine including the neck, mid-back and low back in order to assess overall function and compensations compensatory movement patterns. Treatment for disc herniation may include spinal manipulation, manual therapy and therapeutic exercises.
Failed back surgery
Though back surgery aims to improve health conditions, occasionally the results may not be as expected, and repeated surgeries tend to be even less effective. Inflammation can affect the spine, nerves, and muscles long after surgery, which may create other problems. By focusing on restoring blood flow, balance, and alignment of structures, patients can begin to experience better recovery with chiropractic treatment and proper movement training.
Frozen shoulder, also referred to as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. Symptoms can start gradually and worsen over time, often taking several months to resolve. Pain is described as a dull ache by patients, which can worsen at night and affect sleep. Frozen shoulder can become debilitating due to progressive range of motion loss. Early treatment for of frozen shoulder is the best way to prevent long-term stiffness, reduce shoulder pain and restore range of motion.
Golfer’s elbow occurs with repetitive arm, elbow, forearm or wrist activity. Like Tennis elbow, the joints and tendons of the elbow can become inflamed, building up scar tissue, which creates pain, tenderness, and weakness of the surrounding muscles. When the joints of the elbow or wrist are misaligned, they can also irritate tendons and nerves. Elbow pain may become worse with grabbing or holding objects, as wells as prolonged hand and wrist activities. We will also examine the spinal segments of the neck responsible for nerves that travel to the arms and can also cause pain, which may require specific chiropractic adjustments.
Though most of us experience headaches from time to time, prolonged headaches and migraines are less common. We work to resolve headaches by finding the underlying root of the problem.
Structures surrounding your skull and neck, including nerves, joints, and muscles, can all impact the onset of headaches, while poor posture and excessive stress are also common contributors. Headaches can also originate from the bony structures or soft tissues of the neck, upper-back and jaw regions.
Natural treatments of hip pain can allow you to avoid potentially harmful drugs as well as the costs and risks of surgery. Chiropractic treatment works to reduce inflammation, improve biomechanics relax muscle spasms, and improve the mobility of the hip joint.
Studies continue to indicate that chiropractic adjustments are effective in relieving sciatica, a common cause of pain to the hip and lower back. Treatment may include axial manipulation of the hip, stretching, corrective exercises, functional movement training, and full kinetic chain treatment.
Iliotibial Band (ITB) Syndrome
The Iliotibial Band (ITB) is a broad tendon that travels down the side of your leg from the hip to just below the outer knee. The ITB is an important stabilizer of the pelvis, especially when applying weight on one leg, running, or riding a bicycle. Pain can be related to training habits such as failing to warm-up or cool-down properly, running on an uneven surface like on the right shoulder of the road where one foot is stepping lower than the other. Joint and muscle response coordination will be evaluated during the assessment, while providing guidance on stretching and exercise.
Jaw Pain / TMJ Disorders
Jaw pain, or Temperomandibular Joint (TMJ) Disorders, originate at the point where the jaw articualtes with the skull. It can become painful and swollen, and a clicking sound may be felt or heard. Pain in the jaw, difficulty chewing or talking, headaches, and neck pain can also result. We can provide chiropractic treatment that alleviates tension and dysfunction by reducing pressure on certain nerves and joints, which can alleviate pain associated with the jaw and allow the body to heal itself naturally.
Joint pain can exist in all areas of the body. Chiropractic treatment involves a system-wide approach, by evaluating movement, balance and any dysfunction of the entire body. By delivering, gentle, non-invasive, chiropractic adjustments, chiropractice treatment can reduce joint restrictions and misalignments in the joints, reducing inflammation and improving function. Chiropractic treatment increases joint mobility and function of the nervous system, which gives the body has the ability to better manage symptoms and its recovery.
