Thursday, December 10, 2009

Herniated disc NYC-The new website!

We recently added a new website
along with our new blog that can be found under herniated disc nyc
We will continue to provide the latest information to treat the herniated disc with non surgical methods like spinal decompression, Chiropractic care, Cold laser therapy and other innovative treatments that we offer in our NYC Spinal decompression practice

Monday, November 30, 2009

Low-Level Laser therapy relieves neck pain NYC

Low-Level Laser Therapy Relieves Neck Pain NYC
Review Supports LLLT as Short- and Mid-Term Treatment of Pain in Neck
By: Chris Maynard

Cold laser NYC

Nov 16, 2009 (Spine-Health) -- Low-level laser therapy (LLLT) provides effective pain relief of both acute and chronic neck pain, according to a recent review and analysis of various trials examining the efficacy of using wavelengths of light to treat pain in the neck.

The review headed by researchers in Australia and recently published in The Lancet studied 16 randomized, controlled trials including a total of 820 patients with neck pain that could not be linked to a specific cause. The researchers ultimately concluded that low-level laser therapy provides immediate relief of acute neck pain and mid-term relief of chronic neck pain.

Using a 100-point scale to account for and compare differences in the severity of neck pain after treatment involving either low-level laser therapy or a placebo, researchers found that 70 percent of patients with acute neck pain were more likely to experience reduced pain following LLLT. It should be noted that only 2 trials involving LLLT for acute neck pain were available for review.

The study also found that low-level laser therapy was beneficial for chronic neck pain sufferers, although the effects were not as quick when compared to acute sufferers. According to the review, it took up to 22 weeks for patients with chronic neck pain to experience relief from LLLT, although these patients were 4 times more likely to have reduced neck pain than those treated with a placebo. In the past one noted disadvantage of low-level laser therapy has been the required number of treatments, which can range from 8 to 30 sessions.

Also known as cold laser therapy, low-level laser therapy involves a clinician holding cold lasers over the injured area for 30 seconds to several minutes. These lasers emit photons of light that pass through the skin and are absorbed by the cells with the theoretical goal of reducing inflammation and pain and accelerating the body’s natural healing process. The exact ways in which cold laser therapy treats neck pain is still not fully understood, a point that the review noted as worthy of future study.

Based on their review, the researchers suggested using cold-laser therapy in conjunction with a regular program of exercising and stretching when treating neck pain.

In addition to neck pain, cold laser therapy is used by some chiropractors and pain management professionals to treat back pain, arthritis, carpal tunnel syndrome, fibromyalgia, tendonitis and knee pain. When indicated, this procedure may be preferred by patients who have the above symptoms and/or conditions, and want to avoid medication or invasive treatments.

Related Article:
Cold Laser Therapy Pain Management Treatment
Sources: The Lancet, Medical News Today
To learn more about Cold laser therapy/Low-level laser therapy in NYC
visit us online @

Monday, November 16, 2009

Low-Level Lasers Effective in Chronic Neck Pain

I have used Low-level laser therapy or Cold laser therapy in my NYC practice for close to 7 years, I have found it to be extremely effective in reducing pain and dysfunction.
Cold laser therapy NYC

By John Gever, Senior Editor, MedPage Today
Published: November 13, 2009
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine and
Dorothy Caputo, MA, RN, BC-ADM, CDE, Nurse Planner
Although no one is sure how it works, low-intensity laser therapy appeared to be effective in relieving chronic neck pain, researchers found in a meta-analysis.

Pooled data from 16 randomized, controlled trials indicated that most patients reported both short- and medium-term pain relief with the noninvasive treatment, according to Roberta T. Chow, MBBS, PhD, of the University of Sydney in Australia, and colleagues.

