Examination
Dr. Cutler reviews your health history, runs an orthopedic exam, a full movement screen and a digital posture scan, and goes through any imaging you already have—MRI, X-ray, or prior reports.
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Treatment plans
We treat you based on your body and your condition. Your plan is built from what the tissue actually needs and what you’re most comfortable with—which means the first thing we do is find out how much damage there is.
How your plan gets built
No one gets quoted a plan before they’ve been examined. Here’s the order it happens in.
Dr. Cutler reviews your health history, runs an orthopedic exam, a full movement screen and a digital posture scan, and goes through any imaging you already have—MRI, X-ray, or prior reports.
Your injury gets placed on a severity scale. That grade determines which therapies are appropriate and roughly how many visits the tissue will need to respond.
You get Dr. Cutler’s expert recommendation along with the full cost and visit count in writing. Then you decide which plan works for you—including doing less than recommended.
Extremity injuries
Three levels, defined by how much structural damage the tissue has taken and how long you’ve been dealing with it.
Recent, localized, and still moving. Care focuses on mobilizing tissue, improving blood flow, building better movement patterns, and strengthening the muscles around the joint.
Instrument-assisted soft tissue work
A stainless steel instrument glides over the skin to locate and work through adhesions in muscle and fascia. It increases blood flow into the area, restores tissue glide, and helps stiff, ropey tissue move freely again—which makes everything that follows more productive.
Decompression, not compression
Suction lifts skin and fascia away from the muscle underneath—the opposite of what most manual therapy does. That lift draws fresh blood into stagnant tissue, helps release chronic tightness and trigger points, and often restores range of motion within minutes. The circular marks are pooled blood, not bruising, and fade within a few days.
Photobiomodulation
Specific wavelengths of red and near-infrared light reach into the tissue and support your cells’ energy production—the process repair actually runs on. Patients use it for temporary relief of minor muscle and joint pain and stiffness, to help calm irritation in the area, and to support recovery between harder sessions. You feel nothing beyond gentle warmth.
Hands-on fascial work
Sustained manual pressure into restricted fascia, the connective tissue that wraps every muscle. When fascia binds down, muscles stop sliding past one another and your body starts compensating elsewhere. Releasing it reduces protective guarding, improves range of motion, and takes load off the structures that have been picking up the slack.
The part that makes it hold
Passive treatment opens a window; loading the tissue is what makes it remodel stronger. You’ll get a progression that rebuilds capacity in the injured tissue, retrains the movement pattern that contributed to the injury in the first place, and a home program so you’re still progressing between visits. This is the difference between feeling better for three days and staying better.
Tendinosis · muscle tears · chronic ligament damage · disc bulges · arthropathy
You’ve been dealing with this for weeks to months and you’ve had to change how you go about your day. These therapies work deeper and support long-term tissue repair rather than short-term relief.
Acoustic pressure waves
Focused pressure waves are delivered through the skin into the injured tissue. In a chronic injury the healing response has stalled—the body has quietly stopped treating the area as something to repair. Shockwave restarts that process: it drives new blood vessel formation into poorly supplied tendon, helps break down calcific deposits, and reduces local pain signaling. It’s most useful exactly where rest and stretching have already failed. No anesthesia, no downtime, delivered in a series.
Oxidative stimulus into soft tissue
Medical ozone is introduced into the injured soft tissue as a controlled oxidative signal, intended to re-engage a local healing response in tissue that has gone quiet. It is frequently paired with PRP at the higher level of care.
Ozone therapy is not FDA-approved and the clinical evidence is still developing. Dr. Cutler will walk you through what is known, what isn’t, and the alternatives before you decide.
Computer-controlled axial traction
A motorized table applies gentle, cyclical traction to the spine, creating negative pressure inside the disc. That pressure change helps draw bulging disc material inward and away from the nerve root, and pulls fluid and nutrients back into a disc that has almost no blood supply of its own. Sessions are comfortable—most patients read or fall asleep. It works cumulatively, which is why these plans run long.
Incomplete tendon tears · torn ligaments · chronic tissue damage · disc herniations · disc degeneration
The pain isn’t going anywhere, there’s real structural damage, and you’re either considering surgery or recovering from it. This is the highest level of regenerative care we offer.
Platelet-rich plasma from your own blood
We draw a small sample of your blood, spin it in a centrifuge to concentrate the platelets and growth factors, and place that concentrate precisely where the tissue is damaged. The goal is to deliver a repair signal to tissue—tendon, ligament, disc—that receives very little blood flow on its own and therefore heals slowly or not at all. This is the tier for people who have exhausted conservative care and want an option to try before surgery.
PRP is not FDA-approved for orthopedic use and response varies from patient to patient. It works best combined with the loading program that follows it—the injection is the opportunity, not the outcome.
