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Commonly Treated Conditions

Auto and Work Related Injuries

Whether you have been in a car accident, personal injury or hurt on the job, Spine and Sports Medicine Associates is the facility of choice. We specialize in treating these injuries and set the standard of care for the area. When you are treated at our clinic, you are treated in a multidisciplinary manner combining several specialties to achieve the best possible outcome. Call our office to schedule your initial consultation and examination. Accident and Injury Rehabilitation at our clinic provides:

  • Complete and comprehensive rehab unmatched anywhere in Connecticut
  • Access to Orthopedic Surgeons, Chiropractic physicians and physical therapy
  • On-site xrays and referrals for MRI, CT Scans, Bone Scans and Blood Studies
  • In-network participation with most major insurance companies and worker compensation carriers
  • Our office accepts letters of protection from Attorneys at our discretion
  • Comprehensive narrative reports upon request
  • Independent Medical Examinations

If you are injured at work, contact your supervisor and inform them of your accident. If you are injured in an auto accident, contact your insurance company and inform them of your accident. Upon contact, they will provide you with the necessary paperwork to document your injury. Each state has a set of laws for obtaining healthcare following a work-related accident. In Connecticut, after an initial visit with your company doctor, you are free to see the doctor of your choice. It is important to be evaluated by your own healthcare professional as soon as possible following a work-related or auto accident. This will minimize any long-term effects caused by your accident. Spine and Sports Medicine Associates specializes in the treatment and rehabilitation of work-related or automobile-related injuries.

Recurring Sports Injuries

Sports Medicine and therapy is a branch of healthcare that specializes in the diagnosis, treatment and prevention of injuries that are the result of training for or participating in a particular sport or athletic event, whether competitive or recreational. More than one million people are treated for sports injuries each year in the United States. Most of these sports injuries involve muscle sprains, strains and tears. Most of these injuries could have been avoided with the proper training and education.

Spine and Sports Medicine Associates utilizes a conservative and uniquely integrated approach to Sports Therapy. It encompasses education on biomechanics, physical, and functional rehabilitation and manual therapies such as Active Release Techniques, myofascial release and joint manipulation/mobilization.

As part of every treatment plan, we develop a functionally integrated exercise program that is specific to your injury and sport. The program includes posture and body awareness training, spine/core stabilization and corrective exercises to help prevent future injuries and maintain your healthy lifestyle.

Neck & Arm Pain

Neck pain can occur anywhere in your neck, from the bottom of your head to the top of your shoulders. It can spread to your upper back or arms. It may limit how much you can move your head and neck. Neck pain is common, especially in people older than 50. Symptoms are similar for patients with Arm Pain as well.

Most pain is caused by activities that strain the neck or arm. Slouching, painting a ceiling, or sleeping with your body twisted are some things that can cause these type of pain. These kinds of activities can lead to neck strain, a spasm of the arm muscles, or swelling of the neck joints.

These types of pain can also be caused by an injury. A fall from a ladder or whiplash from a car accident can cause Neck and/or Arm pain as well.

Common diagnoses associated with neck and arm pain include:

  • Whiplash
  • Muscle Strain/Muscle Spasm
  • Degenerative disc disease
  • Disc bulges/herniations
  • Facet Syndrome
  • Thoracic Outlet Syndrome
  • Pinched Nerves/Stingers

Manual chiropractic treatments, Active Release Therapy, Cox Decompression and physical therapy such as isolated strengthening and functional rehabilitation are proven effective treatment options for neck and arm pain.

Low back/Sciatica

Low back pain can be caused by every day things like carrying the kids, cleaning the floors, lifting groceries out of the car, or even lugging around a little extra weight up front. It may also be the result of lifting, bending and twisting, or worse yet, sitting all day at work. Add all of this to a slip or fall or a previous car accident, its not difficult to understand why studies show that 80% of Americans will suffer from low back pain at some time during their life. Many times back pain begins after just bending down to pick up a pencil. Now, it’s not the pencil causing your back pain, but rather your lower back’s structure (meaning the muscles, joints, discs and vertebrae) has weakened over time and lost it’s normal stability and function. In short, your structure could not provide the necessary support for your spine resulting in injury and pain.

