Tuesday, November 17, 2009

Pinched Nerves and Sciatica NYC


Back pain can take many forms, all of which are at least a disruption to your life and at worst a major obstacle to normal living. In many cases, the sciatic nerve has a close relationship with the symptoms that a pain sufferer exhibits, and it’s not uncommon to hear terms like ‘sciatica’ and ‘pinched nerve’ thrown around in connection to the pain. Sciatica is a set of symptoms that are displayed by a patient whose sciatic nerve is being compressed, or ‘pinched’ due any number of factors. At our comprehensive treatment center in NYC, Living Well Medical, we regularly treat patients who have debilitating pain related to a pinched nerve. We bring together a number of non-surgical treatments that include chiropractic adjustment, non-surgical spinal decompression with the DRX-9000 for herniated or bulging spinal discs, pain management with a Medical Doctor, cold laser therapy and physical therapy.

As mentioned above, there are several reasons that a nerve like the sciatic nerve can be pinched and compressed, leading to severe and chronic pain. Perhaps the most common, however, is a herniated or bulging spinal disc as a result of long-term wear or trauma.

When a weakness develops in the fibrous outer wall of a disc, the fluid from the interior of a disc can be forced out into contact with the sciatic nerve causing irritation, inflammation and general pain. This is typically referred to as nerve impingement, and severe nerve impingement of the lumbar nerve roots can cause the symptoms we know of as sciatica.

Sciatica often encompasses problems like leg pain, lower back pain, pain in the buttocks, numbness, tingling and even muscle weakness. Different people will experience different combinations of these symptoms, but the universal aspect is significant pain that makes an active life difficult. That’s where our office in NYC can help patients without the fears that go along with surgery or long-term pain medications.

Specifically intended for treatment of herniated discs and other conditions that cause severe low back pain, non-surgical spinal decompression with the DRX-9000 is an alternative to back surgery that has been safely helping patients stop the pain for years.

The DRX-9000 is a computer-controlled therapeutic device that applies specific amounts of force to targeted areas of the spine (based on where the herniated or bulging disc is located). By placing patients in a harness that helps directs the stretches to the lower back, malfunctioning discs can be ‘pumped’ and made to absorb more nutrients and fluids that will aid them in healing themselves. Because the discs are mostly avascular (having little blood supply), the nutrients are an important part of the healing process. Stretching through the DRX-9000 can also help create a pocket of negative pressure inside of the disc that can draw herniated material back to inside the disc over time. At Living Well Medical in NYC, our chiropractic physician, Dr. Steven Shoshany has been helping patients with his patented spinal decompression protocol for years.

If you suffer with sciatica and the pain of a pinched nerve due to a herniated disc in NYC, call Living Well Medical at 212-645-8151 or visit our website and find out more about non-surgical spinal decompression therapy with the DRX-9000.

Thursday, November 5, 2009

Ergonomic tips for your workstation



A great article from SpineHealth-
looking for a great Physical therapist or a Chiropractor in Manhattan,NYC?
Visit us online www.livingwellnewyork.com
11 Ergonomic Tips for Synchronizing Your Workstation and Office Chair

October 29, 2009
by: Sylvia Marten



Having the best designed and most ergonomically-friendly office equipment may not necessarily mean much for preventing back pain, neck pain and other pain if such equipment is out of sync with your workstation, as confirmed in a recent study that provides a great forum for examining how you can adjust an office chair to your work environment.

Detailed in the October issue of the Journal of Occupational and Environmental Medicine, a new study found that workers who received not only new ergonomic office furniture but professional set-up by an ergonomist had less symptoms of musculoskeletal pain and eyestrain 18 months later than those workers who had to set up their new furniture on their own based off instructions.

Now what if your employer can’t afford to hire a professional ergonomist to visit your office during these tough economic times? Well, there are still many ways to be proactive when setting up your office chair and desk just right to your needs and the principles of ergonomics.

Understand the Ultimate Goal



Having a special chair is often viewed as the be-all, end-all of correct office ergonomics. While an ergonomically-designed chair can certainly do wonders, remember that the ultimate goal is to achieve balance between finding a work chair that fits you, provides good support and minimizes stress on the back, and using it correctly in relation to your work environment.



Before providing instant analysis of your chair, examine other factors, including your optimal desk level, how you sit, and the height of your computer screen, and strive to improve on these areas.



Get Suited to Your Work Surface



Rather than just going out and buying a new chair, ask yourself “what type of chair will fit your work station?” Examine how long you sit all day and how you sit at your desk.



Are you semi-seated (similar to sitting on a bar stool) or do you sit straight up? Do you need to adjust your chair? Where is your computer in relation to your body?



Determine your appropriate work surface (which takes into account the position of your arms, elbows and hands in relation to your desk’s height and your laptop or desktop computer) and be sure to have a chair that allows you to attain this specific height.



The correct surface level can vary from profession to profession (for example, architects and draftsmen often prefer to sit higher), and the final decision as to what’s appropriate is thus determined by each individual.



Become a Series of Right Angles While Sitting and Typing



Sit down straight and as close and comfortable as possible to your desk, with your upper arms parallel to the spine and your hands rested on the work surface.



At this point, take a step back and examine whether your elbows are at a 90-degree angle. If they are not, adjust your office chair higher or lower as deemed fit.



Also make sure that your legs are bent at the knees at a 90 degree angle. Try to maintain this ideal sitting posture as much as possible, and if you find yourself slacking, give yourself a break by getting up and stretching.



Don’t Sit Too High Unless Necessary



Did you know that all of our ankles swell up anywhere from 6 to 8 percent by the end of the day, but for patients with back, leg or circulation problems, this swelling can jump from 10 to 15 percent, especially if sitting in a chair that is too high and leaves the feet dangling?



Generally speaking, a seat height ranging from 16 to 21 inches off the ground is suitable for most workers. To tell whether your chair is too high or at the right height for the desk surface, slide your finger underneath your thigh at the front end of the chair.



If this proves easy to do, your chair is likely at a good height. However, if this proves difficult, your chair is likely too high, which can put extra pressure on your feet and require you to proceed to the next tip.



Boost Your Feet in Certain Situations



In situations where you have to lift your feet off the ground because of a chair or even a desk that is too high, or where the chair height is right but you’re not that tall, consider using a foot stool to prop and rest your feet as opposed to leaving them hanging all day long.



Such action will reduce both pressure on the feet and the likelihood of foot pain at the end of the day.



Raise Your Work Surface When Applicable



Standard seats should allow for 2-4 inches between the back of the knees and chair.



However, if you’re a taller worker, you may be familiar with this problem: your chair seat is not long enough for your thighs, which have too much space underneath them. In these rarer situations, raising the work surface level may be necessary to ensure circulation at the back of the knee.



Make a Fist to Your Calf



Ensure that there is enough room between the front edge of your chair and calves by simply making a fist, bringing it to the edge of the chair and pushing it on the calf.



If you can fit your full fist between the front edge and your calf, you likely have enough space for circulation and pressure. If not, your chair is likely too deep.



Adjusting the backrest forward, inserting a cushion, pillow or rolled-up towel to support your lumbar spine (lower back), or purchasing a new office chair are some possible solutions to this problem.



Have the Support of Your Back



Back support is a main focus of many ergonomic chairs, but what makes a chair good in terms of supporting the back?



Ideally your work chair should do a couple of things: provide back support angling just past 90 degrees or up to 90 degrees, and include cushioning that pushes your back forward when sitting back in the chair.



Such low back support is essential in preventing slouching as you tire and minimizing the load or strain on your back. With this in mind, the backrest of an ideal ergonomic office chair is typically between 12 and 19 inches wide.



Sit Right



A lot of times, workers have chairs with great back support but don’t take advantage of these features because they sit on the edge of the chair.



Make a conscious effort to press your bottom against the back of the chair, and avoid slumping or slouching, which places extra stress on the lumbar discs and other structures of the lower back.



Apply A Different Kind of Eye Test



Once your chair has been adjusted to the height of the table, your legs have gotten comfortable and your back is supported, close your eyes and take a deep breath.



Casually look forward with your eyes closed, and then open your eyes, which should be aimed at the center of your computer screen. Depending on whether the computer screen is higher or lower than your gaze, you may need to raise or lower the monitor.



If you need to raise your laptop, consider using a stack of books or even a small box, which has personally helped me reduce the likelihood of neck strain at work.



Adjust Your Armrest



Armrests play an important role in reducing neck and shoulder strain and diminishing the likelihood of slouching forward in your chair.



Adjust the armrest to the point where your arms are slightly lifted at the shoulders. Doing so will allow the armrest to support just the elbow and take weight off the shoulders.



Perhaps after making all these changes, you ultimately decide that you do need a new office chair.

If you find yourself in the market for a new chair, you’ll want to consider many factors, including the seat’s height, width, depth, materials, armrests, back rest, lumbar support and swivel.

For more information, view the following article: Choosing the Right Ergonomic Office Chair. or visit www.livingwellnewyork.com

Wednesday, October 21, 2009

Kinesio tape-What are those strips of tape all the athletes are wearing?


Those black strips on players' bodies?

It's Kinesio tape -- the latest cure for aches and pains


By: Chris Forsberg

Kinesio tape in NYC
The strips of black tape peeking out from the uniforms of Celtics stars Kevin Garnett and Ray Allen look more decorative than medical. But if you haven't been introduced to Kinesio tape before, get used to seeing it around professional sports.

"I actually have it on my back," said Celtics coach Doc Rivers. "I don't know what the hell it does, but it makes me feel better. It's not just the tape, they put it on certain muscles. … Maybe it's mental. Just like this [magnetic bracelet] here. A lot of teams are doing it. … I know Kevin loves it; J.R. [Giddens] does it."

