Simply Move Chiropractic

Dry Needle Therapy for Ankle Pain in Charlotte, NC

Dr. Natalie Otoya — Mon, 02 Jun 2025 16:16:34 +0000

If you’re struggling with ankle pain in Charlotte, NC, you’re not alone. Whether it’s a nagging injury from a run, lingering discomfort from an old sprain, or sharp pain when you first step out of bed, ankle pain can disrupt your daily life. At Simply Move Chiropractic, I take a comprehensive, one-on-one approach to uncovering the root cause of your ankle pain and helping you heal with effective, hands-on therapies—including dry needle therapy.

What Causes Ankle Pain?

Ankle pain can come from a variety of sources. Some of the most common conditions I see in my Charlotte clinic include:

Plantar fasciitis – Pain under the heel, often worse in the morning, due to inflammation of the plantar fascia.
Chronic ankle instability (CAI) – A common issue after repeated ankle sprains where the ligaments don’t fully recover, leading to instability and discomfort.
Achilles tendonitis – Inflammation or degeneration of the Achilles tendon, usually caused by overuse or poor mechanics.
Trigger points in the calf – Tight knots in the gastrocnemius or soleus muscles can refer pain into the ankle and foot, mimicking other conditions.

Treating ankle pain starts with identifying exactly which tissues are involved and why they’re under stress. That’s where a personalized exam and treatment plan comes in.

How Dry Needle Therapy Helps

Dry needling is a technique where a thin, sterile needle is inserted into tight muscle bands or trigger points to help release tension, reduce pain, and restore movement. For ankle pain, I often target the calf muscles (gastrocnemius and soleus)and peroneal muscles—common sources of referred pain and stiffness that affect ankle function.

One randomized controlled trial looked specifically at women with plantar fasciitis and found that dry needling significantly reduced both plantar fascia thickness and pain levels, even one month after treatment. The treatment targeted trigger points in the calf, and while it didn’t significantly improve range of motion, the pain relief alone can be a game-changer for patients trying to get back on their feet.

Similarly, a review of dry needling for chronic ankle instability (CAI) showed promising short-term and mid-term benefits for reducing pain, improving postural control, and increasing function. However, the authors noted that the research is still developing, with inconsistent techniques and small sample sizes limiting long-term conclusions. More large-scale studies are needed to confirm its lasting benefits.

Why Short-Term Relief Still Matters

Even though dry needle therapy may not provide permanent relief on its own, the short-term benefits can be incredibly valuable. Reduced pain allows patients to move more freely, begin corrective exercises, and tolerate other hands-on treatments. In my office, dry needling often acts as the “reset button” we need to kickstart the healing process.

Once pain is under control, we can focus on the real work: improving ankle mobility, strengthening stabilizing muscles, and correcting movement patterns. At Simply Move Chiropractic, I often combine dry needling with:

Active Release Technique (ART) to break up adhesions in soft tissues
Manual chiropractic adjustments to restore joint mobility
Infrared laser therapy to reduce inflammation and support cellular healing
Cupping therapy for improved circulation and myofascial release
Rehab exercises and movement retraining tailored to your goals
Shockwave therapy is excellent for breaking up scar tissue and stimulating tissue regeneration in stubborn, chronic cases.
Red laser therapy, particularly our Class IV dual-wavelength laser, reduces inflammation and speeds up cellular repair at a deep tissue level.

Your Charlotte NC Resource for Ankle Pain Relief

If you’re dealing with stubborn ankle pain in Charlotte, NC, don’t wait for it to go away on its own. The earlier we address it, the easier it is to recover and prevent long-term issues. Whether your pain started last week or last year, dry needle therapy combined with personalized chiropractic care can help you get back to doing what you love.

At Simply Move Chiropractic, every treatment is one-on-one and personalized—no cookie-cutter protocols or rushed appointments. If you’re curious about whether dry needling might help your ankle pain, I’d be happy to talk with you about your options and create a plan that works for your body and your lifestyle.

Dry Needle Therapy for Neck Pain in Charlotte

Dr. Natalie Otoya — Fri, 23 May 2025 14:11:24 +0000

If you’re experiencing neck pain in Charlotte, you’re not alone—and you don’t have to live with it. As a chiropractor who combines modern diagnostics with evidence-based treatment options, I’ve seen firsthand how dry needle therapy can bring real relief. But the key to effective treatment starts with a proper diagnosis.

