Conditions Treated
Pain, Head to Toe
These are the conditions and symptom areas I treat most often. Most of my patients arrive after seeing multiple providers without resolution—if that's you, you're in the right place.
Fulcrum Medical is built for patients who have tried 10 or more providers without relief. If you've been told nothing more can be done, I'd like to take a careful look.
Head & Jaw
Headaches, Migraines & Jaw Pain
Chronic headaches, migraines, and jaw pain are often driven by trigger points in the neck, shoulders, and jaw rather than the head itself. I trace the source, treat the underlying driver, and address the structural patterns that keep symptoms recurring. TMJ dysfunction and jaw pain often respond well to osteopathic manipulation and trigger-point release.
Neck & Shoulder
Neck Pain & Shoulder Dysfunction
Neck pain that radiates into the shoulder, arm, or hand is often attributed to disc disease when the underlying cause is actually fascial restriction or trigger points in the surrounding muscles. I evaluate the entire kinetic chain, from the base of the skull to the shoulder girdle, and treat the true source of the problem.
Back & Rib
Back Pain & Rib Dysfunction
Low back pain is one of the most overtreated and underdiagnosed musculoskeletal conditions. Many patients who have undergone surgery, injections, or physical therapy without lasting relief have an underlying fascial or ligamentous issue that remains unaddressed. I find it.
Hip & Buttock
Hip Pain & Piriformis Syndrome
Hip pain, buttock pain, and conditions commonly diagnosed as piriformis syndrome or sciatica are often caused by trigger points and fascial restriction within the deep hip rotators. When ligament instability contributes to the problem, prolotherapy and PRP can help restore joint stability.
Knee
Knee Pain & Instability
Persistent knee pain after physical therapy or surgery often has an untreated fascial or ligamentous component. I evaluate the knee as part of the entire lower extremity, including the hip, pelvis, and foot, to treat the underlying cause rather than the joint alone.
Wrist & Hand
Wrist Pain, Carpal Tunnel & Hand Dysfunction
Wrist and hand pain, including symptoms diagnosed as carpal tunnel syndrome, often originates from cervical or thoracic dysfunction that conventional treatment overlooks. I evaluate the entire nerve pathway from the neck to the fingertips and treat the full chain.
Elbow
Elbow Pain & Tennis Elbow
Lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer's elbow) often respond well to prolotherapy and trigger-point release when conservative treatments have failed. I also evaluate the shoulder and cervical spine, as they frequently contribute to elbow pain.
Foot & Toe
Foot Pain & Plantar Fasciitis
Chronic foot pain, plantar fasciitis, and toe dysfunction are often driven by fascial or ligamentous problems that extend through the ankle, knee, and hip. I evaluate and treat the foot as part of the entire kinetic chain, not in isolation.
Expert Care, Wherever You Are
Can't Travel to Sebastopol?
Remote diagnostic consultations are available for patients outside the Bay Area. A structured, thorough evaluation of your history and imaging to determine whether in-person treatment is likely to help.
Ready to Find the Source of Your Pain?
If previous treatments haven't brought lasting relief, let's explore what may have been overlooked.