Monday, October 31, 2005

New York Chiropractor

www.drshoshany.com
Happy Halloween!
Great news I ordered my second decompression table, The results have been outstanding. There are so many New York City residents that are seeking a Chiropractor especially one that specializes in treating patients with Herniated discs. I continue to see outstanding results and today should be a real interesting day, my office is in the path of the 25th annual Greenwich Village parade, gotta go I have Frankenstien waiting to get an adjustment!
Yours in health,

Dr. Steven Shoshany
www.drshoshany.com

Wednesday, October 26, 2005

New York Chiropractor

www.drshoshany.com
I have been so impressed with the results I have seen with the spinal disc desomprssion I bought a new machine! This machine is called the 3-d active trac and combines Cervical and lumbar treatments in one unit. There are way to many people suffering from Herniated Discs, Degenerated disc, suffering from Sciatica and facet syndrome. If you visit my website and look under treatments you can see the information on treatment. I am one of the few Doctors of Chiropractic that practice this amazing technology in New York City. Visit my website for complete information at www.drshoshany.com

Monday, October 24, 2005

New York Chiropractor


www.drshoshany.com
I was at an amazing seminar this weekend in Tampa Florida! The Seminar was about spinal disc decompression. So many individuals have herniated disc, Sciatica, Spondylolistheis and other Radiculopathies. There is now a amazing new Non-Surgical procedure that is 86% successful in treating these people and permentantly correcting the disc!! Visit my website to learn more about this amazing procedure if you are in New York City and tried chiropractor care and have not had results try this amazing procedure with a guarantee of satisfaction.

Monday, October 17, 2005

New York Chiropractor

www.drshoshany.com

So many of my patients travel all the time and come in for adjustments after flights, This is perfect information for busy New York City residents on the go.
Enjoy!!

Travel Aches and Strains

By Steven Shoshany, D.C.
Traveling can be rough on the body. Whether you are traveling alone on business or on your way to a sunny resort with your family, long hours in a car or an airplane can leave you stressed, tired, stiff and sore.
''Prolonged sitting can wreak havoc on your body,'' says Dr. Steven Shoshany, immediate past president of the American Chiropractic Association’s (ACA) Council on Occupational Health. ''Even if you travel in the most comfortable car or opt to fly first class, certain pressures and forces from awkward positions can result in restricted blood flow. One of the biggest insults to your system from prolonged sitting is the buildup of pressure in the blood vessels in your lower legs. Contracting and relaxing the muscles helps the blood flow properly.'' Dr. Shoshany and the ACA suggest the following tips and advice to fight the pains and strains of travel before they occur.
Warm Up, Cool Down: Treat travel as an athletic event. Warm up before settling into a car or plane, and cool down once you reach your destination. Take a brisk walk to stretch your hamstring and calf muscles.
In the Car:
Adjust the seat so you are as close to the steering wheel as comfortably possible. Your knees should be slightly higher than your hips. Place four fingers behind the back of your thigh closest to your knee. If you cannot easily slide your fingers in and out of that space, you need to readjust your seat.
Consider a back support. Using a support behind your back may reduce the risk of low-back strain, pain or injury. The widest part of the support should be between the bottom of your rib cage and your waistline.
Exercise your legs while driving to reduce the risk of swelling, fatigue or discomfort. Open your toes as wide as you can and count to 10. Count to five while you tighten your calf muscles, then your thigh muscles, then your gluteal muscles. Roll your shoulders forward and back, making sure to keep your hands on the steering wheel and your eyes on the road.
To minimize arm and hand tension while driving, hold the steering wheel at approximately 3 o’clock and 7 o’clock, periodically switching to 10 o’clock and 5 o’clock.
Do not grip the steering wheel. Instead, tighten and loosen your grip to improve hand circulation and decrease muscle fatigue in the arms, wrists and hands.
While always being careful to keep your eyes on the road, vary your focal point while driving to reduce the risk of eye fatigue and tension headaches.
Take rest breaks. Never underestimate the potential consequences of fatigue to yourself, your passengers and other drivers.
In an Airplane:
Stand up straight and feel the normal “S” curve of your spine. Then use rolled-up pillows or blankets to maintain that curve when you sit in your seat. Tuck a pillow behind your back and just above the belt-line and lay another pillow across the gap between your neck and the headrest. If the seat is hollowed from wear, use folded blankets to raise your buttocks a little.
Check all bags heavier than 5-10 percent of your body weight. Overhead lifting of any significant amount should be avoided to reduce the risk of pain in the lower back or neck. While lifting your bags, stand right in front of the overhead compartment so the spine is not rotated. Do not lift bags over your head, or turn or twist you head and neck in the process.
When stowing belongings under the seat, do not force the object with an awkward motion using your legs, feet or arms. This may cause muscle strain or spasms in the upper thighs and lower muscles. Instead, sit in your seat first, and using your hands and feet, gently guide your bags under the seat directly in front of you.
While seated, vary your position occasionally to improve circulation and avoid leg cramps. Massage legs and calves. Bring your legs in, and move your knees up and down. Prop your legs up on a book or a bag under your seat.
Do not sit directly under the air controls. The draft can increase tension in your neck and shoulder muscles.
Chiropractic Care Can Help: ''If you follow these simple tips, you can enjoy pain-free, safe travel,'' says Dr. Shoshany. ''If you do experience pain and stress on your back, doctors of chiropractic are trained and licensed to diagnose and treat problems of the spine and nervous system.''

