Pain Conditions

Reliant Physical Therapy of Orange County and Pain Relief Center

Welcomes you to our pain relief center. Our mission is to provide you with the most compassionate and advanced manual therapy techniques to relieve pain. We are committed to offering you the latest and most advanced non-surgical manual techniques that help to manage pain and pain treatment of various pain conditions including backneckTMJheadache and spinal pain . Our Orange County pain management center and pain specialists provide effective, non-surgical treatment for your pain. Our goal is to minimize your need for pain medications.

When diagnosing your condition, the pain treatment therapist/specialist at Reliant Physical Therapy Pain Relief Center will obtain a detailed history and perform a physical exam. They will strive to identify the source of your pain, in order to provide an accurate treatment plan and pain management.

To learn more about our specific pain treatment services and pain management center of Orange County, contact our Orange County pain management Center: Call (949) 236-6862.  To view pain treatment and pain management video testimonials, visit our testimonial page.


These are some of the conditions that we treat at Reliant Physical Therapy:



Neck Pain

According to American College of Rheumatology, neck pain effects 10% of the population each year. One of the most common sources of neck pain is whiplash from motor vehicle accidents. Neck pain may be localized in the cervical region or may radiate down to the arm, forearm and/or hand. People who sit in front of the computer for a long time are more apt to have neck painNeck pain may occur from muscle strains, which may occur as a result of prolonged physical activities such as sitting in front of the computer for a long period of time. Doctor Jacobs specializes in the treatment of neck pain. Our specialists focus on neck pain and call help you with your pain.

Tension & Cervicogenic Headache

Tension headaches are the most common type of headache associated with tightness of the soft tissue in the head, neck and shoulders. Tension headaches could be releated to poor posture, stress, depression, anxiety or head injury. Tension headaches are usually experienced on both sides of the head.  Tension headaches usually start at the back of the head and spread to the front. Tension headaches may occur when head and neck muscles become tense. The muscle tension may be as result of stress, anxiety, depression, and/or head injury. Advanced Soft Tissue Release, developed by Dr. Jacobs (patent pending), is a very gentle, effective and natural approach to treating tension headaches. Doctor Jacobs specializes in the treatment of tension headaches. Call to speak today with a specialist focused on addressing tension headaches.

These are some tension headache symptoms:

  • Dull / aching pressure 
  • A tight band on the head
  • Head and neck pain all over
  • Symptoms are worse in the head, neck, temples, back, shoulders
  • Sleep disturbance

The following could be triggers for tension headaches:

  • Poor posture
  • Fatigue
  • Stress
  • Depression
  • Alcohol 
  • Caffeine 
  • Smoking 
  • TMJ/ jaw problem such as clenching or grinding
  • Eye strain
  • The flu, cold or sinus infection

Migraine Headaches

Migraine Headaches are the second most common headache and often occur with other symptoms such as nausea and change in vision.  Throbbing or pounding head pain is usally associated with migraines and can take place on one side of the head.  Individuals who suffer from migraine headaches can be sensitive to light or noise and may experience "aura," which is a group of visual symptoms just before the headache attack.

According to the National Institute of Neurological Disorders and Stroke, about 12 % of the U.S population suffers from migraines headachesMigraine headaches occur 3 times more often in females than males. The World Health Organization considers migraine headaches one of the 20 most disabling medical illnesses in the world. Migraine headaches can occur with an aura, which can be followed by visual symptoms without auras. Patients who have migraine headaches may suffer from sleep disturbance, anxiety and depression. Doctor Jacobs specializes in the treatment of migraine headaches. Our migraine specialists are focused on addressing migraine headaches.

These are some of the symptoms of migraine headaches:

  • Pounding, pulsating, or throbbing pain
  • Migraine may begin on one side of the head and spread to the other side or stay on one side
  • Intense pain around the sides of the forehead
  • Vomiting and nausea
  • Vertigo, dizziness or lightheadedness
  • Fatigue
  • Visual disturbances such as blurred vision, temporarily blind spots, flashing lights
  • Sensitivity to noise, light and/ or movement
  • Body parts may feel weak, tingly or numb

At Reliant, we treat headaches naturally through using the Advanced Soft Tissue Release and cold laser therapy. Most of our clients testify that their headache symptoms disappear in a matter of minutes when treated with Advanced Soft Tissue Release. 

Reliant Physical Therapy is one of the few clinics in Orange County, Los Angeles County and San Diego County with a special program to treat headaches and migraines and is proud to offer this service to its clients.