Kinesio, also known as elastic therapeutic tape, was invented by a Japanese chiropractor. The tape is typically made from cotton strips with an acrylic adhesive. When applied, it is supposed to simulate the quality of human skin.

The tape gained mainstream attention at the 2008 Beijing Olympic Summer Games, where American beach volleyball standout Kerri Walsh wore it on her right shoulder while competing after rotator cuff surgery.

Some wondered if Walsh was covering up a tattoo or adding some sort of flare to the typically bland volleyball uniforms. Turns out she was utilizing some of the 50,000 rolls of tape donated by Kinesio USA.

The tape also received national attention during the 2009 NCAA tournament when UConn's Hasheem Thabeet wore it on his left shoulder.

The tape is gaining support from the medical community, including the Celtics' training staff.

"[Head trainer] Eddie [Lacerte] would say it's not [mental], and Eddie's not a voodoo guy," said Rivers. "Eddie had to take a class for it this summer. Half the trainers in the league took the same class. It's amazing what it does."

But, as Rivers is fond of noting, "Doc" is just his nickname. Don't ask him to explain the tape or how it works.

"It stretches the -- I don't know what the hell it does," Rivers said with a smile. "I just use it because my back has been hurting."
Kinesio tape in NYC Dr. Steven Shoshany Certified kinesio taping practioner
www.drshoshany.com
The NYC marathon is coming up,Lance armstrong used it for shin splints.
This stuff works great!!

Monday, October 5, 2009

Graston technique for plantar fasciitis


Plantar fascitiis as seen on NYC Eyewitness News
This post has nothing to do with spinal decompression or back pain, but I wanted to post it here.
We have had such tremendous success with plantar fascitiis in our NYC practice,

NEW YORK (WABC) -- There is a way to get rid of pain without surgery or medication. The technique uses steel tools to loosen tissue, and it's been very successful.
Seven's On call with Dr. Jay Adlersberg.

It's a technique that has been patented and is used only by trained chiropractors and sports trainers. It involves specific tools, and it's a method that can relive some painful conditions. "I woke up one morning and could not put my foot down," she said.
She had plantar fasciitis, painful swelling of the tissue under the heel.
Sharon got no relief from anti-inflammatory injections.
"It just came back again," she said.
However, she did get relief from a treatment called the Graston Technique. Physical therapist Jamie Howard became a believer after nothing helped a nagging muscle injury.
"It was the only thing that would work out the tightness in my leg," she said.
When muscles, tendons or ligaments are injured, they can heal haphazardly, with random scar tissue forming. The area can be tight and painful.
The Graston Technique breaks up those fibers and smoothes the tissue underneath. Even though the stainless steel tools look more like torture devices, Howard says they are essential in finding and loosening scar tissue.
"You can feel things you just can't with your hands," she said.
There are different tools for different body parts.
There is one for the back or neck. There is another for carpal tunnel syndrome and trigger finger, or tendonitis of the thumb. The Graston Technique has become a staple for professional sports trainers. The Philadephia Flyers, Sixers and Eagles use it extensively.
Dr. Richard Goldberg, a rehabilitation specialist, has seen good results with his patients.
"I don't think there's much of a downside to the Graston Technique," he said.
Patients usually receive two treatments per week, for four to six weeks. On average, improvement comes after the third or fourth treatment. The technique developers say it's successful 60 to 90 percent of the time.
www.livingwellnewyork.com
We utulize the Graston technique in conjunction with Kinesio taping and cold laser therapy in our NYC practice. To learn more about our NYC practice visit us online www.livingwellnewyork.com

Thursday, September 17, 2009

8 Back Pain Mistakes

8 Back Pain Mistakes

Which ones are you making that put you at risk?
Steven Shoshany DC CCEP

1. Continuing to do what does not work!
We can this "INSANITY!" Definition of insanity-doing the same thing over and over expecting a different result!

2. Not dealing with back pain the first time!
Remember, back pain is the RESULT of weeks, months or years of improper body posture and muscle imbalance.

3. Thinking you are too fit to have back pain!
People who exercise regularly are just as likely - if not more so - to develop back pain. Cyclists, runners, swimmers, dancers, gymnasts, and bodybuilders are prime candidates. Why? Because their specific training creates muscle imbalance between the spinalis muscles of the back, core muscles, and other large muscle groups of the body.

4. Treating only the symptoms!
Cortizone shots, anti-inflammatory drugs such as Ibuprofen, electrical stimulation, ice packs, heating pads, etc. are common treatments. you are in pain because of abnormal changes in your muscles, joints, and ligaments that are functioning under increased stress and strain. The problem is not likely to get better if you are only treating the symptoms. The end result could be HERNIATED DISCS!

5. Not understanding the back pain process!
Back pain, sciatica, and herniated discs take years to develop! PAIN is the result! What created the muscle imbalance that led to the pain? X rays, MRI'S, and CT Scan do not reveal MUSCLE IMBALANCES.

6. I've tried everything syndrome!
There is nothing more I can do. I either have to have surgery or just learn to live with the pain!

7. Not taking control!
Educate yourself. Patients who are knowledgeable get better and faster results!

8. Sitting passively for two hours or longer on a daily basis!
Passive sitting for long periods weakens the core muscles and spinalis muscles of your back. Over time this leads to muscle imbalance and increases your risk of back injury.

Do you live or work in NYC?
We are having a workshop next week September 23rd. from 7:30-8:00 - This workshop is free and we have 12 available slots.
In this half hour workshop you will learn how to prevent the most common types of back injuries and learn proper workplace ergonomics.
If you would like to attend please email me directly at drstevenshoshany@yahoo.com
or visit us online at www.livingwellnewyork.com

Tuesday, September 8, 2009

Headaches and Chiropractic care, in NYC



This post is about Headaches, I recently had a patient come in that worked in the NYC Philharmonic and she suffered with headaches for years.
She was taking antiseizure medications to manage the headaches with little results.
She never tried Chiropractic care. She had interest in Cold laser therapy.
We evaluated her and determined that she had no cervical curve and extremely tight trapezius muscles. We diagnosed her as having Cervicogenic headaches, a fancy way of saying that the headaches are coming from her neck misalignment.
So I treated her with a combination of Chiropractic care and Cold laser therapy. The release was much needed.
Today was her second visit and she stated that this was the first time in years that she was headache free for three days!
So the moral of my story is try Chiropractic care if you suffer with headaches.
If you live or work in NYC and want to learn more about Chiropractic care or Cold laser therapy Feel free to visit our website www.livingwellnewyork.com
Chiropractic and Headaches
or visit my website at www.drshoshany.com
Headaches are common pain events for many people, and they are often recurring. A variety of prescription and over-the-counter medications may control headache pain, but they only mask the pain without addressing the cause. Headache medications may also have side effects, especially with long use. Hoping to find a more natural and holistic solution to chronic headaches, many people turn to chiropractic.

What is a Headache?
A headache may arise from muscular tension, vascular changes, sinus congestion, eyestrain and many other underlying causes. They can start over the eyes, in the back of the head, on the sides or top of the head, or feel centered behind the eyes. The one thing all these headaches have in common is that they hurt, and sometimes they hurt a great deal. The amount of pain associated with a headache may range from a mild ache to a throbbing, nauseating, relentless pain.

It is a common misconception that some types of headaches hurt more than others. It is often said that, for example, migraine headaches are more painful than other headaches. It is also common to call any kind of severe headache a "migraine." In fact, almost any kind of headache can cause a great deal of pain. Three types of headaches are commonly seen in chiropractic offices: tension headaches, migraine headaches, and cervicogenic headaches. Cervicogenic headaches are caused by pain referred to the head from the bony or soft tissues of the neck.

Headaches can be either primary, those that start independently, or secondary, those that begin as a side effect of another disease process. Headaches arising from muscular tension (generally arising from stress) and migraine headaches (vascular headaches) are two of the most common types of headache; both of these headache types are considered primary headaches. A large body of research suggests that chiropractic can effectively treat primary headaches, and many patients have found lasting relief from headache pain through chiropractic care.

Chiropractic and Tension Headaches
Tension headaches are caused by muscular tension and contraction involving the muscles of the shoulders, neck and head. Often this tension is a result of emotional stress, though injuries can also set a pattern of muscle contraction into play. It is normal for muscles to contract when we are threatened, irritated or angry, a reaction known as the fight or flight response. Over time, though, if work or home life creates a constant source of stress from which we can neither fight nor flee, the muscular tension can become chronic. This, in turn, leads to uneven stresses on the skeletal structure of the body, and changes in normal posture and movement to compensate. These misalignments lead to more muscular tension and contraction. This can become a vicious cycle that eventually results in pain, often as headache pain.

Chiropractic adjustments, combined with other therapies such as trigger point therapy and massage, can release muscular tension and realign the skeleton to break the cycle of pain. Often patients with chronic headaches will find relief through chiropractic in just a few treatments, as muscles relax and nerve irritation is reduced.

Chiropractic and Migraine Headaches
Migraine headaches are vascular headaches, arising from sudden dilation of the blood vessels of the head. No one knows exactly what causes migraine headaches, though the basic mechanism, involving both the nervous and vascular systems, is well studied. Migraines can be triggered by hormonal changes, foods, smells, weather changes, stress, and many other triggers. The headaches often begin with symptoms other than pain, such as visual auras, nausea or sensitivity to light and sound. The headache that follows can vary in intensity, but is often severe. Many migraine sufferers have found over-the-counter pain medications to be ineffective, and resign themselves to wait out the migraine event in a dark, quiet room. A variety of pharmaceutical drugs have been developed to treat migraines, but none of them work for everyone, and many have unwanted side effects.