Thursday, October 13, 2005

New York Chiropractor

www.drshoshany.com

Safe Back Workouts, Part One: How to Progress Patients with Exercises
Craig Liebenson, DC

Training the back is very simple, but the fundamental steps are not commonly practiced. A common problem with most health club exercises is that the emphasis is on the quantity of movement, not its quality. Sets and repetitions are emphasized rather than form. For instance, a typical error during situps is that the trunk is raised from the hip joints due to psoas substitution rather than by a curling action of the spine. The result will be increased compressive and shear forces on the lower back.
Axler and McGill have demonstrated that muscle output as a percentage of maximum voluntary contraction ability (MVC) and spinal load as a measure of spinal compression and shear forces can be measured for a variety of exercises.1 Ideal exercises are those that have a high muscle challenge to spinal load ratio. Janda has presented a model for rehabilitation which emphasizes that the quality of the movement is more important than the strength.2 For example, an individual may have excellent strength in performing leg raises, but if they overactivate the synergist hamstring or erector spinae muscles for the agonist gluteus maximus, lumbar overstrain will occur.
To learn to isolate target muscles while minimizing joint overstrain, a systematic approach has been recommended. If movement patterns have been identified where muscle imbalance is present -- for instance, excessive iliopsoas activity during trunk curls -- then relaxation of the overactive muscle should generally precede any strengthening exercise. Naturally, if an overactive muscle is not relaxed prior to a strengthening exercise, the result will be reinforcement of the muscle imbalance.
The consequence of muscle imbalance and faulty movement patterns is joint overstrain. Think of an individual performing leg extensions with a shortened iliopsoas. They will have hypomobility in their hip joint in extension and the movement will automatically follow the path of least resistance and occur around an axis of the lumbosacral joint. Repetitive overstrain will be the inevitable result.
Practice TipWhen a patient reports pain, always evaluate for a related muscle imbalance and a faulty movement pattern.
Evaluate if the pain is coming from the overstrained area and if there is a related hypomobile joint that is functionally linked ï
Chief complaint: low-back painActivity intolerance: walking, standingExamination findings:
increased lumbar lordosis during prone hip extension (see Figure 2); * hypomobile hip joint in extension; * muscle imbalance -- tense iliopsoas and inhibited gluteus maximus.Once the overactive muscle is relaxed, safe back training follows three basic steps (see Table I below).3 First, train the individual how to produce spinal/pelvic joint motions through a full range, and how to find their "neutral spine/pelvis position." Second, train the individual to maintain the "neutral joint position" of the spine/pelvis while load is added distally through the arms and/or legs. This motor control is isometric stabilization. Third, train the individual to control the "neutral joint position" of the spine/pelvis