Tuesday, October 21, 2008

Spine force on TV!

SpineForce on CBS "The Doctors" Thursday October 23: SpineForce 3-D Rehab Exercise Technology is being highlighted on Thursday's episode of CBS "The Doctors," as a revolutionary device that is helping people with MS and other spinal cord afflictions to walk again. SpineForce was selected as one of the "Top 10 Medical Devices that Can Change Your Life." The segment will focus on spine and core strengthening as well as proprioception rehabilitation for neurological disorders and fall prevention. Click to go to link
Spine Force Manhattan-Spine Force NYC
Herniated disc-Sciatica-Physical therapy
Visit www.drshoshany.com

Thursday, October 16, 2008

Instruments of Change- Graston Technique-NYC-


as seen on experiencelifemag.com



Instruments of Change
Feeling a little stiff after surgery? Suffering from a sports injury and need to get back in the game 10 minutes ago? The Graston Technique could be just the thing to untangle your tissue.

By Jenny Lui
October 2008


An Instrumental Mix
Smoothing Out the Edges
Hurts So Good
Smooth Operators
Find a Practitioner
Tool Time
Graston - Right for You?



After knee-replacement surgery and multiple rounds of physical therapy, Roberta Gunderson, 53, was feeling like the Bionic Woman — that is, if the Bionic Woman had been left in the rain to rust. “I felt very stiff and robotic in the beginning,” says Gunderson of her recovery. “Like I was Frankenstein’s monster.”

Doctors told Gunderson, a biology professor at Wilbur Wright College in Chicago, that her postsurgery progress had plateaued and that her knee would likely not gain more than 106 degrees of flexion — far from the ideal 120 degrees. An avid cyclist, swimmer and golfer, Gunderson was determined to regain her former mobility, so she opted for a treatment called the Graston Technique (GT), a form of soft-tissue mobilization that detects and breaks up scar tissue that impedes normal function of muscles, fascia, tendons and ligaments. Clinicians rub stainless-steel instruments over the injured area, as if trying to iron out
tangled tissue.

After four weeks and seven treatment sessions, Gunderson’s knee went from 106 degrees of flexion to 116 degrees. “I was amazed at how much I improved in only a month,” she says.

An Instrumental Change
GT is a type of cross-fiber massage — a noninvasive, drug-free procedure that uses ultraprecise stainless-steel instruments to break up restrictive scar tissue. These instruments can be far more effective than a clinician’s hands alone because they are able to concentrate force while giving excellent feedback to both the clinician and the patient. (It’s worth noting, however, that GT is often used in conjunction with other therapies that involve hands, foam rollers and knobs.)

GT is used to treat a wide range of soft-tissue ailments, from tennis elbow to plantar fasciitis, because clinicians can easily adapt the technique to the situation and zero in on the offending area. “We are now able to diagnose things that used to go
undetected,” says Ted Forcum, DC, DACBSP, owner of Back In Motion Sports Injuries Clinic in Beaverton, Ore.

When the clinician runs an instrument over scar tissue, she can feel exactly what’s happening under the skin. “It’s like when you were a kid and you put a leaf underneath some paper and colored over it. But instead of an imprint of the leaf, you get a picture of the injury,” says Forcum, who used GT to treat U.S. Olympians in Beijing.

Smoothing Out the Edges
A lot of soft-tissue problems occur within the fascia, the web of connective tissue that supports muscles and organs and prevents us from melting into formless blobs. If you suffer an injury, however, the fascia tends to attempt to stabilize the area by binding to the muscles like poorly applied wallpaper, complete with air bubbles and clumsy adhesions. GT instruments smooth out those air bubbles.

If not addressed, these adhesions can cause an avalanche of kinetic chaos, because when a muscle or group of muscles becomes incapacitated, all the surrounding muscles, tendons and ligaments have to pick up the slack — which eventually causes them to become overworked and fatigued. Your only option: Break down the adhesions so you can rebuild a healthy balance.

The approach seems to be effective. “We’ve found that injured ligaments treated with GT showed accelerated healing in the short term and a clear increase in strength compared to injured ligaments that weren’t treated with GT,” says Terry Loghmani, PT, MS, MTC, associate clinical professor of physical therapy at Indiana University in Indianapolis.

Hurts So Good
Because GT involves direct manipulation of stuck tissue, patients can expect some discomfort during the procedure. “But it should never produce pain that’s intolerable,” says Richard E. Vincent, DC, who uses GT in his Falmouth, Mass., clinic. Patient and clinician should work together to figure out the appropriate intensity levels.