"The results of low-level laser therapy in this review compare favorably with other widely used therapies, and especially with pharmacological interventions, for which evidence is sparse and side effects are common," the researchers wrote online in The Lancet
The procedure involves shining low-intensity laser beams -- too weak to generate biologically significant heat -- usually at the back or side of the neck, targeting muscles, and vertebral joints. Wavelengths of 780, 810 to 830, or 904 nm are typically used. These beams are able to penetrate several centimeters of tissue.

Several possible mechanisms of action have been proposed. The radiation may have anti-inflammatory effects by inhibiting prostaglandins and/or cytokines. Alternatively, it may reduce oxidative stress and muscle fatigue, with support from some animal studies and clinical experiments.

A third possibility is that the laser light alters nerve signalling at the neuromuscular junction or elicits overt nerve blockade.

Whatever the mechanism, however, the randomized, controlled studies included in the review showed a clear clinical benefit for the treatment.

None of the individual trials were very large -- the biggest (led by Chow herself) had 90 patients. In total, 820 patients participated in the 16 studies.

Five of the studies, with 122 patients, included the presence of global improvement, relative to sham treatment, as an outcome.

The relative likelihood of improvement with the laser treatment was 4.05 (95% CI 2.74 to 5.98), Chow and colleagues found.

In 11 trials with 333 patients, the weighted mean change in pain severity -- as reported by patients on a 100-mm analogue scale -- was 19.86 mm relative to controls (95% CI 10.04 to 29.68).

In four studies that measured pain severity 10 to 22 weeks after treatment ended, with a total of 86 patients, there was a weighted mean improvement from baseline of 23.44 mm at the end of follow-up (95% CI 17.11 to 29.77).

Overall, the researchers said, the trials "show moderate statistical evidence for efficacy of low-level laser therapy" for neck pain.

Limitations to the available evidence include the differences in laser treatments -- schedules and doses as well as wavelengths -- and in the varieties of neck pain with which patients had presented.

Current diagnostic terms "suggest distinct clinical entities; however, there is strong evidence that a definitive diagnosis of the causes of neck pain is not possible in a clinical setting," the researchers wrote.

They said adverse effects from treatment were minimal. Several studies reported increased tiredness.

The primary safety concern with the treatment is the possibility of inadvertently directing the laser into patients' eyes, Chow and colleagues said. Safety glasses would be required in all studies.

In an accompanying commentary, Jaime Guzman, MD, of the University of British Columbia in Vancouver, B.C., said the existing evidence on low-level laser therapy still leaves many questions unanswered, especially on the mechanism of action.

Nevertheless, he said, "this evidence is more solid than that for many current interventions."

"Although mechanisms of action and effects on function and occupational outcomes are not clearly understood and warrant further impartial study, low-level laser therapy is an option worthy of consideration for management of nonspecific neck pain," Guzman wrote.

External funding for the study was not reported.

Chow and some co-authors reported relationships with the World Association for Laser Therapy and healthcare professional societies. No authors reported relationships with manufacturers of laser therapy devices.

Guzman declared he had no conflicts of interest.

Primary source: The Lancet
Source reference:
Chow R, et al "Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials" Lancet 2009; DOI: 10.1016/S0140-6736(09)61522-1.

Additional source: The Lancet
Source reference:
Guzman J "Neck pain and low-level laser: Does it work and how?" Lancet 2009; DOI: 10.1016/S0140-6736(09)61837-7.
Cold Laser therapy, Low-level laser therapy NYC

Monday, October 26, 2009

Herniated disc at L5-S-1, what should I do?

Herniated disc NYC?
I recieved a email from someone yesterday I wanted to post the question and answer. I hope this helps.
If you suffer with a Herniated disc in NYC visit the NYC herniated disc specialists at

Question: I have a herniated disk in my lower back, is surgery the only option to fix it?

