Services and Treatments

Chiropractic Adjustments

The purpose of the chiropractic adjustment is to restore motion to a joint that has become fixated or "stuck." This may occur after an injury, repetitive stress, poor biomechanics, lack of exercise, too much exercise. If left untreated, the body may adapt such that pain subsides. However, this may lead to poorly functioning surrounding muscles, other joint compensations, increased injury risk, and arthritis.


Dr. Foglia performs several types of adjustments. Some with her hands as in the traditional chiropractic adjustment, some with a specialized drop table, some with a hand-held Activator tool, some with traction devices. The type of adjustment used all depends on patient tolerance and requirements.

Active Release Technique (ART)

ART is a hands-on soft tissue treatment, similar to deep tissue massage, that is very effective for treating muscle spasms, trigger points, scarred tissue, adhesions, and nerve entrapments. Even though chiropractic adjustments are very effective at restoring joint motion, often times surrounding muscles are affected by the injury as well. This leads to poor muscle function and again poor joint motion. This is why Dr. Foglia has great success employing adjustments with soft tissue treatment.

Graston Technique (GT)

GT is also a soft tissue technique. However, GT uses a set of specialized tools. The tools are very helpful for treating the denser tissues like the plantar fascia on the bottom of the foot. The tools are also very helpful for treating broad areas like hamstrings, gluteal muscles, and quadriceps. Both ART and GT are great modalities for addressing scarred tissue, and adhesions.

Selective Functional Movement Assessment (SFMA)

SFMA is an assessment tool for predicting risk of injury. It is also a tool used to help determine where, what, and how to treat an injury. This helps guide Dr. Foglia to choose the right treatment for each patient. She also uses the assessment to measure progress and determine when an athlete or patient can return to play. Dr. Foglia prescribes specific rehabilitation exercises to help a patient recover and correct the underlying loss of function so that risk of re-injury is reduced.

Corrective Exercises

During your course of care, Dr. Foglia assigns specific exercises for you to perform at home. She reviews these with you to ensure you perform them correctly. She also modifies them as your care progresses. These exercises enhance your treatments and empower you to help yourself between treatments. The exercises are corrective, meaning they help you improve movement, function, flexibility, and strength.

Orthotics

Your feet are your foundation. If your foundation is not properly supported, the rest of your body compensates pathologically eventually leading to issues up the chain like knee pain, hip pain, lateral spinal curves, etc. Custom orthotics are not necessary for everyone. However, if you have a breakdown of the ligaments in your feet such that your arches collapse, if you over pronate or supinate, if you have calluses on your feet, then most likely you will benefit greatly from an orthotic. Dr. Foglia can assess your feet, shoes, and gait and determine the best option for you.

Kinesio/Kinesiology Taping

This is the colorful tape you've probably seen on many Olympic athletes. Dr. Foglia has advanced training in the Kinesio Taping Method (KTM). This is a therapeutic, rehabilitative taping technique used to: reduce pain, inflammation, and swelling; promote circulation and healing; and re-educate the neuromuscular system.

Nutritional Assessments

 Typically when a patient complains of fatigue, brain fog, trouble sleeping, etc., these issues have less to do with physical structure and more to do with body function, diet, and lifestyle. A nutritional assessment consists of a complete history, a physical exam, and possibly lab work, such as blood tests, or saliva tests. Dr. Foglia will thoroughly review these findings with you, and recommend corrective actions including lifestyle adjustments, diet changes, and supplementation. Typically, the recommended supplements are prescribed for a short duration to achieve correction, and not intended to be taken forever. 

What to Expect

 1. The initial visit  consists of a consultation and an exam. Dr. Foglia will listen to you,  and will review your history. From your input, Dr. Foglia will determine  which tests and assessments to perform and will explain to you each  test. If other diagnostic studies, such as x-rays, MRI, labwork, are  required, then Dr. Foglia will order these procedures. At any point if  Dr. Foglia determines your case is outside of her scope of care, or even  a case better managed by another provider, she will make the  appropriate referral.
 

2. During the second visit Dr. Foglia will review your  findings from the exams and ancillary diagnostic studies. She will  describe her treatments and the plan required for fastest recovery. She  will also treat you during this visit.
 

3. Follow-up visits will depend on the type of treatment, the condition being treated, and the prescribed treatment plan. Every patient has different needs and requirements.