Monday, December 20, 2010

Stuffing Your Stockings....with Back Pain?

It’s that magical time of year again. Families are pulling out the boxes of decorations to dress their trees in tinsel and ornaments and lights. Shopping is getting insane as last minute shoppers rush to get gifts for the ones they love. And stockings are being hung with care. It’s all part of the pageantry of the season, and it’s a stressful time with lots to remember and even more to fuss over. The stockings - that part in particular rings a bell with me lately. In the past few weeks, several people have come into my NYC office with severe lower back pain. The back pain was bad enough that patients were saying they ‘couldn’t even pull their socks up.’

That’s a heck of a holiday surprise: you get all in the spirit stuffing stockings and you can’t even pull up your own? Sounds like a bad joke waiting to happen. No one should have to suffer during one of the most joyous times of the year. And let’s face it, shopping this time of year in New York City is hard enough without having to struggle against back pain, too. Just seems unfair.

But there’s no need to panic just yet. Living Well Medical in NYC’s SoHo/NoHo area wants to help you make your season’s greetings full of joy and comfort - we have years of experience stopping back pain just for times like these.

One of the best parts about my practice is that we don’t limit ourselves to just one kind of treatment. People have different preferences and needs, so we provide a wide range of services all from the same place. Chiropractic care, spinal decompression therapy, Active Release Technique, massage therapy, acupuncture, physical therapy -We go beyond scratching the surface of what can be done to stop your pain. The most important point is to see someone. Don’t just let it go - that’s like giving yourself a lump of coal for Christmas. The sooner you get help, the sooner you can find relief.

So don’t wait! Give my office a call. You don’t have to be stuffing those stocking while suffering. We want those stocking to be full of love and nothing else. Call us now at 212-645-8151.

- NYC Chiropractor, Dr. Shoshany

Wednesday, December 01, 2010

How to Deal with Leg Pain

So you were playing sports and your leg started to throb, right? No? Okay, so you picked up something heavy, hurt your back and it started shooting down to your legs, I bet. No dice? Maybe you felt something give out while at work then? Well, I guess it’s different for everybody!

If the last paragraph is a little on the ridiculous side, it’s meant to make a point - leg pain is no simple matter. It might be completely different from one person to the next.. That’s so often the case with leg pain - the number of areas in the body that can affect the legs and cause pain, either directly or as referred pain, is huge. More or less, from the upper waist down - that’s a lot of real estate to cover.

Although they differ in terms of the treatment approach, leg pain from sports injuries, lifting injuries and work injuries can all be prevented to some extent.

As you have probably heard before, stretching is a big part of keeping yourself injury-free when you engage in strenuous activity like hard work (or play for that matter). It can seem like an annoyance, I know, but if 10 minutes of stretching will keep you at 100%, it’s well worth it.

Just as important as stretching is good posture and biomechanics. Posture is usually the one that irks people the most - how could the way I sit or stand have anything to do with my legs? Well, it’s a good question. When sitting in a posturally incorrect position, you don’t engage your back muscles much. Sitting all the time like this weakens these muscles that provide crucial support to the spine. Without the support, the spinal bones can more easily become misaligned and because of your bad posture, they are misaligned. You see where I’m going with this. Nerves that pass from the spine to the legs can get pinched and cause serious pain.

The main thing is to recognize when you need help. If the pain is serious and it’s not going away, call a doctor. For our part, Living Well Medical provides a complete line of non-surgical pain relief services like spinal decompression and physical therapy in NYC. We’re here if leg pain is taking its toll on your life. Call us today at 212-645-8151.

And stretch for an extra minute next time. Trust me, your body will thank you for it.

- Dr. Shoshany, NYC Chiropractor

Monday, November 22, 2010

Bad Back Season Approaches

As the last of the leaves are falling from the trees and Thanksgiving celebrations bear down on us, it occurs to me that this is the time when bad backs really start to rear their ugly heads. Maybe you are raking the leaves and bending to stuff them in bags. Pretty soon you’ll probably be worrying about shoveling snow which we all know can be a backbreaker. The fact is, this is the time of year when the chores we have to do around the house put a heavier strain on our backs and necks. Problems will come up.

Back pain has so many causes but there is one fairly straightforward rule that can help prevent you from aggravating a finicky back. Chiropractors and doctors say it all the time, but remember to lift with your legs, not with your back. It’s easier said than done; frankly, it can be irritating to start, but if you want to keep from getting a sore back or a crick in your neck, this is the first step to doing so. Taking frequent breaks and remembering to stay hydrated are also important to not overdoing it.

So what if things have gone too far and your back or neck are already hurting? That’s where Living Well Medical in NYC comes in. We take a multi-faceted approach to pain relief, relying primarily upon non-surgical methods. Treatments like spinal decompression therapy, physical therapy (to strengthen the lower back and neck) and chiropractic adjustment are only a few of the effective methods we use; Active Release Technique and the Graston Technique also are important for improving range of motion. In the worst cases, we also offer pain management injections like epidurals to stop pain.

If you have a back problem thanks to the season’s work, not to worry - we can help. Call my office in the SoHo / NoHo area of NYC at (212) 645-8151 and ask what we can do for you. If nothing else, the bad back season doesn’t have to follow you around all winter long.

- Dr. Shoshany, NYC Chiropractor

Monday, November 08, 2010

What is that pain in my leg?

Leg pain stinks, that’s pretty straight forward. You feel it every time you take a step - there’s no avoiding it. Virtually everything we do, even sitting, has something to do with our legs. If you have leg pain, chronic or acute, you are already intimately aware of that fact. What you may not have known isn’t necessarily even related to your legs. As is sometimes the case, leg pain can actually be caused by spinal issues. At Living Well Medical in NYC, non-surgical treatment of the spine is one of our strengths, so we see cases like these all the time. Let’s explain a little more what’s happening in your body that makes you leg hurt so badly.

As you likely know, the spine houses and protects the nerves as they provide sensation, information and movement to the body. Near the base of the spine in the lumbar region are the nerve roots that supply the legs and lower body with nerve function, what we call innervation. Sometimes due to anatomical defects and sometimes due to injuries, these nerves can be compressed or pinched which leads to inflammation and pain. In the worst cases, long term pinched nerves (or impingement as it is also called) can lead to muscle weakness and numbness.

In cases like these, a herniated disc might be the cause of the pinched nerve and leg pain. My practice has a number of different therapies and treatments available for conditions like these. In fact, we are well prepared to treat most any kind of pain. Of particular use for disc-related pain is spinal decompression therapy, a relatively new technology for spinal disc treatment. Chiropractic, physical therapy, and Active Release Technique have also proven invaluable in treating leg pain.

At our SoHo NYC office we see people with pain ranging from sports injuries to severe back pain. If you are suffering with leg pain, call us - we want to help: (212) 645-8151.

- Dr. Shoshany, NYC Chiropractor

Wednesday, November 03, 2010

Treatment for Injuries before the ING New York Marathon

The big race is nearly upon us and running enthusiasts get to see the year’s biggest event in just a few days! It’s an exciting time for the athletes too as the most grueling of the training finishes up in preparation for the larger goal. This is also the time when injuries are rearing their ugly, unwelcome heads. The athletes have spend so much time, effort and money to be here - it’s a heart-breaker to even imagine one of them not being able to race. That’s why Living Well Medical in SoHo is here; we help endurance athletes not miss a moment with supportive therapies like ART and kinesio taping (using a complete line of taping products including Kinesio Tape, Rocktape, and KT Tape).

In fact, this is the first year that KT tape will be offered as a free service to competitors at the New York Marathon Health and Fitness Expo. Held at the Jacob Javits Convention Center, this year sees a combined effort of the New York Running Company and KT Tape to get people in gear for the race of a lifetime. I’ll actually be there both this Friday and Saturday taping any and all runners coming in to the New York Running Company booth. The best part being that since a single application of KT Tape can last up to 5 days, anyone coming in on Friday or Saturday for taping can be ready to go for the Sunday marathon!

Kinesiology tape in general is an effective treatment for common repeat stress injuries like shin splints, Iliotibial band syndrome pain, ankle pain, runner’s knee, plantar fasciitis and several other problems. Active Release Technique is an excellent complement to taping for relief of pain. We have all of these services available at Living Well Medical in lower Manhattan and are here to help if marathon runners need us; I'll be in the SoHo office both Friday and Saturday as well. We’ll be open Wednesday through Saturday - give us a call at 212-645-8151 if you are having troubles with stubborn pain.

And to all the people running on Sunday, best of luck and give it your all!

- Dr. Shoshany, NYC Chiropractor

Monday, October 25, 2010

A Case of the Mondays: Weekend & Commuter Pains

Here we go, another Monday after another weekend that probably seemed too short for anyone. And with a weekend well spent can come little aches and pains and the like. Especially if you have to sit on the train for an hour or stand in the subway or ride the bus. I could go on, of course. The fact is, we have to cram a lot of fun into our weekend to keep our focus during the week. And NYC of course has more fun per square mile than pretty much anywhere, so those creaks in your bones can be a little more pronounced after a jam-packed weekend. My pain relief center in NYC, Living Well Medical, deals with pains like these all the time.

So what exactly should a person do with these little aches and pains? It’s true that they may not mean anything, but if you let them keep stacking up, before you know it, you’ve got a real problem. A little nagging pain can become bad news without the right attention. How to keep things from getting out of hand?

