Greenwood Village, CO · Non-Surgical Orthopedics

Start With The Body Part That Hurts

Every diagnosis we treat, organized by region — with the specific structures involved, how each is confirmed, and the image-guided options that follow.

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Top rated locallyBoard-Certified PM&R — ColoradoGreenwood Village, CO & surrounding areas

Shoulder Injuries

Shoulder pain usually comes from the rotator cuff, the bursa above it, the biceps tendon, the labrum, or the joint itself — and the exam plus dynamic ultrasound is what separates them. Most of these problems have a non-surgical path that starts with treating the right structure.

Rotator Cuff Tears & TendinopathyPartial or full-thickness injury to the tendons that lift and rotate the arm.Shoulder Impingement SyndromeCompression of the rotator cuff tendons as they pass beneath the acromion.AC Joint Sprain & SeparationInjury to the ligaments connecting the collarbone to the shoulder blade.Subacromial BursitisInflammation of the fluid-filled sac that cushions the rotator cuff.Frozen Shoulder (Adhesive Capsulitis)Inflammation and thickening of the joint capsule causing pain and progressive stiffness.Shoulder Labral TearsInjury to the fibrous cartilage rim that deepens and stabilizes the shoulder socket.Biceps Tendon InjuriesPain at the front of the shoulder from an inflamed or degenerated biceps tendon.Shoulder OsteoarthritisCartilage wear in the main shoulder joint or the AC joint at the top of the shoulder.

All shoulder conditions

Hip & SI Joint Injuries

Hip pain is mislabeled more often than almost any other complaint. Groin pain usually means the joint itself, pain on the side of the hip usually means gluteal tendon and bursa, and the low back can refer into both. Separating them is the whole point of the first visit.

Hip OsteoarthritisDegenerative wear of the ball-and-socket hip joint.Hip Labral TearsInjury to the cartilage rim that deepens and seals the hip socket.Gluteal Tendinopathy & Trochanteric BursitisDamage to the hip-stabilizing tendons on the outside of the hip, often mislabeled as bursitis.Sacroiliac Joint DysfunctionPain from the joint between the sacrum and the pelvis, felt low and off to one side.Piriformis SyndromeButtock pain from an irritated piriformis muscle, sometimes with sciatic nerve involvement.Snapping Hip SyndromeA snapping sensation with hip movement, from the IT band externally or the iliopsoas internally.

All hip & si joint conditions

Knee & Leg Injuries

The knee takes more load than any other joint and is the most common reason patients ask about regenerative options. Whether it is arthritis, a meniscal problem, or a tendon that never recovered from a ski season, the sequence is the same: confirm the source, treat it precisely, rebuild the muscle that supports the joint.

Knee OsteoarthritisCartilage wear in the knee, the most common reason patients ask about PRP and BMAC.Meniscus TearsInjury to the shock-absorbing cartilage between the thigh bone and shin bone.Patellar & Quadriceps TendinopathyDegeneration of the tendon above or below the kneecap.MCL, LCL & Partial ACL InjuriesPartial ligament injuries from skiing, cycling, and field sport.IT Band SyndromePain on the outside of the knee from friction and load on the IT band.Baker's CystA fluid collection behind the knee, almost always secondary to something inside the joint.

All knee & leg conditions

Low Back & Lumbar Spine

Low back pain is the single most common reason patients come to Alpine. The plan starts by identifying which structure is actually generating the pain — disc, nerve root, facet joint, or sacroiliac joint — because each is treated completely differently and imaging alone rarely answers it.

Lumbar Disc HerniationDisc material pressing on or chemically irritating a lumbar nerve root.Degenerative Disc DiseaseAge- and load-related change in the discs, common on imaging and often asymptomatic.SciaticaLeg pain following a nerve root, most commonly from a disc or a narrowed nerve exit.Facet Joint ArthropathyArthritic change in the small paired joints at the back of each spinal segment.Lumbar Spinal StenosisNarrowing of the spinal canal or nerve exits, producing leg symptoms with walking.SpondylolisthesisOne vertebra slipped forward on the one below it.

