2863 California Street, San Francisco, California 94115

Physiologic Therapeutics for the Structural Side of the Triad of Health

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The clinical management of neuromusculoskeletal conditions involves both passive and active care services. The passive care services include the clinical use of manual therapies and physiologic therapeutics, while the active care services include the therapeutic procedures used in active rehabilitation and functional training. Chiropractic Sports Care starts our approach with palliative care, tissue-sparing strategies, gradual reactivation advice, and provide assurance that the red flags of serious disease such as infection, tumor, and fracture have been ruled out, so that our patients do not imagine their injuries or illnesses as catastrophic.

Physiological Therapeutics means the therapeutic application of forces that induce a physiologic response and use or allow the natural processes of the body to return to a more normal state of health. Physiological Therapeutics encompasses the diagnosis and treatment of neuromusculoskeletal disorders of the body, utilizing for example:

1. Heat and cold (ice) packs are our most frequently therapies. These work directly on local muscle and connective tissues to aid in relaxation. Both may be effective for reduction of pain and muscle spasm, but their other effects can be different. Raising or lowering the skin temperature will have different effects on the nervous system and the circulation. The best approach for your circumstance depends on the age and severity of your condition, the degree of muscle tension, the extent of your pain and many other factors.

2. Electrical muscle stimulation involves use of various low level currents to stimulate body responses. Our nerves and muscles both have electrical functions and respond to different types of currents. Muscles may be stimulated to contract (and relax). Nerves may be made more sensitive or pain may be blocked by varying currents. Changes in location of electrode pads, current frequency, wave form and strength all affect what this treatment will do.

Our passive care services: help to reduce inflammation, pain, adhesions, and restore joint, myofascial, and central/ peripheral nervous system dysfunction.

Passive Care Procedures: Manual Therapies

• Adjustments of the spine, pelvis, and extremity joints (98940-98943)

• Manual traction, soft tissue mobilization / manipulation (i.e.myofascial release), and manual lymphatic drainage (97140)

Supervised Physiologic Therapeutics: Modalities:

• Heat and cold pack therapy (97010)

• Electrical muscle stimulation (97014)

Chiropractic Sports Care active care services: helps to restore proper movement patterns, muscle balance, posture, and functional capacity (i.e. fitness).

Active Care Therapeutic Procedures: Rehabilitation

• Therapeutic exercises (97110): to develop strength, endurance, ROM, and flexibility.

• Neuromuscular re-education (97112): of movement, balance, coordination, posture, kinesthetic sense, and proprioception.

• Group therapeutic activities (97150): therapeutic exercises for 2 or more people.

• Therapeutic activities (97530): Use of dynamic activities to improve functional performance.

• Self-care/home management training (97535): instruction in self-care at home.

• Physical performance testing & measurements (97750): functional capacity testing.

Taken together the passive and active care Chiropractic Sports Care services facilitate the healing process by:

• reducing inflammation, adhesions, and pain

• restoring the range of motion of the joints and soft tissues

• reactivating the neuromusculoskeletal system for the purpose of locomotion


Our expertise is in the prevention and proper management of traumatic and repetitive injuries of the spine, pelvis, extremities, and soft tissues of the body.

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