Chiropractic NYC-Chiropractic adjustments for Low Back pain

Chiropractor NYC, NY

A Recent study from the American Chiropractic Association

Chiropractic therapy for low back pain.


A review of 270 studies found that spinal manipulation works just as well as pain medication for reducing the intensity of low back pain. Practitioners apply a controlled force to a joint of the spine, pushing it beyond its normal range of motion to improve physical functioning.
Besides chiropractors, physical therapists, osteopaths and some conventional medical doctors practice spinal manipulation as well.
Chiropractor have always know that Chiropractic works, but its nice to see more and more studies validating Chiropractic.
If you are looking for a Chiropractor in NYC follow the link below.
We combine Chiropractic care, with Physical therapy and Osteopathy.

632 Broadway suite 303
NY,NY 10012
Call (212) 645-8151

Low back pain doesn't stand a chance in Manhattan

Chiropractor NYC

The Importance of Staying Pain Free

People suffer from pain all the time, sleeping the wrong way, or in an awkward position can cause neck pain all day (a stiff neck), sitting for two long can cause back pain, etc. On the other hand if you like to run, or exercise a lot to avoid problems like back pain, be ready for knee or ankle pain, or shin splints. You want to just keep going and "run through" it, be ready for the shin splints to degrade in to stress fractures.

Living in New York City is great but it also takes a toll on your health - not even going to start about the usual "unhealthy air" and "overcrowded subways" bit, that's going to have to wait for a different time. The physical demand on top of a hectic lifestyle that requires you to keep a break neck pace, combined with long bouts of inactivity, which in turn leads to exhaustion and further disdain for energy requiring activity, i.e: exercise can just pound on the stress. Feel like managing your physical health is a losing battle yet?

Truth is, its not all that complicated to take care of your body. Its not always "sound mind, sound body", in recent years and especially in cities like Manhattan its really become clear that its often the other way around. Being in a physical state of well being, peace, and pain free has a great carry over to the mental state, in a big part because you aren't constantly reminded, via physical stimulus (pain) that something is wrong.

Step back and take a look at whole picture.
When you're hungry, you eat
When you're exhausted, you fall asleep (sometimes at work)
When you're bored, you seek out fun and companionship
So how is it that when you're in pain you simply ignore it in favor of "more important" matters, even if its just sitting back to watch TV or play Xbox.

Exercise can create an environment for some serous stress relief as well as help strengthen muscles. That said, an injury can be compounded by just trying to train it away. People have a tendency of addressing their common biological needs and processes, but often when it comes to pain we ignore it, take a few pills and hope for the best.

So what happens when you ignore chronic pain?
Letting chronic pain, even when its minimal, can lead to degenerative conditions like:
Radiculopahty, which causes symptoms like Sciatica.
Bulging Discs, when the Annular swells and bulges out interfering with spinal nerves
Herniated Discs, when the internal disc material leaks out past the annulus.

Furthermore, untreated problems of the spine can lead to the discs becoming dessicated and the longer you wait to get treated, usually, the longer it may take to correct the problem. However some patients at Living Well Medical have felt relief almost immediately and a remission of symptoms after only a handful of treatments. Getting rid of pain can relieve a lot of mental stress as well. Knowing that you're physically capable of anything, can help you feel mentally more capable and happier as well.

Herniated disc NYC-Chiropractor NYC

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

Repairing a Herniated Disc without Surgery in NYC

If you are suffering with severe back pain and have been diagnosed with a herniated disc (sometimes called a prolapsed disc), you may be considering surgery as a solution. However, at our practice, Living Well Medical in NYC, we take an integrative approach that can stop pain without the need for back/spine surgery. Using chiropractic care and non-surgical spinal decompression with the DRX9000, pain from conditions like pinched nerves and herniated discs can feel like themselves again.

In many cases, when no other forms of treatment have been effective, discs in the lower back (lumbar discs) or neck (cervical discs) respond favorably to chiropractic, non-surgical spinal decompression or a combination of both. So many of the people we see have been everywhere, tried everything and found little or no relief. They have tried pain medication regimens, muscle relaxants, even spinal injections through pain management and are still in agony. They have exhausted the options that conventional medicine has presented them. But, of course, back surgery for a herniated disc can be a terrifying prospect, so they come to our NYC office in search of an alternative.

Chiropractic adjustment seeks to root out spinal misalignments that can be the cause of pain. A herniated disc will in many cases respond to manual therapy like chiropractic, but it’s true that a small percentage will not find relief. For these patients a combination of non-surgical spinal decompression and adjustment can help ease the pain in their neck or lower back.