Back & neck injuries
Same principle as the extremities, different structures. Your grade comes out of the orthopedic exam and your imaging.
Muscle fibers (strain) or ligament fibers (sprain) have been overstretched or minorly torn, but the structure is intact. It shows up as sharp pain on certain movements, stiffness that’s worst first thing in the morning, and muscles that lock down to guard the area. This is the most common back and neck injury we see and the one that responds fastest—most patients are through it in weeks, not months.
Restoring joint motion
A specific, controlled input to a joint that has stopped moving the way it should. Restoring that motion releases the muscle guarding built up around it, relieves pressure on irritated joint surfaces and nearby nerve tissue, and usually produces an immediate improvement in range of motion—which is what opens the window for rehab to take.
Decompression, not compression
Suction lifts the skin and fascia off the paraspinal muscles, drawing blood into tissue that’s been locked down and guarding. Particularly useful across the upper back and traps, where chronic tightness is holding the neck in a compensated position.
Photobiomodulation
Red and near-infrared light supports cellular energy production in the treated area and is used for temporary relief of minor muscle and joint pain and stiffness. An easy addition on top of adjustments and manual work, with nothing felt beyond gentle warmth.
Hands-on fascial work
Sustained pressure into the restricted fascia around the spine and hips. Releasing it reduces the protective guarding that keeps a strained back locked up, and restores the rotation and extension you’ve been avoiding.
The part that makes it hold
A progression that rebuilds the strength and endurance the spine needs to tolerate your actual life, plus a home program. Grade 1 injuries recur when people stop at pain relief and skip this step.
The injury is no longer just soft tissue. These structures carry load and don’t heal on a soft-tissue timeline. Pain has usually been around for weeks or months, it may refer into the hip, the glute, or down an arm, and it’s clearly positional—certain postures set it off every single time.
Oxidative stimulus into soft tissue
Introduced into the irritated tissue around the involved segment as a controlled signal intended to re-engage a stalled local healing response, and to support the manual and rehabilitative work running alongside it.
Ozone therapy is not FDA-approved and clinical evidence is still developing. Dr. Cutler will review what’s known and the alternatives with you first.
Acoustic pressure waves
Applied to the chronically irritated musculature and attachment points around the involved segment. It increases local blood flow, helps break the guarding-and-irritation cycle that keeps facet and SI pain recurring, and reduces local pain signaling in tissue that hasn’t responded to manual care alone.
Significant structural damage, often with nerve involvement—numbness, tingling, weakness, or pain that travels past the knee or the elbow. This is the group being told that surgery is the next step, or recovering from one.
Computer-controlled axial traction
Gentle cyclical traction creates negative pressure inside the disc, helping draw herniated material inward and off the nerve root while pulling fluid and nutrients back into the disc. This is the workhorse of a Grade 3 spine plan, and it’s cumulative—the reason these plans run 12 to 36 sessions rather than a handful.
Platelet-rich plasma from your own blood
Concentrated platelets and growth factors drawn from your own blood, placed at the damaged tissue to deliver a repair signal where blood supply is poor. Used alongside decompression for chronic, recurring spinal injuries that haven’t held with conservative care.
PRP is not FDA-approved for orthopedic use and response varies between patients.
Recovery plans
Every plan lists what it costs and the most it can ever cost. Your therapy sessions are capped—they don’t add up as you go. The only thing that moves the number is how many injections and rehab sessions your tissue actually needs, and you’ll know that before you start.
Extremity recovery
Extremity recovery
Extremity recovery
Focused recovery
Focused recovery
Spine recovery
Spine recovery
Spine recovery
Start here
You can’t be quoted a plan until someone has figured out what’s actually wrong. That’s what this appointment is for.
Single session rates
Everything is available individually at these rates. Most services are discounted when added to an adjustment on the same visit.
| Service | Single | With adjustment |
|---|---|---|
| Chiropractic Adjustment | $55 | — |
| Doctor Guided Rehab 30-minute session | $100 | — |
| Spinal Decompression Therapy | $75 | $25 |
| Shockwave Therapy Per location treated | $50 | $25 |
| Scraping or Cupping Therapy | $30 | $15 |
| Ozone Injection | $50 | — |
| PRP + Ozone Injection | $400 | — |
Insurance
FORM is in-network with PEHP, and we’ll bill most major plans for the care they cover—exams, adjustments, and rehabilitative therapy. Regenerative services like PRP, ozone, and shockwave are generally not a covered benefit under any plan, which is why they’re offered as transparent cash care.
Our front desk will verify your benefits before your first visit so there are no surprises on either side.
Find out what you’re actually dealing with.
Find out what it will take and what it will cost. Then it’s your call.