Chiropractic Care

Many people might not know what chiropractic means and how it can help improve your overall wellbeing and physical health. Common misconceptions that many tend to believe are that chiropractors are “bone doctors only” and that they should see a chiropractor when they have a “bone issue”. This is far from the truth.

The reality is anyone with a spine, muscles and a nervous system can benefit from chiro practic care. Chiropractors are musculoskeletal doctors. That means they specialize in anything related to soft tissues, nerves, bones and joints of the body.

Have you ever felt “off balance” or felt like one side of your body is not as good as the other side feels? Do you have vague pains that come and go and you can’t “stretch it out” no matter how hard you try? Do you experience recurrent low back pain and you don’t understand why it keeps coming back? These are situations we see commonly in our patients and the good news is, we have answers for all these concerns and more.

What Is Chiropractic Care?

Chiropractic (also called Chiro) is the art and science of manual therapy that has significantly evolved over the past 100 years.

Our chiropractors in Fulcrum Therapy use an evidence-based approach and their chiropractic services follow recent guidelines from the highly credible research literature. Our Coquitlam Chiropractors are experts in assessing and diagnosing various muscle, ligament and joint related conditions. Treatments include a combination of manual therapy (hands on techniques), chiropractic adjustments and joint mobilizations, Active Release Therapy techniques, Cupping Therapy, Shockwave Therapy and exercise prescriptions.

Every individual is different and the treatment modalities are chosen with the patients’ needs, concerns and comfort levels in mind. Keep in mind, if you share with us that you do not feel comfortable with a certain technique or a certain adjustment, we respect that 100%.

At Fulcrum Therapy, our number one goal is your care and comfort and we do not believe in enforcing certain adjustments when it is outside of your comfort level.

Our chiropractors are also trained in the Activator Method and Drop table Method, which are tools that allow us to perform chiropractic adjustments with low force and are appropriate for those people that are scared of the “crack”, very pregnant ladies and those in acute pain.


Back Pain

Back pain is an extremely common condition amongst Canadians. Upper back pain and lower back pain are frequently associated with sustained positions without movements, poor posture and poor lifting techniques.

Lower back pain can have many different causes and a thorough assessment and diagnosis is crucial to appropriate chiropractic treatment. Remember not all back pains are the same, therefore the same stretches will not work for everybody. Ensure you get your back professionally checked by a chiropractor if you are experiencing any type of back pain.

Neck Pain

Cervical spine injuries and associated headaches and neck pain are very common amongst individuals. The causes could be sudden trauma or repetitive overuse injuries, poor posture or poor sleeping habits. These injuries vary in severity and can present as neck stiffness, various types of headaches, pain in the jaw and even vertigo.

Sustained position without breaks and movements, poor mattress and pillow are other reasons why one may experience neck pain. Good news is, chiropractic is extremely effective for the treatment of neck pain and headaches and treatments may involve chiro adjustments, soft tissue release and exercise therapy.

Knee Pain

The knee is a simple joint. Acute knee pain is often the result of blow to the knee but chronic and recurrent knee pain could indicate a biomechanical misalignment from the feet or the hips.

An assessment of lower body alignment could reveal insight as to why the knee hurts and chiropractic can be a fast and effective solution to understanding your knee pain. Avoiding certain triggers and learning to correct your posture and alignment are some examples of how chiropractic can help with knee pain.

Shoulder Pain/Frozen Shoulder

The shoulder is a ball and socket joint which allows for great mobility and large range of motion. Often shoulder restrictions are a result of soft tissue related injuries, most often repetitive overuse and sprain/strain injuries of the rotator cuff.

However, shoulder pain could also arise from Calcific Tendinitis, shoulder dislocations or the frozen shoulder. Through a series of Orthopedic assessments and careful observations, our chiropractors in Fulcrum Therapy clinic can accurately diagnose any shoulder injury and suggest the best course of treatment plan for your specific injury.


Sciatica simply means inflammation of the sciatic nerve. Sciatic nerve is a branched nerve that originates from the spine and can sometimes become compressed as it traverses the Piriformis muscle in the buttock. This presents as buttock pain but could also present as pain, numbness and tingling down one leg.

