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It has been a wild year this year.  My new book, Climbing Injuries Solved has come out 7 months ago now. Bringing great benefit to me as a Doc and to my clinic here in Boulder, the learning continues as it brings in more complex cases. The new diagnostic ultrasound comes out daily at my clinic.  I’m honored it is in many gyms nationwide as well as our own local gym, the Boulder Rock Club. (Thank you for their kindness in newly carrying 5 copies!)


I’m honored in the many new ways I am allowed to learn and to teach every day. As this book has changed my practice from more tennis players and triathletes to climbers,  I’m loving the constant mix and flux from one season of athlete to another. It’s almost ski season and I can’t wait to see what that brings in!



As all of our patients are by referral, I’ve been honestly spoiled by those who choose to send their friends and family to my clinic. With that in mind I’ve been looking for ways to give back to these hard working members of society as many new patients come in from the same referrals time and time again.

Kara Henry, Mary and Bruce Van Allen, Dr. Shane Juenemann, Coach Will Anglin, Dr. Laura Jansen, and Dr. Dan LaPierre are but a few of the faces that come to mind when a patient mentions who sent them in.  (I’m sorry if I have missed your name and you have recently sent me your friends and family…)


The idea of putting something out there to thank these kind community members and peers has been hard for me. How to thank a patient or a colleague? It usually takes 5 mentions of needing to see a doctor (or a dermatologist) before one finally decides for themselves that it might be a good idea. Well, I finally decided to formally acknowledge these referrals and to thank these kind peers for their well wishes with self-care tools. If you know one of these community members, let them know that we are thankful and that we only speak highly of them and their kindness.



I always look for ways to say thank you to our patients who keep sending me new injuries to heal. As a clinician and a long-term student, it wouldn’t be nearly as much fun without the variety of injuries I get to see on a daily basis.  Those that I’ve never seen, I look up or reach out to another provider for. I’ve been blessed with a new diagnostic musculoskeletal ultrasound machine and it’s been a blast looking at injuries in 3D and finally understanding the clues that without the machine, we can only guess to solve the puzzle.



As our goal this fall is to empower you with self-care ideas and a plan to get better, we want to ensure you have the tools to get you there. For each new patient referral, these community members AND YOU get a nice KnotOut roller OR the pick of the lot regarding any self-care tools you need from our office. Each referral gets you one step closer to having a full kit at home. Believe me, each tool gets in there differently and together you have a whole lot different perspective of your injury and your health.



LifeSport is now up to almost 100 5-Star Reviews… WOW!!! I’m sure someone out there was less than pleased with their care one one day or another but a big THANK YOU to all for your kind words. Helping our clinic to grow is something that we are thankful for…. Please be kind and review our book on Amazon if you have paged through it on our coffee table. If you have been a patient and are satisfied with your care (or even if you aren’t), I could always use a review online via Yelp or HealthGrades to educate another patient on the options that are out their for them.

To you I want my clinic and my care to stand out…It’s a way of giving back to the community and a step in the right direction for health care as a whole.  For those who are unaware, this fall for each new patient you refer into the office (who isn’t a family member), you will be gifted with a free tool.


You Have a Choice of the Following Tools as a Thank You:


-Rocktape kinesiotape in a wide variety of colors!


-Theraband Banding to rehab shoulders or ankles.


-Foam rollers or custom region KnotOut Rollers.


-Hand putty for strengthening and toning.


-Icepacks and Acewraps for your own home self-icing kit.


Thanks for being a patient at LifeSport.



Dr. Lisa Erikson DC


2015- Acupuncture Certified

2015- Rocktape Functional Movement Taping Certified

2015- USAClimbing medical provider

2015- A member of the Access Fund and ASCA donator

2015- Event Medical Specialists teammate




In Part 1, we learned the anatomy of the growth plate, a fibrous cartilage center from which bone grows in the adolescent. After learning about the fracture types in our first article, which type do you think this athlete has? This is the case of a 14-year old male. Presented to my office with a not-so-common climbing related injury, this is the perfect learning situation for athletes, their coaches, and our families alike.


How common are these fractures? They aren’t! 15-30% of the fractures that occur in adolescents/children, they are relatively rare. Most commonly, if a growth plate fracture were to occur, it would most likely be a male and in athletes between the age of 15-17 (males) and 13-15 (females). The closer the athlete to this age range, the more susceptible they are to this injury. Over  15 for a female or 17 for a male? Lucky you, your growth plates are most likely closed and you are not susceptible to this injury in almost all cases.


