Get your life back | Dr. Nicholas J. Circolone

healing for the long-term

neck & upper extremity

Patients are our Primary Concern | Dr. Nicholas J. Circolone
Whiplash and TMJ specialist in Chattanooga and Sale Creek, TN


Whiplash can affect your ligaments, muscles, tendons, spinal alignment, and nervous system. Symptoms of whiplash may not be immediately apparent, so if you are in an accident, you should not assume you are not injured. Left untreated, these conditions can worsen and leave you in pain.


Temporomandibular Joint (TMJ) is the joint connecting your jawbone to your skull, and it provides a range of movement that allows you to speak clearly, chew food, and keep your teeth in place. A TMJ disorder can cause headaches and jaw pain, difficulty chewing or opening your mouth, clicking noises when you move your jaw, and more.

Headaches & Vertigo

Neck pain can often lead to headaches and other pains as well. If you are suffering from neck pain, you can benefit from chiropractic care to realign your spine and relieve the pressure in your neck. Headaches and vertigo – spinning room feeling – can also be fixed or helped with chiropractic care.

Elbow, Hand, & Wrist Pain

The elbows and wrists are commonly used joints, and hands are complex and susceptible to various pains and complications. From tennis elbow to carpal tunnel syndrome to trigger finger or arthritis, our elbows, hands, and wrists are easily broken down.


The shoulder is complex and used so often that it’s commonly injured. Shoulder and clavicle pain is often associated with stress fractures, osteoarthritis, bruising, poor sleeping positions, and osteomyelitis. When experiencing shoulder or clavicle pain, visit a chiropractic orthopedist who can provide a treatment plan that is unique to you.

Head, joint and shoulder treatments in Chattanooga and Sale Creek, TN

lower back & lower extremities

Lower back and extremities treatment in Chattanooga and Sale Creek,  TN


If you have pain in your lower back that shoots down one leg, you may be suffering from sciatica. Sitting for long periods or sudden movements such as coughing or sneezing can trigger pain. Chiropractic adjustments can be very beneficial to help realign your vertebrae and get your life back.

Hip, Knee, Foot, & Ankle Pain

As a ball and socket joint, your hips and legs possess wide ranges of motion. The knee is a complicated joint with connective tissue, ligaments, and tendons intertwined. The foot has many tiny bones and joints that can become strained. When your spine is out of alignment, it can affect your knees and work down to your ankles and feet.

sports injury

Sports injury therapy in Chattanooga and Sale Creek, TN

Sports Laser Therapy

Laser therapy is a painless treatment for those suffering from a large array of injuries, including arthritis, sprains or strains, and tendonitis. The laser activates mitochondria in cells, causing them to create more of the cellular fuel used for tissue repair. It also stimulates blood flow and decreases inflammation.

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accidents & injuries

Accident and injury treatment in Chattanooga and Sale Creek, TN

Workmans Comp



autonomic nervous testing

Autonomic nervous testing in Chattanooga and Sale Creek, TN

The autonomic nervous system (ANS) controls the body’s involuntary functions, such as heart rate, blood pressure, digestion, and sweating. Autonomic nervous system testing, also known as autonomic function testing, is a set of procedures used to assess the functioning of the ANS.

There are several methods employed in autonomic nervous system testing, including:
  1. Autonomic Reflex Testing: This involves evaluating the body’s response to specific stimuli, such as changes in posture, breathing patterns, and blood pressure. Examples of reflex tests include the Valsalva maneuver, deep breathing test, tilt table test, and sweat test.
  2. Heart Rate Variability Analysis: This test measures the variations in the time intervals between heartbeats, known as RR intervals. By analyzing these variations, one can assess the balance between the ANS sympathetic (fight-or-flight) and parasympathetic (rest-and-digest) branches. Heart rate variability analysis is often conducted using electrocardiography (ECG) recordings.
  3. Sudomotor Testing: This evaluates the sweat function of the body. Sudomotor tests assess the integrity of the sweat glands and can detect abnormalities in sweat production. Common methods include the thermoregulatory sweat test, quantitative sudomotor axon reflex test (QSART), and sympathetic skin response (SSR) test.
  4. Cardiovascular Reflex Testing: This assesses how the cardiovascular system responds to various stimuli. These tests measure blood pressure changes in response to postural changes, such as lying down, sitting up, or standing. For example, the orthostatic blood pressure test.
The benefits of autonomic nervous system testing include:
  1. Diagnosis of Autonomic Disorders: Autonomic function testing can help diagnose various autonomic disorders, such as autonomic neuropathy, dysautonomia, neurocardiogenic syncope, and postural orthostatic tachycardia syndrome (POTS). These tests provide objective measures to assess the functioning of the ANS and aid in determining the underlying cause of symptoms.
  2. Monitoring Disease Progression: Autonomic nervous system testing can be useful in monitoring the progression of certain conditions that affect the ANS, such as diabetes, Parkinson’s disease, multiple system atrophy, and certain autoimmune disorders. Regular testing can help track changes in autonomic function over time.
  3. Treatment Planning: Autonomic function testing provides valuable information for treatment planning and management of autonomic disorders. It helps healthcare providers develop personalized treatment strategies, including lifestyle modifications, medication adjustments, and other interventions to improve autonomic function and alleviate symptoms.
  4. Research and Clinical Trials: Autonomic nervous system testing is crucial in research studies and clinical trials related to autonomic disorders. It helps researchers evaluate the efficacy of new therapies, assess treatment outcomes, and better understand the underlying mechanisms of autonomic dysfunction.

Overall, autonomic nervous system testing provides the following:

  • Valuable insights into the functioning of the autonomic nervous system.
  • Aiding in the diagnosis, monitoring, and treatment of various autonomic disorders.
  • Ultimately improving patient care and quality of life.
Dr. Nicholas J. Circolone FACO, Chattanooga, TN

Tasha Baldridge

Certified Family Nurse Practitioner FNP-C

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Chattanooga Office Phone

Monday – Thursday:
7:00 AM to 11:00 AM
Friday – Sunday:

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Sale Creek Office Phone

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