Answer-A herniated disc can be a scary diagnosis for anyone especially if you are active. The disc is the jelly like substance between your back bones “vertebrae”. The disc helps to provide space for the exiting nerve roots and helps to cushion weight carried throughout the spine. The disc is a structure that has a poor blood supply, so once it is injured it generally it does not heal properly and degenerates with time. This middle of the disc is called the nucleous and it moves or herniates and it can put pressure on very delicate nerves and cause pain or weakness.
The traditional medical model involves medication to reduce inflammation and analgesics to reduce pain as well as physical therapy to strengthen core muscles. Chiropractic care has been proven to be a successful treatment for management of the herniated disc and effective in reducing low back pain.
A fairly new treatment has been used that is non-surgical and not only decreases pain but helps to restore the discs height and reduce the disc herniation.
It is called spinal decompression; this non-invasive treatment has been utilized worldwide with an impressive success rate close to 90%. When this method is combined with a physical therapy program designed to strengthen Core muscles the results are impressive. Spinal decompression involves specialized equipment that gently lengthens the spine which helps create a vacuum and the injured disc level. This vacuum allows the disc material to return its normal position. If you are diagnosed with a herniated disc it is in your best interest to learn more about this treatment. Visit

If you live or work in NYC and are currently suffering with Chronic low back pain,Sciatica, or pain due to a herniated disc feel free to visit my website to learn more about spinal decompression and our properiatry non-surgical treatment protocols.

Monday, October 12, 2009

An Athlete's best Friend -

Tiger Woods - The World's Greatest Golfer

"I've been going to the chiropractor for as long as I remember. It's as important to my game as practicing my swing!"

An Athlete’s Best Friend-

It doesn’t matter if you are a professional or a weekend athlete, your best friend is your chiropractor. Chiropractors are some of the most actively involved health-care professionals in the sports-related conditioning, injury prevention, treatment and rehabilitation. The most typical injury involves the back, neck or shoulder, caused by over the head movements found in sports like tennis, softball, pitching, hockey, and even golf leading to pain and restriction mobility. Chiropractic adjustments are vital in restoring the biomechanics of shoulders, neck, upper back, and hips. Many professional sports teams employ chiropractors to prevent and treat sport-related injuries.

A sports injury can take up to eight weeks to heal depending on the particular injury. Shoulder and knee injuries take the longest as those joints are the least stable. Once the injury has healed, it is a good idea to continue with regular chiropractic adjustments to keep the body balanced properly and functioning at its peak. Do not wait until you are injured. Preventative chiropractic treatments are the place to start your athletic endeavors.
If you seeking a Chiropractor in NYC visit my website
If you suffer with a Herniated disc it can prevent you from enjoying recreational activities.
If you live or work in NYC and suffer with a Herniated disc you should know, that Non
Surgical spinal decompression has been tremendously successful in not only eliminating the pain associated with a herniated disc but reducing the size of the herniation and ending the Sciatica.
To learn more about Chiropractic care and or Spinal decompression treatment in NYC visit us online at

Wednesday, October 7, 2009

DRX 9000 NYC for treatment of Sciatica due to a herniated disc

DRX 9000 NYC.
Herniated disc NYC Spinal decompression for treatment of Sciatica due to a herniated disc- consult the herniated disc specialists at

Sciatica (or sciatic neuritis) is a set of symptoms including pain that may be caused by general compression and/or irritation of one of five nerve roots that give rise to the sciatic nerve, or by compression or irritation of the sciatic nerve itself. The pain is felt in the lower back, buttock, and/or various parts of the leg and foot. In addition to pain, which is sometimes severe, there may be numbness, muscular weakness, pins and needles or tingling and difficulty in moving or controlling the leg. Typically, the symptoms are only felt on one side of the body. Some patients describe the pain as a pinched nerve down the leg.

Although sciatica is a relatively common form of low back pain and leg pain, the true meaning of the term is often misunderstood. Sciatica is a set of symptoms rather than a diagnosis for what is irritating the root of the nerve, causing the pain. This point is important, because treatment for sciatica or sciatic symptoms will often be different, depending upon the underlying cause of the symptoms. Instead of over medicating and masking the pain get the root of the problem.