One of the main secrets is to stay active. People who regularly exercise are often less likely to fall pray to injuries and pains like these. Having a good diet is also a major component of feeling good and living well. But maybe you’re thinking, ‘I do those things and still hurt.’ That’s why you might consider coming in to see us.

Especially as we get older, our bodies can’t fight off injury as well. Our backs and necks in particular become more susceptible. Of course, as a chiropractor and a pain relief clinic, back and neck pain are right at the top of the list of problems we treat, and we don’t just use chiropractic. Physical therapy, pain management, massage, and other treatments are all under our roof, available if you need it.

Got a little pain from getting back into the work week? Give Living Well Medical in NYC a call today at (212) 645-8151. We’re here to help you live better.

- Dr. Shoshany, NYC Chiropractor

Friday, October 22, 2010

Cold Weather Creaks: Seasonal Joint Pain

Well, today it happened. The bottom dropped out of the warm weather. It was bound to come out of nowhere like this, and so it did. The cold weather brings with it a bunch of irritations, but of course, what concerns me the most are those creaking pains in joints. Knees, backs, necks - they all start to stiffen up in the face of a cold wind or a morning chill. And the streets of NYC in the fall and winter can be just brutal.

One of the conditions that we at Living Well Medical in New York City tend to look out for come this time of year is arthritis. Although there has been no concrete scientific link between arthritis and the cold weather, it seems to be the case that the change in weather has a dramatic effect on people with joint problems. Of course, depending on the type and severity of your arthritis, the pain you feel may vary from a slight discomfort to a debilitating shock of pain. And for all of these people, even those with pain not linked to arthritis, there are ways to cope with and reduce the pain, even completely relieving it in some cases.

My NYC office has the tools to make that happen. For one, joint mobilization techniques are extremely valuable for reducing the cold weather creaks. Keeping active is a big part of pain prevention. That’s why we have a physical therapist on staff who can help with stretching and weight bearing exercise to improve strength in the tissue surrounding painful joints. More support can mean less pain for you in times like these. In the event that the pain is overwhelming, we do have a pain management specialist on staff to help you.

If you are struggling with seasonal joint pain, give us a call at (212) 645-8151 and come down and see us at our SoHo/NoHo NYC office. After all, the cold is just getting started. You don't want to just creak your way through the season, right?

- Dr. Shoshany, NYC Chiropractor

Wednesday, October 13, 2010

Vacationers’ Pains - Dealing with a Back or Neck

In my line of work, we end up seeing people from all over, especially in a city as big as NYC. It’s a tourist attraction, of course, so we get people from all over the world coming to see the sights that New York has to offer. New York City is an experience in itself, and it’s no surprise that people come here to feel a little bit of that atmosphere.

On the other hand, being a visitor can have drawbacks and those drawbacks can have painful consequences so that it’s difficult to even enjoy your vacation time.

Like take, for example, a person that has to make a long flight from overseas to get to New York. They spend hours cramped in more or less one position on a place. That kind of tension can build up and lead to serious pain in the neck, shoulders, and upper back. And suffering with constant pain or discomfort can definitely turn into an easy way to flush a good vacation down the toilet.

And that’s not all either. People traveling from abroad will almost certainly have to pack more than a domestic traveler, especially if your stay is a longer one. Hauling around a heavy bag, bending over to grab things - these are potential problems in the making.

Walking the city is the best way to see it, and if you are hurting, pounding the pavement can seem less and less like a good idea. So what if you are in pain - what to do? After all, travel is a time that’s laden with stress and constant motion. Living Well Medical in NYC is here serving New York’s SoHo/NoHo. Get a massage and ease away the stress. Have our chiropractor balance out your lower back. Speak with our osteopath about your problems. We’ve got something for everyone.

What’s more, we are open Saturdays, so emergency appointments are available if you need them. We also have relationships with several area hotels; your concierge desk may even give you our name. Give us a call today at 212-645-8151.

- Dr. Shoshany, NYC Chiropractor

Thursday, October 07, 2010

Active Release and Running Injuries

With the New York Marathon right around the corner, it often happens that I see a lot more running-related injuries - injuries are part of any sport that pushes a human body that hard. For that reason, during this time of year, I often bring up issues related to treating injuries or prevent them altogether. As far as treatment is concerned, the Active Release Technique is used by athletes is a number of endurance sports and sports in general, really.

For instance, a professional hockey player for the Dallas Stars, Brendan Morrow, has been known to use treatment with ART to work through and prevent further injuries on the ice. Even more well known is that each year during the Iron Man competition, a grueling triathlon that pushes the body to its absolute limit, ART practitioners are on hand to help the thousands of athletes who come to the tent. It’s a big part of keeping these triathletes in proper shape and free from serious injury.

As with most endurance sports, the injuries that go along with running are of the overuse variety. Adhesions of the soft tissue tend to develop in overuse injuries, and ART can both identify the problem area and treat in a single session. It’s a very versatile system that can sometimes show immediate improvements.

Common injuries that can be treated or resolved with Active Release Technique include the following:

- Achilles tendonitis
- Shin splints
- Ankle injuries
- Knee pain
- Hip pain
- Iliotibial band syndrome
- Chronic strain injuries
- General leg pain

There an overwhelming number of problems that can be addressed with Active Release. Of course, at Living Well Medical here in SoHo NYC, we have seen that combining different therapies can further improve outcomes for some patients; integrating the best and most current in technology and technique is part of what we do.

So get ready for the big race or simply be ready for your next run. Give us a call if you have pain at 212-645-8151 today if you need help stopping the pain.

- Dr. Shoshany, NYC Chiropractor

Here are some of the chiropractors from around the country that Living Well Medical endorses:

Dr. Eben Davis, San Francisco Chiropractor
Dr. Nona Djavid, Newport Beach Chiropractor
Dr. Ron Spallone, Denver Chiropractor
Dr. Bruce Bell, Chula Vista Chiropractor
Dr. Cathy Hunter, Simi Valley Chiropractor
Dr. Andrea Mills, Lancaster, CA Chiropractor
Dr. Matthew Rivera, San Carlos, CA Chiropractor
Dr. David Livingston, Delray Beach, FL Chiropractor
Dr. Adam Jacobs, Best San Francisco Chiropractor
Dr. Scott Waddell, Laguna Niguel Chiropractor

Wednesday, September 29, 2010

America’s Best Chiropractors

As a chiropractor, I’ve been proud that I get to help people improve their lives every day. It’s something that chiropractors are trained to do. And we do it without the invasive treatments you come to expect with severe pain. No surgery, no long term painkiller regimens - we want you better using your body’s own innate power. That being said, there are certain qualities that separate a good chiropractor from an average one, and it’s important to note the differences so you can get the best care.

At Living Well Medical in NYC, we consider ourselves trailblazers, people who are making the lives of others better through hard work, innovation and adaptation in our practice. We also like to let the world know when we meet our kindred spirits in other states and cities. Keeping up with the latest in technology, applying multidisciplinary techniques for better treatment outcomes, and encouraging patient care through non-invasive methods as the primary goal is what makes us so successful, and we’ve met several other doctors and clinics around the country that share our dedication.

Here are some of the chiropractors from around the country that Living Well Medical endorses:

Dr. Eben Davis, San Francisco Chiropractor
Dr. Nona Djavid, Newport Beach Chiropractor
Dr. Ron Spallone, Denver Chiropractor
Dr. Bruce Bell, Chula Vista Chiropractor
Dr. Cathy Hunter, Simi Valley Chiropractor
Dr. Andrea Mills, Lancaster, CA Chiropractor
Dr. Matthew Rivera, San Carlos, CA Chiropractor
Dr. David Livingston, Delray Beach, FL Chiropractor
Dr. Adam Jacobs, Best San Francisco Chiropractor
Dr. Scott Waddell, Laguna Niguel Chiropractor

Monday, September 27, 2010

Massage Therapy & Stress Relief

Living in a city like New York is often an exercise in what it means to be stressed. From the insanity of the crowded sidewalks and subways to the business people who eat, drink, and sleep their work, NYC is a vortex of stress and there are entire companies dedicated to just stress relief. We’ve always felt that massages would ease the stress, but as it turns out, science has noted that it causes actual, physical changes that might just help you feel a little less nuts and a little more calm.

As seen in this recent New York Times article, there is evidence that massage really can be a valuable factor in stress relief. Researchers tested a group of 53 healthy adults, 29 of which were randomly assigned Swedish massage and the 24 others assigned light massage.

The results were not unexpected. Lower levels of cortisol and arginine vasopressin, two hormones known to be associated with stress, as measured in the blood and saliva, were recorded after just a single session. Researchers from Cedars-Sinai Medical Center (in LA) also showed increases in their lymphocyte white blood cell count which is part of the immune system and in the hormone oxytocin, a contentment hormone.

So does a massage really reduce stress? The research appears to indicate so, and anyone who has had a nice massage could certainly attest to it. But what you may not know is that most insurances will cover massages with just a small copayment. In fact, you plan may cover from 30-40 massage treatments per year! You don’t have to spend a ton of money to get a nice Swedish massage at a spa. Living Well Medical in SoHo has massage therapy services right here in NYC. Call us today at 212-645-8151 and see if your physical therapy benefit covers massage. After all, we’re all New Yorkers - we could use a little less stress in our lives.

