Foot, Ankle & Knee Pain

Foot, Ankle
Knee Pain

Foot – Ankle & Knee Clinic in Suwanee GA

Q: Have you sprained your ankle & knee?

Q: Do you experience ankle or knee pain when you run or walk?

Q: Do you have pain on your foot after prolonged standing or walking?

Q: Are you suffering from knee pain when climbing up or down the stairs?

We utilize following procedures to treat your problems:

  • Digital Foot Scanner (to evaluate lower body stability)
  • In Office X-Rays
  • Adjustment & Soft Tissue Treatment
  • Physiotherapy (ultrasound, cold laser, EMS etc)
  • Recovery & Rehab Exercises
  • Orthotic & Pedorthic Supports

Dr. Hwang has an exceptional understanding of the bio-mechanics of the Foot and how problems in these areas affect the pelvis and the entire spine. He meticulously applies his clinical skills and knowledge in courses of treatment to properly align your foot, ankle, knee and hip, restoring a balanced foundation for your body. Dr. Hwang is also specialized in treating sprained ligaments, damaged tendons and injured muscles to keep your body at its optimal health!

Live Your Life in Balance!

  1. When foot imbalance is present, there is a negative impact on the knees, hips, pelvis, and spine. Some patients must have these abnormal forces reduced before they can achieve improved spinal function.
  2. According to the study, by age 20, 80% of people have developed some type of foot problem and by age 40, nearly everyone has a foot condition of some sort.
  3. Protect your spine, joints and soft tissue & Improve your overall health by supporting your very foundation, your FEET.

Headaches & Migraines

Headaches &

Headaches & Migraines in Suwanee GA

Migraines and headaches are serious, and affect to many people in Suwanee. If you’re not sure if you have had a migraine or not, then chances are you probably have not had one. The pain can be mind numbing, and for many patients it leaves them unable to function. The traditional medical system relies on medication for this issue in most cases, but for many patients that’s not enough. It’s important to find the source of whats causing the problem.

There are many symptoms that can occur before a headache or migraine starts. Hallucinations, depression or irritation are just some of the symptoms that patients experience. Often those with migraines will try to avoid light, have an intolerance to loud noises, experience nausea and vomiting to name a few.

Chiropractic Care for Migraines?

It has been shown that chiropractic care is effective at helping people with both headaches and migraines. When the spine is aligned and pressure is removed from the nervous system, it can prevent migraine headaches from occurring. While most people know that they should visit the dentist, they often don’t understand that a chiropractor could help with this type of symptom. Dentists take care of our teeth, which is an important job, but your spine and nervous system control everything in your body.

For over one hundred years chiropractic care has been giving people relief from headaches and migraines. Chiropractors know and understand the nervous systems master role in the body. If the spine moves out of position it can put pressure on the surrounding nerves. This pressure can result in many problems, but it can also result in headaches.

So How are Headaches Treated?

The kind of treatment for headaches you need will depend on what is causing the problem. Our chiropractic team will work diligently to find the source of your headaches. Each year millions of dollars are spent treating headaches with aspirin and other drugs. While this may help in some cases, it is often not treating the cause of the problem. Chiropractors are able to work at the source of the problem, which can help you prevent the need for headache medications.

Don’t suffer with headaches and migraines. At Sugarloaf Pain & Rehab in Suwanee our team will help you understand the cause of your condition, and the treatment necessary to fix it. Feel free to call and ask any questions that you may have.

Lower Back & Sciatic Pain

Lower Back
Sciatic Pain

Back Pain in Suwanee GA

Lower Back & Sciatic Pain can be caused as a result of outside forces or trauma such as a sports or automobile related injury. Often the internal cause of the pain comes from misaligned, inflamed and irritated vertebrae.

How common is back pain?

Back pain is extremely common it is estimated that some form of back related pain affects over 80 percent of the population at least 1 time during their life. This back pain may be the result of an injury or trauma or due to posture, genetics or other illness. Regardless of the cause, a chiropractor can assist you in diagnosing the true cause of your pain or discomfort and initializing a treatment protocol aimed at the root cause not just the symptoms. This type of treatment aims to eliminate the pain rather than simply mask the symptoms.