Other contributing factors to sciatica could be spinal related such as disc bulges, disc herniation and nerve root compressions which could also be labeled as sciatica. It is important to ensure a proper chiropractic assessment and diagnosis is performed to identify the nature of the leg pain and the contributing structures that are resulting in the presentation of sciatica.

Hip Pain

Hip pain can be directly from the hip joint or it can be secondary to a dysfunction of the Sacroiliac joint. Other conditions such as Piriformis syndrome, hip dysplasia, hip Bursitis or impingement syndromes can also present as hip pain.

Hip pain is a broad and non descriptive pain and diagnosing the type of hip pain correctly requires a thorough history of the condition, specific and appropriate orthopedic tests by qualified practitioners such as chiropractors. Your hip pain could really be a result of an SI joint dysfunction or a soft tissue injury. Treatment prognosis will vary depending on the etiology.

Plantar Fasciitis

This is a common diagnosis used to describe pain at the bottom of the feet. Plantar Fascia is a long ligament that runs from along the bottom of our feet. Tightness, adhesions or repetitive pressure from tight fitting shoes could result in irritation of this ligament.

Classic sign of Plantar Fasciitis is pain with the first few steps of the day or pain with standing up after a while of sitting. Treatment of this condition can be effectively done with manual therapy, ankle and foot bone mobilizations to restore proper biomechanics of our feet as well as Shockwave Therapy directed at the Plantar Fascia to facilitate healing time.

Carpal Tunnel

Carpal Tunnel refers to an anatomical space on the palmar side of the wrist where an important nerve, the median nerve, passes through.

Carpal Tunnel is a common condition seen in individuals that work in an office setting, using keyboards and mouse for extended periods of time. A non ergonomic workstation can increase the risk of developing Carpal Tunnel syndrome.

This condition can present as pain in the wrist or numbness and tingling in the affected hand. Carpal Tunnel Synrome can be effectively diagnosed and treated with chiropractic care through manual therapy of soft tissue and joints compressing the nerve. When combined with specific home care and rehabilitation exercises, most people find relief from this condition without need for surgery.

Foot Pain

Each foot is made up of 26 bones, 30 joints and more than 100 muscles, tendons and ligaments, all of which work together to provide support, balance and mobility. The foot is a complex and resilient structure as it bears our full body weight on it with standing and walking.

As the foot is composed of many intricate structures that work together, inappropriate forces such as tight fitting shoes, prolonged use of high heels, poor arch support, ankle sprains/strains and trauma can all result in foot pain. Luckily, chiropractors are well versed in the anatomy and intricacies of the joints of the body including the feet.

When assessing foot pain, chiropractors not only look at the foot but also how the foot operates in weight bearing and how the forces translate up the body into the knees and hips and even lower back.


Oftentimes we hear from patients sentences like “it’s just arthritis, nothing can be done” or “I have to live with this forever”. We want to challenge these statements because although arthritis is not reversible from a physiological level, the pain associated with the arthritis is.

Chiropractic treatments are extremely effective in easing down joint pain associated with arthritis, not through manipulation but rather gentle mobilizations that promote circulation and aid in the joints gliding capabilities.

If your joints are inflamed or you have osteophyte formations or even joint fusion, chiropractic can still help you by ensuring surrounding joints and body parts are functioning optimally which could slow down the onset of arthritis in those adjacent joints and prevent a chained pain reaction in the body from compensatory movements.

Arm/Wrist Pain

Arm and wrist pain can fall into chronic or acute types of injuries. Acuteness usually involves trauma such as a blow to the arm or an hyperextension injury of the wrist or elbow.
However, more commonly we observe repetitive type injuries affecting the arm and wrist. Few examples are Tennis elbow, Golfer’s elbow, Carpal Tunnel Syndrome or wrist pain.

These injuries result from overuse such as typing with a keyboard, using a mouse that is not ergonomic, or holding a phone for prolonged periods of time. Similarly, in construction workers, heavy repetitive lifting, pulling and pushing movements can result in the above elbow injuries mentioned.

A chiropractor can perform manual therapy to the affected soft tissue to assist in its healing. Identifying aggravating factors and correcting posture and positioning is also important to avoid future injury. These, when combined with resistance exercises for the forearm can result in desirable treatment outcomes.