Neck Pain: Diagnosing Before Treating

Before considering any therapy—especially something as precise as dry needling—it’s essential to understand the true cause of your neck pain. Not all neck pain is created equal. First, I rule out red flags such as neurological compromise, underlying systemic illness, infection, or fracture. These are rare but important to identify, and they require urgent or alternative medical intervention.

Once those are ruled out, we can dive into the real work of pinpointing the source of pain. Is your neck pain mechanical from poor posture, repetitive strain, or muscle imbalances? Could it be stress-related tension? Or might it stem from something physiological like joint dysfunction or myofascial trigger points?

To answer these questions, I use a combination of clinical examination and functional movement screening. This allows me to evaluate how your neck, shoulders, and upper back move together. Assessing your biomechanics helps differentiate between chronic, long-standing pain—where compensations and muscle dysfunction develop over time—and acute pain that might stem from a recent injury or poor sleep posture.

What Is Dry Needle Therapy?

Dry needle therapy involves inserting a very thin monofilament needle into a myofascial trigger point—essentially a tight, irritated band of muscle—to release tension, reduce pain, and improve function. It’s different from acupuncture in intent and application; while acupuncture focuses on energy meridians, dry needling is all about targeting muscle dysfunction.

Evidence for Dry Needle Therapy in Chronic Neck Pain

Let’s talk science. A 2024 systematic review and meta-analysis looked at nine randomized controlled trials involving patients with chronic mechanical neck pain. The results were impressive: dry needling significantly improved the pressure pain threshold, neck disability scores, and cervical range of motion—especially in flexion and right rotation. In other words, patients felt less pain and could move their necks more freely.

Another study zoomed in on where dry needling was applied. It compared the results of deep dry needling on activemyofascial trigger points, latent ones, and non-trigger point locations. Unsurprisingly, the greatest reduction in pain and improvement in function came from treating the active trigger points in the upper trapezius muscle—confirming the importance of precise diagnosis and targeted application.

A third meta-analysis supports these findings across a broader patient population. It concluded that dry needling is more effective than other therapies in both men and women and particularly beneficial for those over 40. These effects held up in both short- and mid-term outcomes, with no serious adverse effects reported.

When I use dry needling as part of trigger point therapy, I often see what’s called a “local twitch response.” This is a quick contraction of the muscle, signaling that the trigger point is releasing. This response helps reduce pain, improve mobility, and increase blood flow to the affected area, which promotes healing.

Dry needling can be particularly effective for trigger points that are deeply embedded in muscle tissue or that don’t respond well to manual pressure. While the idea of needles may sound intimidating, the process is minimally invasive, and most patients feel little more than a slight pinch during treatment.

Beyond Needles: Comprehensive Care Matters

While dry needle therapy can be a game-changer, it works best as part of a multi-modal treatment plan. That’s why I often combine it with other therapies at my Charlotte clinic:

Shockwave therapy is excellent for breaking up scar tissue and stimulating tissue regeneration in stubborn, chronic cases.
Red laser therapy, particularly our Class IV dual-wavelength laser, reduces inflammation and speeds up cellular repair at a deep tissue level.
Active Release Technique (ART) helps manually release adhered soft tissue and restore mobility to muscles and fascia.
Chiropractic adjustments restore proper joint alignment and reduce mechanical stress on the neck.

Each of these modalities serves a purpose, and together they offer a synergistic effect—helping you heal faster and stay pain-free longer.

Get Relief with Dry Needle Therapy in Charlotte

If you’re struggling with neck pain and want a solution grounded in science and delivered with care, I invite you to schedule a consultation at Simply Move Chiropractic. With detailed assessment, targeted dry needling, and a comprehensive treatment approach, we’ll get you moving—and feeling—better.

Best Scoliosis Doctor in Charlotte: How to Choose the Right Provider

Dr. Natalie Otoya — Wed, 14 May 2025 18:57:54 +0000

If you’re living with scoliosis or recently diagnosed, finding the right doctor can feel overwhelming. Many chiropractors, physical therapists, and even orthopedists will say they “treat scoliosis,” but unless they’ve undergone extensive, specialized training, their approach may be based on outdated methods—or may not be specific to scoliosis at all.

Scoliosis isn’t something to approach casually. Managing this condition effectively requires a deep understanding of the spine, growth patterns, progression risk, and individualized care strategies. Here’s what to look for when searching for the best scoliosis provider in Charlotte.

