Conditions We Treat

At Black Diamond Chiropractic and Sports Performance, we successfully treat a wide range of conditions affecting the spine, extremities, and musculoskeletal system. Our comprehensive approach combines advanced diagnostic techniques with The Black Diamond Method to identify and address the root cause of your pain or dysfunction, not just the symptoms.

Spinal Conditions & Pain

Back Pain

Back pain can result from muscle strain, joint irritation, disc issues, or other factors causing discomfort and restricted movement. Whether you’re experiencing acute pain from a recent injury or chronic pain that’s persisted for months or years, our multi-dimensional approach can help.

Common causes we treat:

  • Muscle strains and spasms
  • Facet joint dysfunction
  • Disc bulges and herniations
  • SI joint irritation
  • Posture-related strain
  • Sports injuries
  • Work-related injuries

Most patients with back pain experience significant improvement within 2-3 treatments, with resolution of even chronic issues typically within 6-8 weeks following The Black Diamond Method.

Neck Pain

Neck pain often results from tension, stiffness, or soreness from muscle overuse, joint dysfunction, or nerve irritation. This common condition can significantly impact your daily activities, work performance, and quality of life.

Common causes we treat:

  • Tech neck (forward head posture)
  • Whiplash injuries
  • Cervical joint restrictions
  • Muscle tension and trigger points
  • Cervical disc issues
  • Stress-related tension
  • Sleep-related strains

Our approach to neck pain addresses not just the pain itself but the underlying movement patterns, posture habits, and muscle imbalances that contribute to ongoing issues.

Headaches & Migraines

Many headaches, including migraines, are triggered by muscle tightness, nerve irritation, or stress originating in the neck and upper back. Symptoms include throbbing pain, nausea, and light sensitivity.

Types we treat:

  • Tension headaches
  • Cervicogenic headaches (originating from the neck)
  • Migraine headaches
  • Post-traumatic headaches
  • TMJ-related headaches

By addressing the musculoskeletal components of headaches, we can significantly reduce both the frequency and intensity of headache episodes. Many patients experience dramatic improvements even when other treatments have failed.

Sciatica

Sciatica refers to pain, numbness, or tingling that travels along the sciatic nerve path from the lower back through the buttocks and down the leg. This condition can be debilitating but responds well to our comprehensive approach.

Common causes we treat:

  • Disc herniations or bulges
  • Piriformis syndrome
  • Spinal stenosis
  • SI joint dysfunction
  • Muscle imbalances and tension

Our treatment addresses both the source of nerve irritation and the compensatory patterns that develop throughout the body in response to sciatic pain.

Scoliosis

Scoliosis is a spinal curvature causing posture imbalances and discomfort. While severe cases may require orthopedic intervention, many cases of mild to moderate scoliosis respond well to conservative care.

Our approach includes:

  • Specific adjustments to improve joint mobility
  • Customized exercise programs to strengthen supporting muscles
  • Myofascial release to address soft tissue restrictions
  • Education on posture and body mechanics
  • Ongoing management strategies

While we cannot “cure” structural scoliosis, many patients experience significant pain reduction and improved function through our care.

Disc Derangement

Disc derangement refers to damage to the intervertebral discs, leading to pain, stiffness, and mobility issues. This includes conditions like bulging discs, herniated discs, and degenerative disc disease.

How we help:

  • Reduce inflammation around affected discs
  • Improve mobility in surrounding joints
  • Strengthen stabilizing muscles
  • Teach proper movement patterns
  • Implement appropriate activity modifications

With proper conservative care, many disc issues can heal without surgical intervention.

Injuries & Trauma

Disc Injury

Herniated or Bulging Disc is when the soft cushioning discs between vertebrae bulge or herniate, they can press on nearby nerves, causing pain, numbness, or weakness that may radiate to extremities.

Our treatment approach:

  • Specific adjustments to reduce pressure on disc material
  • Decompression techniques
  • Anti-inflammatory strategies
  • Core stability training
  • Posture and movement education
  • Progressive return to activity protocols

Many disc injuries can be successfully managed with conservative care, helping patients avoid surgery and return to normal activities.

Work Injuries

Work-related injuries include strains, sprains, or repetitive motion injuries affecting movement and comfort. Whether from sudden trauma or cumulative strain, these injuries can significantly impact your ability to perform your job.

