https://www.lenoueintegrativemedicine.com/home daily 1.0 2023-01-24 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597630303239-VM32LGR4DX67WJOOC7VL/Phil107.jpg Home https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597630555587-CRLLARCJCZ9RC6RZ7PB7/Phil118.jpg Home https://www.lenoueintegrativemedicine.com/regenerativetreatments daily 0.75 2019-12-07 https://www.lenoueintegrativemedicine.com/contact daily 0.75 2019-12-18 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597631429936-KGYE6AQD9PBEU7TUFF9N/Phil168.jpg Contact US https://www.lenoueintegrativemedicine.com/services daily 0.75 2021-03-04 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575851872359-KOIZHALPF6RQDK0N8XYV/Phil107.jpg Services - Sports Medicine Sports Medicine is the branch of medicine that deals with the treatment and prevention of injuries in regards to physical exercise. Our clinic can help prevent injuries by keeping the body in alignment while maintaining mobility in joints. If injuries due occur from physical exertion, our board certified doctors are able to help maintain and improve function through multiple different treatment options. * Board Certified Doctors in Sports Medicine and Family Medicine with certifications in RMSK (Musculoskeletal Ultrasound) https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597630935906-S6KW4LDEKW1MKTGCFOEG/Phil056.jpg Services - Osteopathic Manipulative Treatment (OMT) Osteopathic Manipulative Treament (OMT) is the therapeutic application of manually guided forces to improve physiologic function and/or support homeostasis. OMT is applied to regions of diagnosed somatic dysfunction to restore the body to homeostasis. Somatic dysfunction: Impaired or altered function of related components of the somatic system including skeletal, arthrodial (joint), and myofascial structures, and related vascular, lymphatic, and neurologic elements. -Glossary of Osteopathic Terminology. Additional Treatment Techniques Include: -Osteopathy in the cranial field -Counterstrain -Myofascial Release -Visceral Manipulation -Percussion hammer treatment -Lymphatic treatment Many more techniques offered… https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1576453660334-CKD9ENVN4ZEDYR7PFF3X/IMG_1263.JPG Services - Massage Therapy Massage therapy at Lenoue Integrative Medicine specializes in both injury treatment as well as therapeutic techniques. By manipulating (massaging) the soft tissues of the human body, massage therapy is able to benefit patients in many ways that include: -Reduction In Pain -Improving Flexibility -Eliminating Toxins -Enhanced Sleep -Better Circulation -Reducing Stress -Enhancing Immunity -Reducing Fatigue Different types of massage therapies are offered to help patients find optimal health including but not limited to: Deep Tissue Massage- uses more pressure and slower movements to relieve tension from the deepest layers of muscles and connective tissue. Aromatherapy- uses essential oils to help boost mood, reduce stress, and relieve pain in conjunction to massage therapy. Sports Massage- used for athletes or active individuals that have repetitive injuries due to physical strain/injury. Many top athletes receive a sports massage on a daily/weekly basis to enhance performance. A sports massage can be altered on a case to case basis to help individuals physical health improve. Trigger Point Massage- Best for patients with injuries and chronic pain to help decrease tightness in muscles, known as trigger points. Although patients will receive a full body massage, massage therapist will focus more on the problem areas. *Many insurance companies cover massage therapy with a low to zero co-payment. If unsure of insurance coverage, please contact Lenoue Integrative Medicine for additional information. https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575852226517-JWQDPV6IE31TIV3ZG9C3/Phil066.jpg Services - Chiropractic Care Lenoue Integrative Medicine offers a complete range of chiropractic treatments and services that include techniques such as Gonstead, Diversified, and Thompson. Additional Techniques Offered: -Activator -Extremity adjusting -Soft tissue therapies -Low level laser therapy -Kinesis taping method -Specific Therapeutic Exercises https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597631140491-J5BH3L6ZS7ZVXPN1FBDO/Phil130.jpg Services https://www.lenoueintegrativemedicine.com/providers daily 0.75 2021-03-04 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1573918227220-CK7Q6SST739ACWPHEOSU/Phil164.jpg Providers - Dr. Makoto Yoshino, DO Dr. Makoto Yoshino, DO (Dr. Mako) specializes in Family Medicine, Osteopathic Manipulative Medicine and Sports Medicine. He attended Keio University, Japan. He had worked in advertisement company for a year before deciding going in to medicine. He obtained his medical degree from Edward Via College of Osteopathic Medicine in Blacksburg, VA in 2014. Trained in Family Medicine through Carilion Hospital in Roanoke, VA. Neuromusculoskeletal Medicine (NMM) and Osteopathic Manipulative Medicine (OMM) Plus One Residency at Edward Via Collge of Osteopathic Medicine where he also was appointed as an assistant