Specialized Scoliosis Training Matters

The first thing to ask any provider is whether they’ve completed post-graduate or continuing education specific to scoliosis. Some of the most respected systems include the Schroth Method and ScoliCare, both of which train providers in scoliosis-specific exercise therapy, bracing, and curve management.

Without this training, many providers fall back on generic exercises, passive treatments, or the outdated “watch and wait” approach—which doesn’t serve patients well. You deserve care from someone who understands the complexity of scoliosis and has tools designed for it.

A Trained Provider Will Always Review Your X-Rays

One of the most important signs that you’re in the right hands? The provider will ask to see your x-rays right away. They’ll want to review all past x-rays, perform their own measurements—including Cobb angles and rotation—and will likely recommend new imaging if your last x-rays were more than six months to a year ago.

Scoliosis is a three-dimensional condition, and without updated imaging, no provider can accurately track your curve or make an informed treatment plan. If x-rays aren’t a priority at your first visit, that’s a red flag.

Bracing Expertise and On-Site Adjustments

Another key factor is whether the provider is trained in scoliosis bracing—and whether they can scan and modify braces in their office. I use ScoliBrace, a custom 3D brace designed to fit your unique curve pattern and posture. At Simply Move Chiropractic, I scan and modify braces in-house, ensuring you get the most accurate fit and support possible.

Providers without this training often refer patients out—or worse, skip bracing entirely, even when it could make a significant difference.

Realistic, Honest Expectations

Scoliosis is highly individual. No two curves are alike, and progression is often unpredictable. That’s why a trustworthy scoliosis provider won’t make grand promises about reversing or “fixing” your curve. While we aim to improve posture, reduce discomfort, and in some cases reduce the curve angle, every person responds differently.

I always strive to be honest about what’s realistic for your specific case—including the possibility that surgery may be necessary, especially in severe or rapidly progressing curves. A good provider will never guarantee outcomes—they’ll focus on helping you take proactive steps to manage your curve.

Proactive, Not Passive

Another thing I emphasize: we don’t just watch and wait. That passive approach often leads to missed opportunities—especially for growing kids or adults noticing changes. Instead, I encourage patients to stay engaged in their care through regular monitoring, exercises, and in some cases bracing or other interventions.

Early action leads to better long-term outcomes. A provider who helps you stay proactive is one who truly understands how scoliosis behaves.

My Approach to Scoliosis in Charlotte

At Simply Move Chiropractic, I specialize in scoliosis care using ScoliBalance exercise rehabilitation and ScoliBrace custom 3D bracing. I’ve completed extensive training through ScoliCare and stay in close contact with their clinical team for advanced case consultations and ongoing education.

If you’re searching for the best scoliosis doctor in Charlotte, I encourage you to ask the right questions—and make sure your provider is giving you care that’s backed by modern training and focused on your individual needs. I’m always happy to review your x-rays, talk through your treatment options, and help you take control of your scoliosis with confidence.

Why Choose a Charlotte Chiropractor? | Simply Move Chiropractic

Dr. Natalie Otoya — Fri, 11 Apr 2025 15:01:40 +0000

If you’re searching for a chiropractor in Charlotte, NC, you’re not alone. Whether you’re dealing with chronic back pain, recovering from an injury, or simply looking for a natural approach to wellness, finding the right provider matters. At Simply Move Chiropractic, I believe that local, personalized care makes a real difference in your healing journey—and here’s why.

Personalized Care Rooted in the Charlotte Community

As a Charlotte chiropractor—and an avid runner myself—I’ve taken the time to understand the unique needs of our community. I regularly take part in local races like the Elizabeth 8K, and when I’m feeling extra motivated, you might even catch me at Around the Crown 10K. In the fall, I host a chiropractic booth at the Hilly Chantilly 5K, offering post-race care and answering questions for runners just like you.

These events aren’t just hobbies—they keep me connected to the people I serve. Whether you’re a fellow runner, a desk-bound professional, or someone struggling with day-to-day pain, I bring that same level of personal commitment into every patient visit.

Convenient and Accessible Care in the Heart of Charlotte

One of the biggest advantages of choosing a chiropractor close to home is convenience. Located right here in Charlotte, Simply Move Chiropractic makes it easy to fit your care into your daily routine. No long commutes, no traffic stress—just straightforward, accessible care.

