Vitruvia's revolutionary approach transforms lives for issues often not fixed by other modalities. RELIEF® restores damaged and scarred tissue, frees compromised structures from the surrounding fascia, and has helped thousands get back to their favorite activities without downtime, invasive surgery or steroids.

Our process


Injury, surgery, repetitive movements, poor posture or simply aging may cause your tissue to become fused, scarred and damaged. This can compromise a nearby structure, such as a nerve, tendon, ligament, or muscle, and impede its comfortable function. The result may be pain, lack of mobility and a loss of the strength and flexibility you once had. 

Our expert clinicians perform a comprehensive assessment of your movement patterns and ask you to perform the motions that cause you the most discomfort while we watch you under our ultrasound to evaluate the health and pliability of your tissue.


If you suffer from pain due to an acute or chronic musculoskeletal condition and/or injury, you may be a candidate for RELIEF®. During the treatment, our providers use a thin needle to enter areas of unhealthy fascia, and use fluid and motion to create space which separates the packed down tissue and rehydrates the area while breaking up the adhesions causing the tightness and reduced mobility. All this is done within 3cm of the surface of the skin, and is conducted under precise ultrasound guidance. The procedure takes approximately 30-60 minutes using local anesthesia (it does not require general anesthesia), and has no downtime afterwards. No bracing and/or post procedure immobilization is needed. There are no steroids used, and the treatment addresses an underlying cause of pain rather than only treating or masking superficial symptoms. By separating, rehydrating, and restoring these layers of damaged fascia, compromised nearby structures are freed from any impingements or scarring— and patients may experience a partial or complete relief from their symptoms afterwards.

If your life is affected by pain or injury, contact us today to learn more about RELIEF®

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Back and neck pain can have many causes, including injury, poor posture, wear and tear, or scar tissue from surgery. The pain can also show up in the form of headaches, tightness or pressure sensitivity. Typical treatment options like massage and chiropractic care may ease the pain and help spinal alignment, but sometimes do not address the root cause of the biomechanical issue. About twenty percent of people that suffer from acute back pain have it turn into a chronic pain that persists for more than one year. RELIEF® may be used to help injured or poorly functioning back and neck tissue that is restricting movement, entrapping nerves or causing pain. See how RELIEF® helped Tony Robbins with back and neck pain.

Because of its complexity, the shoulder is the most dynamic joint in your body. So it’s no surprise that after the knee, a damaged shoulder is the second most common sports injury. For shoulder pain due to conditions and injuries such as osteoarthritis, rotator cuff, labral tears, and many other degenerative conditions, options such as steroid injections or invasive surgery leave much to be desired — and post-surgical recovery is often lengthy and painful and may lead to other problems. Hear how former NBC Golf President Mike McClary eased his shoulder pain.

Injury and heavy use of the elbow during sports or repeated movements can cause a buildup of scar tissue. The elbow has 3 major nerves that run through and around it. Tissue damage in the elbow can cause reduced range of motion, as well as compress these nerves causing a tingling or numb sensation in the arm, hand and finger, and stiffness or pain. RELIEF® may be used to help the injured, painful, or poorly functioning elbow without invasive surgery or downtime. Read about how RELIEF® helped Dave Asprey with his tennis elbow.

Perhaps you’ve grown accustomed to discomfort or limited mobility in your hand or wrist. Whether it’s from an old sports injury or a digital casualty from heavy use of a phone or keyboard, the usual options often either don’t fully work or don’t last. For instance, total joint reconstruction surgery may improve the condition, but because the damaged connective tissues in the area haven’t been addressed, numbness, tenderness, or reduced range of motion may develop again down the road. RELIEF® may help restore your damaged tissue without invasive surgery or downtime. See our success stories.

Pain on the outside of your hip, upper thigh, or outer buttocks is usually caused by problems with muscles, tendons, ligaments, and other soft tissues surrounding your hip joint. Hip problems can affect the rest of your body in your day-to-day activities and may require long-term pain management if the true source of the pain is not addressed. Hip replacement surgery has become a common answer, but this approach may be followed by pain and discomfort due to damaged fascia. Our breakthrough RELIEF® treatment repairs damaged and scarred fascia may often be the cause of pain and restricted movement. Hear how RELIEF® helped Miami Marlins physician Dr. Thomas Best, MD PhD.

You probably know several people whose knee surgeries provided only a modest improvement in mobility — along with months of difficult rehab. The fact is, for many knee conditions such as osteoarthritis, a torn meniscus or ACL, and many others, the state of the connective tissue and entrapped nerves could well be the cause of an individual’s discomfort, inflammation, and decreased range of motion. Options such as steroid injections or invasive surgery leave much to be desired – and post-surgical recovery is often lengthy and painful. RELIEF® may offer an alternative to invasive surgery or downtime. It can help restore injured, painful, or poorly functioning knees. Hear how RELIEF® helped Mika Mattingly recover from a torn ACL.

If you’ve ever badly sprained your ankle, or experienced a fracture in your ankle, foot or toe, you may still be dealing with restricted mobility or even pain due to damaged fascia. Injuries to the connective tissues can also increase the chance of re-injury by changing how you walk and over time placing a stress on other parts of the foot that are compensating. Incomplete healing leads to a cycle of chronic pain and instability. RELIEF® may be used to break this cycle by treating the injured, painful, or poorly functioning tissue and return you to a healthy state without invasive surgery or downtime. Watch how RELIEF® helped David Ortiz with his foot pain.

Surgery can create scarring both layers deep in the body and on the skin’s surface. It often involves cutting into multiple layers of anatomy: the skin, subcutaneous fat, and connective tissues. While surgery is meant to improve movement and function, excessive scar tissue can lead to the exact opposite. At the skin level, scars often develop post-surgery leaving visible blemishes but are usually not a source of pain. Below the surface however, scarred tissue may limit range of motion, cause pain or discomfort, and compress nerves. Find out how RELIEF® helped Bud Cauley treat his post-surgical pain.

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