Symptoms of back pain

There are many different types of symptoms associated with back pain. Back pain may be very localized in the lower portion of the back or it can radiate into the leg (Sciatica). The pain may be a dull ache or it can be very sharp. The severity of pain ranges from mild to extremely debilitating. The pain may be for short periods of time or it might become more continuous. The terms acute and chronic are often applied to back pain and they describe the duration of the symptom:

Chiropractic Treatment of back pain Suwanee Georgia

  1. The main treatment a chiropractor would provide would be gentle spinal adjustments and or manipulations  to the region of the back causing the pain.
  2. Massage, stretching and strengthening exercises for neck  and back muscles targeting the specific muscles that are involved in the symptoms and root cause of the back pain. .
  3. Relative rest. it is important in the initial phase of treatment to reduce exercise and movements that aggravate the problem to minimum and reduce inflammation
  4. Ice. ice can be applied to the neck or back to reduce the inflammation.

Of course the best course of action would be to visit the specialists at Sugarloaf Pain & Rehab in Suwanee Georgia and let them complete a full and thorough evaluation of your symptoms so they can determine the cause of your back pain symptoms and suggest the proper treatment path for your individual needs.




Do you experience burning, tingling, numbness, or sharp nerve pain? These unwelcomed sensations are commonly affiliated with a condition called Peripheral Neuropathy, which concern disorders of the peripheral nerves. Damage to the peripheral nerves accounts for the burdensome sensations, and it is most present in the hands and feet. Other areas of the body can be affected as well.  It is estimated that more than 20 million people in the United States suffer from this debilitating condition. However, conventional medicine, namely prescriptions and injections, do not provide effective improvement or relief, but rather only cover up the symptoms temporarily.

What causes ?

The Peripheral Nervous System (PNS) relays messages from the CNS (brain and spinal cord) to the rest of the body. The PNS can be compromised by traumatic injuries, infections, genetic predispositions, environmental exposures, autoimmune conditions, and metabolic disorders. Vitamin deficiencies have been linked to be a common cause for peripheral neuropathy as well.  Diabetics, however, are 50 percent more likely to develop and suffer from Peripheral Neuropathy, and those taking cholesterol lowering medication is also subject to this disorder.

Signs and Symptoms

Weakness, numbness and tingling in the hands and feet are the earlier signs of nerve damage. The onset of such sensations may be gradual and may proceed to spread to the rest of the arms and legs. More unpleasant symptoms include sharp, stabbing, and burning pain. When motor nerves are affected, muscle weakness and paralysis can set in as well. The combination of damaged sensory and motor nerves creates a dangerous situation where the patient will likely experience lack of coordination and falling.

Because the PNS communicates with the rest of the body, other areas of the body can present with symptoms as well. Severe symptoms can include atrophy and organ and gland dysfunction. When nerves affecting internal organs are damaged, it can result in problems with sexual function, breathing, and urination. Extreme cases can result in organ failure as well.

Recognizing and diagnosing Peripheral Neuropathy early is essential for effective management, but it is even more so vital for preventing further nerve damage. When should you see a doctor? As soon as you notice unfamiliar symptoms and sensations in your hands and feet, and especially if you suffer from diabetes or take medication on a regular basis.

Studies show that one of the leading cause of death in senior citizens are falling incidents. Correspondingly, seniors often suffer from peripheral neuropathy, and the lack of sensation or the over-stimulation of pain, depending on what type of nerve is affected, in their extremities prove detrimental to their balance and coordination.


Your first step is to identify the contributing factors to your peripheral nerve damage. In order to do so, your physician will ask you to provide extensive information into your medical and lifestyle history, including any infections, toxic exposure, medications, autoimmune disorders. If you’ve had any lab work done, such as blood, urine, and stool, you will be asked to bring those as well. Additional labs may be ordered to further assess your condition. Preventing further nerve damage is just as critical as recovering the ones that have already been affected. In some cases, correcting the underlying cause(s) alone can be sufficient for neuropathy to resolve on its own.