This also means I’m more flexible with scheduling follow-up appointments, maintenance care, or quick check-ins when needed. Regular visits are an important part of chiropractic success, and having a chiropractor in your neighborhood makes it easier to stay consistent.

A Focus on Long-Term Results, Not Just Quick Fixes

Chiropractic care is more than just “cracking backs.” At my Charlotte office, I use techniques like Active Release Technique (ART), manual adjustments, infrared laser therapy, dry needling, and compression therapy to address pain at its source. Whether you’re dealing with neck pain, low back pain, TMJ, or a sports injury, we’re focused on long-term relief and functional improvement—not temporary fixes.

Because I work one-on-one with every patient, I’m able to fine-tune each treatment to fit your body and goals. This personalized attention is one of the biggest benefits of seeing a local chiropractor who is truly invested in your progress.

Supporting the Health of Our Charlotte Neighbors

Choosing a Charlotte chiropractor means supporting a small, local business that’s committed to the well-being of our community. When you walk into Simply Move Chiropractic, you’re not just another name on a schedule—you’re a neighbor. I’m here to help you move better, feel stronger, and live with less pain.

If you’re ready to take the next step in your health journey, I invite you to schedule a consultation. Let’s work together to create a plan that supports your goals and fits your lifestyle, right here in Charlotte.

Are X-rays Safe for My Child with Scoliosis? Here’s What the Research Says

Dr. Natalie Otoya — Tue, 08 Apr 2025 15:26:17 +0000

One of the most common concerns I hear from parents at Simply Move Chiropractic is about the safety of repeated X-rays for children diagnosed with scoliosis. Understandably, no parent wants to expose their child to unnecessary radiation. When scoliosis is diagnosed, however, X-rays are the gold standard for monitoring curve progression, especially during rapid growth phases. So how do we balance the need for regular imaging with the desire to protect our children’s long-term health?

To answer this question, I’ve reviewed several key studies examining the effects of repeated spinal X-rays in children and adolescents with scoliosis. The findings are reassuring, and I’d like to share them here to help parents feel confident in the care decisions we make together here in Charlotte, NC.

What the Research Shows About X-ray Exposure

1. The Radiation Risk from Spinal X-rays Is Very Low

Multiple studies have assessed the actual dose of radiation received during scoliosis X-rays, and the results show it is extremely low—especially with modern digital imaging techniques. According to a review published by Konbaz et al., the average dose per scoliosis film is about 0.1 to 0.5 mSv (millisieverts), which is comparable to the natural background radiation we’re all exposed to in just a few months of daily life.

To put that into perspective, a single chest CT scan may expose someone to 6–7 mSv—more than ten times the dose of a typical scoliosis X-ray. Additionally, today’s X-rays are taken using collimation (to narrow the beam), shielding (like lead aprons), and digital systems that require far less radiation than older film-based methods.

2. No Proven Link Between Scoliosis X-rays and Increased Cancer Risk

One concern some parents raise is whether repeated X-rays could increase cancer risk later in life. A large retrospective study (Oakley et al.) looked specifically at scoliosis patients who had undergone multiple X-rays throughout adolescence. The authors found no statistically significant increase in cancer-related deaths in patients who were monitored with X-rays over many years.

Even in studies where a slightly higher cancer risk was suggested, the increase was very small and difficult to separate from other factors like genetics, hormonal changes, or lifestyle exposures. The vast majority of scoliosis patients, even those who had dozens of X-rays during growth spurts, did not show any clinically meaningful increase in cancer rates.

3. Accurate Imaging Is Essential for Early and Effective Treatment

Another major takeaway from these studies is that early detection and precise monitoring actually reduces the risk of future complications. Without periodic imaging, it’s difficult to know whether a child’s scoliosis is stable, improving, or progressing. In cases where curves progress silently, delayed treatment can lead to more invasive procedures later on—including bracing, surgery, or long-term pain management.

When we have up-to-date imaging, we can respond early with personalized, non-invasive treatment options. At Simply Move Chiropractic, that might include ScoliBrace, ScoliBalance exercise therapy, and postural re-education—all of which are most effective when curve progression is caught early.

4. X-rays Can Now Be Tailored to Minimize Exposure Even Further

Even though I don’t perform imaging in my office, I work closely with local radiology centers and orthopedic providers who specialize in scoliosis imaging. When your child needs an X-ray, there are simple ways to make sure the process is as safe as possible—and as a parent, you have every right to ask about them.

