Monday, March 29, 2010
Herniated disc NYC Back pain NYC The Disc Its long name is the intervertebral disc. It is the structure that seperates each of the vertebral bodies. The disc is analogous to the white cream between the two chocolate wafers in a Oreo cookie, where the wafers are the vertrbrae. It's a critical part of the spine. The disc looks solid, but it isn't. It's contructed s lot likea jelly donut. It has a firm outer shell (called the annulus fibrosis) and a soft inner core (called the nucleus pulposus). The job of the nucleus (the jelly) is to absorb shock. Just as the hydraulic fluid in a cars shock absorbers prevent us from feeling every bump in the road, the doft inner core of your disc provides the give that prevents your vertebraw from rattling against each other with every step you take. The job of the annulus (the bready part of the donut) is to keep the nucleus from leaking out, and to attach to the end plates of the vertebral bodies above and below. The annulus plays a role in back pain because there are nerves in it. If you have Back pain or a herniated disc in NYC visit www.nycdisc.com or www.herniateddiscnyc.com Dr. Steven Shoshany-NYC Herniated disc specialist www.drshoshany.com
Friday, March 26, 2010
Back pain treatment in NYC-Call 1212-645-1495
or visit Herniated disc NYC
In our office we utilize multiple disciplines to alleviate your Back pain and return you back to the things that you enjoy.
Back pain can interfere with everyday activity like putting on your shoes,going to the bathroom and many more activities that depend on you ability to move properly.
When you visit our NYC Back pain office we will evaluate the source of back pain we do this with a comprehensive exam and if necessary we offer On-site diagnostics like Digital radiographs or x-rays and Diagnostic ultrasound that can see exactly where it hurts and what is going on.We are open late during the week and offer Saturday appointments.
Once we diagnosis the problem, we offer a multiple prong approach to end your pain as quickly as possible and start your recovery. Dr. Arnold Blank MD is our on site pain management specialist. He can prescribe the appropriate pain medication and determine what is the most appropriate course of treatment either Chiropractic care,Physical therapy, Medical Massage, Acupuncture or a combination methods.
Most major medical insurance covers most of the services we provide, we offer a initial complimentary consultation to determine if we can help you.
Call us @ 347-562-2144 and we can verify your insurance coverage.
Does your Back pain come from
Herniated disc-leaking of disc material into the spinal canal
Spinal Stenosis-narrowing of the spinal canal
Spondylolishtesis- an out-of-line vertebra
Facet joint syndrome- degeneration of the joints holding the vertebrae together
Scoliosis- abnormal lateral curvature of the spine
Sacroiliac joint problems- degeneration of the joint that connects the sacrum to the pelvic bone
or discogenic low back pain
There are allot of different types of back pain and our team of experts work together to identify and effectively correct these problems with a combination of non-invasive and non surgical cutting edge technology's like
Spinal decompression on the DRX 9000
Cold laser therapy with the Erchonia laser
Power Plate Whole body vibration
Kinesio taping and the Graston Technique.
Physical therapy and the Mackenzie technique
Digital gait scan analysis and Custom orthotic fabrication.
If you live or work in Manhattan and suffer with Back pain, look no further then livingwellnewyork.com
Back pain treatment NYC-Back pain and Sciatica-
Saturday, March 06, 2010
More Evidence Supporting the Effectiveness of Chiropractic Spinal Manipulation for Cervicogenic Headache
A study published in the February 2010 issue of The Spine Journal added additional evidence supporting the effectiveness of chiropractic spinal manipulation (SMT) for cervicogenic headache (CGH). Dr. Mitch Haas and his team at Western States Chiropractic College investigated the differences in dose (8 versus 16 treatments) and between high velocity low amplitude spinal manipulation versus light massage in the treatment of cervicogenic headache. Both interventions were provided by experienced chiropractors. There were multiple outcomes assessed and the SMT group had clinically significant improvement over the light massage control. However, there was only a small dose effect difference between the groups receiving eight versus sixteen treatment sessions.
In that same issue of the journal, Drs. Haldeman and Dagenais provide commentary on this research. They conclude by stating that, despite some weaknesses in the research, “this study represents a step forward for stakeholders considering SMT )spinal manipulation therapy) for CGH. For clinicians who establish a working diagnosis of CGH that conforms to accepted diagnostic criteria, it appears reasonable, based upon currently available evidence, to consider a trial of SMT.”
Treatment of cervicogenic headache is one of the areas were the evidence is strongest for SMT and chiropractic. As the number of studies increases and improve, using different patient demographics, different techniques, different doses, etc., the stronger the position of the chiropractic profession becomes in the care of this condition.
Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial.
Spine J. 2010 Feb;10(2):117-28.
Haas M, Spegman A, Peterson D, Aickin M, Vavrek D.
Center for Outcomes Studies, Western States Chiropractic College, 2900 NE 132nd Ave., Portland, OR 97230, USA. firstname.lastname@example.org
BACKGROUND CONTEXT: Systematic reviews of randomized controlled trials suggest that spinal manipulative therapy (SMT) is efficacious for care of cervicogenic headache (CGH). The effect of SMT dose on outcomes has not been studied.
PURPOSE: To compare the efficacy of two doses of SMT and two doses of light massage (LM) for CGH.
PATIENT SAMPLE: Eighty patients with chronic CGH.
MAIN OUTCOME MEASURES: Modified Von Korff pain and disability scales for CGH and neck pain (minimum clinically important difference=10 on 100-point scale), number of headaches in the last 4 weeks, and medication use. Data were collected every 4 weeks for 24 weeks. The primary outcome was the CGH pain scale.
METHODS: Participants were randomized to either 8 or 16 treatment sessions with either SMT or a minimal LM control. Patients were treated once or twice per week for 8 weeks. Adjusted mean differences (AMD) between groups were computed using generalized estimating equations for the longitudinal outcomes over all follow-up time points (profile) and using regression modeling for individual time points with baseline characteristics as covariates and with imputed missing data.
RESULTS: For the CGH pain scale, comparisons of 8 and 16 treatment sessions yielded small dose effects: AMD. There was an advantage for SMT over the control: AMD=-8.1 (95% confidence interval=-13.3 to -2.8) for the profile, -10.3 (-18.5 to -2.1) at 12 weeks, and -9.8 (-18.7 to -1.0) at 24 weeks. For the higher dose patients, the advantage was greater: AMD=-11.9 (-19.3 to -4.6) for the profile, -14.2 (-25.8 to -2.6) at 12 weeks, and -14.4 (-26.9 to -2.0) at 24 weeks. Patients receiving SMT were also more likely to achieve a 50% improvement in pain scale: adjusted odds ratio=3.6 (1.6 to 8.1) for the profile, 3.1 (0.9 to 9.8) at 12 weeks, and 3.1 (0.9 to 10.3) at 24 weeks. Secondary outcomes showed similar trends favoring SMT. For SMT patients, the mean number of CGH was reduced by half.
Chiropractic care for headaches in NYC visit www.drshoshany.com