Almost everyone experiences a headache at some point in their lives. We know that there are multiple contributing factors to headaches: genetics, environmental triggers, food, stress, dehydration and more. We also have a few different types of headaches such as Migraines, Tension headaches, Cervicogenic and Cluster headaches. Each one has its own unique presentation and contributing factors.

The most common headaches tend to be tension headaches amongst most Canadians. Evidence has demonstrated that chiropractic care, including spinal manipulative therapy, can be an effective treatment for cervicogenic and tension-type headaches. More so, studies have demonstrated that care offered by chiropractors can also decrease the intensity and frequency of migraines.

Treatment plans for each patient are individualized and created for the specific patient needs. In cases when co management is necessary, our chiropractors make the necessary referral to other providers.

Jaw Pain/TMJ

TMJ (temporomandibular joint) pain or jaw pain can have a few different causes. The most common cause is tension in the surrounding muscles of the jaw. The other cause is a dislocation or internal disorder of the jaw such as a displaced disc and lastly, the jaw pain could be from degenerative joint disease such as Arthritis.

Most of our patients’ jaw pain is related to tension and tightness in the muscles of their jaw. Most common cause is clenching at night time or during the day from poor habits and stress or eating hard foods. Chiropractic can help with TMJ pain by manipulation of the jaw when necessary and releasing surrounding muscles both externally and internally through the mouth.

Pregnancy (prenatal, postnatal)

Pregnancy has its own set of unique physical challenges that change through the prenatal and postnatal periods.

For chiropractic treatment during pregnancy, we employ conservative care, meaning any treatment that does not include invasive modalities or the use of medication. Examples include spinal manipulation and mobilization, soft tissue therapy, cupping therapy, and myofascial release to help reduce pain and improve function.

In the postnatal period, exercise therapy through specific pelvic floor and core exercises are crucial and we are able to integrate postnatal pilates to help our moms regain control of their pelvic floor and core function.


Fibromyalgia Syndrome (FMS) is one of the most commonly diagnosed nonarticular soft tissue conditions in all fields of musculoskeletal medicine, including chiropractic.

The exact reasons as to why some experience FMS is still not fully clear; however, there are various levels of evidence for the effectiveness of certain modalities with FMS. Strong evidence supports aerobic exercise and cognitive behavioral therapy through registered clinical counseling. There is also evidence for the effectiveness of massage, muscle strength training, acupuncture, spinal manipulation, movement/body awareness, vitamins, herbs, and dietary modification.

Meet Our Female Chiropractors

Dr. Kimiya Sabbaghan

Dr. Kimiya Sabbaghan

Chiropractor (Doctor of Chiropractic)

Kimiya‘s approach is detailed and patient-centred. She has a passion for prenatal and postpartum care, treatment of TMD (temporomandibular disorder) and the complexities of low back pain and disc herniation.

Dr. Amber Chong

Dr. Amber Chong

Chiropractor (Doctor of Chiropractic)

Amber has an interest in prenatal care and children. Her patient-centred treatment methods include diversified adjusting techniques, soft tissue therapy, and providing rehabilitative exercises for at-home care.

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Health Benefits of Chiropractic Adjustments

  • Understanding pain triggers and reasons for recurrent pain 
  • Injury prevention through exercise prescription and rehabilitation 
  • Reduction of reliance on Opioid pain relievers
  • Reduction of symptoms associated with scoliosis
  • Maintenance of optimal physical function and health with maintenance treatment
  • Ease of chronic and acute headache, neck pain and low back pain
  • Help with alleviating tightness from computer use all day 
  • Improved body awareness and alignment
  • Improved Posture
  • Improved mood, sleep and stress
What is the difference between chiropractic and physiotherapy?

Both chiropractors and physiotherapists have the training to treat various conditions of the body. In general, the type of chiropractic services received depends highly on the expertise of the practitioners. As a general rule, chiropractors tend to be more hands-on and physiotherapists tend to utilize modalities more often. However, this could vary from practitioner to practitioner.

Always do your own research to find the best therapist for your needs. We encourage you to write us an email if you are ever unsure if we can help with a condition you are dealing with.

What does a chiropractor do?

