Conditions and Treatments

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

Lower, middle, upper back pain and stiffness
Neck pain and stiffness
Reduced spinal range of motion
Sciatica
Radiating pain in arms and legs
Cervical and lumbar radiculopathy
Bulging and herniated discs
Herniated discs
Spinal joint irritation or restricted movement
Muscle spasms
Piriformis syndrome
Postural strain
Work-related neck and back discomfort
Pregnancy-related back pain
Spinal injuries

Shoulder and Upper-Arm Conditions

Shoulder pain
Frozen shoulder
Rotator cuff injuries and tendinopathy
Calcific rotator cuff tendinopathy
Shoulder bursitis and tendonitis
Reduced shoulder range of motion
Muscle strains
Overuse injuries
Sports-related shoulder injuries
Work-related shoulder injuries
Post-surgical shoulder rehabilitation

Elbow and Forearm Conditions

Elbow pain
Tennis elbow
Lateral epicondylitis
Golfer’s elbow
Medial epicondylitis
Pickleball-related elbow injuries
Elbow tendonitis
Sports-related elbow injuries
Chronic elbow tendinopathy
Forearm muscle strains
Repetitive-use injuries
Work-related elbow injuries

Wrist and Hand Conditions

Wrist and hand pain
Carpal tunnel syndrome
Hand or finger numbness and tingling
Arm and hand nerve symptoms
Repetitive-motion injuries
Wrist sprains and strains
Tendon irritation
Reduced grip strength or hand function
Post-injury hand rehabilitation

Hip, Pelvic and Groin Conditions

Hip pain and stiffness
Reduced hip mobility
Pelvic pain
Pelvic girdle dysfunction and instability
Piriformis syndrome
Pregnancy-related hip pain
Postpartum hip or pelvic pain
Hamstring pain and strains
Muscle imbalances
Sports-related hip injuries
Overuse injuries
Post-surgical hip rehabilitation

Knee and Lower-Leg Conditions

Knee pain, stiffness, and arthritis
Reduced knee range of motion
Patellar tendon pain
Jumper’s knee
Tendonitis and tendinopathy
Sports-related knee injuries
Work-related knee injuries
Medial tibial stress syndrome
Muscle weakness around the knee
Balance problems related to knee weakness
Post-surgical knee ACL, MCL, and knee replacement rehabilitation

Ankle and Foot Conditions

Ankle and foot pain
Plantar fasciitis
Heel pain
Heel or bone spurs
Achilles tendon injuries and tendinopathy
Insertional tendinitis
Ankle sprains
Foot and ankle strains
Reduced ankle mobility
Sports-related foot or ankle injuries
Overuse injuries
Balance problems related to foot or ankle dysfunction
Post-surgical foot or ankle rehabilitation

Arthritis and Chronic Pain Conditions

Osteoarthritis
Arthritis-related joint pain
Degenerative joint pain
Chronic back, neck, and joint pain or stiffness
Reduced mobility
Bursitis
Tendonitis and tendinosis
Chronic tendinopathy
Fibromyalgia
Muscle pain
Myofascial pain
Recurring overuse injuries
Pain related to previous injuries

Headache, Migraine and Jaw Conditions

Chronic headaches
Headaches related to neck tension
Cervicogenic headaches
Acute and chronic migraines
Temporomandibular joint pain
TMJ dysfunction
Jaw pain and stiffness
Muscle tension involving the head, neck and shoulders

Auto Accident and Personal Injuries

Whiplash
Accident-related neck and back pain
Shoulder pain after an accident
Muscle and ligament strains and sprains
Soft-tissue injuries
Herniated discs
Sciatica
Cervical radiculopathy
Arm, hand, leg, or foot tingling
Restricted movement
Headaches following an accident
Seat-belt-related musculoskeletal injuries
Slip-and-fall injuries

Sports, Exercise and Activity Injuries

Sports and exercise-related injuries
Throwing and overhead-use injuries
Weightlifting injuries
Repetitive-use injuries
Overtraining injuries
Sprains and strains
Muscle and tendon injuries
Joint irritation
Reduced flexibility
Loss of strength
Reduced athletic mobility
Balance or coordination problems
Return-to-sport rehabilitation

Peripheral Neuropathy

Diabetic and peripheral neuropathy
Nerve pain
Pain, burning, tingling and/or numbness in the feet or hands
Pins-and-needles sensations
Reduced sensation
Muscle cramping and weakness
Impaired reflexes
Loss of balance
Difficulty walking
Other neuropathy-related mobility limitations

Post-Surgical Rehabilitation

Rehabilitation after joint surgery
Knee, hip, or shoulder replacement rehabilitation
Spine surgery rehabilitation when prescribed
ACL or MCL rehabilitation
Post-surgical joint stiffness and/or muscle weakness
Reduced range of motion after surgery
Difficulty walking after surgery
Return-to-work rehabilitation
Return-to-sport rehabilitation

Balance, Strength and Mobility Problems

Balance problems
Coordination difficulties
Walking limitations
Reduced mobility
Muscle and core weakness
Reduced endurance
Joint stiffness
Deconditioning
Difficulty returning to exercise
Movement limitations following a fall
Fear or instability while walking
Reduced ability to perform daily activities
Age-related strength and mobility changes

Pregnancy and Postpartum Therapy

Stress urinary incontinence
Leaking with coughing, sneezing, running or jumping
Urinary incontinence, urgency and frequency
Overactive bladder symptoms
Bowel incontinence and constipation
Constipation
Pelvic floor weakness and dysfunction
Pain or discomfort during intercourse
Pelvic organ prolapse symptoms
Abdominal and core weakness
Diastasis recti
Low back pain associated with pelvic floor dysfunction
Difficulty coordinating the core, diaphragm and pelvic floor

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