If knee pain is present and you have begun to limit your activity or take pain medication, it is time to make an appointment. We will assess the problem by evaluating all structures in and around the knee as well as the spine, hip, ankle, and foot investigation of adjacent structures is crucial to identify what may be a contributing factor for the cause of the knee pain. Limited range of motion in the hips, ankles, feet and or tightness in the lower back can also place additional strain on the knees, causing pain.
Also referred to as Tennis Elbow, Lateral Epicondylitis is caused by inflammation or chronic collagen degeneration where repetitive stress and activity irritates the joint of the elbow. Chiropractic treatment may include Active Release Therapy (ART), which involves specific soft tissue treatment used to detect and resolve adhesions in the muscles and tendons. Without proper treatment, it is unlikely this condition will go away on its own.
Lower back pain
After your initial assessment for mobility and a detailed review of your existing medical condition, a treatment plan will be recommended. Chiropractic treatments typically involve manual adjustments, correcting dysfunction by realigning the spine, hip and other parts of the body that are causing the pain. Often the location of pain itself is not the source of pain, but where you feel it most.
The goal of chiropractic care is the restoration of function and prevention of future injury. As a safe, effective treatment for acute lower back pain, chiropractic treatment can address sudden injuries typically caused by lifting heavy, unbalanced objects such as furniture. Chronic back pain, which can last several months or more, may not get better on its own and will require several treatments including soft tissue treatment and corrective exercise to aid the vertebrae, tense muscles, and other structures that can apply pressure to nerves.
Also known as Golfer’s Elbow, Medial Epicondylitis occurs with repetitive arm, elbow, forearm or wrist activity. The joints of the elbow can become inflamed with repeated motion, building up scar tissue which creates pain when moving, tenderness, and weakness of the surrounding muscles.
When the joints of the elbow or wrist are misaligned, they can also irritate tendons and nerves. The elbow pain may become worse with grabbing or holding objects, as wells as prolonged hand activities. We will also examine the spinal segments of the neck responsible for nerves that travel to the arms and can cause pain, which may require specific chiropractic adjustment.
Chiropractics treatment begins by examining your spinal column, the one part of the body that is responsible for the distribution of nerves while also being central to many critical structures and skeletal support. Once we have examined the spine we thoroughly examine your joints and mobility through a movement assessment. Strained muscles often are a result of imbalances or dysfunction of movement patterns. By identifying any misalignments, we can assess the impact on other areas where the pain is present, which can lead to muscle strain as the body works to compensate for the imbalance. Using manual manipulation techniques and soft tissue treatment, we can begin to restore proper function to the entire body.
Addressing neck pain involves assessment of the spine including curvature and alignment while identifying muscle imbalances known for causing muscle spasms. Cervical manipulation is a precise procedure applied to the joints of the neck, which works to improve the mobility of the spine and restore range of motion while increasing mobility of the adjoining muscles. Patients typically notice an improved ability to turn and tilt the head, as well as a reduction of pain and stiffness after one or more adjustments.
When neck pain is associated with trauma, as with an automobile accident, an X-ray may be required to assess disc space and identify any potential red flags. If a red flag is present, you will be referred to a medical physician or specialist. For all other cases, a chiropractic treatment plan will be recommended combining one or more types of treatment depending on your condition. In addition to manipulation, the treatment plan may include mobilization, massage soft tissue treatment or corrective exercises to rehabilitate the soft tissues.
Overuse/Repetitive Motion Injuries
Though the body is made to move and can be rehabilitated through movement and manipulation, it is not a machine and can become worn down and injured with repetitive motion injuries. Hammering or prolonged typing and mousing, for example, places considerable strain on the elbow and wrist if performed for longer periods of time.
These types of injuries can lead to weakness and pinched nerves, as wells as other compensations that can lead to acute and chronic pain. Your treatment plan will involve education that is based on the activities that led to your injury combined with therapy to help reduce tension, scar tissue, swelling, and pain, thus restoring mobility and function.
