General Practitioners

• Headaches
• Arthritis
  This may be degenerative or autoimmune and is diagnosed with X-rays and blood work.  Degenerative facet arthropathy is responsive to spinal injections called medial branch blocks and radiofrequency ablation.  Autoimmune arthropathy can be rheumatoid arthritis or ankylosing spondylitis and is treated by rheumatology.
• Fibromyalgia
  Creekside Physical Medicine is a multidisciplinary pain management clinic that treats a variety of chronic pain problems such as migraine, headache, fibromyalgia, chronic fatigue, overuse injuries, neck and low back pain, TMJ and much more.
• Plantar Fasciitis
• Rheumatology
• Nutritional Counseling

Psychiatrists

• Depression
• Anxiety

Radiologist

• MRI
  These are known as osteopathic somatic dysfunctions (SD). These are minor changes in the interrelationship of the cervical and thoracic vertebrae causing local monitoring nerves to send out protective nerve signals.  These protective signals cause pain and muscle tightness that may be referred to as a stiff neck.  This commonly occurs without any appreciable trauma, “I woke up with it”.  In more complicated situations SD can happen with trauma.  Not visible on MRI.  Responsive to OMT/PT.  Sometimes NSAID’s or neurological stabilizing agents can aid in recovery.
• Radiology
  P rimary or metastatic tumors can invade structures in the neck and cause pain.  These are visible with radiology studies.
• X-Rays

Surgeons

• Whiplash
  These are trauma based injury to neck muscle, tendons and ligaments.  Sometime called whiplash.  When clearly diagnosable sprains/strains occur they are commonly accompanied by bruising.
• Pinched Nerve
  Sometimes called a slipped disc or pinched nerve.  A cervical disc is herniated when its  inner core, the jelly-like nucleus pulposus, leaks out through a tear in the disc’s fibrous outer layer. This commonly results from an injury or aging.  A herniated disc may press against a cervical nerve, or the inflammatory chemicals of the nucleus pulposus may come come into contact with a nerve causing irritation.  Either physical contact or the chemical irritation can stimulate the nerves causing pain, weakness or sensory change (numbness/ tingling).  Cervical herniations  most commonly happens to lower cervical nerve roots, about C5-C7, resulting in arm symptoms.  Rarely, herniations can occur in the upper C-spine, C2-C4 causing pain in the upper neck and back of the head.  This looks like migraine neck pain but is identifiable by MRI.  Neck pain is not the primary symptom of clear disc herniations.

Plastic Surgeons

• Botox
  Creekside Physical Medical uses multiple systems to affect the trigeminal system including physical therapies, nerve blocks, gammacore vagus nerve stimulator and Botox.

Physical Therapists

• Sports Medicine
  However, because of the concerns of double concussion syndrome sports medicine professionals are required to be very cautious in returning people to concussion prone activities. This is largely controlled through concussion protocols where we limit activity while concussion is healing.
• Physical Therapy
  Inhibitory technique: This is a common manual technique used in massage and physical therapy that uses pressure on muscles to calm them down.
• Slipped Disc
• Neck Pain
• Back Pain
• Manual Therapy
  For patients who can tolerate more, we use muscle energy techniques and more vigorous manual therapy methods to gain range of motion and decrease the stiff achy feeling caused by muscle tightness and nerve irritation.

Podiatrists

• Plantar Fasciitis
  We incorporate exercises for postural correction, core strengthening, and overall physical strength and wellness. Overuse injuries such as plantar fasciitis and tendonitis are also addressed here in physical therapy.