What Happened to this Athlete?

This athlete didn’t have a fall or any major trauma. His parents said he began talking more and more about finger pain until they finally took him in to see his MD.  After begin sent to his orthopedic surgeon, this young climber was told to stop climbing, at least for a few years and was sent home with the diagnosis of  growth plate fractures in both 3rd knuckles. Let’s discuss diagnosis, treatment and rehab for this unlucky young climber.



First, which fracture type (from Part 1) do you think he has? And I say HE because this injury occurs 2:1 in males as they reach skeletal maturity later and are often climbing harder at that time. To refresh your memory, for the fracture types, here are our options…


A type 2 fracture of the metaphysics and growth plate itself….


A type 3 fracture of the growth plate and the epiphysis or end of the bone…


OR would it be Type 4:

Type 4- The bone above and below the growth plate fractured.


Well, which is it?! Any doctor worth their beans would tell you they need to see a second and/or a third view to be able to tell what type of a fracture this truly is.


The biggest issue that is visible is the displacement of the bone (metaphysis) down into the cartilaginous space of the growth plate. This fracture definitely includes two regions, the metaphysis and the physis or the growth plate itself. The injury could possibly include the epiphysis as well however (and much to your unhappiness) we will not be able to tell on this view alone.


What we CAN see from this view, is that the joint space itself appears to be smooth and relatively unaffected. There appear to be no floating bodies (of the bony debris variety) in the joint space.  If the patient has locking or clicking after recovery, we might recommend a follow-up examination with his doctor to rule them out.


Most likely a Type 2 fracture this could also be a Type 4 if we visualize derangement (or changes) to the bone in the second film  on the joint’s side of the growth plate. We will post the second view as soon as it arrives so we can discuss treatment at length!


Other Possible Diagnoses:


Keep in mind that without x-ray, this injury can also be confused with other common climbing injuries. Don’t freak out if you are reading this and are a young adolescent with joint pain… Your medical doctor will this rare injury out as he or she does their exam.


More Common Injuries Include the Following:


-Capsular Sprains

-Jammed Joints

-Tendonitis/overuse injuries

-Joint infections

-Joint Mice (cartilage floaters)


There is a long list that we go to first before we diagnose with a growth plate fracture. More commonly,  there could be an injury to the joint capsule itself, or the tissue that encompasses the fluid between the joints (much like a plastic bag around the two bones that make up the joint), similar symptoms to this fracture could exist. Pain from a capsular sprain would be more regional and the athlete would feel pain along the joint line instead of on the bony portion of the joint.


Joints that are jammed will also have joint pain regardless of if a fracture is present or not. Hot swollen joints can be the symptom of tissues that need to heal including the surface of the joint itself and the structures between the bones. Tendonitis and other overuse injuries can also give pinpoint joint pain at the point where the tendon crosses over any bony bumps (tubercles) or at the region where the tendon attaches at the bone. The most common stress fractures in runners are where the tendons attach and tug on the bone. This is something to think about.


Overuse leads to inflammation and swelling. Regardless of if an injury is present, your body is telling you one is on the way if you do not listen to it. You can choose to listen to it before a fracture occurs (in the case of chronic acquired overuse fractures such as stress fractures) or you can train through it to see if it goes away…A smart climber has head the saying that there are bold climbers and there are old climbers, but there are no bold old climbers.  ;-)


Care for a Growth Plate Fracture:


This is where your family doctor comes in. If a fracture is visualized on your X-Ray, then more testing and/or a specialty pediatric orthopedic doctor will become involved to ensure the best outcome for your youth. They might do advanced imaging depending on the fracture to ensure proper blood flow continues in the area of injury. If this is the case, your child will likely heal with little to no side effects if immobilized and allowed to heal.


Prevention and the Patient History:


This growth plate fracture in question could have slowly occurred over time. Called a repetitive stress injury, it could have began months prior to when it finally became a fracture. As with other stress fractures, first there is a bone reaction and then the region begins to fail. The parents of this athlete say he had been training aggressively and was currently focusing on systems wall workouts.


For those who aren’t familiar, Systems Wall workouts includes repetitive holds to strengthen core recruitment, movement patterning, and train symmetrical movement patterns.  The holds can be large or small however more injuries occur in the hand, arm and shoulder with smaller holds due to the increased force needed in the region.