during trunk movements. This is called dynamic stabilization. Unfortunately, this training requires some cortical effort. However, the benefit is that once it is trained, a new motor program will form that will subcortically protect vulnerable joints from injury on a reflex, semi-automatic basis. To facilitate the formation of a new motor program, labile surfaces (balls, foam, platforms) are used as much as possible. By challenging balance, afferent pathways are spontaneously facilitated in a concentrated way.
Table I: Safe Back Training Steps1. Relax overactive antagonist or synergist muscles 2. Train awareness of spinal/pelvic position 3. Train isometric stabilization with distal loading 4. Train dynamic stabilization with trunk loading
Note: Utilize labile training devices whenever feasible.
These safe back principles have been incorporated into remobilization workouts for acute patients, reactivation workouts for subacute patients, flexibility workouts for recurrent patients or prevention, and gym ball workouts for recurrent patients or prevention.4,5,6,7,8,9,10 Exercise is a powerful tool in teaching patients to develop an internal locus of control for managing their pain. Educational material warning against the dangers of prolonged bed rest and the benefits of activity are essential.8,11 Consensus-based low back guidelines emphasize that active care or exercise be incorporated no later than the end of the first month of care.12 Recent evidence suggests that specific exercises utilizing the above safe back principles are a key to achieving successful outcomes even with chronic patients.13
Referencesï exercises: searching for the safest abdominal challenge. Med Sci Sports Exerc 1997;29:804-810.
2. Janda V. In: Liebenson C (ed.) Rehabilitation of the Spine: A Practitioner's Manual. Williams & Wilkins, Baltimore, 1995.
3. Grant G, Jull G, Spencer T. Active stabilization training for screen-based keyboard operators: a single case study. Aus J Phy Ther 1997;43:235-242.
4. Liebenson C, Chapman, DeFranca C. Safe Back Workout: Reactivation and Remobilization: Beginner Level. Williams & Wilkins, Baltimore, 1998.
5. Liebenson C, Perri M, Murphy D, DeFranca C. Safe Back Workout: Flexibility, Breathing and Relaxation Routine. Williams & Wilkins, Baltimore, 1998.
6. Liebenson C, DeFranca C, Gluck N. Safe Back Workout: Low Back and Abdominals and Low Back: Advanced Level. Williams & Wilkins, Baltimore, 1998.
7. Liebenson C, DeFranca C, Gluck N. Safe Back Workout: Glutes and Thighs: Advanced Level. Williams & Wilkins, Baltimore, 1998.
8. Liebenson C, Oslance J. 20 minute exerball workout. The Gym Ball Store, San Diego, 1997. (800) 393-7255.
9. Oslance J, Liebenson C. The proprio system. The Gym Ball Store, San Diego, 1996. (800) 393-7255.
10. Murphy D, Liebenson C, Ierna G, Gluck N. Lumbar Spinal Stabilization: Floor Exercises. ACES, Wading River, New York, 1998.
11. The Back Book. ISBN 011-702078-8. The Stationary Office, 011»44-17-1873-9090.
12. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, 1994.
13. O'Sullivan P, Twomey L, Allison G. Evaluation of specific stabilizing exercise in the treatment of chronic low back pain with radiologic diagnosis of spondylolysis or spondylolisthesis. Spine 1997;24:2959-2967.