Non-surgical spinal decompression with the DRX9000 is a huge technological advancement in the field of treatment of conditions like herniated or bulging disc, pinched nerves, and degenerative disc disease without having to go under the knife. This computer-guided machine puts patients in a harness that helps direct a precise amount of force at the specific intervertebral disc that has bulged, herniated or otherwise failed in its function. Over the course of a treatment, the machine goes through a stretching phase followed by a period of semi-relaxation. The stretching helps increase the space between the vertebrae, stretch ligaments, and elongate the spine. In addition, the DRX9000 monitors biofeedback to determine if muscle guarding is occurring so that it can reduce the amount of stretching.

Over the course of a typical spinal decompression treatment cycle, these stretches help to create negative pressure inside of a disc which can pull herniated or bulging disc material back into its proper position, relieving nerve compression and pain in the process.

It’s true that non-surgical spinal decompression with the DRX9000 is not a panacea for back pain. There are a number of other factors to be addressed like lifestyle choices, exercise training and overall wellness. However, it’s also true that non-surgical spinal decompression with the DRX9000 gives patients hope for back and neck pain relief without surgery.

For patients still in pain because of a herniated or bulging disc, Living Well Medical in NYC wants to help you. Call us today at 212-645-8151 or visit our website at Living Well Medical.

Back pain - NYC as seen in the New York Time-Back pain NYC

Back pain NYC- visit www.livingwellnewyork.com
The more I research about back pain causes and treatment the more I realize that a Multi-discipline approach is the best,to not only eliminate the pain but solve the underlying problem.

Most of the time the problem stems from a Mechanical problem ie( pelvic misalignment, tight muscle)
Dr. Vladimir Janda MD before he died years ago had an understanding of how the body worked and how to correct problems.
Most of the time a patient has a tight muscle group that needed to be stretched or a weak muscle group that needed to be strengthened.
A patients diet and needs to be looked into as well as their working posture and ergonomics. Maintaining proper spinal alignment is important.
When all the disciplines (Chiropractic, Physical therapy,Medical) can look at the patient as a whole the patient gets better quicker and stays better.

Back Pain Eludes Perfect Solutions

By LESLIE BERGER

BACK pain is one of the most common physical complaints, so it’s no surprise that treatments for it have multiplied over the years. That ought to be good; instead, many patients find that sudden back pain opens the door to a world of medical confusion.


The effectiveness of virtually every pharmaceutical or surgical remedy, however, has been questioned. And for all the money sufferers spend on doctor visits, hospital stays, procedures and drugs, backs are not improving. The Journal of the American Medical Association reported that spending on back treatments jumped 65 percent to nearly $86 billion from 1997 to 2005, after adjusting for inflation. But during the same period, the proportion of people with reduced function because of spine problems increased, even after controlling for an aging population.

“Low back pain represents so many different diseases that there really hasn’t been a breakthrough treatment,” said Dr. Russell K. Portenoy, chairman of the department of pain medicine and palliative care at Beth Israel Medical Center in New York. “It’s good for the public to know how little we know.”

The mystery begins with the first doctor’s visit. The exact cause of back pain is never found in 85 percent of patients, said Dr. Dennis C. Turk, professor of anesthesiology and pain research at the University of Washington and a past president of the American Pain Society. Even magnetic resonance imaging seldom sheds light; in many studies the scans have picked up spinal abnormalities in many people who have never reported back pain.

So what’s a sufferer to do?

Narcotic pain relievers like OxyContin, used regularly by more than eight million Americans, can help, but doctors remain deeply divided over when to prescribe them. The painkillers can also be highly addictive and lead to mood changes.

“I think we are an overmedicated society, and I would not recommend narcotics for everyday back pain except for in most rare of circumstances,” said Dr. James N. Weinstein, editor of the medical journal Spine and chairman of the department of orthopedic surgery at Dartmouth-Hitchcock Medical Center in Lebanon, N.H.

Alternatives to narcotics have proved problematic, too. Two anti-inflammatory drugs, Vioxx and Bextra, were taken off the market after being linked to heart attacks. And ibuprofen and aspirin can cause gastrointestinal bleeding or organ damage at high doses.

Spinal injections of steroids and anesthetics increased by nearly a third during the 1990s, but several scientific reviews found scant evidence that these provided more than short-term relief. Some doctors have begun prescribing drugs like Lyrica, an anticonvulsant, and Cymbalta, an antidepressant, to treat chronic back pain. But the data on antidepressants is also mixed. A study last fall in The Annals of Internal Medicine found that antidepressants help back sufferers, but this year a review by the respected Cochrane Collaboration, a nonprofit organization for health information, concluded there was no evidence that antidepressants offered relief.