Nerve regeneration is key in the Peripheral Neuropathy Treatment Program. Peripheral nerves are capable to regenerate axons, as long as the nerve cell itself is still viable. The treatment program involves multiple factors that all work to promote such nerve regeneration. Our treatments are non-invasive and do not include prescription medication, which are typically no aimed for recovery and regeneration, but simply cover-up your symptoms and discomfort temporarily. Your treatment course will be customized to addressed all the contributing factors for your neuropathy case. You may undergo various manual therapies to address any musculoskeletal problems that are affecting the nerves, as well as nerve rebuilder and stimulation to promote active growth. PEMF therapy may be included as part of your treatment plan to allow optimal cell functioning, which in turn expedites your healing process. The treatment period itself will vary, just as each individual is unique.

Shoulder Pain & Frozen Shoulder

Pain &

Shoulder Pain & Frozen Shoulder in Suwanee

The frozen shoulder is an exceptionally shoulder-pain  condition, it can also be debilitating and disabling. The usual activities, such as putting on a shirt or even brushing your hair, can be a difficult experience; It can also cause sleep disturbances and insomnia. Without proper treatment and intervention, frozen shoulder pain may persist for years.

Most cases of frozen shoulder in Suwanee GA. (as well as shoulder pain in general) are associated with irritation of the nerves in the upper back (thoracic spine) and / or in the lower part of the neck. When shoulder pain originates in the back and spinal area, chiropractic care can be very effective for the treatment of shoulder pain and shoulder pain relief.

The Shoulder

What most people call the shoulder-pain , are actually several joints that combine with the tendons and muscles to allow a wide range of movements in the arm, from scratching the back to launch the perfect swing.

Mobility has a price, as it can cause increasing problems with the instability or impact of soft tissues or bony structures in the shoulder, causing pain. It is possible to feel pain when we only move the shoulder or all the time, however, this may be temporary or in some cases may continue, requiring diagnosis and medical treatment.

How the is formed?

The shoulder is made up of three important bones: the clavicle, the upper arm bone (humerus) and the shoulder blade (scapula).


The head of the bone in the upper part of your arm fits into a rounded cavity in the shoulder blade. This socket is called glenoid. A combination of muscles and tendons keeps the arm bone centered in the shoulder cavity, these tissues are called the rotator cuff and cover the head of the bone in the upper part of your arm and place it on the shoulder blade.

The causes of pain include:

  • Avascular necrosis (death of bone tissue due to limited blood flow).
  • Brachial plexus session
  • Brazo broken
  • Broken particle
  • Bursitis (inflammation of the joints)
  • Shoulder dislocated
  • Frozen shoulder
  • Attack the heart
  • Arthrosis (disease that causes the joints to break)
  • Rheumatic lipolygia
  • Rheumatoid arthritis (inflammatory joint disease)
  • Rotator cuff session
  • Shoulder separated
  • Septic arthritis
  • Strains
  • Tendinitis

In the team of Sugarloaf Pain & Rehab we have professionals trained in the area of ​​health, which are constantly expanding their knowledge and skills through education and research, to incorporate innovative techniques to the healing process. Our team is qualified to treat injuries or pains not only on the shoulder, but throughout the body.Our main objective is to provide quick, lasting relief with minimal discomfort; in the same way educate our patients about practices that promote their health in general.