If his pain began early, he and his coach could have either changed the hand holds (larger/easier/closer) or decreased the volume or intensity that this athlete was training. The systems wall is just a tool and used incorrectly any tool can cause good or bad. Control, especially self-control is a big aspect in this type of injury. If the fracture occurred suddenly, nothing could be done. If it slowly appeared and the athlete felt pain and continued to climb and/or train through it with no change in volume or intensity of climbing and non modification to allow the region to heal while climbing, it makes sense that this athlete missed out on a window of opportunity.


The athlete was told to take time off but was given no finger brace. This is most likely dependent on what was visualized in the second and third view of the X-ray. In my understanding, we brace all fingers and all joints that have sustained a growth plate fracture. Saying that the athlete needs to avoid climbing until he had reached maturity in that growth plate (Age 17) is a stretch and should be better modified to be: once the athlete is done healing and has done his rehabilitation, he can begin climbing gently and to tolerance letting pain be his guide. The doctor may have seen other driven athletes who continued to injure themselves and this is why he deemed the athlete needed to quit for a few years however this athlete and his family deserve an informed decision. The likelihood that this patient can sustain another fracture in this region is higher than most as he is just entering the period of time when his growth plates fuse. They might be completely fused next year, each body is so genetically different than the next.


Positive on x-ray in both hand/finger region,  the doctor in this case had never seen this exact injury before. This is common. Bilateral fractures almost never exist. This athlete is a special case.


The athlete and the family were told that the area would heal on its own.  This could very well be the case if the second and third views show normal findings. If the bony bit that we see sitting in the growth plate has lost its vascularity, or the blood flow has been lost below the growth plate, this patient could be susceptible to arthritis in the future. With such a small chunk missing out of the metaphysis, hopefully this bit will float back into place and fuse back where it belongs. Only a followup X-ray taken in a few weeks would let us know this for sure.


The quick care of this area is highly recommended in all cases of growth plate fracture. Within 5 to 7 days, healing is already occurring. As this athlete has a chronic case, it might be slow than most to heal however 2 weeks of casting might begin the process effectively. The patient may need up to 6 weeks of casting before basic use such as opening doors and using a pencil are allowed. Climbing might be a few months away yet.


Above all, we need to be sure any fractured regions are aligned, blood flow is correct and any/all immobilization has began. Your basic MD is the beginning of this care followed by a orthopedic surgeon (or a pediatric orthopedic surgeon if surgery is needed). This patient was referred to another pediatric orthopedic surgeon in his area for a second opinion. Most likely his first doctor was correct but without this information in his second and third X-rays, we need to be sure that he is correctly treated as it is likely he will be using his hands at a highly trained level for years to come.


Common Treatments for Growth Plate Fractures:


1. Immobilization- In all cases, immobilization is recommended for the area to heal. The patient is also instructed to avoid using the region and to keep stresses to the area at a minimum while it heals. This can take 2 weeks to a few months depending on the severity of the injury.


2. Surgery and/or Manipulation- The affected area might need to be relocated and/or surgically fixated with small screws. The goal is to ensure proper joint and growth plate alignment and immobility until the region has healed. This might take 2 weeks after the surgery or be up to a few months depending upon the severity of the injury.


3. Physiotherapy- Stability exercises and strengthening are recommended by a local PT to reinforce the injured region and decrease risk of future injury. This could take 12-24 visits depending on the injury.


4. Follow-up(s) with your Orthopedic Surgeon- A follow-up visit is almost always needed to ensure the area is properly healing and that the patient is at maximum before being allowed to return to climbing. If the area is partially healed and the athlete chooses to climb on it, the athlete can sustain a more serious injury.


Long term Side Effects:


Growth Plates can close early in athlete cases where it has shifted or been crushed. These athletes will have less growth in the area of the injury. This is a long term effect. The age of the child, the severity of the growth plate damage, and the location of the growth plate are all factors that will limit the final outcome. If the growth plate is asymmetrically damaged, the region might become crooked or displaced as the uninjured side of the growth plate stays open and does not prematurely close.


Thanks for reading this.

This is an important study as 15-30% of all childhood fractures occur within this region. We worry about growth plate injuries as your medical providers as they can change the rate of bony development if a large enough injury is sustained. With proper treatment, most growth plates heal without long term complications and the young athlete is able to return to climbing without increased risk of future injury.




