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By using the most cutting edge techniques in chiropractic care, physical therapy and rehabilitation, our patients not only get out of pain fast, but stay pain-free for longer than just using medication and traditional therapies.

This combination of traditional and natural therapies allows our patients at Integrative Physical Medicine Dayton to truly receive the best of both worlds when it comes to healthcare today. By first focusing on relieving the inflamed and injured tissues of the spine and body, our team can then go in and strengthen and rehabilitate the area, giving our patients a much healthier spine overall.

Over the last 115 years, chiropractic care has been the leading natural and non-invasive approach to treating chronic spinal pain conditions. The field of chiropractic medicine continues to change and our clinic specializes in using the best combination of chiropractic care with spinal rehabilitative exercises for pain management and pain relief. Chiropractic care works by first relieving the tension or inflammation to the delicate nerves of the spine. This irritation to spinal nerves is the chief cause of spinal pain.

When chiropractic adjustments are given to relieve the pressure placed on the nerves of the spine, relief is noticed almost instantly. This relationship between the spine and nervous system is the main focus of chiropractic treatment. With Chiropractic care, patients not only respond to spinal conditions, but also to other health conditions affecting the entire body.

Physical therapy focuses on improving muscle flexibility and strength, joint function, and proprioception. This results in increased balance, coordination, kinesthetic awareness, and better posture. Physical therapy reduces pain and dysfunction by correcting imbalances. This is all achieved through specific exercises, therapy, and modalities individualized for each patient’s condition. Our physical therapists develop unique treatment plans for each patient’s condition.

Is Physical Therapy for Me?

Physical therapy requires active participation of the patient in the clinic 2-3 times per week (30-45 minutes) and home exercises daily. The duration of therapy varies by condition but generally consists of 4-6 weeks. Patients who participate as advised by the physical therapist receive the most benefit from their rehabilitation program.

Double your benefit within half the time…

Clinical studies have shown maximum recovery within a reduced amount of time in patients who receive physical therapy in conjunction with chiropractic adjustments. Treatment is coordinated through team meetings held by the physical therapist and the chiropractor. This partnership lends success to achieve optimal results for our patients.

Certain wavelengths of light have the ability to penetrate high water content material such as animal tissue. This penetration allows the process of photobiostimulation on animal cells is similar to photosynthesis in plant cells whereby light sets in motion a chain of chemical reactions. In human tissue the resulting photochemical reaction produces an increase in the cellular metabolism rate which expedites cell repair and the stimulation of several systems: the immune, lymphatic and vascular.

Our bodies use light as a source of energy. The energy from light has been shown to help heal wounds. We often have more energy and feel better on bright sunny days.

NASA has been using LED color therapy for the past 30 years to accelerate the healing process for their astronauts while in space. It was noted that astronauts with wounds, broken bones or damaged muscles and cartilage would not heal quickly unless LED therapy was applied.

In just three years, Synergy Medical Weight Loss has helped over 10,000 patients reach their ideal body weight. Integrative Physical Medicine Dayton wants to help you discover the same success!

Synergy Medical Weight Loss combines physical activity and FDA approved appetite suppressants with a diet plan that utilizes proper nutrition and portion control to give you energy and burn fat. This unique program is safe, proven and medically supervised. Through the support of our physicians, you’ll receive the tools you need to not only reach your weight loss goals, but maintain your healthy new look for life!

Don’t wait to lose weight – get started today and shed those unwanted pounds once and for all. Schedule your free consultation now!

Platelet-rich plasma (PRP) is an up and coming non-surgical treatment for orthopedic issues. It’s a procedure done in the office by injection and only takes 30 minutes.

Patients usually need one injection. An additional one can be given every 6 weeks.

The injection is made up of your own blood. It’s separated and re-injected into the injured tissue. Your platelets release growth factors that help naturally trigger inflammation and collagen production. The goal is to help the body form new blood vessels and fibers. The natural injection works with your body to strengthen damaged tissue and joints.