While the quest for a safe and effective pain pill continues, Americans undergo more than 300,000 spinal fusion surgeries a year, at an average cost of $59,000 each, according to the National Center for Health Statistics. Almost as many undergo laminectomies or diskectomies to remove damaged vertebrae and disks.

For some, back surgery can be life-changing, eliminating pain and disability. But for others, it can have serious consequences. One study found that 11.6 percent of patients in the 78 spinal surgeries that were analyzed developed infections and other complications.

Newer procedures, like implants of medication pumps and stimulators, have received mixed reviews, too. The jury is still out on kyphoplasty, an outpatient procedure for patients with vertebrae fracture from osteoporosis. The doctor inserts a needle into the spine and inflates a balloon, then injects a cement, gluing the bones together. The procedure works only for some patients.

With such uncertainties, it is little wonder that many doctors have fallen back on more traditional approaches to easing the pain, like exercise or counseling. This year, the Accreditation Council for Graduate Medical Education began requiring that medical residents who want to become pain specialists study not only anesthesiology but also psychology, neurology and rehabilitative medicine.

The reality is that most people with back pain heal on their own, slowly, without major intervention. “The best treatment for straightforward back pain without a specific diagnosis is reactivating yourself to what you normally do as fast as possible,” Dr. Weinstein, the Spine editor, said.

This was a interesting article BUT we do know that Chiropractic care is extremely safe and effective for back pain suffers. We do know that once we teach patients on how to sit properly and bend without putting strain on the low back the chances of re injury are decreased.
I like the portion of the article that mentions painkillers,These medications are highly addictive and can destroy patients lives. I have seen friends change into someone else once they get hooked on something like vicodin. There is a time and place for medication but Back pain responds well to Chiropractic care.
We utilize Spinal Decompression using the DRX 9000 and Spinal Strengthening using the SpineForce.
We see patient that have had Back surgeries and are taking Vicodin,Percosets and suffer with Sciatica and Herniated and bulging discs.
When we can reduce the intra discal pressure using spinal decompression and utilize technologies like Cold laser therapy,Kinesiolgy taping and Oxygen therapy the results are outstanding.
to learn more about our practice visit us online at www.livingwellnewyork.com
or call us at (212) 645-8151 for Chiropractic, Physical therapy, Pain Management, Acupuncture,Massage or Herniated disc treatment in NYC.

A little more information about Back pain from the American Chiropractic Association

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.1



A few interesting facts about back pain:

One-half of all working Americans admit to having back pain symptoms each year.2
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.3
Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.4
What Causes Back Pain?

The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.



Manipulation as a Treatment for Back Problems

Used primarily by Doctors of Chiropractic (DCs) for the last century, manipulation has been largely ignored by most others in the health care community until recently. Now, with today's growing emphasis on treatment and cost effectiveness, manipulation is receiving more widespread attention.



Chiropractic spinal manipulation is a safe and effective spine pain treatment. It reduces pain, decreases medication, rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5



In fact, after an extensive study of all currently available care for low back problems, the Agency for Health Care Policy and Research—a federal government research organization—recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6



The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how chiropractic manipulation may help you, contact a Doctor of Chiropractic in your area. Search our online database of ACA members to find a doctor of chiropractic near you.



Tips to Prevent Back Pain

Maintain a healthy diet and weight.
Remain active—under the supervision of your doctor of chiropractic.
Avoid prolonged inactivity or bed rest.
Warm up or stretch before exercising or other physical activities, such as gardening.
Maintain proper posture.
Wear comfortable, low-heeled shoes.
Sleep on a mattress of medium firmness to minimize any curve in your spine.
Lift with your knees, keep the object close to your body, and do not twist when lifting.
Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.
Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.



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References:

1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.

2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.

3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD, Summer 1994.

4. In Vallfors B, previously cited.



5. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.

6. Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.


Chiropractic care in Manhattan

Spinal Decompression Or Back Surgery, Which Is A Better Option? Considering a back surgery in NYC?

Spinal Decompression Or Back Surgery, Which Is A Better Option?

Comments by NYC Chiropractor Dr.Steven Shoshany D.C.,C.C.E.P. at the end of the article www.drshoshany.com

Credits| Author: Dr. Ronald Fielden with Dr. George Best
by Dr. Michael Golab with Dr. George Best

For people with severe disc-related back pain and sciatica, long-term relief can be hard to come by and the treatment options often come down to spinal decompression or back surgery. Each treatment option has its pros and cons, but in the end, the best option will depend on a variety of factors that are unique to each case.

There are some misconceptions about both spinal decompression and surgery that can lead to confusion when attempting to determine the best treatment option, especially when pain or medication may be disrupting the ability to think clearly. The following information will help to dispel some of the misconceptions regarding these forms of treatment and will assist pain sufferers in selecting which option is best for their circumstances.

