Wednesday, February 22, 2017

Deep tissue Laser Therapy

Deep Tissue Laser Therapy

Today I wanted to update my NYC Chiropractor blog with how I integrate different modalities into my practice. I started up a new patient this morning that went skiing  this past weekend and fell.
He stated that he fell hard but shook it off and continued to ski for a couple more hours and then the Pain set in.
The Pain was so bad that he went to a local NY hospital, They evaluated and took X rays and said he was fine but was still hurting so he sought out the treatment of a Chiropractor.

I was able to evaluate how poor his range of motion was in his cervical spine (neck) specifically his lower neck, We took spinal X rays (the Hospital only took a PA chest to rule out a Pneumothorax)
His Radio-graphic findings revealed a noticeable spinal misalignment at his 7th Cervical.
We started his treatment with moist heat and  Pre-Modulated  stimulation.
Once he was all warmed up and loose I did some gentle Cox Cervical distraction of his neck followed by a modified diversified adjustment of his lower cervical spine.
His range of motion improved but I needed to addresses the  soft tissue (Muscle,Fascia) so I utilized some IASTM using the Graston technique and followed up with Deep Tissue Laser Therapy.

So what is Deep Tissue Laser Therapy?

 This form of Laser therapy is a scientifically proven way to reduce pain and inflammation.
DLLT allows for deeper tissue penetration, resulting in fast, efficient and consistent results.
Laser Therapy generated a photo-chemical response in damaged tissue by a process called photobiomodulation. This process stimulates healing on a cellular level by enabling cells to more rapidly produce energy.
I am wrapped up his treatment by using Kinesology tape specifically Rock tape to help relieve the swelling through decompression of the skin which speeds recovery and helps support proper posture and form.
To Learn more about Cold Laser therapy click the link below
http://www.drshoshany.com/cold-laser-therapy.html

Tuesday, February 21, 2017

Spinal decompression for Herniated disc treatment

http://www.drshoshany.com/spinal-decompression.html
It has been a while since I have updated this blog, But I am back and ready to journal some of the recent clinical findings and patient success stories.
The Weather here in NYC has been nut's, last week it snowed almost a foot followed by a inch or two of ice.
A patient wrenched his back that Sunday and finally made it into my office today. He spent the past 4 days in bed doubled over in pain and medicating with little results.
 It was very obvious to me based on his mechanism of injury- he was shoveling a driveway for 3 Hours! that he irritated his discs and tweaked his lumbar muscles.
Not many of my patients and fellow Manhattan residents do much shoveling but this guy did and then some.
I started him with some Cox flexion distraction technique to reduce his nerve irritation (He was complaining of Sciatica like symptoms) and increase Disc height (His fourth Lumbar disc was previously herniated)
We followed up with the Graston Technique which is a form of ISTM or instrument assisted soft tissue mobilization and some percussion into his Glut medius and Piriformis.
His fourth lumbar needed a chiropractic adjustment and his cervical spine needed some Cervical spinal decompression.
The next step was onto the DRX 9000 Spinal Decompression machine which I firmly believe and clinical studies show to provide the most successful outcomes and patient comfort.
After the spinal decompression with used  (Ice) and inferential stimulation,
We wrapped up the session by stabilizing his Back Muscles with Rock tape which lifts the skin away from the muscles and fascia,which decompresses the area.
He left like he was worked on and tomorrow should feel loads better.
What drove me back to this Blog is the fact that 94 people are dying a day from abuse and misuse of prescribed narcotics that are given to patients by their trusted family doctor. A recent study by the American college of physicians https://www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-treating-nonradicular-low-back-pain
pointed to new guidelines that leaned away from prescribing medication for non-radiating pain.
When we combine Chiropractic care and Spinal Decompression we help so many patients avoid unnecessary surgery and avoid dangerous narcotics.
What has always fascinated me as a Chiropractor that has practiced for 20 plus years in Manhattan and dedicated myself to nonsurgical techniques such as Spinal decompression was Our bodies Amazing ability to heal it self once you remove the irritation to the nervous system- not only does the pain go way but the body is stronger and patients are happier and can return to moving and enjoying their life.