(Pain travelling down the back of the leg) can be caused by several different types of injuries which can frustrate many doctors in isolating the real cause of the symptoms.  Sciatica can be traced to a spinal misalignment in the lower back, a degenerated disc, a disc protrusion, a disc herniation, spinal stenosis, a spasm in a deep muscle of the buttock called the piriformis muscle, or be an injury to the muscle of the leg (which would not actually be sciatica but can mimic the condition. There are other pathologies that can create sciatica which are quite rare.

Most of the sources of sciatica are effectively diagnosed by Dr. Heilman by taking a thorough history and a physical evaluation of range of motion, feeling the muscles of the back and leg, some neurological maneuvers, and X-Ray evaluation that all lead to identifying the source of the condition.  When the source of the pain is identified a appropriate course of therapy can be recommended.

Carpal Tunnel Syndrome:

Wrist pain that travels into the thumb and index finger is usually caused by a constriction of the median nerve in the wrist.  The constriction of the nerve can be further complicated by another nerve compression in the elbow, shoulder, and between the spinal bones of the neck,  If treatments to the wrist have failed to relieve you of your pain an evaluation by Dr. Heilman can find what other sources of the pain can still remain and develop a course of treatments to give effective relief.

Plantar Fasciitis:

Plantar fasciitis is the MOST COMMON CAUSE of pain on the bottom of a patients heel.

Many people with chronic foot pain will struggle to walk due to every step they take feeling like their foot is bruised, tender, and tight.  If the pain is along the underside of your foot and makes each step a tender or painful experience and over time it either does not go away or is getting worse over time you are likely suffering from plantar fasciitis.  Many people will try to change footwear, buy insoles for their shoes, avoid prolonged standing and eventually stand on the less painful foot like a flamingo. Eventually your medical doctor will either refer you to a physical therapist or a podiatrist.  The physical therapist may run ultrasound and do massage on your foot and give you stretching exercises or tell you to roll a ball under your foot.  The podiatrist will likely fit you with a custom fit orthotic that our common feedback are so hard and unflexible that many patients only use it for a short time OR advise an injection of cortisone steroid to reduce the inflammation.  Plantar Fasciitis foot pain has been shown to decrease the pain severity and improve the function of the foot within a couple visits with High Intensity Laser Therapy combined with Rapid Release Technology High Frequency Vibration Therapy and in many patients completely resolve in 4 – 6 weeks.  There would be no injections, pain medications or surgery used at our office and would rival the recovery time at a fraction of the cost.

Shingles:  The pain and skin lesions associated with shingles is excruciating and is known to last for several months to years.  High Intensity Laser Therapy (HILT) applied from a Class 4 Laser has been shown to significantly decrease the pain in just a few visits and accelerates the healing time..

Bursitis:  Inside the large joints of your body is a bag of fluid referred to as a Bursal Sack.  If this sack gets inflamed the resulting pain can result in extreme localized pain and tenderness.  The two most common locations for bursitis are the hips and the shoulder.  Our NEXUS Laser therapy can safely and effectively reduce this inflammation and increase cellular circulation and metabolism without the injections of cortisone steroids, prescription pain medications which only provide brief relief from the pain.  

Shoulder pain / Rotator Cuff Impingement / Adhesive Capsulitis / Frozen shoulder Syndrome:  Can result in impaired painful motion of the shoulder joint.  Many times people assume that restricting the shoulder motion by placing the arm in a sling can give the tissue time to heal, but unfortunately this frequently results in Frozen shoulder syndrome.  Our NEXUS Deep Tissue Laser is effective in decreasing the inflammation and increasing the circulation and cellular activity of the damaged tissues which most of the time promote accelerated healing; this therapy is used in conjunction with Rapid Release Technology High Frequency Vibration therapy to break up soft tissue adhesions and scar tissue which are common components to shoulder injury.  This therapy may be used in conjunction with shoulder joint manual adjustments, and manual manipulation spinal adjustments if indicated.  These therapies are designed to provide effective relief that has no injections or drugs, and of course no surgery.

Elbow Pain / Tennis Elbow / Golfers Elbow / Lateral Epicondylitis / Medial Epicondylitis:

Many people (mostly athletes) deal with this painful condition that makes it difficult to swing a tennis racket or a golf club, or even throw a ball.  This may feel like a sharp pain on the elbow during certain motions which is due to an inflammatory cycle due to a repetitive motion injury.  Some people attempt to place creams such as tiger balm or icy hot, do ice massage, wear a wrap around their forearm, get a cortisone shot and or physical therapy and may have some success but unfortunately many show limited success.  Therapies at this office are successful at breaking down the inflamed soft tissue adhesions and allowing it to be  released.  If you have tried the other therapies with limited or no long term relief, or just want to find a successful treatment right off the bat, please give my office a call.