Platelet-rich plasma can be used to treat osteoarthritis of the knee, shoulder, and hip. It is also used to help treat tennis elbow, rotator cuff injuries, ankle sprains, tendonitis, and sports injuries.


Patients may feel sore or tender in the site of the injection for a few days following the procedure. It’s recommended to take it easy for a few days to allow the injured tissue to recover. Patients usually feel relief within four weeks and it can continue to improve for up to six months. The results vary for patients.

What is Testosterone Replacement Therapy? If you’re an aging man, chances are you’ve lost quite a bit of energy, experienced a drop in sexual potency or erectile dysfunction, put on a few extra pounds and now you have to work even harder in the gym to maintain your natural weight. There’s a reason for that and for most men it starts with a ‘T’. We’re talking about the male hormone Testosterone.

By the time you hit 30, you’re body is already significantly behind in testosterone production. You see, by your mid-twenties, your testosterone levels begin to decline by about 1-2% a year. And, by 40, you’ve lost nearly half of your necessary growth hormones resulting in a common but often misunderstood condition called Andropause, Low T or Hypogonadism; precisely what we treat with various Testosterone Replacement Therapy options.

Men often mistake symptoms of andropause for a midlife crisis. You’ve put on weight, your sexual desire has decreased and even worse, your sexual performance is suffering. To make yourself feel better, you may want to buy a flashy sports car, but in reality, the most likely solution to your problem is Testosterone Replacement Therapy. Many of our patients report 180 degree turnarounds in their marriages or relationships as a result of our Testosterone and Oxytocin therapies!!

At Integrative Physical Medicine Dayton we provide gentle yet effective adjustments to the spine. Spinal adjustments, also known as manipulations, are performed using ones hands where a quick yet controlled thrust is placed into a joint. The purpose of these protocols is to restore the spines proper alignment which enhances the body’s bio-mechanics and physical functionality. Adjustments not only help with acute and chronic muscle/joint pain they also help with restoring the body’s nerve flow.

Every nerve that exits the spinal cord goes to a specific organ/tissue to provide it with information on how to function from the brain. If the spine has a mis-alignment it can place abnormal pressure upon some of these nerves which then will decrease the nerve conduction or “nerve flow” to these organs. Decreased nerve flow may not present right away with symptoms but rather can get progressively worse over time causing things such as high blood pressure, digestive issues/discomfort, liver problems, etc. It is important to have routine spinal screenings performed to make sure the nervous system is performing at its optimal level.

We offer all types of adjustments here at Integrative Physical Medicine Dayton. We utilize different techniques to make sure we provide the patient with the most effective, customized treatment for each individual. Techniques that we use include diversified, thompson, gonstead, graston soft tissue technique, manual release technique, and activator. Certain techniques may cause a non-painful “popping” sound to occur while other types will not.

We are willing to work with you to provide you with the type of adjustment that makes you feel the most comfortable while also being effective with care. Certain ailments and conditions may not even require an adjustment to provide you with the most efficient type of treatment. We also offer things such as cold laser therapy, decompression therapy, ultrasound, electric muscle stimulation, kinesiotaping, prescribed therapeutic exercise, soft tissue release techniques and many other variations and combinations of care to alleviate your pain.

Adjustments to the spine are as important as brushing your teeth. Spinal adjustments provide the joint with motion and in this profession, “motion is medicine”. If your body/spine does not move the way it should and this persists over a certain period of time, it can start to cause spinal decay. Spinal decay basically embodies the conditions of degenerative joint disease, degenerative disc disease, arthritis and spondylosis. A healthy person with no pain should be seen by a chiropractor routinely to be screened of any asymptomatic areas of joint fixations as much as someone who has spinal pain of any kind.

Here at Integrative Physical Medicine Dayton we will provide you with a thorough exam of your spine and musculo-skeletal system and discuss three important things; what it is your dealing with, how long it will take to fix and how much is will roughly cost. Our goal is to get you back doing your activities of daily living as soon as possible!

