FoRM Health

You don’t have to be an athlete to need sports medicine. Whether you have a joint, tendon, ligament, muscle, nerve, or other injury due to an accident during physical activity, the physicians at FoRM Health in Portland, Oregon can help. You’ll find a mix of traditional and specialty, non-surgical orthopedic (referring to bones, muscles, and related soft tissues) therapies aimed at helping the body to heal and recover. For many conditions, your FoRM practitioner may choose manual (hands on) therapies initially, before proceeding to advanced techniques for more stubborn conditions. If you suffer from chronic, longstanding injuries or arthritis, however, Platelet Rich Plasma (PRP) injections, MFAT or shockwave are particularly effective and may be chosen right away. These therapies help stimulate (or re-stimulate) your body’s healing response. FoRM also utilizes the advantage of ultrasound guidance to ensure safe and proper administration of solutions being injected. Of course, some conditions require surgical orthopedic intervention. If this is deemed the case during your assessment, or at any time during your care, we are happy to coordinate referrals and play a supportive role in both pre- and post-surgical rehab, as needed. What is Sports Medicine? Sports medicine focuses on treating injuries sustained during exercise or physical activity. Although professional and recreational athletes tend to encounter the most sports injuries, you can suffer the same injuries during daily activities, such as on a neighborhood walk or working in the garden. Some common sports medicine injuries include: Sprains and Strains Shin splints Meniscal tears Hip and Shoulder Labral tears Plantar fasciitis Rotator cuff tears Tennis and Golfers’ elbow Disc bulges and herniations What are other orthopedic or musculoskeletal conditions treated? Some injuries listed above may not result from a specific injury, but instead are more degenerative in nature, meaning they develop over time from a number of factors. Other conditions you may not develop immediately, but instead result from poor posture or movement patterns over time leading to stress on your soft tissues and nerves resulting in pain. Examples of these conditions include: Degenerative Joint conditions including disc disease, meniscus tears, and arthritis Tendinosis and Tendinitis Bursitis Carpal Tunnel Sciatica Nerve entrapments Tension headaches TMJ issues Motor Vehicle Accident sequelae Chronic loose ligaments (aka ligament laxity, hypermobility syndrome, Ehlers Danlos) How are sports and non-surgical orthopedic injuries treated? Your first visit is a full hour to get a complete history, detailed exam, order or perform imaging as necessary, and discuss a treatment plan. Our goal is both alleviating your pain and helping your body heal itself. Some treatment options include: Dry needling Sports Chiropractic Physical Therapy Platelet-rich plasma (PRP) injections MFAT Cell Therapy (Fat stem cell injections) Prolotherapy Focused Shockwave Therapy (ESWT) Sports Acupuncture Myofascial release Kinesio taping Cupping, GuaSha, IASTM Ultrasound-guided nerve hydrodissection Neural therapy Perineural Injection Therapy (aka Neural Prolo) Prolozone Steroid, micro-steriod, or hyaluronic acid injections Nutritional and Supplemental, as needed Beyond injections and localized therapies, FoRM Health in Portland, Oregon also offers comprehensive support to optimize healing time. Our team aims to identify and treat any underlying systemic problems that may be delaying your recovery (i.e. hormones, nutrition, etc). The FoRM Health approach to sports medicine emphasizes nonsurgical treatments that minimize medication so you can recover fully, starting at the source of the injury. You’ll learn the details of each option to empower you to make an informed decision about your treatment path. For help with your injury, book an appointment online or by phone today.

