A structural evaluation may include X-rays, Orthopedic and Neurological Testing, Motion and Static Palpation Techniques, Spinal Joint Movement Evaluation, Gait Analysis and Postural Analysis. A muscular evaluation may include Joint Range-of Motion Testing, Arm and Hand Strength and Reflex Evaluation. A CT or CAT scan or MRI may be necessary if a herniated disc or a significant muscle or ligament injury is possible.

Once necessary tests and evaluations are analyzed, a customized treatment program can be created. Treatment options offered include:

Pain Management

  • Chiropractic Care: Spinal manipulation, instrument assisted manipulation, trigger point therapy, non-surgical spinal decompression, manual joint stretching and resistance techniques. A soft cervical collar may be recommended for a short time.
  • Physical Therapy: Passive and Active Physical Therapy
  • Therapeutic Massage
  • Acupuncture
  • Nutritional Counseling: Stay hydrated and provide nutritional fuel for the body.
    If you are experiencing pain after a car accident, please seek care. There are numerous options available, including whiplash treatment and back pain after car accident treatment programs.



Graston Technique® is successful in effectively treating all soft tissue conditions, whether they are chronic, acute or post-surgical.

About Graston Technique

Graston Technique® is an interdisciplinary treatment used by more than 7,500 clinicians worldwide—including athletic trainers, chiropractors, hand therapists, occupational and physical therapists.

GT is utilized at some 825 out-patient facilities and industrial on-sites, by more than 125 professional and amateur sports organizations, and is part of the curriculum at 32 respected colleges and universities.

For the patient:

  • Decreases overall time of treatment
  • Fosters faster rehabilitation/recovery
  • Reduces need for anti-inflammatory medication
  • Resolves chronic conditions thought to be permanent

For employers and the healthcare industry:

  • Allows patients to remain on the job
  • Reduces the need for splints, braces and job-site modifications
  • Contributes to reduction of labor and healthcare costs, direct and indirect


Research conducted by Graston Technique® trained clinicians at Ball Memorial Hospital and Ball State University, Muncie, Indiana, found that the controlled micro trauma induced through Graston Technique® protocol, increased the amount of fibroblasts to the treated area. That amount of inflammation to the scar tissue helps initiate the healing cascade. The structure of the tissue is rearranged, and damaged tissue is replaced by new tissue. Ice is then applied to reduce the pain and exercise is implemented to increase function and range of motion.

Other clinical studies continue to document the success of Graston Technique®, generally achieving better outcomes when compared to traditional therapies, and resolving injuries that have failed to respond to other therapies.

Use the links below for clinical research reports, outcome data and published papers from Graston Technique® Network members and their patients.

Articles & Books

For a comprehensive list of articles and books about Graston Technique, see:http://www.grastontechnique.com/Published_Articles_and_Books.html

Graston Technique FAQ

What is the Graston Technique?

The Graston Technique® incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.

The Technique:

  • Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers
  • Increases skin temperature
  • Facilitates reflex changes in the chronic muscle holding pattern
  • Alters spinal reflex activity (facilitated segment)
  • Increases the rate and amount of blood flow to and from the area
  • Increases cellular activity in the region, including fibroblasts and mast cells
  • Increases histamine response secondary to mast cell activity

Why is scar tissue a problem?

Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.

How is scar tissue different from other tissue?

When viewed under a microscope, normal tissue can take a couple of different forms: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern–or scarring–that results in a restricted range of motion and, very often, pain.

Can anyone obtain the instruments?

Only clinicians who have been trained and accredited in the Graston Technique® Basic course are qualified to obtain the Graston Technique® instruments and apply the technique to treat patients. The course is offered either on-site or at trainings offered throughout the year at a variety of locations.