Adjustments also can provide significant assistance with problems in any extremity on the body. Most people think that chiropractors only work on the spine which is true to a degree but today’s licensed chiropractors have a significant amount of training on learning not only how to adjust extremities but also how to rehabilitate and restore full function within them.

Here at Integrative Physical Medicine Dayton, our doctors have made the effort to provide themselves with an even further knowledge base of information for treating extremity problems on top of what they learned in school. They have taken advanced education classes, certifications on extremity adjusting and also gone to seminars to help them gain a full understanding of how to adjust, diagnose and treat all extremity ailments. Extremities that our doctors specialize in include shoulders, elbows, wrists, fingers, hips, knees, ankles and toes.

Every visit will provide the patient with a very in depth understanding of the problem that they are presenting with as well as what will be done to fix it. If a patient presents with an extremity problem it does not necessarily mean that that particular joint needs to be adjusted. Our doctors only provide the patient with the care that is necessary to treat the condition at hand thus allowing them to rid themselves of pain as fast as possible.

Our doctors know as much about all areas of the human body when it comes to the neuro-musculo-skeletal system as any health professional and can be much more cost effective as well in treating the conditions as well.

In our office we specialize not only with the spine but also with extremities including the shoulder joint. The shoulder is one of the most commonly injured joints. We treat a wide variety of shoulder injuries that include; rotator cuff tears, bicipital tendonitis, bursitis, shoulder inflammation, impingement syndrome, arthritis, strain/sprain, and frozen shoulder just to name a few.

There is no other joint in the body like the shoulder. This joint is the most mobile in the entire body there by increasing the likelihood of injury. The joint is stabilized by the rotator cuff muscles which include; the supraspinatus, infraspinatus, teres minor, and subscapularis. Each of these has its very own function in the shoulder. The Supraspinatus is responsible for abduction of the arm, the infraspinatus is responsible for external rotation, the teres minor is responsible for external rotation and the subscapularis is responsible for internal rotation. It is very important to receive care for a shoulder injury if there is restriction with any particular movement because it is very easy to damage another area.

Common symptoms of a shoulder injury are; the inability to flex your arm, the inability to internally rotate your arm, the inability to externally rotate your arm, the inability to reach overhead with your arm, tingling down your arm into your hands, neck pain, pain while sleeping amongst many other symptoms. If you have any of the symptoms above, contact us about your shoulder pain.

When you visit our office for a shoulder injury we can appropriately diagnose your condition and draw up a very effective rehab protocol to improve your quality of life.

Both the doctors in the clinic are very knowledgeable when it comes to the knee. Having each played sports growing up and into college as well as learning extensive anatomy and rehabilitation therapies for the knee, they have look at knee ailments from two different angles.

It is important for a doctor to not only understand the condition of which the patient is presenting with but also to be able to put themselves in the patient’s shoes. We treat a wide variety of knee injuries that include but are not limited to; tendonitis, ACL/MCL tears, meniscus tears, sprains/strains, bursitis, chondromalacia, osteoarthritis, patella inflammation, patella tracking problems, overuse injuries, knee replacements and post surgical knee surgeries.

It is important to understand that every patient’s knee is different and will require a different knee rehabilitation protocol to be utilized. As chiropractor’s we specialize in treating the spine and adjusting joints that are lacking proper motion.

The knee joint is different in that respect and does not always require an “adjustment” in order to fix it. There are numerous modalities that we can apply to your condition and get you back on your feet and active as soon as possible.

You will leave the office not only knowing exactly what is wrong with your knee but also what needs to be done and how long it will take. We are all about communication and are very accessible if you ever have a question about your particular condition you are dealing with.

Ankle injuries are very common in a lot of athletes these days. Ankle sprains occur as a result of the ligaments within the ankle being “overstretched” from either an inversion or eversion sprain. These two words basically tell the doctor which way the ankle has twisted.