Flow through life more easily with Functional Medicine, a solutions-forward approach to healthcare! Functional medicine is patient-centered, empowering patients and practitioners to work together to address the underlying causes of symptoms and disease. It involves a detailed understanding of each patient’s current health status, personal and family history. Personalized treatment plans include diet & lifestyle recommendations as well as in-office services which help patients meet their health goals without the risk of surgery and side effects. At FoRM Health in Portland, Oregon, our Functional Medicine specialists offer a proactive style of healthcare, utilizing natural and scientifically-substantiated methods to provide your body with the greatest potential for long-term wellness and sustained health. What sets FoRM Health apart from other clinics? At FoRM Health in Portland, Oregon, we optimize your health and healing through the synergism of functional and regenerative medicine. Regenerative medicine procedures are powerful, effective and safe, however, one’s capacity to heal is dependent on a healthy foundation. A strained tendon or wrinkled skin will always heal quicker and better when internal imbalances such as hormonal, nutritional, or immunologic are addressed. We aim to help your entire system function better, so you can regenerate faster! What Functional Medicine services are offered at FoRM? IV Therapy Brain Mapping & Neurofeedback Functional Lab testing Hormone replacement therapy Naturopathic Medicine Acupuncture Nutritional counseling Red Light Therapy Schedule with FoRM’s Functional Medicine Specialists: Dr. Kai Herman ND (Hormones, Weight loss, Aesthetics + IV therapy) Dr. Brittany Krake ND (Hormones, Complex Chronic Disease, Regenerative Medicine) Dr. Jessica Binshaieg ND (Functional Medicine, Orthopedic Medicine, IV Therapy) Dr. Caitlan Readhead ND (Complex Chronic Disease + Infections, IV therapy + Neurofeedback) Dr. Madeleine Tuson-Turner ND (Primary Care, Pelvic Floor Therapy, Hormones + Weight loss) Hilary Constant LAc (Acupuncture) Laura Goff, LAc (Acupuncture) Krishna Avalon, LAc (Acupuncture) Natasha Colburn, LAc (Acupuncture) Ellina Gurevich MScN (Nutrition) FAQ What conditions and symptoms can be addressed with Functional Medicine? Almost any health problem can be helped with Functional Medicine. Identifying and correcting obstacles to health is the first step and can result in tremendous improvements in health, no matter the condition. However, we do not see patients seeking treatment for any cancer-related concerns. What can I expect from my first Functional Medicine appointment? What type of services and treatments are typical in Functional Medicine? How much do Functional Medicine visits cost? What lab testing options do you offer at FoRM? Are there additional costs associated with these tests? Do you only treat or see patients from Portland, Oregon?

LOOK BETTER Be in control of aging inside and out! We firmly believe that beauty forms the expression of good health. By seamlessly integrating cutting-edge aesthetics with the potency of natural medicine to preserve vitality as we age, you can genuinely embrace what are the best years of your life. Be free of skin and hair concerns while addressing obstacles to your health and beauty to achieve long-lasting results. To learn more about the wide-ranging aesthetic services in Portland, Oregon with FoRM Health, book a complimentary consultation today by phone or online. Memberships: We know you want results when it comes to looking your best, but deciding on the best path forward can be overwhelming. Our Age Defy Memberships delivers results and eliminates complex-decision making! We’ve curated the best combination of therapies that will thoroughly address your skin’s needs + goals for a flat, monthly rate. Learn more about our Age Defy Memberships… Not ready for a membership? Have a specific service in mind? Check out our complete list of services: PRP/PRF Skin Rejuvenation PRP/PRF Hair Restoration Neuromodulator Injectables (ie Botox) IPL photorejuvenation & photofacials Age Defy Aesthetic Memberships Advanced Aesthetic Care Schedule with FoRM Health’s Aesthetic specialists in Portland, Oregon: Dr. Kai Herman ND (PRP/PRF Skin & Hair Treatments, Injectables ie Botox) O’Brien Cox, CAE. (Membership + Aesthetic Consultations, Laser treatments, Hydrodermabrasion, Chemical Peels, Microneedling, Custom Facials) 2 Options for getting started with Aesthetics at FoRM Health in Portland, Oregon? One option is to start with a 30-minute complimentary consultation with O’Brien, our advanced aesthetician, who will review your goals and recommend services + products to help you achieve them. Your first treatment will be scheduled on a different day. If you want to get started right away with treatment, but don’t know where to start, schedule a 1-hour new Aesthetic appointment* with either Dr. Kai (Botox, all PRP/PRF treatments) or O’Brien (IPL, Laser Hair Removal, Custom Facials, Microneedling, Peels, Hydrodermabrasion) who will complete your consultation AND perform an initial treatment on the same day. *There is a $50 minimum charge for the one-hour appointment, even if you decide against receiving a treatment that same day, you will be charged the minimum fee.