One of the most effective ways to reduce radiation exposure is to request that X-rays be taken using a posteroanterior (PA) view rather than an anteroposterior (AP) view. In a PA view, the X-ray beam enters from the back, which dramatically reduces radiation to sensitive front-facing tissues like the thyroid gland and breast tissue. Research shows that this one change can cut radiation exposure to those areas by up to 90%.

You can also ask whether the imaging center uses thyroid and gonadal shielding during the procedure. These lead shields are designed to protect highly sensitive areas without interfering with the image quality needed to assess scoliosis progression (most of the time). Most pediatric imaging centers already follow these guidelines, but it never hurts to confirm.

Finally, as I mentioned earlier, most modern X-ray machines use significantly lower radiation doses than older models. If you’re still concerned about exposure, you can look for imaging centers that offer EOS imaging—an advanced technology that delivers even lower radiation than standard digital X-ray systems. However, keep in mind, with these systems you need to keep perfectly still for upwards of 15-20 seconds per x-ray. This can be a challenge for young children and may result in the need to repeat the x-rays.

Reassurance for Parents

If you’re a parent navigating a scoliosis diagnosis, I understand how overwhelming it can be. You’re being asked to make decisions about bracing, therapy, and long-term monitoring, all while worrying about the health of your growing child. My goal is to support you with accurate information, compassionate care, and a treatment plan that is both safe and effective.

The research is clear: when done appropriately, scoliosis X-rays are safe and carry minimal risk. They are an essential part of tracking spinal development and ensuring we catch any changes early—when conservative treatment options are most effective.

So yes, your child may need periodic imaging as they grow. But with today’s technology and protocols, those X-rays are a small and worthwhile tool in the journey to better spinal health.

Red Laser Therapy for Neck Pain in Charlotte

Dr. Natalie Otoya — Wed, 19 Mar 2025 15:58:18 +0000

Neck pain is a common issue that affects many people, often leading to discomfort, stiffness, and reduced mobility. Traditional treatments such as medications and physical therapy can provide some relief, but they may not be effective for everyone. Red laser therapy has emerged as a non-invasive, drug-free option for managing neck pain, offering long-term benefits without significant side effects.

Research on Low-Level Laser Therapy (LLLT) for Neck Pain

A systematic review and meta-analysis examined the effectiveness of low-level laser therapy (LLLT), also known as Class III laser therapy, in treating acute and chronic neck pain. The review included 16 randomized controlled trials with 820 participants. The findings were promising:

In acute neck pain, two trials showed a relative risk (RR) of 1.69 for pain improvement with LLLT compared to a placebo.
Five trials on chronic neck pain reported an RR of 4.05 for pain improvement.
Across 11 trials, patients experienced an average pain reduction of 19.86 mm on a 100 mm visual analogue scale.
Follow-up data from seven trials indicated that pain relief persisted for up to 22 weeks after treatment.
Side effects were minimal and similar to those seen with placebo treatments.

This research highlights the effectiveness of laser therapy in reducing neck pain, making it a viable alternative to medications and other traditional approaches. However, it’s important to note that this study focused on LLLT, which differs from the Class IV laser therapy I use in my practice.

The Difference Between Class III and Class IV Laser Therapy

While the research cited above demonstrates the effectiveness of LLLT (Class III lasers), I utilize a Class IV dual-wavelength red laser, which provides superior results. The key differences between Class III and Class IV lasers include:

Wattage: Class III lasers operate at lower power (less than 500 mW), while Class IV lasers can deliver higher power levels, allowing for deeper tissue penetration.
Treatment Efficiency: Due to the higher wattage, Class IV lasers can stimulate healing in less time compared to Class III lasers.
Depth of Penetration: Class IV lasers reach deeper into the tissues, making them more effective for treating musculoskeletal conditions such as neck pain.

By using a Class IV laser, I can offer my patients a more powerful and efficient treatment option that enhances pain relief and tissue healing beyond what LLLT provides.

