Services We Provide

Dr. David Fishkin – Services We Provide



Dry Needling

Flexion Distraction

Foot Orthotics

Breast Reduction Evaluation

Healthy, Safe Exercise

Exercise and rehabilitation are important components in healing and staying healthy. Dr. Fishkin may supervise you on exercise equipment in the office, teach you how to navigate equipment in your gym, or meet with your trainer.

Stretching for Flexibility, Range of Motion

Dr. Fishkin is a big proponent of stretching to help return flexibility and normal range of motion to injured or painful areas. He routinely stretches the patient during visits and teaches techniques you can do yourself or with the aid of a partner. (edit)

Dry Needling: Fast, Lasting Relief to Painful Muscles

Myofascial trigger point dry needling (MFTrPDN) is a treatment to restore proper function to abnormally behaving muscles that become “locked”, preventing normal muscle function, which causes restriction of movement and chronic pain.

Many methods of treatment are applied to painful muscles but none are quite as effective, fast acting or long lasting as dry needling.

Muscles can become painful with nodules, also called knots, and tight bands of muscle; the pain can be local or send pain signals to other locations in the body.

These knots develop from overuse, trauma, poor posture, lack of exercise, sleep disturbances, vitamin deficiencies, joint arthritis, or nerves being compressed at the spine and other locations. These painful areas contain biochemicals that cause pain to the local nerves, and decreases oxygen flow (called ischemia), causing further pain resulting in muscle fibers to “lock”.

Dry needling is so effective because it short-circuits the vicious cycle in a direct way that other methods cannot accomplish. This allows the muscle to release to its normal length, improves circulation, reduces swelling, and disperses the pain-causing chemicals, thereby removing their noxious effect on local nerves.

The treatment utilizes very thin sterile needles to achieve its goal. The relief is often rapid and the patient becomes relaxed and tired.

Dr. Fishkin is an expert in dry needling, and has developed a unique treatment protocol. He is also founder of the Dry Needling Institute, which conducts training workshops for healthcare professionals. (edit)

Flexion Distraction: Treats Lower Back Conditions

Flexion/distraction manipulation is a treatment developed by James M. Cox. It is often used for lumbar disc injuries (herniation, bulges, etc.), and for other low back and lower extremity conditions.

Flexion-distraction involves the use of a specialized table that gently “distracts” or stretches the spine as it is gently rotated. This allows the chiropractor to isolate the affected area while slightly “flexing” the spine using a pumping rhythm. There is no pain associated with this treatment. Instead, the flexion-distraction technique’s gentle pumping to the painful area allows the center of the intervertebral disc (called the nucleus pulposus) to assume its central position in the disc. Flexion-distraction may also improve disc height.

These different planes of motion, along with the use of appropriate adjunctive therapy and exercises, allow for reduction of symptoms attributable to lumbar disc syndromes.

Foot Orthotics: Enjoy Healthy Posture for Life

Unlike generic, over-the-counter orthotics, we offer Stabilizing Orthotics by Foot Levelers, which are individually designed for your unique postural problems, not just problems with your feet.

We believe that correcting imbalances in your feet can properly align your spine and pelvis. Stabilizing Orthotics can promote whole-body wellness throughout your life.

Breast Reduction: Get an expert opinion

Are your breasts causing you unhappiness?  Find out if breast reduction can improve your outlook.

If you have several of the problems listed below, you may qualify for non-cosmetic reduction through your health insurance.

  • Your breasts limit your clothing choices and hide the rest of your figure.
  • You cannot see your waist anymore.
  • Your breasts causes pain in your back, chest, or rib cage.
  • Your breasts affect your breathing and may aggravate your asthma.
  • Your breasts causes pain in your shoulders especially where your bra straps in the groove that the straps have created.
  • Your breasts cause skin irritation and rashes in the under wire region.
  • Your breasts make you feel socially awkward or inhibited.
  • You must spend more money on custom or specialty bras.

We are experts in evaluating and documenting your clinical need for breast reduction. Please call us to schedule an evaluation if you’re considering a clinically necessary breast reduction.