My goal with patients is to get them out of pain as quickly as possible. There will be no hard sale of excessive or prolonged treatment plans, unncecessary tests, or products. I will offer you an honest assessment of the problem and what I feel is necessary to get you better as quickly as possible.


My goals with patients are:


You will be taught the do's and dont's of home care. Ice or heat? Rest or exercise? All concerns will be addressed. You will be given handouts on stretches and exercises specific to your condition which will control pain and facilitate tissue healing.



Driving, bending, lifting, reaching, self care, etc. are known as ADLs (Activities of Daily Living). Returning to these activities along with work and hobbies will not only improve your psyche but will also help with pain control. Dr. Ruck will get you back to ADLs as safely and quickly as possible.



Once out of pain and back to function, you will be given specific exercises to perform at home, at the gym, or with your personal trainer, yoga or pilates instructor. This will help keep you strong so as to minimize the chance of recurrence.


Soft Tissue Techniques

Soft tissue refers to muscles, tendons, ligaments, fascia, and nerves. Following injury, inflammation, compensation or muscle guarding, adhesions or tension can result tissue that is not as flexible or pliable as they were prior to injury. This may lead to persistent pain, nerve irritation, and decreased range of motion. 

Techniques utilizing the hands or instruments are effective in pain relief, stimulating the tissue, and disrupting adhesions.  Dr. Ruck has trained in soft tissue techniques which take the tissue though various functional ranges of motion during the treatment. This can aid in improving pain levels, increasing range of movement and facilitate return to sports and activities.   

Spinal Manipulation


The spine consists of a series of bones (vertebrae) stacked on top of one another, joined by joints called facet joints and separated by shock absorbing discs. Following injury, repetitive stress, or the strains of poor posture, the joints of the spine and surrounding muscles may become stiff and tight. Chiropractic manipulation is the application of a force through a joint with the purpose of increasing range of motion, decreasing pain, and reducing muscle tension. Manipulation is appropriate for some conditions but not for others. Utilization is determined on a case by case basis.


*Multiple studies have shown that manipulation plus exercise has better outcomes than manipulation alone. Your provider should be aware of these studies and always include exercises to support manipulative therapies.




Muscle imbalance, muscle weakness, postural dysfunction, and improper muscle control are some underlying factors which predispose one to injury. Uncovering one or more of these problems is often the key link to addressing the underlying dysfunction. Studies have consistently shown that patients improve quicker and results last longer when exercise is added to the treatment program. Dr. Ruck has compiled information on effective spine and extremity rehabilitation protocols. Exercise balls, rubber band resistance, balance boards, and body weight training are utilized. 

Therapeutic Modalities


Therapeutic modalities include electric muscle stimulation and ultrasound therapy. These modalities, when used alone, are not very effective. However, when used as part of a treatment plan which includes manual therapy and exercises, they may add some therapeutic benefit.  


Cold Laser uses painless low level laser to stimulate tissues on a cellular level. Cold laser may have anti-inflammatory benefits and may stimulate the healing process by increasing cell metabolism. 

Electric muscle stimulation applies low level electrical impulses to the injured region to reduce pain, swelling, and muscle spasm associated with some conditions. 

Ultrasound therapy utilizes sound waves to thermally or mechanically stimulate and treat soft tissue injuries.