Stine Chiropractic Clinic

08/31/2026

📚 **Newly Published Research from Stine Chiropractic Clinic**

We are pleased to share a recently published case report in the *Journal of Medical Case Reports* examining a challenging presentation of **Calcium Pyrophosphate Deposition (CPPD) disease**, sometimes referred to as pseudogout.

The patient experienced recurrent episodes of acute swelling involving different areas of the body. Individual episodes initially raised concerns for other conditions, including a possible blood clot or gout. However, review of the patient's history and imaging over time revealed a characteristic pattern of calcium deposition involving multiple locations.

**Why does this case matter?**

The diagnostic gold standard for CPPD is identification of calcium pyrophosphate crystals through analysis of fluid obtained from an affected joint. But in clinical practice, obtaining an adequate fluid sample is not always possible.

When the gold-standard test cannot be performed, the diagnostic question does not simply disappear. Clinicians must use the available evidence—including the patient's history, examination, laboratory findings, imaging, and pattern of disease over time—to determine whether the evidence supports a reasonable clinical conclusion.

This case demonstrates the importance of **looking beyond an isolated symptom or single encounter and integrating the entire clinical picture.**

The full article is available through Springer Nature:

**“Recurrent acute limb swelling with mild D-dimer elevation leading to longitudinal recognition of characteristic imaging findings consistent with multisite calcium pyrophosphate deposition disease: a case report”**

Christopher G. Stine, D.C., M.S., D.A.C.O.
Jeffrey Thompson, D.C., D.A.C.B.R.

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Background Calcium pyrophosphate deposition (CPPD) disease is a crystal-associated arthropathy that may present with acute monoarticular inflammation and mimic thrombotic, traumatic, or degenerative conditions. Definitive diagnosis requires synovial fluid analysis; however, aspiration may not be fea...

07/27/2026

Thank you RFK Jr. for your resilience in fighting for the health of the American peole.

07/25/2026

The benefits of black cumin seed. The literature shows that it may have a large impact on thyroid health, helping to lower antibodies against TPO (thyroid peroxidase) an enzyme responsible for creating the metabolically active thyroid hormone. This is primarily the mechanism of the known Hashimotos autoimmune thyroiditis, the most common form of thyroid dysfunction in the U.S. It also lowers something called VEGF (vascular endothelial growth factor) which is what allows the production of new blood vessels to feed thyroid cancer. It also attempts to normalize TSH levels which stimulates thyroid hormone production and increases the metabolically active T3 hormone. It doesnt stop there it also is a good metabolic stimulant helping with weight loss.

https://pubmed.ncbi.nlm.nih.gov/27852303/

For three cents a day, black cumin may improve our cholesterol and triglyceride levels, blood pressure, and blood sugar control, as well as accelerate the loss of body fat. https://see.nf/3SV68dN

07/25/2026

Just the team putting in some work here at Stine Chiropractic Clinic! Working on the old bones of the old DMV building now known as Stine Chiropractic Clinic. New roof sealant being applied soon!

07/17/2026

Free Orthopedic Consultation

Not every orthopedic condition requires surgery, injections, or even chiropractic treatment.

If you're experiencing pain and aren't sure where to turn, start with a FREE consultation with a Board-Certified Chiropractic Orthopedist (DACO) at Stine Chiropractic Clinic.

We evaluate much more than neck and back pain, including:

• Shoulder pain
• Hip pain
• Knee pain
• Foot & ankle pain
• Elbow pain
• Wrist & hand pain
• Sports and overuse injuries
• Numbness, tingling, and nerve-related conditions
• Spine disorders

During your consultation, we'll discuss your symptoms, answer your questions, and determine whether chiropractic care may be appropriate. If additional evaluation, imaging, or referral is needed, we'll explain your options so you can make an informed decision.

Our mission is to help you understand what's causing your pain.

Serving the Fredericksburg area for over 40 years.

07/17/2026

Get Answers. Not Just Treatment.
July & August New Patient Special – Only $79

Before beginning treatment, it's important to understand what is causing your pain. See one of our board certified chiropractic orthopedists.

For a limited time through August 31, Stine Chiropractic Clinic is offering a Comprehensive Chiropractic Orthopedic Evaluation for only $79.