Chiropractic can play an important role in treating migraines. Clinical studies, though still preliminary, suggest that chiropractic may have a measurable role in the prevention of migraines. Through manipulation and adjustments of the spine and neck, migraines can often be reduced or prevented. Nerves control vascular system tension, and chiropractic adjustments reduce irritation of the nervous system beginning with its roots in the spine, also improving vascular flow.

How Will a Doctor of Chiropractic Treat Headaches?
The fundamental technique of chiropractic, spinal manipulation, is used improve spinal alignment, reduce nerve irritation, relax muscle tension and improve vascular flow. Trigger point therapy, massage and other adjunct therapies may also be employed to broaden the treatment plan. Finally, the chiropractor will often recommend exercise, stretching and changes in posture, or teach relaxation techniques.


For preventive care, most chiropractors will also provide advice on nutritional supplements, vitamins, herbs, and diet toward the development of a long-term wellness plan to prevent future headaches.


Chiropractic care can provide a holistic, comprehensive treatment plan for chronic headaches, giving patients an opportunity to put an end to what can be a very stubborn type of pain and a considerable improvement in quality of life.

If you suffer with headaches in NYC and are looking for a solution visit our website www.livingwellnewyork.com or call us (212) 645-8151

Wednesday, August 26, 2009

Back pain and Herniated disc treatment in NYC

Back pain and Herniated disc treatment in NYC- review
by Sandra C. Brooklyn, NY

I posted a recent review,

After a very scary MRI and dire verdict from another chiropractor who will remain nameless, I researched spinal decompression. I originally investigated an office in Brooklyn, but despite my interest, they never contacted me with anything but junk mail. Thankfully, Dr. Shoshany, on the other hand, called me the very next morning after I wrote an email inquiry, and spoke with me personally. He was able to get me an appointment the very same day, and I began sessions on the DRX-9000. I have to say that it has transformed my life--I can travel on trains and planes without excruciating pain and have finally started wearing heels again! Dr. Shoshany cares about providing cutting-edge care and his office involves a holistic approach to health. I made a huge commitment to this alternative therapy and am happy to say that it was one of the best decisions of my life--not only have I avoided painful and expensive surgery, but I have begun dancing again and can now do pilates & yoga exercises that were impossible for years. I have also been adjusted by Dr. Shoshany and he has a gift for gentle and effective chiropractic care. I truly believe that Dr S has given me back ten years of youth and happiness!
Visit Dr.Steven Shoshany online at www.drshoshany.com

Wednesday, August 5, 2009

Herniated disc NYC, Sciatica NYC

Herniated disc NYC, Sciatica NYC-Call (212) 645-8151
www.livingwellnewyork.com

I HAVE A NEW BACK--YOU DON'T HAVE TO SUFFER...‎ - taffurel
Dr. Shoshany is the NYC spinal health care leader, an expert in spinal decompression, and a healer of back pain. He has the winning team, the high-tech facilities, and the proven approach. (Read this review and others.) By a new back, I mean one that has stability, flexibility, adjusts itself naturally, and free of the tricky discs, the gripping spasms & debilitating pain. Those that suffer with back disorders, know that this is pretty amazing testimony. Check it out: MY CONDITION (Very much like the everyman with lower back ailments) • MRI diagnosed bulging & herniated L4 & L5 discs for well over two decades (in its simplest terms). • Crippling spasms; lasting & debilitating pain when inflamed. • A sneeze could put me in bed for days, rehabilitating for weeks. • All my spare time was focused on preventing the next back breakdown & long rehabilitation. • Even swimming became painful! • My back pain sucked the life out of me. WHAT OTHER DOCTORS HAVE SAID: (…and I've seen a lot, what about you?) • Pain Management Dr.'s prescribed rest, anti-inflammatory meds., and other pain management approaches like physical therapy. • Past Physical Therapist recommended exercise, and oddly not with a lot of focus on how I should execute the exercise. • The Orthopedic Surgeon observed that surgery provided no guarantee, along with a lot of risk—he said I should try everything else first. • Chiropractic care in general has worked best for me over the long run, but soon enough I'd be stuck in bed with back spasms, and a lot of pain, and starting from zero over & over again. ABOUT ME: (…I'm just another ordinary guy, like many more I know) • I'm middle-aged, 5'11', and 220 (thanks to my back); but normally, I weigh 200, not so lite. • Otherwise I'm very active: Swimming, Biking, Weight Training, Landscaping, Entertaining Family & Friends are activities I enjoy. • I take care of myself SPINAL DECOMPRESSION/THE DRX 9000 TABLE: (Awesome Results) • While perhaps I've gained only millimeters in additional disc space, it feels like inches to be free from the non-stop nagging of back pain. • So easy, 20 consecutive treatments • I scheduled my therapy three times a week. I was serious, and I got serious results. • While it's not inexpensive, for a new back, revived energy, and no back pain—it's great value! • Unlike surgery, the expense is not astronomical, it's non-invasive, there's no recovery time, nor the possible complications of surgery. • It's straight forward, 25 minutes, or longer if you chose to take on other core strengthening therapies. • Dr. Shoshany, Spinal Decompression, DRX 9000 summed up in two words: Very Effective! In one word: Incredible! Dr. Shoshany (Dr. Sho) and his team of wellness professionals took my case as described above to create a healing program of core strengthening, chiropractic adjustment, stretching, and spinal decompression. This is a high-tech operation with a very caring and knowledgeable team of experts that all pull together to cause wellness in their patients For my part, I have taken their direction & the spinal decompression opportunity very seriously. Anyone with back issues understands the importance of a strong relationship with your back; and I was serious about creating one and I applied myself to reinforce the opportunity. I have put into practice all that Dr. Sho and his team have taught me (a special thanks to David Vargas, Trainer). My core muscles have strengthened significantly, and engaging my core strength in the simple routines of life has become second nature. The results have proven the work I was willing to take on to make the most of spinal decompression. I have a new back: if you're suffering with serious back issues, don't delay. Make an appointment to see Dr. Shoshany. I'm back in action with a spinal column to support it. It's truly incredible.
www.drshoshany.com

Wednesday, July 29, 2009

Suffering with chronic back pain in NYC?

Suffering from chronic low back pain? You definitely are not alone. And like most you have no doubt tried a variety of treatments.

In most cases of low back pain the disc is the source of discomfort. Many studies have shown that the disc is overwhelmingly to blame for episodes of low back pain. The facet joints and the SI joints also contribute but as as commonly as the disc.

One thing that most people don’t understand about the disc is that while it is the most pain sensitive structure in the spine it is only initially pain sensitive in the outer 1/3. This is one of the reasons pain can hit so suddenly because as the inner portion of the disc is migrating outwards you don’t feel pain, but once the outer fibers are involved low back pain will be experienced.

The disc begins a degenerative process after micro trauma has weakened the outer fibers. This occurs primarily because of the lack of a direct blood supply to the disc. The disc relies on a fluid exchange that occurs with motion from the blood supply in the bones above and below the disc. Once damage has occurred however, the disc begins to weaken as it dries out and becomes more brittle.

One little known fact about disc pain is that once a disc begins to dry out it becomes more pain sensitive. That’s because certain cells that hold hydration in the disc also inhibit the growth of pain sensitive nerves in the disc. So once a disc drys out painful nerves become more abundant.

There is only one treatment that actually creates a healthy and nourishing influx on hydration into the disc and that is spinal decompression. This treatment creates an active fluid exchange so that the disc receives the nutrition that it needs to heal.

Muscle contraction response is a common problem when applying any type of traction force to the spine, however the technology known as spinal decompression has a patented computer technology that allows it to overcome contraction of these muscles in real time. This allows a true spinal decompression effect to take place.

Spinal decompression creates 2 desirable effects for the disc. One is that is draws in any herniated or bulging material centrally to decrease nerve compression or irritation.And secondly it brings in a fresh supply of nutrition so that the raw materials are present for the disc to heal.

By treating the primary source of the patients back pain the patient has a much higher likelihood of a long term recovery. Unlike most other treatment that are symptom based.

If you suffer from low back pain and have tried other treatments that have not worked for you, spinal decompression can offer you a valuable treatment option that can last.
To learn more about Spinal decompression visit our New York City Medical office at www.livingwellnewyork.com
We offer Pain Management (Board certified MD) Physical therapy, Acupuncture, Chiropractic care, Massage.

Wednesday, July 8, 2009

Cold laser therapy. How does Cold laser therapy work? Cold laser for Carpal tunnel syndrome in NYC


Cold laser therapy. How does Cold laser therapy work? Cold laser for Carpal tunnel syndrome in NYC.