The nervous system is an interconnected network that travels from our head to our toes. Therefore, if something is misaligned in our neck, it may be felt in the arm. Pinched nerves are common and are caused by improper posture, lifting heavy objects awkwardly, etc., which can result in a shift of the vertebrae, causing nerve compression. Many people do not seek active treatment for their nerve-related symptoms, resolving to taking medications and coping with pain.
As we examine your neck, posture, and back, we assess the entire alignment of the spine. Deviations of the spine can be corrected with manipulation treatment. Once the vertebrae are realigned, blockages to nerves can be removed, allowing the body to return to normal function. If left untreated, pinched nerves can cause extreme pain, reduced mobility, and increased inflammation.
The piriformis muscle is located deep beneath the fat of the buttocks near the gluteus maximus and helps us to make the leg rotate outward. Piriformis syndrome is the result of tightness in this muscle, which can place pressure on the sciatic nerve causing pain, tenderness, and numbness. These symptoms can radiate down the leg all the way to the calf. Sitting all day at a desk or driving for long periods, and sports can also cause this condition. By treating the leg, spine, hip, and other associated areas, we can release the piriformis muscle and allow it to heal naturally.
Plantar fasciitis can be challenging to treat, but there are proven therapies that can help resolve this acute condition. Chiropractic treatment can reduce the stress in the affected joints, relieving pressure on the ligament that causes the tiny tears within the muscle and fascia on the bottom of the foot responsible for plantar fasciitis. Without treatment, secondary injuries can result, where compensatory patterns begin to change how you walk in order to reduce the pain. If left untreated,
Chiropractors can help with many different postural problems such as hunchback, uneven hips or pelvis, forward-leaning head posture, and scoliosis. Poor posture can lead to excessive strain on other structures of the body, which is often attributed to stress, sitting for extended periods of time, obesity, and even walking in high-heeled shoes for extended periods of time. In addition, decreased flexibility, a poor work environment, and unhealthy sitting and standing habits can all contribute to pain and related disorders.
Treatments may include chiropractic adjustments, soft tissue treatment, corrective exercise, postural education, and mobility training in order to restore range of motion and reduce nerve interference. By correcting these postural imbalances, we encourage the body to work more efficiently, thereby improving your overall health while also incorporating exercise and healthy nutrition.
Radiculopathy is a pinched nerve in the spine causing a variety of uncomfortable symptoms including pain, weakness, cramping, and numbness. It can occur in the neck, upper back, mid back, or low-back. As an alternative to surgery, chiropractic manipulative therapy, longitudinal cervical traction, and soft tissue management can lead to successful treatment of pinched nerves. With a regular schedule of treatments that are slowly reduced over time, pain, weakness, and numbness can be resolved.
Rotator Cuff Injuries
Rotator cuff injuries are fairly common and present more frequently as we age. Rotator cuff injuries include partial or complete tears to the muscles and tendons surrounding the shoulder joint caused by sudden or repetitive stress injuries that damage the joints, tendons, and muscles. Often times, chiropractic and physiotherapy modalities can relieve pain and dysfunction associated with rotator cuff injuries. If there is significant damage to the shoulder musculature, we work in collaboration with other specialists such as surgeons to craft a personalized treatment plan aimed at relieving your shoulder pain and restoring as much function as possible. Treatments for shoulder injuries may include chiropractic adjustments, soft tissue mobilization, hot and cold therapy, stretching, physical rehabilitation, and movement training.
Sacroiliitis refers to misalignment and soreness in the sacroiliac joint/joints also called SI joints. The location of the sacroiliac joints is adjacent to the lower back, where you can visibly see the two dimples at the base of the spine. These depressions are present directly over the SI joints where the sacrum and pelvis meet. Held together by cartilage, the SI joints may become misaligned, causing swelling in the cartilage that binds the joints together. This can stress the cartilage, causing joint pain. Chiropractic manipulation restores alignment and allows the body to recover naturally.
