Sports Injury

NICALI SPORTS MEDICINE & ASSOCIATES provides best sports medicine and laser therapy for sports injuries in Pasadena CA. We are providing various medical services for sports injury in Alhambra, Pasadena CA.

How We Help After Sports Injury?

If you’re an athlete, or just trying to stay fit and active, you need to perform many sports activities that require running, jumping, balancing and coordination, along with activities that cause physical stress on the body. Putting your body through these activities can result in painful tears, sprains, and strains of your muscles, ligaments and tendons. Seeing a Sports Certified Physician who specializes in Sports Medicine can help you when you’ve suffered sports injuries, help to prevent them and help you improve performance.

Chiropractic physicians treat and can help prevent injuries of the neck, back, shoulders, knees, and ankles, amongst other joints. They’re skilled in manual adjustments of the spine, ensuring that bones are lined up and balanced, which helps relieve tension in the body. This allows the body to function better and become less susceptible to injury. Through the use of medically approved techniques that focus on the management of sport injuries, restoration and enhancement of joint function while resolving joint inflammation and reducing pain can improve healing and enhance performance. This hands-on therapy is often used to treat many injuries associated with sports activities and also relieves pain throughout the joints and muscles in the body.

The main reasons athletes suffer sports injuries include forceful impacts, repetitive motions, over-training and failure to warm up properly. Chiropractic physicians help athletes by relieving their pain and helping them heal faster after an injury. Regular visits will promote quicker recovery after games and training as well as better balance and overall performance.

To start, the doctor will ask you questions about your health and perform a structural exam of your posture, spine and balance. He or she will also examine your back, extremities, tendons, ligaments and joints. Utilizing this information, your doctor will be able to determine what treatment would benefit you. In addition to treating injuries, physiotherapy by a Certified Sports Chiropractor can also help you prevent injuries from occurring.

If you’re experiencing pain from a sports injury, consider seeing a Certified Sports Chiropractor. You may want to schedule regular check-ups to prevent injuries from occurring and to keep your body performing properly.

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Repetitive / Continuous Injury


Seeking early treatment is important in minimizing the progression of any injury. At Nicali Sports Medicine and Associates, we successfully use a wide variety of physical modalities such as: TENS, Interferential Current, Ultrasound, Laser Therapy, Therapeutic Massage Therapy and Corrective Manual Manipulations to manage these type of injuries. With a proper examination and diagnosis, healing of these conditions can be achieved and return to normal pain-free activity can be expected.

What are Repetitive Strain Injuries?
Repetitive strain injuries (RSI) are a family of injuries affecting tendons, tendon sheaths, muscles, nerves and joints. They cause persistent or recurring pains most commonly in the neck, shoulders, forearms, hands, wrists, elbows and lower limbs.

The term “repetitive strain” injury is misleading. Unlike other diseases, RSIs are not easily classified because they have a variety of causes and include injuries to different parts of the body. A number of terms are applied to such injuries including: repetitive injury, repetitive motion injury, repetitive trauma, overuse injury, cumulative trauma disorder, occupational musculoskeletal disorder and cervio-brachial disorder. The different terms indicate that such injuries involve repetition, and can also be caused by force, rapid movement, overuse, static loading, excessive strain, uncomfortable positioning of limbs or holding one’s posture in an unnatural, constrained or constricted position.

Who is affected?
In the past, repetitive strain injuries were most commonly attributed to those persons involved in sports – hence the names, “tennis elbow” or “golfer’s elbow”. These injuries were generally not recognized amongst workers, although syndromes related to specific occupations such as “weaver’s cramp” and “threader’s wrist” were reported. However, RSIs are increasingly common among a variety of worker groups, from clerks to jackhammer operators, from maintenance workers to typists.

Many workers are unfamiliar with repetitive strain injuries so everyday aches and pains are overlooked and no connection is made between the injury and the workplace. Aches and pains warn that a serious injury may be developing. If the causes are not eliminated or the worker moved from the job immediately, the damage can be permanent and irreversible. Sometimes the injury is crippling, leaving the worker in pain and possibly immobile for life.

Although the number of RSI injuries reported is increasing, there are no regulations or standards covering them.
RSI: The Causes
The causes of repetitive strain injuries can be classified in the following ways:

1. Rapid movement injuries, caused by repeated rapid movements.
2. Forceful movement injuries, caused by the exertion of muscle movement.
3. Static loading injuries, caused by fixed position with unsupported limbs.

