Your Questions, Answered

The new-patient exam is $270. Follow-up visits are $90 and usually last 10-15 minutes. Focused shockwave visits are $180.

See our pricing page for what each visit includes.

No. Novo is a direct-pay clinic. We provide billing documentation you can submit for possible reimbursement.

Cash, major credit cards, HSA, and FSA.

Yes. HSA and FSA cards are accepted for the exam and all treatments.

It depends on your plan. Novo does not bill insurance for any treatment. We provide billing documentation you can submit for possible reimbursement.

An exam: your history, a physical examination, a review of any medical records, and a diagnosis explained to you. No treatment is performed on the first visit. Treatment begins at a follow-up visit if indicated.

No. You do not need to choose a treatment before your visit. The first visit is an examination to work out which structures appear to be involved and whether treatment at Novo is appropriate. If a treatment fits, it starts at a follow-up visit.

No. You can request a new-patient exam directly.

Workout clothes. For neck, shoulder, or other upper-body problems, wear a tank top. For low back or lower-body problems, wear running shorts.

Tuesday and Thursday, 12:00 PM to 5:00 PM. Wednesday and Friday, 6:30 AM to 11:00 AM. Closed Monday, Saturday, and Sunday.

6059 S. Quebec St., Suite 203, Centennial, CO 80111. We are in the Creekside II Office Park in the Denver Tech Center area, near Greenwood Village. Directions from around South Denver.

Musculoskeletal pain that can involve muscle and fascia adhesion, including chronic low back pain, neck pain, tension headaches, and joint pain. We treat with focused and radial shockwave therapy, EMTT, and manual adhesion release. See all conditions.

They feel different. Shockwave therapy (ESWT) is often felt as a brief impact from each pressure pulse and can sting over a tender spot, so the intensity is adjusted to you. Mild soreness for a day or two afterward is common. EMTT has no mechanical pulse, so patients typically do not feel it the way they feel shockwave.

It varies with the diagnosis, how long the problem has been present and how the tissue responds. Some people notice a change within the first few visits; for others it is gradual, and with shockwave, change can continue for several weeks after the last session. We re-evaluate by about the sixth treatment visit and adjust or stop the plan if progress is not adequate.

It depends on the diagnosis, how long you have had the problem and how the tissue responds. Shockwave plans commonly run 4 to 6 sessions about a week apart, and EMTT plans 6 to 8. We explain the plan at your exam and reassess as you go.

Most gradual-onset tendon pain is diagnosed with a history and physical examination, so imaging is not routine. Ultrasound or MRI is usually considered when a tear or rupture is suspected (a sudden pop, bruising, a change in shape or marked weakness), when the symptoms do not fit tendinopathy, when pain is not improving as expected with appropriate care, or when the result would change the plan. If imaging is needed, we order it directly. Night pain, fever, unexplained weight loss, numbness or progressive weakness need prompt medical evaluation. Each condition page lists its own warning signs.

Depth and spread. Focused shockwaves concentrate peak pressure at a chosen depth, so they can target a discrete tendon insertion, calcific deposit, or deep fibrotic band. Radial pressure waves start at the applicator and weaken as they travel. They treat a broader, more superficial field, such as fascia, muscle bellies, or the surface of a tendon. We use one or both based on the exam.

EMTT (Extracorporeal Magnetotransduction Therapy) uses a high-intensity oscillating magnetic field, delivered through a loop applicator, instead of a mechanical shockwave pulse. We use it for degenerative and inflamed joint pain and pain where tendons attach to bone, such as knee osteoarthritis and rotator cuff problems. It is often paired with focused ESWT when the problem sits in a joint or deep muscle compartment.

Adhesion is restricted connective tissue that can reduce normal movement between tissue layers such as muscle, tendon and fascia. It can form after overload, injury or incomplete healing. We examine for it as one possible contributor in low back pain, neck pain, headaches and joint pain; it is not the explanation for every tight muscle. It typically does not show clearly on X-ray or MRI, so hands-on and movement testing is the main way it is assessed.

The link is possible but indirect. Restricted tissue changes how muscles and joints share load. Over time, adhesion in the low back or neck may contribute to stiffness, muscle guarding, and altered spinal loading. These factors are also discussed in disc and joint degeneration. When the exam finds adhesion, we treat the restricted tissue directly, not only the pain.

Dr. Scott King, DC is a graduate of Palmer College of Chiropractic in Davenport, IA, and completed his undergraduate studies in Kinesiology at the University of Regina, Canada. He is a Level 5 Integrative Diagnosis provider and a Titleist Performance Institute (TPI) Certified Medical Level 2 Provider, with additional certifications in rehabilitation and sports medicine.