Combining Red Laser Therapy with Shockwave Therapy

For patients seeking even greater relief, I often combine red laser therapy with shockwave therapy. Shockwave therapy uses acoustic waves to stimulate tissue healing, break up scar tissue, and reduce inflammation. When used together, these treatments provide:

Enhanced Blood Flow: Laser therapy improves circulation at the cellular level, while shockwave therapy promotes oxygenation in the treated area.
Accelerated Healing: The combination of laser energy and acoustic waves stimulates the body’s natural healing response, helping to repair damaged tissues more quickly.
Greater Pain Reduction: By addressing both inflammation and tissue dysfunction, patients experience faster and longer-lasting pain relief.

This combination therapy is particularly effective for individuals suffering from chronic neck pain who have not found relief through conventional treatments.

Why Choose Red Laser Therapy for Neck Pain in Charlotte?

If you are struggling with neck pain and searching for a non-invasive, drug-free treatment in Charlotte, red laser therapy is a proven solution. The research on LLLT highlights its effectiveness, but the Class IV laser technology I use takes those benefits to the next level by providing deeper penetration and faster healing.

Additionally, by integrating shockwave therapy with red laser treatments, I can offer a comprehensive approach to pain relief and recovery. Whether you are dealing with acute or chronic neck pain, these advanced therapies can help you regain mobility and reduce discomfort without the risks associated with medication or invasive procedures.

If you’re ready to experience the benefits of red laser therapy for neck pain in Charlotte, contact my office today to schedule a consultation. Let’s work together to create a personalized treatment plan that meets your needs and helps you move pain-free.

How We Treat Adolescent Scoliosis In Charlotte: Exercises, Bracing, and When Surgery is Necessary

Dr. Natalie Otoya — Thu, 27 Feb 2025 12:22:36 +0000

Scoliosis in adolescents requires a proactive treatment plan to prevent progression. At Simply Move Chiropractic, I specialize in non-surgical scoliosis treatment in Charlotte, offering customized exercise programs and bracing solutions to help young patients manage their condition effectively.

Understanding Adolescent Scoliosis

Adolescents with scoliosis are at a higher risk of curve progression, especially if they are still growing. That’s why early treatment is essential. I follow the 2016 SOSORT guidelines for scoliosis management, which outline the most effective non-surgical interventions.

Physiotherapeutic Scoliosis-Specific Exercises (PSSE)

One of the first steps in managing scoliosis is ScoliBalance, a structured exercise program that helps patients:

Correct their posture in all three dimensions
Strengthen muscles to stabilize the spine
Integrate good posture into daily activities
Understand how to maintain their spinal health

Each program is tailored to the patient’s unique spinal curvature and needs.

Scoliosis Bracing: A Non-Surgical Solution

For adolescents with moderate scoliosis, ScoliBrace is an effective treatment option. This custom-designed brace provides targeted support to slow or stop curve progression. I use BraceScan technology to create a precise fit for every patient, ensuring maximum comfort and effectiveness.

When is Surgery Considered?

Surgery is typically recommended for severe scoliosis cases where the curve reaches 60º or more, as it is highly likely to continue progressing. Curves in the 40-50º range may also require surgical intervention depending on the patient’s age and rate of progression. While my goal is always to prevent the need for surgery, there are situations where spinal fusion becomes the best option to maintain spinal stability and prevent further complications.

Taking Action Early

If you’re concerned about your child’s scoliosis, don’t wait. Schedule an appointment at Simply Move Chiropractic in Charlotte today to discuss the best treatment approach. With the right combination of scoliosis exercises, bracing, and active monitoring, we can work toward the best possible outcome for your child’s spinal health.

Non-Surgical Treatment Options for Scoliosis and Kyphosis in Charlotte

Dr. Natalie Otoya — Tue, 18 Feb 2025 15:48:44 +0000

If you or your child has been diagnosed with scoliosis or kyphosis, you may be wondering about the best course of action. At Simply Move Chiropractic, I focus on non-surgical treatment options to help prevent curve progression and improve spinal health. Early intervention is key, and there are several approaches we can take depending on the severity and risk factors associated with your condition.

Who Can Benefit from Non-Surgical Treatment?

Many patients can benefit from non-surgical scoliosis treatment, including:

Adolescents and juveniles with scoliosis or hyperkyphosis
Adults with degenerative scoliosis
Adults with hyperkyphosis or loss of lumbar lordosis
Patients with junctional kyphosis
Some cases of neuromuscular, congenital, or infantile scoliosis

The right treatment approach depends on the patient’s age, the severity of the curve, and how likely it is to progress over time.