- Dr. Shoshany, NYC Chiropractor

(If you need a San Francisco chiropractor, visit my friend, Dr. Eben Davis, at Executive Express Chiropractic)

Tuesday, September 14, 2010

Shin splints in People Preparing for NYC Marathon

It's that time of year again when people travel from all over the world to partcipate in the NYC Marathon. They invest countless hours training and pushing their bodies to the absolute limit, so suffering an injury can be a major setback. This past week we had several new patients come in with almost indentical symptoms, leg pain or what is best described as shin splints. This is the time of year when people are hitting mile 17-18; the strain can become unbearable under training of that level and that's how injuries happen. Of course, these patients want (or need) to continue training in order to run the NYC Marathon -that's where we come in.

As the New York Marathon approaches, many runners are starting to feel the aches and pains of their stringent training regimens. As runners start to increase the mileage, those nagging repetitive stress/strain injuries are amplified. One of the most common injuries experienced by marathon runners is known as shin splints. The term "shin splints" refers to pain along the tibia (shin bone), the large bone in the front of your lower leg. The pain is caused by an overload on the shinbone and the connective tissues that attach your muscles to the bone. It usually starts out as a dull ache, but can feel like a sharp or burning pain as the training distance or intensity increases. The shin bone may feel tender to touch and swollen muscles may irritate the nerves in your feet, causing them to feel weak or numb.

As a runner continues to train, the pain can become so intense that they may feel they have to skip some workouts. For many runners taking time off to rest is just not an option. Here at Living Well Medical in NYC, through chiropractic and physical therapy techniques, we take a multi-faceted approach to decrease the pain and get runners ready for marathon day.

We have seen excellent results with a combinied approach utilizing The Graston technique, ART (Active Release Technique), Cold laser therapy using the Erchonia laser and Kinesio taping using either Rock tape or KT-tape. A digital gait analysis to determine if there is the need for corrective orthotics is also an important step.

If you are hitting those later miles in your marathon training and are experiencing leg pain that is preventing you from keeping it up, give us a call at (212) 645-8151.

This week alone we have seen four new runners hobble through the doors. There's nothing like seeing these runners/athletes walk out the door without pain after a few treatments, and best of all, they can run pain-free and not cause more serious injuries in the process. Seeing one invest so much time, effort, energy and money and to come so close only to be told they can't run the marathon is a heart-breaker, and that's one of the reasons this is a special time of year for Living Well. So let us help you put your best foot forward when you start the race come November 7.

- Dr. Shoshany, NYC Chiropractor

(If you need a chiropractor in San Francisco, visit my friend, Dr. Eben Davis, at Executive Express Chiropractic)

Foraminal Stenosis in NYC: What It Is and How to Treat it without Surgery

There are a world of different causes of back pain, some of which if we didn’t have it happen to us, we’d never even know what it was. Foraminal stenosis is one of those conditions that makes people raise an eyebrow as if to say, “what the heck is that?” Given that the majority of Americans aren’t necessarily familiar with Greek and Latin, it’s no surprise that a name like that would raise questions. I’m here to clear up at least one of those issues.

Foraminal Stenosis comes from the Latin word foramen which comes from the verb to bore a hole. Foramen refers to a hole or opening. In this instance, it indicates the hole in the spinal bones through which the nerves pass. Stenosis is Greek in origin; it’s related to words that mean narrowing, or to narrow. What this effectively means is a narrowing of the spinal canal.

I’ve seen it compared to wearing a shoe that is one size too small for your foot. Eventually, the added pressure causes your foot to swell, which in turn causes more pressure and eventually serious pain. The analogy works with the spine because the swelling presses on the nerves themselves. Nerves that are inflamed and under pressure can mean not only pain, but potential disability. Foraminal Stenosis is a serious problem.

A couple of the more common symptoms of stenosis of the spinal canal include numbness, tingling, burning sensations, and muscular weakness. It’s possible to have stenosis of the spine in essentially any part of the spine, but we encounter it most often in the lower back, or lumbar area because of it’s major role in load-bearing activities.

It should be noted that not all cases of Foraminal Stenosis are critical, but the potential for nerve death and muscular atrophy can be a concern in those cases. It’s best to have it checked out by a doctor - just in case. And in the event there is major pain, seeing a doctor who is familiar with conditions like these is your best bet.

At Living Well Medical in NYC, we see patients with conditions like stenosis and herniated discs all the time. Using a combination of treatments like Cox Flexion Distraction, an advanced chiropractic technique, and spinal decompression therapy, a non-surgical treatment that actually increased the vertebral space to relieve pain. Don’t hesitate to call on us if you are in pain at 212-645-8151.

- Dr. Shoshany, NYC Chiropractor

(If you need a chiropractor in San Francisco, visit my friend, Dr. Eben Davis, at Executive Express Chiropractic)

Thursday, September 02, 2010

Labor Day Can Be a Pain in the Neck

Labor Day weekend is almost always an exciting one (especially with a hurricane on the way….). In fact, in my experience, it must be a little too exciting; every year my patients come see me in large numbers after the weekend, usually complaining of some back or neck pain. It’s a shame, really. It can really ruin a fun weekend. Even more so because it can usually prevented. Just follow these few simple tips…

A lot of neck problems like these result from sleeping in a guest bed, or worse yet, a pullout bed. An easy way to lessen the likelihood of discomfort and stay pain-free is to take the mattress off of the frame and use it on the floor. Believe me, your back will be grateful you did.

Bringing your pillow from home is another way to stay comfortable. Sleeping with a different type of pillow (or in some cases, with none at all) can wreak havoc on a testy neck.

Taking a flight for the weekend? Keep that neck supported! Sleeping on a plane in cramped spaces can lead to some funky neck positions that can really hurt. Personally, I like to travel with a cervical pillow to get the right amount of support.

Going to be in the car for a while? Take frequent breaks and stretch it out. Sitting in the same posture for a long period of time can be a real problem, especially if you are sitting on your walley (take it out while you sit!). Move around and keep your body from stiffening up.

Some of my patients go biking or running over the weekend. If you aren’t used to high levels of activity, be sure and stretch thoroughly before setting out. So often, the “weekend warriors” end up pushing themselves since they don’t get much activity in during the week. The result is usually an injury and plenty of pain. Also, don’t forget to stay hydrated!

Most of it is pretty common sense, but in the rush before a trip, things like this get forgotten. So the short list goes like this:

- Bring a pillow
- Move pullout mattresses to the floor
- Keep your neck supported on flights
- Stop and stretch when on the road
- Always stretch before activity (and remember fluids)

In the event something does happen, we’re here to help. Give us a call at Living Well Medical in NYC, (212)-645-8151, and let us help you out. In the meantime, have a blast this weekend!

- Dr. Shoshany, NYC Chiropractor

Wednesday, August 25, 2010

5 Ways to Avoid Back Pain

Back troubles a constant worry for you? We’ve all been there, or at least, statistics show that 8 in 10 of us will be there at some point in our lives. With that in mind, I’ve put together five important tips for avoiding back pain in the future. If you have pain now, call my practice, Living Well Medical in SoHo NYC at 212-645-8151 and make an appointment.

1. Go Green!

Eat dark green veggies that are high in iron and Vitamin K like spinach and broccoli! Strong bones are the foundation of a strong back, and it is believed that Vitamin K can help in the absorption of calcium, maintaining denser bones. Good salads make good bodies.

2. Stretch it Out!

Getting ready to play some sports or work out? Be sure and stretch your back and other muscles and joints. Preparing these areas for added strain and stress by stretching greatly reduces the risk of injury. It also feel pretty darn good.

3. Get Back in the Gym!

Staying in shape can have lasting benefits for your health overall but definitely contributes to avoiding injury, especially if it’s strength training for the back muscles that support the spine. But remember to start slow and easy if it’s your first time trying it! Safety is important when exercising. Also, refer to #2 for a pre-exercise must!

4. Sit up Straight!

Not like the way your mother used to say it. Sitting in an ergonomically correct posture can reduce any unnecessary strain put on the spine while engaging the supporting muscles of the spine. That means no atrophy which means less likelihood of injury. Remember to imagine that book on your head, too.

5. Have Sweet Dreams!

That’s right, sleep! That thing you keep ignoring! Get your 8 hours per night and your body will thank you. Sleep is the time when our body works hard at repairing damage and restoring energy. Without adequate rest, our coordination is poorer and we are more prone to injury. So hop in the sack a little earlier and catch some z’s!

- Dr. Shoshany, NYC Chiropractor

(Looking for a chiropractor in San Francisco? Visit my friend, Dr. Eben Davis, at Executive Express Chiropractic)

Thursday, August 19, 2010

Herniated Disc? Ruptured Disc? Prolapsed Disc? What is the Difference?

The modern medical community has a lot of specialized vocabulary to describe what essentially boils down to back, leg or neck pain. And that’s fine.....except when it confuses and complicates things for a patient. Frankly, I think it happens a lot. A herniated disc, a prolapsed disc, a ruptured disc, they all sound pretty scary, but guess what? There is virtually no agreement in the medical community as to whether there is any real difference between the terms - their definitions are disputed all the time.

But what does the definition really matter? Isn’t it more important that we know there is pain? Isn’t that we know the cause of pain more important? In my opinion, it is absolutely more important.

The fact is, different doctors will interpret MRIs and x-rays differently. A single film might lead to multiple diagnoses. The focus should be on getting the right kind of treatment for pain and helping restore function and ability, not splitting hairs with definitions. That’s why at Living Well Medical in NYC, we put the spotlight on your well-being.

