When a diagnosis already exists, or is still being sorted
You may arrive with rheumatoid arthritis, lupus, psoriasis, or another diagnosis already on the chart. You may also arrive with positive antibodies and a specialist who has not finished the workup. Both situations are welcome. FRI does not create a new autoimmune label to replace the one your physician is using.
Dr. Sani Kohen, D.C. and Dr. Tara Kohen, D.C. ask which joints flare, what the specialist has ruled out, and which medications you are on. Functional Medicine reads that list before suggesting a test. Stopping an immune-modulating drug is not part of this visit.
Rheumatology stays in charge of the disease
FRI does not replace a rheumatologist, a primary physician, an endocrinologist, a gastroenterologist, or a mental health clinician. Flares, new rashes, eye pain, and medication side effects go back to the specialist who knows the disease. A nutrition visit is not a second opinion on immunosuppression.
What this office can do is look at sleep, food, and movement as support around that medical plan. The Hashimoto's thyroiditis page is the specific autoimmune thyroid conversation. This page stays on the broader situation so the two are not collapsed.
Gut, food, and sleep as optional support
Some people with autoimmune disease also bloat, react to meals, or sleep in fragments. Those threads are optional. They are not a claim that the gut caused the disease. GI-MAP stool testing is used when digestion is actually part of your story, not as a required rite.
Chronic inflammation describes inflammation as a process your physician may already be measuring. FRI will not promise that a food change lowers every marker or quiets every flare. Sleep loss, by itself, can make pain feel louder the next day, and that lever is practical.
Movement so joints stay usable
Stiff mornings and joints that will not load are a reason people stop moving, which often makes the day worse. Chiropractic Sports Medicine and Neuromuscular Rehabilitation can work on the joints you still need for walking, gripping, and getting off the floor. The pace respects a flare.
Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. Nutrition and supplementation is individualized, with no brand protocol and no dose aimed at the immune system. You keep every prescription your specialist wrote.
What to expect when you are seen for Autoimmune Conditions
A complimentary 20-minute consultation can clarify whether support care is appropriate beside your specialist. FRI is out of network, offers superbills, and accepts HSA and FSA funds. Hours are Monday–Thursday, 9–6.
Bring the diagnosis, the medication list, and recent labs from your rheumatologist or physician. Any gut test is optional. You should not expect a plan that replaces immune medication.
Westside shops, Eastside neighborhoods, and the 55
Costa Mesa is physically split. The Westside and the streets around the LAB and the action-sports shops mean standing, lifting, and a younger training culture. The Eastside and Mesa Verde are more residential. South Coast Plaza adds retail shifts on hard floors. The 55 freeway is the spine of the commute for people heading inland. Neck and low back complaints often belong to that freeway. Shoulder and knee complaints often belong to training or to a job on your feet. We ask which Costa Mesa, because the city is not one ergonomic story.
Action sports and gym culture also mean people arrive having already tried a lot of soft tissue. If you have had months of massage without a change in the movement that hurts, say what was actually done. ART and IASTM are specific tools. They are not a more expensive version of a general rub, and they are not always the right next step.
Reaching La Alameda from the 55
The usual drive is the 55 south to the 73, then toward Mission Viejo and La Alameda. From the Westside, some people prefer the 405 south to the 73. About 16 miles and 25 to 40 minutes. The address is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Parking on site. Open Monday through Thursday, 9 to 6.
Afternoon returns to Costa Mesa on the 55 are slow. A morning visit is kinder to a fresh neck exam and to your schedule. Call (949) 312-1754. If you work a retail shift at South Coast Plaza, bring that standing schedule to the history. It changes how we dose a plantar fascia or low back plan.
What Costa Mesa visits focus on
Shoulder pain, neck pain, and knee pain cover a lot of the training and work injuries. Whiplash after a freeway crash needs a careful exam and, often, coordination with other clinicians. Functional movement screening is useful for people who train hard and still cannot explain a recurring tweak.
Gut and hormone questions are welcome in the same practice. Food sensitivities and hormonal imbalance each have their own explanation so we are not pretending a adjustment will answer them. The Costa Mesa chiropractor page is the overview.
Payment and first-visit logistics
Out of network, superbill, HSA/FSA. No referral. Bring imaging if a physician already ordered it after a crash. Do not wait on a lawyer to be examined if you are hurting, and do not expect us to manage the legal side of a claim.
The doctors are Drs. Sani and Tara Kohen. Biographies are on the about page. The clinic itself is on the office page. The complimentary consultation is 20 minutes if you want to compare this model with a high-volume office closer to Harbor Boulevard.
Questions patients ask
Can FRI replace my rheumatologist?
No. Rheumatology, or whichever specialist manages your autoimmune disease, stays in charge of diagnosis and immune medication. Functional medicine at FRI does not replace that physician, your primary physician, an endocrinologist, a gastroenterologist, or a mental health clinician. The visit can look at sleep, food, gut symptoms, and movement so joints stay usable. It is support, not a substitute clinic.
Will gut testing explain my autoimmune disease?
No. FRI does not claim a gut barrier problem caused your disease. GI-MAP stool testing is considered when you have digestive symptoms worth their own question. A stool report cannot prove the intestine created an autoimmune condition. If you have no gut symptoms, that test is easy to skip. Your specialist's workup remains the center.
Should I stop my immune medication to see if food is the cause?
No. Do not stop an immune-modulating medication, a steroid, or any other prescription for an experiment. Talk to the prescribing specialist. Food changes, if they are tried, happen beside that plan, not instead of it. FRI will not ask you to pause a drug so a symptom diary looks cleaner.
Can I still exercise during a flare?
Often you can do something, and the something should be smaller than a healthy-week workout. Neuromuscular Rehabilitation and Chiropractic Sports Medicine scale load to the joints that hurt. A flare with fever, a hot swollen joint that is new, or chest symptoms belongs with your physician the same day. Movement support is not an instruction to push through those signs.
Related care for Costa Mesa
Autoimmune Conditions is handled at the Mission Viejo clinic, not in a satellite office in Costa Mesa. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Costa Mesa chiropractor
How people from Costa Mesa reach 26400 La Alameda and what the three pillars cover.
- Autoimmune Conditions clinical overview
The non-geographic condition page, if you want the clinic-wide explanation without the drive.
- Functional Medicine
The pillar this problem sits in at Functional Restoration Institute.
- Hashimoto's Thyroiditis in this city
Hashimoto's thyroiditis is an autoimmune pattern in which immune activity is directed at thyroid tissue. Antibodies can be high while you still.
- Chronic Inflammation in this city
Inflammation is a process your body uses, not a personality and not a mood. It can be useful while you heal and.
- Gut Health in this city
Digestion problems rarely arrive as one tidy symptom. Bloating, stool changes, and food reactions can travel together or take turns. This page.
- Leaky Gut in this city
People say leaky gut when they mean the gut barrier might be letting more through than it should. The plainer name is.
- GI-MAP Stool Testing
GI-MAP is a stool test that uses a PCR-style method to ask about microbes, including possible pathogens, and about selected markers of.