One of the possible causes of sciatica is a spinal disc herniation pressing on one of the sciatic nerve roots. The spinal discs are composed of a tough spongiform ring of cartilage (annulus fibrosus) with a more malleable center (nucleus pulposis). The discs separate the vertebrae, thereby allowing room for the nerve roots to properly exit through the spaces between the L4, L5, and sacral vertebrae. The discs cushion the spine from compressive forces, but are weak to pressure applied during rotational movements. That is why a person who bends to one side, at a bad angle to pick something up, may more likely herniate a spinal disc than a person jumping from a ladder and landing on his or her feet.
All to often patient that come to our herniated disc practice in NYC simply bend for a pen and slip their disc.

Herniation of a disc occurs when the liquid center of the disc bulges outwards, tearing the external ring of fibers, extrudes into the spinal canal, and compresses a nerve root against the lamina or pedicle of a vertebra, thus causing sciatica. This extruded liquid from the nucleus pulposus may cause inflammation and swelling of surrounding tissue which may cause further compression of the nerve root in the confined space in the spinal canal. In our Manhattan practice we focus on the herniated disc and utilize non-surgical methods like the DRX 9000 spinal decompression to not only alleviate the symptoms but reduce the disc herniation and prevent any further injury by strengthening the disc and surrounding structures.
If you suffer with a herniated disc this can lead to Sciatica- stop suffering!
If you live in NYC and are interested in ending the Sciatica call us today at (212)645-8151 Dr. Steven Shoshany will evaluate your MRI or nerve tests at no charge to determine if you are a candidate for Spinal decompression.

Monday, September 28, 2009

Benefits of Chiropractic Care-NYC Chiropractic care

Benefits of Chiropractic Care

Regular chiropractic care can help you in many ways:

Restore normal nerve supply
Improve athletic performance
Restore normal joint mobility
Counteracts the effects of gravity
Improves spinal structure
May provide instant pain relief
Natural with no drugs or needles
Often reduces the need for surgery
May get you back to work faster after an injury
Deals with the cause of the problem rather than treating symptoms
Provides more energy
Allows for better sleep
Help improve posture
Slows spinal degeneration
Allows for quicker recovery
Is helpful to all ages
Relieves stress and tension
Improves the quality of life
This are just some of the benefits of Chiropractic care- for Chiropractic care in NYC visit

Wednesday, August 26, 2009

Herniated disc NYC-review

Spinal decompression and Chiropractic in NYC

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 Shoshany has given me back ten years of youth and happiness!

Wednesday, July 29, 2009

Sciatica from a Herniated Disc-Non Surgical treatment in Manhattan, NYC

I like to give credit when credit is due. Several Chiropractors have written excellent article on how spinal decompression can help someone with Sciatica due to a herniated disc.
I have posted it below.
IF you have a herniated disc and suffer with Sciatica in Manhattan, NYC contact us directly at (212) 645-8151 or visit us online at

Sciatica From A Herniated Disc

by Randall Pruitt, DC, DACNB, DAAPM, MUAC

The pain from a herniated disc can be quite excruciating. Not only can you have back pain but you can also experience sciatica. This can be a doubly painful situation.

A herniated disc is the end product of a weakened out disc called the annulus fibrosis allowing the softer more pliable central portion of the disc the nucleus pulposis to migrate it’s way through.

In research studies only the outer 1/3 of the disc has been shown to contain pain sensitive fibers. Therefore damage can accumulate over time before the person ever feels any pain.

Usually the beginnings of a disc problem come in the form of repetitive stress or activities, trauma or poor sitting posture. Once the outer fibers weaken then migration of the disc material may take some time.

Local back pain is usually the first sign of a disc problem. As the nucleus moves it’s way out it begins to contact the outer fibers irritating their pain sensitive nerve fibers.