Sciatica is generally caused by sciatic nerve compression. The sciatic nerve originates in your lower back and extends down to the feet. Misalignment in the lumbar spine, herniated or bulging discs (slipped discs), pregnancy, spinal tumors, and non-spinal disorders such as diabetes, can all impact this nerve. A Sciatica treatment plan may include several different treatments such as spinal manipulation, soft tissue treatment, corrective exercises, lumbar traction, hot and cold therapy, and proper movement training.
Chiropractic treatment can be extremely beneficial to treat disorders associated with the shoulders and the extremities. Pain in the shoulder may also come from nerve pressure in the neck. With a thorough assessment, we can determine the true source of your shoulder pain, which can be treated using a variety of therapies. Some of the most common types of shoulder pain include bicipital tendonitis, labral disorders, frozen shoulder, rotator cuff strains/sprains, and A-C joint disorders.
Shin splints can affect people differently from temporary mild pain to chronic severe pain. This condition affects the area around the shin bone in the front lower portion of the leg, where the thin bone located close to the skin acts as a shock absorber for physical exertion.
Common causes of shin splints include: not stretching and warming up before exercising, walking, jogging, or running on hard surfaces such as concrete, using incorrect athletic footwear, and insufficient rest between periods of exercise. While icing tends to help relieve pain temporarily, active physical rehabilitation treatment is best. Our approach includes treatmetn and rehabilitation of dysfunctional movement patterns causing shin splints, making it less likely to occur in the future, and ensuring proper alignment in other areas that could impact balance.
Spinal stenosis is caused by osteoarthritis located on the vertebras of the spine. this is a progressive condition that gradually puts more and more pressure on the spinal nerves leading to pain and nerve-related symptoms. This condition is fairly common and can be due to normal wear and tear and stresses placed on our bodies as we get older. People who spend most of their day sitting and being inactive are at the highest risk. Through chiropractic treatment, however, we can diagnose and treat this condition effectively, relieving pain and discomfort by realigning the joints of the spine. Common symptoms include numbness, tingling, or pain in legs and feet, leg cramping, pain with walking, loss of sexual function, and abnormal bladder and bowel function.
Spondylolisthesis is forward slippage of a vertebra in the spine. This disorder is often seen in people involved with sports including football, weight lifting, and gymnastics where loading and extending of the spine is common. Some people develop this disorder with age without any discomfort but notice the development of pain gradually. We evaluate the spine as a whole because other areas of the spine may also be affected.
During your evaluation, we determine the areas with restricted joint motion, disc injury, muscle spasm, and/or ligament injury using a technique called motion and static palpation, feeling for tightness, tenderness, and how well each of the spine’s joints can move. By observing how you walk (gait), your overall posture and spinal alignment will help us understand your body mechanics and how well your spine is working and moving.
Sprains and strains
Dysfunctional movement patterns, twisting the body in an abnormal way or falling can cause sprains and strains, which contorts the joints in a way that stretches or tears the muscles and/or ligaments. Sprains are caused when you twist your ankle or shift to catch yourself on a slippery surface. Chiropractic manipulation and physical rehabilitation aids the healing process and strengthens the injured areas. Soft tissue management and correcting dysfunctional movement patterns help promote the rapid healing of affected tissues. Commonly, injury can recur in the same area due to weakening of the affected ligaments or muscles. Chiropractic treatment and corrective exercises will help strengthen the injured areas and significantly reduce the risk of future recurring injuries.
Tennis elbow occurs with repetitive arm, elbow, forearm and wrist activity coupled with the shock of hitting a fast-moving object which travels down the arm. Like Golfer’s elbow, the joints of the elbow can become inflamed, building up scar tissue which creates pain, tenderness, and weakness of the surrounding muscles. When the joints of the elbow or wrist are misaligned, they can also irritate tendons and nerves. Elbow pain may become worse with grabbing or holding objects, as wells as prolonged hand activities. We will also examine the spinal segments of the neck responsible for nerves that travel to the arms and can cause pain, which may require specific chiropractic adjustments and rehabilitation therapy.