Common work injuries we treat:

  • Back strains from lifting
  • Carpal tunnel syndrome
  • Neck pain from prolonged sitting
  • Shoulder and rotator cuff issues
  • Repetitive strain injuries
  • Slip and fall injuries

Our treatment not only addresses the injury but helps prevent recurrence through ergonomic education and job-specific conditioning.

Whiplash

Whiplash is a sudden force injury to the neck, causing pain, stiffness, and headaches. Most commonly associated with auto accidents, whiplash can also occur during sports or other traumatic events.

Symptoms we address:

  • Neck pain and stiffness
  • Headaches
  • Shoulder and upper back pain
  • Dizziness
  • Fatigue
  • Cognitive symptoms

Early intervention for whiplash can significantly improve outcomes and prevent chronic issues from developing.

Extremity Conditions & Pain

Arm & Leg Pain

Pain in the extremities can result from muscle imbalances, nerve compression, or joint dysfunction. This may present as general aching, sharp pain, numbness, or weakness in the arms or legs.

Common causes we treat:

  • Referred pain from the spine
  • Peripheral nerve entrapment
  • Muscle strains
  • Tendinitis
  • Joint restrictions
  • Overuse syndromes

Our whole-body approach identifies the true source of extremity pain, which often originates elsewhere in the movement chain.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a nerve compression disorder in the wrist leading to numbness, tingling, or weakness in the hand and fingers. It commonly affects those who perform repetitive hand movements.

Our treatment includes:

  • Wrist and forearm myofascial release
  • Nerve mobilization techniques
  • Joint adjustments of the wrist, elbow, and cervical spine
  • Ergonomic education
  • Specific exercises to balance the muscles of the forearm

Many patients can avoid surgery through conservative management of carpal tunnel syndrome.

Shoulder Pain

Shoulder pain includes conditions like rotator cuff injuries, bursitis, and joint inflammation. The shoulder’s complex structure makes it particularly vulnerable to injuries and dysfunction.

Common conditions we treat:

  • Rotator cuff tendinitis or tears
  • Frozen shoulder (adhesive capsulitis)
  • Shoulder impingement syndrome
  • Bursitis
  • Labral tears
  • AC joint sprains
  • Thoracic outlet syndrome

Our approach restores proper biomechanics to the entire shoulder girdle, addressing not just the shoulder itself but the neck, upper back, and scapular regions.

Adhesive Capsulitis

Adhesive capsulitis commonly known as frozen shoulder, causes progressive stiffness and pain in the shoulder joint. This condition typically develops slowly and can significantly limit daily activities.

Our treatment protocol:

  • Gentle joint mobilization
  • Targeted soft tissue work
  • Progressive stretching program
  • Pain management strategies
  • Home exercise program

While frozen shoulder can take time to resolve completely, most patients experience significant improvement in pain and function through our comprehensive approach.

Sports & Overuse Injuries

Sprains & Strains

Sprains (ligament injuries) and strains (muscle/tendon injuries) involve overstretched or torn tissues causing pain and swelling. These common injuries affect athletes and active individuals of all ages.

How we help:

  • Acute inflammation management
  • Appropriate early mobilization
  • Progressive rehabilitation
  • Sport-specific return to play protocols
  • Prevention of compensatory patterns

Our sports medicine background ensures proper management of these injuries for optimal healing and prevention of recurrence.

Tendinitis & Tendinopathy

Tendinitis (acute inflammation) and tendinopathy (chronic degeneration) affect tendons throughout the body due to repetitive stress. These conditions cause pain with movement and can significantly limit activity.

Common sites we treat:

  • Achilles tendon
  • Patellar tendon (knee)
  • Rotator cuff tendons (shoulder)
  • Tennis/golfer’s elbow
  • Wrist tendons
  • Hip tendons

Our multi-modal approach includes shockwave therapy, which has shown remarkable results for chronic tendon issues.

Achilles Tendinitis

Achilles tendinitis causes pain and stiffness in the tendon connecting the calf muscles to the heel bone. This common running injury can become chronic if not properly addressed.

Our comprehensive approach:

  • Soft tissue techniques for calf and foot
  • Shockwave therapy for chronic cases
  • Biomechanical assessment of running/walking gait
  • Progressive loading exercises
  • Footwear recommendations
  • Training modification strategies

With proper treatment, most athletes can return to full activity without recurring Achilles problems.

