Conditions & Treatments

Achilles Tendonitis

The Achilles tendon camera connects the calf muscle to the heel bone. It lets you rise up on your toes and push off when you walk or run.

What are common Achilles tendon problems? The two main problems found in the Achilles tendon are:

1. Achilles Tendinopathy

Includes one of two conditions:

a. Tendonitis

This actually means "inflammation of the tendon," but inflammation is rarely the cause of tendon pain.

b. Tendinosis

This refers to tiny tears (microtears) in the tissue in and around the tendon caused by overuse. In most cases Achilles tendon pain is the result of tendinosis, not tendinitis. Some experts now use the term tendinopathy to include both inflammation and microtears. But many doctors may still use the term tendinitis to describe a tendon injury.

2. Achilles Tendon Tear/Rupture

An Achilles tendon also can partially tear or completely tear (rupture) camera. A partial tear may cause mild or no symptoms. But a complete rupture causes pain and sudden loss of strength and movement.

Problems with the Achilles tendon may seem to happen suddenly. But usually they are the result of many tiny tears to the tendon that have happened over time.

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ACL Sprain

An anterior cruciate ligament (ACL) injury often is called a sprain. A sprain occurs when the threads or fibers of the ligament stretch or are torn. Most ACL injuries occur in the middle of the ligament.

An ACL injury is classified as a grade I, II, or III sprain.

Grade I Sprain

The fibers of the ligament are stretched, but there is no tear. There is a little tenderness and swelling. The knee does not feel unstable or give out during activity.

Grade II Sprain

The fibers of the ligament are partially torn. There is a little tenderness and moderate swelling. The joint may feel unstable or give out during activity.

Grade III Sprain

The fibers of the ligament are completely torn (ruptured); the ligament itself has torn completely into two parts. There is tenderness (but not a lot of pain, especially when compared to the seriousness of the injury). There may be a little swelling or a lot of swelling. The ligament cannot control knee movements. The knee feels unstable or gives out at certain times.

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Ankle Pain


The word "arthritis" means "joint inflammation." Inflammation is one of the body's natural reactions to disease or injury, and includes swelling, pain, and stiffness. Inflammation that lasts for a very long time or recurs, as in arthritis, can lead to tissue damage.

A joint is where two or more bones come together, such as the hip or knee. The bones of a joint are covered with a smooth, spongy material called cartilage, which cushions the bones and allows the joint to move without pain. The joint is lined by a thin film of tissue called the synovium. The synovium's lining produces a slippery fluid called synovial fluid that nourishes the joint and helps reduce friction. Strong bands of tissue, called ligaments, connect the bones and help keep the joint stable. Muscles and tendons also support the joints and enable you to move.

With arthritis, an area in or around a joint becomes inflamed, causing pain, stiffness and, sometimes, difficulty moving. Some types of arthritis also affect other parts of the body, such as the skin and internal organs.

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Auto Accidents

We are sorry you’ve suffered a motor vehicle collision. It is very difficult to recover from a serious auto accident, but we will try our best to alleviate your pain and get you back to normal as quickly as possible.

If you have been in an accident, don’t delay your treatment. How many times have you heard someone say, “I have a bad back/neck because I was in an accident 5+ years ago.” These are the people who never got treatment for their condition. They let the scar tissue build up, the muscles shut down or splint, and the joints become fixated. The earlier you come in, the more successful your treatments will be, as we can stop the inflammation and scar tissue from progressing.

Unless you have someone as an advocate for your case, you could easily go without getting the proper care and rehab you need. That’s why we actively work with attorneys and medical doctors to manage your case. Painkillers and muscle relaxers are nice to take the edge off, but they won’t do anything to help your tissues heal correctly or rehabilitate the muscles that were injured and torn in the accident. Our office does a complete physical exam and analysis to make sure that all of your conditions resulting from the accident are treated correctly.

We approach your treatment in three phases, just like your body heals in three major phases:

1. Acute

Our first goal is to get you out of pain without limiting your motion too much. To do this, we use ice or heat, electrical muscle stimulation, massage, acupressure, and nutritional supplements.

2. Sub-Acute

This is the phase where you will start to take more of an active role in your care. We will work on joint mobility and muscle balance through exercises and chiropractic adjustments.

3. Functional Wellness

The frequency of your care will slow down in this phase as you transition into taking care of your own body. The difficulty of your exercises will increase and we may work on balance or proprioception. Continued dietary support will also be recommended.