TMJ & Jaw Pain

The temporomandibular joint (TMJ) is one of the most commonly used joints in the body. It opens and closes up to 2000 times per day.  (Gremillion 2000) found that more than 25% of the general population is effected by some type of TMJ disorder. TMJ can cause the following problems:

  • Difficulty Chewing, Talking & Yawning
  • Headache
  • Neck Pain
  • Change in Bite
  • Clenching & Grinding
  • Clicking & Popping
  • TMJ Locking 
  • Ear pain/ Sensation of Fullness / Tennitus

TMJ Disorders

The Temporomandibular Joint (TMJ) or Jaw Joint connects the mandibular (lower jaw) to the temporal bone in the head. The jaw joints enable us to chew, talk, and yawn. Temporomandibular disorders (TMD),TMJ disorders are a group of several conditions that results in jaw joint pain and dysfunction in the jaw movement. Doctor Jacobs specializes in the treatment of TMJ disorders.

These are the most common conditions of TMJ disorders:

  • Myofasical pain that causes pain in the muscle that controls the jaw movement.
  • Derangement of the joint such as dislocated jaw, displaced disc, or condyle injury.
  • Arthritis of the Temopromandibular joint.

It is common that the person who suffers from TMJ disorders has one or more of the above conditions. Injury to the temporomandibular joint or muscles of the neck and head can cause TMD. Stress may cause the individual to experience tightness in the jaw and facial muscles.

These are some of the common symptoms of TMD:

  • Limited mouth opening motion
  • Pain or tenderness of the face, jaw joint, neck, and or around the ear when chewing, talking or opening the mouth wide
  • Jaw (TMJ) clicking, locking, or popping
  • Difficulty with chewing
  • Sometimes experience ear pain/ sensation of fullness/ tennitus
  • Other symptoms could include: headaches, neck pain, earaches, ringing in the ears, toothaches

Back Pain

Back pain is one of the most common problems effecting millions each year. There are a variety of issues that could lead to back pain from the muscles, bones, joints and nerves. Lower back pain is the most common occurring pain. Pain can range from the neck to the pelvis. Dr. Jacobs specializes in the treatment of back pain.

Low Back Pain

According to NIH, Americans spend at least $50 billion each year on relieving low back pain. Low back pain is one of the most common causes for job-related disability. Between 70% and 85% of American adults are effected by low back pain at some point during their life. Low back pain patients may have one or more of the following symptoms: back pain, neurologic symptoms, leg pain and/or spinal deformity.  Doctor Jacobs specializes in the treatment of lower back pain. Our specialists focus on low back pain.

Herniated Disk

When a "slipped" or "ruptured" disk in the lower back or neck occurs, it is called a herniated disk.  Herniated disk are one of the most common reasons for neck, arm, lower back and leg pain. A disk herniates or ruptures when part of the center of the disk pushes through the outer layer of the disk and causes pressure on the spinal canal. This may cause pressure on the nerves. Any light pressure on the nerve may cause weakness of the arm/leg muscle, pain and/or numbness. Doctor Jacobs specializes in the treatment of herniated disks. If you would like to a herniated disk specialist, please call today.

These are some of the symptoms for herniated disk:

Herniated disk symptoms usually occur on one side of the body:

  • Herniated disc in the lower back may cause back pain, hip/ thigh/ leg/ foot pain, numbness, muscle weakness
  • Herniated disc in the neck area may cause neck pain, shoulder /arm/ forearm/ hand pain, numbness, muscle weakness
  • Pain at night
  • Pain with bending, twisting, sitting, standing or walking
  • Pain with sneezing, laughing or coughing

These are some of the risk factors for herniated disk:

  • Smoking
  • Excessive body weight
  • Poor body mechanics when lifting
  • Repetitive strenuous motion such as: lifting, bending, pushing, pulling and/or twisting


Sciatica is a common form of leg and low back pain. Sciatica symptoms may arise from spinal stenosis, disc herniation or post-operative scarring. Sciatica nerve root pain usually radiates down one leg. Sciatica symptoms may include lower back pain, tingling, numbness, or weakness in various parts of the leg and/or foot. Doctor Jacobs specializes in the treatment of sciatica.


Scoliosis is a sideway curvature of the spine or backbone. Scoliosis curve sometimes looks like an “S” or “C” letter shape. Scoliosis is a common disorder that effects many children and adults.  People who are not surgical candidates for scoliosis may benefit from physical therapy in order to relieve pain. Fascia restriction release may improve muscular imbalance due to Scoliosis curvature. Doctor Jacobs specializes in the treatment of scoliosis.