Chiropractors are specially trained to assess, diagnose and treat various spinal and other biomechanical conditions. Chiropractors utilize various techniques including but not limited to spinal and extremity adjustments, Active Release Technique for muscle tension, and various nerve-related conditions.

Furthermore, our Coquitlam chiropractor is also well trained in exercise prescription and rehabilitation to help you with your recovery and to ensure you continue your healing outside of the office as well. 

What can I expect from chiropractic services?

Visiting a chiropractor, you can expect the doctor to ask you some specific questions regarding your main concerns. After this, the doctor will conduct a full assessment of your body to check for joint, muscle, and nerve health followed by a report of their findings and a specific treatment plan for your specific areas of concern.

Treatment can include but is not limited to adjustments, muscle release techniques, and exercise therapy. In addition, the doctor may provide you with tools and education to help you maintain a healthier body through specific at-home stretches and exercises. 

What is chiropractic adjustment?

Chiropractic adjustment is also known as a high-velocity mobilization technique aiming to improve specific joint mobility from repetitive stress, overuse, or sudden trauma. An adjustment, when delivered by a trained professional, can result in an instant reduction of pain, improvement of mobility and range of motion, and an increase in the speed of healing of their surrounding tissues.

Some examples of when an adjustment provides instant relief is a pain when taking a deep breath, waking up with a kinked neck or when you tweak your back and can’t stand up straight.

What are the benefits of chiropractic care?

Chiropractic is extremely effective for treating acute conditions such as sudden onset back pain, neck pain, and sciatica. Usually, patients find immediate relief after a few sessions. Chiropractic is also very effective for chronic and recurrent body pains and nerve compressions that have been going on for a long time without minimal relief.

Based on the assessment, your chiropractor will determine the reason for your pain, what can be done short term to help get you back to function and how you can change old habits to prevent a similar problem from happening in the future.

Can chiropractic help with tendinitis?
Tendinitis is often a result of repetitive overuse of a tendon causing inflammation and pain in the affected area.

Often times, we develop compensations to avoid an injured tendon but this often results in development of stress and pain in other parts of the body. Tendons best heal with short term manual therapy followed by exercise prescription to strengthen the tendon. Our chiropractor is can help support your recovery with various types of tendinitis such as Tennis elbow, Golfer’s elbow, Plantar fasciitis, Biceps tendinitis and more.

Chiropractic Services Do NOT Require A Doctor’s Referral.

Direct billing is now available! Any concerns? Find more details about insurance & billing.

Dr. Kimiya is an amazing chiro, she never pushes for unnecessary treatments and always gives good recovery exercises to work on afterwards. She will help you find the root cause of problems rather than just managing symptoms, so you can have long term results!

T W 2022-04-25

Google 5 Stars

I saw Dr. Amber here and my whole experience was great! She is such a compassionate chiropractor and prioritizes making her patients feel comfortable and heard during the visit while addressing their concerns. I would highly recommend Dr. Amber to all my friends and family!

J C 2022-06-08

Google 5 Stars

So excited to hear that Dr. Amber Chong has joined the clinic! I’ve been treated by her in the past and she is so friendly and knowledgeable. Her adjustments always made me feel great!

C S 2022-06-08

Google 5 Stars

Dr. Kimia at Fulcrum Therapy is the best chiropractor I ever had. She was my very first chiropractor and was gentle and progressive in her treatment approach. She was kind and gentle and made me at ease. I immediately fall in love with her therapeutic approach after my very first treatment. I experienced a big improvement in my quality of sleep and have less neck and back pain after seeing her.

H S 2021-09

Google 5 Stars

I have been seeing Kimiya for a few years now and she is one of the most thorough, kind and communicative health practitioners I’ve ever worked with. She helped me through neck, shoulder and nerve issues I suffered through for years; I tried weekly massage for 2 years but it only took 5 sessions with Kimiya to fix it and helped me understand it. I fully recommend Kimiya as a chiropractor.

S P 2021-09-28

Google 5 Stars

Dr Kimiya is an amazing chiropractor. She has a multi-disciplinary approach to her treatments which has really helped my shoulder pain. Because of this, I don’t have to keep coming in for adjustments since she gives me preventative and strengthening tools to do at home. I am so happy I found her!

V K 2021-06-26

Google 5 Stars
Google 5 star reviews

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