The fact is, for back injuries and pain that are disc-related, doctors and surgeons will often prescribe surgery when it isn’t necessary. Likely not even recommended. It’s the last line of defense, not the first. That’s how I see it. Living Well Medical takes the non-surgical route, using technology like spinal decompression and the DRX9000 to help stop the pain of herniated discs. Therapies like the Graston Technique, Physical Rehabilitation, and Low Level Laser Treatment can restore range of motion and improve muscle support. For everyone we see, we let their particular circumstances dictate treatment and we create a custom treatment program.

If you have a herniated disc and are suffering, come in and see us. We’re here to help. Call at 212-645-8151 for our office in SoHo, NYC and make your appointment for a free consultation..

- Dr. Steven Shoshany, NYC Chiropractor

For a San Francisco Chiropractor, contact Dr. Eben Davis here.

Wednesday, August 04, 2010

Can you herniate your cervical disc from a violent sneeze?

A herniated disc from a violent sneeze?
We had a interesting case come in the other day, one of my regular Chiropractic patients that comes in for a monthly tune up came in complaining of horrible neck pain, that was giving her a headache and causing tingling and burning in her right fourth and fifth finger.
She was super stiff and wasn’t even able to lay face down without pain, during the history the only thing that she can mentioned is that she recently has been flying internationally and had a “massive sneeze” and her neck started to hurt and gradually got worse and worse. She wasn’t able to sleep or find a comfortable position and taking over the counter pain relievers did little to alleviate pain. Her Range of motion was severely restricted.
I immediately suspected a bulging disc so we referred her to a MRI facility in NYC and the results are as follows-
Bulging disc at C4-C5 without stenosis, Bulging disc and disc space shortening at C5-C6. Right parasagital herniation with posterior herniation with posterior-inferior extrusion and Central disc herniation at C6-C7 with thecal sac indentation.

These MRI findings are typical of a Motor vehicle accident, so this Violent Sneeze acted as a hyper flexion, extension injury or a whiplash type injury that caused bulging and herniated discs.
Believe it or not, the human sneeze has actually been clocked. A simple sneeze can travel at over 100 MPH - that's right, even faster than many cars will travel. Think of trying to instantly stop a vehicle traveling at that high a rate of speed. While the mucus of a sneeze weighs thousands of pounds less than that car or truck, you still have a rocket propulsion system in your head.

Understand, too, that the car may fare far better than your poor head. Our skulls and their accessory organs and glands are packed in extremely tight quarters. The very kind of percussion involved in a suppressed sneeze can wreak serious injury, mostly to the structures within our heads and neck.

We started her on Cox cervical flexion distraction, Acupuncture and Cervical spinal decompression to unload the discs. She is also talking some anti-inflammatory medication that was prescribed by the facilities medical doctor. She is on the road to recovery and will return to enjoying her life pain free thanks to Chiropractic care and Spinal decompression.
To learn more about bulging disc treatment in NYC visit
And Herniated disc treatment visit
Never hold back a sneeze because this can lead to a different set of problems but cover your mouth and use your hands to support your head and prevent the excessive movement when you sneeze if you are a violent sneezer.
Learn more about Dr. Steven Shoshany at
And our NYC Physical therapy/Chiropractic practice visit

Are you suffering with a bulging or herniated disc in San Fransico?
Then visit the office of Dr. Eben Davis-San Fransico Chiropractor
He is the Best in the Bay area!

Thursday, July 08, 2010

Back Pain NYC

Back pain sufferers in New York City may have it worse than people in the rest of the country. In the city that never sleeps, life never stops moving, so it can be hard to find a minute to go see a doctor and get the attention we need. We can’t just can’t afford to in so many cases. Lower back pain will really slow anyone down, potentially putting them out of commission, and for people in NYC, that just isn’t an option in many cases. How can we lose time we desperately need for work and all the other things we need to do?

And back pain is just one of the many reasons we get slowed down - pain in the shoulders, middle back pains and aches, a pinched nerve, or a herniated disc from a traffic accident can all block you from taking care of your responsibilities and even the things you enjoy doing. In the worst case scenario, having fun and taking care of your job are an afterthought - even bending to tie your shoes can seem impossible.

Doing back pain exercises is one of the best ways to help prevent, but in the event it’s just too late for preventative techniques, see a doctor like ones we have a Living Well Medical in NYC.

And that doesn’t mean invasive stuff like surgery; chiropractors and physical therapists offer conservative, non-invasive ways to stop the pain.

As a New York City chiropractor, it feels good to be able to help people without relying on more drastic (and frankly scary) methods like surgery. There are always alternatives when you need a second opinion.

And that’s why I’m here. If you have back pain in NYC, give me a call at Living Well Medical in SoHo at 212-645-8151.

- Dr. Shoshany, NYC chiropractor

Thursday, July 01, 2010

Sex & Back Pain: Injury-proofing the Bedroom

Having a back injury like a herniated disc can mean lots of pain, pain that keeps us from doing the things we enjoy. Of course, that means everything, including sex. It’s as natural as breathing, but a bad back can be made worse without a bit of guidance for your bedroom romps.

At my practice, Living Well Medical, in SoHo NYC, I’ve had patients who were concerned that they might worsen their condition by getting intimate, and it’s a valid concern. Frankly, I’ve had patients with such stories to tell, and the usual response on the patient’s part is a bit of embarrassment and hesitation. No worries, that’s what this blog post is for. Help prevent a blown out back or tweaked spine with these few helpful hints. And don’t let the title fool you, there’s no such thing as injury-proof, so if you do get hurt, consult a doctor right away.

And now on to business.

Lowering the likelihood of back pain is all about positioning and movement. With the help of a few handy household items like pillows or blankets/towels, you can alter a position for maximum support and lowered impact on the back. Let’s get more specific.

The “missionary position” as it’s known can be tough on the back whether you’re the partner on top or bottom. For the bottom partner, a simple trick is to bend the knees which can maintain proper spinal alignment. For more support, a pillow or rolled towel under the small of the back can keep the spinal arch proper. As for the top partner....well, if the top is having back pain, it’s probably a better idea to try another position, like lying on your side and being more gentle. Missionary just isn’t that good of an idea for the top partner.

One of the better, more...ergonomic positions is kneeling with the other partner sitting in your lap. Both partners can maintain the right curvature of the spine and control body position a bit more. To help you keep the right posture, find a nice, sturdy chair.

Unfortunately, in some cases, if the pain is bad enough, it might just not be in the cards to try and spice up your sex life. That’s when you’ll want to see a doctor. If you have back pain and need help, give my office a call at 212-645-8151. We’ll do our best to get you back to normal...and back in the bedroom.

- Dr. Shoshany, NYC Chiropractor

World Cup Soccer: Kinesio Taping and Athletes

So it’s that rare time again when countries from all across the globe compete for the title of the world’s best in “The Beautiful Game,” the World Cup. The US, sadly, has already been eliminated, but there is still a lot of soccer to be had for fans of the game. Some of the finest athletes in the world gather for this massive event; they put everything on the line and push themselves to the limit. As a game of constant repetitive motions, soccer leaves its players open to injury just like any other professional passtime. And like all consummate pros, futbolistas do whatever they can to play with injury so they can keep winning and playing.

Since soccer is almost exclusively a game of the legs, you can imagine the kind of injuries that they encounter: hamstring pulls, knee problems, quad injuries, ankles turned, the works. Of course, at Living Well Medical in NYC we deal with these kinds of sports injuries on a regular basis, so I was rather unsurprised by the fact that I’ve seen a few players sporting kinesiology tape of one sort or another: it’s one of the ways we treat athletes in our office.

Most people were introduced to kinesio tape during the Olympics by US national volleyball player, Kerry Walsh, and since then it has become more common to see in pro sports.

And it’s no wonder it’s become more prevalent; the idea behind it is an excellent one: players retain normal range of motion while getting sustained support for the injury by means of an elastic tape. Specific shaping (or pre-cut designs in the case of SpiderTech) of the tape supports particular muscles during movement while aiding in circulation.

All in all, patients from all walks of life find it to be a major asset because it lets them keep moving and working. At my office in NYC’s SoHo neighborhood, we use and sell several types of kinesio tape (KT tape, RockTape, SpiderTech) for endurance athletes like those running the New York Marathon and people struggling with a work injury. If you need help recovering from an injury or persistent pain, call us at Living Well Medical in NYC at 212-645-8151. And enjoy the rest of the World Cup!

- Dr. Shoshany, NYC Chiropractor

Tuesday, June 15, 2010

Overcoming Sports Injuries with KT tape-(Kinesiology Tape)

Athletic injuries can be a huge obstacle to overcome - so often I find the athletes who come in to see my sidelined for months because of repeat injuries that they don't allow to heal properly. And they play on, like the members of the US Volleyball team. Don't get me wrong, that's what athletes do, and it's amazing. They play through pain and injuries, but for normal people like you or I, that isn't always the best choice. We have work, we have kids, and our responsibilities don't end there. We have our lives to lead, and few of us can afford to be out of commission for long.

That's where therapeutic tapes comes in to play. Using specially made taping products like RockTape, SpiderTech and Kinesio Tape, Living Well Medical in NYC is able to support a healing injury while still providing full range of motion.

For nearly nine years, I have been using kinesiology tape to support aching muscles and injuries. Our NYC Physical Therapist also integrates this as part of their approach to sports and work injury rehab protocols. It's an important part of getting people fully up and moving again as quickly as possible. Athletic injuries in particular have long responded well to treatment with kinesiology tape. More generically referred to as elastic therapeutic tape, kinesiology tape was invented the 70's to support overused muscles and help improve blood flow.

