At Pettinato Chiropractic Center we are prepared to treat a wide array of problems. Whether your problem is the result of an injury or is a chronic condition, we can help. Even if you’ve been in great pain for a long time, we can offer hope.
We most often see — and have a track record of success treating — the problems listed below. Click on an item for more information.

  Headaches Knee Pain
  Neck Pain Ankle Pain
   Back Pain TMJ
  Fibromyalgia Stenosis
  Shoulder Pain  
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Headaches are a sign that something's wrong, and chiropractic treatment can effectively treat many types of headaches.  A frequently overlooked cause of headaches is poor alignment of the spinal bones in the neck and upper back. When the spine is in an abnormal position or can’t move properly, sensitive nerves and blood vessels may be stretched or irritated and produce throbbing headaches. Medications may temporarily ease the pain but do not correct the underlying structural cause.

Chiropractic care has been proven to be extremely effective in treating both migraine and tension headaches.

Neck Pain
Neck pain, a common reason for doctor visits, typically doesn't start with a single injury. Instead, the problem tends to develop over time. The stress and strain of daily activities wear down parts of the spine, and this degeneration can become a source of neck pain. Chiropractic treatment helps restore a more normal position and movement for the affected neck joints and bones; ice, traction, soft tissue massage, electrical muscle stimulation, ultrasound, traction, exercise and stretching also may help.

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Back Pain
Lower back pain is a common complaint. It can range from occasional, mild discomfort to disabling pain. How you move, sit and stand; what you do for a living; your health in general; your weight and exercise habits; injuries and illness all affect your back. Health care literature supports chiropractic treatment as a first, best step in treating back pain. Manual manipulation, movement and stretching, physical therapy programs, exercise, orthotics, ergonomics and patient education are all part of a comprehensive chiropractic treatment plan for lower back pain.

Remember: Chiropractic professionals do not prescribe drugs or perform surgery. If your back pain requires drugs or surgery, Dr. Pettinato will recommend that you consult another health care specialist.

People with fibromyalgia have long-term pain that can occur anywhere in the body. Joints, muscles, tendons and soft tissue are especially likely to be affected by fibromyalgia. The cause of this disorder is not known, but it has been linked to fatigue, sleep problems, headaches, depression and anxiety. Diagnosis of fibromyalgia is complicated; many of its symptoms can indicate other disorders.

Pain usually occurs at “tender points” in soft tissue on the neck, shoulders, rib cage, lower back, knees, elbows and thighs. For a diagnosis of fibromyalgia, the patient must experience widespread pain for at least three months, along with pain or tenderness in more than half of defined tender-point sites. Healthcare practitioners may use a variety of tests to rule out other problems before diagnosing fibromyalgia. Chiropractic treatment not only focuses on relieving discomfort but also on teaching patients how to cope with symptoms.

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Shoulder Pain
Shoulder pain is a common problem that can be caused by chronic conditions such as arthritis, bursitis or tendonitis. Shoulder pain can also occur without an obvious cause. If you don’t know why your shoulder hurts, you should schedule an evaluation if:

  • You cannot carry objects.
  • Your cannot use your arm.
  • You’re in pain when you try to rest or sleep.
  • You can’t raise your arm.
  • You’re in pain for more than a few days.
  • Your shoulder joint or arm is bruised or swollen.

Your chiropractor will plan treatment based on the cause. You and your health care professional might consider:

  • Rest. This isn’t as simple as it sounds. Resting the shoulder for too long can result in a frozen shoulder joint.
  • Ice/heat application. These therapies help ease discomfort.
  • Stretching. A professionally planned program of stretching exercises can relax and strengthen muscles and tendons.
  • Medication. A chiropractor can recommend natural medications that will ease pain and stiffness. If you have a chronic condition such as arthritis or bursitis, you may wish to discuss prescription medications with your family physician.

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Knee Pain
Knee pain is becoming more and more common. The knee is a complicated joint, and sometimes pain that seems to be coming from the knee is actually caused by problems in other parts of the body. That’s why a comprehensive chiropractic exam is important: treating your knee won’t help if the problem is in your hip or your lower back.
You should schedule a consultation with a chiropractor if knee pain limits your activity and doesn’t improve with rest. If you’ve been told you have osteoarthritis and that pain killers are the only answer, you should definitely talk to a chiropractor to learn about alternatives that reduce discomfort and increase mobility.
Each patient has unique needs, but here’s a general outline of a knee pain treatment program.

  • First, reduce inflammation and pain. Rest, use a support or brace; use ice to reduce inflammation. Laser, ultrasound and other therapies may be used.
  • Second, restore normal joint function. Chiropractic manipulation, deep soft-tissue massage, trigger point and other therapies are used to increase movement and reduce pain.
  • Third, create a rehabilitation exercise plan. A carefully individualized exercise program improves strength, endurance and joint stability. This prevents new injuries and lessens the chance of pain in the future.

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Ankle Pain
The most common cause of ankle pain is injury. Often, the ankle is sprained when the foot turns inward in a stumble or fall, injuring the joint and tendons on the outside of the ankle. Swelling, pain and stiffness occur.
While the initial pain and swelling may disappear, the ankle may be weaker and more likely to be injured again and again. That’s why early, aggressive treatment of ankle sprains is important. Such treatment not only helps you recover more quickly from the injury itself; it also helps strengthen your ankle to prevent problems in the future.
Initially, chiropractic treatment relieves pain and swelling with manipulation and pain-relief therapies. Braces, compression bandages and splints may be used. Your chiropractor will plan an exercise program for you that will rehabilitate muscles, ligaments and the ankle joint. This strengthens your ankle and helps prevent another injury.

TMJD (Jaw Pain)
Temporomandibular joint disorder (TMJD) affects the joint on each side of your head in front of your ears, where your lower jawbone meets your skull. This joint allows you to talk, chew and yawn. TMJD may be caused by arthritis, jaw injury, or muscle fatigue from clenching or grinding your teeth. TMJD cause tenderness and pain in the joint that may also be felt in the ears.
While more research into how chiropractic methods can be used to treat TMJD is needed, a study done in 2003 shows that a chiropractic treatment using high-frequency, low-impact adjustments improved the status of study participants.

Chiropractors can be valuable members of a TMJD treatment team that can include medical doctors and dentists.

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Spinal stenosis occurs when extra pressure is placed on the spinal cord because the amount of spinal fluid cushioning the cord has decreased. This usually happens with age; the chances of developing this disorder vary, based on your body build. If you have a history of spinal pain or spinal injuries, you may be at greater risk.
Symptoms of spinal stenosis usually start with leg pain that becomes worse with exercise. Those who are developing spinal stenosis usually find walking uphill less painful because the spine bends forward, moving the spinal cord away from the vertebrae.
CT scans and MRI are used to confirm a diagnosis of spinal stenosis. Once the diagnosis is confirmed, a healthcare team can develop a treatment plan. Chiropractic care is becoming an increasingly popular alternative to surgery. Your chiropractor can develop a treatment plan that restores proper movement to the vertebrae, relieving pressure on the nerves and spinal cord and easing pain. This alternative may be especially appropriate if, for health reasons, you are not a good candidate for surgery.

Pettinato Chiropractic Center offers several educational programs including a monthly newsletter.
© Pettinato Chiropractic Center, 5476 William Flynn Hwy. (Route 8), Gibsonia Pennsylvania 15044
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