Sports Injuries & Maintenance

Injuries &

Sports Injury in Suwanee GA

  • Are you suffering from injuries such as foot & ankle sprain, IT band syndrome, tennis elbow, rotator cuff, whiplash, or other over-use conditions resulting in ligament & tendon damage and muscle injuries, sports Injuries ? Thinking about giving Active Release Technique ® a try?
  • Active Release Technique (ART®) is a patented soft-tissue treatment technique for adhesions and scar tissue. The power of Active Release Techniques ® lies in its ability to effectively resolve acute and chronic injuries that have not responded to other forms of therapy.
  • Significant conditions including: headaches, neck & back pain, sciatica, carpal tunnel syndrome, rotator cuff & shoulder pain, shin splints, plantar fasciitis, ankle injuries, knee & hip problems, tennis elbow and many others can be resolved quickly and effectively with ART®.
  • ART® practitioners draw from over 500 unique techniques and engage the patients into performing specific movements to treat and correct abnormal tissues.
  • ART® treatment protocols allow providers to identify and correct the specific problems that are affecting each individual patient. The patient’s active participation will promote faster and better results.

The efficacy and the success rate of ART® attract many professional athletes in the NFL, NHL, NBA, MLB, PGA, Olympic medalists and bodybuilders seeking the best health care to perform at superior state. ART® Certified providers, our doctors use this very safe, non-invasive treatment to maximize the functional recovery for many type of sports injuries. ART® is now a proud partner with IRONMAN Triathlon.

Our doctors at Sugarloaf Pain & Rehab participate as integral practitioners in the treatment team, providing ART® to the athletes competing in the IRONMAN Triathlon.

Frozen Shoulder (Adhesive Capsulitis): This condition restricts the range of motion in the shoulder joint and can cause pain and stiffness.

It’s crucial to get a proper diagnosis to determine the cause of your shoulder pain and receive appropriate treatment

Tennis Elbow


What is the “Tennis Elbow” and how can it be treated?

What doctors know as epicondylitis, we commonly call it “tennis elbow”, a term that is widely used, however, only a small group of people diagnosed have suffered from this as a result of playing tennis. The tennis elbow is a common injury that can be cured with a minor treatment, but we must give it proper rest and rest.

What causes the tennis elbow?

Tennis elbow is an injury caused by the excessive use of repetitive effort. Any activity that presses the muscles around the elbow over and over again can cause it. Also, there is a version for golfers called “golfer’s elbow”.

In tennis, hitting backhand exerts some pressure on the forearm muscles, which contract repeatedly when you hit the ball. If you have a poor technique or if you hold the racket with too much force, the tension may increase in those tendons that connect the muscles of the forearm with the elbow, achieving that it may have small tears. Tennis is a game of repeated hits and the more you do it, the greater the possibility of getting the tennis elbow.You can get it from other racquet sports, such as squash or racquetball, also from jobs or activities that involve repetitive arm movements, such as:


  • Woodwork
  • Cutting trees (repetitive use of a chainsaw)
  • Playing some types of musical instruments.
  • Paint
  • Butchers, cooks and assembly line workers are among the groups that receive it often.

How is the diagnosed?

To diagnose tennis elbow first the doctor will review your health and lifestyle history. Then, he will examine the elbow and arm to detect pain, swelling or stiffness; In the same way you can perform movements in the arm, elbow, wrist and fingers. The doctor may order an x-ray or MRI of your arm, these tests help ensure that you do not have a break or fracture.

What are the treatments ?

There are different things you can do at home to help relieve pain and swelling:

  • Rest your arm avoiding the movement that caused the condition.
  • Take an over-the-counter (OTC) medication that reduces swelling, such as ibuprofen, naproxen, or aspirin.
  • Apply an ice pack at the elbow for 15 to 20 minutes, 3 times a day.
  • Wrap your elbow in a compression bandage.
  • Do gentle stretching exercises several times a day.
  • Try to change your equipment or sports technique.
  • Try to change your habitat, work or work habits.

When this type of treatment is not enough to alleviate the pain or disability that your elbow causes, in Sugarloaf Pain and Rehab we have the equipment and personnel to help you.

Sugarloaf Pain & Rehab has professionals trained in the area of ​​health, which are constantly expanding their knowledge and skills through education and research, to incorporate innovative techniques to the healing process. Our main objective is to provide quick, lasting relief with minimal discomfort; in the same way educate our patients about practices that promote their health in general.

