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