Not all conditions are primary to the spine and very often an extremity issue is the chief concern of the patient. Dr. Downs has extensive experience in the diagnosis and treatment of extremity conditions, ranging from sprains/strains to arthritic and overuse syndromes. Stretching techniques, transverse frictional massage, dry needling, mobilization, and physiotherapy techniques can all be effectively applied to address an upper or lower extremity problem. Additionally, exercise regimens are also critical in rehabilitating those types of problems.