Most chiropractic talks about backs and necks. We treat all of that — and we treat what's hanging off it. Shoulder, elbow, wrist (including the often-missed TFCC), hand, hip, knee, ankle, foot. Plus hypermobility, where the standard playbook is wrong and a different approach matters.
Hypermobility — including hypermobile Ehlers-Danlos and generalized joint hypermobility — is a frequently missed diagnosis. Many patients have spent years getting standard "stretch and strengthen" advice that made things worse, not better. The right approach inverts the typical playbook: stability over stretching, graded loading over end-range mobility, slower progressions, and education about the unique mechanical realities of hypermobile tissue. If you've been told you're "just flexible" but you're also in pain, ask about a hypermobility evaluation.
Triangular Fibrocartilage Complex injuries are a wrist diagnosis that gets missed regularly. The classic presentation is ulnar-sided wrist pain after a fall onto an outstretched hand, repetitive load, or athletic injury — and it tends to linger because many providers don't think to test for it specifically. Careful exam, sometimes confirmatory imaging, and a structured loading protocol resolve most non-surgical cases.
The first job is figuring out what's actually happening. Listen to the history: when it started, what aggravates it, what you want to be able to do again. Then a focused exam — joint-by-joint range of motion, orthopedic special tests, neurological screen, strength and movement quality. We tell you what we found, in plain English.
If imaging would change the plan, we order it. If it wouldn't, we don't. If your case needs ortho or surgical referral, we'll say so and point you the right direction. Tools we use:
We're in-network with BCBS, PacificSource, Moda, Medicare, Oregon Health Plan (OHP), IHN, and VA Community Care via TriWest. We bill in-network and out-of-network as a courtesy. Cash-pay, HSA/FSA, and a discounted time-of-service rate are also options. See our insurance page for the full breakdown →
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Often, yes. Many of our extremity patients have already been to one or two providers and come away with 'we don't really know.' Careful diagnosis is the differentiator — getting the actual diagnosis right is usually what changes the plan. We'll look hard, tell you what we find, and refer if you need somebody else.
Yes. We use radial extracorporeal shockwave therapy (rESWT) for stubborn tendinopathies — plantar fasciitis, achilles tendinopathy, patellar tendinopathy, lateral and medial epicondylitis, gluteal tendinopathy, and chronic rotator cuff cases. The research base for shockwave in these specific conditions is strong, and it often resolves cases that haven't responded to other care.
Yes — and the plan looks different than for the general population. We don't push joints to end-range, we emphasize stability and graded loading instead of stretching, and we coordinate with rheumatology or genetics when that's part of your picture. Tell us at intake so we set up the visit accordingly.
Triangular Fibrocartilage Complex — a small, complex structure in the wrist that's commonly injured in falls, repetitive load, and athletic injuries. It's a diagnosis that gets missed regularly on initial exams. If you have ulnar-sided wrist pain nobody's pinned down, ask about a focused TFCC exam.
Often, yes. Post-surgical or post-PT cases that are 70% better and stuck are common. We focus on the residual pieces — movement quality, strength imbalances, scar tissue, sport- or job-specific demands — that general PT may not have drilled into.
Sometimes. For most acute joint issues, a focused exam tells us more than imaging in the first few weeks. We image when there are red flags, when conservative care has stalled, or when the imaging would actually change the plan. If you do need it, we refer.
Both are appropriate in some cases — and we work alongside the orthopedists and primary-care providers who do them. Most extremity issues can be resolved with conservative care, but when they can't, we'll tell you and refer. Steroid injections in particular have a place but also carry trade-offs (especially for tendons), so we discuss the actual evidence rather than treating injections as a default.
We're in-network with BCBS, PacificSource, Moda, Medicare, Oregon Health Plan (OHP), IHN, and VA Community Care via TriWest. Cash-pay, HSA/FSA, and a discounted time-of-service rate are also options. See our insurance page for the full breakdown including a cost calculator.