Each tape has its own strengths and specific applications, but they all share the same vital quality: provide essential support to your joint or muscle while maintaining normal range of motion. That means that anyone from an the weekend warrior to the dedicated pro can still train and compete while injuries are recuperating. Taping has also been noted to help with lymph drainage as well which can help in speeding up recovery times.

Most recently, we have begun using RockTape for its success in treating common sports injuries like shin splints, runner's knee and plantar fasciitis. Of course, that only scratches the surface of the range of injuries that can be treated with kinesiology tapes.

Other injuries and conditions that respond well to taping techniques include:

  • Lower back pain

  • Sprained ankles

  • Shoulder pain

  • Rotator cuff injuries

  • Knee pain

  • Sports injuries

  • Repeat strain injuries

  • Tennis elbow

  • Carpal tunnel syndrome

One of the beauties of RockTape and our other therapeutic tape brands is that we can have patients feeling better and leave ready for a Race! We also sell all of these tapes for those interested in larger purchases. RockTape, SpiderTech and Kinesio Tape available in NYC at Living Well Medical. Call us at 212-645-8151 if you need help or are looking for RockTape and other products like it.

- Dr. Steven Shoshany, NYC Chiropractor

Friday, June 04, 2010

Diagnosis and Treatment in NYC: Pinched Nerves

There are so many reasons for chronic pain it can be frustrating just to find the cause of it all. In the case of a pinched nerve, the potential variety of symptoms is simply staggering: arm pain, shoulder pain, back pain, neck pain, burning pain, tingling sensations, pins and needles, and so many others. It's no wonder people seek the opinion of an expert when the pain won't quit. At Living Well Medical in NYC, we use the latest and greatest in diagnostic and treatment technology to find the root cause of pain and get you back to normal living again.

So let's assume the cause of your pain is a pinched nerve - how can we tell? We have a few exceptional tools for making an accurate diagnosis. The first tool is called an NCV (stands for Nerve Conduction Velocity); it's a test that measures how fast nerve impulses get to where they are supposed to go. In cases where they don't travel at a normal speed, or there is a difference in speed at two different points along the same nerve, a doctor can valuable data about impingements in the nerves (aka a pinched nerve).

The next tool we use is called Electromyography or EMG for short. An Electromyograph is used to detect the electrical activity within muscles. By measuring these signals that are sent and received, a doctor with training can detect abnormalities and make a diagnosis for treatment.

Lastly, we can use Ultrasound for diagnosis. In much the same way that it allows an expecting mother see her unborn child, it can be applied by a trained professional to visualize muscle fibers and diagnose defects.

Just as we have several tools for the diagnosis of a pinched nerve, treatment is potentially multi-faceted. As a total wellness and pain relief center, we offer several therapies that can relieve the pain of a pinched nerve and get at the cause. Spinal decompression therapy, Active Release Technique, Chiropractic adjustment (such as the Cox Flexion technique), physical therapy and so many other types of treatment are available to stop the pain of your pinched nerve in NYC.

If you are experiencing any of the symptoms described above and suspect a pinched nerve, DON'T WAIT to get treatment. The pain could get worse without the help of a skilled practitioner. Call Living Well Medical in NYC today, and let us help you feel like yourself again. We're just Downtown in the SoHo area.

- Dr. Shoshany, NYC Chiropractor

Wednesday, May 26, 2010

Cervical herniated disc causing arm pain and numbness in arms-treatment in NYC

Cervical herniated disc causing arm pain and numbness in arms-treatment in NYC

From time to time I like to put up patient testimonials that patients email to me.
I just got this the other day and there are some spelling errors but I decided to leave them.

Recent patient testimonial
I had the amazing good fortune of finding Dr. Steve Shoshany through this website while in NYC. I was injured in a bad car accident 5 months prior to meeting with Dr. Shoshany. I was experiencing pain and stiffness in my neck and sharp, shooting, and throbbing pain and numbness in both arms and hands. I was diagnosed via MRI with a herniated cervical spine disk that was causing strain on the nerve roots that run down my arms. Dr. Steve acknowledged my problem right away. He was able to treat me immediately after my first consultation with him. His treatments included chiropractic spinal adjustments, the cervical spine decompression machine (3D Active Track) for 30 minutes, and then ice and electrostem. I saw Dr. Steve every day for 6 days and the pain relief was immediate. My pain was 70% less in just 6 days! Before seeing Dr. Steve, I spent 5 months in physical therapy and sought treatment with my usual chiropractor, acupuncturist, and an orthopedic acupuncturist. I was undergoing neck traction at my local physcial therapy center in Los Angeles, but it did not compare to the immediate results of the 3D Active Track. Dr. Steve gave me individual attention during each session. His on-staff physical therapists were very friendly and attentive. His practice offered all the latest technology machines. Dr. Steve was able to refer me to a chiropractic office in Los Angeles and even offered to speak to any doctors necessary who would then take up my care. I've been to several other chiropractic centers and no other practice compares!

Jess Carpenter
Los Angeles

If you are suffering with Chronic neck pain or know you have a herniated disc in your cervical spine consider Non-surgical spinal decompression, It is a safe and effective way to treat Cervical herniated or bulging discs.

If you are not sure what is going on, We have a facility that offers state of the art high speed digital x-rays and diagnostic ultrasound that can easily identify the source of your pain.
Neck pain treatment NYC

Tuesday, May 18, 2010

A great article from Bottom Line Secrets-Why doctors hate chiropractors

I found this great article in Bottom line secrets, it deals with health care spending and how chiropractic works as well as or better than conventional modalities, including exercise programs, drug regimens and surgical intervention, for treating many forms of low back and neck pain, two of the most common medical complaints.

Chiropractor NYC

Living Well New York a integrated care facility in Manhattan that offers
Chiropractic care,Spinal Decompression, Medical care and Pain Management,Physical therapy,Medical massage,Acupuncture

Why Doctors Hate Chiropractors

If you’ve ever complained of a terrifically sore neck or lingering back pain, I’ll bet someone suggested that you see a chiropractor. I visit my chiropractor when my recurrent neck pain flares up (as in, when I spend too many hours in front of my computer for too many days in a row), and I know lots of other people who see chiropractors, too. Now research is affirming the efficacy of chiropractic care for a number of conditions, and this trend may be further stoked by changes brought about by health-care reform.

For many complaints, including such varied and seemingly unrelated ones as headaches and digestive distress as well as back and neck problems, chiropractic care can often provide safe, effective and fast-working treatment -- and (unusual for natural therapies) most insurance plans cover it. However, many mainstream medical doctors aren’t fans. Their reasons aren’t always clear but seem to lie somewhere on the spectrum between being worried that chiropractic care is not safe and feeling threatened that good chiropractors may take away many of their patients.

The Time is Right

In a glass-is-half-full kind of way, today’s troubled health-care environment actually presents an opportunity for chiropractors to gain some long overdue respect -- at least that’s a hope that’s currently afloat in the chiropractic community, I heard from Robert A. Hayden, DC, PhD, spokesperson for the American Chiropractic Association. A critical-care nurse for 20 years before becoming a chiropractor himself, Dr. Hayden explained that the nation’s ongoing and pressing concern about health-care costs and treatment efficacy is a good backdrop against which to understand the many ways chiropractic care can help patients.

Why are doctors skeptical? Dr. Hayden told me that one of his regular patients is an orthopedic surgeon -- but another orthopedist in his community won’t accept patient referrals from Dr. Hayden, and a nearby hospital won’t perform MRI scans for his patients. He believes this lack of acceptance is fueled by the very fact that chiropractic does not involve drugs and can be an effective alternative to hospitalization and surgery, which makes it attractive to both patients and the bean counters of health-care costs. The fact that Medicare now covers some chiropractic services enhances its credibility but also adds weight to worries that this natural, less invasive and less expensive alternative will divert health-care dollars away from medical doctors and hospitals.

What Will It Take?

Key to the growing acceptance of chiropractic care is evidence-based research demonstrating that it is safe, clinically effective and cost-efficient. In the latest such effort, funded by Mercer Health and Benefits in San Francisco, Dr. Niteesh Choudry and colleagues reviewed existing literature on the efficacy of chiropractic. Their conclusion is that it works as well as or better than conventional modalities, including exercise programs, drug regimens and surgical intervention, for treating many forms of low back and neck pain, two of the most common medical complaints. Numerous other studies also support the effectiveness of chiropractic treatment for spine and neck issues in particular. For instance, a 2002 study of patients with nonspecific neck pain found that pain was reduced and function improved for 68.3% after seven weeks of chiropractic care, while the success rate for those in the care of general practitioners was only 36%. The patients of chiropractors missed work less frequently and needed less pain medication.

Can It Cause Stroke?

One very specific concern voiced by many medical doctors is that chiropractic neck manipulation has the potential to cause stroke, or -- if done improperly -- even death. The basis for this is a fairly rare and often undiagnosed condition in which the vertebral arteries in the neck are weakened, possibly by high levels of homocysteine. The fear is that in a vulnerable patient, twisting or stretching those arteries during a chiropractic manipulation could cause them to rupture.

To investigate whether this is a real danger, researchers at the University of Calgary (Alberta, Canada) studied vertebral arteries from several recently deceased people and found that it would take nine times the force of a typical chiropractic adjustment to damage these arteries and mobilize plaque. In fact, according to Dr. Hayden, normal head and neck movement present a greater risk than chiropractic manipulation for the kind of weak arteries that are of concern. By that measure, it’s risky to have your hair washed in one of those beauty parlor sinks where you have to lean way back (there’s even a name for this one, "the beauty parlor stroke"), play sports or even to turn your head to complete a turn while driving.