Wednesday, October 12, 2005

New York Chiropractor

www.drshoshany.com
Chiropractic "Turns Heads" in J.C. Penney TV Commercial

It remains somewhat of a challenge to get an accurate idea of the public's perception of chiropractic, particularly when we see confusing and sometimes contradictory perspectives presented by the media. A recent example occurred less than three months ago, when Consumer Reports magazine released the results of its reader survey on alternative medicine. The survey found that the typical reader of Consumer Reports considers chiropractic the best form of care for both back pain and neck pain. However, in the same issue, the magazine's editors noted: "The clinical trial evidence for chiropractic is mixed," and stated that manipulation of the neck "can be risky."
Fortunately, not everyone feels the same way about chiropractic as do the editors of Consumer Reports. On Sept. 18, 2005, a 30-second television commercial for J.C. Penney first aired during the 2005 Emmy Awards. The commercial portrayed chiropractic ­ especially chiropractic manipulation of the neck ­ in an extremely positive light.
For anyone who may have missed the commercial, here's a brief synopsis:
The commercial opens with the camera panning by a sign that reads "Chiropractor" on the outside of the doctor's office. Inside the office sit three men, all young, attractive and in apparently good health ­ except for the fact that each of their necks is rotated to one side at an almost obscene angle.
The commercial quickly cuts to a shot of the three men lying down, each receiving an adjustment to the neck. With each adjustment, an audible (crack/pop) is heard. The men express a pleasant expression of welcome relief.
Next shot: The three men are walking down a busy sidewalk, smiling and displaying perfect posture. Three young, beautiful women ­ all dressed in the latest fashions from J.C. Penney ­ walk by in the opposite direction. The men turn their heads sharply to gaze at the women as they walk by. As more beautiful, well-dressed women catch the men's attention, one man eventually reaches for the back of his neck, a look of pain on his face.
The commercial ends with the three men back in the chiropractor's office, heads turned to the side, waiting to be adjusted again. Another four men are standing in line, their necks similarly rotated to the side.
(Incidentally, throughout the commercial, a well-known rock song is playing in the background. The song: "You Really Got Me," performed by a group called ­ what else? ­ The Kinks.)
How important is the inclusion of chiropractic in J.C. Penney's fall fashion commercial? Consider the following statements this commercial makes ­ statements the chiropractic profession has been trying to get the public to hear:
1. Chiropractic is featured prominently on a national television spot by one of the most well-respected department store chains in the country. J.C. Penney has been in business since 1902 and currently operates more than 1,000 stores nationwide.
2. Chiropractic received the equivalent of more than a half-million dollars in free advertising. While the advertising rate for a 30-second commercial for this year's Emmys was not available at press time, the ad rate for an identical spot during last year's Emmy broadcast was $550,000.
3. According to Nielsen Media Research, the 2005 Emmy Awards program was seen by an estimated 18.6 million people, including 6 million people between the ages of 18 and 49. That's more than 18 million potential patients who may have been unfamiliar with chiropractic, but who now know that it can be beneficial.
4. The chiropractic adjustment given was delivered in an authentic style, including the audible "pop" heard during the adjustment. With chiropractic under increasing scrutiny regarding the safety of the cervical adjustment, it's great to see a national commercial that illustrates the safety and effectiveness of this type of chiropractic care
5. The fact that the men returned to the chiropractor at the end of the commercial endorses the concept of repeat visits for care.
6. The line of men waiting to be adjusted at the end of the commercial suggests the public believes in and trusts doctors of chiropractic.

Monday, October 10, 2005

New York Chiropractor

www.drshoshany.com

Herniated Discs
What are herniated discs?

The 24 vertebrae of your spine are separated from one another by pads of cartilage called discs. These discs have a fairly tough outer layer with a soft interior to cushion against the shocks and strains experienced as you move and put various stresses on your spine. The discs are subject to injury, disease, and degeneration with use over time. Certain activities and types of work increase the risk of discs being damaged or deteriorating. When the soft interior material of a disc pushes out through a tear or weakening in the outer covering, the disc is said to be herniated.
Herniated discs are also called protruding, bulging, ruptured, prolapsed, slipped, or degenerated discs. There are fine distinctions between these terms, but all really refer to a disc that is no longer in its normal condition and/or position. Herniated discs cause pain by impinging on (intruding upon, irritating, and pinching) and even injuring nerves in the spinal column.

