Chiropractic Care

Our Fees

Symptoms

FAQ

Looking for Animal Chiropractic?

Our Approach To Lasting Pain Relief

Our type of care is highly specialized and unique so all potential new patients will make a consultation first. The consultation is 15 minutes and Dr. Nottoli will briefly discuss your case with you to determine if you are in the right place.

If you still have pain, then something was missed in the diagnostic process. You’ve already been through a lot. The last thing you need is another failed treatment plan.

If you are qualified after the consultation, then the comprehensive examination will be scheduled on your next visit. Once a complete diagnosis is discovered and Dr. Nottoli knows he can help, he will go over your condition and treatment plan in detail.

Fee Structure

Virtual Consultation
Free one-on-one with Dr. Nottoli

Comprehensive Examination
$150

Follow-Up Rates
$60 per visit
($70 starting 2022)

NECK PAIN

Neck pain doesn’t have to be something you’re told to “just live with” or think that it’s “normal” because you’re getting old. Neck pain isn’t normal and it shouldn’t be something that you need to learn how to adapt to for the rest of your life. You should have clear answers for your neck pain and a safe and effective approach to treatment for lasting pain relief. That is our goal here at Vitality Soft Tissue and Spine.

What Are Symptoms Of Neck Pain?

Pain in the neck or shoulder

Headaches

Numbness or burning down your arm or hand

Loss of strength or sensation in your arm or hand (difficulty gripping or lifting objects)

What are Common Causes/Diagnosis for Neck Pain?

Adhesion

The most underdiagnosed and most common cause of neck pain is the development of adhesion in the muscles, ligaments, and around the nerves of the neck. As a result of excessive activity, poor posture, and injury/trauma to the area, adhesion builds up. Adhesion is scar tissue that forms as the body naturally tries to heal any damaged tissue. Not only does adhesion decreased mobility and strength, but it can also accelerate the progression of other pathologies such as arthritis, disc injuries, etc.

Injury/Trauma

When it comes to any sort of injury or trauma, your body will automatically respond in a way to protect itself. As a result, the body lays down extra collagen in the area of damaged tissue. This extra collagen has a “superglue” effect that acts to protect that tissue from further damage by attempting to repair it. While this is the body’s protective measure, it also decreases strength, flexibility, and mobility in the process which can have lasting negative effects unless properly addressed and treated.

Poor Posture

On an average day, adults spend about 11 hours a day staring at some kind of screen. That could be a computer, phone, TV, or another electronic device. How many of those hours do you think someone will maintain good posture? With so much time being consumed looking at a screen, posture isn’t always the priority throughout the day. Looking down can add more stress and load into the discs of your neck. If you have a previous disc injury, this can either flare it up to resurface the issue or it can just simply make your current symptoms that much worse.

Being mindful of your posture, whether it’s sitting at your desk all day or looking at your phone, is something that can make all the difference when it comes to maintaining a healthy neck.

Our Effective Way Of Treating Neck Pain

Most of the time the true cause for neck pain is not addressed or even treated. This leads patients to be left in a gray area of not knowing what the problem is or how to solve it. By utilizing Integrative Diagnosis®, effective and precise diagnosis and treatment method, we give patients a clear diagnosis and understanding of their treatment through a comprehensive consultation and a specialized functional assessment of the neck.

Comprehensive Consultation:

During the consultation, we will ask detailed questions about your symptoms to help guide us to a clear and accurate diagnosis. These questions will ask about the quality, intensity, location, and what makes the symptoms better or worse. We also look at past medical history and images. We also use your information and put it into AI (artificial intelligence) software so we know where exactly your pain is coming from whether structural, functional, metabolic, or psychosocial.

Specialized Mobility and Functional Assessment Of The Neck:

With specific testing of the neck region, we are able to measure how your body is functioning. Our goal is to not only get you out of pain as fast as possible, but we also want to improve your function. These measurements are used to tell us how your body is functioning and then we re-test to show the progress of your care. You can’t manage what you don’t measure, and if your body doesn’t move, it must improve.

Specialized Soft Tissue Treatment Of The Neck

The cervical erectors are a group of muscles that are responsible for keeping your cervical spine (neck) erect. Over time, this group of muscles can be affected by adhesion which reduces mobility and strength along with causing pain. By removing adhesion through expert treatment, neck pain and accompanying symptoms can be relieved with lasting results.

