Get back to doing the things you enjoy. Quickly.
We use a progressive, comprehensive approach.
We match the type of spine pain with the appropriate treatment. Some types of spine pain benefit from manipulation and manual therapy, others from specific exercise(McKenzie) and others may may need more of a strength & conditioning approach. We have a systematic approach in determining the appropriate type of therapy.
“If you are injured, suffering from pain, or even just struggling with mobility issues, definitely call Dr. Alex. He will take the time to get to know you, your history, do movement screenings, and simply spend time learning about your situation. He’s extremely knowledgeable and in the off chance he’s unable to help you, he’ll know which direction or step you should try next. Dr. Alex has been instrumental in my recovery from injuries, prescribes homework and exercises to do to strengthen weak links in the chain, and uses several different methods to get the job done. I can’t praise Dr. Alex highly enough!” -Mariah Baseman
The scientific and clinical research on tendon pain continues to evolve. We are up-to-date and continue to stay abreast the latest strategies to maximize results.
* Plantar Fasciitis
* Achilles Tendon Pain
* Foot/Ankle Tendinopathy/Tendonitis
* Calf Strain
“As a marathoner, I battled plantar fasciitis for literally months before I made an appointment to see Dr. Al. I was in pain and pretty much hopeless in completing the rest of my running year. After a handful of appointments, I was back on my feet running again. Pain free. Dr. Al will tell you it’s “simply textbook” what he did on my foot, but I can’t be fooled. It was magic. I would recommend seeing him to anyone who wants to remain active and feel great!!” Lori Millan
* Chronic or acute hamstring injuries
* Tendonitis (Adductor, Upper Hamstring, Upper Rectus, Gluteus Medius, Iliopsoas)
* Muscle Strains
* Nerve entrapments (piriformis syndrome)
“Dr. Al helped me with a difficult to diagnose hip injury that an MD wasn’t able help me with. He quickly diagnosed my injury, helped me understand the injury and created a therapy plan that had me running again pain free quickly.” Anthony Marcinek
* Rotator cuff disorders
* Tennis elbow (lateral epicondylitis)
* Golfers elbow (medial epicondylitis)
* Nerve entrapments/nerve disorders
“Through the course of only four sessions I’m once more overhead pressing, experiencing near full recovery in my shoulders. I’m overhead squatting and snatching after months unable to do so (not heavily yet, but still…). My push press and strict overhead press is nearly back to pre-injury status. Better yet, no pain, no impingement!”
John Koenig, Nutrition and Fitness Guru
* Hand/Wrist tendon disorders
* Hand/Wrist ligament disorders
* Carpal Tunnel
“Dr. Tapplin is top notch. He cares about his patients and their goals. He supports his patients through those goals by using evidence-based care designed to optimize the athlete and her performance.” Ann Marie Swanson, Nurse Practitioner, marathoner, crossfitter
* Patellofemoral pain (anterior knee pain)
* IT Band syndrome
* Plica soft tissue lesions
* Non-surgical ligament injuries
* Non-surgical meniscus lesions
* Patellar tendonitis (Jumper’s knee)
“Alex has done an amazing job helping me maintain my physical well being. I’ve seen him for my IT band, hip, and foot. He has worked his magic each time I visited, to ensure that I could be out running, safely and pain-free, the following day. Alex is knowledgeable, hard-working, and really knows what he is doing. I would highly recommend him!“ Lori Smestad, Triathlete
Trusted by professional athletes, ART is a soft tissue mobilization technique used to restore the normal texture, tone (tightness), flexibility, and function to the affected tissue. More information on this technique here.
A small monofilament needle is inserted in a muscle to decrease trigger point activity. More information here.
A passive musculoskeletal procedure to create a stretch to the joint. The effects include, but are not limited to, relief from musculoskeletal pain and increased in range of motion.
Stimulates healing, reduces pain. Has been proven to shave weeks off the standard rehab some conditions. More information here.
A specialized biomechanical and orthopedic assessment including gait analysis.
A method to systematically find the cause of symptoms, not just the source, by logically breaking down dysfunctional patterns and diagnosing their root cause as either a mobility problem or a stability/motor control problem. A simple assessment with common language used by PT’s, MD’s, DC’s and ATC’s.
Friction Massage involves deep pressure with specifically directed movement/friction in order to remodel scar tissue, allowing the soft tissue to become more flexible, pliable, and more functional. A good review here.
Using a tool to remodel soft tissue to improve pliability and normalize soft tissue mobility and flexibility.
Since most orthopedic and sports injuries do not require surgery the quick answer would be yes, most likely. Not only can I perform the workup needed for an accurate diagnosis but I can also provide the treatment and rehab. If you are not in the right place, you will be sent immediately to the best provider for your condition.
Your first visit typically lasts about an hour for your exam, discussion of treatment options and treatment.
Follow up visits are typically 30 minutes and are blend of manual thearpy(Active Release Technique, Joint mobilizations/chiropractic manipulative therapy, Cyriax Friction Massage, PIR stretching) and progression of exercise plan.
If a functional exam is needed(runners gait assessment, FMS, specialized spine strength assessment) this will usually be completed on the second visit as the first visit is usually the orthopedic exam and treatment.
I try to get people better in as few visits as possible. Some people just need a visit or two to figure out whats wrong and how to treat it. Others need more guidance and hands on therapy. It really depends on the condition, how long its been going on and so forth. Many overuse soft tissue conditions can be cleared up in 4-6 visits with a compliant patient.
Not usually. Imaging is a waste of your money unless it will change treatment or how we manage your condition, ie referral options. I do order X rays, MRI’s and other diagnostic studies (through Thedacare) if needed but this is not routine.