1. National Institute of Arthritis and Musculoskeletal Injuries. Questions and Answers About Growth Plate Injuries. 2015.


2. Kids Health.Org Growth Plate Injuries. 2015.


3. Info About Systems Walls and Training. 2013.


4. American Academy of Orthopedic Surgeons. Growth Plate Fractures. October 2014.


young climbers are prone to fractures of the finger

A growth plate fracture in a young climber.

This is a two part series on growth plates and young climbers. An uncommon injury, climbers and their coaches need to be aware of this possibility when dealing with bony tenderness near the joint line in the young climber.

Growth Plate Anatomy:

An area of cartilage that forms into bone is called the physis or more commonly the growth plate. Rubbery and flexible, it exists only in those still developing into adulthood. The growth plate is located in the zone between the end of the bone (epiphysis), and the long shaft itself (metaphysis), Where the bone elongates with growth, once adulthood is reached, the growth plate ossifies and hardens into regular bone.


Closing once the region has finished growing, they are prone to fracture as they are made of a softer material than bone itself. With trauma or overuse, fractures do occur in this region. 15-30% of all childhood fractures occur in the growth plate region and most commonly in males as females finish growing earlier than males.


Types of Growth Plate Injuries:


There are now 6 classified types of growth plate fractures, each possibly needing different treatment and recovery strategies. Let’s discuss each one so we understand what we are looking at on this patients films.


Type 1- A complete fracture encompassing the entire growth plate, the bone is fractured at a 90 degree angle across and in line with the growth plate. After this fracture the metaphysis is still touching the epiphysis. Unless the blood supply has been damaged to the end of the bone, surgery is not needed. Relocation of the bone might be needed if the bones do not meet correctly after the fracture. Splinting or casting is recommended to ensure proper healing.



Type 2- The most common type of growth plate fracture, part of the growth plate is fractured as in Type 1 however the fracture continues up into the shaft (metaphysis) of the bone. If displaced, this fracture needs to be reset however the likelihood of healing is quite good, especially in the younger child.



Type 3- A rare fracture, this fracture includes the end of the bone (epiphysis)  and runs horizontally across the growth plate. The metaphysis, or long bone is not involved. The end of the bone might need to be realigned for the growth plate to heal correctly. If blood supply is not disrupted and the bone heals in alignment, the healing is ideal and no long term side effects are expected. This fracture could involve joint space damage and is more common in adolescence.




Type 4- This fracture includes the end of the bone (joint affected) and crosses the growth plate to include the shaft of the bone as well. Surgery is commonly needed to ensure alignment of the bony end (which effects the joint space). Unless proper alignment is achieved the healing is poor and improper joint alignment and/or a bony deformity may exist after maximal healing takes place.The epiphysis and metaphysis are fractured as well as part of the growth plate.



Type 5- An impact (crush) injury to the end of the longbone (epiphysis) and growth plate. This injury occurs hitting an object or a fall in which blunt trauma occurs.



A Type 6 also occurs (under the new Peterson classification) but as it rarely occurs with climbing and is most common with major accidents, it is not discussed in this article. For curious minds, it includes Type 4 but the bony fracture debris is missing.




Types 4-6 are the most serious with Type 1-3 healing quite nicely under doctor supervision. Occurring only in those in adolescence or younger, the symptoms of a growth plate fracture are no different than the typical unhappy climbers finger. The main indicator is a young child with a severe unhappy finger or an injury that fails to heal. Trauma is not needed as this fracture can occur with repetitive use in climbing, particularly with hang board, crimps and/or systems walls. If you are even remotely worried about this fracture, timing is everything and you should head in to visit your medical doctor just in case. Please read the Part 2 of this article to gain insight into the care and treatment of the athlete who’s finger is in this x-ray. ;-)



1. National Institute of Arthritis and Musculoskeletal Injuries. Questions and Answers About Growth Plate Injuries. 2015

2. Kids Health.Org Growth Plate Injuries.2015

3. American Academy of Orthopedic Surgeons. Growth Plate Fractures. October 2014.


boulder chiropractic nutrition and healthcare

A spoonful of health? Don't be taken for a fool...


In a world where 1 out of 4 is buying supplements to keep us healthy, we are forced to take a good look at what supplements actually do.