Once the back pain begins the usual progression my be a short reprieve from the pain as the offending activities are stopped or altered.

Many people make the false assumption that the pain is gone for good, however the medical literature shows a very different scenario. People are almost always destined to have another bout of back pain within a year, unless proper treatment is applied.

Once the pain returns it is usually worse and as the pain returns over and over again it usually starts with move it’s way down the leg or arm as the nerves become affected.

Once pain begins to move into the leg it is often called sciatica. This condition is associated with involvement of the sciatic nerve.

The pain from sciatica can be a consequence of either pressure from the disc itself on the nerve or from inflammation caused by the injured disc irritating the sciatic nerve.

If the problem causing sciatica is chemical or compressive it really doesn’t matter. The disc has to be treated properly for a long term solution. This is best accomplished with spinal decompression.

The outer fibers of the disc are able to scar over due to the negative pressures inside the disc, created with spinal decompression pulling back in the herniated material

This really is the best solution for sciatica caused by a herniated disc.

Spinal decompression with the DRX 9000 is available in our Manhattan Medical practice
Visit us online at

Wednesday, July 8, 2009

Carpal tunnel syndrome NYC- Cold laser treatment-non surgical treatment for carpal tunnel syndrome in Manhattan, NYC

Carpal Tunnel Syndrome in NYC? visit our website

Important News If You've Got Tingling, Numbness or Pain in the Hands, Wrist... and You're Desperately Seeking Answers...

You May NOT Have a Wrist Problem at All!

Discover the Blazingly Obvious Area of Your Body That Doctors May Miss When Diagnosing Carpal Tunnel Syndrome.

In our NYC Physical therapy practice we see patients getting better everyday.

The U.S. Department of Labor called Carpal Tunnel Syndrome (CTS) the “chief occupational hazard of the 90’s”… disabling workers in epidemic proportions. “Carpal Tunnel Syndrome” affects over 8 million Americans.
It’s also the #1 reported medical problem, accounting for about 50% of all work related injuries. And while over 200,000 surgeries are performed annually, reports have revealed only about 25% of all patients are able to return to their previous professions following surgery…and up to 36% of carpal tunnel syndrome patients require unlimited medical treatment. Hmm…

Could it be that carpal tunnel surgery is something to be questioned more carefully?
Carpal tunnel syndrome isn't like a broken bone or a cut. It develops slowly; it's barely noticeable. One might not even take it seriously at first. But the symptoms slowly build and build. It could start with some numbness and tingling... then it might become more difficult to type at the computer.
So you give your family doctor a visit. If you're like many people, here's what you've been told: "You’ve got carpal tunnel syndrome. Take this medicine and wear these wrist braces... come back if it doesn't work."

The problem here is that the exact same symptoms of "Carpal Tunnel Syndrome” can have several different causes... many of which are NOT even near your wrist!
FACT: If your doctor doesn't examine or consider those other have NOT been given a thorough examination for your condition. Any doctor that assumes you have true carpal tunnel syndrome, simply because you have wrist or hand pain, tingling, numbness or weakness is...
Missing the Boat!
If your doctor assumes that your wrist is the ONLY cause of the symptoms, and focuses treatment only on that, the same criticism applies.

Myth: Carpal Tunnel Syndrome is Caused by Computer Usage.
Reality: A 2005 Harvard medical study reports that Carpal Tunnel Syndrome is simply NOT caused by computer usage! A 2001 Mayo Clinic neurology study reported the same. You’ll soon understand why!
Why treatment for Carpal Tunnel Syndrome may fail
Fortunately for you, if your doctor's treatments fail it doesn’t mean you're incurable. It may simply be that nobody was looking in the RIGHT place, or places.