The rectus capitis posterior major and minor are small muscles at the base of your skull. These muscles help to stabilize your head and can get beat up easily due to poor posture and looking down during your everyday life. Removing adhesion in this area will improve overall function and pain.

LOW BACK PAIN

Low back pain remains a mystery to many providers. Many patients think it will take some magical unicorn tears to fix their back pain. We are here to tell you it doesn’t have to be a mystery, it doesn’t have to be common, and it doesn’t need unicorn tears to fix. Dr. Nottoli’s specialized approach to treating chronic back pain achieves results that many providers think are impossible.

What are the Symptoms of Sciatica?

Pain along with any point of the path of the sciatic nerve (low back, hip, buttock, thigh, calf, foot)

“Pins and needles” feeling (paresthesia) or tingling sensations along with any point of the path of the sciatic nerve

Muscle weakness in the affected leg or foot

Symptoms are most common in the lower back and buttocks and down into the thigh and calf, typically on one side

What are the most common areas for nerve entrapment?

Sciatic nerve entrapment is a condition where the nerves become compressed or stuck between the surrounding tissue and resulting in increased pressure on the nerve. This causes symptoms such as pain, numbness, burning, and tingling. Herniated discs, poor posture, bone spurs, or repetitive wear and tear are some of the common causes.

There are many medical conditions such as diabetes, autoimmune diseases, and high blood pressure that put you at risk for developing this condition. A diagnosis such as sciatica can be caused by severe nerve entrapment. The diagnosis of an entrapped sciatic nerve requires a detailed history, exam, and imaging if necessary.

Sciatica can also be “diagnosed” as piriformis syndrome or deep gluteal nerve syndrome. From there, options can range from managing the symptoms, physical therapy including stretches and exercises with no relief, and offer little to no solution for your pain.

Sciatic stretches and exercises may seem like they were made just for you if you’re experiencing these symptoms, but if you have an entrapped sciatic nerve it has the potential to make your problem that much worse. A simple rule to follow when it comes to stretching – you shouldn’t have to force it.

If your body is blocking a movement, there’s a reason and your body is trying to protect itself from irritation or injury. When stretching, a healthy sciatic nerve should be able to glide effortlessly along its whole path – from your low back all the way to your foot.

If the sciatic nerve is entrapped, that means the body has stuck the sciatic nerve to surrounding muscles to prevent any damage or irritation. In that case, the more you stretch to try to create mobility in those areas, the more your body will fight back, increase your chances for injury, and cause more pain, irritation, and inflammation in that area.

Specialized Soft Tissue Treatment Of The Sciatic Nerve

With the sciatic nerve being the largest and longest in your body, there are a couple of locations where the sciatic nerve can become entrapped. The first being near the group of muscles that are responsible for externally rotating your hip. The sciatic nerve runs closely by these muscles and under repetitive motions and excessive load, adhesions can form that stick the nerve to the surrounding muscles causing it to become entrapped.

Secondly, the sciatic nerve travels down the back of the thigh before branching near the knee. With constant irritation, abnormal movement patterns, etc. the nerve at this location can also become entrapped.

What Do I Do To Fix It?

If you suffer from chronic pain such as burning, aching, numbness, or tingling along the sciatic nerve path as shown in the pictures above, you likely have an entrapped sciatic nerve. If you are struggling with chronic pain and you have failed numerous treatments, it’s time to come see the experts!

Shoulder Pain

Shoulder pain comes in a variety of forms and is a common problem that people have but may not have gotten the answers that they deserve. You need to know what is the problem before you can try to fix it. Our goal here at Vitality Soft Tissue and Spine is to provide a proper diagnosis and safe, effective treatment to give you lasting pain relief, but more importantly, restore your mobility and function.

What Are Symptoms Of Shoulder Pain?

Pain in any part of the shoulder (anterior portion, deep in the joint, etc.)

Restricted range of motion or stiffness that does not improve with movement

Lack of strength in the affected shoulder

Catching when raising the arm up or reaching

What are Common Causes/Diagnosis for Shoulder Pain?

