Wednesday, July 29, 2009
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 www.livingwellnewyork.com
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 www.livingwellnewyork.com
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 www.livingwellnewyork.com
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 areas...you 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.
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 www.drshoshany.com or our physical therapy/pain management site which offers the most comprehensive treatment for cervical and lumbar herniated discs in NYC www.livingwellnewyork.com 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.