Massage therapy is one of the oldest healing arts: Chinese records dating back 3,000 years document its use; the ancient Hindus, Persians and Egyptians applied forms of massage for many ailments; and Hippocrates wrote papers recommending the use of rubbing and friction for joint and circulatory problems. Today, the benefits of massage are varied and far-reaching. As an accepted part of many physical rehabilitation programs, massage therapy has also proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, high blood pressure, diabetes, immunity suppression, infertility, smoking cessation, depression, and more. And, as many millions will attest, massage also helps relieve the stress and tension of everyday living that can lead to disease and illness.

So What Is It, Exactly?

Massage, bodywork and somatic therapies are defined as the application of various techniques to the muscular structure and soft tissues of the human body. Specifically:


The application of soft-tissue manipulation techniques to the body, generally intended to reduce stress and fatigue while improving circulation. The many variations of massage account for several different techniques.


Various forms of touch therapies that may use manipulation, movement, and/or repatterning to affect structural changes to the body.


Meaning “of the body.” Many times this term is used to denote a body/mind or whole-body approach as distinguished from a physiology-only or environmental perspective.

There are more than 250 variations of massage, bodywork, and somatic therapies and many practitioners utilize multiple techniques. The application of these techniques may include, but is not limited to, stroking, kneading, tapping, compression, vibration, rocking, friction, and pressure to the muscular structure or soft tissues of the human body. This may also include non-forceful passive or active movement and/or application of techniques intended to affect the energetic systems of the body. The use of oils, lotions, and powders may also be included to reduce friction on the skin.

Please note: Massage, bodywork and somatic therapies specifically exclude diagnosis, prescription, manipulation or adjustments of the human skeletal structure, or any other service, procedure or therapy which requires a license to practice orthopedics, physical therapy, podiatry, chiropractic, osteopathy, psychotherapy, acupuncture, or any other profession or branch of medicine.

Will My Insurance Cover It?

The services of a bodywork professional may be covered by health insurance when prescribed by a chiropractor or osteopath. Therapies provided as part of a prescribed treatment by a physician or registered physical therapist are often covered.



When you’re in need of chiropractic care to help you through a car accident injury, sports injury or other problems such as whiplash, severe back pain, neck strain or arthritis, Innovative Pain and Performance understands that worrying about health care bills only adds to your stress and pain. That’s why you can rest easy that we make paying for your chiropractic care as easy and cost effective as possible.

Your chiropractic care team at Innovative Pain and Performance maintains a pricing structure that allows care for all budgets. We accept auto accident injury and workers compensation cases. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, you can call our office directly.

Innovative Pain and Performance accepts personal check, cash, Visa, Master Card, Discover, and American Express.

Chiropractic Health Insurance Coverage

We are preferred providers for Innovative Pain and Performance and several other health insurance companies and we are happy to provide courtesy billing for our patients. Some of our patients prefer to pay at the time of service to receive our prompt pay discount. They then bill the insurance company themselves and are reimbursed directly. This saves money and helps us keep our fees reasonable and affordable.

If you are involved in a motor vehicle accident, Florida law requires you seek treatment within the first 14 days after your accident for insurance to cover the treatment costs. The State of Florida requires motorists carry a minimum and maximum of $10,000 in Personal Injury Protection coverage. We will bill your auto insurance carrier directly and they reimburse 80% of your treatment costs up to $10,000 for emergency cases. Nonemergency care benefits are limited to $2500.

If you are injured at work, we will bill your worker’s compensation insurance for care you receive in this office. In order for us to treat you for workplace injuries, we require a referral from another physician.

We are providers for Medicare Part B. We are not providers for Medicaid. For more information, please call 239-596-4800.

No Insurance

For patients who have little or no chiropractic health insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have chiropractic benefits, there is still a way for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.

Health on a Budget

At Innovative Pain and Performance, we’re convinced that a small amount of your time and money to care for your most important asset–your health–will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us–we can help! The last thing we want is for you to come to our chiropractic wellness center in crisis. So please take your health very seriously. As the old saying goes, if you don’t have your health, you don’t have anything. Don’t discover too late how true that statement is.