What We Treat

Dr. Tiltmann developed a specialty for helping patients that have failed all forms of lower-back treatment from chiropractors, physical therapists, all the way to failed back surgery syndrome (FBSS) cases. His approach is unique and more information is available here. This specialty builds upon a total-care approach for all pain, from common neck and athletic pain, to lessor known conditions that can be treated by chiropractic, from TMJ jaw pain to plantar fasciitis and chronic headaches. It doesn’t matter if you’re a weekend warrior, a triathlete or simply someone looking down at their phone too many hours each day, our goal is to get you back to a full, pain-free and active life.


Each year, thousands of Americans limit their activities and compromise their lives as a result of back pain. Most often, their discomfort and limitations are unnecessary results of treatable conditions. If you’ve been searching for ways to treat back pain, you’ve probably already missed out on too much of your life because of it.

  • Low back pain and lumbar strain/sprain
  • Degenerative disc disease
  • Disc herniation/bulges ("slipped disc")
  • Facet syndrome
  • Fibromyalgia
  • Pregnancy and menstrual-related back pain
  • Sciatica
  • Scoliosis
  • Spondylolisthesis


Traumatic injury, improper healing and chronic muscle tightness can dramatically limit the mobility and activity of those suffering shoulder injuries. Luckily, many of these conditions can be reduced, reversed or completely resolved with proper care.

  • Neck and shoulder pain and strains/sprains
  • Whiplash injury
  • Headaches
  • Temporomandibular joint (TMJ) disorders and jaw pain
  • Shoulder instability
  • Shoulder impingement syndrome
  • Shoulder tendinitis
  • Frozen shoulder
  • Rotator cuff injury
  • Strain/sprain of the shoulder


While many now understand the significant risks of repetitive wrist and hand motions, very few seem to recognize issues before they become painful problems. In addition, a variety of other sprains and conditions can severely limit motion, making work and recreation painfully uncomfortable.

  • Carpal tunnel
  • Ganglion cysts
  • Trigger finger
  • Wrist pain
  • Strain/sprain of the wrist and hand


Elbow complaints reach far beyond tennis players and golfers. A variety of conditions centered in the elbow can cause pain, numbness, tingling or weakness throughout the arms and into the hands, causing inconvenience and painful difficulties in day-to-day activities.

  • Cubital Tunnel Syndrome
  • Lateral epicondylitis (tennis elbow)
  • Medial epicondylitis (golfer's elbow)
  • Olecranon bursitis
  • Strain/sprain of the elbow


Hip injuries are not exclusively signs of aging. Active lifestyles often trigger hip conditions, felt throughout the body. Many times that nagging foot or leg pain stems from a more central issue. Too often, hip symptoms such as sciatica are misdiagnosed as lower back problems.

  • Hip bursitis
  • Iliotibial band syndrome (ITB)
  • lliopsoas syndrome
  • Piriformis syndrome
  • Hip strain/sprain


We put our knees through a lot with little thought for their care. The truth is that our knees absorb a tremendous amount of stress through everything from athletics to gardening and even playing with children. What starts as mild discomfort often turns into pain, not only limiting these activities but limiting range of motion.

  • Anterior (ACL) and posterior (PCL) cruciate ligament injury
  • Bursitis
  • Knee instability
  • Medial and lateral collateral ligament injury
  • Meniscus injury
  • Patellofemoral pain syndrome
  • Knee strain/sprain


You may not immediately think of chiropractic care for foot and ankle pain, but you should. A stable foundation supports your entire musculoskeletal system. As you compensate for pain in standing, walking, running or other activities, you may be engaging other areas of your body in detrimental patterns.

  • Achilles tendinitis
  • Ankle pain
  • Chronic ankle instability
  • Plantar fasciitis
  • Posterior tibial tendon dysfunction (adult-acquired flat foot)
  • Weak ankles
  • Ankle strain/sprain

Other Common Conditions

Often, the complexity of our musculoskeletal and nervous systems leaves patients at a loss in pinpointing the actual source of discomfort, pain or weakness. At Financial District Chiropractic, we diagnose, treat and prevent a variety of injuries and disorders throughout muscles, fascia, bones, joints and nerves.

  • Fibromyalgia
  • Core instability
  • Global joint stiffness
  • Hypertonic muscles
  • Muscle spasm
  • Myofascial pain syndromes
  • Strains/sprains
  • Tendinitis conditions
  • Trigger points

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