Frequently asked questions

At Synergy Spine & Performance, we take a comprehensive, individualized approach to help you reduce pain, restore function, and prevent future injuries. Our core approach combines physical therapy and chiropractic care, with the McKenzie Method (MDT) as the foundation for evaluating and treating your condition. MDT identifies the root cause of your pain and guides a targeted, effective treatment plan.

Depending on your needs, we incorporate a variety of therapeutic techniques:

Physical Therapy & Chiropractic Care:

• McKenzie Method (MDT): Assess, treat, and empower patients with self-management strategies

• Chiropractic adjustments: Improve spinal alignment, mobility, and overall function

• Manual therapy: Enhance joint and muscle movement

Aesthetic & Performance Therapies:

• Emsculpt NEO: Build muscle and reduce fat to improve body composition and aesthetics

• Emsella: Strengthen pelvic floor muscles for core stability and improved bladder control

Muscle & Soft Tissue Treatments:

• IASTM (Instrument-Assisted Soft Tissue Mobilization): Break down scar tissue and improve muscle function

• Myofascial decompression (Cupping): Improve circulation and relieve muscle tension

• Dry needling: Release trigger points and tight muscles

Rehabilitation & Strengthening:

• Personalized rehab programs: Stabilize muscles and prevent re-injury

• Personal training: Support long-term health, strength, and performance

Supportive Therapies:

• Acupuncture: Stimulate healing and restore balance

Each treatment plan is customized to your condition and recovery goals, providing a holistic, results-driven approach that blends hands-on care, therapy, and patient education.

At Synergy Spine & Performance, we specialize in musculoskeletal conditions, helping patients reduce pain, improve function, and prevent injuries. Common conditions we treat include:

• Spinal & Back Issues: Lower back pain, neck pain, sciatica, herniated or bulging discs, radiculopathy, spinal stenosis

• Posture & Chronic Pain: Postural dysfunction, fibromyalgia, arthritis, chronic pain conditions

• Muscle & Joint Injuries: Muscle strains, tendonitis (including tennis elbow, golfers elbow, biceps or Achilles tendonitis), ankle sprains

• Extremity & Other Conditions: Plantar fasciitis, carpal tunnel syndrome, TMJ disorders, headaches and migraines

We provide personalized care tailored to your condition, combining chiropractic care, physical therapy, and specialized treatments to help you get better faster.

We are in-network with Blue Cross Blue Shield PPO (BCBS PPO). Dr. Monica is also in-network with Aetna PPO plans.

We also accept Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) for payment.

If you don’t have insurance or prefer an alternative option, we offer cash/self-pay rates with competitive pricing through ChiroHealth USA, as well as package and membership options.

Even if your plan isn’t in-network, we can provide a superbill so you can submit it to your insurance for potential reimbursement. Our team is happy to help you explore the payment plan that works best for you.

No referral is needed for most patients — you can schedule directly with us.

Please bring your ID and insurance card (if applicable).

All other information, including medications, supplements, and medical history, will be completed through the electronic paperwork sent before your appointment for a smooth and efficient check-in.

Yes! At Synergy Spine & Performance, both Dr. Hoff and Dr. Monica provide specialized care for pregnant women. We use the Webster Technique, a gentle chiropractic adjustment designed to optimize pelvic alignment, relieve discomfort, and support a smoother pregnancy and delivery.

Our team is committed to providing safe, personalized care tailored to the unique needs of expectant mothers.

Yes! We try to accommodate urgent needs whenever possible. Call or check our online booking via our website to see availability.