Conditions We Treat at Multicare Health Clinic

At Multicare Health Clinic in Sioux City, Iowa, our chiropractors, physical therapists and medical providers work together to evaluate and treat a wide range of musculoskeletal conditions, nerve-related symptoms, injuries, chronic pain problems, mobility limitations and women’s pelvic health concerns.

Because several types of providers and treatment options are available in one location, patients can receive a personalized plan based on their diagnosis, health history, symptoms and goals. Not every condition requires the same treatment, and not every service is appropriate for every patient.

Back, Neck and Spine Conditions

Our providers evaluate acute and chronic conditions affecting the spine, spinal discs, surrounding muscles and nearby nerves.

  1. Lower back pain
  2. Middle back pain
  3. Upper back pain
  4. Neck pain
  5. Back or neck stiffness
  6. Reduced spinal range of motion
  7. Sciatica
  8. Radiating leg pain
  9. Radiating arm pain
  10. Cervical radiculopathy
  11. Lumbar radiculopathy
  12. Bulging discs
  13. Herniated discs
  14. Disc-related back or neck pain
  15. Spinal joint irritation or restricted movement
  16. Muscle spasms
  17. Piriformis syndrome
  18. Postural strain
  19. Pain related to prolonged sitting
  20. Desk-related neck and back discomfort
  21. Pregnancy-related back pain
  22. Spinal injuries
  23. Chronic back or neck pain

Multicare currently identifies back pain, neck pain, herniated discs, sciatica, radiating pain, spinal conditions and posture-related discomfort among the problems its providers evaluate and treat.

Headache, Migraine and Jaw Conditions

Neck tension, restricted joint movement, muscle tightness and certain jaw problems can contribute to recurring head and facial discomfort.

  1. Headaches
  2. Tension headaches
  3. Headaches related to neck tension
  4. Cervicogenic headaches
  5. Migraines
  6. Temporomandibular joint pain
  7. TMJ dysfunction
  8. Jaw pain and stiffness
  9. Muscle tension involving the head, neck and shoulders

Headaches, migraines, headaches linked to neck tension and TMJ-related pain are included among Multicare’s current areas of care.

Shoulder and Upper-Arm Conditions

Shoulder pain can arise from injury, inflammation, repetitive use, restricted movement or problems involving the muscles and tendons surrounding the joint.

  1. Shoulder pain
  2. Frozen shoulder
  3. Rotator cuff injuries
  4. Rotator cuff tendinopathy
  5. Calcific rotator cuff tendinopathy
  6. Shoulder bursitis
  7. Shoulder tendonitis
  8. Reduced shoulder range of motion
  9. Muscle strains
  10. Overuse injuries
  11. Sports-related shoulder injuries
  12. Work-related shoulder injuries
  13. Post-surgical shoulder rehabilitation

Multicare’s treatment pages specifically identify shoulder pain, frozen shoulder, bursitis, rotator cuff calcification, tendon problems and post-surgical injuries.

Elbow and Forearm Conditions

Repetitive gripping, lifting, sports and workplace activities can irritate the muscles and tendons around the elbow.

  1. Elbow pain
  2. Tennis elbow
  3. Lateral epicondylitis
  4. Golfer’s elbow
  5. Medial epicondylitis
  6. Pickleball-related elbow injuries
  7. Elbow tendonitis
  8. Chronic elbow tendinopathy
  9. Forearm muscle strains
  10. Repetitive-use injuries
  11. Sports-related elbow injuries
  12. Work-related elbow injuries

Epicondylitis, tennis elbow, tendonitis and chronic tendinopathy are among the conditions listed on Multicare’s non-surgical treatment pages.

Wrist and Hand Conditions

Our providers may evaluate wrist and hand symptoms caused by nerve irritation, repetitive motion, injury or soft-tissue dysfunction.

  1. Wrist pain
  2. Hand pain
  3. Carpal tunnel syndrome
  4. Hand or finger numbness
  5. Hand or finger tingling
  6. Arm and hand nerve symptoms
  7. Repetitive-motion injuries
  8. Wrist sprains and strains
  9. Tendon irritation
  10. Reduced grip strength
  11. Reduced hand function
  12. Post-injury hand rehabilitation

Multicare identifies carpal tunnel syndrome, wrist pain, hand pain, repetitive-motion injuries and arm or hand tingling among its current treatment areas.

Hip, Pelvic and Groin Conditions

Hip and pelvic pain may involve the joint, surrounding muscles, tendons, nerves or movement patterns.

