Tuesday, July 29, 2008

Chiropractor 10012

Chiropractor 10012
It was recently brought to my attention that patients are searching for Chiropractors using zipcodes on google to locate a Chiropractor in Manhattan, So I wanted to list the three closet zipcodes,
Chiropractor 10012, Chiropractor 10013,Chiropractor 10011 and of course Chiropractor 10014.
www.drshoshany.com

Wednesday, July 23, 2008

Herniated disc specialist NYC


Herniated Disk New York- Herniated disc specialist Dr. Shoshany.....

A herniated disk in New York might be a damaged floppy or a c.d. with a dent in it. But if you have experienced severe back pain for an extended period of time, you might have a herniated disc. Herniated disk,is a common misspelling of herniated disc.
Some people develop a herniated or bulging disc in their neck or back. Injury, aging, and poor lifestyle choices may increase the risk for a disc problem. Below, several common questions about disc problems are answered.

Do discs slip?
In lay terms, a slipped disc can mean a ruptured disc or herniated disc (her-knee-ate-ed). Although the term slipped disc is used, discs do not slip. Each intervertebral disc is sandwiched between two vertebrae supported by a system of ligaments that help hold the spinal package together.

What is the difference between a bulging and herniated disc?
Disc disorders are contained or non-contained. A bulging disc is an example of a contained disc disorder. A bulging disc has not broken open; the nucleus pulposus (new-klee-us pul-poe-sis) remains contained within the anulus fibrosus (an-you-lus fye-bro-sis). A bulging disc could be compared to a volcano prior to eruption and may be a precursor to herniation. The disc may protrude into the spinal canal without breaking open. The gel-like interior (nucleus pulposus) does not leak out. The disc remains intact except a small bubble pops out attached to the disc.

A non-contained disc is one that has either partially or completely broken open; a herniated or ruptured disc. To illustrate imagine a tube (anulus fibrosus) of toothpaste (nucleus pulposus) placed under pressure. The pressure causes the toothpaste within the tube to move wherever it can. If any part of the tube is weak toothpaste may leak out. When a disc herniates the contents may spread out to the spinal cord and nerves. The disc material has little space to go --- into the area occupied by the spinal canal and nerve roots.

Why might a herniated disc cause pain?
Returning to the leaky tube of toothpaste, the disc's gel-like nucleus contains a chemical that irritates the nerves causing them to swell. After the chemical agent has done its job, the remnants of the chemical remain and continue to press on the irritated and swollen nerves. To complicate matters, sometimes fragments from the anulus (tire-like outer disc wall) break away from the parent disc and drift into the spinal canal. These free fragments may travel in the spinal canal. Depending on the type of injury and the condition of the discs, more than one disc may herniate, rupture, or bulge. Sometimes injury causes a combination of disc disorders.

Spinal Decompression Specialist Dr. Steven Shoshany in located in Manhattan NYC.
visit www.drshoshany.com

Monday, July 21, 2008

Spinal Decompression treatment

Spinal decompression treatment using the DRX 9000.
Is the DRX 9000 better than other spinal decompression table? Yes and the reason is answered below.
Spinal Decompression NYC-Call (212) 645-8151


visit this page to learn why the DRX 9000 system is the best spinal decompression table http://www.spineuniverse.com/resource-center/decompression-therapy/technology-4297.html

Dr. Steven Shoshany, Manhattan's spinal decompression specialist contact www.drshoshany.com

A Surgeon’s Point of View

W. Robert Hudgins, MD
Neurosurgeon
Neurological Surgeons of Dallas
Dallas, TX

In this interview, W. Robert Hudgins, MD, explains what motivated him to choose the DRX9000 for his practice, his experience using the equipment, as well as patient outcomes.

Dr. Hudgins, why did you opt to try the DRX9000 in your practice?
I’d have to say, it had a lot to do with the failure of general traction, and sometimes physical therapy, in the treatment of back pain. General traction has been used for many years as a conservative back pain therapy. The drawback to general traction is it cannot exert adequate pull on the lumbar spine to really do much good. When the DRX9000 was introduced to me, I was intrigued by the science and technical aspects of its controlled spinal decompression therapy.

Unlike conventional traction, the DRX9000 exerts adequate forces to distract vertebrae to create negative pressure within disc spaces to decompress the spine. It simply makes sense and the DRX9000 was the equipment I found to have worked out a complete system out to accomplish spinal decompression.