The Aesthetic Medicine specialists at FoRM Health in Portland, Oregon, advocate for a natural approach to beauty & anti-aging. Injectables are an excellent addition to any aesthetic regimen and are administered with careful conservation, with your unique facial structure & goals in mind. Dr. Kai Herman recommends such procedures be combined with other services such as PRF Skin Rejuvenation and cosmetic laser to yield natural, long-lasting results. Schedule your consultation today at FoRM Health in Portland, Oregon, with Dr. Kai. Neuromodulator (Botox, Xeomin) Injections Reduce the appearance of unwanted wrinkles and fine lines with neuromodulator injections, using popular and safe injectables, such as Botox and Xeomin. Neuromodulators target the nerves within facial muscles to relax the muscle and overlying skin, yielding a smoother, more youthful appearance. Neuromodulator injections are appropriate for those looking for quick results. FAQ Which areas can be treated with neuromodulator injections? Most commonly treated areas include the “11’s ” or vertical frown lines, crow’s feet, eyebrows, and horizontal forehead creases, but are able to be used throughout the face. Neuromodulators may also help reduce headaches caused by muscle tension. What is the cost of neuromodulator injections? How many units are typically used in a treatment? How long do neuromodulator injections last? How do I get started with Neuromodulator ie Botox injections? Are Neuromodulator injections safe? What are the pre & post-procedure recommendations? Do you only treat or see patients from Portland, Oregon?

If you suffer a sports or musculoskeletal injury, a general acupuncture approach may not be sufficient. The acupuncturists at FoRM Health in Portland, Oregon offer athletes and lay people alike a more specialized approach. Sports acupuncture and dry needling provide more effective, direct care for your injury by specifically helping reduce muscle and connective tissue (fascia) tension to decrease pain, increase circulation, and support healing. Sessions are tailored to the patient’s condition, and typically involve a mix of dry needling, standard acupuncture techniques, and complementary modalities (cupping, GuaSha, electric stimulation, infrared, and more). FoRM Health acupuncturists in Portland, Oregon have experience treating high level athletes with dry needling, including professional acrobats, USA track and field runners, and even multiple Olympic medalists. You definitely don’t have to be a professional, or even call yourself an athlete, but we can help you feel like one! Call us today or schedule online to get started. What Conditions is Dry Needling used for? Muscle spasms and cramps Tension or strain headaches Sprains and strains Low back and spinal related pain Tennis elbow Achilles tendonitis Plantar fasciitis Gluteal tendinopathy Shin splints FAQ What is the difference between acupuncture and dry needling? In a broad sense, acupuncture and dry needling are essentially the same; both techniques utilize small needles that are inserted through the skin. Beyond that, however, there is typically a difference in both the decision as to where to apply the needles and how they are used or manipulated. While some acupuncturists essentially use a style basically identical to dry needling, for many patients the experience can be quite different. Acupuncture is based on a 2000+ year old system of Chinese philosophy which at a very basic level looks at the human body as essentially an energetic system existing in a state of fluctuating balance/imbalance. Meridians, or channels, in the body related to an organ network (similar, but not synonymous with anatomic organs) help identify sites of blockage or imbalance where needles can be inserted. Systemic imbalances, again related to the organs and the overall state of the person, are further treated with medications, herbs, food/nutrient choices etc that aim to restore the imbalance. This Chinese Medicine view is complex, needing extensive training in the philosophy to fully understand it, or at least its application from a health standpoint. Attempts to prove or understand it from a Western medical or anatomical view are difficult as basically it is like speaking two different languages or religions, i.e. intermixing French and Japanese when speaking, or trying to explain Christianity through Buddhist terms. Acupuncture applied from within its own context can be very effective for a variety of conditions, as proven both in studies and by its presence in medical care for over 2 millennia. Dry needling, in contrast, is based on a strict Western anatomical basis. Regions of tight, constricted muscles are identified. Needles are inserted into (often) predictable sites of the muscles, usually motor or trigger points, and manipulated until a twitch in the muscles is elicited. This twitch is basically a quick contraction of the muscle. The twitch is essential; when a muscle contracts it typically then causes a reflexive relaxation of that muscle, thereby calming or re-setting the tone of the muscle. Interestingly, and where the debate often comes in across different practitioners, is that acupuncture points often coincide or overlap with the points used in dry needling. This is of no surprise, however, and helps prove both therapies when you consider that two different viewpoints or philosophies end up with the same therapeutic site. Does acupuncture or dry needling hurt? Do I have to rest or limit activity after a dry needling treatment? Do you only treat or see patients from Portland, Oregon?