  1. Hip pain
  2. Hip stiffness
  3. Reduced hip mobility
  4. Pelvic pain
  5. Pelvic girdle dysfunction
  6. Pelvic girdle instability
  7. Piriformis syndrome
  8. Pregnancy-related hip pain
  9. Postpartum hip or pelvic pain
  10. Hamstring pain
  11. Hamstring strains
  12. Muscle imbalances
  13. Sports-related hip injuries
  14. Overuse injuries
  15. Post-surgical hip rehabilitation

Hip pain, pelvic pain, pregnancy-related pelvic girdle dysfunction and hamstring pain are included among the conditions addressed through Multicare’s chiropractic, physical therapy, SoftWave and pregnancy-care services.

Knee and Lower-Leg Conditions

Knee pain can result from arthritis, injury, tendon problems, muscle weakness, altered movement mechanics or recovery following surgery.

  1. Knee pain
  2. Knee arthritis
  3. Knee stiffness
  4. Reduced knee range of motion
  5. Patellar tendon pain
  6. Jumper’s knee
  7. Tendonitis and tendinopathy
  8. Sprains and strains
  9. Sports-related knee injuries
  10. Work-related knee injuries
  11. Shin splints
  12. Medial tibial stress syndrome
  13. Muscle weakness around the knee
  14. Balance problems related to knee weakness
  15. Post-surgical knee rehabilitation
  16. Rehabilitation after knee replacement
  17. ACL or MCL rehabilitation

Multicare lists knee pain, jumper’s knee, medial tibial stress syndrome, arthritis, post-surgical rehabilitation and ligament-related corrective exercise among its available areas of care.

Ankle and Foot Conditions

Foot and ankle problems may interfere with standing, walking, work, exercise and overall balance.

  1. Ankle pain
  2. Foot pain
  3. Plantar fasciitis
  4. Heel pain
  5. Heel or bone spurs
  6. Achilles tendon injuries
  7. Achilles tendinopathy
  8. Insertional tendinitis
  9. Ankle sprains
  10. Foot and ankle strains
  11. Reduced ankle mobility
  12. Sports-related foot or ankle injuries
  13. Overuse injuries
  14. Balance problems related to foot or ankle dysfunction
  15. Post-surgical foot or ankle rehabilitation

Ankle pain, foot pain, Achilles tendon injuries, plantar fasciitis, bone spurs and insertional tendinitis appear among the conditions listed on Multicare’s current treatment pages.

Arthritis, Joint Pain and Chronic Pain Conditions

Multicare offers coordinated treatment options for people experiencing persistent pain, inflammation, joint stiffness or reduced mobility.

  1. Osteoarthritis
  2. Arthritis-related joint pain
  3. Degenerative joint pain
  4. Chronic back pain
  5. Chronic neck pain
  6. Chronic joint pain
  7. Joint stiffness
  8. Reduced mobility
  9. Bursitis
  10. Tendonitis
  11. Tendinosis
  12. Chronic tendinopathy
  13. Fibromyalgia
  14. Muscle pain
  15. Myofascial pain
  16. Recurring overuse injuries
  17. Pain related to previous injuries

The clinic’s current materials identify arthritis, chronic pain, fibromyalgia, bursitis, tendonitis, tendinosis and persistent pain following injuries as conditions its multidisciplinary team may address.

Peripheral Neuropathy and Nerve-Related Symptoms

Neuropathy Relief of Siouxland provides neuropathy care in association with Multicare Health Clinic. Patients may seek evaluation for symptoms such as:

  1. Peripheral neuropathy
  2. Diabetic peripheral neuropathy
  3. Nerve pain
  4. Burning pain in the feet or hands
  5. Numbness
  6. Tingling
  7. Pins-and-needles sensations
  8. Reduced sensation
  9. Leg or arm nerve pain
  10. Muscle cramping
  11. Muscle weakness
  12. Impaired reflexes
  13. Loss of balance
  14. Difficulty walking
  15. Neuropathy-related mobility limitations
  16. Changes in coordination

Multicare’s neuropathy program evaluates sensory, motor and balance-related neuropathy symptoms and may incorporate medical care, physical therapy, lifestyle guidance and other services when appropriate.

Sports, Exercise and Activity-Related Injuries

Multicare provides rehabilitation for recreational athletes, competitive athletes and active individuals seeking to return safely to exercise or daily activity.