Why do you say ‘sometimes physical therapy’ fails?
I’m not discrediting physical therapy by any means, but some back pain patients are not compliant with the demands of a PT program. Unfortunately, for some, physical therapy is not successful. There are many reasons besides issues related to pain that prevent patients from doing well in PT. Some back pain patients need rest to help alleviate symptoms, which the DRX9000 provides. The DRX9000 does not replace physical therapy, but is an adjunctive treatment. Patients learn how to exercise to build strength and flexibility, as well as biomechanics for injury prevention.

What is involved in DRX9000 treatment?
In treating a low back problem, such as a bulging disc, the patient is positioned on the table, secured into place by means of a vest with under arm support to prevent the body from sliding downward. A belt is affixed about the waist. The treatment duration, amount of pull (in pounds), and decompression angle are entered into the computer. The computer uses the data to calculate a slow progression to maximum pull while alternating pulling and relaxing. A typical treatment lasts 20- to 30-minutes. Varying the angle of decompression (pull) adjusts the force through the target disc level. Angle variation cannot be effectively accomplished by means of conventional traction.

The amount of pull, or pounds; how is that calculated?
It depends on the patient’s condition. Generally, I start with one-half of the patient’s weight minus 20-pounds. For example, a 200-pound patient would start therapy at a maximum of 80-pounds of pull. As treatment is tolerated, the amount of pull may be gradually increased to half the body weight plus 10-pounds. As a rule, I start with the lower amount of pull and gradually increase.
Do patient’s experience immediate or gradual pain relief?
It is variable. A few patients have reported after 3 or 4 treatments they already feel much better. However, for the treatment to be most effective, a full 3 to 4 weeks is recommended.

Are other treatments combined with DRX9000 therapy?
Yes. Patients receive electrical stimulation and mechanical massage after each treatment to prevent or reduce stiffness and muscle spasm. Depending on the patient’s spinal disorder, they are instructed to wear a brace, which is discontinued after the program.

What spinal disorders do you treat using the DRX9000?
It is interesting and perhaps self-defeating that many of the patients referred to me for spine surgery, are successfully treated with spinal decompression. These patients include those with bulging and herniated discs and degenerated discs. Certain spinal problems such as spondylolisthesis, stenosis, and arthritis are not appropriate for decompression. The key is careful patient evaluation and selection.

I’m a strong believer in nonsurgical therapy before approaching surgery. Of course, some patients, such as someone with drop foot, may require immediate surgery.

Is the patient’s age a factor?
Generally, no. Two cases come to mind. The first is an active male in his early 30s who enjoys golf and tennis. He presented as a surgical referral with a herniated disc. However, he didn’t want surgery. The second case is an older female, a hospital tech who suffered back pain for 3 years. Both patients wanted to try the DRX9000 instead of surgery. Both continue to do well years after decompression treatment and without surgery.

Does this mean results are permanent?
I’ve used the DRX9000 since 2000 and have followed my patients. In general, 2 out of 3 low back pain and 3 out of 4 neck pain patients obtain excellent relief. About 75-80% of my patients continue to do well. I estimate 20-25% return with pain and ask to be treated again; a few may require surgery. In my experience, the majority of patients are pleased with their outcome.


What is the learning curve to use the DRX9000?
About 3 days of training is necessary. When my practice obtained its first DRX9000, my PA and I administered therapy to all patients. Once we were familiar with the equipment, and the number of patients grew, we hired a dedicated tech to administer DRX9000 therapy. Belt placement to prevent slippage during treatment is an art, but not difficult to learn.

We’d like to know how many patients your practice has treated using the DRX9000?
To date, nearly 800. Patient evaluation and selection is important to treatment success using the DRX9000. Just as every patient is not a surgical candidate, not all patients with a back or neck problem are candidates for spinal decompression.
www.drshoshany.com

Monday, July 14, 2008

Fibromyalgia- Alternative treatments Manhattan,NYC

This was recently brought to my attention by a patient, there are so many patients that suffer with Fibromyalgia and don't know who to turn to. I see fantastic results with Cold laser therapy, and Chiropractic care and Nutrtional protocols.
www.drshoshany.comFibromyalgia: Little understood, often frustrating Story Highlights
Nearly 6 million Americans suffer from a chronic illness called fibromyalgia

Symptoms include fatigue, sleep disturbances, depression and headaches

Experts aren't sure what causes it; often misdiagnosed

It's estimated that up to 90 percent of patients are women


By Judy Fortin
CNN Medical Correspondent

ATLANTA, Georgia (CNN) -- You wouldn't know it by looking at her, but at any given moment Dana Poole hurts all over.