professor. Completed his Sports Medicine Fellowship at Northwell Plainview Hospital in NY. His specific medical interest in acute and chronic neck, low back pain, sacroiliac joint (SIJ) dysfunction, hypermobility, sports medicine/musculoskeletal injuries and management, osteopathic manipulative treatment, crania-sacral therapy, diagnostic musculoskeletal ultrasound. Dr. Mako treats patients as if they are his own family member, creating individualized management plan, using non-surgical approach to maximize the healing potential one possess. https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1573917797296-U5GFCX0ZUSE3XP8C6SQ2/Phil155.jpg Providers - Dr.Phil A. Lenoue II, D.c. Dr. Philip A. Lenoue II, DC was born and raised in Spokane, Washington. He is the son of the well-respected doctor of Optometry, Dr. Philip A. Lenoue. Dr. Philip A. Lenoue II attended the University of Washington and Eastern Washington University, and then moved to Iowa for four years to attend Palmer College of Chiropractic, the Fountainhead of Chiropractic. He graduated Magnum Cum Laude. He returned to Spokane where he opened his private practice in April, 1985, and has been in the same Central-Spokane location ever since. Dr. Lenoue is Board Eligible in Chiropractic Orthopedics. He is on the cutting edge of therapies in Neuro-musculoskeletal treatment, including being certified in Low Level Laser Therapy and Kinesio Taping. He is a current member of the Washington State Chiropractic Association, and is a Preferred Provider for most insurance companies. Dr. Lenoue has years of training and experience in sports injuries. He has been in charge of the training room at the state basketball tournament, and has coached and provided treatment for over 200 youth sports teams. He treats college athletes on a regular basis! Dr. Lenoue is happily married to his wife of 32 years. https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1573417657007-8XVHIC00Y0QR3HFSY2E6/Phil161.jpg Providers - Dr. Phil Lenoue III, DO, RMSK Dr. Philip A. Lenoue III, DO, RMSK is trained in Osteopathic Medicine. He received his Doctor of Osteopathy in 2012 from Pacific Northwest University (PNWU) College of Osteopathic Medicine. Dr. Lenoue III has attended numerous training courses in osteopathic treatment, musculoskeletal ultrasound, ultrasound guided injections. Providers from around the United States and Canada shadow and train under Dr. Lenoue to learn the benefits of using ultrasound guided injections. Dr. Lenoue III believes in an integrative approach to address the mental, emotional, and spiritual needs of each patient. He loves spending time with his wife, Lindsy, and his daughters, Lainey and Capri. He also enjoys his faith, fitness, fasting, cold water immersion, biohacking and great food. “The object of the physician is to find health, anyone can find disease.” – AT Still Achievements and Education: RMSK certification, 2019 Appointed faculty at MSKUS (http://mskus.com ), 2018 Multiple Diagnostic Ultrasound, Cadaver, and Live Patient Courses through MSKUS, 2017-present Adjunct clinical faculty at PNWU, 2015-present Board Certified in Family Medicine, June 2015 Student Doctor of the Year at PNWU, 2010 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1593549715148-ZL1WWRVFXZQ0PHIGIMR9/Phil201.jpg Providers - Lindsey Visser, RN Lindsey Visser, RN comes to Lenoue Integrative Medicine with over 11 years of RN experience in emergency medicine and surgery. Lindsey serves as a Patient Care Coordinator assisting new patients through the new patient process, administering IV therapies, performing blood draws, and is the primary provider performing Shockwave Therapy. She is a wonderful resource for patients with any questions or concerns. Lindsey has a Bachelors Degree in Community Health from Western Washington University and a Bachelors Degree in Nursing from Bellarmine University in Louisville, KY. Lindsey and her young family relocated to this area in 2018 and now enjoy living in the country on 12 acres. https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1597629361250-S5JXE3GPWY5H0Q3DESXI/Phil118.jpg Providers https://www.lenoueintegrativemedicine.com/new-page daily 0.75 2023-01-17 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1623683747277-BLEZZD1KK4OM059QYMQ2/Phil100.jpg Insurance - Accepted INSURANCE Varies depending on provider. General Insurance Information: Feel free to call ahead for specific insurance/pricing questions, we are happy to help! https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575858475900-5SM99K01VV1JKA3RAXB2/Phil048.jpg Insurance https://www.lenoueintegrativemedicine.com/musculoskeletal-ultrasound daily 0.75 2021-06-14 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575751872088-3CO04IGEVLAU6DSEKTP2/Phil046.jpg Musculo- skeletal Ultrasound - Musculoskeletal Ultrasound At Lenoue Integrative Medicine, we have the ability to use ultrasound as a tool to diagnose various musculoskeletal conditions, as well as visually guide injections. The advantage of ultrasound is that it is fast, simple, and provides real-time imaging. There is no radiation emitted when using ultrasound–ultrasound sends