Shoulders · Knees · Hips · Ankles · Littleton, CO
Extremity work is the focus here, not a sideline.
Shoulders, knees, hips and ankles, evaluated through the whole chain and treated gently. Most people notice improvement within two to four weeks.
If you’ve rested it, stretched it and done the exercises and it still isn’t right, this is the work I’ve built my career around.
Questions first? 720-583-4686
Is a chiropractor the right call?
Most people think chiropractors do backs and necks.
So it’s fair to wonder whether I’m the right person for a shoulder or a knee. Many people who come in have already seen a physical therapist, been told to rest it, or been given exercises that didn’t resolve it.
Extremities aren’t an add-on here. They’re the specialty. Shoulders, elbows, wrists, hips, knees, ankles and feet are the work I’ve developed and refined over 25 years in practice.
I run the practice on my own, on purpose. No staff, no assistants, no hand-offs. Everyone entrusted to my care works with me, every visit.
How I evaluate
The cause often isn’t where the pain is.
A joint doesn’t work on its own. The muscles that move and stabilise it are controlled by nerves that leave the spine, so I check the foundation first, then the whole limb.
That means looking at the spinal region that governs the extremity before I look at the joint that hurts, then working down the full chain to find where the problem actually starts.
Upper limb
Neck and upper back first
For a shoulder, elbow or wrist problem, I start with the neck and upper thoracic spine, then evaluate the shoulder, elbow and wrist.
Lower limb
Lower back first
For a hip, knee, ankle or foot problem, I start with the lower thoracic and lumbar spine, then evaluate the hip, knee, ankle and foot.
What this looks like in practice
Some shoulders improve without my touching the shoulder.
Shoulder problems are often the result of a misalignment in the neck and poor function of the muscles controlled by the cervical nerves. The shoulder is where it hurts. The neck is where it starts.
I’ve seen shoulder problems improve dramatically from a neck adjustment alone. That isn’t every case, which is why the evaluation matters. It’s also why I don’t just treat the spot that hurts.
Why X-rays come first
Checking the foundation before working on the joint.
If the nerves that control the muscles around your shoulder or knee are being affected at the spine, treating the joint alone may not hold. X-rays let me see the spinal region that governs the problem area before I decide how to treat the extremity.
X-rays are taken here in the office during your first visit, and any you need are included in the $97 first-visit fee. There’s no separate imaging charge.
How I treat
Gentle first. Escalate only if your body needs it.
Treatment starts at the gentlest level and moves up only based on how you respond and what you tolerate. Most visits involve no cracking sound at all.
01
Instrument adjusting
A precise, low-force adjustment delivered with a handheld instrument. This is where treatment starts.
02
Drop-table adjusting
A section of the table drops slightly as the adjustment is made, so less force is needed from me.
03
Manual manipulation
Used only when it’s genuinely necessary. After 25 years, I’ve found that’s less often than I once thought.
The body is designed with a real capacity to heal. My job is to find what’s getting in the way of that and use no more force than it takes.
When adjusting alone isn’t enough: INDIBA
Some extremity problems involve soft tissue that adjusting alone doesn’t reach. INDIBA is a 448 kHz radiofrequency therapy (also called TECAR) that works on that soft tissue.
It’s optional and billed separately: $65 a session, or $60 each for three or more. I only recommend it when it will meaningfully speed your recovery.
4
Weeks
at a time
One month booked at once. Never a package.
At your report visit I’ll explain the full timeline I expect. But I only schedule four weeks at a time, so the approach can change if it isn’t working. Most people notice improvement within two to four weeks.
If there’s no meaningful change in your range of motion or symptoms within the first month, chiropractic probably isn’t the answer for you, and I’ll refer you to a specialist.
If muscular weakness turns out to be the main driver, I’ll suggest physical therapy alongside what we’re doing.
Getting started
Your first two visits
Visit one
A full examination, plus X-rays of the spinal region that governs the area you’re having trouble with, taken here in the office. I rarely X-ray the shoulder, knee or ankle itself; it seldom tells me anything that changes how I’d treat it.
Visit two
Your report of findings: what I found, the treatment plan I’m proposing, and the prognosis. You decide from there.
What it costs
$97 covers your first visit, any X-rays you need, and the report-of-findings visit. Regular visits start at $65, depending on your plan and any optional therapies you choose.
I accept VA Community Care, UnitedHealthcare, Medicare and Devoted Health. Insured costs vary by plan. I try to verify your cost with your insurer before you come in, but what they quote isn’t a guarantee of what you’ll actually be charged.
Next step
Start with registration.
New patient registration is online and takes a few minutes. Once it’s done, you can schedule your first visit yourself in the patient portal, or call 720-583-4686 to schedule.
Questions first? 720-583-4686