  1. Sports injuries
  2. Exercise-related injuries
  3. Running injuries
  4. Throwing and overhead-use injuries
  5. Weightlifting injuries
  6. Repetitive-use injuries
  7. Overtraining injuries
  8. Sprains
  9. Strains
  10. Tendon injuries
  11. Muscle injuries
  12. Joint irritation
  13. Reduced flexibility
  14. Loss of strength
  15. Reduced athletic mobility
  16. Balance or coordination problems
  17. Return-to-sport rehabilitation

Sports injuries, muscle strains, tendon problems, reduced mobility and activity-related injuries are addressed through Multicare’s chiropractic, physical therapy and non-surgical services.

Auto Accident and Personal Injuries

Even a relatively low-speed accident can cause musculoskeletal and soft-tissue injuries. Symptoms may begin immediately or appear after the accident.

  1. Whiplash
  2. Accident-related neck pain
  3. Accident-related back pain
  4. Shoulder pain after an accident
  5. Muscle strains
  6. Ligament sprains
  7. Soft-tissue injuries
  8. Herniated discs
  9. Sciatica
  10. Cervical radiculopathy
  11. Arm or hand tingling
  12. Leg or foot tingling
  13. Restricted movement
  14. Headaches following an accident
  15. Seat-belt-related musculoskeletal injuries
  16. Slip-and-fall injuries
  17. Other personal injuries

Multicare’s auto-injury program coordinates chiropractic, rehabilitation, physical therapy and medical care according to the patient’s injuries and examination findings.

Work-Related and Repetitive-Stress Injuries

The clinic evaluates occupational injuries that occur suddenly or develop gradually through repeated workplace activity.

  1. Work-related back injuries
  2. Work-related neck injuries
  3. Shoulder, arm or leg injuries
  4. Lifting injuries
  5. Repetitive-stress injuries
  6. Repetitive-motion injuries
  7. Overuse injuries
  8. Occupational muscle strains
  9. Workplace sprains
  10. Carpal tunnel syndrome
  11. Postural strain
  12. Desk-related discomfort
  13. Work-related auto injuries
  14. Reduced ability to perform job duties
  15. Return-to-work rehabilitation needs

Multicare’s work-injury services include care for repetitive stress, occupational stress, lower-back injuries and injuries affecting the shoulders, arms and legs.

Post-Surgical Rehabilitation

Physical therapy may be recommended after surgery to restore strength, movement, balance and confidence.

  1. Rehabilitation after joint surgery
  2. Knee replacement rehabilitation
  3. Hip replacement rehabilitation
  4. Shoulder surgery rehabilitation
  5. Spine surgery rehabilitation when prescribed
  6. ACL or MCL rehabilitation
  7. Post-surgical joint stiffness
  8. Post-surgical muscle weakness
  9. Reduced range of motion after surgery
  10. Difficulty walking after surgery
  11. Return-to-work rehabilitation
  12. Return-to-sport rehabilitation

Post-surgical rehabilitation, including care following joint procedures, is listed among Multicare’s physical therapy and non-surgical treatment applications.

Balance, Strength and Mobility Problems

Patients do not need to have a major injury to benefit from physical therapy or rehabilitation. Care may also help address:

  1. Balance problems
  2. Coordination difficulties
  3. Walking limitations
  4. Reduced mobility
  5. Muscle weakness
  6. Core weakness
  7. Reduced endurance
  8. Joint stiffness
  9. Deconditioning
  10. Difficulty returning to exercise
  11. Movement limitations following a fall
  12. Fear or instability while walking
  13. Reduced ability to perform daily activities
  14. Age-related strength and mobility changes

Multicare’s physical therapy services include programs designed to improve strength, flexibility, balance, coordination, movement and daily function.

Women’s Pelvic Health Conditions

Specialized physical therapy may help women experiencing pelvic floor, bladder, bowel, abdominal or pelvic pain concerns.

  1. Stress urinary incontinence
  2. Leaking with coughing, sneezing, running or jumping
  3. Urge urinary incontinence
  4. Urinary urgency
  5. Urinary frequency
  6. Overactive bladder symptoms
  7. Bowel incontinence
  8. Constipation
  9. Pelvic floor weakness
  10. Overactive or tight pelvic floor muscles
  11. Pelvic floor dysfunction
  12. Pelvic pain
  13. Pain or discomfort during intercourse
  14. Pelvic organ prolapse symptoms
  15. Abdominal weakness
  16. Core weakness
  17. Diastasis recti
  18. Low back pain associated with pelvic floor dysfunction
  19. Difficulty coordinating the core, diaphragm and pelvic floor

Pregnancy and Postp artum Conditions

Dr. Megan Struck, DPT, provides specialized physical therapy for women during pregnancy and throughout postpartum recovery.