More and more people are learning about the benefits of cold laser therapy for a variety of conditions ranging from carpal tunnel syndrone to back and knee pain.
The article below describes in detail the mechanics of how this treatment works.
I have been using cold laser therapy in my Manhattan practice for years.
Visit www.drshoshany.com



Healed by the Light
By Jeffrey M. Nelson, MD and Karen P. Nelson, MA
The cell is a machine driven by energy… In every medical tradition before ours, healing
was accomplished by moving energy.
- Albert von Szent-Györgyi (1967)
Light energy has been used for healing since the earliest recorded medical history, but
has gone out of favor in Western medicine with the advent of the existing paradigm of a
more surgical and pharmacological basis. Recently, a shift in thinking has been emerging
with an explosion of research, exploration and utilization of energy medicine modalities
such as micro-current stimulators, bone growth stimulators, broad-spectrum multiple
frequency Tesla coil devices, and low-level or cold lasers.
Despite years of research demonstrating the benefits of low-level laser therapy (LLLT) as
a modality for wound healing, Western medicine, and its adjunct professions, have been
slow to adopt this technology. LLLT has been an essential part of therapy for
practitioners around the world for almost 20 years, but it is only recently catching on in
the United States. Still, the vast majority of students of medicine and allied health
practices in this country are not being taught its efficacy and use. It’s time we opened our
eyes to the light.
One of my first eye-opening experiences with LLLT in wound recovery was with a burn
patient. As a plastic surgeon and medical director of a burn and wound center, I see large
numbers of acute and chronic burn injuries as well as wounds of various etiologies. One
particular gentleman had a home fire that melted his carpet and he was forced to walk
across it in bare feet to get out of his home. He presented with very deep foot burns and
severe pain. He was on chronic narcotics due to an old back injury, so I knew his pain
would be difficult to manage. At presentation his pain was exceptionally severe and the
bottoms of his feet were purple, swollen and sloughing skin. Within two minutes of
treatment with the 635nm Erchonia® cold-diode laser his pain decreased by a selfreported
75%, and his skin went from blue and purple to pink right before our eyes! As
you can imagine, our jaws dropped and this particular laser therapy has been a part of my
practice ever since.
How It Works
The exact mechanism of action of LLLT is not completely understood; however, there
are several theories based on cellular research conducted over the last two decades or
more. The basic premise is that LLLT stimulates cell activation processes which, in turn,
intensify physiologic activity. Healing is essentially a cellular process and light energy
initiates a cascade of reactions, from the cell membrane to the cytoplasm, to the nucleus
and DNA. This is called cellular amplification; a phenomenon whose demonstration
earned the Nobel Prize in Physiology or Medicine in 1994.
There are many biological processes that take place in tissues that have been shown to
respond to LLLT in the 630-640 nanometer wavelength range. One of these processes is
the enhancement of ATP production in the mitochondria, which provides more energy
substrate for cellular healing and tissue recovery post injury. This wavelength has also
been shown to decrease inflammatory mediators in wounds and increase endogenous
endorphin release.
When one considers that wounds have varying degrees of cellular and vascular damage,
the wound site can be in a potentially anaerobic state. Cells deprived of oxygen or blood
supply have a potential to increase lactic acidosis and therefore amplify local cellular
damage. Normal physiologic healing requires growth factors and cytokines to be released
at the wound site. These cell mediators call inflammatory cells to the wound which clean
up damaged tissues, fight bacteria, and stimulate fibroblasts and vascular cells to grow to
try to heal the zone of injury. The physiologic concept is that LLLT improves cellular
metabolism and accelerates the process of debris cleaning, improves neutrophil bacterial
clearing and hastens cellular division. Therefore, all stages of wound healing; hemostasis,
inflammation, cell proliferation and migration, collagen synthesis, wound contraction,
and wound remodeling proceed more rapidly and more efficiently.
A key issue to understand is that LLLT, as a category, covers a broad range of
wavelengths. Individual wavelengths have individual physiologic results. The 635 nm
wavelength is the monochromatic output that has been shown to be the best wavelength
for improving cellular metabolism and therefore, improving wound healing.
Another important property of an effective laser is that it be a true laser, which, by
definition, produces the emission of coherent light, generated at a precise, stable
frequency, in a focused direction. Products that use Light Emitting Diodes (LEDs) are not
true lasers. They produce non-coherent or random light, generating random frequencies.
Coherent light energy is critical when treating the human body.
One more consideration is the optimum power necessary for bio-stimulation. The Arndt-
Schulz Law of photo-biological activity, essentially states that “less is more” when it
comes to energy for improved cellular physiology. The Erchonia® LLLT provides the
best wavelength (635 nm) for cellular physiology at very low energy (2-5 mill Watts) to
stimulate cells to function better. If the stimulation is too intense, there may actually be
an inhibitory effect, or possibly degeneration or destruction of cells.
Healing Research
Our research with burn patients demonstrates several advantages to the 635nm LLLT in
burn/wound management. The most immediate advantage is an average of 70% decrease
in pain at the wound site within 5 minutes of a two-minute treatment per 4% total body
surface area (TBSA). Other research has shown that LLLT increases natural endorphins
in patients. This increase in endorphin release would explain why we often see decreased
pain for days at a time. I believe we are also seeing an immediate decrease in sensory
nerve stimulation and a decrease in sympathetic stimulation. This decrease in sympathetic
tone and sensory nerve stimulation provides the decrease in pain within minutes. During
our studies with burn patients we noticed that they had less swelling in their wounds,
visibly improved perfusion (blood supply) to the tissues and faster healing. When patients
have continued LLLT and we follow them post-healing, they have less scar formation
and less purritus (itching) in their scars. Currently, we are undertaking a multi-center,
double-blinded trial that will explore the potential of LLLT in healing burn injuries and
decreasing their late complications.
Our success with the burn-injured patient led us to apply LLLT to the management of
other complex wounds. Some of the wounds we have treated include diabetic wounds,
decubitus ulcers, post-orthopedic surgery wounds and skin and myocutaneous flaps. We
use the laser to decrease inflammation, improve tissue perfusion and decrease pain at the
wound site; each a tremendous advantage to the patient and the treating practitioner.
Complementary Advantages
The Erchonia® laser’s first FDA approval was obtained for the management of neck and
back pain. The advantages in improving musculoskeletal pain carry over to the physical
therapy and occupational therapy arenas. We have found in our clinical work that
patient’s stiffness and sense of tissue tightness greatly decreases after LLLT treatments.
Typically, an improvement of 30-50% occurs with just one treatment. Many extremity
wounds have long periods of immobilization associated with them; from splinting,
surgery, or just a protective mechanism of pain control. LLLT treatments increase the
patient’s recovery of range of motion (ROM). This mechanism of improved ROM is
separate from pain control and protective issues. Later, after a burn or wound injury,
many patients will report no pain, but have problems with tightness and stiffness. Within
minutes or hours of LLLT treatments they report significant (>30%) improvement in the
tightness. We have also found that many patients may have a functionally normal ROM
by goniometer measurements, yet feel very tight or stiff. The LLLT greatly improves
their subjective assessment of tightness, however their ROM may remain the same.
Basic Mechanics
The Erchonia® laser is a very portable, user-friendly, hand-held unit. Treatments take
about 5 minutes total on average, so it fits easily into a clinical treatment schedule.
Erchonia® laser can be used with full contact with the patient if needed, but most
treatments are done about 6-12 inches away from the surface area so there is no crosscontamination
if the patients’ wound is colonized with resistant bacteria. LLLT can be
used in the setting of open wounds, burns, tissue injury, surgical recovery, neuropathy,
deep tissue injury or active infection. There is no known “tissue problem” that is a
contraindication; however, I would not suggest treatment of a known active cancer until
more studies are done specifically in cancer cells. To date, there is no evidence that
LLLT converts normal cells to cancer cells.
LLLT can be used near and over hardware such as artificial joints. Pregnancy is not a
contraindication, but it is suggested that a pregnant patient not be treated due to
medical/legal issues. Though there are no known problems with the use of LLLT on a
patient with a pacemaker, it is not suggested that it be used directly over the pacemaker
or pacemaker wires.
LLLT can be applied through dressings and clothing, though, in my practice, I like to
observe the areas when treated. In the physical therapy setting this is important because
dressings or garments don’t always have to be removed. The number of treatments
depends on the problem being addressed and may be as little as one and as many as 20
spread over several months.
There can often be increased exudate in an open wound for LLLT increases tissue
perfusion which can increase wound fluid. Pain at the treatment site is rare, but can occur
on occasion with a mild increase in pain that then significantly resolves in 1-2 hours.
As a plastic surgeon in charge of a burn and wound center for many years, I have had the
opportunity to assist multiple patients with pain management, wound healing and
physical recovery with the use of 635 nm LLLT. This modality has been the best new
technology I have had to offer my patients in the last decade. It is my hope that others
will latch onto this technology and bring it forward, for it is a completely non-invasive
option that provides so many physiologic advantages with no apparent side effects.
Dr. Jeffrey Nelson is a plastic surgeon who has been involved in wound healing for more
than 20 years and is currently the Medical Director of the burn and wound center at St.
Mary’s Hospital in Tucson, Arizona.
Karen Nelson has an advanced degree in physiology and is working as a medical writer
in Tucson, Arizona.
Chiropractic,Physical therapy,Pain management,Spinal decompression.
Visit website at www.drshoshany.com
It's unlike any treatment anyone has ever experienced.

Cold Laser Therapy can:

(1) REDUCE PAIN by stimulating cells to produce their own
endorphins, a natural painkiller,
(2) PROMOTE FASTER HEALING by stimulating cells to
increase the production of two major healing enzymes by as much
as 75%,
(3) REDUCE INFLAMMATION by as much as 75%,
(4) INCREASE BONE REPAIR SPEED
(5) RELAX MUSCLES and muscle spasms,
(6) DECREASE SWELLING by stimulating lymphatic drainage,
(7) ENHANCE THE IMMUNE SYSTEM by increasing the number of "killer" cells by 400-900%, and most importantly,
(8) RE-ENERGIZE CELL MEMBRANES to allow transport of essential nutrients across cell walls (nutrients will not cross an injured or sick cell wall, thus slowing healing) allowing a healthy new cell to grow.
To sum it up, if you are suffering with pain consider cold laser as a treatment option.
Cold laser for carpal tunnel in NYC

Thursday, June 25, 2009

Herniated disc NYC , Sciatica NYC, Herniated disc doctor in Manhattan



Treatment for failed back surgery syndrome and herniated disc in Manhattan.