Dana Poole, left, feels aches all over at any given moment from a condition called fibromyalgia.

"It's kind of like a burning, but an ache. It's almost like you have the flu," said Poole, 31, a receptionist from Canton, Georgia.

Poole is one of almost 6 million Americans who suffer from a chronic condition called fibromyalgia.

In addition to widespread pain, patients may complain about fatigue and sleep disturbances, depression, headaches, irritable bowel syndrome and heightened sensitivity.




"Dana is typical of a lot of fibromyalgia patients," said Dr. Jefrey Lieberman, an Atlanta, Georgia-based rheumatologist. "She came into my office complaining of a lot of diffuse pain all over her body and fatigue. She really didn't know why she was getting it."

That's part of the frustration of having fibromyalgia. Experts aren't sure what causes it, but many believe many factors are involved.

Some think the condition, which is not progressive or life-threatening, may be triggered by an emotional or traumatic event.

Lieberman believed it is related to a disordered sleep pattern and poor exercise. "It appears to be more of a neuro-chemical process," he said. "In other words, there really is no inflammation in patients with fibromyalgia." Health Minute: More on identifying fibromyalgia »


Getting a proper diagnosis can sometimes be just as frustrating as finding out what's behind the disease.

"Fibromyalgia is to some extent a diagnosis of exclusion," Lieberman said. "There are lot of things it can be confused with such as thyroid disorders, metabolic disorders and certain rheumatologic inflammatory conditions."

For almost five years, Poole jumped from doctor to doctor trying to figure out what was causing her symptoms. "They were constantly saying I'm a tall, thin female. 'You're getting older -- your body is going to change,' and it was frustrating."

Lieberman understood Poole's frustration. "Sometimes fibromyalgia is used as a wastebasket term if a patient has pain and they don't know what it is from," he said. "It is frequently misdiagnosed. In fact, it is overdiagnosed and it is underdiagnosed."

Specialists such as Lieberman can make a proper diagnosis based on criteria set by the American College of Rheumatology.

"Those criteria are diffuse pain in three or more quadrants of the body and the presence of what are called tender points in the body," Lieberman explained. "There are 18 total tender points, and by definition we like to see 11 of those tender points being present."


MayoClinic.com: Fibromyalgia
It's estimated that up to 90 percent of patients are women. Most of them start feeling symptoms in early and middle adulthood.

Poole remembered that the pain first started when she was 20. It wasn't until she met Lieberman about five years ago that she got some relief.

She took part in a drug study for Cymbalta, one of two medications approved for the management of fibromyalgia. The other drug is called Lyrica.

"Both of them are geared toward the patient's well-being as well as improving their pain," Lieberman said.

He also encouraged Poole to control her condition through a healthy diet, stress reduction, getting enough sleep and regular low-impact exercise.

"We think that aerobic exercise helps to stimulate endorphins and enkephlins from the body which are your own natural pain relievers," Lieberman said.

The doctor is quick to point out that even with proper medication and adequate exercise, fibromyalgia has no cure.

Although Lieberman said some of his patients report the symptoms tapering off in their mid-50s and -60s, others are faced with years of managing the condition.


"For most of my patients, I tell them that I can get you 50 to 75 percent better and many of those patients will jump at that," he said.

Poole is one of them, but knowing that she'll need to follow a careful daily regimen can be daunting, she said. "It wears you out, mentally, physically and emotionally."
www.drshoshany.com

A combination of Chiropractic care, Cold laser therapy, Nutritional support and SpineForce training and PoewerPlate Whole body vibration can help patients that are sufferingf with Fibromyalgia.
New York city Chiropractor Dr. Steven Shoshany

Wednesday, July 09, 2008

Do I have a Herniated disc?

Do I have a herniated disc?
What are the symptoms of a herniated disc?
New York City Chiropractor Dr. Steven Shoshany
www.drshoshany.comHerniated Disc - Symptoms
Symptoms of a herniated disc vary greatly depending on the position of the herniated disc and the size of the herniation.