Such injuries can be caused by either too little movement or excessive movement while handling light as well as heavy loads.

Often, repetitive strain injuries have multiple causes. A maintenance worker using a screwdriver may get pains from repetitive use of force while working at an uncomfortable angle. VDT operators may sit in an uncomfortable position with no wrist support and use rapid finger movements on a poorly designed keyboard. These workers may develop a number of serious injuries because of effects on their musculoskeletal system.

Any work that forces a person into an “unnatural” position can lead to repetitive strain injuries. The forceful twisting of a screwdriver, repetitive finger movements without rest, sitting in an uncomfortable position, bending the wrists for long periods, working with arms above shoulder length, gripping tools forcefully, etc., strain tendons, ligaments, and muscles causing injury.

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Therapeutic Sports Massage


Therapeutic Massage is a combination of Relaxation Massage and Remedial Massage to not only relax your whole body but at the same time, work through some of the muscle issues or “tight spots”.

Massage therapy may also improve your circulation, which enhances the delivery of oxygen and nutrients to muscle cells and helps remove waste products or reduce swelling. These circulatory effects of massage may have value in the treatment of some inflammatory conditions, such as arthritis.

Massage therapy induces a relaxation response, which lowers your heart rate, breathing rate, and blood pressure; plus boosts your immune system; and generally decreases the physical effects of stress.

People of all ages can benefit from therapeutic massage. Massage is also suitable for people with disabilities, expecting mothers, and people in treatment for medical conditions, although some special precautions may need to be taken to protect the health of the client.

Therapeutic massage benefits the following conditions:
* Stress
* Anxiety
* General Wellbeing
* High Blood Pressure
* Arthritis
* Low Immunity
* Minor injuries

The best time for a therapeutic massage is when you feel yourself getting worked up or when you are just not feeling your best. Others find a regular therapeutic massage every month or once in a three months to get a great dose of prevention therapy. We even have some highly stressed patients who have weekly massages just to cope with daily life.

If you have never had a therapeutic massage before or it has been quite some time since your last massage then your initial treatment should ideally be for 60 to 90 minutes so that the therapist can work through those tired muscles at an even pace to minimise any possible soreness the following day. If you are a more regular massage recipient, your massage therapist will guide you as to the direction that works best for you and your muscles.

People can use therapeutic massage as a standalone treatment. Some people, such as athletes, labourers or stressed out even office workers, receive regular therapeutic massage to keep themselves in good physical condition.

Therapeutic goals can vary considerably between massage therapists and clients. In some cases, massage is recommended by a health professional and may be performed as part of a larger treatment plan. For example, someone attending physiotherapy for an injury might have regular therapeutic massage to loosen muscles, improve muscle tone, and increase their flexibility. Likewise, therapeutic massage can be used to supplement wound care, cancer care, and a variety of other treatments

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Chiropractic Care / Physiotherapy


Thank you for considering NICALI SPORTS MEDICINE AND ASSOCIATES for your needs in the field of physical medicine. Our offices specialize in management of musculoskeletal conditions of traumatic or repetitive origin, through the use of physiotherapy, therapeutic massage, muscle and joint rehabilitation, exercise and scientifically oriented manipulative therapy. We have x-rays facilities and are equipped to supervise and manage care through rehabilitation, strengthening and cardiovascular exercise.

Misalignments of your spine and poor health

No part of your body escapes the dominance of your nervous system. Improper function of the spine due to slight misalignments-called subluxations-can cause poor health or function, even in areas far removed from the spine and spinal cord itself. Misalignments can also reduce the ability of your body to adapt to its ever-changing environment. Even the slightest malfunction of your spine may alter the regular transmission of nerve impulses, preventing that portion of your body from responding optimally.

Natural health care without drugs or surgery

Chiropractic is a natural form of health care that uses spinal adjustments to correct these misalignments and restore proper function to the nervous system, helping your body to heal naturally. Chiropractic doesn’t use drugs or surgery. Rather, a chiropractic spinal adjustment-the application of a precise force to a specific part of the spinal segment-corrects the misalignment, permitting normal nerve transmission and assisting your body to recuperate on its own.