When 80% of their benefit is lost in pill form and the market is ridden with man-made supplements that our body does not recognize, they are more likely to be toxic than helpful. We have been preached at for years that antioxidants are good… but are they?!  Studies are showing that patients given low does of just 400IU/day of “antioxidants” such as ascorbic acid and alpha-tocolpherol (man made vitamin E and C) actually have HIGHER stroke and cancer rates…


The researchers were hoping to prove the opposite, but alas, risk rates popped through the roof…could you imagine believing in a vitamin as the researcher and having your work show the opposite, that it’s damaging to the body?! It must have been devastating, especially since we have been preaching them for so many years as a cure-all.



Why is This?


Ascorbic Acid is NOT vitamin C. It’s used as a preservative. With over 90% of ascorbic acid in this country is manufactured at a facility in Nutley, New Jersey. Owned by Hoffman-LaRoche, ascorbic acid is made from a process involving cornstarch and volatile acids. Most U.S. vitamin companies then buy the bulk ascorbic acid here. Occurring naturally, less than 20 mg of ascorbic acid in a potato can prevent scurvy. It can even cure it in its advanced state. Man made doesn’t. Read more about it here.


So How did We Get On This Discussion of Antioxidants Being Healthy?!


The idea of starving our body of oxygen is the first mistake. We can’t live without oxygen. Water is 85% oxygen, land is 40% oxygen, we need it to live and function… We breathe it in on a daily basis, our entire world revolves around it. So where did we get started thinking that it is bad and that instead, anti-oxidants are a good thing?



Studies show that stopping this intake will immediately save your body from the higher risks of cancers that is created by a high intake of antioxidants. They naturally come in foods, but not in high-dose man made pills. This is why our bodies rid themselves of it as soon as they can, vitamin B is eliminated in less than 20 minutes.


So why do we need free-radicals and oxidants again? Our bloodstream carries them to our heart, brain, and other cells of our body. Without them, and with taking anti-oxidants, we feel great for a few days as the oxygen in the blood is pushed into the cells, but wait a minute… Our blood then becomes oxygen deprived, and we start having higher heart attack and stroke rates.


So taking all those vitamins isn’t a great idea after all.. At least not for anti-oxidant qualities. As low as 400 units of Vitamin E by pill can increase your stroke rates by 65%. That’s pretty astounding…



Let’s Stick to the Basics.



If we need oxygen, we need Iron (to help carry that oxygen). This is the highest most likely missing element in our bodies (and diets). Secondly, we need vitamin D, which isn’t an antioxidant at all but a very important link to your immune system… Without living without these important vitamins, we couldn’t have learned what we need in order to live with health. We need vitamin C, in small doses, or we get scurvey. We need Iron, or we get oxygen deficiency anemia and heart issues.


The fear of free-radicals can be dismissed. Studies show that it is as important to healing as is oxygen. Our macrophages, or killer cells, use it to kill invaders and to burn them out as if burned with fire. With antioxidants, this can’t be done and we are susceptible to low oxygen levels and invaders. Ask anyone what vitamin they can’t live without and it should be OXYGEN because without it you can’t live.


So As an Athlete, What Should We Eat?!


Our bodies own natural food sources, fruits, vegetables, meat, proteins that are touched as little by man as possible. Pesticides, pills, foods with fillers in them, they are not food. We need healthy foods so our bodies can build itself with minerals, building blocks, and in the end, have the gift of health.

The most needed supplements aren’t man made ascorbic acid or Alpha-Tocolpherols, natural foods are better. If you need supplements, don’t take them for their anti-oxidant uses but good old Iron is a fantastic one to take if you can. Iron adheres to oxygen to hold it in our blood stream for transport. This is the most important vitamin we can use. Eat it naturally (red meat, seaweed) or take a whole food supplement and you benefit even more…


We have also learned that vitamin D is important, a fat soluble vitamin that isn’t a antioxidant, it is needed to fight illness and to battle invaders. Labeling each cell with a location of where it should belong, like a license plate, it’s needed to keep invaders at bay and to label where they are from so our bodies can maintain itself at optimal.


Save your money, add extra days to your life. Avoid buying man made supplements and especially those that are labeled as “anti-oxidants”.


We live at high altitude already.




Omenn GS, Goodman GE, Thornquist MD, et al. Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N Engl J Med. 1996;334:1150-1155.


