For Medical Professionals:
Doctors and therapists run across patients from time to time who don’t respond to care. They may have the same complaints as people you have helped before, but for some reason they are just different.
What types of injuries should I refer to Performance Spine & Sports Center?
Anyone you suspect has a soft tissue injury and is not fully responding to your care.
Individuals with symptoms of pain, numbness, tingling, aching, burning, pulling, and decreased range of motion.
Persisting symptoms when all conventional tests (MRI, CT, EMG, blood work) are negative. (Soft tissue problems must be determined by altered tissue texture, tension, and movement.)
Athletic or work-related overuse/repetitive strain injuries when no trauma is reported.
When rest, ice, NSAIDs, and/or decreased physical activity has not resolved the problem.
When physical therapy (supervised or self-directed) has not produced the desired results.
What to Expect
When referring a patient to our office you will receive an initial report and periodic updates. We will keep you informed about the condition of your patient as they progress. Please keep in mind the patient will be referred back to you once treatment has ceased. This ensures that you maintain case control. If you have questions along the way just call our clinic for phone consultation.
While adjustments take care of a lot of musculoskeletal complaints, in some cases patients aren’t able to fully recover. If you suspect your patient has a soft tissue problem that is limiting their improvement, send them to our clinic. We will keep you updated with reports during treatment and once the problem is resolved, promptly return the patient to your care.
We see lots of patients suffering from plantar fasciitis. In some cases, they have received temporary or limited relief from orthotics, stretches, rest or injections but the problem remains and so does the frustration that comes with it. We focus on finding tibial nerve entrapments (commonly at the arch of the soleus and tarsal tunnel) and scar tissue (commonly in the plantar foot and calf structures) that sometimes keep these individuals from progressing. Once corrected, the other measures will be sufficient to make continued progress. If you and your patient are frustrated, let us know and we’ll take a look at it. If the patient has a soft tissue problem we can help with, we will treat them, keeping you updated along the way. Once the scar tissue is taken care of, we will send them back to you for further evaluation and treatment.
In cases where strength exercises don’t make the patient stronger, stretching doesn’t make them more flexible or symptoms don’t subside even when the patient is objectively better, an underlying soft tissue problem is likely to blame.
Injuries with enough severity to require surgery also have damaged soft tissue. We see this with most acute cases and all chronic or degenerative conditions. Depending on the injury and the severity, some patients will benefit most from treatment prior to surgery and others will find the best results with post-surgical soft tissue correction. Orthopedic conditions that commonly result from faulty soft tissue function include tendonosis/tendonitis, rotator cuff tears, labral tears, impingement syndrome, and muscle/ligament sprains and strains.
Peripheral nerve entrapments are among the most remarkable problems we address. While diagnosis with EMG, MRI or NCV can be inconclusive for symptoms presenting as burning, aching, numbness, tingling or weakness, we find that palpation of the involved sites will reveal scar tissue and decreased nerve glide. Proper treatment resolves the scar tissue, eliminating the entrapment and symptoms.