Call our office here in the Pocatello/Chubbuck area today to schedule an appointment with Dr. Josh Gneiting - (208) 238-5956

Back/Thoracic Problems

Most people will have a minor back problem at one time or another. Our body movements usually do not cause problems, but it's not surprising that symptoms develop from everyday wear and tear, overuse, or injury. Back problems and injuries often occur during sports or recreational activities, work-related tasks, or home projects.

Back pain can cause problems anywhere from the neck to the tailbone (coccyx). The back includes:

  • The bones and joints of the spine (vertebrae)
  • The discs that separate the vertebrae and absorb shock as you move
  • The muscles and ligaments that hold the spine together

Back injuries are the most common cause of back pain. Injuries frequently occur when you use your back muscles in activities that you do not do very often, such as lifting a heavy object or doing yard work. Minor injuries also may occur from tripping, falling a short distance, or excessive twisting of the spine. Severe back injuries may result from car accidents, falls from significant heights, direct blows to the back or the top of the head, a high-energy fall onto the buttocks, or a penetrating injury such as a stab wound.

Although back pain is often caused by an injury to one or more of the structures of the back, it may have another cause. Some people are more likely to develop back pain than others. Things that increase your risk for back pain and injury include getting older, having a family history of back pain, sitting for long periods, lifting or pulling heavy objects, and having a degenerative disease such as osteoporosis.

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Bicep Tendonitis

The biceps is a muscle on the front part of the upper arm. The biceps includes a “short head” and a “long head” that work as a single muscle.

The biceps is attached to the arm bones by tough connective tissues called tendons. The tendons that connect the biceps muscle to the shoulder joint in two places are called the proximal biceps tendons. The tendon that attaches the biceps muscle to the forearm bones (radius and ulna) is called the distal biceps tendon. When the biceps contracts, it pulls the forearm up and rotates it outward.

Proximal biceps tendinitis (tendonitis): Repeated use of the biceps or problems in the shoulder can irritate the proximal biceps tendon. Pain in the shoulder and biceps is the main symptom.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome causes pain, tingling, and numbness in your hand from pressure on the median nerve in your wrist. Illnesses, pregnancy, and obesity can cause carpal tunnel syndrome. Rest and exercises may help relieve symptoms.

Retraining (learning new ways of doing things), and ergonomic considerations (such as having your body in the correct posture and position and using equipment that is right for your strength and ability). Retraining and ergonomic considerations may not only relieve the symptoms of carpal tunnel syndrome but also may prevent them from coming back.

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Cold Laser Treatments (aka Low Level Light)

Cold Laser Therapy or Low Level Laser Therapy (LLLT) is a treatment that utilizes specific wavelengths of light to interact with tissue and is thought to help accelerate the healing process. It can be used on patients who suffer from a variety of acute and chronic conditions in order to help eliminate pain, swelling, reduce spasms and increase functionality.

Cold laser therapy is one option among a variety of treatment approaches that can potentially provide pain relief or pain reduction, especially for patients seeking a treatment without the use of surgery or drugs. It can be used alone or in combination with a number of other therapies.

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Bruises develop when small blood vessels under the skin tear or rupture, most often from a bump or fall. Blood leaks into tissues under the skin and causes the black-and-blue color. As bruises (contusions) camera heal, usually within 2 to 4 weeks, they often turn colors, including purplish black, reddish blue, or yellowish green. Sometimes the area of the bruise spreads down the body in the direction of gravity. A bruise on a leg usually will take longer to heal than a bruise on the face or arms.

Occasionally after an injury, blood collects and pools under the skin (hematoma), giving the skin a spongy, rubbery, lumpy feel. A regular bruise is more spread out and may not feel like a firm lump. A hematoma usually is not a cause for concern.

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Diversified Adjusting Techniques

Chiropractors treat problems that affect the alignment of the muscles and bones of the body. They base their treatment on the theory that if the bones in your spine are out of alignment, that can cause many medical problems, especially problems of the nervous system.

Chiropractic treatments usually involve adjusting the joints and bones in your spine using twisting, pulling, or pushing movements. Some chiropractors use heat, electrical stimulation, or ultrasound to help relax your muscles before doing a spinal adjustment.

Spinal adjustment is done through a variety of methods. For example, the chiropractor may use his or her fingers or hands to apply pressure to and move the vertebrae slightly beyond their normal range of motion. Treatment may also involve careful twisting of the head, shoulders, and hips.

If you've never been to a chiropractor before, you may be a little worried about what will happen. But the fact is, visiting a chiropractor for low back pain is simple, safe, and usually painless.