Adhesion

The most underdiagnosed and most common cause of neck pain is the development of adhesion in the muscles, ligaments, and around the nerves of the neck. As a result of excessive activity, poor posture, and injury/trauma to the area, adhesion builds up.

Adhesion is scar tissue that forms as the body naturally tries to heal any damaged tissue. Not only does adhesion decreased mobility and strength, but it can also accelerate the progression of other pathologies such as arthritis, disc injuries, etc.

Injury/Trauma

From a torn labrum to a torn rotator cuff tendon, the shoulder can be injured in many different ways. These injuries result in the body laying down collagen in that area to protect and repair it as best as it possibly can.

This collagen buildup is adhesion and acts like superglue which in turn leads to decreased mobility and strength there. This is how previous injuries can create lasting problems. If this adhesion is not properly diagnosed and then treated, there can be long-term consequences like accelerating degeneration or causing you to be more prone to future injuries.

Poor Posture

On an average day, adults spend about 11 hours a day staring at some kind of screen. That could be a computer, phone, TV, or another electronic device. How many of those hours do you think someone will maintain good posture? With so much time being consumed looking at a screen, posture isn’t always the priority throughout the day. Looking down can add more stress and load into the shoulder joint.

If you have a previous shoulder injury, this can either flare it up to resurface the issue or it can just simply make your current symptoms that much worse.

Being mindful of your posture, whether it’s sitting at your desk all day or looking at your phone, is something that can make all the difference when it comes to maintaining a healthy neck.

Our Effective Way Of Treating Shoulder Pain

Whether it’s due to a vague diagnosis, no diagnosis, or failed treatment, shoulder pain can be frustrating when you just want relief from the pain and for your shoulder to function at its best. A proper diagnosis and effective treatment plan need to be established to provide lasting relief and improve function. Dr. Nottoli utilizes Integrative Diagnosis® which is an effective and precise diagnosis and treatment method. This highlights the importance of diagnosis and allows the patient to understand how treatment and care will properly address their diagnosis.

Comprehensive Consultation:

During the consultation, we will ask detailed questions about your symptoms to help guide us to a clear and accurate diagnosis. These questions will ask about the quality, intensity, location, and what makes the symptoms better or worse. We also look at past medical history and images. We also use your information and put it into an AI (artificial intelligence) software so we know where exactly your pain is coming from whether structural, functional, metabolic, or psychosocial.

Specialized Mobility and Functional Assessment Of The Shoulder:

Measuring the function of your shoulder is important because we can establish the function when starting care and then re-test throughout to show progress. Reducing symptoms is important, but we also want to focus on improving function as well. We can’t manage what we don’t measure.

Specialized Soft Tissue Treatment Of The Shoulder

The infraspinatus is one of the four muscles that make up the rotator cuff and is responsible for external rotation and stabilizing the shoulder joint. Adhesion can reduce strength and mobility and lead to further issues if left untreated.

SCIATICA

Sciatica refers to a group of symptoms described as pain or numbness that follows the path of the sciatic nerve, the largest and longest nerve in the human body. The sciatic nerve extends from the low back to your buttocks and down the back of each thigh before branching in the lower leg and continuing all the way to the foot.

What are the Symptoms of Sciatica?

Pain along with any point of the path of the sciatic nerve (low back, hip, buttock, thigh, calf, foot)

“Pins and needles” feeling (paresthesia) or tingling sensations along with any point of the path of the sciatic nerve

Muscle weakness in the affected leg or foot

Symptoms are most common in the lower back and buttocks and down into the thigh and calf, typically on one side

What are the most common areas for nerve entrapment?

Sciatic nerve entrapment is a condition where the nerves become compressed or stuck between the surrounding tissue and resulting in increased pressure on the nerve. This causes symptoms such as pain, numbness, burning, and tingling. Herniated discs, poor posture, bone spurs, or repetitive wear and tear are some of the common causes.

There are many medical conditions such as diabetes, autoimmune diseases, and high blood pressure that put you at risk for developing this condition. A diagnosis such as sciatica can be caused by severe nerve entrapment. The diagnosis of an entrapped sciatic nerve requires a detailed history, exam, and imaging if necessary.

