How Modalities Fit the System

Recovery modalities at Chronos are not a menu of gadgets. They are tools selected and sequenced based on the phase of care, the tissue, and the clinical problem.

The modalities are one input into the plan, not a product line.

The Modality Suite

Deep Tissue · Post-Op · OA · Prehab

Class IV Laser & Photobiomodulation (PBM)

Class IV laser and photobiomodulation are the same underlying therapy — therapeutic red and near-infrared light (roughly 600–900nm) working through mitochondrial photoreception: increased cytochrome c oxidase activity, increased ATP production, reduced oxidative stress, and modulation of the local inflammatory cascade. The difference is dose and application. Higher-power delivery drives photonic energy past the musculature into deep tissue — the workhorse for post-surgical soft tissue recovery, symptomatic OA joints, and the consolidation phase of tendon recovery. Lower-intensity delivery over longer surfaces emphasizes cellular support and is used in prehabilitation and integration phases.

Chronic Tendinopathy

Extracorporeal Shockwave Therapy

Acoustic pressure waves triggering neovascularization and restarting a stalled healing cascade. The core modality for chronic tendinopathy — Achilles, patellar, rotator cuff, lateral epicondyle. Typically delivered in 6–8 sessions spaced 5–7 days apart, with loading progression coordinated alongside.

Fascial Glide · Consolidation

TECAR — Transfer of Energy Capacitive and Resistive

Capacitive and resistive radiofrequency current generating deep endogenous heat. Improves fascial glide, local perfusion, and soft tissue mobility. Used in consolidation phases of tendon recovery and reintegration phases of post-op recovery. Frequently paired with manual soft tissue work.

How Modalities Are Delivered

Through our clinical partnership with Pacific Coast Sports Medicine and Dr. Michael Sheps, D.C., whose Brentwood practice at 11710 Wilshire Boulevard is co-located with Dr. Rahman's office. Dr. Sheps is a chiropractor credentialed in the McKenzie Method and has been providing non-invasive therapies to elite athletes in West LA for over two decades. Chronos sets the clinical plan. Dr. Sheps delivers the modality program to that plan.

À la Carte Access

Modality sessions are available as part of a Chronos program or membership plan. À la carte sessions are generally not the most effective use of these tools — the point of the system is that modalities are sequenced to a phase of care — but one-off sessions for specific indications may be available case-by-case.

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