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.
Before you leave Old Towne
No referral. Out of network. Superbill and HSA/FSA. Bring prior records. We coordinate with physicians at Chapman's orbit and elsewhere, and we do not replace them.
Drs. Sani and Tara Kohen are the chiropractors. The about page and the office page are the people and the place.
Old Towne, the Plaza, and the hills east of the 55
Old Towne Orange is walking, the Plaza, Chapman, and a lot of time in a chair between those walks. The Block and the streets west of the plaza are errands and traffic. Santiago Hills and the east side climb. People who live in the hills and work down in the flatlands stack a grade onto a commute. Knees notice the hills. Necks notice the 55. Lower back pain notices both, especially the seat time.
Students and staff around Chapman bring a different schedule: carrying a bag, sitting in lectures, and training when they can. That is not a football clinic. It is a reason to look at load instead of only at the spot that hurts. Shoulder pain and neck pain are common in that mix.
Down the 55 from Orange
Take the 55 south toward the 73 and Mission Viejo. About 20 miles and 30 to 45 minutes to 26400 La Alameda, Suite 100, Mission Viejo, CA 92691. Parking is at the building. The clinic is open Monday through Thursday, 9 to 6. The drive back up the 55 in the afternoon is the expensive direction. Morning appointments are easier on the neck you came to have examined.
Call (949) 312-1754. If you are comparing us with a closer office on Tustin Avenue or Chapman, the difference is the length and the intent of the visit, not a secret technique. The 20-minute consultation lets you see that before you commit to a course of care.
What the visit can cover
Spine and joint care may include adjustments, mobilization, McKenzie exercises, and DNS. Headaches that start in the neck are in scope. Sudden severe headaches are not. They belong in emergency care.
Perimenopause, migraines, and gut health are evaluated on their own terms, with labs only when the history makes a test useful. See the Orange chiropractor page for the full set of local links.
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 Orange
Chronic Inflammation is handled at the Mission Viejo clinic, not in a satellite office in Orange. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Orange chiropractor
How people from Orange 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.
