Our expert trained primary Care sports medicine physicians will assess and diagnose joint, muscle and sports-related injuries. This includes sprains, strains, joint injuries, fractures, overuse injuries and more. All examinations include a full functional examination, osteopathic examination, and ultrasound diagnostic examination. Our sports medicine team will then provide you with a customized treatment plan specific to you, your diagnosis, your functional goals and your lifestyle.

Sports Concussion
A sports concussion can occur following an injury with direct or indirect contact to the head, such as a hit to the body that causes your head to turn quickly. Concussions can cause physical, mental and emotional symptoms that can present differently for each person. Seeking prompt care from a sports medicine physician for a concussion is crucial to starting the recovery process, improving outcomes and returning you to activity. Your provider will provide a thorough screening and evaluation to assess your concussion and create a personalized treatment plan.

Concussion Evaluation
Appointments will be with a primary care sports medicine physician who is specifically trained in the evaluation, diagnosis, and management of sports concussions. Your evaluation will include neurologic testing, cervical spine screening, balance assessment vision and vestibular screening with symptom scoring. This information is utilized by our physicians to perform a thorough evaluation and screening to identify what problems you may be having and recommend appropriate treatment.

Neurologic Exam
This is a comprehensive assessment of your hearing, vision, strength, sensation, coordination, cranial nerve function, and reflexes.

Cervical Spine Screening
This screening assesses your posture, neck range of motion, and strength to determine whether the neck is contributing to your concussion symptoms.

Balance Testing
Concussions can lead to changes in balance, which is controlled by the proprioceptive, visual , and vestibular systems. We assess these systems with the Balance Error Scoring System to obtain an objective measurement of your balance in different positions.

Vision Screening
These tests evaluate how well your eyes move in all directions; your visual acuity, and ability to visually focus on objects.

Vestibular Screening
The vestibular system is the way our bodies understand its orientation in space. Simple object tracking tests and positional testing are used to assess the vestibular system.

Concussion Treatment
Based on your examination we customize your plan to fit your unique needs. Each plan has a return to learn and return to play component. Elements of a care plan can include a structured rest and activity plan, physical therapy, cognitive behavioral therapy, adjustments to work and school schedule and medication management if needed. All plans are monitored and progressed in conjunction with an athletic trainer and a sports medicine physician. Each patient is reevaluated in person prior to full return to play.

Avance Care sports medicine physicians can help restore your movement and function and provide non-operative interventions to optimize your performance and reduce your risk of re-injury. They also are experts in the use of musculoskeletal ultrasound, which can assess tendon and soft tissues safely without exposure to radiation while allowing for a dynamic assessment of the involved structure. Our expert physicians utilize ultrasound guidance to deliver regenerative medicine therapies, corticosteroid injections, hydrodissection and nerve blocks with far greater accuracy than injections administered without ultrasound. We partner with you to identify the cause of your pain and how this impacts your daily life. Your goals are at the center of our care plans and help us identify treatment options that will help you find relief.

Your provider may be able to perform:

• Facet Joint Injections
• Sacroiliac (SI) Joint Injections
• Steroid Injections into Other Joints
• Viscosupplementation
• Nerve Blocks
• Joint Aspiration

Fractures are common injuries sustained by individuals of all ages. Any fracture that does not require surgical intervention can be managed at our clinic with injury-specific follow ups to ensure adequate healing. We are able to X-ray onsite and assess whether an injury can be safely immobilized or will require additional surgical intervention for fixation. We can provide appropriate casting or splinting in office.

Casting and Splinting

• Casts and splints support broken or injured bones and joints. They limit movement and help keep the bone in place until it fully heals. Splints provide less support than casts, but they are adjustable to accommodate swelling.

Bracing and Booting

• Braces and boots can provide an alternative to casts for some ankle, foot, and lower-leg injuries. They can also be used in the treatment of arthritis. Braces and boots are lighter than casts and can be adjusted.

Our team offers the following services to help you achieve your goals

Nutrition counseling to address the following concerns:
1.    Hydration
2.    Bone Density
3.    Fatigue
4.    Digestive issues
5.    Disordered Eating
6.    Inflammation
7.    Meal planning assistance
8.    Dietary supplement review
9.    Body composition testing

The Avance Care Advantage
We provide one-on-one consultations for all people . Our team takes the time to get to know you on a personal level. Our individualized plans consider lifestyle, food preferences, food access, allergies, health conditions, athletic goals, and more. All of our plans are driven by data and guided by science.

Your First Appointment
The first meeting with your nutrition team, we take a complete health history including but not limited to past injuries, medical history, medication and supplement use, dietary habits, sleep assessment, sports performance, body composition measurements and goals. We would like to meet in person or for your initial assessment. Many health insurance plans cover nutrition consultations. If yours does not, out-of-pocket options are available

Whether you’re training for your first race, or are an elite marathoner, the last thing you need is an injury that stops you from running. Our team of experts specializes in the comprehensive diagnosis and management of runners. Our comprehensive team of sports medicine physicians, nutritionists, and behavioral therapists develop customized plans to keep you running strong.

Osteopathic manipulative treatment (OMT) is a hands-on treatment method. Doctor of Osteopathic Medicine (DOs) use OMT to treat pain and improve function in muscles, tendons or bones that results from a structural imbalance and a wide array of health conditions.

There are several OMT techniques, which apply gentle pressure to manipulate the muscles, soft tissues, and joints. Each treatment encourages your body to heal itself by ensuring that your bones and muscles are aligned and balanced.

Your physician will develop a customized treatment plan to help you return to or play golf more safely. Our plans include a custom home exercise plan, with strengthening, mobility work and stretches, soft tissue work, joint manipulation, anti-inflammatory medications, and ultrasound guided procedures if needed. Our goal is to improve your form to decrease the risk of injuries.