After watching President Obama speak about affordable health care and evidence based medicine I am trying to understand why Back pain is not addressed.


Some Back Pain Facts & Statistics

Although chiropractors care for more than just back pain, many patients visit chiropractors looking for relief from this pervasive condition. In fact, 31 million Americans experience low-back pain at any given time.



A few interesting facts about back pain:


One-half of all working Americans admit to having back pain symptoms each year.

Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.

Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.

Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.

Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.

www.drshoshany.com



I see patients everyday that are told they need a back surgery or patients have tried numerous spinal injections and they are still in pain.
I am currently treating several patients that have had a back surgery.

If you read the recent study put out by the American Pain society it clearly states that back surgery and epidurals is not the answer to treat chronic back pain and the herniated disc.
I currently have a one patient that had a artificial disc put in his lumbar spine and he still is in pain and one patient that had a fusion of his fourth and fifth cervical and guess what, he is in pain too.
All to often patients rush out to see the spine specialist and surgery is recommended.
I am not saying that surgery is evil, because there is definitely a time and place and over the years I have referred patients to consult with spine surgeons and they felt better.
What I am seeing is that patients are jumping to quickly into a invasive procedure without exhausting all conservative measures first.



Herniated disc protocol in our Manhattan NYC clinic is a Intensive interdisciplinary rehabilitation program.
This Protocol involves Non-surgical spinal decompression on the DRX9000,three dimensional rehabilitation using the Spine Force, Massage therapy, Acupuncture,Nutritional support.We custom fabricate corrective orthotics to correct improper gait bio mechanics.

Research review by investigators in the Oregon Health & Science University Evidence-based Practice Center prompts America Pain Society to issue new clinical practise guideline
The American Pain Society (APS) has issued a new clinical practise guideline for low back pain that emphasises the use of noninvasive treatments over interventional procedures, as well as shared decision making between provider and patient. The findings are published in the current (May 1, 2009) issue of the journal Spine.

The new APS guideline, based on an extensive review of existing research, provides clinicians with eight recommendations to help determine the best way to treat patients with low-back pain. It also expands its current and previously published guideline for initial evaluation and management of this chronic condition.

"These recommendations are based on an even more complete body of evidence than was available just a few years ago. Consequently, we believe these recommendations will give physicians more confidence when treating patients with persistent back pain," said Roger Chou, M.D., lead author, director of the APS Clinical Practice Guideline Program, and associate professor of medicine (general internal medicine), Oregon Evidence-based Practice Center, Oregon Health & Science University.

"Unfortunately, randomised trials for a number of commonly used interventional procedures are still too limited to generate evidence-based recommendations, and our review also highlights the need for more research," Chou added.

Low-back pain is the fifth most common reason for doctor's visits and accounts for more than $26 billion in direct health care costs nationwide each year. While a number of interventional diagnostic tests and therapies, and surgery are available, and their use is increasing, in some cases their usefulness remains uncertain.

"We have advocated strongly in many of our recommendations for physicians to use shared decision making because of the relatively close trade-offs between potential benefits relative to harms, as well as costs and burdens of these various treatment options," Chou explained. Shared decision making involves a patient's full participation in medical choices after receiving comprehensive information about the impact of all options on his or her particular life situation.

To develop the guideline, a multidisciplinary APS panel, augmented by experts on interventional therapies, reviewed 3,348 abstracts and analysed 161 relevant clinical trials. The panel found that the evidence for the use of these interventions was mixed, sparse or not available. Based on the data the panel gathered, the APS now recommends:

1. Against the use of provocative discography (injection of fluid into the disc in order to determine if it is the source of back pain) for patients with chronic nonradicular low-back pain.

2. The consideration of intensive interdisciplinary rehabilitation with a cognitive/behavioural emphasis for patients with nonradicular low-back pain who do not respond to usual, non-interdisciplinary therapies.

3. Against facet joint corticosteroid injection, prolotherapy, and intradiscal corticosteroid injections for patients with persistent nonradicular low-back pain, and insufficient evidence to guide use of other interventional therapies.

4. A discussion of risks and benefits of surgery and the use of shared decision making with reference to rehabilitation as a similarly effective option for patients with nonradicular low-back pain, common degenerative spinal changes, and persistent and disabling symptoms.

5. Insufficient evidence to guide recommendations for vertebral disc replacement.

6. A discussion of the risks and benefits of epidural steroid injections and shared decision making, including specific review of evidence of lack of long-term benefit for patients with persistent radiculopathy due to herniated lumbar disc.

7. A discussion of the risks and benefits of surgery and use of shared decision making that references moderate benefits that decrease over time for patients with persistent and disabling radiculopathy due to herniated lumbar disc or persistent and disabling leg pain.

8. Discussion of risks and benefits of spinal cord stimulation and shared decision making, including reference to the high rate of complications following stimulator placement for patients with persistent and disabling radicular pain following surgery for herniated disc and no evidence of a persistently compressed nerve root.

Chou and his colleagues also reaffirm their previous recommendation that all low-back pain patients stay active and talk honestly with their physicians about self care and other interventions. "In general, noninvasive therapies supported by evidence showing benefits should be tried before considering interventional therapies or surgery," said Chou.

Recommendations from the first APS Clinical Practise Guideline on Low-Back Pain are intended for primary care physicians and appeared in the Oct, 2, 2007, issue of the Annals of Internal Medicine. For diagnosis, the first APS low-back pain guideline advises clinicians to minimise routine use of X-rays or other diagnostic tests except for patients known or believed to have underlying neurological or spinal disorders

About the American Pain Society

Based in Glenview, Ill., the American Pain Society (APS) is a multidisciplinary community that brings together a diverse group of scientists, clinicians and other professionals to increase the knowledge of pain and transform public policy and clinical practise to reduce pain-related suffering.APS was founded in 1978 with 510 charter members. From the outset, the group was conceived as a multidisciplinary organisation. APS has enjoyed solid growth since its early days and today has approximately 3,200 members. The Board of Directors includes physicians, nurses, psychologists, basic scientists, pharmacists, policy analysts and more.

This is an exciting new study because it confirms what Chiropractors have been saying for many years, Surgery and drugs to manage Low back pain is not the best treatment option.
In our New York City office we combine the best of the latest non-surgical technology like Spinal decompression,3D Spinal rehab, Physical therapy, Medical care and of course Chiropractic care to offer patients the most comprehensive care for back pain treatment.
Visit our website at www.livingwellnewyork.com
or my personal website which has an impressive amount of research on the benifits of non surgical spinal decompression

Monday, June 15, 2009

Sciatica treatment in NYC,New York City,Manhattan


What You Need to Know About Sciatica from www.Spine-Health.com


By: Stephen H. Hochschuler, MD

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg.

What You Need to Know About Sciatica NYC

The clinical diagnosis of sciatica is referred to as a "radiculopathy", which means simply that a disc has protruded from its normal position in the vertebral column and is putting pressure on the radicular nerve (nerve root) in the lower back, which forms part of the sciatic nerve.


Sciatica Causes

An important thing to understand is that sciatica is a symptom of a problem — of something compressing or irritating the nerve roots that comprise the sciatic nerve — rather than a medical diagnosis or medical disorder in and of itself. This is an important distinction because it is the underlying diagnosis (vs. the symptoms of sciatica) that often needs to be treated in order to relieve sciatic nerve pain.

Sciatica occurs most frequently in people between 30 and 50 years of age. Often a particular event or injury does not cause sciatica, but rather it tends to develop as a result of general wear and tear on the structures of the lower spine.

Sciatica symptoms
For some people, the pain from sciatica can be severe and debilitating. For others, the pain might be infrequent and irritating, but has the potential to get worse.

While sciatica can be very painful, it is rare that permanent nerve damage (tissue damage) will result. Most sciatica pain syndromes result from inflammation and will get better within two weeks to a few months. Also, because the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.

Sciatica symptoms that may constitute a medical emergency include:
Progressive weakness in the leg
Bladder/bowel incontinence or dysfunction.
Common Causes of Sciatica:

Lumbar herniated disc-see spinal decompression nyc,herniated disc treatment nyc

Spinal stenosis

Degenerative disc disease

Spondylolisthesis
Patients with either of the above symptoms may have cauda equina syndrome and should seek immediate medical attention. In general, patients with complicating factors should contact their doctor if sciatica occurs, including people who: have been diagnosed with cancer; take steroid medication; abuse drugs; have unexplained, significant weight loss; or have HIV.

Sciatica medical definition: radiculopathy

To clarify medical terminology, the term sciatica (often misspelled as ciatica, cyatica or siatica) is often used very broadly to describe any form of pain that radiates into the leg. However, this is not technically correct. True sciatica occurs when the sciatic nerve is pinched or irritated and the pain along the sciatic nerve is caused by this nerve (radicular pain) and is called a radiculopathy. When the pain is referred to the leg from a joint problem (called referred pain), using the term sciatica is not technically correct. This type of referred pain (e.g. from arthritis or other joint problems) is quite common.

Sciatica treatment in Manhattan-visit www.drshoshany.comSciatica nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors. Typical sciatica treatment include:

Non-surgical sciatica treatments, which may include one or a combination of medical treatments and alternative (non-medical) treatments, and almost always includes some form of exercise and stretching. The goals of non-surgical sciatica treatment should include both relief of sciatica pain and prevention of future sciatica symptoms.
Sciatica
Sciatica NYC, Non-surgical spinal decompression in Manhattan
The Piriformis is a muscle that often tightens and causes pressure on the Sciatic nerve- The Graston technique is very effective in treating Piriformis syndrome.