Runner’s Knee

Runner’s knee or Patellofemoral Pain Syndrome causes pain around or behind the kneecap due to repetitive stress or muscle imbalances. This common condition affects runners, cyclists, and other athletes performing repetitive knee movements.

Our treatment focuses on:

  • Addressing hip and knee muscle imbalances
  • Improving patella tracking
  • Myofascial release of tight tissues
  • Gait analysis and correction
  • Proper exercise progressions
  • Training load management

By addressing the entire kinetic chain, we help runners overcome knee pain and return to training with improved biomechanics.

IT Band Syndrome

IT Band Syndrome causes tightness and irritation resulting in lateral knee pain. This common running injury often results from training errors, biomechanical issues, or muscle imbalances.

Our approach includes:

  • Soft tissue techniques for the IT band, TFL, and gluteal muscles
  • Hip stability and strength training
  • Running gait analysis
  • Myofascial release
  • Progressive training recommendations
  • Cross-training strategies

Most runners experience significant improvement within 2-4 weeks of beginning treatment.

Plantar Fasciitis

Plantar fasciitis causes heel pain from inflammation of the plantar fascia. This painful condition typically causes worst pain with the first steps in the morning or after periods of rest.

Our multi-faceted treatment:

  • Targeted soft tissue work
  • Shockwave therapy
  • Foot and ankle adjustments
  • Custom exercise program
  • Night splint recommendations when appropriate
  • Footwear guidance

Most cases respond well to our comprehensive approach, with significant improvement within 4-6 weeks.

Shin Splints

Shin splints or Medial Tibial Stress Syndrome cause pain along the shinbone from overuse. This condition commonly affects runners, dancers, and military recruits, especially when training volume increases rapidly.

Treatment components:

  • Soft tissue techniques for calf and anterior leg
  • Assessment of foot biomechanics
  • Myofascial release
  • Strengthening exercises
  • Running form evaluation
  • Training load management

With proper treatment and training modifications, most patients can return to activity within 2-4 weeks.

Pinched Nerves

Compression of nerves leads to numbness, tingling, or weakness along the nerve pathway. Radiculopathy refers specifically to compression of nerve roots as they exit the spine.

Our approach addresses:

  • Identifying the site of nerve compression
  • Reducing pressure on affected nerves
  • Improving joint mobility
  • Releasing tight muscles
  • Correcting posture and movement patterns
  • Neural mobilization techniques

Most patients experience significant relief within the first few treatments.

Thoracic Outlet Syndrome

Thoracic Outlet Syndrome involves compression of nerves or blood vessels in the shoulder/neck region. This condition can cause pain, numbness, and weakness in the neck, shoulder, arm, and hand.

Our treatment protocol:

  • Targeted soft tissue work to scalenes, pec minor, and other involved muscles
  • Nerve mobilization techniques
  • Thoracic spine and rib adjustments
  • Postural correction
  • Progressive strengthening of the upper back
  • Ergonomic modifications

This complex condition responds well to our comprehensive treatment approach.

Other Conditions

Vertigo

Vertigo or Vestibular Dysfunction causes dizziness or balance issues often resulting from inner ear disturbances. While there are many causes of vertigo, certain types respond extremely well to specific treatments.

How we help:

  • Diagnosis of vertigo type
  • Treatment of cervical components
  • Benign Paroxysmal Positional Vertigo (BPPV) repositioning techniques
  • Balance training
  • Coordination exercises
  • Home management strategies

Many patients experience immediate relief following treatment for certain types of vertigo.

Experience The Black Diamond Difference

Our expertise extends beyond the conditions listed here. If you’re experiencing pain or dysfunction not mentioned above, please contact us to discuss how we can help with your specific condition.

Using The Black Diamond Method’s four-step process, we don’t just treat symptoms—we identify the root cause, implement effective treatments, build resilience through rehabilitation, and empower you with the knowledge to maintain your results.

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Office Hours

Open
Tuesday, Wednesday and Friday
9:00am – 5:00pm
Closed
Monday, Thursday, Saturday and Sunday

Contact

Black Diamond Chiropractic and Sports Performance
1001 Vision Dr
Apex, NC 27523
(919) 228-8307