Whiplash & Neck Pain

Whiplash &
Neck Pain

Neck Pain in Suwanee GA

If you think about the mechanics of your neck, you’ll realize it’s not surprising how easily it can be injured whiplash ,Causes of pain . It has amazing flexibility, is constantly on the move, has very little muscular support, but has to support the 14 – 16 pounds of your head.

The neck is like the superhighway for your body in that nerve impulses are sent to every part of the body through the nerves that run through your neck reaching out to all areas of your body. From your cervical vertebrae, impulses are sent to your arms, and some into your upper back. Thus pain in your arm, such as numbness, tingling, cold, aching, or “pins and needles”, may be the result of an injury or issue with neck. People with neck problems may mistake their pain for carpal tunnel syndrome, a condition in the hands that is often caused by repeating the same repetitive motions for long periods.

Neck problems can also lead to headaches, muscle spasms in the shoulders and upper back, ringing in the ears (tinnitus), inflammation in the middle ear (otitis media), temporomandibular joint dysfunction (TMJ), or simply a restricted range of motion and severe tightness in the neck and upper back.

Causes of neck and upper back pain

Most times, whiplash & neck Pain neck and upper back pain is the result of not just one factor. Injury may be combined with poor posture, subluxations (misaligned spinal vertebrae), mental stress, or disc problems.

Injuries – Easily the most common injury to the neck is whiplash, the sudden, violent whipping motion of the head in an accident. It is most often associated with a car accidents, but it can happen when playing sport, or any other time the head suffers this particular whipping trauma. When this happens, the supporting muscles, ligaments and other connective tissues in the neck and upper back are damaged, but the full effects of this may not be felt for weeks or even months. This is why anyone who suspects they may have suffered whiplash should be extremely careful not to aggravate it, even if they feel no immediate ill-effects. An assessment should be sought from a chiropractor, in case treatment is needed to minimize the effects and guard against possibly permanent damage. 50% of whiplash victims in one study were shown to still be suffering the effects of the injury many years after settling their insurance claims.

Poor Posture – Poor posture is one of the most common causes of Whiplash & Neck Pain, and can also cause headaches. Unlike sudden injuries, which we usually know have happened, bad posture occurs over time and is something we soon begin to feel as normal. Everyday activities such as reading in bed can create issues and pain later on, and anyone working on a computer for extended periods is certainly susceptible to developing a forward head posture (FHP) and spinal subluxations. The rule is to keep your neck in a neutral position if possible. Avoid craning or hunching the neck, or remaining in the same position for too long. If this is unavoidable, try to practice correct posture to minimize any problems. Ideally, the head should be kept in a neutral position, back supported, knees slightly lower than your hips, and arms supported.

Subluxations – These are extremely common in the neck and upper back area, thanks to the weight of your head resting on such an unstable part of your spine. The majority of subluxations are centered around four areas:

  • The top of the cervical spine where it meets the skull
  • The middle of the cervical spine which supports the greatest weight of the head.
  • The transition between the cervical and thoracic areas of the spine.
  • The middle of the thoracic spine which supports the greatest weight of the upper body

Stress – Mental and emotional stress causes the muscles to tense, especially those in the back and neck. This ‘muscle guarding’ is a primitive survival response to avoid injury in the face of danger, but it ends up causing injury when it happens for any length of time. If pinching the trapezius muscle causes you to wince, that is a sure sign your muscles are tight and trigger points almost certainly exist. Exercise and deep breathing/relaxation techniques are useful for combating stress.

Herniated discs – A herniated or bulging disc will put pressure on the nerves that exit the spine through that area, Causes of pain . Lumbar discs are more prone to herniating than cervical discs, but trauma such as whiplash can provoke a herniated cervical disc.

A consultation with your doctor of chiropractic should be scheduled if you are experiencing any Whiplash & Neck Pain or upper back that does not resolve very quickly.

On your first visit we will begin with a health history. Our team needs to understand your condition, Causes of pain before they can properly help you. Our hope is that your recovery will be speedy and quick.