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Auto Accidents / Personal Injury

Care for Auto Accident Injury :

If you are suffering from back pain or neck pain after a car accident, you may have sustained a spinal injury or a whiplash injury. Without proper care, these injuries can have a serious impact on your health, leading to months or even years of chronic pain. We at Nicali Sports Medicine and associates have substantial experience treating auto accident injury patients. We understand the best ways to manage injuries associated with car accidents for maximum recovery and healing.

Injuries occur when the force of an auto accident knocks or whips the musculoskeletal system out of proper alignment. The muscle ligament complex stretches beyond its’ physiological limits, causing tears known as strains and sprains in the tissue fibers. For example, a whiplash injury may occur when the force of a rear-impact accident abruptly “whips” the cervical spine backwards and forwards. Not only does this abrupt movement knock the spine out of alignment, but it also strains the neck muscles, causing further stiffness, soreness and pain. Traditional medical care after an auto accident injury relies on medication to “cover up” a patient’s pain symptoms. While prescription painkillers are effective for providing immediate pain relief, they are not a long-term pain management solution. Additionally, medication alone cannot help patients regain mobility in their bodies after a spine injury.

Chiropractic care along with scientifically based physiotherapy treat the underlying spinal injury or whiplash injury. Adjustments relieve pressure on the nerves and muscles, while also bringing alignment back to the spine. Complementary therapies, including corrective exercises, will help bring a full range of motion back to the body.

If you have recently been in a car accident, contact us soon as possible. Acute and chronic pain both benefit from prompt treatment. With proper diagnostic care, we will be able to identify your underlying injuries and create a custom treatment program to support your body’s natural healing process. You do not need to be in a major accident to sustain serious damage to the musculoskeletal system. Injuries at speeds as slow as 5mph can still knock the cervical spine out of alignment causing a painful whiplash injury. Unfortunately, since a fender bender is considered to be a “minor” accident, accident victims typically delay seeking treatment – which can lead to a lifetime of health problems. Prompt care makes a difference!

Could you be suffering pain from a whiplash or spinal injury? Accident injury pain symptoms include whiplash, neck and back pain, headaches, migraines, shoulder pain, fatigue, weakness, numbness or tingling in an upper or lower limb, jaw pain, and pain in the face. Many accident victims also suffer from sleep disturbances, blurred vision, irritability, dizziness and forgetfulness.

If you have recently been in an auto accident, we are here to help. We accept health Insurance. If you are being represented by an attorney, we are experienced at management of injuries on a Medical Legal basis and can work with your attorney to help you resolve your claim with no cost to you. Contact us today to learn more about the benefits of chiropractic care for auto accident injuries!

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K-Laser Therapy


We are proud to now offer Class IV K-Laser and Disc Decompression in conjunction with the new ATM (Active Therapeutic Modality) procedure, a cutting edge protocol that is painless and non-invasive, for maximum success in treatment of spine and disc injuries.

With K-Laser
you can find NEW hope for:

Chronic Shoulder, Elbow, Hip or Knee Pain
Bulging, ‘‘Slipped’’ Discs, Disc Degeneration
Injured or Chronic Persistent Joint Pain
Neck, migraine, or Other Headaches
Carpal Tunnel or Compressive Pain
Fibromyalgia or Myofascial Pain

Please read this important information about our protocol:

Find new hope with our FDA Approved Class IV Laser and Disc Decompression! The FDA approved Class IV LASER and FDA cleared disc decompression, which address the hidden cause of chronic back pain and other types of chronic pain. Medical professionals agree, these new NON-SURGICAL and NON-INVASIVE treatments work because they HEAL NATURALLY.

Patients are raving about the simplicity and painless process that is resulting in immediate and lasting relief.
For many, once they are done they are done, and they don’t need follow up care.

If you’ve tried medications, injections, physical therapy, and even surgery but failed to find LASTING relief…
Discover the dramatic difference of LASER THERAPY!

What makes LASER THERAPY so different!?
Penetrates deeper than other therapies
Creates immediate, soothing relief
Speeds up the healing process. Actually helps heal the source of pain instead of just masking it.
Increases the effectiveness of other treatments for maximum relief.

We understand the fears you may have to keep trying new things. Promise after promise and still nothing has really worked. THE DIFFERENCE this time is that these new treatments provide IMMEDIATE and LASTING RESULTS! We look forward to meeting you and helping you get back to the pain free life that you once enjoyed. Our caring staff welcomes you to give us a try.