If the diagnosis is WRONG; the treatment is likely to be WRONG too

Again, focusing exclusively on the WRIST is a huge mistake when considering the symptoms of pain, tingling, numbness and weakness in the wrist and hand.
Here's why:

Wrist pain, tingling, numbness, and weakness are symptoms of NERVE entrapment. In other words, the nerves that travel from your brain to your fingers must be "pinched" or compressed somewhere along that pathway. The amazing thing about your nervous system is that interference in one place can give you symptoms in other places…far away from the interference.
Because of the complexity of the nerve pathways from your BRAIN, down and out through your NECK... through your SHOULDER area... down your ARM... and finally... through your wrist... It is possible that...
You May NOT Even Have Carpal Tunnel Syndrome!
If you think that all cases of wrist or hand pain, tingling, numbness or weakness are caused by Carpal Tunnel Syndrome... Think again!
The TRUTH: solid scientific evidence reveals that many cases of so-called “carpal tunnel syndrome” have little or nothing to do with the wrist at all! Let's explore this by first answering the "burning question"...

What Exactly IS Carpal Tunnel Syndrome?
The term "carpal" simply means WRIST.
The Carpal Tunnel is: a small tunnel or canal inside the wrist. It's formed by the bones of the wrist, which are of course called: CARPALS. The other part that makes up the Carpal Tunnel is a ligament - a tough band between some of the bones.
There Are 3 Structures
Inside The Carpal Tunnel:

1. The Median Nerve – controls some hand movement and sensation
2. Nine Flexor Tendons that enable you to curl your wrist and fingers
3. Blood vessels

"True Blue" Carpal Tunnel Syndrome is when the MEDIAN NERVE is compressed or entrapped within the CARPAL TUNNEL.
What few people seem to understand is that the MEDIAN NERVE originates in the NECK. Then it travels under your collarbone, down the center of your forearm and finally through the carpal tunnel to the hand muscles.
Why is this SO important?
There Are 8 Possible Areas Where the Nerve Can Be Compressed!

Consider some of the symptoms of MEDIAN NERVE Compression (not necessarily Carpal Tunnel Syndrome): Pain in the Wrist… Numbness in the fingers… Tingling or other abnormal hand sensations…Weakness of hands… Neck Pain… Swelling
These are ALL symptoms commonly misdiagnosed as Carpal Tunnel Syndrome…when in fact…they are caused by Median Nerve compression in ANY or ALL of the 8 areas!!

How Does The Median Nerve Become Compressed?
The Median Nerve comes straight out between the bones of your NECK

If your doctor does not properly examine your neck, as well as all possible “crush sites” he/she is missing the boat and should not (in my opinion) be treating you for "carpal tunnel syndrome! See in the Gray's Anatomy diagram to the left how the nerves depicted in yellow,
travel down the arm to the hand?
This means that a problem anywhere from the NECK to the actual carpal tunnel can cause nerve
Misaligned bones in the neck, bulging discs, tight neck muscles, an extra rib (some people are born with them), shoulder or elbow injuries, inflamed tendons, and misaligned wrist bones can ALL compress the Median Nerve, causing in the SAME SYMPTOMS!
Since you're aware that most doctors are trained to treat symptoms, you can understand how they might miss the neck and the other zones when treating “carpal tunnel syndrome?”

Treatment for "Carpal Tunnel Syndrome" and other sources of Median Nerve Compression:
The proper treatment is determined through proper diagnosis. For example, if the cause of symptoms of hand tingling, numbness, weakness and/or pain is coming from the neck, the primary treatment could be Atlas Orthogonal, manual therapies, Cold Laser therapy , and/or home traction devices.

If the wrist is indeed the culprit, Cold Laser therapy would be my first choice, and/or Kinesio-taping. These have all been outstanding treatments for median nerve compression syndromes.
If you have TRUE Carpal Tunnel Syndrome (Median Nerve compression at the wrist, or carpal tunnel), Cold Laser therapy is an outstanding treatment method which is painless and non-surgical. It has been effective even for patients who have had failed wrist or neck surgery.
To learn more about cold laser therapy in Manhattan, New York City(NYC) visit my website at or our physical therapy/pain management site which offers the most comprehensive treatment for cervical and lumbar herniated discs in NYC we offer a comprehensive approach which includes Chiropractic, Physical therapy pain management, Cold laser therapy, Kinesio-taping,Graston technique, Spinal decompression using the DRX9000, Core stabilization using the SpineForce and Powerplate.