What are some of the typical symptoms of herniated discs?
Most disc herniation takes place in the lower back (lumbar spine). The second most common site of herniation is the neck (cervical spine). A herniated lumbar disc may send pain shooting down through your buttock and thigh into the back of your leg (sciatica). Cervical disc herniation may cause pain in the shoulder, arm, and hand. Herniated discs can cause muscle weakness, make it hard to get up when you've been sitting or lying down, cause pain when you strain to do something, even when you cough or sneeze. They sometimes produce pain in the lower right side of the abdomen. Herniated discs may also affect nerves to the bladder and bowel, causing incontinence. This symptom signals the need for immediate, emergency attention.
What can chiropractic do?
There is broad acceptance among health care professionals and the public of the recommendation that the pain from herniated discs be initially treated conservatively. That is, as long as there are no signs (such as severe pain, numbness, or functional impairment from nerve involvement) of the need for more invasive treatment, two or three months of chiropractic care may be the best choice before considering to spinal surgery or shots of analgesics (painkillers) in your back. And only a minority of disc herniations turn out to require treatment as traumatic and costly as hospitalization and surgery or with as many side effects (especially for older people) as opioid analgesics and muscle relaxants.
A chiropractor will examine and question you carefully, take a complete history, and conduct appropriate diagnostic tests. He or she will focus on exactly what symptoms you've been suffering and determine which parts of your spine are the likely cause of your pain and loss of function. Chiropractic provides the special training, techniques, and experience needed to safely and effectively adjust your spine so that the stress on the discs is minimized, the pain relieved, the damaged or displaced structures given a chance to heal, and your ability to return to normal functioning restored.
www.drshoshany.com
visit to learn the latest treatments to treat and correct herniated discs, and visit the office of the New York City Chiropractor

Friday, October 07, 2005

New York Chiropractor

www.drshoshany.com
Being a New York City Chiropractor I see many interesting patients.
I had this one patient come in yesterday on crutches in so much pain he was in tears, He was covered in tattoos and piercing but this episode was worse than any pain he has ever experienced. I did a complete history and it turns out that he has a history of lower back pain and the most recent episode was spawned from a fall. It has been two weeks since his fall and he has been putting a heating pad on every night and taking his friends muscle relaxers and borrowed another friends crutches hoping he would get better! I find this crazy, but every day I am blown away how people do not care about there body or wait till it is almost too late. So I did a very simple Category three blocking technique to remove nerve pressure and gentle distraction to the disc. After a twenty minute session he didn't need his crutches to walk but was still in pain. I have him on ice every twenty minutes and having coming in today. The lesson learned here is after a injury use Ice not heat, do not borrow your friends medication they where written for him not you! And most of important visit your Chiropractor right away don't wait till you cant walk because nerve pressure is not a good thing.
If any one has questions about my daily practice as a New York City Chiropractor please feel free to email me at drstevenshoshany@yahoo.com or visit my website at www.drshoshany.com

Tuesday, October 04, 2005

New York Chiropractor

www.drshoshany.com

Headaches
Living in New York City we all lead stressful lives, Many people suffer from headaches I compiled some data here it is:

Headaches What kinds of headaches are there?

More than 90 percent of headaches can be classified as tension-type, migraine or cervicogenic.
By far, most people get tension-type headaches and get them frequently. They typically suffer mild to moderate pain, on both sides of the head, that is often described as tight, stiff, constricting – like having something wrapped around your head and pressing tightly.
Migraines are periodic severe, throbbing headaches that afflict far fewer people (and more women than men), usually hurt on one side of the head, can cause loss of appetite, nausea and even vomiting, and may involve a visual change called an aura.
Cervicogenic headache is a muskuloskeletal form of tension-type headache (which may also be related to migraines). Many times, cervicogenic headache goes undiagnosed as such due to the relative newness of this classification.

Who suffers from headaches?

