A process, not a personality
You are not an inflamed person as an identity. Inflammation is a set of signals: swelling, heat, immune traffic, and repair. After a sprain it is supposed to show up and then leave. When joints ache most mornings, gums bleed, or recovery from training takes longer every month, the process may be sticking around.
Drs. Sani Kohen, D.C. and Tara Kohen, D.C. ask where you feel it and what else is true: poor sleep, a gut that bloats, a training week that never rests. Functional Medicine does not treat the word itself. It looks for the drivers you can actually name.
Markers your physician may already hold
C-reactive protein, often shortened to CRP, is a blood marker many physicians already order. A single CRP does not explain why the process is active, and FRI does not invent a private cutoff. The number is context, read with your exam and your history.
Advanced bloodwork can widen that look when glucose, lipids, iron, or a blood count would change the plan. Bring the labs you have so nothing is redrawn for sport. Abnormal results still belong with the physician who manages disease, not only with a nutrition note.
Food, sleep, training load, gums, and gut
Short sleep and a training load you cannot repay will keep a repair signal turned up. So can a gum infection you have been postponing, which is a dentist's visit, not a supplement. Food patterns matter, and they are individual. There is no miracle anti-inflammatory stack and no brand protocol.
The gut health page is the place for bloating and stool changes. A gut kit is not the treatment for a sore knee. Nutrition and supplementation follows what you eat and what the labs showed, one change at a time.
Movement without pretending pain is only chemical
A joint can hurt because it is loaded badly, because it is inflamed, or both. Chiropractic Sports Medicine and Neuromuscular Rehabilitation examine the mechanical side. Blaming every ache on inflammation and skipping the exam leaves the actual irritant in place.
Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. Fever, a hot swollen joint, chest pain, or unexplained weight loss needs medical care. This conversation assumes those emergencies are already being handled.
What to expect when you are seen for Chronic Inflammation
You can begin with a complimentary 20-minute consultation. The office is out of network, provides a superbill, and accepts HSA and FSA funds. Appointments are Monday–Thursday, 9–6.
Bring existing CRP or other bloodwork and a sketch of sleep and training. Expect a talk about load, food, and gums as much as about labs. You will not be sold a stack of anti-inflammatory products.
Straightforward office policies
No referral required. Out of network. Superbill. HSA and FSA. We do not invent a copay. Labs, if ordered, cost extra and are explained first. Medication stays with your prescriber.
You will see Drs. Sani and Tara Kohen's practice, described on the about page. Photos of the gym and rooms are on the office page. If a problem is outside chiropractic and functional medicine, we will say so rather than stretch the visit to cover it.
Town Center days and Aliso Canyon edges
Aliso Viejo is compact, master planned, and hillier than it looks from the 73. The Town Center is errands, sitting, and short walks. The neighborhoods toward Aliso and Wood Canyons add dirt descents and stairs. A lot of residents commute north to Irvine business parks and then come home to a hill. Necks take the office. Knees take the canyon. We want both halves of that day, because treating only the part that hurts ignores the part that loaded it.
The canyon trails are a gift and a test. People start plantar fascia or knee complaints after they add mileage on dirt while their week is otherwise a chair. Gait analysis and a loading plan are more useful than a month of rest followed by the same trail.
Alicia, Pacific Park, and the 73
From the Town Center, Alicia Parkway toward Mission Viejo is direct. From the south and west edges, Pacific Park or the 73 north to a Mission Viejo exit also works. About 7 miles and 12 to 20 minutes when the parkways move. The suite is 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. On-site parking. Monday through Thursday, 9 to 6.
If your day already includes the 73 toll road to Irvine, stacking a clinic visit on the south end of that drive can be efficient. Do not book so tight that you walk in from a stressful drive and expect a meaningful neck exam. Call (949) 312-1754. The complimentary consultation is 20 minutes if you want to start smaller.
Care that fits a canyon-and-commute city
Neck pain, lower back pain, and headaches track with the Irvine commute. Hip and SI pain tracks with hills and carrying kids up them. Joint mobilization and corrective exercise are everyday tools. McKenzie care is the spine option when symptoms have a direction that centralizes them.
Hormone and gut visits are part of the same practice. Perimenopause and SIBO have their own pages so those questions are not buried under sports advice. The Aliso Viejo chiropractor page is the hub.
Extra context on Chronic Inflammation
List where you feel the process: knuckles in the morning, a tendon after runs, gums when you brush, or a gut that swells after dinner. Those are different sources and they do not get one product. Note your sleep hours and the hardest training day of the week. If you have a recent CRP, a blood count, or a glucose result, bring the page rather than the memory of it. Include dental pain you have been delaying. A clear map keeps the visit from wandering into a generic anti-inflammatory lecture that would fit anyone and help no one in particular.
Training load is a lever you can see. If every week adds intensity and none of it includes a lighter day, the ache may be the bill for that choice. Neuromuscular Rehabilitation can sort whether a movement is irritating a tendon. Functional Medicine can sort food and labs. Chiropractic Sports Medicine can examine the joint. None of those replaces a physician when the marker is high for a reason already under medical care, and none of them is a stack of bottles. A dentist visit can matter as much as a lab.
Questions patients ask
Is chronic inflammation a diagnosis?
It is a process, not a personality and not a complete diagnosis. A physician may already be following CRP or other markers for a specific disease. FRI uses that context and asks about sleep, food, training load, gums, and gut symptoms. The visit does not replace the workup for infection, autoimmune disease, or cancer. Those stay with your physicians.
Will you give me an anti-inflammatory supplement stack?
No. There is no miracle stack and no brand protocol. If nutrition or a supplement is discussed, it is one decision tied to your labs and your diet, without a dose copied onto this page. Food changes are things you can keep. A long product list is not the plan, even if every bottle says inflammation on the label.
Can gum disease matter here?
Bleeding gums are a reason to see a dentist, and they belong in the history because an ongoing oral infection is a real inflammatory load. FRI does not treat gum disease. Mentioning it keeps the plan from chasing a food culprit while an obvious source sits in the mouth. Bring any dental notes you have.
Does a high CRP mean I need a gut test?
Not by itself. CRP says a process is active. It does not name the source. A gut test is for gut symptoms, described on the gut health page. Joint mechanics need an exam. FRI will not order a stool kit because a blood marker moved. Your physician interprets the marker in the context of your diagnoses.
Related care for Aliso Viejo
Chronic Inflammation is handled at the Mission Viejo clinic, not in a satellite office in Aliso Viejo. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Aliso Viejo chiropractor
How people from Aliso Viejo reach 26400 La Alameda and what the three pillars cover.
- Chronic Inflammation 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.
- 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.
- Autoimmune Conditions in this city
This page is for you if a physician has already diagnosed an autoimmune disease, or if that physician is still sorting a.
- Metabolic Syndrome in this city
Metabolic syndrome is a cluster your physician recognizes: waist size, blood pressure, glucose, triglycerides, and HDL cholesterol. FRI does not replace that.
- Sleep & Insomnia in this city
Sleep problems have a clock, a chemistry, and often a body part that hurts. Caffeine, a late bedtime, a cortisol curve, thyroid.
- Advanced Bloodwork
Advanced bloodwork goes past a bare metabolic panel when the question needs more context. Lipids in more detail, glucose with insulin, iron.