Sciatica is a condition in which low back pain is accompanied by leg pain. The sciatic nerve is one of the largest nerves in the body, and is comprised of several individual nerves (L3-S4) that originate from the lower back. The sciatic nerve can become irritated or inflamed by low back facet syndrome or dysfunction, disc bulges/herniations, degenerative disc disease, spondylolisthesis, spinal stenosis, or by direct compression on the nerve by a muscle (i.e. Piriformis syndrome).

Manual Chiropractic treatments, Cox Decompression, Active Release Therapy and physical therapy are proven effective conservative treatment options of low back pain and sciatica.

Disc bulges/Disc Herniations

The bones (vertebrae) that form the spine in your back are cushioned by small, spongy discs. When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible. But when a disc is damaged, it may bulge or break open. This is called a herniated disc.

You can have a herniated disc in any part of your spine. But most herniated discs affect the lower back (lumbar spine). Some happen in the neck (cervical spine) and, more rarely, in the upper back (thoracic spine).

A herniated disc may be caused by wear and tear of the disc. As you age, your discs dry out and aren't as flexible or through an Injury to the spine. This may cause tiny tears or cracks in the hard outer layer of the disc. When this happens, the gel inside the disc can be forced out through the tears or cracks in the outer layer of the disc. This causes the disc to bulge, break open, or break into pieces.

Manual Chiropractic treatments, Cox Decompression, Active Release Therapy and physical therapy are proven effective conservative treatment options of low back pain and sciatica.

Degenerative Disc Disease/Spinal Stenosis

Spinal stenosis is the narrowing of spaces in the spine (backbone) which causes pressure on the spinal cord and/or nerves. About 75% of cases of spinal stenosis occur in the low back (lumbar spine). In most cases, the narrowing of the spine associated with stenosis compresses the nerve root, which can cause pain along the back of the leg.

Degenerative Disc Disease (DDD) refers to the changes that occur in the spine as it ages. With aging and wear and tear, the outer lining of the disc begins to weaken and the disc starts to lose its water content. As a result, the disc space begins to narrow. Although this is a normal process of aging and generally painless in its early stages, for some DDD can be a source of spine pain and if severe enough can lead to nerve compression.

Cox Decompression, chiropractic and physical therapy such as isolated spinal stabilization are proven effective conservative treatment options for degenerative and spinal stenosis.

Shoulder/Elbow/Wrist Pain

At one time or another, everyone has had a minor injury to a shoulder, hand, or wrist that caused pain or swelling. Most of the time our body movements do not cause problems, but it's not surprising that symptoms develop from everyday wear and tear, overuse, or an injury. Finger, hand, or wrist injuries most commonly occur during:

  • Sports or recreational activities.
  • Work-related tasks.
  • Work or projects around the home, especially if using machinery such as lawn mowers, snow blowers, or hand tools.
  • Accidental falls.
  • Fistfights.

The risk of shoulder, hand, or wrist injury is higher in contact sports, such as wrestling, football, or soccer, and in high-speed sports, such as biking, in-line skating, skiing, snowboarding, and skateboarding. Sports that require weight-bearing on the hands and arms, such as gymnastics, can increase the risk for injury. Sports that use hand equipment such as ski poles, hockey or lacrosse sticks, or racquets also increase the risk of injury.

Common diagnoses associated with shoulder/elbow and wrist pain include:

  • Rotator Cuff Tendonitis/Tendinosis
  • Impingement Syndrome
  • Bursitis
  • Adhesive Capsulitis (Frozen Shoulder)
  • Lateral Epicondylitis (Tennis Elbow)
  • Medical Epicondylitis (Golfers Elbow)
  • Cubital Tunnel Syndrome
  • Tenosynovitis
  • Carpal Tunnel Syndrome

Active Release Technique (ART), physical therapy and specific functional rehabilitation are proven effective conservative treatment options for shoulder, elbow and wrist conditions.