If the herniated disc is:

Not pressing on a nerve, you may have an ache in the low back or no symptoms at all.
Pressing on a nerve, you may have pain, numbness, or weakness in the area of your body to which the nerve travels.
With herniation in the lower (lumbar) back, sciatica may develop. Sciatica is pain that travels through the buttocks and down a leg to the ankle or foot because of pressure on the sciatic nerve. Low back pain may accompany the leg pain.
With herniation in the upper part of the lumbar spine, near the ends of the lowest ribs, you may have pain in the front of the thigh.
With herniation in the neck (cervical spine), you may have pain or numbness in the shoulders, arms, or chest.
Leg pain caused by a herniated disc:

Usually occurs in only one leg.
May start suddenly or gradually.
May be constant or may come and go (intermittent).
May get worse ("shooting pain") when sneezing, coughing, or straining to pass stools.
May be aggravated by sitting, prolonged standing, and bending or twisting movements.
May be relieved by walking, lying down, and other positions that relax the spine and decrease pressure on the damaged disc.
Nerve-related symptoms caused by a herniated disc include:

Tingling ("pins-and-needles" sensation) or numbness in one leg that can begin in the buttock or behind the knee and extend to the thigh, ankle, or foot.
Weakness in certain muscles in one or both legs.
Pain in the front of the thigh.
Weakness in both legs and the loss of bladder and/or bowel control, which are symptoms of a specific and severe type of nerve root compression called cauda equina syndrome. This is a rare but serious problem, and a person with these symptoms should see a doctor immediately.
Other symptoms of a herniated disc include severe deep muscle pain and muscle spasms.
If you suffer with any of these symptoms consider visiting my NYC medical office.
I will review any MRI's and determine if you are a candidate for non-surgical spinal decompression.
Spinal decompression in Manhattan visit www.drshoshany.com
Chiropractic,Medical Massage, Physical therapy,SpineForce Core strengthing

Saturday, July 05, 2008

Chiropractor, Chiropractic NYC

www.drshoshany.com
Are you searching for a Chiropractor for Chiropractic care in NYC?
If so please visit my website at www.drshoshany.com and read some testimonials from patients.
I combine Chiropractic care, along with Medical massage, Physical therapy and of course Spinal Decompression using the DRX 9000.
My recent office expansion into a 4,000 sq foot facility has allowed me to add Digital radiographs that are read by board certified radiologists, Medical care for patients that need more than Chiropractic care.
Pain management, Acupuncture, Massage, Physical therapy all on site.
Most major medical insurance accepted.
www.drshoshany.com
We also hold weekly back care class.
This is a informal presentation that covers all aspects of Back care, Do's and dont's. We cover proper bending and lifting technique. This class is geared to those that have bulging or herniated discs.If you are interested please call ahead we can accommodate 12 people per class.
www.drshoshany.com

Wednesday, July 02, 2008

Chiropractor NYC

www.drshoshany.com
This is a recent study on how the DRX 9000 spinal decompression table can help those suffering with pain due to herniated discs.

MRI of 69-year old male with low back pain, reveals an increase in disc height and a decrease in size of disc herniation after treatment with the DRX9000™

It is estimated that Americans spend at least $50 Billion each year on low back pain and it is the second most common neurological ailment in the United States.¹

With these staggering numbers, the DRX9000 True Non-surgical Spinal Decompression SystemTM was developed to provide an effective non-surgical treatment alternative for chronic low back pain patients. Furthermore, recent studies have demonstrated the DRX9000's ability to potentially decrease analgesic use for chronic low back pain patients.

A newly published case report in Volume 2 Issue 1 of the European Musculoskeletal Review, demonstrates positive results utilizing the DRX9000 True Non-surgical Spinal Decompression System. The report titled, "Managament of Low-Back Pain with a Non-surgical Decompression System (DRX9000) - Case Report" displayed the pre- and post-treatment MRI findings of a 69-year old male with low back pain.

Prior to the DRX9000 treatment, the patient described experiencing low back pain radiating in both legs. When asked to describe his pain intensity on a scale of 0-10, the patient rated his pain intensity at 10. After completion of 22 treatments, over a seven-week period, the patient reported a pain intensity level of 1.

What's more fascinating is the fact that four months after the initial visit, a follow up MRI revealed decreased herniation size and increased disc height at multiple lumbar levels.

The authors conclude the case report by stating, "This case report further builds on previous findings that have demonstrated improvements in disc morphology after treatment with the DRX9000."

To view a copy of this case report, please click here
Chiropractor care in NYC contact Dr. Steven Shoshany
www.drshoshany.com