“With most patients, we will wait a day or two between treatments, but others — especially athletes — are accustomed to working through benign pain and use GT every day because they have to recover fast and perform,” says Valli Gambina, DC, a chiropractic sports physician in Venice, Fla.

After treatment, some soreness, bruising and swelling is actually desirable because it means the body is replacing adhesed tissue with healthy, linear tissue.

Smooth Operators
Sessions usually last about an hour, during which the clinician uses GT for only about five to eight minutes on each injured area. The rest of the time is dedicated to assessment, warming up, stretching and icing.

Unlike some other types of treatment, patients using GT can’t just kick back and let the practitioner do all the work. After treatment, patients must continue to stretch and strengthen the injured area. While it might seem counterintuitive to work an injured area, the immediate movement helps the tissue heal correctly.

Most patients will begin to notice positive results after three or four sessions, with treatment lasting about eight to 10 sessions. But some will experience results even faster. After her first session, Gunderson said she immediately felt looser and more flexible.

There are some people for whom GT isn’t right, such as those who have arthritis or who have recently undergone surgery or take blood thinners. But if you’re free of such contraindications and are suffering from soft-tissue issues, GT can offer relief — and improve the way you move.

Jenny Lui is a Chicago-based writer.



Find a Practitioner
To locate a GT practitioner, visit the Graston Technique Web site (www.grastontechnique.com). The site features a comprehensive database of certified GT clinicians for any area of the country, as well as Canada.



Tool Time
The Graston Technique uses six stainless-steel instruments. The different shapes give practitioners closer access to different parts of the body. Practitioners usually refer to each instrument by a number, but these tools also have nicknames.

GT1: “Handlebars”
Best for large muscle groups, such as shoulders, back and legs.

GT2: “Bottle Opener”
Best for small muscle groups.

GT3: “Tongue Depressor”
Best for pinpointing specific areas.

GT4: “Scanner”
Best for scanning and treatment.

GT5: “Boomerang”
Best for diagnosis and more aggressive treatment.

GT6: “Little Bottle Opener”
Sometimes referred to as the “can opener,” this tool is best for smaller regions, such as hands and feet.



Graston - Right for You?
The Graston Technique (GT) uses deep massage with stainless-steel instruments to treat scar tissue and restrictions in soft tissue, such as muscles, fascia, tendons and ligaments. GT is especially good for people who have plateaued in their recovery from an injury and for athletes who need to return to competition quickly.

During GT sessions, the clinician breaks up twisted and frayed scar tissue by running the instruments along the injured area. By guiding healing with stretching and strengthening, practitioners rebuild the soft tissue into healthy, linear tissue. If minor discomfort — akin to a really intense massage — makes you squirm, maybe GT isn’t right for you. But those who’ve experienced the benefits of GT say that the ends definitely justify the “ouch.”

Conditions commonly treated by GT:
Plantar fasciitis
Tennis elbow
Back pain
Tendinitis
Postsurgical scarring
Sprains
Strains
Muscular or skeletal problems
Carpal tunnel syndrome
Physical therapy-NYC-Graston Technique-Cold laser therapy-Kinesio-taping
www.drshoshany.com

Tuesday, October 14, 2008

Is The Economic Slump Making Your Shoulders Slump?

With the economy in its current troubled state, people are working to ensure better stature at their job – they’re staying later, taking on greater responsibility and working harder than ever to evade that pink slip that so many have already received. While a heightened work ethic is essential during these trying times, it can wreak havoc on a person’s back resulting in everything from dull aches to debilitating pain. According to the American Academy of Orthopaedic Surgeons (AAOS), back pain is often so severe that over 100 million work days are lost yearly – a trend that today’s workforce cannot afford to uphold.

According to New York City chiropractor Dr. Steven Shoshany, there are many steps Americans can take to ensure the time they put in at work doesn’t result in painful back problems.

Posture Perfection

Your body can tolerate being in the same position for roughly 20 minutes before it needs an adjustment. “Good posture relaxes muscles and makes it easiest to balance whether standing or sitting,” Dr. Shoshany says, adding that bad posture leads to muscle fatigue and injury.