If you have suffered the sharp, burning intensity of persistent nerve pain, you are aware of the equal frustration of finding a treatment to actually make the pain go away. The physicians at FoRM Health in Portland, Oregon may have an answer for you using advanced ultrasound imaging to get a needle very close to the affected nerves. They have used this relatively new technique to successfully treat common conditions such as carpal tunnel to more hard to identify causes of pain and sensitivity. What conditions can Nerve Hydrodissection be effective for? Carpal tunnel Tarsal tunnel syndrome Cubital tunnel syndrome Sciatica, when related to entrapment at the piriformis or gluteal region Meralgia Paresthetica (lateral femoral cutaneous nerve entrapment) Peroneal nerve entrapment, foot drop Pain that mimics joint or tendon problems without (or with) specific damage of these structures (for example, “tennis elbow” from radial nerve entrapment) Regions of skin hypersensitivity and persistent, burning pain How does nerve hydro-dissection actually work? Certain nerves are prone to getting compressed or entrapped, especially between tissue layers affected by scarring, tension and chronic injuries. The nerves can get stretched, irritated, and then inflamed, causing persistent pain and hypersensitivity. Using ultrasound, your doctor can visualize the swollen nerves and then get a small needle very close, injecting fluid around the nerve to relieve pressure and adhesions. The result? Pain relief, often without the use of any anesthetic at all. FAQ What is actually injected during nerve hydrodissection? Typically just dextrose and water is injected. No anesthetic, no steroid, no other drugs. We are relying on the fluid pressure to release the nerve constriction. Additionally, dextrose has a calming or analgesic (pain relieving) effect on nerves due it binding a specific receptor present when a nerve is constricted and inflamed. Often, we even don’t use anesthetic beforehand as the needles are quite small, plus we like to see immediate pain relief from the hydrodissection, without it being covered up by an anesthetic. Why is it called dissection? Doesn't that actually hurt the nerves? How many treatments of hydrodissection are needed? Am I sore afterwards? When can I resume activity? Do you only treat or see patients from Portland, Oregon?

Move better with care from our Chiropractic physicians at FoRM Health in Portland, Oregon, who specialize in sports medicine. Chiropractic sports medicine uses non-invasive techniques such as joint adjustments, soft tissue (muscles and fascia) therapies, and other strategies to provide pain relief and help you recover from injuries. In addition to in-office care, our Chiropractors prescribe home exercises designed to improve stability, strength, and mobility to facilitate long-term success and injury prevention. Chiropractic care goes beyond the spine, treating a wide variety of musculoskeletal ailments throughout the body, as well as providing preventive care for active individuals wanting to stay active! Commonly use chiropractic techniques: Active Release Technique (ART) Instrument Assisted Soft Tissue Mobilization (IASTM, Graston) Joint Mobilization and Manipulation Therapeutic Exercise and Rehab Manual Therapy What conditions are commonly treated with Chiropractic? Low back pain Joint sprains Muscle strains and injuries Concussions + Traumatic brain injuries Neck pain + whiplash Arthritis Nerve impingement Tendinitis / tendinosis Bursitis Shoulder pain (rotator cuff, biceps, AC joint sprain, dislocations, post-op) Knee pain (IT band syndrome, patellar tracking, sprains, post-op) Foot/ankle (sprains, plantar fasciitis, achilles tendinitis) Neck pain / upper back pain / low back pain Disc herniations (cervical and lumbar) TMJ dysfunction (jaw pain) Headaches Rib pain ( a form commonly referred to as costochondritis ) Sciatica / radiculopathy / pinched nerves FAQ What is manipulation? A manipulation (also known as an adjustment) is a high velocity, low amplitude thrust applied to a specific joint in order to provide a therapeutic result. Our chiropractors take great care to use a gentle approach when performing manipulations, via tools such as an activator and drop table. Does the manipulation hurt? I’ve been to a chiropractor before and it didn’t work, can you still help me? I was recently injured, is it too soon to receive treatment? I’m afraid of getting adjusted, can you still help? I got injured during a car accident, can I see you for these injuries? Do you work with pregnant or post-partum patients? Do you treat children and kids? Do you only treat or see patients from Portland, Oregon?