Don’t let yourself struggle whiplash & Neck Pain . The team at Sugarloaf Pain & Rehab in Suwanee is here and excited to help you! Call if you have any questions. Today is the day to begin chiropractic care!

Active Release Technique (ART)


In this hectic life that human beings live today, mental and physical health is increasingly affected by stress, in addition to the physical and mental effort that many tasks or daily work require. Tension in the muscles is a common symptom of stress and although it may be mild, for many people it can be disabling. One of the ways to relieve this tension is the active release technique.Active Release Technique (ART)

What is Active Release Technique (ART)?

The active release technique is a type of soft tissue therapy that helps relieve tense muscles and nerve activation points, greatly reducing joint stress or muscle aches.

Active release techniques.

Active Release Technique (ART) is a manual therapy administered by trained professionals to certain soft tissue structures of the body. The soft tissue management system of ART is based on scientific evidence that the muscles, nerves, blood vessels and connective tissue develop adhesions within and between them as a result of several injuries that include: acute (sudden injury), cumulative (chronic injury) and pressure (due to poor posture).

These adhesions cause the alteration of the movement of muscles or joints, which produces a wide variety of symptoms including pain, weakness and decreased range of motion, numbness and tingling.

Some of the problems most commonly alleviated Active Release Technique (ART):

  • Shoulder tension, including frozen shoulder.
  • Carpal tunnel syndrome.
  • Sciatic nerve pain / sciatica.
  • Shin splints.
  • Plantar fasciitis.
  • Tennis scenario.
  • Tension headaches.
  • Bursitis.
  • Back pain.

What are some signs that you may be experiencing an accumulation of adherence/scar tissue and may benefit from antiretroviral therapy?

  • Rigidity in the neck, elbow, hands, knees or back, sometimes associated with bursitis or tendonitis.
  • Increase in pain or palpitations when exercising.
  • Reduced flexibility and limited range of motion.
  • Loss of muscle strength.
  • Swollen joints or frequent joint pain.
  • Signs of nerve damage, such as tingling, numbness and weakness.

ART professionals are commonly chiropractors or other trained health care providers who qualify when they receive an ART certification. In the team of Sugarloaf Pain & Rehab we have professionals trained in the area of ​​health, which are constantly expanding their knowledge and skills through education and research, to incorporate innovative techniques to the healing process. Our main objective is to provide quick, lasting relief with minimal discomfort; in the same way educate our patients about practices that promote their health in general.

Class IV Laser

Class IV

Laser therapy uses the concentrated use of energy in the form of photons that will trigger regeneration and healing in dysfunctional tissue at the cellular level. Of the laser therapies available, Class IV allows for the deepest penetration necessary that will provide the desired therapeutic result. Damaged tissue tends to be poorly oxygenated and often presents with swelling and inflammation. Laser therapy reduces inflammation and swelling and provides marked pain relief and accelerated recovery in both chronic and acute conditions. Patients experience improved function and mobility.

Class IV medical lasers are a subset of Class IV lasers that are specifically designed and used for medical and therapeutic purposes. These lasers are characterized by their high power output and are employed by healthcare professionals for various medical treatments.

These lasers are used for the management of acute and chronic pain conditions. They can stimulate the release of endorphins, reduce inflammation, and promote tissue healing.

The effectiveness of Class IV medical lasers varies depending on the specific condition being treated and the parameters used, such as laser wavelength and power density. Clinical studies and evidence-based practices help determine the most appropriate use of these lasers for different medical applications.

In summary, Class IV medical lasers are high-powered lasers used in various medical and therapeutic applications. They offer the potential for pain management, tissue healing, and other therapeutic benefits, but their safe and effective use requires strict adherence to safety protocols and appropriate training by healthcare professionals.

Chiropractic care is a form of alternative medicine that focuses on the relationship between the body’s structure (mainly the spine) and its function, as well as the body’s ability to heal itself.Chiropractor in Suwanee, GA commonly treat conditions such as back pain, neck pain, headaches, and other musculoskeletal issues. Many patients seek chiropractic care as a means of managing chronic pain.