Thursday, June 11, 2009

The Latest DRX9000™ Study Data Published In Peer-Reviewed Journal

Suffering with Chronic back pain in New York City? Stop suffering- Proven techniques can end the pain.
Herniated disc treatment New York City-NYC www.drshoshany.comThe Latest DRX9000 Study
Data Published In Peer-Reviewed Journal! Manhattan,NYC


A study titled, "Prospective Evaluation of the Efficacy of Spinal Decompression via the DRX9000 for Chronic Low Back Pain" was published in the December issue of The Journal of Medicine. The study authored by Dr. John Leslie, Mayo Clinic, et al, was designed to evaluate the effectiveness and safety of the DRX9000 in the treatment of chronic lower back pain. Patients enrolled in the study had suffered an overall average of 266 weeks of low back pain. At the conclusion of the study, 16 of the 18 patients reported improvement in low back pain, greater than 50%. The authors state, "Patients also reported having better daily activity function as measured by the Oswestry Disability Index." Reprints are available through Axiom Worldwide. To view this article please visit here.
Visit the most Comprehensive herniated disc treatment center in NYC
www.livingwellnewyork.com

Monday, June 8, 2009

DRX 9000-Non Surgical Spinal decompression, Manhattan, NYC


Spinal Decompression in Manhattan New York City-Call (212) 645-1495

Spinal decompression patients we see at NYC Back Pain Relief Center suffer from "chronic back pain" due to various back related injuries and conditions. Our patients have already seen countless doctors and back specialists in addition to trying multiple types of treatments such as bed rest, over the counter and prescription medications, chiropractic care and physical therapy. I have seen how patients become dependant on Vicodin, Percoset and Oxycontin. These medications do not solve the problem and are habit forming.

Often times our Spinal decompression patients have even undergone back surgery for their back pain caused by herniated discs, degenerative discs, sciatic and spinal stenosis.
They come to us because even after all of the treatments they have tried they are still experiencing pain and want to know how spinal decompression can help them.

If you want to learn more about how this treatment works visit our website and scroll down to the bottom and use the Virtual Decompression application.
This has a spinal decompression overview and multiple charts to learn more about your condition.Visit Manhattan Herniated disc treatment


DRX 9000 Spinal decompression,Back Pain Relief Center in Manhattan New York City,(NYC),chronic back pain,back pain,herniated discs,degenerative discs,Sciatic and spinal stenosis,Spinal Decompression Therapy are all conditions that we treat successfully in our Manhattan office.
We are offering a no-charge review of MRI findings to determine if you are a candidate for spinal decompression therapy-fax your written MRI findings to
(603) 584-5825 and a call back phone number,A spinal decompression specialist will call you back within 4 hours.
www.nycdisc.com

DRX 9000-Non Surgical Spinal decompression, Manhattan, NYC

Spinal Decompression

Spinal decompression patients we see at Back Pain Relief Centers suffer from "chronic back pain" due to various back related injuries and conditions. Our patients have already seen countless doctors and back specialists in addition to trying multiple types of treatments such as bed rest, over the counter and prescription medications, chiropractic care and physical therapy. Often times our Spinal decompression patients have even undergone surgery for their back pain caused by herniated discs, degenerative discs, sciatic and spinal stenosis. They come to us because even after all of the treatments they have tried they are still experiencing pain and want to know how spinal decompression can help them.

Spinal decompression,Back Pain Relief Centers,chronic back pain,back pain,herniated discs,degenerative discs,sciatic and spinal stenosis,Spinal Decompression Therapy

Monday, June 1, 2009

Alexander technique NYC

This appeared in today's paper.
We have always offered a multi-disciplinary approach to treating patients problems.
The Alexander Technique for Back Pain?
as seen in the New York Times

A recent study in the British Medical Journal BMJ found that the Alexander technique, a noninvasive method of adjusting body postures to relieve stresses, may aid in the treatment of back pain. New York Times reader Karen G. Krueger of New York City had some questions about that research. We contacted Paul Little, professor of primary care research at the U.K.’s University of Southampton and lead author of the BMJ study.

I have found that very few medical professionals in this country know about the Alexander technique; I myself found it through a friend in the arts — the technique is widely taught in music conservatories and drama schools as a means of enhancing performance and avoiding injury. What can you tell readers about the Alexander technique and how it works?

The Alexander technique involves a teacher using both gentle hand contact and verbal instruction to help patients learn to become aware of and avoid harmful habits of muscle use which may cause and maintain pain. The Alexander technique is not a form of back exercise -– rather it is applied in everyday tasks like standing, walking, sitting at a desk or playing a musical instrument. We hypothesize that the Alexander technique works through release of tension, decompression of the spine, more balanced muscle activity and improved flexibility.

In what circumstances should a back pain patient pursue the Alexander technique (with or without an exercise program) as opposed to other, more invasive approaches, such as medication or surgery?

I would recommend any patient try the technique before more invasive interventions; that is, patients with chronic or recurrent functional back pain where there are no clear “red flags,” such as progressive or multilevel neurological symptoms, steroid use or a recent history of trauma.

Have your studies demonstrating the effectiveness and cost-effectiveness of the Alexander technique to treat back pain increased the profile and availability of the technique to patients in Britain?

I think the profile has improved but not hugely — the medical establishment is inevitably slow and cautious about recommending new interventions when they perceive them to be novel.

The medical research establishment in the United States has begun to study various alternative health practices to address back pain and other chronic conditions for which traditional medical approaches have had limited success. What can you say about other “alternative” therapies for back pain?


There is encouraging evidence in the short term for massage and yoga and also some evidence for acupuncture, and for chiropractic when combined with exercise regimens. In terms of “alternative therapies” for back pain, try and use something that is based in good research evidence.

The Alexander technique has been around for many years. New York Times Personal Health columnist Jane E. Brody wrote about the technique back in 1990.
Dr. Steven Shoshany at Living Well Medical offer Alexander technique and many other postural corrective techniques. We offer Acupuncture, Spinal Decompression, Massage, Physical therapy
Visit
www.livingwellnewyork.com
or call offfice at (212) 645-8151

Tuesday, May 26, 2009

High tech Spinal Rehab in Manhattan, NYC


High tech Spinal Rehab in Manhattan, NYC

Herniated disc?, or Chronic Low back pain? try Spinal decompression combined with the SpineForce in our Manhattan, NYC office.
Call the herniated disc experts at (212) 645-1495 or visit us online at www.drshoshany.com

SpineForce 3-D rehab trainer goes to Hollywood


Paramount Pictures selected SpineForce to be filmed in training sequences with actors for the upcoming summer 2009 Blockbuster movie “G.I. Joe” currently being filmed in Los Angeles, California. Paramount Studio Producers of the film starring Dennis Quaid and Sienna Miller wanted to highlight the SpineForce 3-D rehab exercise technology on the set of G.I. Joe as the state-of-the-art trainer used by the actors in the film.

SpineForce was developed by leading European physicians, physical therapists, strength conditioning coaches and experts in Biomechanics. SpineForce is the first FDA cleared technology designed to pinpoint and strengthen the 180 deep spinal muscles and improve strength, improve balance, coordination, proprioception, posture and range of motion all in one unique technology.

Deep Spinal musculature is the most important, yet often most neglected part of the body. Affecting over 65 million Americans, low back pain results from the accumulated effects of muscle and/or joint overloading from such biomechanical factors as poor proprioceptive (or sensory/balance) responses and reduced lower back muscle endurance.

Traditional low-tech strengthening and exercise technologies like sit ups, crunches, swiss balls, elastic bands and weight machines can be inconsistent, as they

do not reach the 180 deep spinal muscles. That’s because these exercises typically work on only one plane of motion, which can stress muscles and cause spinal joints and discs to grind and cartilage to wear away. “SpineForce conditions the body from the inside out, reinforcing the spinal structure and increasing overall stability and posture,” explains Dr. Marc Golub, National Trainer.

SpineForce helps patients in 5 primary areas:

* Relieve lower back, neck and shoulder pain which affects millions of Americans
* Improves balance and neuromuscular disorders (Fall Prevention, Stroke, Multiple Sclerosis)
* Provides strengthening, agility and coordination exercise for athletes (like improving range of motion and swing speed for golfers)
* Serves as an anti-aging tool (a preventative method for osteoporosis in seniors)
* Rehabilitate core and spinal muscles after back surgery or spinal decompression therapy

Reinforcing and conditioning the entire spinal structure, SpineForce increases overall strength, stability, balance, coordination and posture so people can live their lives to the fullest pain free. The state-of-the-art virtual trainer and interactive visual response system provides biofeedback that motivates and challenges individuals to reach their goals.
SpineForce is available in our Manhattan, NYC office visits us online at www.livingwellnewyork.com
The combination of Spinal Decompression on the DRX 9000 and spinal Rehab with the Spineforce is amazing!

Wednesday, May 13, 2009

Physical therapy in Manhattan-Introducing Spider tech kinesiology tape


SPIDERTECH Introductory Training Program Kicks Off in Manhattan

NUCAP Medical, the originators of SpiderTech “Ready to Apply” pre-cut kinesiology tape products, announced the kick-off of their Introductory Training program on May 16th, in the Broadway, New York offices of Dr. Steve Shoshany D.C.,C.C.E.P.,C.K.T.P,-spinal decompression specialist.

The kick-off is the first “open” training event for SpiderTech products in North America, providing a one-day, intensive, SpiderTech basic theory and application course, The course teaches a functional therapeutic approach to modulate pain and myofascial dysfunction through the use of specialized kinesiology tape applications, providing the practicing therapist both the knowledge and practical hands-on tools necessary to incorporate Spider-Tech Therapy into their patient management strategies.