And a visit to the chiropractor results in immediate relief for many people.

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Elbow Pain

Frozen Shoulder


Migraines and other types of headache -- such as tension headache and sinus headache -- are painful and can rob you of quality of life. Migraine symptoms include a pounding headache, nausea, vomiting, and light sensitivity....

The exact causes of migraines are unknown, although they are related to changes in the brain as well as to genetic causes. People with migraines may inherit the tendency to be affected by certain migraine triggers, such as fatigue, bright lights, weather changes, and others.

Yes, migraines can be prevented. You can reduce the frequency of your migraine attacks by identifying and then avoiding migraine triggers.... Massage is a great way to reduce stress and relieve tension. It is especially effective in reducing tightness of tender muscles, such as those in the back of the head, neck, and shoulders, and increasing blood flow in those areas. For some people, massage may provide relief from headaches caused by muscle tension.

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Herniated Discs

A herniated disc occurs when the spongy, soft material that cushions the bones of the spine (vertebrae) slips out of place or becomes damaged. You can have a herniated disc in any part of your spine. When a herniated disc presses on a nerve, it can cause pain, numbness, and weakness in the area of the body where the nerve travels. Although a violent injury can damage a disk, problems with disks are often brought on by the normal aging process or by everyday activities, such as lifting

heavy objects the wrong way, stretching too hard during a tennis volley, or slipping and falling on an icy sidewalk. Any such event can cause the fibrous outer covering of the disk to break or distort to the point that it presses on a spinal nerve. Sometimes a disk swells, tears, or degenerates without any apparent cause. Genetics has a large role in many disc problems.

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Hip Pain

Hip Tendonitis

Kinesio Taping

The Kinesio Taping® Method is a definitive rehabilitative taping technique that is designed to facilitate the body’s natural healing process while providing support and stability to muscles and joints without restricting the body’s range of motion as well as providing extended soft tissue manipulation to prolong the benefits of manual therapy administered within the clinical setting. Latex-free and wearable for days at a time, Kinesio® Tex Tape is safe for populations ranging from pediatric to geriatric, and successfully treats a variety of orthopedic, neuromuscular, neurological and other medical conditions. The Kinesio® Taping Method is a therapeutic taping technique not only offering your patient the support they are looking for, but also rehabilitating the affected condition as well. By targeting different receptors within the somatosensory system, Kinesio® Tex Tape alleviates pain and facilitates lymphatic drainage by microscopically lifting the skin. This lifting affect forms convolutions in the skin thus increasing interstitial space and allowing for a decrease in inflammation of the affected areas.

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Knee Joint Injuries

Knee Pain

Low Back/Lumbar Problems

Low back pain is a fact of life. Just about everybody will suffer from it sooner or later. One of the main causes of back pain, whether acute or chronic, is low back strain.

So what is low back strain? A series of muscles and ligaments in your back hold the bones of your spinal column in place. You can strain these muscles by stretching them too far, causing tiny tears in the tissue. The muscles are then weakened, so they may not be able to hold the bones of your spinal column in place correctly. The spine becomes less stable, causing low back pain.

And because nerves stretch out from the spinal cord throughout the entire body, low back strain can cause pain in areas other than your back.

Low back strain can be caused by:

  • Extreme physical exertion
  • Falling
  • Bending or crouching repeatedly
  • Lifting heavy objects if you are not in shape.

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Massage Therapy

Massage is rubbing the soft tissues of the body, such as the muscles. Massage may be helpful in reducing tension and pain, improving blood flow, and encouraging relaxation. Massage therapists usually apply pressure with their hands, but they can also use their forearms, elbows, or feet. There are at least 80 different types of massage. Some are gentle, and some are very active and intense.

People use massage to promote relaxation and relieve pain. It can also relieve muscle tension and may improve blood flow, relieve pressure on nerves, and restore normal joint movement.

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Neck/Cervical Problems

The cervical spine in your neck is made up of seven bones called vertebrae, which are separated by discs filled with a cushioning gel-like substance. Your cervical discs both stabilize your neck and allow it to turn smoothly from side to side and bend forward to back. "Without discs, the spine would be very stiff," explains Kee Kim, MD, associate professor of Neurological Surgery and chief of Spinal Neurosurgery at the University of California at Davis. "Discs allow our body to move in the way that we want. They also provide cushion for the body, acting as a shock absorber."

Over time, these natural shock absorbers become worn and can start to degenerate. The space between the vertebrae narrows and nerve roots become pinched....

