Rehabilitation and Physical Wellness Treatments

Chiropractic Treatments from  Your St. Augustine Chiropractor

All Chiropractic practitioners know how important it is for individuals to lead an active lifestyle and to get plenty of exercise. It is important for us to promote physical wellness for the health of all the systems our bodies have. Dr. Scott Fechter and Dr. Juliana Farrell are  always eager to help patients find exercises that are appropriate for their body limitations and age. We strongly suggest that our  patients  over age 40 who have a medical history contact us before participating in any exercise activity.

Exercise: Rehabilitative & Preventative

Any injury that causes trauma to our joints should be rehabilitated with therapeutic exercise after medical clearance. Therapeutic exercise helps individuals to regain strength and balance. Your St. Augustine Chiropractor can recommend and demonstrate the best exercises for you after an injury.

We recommend  exercising during all stages and ages to keep muscles strong and joints healthy and to reduce the risk of worse damage should an injury occur.

Don’t underestimate the power of stretching

When an injury occurs to your body, stretching is one of the most important things that you can do to prevent scar tissue from forming. Scar tissue begins to form quickly, so it is important that you begin a stretching regimen soon after your injury to keep this tissue from making a permanent impression


For some ailments, modalities are helpful in promoting healing and pain relief. Commonly used modalities at Dr. Scott Fechter’s office are inferential and muscle stimulation, ultrasound and deep heat.

Health Training & Educational Programs for Employees

Injured and ill employees equal lost work time for an employer. Why not be proactive and have your St. Augustine Chiropractor provide educational training to your employees to promote health and wellness and reduce the risk of injuries. We can educate on the proper work area setup, lifting and bending techniques and general safety precautions to take in the workplace.

After your injury rehabilitation program has concluded, it is important that you continue to stretch daily. Continued stretching will keep your body pliable and will also help to prevent injury in the future.

Nutritional Education

It is all too evident today that obesity is a major issue in the United States. Many individuals are uninformed of how to make healthy choices when it comes to food. Unfortunately, this lack of education can lead to health issues including eating disorders, heart attack, diabetes, stroke, and even cancer.

Your St. Augustine Chiropractor is trained on proper diet and nutrition and is ready to meet with you to customize a nutrition program designed to help you meet your health goals and minimize the risk of serious health threats.

Over prescription of medication, consumption of excessive amounts of caffeine and fat and not consuming enough nutritious foods as well as mental stress and tension all contribute to overall poor health. We can help you weed out your habits that are unhealthy while providing you with practices to engage in to promote a healthy lifestyle.

Injuries we treat include, but are not limited to:

Headaches • Neck • Mid back pain • Numbness • Pain or tingling in the arms and hands • Dizziness

Decreased range of motion • Low Back Pain • Numbness and tingling in the legs or lower extremities • Shooting Pains • Sciatica • Herniated Discs • Shoulder Pain • Knee Pain • Hip Pain • Shooting Pains • Carpal Tunnel Syndrome • Wrist Pains • Ankle Pains • Foot Pain

Treatment Options

Chiropractic Care

Spinal manipulative therapy a.k.a. adjustments are used to put in motion back into the spine or extremity Cervical Mechanical

Traction, Spinal Decompression

Used for bulging cervical discs to create a degree of soft tissue tension and/or to allow for separation between joint surfaces.

Lumbar Mechanical Traction, Spinal Decompression

Treats herniated, bulging, and degenerative discs without surgery. State of the art technology gradually relieves neurocompression often associated with lower back pain. This process has been proven to relieve pain by enlarging disc space, reducing herniation and strengthening outer ligaments. It helps move herniated areas back into place, reversing high intradiscal pressures through application of negative pressure.

Electric Muscle Stimulation (EMS)

Increases blood flow which helps to decrease inflammation and bring nutrients necessary for healing injuries. Stimulates local nerve cells which can have a pain reducing/anesthetic effect.

Hot Packs

Application of superficial heat that is most effective in subacute or chronic conditions. Cold Packs: Application of cold for withdrawal of thermal energy used in acute and severe spasticity.


Sound waves pass through the skin (a deep penetrating modality) to increase local blood flow, reduces swelling and acute/chronic inflammation. Also used for breaking fibrotic adhesions and reducing muscle spasms.

Passive and Resistive Stretching

Used to increase muscle strength, endurance, flexibility, and mobility.

Intersegmental Traction, Spinal Decompression

Induces passive motion into the spine for the purpose of stretching spinal joints and increasing mobility. Since discs have a poor blood supply, they get nutrients from the circulation of fluids surrounding spinal joints. Fixations prevent this natural circulation and can cause thinning and degeneration. Intersegmental traction helps increase and restore necessary elasticity and motion to the spine.

Manual Therapy

Neuromuscular, Deep Tissue, Myofascial Release, and Trigger Point Massage Therapy used to reduce muscle spasms, break adhesions and release trigger points in the muscle tissues.

Digital X-Ray

Digital x-ray imaging use sensors instead of the traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also less radiation can be used to produce an image of similar contrast to conventional radiography.

Rehabilitative/Muscle Strengthening Equipment

One-on-one patient contact by the provider using dynamic activities with lifting stations to improve functional performance. *Including an 8-Way Cervical Rehabilitation Machine.

Stages of Care

Stage 1: We begin our care with a thorough examination that leads to a general assessment that guides our treatment. Our treatment starts with therapeutic modalities that reduce inflammation in the injured areas as well as stimulate the muscles to increase circulation. At this stage, we also use passive stretching to increase the range of motion in the injured areas.

Stage 2: We advance using stimulatory modalities and an exercise program designed for the restoration of function in the injured areas.

Stage 3: We increase the rehabilitation at this stage, designing treatments for a broader musculoskeletal rehabilitation using conventional strengthening and stretching exercises as well as isotronic resistance equipment.

Our facility uniquely provides a full range of therapeutic modalities under one roof that allows us to manage our patient’s conditions with effective and convenient care. Our care strives to decrease pain levels and increase function and wellness with state-of-the-art physiotherapy services. We use a multi-disciplinary approach to musculoskeletal injuries with Rehabilitative/Sports Medicine, Massage Therapy and Manipulative Therapy.