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Decompression Therapy

A Non-Surgical, Highly Effective Solution for Disc Related Low Back and Neck Pain

With Decompression
you can find NEW hope for:

Chronic Shoulder, Elbow, Hip or Knee Pain
Bulging, ‘‘Slipped’’ Discs, Disc Degeneration
Injured or Chronic Persistent Joint Pain
Neck, migraine, or Other Headaches
Carpal Tunnel or Compressive Pain
Fibromyalgia or Myofascial Pain

Honest, effective, affordable decompression.

Decompression Therapy is a non-surgical procedure that effectively treats disabling low back, neck, radiating leg & arm pain,
and headaches.

Decompression Therapy effectively relieves the pain associated with disc herniation, degenerative discs, posterior facet, and other spinal related syndromes, by reducing the pressure on spinal discs and facet joints through unloading created by distraction and positioning.

Decompression Therapy effectively enhances the healing process and often renders quick, effective and amazing pain relief that enables most patients to return to a more active lifestyle. Research to develop this procedure was conducted by prominent physicians, engineers and technicians at major teaching hospitals.

Decompression Therapy is a highly successful treatment for patients suffering from bulging, herniated, degenerative, or ruptured discs as well as sciatica, carpal tunnel syndrome, and many failed back surgery cases.

This treatment helps patients avoid the risk of anesthesia, surgical complications, and the potential of failed back surgery.
Decompression Therapy begins with a series of sessions typically 3-4 times per week. Each session is approximately 8-12 minutes. During each session, electrical muscle stimulation, ultrasound, or therapeutic laser may be applied to help relax muscles and promote further healing of injured tissues.

After treatment, your doctor may prescribe specific exercises designed to help you regain proper control and strength of the stabilization muscles which can help create long term benefits.

Decompression Therapy is administered to patients fully clothed either face down or face up on the table. Clinical studies suggest Decompression Therapy provides a majority of qualified candidates with initial relief within just a few sessions.

Decompression Therapy is an approved procedure that is covered by many insurance companies.
This proven, non-surgical approach could help you find the pain relief you need.

For more information on how you can benefit from Decompression Therapy contact your local chiropractor today!

MTD 4000 – FDA 510(k) Clearance
The MTD 4000 traction device provides traction and mobilization of skeletal structures and skeletal muscles.
The MTD 4000 may be used to relieve peripheral radiation/sciatica and pain associated with:

* Protruding discs
* Bulging discs
* Herniated discs
* Degenerative disc disease
* Posterior facet syndrome
* Spinal root impingement
* Hypermobility
* Degenerative joint disease
* Facet syndrome
* Compressions
* Acute facet problems
* Radicular pain
* Prolapsed discs fractures
* Joint pain
* Discogenic pain
Decompression Therapy is a Non-Surgical Procedure to help reduce or eliminate low back and leg pain.
An effective Cervical treatment for neck pain, arm pain, and headaches is also available.
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Attorney Claims

Personal Injury Claims
Dear Attorney

Our offices specialize in management of musculoskeletal conditions of traumatic or repetitive origin, through the use of physiotherapy, therapeutic massage, muscle and joint rehabilitation, exercise and scientifically oriented manipulative therapy. We have x-rays facilities on site and are equipped to supervise and manage care through rehabilitation, strengthening and cardiovascular exercise.

We are experienced in filing Personal Injury claims and will accept cases on a lien basis and understand the need for flexibility when necessary to facilitate settlement and fair compensation to your clients. We understand the importance of working with, referring to and communicating with consulting or primary physicians to properly manage treatment. We have an extensive array of referral sources in many medical specialties for complete management and documentation of injuries in the fields of orthopedics, neurology, pain management, MRI examinations and surgical consultations, amongst others.

As the Clinic Director at Nicali Sports Medicine and Associates, I have 24 years experience in managing Personal Injury Claims, including report writing which include all medical records from our office for expedition of claims. I have successfully testified in court many times as both a defense and plaintiff expert in the resolution of litigated claims. This experience has allowed me to have a pre-emptive approach in the management of my patients claims to avoid many of the pitfalls that minimize compensation and complicate fair settlement.

Please feel free to contact me personally if you have any question,


Gustavo A. Nino, D.C., C.C.S.P.
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