Different ankle sprains require different treatments to a degree. Since ligaments hold bones together, if a ligament has become overstretched it has now lost its ability to stabilize the joint thus allowing the muscles and surrounding tissue to go into spasm, causing pain. Other ankle/foot problems we effectively treat include but are not limited to;

  • Plantar Fasciitis
  • Heel spurs
  • Swelling
  • Bruising
  • Bursitis
  • Calf spasms
  • Shin splints
  • Achilles pain

Being properly examined and educated is what we strive for in our practice. You will leave here with the knowledge you need to help you get better and prevent this from occurring again in the future. The doctors will explain to you what is wrong as well as what they are going to fix it. You will not leave here unsure of what your diagnosis is.

We have a NEW treatment option that may help your condition:

Decompression Traction Systems – D.T.S.

  1. Research has proven discs may be the primary site of back and leg pain, as well as neck and arm pain.
  2. The disc is damaged by “compression & flexion” (squishing).
  3. The disc is avascular (it has no direct blood supply). It gets its nutrients in and waste products out by diffusion (like a sponge). The healthier a disc the greater its diffusion.
  4. Over time, loss of strength of the lower abdominal and low back muscles, poor posture, trauma, etc. increase the “compression” on the discs, especially of the lower discs (L4/L5) and the mid-neck discs (C5/C6).
  5. DTS therapy stretches the spine in a safe, controlled and very specific way to open the disc spaces. This decreases the pressure on the discs and allows an increase of the blood flow to help reduce inflammation and heal the area.
  6. Research indicates in some cases that disc bulges may be pulled or “drawn” in by DTS therapy/decompression and help relieve pinches nerves.
  7. As with all therapy, your adherence to the treatment advice and protocols are vital to ensure the best possible outcome. Additionally, through “Decompression Therapy” can help many back conditions; it is not a ‘cure’ for everyone. Many times, disc damage cannot be fully healed due to the extent of the damage or the continuation of irritating activities.
  8. Since traction works with the body’s natural healing processes, it does take time to gain full relief. 12 sessions is usually the minimum number for disc injuries, especially with leg or arm radiation. If the condition continues to improve a maintenance plan may be beneficial.
  9. “Decompression” is a safe and comfortable treatment for most. It rarely causes pain or worsens symptoms (if traction is painful it is simply discontinued). Occasionally spasms can create post treatment discomfort where ice and electric stimulation usually relieves it. Tell us immediately if pain increases. Decompression is usually not the treatment of choice for acute pain of less than one week, especially if it is difficult to move and bend.


The Graston Technique is a form of manual therapy known as soft-tissue instrument mobilization. It is one of a number of manual therapy approaches that uses instruments with a specialized form of massage/scraping the skin gently.

The purpose for using Graston Technique is to assist the doctor in breaking up any fibrous adhesions or scar tissue that has embedded itself within a muscle.

Graston is extremely effective in treating chronic pain, sports injuries, pulled or strained muscles as well as bruising that has occurred. This type of technique is not painful and has clinical research showing its effectiveness.

  • Decreasing overall treatment time
  • Enabling faster rehabilitation/recovery
  • Reducing the need for pain medication
  • Resolving chronic conditions thought to be permanent
  • Promoting blood flow to the affected area thus increasing healing

Have a loss of range of motion in the neck, shoulder, knee, hip, low back or other area of the body? Myofascial release technique is very useful with a joint, or joints, that have a loss of range of motion due to muscle tightness or spasm. The goals of myofascial release is to increase range of motion by relaxing contracted muscles, stimulating the lymphatic drainage, increasing circulation and stimulation the stretch reflex of muscles.

The most common myofascial release is performed on fascia which is the soft tissue portion of the connective tissue that provides support for most of our structures in our body, specifically the muscles. Any psychogenic disease, overuse, trauma or inactivity can result into diffuse muscle pain which causes muscle tension slowing blood flow to the area. With myofascial release the muscle receiving treatment is taken through its function while the doctor applies pressure essentially stripping the fascia off of the muscle. This treatment is extremely effective in restoring proper function.