“We’ve developed and validated the training during our certification of K-Active Europe’s training team, as well as during several months of specialized presentations to key North American sports medicine and therapy clinicians”, states Dr. Kevin Jardin, NUCAP Medical’s CMO. “The feedback has been excellent, with participants ending up enthused about the level of knowledge, the breakthrough thinking behind the theory, and potential for SpiderTech products to deliver a difference in their therapeutic practices.”

These special Introductory Training programs are NUCAP Medical’s first phase in delivering a national training program targeted to the health care professional. The training provides the participant with certification within SpiderTech’s Basic Applications Program; with the only costs to the participants being the purchase of a SpiderTech Training Kit ($89.00 US) and provision of a suitable facility for hosting training.

“I’m very excited to host this event at my clinic,” comments Dr Steve Shoshany DC, C.C.E.P,C.K.T.P.,of NYC Disc decompression specialists. “To me it’s a breakthrough product in adding Kinesiology Tape Therapy into your therapeutic strategies" We’re looking to add training dates, and we still have some seats available for the May 16th sessions, so please feel free to contact us at drstevenshoshany@yahoo.com

NUCAP Medical’s Introductory Training program currently has multiple training events over the next 6 months across the US. To inquire about scheduling a training event, contact training@nucapmedical.com, or visit the Training home page at www.nucapmedical.com



About Dr. Kevin Jardine (CMO NUCAP Med., DC, CSCS, ART, Med.Ac)

Dr. Jardine is the founding partner of The Urban Athlete, a multidisciplinary treatment and training studio specializing in treating athletic related injuries. He is a sports medicine advisor to multiple professional runners, triathletes and cycling teams. Dr. Jardine is the co-inventor of SpiderTech therapeutic products.

About Dr. Steven Shoshany (D.C, C.C.E.P., C.K.T.P)
Dr. Shoshany is a chiropractic healthcare specialist with a diverse background. He holds a doctorate degree from Life Chiropractic University, and is currently the clinical director of NYC disc decompression specialists, specializing in spinal decompression.Offering the most comprehensive spinal decompression treatment available in Manhattan. For more information, visit www.drshoshany.com or www.nycdisc.com

Monday, May 4, 2009

Non Surgical Spinal decompression, Manhattan, New York (NYC)

Herniated disc treatment in Manhattan NYC. We offer the most comprehensive treatment protocol utilizing state of the art technology like The DRX 9000, SpineForce and PowerPlate. NYC Disc is the only group in NYC that has a Patent on our protocols. We are one of the first spinal decompression practices in Manhattan. If you live or work in the NYC area and are suffering with Chronic back pain, Sciatica or have been diagnosed with a Herniated disc contact the herniated disc specialist in Manhattan NYCSpine Force - Treating Spinal Injuries And Strengthening "Core" Spinal Muscles. Why is there a Need for Core Spinal Stability? The core of the body is the foundation of all bodily movements. As the nerve center of the body, it is where the power is derived from. For maximum health and wellness, the spine must be strong, flexible and unimpeded in its movements. The core spinal muscles connect to the spine, pelvis, and shoulders to create a solid foundation of support. What is SpineForce ? Spine Force is a groundbreaking technology developed in France by LPG that works on the Spine from the inside-out (CORE), analyzing, treating, and helping to prevent musculoskeletal diseases while promoting overall health and well-being. SpineForce is the only machine in the world capable of stimulating the deep muscles of the spine. How Does SpineForce work? Spine Force is the only machine in the world to strengthen the core spinal muscles. The oscillating platform identifies weaknesses and/or imbalances in the spine, creating personalized exercise protocols for patients’ specific needs. The protocols work in conjunction with most physician recommendations to strengthen core spinal muscles. This helps the CORE spinal muscles hold the vertebrae in the proper alignment relieving disc and nerve pressure. This can provide immediate, lasting and measurable results. SpineForce works up to 180 muscles at once, strengthening the muscle chains, optimizing coordination and stimulating balance and improving posture. It can be applied to almost anyone, regardless of age or physical shape; empowering them to reclaim and maintain their complete bodily homeostasis and achieve optimum health. Spine Force is the perfect partner for spinal manipulation and decompression therapy. What are the Core Spinal Muscles? The spine is held together by ligaments and muscles. The core spinal muscles are sometimes referred to as intrinsic stabilizer muscles; they protect the degree and angle of all spinal movements, acting as holders, receptors, and monitoring position. Up until now these muscles were almost impossible to analyze and strengthen.
video

Tuesday, April 28, 2009

DRX9000 Non-Surgical Spinal Decompression: Treatment of Herniated Disc in Manhattan, New York, NYC 10012


DRX9000 Non-Surgical Spinal Decompression- Treatment of Herniated Disc in Manhattan, New York, NYC 10012

Spinal Decompression Therapy Using the DRX 9000 NYC
Spinal Decompression is a nonsurgical, noninvasive, drug-free treatment method for disc-related syndromes of the lumbar and cervical spine. At Living Well Medical, many people have found relief from the pain associated with


Herniated discs
Bulging discs
Posterior facet syndrome
Degenerative disc disease
Spinal stenosis
Pinched nerves
and many other spinal disorders.

Spinal Disc Decompression uses computer-aided technology to apply gentle, nonsurgical decompression to your spine. The resulting increased blood flow into the spinal discs and joints helps to relieve pain, remove inflammatory and toxic biochemicals from the area, and restore function and mobility.

At Living Well Medical we use the exclusive DRX 9000 machine, the best nonsurgical Spinal Decompression table on the market.

How Spinal Disc Decompression Works
Spinal Disc Decompression – an FDA-cleared technology – relieves pain by enlarging the space between spinal discs. Spinal Disc Decompression exerts negative pressure which relieves compression on discs and nerves, allowing the herniated and bulging discs to eventually return to their normal positions.

Spinal Disc Decompression is the only treatment that is most effective for severe cases of disc herniation, disc degeneration, arthritis, spinal stenosis, and pressure on the nerve root. A clinical study performed by the Orthopedic Technology Review in 2004 demonstrated spinal pain relief in many cases of disc compression.

The Spinal Disc
The spinal disc – composed of soft cartilaginous material – separates the spinal vertebras and acts as a shock absorber. Each disc contains a gel-like center called the nucleus and has a fibrous outer covering called the annulus. The blood supply to spinal discs is normally sparse, so if a disc is injured it may continue to degenerate and not heal properly. Spinal Disc Decompression provides the important therapeutic benefit of increasing the height of the disc space, providing more room for the disc and allowing it to return to normal size and function.

Spinal Disc Decompression also causes the disc to heal by stimulating regeneration of the disc cartilage. Spinal Disc Decompression increases blood supply to the disc, providing important nutrients which facilitate the healing response.

Spinal Disc Decompression at Living Well Medical
To prequalify a patient and ensure that Spinal Disc Decompression will be beneficial, Dr. Steven Shoshany – a New York Chiropractor – will take a complete history, perform a physical examination, and review all data, including MRIs.

Dr. Shoshany is an expert in the delivery of Spinal Disc Decompression therapy. He has dedicated a large portion of his practice to the relief of severe and chronic low back pain and cervical pain, assisting thousands of patients to return to a normal, pain-free life.

Dr. Shoshany holds a U.S. patent on his Spinal Disc Decompression methodology.

In addition to Spinal Disc Decompression on the DRX 9000, Dr. Steven Shoshany's unique approach utilizes a wide range of state-of-the-art evaluation and therapeutic procedures. Living Well Medical patients receive the best and most complete treatment available.

Evaluation and Treatment at Living Well Medical may include

Digital Imaging
Three-Dimensional Computerized Gait Assessment and Gait Correction
Spine Force Three-Dimensional Rehabilitation
Cox Flexion–Distraction
Cold Laser Therapy
Physical Therapy
Oxygen Therapy
Nutritional Support
Custom Orthotics Built with Three-Dimensional Schematics
About the DRX 9000
The DRX 9000 is the only system that has earned FDA 510K clearance to be called true spinal decompression. The DRX 9000 is the only system with a documented significant success rate. The DRX 9000 offers precise treatment using a closed-loop feedback system. The unit targets the specific disc level based on videofluoroscopy studies.

The DRX 9000 uses state-of-the-art technology to gradually relieve compression of spinal nerves associated with lower back pain or cervical pain. The process has been proven to relieve pain by

Enlarging the disc space
Reducing herniation
Strengthening supporting spinal ligaments to help move herniated disc material back into place
Reversing high intradiscal pressure through the application of negative pressure
What To Expect with Your Treatment on the DRX 9000
Your DRX 9000 treatment begins with a series of daily sessions for two weeks, followed by treatments three times per week as needed. Each session consists of 30–45 minutes on the DRX 9000. Following each therapy session, a cold pack with electrical muscle stimulation is applied to assist in the stabilization of the paravertebral muscles.

An upper chest harness / shoulder support is used to help distribute the applied forces evenly. Then you are slowly reclined to a horizontal position. Following the physician’s orders, the therapist localizes the pain, makes any needed adjustments, and directs treatment to the proper area. The DRX 9000 helps to mobilize the affected disc segment and begin the process of pain relief and recovery.

Pain associated with herniated discs, protruding discs, degenerative disc disease, posterior facet syndrome, spinal stenosis, sciatica, and failed back surgery will respond to treatment using Spinal Disc Decompression. The DRX 9000 achieves these effects through decompression of intervertebral discs.

What Results Can I Expect from the DRX 9000
After only three weeks of treatment, clinical studies have shown outstanding results in relieving debilitating pain caused by bulging, herniated, degenerative, or ruptured discs; sciatica; posterior facet syndrome; spinal stenosis; and many failed back surgery cases.