Hip/Knee/Foot Pain

Knee, Hip and Foot pain, can make almost anything you do painful: walking, climbing stairs, -- even sitting or lying down. Although replacement surgery is one osteoarthritis treatment option that can help bring relief, it’s not the only one. There are many choices to try first that can reduce knee pain, improve your ability to move, and possibly delay or eliminate your need for joint replacement surgery altogether

Physical therapy can help you regain motion and flexibility of your knee and relieve pain. It may also strengthen the muscles that support your knee, increasing your balance and stability. Our physical therapist can design a program for you that may include stretching and range-of-motion exercises, strengthening exercises, and cardiovascular exercises to help improve lung and heart fitness. A Therapist can also prescribe braces or splints to support and stabilize painful knees or canes to reduce the load on your knee. Common diagnoses associated with hip, knee and foot pain include:

  • Hip/Knee Osteoarthritis
  • Bursitis of the hip/knee
  • Iliotibial band (ITB) Syndrome
  • Sprains/Strains
  • Patellofemoral Syndrome/Patella Tendonitis
  • Meniscus injuries
  • Ligament tears (ACL, MCL)
  • Shin Splints/Medial Tibial Stress Syndrome
  • Plantar Fascitis

Active Release Technique (ART), physical therapy, specific functional rehabilitation and custom orthotics/bracing are proven effective treatment options for hip, knee and foot conditions.

Running/Cycling Injuries

We highly encourage activity for people of all ages to keep healthy and strong. Exercise is a great way to relieve stress, maintain a stable weight and improve circulation. However, when you have stabbing pains in your legs, back and arms from running and cycling - that is your body telling you that you need to have something checked.

Oftentimes, running creates a repetitive stress to the entire structure of the body, from the foot to the neck. A mild discomfort can grow into a severe pain in days - especially if running is a daily activity. Cycling is similar in that there is stress to the back as well. Make sure that if you receive some of these signals, just stop for a moment and see if there is something else developing. Common diagnoses associated with hip, knee and foot pain include:

  • Neck/back pain
  • Bursitis of the hip/knee
  • Iliotibial band (ITB) Syndrome
  • Sprains/Strains of the quadriceps, hamstrings, groin, calf
  • Patellofemoral Syndrome/Patella Tendonitis
  • Meniscus injuries
  • Ligament tears (ACL, MCL)
  • Shin Splints/Medial Tibial Stress Syndrome
  • Plantar Fascitis

Active Release Technique (ART), physical therapy, specific functional rehabilitation and custom orthotics/bracing are proven effective treatment options for running and cycling injuries

Plantar Fascitis

Plantar fasciitis usually develops gradually. You may have heel pain only when you take your first steps after getting out of bed or after sitting for a long period of time. If you do not rest your feet, the pain will get worse. Other factors, such as the repetitive stress of walking, standing, running, or jumping, will add to the injury, inflammation, and pain. The injured ligament may never heal completely if you are not able to stop the activity or change the condition that caused it. As plantar fasciitis progresses:

  • The heel pain gradually gets worse.
  • You may change the way you walk to relieve the pain. This eventually may lead to more discomfort and pain and other problems with your foot, leg, hip, or back. Daily activities or sports may become even more limited.
  • You eventually may have pain with any weight-bearing activity. Running and jumping may no longer be possible.
  • A heel spur may form as a result of continued stress as the plantar fascia pulls on the heel bone. (By itself, a heel spur does not cause plantar fasciitis and does not usually cause problems. And, you can have plantar fasciitis and not have a heel spur.)

If the condition is not treated, plantar fasciitis can cause constant heel pain when you stand or walk.

Active Release Technique (ART), physical therapy, night splinting, heel cushions and orthotics are effective conservative treatment options for plantar facitis.


Almost all people experience a headache at some time in their lives. One study estimates that over 50 million people in the US suffer from headaches. Although most headaches do not indicate serious illness, they are a major cause of suffering and missed work, and rank as one of the most common reasons people consult a doctor. The most common headaches come from the muscles (Tension headache), joints (Cervcogenic), blood vessels (Migraines), Sinus or systemic conditions such as fevers, or low blood sugar.