All low back conditions

Neck & Cervical Spine

Neck pain that radiates into the shoulder blade or down the arm usually means a cervical nerve is irritated. Desk posture, old whiplash, and degenerative change all contribute. Treatment is built on identifying the level involved and calming it with precision rather than treating the whole neck at once.

Cervical Disc HerniationDisc material irritating a nerve root in the neck.Cervical RadiculopathyA compressed or inflamed cervical nerve root producing arm symptoms.Cervical Facet Joint PainArthritic or post-traumatic pain in the small joints of the neck.Whiplash & Post-Traumatic Neck PainPersistent neck pain after a motor vehicle collision or a fall.Cervicogenic HeadacheHeadache generated by the upper cervical joints and nerves.

All neck conditions

Elbow & Arm Injuries

Elbow problems are overwhelmingly tendon problems, and tendon problems that have lasted months are not inflammatory — the tissue itself has changed. That is why bracing and rest stop working, and why placement of an orthobiologic into the abnormal tissue matters so much.

Tennis Elbow (Lateral Epicondylitis)Degeneration of the common extensor tendon on the outside of the elbow.Golfer's Elbow (Medial Epicondylitis)Degeneration of the common flexor tendon on the inside of the elbow.Distal Biceps TendinopathyPain at the front of the elbow where the biceps attaches to the forearm.

All elbow & arm conditions

Hand & Wrist Injuries

Hand and wrist structures are small, superficial, and close together — which makes ultrasound guidance the difference between treating the right structure and treating near it. Most of what limits grip and pinch has a precise, non-surgical option.

Thumb CMC ArthritisArthritis at the base of the thumb, one of the most common arthritic joints in the hand.Wrist Ligament InjuriesSprains and partial tears of the small stabilizing ligaments of the wrist.Trigger Finger & de Quervain'sTendon sheath irritation causing catching in a finger or pain at the thumb-side wrist.

All hand & wrist conditions

Foot & Ankle Injuries

Foot and ankle problems in active Coloradans are usually tendon and ligament problems that were rested rather than rehabilitated. Ultrasound identifies the abnormal tissue precisely, which is what makes both the treatment and the loading plan specific.

Plantar FasciitisDegeneration of the thick band of tissue on the sole of the foot.Achilles TendinopathyDegeneration of the Achilles tendon, mid-portion or at the heel insertion.Ankle Sprains & Chronic InstabilityLigament injury on the outside of the ankle that never fully recovered.Ankle OsteoarthritisCartilage wear in the ankle joint, often years after a significant injury.

All foot & ankle conditions

Nerve Conditions

Nerve pain has a different character than joint or tendon pain — burning, electric, numb, or pins-and-needles — and it needs to be mapped to a level or a specific entrapment site before treatment. Ultrasound now allows many peripheral nerves to be treated with hydrodissection rather than surgery.

Lumbar RadiculopathyNerve root irritation in the low back producing leg symptoms.Peripheral Nerve EntrapmentA nerve compressed within a tunnel or against surrounding tissue.Occipital NeuralgiaSharp, shooting pain from irritation of the nerves at the back of the skull.

All nerve conditions

Not Sure Yet?

Start From Your Symptom Instead

Why do I have neck and shoulder pain on one side?What does it mean when back pain goes down my leg?Why does my knee hurt going down stairs?Why does my shoulder hurt more at night?Why does my hip hurt when I lie on my side?Why does my heel hurt when I first get out of bed?Why does my elbow hurt when I grip things?Why does my pain come back a few weeks after every cortisone shot?I've been told I need surgery — should I get a second opinion?Why hasn't my injury healed after months of rest?

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1-983-210-8167

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Tell us what's going on and our team will get right back to you. For anything urgent, call us directly.

1-983-210-8167

Top rated locallyBoard-Certified PM&R — ColoradoGreenwood Village, CO & surrounding areas