It is not uncommon for those receiving this treatment to feel significantly better after one treatment. We provide ART myofascial release and have performed it on many muscles with the most popular being on the shoulder. We also do PNF stretching with a variation of myofasical release.

Incorporating exercise programs into continued patient care is essential in maintaining optimal health. It is important to understand the benefit of coupling adjustments with physical therapy and specific exercise programs.

At Integrative Physical Medicine Dayton we live by the saying, “motion is medicine”. Adjustments are very important to assist the body in allowing it to reach its maximum health although sometimes patient’s spines can be adjusted to the correct position and 2 hours later “lose” the adjustment.

“Losing” the adjustment basically means that the body was unable to “hold” the adjustment into the correct position for a long period of time. There are numerous reasons as to why the body will not “hold” an adjustment but one of the most common reasons is due to poor biomechanics and posture.

As doctors of chiropractic and spinal health we provide the body with an adjustment thus putting the spine into what is the anatomically correct position. Since the body is not used to being in the “correct” position, it now perceives the new position as incorrect which makes the body try to pull the spine out of that position. In order to “hold” an adjustment it is absolutely imperative to perform therapeutic exercises prescribed by your doctor daily, as needed, to strengthen the affected muscles to keep the spine in the correct position.

Exercise Program Protocols

We provide exercise program protocols that are site specific and patient specific based on their injury or starting level. Ever start working out and after about two or three workouts your back, shoulder or an old injury flares up and you have to quit working out?

Call into the office for a consultation! Dr. O’Bryan is a licensed trainer and truly enjoys providing patients with a proper workout program. On more than one occasion Dr. O’Bryan has even met patients at the local gyms, on his free time!!

We have numerous stories of patients whether it’s losing weight, becoming healthier, or even those just looking for an extra edge, walk into the office and leaving with answers. Nutritional consultations, provided by Dr. O’Bryan, often develop into a detailed workout plan catered to the specific needs of a patient.

If you are looking to exercise and aren’t quite sure what exercises are appropriate for your condition, as you might be scared to have a flare-up, then feel free to make an appointment for an exam consultation with either physician and he will go over a specific exercise routine that allows you to get a great workout without putting your condition at risk.

Cryotherapy is the use of ice over soft tissue/bone to decrease inflammation, decrease pain, spasm, and to promote vasoconstriction or the movement of fluid out of affected area. The use of ice has been used for hundreds of years to decrease localized edema, muscle guarding and spasticity of musculature. In our office we use ice pack therapy for those individuals suffering from acute painful injury, those who may lack ability to turn their neck, lack the ability to bend over, those in a recent car accident or work injury, and sports injuries such as a sprained ankle etc. We may use it following a deep tissue myofascial release of a specific muscle.

Cryotherapy or ice pack therapy is generally used for increments of 20 minutes and applied numerous types throughout the day based on the severity of the injury at hand. We commonly encourage patients to perform ice therapy at home following an accident and following some treatments. Due to the sedentary ‘job’ style that most businesses require it is common for lower back and neck injuries to flare-up while working because of the promotion of inflammation and the lack of proper movement of fluid out of the affected area. We continually provide patients with their very own ice pace to take to work.

We recommend ice therapy in increments of 20 minutes on and 20 minutes off and put no limit on the number of times that it can be done each

Ultrasound is used by applying the transducer, or ultrasound head, to the skin using direct contact with a gel that reduces the friction and assists in the transmission of the ultrasound waves into the patient’s tissue. Penetration of ultrasound energy is absorbed through the skin about 2-5cm. Connective tissue including ligaments, tendons, fascia and scar tissue provide the majority of the absorption. Frequency of ultrasound is generally from 0.7-3.3MHz. Ultrasound waves are considered therapeutic because they speed up the healing process by; increasing blood flow to the treated area, decreasing pain by reducing the swelling around the treated area, and the tissue is softened which is beneficial for scar tissue. Common injuries ultrasound is used on include; cervical/thoracic/lumbar sprain/strain injuries, sprained ankles, all forms of tendonitis, scar tissue healing and break down, any joint inflammation, plantar fascitis, facet joint irritation, impingement syndrome, bursitis, RA, OA and many other injuries/conditions. General treatments of the affected areas would last typically 8-12 minutes or differently based on type of condition. In our office we provide specific treatment protocols with the use of this modality. Our doctors perform this modality on a regular basis.

