Manual Medicine

If pain and muscle spasms are making it harder for you to move around and do your daily activities, our manual medicine sessions could be what you are looking for.

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The Goals…

Through non-invasive treatments we aim to restore your mobility and relieve pain, so you can enjoy your everyday life. We also teach you ways to do self-treatment and prevent future pain.

The Treatment…

We use various techniques such as manual release-including myofascial and trigger point techniques, muscle energy technique, stretching, and orthopedic massage. We may also use other physical modalities such as therapeutic exercise, heating pads, and various modes of electrical stimulation.

Common Conditions Treated

  • Low back pain with or without sciatica (due to different causes as degenerative disc disease, arthritis, bulging discs)
  • Shoulder pain (e.g. bursitis, tendinitis, frozen shoulder, rotator cuff, impingement)
  • Carpal tunnel syndrome
  • Upper back and neck pain with muscle spasm
  • Trigger points/myofascial pain syndrome and fibromyalgia
  • Hip pain (e.g. bursitis)
  • Wrist pain (e.g. De Quervain’s tenosynovitis)
  • Tennis elbow (lateral epicondylitis)
Our Manual Medicine Program requires an initial assessment. Dr. Rivera will take a full medical history and do a thorough physical exam to plan your treatment session. (This medical evaluation will allow the doctor to make a medical diagnosis before starting your treatment, order any diagnostic testing needed (e.g. x-rays, bloodwork), and even prescribe non-opioid medication.) Then we offer follow-up sessions and maintenance sessions as needed.

initial assessment-60 Minutes

$275 $225*

Full assessment including medical history and a thorough physical exam. This will allow the doctor to make a medical diagnosis before starting your hands-on treatment. This may include ordering any diagnostic testing needed (e.g. x-rays, MRI, bloodwork) and even prescribe non-opioid medication. An introductory hands-one session will complete your appointment.

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45-minute session

$150

This will usually be your second and third visits. We may use other modalities to help with pain, muscle spasms, and swelling

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30-minute session

$95

We recommend these sessions only if pain has improved enough so we can consider it a maintenance session.

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PACKAGE

$325 $300*

You may save if you invest in a package of four 30-minute sessions in advance. This package expires after 4 months.

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*Expires August 31, 2026. For packages/bundled pricing, you waive the option of receiving a superbill.

Contáctanos para coordinar tus sesiones de medicina manual.