  1. Pregnancy-related lower back pain
  2. Pregnancy-related hip pain
  3. Pregnancy-related pelvic pain
  4. Pelvic girdle pain
  5. Pelvic girdle instability
  6. Pregnancy-related nerve irritation
  7. Pregnancy-related mobility limitations
  8. Postural changes during pregnancy
  9. Core weakness
  10. Diastasis recti
  11. Pelvic floor weakness
  12. Postpartum back, hip or pelvic pain
  13. Abdominal weakness after childbirth
  14. Movement difficulties after childbirth
  15. Recovery following cesarean delivery
  16. Difficulty returning to exercise
  17. Difficulty lifting or carrying a baby comfortably
  18. Postpartum musculoskeletal pain

Multicare’s pregnancy and postpartum program specifically identifies pelvic girdle dysfunction, diastasis recti, core weakness, pregnancy-related back and hip pain, postpartum pain, cesarean recovery and return-to-exercise concerns.


The conditions listed above do not represent a guarantee of treatment or results. Services are recommended only after an appropriate evaluation and are based on each provider’s professional scope of practice.

Stage 1: Healthy Foundations and Prevention

Stage 1 focuses on creating the healthiest possible environment for recovery. These foundational recommendations may help improve mobility, support joint health, reduce unnecessary stress on the body and lower the risk of future injury. These recommendations are personalized according to your health history. Patients should speak with a qualified healthcare provider before beginning supplements, changing their diet or significantly altering their activity level.
  • Chiropractic care to improve restricted or improper joint motion
  • Staying physically active
  • Gentle stretching or yoga
  • Aquatic exercise or hydrotherapy
  • Passive range-of-motion exercises
  • Paraffin bath therapy
  • Healthy sleep habits
  • Nutrition guidance
  • Healthy weight management
  • Individualized hydration recommendations
  • Blood sugar management
  • Injury-prevention education
  • Home-care instructions and educational materials
  • Nutritional supplements such as glucosamine or collagen when medically appropriate

Stage 2: Conservative Treatment and Rehabilitation

When healthy lifestyle changes and basic home care are not enough, Stage 2 introduces more structured treatments to relieve pain, improve movement and restore physical function. A personalized rehabilitation program may also include strengthening, flexibility, balance, posture and movement training. Multicare currently identifies physical therapy, Soft Tissue Oscillation Therapy, laser treatment, iontophoresis, phonophoresis, radial pulse wave, Juvent and PEMF among its non-surgical treatment options.
  • Physical therapy and therapeutic rehabilitation
  • Soft Tissue Oscillation Therapy, or STOT
  • Class IV laser or therapeutic light treatment
  • Iontophoresis
  • Phonophoresis
  • Dry Needling
  • Radial pulse wave treatment
  • Juvent micro-impact vibration
  • Pulsed Electromagnetic Field Therapy, or PEMF
  • Heat therapy and cold packs
  • Topical pain-relief products
  • Guidance regarding over-the-counter pain-relief or anti-inflammatory medications

Stage 3: Specialized Non-Surgical and Medical Treatment

Stage 3 is considered when pain, inflammation, arthritis or joint dysfunction has not responded adequately to foundational care and conservative rehabilitation. These treatments are selected only after a thorough evaluation and are not appropriate for every condition or patient. SoftWave TRT is a non-invasive treatment that uses acoustic waves and is one of the specialized treatment technologies currently promoted by Multicare Health Clinic.
  • Percutaneous Electrical Nerve Stimulation, or PENS
  • SoftWave TRT (Tissue Regeneration Technology)
  • Prescription anti-inflammatory medication
  • Platelet-Rich Plasma, or PRP
  • Hyaluronic acid viscosupplementation, including GenVisc
  • Joint-unloading braces
  • Other medically appropriate injection or orthobiologic options following product-specific and patient-specific review

Stage 4: Advanced Support and Specialist Referral

Stage 4 is reserved for situations in which a condition is severe, function has become significantly limited or conservative and non-surgical treatments have not provided sufficient improvement. The goal at this stage may be to control symptoms, protect the affected area, preserve independence and help the patient determine whether specialist or surgical care is necessary. Some Stage 4 services may be provided at Multicare, while surgical procedures and certain specialized services require referral to an outside healthcare facility.
  • Corticosteroid injection with lidocaine when medically indicated
  • Supportive or assistive bracing
  • Use of a walker or wheelchair
  • Medically directed rest or temporary activity restrictions
  • Referral for surgical consultation
  • Spinal or joint fusion consultation
  • Prosthetic evaluation or planning in severe cases
  • Coordination with orthopedic surgeons and other specialists