The use of moist heat is a very important modality that is often mistakenly used at home as ‘surface’ heat. It is important to understand the difference of ‘moist’ heat and ‘dry’ heat.

Dry heat is any heat derived from a blanket or plugged in device that cannot include moisture. This type of heat only penetrates the surface of the skin and is considered ‘superficial’ and really has no therapeutic benefit to one’s injury of musculature. It does however provide relaxation and an overall feeling of warmth which feels good but doesn’t provide benefit to affected musculature.

Moist heat is very therapeutic as it has numerous benefits including; it penetrates deep into muscle tissue, it helps draw fluid to area applied, it is great for arthritis, loosening up tissue etc.

Examples of dry heat include electric heating pads and saunas. Moist heat consists of hot baths, steamed towels, moist heating gel packs, hot tubs etc.

How do I know whether to use ice or heat? This is a very important question and it gets asked on a regular basis. Generally speaking, any chronic pain or chronic injury such as arthritis or any old injury the use of moist heat is appropriate.

Ice therapy is generally appropriate with all sporting injuries, acute injuries, post surgical sites, or any new injury. If you have any questions regarding which one is right for your complaint, please do not hesitate to contact the office

In our office we provide Electrical Stimulation or Interferential Current which is different than a typical TENS unit. IFC is applied to affected area by 4 pads which provide stimulation at a high frequency of 4000Hz.

Essentially the stimulation will block the transmission of pain messages that are sent from the spinal cord as well as stimulating the musculature and improving circulation to the injured area. By improving blood circulation and stimulating musculature you are able to treat the injured area by being less invasive than other methods.

Providing electrical stimulation to an injury before an adjustment allows the area to become desensitized allowing the patient to tolerate the adjustment better.

What’s the difference between a TENS unit and Electrical Stimulation?

A TENS unit works at 125Hz compared to 4000Hz provided by an IFC unit. A TENS unit can stimulate endorphins where as IFC stimulates circulation. Both cannot be used on pregnant women or those who have pacemakers. A TENS unit can decrease pain and improve soft tissue over a small area whereas IFC stimulates tissue much deeper and stimulates a much greater area. A TENS unit based on studies, has shown focuses only on controlling pain whereas the IFC has a role in stimulating healing and restoration of tissue. Both are very effective in treatment of numerous injuries. We provide TENS units to take home as welling as providing IFC treatment in the office.

Injuries and complaints that this therapy is used for include; edema, neuralgia, arthritis, low back pain, neck pain, shoulder pain, hip pain, mid back pain, knee pain, ankle pain etc. This therapy is one of the most popular in our office.

Mobilization is a type of manual therapy, or hands on physical therapy.  The term “mobilization” deals with the manipulation of soft tissue encapsulating a joint, called fascia, and muscles over joints that have restricted range of motion.

Fascia, muscles, and ligaments may tighten after an injury.  Soft tissues around the bone need to be stretched in order to improve or restore range of motion. Tightness in joints may also restrict the flow of blood, lymph, and nerve signals in the area.

Manual therapy may also promote proper restoration of joint function after an injury. Certain people don’t want or like to be adjusted, which is no problem at all. Soft tissue mobilization/manual therapy can be effective for these people so that they can still receive the care they need without the “popping” sound that some adjustments may bring.

Our doctors excel with this therapy as it applies to so many different muscles and soft tissue injuries in the body. Our doctors, a lot of times, will use this therapy in conjunction with adjustments in order to speed up the healing process.

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