Observation: Active vs. Passive Monitoring

For mild cases, observation might be recommended, but this doesn’t mean we take a “wait and see” approach. There are two types of observation:

Passive observation: This is the approach many general practitioners take, where the patient or their family watches for any changes in posture and seeks an evaluation if they notice anything unusual. The risk here is that curve progression can go unnoticed until it becomes more severe.
Active observation: This involves scheduled screenings to monitor any changes in spinal alignment. If there are risk factors (such as scoliosis in a close family member), active observation is the best approach to catch and manage any progression early.

Physiotherapeutic Scoliosis-Specific Exercises (PSSE)

One of the most effective ways to manage scoliosis non-surgically is through targeted exercises. At Simply Move Chiropractic, I use ScoliBalance, an exercise-based approach that incorporates:

3D posture correction
Stabilization of the corrected posture
Integration into daily activities
Patient education

Every ScoliBalance program is customized based on the patient’s unique spinal curve and needs.

Scoliosis Bracing: A Key Component of Treatment

For moderate curves, bracing is often necessary to prevent progression. I use ScoliBrace, a custom-made brace designed to provide optimal support and correction. Each patient is scanned with BraceScan to ensure a precise fit, and I personally oversee the fitting and monitoring process.

Bracing can be an effective way to manage scoliosis without surgery, especially when combined with ScoliBalance exercises.

Next Steps

If you or your child has been diagnosed with scoliosis or kyphosis, early intervention is crucial. Schedule a consultation with me at Simply Move Chiropractic in Charlotte to explore your treatment options and create a personalized plan.

Active Release Technique for Managing Hand & Wrist Pain in Charlotte NC

Dr. Natalie Otoya — Thu, 30 Jan 2025 13:06:38 +0000

Hand pain can be incredibly frustrating, especially when it starts interfering with daily tasks like typing, gripping objects, or even holding a cup of coffee. At Simply Move Chiropractic in Charlotte, NC, I use Active Release Technique (ART) to help patients regain function and reduce pain in their hands. ART is a highly effective, hands-on treatment that focuses on breaking up scar tissue and adhesions in soft tissues, helping to restore normal movement and reduce discomfort.

Conditions I Treat with Active Release Technique

Many people experience hand pain due to overuse, repetitive motions, or injury. ART is particularly beneficial for conditions such as:

Carpal Tunnel Syndrome – Compression of the median nerve at the wrist can cause numbness, tingling, and weakness in the hand. ART helps by releasing tightness in the flexor retinaculum and associated muscles.
Trigger Finger – This condition occurs when the flexor tendons of the fingers become inflamed and restricted. ART helps free up movement in the flexor tendons and surrounding soft tissues.
De Quervain’s Tenosynovitis – This affects the tendons on the thumb side of the wrist, leading to pain with gripping or twisting motions. ART helps release tension in the abductor pollicis longus and extensor pollicis brevis tendons.
Tendonitis and Overuse Injuries – Whether from sports, work, or hobbies, repetitive hand movements can lead to inflammation and stiffness. ART breaks up adhesions and improves mobility.
Osteoarthritis Pain Management – While ART doesn’t reverse arthritis, it helps by keeping the surrounding muscles and tendons mobile, reducing joint stress and improving function.

Muscles Targeted During Active Release Technique for Hand Pain

ART is precise and targeted. When treating hand pain, I focus on specific muscles that often contribute to dysfunction. Some of the key muscles and soft tissues I work on include:

Flexor Digitorum Superficialis and Flexor Digitorum Profundus – These muscles control finger flexion. Adhesions here can cause stiffness and difficulty gripping.
Thenar and Hypothenar Muscles – These are the muscles in the base of the thumb (thenar) and pinky side of the hand (hypothenar). Tightness here can limit thumb mobility and grip strength.
Lumbricals and Interossei – These small muscles help with fine motor control. Releasing restrictions here improves dexterity and hand function.
Extensor Digitorum and Extensor Indicis – These muscles help with finger extension. If they become tight or restricted, it can cause pain on the back of the hand and difficulty straightening the fingers.

How ART Works for Hand Pain

During an ART session, I apply precise pressure to the affected muscles, tendons, and ligaments while guiding the hand through specific movements. This combination of manual therapy and motion helps break up adhesions and restore normal tissue function. Many patients notice immediate improvements in mobility and a reduction in pain after just one session.