Pre- and post-treatment MRIs have shown greater-than-50% reductions in the size and extent of disc herniations after four weeks of treatment with the DRX 9000.

During the initial clinical study many patients reported relief of back pain following treatment with the DRX 9000.
www.drshoshany.com

Thursday, April 23, 2009

ny chiropractor, nyc chiropractor new york, manhattan chiropractor, ny chiropractic, lumbar pain, spinal decompression, back pain new york nyc, hernia

ny chiropractor, nyc chiropractor new york, manhattan chiropractor, ny chiropractic, lumbar pain, spinal decompression, back pain new york nyc, herniated disc new york nyc, neck pain manhattan nyc new york.
Contact the experts in Manhattan for Spinal decompression therapy
at 212 645 8151
or visit our website www.drshoshany.com

Wednesday, April 1, 2009

Mckenzie table for treatment of Low back pain in NYC

Mckenzie technique in NYC.Physical therapy and Chiropractic care in NYC
We utulize the most advanced treatments for Chronic Low back pain. Physical therapy using the Mckenzie technique, spinal decompression, cold laser therapy, prolotherapy

New addition to out Manhattan practice

The Evolution RMT Repetitive Motion Table



Rehab following a full decompression therapy treatment series is extremely important if the patient is to ensure themselves against reoccurrence and further injury. The Evolution DT has two computerized rehab programs incorporated within its 8 total programs available. These two programs are available for strengthening of the lumbar soft tissue. However, for more rehab we offer the Evolution RMT known for its outstanding results.

The Evolution RMT “Repetitive Motion Therapy” Table addresses mechanical disorders of the lower back using clinically proven techniques. The Evolution RMT Table is used in the clinical setting to enhance the effectiveness of repeated end range movement therapy for the low back. The RMT table enables the lumbar spine to be moved to the full degree of end-range movement in flexion and or extension a greater number of times than is physically possible by the patient alone. In the beginning stage of rehab, the patient often times has a hard time getting to full end-range position due to pain and because of poor physical endurance levels of the patient they cannot do movements long enough for a good enough response. The evolution RMT allows the patient to start rehab earlier and maintain the success of their prescribed home exercise program.



Evolution RMT Philosophy and Centralization Principles
The treatment protocols of the RMT Table are based on the patient’s directional movement preference and provides measurable and positive outcomes particularly in the management of acute & chronic, severe low back and leg pain (without a neurological deficit). Directional movement preference theory uses the rule of “Centralization” to evaluate and proceed into rehab using activities that “Centralize” the patient’s pain. Recently published scientific research articles have established that the presence of “Centralization” can be a strong indicator of discogenic pathology and is a highly accurate and reliable predictor of treatment outcome. Movement, activities and postures that cause the symptoms to “centralize” indicates the “preferred direction(s)” for the Doctor/Therapist to use in developing both an in office and self-treatment strategy for each patient. Simultaneously, the Doctor/Therapist must teach the patient how to avoid those positions, activities, and movements that cause the symptoms to move “Peripherally”. Many patients suffering from low back or neck pain, with or without referred pain, will unmistakably exhibit a “direction preference” when repeated movement and/or static positioning are applied to the spine. This means there will be a particular movement or position which will cause the symptoms to shift to a more central (proximal) location. Frequently there will be other movements or positions which will cause the symptoms to shift to a more peripheral (distal) location. An example of this is the patient who when asked to go into an extension movement (restoring normal lordosis) which in turn reduces the pain. This is the directional movement we want to begin exercise movements that will start their rehab. The Evolution RMT takes the patient through end-range passive range of motion repetitive movements and reduces the patient’s pain while increasing the patient’s range of motion.



Indications for use of the Evolution RMT
Patients who are assessed to benefit from the repeated movements on pain centralization, intensity, and location in flexion or extension.
These may include Disc patients, Stenosis patients, Facet Syndromes, or Sacroiliac syndromes where a limitation of movement occurs in the direction of “Centralization”.


Contraindications
Grade 3 and 4 Spondylolisthesis patients
Tumor or infection of the spine: Paget’s Disease etc.
Active Inflammatory diseases: Rheumatoid Arthritis, Ankylosing Spondylitis, Osteoporosis, or severe Osteomalacia (-2.0 or higher on T Scale)
Advanced diabetes
Fractures, dislocations, ligament tears or ruptures.
Instability of lumbar segments or has peripheral signs on both flexion and extension.
Patients with Neurological signs: Cauda Equina Lesions, Neurological Deficits, Loss of Bladder control, etc.
Patients that have surgical fusions.
Pregnancy


Evolution RMT Advantages
Variable Speed 1 – 8 Cycles per minute
Touch screen Digital Readout
Exact, Measurable Movement
Pause Button to Change Function During Treatment
Sliding Face and Lower Back Sections for Added Comfort During Motion
Automatic Return to Horizontal Neutral Position at the End of Treatment
Slide out Foot Section.
Programmable Timed Automatic Hold at end of Extension or Flexion.


Safety in Using the Evolution RMT
Table must never be used by untrained people.
Never have patients get on or off the table while it is in motion.
Instruct the patient to never reach underneath the table while it is in motion.
Instruct patients to keep their arms on the arm rests ensuring they do not allow their arms to go below the bed level.
Make sure patient’s clothing does not drape below the table top while in motion.
Always dismount table when in the Horizontal Neutral Position



Treatment Protocols
The Physician’s diagnosis and treatment of back and neck problems involves the use of repetitive end range movements that can influence the location and intensity of pain that arises from the spine. A skilled physical examination will reveal the direction of therapeutic motion that is used to resolve the condition. This is referred to as the “directional preference.” While restoring function can be an overwhelming task, the focus can be narrowed down to the primary goal of increasing the patient's functional range (FR). Initially, this consists of the painless or pain-centralizing activities revealed in the patient's history or range-of-motion examination. Therefore, the limits of the patient's FR consist of the aggravating movements and positions, and the key functional pathology related to those symptoms. So logically, before exercise can be prescribed, a thorough history and examination of the patient's mechanical sensitivities should be carried out.

Both history, examination, and imaging tests (X-Ray, MRI, CAT Scan) are involved in this analysis. For instance, the history should identify what positions or movements aggravate, relieve or are neutral to the patient's symptoms, in particular, peripheral symptoms. An example of this would be; the patient’s sitting and forward-bending intolerances strongly suggest a disc problem, and initial setting for the RMT and self-treatment would be "biased" toward extension. Another example of the importance of a thorough history is that many patients explain that they are worse after sitting or standing for a prolonged period of time. Such postural findings are often the only clues when the examination cannot reproduce time-dependent mechanical sensitivities.

Clinical examination should include orthopedic tests that seek out the movements or positions that provoke the patient's characteristic symptoms. Examples of these would be Kemp’s, Ganslens etc. Adding the use of repetitive tests of movements, such as those in the active and passive full range ROM tests, with the intention of better simulating normal activities that are typically repetitious is very important in establishing treatment parameters. In addition, the patient's own historical report of functional activities that aggravate symptoms can be confirmed by the examination of functional activities.

The movements and positions found to aggravate symptoms are used as an audit for pre and post-testing to assess the patient's progress. In contrast, the pain-centralizing or relieving positions and movement ranges are utilized for exercise training.



Patient Treatment General Safety Precautions
The Evolution RMT provides repetitive end-range of movement for the mitigation of pain with recovery of function for mechanical spinal disorders. It is a very effective tool but it should be used with some caution. Use the following guidelines in your treatment protocols.
Start your treatment in the mid-range of movement until familiarity has provided finer conclusions to be made in selecting starting and treatment angles.
We had said before that a Grade 3 or 4 Spondylolisthesis should not be treated with the RMT but if treating a Grade 1 or 2 the fixation belt should not be used.
In the presence of significant fixation of joint movement, joint and soft tissue scarring can be overstretched if the end range of movement is too excessive or if too many cycles are performed. Always be conservative in choosing end range points and cycle repetitions.
Posterior Disc Derangements will respond very well to the RMT. It is possible to reverse the derangement but once they appear to be stable it is to the patient’s advantage to place to transfer the patient to a more active therapy of self improvement procedures.
It is especially important to watchfully scrutinize the patient’s pain and or neurological status before, during, and after treatment. Communication of treatment results will ensure modifications that will improve results.
Patients should always be reminded to use the control “Stop” treatment button when treatment is uncomfortable or increasing symptoms.
Belt fixation with the patient prone creates the opportunity to cause injury. Before applying belt fixation it is important to manually test for appropriateness. Provided the “more pressure, less pain” test is answered in the confirmatory, belt fixation may be applied. Always apply belt fixation with the patient in their maximum tolerated extended position.



Treating the Chronic Low Back Pain Patient
The patient with “Chronic Low Back Pain” is our most difficult low back case. These patients typically enter the office complaining of constant pain and have been told they will have to “Live with their pain”. In actuality they do not have continuous pain. They actually suffer from recurring episodes that create the notion that their pain is continuous. The use of the RMT will increase the mobility of soft tissue, increase joint flexibility, and increase muscle strength. When these goals are accomplished the pain often has periods of days, months, and even years of discontinued pain and healthy function. In the beginning of treatment the clinician must be aware that the chronic patient may experience a pain of a different quality. His mobility may be restored but some persisting aching, probably of chemical origin may be present for 48-72 hours after the initial treatment. The patient should be made aware of this possibility. If pain persists proper modifications to treatment should be made.
To learn more about Spinal decompression or the Evolution Mckenzie protocols visit my website at www.drshoshany.com