According to the Arthritis foundation, about 27 million people in America suffer from Osteoarthritis (OA). Osteoarthritis is one of the most common forms of joint disorder. Osteoarthritis is caused by wear and tear of the joints, as a result of aging or overuse. Osteoarthritis is a chronic condition generally involving the degradation of the cartilage and the bone. Common risk factors for Osteoarthritis include:  joint overuse, genetics, obesity, age, and previous joint injury. These are some of the common symptoms of Osteoarthritis:

  • Joint stiffness or soreness
  • Increased pain after activities or at the end of the day
  • Joint stiffness after resting and decreased stiffness after movement

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is an autoimmune disease and is considered to be a form of inflammatory arthritis. Rheumatoid arthritis is a chronic disorder. Rheumatoid arthritis patients bodies attack their own. Fluid  builds up in joints as a result of rheumatoid arthritis, which may cause of joint pain. Rheumatoid arthritis patients may experience inflammation throughout the body. Rheumatoid arthritis is a symmetrical disease, which occurs on both sides of the body. These are some of the common symptoms of Rheumatoid arthritis:

  • Decreased joint range of motion
  • Joints may feel warm 
  • Increased swelling and inflammation
  • Joint pain
  • Fatigue


Based on American College of Rheumatology (ACR), fibromyalgia affects 2-4% of the population; most commonly with women. Fibromyalgia is considered a chronic problem that causes pain all over the body. Fibromyalgia patients may experience the following symptoms:

  • Fatigue
  • Sleep problems
  • Tenderness to the touch; effecting muscles and joints
  • Problems with thinking or memory
  • Tension or Migraine headaches
  • Pelvic pain
  • Tempromandibular joint (TMJ) disorder
  • Anxiety or depression 
  • Morning stiffness
  • Irritable bowel

Myofasical Pain Syndrome

Myofascial Pain Syndrome is a common source of pain. Myofascial Pain may be related to surgery, sports injury, direct traumatic incident, poor posture, poor body mechanics, accident and or muscle strain. ASTR is  an non-invasive revolutionary manual technique that is used to evaluate and treat myofascial pain syndrome effectively. We have specialists who focus on myofasical pain syndrome.

Plantar Fasciitis

Plantar fasciitis is one of the most common causes of discomfort & pain on the bottom of the heel. According to American Academy of Orthopedic Surgeons, approximately 2 million patients are treated for this condition every year.

Plantar fascia is the strong band of tissue that supports the arch of the foot. Plantar fascia's thick tissue connects the heel bone to the toes and form the arch of the foot. Plantar fascia occurs when the arch of foot becomes irritated and inflamed.

Plantar Fasciitis Risk Factors

  • Very high or low arch
  • Leg length discrepancy
  • Tighter calf muscles 
  • Obesity
  • Repetitive high impact activity such as running & sports
  • Shoes with soft soles or poor arch support


  • These are some of the symptoms of Plantar fascia
  • The bottom of the foot pain with the first few steps in the morning
  • The bottom of the foot pain near the heel
  • Increased pain after exercises or activities. Usually no pain during activities.

Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder, also known as adhesive capsulitis, is caused by thickening of the shoulder capsule, which makes the shoulder very hard to move. Frozen shoulder causes pain and stiffness in the shoulder joints. According to the American Academy of Orthopedic Surgeons (AAOS), Frozen shoulder occurs in about 2% of the population. Frozen shoulder commonly effects adults between the ages of 40 and 60. Frozen shoulder occurs in women more often than men. Call today to speak with one of our specialists.

Frozen Shoulder Risk Factors

  • Immobilization: Frozen shoulder can occur after the shoulder has been immobilized for a period of time due to injury, fracture, and/ or surgery.
  • Diabetes: according to AAOS, frozen shoulder effects 10% to 20% of diabetic patients.
  • Diseases such as Parkinson's disease, hypothyroidism, hyperthyroidism, and cardiac disease.

Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis or tennis elbow is one of the most common and painful elbow conditions. Tennis elbow is caused by overuse of the elbow joint. Tennis elbow is caused by inflammation of the tendons that are attached to the forearm muscles of the elbow. Usually, the tendons of the forearm muscles become damaged due to overuse. 

These are some of the symptoms of tennis elbow:

  • Weakness of hand grip strength
  • Burning sensation and/ or pain over the outer part of the elbow joint
  • Pain may radiate from the elbow to forearm and hand when twisting or holding objects

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition that occurs when the median nerve becomes pressed at the wrist. The median nerve provides sensations to the palm side of the thumb and fingers, but doesn’t include the little finger. The median nerve supplies the small muscles of the fingers and thumb and causes movement. The carpal tunnel is a narrow passageway of bones and ligaments at the wrist area. The carpal tunnel syndrome could happen due to swelling and or thickening of the tendons, narrowing of the tunnel and compression on the median nerve. This may result in weakness, pain,  or numbness in the wrist and hand, and sometimes radiates up the arm. Carpal tunnel syndrome is one of the most common known nerve entrapments.  