and receives sound waves which ultimately create an image on a screen. Ultrasound not only helps in diagnosing various musculoskeletal injuries, but also helps guide injections, ensuring precise placement of injection. *Ultrasound guidance ensures precise needle placement, maximizing the efficacy of the injection therapy. https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575243280701-FX9N851NTUFSZB1TPPXA/Phil107.jpg Musculo- skeletal Ultrasound https://www.lenoueintegrativemedicine.com/new-page-1 daily 0.75 2021-03-03 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575853708242-1GAYLZPFTOBG541BQYA3/Phil047.jpg Patients - New Patient Information Lenoue Integrative Medicine is currently accepting new patients for all providers. Please make sure to show up to new patient appointments 20 minutes early to fill out all required health forms. During your new patient appointment, Lenoue Integrative Medicine will do a full exam to ensure we can be confident in our recommendations. You will be presented with a plan of action as well as a thorough explanation to help you take care of your health challenges for years to come. *Please call (509) 328-9610 with any questions https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1575853400312-G5LNN0XWL99BMVCG391O/Phil018.jpg Patients https://www.lenoueintegrativemedicine.com/eswt daily 0.75 2021-02-03 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1578261818575-PZ0TTJ206UF3F3F8MYK6/IMG_6383.jpg Extracorporeal Shockwave Therapy - OrthoGold 100 ESWT Treatment *Non-invasive treatment option for orthopedic pain. Extracorporeal shockwave therapy (ESWT) has proven to be a safe and effective treatment method in orthopedics and sports medicine. Universities and Olympic team doctors are among those who include ESWT in their spectrum of services. We are proud to offer our patients the same cutting-edge technology. This latest generation ESWT device utilizes softwave therapy to help your body heal itself. If you would like to learn more about the benefits of ESWT, please ask any member of our team WHAT IS ESWT? Shockwaves are essentially sound waves with a very specific wave form. Unlike radial pressure wave therapy, softwave therapy penetrates deep into the tissue and thus to the site of injury. The biologic signaling effect of shockwaves is much higher than both radial pressure waves and ultrasound and is therefore clinically much more effective. MECHANISM OF ACTION Shockwaves elicit a strong cellular response. The sudden change in pressure caused by the shockwaves triggers the cell to respond as it would to trauma. In other words: shockwaves initiate a biologic healing response. Numerous studies show the release of growth factors, anti-inflammatory agents and an improved blood supply in response to ESWT. INDICATIONS (Common Conditions Treated) -Shoulder Injuries (e.g. rotator cuff) -Golfer’s and Tennis elbow (epicondylitis) -Chronic heel pain (plantar fasciitis) -Jumper’s knee (patella tip syndrome) -Tendon and ligament injuries -Muscle pain PROCEDURE The procedure takes only 5-10 minutes. Much like an ultra- sound procedure, the treatment area will be covered with gel to ensure good shock- wave transmission. After coupling the therapy head to your body your medical professional will deliver a diagnosis specific number of pulses. The energy can be applied at your personal comfort level. SUCCESS RATES More than 80% of patients report improvement even after just one treatment. Depending on your particular condition you will likely be scheduled for 3-6 sessions. The final outcome depends on a variety of factors, but most studies report a healing rate of 65-85%. SIDE EFFECTS Millions of people have received shockwave treatment without any significant side effects. In a few cases, patients experience some pain during treatment – especially when the treatment area is close to bone or is acutely in amed. This pain ceases immediately when the therapy head is moved from the sensitive area. In rare cases soreness may persist in the treatment area for 1-2 days after the procedure. *FDA cleared for the activation of connective tissue as well as improvement of blood supply to treated area. Research/Articles on ESWT: Click Here Printable Brochure: Click Here https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1578260911952-TBT055I2ZCW59FJUO0S6/Phil107.jpg Extracorporeal Shockwave Therapy https://www.lenoueintegrativemedicine.com/auto-accident-treatment daily 0.75 2021-06-14 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1614195688091-XHGVIGBZ1N7CL6WTAKKE/LIM+Photo+Collage.jpg Auto Accident https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1614715272890-4LYW0UPBV5VD3IKQU4TZ/AdobeStock_273701323.jpeg Auto Accident - Treatment Options · Chiropractic Adjustments · Massage Therapy · Osteopathic Manipulation Therapy · Cranial-Sacral Therapy · Extracorporeal Shockwave Therapy · Ultrasound guided injections https://www.lenoueintegrativemedicine.com/platelet-rich-plasma daily 0.75 2022-10-05 https://images.squarespace-cdn.com/content/v1/5dbf207732cd095744b86fd6/1665069712236-STGU2G7YFAI1M7BCQGPX/Phil107.jpg Ultrasound Guided Platelet Rich Plasma (PRP)