The condition that puts people at risk for this problem is very rare, Dr. Hayden said, noting that the statistics don’t support the level of concern being expressed. He pointed out that chiropractic is so low-risk that practitioners’ malpractice insurance costs only about one-tenth what an MD has to pay -- around $1,300, on average, compared with $10,000 to $20,000 for general physicians.

The Trend Is Good...

Meanwhile though, patients are voting with their feet -- so maybe doctors should try to learn more about chiropractic care rather than stand in the way of progress. The number of chiropractic patients in this country doubled in the two decades from 1982 to 2002, and an estimated 10% of Americans have seen a chiropractor in the past year.

As for me, well, when my neck hurts, I visit my chiropractor... and I feel better. If you’re interested in exploring this form of alternative medical care, you can go to to find an experienced, licensed practitioner in your area.


Robert A. Hayden, DC, PhD, founder and director of Iris City Chiropractic Center, PC, Griffin, Georgia, and spokesperson for the American Chiropractic Association.

Wednesday, May 12, 2010

Damaging Effect of Forward Head Posture-Neck pain treatment NYC

Damaging Effect of Forward Head Posture

The effects of posture on health is becoming more evident. “Spinal pain, headache, mood, blood pressure, pulse, and lung capacity are among the functions most easily influenced by posture. The corollary of these observations is that many symptoms, including pain, ay be moderated or eliminated by improved posture”. [1]

One of the most common postural problems is the forward head posture (FHP). Since we live in a forward facing world, the repetitive use of computers, TV, video games, trauma, and even backpacks have forced the body to adapt to a forward head posture. Repetitive movements in a certain direction will strengthen nerve and muscle pathways to move that way more readily. [2],[3] An example would be the adaptation of the body to do gymnastics easily after repetitive practice. It is the repetition of forward head movements combined with poor ergonomic postures and/or trauma that causes the body to adapt to a forward head posture.

Ideally, the head should sit directly on the neck and shoulders, like a golf ball sits on a tee. The weight of the head is more like a bowling ball than a golf ball, so holding it forward, out of alignment, puts a strain on your neck and upper back muscles. The result can be muscle fatigue and, all too often, an aching neck. [4] Because the neck and shoulders have to carry this weight all day in an isometric contraction, this causes neck muscles to lose blood, get damaged, fatigue, strain, cause pain, burning and fibromyalgia. When spinal tissues are subject to a significant load for a sustained period of time, they deform and undergo remodeling changes that could become permanent. This is why it takes time to correct FHP. In addition FHP has been shown to flatten the norman neck curve, resulting ins disc compression, damage, and early arthritis. [5] This abnormal position is also responsible for many tension headaches, often termed cervicogenic headaches.

FHP also causes tension in the TMJ (temperomandibular joint) or jaw jaoint, leading to pain, headaches and bite problems. Some evidence exists that postural positions can effect the nerve tissue by altering blood flow to the spinal cord. [6] People with uncorrected FHP can potentially suffer chronic or unpleasant conditions, such as pinched nerves and blood vessels, like thoracic outlet syndrome, muscle and tissue pain, syndromes like fibromyalgia, chronic strains, and early degeneration and arthritis.

FHP is relatively easy to detect. Have the person you are checking look up at the ceiling, down at the flow, and then straight ahead. Find the center of the shoulder and draw an imaginary line up. It should land through the middle of the ear’s hole (external auditory meatus). Any forward head posture should be immediately checked by a chiropractor. Medical doctors do not fix these types of problems. “Despite considerable evidence that posture affects physiology and function, the significant influence of posture on health is not addressed by most physicians”. [1] Remember, long standing postural problems like FHP will cause spine and nerve damage, and symptoms are rarely present early on.


The first step in correction is to be examined and x-rayed by a chiropractor, to identify the exact measurements of the FHP. Once that is established, a specific corrective care program for FHP is given, including adjustments and specific exercises The chiropractor will point out poor ergonomics and situations that pre[dispose you to FHP and give you practical solutions.
For office use and video game play, place your computer monitor height so the top third of the screen is 18”-24” from your face. Support the lower back, and if children sit on the floor looking upward, have them use a floor pillow armchair and sit up straight.
Every 20-30 minutes, sit up straight and pull the neck and head back over the shoulders. Hod for a count of 3 and do 15-20 reps. Alternatively, stand against a wall with a small pillow at your mid-back. Move your head back to touch the wall. How for a count of 3, and do 20-25 reps.
always use a back support pillow when sitting or driving. By supporting the low back, the head and neck will move back over the shoulders.
At home, lay face down on the floor and extend your head and shoulders up, while pinching your shoulder blades together. Hold for a count of 3 and do 15-20 reps.
Backpacks - maximum backpack weight should be 15% of a child’s weight. Never wear backpacks over one shoulder. Always use a waist belt, and if available, a chest belt to neutralize the load. Without these belts, the head will move forward to compensate for the load. A new type of backpack with an air bladder had been shown to significantly reduce weight without a strap.

Monitoring good posture is a lifetime commitment. With a little effort and a chiropractor on your health care team, you can be assured a future doing things you love to do, rather than suffering from damage and degeneration poor posture can bring.


Backpacks - Children are now using backpacks to carry school books weighing up to an alarming 30-40 lbs! This forces the head forward to counter balance the weight resulting in abnormal stress to the discs, joints and nerves of the neck, shoulders, and lower back.
Computer Ergonomics - Positioning computer screens too low, coupled with the repetitive motion of moving the head forward to read the screen is a primary factor to FHP.
Video Games/ TV - Most kids use poor posture when playing video games and watching TV. Repetitively sitting in one position for long periods of time causes the body to adapt to this bad posture.
Trauma - Falls and traumas can cause whiplash resulting in muscle imbalance. This pulls the spine out of alignment forcing the head forward.

According to Renee Calliet, M.D., if the head weighs 10 lbs and the center of the ear sits directly over the center of the shoulders, the load on the spine and its tissue is only 10 lbs. However, if the head is translated forward, its weight will increase by 10 lbs. for every inch forward it is. In effect, if the center of the ear is three inches forward from the center of the shoulders, the weight of the head on the spine and its discs, joints, and nerves is 30 lbs.! [10]

Forward head posture treatment in NYC

Sunday, May 02, 2010

Back pain treatment NYC-Herniated disc NYC

Back Pain treatment NYC

Contact the NYC Back pain specialists at
or call us for an
immediate appointment at 212-645-8151

What Is Spinal Decompression Therapy? and how can it help my Back pain NYC.

Proven Non - Surgical Treatment for Back Pain NYC

Spinal Decompression Therapy (also known simply as Spinal Decompression or SD), is a non-surgical therapy proven to treat back pain and sciatica caused by bulging, herniated, and degenerative discs or facet syndrome. Even post-surgical patients and those suffering from stenosis (a narrowing of the spinal canal) have reported significant pain relief from SD treatments. Over a series of relaxing treatment sessions, patients experience powerful pain reduction and healing. Some patients even notice an improvement in their symptoms after the first few treatments!
Spinal Decompression, not to be confused with traction, gently lengthens and decompresses the spines, creating negative pressures within the discs. This reversal of pressure creates an intradiscal vacuum that not only takes pressures off of pinched nerves, but helps to reposition bulging discs and pull extruded disc material back into place.

Simultaneously, spinal experts believe nutrients, oxygen and fluids are drawn into the disc to create a revitalized environment conducive to healing. By bringing disc pressures to negative levels, many experts surmise that SD stimulates the body’s repair mechanism, providing the building blocks needed to mend injured and degenerated discs.

“I served on the police force for 18 years. I injured a disc in my back while on duty. I got treatment from the work comp doctor and a physical therapist. I tried to go back to work, but the crippling back and leg pain wouldn’t stop. Eventually, the city forced me to take a medical retirement. I was 39 years old! I continued to live on pain medication and struggle just to sleep at night. Simple everyday became painful tasks. Finally, I heard about Spinal Decompression Therapy, and shortly thereafter found out that I was a candidate. I got my life back! No more pain and no more sleepless nights.”- Joe M.

Chronic low back pain was a regular part of my everyday experience for almost three years, but I tried not to let it take over my life. I continued to work as an RN and stayed in shape at the health club. Then my back pain took a turn for the worst. I had trouble getting out of bed, getting dressed, and I couldn’t bend over to brush my teeth. I got an MRI and went to a board certified anesthesiologist. He gave me an epidural and a nerve block. Neither was effective. My pain began to rapidly worsen and I ended up at the emergency room. They gave me more shots and pain medication.
Finally, I heard about Spinal Decompression Therapy and decided to give it a try. I was skeptical, but to my surprise I started feeling relief after my first treatment. Now after two weeks of treatment my pain is almost completely gone.”—Bobbie
Invention Born of Necessity - How one doctor’s injury led to his invention of Spinal Decompression Therapy.

Allan Dyer, MD, PHD, is the inventor and founder of the founder of the revolutionary technology behind Spinal Decompression. As former Deputy Minister of Health in Ontario, Canada, Dr. Dyer’s many contributions to health sciences include, among others his extensive research that led to the development of the heart defibrillator.
Dr. Dyer’s own experience with back pain began when he was debilitated by a herniated disc. After conventional treatments failed, his creative intelligence went into high gear. He developed a method of exerting pull o n the spine that is far more sophisticated than traditional traction. He discovered that by slowly increasing pull-tension on the spine, followed by a hold then partial release, and repeating these steps over a 30-45 minute time period, a vacuum could be created within injured discs. This vacuum was found to assist in repositioning extruded disc material back into place, and has been credited with creating an environment within injured discs conducive to healing.