Carpal tunnel syndrome symptoms:

Symptoms usually occur gradually, 

  • Tingling, burning, or numbness in the palm of the hand and the fingers  (especially the index, thumb and middle fingers).
  • The symptoms usually appear during the night. An individual with carpal tunnel syndrome may wake up feeling the need to shake the wrist or hand. 
  • Decreased hand muscle strength that causes decreased grip strength, which could  make it difficult to grasp small objects or form a fist or perform fine motor tasks. 
  • In chronic and/or untreated cases, muscle wasting may occur to the base of the thumb. It may also decrease the ability to tell between the feeling of hot and cold.

These are some of the causes of carpal tunnel syndrome:

Carpal tunnel syndrome is usually the result of a combination of the following:

  • Increased pressure on the median nerve and tendons in the carpal tunnel
  • Congenital predisposition, which means that the carpal tunnel is smaller.
  • Injury or trauma to the wrist that causes swelling such as: a sprain or fracture, hypothyroidism, hyperactivity of the pituitary gland, rheumatoid arthritis, repetitive stress, fluid retention during pregnancy or menopause or tumor/cyst in the canal.  

The following are at risk for developing carpal tunnel syndrome:

  • Women are three times at higher risk than men to have carpal tunnel syndrome
  • People who are diabetic or have other metabolic disorders 

Shoulder Disorders & Shoulder Pain:

The following is a list of some of the common shoulder disorder/ shoulder pain we treat. This is a small list of shoulder disorders & shoulder pain that we treat. Please contact us if you have questions about your injury / shoulder disorder or do not see it listed. Our doctors will be pleased to discuss your injury/ shoulder disorder with you and will help you or refer you to the proper doctor. Doctor Jacobs specializes in shoulder disorders and shoulder pain.

Shoulder Disorders & Shoulder Pain:

  • Shoulder Sprain
  • Shoulder Strain
  • Rotator Cuff  Tear
  • Frozen Shoulder (Adhesive Capsulitis)
  • Shoulder Impingement
  • Bursitis
  • Tendonitis
  • Shoulder Degenerative Joint Disease
  • Shoulder Osteoarthritis
  • Shoulder Instability
  • Dislocation or Subluxation
  • Fracture

Sports Medicine & Rehabilitation:

Sports medicine & rehabilitation is a specialized approach that focuses on evaluation, treatment, rehabilitation, prevention and enhanced performance of physically active individuals through utilizing the most advanced manual therapy techniques such as Advanced Soft Tissue Release and state of the art equipment. Reliant provides a unique approach, which helps athletes return back to their sport faster and safer. Sports medicine & rehabilitation is a practice that helps individuals reach the next level in sports performance and helps prevent future injury.We are committed to offering you the latest and most advanced non-surgical manual techniques that help manage pain and treat pain for a variety of sports injuries. Doctor Jacobs specializes in sports medicine and rehabilitation.

Pre & Post Surgical Disorder:

The following is a list of some of the common pre and post surgical disorders we treat. This is a small list of the pre & post surgical disorders we treat. Please contact us if you have questions about your injury or if you do not see it listed. Our doctors will be pleased to discuss your injury with you and will help you or refer you to the proper doctor. 

Back Post-Operative

  • Laminectomy
  • Discectomy
  • Spinal Fusion
  • Disc Replacement
  • Scoliosis Correction 
  • Nerve Stimulator Implant
  • Compression Fracture

Shoulder Post-Operative

  • Rotator Cuff Repair
  • Total Shoulder Replacement 
  • Shoulder Arthroscopy 
  • Shoulder Manipulation 
  • Labral Repair
  • Subacromial Decompression

Elbow/ Wrist/ HandPost-operative

  • Fracture 
  • Carpal tunnel Release
  • Cubital Tunnel Release

Hip/ Knee Post-operative

  • Total Hip Replacement
  • Total Knee Replacement
  • ACL and all ligament reconstruction
  • Knee Meniscus Repair 
  • Hip Labral Repair
  • Manipulation 
  • Baker's Cyst
  • Fracture

Ankle/ Foot Post-operative

  • Bunionectomy 
  • Plantar Fascia Release
  • Ligament repair or reconstruction
  • Bone spur excision
  • Ankle Replacement
  • Neuroma excision
  • Fracture
  • Patient avoided hip surgery.

  • Patient avoided back surgery.

  • This newborn came in unable to move his neck from the side position. He suffered from torticollis, severe neck and back spasms. After just 1 ASTR treatment, he had complete range of motion.

  • Patient came in unable to move his neck from the side position. After 3 ASTR treatments, he regained full range of motion.

  • This young gymnast came in unable to do the splits. After just 1 ASTR treatment, she had full range of motion.


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