Science Now’s Article : Antioxidants could spur tumors by acting on cancer genes.  Science 31 January 2014: Vol. 343 no. 6170 p. 477

Self-Applied Ankle Mobility.

Self-applied ankle mobility for joints missing windows of motion is the newest rage.


Welcome to learning HOW to help us keep you healthy!!


As a clinical aside before we get started, we have many new techniques that we are excited about not only sharing but also teaching about.


This new paradigm shift is here. Help us to keep you well by working with us on self-care before you feel pain. Instead of expecting us to fix it when it’s ‘broken’, we would rather have you understand and work on the build up that occurs before you feel that it’s broken. In this way, we can work together to fix your injuries before they begin.



Prevention is the new pattern, and we are here to help.


For those working on old injuries that they think might be at the limit of their improvement, or for who know they can benefit from additional joint mobility, we can now show you how to work on yourself from the comfort of your own home. Working with us to achieve goals set in the office, this is a great way to accelerate your recovery and to help us keep up on your maintenance. In this way, we can truly achieve full body wellness (not just the area we are working on in the office).


Let’s begin to teach you HOW to go hunting for these missing windows of motion and also give you some beginning information on how to restore these missing windows of motion with just a few self-care tools. When we are talking joint mobility, we are usually talking about the joint capsule itself and the muscles and tissues that surround it. Tight and contracted for a long period, these joints will fully lose their ability to move in dynamic situations… this could be a cause of injury in itself!


As all joint work is done with pain as a guide and listening to ones body to ensure it LIKES the care, we can create a controlled environment to ensure that you receive the most out of your time spent. But first, a baby lesson on regions needing mobility. From the chart below (that I had an illustrator personally make for us), you can see that specific regions are designed with a particular use in mind. The neck is designed to be stable and to hold up the head (except for the top vertebrae or two, which are designed to rotate),  the shoulder and hop are designed to be mobile and to bend and flex to your every need. The elbows and knees are hinge joints, designed to bear load but not to give out upon such motion, and the hands and feet are designed to adapt so nicely to the ground or to tools we are using during our every day activities. This body is one that is perfectly in balance with stability and mobility. Comparing your and my body to this format, we quickly see patterns of immobility or rigidity that throw off the normal motion and loading of the human frame.

Learn to care for yourself with this clinic in Boulder Colorado



What Areas can Benefit from Additional Mobility?


Almost all regions can benefit from mobility, however we focus on the regions who are designed to be mobile. The low back and neck are designed to be stable, and pain in these regions often occurs from nearby regions forcing them into abnormal motion and loading.  For this reason, we focus our care mainly on the regions below:


  • Shoulders
  • Wrists
  • Ankles
  • Hips
  • Feet


As you might notice, these regions are designed to be flexible and to move in many ranges. Restoring motion to these areas will decrease the burden on your neck and back.


An athlete using RockTape's RockBand.

An athlete using RockTape's RockBand. Photo courtesy of Rocktape.


How Do I Do This?


Using soft or firm banding depending on the joint in question, we can now restore joint motion in several ranges:


  • Axially
  • Horizontally
  • Rotationally


With the end goal of restoring any missing ‘windows’  of motion to these stiff rigid areas, we can give you the ticket to restoring your own body outside of our office. First, we must ensure you cannot hurt yourself and that your body will benefit from these exercises, just to be safe!


Come on in and let’s discuss where you are in your self-care progress and where you’d like to be. Missing mobility due to good old joint stiffness, scar tissue, or capsular contraction is very common and treatable. Letting pain be our guide, we can gently restore your joint motion back to normal, decreasing wear and tear and restoring normal biomechanics along the way.



A Quick Note: Appointment Booking and Time Regulations.


While I have you here, if this sounds like something you might be interested in learning about, please book yourself in for a physiotherapy visit (NOT a plain old chiropractic visit… there is a difference, the biggest being time!).  As we are about to hit the busy summer season, we cannot go over in appointment time as there will most likely be someone waiting after you for their appointment.  With that said, if you feel that you need more time, please book the 45 minute all-inclusive session so that we can ensure proper care and treatment AND answers to all of your questions!


This type of care is NOT for those patients who have overly mobile joints OR for those who have sustained an injury or have pain that we have not discussed. If this isn’t you, pfew… We can proceed!




Dr. Lisa


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