Your evaluation includes:

• Comprehensive health history
• Detailed orthopedic examination
• Neurological examination (when indicated)
• Chiropractic examination
• Diagnosis
• Personalized treatment recommendations
• Individualized treatment plan

Whether your pain involves your:

• Neck
• Back
• Shoulder
• Elbow
• Wrist & Hand
• Hip
• Knee
• Foot & Ankle
• Sports injuries or overuse conditions

our goal is to identify the source of your pain and develop the most appropriate treatment plan based on an accurate diagnosis.

If diagnostic imaging, such as X-rays, is medically indicated, we'll explain why it is recommended and discuss all available options before proceeding. Diagnostic imaging is not included in this promotional offer.

At Stine Chiropractic Clinic, we believe treatment begins with an accurate diagnosis—not just treatment. Our commitment is to identify the true cause of your pain so you can make informed decisions about your care and receive treatment tailored to your specific condition.

Proudly serving the Fredericksburg area for over 40 years.

📞 540-898-4100

🌐 stinechiro.com

Offer valid through August 31, 2026.

06/27/2026

Pain involving the arch or midfoot can make walking, exercising, and even routine daily activities uncomfortable.

Many people assume arch pain is simply a result of standing too much, but several different conditions may contribute to symptoms. Changes in foot mechanics, arthritis, repetitive stress, structural differences, and overuse injuries can all affect the arch and midfoot region.

Flat feet (pes planus) and high arches (pes cavus) can alter how forces are distributed throughout the foot during walking and other activities. In some cases, these structural differences may contribute to pain, fatigue, instability, or abnormal stress on joints and soft tissues.

Because several conditions can produce similar symptoms, identifying the source of pain is an important part of the evaluation process. At Stine Chiropractic Clinic, evaluation includes a thorough orthopedic and neurological examination to help determine contributing factors and guide individualized treatment recommendations.

Learn more at stinechiro.com or call (540) 898-4100.

06/23/2026

Many people are surprised to learn that a heel spur may not be the actual source of their heel pain.

Heel spurs are bony growths that can develop where the plantar fascia attaches to the heel bone. They are commonly seen on X-rays and are often associated with long-term stress on the tissues of the foot.

Interestingly, some people with large heel spurs have no symptoms at all, while others experience significant heel pain without a noticeable spur. This is one reason why imaging findings should always be considered alongside a patient's symptoms and physical examination findings.

At Stine Chiropractic Clinic, evaluation focuses on identifying the structures contributing to pain and determining whether symptoms are related to plantar fasciitis, fat pad syndrome, Achilles tendinopathy, or other conditions affecting the heel.

Learn more at stinechiro.com or call (540) 898-4100.

06/19/2026

Plantar fasciitis is one of the most common causes of heel pain. Many patients describe discomfort with their first few steps in the morning or after sitting for extended periods.

The plantar fascia is a thick band of connective tissue that helps support the arch of the foot. Repetitive stress, prolonged standing, changes in activity levels, foot mechanics, and other factors may contribute to irritation of this structure.

Although plantar fasciitis is common, not all heel pain is caused by the plantar fascia. Because several conditions can produce similar symptoms, a thorough evaluation can help determine the source of pain and guide appropriate treatment recommendations.

At Stine Chiropractic Clinic, evaluation includes a comprehensive orthopedic and neurological examination to help identify contributing factors and develop an individualized treatment plan focused on reducing pain and improving function.

Learn more at stinechiro.com or call (540) 898-4100.

06/17/2026

Heel pain is one of the most common causes of foot discomfort, but plantar fasciitis is not the only cause.

Several conditions can produce pain in and around the heel. Plantar fasciitis often causes pain with the first few steps in the morning or after periods of rest. Other causes may include fat pad syndrome, Achilles tendinopathy, bursitis, or irritation of structures near the back of the heel.

Because many heel conditions share similar symptoms, identifying the source of pain is an important part of the evaluation process. Understanding which tissues are involved helps guide treatment recommendations and activity modifications.

At Stine Chiropractic Clinic, heel pain evaluations include a thorough orthopedic and neurological examination to help determine the cause of symptoms and develop an individualized treatment plan.

Learn more at stinechiro.com or call (540) 898-4100.