Dr. Ryan Casagranda, Chiropractic Physician

Dr. Casagranda is the only Chiropractor on Cape Cod with a degree in Functional Medicine. When you see Dr. Casagranda you will be provided with a careful medical history and examination of the spine, based on training, experience, and guided by clinical literature on the best ways to address spine problems.



Mobilization is a form of stretching that is applied to stiff joints in order to optimize and restore range of motion, relieve pain and reduce muscle tension. These procedures consist of small passive movements, usually applied as a series of gentle stretches in a smooth, rhythmic fashion to the individual’s joints.





Myofascial Release employs manual, deep tissue release to lengthen chronically shortened connective tissues. Manual stretching by the clinician and self stretching by the patient further this process. Lengthened and weakened muscles are then strengthened with resistance exercise.


Instrument Assisted Softy Tissue Mobilization

The Graston Technique is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and soft tissue restrictions. The Technique utilizes specially designed instruments to detect and effectively treat areas exhibiting soft tissue scar tissue or chronic inflammation.

Other Comprehensive Chiropractic Treatments Include:


The most common therapeutic procedure performed by doctors of chiropractic is known as “spinal manipulation,” also called “chiropractic adjustment.” The purpose of manipulation is to restore joint mobility by manually applying a controlled force into joints that have become hypomobile – or restricted in their movement – as a result of a tissue injury.

Tissue injury can be caused by a single traumatic event, such as improper lifting of a heavy object, or through repetitive stresses, such as sitting in an awkward position with poor spinal posture for an extended period of time. In either case, injured tissues undergo physical and chemical changes that can cause inflammation, pain, and diminished function.

Manipulation, or adjustment of the affected joint and tissues, restores mobility, thereby alleviating pain and muscle tightness, and allowing tissues to heal.

McKenzie Method

Patients learn how to self-treat the current problem. You’ll gain hands-on knowledge on how to minimize the risk of recurrence and to rapidly deal with recurrence if it occurs. The likelihood of problems persisting can more likely be prevented through self-maintenance.