Dr. Dyer set about designing a device to implement this method. After more than six years in research and development with a team of physicians, engineers, and technicians at major teaching hospitals, Dr. Dyer introduced the VAX-D unit in 1991. VAX-D, short for Vertebral Axial Decompression, is the predicate device after which all Spinal Decompression Therapy units are modeled.
Happily, Dr. Dyer used his invention to cure his own injured disc. Soon he was able to walk pain-free and has been doing so for more than 15 years. Today thousands of Spinal Decompression units operate throughout the world, treating thousands of patients a day.
What Is Causing My Back Pain?
While only a trained medical professional can accurately diagnose your condition and prescribe appropriate treatment, a basic understanding of common causes of back pain and how Spinal Decompression works to alleviate them can help you make a more informed decision concerning your treatment options.

Understanding How The Spine Works
Your spine is composed of 24 bones called vertebrae. In between each vetebra is a fibrous disc (annulus fibrosus) filled with a jelly-like substance (nucleus pulposus), which provides flexibility and cushioning to the spine. The vertebrae protect the spinal cord, which runs through a tube at the back of the spine called the spinal canal. In the lower portion of the back, spinal nerves exit the spinal canal between the vertebrae and unite as they move down through the pelvis. Some of these spinal nerves join to become the sciatic nerves, which travel down through the buttocks, along the back and sides of the thighs and calves, and into the feet.

With such a dense network of nerves traveling throughout the back, it is easy to see how a slight upset in the delicate architecture of the spine may cause great discomfort. Accidents and injury may damage discs and vertebrae, putting pressure on nerves. This results in tingling, numbness, muscle weakness, or even sharp shooting pain.
Consider These Facts on Back Pain:
• On any given day, 6.5 million people are in bed because of back pain.
• Approximately 5.4 million Americans are disabled annually due to back pain.
• Back pain is the # 2 reason for hospitalization.
• Up to 85% of the U.S. population will have back pain at some time in their life.
• After cold and flu, back pain is the number one cause of work absence.
• Spine surgery is the second leading surgical procedure in America, with the total number in the U.S approaching 500,000 per year.
• An estimated 93 million workdays are lost each year due to back pain.

Lift with Your Legs, Not with your Back!
Many bulging and herniated discs can be attributed to lifting objects incorrectly. When picking up an object from the floor, bend at the knees, keeping the spine as erect as possible. Rise using the strength of your legs, as their study, more simplistic architecture is designed for such exertions. Putting great amounts of pull or pressure on the spine, when bent forward or backward, can compromise its delicate alignment.
Of course, there is no right way it lift an object that is simply too heavy. Listen to your body, and if you feel any discomfort while doing heavy lifting, back off and save your back!

“For three very long years I had severe lower back pain. Doctors tried epidural, to no avail, and said I would have to learn to live with it. I’d been using a walker to get around and could not stand more than five to ten minutes without excruciating pain. My activities were very limited; I was unable to sleep in a bed for three years. After reading an article on Spinal Decompression Therapy, I decided to try it out.
After 12 visits, I am now sleeping in a bed, and my walker is put away. I’m able to go shopping for over an hour without any increased pain. I’m cooking meals and cleaning without having to sit down every five minutes because of the pain. My family cannot believe the changes. I thought I would have to live with this for the rest of my life. I am so thankful that I tried this and would encourage you to do the same.”—Mariella S

Bulging and Herniated Discs NYC

Bulging and Herniated Discs:

Discs are located between each vertebra and provide flexibility and shock absorption for the spine. The thick, fibrous outer disc wall, known as the annulus fibrosus, surrounds a jelly-like center, called the nucleus pulposus. Discs undergo tremendous amounts of stress, which can sometimes lead to a bulging disc, a weakening of the disc wall that causes the disc to bulge out and press painfully on surrounding nerves. A herniated disc occurs when the pressure within a disc becomes too great, tearing through the disc wall (annulus fibrosus), allowing a portion of the nucleus pulposus to protrude. The escaped nucleus pulposus may then impinge painfully on the nerve roots, leading also to numbness, tingling, and/or muscle weakness associated with the condition of sciatic pain. The illustration below gives a bird’s eye view of what exactly is going on when a disc bulges or herniates.

The Jelly Donut Analogy:

Comparing the disc in your back to jelly donuts gives you a good idea of what happens when a disc hernaites. Picture in your mind a jelly donut, plump with the strawberry filling. Have you ever set a box of donuts on your office chair, only to absent-mindedly plop down on them a few moments later? What happens? The jelly oozes out under the
pressure. When a disc ruptures or hernaites, the same thing happens, except, unlike the jelly donut, a herniated disc can be repaired! That’s where Spinal Decompression comes in.
Sciatic, Spinal Stenosis
 What is Sciatica?
Sciatica is the sensation of pain, tingling, or numbness in the buttocks, and/or legs produced by an irritation of the sciatic nerve. Multiple nerve roots extend from the spinal cord between the vertebrae and join to form the sciatic nerve, which branches as it descends into the buttocks, down each leg to the ankles and feet. The primary causes of sciatica and herniated, bulging, or degenerated discs, which induce pressure on the spinal nerve roots.
Other causes include small, bony growths on the spine (bone spurs) or compression of the nerves through injury. In rare cases, the sciatic nerve may be irritated by conditions such as piriformis syndrome, tumors, or pregnancy.
 Where Does it Hurt?
The letters L1-L5 refer to the lumbar (lower) portion of the spine and s1 refers to the first segment of the sacral vertebrae. Over 90% of herniated discs occur in the lowest two levels of the lumbar spine, between L4-L5 and L5 – S1. The colors reflect the regions of the lower body potentially affected by compression of each given lumbar and sacral nerve root. Do you experience pain, tingling, or numbness in any of these regions?
 What Is Spinal Stenosis?
Stenosis is a narrowing of the spinal canal due to the encroachment of disc material or bony growths that squeeze and irritate the spinal cord and/or extending nerve roots. This can lead to pain, numbness, tingling or weakness in the legs ,feet or buttocks. The benefits that may stenosis patients derive from the
Spinal Decompression may be due to it’s positive repositioning and rejuvenating effect on the herniated and degenerative discs that often accompany stenosis. Spinal stenosis, which may be found in conjuction with any of the above conditions, is commonly a contributing cause for sciatic symptoms.
Degenerated Disc Disease
 What Is Degenerative Disc Disease?
Degenerated disc disease is not technically a disease, but rather a state of disc
Dehydration and deterioration due to a combination of cumulative trauma, poor dietary and exercise habits, and aging. As discs degenerate they become more prone to failure from physical stress, which may tear disc fibers and result in more complications, such as osteoarthritis, disc bulging, disc hernaition and stenosis.
Many spine experts surmise that the vacuum of negative pressure created in the discs by Spinal Decompression can actually help attract moisture from surrounding tissues, rehydrating and revitalizing thinning and torn degenerating
If You Don’t Use It, You’ll Lose It
Traumatic spinal injuries may cause patients to avoid their normal daily activities. Without proper treatment, pain will progressively worsen, resulting in decreased physical activity and gradual weakening of the supportive spinal muscles, leading to accelerated disc degeneration.

Going, Going …and Finally Gone.
Phase One: Dysfunctional – Phase one of degenerated disc disease, is categorized by tears around the outer surface of the annulus. Further damage to the disc and surrounding tissue is exacerbated by the less effective disc.
Phase Two: Unstable- In Phase two, the joint progressively loses strength. Disc changes include further tearing along the horizontal axis of the disc, greater loss of the disc height, and cartilage degeneration.

Phase Three: Stabilization-Further loss of disc height, disc space narrowing, moderate to severe endplate damage, disc fibrosis and the formation of osteophytes can eventually cause surrounding vertebrae to fuse together.
What is Facet Syndrome?
Facet syndrome, an inflammation of the facet joints, is one of the lesser-known causes of back pain. Facets are the bony wing-like protrusions extending form the back of the vertebrae that align with the facets on the vertebrae and discs. At the point where the facets of two vertebrae meet are small ligaments that join corresponding facets together.
Bearing the Brunt of Unhealthy Discs
As a result of lost disc height for one reason or another, the spine may shift its weight, adding pressure to facet joints. Bearing the brunt of all that weight can lead to tearing or degeneration of the ligaments, as well as inflammation of surrounding tissues. Adhesions over the joint surface usually form over time, leading to loss of mobility and breakdown of facet cartilage. Symptoms are usually characterized as a deep ache in the lower back that may extend to the buttocks, hip, and even below the knee. Facet syndrome is often associated with degenerative disc disease and soft tissue damage in the lumbar spine.

Contributing factors to Spinal Injury and Disease
Age: As we grow older, discs may dry and crack, losing flexibility and the ability to cushion the vertebrae. Good diet, plenty of exercise, and water intake can help slow the process.
Exercise: Exercise keeps the muscles surrounding the spine strong, decreasing injury susceptibility. Exercise also helps to maintain healthy blood flow to discs and surrounding tissues.
Diet: A healthy diet with appropriate supplementation will help ensure that your bones and tissues are receiving proper nutrients.
Activities: Maintain an awareness of what your body can handle. Falls or reckless exertions on the body, such as lifting heavy objects, can lead to severe spinal injuries. Be smart!