When the disc breaks open or bulges out, putting pressure on the spinal cord or nerve roots, it is known as a herniated disc or "slipped disc."

The most common and obvious symptoms of cervical degenerative disc disease are neck pain and a stiff neck. When one of these conditions presses on one or more of the many nerves running through the spinal cord, you also can develop pain, numbness, or weakness radiating down your shoulder, arm, and hand.

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Plantar Fasciitis

Plantar fasciitis is the most common cause of heel pain. It is caused by repeated strain on the plantar fascia, the ligament that connects the heel bone to the toes, supporting the arch of the foot. A strained plantar fascia causes weakness, swelling, and inflammation, especially in one or both heels. Causes of plantar fasciitis include rolling the feet inward while walking; having high arches or flat feet; and running, walking, or standing for along periods of time. Symptoms include pain upon waking and pain while walking and climbing stairs....

The goals of treatment for plantar fasciitis are to:

  • Relieve inflammation and pain in the heel
  • Allow small tears in the plantar fascia ligament to heal
  • Improve strength and flexibility and correct foot problems such as pronation camera so that you don't stress the plantar fascia ligament
  • Allow you to go back to your normal activities

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Sacroiliac Problems

The sacral region (sacrum) is at the bottom of the spine and lies between the fifth segment of the lumbar spine (L5) and the coccyx (tailbone).

The sacrum is a triangular-shaped bone and consists of five segments (S1 – S5) that are fused together.

A healthy sacral region is rarely fractured except in instances of serious injury, such as a fall or trauma to the area. However, patients with osteoporosis or rheumatoid arthritis are inclined to develop stress fractures and fatigue fractures in the sacrum.

Back pain or leg pain (sciatica) can typically arise due to injury where the lumbar spine and sacral region connect (at L5 - S1) because this section of the spine is subjected to a large amount of stress and twisting during certain activities, such as sports and sitting for long periods of time.

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Sciatica is pain originating in the sciatic nerve, which runs from the lower back down the back of your legs. Symptoms of sciatcia include burning in the leg, pain in the back of the leg when sitting, leg weakness, shooting pain, and more. Causes of sciatica may include lumbar spinal stenosis, degenerative disc disease, pregnancy, and other factors.

Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes.

For some people, the pain from sciatica can be severe and debilitating. For others, the sciatica pain might be infrequent and irritating, but has the potential to get worse.

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Shoulder Pain

Tennis/Golfer's Elbow

Tennis elbow refers to overuse of arm muscles that creates elbow pain. Tennis elbow pain occurs in the area at the outside of the elbow, where tendons and muscles attach to it. If the pain is on the inner elbow, it is referred to as "golfer's elbow." Symptoms of tennis elbow include pain around the outer elbow, made worse by squeezing, lifting, opening things, and other symptoms.

Risk factors for tennis elbow include:

  • Activities that involve repeated movements of the forearm, wrist, and fingers. This includes grasping and twisting arm movements done in jobs (such as carpentry, plumbing, or working on an assembly line), daily activities (such as lifting objects or gardening), and sports (such as racquet sports, throwing sports, or swimming)
  • Improper techniques while doing certain movements, such as gripping a handle or twisting an object
  • Improper equipment for work, daily activities, and sports, such as using a hammer or a tennis racquet with a grip that is the wrong size for your hand
  • Age. Tennis elbow is most common in people who are in their 40s
  • History of tendon injuries. Some people seem susceptible to tendon injury, based on a history of various tendon injuries such as rotator cuff disorders

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Temporomandibular Joint Disorder (TMJ/TMD)

The temporomandibular joint (TMJ) is the hinge joint that connects the lower jaw (mandible) to the temporal bone of the skull, which is immediately in front of the ear on each side of your head. The joints are flexible, allowing the jaw to move smoothly up and down and side to side and enabling you to talk, chew, and yawn. Muscles attached to and surrounding the jaw joint control the position and movement of the jaw.

The cause of TMD is not clear, but dentists believe that symptoms arise from problems with the muscles of the jaw or with the parts of the joint itself. Injury to the jaw, temporomandibular joint, or muscles of the head and neck – such as from a heavy blow or whiplash – can cause TMD. Other possible causes include:

  • Grinding or clenching the teeth, which puts a lot of pressure on the TMJ
  • Dislocation of the soft cushion or disc between the ball and socket
  • Presence of osteoarthritis or rheumatoid arthritis in the TMJ
  • Stress, which can cause a person to tighten facial and jaw muscles or clench the teeth

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Wrist Pain

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