Sciatica can also be “diagnosed” as piriformis syndrome or deep gluteal nerve syndrome. From there, options can range from managing the symptoms, physical therapy including stretches and exercises with no relief, and offer little to no solution for your pain.

Sciatic stretches and exercises may seem like they were made just for you if you’re experiencing these symptoms, but if you have an entrapped sciatic nerve it has the potential to make your problem that much worse. A simple rule to follow when it comes to stretching – you shouldn’t have to force it.

If your body is blocking a movement, there’s a reason and your body is trying to protect itself from irritation or injury. When stretching, a healthy sciatic nerve should be able to glide effortlessly along its whole path – from your low back all the way to your foot.

If the sciatic nerve is entrapped, that means the body has stuck the sciatic nerve to surrounding muscles to prevent any damage or irritation. In that case, the more you stretch to try to create mobility in those areas, the more your body will fight back, increase your chances for injury, and cause more pain, irritation, and inflammation in that area.

Specialized Soft Tissue Treatment Of The Sciatic Nerve

With the sciatic nerve being the largest and longest in your body, there are a couple of locations where the sciatic nerve can become entrapped. The first being near the group of muscles that are responsible for externally rotating your hip. The sciatic nerve runs closely by these muscles and under repetitive motions and excessive load, adhesions can form that stick the nerve to the surrounding muscles causing it to become entrapped.

Secondly, the sciatic nerve travels down the back of the thigh before branching near the knee. With constant irritation, abnormal movement patterns, etc. the nerve at this location can also become entrapped.

What Do I Do To Fix It?

If you suffer from chronic pain such as burning, aching, numbness, or tingling along the sciatic nerve path as shown in the pictures above, you likely have an entrapped sciatic nerve. If you are struggling with chronic pain and you have failed numerous treatments, it’s time to come see the experts!

Frequently Asked Questions

You may have questions and we’ve got answers. Good news is that we’ve compiled the most frequently asked questions that our patients have asked us in the last few years and put them here. 

If you still have questions, please feel free to reach out to us!

What Is the comprehensive exam?

This is where the doctor will get familiar with your case and more details to see if you are a candidate for treatment. You have already been through a lot. The last thing you need is another failed treatment plan.

Typically this appointment lasts 45 minutes and entails an Integrative Diagnosis® exam, neurological testing, accurate diagnosis, report of findings, review of imaging and medical records, and provides a treatment plan.

Dr. Nottoli will also discuss any other complicating factors that may be present or could potentially become a problem.

Please come in workout attire, evaluation and treatment are most effective without the impedance of clothes if necessary. For example, if you are coming in with shoulder pain, please wear a tank top. If you have knee or leg pain, wear workout or running shorts.

Please bring any imaging and relevant radiology reports. No treatment is done on this visit.

Do you take my insurance?

Our office does not accept any insurance. Insurance companies don’t care if you get better–they only care about saving themselves money. They also put up arbitrary barriers and ultimately keep doctors from providing excellent care. Insurance doesn’t reimburse for quality or successful outcomes.

Our focus is on YOU and making sure you receive the highest quality diagnosis and treatment possible. This yields incredible results! We do accept cash, check major credit cards, Care Credit, health savings accounts (HSA), and flexible spending accounts (FSA).

Follow-up visits are 15 minutes.

The goal of any treatment is to get you back to functioning as well as possible without pain and limitation so you will be given specific guidance that you are expected to follow if you want the best resolution to your problem. This is a team approach—not a passive one.

Are there any other treatments that can do the same thing?

The short answer is not exactly. There are many manual treatments and instrument treatments that seem similar to the patient perspective, but the proof is in the results. Sustainable improvements in pain and range of motion are the unique differences that give you results.

How long does a treatment plan last and when will I get pain relief?

On average, a single region of complaint (i.e. shoulder or low back) can reach a full resolution or maximum medical improvement in an average of 12 visits.

We typically see sustainable functional changes that are measured in 1-2 visits. Most patients begin to feel sustainable improvements in pain within 4-6 visits.

Vitality Soft Tissue and Spine

3933 75th St. Suite 103 Aurora, IL 60504

630-499-4078

Monday: 10am-6pm

Tuesday & Thursday: 3pm-8pm

Wednesday: Closed

Friday: 8 am–2 pm

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