How Spinal Decompression Works
High intradiscal pressures cause discs to bulge out and press painfully on nerve roots. They also make for a compressed, anaerobic environment unsuitable for healing. Spinal Decompression produces negative pressures within the disc, creating a vacuum effect which many doctors believe helps the disc draw in nutrients and fluids to promote the repair of injured discs and surrounding tissues. This vacuum has also been shown to aid in the retraction of escaped cushioning gel from herniated discs.
When Negative Is a Positive
Much like gauging the air pressure in a car tire, scientists have been able to use pressure sensors to measure the various pressures put on spinal discs while lifting, standing, sitting lying down, undergoing traction, and during SD therapy. Like other pressures found in the body such as blood pressure, intradiscal pressure is measured in millimeters of mercury (mmHg). While traction, physical therapy, and manipulation may reduce disc pressures to as low 40 mmHg, only SD has been shown to achieve negative pressures within the spine. It has been clinically proven that SD creates negative pressures as low as -160 mmHg with in the injured disc during the treatment session!

Traction Is not Decompression
With traction, weights are added one by one to the end of the traction bed, which, in turn, adds tension to a harness secured around the patient’s pelvis lengthening the spine. The intention is to relieve pressure but the linear force of this traction can produce spasming which may lead to greater injury. Studies confirm that the benefits of traction come from simply immobilizing the spine. In fact, the Quebec Task Force ruled in 1996 that traction was not an effective treatment for chronic herniated discs; the results are not long-lasting and cannot produce negative pressures in the disc. Like traction, SD also lengthens and exerts tension upon the spine. However, the approach is far different, producing vastly superior results.

Fooling the Back Into Relaxing
Normally, pulls exerted on the spine trigger sensory receptors in the back to tighten the muscles surrounding the vertebrae and discs in an effort to protect them from injury- a mechanism in the body known as the proprioceptor response. SD bypasses this response by gently pulling on the spine and relaxing the back over an extended period of time, allowing the spine to be repositioned without tension and without setting off the “lock down” proprioceptor response.

 The Key to Decompression

Formula for Relief
Each automated session of Spinal Decompression (SD) cycles the patient through a series of gentle pulls, holds, and releases. Super-smooth transitions between each phase of Spinal Decompression can make for an experience so relaxing during which patients often fall asleep. As a session of Spinal Decompression commences, tension slowly mounts, lengthening the spine. Up to one- half of the patient’s body weight, plus as much as 25 pounds of tension, can be exerted directly on the injured discs--- all without triggering the “guarding” proprioceptor response. This is where spinal pressures drop and decompression actually occurs.
The differing amounts of tensions administered throughout the session, when graphed on a chart, produce a logarithmic curve similar to the one shown above. After a holding period, tension is slowly decreased and the spine is retracted slowly. This cycle is repeated several times throughout a treatment session.

Is Spinal Decompression Right for Me?
You Are a Candidate for SD If:

 You have chronic or severe back pain caused by bilging or herniated discs, degenerated disc disease, sciatica, and/or facet syndrome.
 You have been diagnosed with a clinically unstable low back.
 You have failed back surgery syndrome.
 You have been told to consider surgery.

You Are Not a Candidate for SD If:

 You are pregnant.
 You have sustained a recent vertebral fracture.
 You have any retained surgical hardware (titanium rods or fusion cages).
 You suffer from severe osteoporosis.
 You have any rare conditions such as certain spinal infections and pelvic abdominal cancer.

When Can I Expect Results?
Many patients report a reduction in pain after their first few SD treatments sessions and happily feel they have had all the treatments. They need. This is a wonderful sign that SD is working, but the scientific reality is that the healing process is not finished! Quitting the treatment regimen early usually results in a relapse of symptoms, as well as wasted time and money. On the other hand, it may take several sessions before patients experience a noticeable remission of symptoms. Why is this? Bulging and herniated discs may need several sessions to fully reposition themselves depending on your physiology. You can be sure that your spine is responding to SD’s vacuum effect, but results are not always immediate. Using time-tested protocols, SD
Can be tremendously effective at the eliminating back pain!

SD Works, Given the Chance
Many patients report more than a 50% reduction in pain after their first treatment! For those suffering form the herniated and degenerated discs, the escaped nucleus pulpous may be partially or completely retracted back into the disc after just the first session (though usually it takes longer),relieving a great deal of pain. However pain reduction does not indicate full recovery and a full recovery is essential to preventing reinjury. This may mean completing as many as 20 to 25 treatment sessions. Some patients require even more sessions. This may seem like a lot of treatments, but SD is working with your back as it heals, and that is a process that cannot be rushed. Why is this?
Much like a scab heals, tears in the disc wall need time to heal. The absence of pain does not mean the tears have had time to seal up, which is crucial to preventing the newly retracted nucleus pulpous from escaping and putting pressure back on the nerves. Completing your course of Spinal Decompression, as determined by your doctor and according to the severity of your condition, takes time. Each session prescribed is needed to maintain a fully hydrated and oxygen-rich environment for the damaged disc. The same principles apply for those with the degenerated disc disease.

Visible Progress!
After as little as nine treatments, the disc wall may have almost completely healed. However, a small fissure remains. Continuing wit the SD protocol will allow for an enriched disc environment speed the body’s natural healing mechanism. The last remaining SD sessions will enable the disc to heal completely.
What Can I Expect?
Getting Started
At your first visit, your doctor will recommend an x-ray or MRI to pinpoint the specific areas of damage and discomfort. Using this information, your doctor will determine your course of therapy and whether you are a candidate for Spinal Decompression (SD).
The Pressure Is Off!
At the beginning of each session, you will be comfortably fitted with a pelvic harness designed to achieve optimal decompression of the lumbar spine. As a session of SD commences, you will notice a slow, gentle lengthening in your spine as your discs are gradually decompressed and relieved of pressure. This process is safe and relaxing. While some patients with extensively injured discs have reported mild discomfort during the first few treatments sessions, their discomfort subsides upon subsequent visits. A patient safety switch, or quick release clasps on the upper-body harness, provide an extra safety feature, allowing you to stop at any point should you feel discomfort. Each treatment session lasts approximately 30-45 minutes.
Typical Treatment Plan
A typical SD treatment regimen consists of about 20 daily sessions over four to six weeks. Some conditions require fewer visits; some require more. Many patients report their pain and other symptoms during the first few treatment sessions, and most experience dramatic pain relief after completion of their prescribed SD program.
As a session of Spinal Decompression progresses, the discs are relieved of pressure, or decompressed, creating a vacuum, many experts believe this decompressed state aids in pulling nutrients, oxygen and moisture back into the discs.

Before Surgery, Consider This!
While back surgery may be the only solution to some existing back problems, many medical professionals and surgeons themselves feel strongly that every non –invasive option should be explored before turning to surgery. Although advances in surgery have been made many procedures less invasive and more effective, surgery does come with the inherent risks. With high costs and lengthy recovery time, it only makes sense to consider all of your options before making a decision about surgery.
Failed Back Surgery Syndrome

Failed Back Syndrome is a real term used when a patient continues to suffer
from pain and loss of mobility long after surgery. According to the American Academy of Orthopedic Surgeons, there are approximately 200,000 laminectomies performed every year with an estimated 20-30 % of these operations reported to be unsuccessful. A laminectomy removes bone and thickened tissue that is narrowing the spinal canal and squeezing the spinal cord and nerve roots.

Great News for Post-Surgical Patients

If you still suffer form pain after surgery, we have great news for you! Post-surgical patients have experienced fantastic therapeutic results form Spinal Decompression. While those with surgical hardware, such as brackets, plates, and screws, are not candidates for SD, many post-operative patients are. If you have had surgery with unsatisfactory results or have suffered a relapse, consult your doctor about the possible benefits of Spinal Decompression Therapy.

Dramatic Results Without Surgery
Case Study: Severe Herniated Disc
Almost two years ago, Terence M. ruptured a disc while lifting a box out of the trunk of his car. As a result, he lost the use his right leg and suffered relentless excruciating pain. Desperate for relief, he went to Bala Spine & Wellness Center of Bala Cynwyd, PA to see Harvey Kleinberg, DO , a Physical Medicine and Rehabilitation Specialist for over 35 years. Dr. Kleinberg used Spinal Decompression Therapy to alleviate Terence’s pain and restore his lost function.
“When patients have injuries, you want to make them feel better as quickly as possible and that is what Spinal Decompression Therapy is capable of doing for many patients,” Dr. Kleinberg said.
Dr. Kleinberg prescribed a treatment plan of three 30 minute sessions a week, which eventually tapered off as the pain began to subside. Patients usually undergo about 20 to 25 treatments, and easy maintenance can keep people from ever having a repeat injury again.
“My pain was excruciatingly horrible,” Terrance said. “I thought I’d never be able to be up and about again. My pain was gone in two weeks. I was feeling so good I couldn’t wait to go back to work.”

“I Was a Pain Doctor In Pain!”
Dr. Kleinberg knows first-hand how unbearable back pain can be- he suffered from herniated discs three years ago. “I had undergone three laminectomies, but continued to suffer form severe sciatica of my problem, it took 29 treatments for a total elimination of pain. It’s been three years now and I’m still pain-free!” Because Spinal Decompression Therapy alleviated his back pain, he is determined to inform people about this non-surgical treatment for herniated or degenerative discs.
“No one should have to suffer form pain for the rest of their lives if there is a treatment outside of surgery that can offer them relief with no risk involved,” Dr. Kleinberg said.

To learn more about Spinal Decompression treatment for Back pain in NYC visit
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