In addition to ART, I often incorporate other therapies like manual adjustments, infrared laser therapy, and dry needling to provide a comprehensive approach to hand pain relief.

To enhance treatment outcomes, I also combine ART with red laser therapy, shockwave therapy, and dry needling when appropriate. Red laser therapy helps reduce inflammation and accelerate tissue healing, while shockwave therapy breaks down scar tissue and stimulates cellular repair. Dry needling targets trigger points and releases deep muscle tension. By integrating these therapies, I can provide a well-rounded approach to pain relief and functional recovery, helping my patients achieve lasting improvements.

Why Choose Active Release Technique in Charlotte, NC?

If you’re dealing with persistent hand pain, ART offers a non-invasive, effective solution. Whether your pain stems from work-related activities, sports, or daily life, I can help you regain function and feel better. At Simply Move Chiropractic, I take a one-on-one, patient-focused approach to care, ensuring that each treatment plan is tailored to your needs.

If you’re in the Charlotte, NC area and struggling with hand pain, schedule an appointment today. Let’s get your hands moving pain-free again!

Trigger Point Therapy vs Dry Needle Therapy vs Trigger Point Injections: Which Is Right for You?

Dr. Natalie Otoya — Thu, 12 Dec 2024 17:21:04 +0000

As a chiropractor serving Charlotte, NC, I’m often asked about different approaches to addressing trigger points and muscle pain. Whether it’s tension in the shoulders, persistent back pain, or recurring headaches, understanding your treatment options can make a big difference. Today, I want to discuss three common methods: trigger point therapy, dry needle therapy, and trigger point injections.

What Are Trigger Points?

Trigger points are sensitive knots in your muscles that form when muscle fibers tighten and fail to release. These points can cause local pain or refer pain to other areas. For instance, a trigger point in the neck might cause headaches. Targeting these trigger points effectively requires tailored treatment.

Trigger Point Therapy

Trigger point therapy involves applying sustained manual pressure directly to the sensitive knots in your muscles. This technique targets the tight, hyper-irritable areas causing local or referred pain, aiming to release the tension, increase blood flow, and restore normal muscle function. By focusing on these specific points, the therapy helps reduce pain and improve mobility.

In my office, I use trigger point therapy when needed, particularly for patients with mild to moderate pain or stress-related muscle tightness. However, I often find that Active Release Technique (ART) is more effective for most of my patients. ART allows me to combine precise pressure with specific movements, which helps release the trigger point while addressing the surrounding tissue’s function. That said, when a patient’s needs call for it, I turn to trigger point therapy as a valuable tool in achieving relief and promoting long-term recovery.

Dry Needle Therapy as Trigger Point Therapy

Dry needle therapy can also be used to treat trigger points, offering a more targeted approach to releasing stubborn knots. By inserting a thin, filiform needle directly into the trigger point, the therapy stimulates the muscle to release tension and reset to its normal state.

Trigger Point Injections

Trigger point injections involve a healthcare provider injecting a small amount of anesthetic or corticosteroid directly into the trigger point. This treatment is typically used for severe pain or cases that haven’t responded to other therapies.

The injection works to numb the area, reduce inflammation, and relax the muscle fibers. While injections can provide fast relief, they are more invasive and carry risks such as infection, bruising, or allergic reactions.

For patients in Charlotte, NC, I often recommend starting with less invasive options like manual therapy or dry needling before considering injections. However, for some individuals with debilitating pain, trigger point injections may offer the quick relief they need to begin a more comprehensive treatment plan.

Which Treatment Is Right for You?

The right choice depends on your specific condition, pain level, and treatment goals. Here’s a quick comparison:

• Trigger Point Therapy: Ideal for mild to moderate pain, stress-related tension, and those seeking a hands-on, natural approach.

• Dry Needle Therapy: Effective for chronic pain, sports injuries, and stubborn trigger points that don’t respond to manual therapy.

• Trigger Point Injections: Best for severe pain or cases where other methods haven’t provided sufficient relief.

Conclusion

At Simply Move Chiropractic, I’m committed to helping you find the most effective solution for your pain. If you’re unsure which option is right for you, I’d love to help you explore your choices. Together, we can develop a treatment plan that meets your needs and gets you back to doing what you love.

If you’re in Charlotte, NC, and want to learn more, schedule a consultation today. Let’s take the first step toward relieving your pain and improving your quality of life.