Feel and move better with Physical Therapy at FoRM Health, in Portland, Oregon. Specializing in orthopedic and sports medicine, our Physical Therapist uses techniques including soft tissue (muscles and fascia) therapies, craniosacral techniques, exercises, education, and joint mobilization as well as other strategies to provide pain relief and help you recover from injuries. In addition to in-office care, Physical Therapists prescribe home exercises designed to improve stability, strength, and mobility and to facilitate long-term success and injury prevention. Our physical therapists in Portland, Oregon can provide ergonomic education/interventions, education in proper body mechanics and postural assessment. Physical therapy can treat a wide variety of musculoskeletal ailments throughout the body, as well as providing preventive care for active individuals wanting to stay active. Commonly use physical therapy techniques: Therapeutic exercise and rehab Body mechanics, ergonomic education/instruction. Manual techniques including Soft Tissue Mobilization Craniosacral techniques Instrument Assisted Soft Tissue Mobilization (IASTM, Graston) Joint Mobilization What conditions are commonly treated with Physical Therapy? Neck pain/mid-back pain/Low back pain Joint/Muscle injuries – sprains and strains Concussions + Neck Pain + Whiplash Migraines, Headaches Arthritis Nerve impingement Tendinitis / tendinosis Bursitis Shoulder pain (rotator cuff, biceps, AC joint sprain, dislocations, post-op) Knee pain (IT band syndrome, patellar tracking, sprains, post-op) Foot/ankle pain (sprains, plantar fasciitis, Achilles tendinitis) Disc herniations. Rib pain (a form commonly referred to as costochondritis) Sciatica / radiculopathy / pinched nerves

Our massage therapists in Portland, Oregon offer diverse skills to address various issues—from therapeutic needs to relaxation. Whether you’re seeking post-injury recovery, a natural pain solution or simply restoration, we have a therapist suited to your needs. Sports Massage + Manual Therapy Sports massage targets athlete-specific areas prone to strain, improving tissue mobility and optimizing movement patterns. It’s both preventive and performance-enhancing. Many athletes schedule sports massages regularly throughout their training routines in order to help offset the ‘wear and tear’ on their body. Post-event massage aids recovery, performed immediately or within a few days after the event. Therapeutic massage and Manual Therapy include techniques like deep tissue, trigger point therapy, and myo-fascial release. It targets specific complaints, aiding recovery and pain reduction post-injury or for the relief of chronic conditions. Your doctor may prescribe a therapeutic massage or manual therapy to support recovery and reduce pain following traumatic injuries such as those sustained in motor vehicle collisions, or for chronic conditions such as headaches. Common Conditions Treated at FoRM Health in Portland, Oregon: Back pain Sports injuries Traumatic injuries Muscle spasms Arthritis Headaches Nerve pain Injuries from Motor vehicle accidents Restorative Massage Aside from assisting in treatment of specific physical injuries, massage is an excellent self-care tool to help cope with stress and improve overall wellness. Using long, gliding strokes, with gentle rocking and kneading, muscles start to loosen and relax, breathing slows and deepens, and the heart rate decreases. An added benefit, massage therapy boosts immune function by improving circulation. Improved circulation means that vital tissues are nourished and oxygenated, expediting the flow of lymph and removal of cellular waste. Common Conditions treated with Restorative Massage: Stress Frequent illness Insomnia Anxiety Depression Craniosacral Therapy Experience profound relaxation and holistic healing with Craniosacral Therapy at FoRM Health. This gentle, non-invasive technique focuses on releasing tension and promoting balance within the nervous system. By using subtle touch to detect and correct imbalances, our skilled therapists help alleviate a wide range of conditions, including headaches, TMJ dysfunction, stress-related disorders, and chronic pain. Whether you’re seeking relief from physical discomfort or aiming to enhance your overall mood + well-being, Craniosacral Therapy offers a nurturing and effective approach to restore harmony and vitality to your body and mind. Lymphatic Drainage Massage Experience renewed energy and revitalization with Lymphatic Drainage Massage (LMD) at FoRM Health. This specialized massage technique is designed to promote the natural flow of lymphatic fluid throughout the body, aiding in detoxification, reducing inflammation, and boosting the immune system. LMD utilizes gentle, rhythmic movements which facilitate the removal of toxins, excess fluid, and metabolic waste. Whether you’re seeking relief from swelling, enhancing post-surgery recovery, or simply looking to enhance your overall health and vitality, Lymphatic Drainage Massage offers a soothing and effective approach to support your body’s natural healing processes.