Many millions of adults, worldwide, get headaches regularly. Headaches are among the most common physical complaints prompting people to treat themselves or get professional assistance. One estimate holds that some 50 million people in the U.S. get severe, long-lasting, recurring headaches. Most headaches are not signs of serious underlying conditions, but they can be very distracting, debilitating and account for significant amounts of time lost from work.
What should I be concerned about?
If you are a headache sufferer, your obvious concern is to obtain safe, dependable relief. You should avoid making things worse by using drugs – even over-the-counter, nonprescription drugs – that can have serious side effects and dangerous interactions with other medications or supplements you take. You should also be aware that many people experience what are termed "analgesic rebound headaches" from taking painkillers every day, or nearly every day. Watch out! The medicine you take to get rid of today's headache may give you a headache tomorrow and the days after.

What can chiropractic do?

Chiropractors have had considerable success relieving the cause of headache pain and releasing headache sufferers from the dangerous vicious circle of taking ever-larger doses of ever-stronger painkillers that may even be causing new and worse headaches.
Chiropractic adjustments have shown to be as effective and even more effective than medications in reducing the severity and frequency of headaches. Chiropractic is particularly successful dealing with cervicogenic headache. Even though cervicogenic and other tension-type headaches may not actually involve stress or muscle tension, chiropractic's ability to adjust spinal abnormalities seems to lessen or remove the forces contributing to many individuals¹ headache pain.
www.drshoshany.com
If you are in New York City and suffer from anyform of headache consider Chiropractic call 212 645 8151

Monday, October 03, 2005

New York Chiropractor

www.drshoshany.com

Enhance Fertility with Chiropractic Care
Fun Factoids
You blink over 10,000,000 times a year.
The mouth of the statue of liberty is 3 feet wide.
The first country to use postcards was Austria.
Thirty-five year-old Tracy had tried everything: monitoring her cycles through body temperature, over-the-counter fertility predictors and finally, fertility-enhancing drugs and in vitro fertilization. But after three years of trying, she still wasn’t pregnant. She began to think she was “too old” to have a family, though she was seemingly in great physical shape.
Tracy is not alone. Thousands of women go to fertility specialists each year. “After fertility treatments fail, many women are told ‘no’ [about having children] because of their age,” says D’arcy Brown, DC. But chiropractic may offer hope. At least one recent study showed that, after receiving chiropractic care, previously infertile women were much more likely to become pregnant (Journal of Vertebral Subluxation Research, 2003). And while reasons behind chiropractic’s success in treating infertility aren’t certain, there are a number of possibilities why it may work.
Dr. Brown, who practices in Aspen, Colorado, believes proper alignment works in several ways to increase the likelihood of becoming and staying pregnant. Chiefly, improper alignment of the cranial, spinal, and pelvic bones can hinder the nervous system, which controls a woman’s reproductive system, causing imbalances and hampering her ability to get and stay pregnant.
Distortions of the sphenoid bone in the skull— which can result from passage through the birth canal or from accidents later in life— are particularly problematic, says Brown, since misalignments there can affect the cranial nerve and pituitary gland. The pituitary gland is the regulator of a number of hormones important to fertility, including the follicle-stimulating hormone, estrogen, and progesterone. If any of these are out of balance, explains Brown, it can be very difficult to get pregnant.
Like Tracy, many of the patients Brown sees for infertility have tried everything. They come to chiropractic as a last resort. Brown first talks to them about their menstrual health history, noting signs of imbalance, which have often been problematic since the onset of menstruation, including heavy cramping, mood swings, and missing periods. “We balance the body [through chiropractic],” says Brown. Patients receive a combination of chiropractic and craniosacral adjustments, three times a week to start. After adjustments start to hold, patients visit once or twice a week.
How long should chiropractic take to work? Not long, says Brown. “We give it three months. Often women will become pregnant in the third or fourth month of treatment.” Brown has an impressive 75 percent success rate so far. Unless there have been serious compromises to reproductive health, he says, such as a history of extreme athletic activity or substance abuse, chiropractic may set the stage for a successful pregnancy for women like Tracy.
Chiropractic Care Can Help...Our goal is to adjust the spine and help stimulate your body's natural healing process.
Visit www.drshoshany.com
Dr Steven Shoshany of New York City is certified in thw Webster Technique.