Although spinal decompression is a kind of traction, the effects of spinal decompression vary considerably from those of regular traction. True spinal decompression systems utilize computer controlled motors that can “fool” the muscles along the spine into staying relaxed during the treatment session. This allows for a suction effect inside the spinal disc being treated, which pulls bulging disc material back into the disc and also pulls in fluid and nutrients that help the disc to recover and heal. Since ordinary traction machines must contend with muscular resistance, their effects on the discs are much less and traction typically does not provide long-term improvements in disc health, nor lasting elimination of pain.

Although spinal decompression is extremely effective in the vast majority of disc-pain cases, it does not work in every case, and their are situations in which it cannot be safely applied. From my experience in my San Antonio Spinal Decompression office, I have found that decompression is not usually effective in cases of large disc extrusions (when large amounts of the inner gel of the disc breach the disc wall). In addition, spinal decompression cannot be safely used when there is substantial ligamentous instability in the spine because the stretching effect of the decompression would tend to make such instability worse. In cases where spinal decompression is not appropriate, surgery is indicated as really the only option for getting long term relief for the patient.

Although it may be the best option in a small number of disc-pain cases, back surgery is far from being an ideal solution. Patients sometimes have the impression that a back surgery will completely solve their back pain once and for all, but this is rarely the case. In fact, one of the leading predictors that someone will eventually need back surgery in the future is having had back surgery in the past. Although aggressive surgical techniques that involve removing a problematic disc will guarantee that a patient will not have any trouble with that particular disc again, these surgeries create other problems that over time can make things even worse than the original problem.

Post-surgical scar tissue and increased wear and tear on adjacent discs can conspire to create new areas of spinal cord and/or spinal nerve compression months or years after spinal surgery. Due to the high probability of these post-surgical complications, it is my opinion that surgery should always be considered a last option when all other treatments have either failed or cannot be used due to existing contraindications.

I have always told patients that surgery should be a last resort when all non-surgical methods have failed.
To learn more about spinal decompression in NYC visit www.drshoshany.com or
www.livingwellnewyork.com

Back Pain treatment NYC, Sciatica NYC

Back Pain treatment NYC, Sciatica NYC
www.drshoshany.com
As a Chiropractor in Manhattan I see patients that have back pain, neck pain and Sciatica everyday,it is my job to get them better and most of my patients want to get better in a New York minute.
I was working out yesterday and pulled a muscle in my back, oh boy I thought.

The first thing I did was when I got back to office was ICE my back after a Chiropractic adjustment and had our Physical therapist do some ultrasound and electro-stimulation.
This morning I woke up sore and in some pain, so again I had some Physical therapy done this time I had the Graston technique done on my lower back, I truly believe this is the Best soft tissue treatment available today.
If you have a muscle spasm this stuff works,especially with a lumbar sprain/strain.
The combination of Chiropractic, Physical therapy, Kinesiotaping, graston technique and cold laser is awesome for back pain.

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Back Pain NYC,Herniated disc Manhattan
Back pain treatment call (212) 645-8151 for an immediate appointment.
www.livingwellnewyork.com


Pain in the lower back is a symptom that can take many forms. It is not a disease, although very rarely lower back pain may be due to a disease. Most of the time, low back pain appears suddenly, and often it is agonizing. But it may also be experienced as a low-key pain. This can be a dull or nagging pain.

Lower back pain is pain affecting the lower part of the back. It is described as:

Lower back pain is acute if it has lasted less than 6 weeks.
Lower back pain is sub-acute if it has lasted 6-12 weeks.
Lower back pain is chronic if it has lasted more than 12 weeks.



Lower back pain is a pain or ache somewhere between the bottom of the ribs, at the back, and the top of the legs. The pain often begins suddenly, and may follow an obvious strain or injury.
Back Pain NYC, Back pain treatment nyc,herniated disc treatment NYC
The lower back pain may travel to or be felt in other parts of your body. It often goes into the buttocks, but may go further down the leg and even into the foot.

The back pain may be worse on bending and is often worse sitting, especially in an easy chair. Sometimes turning over in bed and sitting up is painful. Coughing or sneezing can often make the pain much worse. The muscles of the back may go into painful spasm.

Back pain may be combined with pain into the leg, traveling down below the knee, this is otherwise known as sciatica, because the main nerve to the leg (the sciatic nerve) is being irritated by pressure on it.
Sciatica can be caused by a herniated disc.
We specialize in Non-surgical spinal decompression using the DRX 9000 in our New York City Back pain treatment office.
visit us online at www.drshoshany.com