Standing posture: Legs, torso, neck, and head should be approximately in-line and vertical, requiring the least amount of energy to maintain. Teachers and restaurant workers – who spend nearly seven hours a day on their feet – can stand in good posture by keeping one foot slightly extended and readjusting at least every 20 minutes. Resting one foot on a higher plane than the other is a great option if there is a set of steps of a stool conveniently located.
Sitting posture: Choose a chair that supports your back but if you have no choice, adjust it to meet your needs. The lower back should meet the chair and feet should be flat on the floor. “All of your joints should form right angles from your hips down,” Dr. Shoshany explains.

Have a nice trip, see you next fall!

Unsupportive shoes are difficult to walk in and can cause back-injuring falls. Dr. Shoshany explains that while the two may seem unrelated, the shoes people wear impact their ability to maintain healthy posture while sitting, standing and walking.

Nurses who often wear soft, resin-based shoes should opt for versions with ankle straps. The straps will keep feet secure, eliminating countless hazards as they rush from one patient to the next.
Wedges provide significantly more surface area than stilettos, making it much easier to walk and offering better support to the foot. Wedges are the safer option when racing from one appointment to the next and hurrying to get into cabs and trains.
Hardwood floors, marble and linoleum provide very little traction so “break” shoes in before wearing them to the office. Men should also be cautioned that when smooth soles are combined with smooth surfaces, spills are very likely.

Pain-Free Success

A common cause of back pain among writers and those in administrative or executive positions is a disorganized, cluttered workspace. According to Dr. Shoshany, all of the equipment you need should be readily accessible in order to limit the amount of squirming and uncomfortable reaching a person does.

If you’re on the phone a lot, use the speaker feature. If that’s not possible, use a headset or a shoulder rest extension.
Make sure your computer and monitor fit on your desk properly so your screen can be read from a comfortable position and computer discs can be inserted with ease.
Excess stress notoriously causes severe back pain and with the job market as shaky as it is, stress levels are higher than ever.

“Stress can cause muscles to tense, making you more prone to injury and also causing muscles to form painful knots,” says Dr. Shoshany. “As busy as everyone is at work, taking a quick walk outdoors or around the office is a great stress buster.” He added that a brief walk also provides an opportunity for the body to stretch and regain its healthy posture.
Taking the simple, common sense steps that Dr. Shoshany recommends can considerably reduce existing back pain and prevent more from developing no matter the industry or how much time you spend at work. If existing pain does not subside or continues to grow, Dr. Shoshany says that there are many in-office treatments that chiropractors can offer to mitigate the pain and get your back back on track.

About Dr. Steven Shoshany D.C, C.C.E.P.

Dr. Shoshany is a chiropractic healthcare specialist with a diverse background. He holds a doctorate degree from Life Chiropractic University. Dr. Shoshany specializes in both spine and sports related injuries. His background is in Chiropractic, Pediatric Chiropractic, and Sports Injury Management and is a spinal decompression specialist. Dr. Shoshany’s skilled chiropractic background creates unique insight into many problems. His practice has a primary focus of delivering highly effective, state-of-the-art, gentle Chiropractic care to people of all ages. Living and working in New York City offers Dr. Shoshany the ability to offer emergency Chiropractic care when needed. For more information, please visit www.drshoshany.com

Tuesday, October 07, 2008

Spinal Decompression NYC for Herniated discs

www.drshoshany.com
I wanted to update the Blog on the status of one of our most recent "difficult back pain" patients.
For her protection I am using her first name.
Jenifer came to my NYC Chiropractic office last week fresh out of the hospital.
She voluntarily left the hospital because they recommended a back surgery after her CAT scan revealed multiple level disc herniations.
She stumbled into our office and we had to use a wheelchair to get her back into our office.
Once I had confirmation that she had a contained disc herniation we began treatment on the DRX 9000.
She has already had 6 treatments as of yesterday.
What a difference the spinal decompression has made in 6 visits.
She is now able to walk with the assistance of a cane and has had several nights of sleep.
This is huge for her, because she was facing a invasive back surgery and now she is on the road to recovery.
This week we are starting the Rehabilitation on the Spine Force.
www.drshoshany.com
I hope to have a video testimonial from her shortly, she is the reason I have spinal decompression in my Manhattan office, and the reason I got into Chiropractic in the first place.
To many patients are told surgery is the only way and are forced into something.
Surgery is not always the only solution to a painful herniated disc.
research on the benefits on Non Surgical spinal decompression click
When Chiropractic care is combined with Physical therapy and spinal decompression the results are amazing.