Friday, June 26, 2009

DRX9000 Manhattan Chiropractor: Information and relief of low back pain, neck pain, sciatica, slipped, bulged and herniated disc pain in manahattan

DRX9000 Manhattan Chiropractor: Information and relief of low back pain, neck pain, sciatica, slipped, bulged and herniated disc pain in manahattan, new york city. DRX9000 Manhattan Non-Surgical Spinal Decompression, SpineForce, Chiropractor Manhattan, New York City, Physical Therapy, Rehabiliation Manhattan, New York City, NYC.
Stop Suffering with the pain of a herniated disc?
Get a second opinion about your MRI report, fax it to (212) 777-1653, I will review your MRI and get back to you within 12 hours.
I will let you know if you are a candidate for Non-surgical spinal decompression.Learn more about this technique visit

Thursday, June 25, 2009

Herniated disc NYC, New York City Herniated disc treatment, DRX 9000

Herniated disc (NYC) New York City

Herniated Disc Manhattan-Herniated disc doctor visit

What is a herniated disc?

The bones (vertebrae) that form the spine in your back are cushioned by small, spongy discs. When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible. But when a disc is damaged, it may bulge or break open. This is called a herniated disc. It may also be called a slipped or ruptured disc.

You can have a herniated disc in any part of your spine. But most herniated discs affect the lower back (lumbar spine). Some happen in the neck (cervical spine) and, more rarely, in the upper back (thoracic spine).
What causes a herniated disc?

A herniated disc may be caused by:

Wear and tear of the disc. As you age, your discs dry out and aren't as flexible.
Injury to the spine. This may cause tiny tears or cracks in the hard outer layer of the disc. When this happens, the gel inside the disc can be forced out through the tears or cracks in the outer layer of the disc. This causes the disc to bulge, break open, or break into pieces.

What are the symptoms?

When a herniated disc presses on nerve roots, it can cause pain, numbness, and weakness in the area of the body where the nerve travels. A herniated disc in the lower back can cause pain and numbness in the buttock and down the leg. This is called sciatica (say "sy-AT-ih-kuh"). Sciatica is the most common symptom of a herniated disc in the low back.

If a herniated disc is not pressing on a nerve, you may have a backache or no pain at all.Some patients have extreme leg pain and altered sensation in the leg.

If you have weakness or numbness in both legs, along with loss of bladder or bowel control, seek medical care right away. This could be a sign of a rare but serious problem called cauda equina syndrome.

How is a herniated disc diagnosed?

Your doctor may diagnose a herniated disc by asking questions about your symptoms and examining you. If your symptoms clearly point to a herniated disc, you may not need tests.

Sometimes a doctor will do tests such as an MRI or a CT scan to confirm a herniated disc or rule out other health problems.

Herniated Disc

Can a herniated disc be prevented?

After you have hurt your back, you are more likely to have back problems in the future. To help keep your back healthy:

Protect your back when you lift. For example, lift with your legs, not your back. Don't bend forward at the waist when you lift. Bend your knees and squat.
Use good posture. When you stand or walk, keep your shoulders back and down, your chin back, and your belly in. This will help support your lower back.
Get regular exercise.Core muscle strength is crucial.
Stay at a healthy weight. This may reduce the load on your lower back.
Don't smoke. Smoking increases the risk of a disc injury because it cuts of the blood flow to the discs and speeds tissue breakdown.

herniated disc, herniated disc,Back Pain New York City NYC , Herniated Disc Manhattan, New York Chiropractor ,DRX9000