7 Steps To Lasting Pain Relief


Patients visit Vitality Soft Tissue & Spine for many reasons. Everything from sports injuries to chronic pain relief that other providers haven’t been able to provide. So how do we diagnose the issues our patients have while providing the correct treatment? As an Integrative Diagnosis®-certified practitioner, Dr. Nottoli & Dr. Moore are trained specialist to diagnose complex muscle, nerve, and joint issues. Below are the steps on how Dr. Nottoli & Dr. Moore develop your personalized treatment plan to achieve lasting pain relief.


Load vs. Capacity

Every stress or “load” we put on your body has a “capacity” or breaking point it can handle. This includes your muscles, tendons, nerve, and joints. Once your body has reached its capacity serious issues with major muscles and joints can occur. This is the root cause of all musculoskeletal (MSK) complaints. Our number 1 job at Vitality Soft Tissue & Spine is to find ways to reduce the stress/load on your body and increase your bodies capacity because that is what makes you healthy long-term.

Respect Pathology

Pathology is the study of the nature of diseases, in particular, their structure and the changes they induce. When it comes to the MSK (musculoskeletal) issues, it’s important to pay attention to the pathology of the area being assessed and treated. For example, we ask the question what is the primary function of a particular muscle or the joint?  We then ask whether it’s currently capable of performing that specific function the tissue was designed for. If it isn’t functioning we must find out the reason why and how to improve its function. 

Respect Symptoms

Symptoms are our body’s way of telling us there’s something wrong, but they can also be much more. Many times, symptoms can help doctors diagnose an issue and develop a proper treatment plan. When performing an initial consultation, we ask specific questions about your symptoms you’ve been having.  we will also ask about their location, intensity, which makes them better and what makes them worse. All the symptom data is an important roadmap to develop your specific diagnosis.

Measure Everything (That is Important)

Through the use of a variety of specialized and specific testing, we can determine the proper function of your problem. These tests are the blood pressure tests for your joints. By measuring your function we also have starting points to measure your progress. You can’t manage what you don’t measure and if it doesn’t move it must improve.

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630-499-4078 or click below


At this stage, Dr. Nottoli will tell you a specific tissue and pathology diagnosis. Many people are told they are “tight”, something is “weak” or they have some type of syndrome. These are only symptoms or a collection of symptoms they aren’t a diagnosis. With a tissue and pathology specific diagnosis, we now can come up with the proper treatment plan to treat your pain or injury. If you don’t have a specific diagnosis treating your problem is like shooting an arrow in the opposite direction blindfolded. The odds of success are zero.


Treatment comes in three varieties: manual therapy, exercise, and advice. Often, a treatment plan involving all three will be recommended. All treatments main goal is to reduce load and increase the capacity of your body. All treatment is also to fix or reduce your diagnosis. This helps you live and function pain-free.


All communication and advice are to help you understand your progress and to help you reach your results as fast and safely as possible. We always want to preserve the future self of you.

Start the healing process today!

As one of the only clinics in Illinois certified in Integrative Diagnosis®, Dr. Nottoli & Dr. Moore prides himself on being a master of injuries and master of function.

This involves a high level of expert diagnosis as well as expert and elite treatment of adhesion. He has treated hundreds of patients who have overcome long-term injuries and discomfort.

If you’re suffering from chronic pain or other muscle issues, and have failed treatment with 3 or more providers, Vitality Soft Tissue & Spine can help.  Contact our office by calling 630-499-4078 or by the information below. 

Request A Consultation

Call 630-499-4078 or click below to schedule online

Office Hours:

Mon & Fri:  7:00 am – 1:00 pm

Tues & Thur: 3:00pm – 8:00pm

768 Shoreline Dr., Suite 3 Aurora, IL 60504

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Vitality Soft Tissue & Spine is one of the only 5 facilities in Illinois certified in Integrative Diagnosis®