According to a study at Duke University evidence based practice center, Chiropractic spinal manipulation was superior to other manual treatments, resulted in more sustained improvement for cervicogenic headaches and had significantly fewer side effects and longer lasting relief of tension-type headaches than commonly prescribed medicines.

Carpal Tunnel Syndrome

Pressure on the median nerve causes carpal tunnel syndrome. This pressure can come from swelling or anything that makes the carpal tunnel smaller. Things that can lead to carpal tunnel syndrome include illnesses such as hypothyroidism, rheumatoid arthritis, and diabetes.Here are a few other possibilities that cause Carpal Tunnel Syndrome:

  • Pregnancy.
  • Obesity.
  • Making the same hand movements over and over, especially if the wrist is bent down (your hands lower than your wrists), or making the same wrist movements over and over.
  • Wrist injuries and bone spurs.
  • Smoking, because it can reduce blood flow to the median nerve.

Carpal tunnel syndrome can cause tingling, numbness, weakness, or pain in the fingers or hand. Some people may have pain in their arm between their hand and their elbow. Symptoms most often occur in the thumb, index finger, middle finger, and half of the ring finger. If you have problems with your other fingers but your little finger is fine, this may be a sign that you have carpal tunnel syndrome. A different nerve gives feeling to the little finger. You may first notice symptoms at night.

Active Release Technique (ART), physical therapy, splinting and rehabilitation and are proven effective conservative treatment options for Carpal Tunnel Syndrome. It is our opinion that most cases are not accurately diagnosed and surgery is often unnecessary.

Post-surgical Rehab

Post Surgical Rehab is post operative and pain management care for patients. Our number one priority is to provide service excellence and the most innovative treatments in the industry. Post Surgical Rehab provides a variety of treatments for the neck, shoulder, elbow, wrist, hand, back, hip, knee, ankle, and foot.


Bursitis is the inflammation or irritation of the bursa. The bursa is a sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons, and skin, that decreases rubbing, friction, and irritation.

This condition is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury. Age also plays a role. As tendons age they are able to tolerate stress less, are less elastic, and are easier to tear. Overuse or injury to the joint at work or play can also increase a person's risk. Examples of high-risk activities include gardening, raking, carpentry, shoveling, painting, scrubbing, tennis, golf, skiing, throwing, and pitching. Incorrect posture and poor stretching or conditioning before exercise can also cause symptoms. 

Repetitive Overuse Injuries

Overuse injuries can result from repetitive athletic movements (running, swimming, weightlifting, golfing, etc.) Repetitive occupational demands, poor posture, or unresolved past injuries. Chronic soft-tissue stress (micro-trauma) can cause your body to produce tough, dense scar tissue that alters normal movement patterns and joint function. Injuries can manifest as a loss of strength, pain, and decreased range of motion. If a nerve becomes entrapped then numbness, weakness and tingling can result. Injuries typically have components of soft-tissue dysfunction, joint dysfunction and movement pattern dysfunctions. All components of the injury are equally important and must be assessed and addressed to fully resolve the condition.

Spine and Sports medicine Associates specializes in the diagnosis and treatment of overuse injuries. We offer Active Release Techniques (ART) to assess for and eliminate scar tissue/soft-tissue dysfunction, Chiropractic manipulation for joint dysfunction and functional rehabilitation for movement pattern dysfunction and stabilization.


  • We specialize in the treatment of:

  • Acute and Chronic Neck and Low back pain
  • Whiplash
  • Accident & Work-related injuries
  • Degenerative disc disease and Herniated discs
  • Sciatica
  • Sports injuries
  • Running injuries (IT band syndrome, shin splints, runners knee)
  • Repetitive Overuse Injuries (Carpal tunnel, tennis elbow)
  • Muscle strains/pulls
  • Tendinitis/Bursitis
  • Post-surgical rehab
  • Rotator cuff syndrome
  • Patellofemoral Syndrome
  • Plantar Fascitis