Chiropractic Treatment for Marathon Runner’s Knee in NYC

As many New Yorkers are training to run their next marathon, preventing injuries is key.  However, even with proper training, injuries can develop and it is crucial to seek effective treatment immediately in order to correct the damage and prevent further injury, which can impair the runner’s ability to perform.

Frequent running can heighten the risk of developing entrapped nerves in the knee joint, causing severe discomfort, pain, and inability to walk or run.  The saphenous nerve, the largest sensory nerve in the body, is commonly affected by entrapment due to high impact activity, specifically running.  Entrapment of the saphenous nerve can occur anywhere between the hip and knee joint, in one or both legs.  In addition to entrapment, the saphenous nerve can also suffer from tension and inflammation, which are also painful and debilitating.

Chiropractic treatment and physical therapy are some of the safest and most effective treatment options for marathon runner’s knee pain.  Because these non-invasive, non-surgical therapies do not carry any negative side effects and require no downtime and offer the possibility of active recovery, they are highly recommended for patients looking to maintain a certain level of activity while they heal.

Dr. Shoshany and his team offer the latest in diagnostics and non-surgical treatments in NYC to identify and treat marathon running injuries.  Each patient is personally diagnosed through X-Ray analysis and/or ultrasound analysis (for those unable to undergo X-Rays) in addition to a biomechanical analysis to develop the best individual treatment plan to fit the patients fitness and lifestyle needs.

Dr. Shoshany offers his NYC patients a varied range of highly effective, non-surgical treatments to correct and prevent marathon running injuries.  Some of the most sought-after treatments, which can be applied on their own or combined as part of a comprehensive treatment protocol include chiropractic adjustments, soft-tissue mobilization (Active Release Techniques® and Graston Technique®) to remove adhesions, cold laser therapy to painlessly decrease swelling and discomfort through cellular regeneration, physical therapy to regain motion and strength, medical massage therapy to treat stressed soft tissue, acupuncture to reduce pain, and more.

Patients who are marathon runners show great improvement and a positive response to non-surgical physical rehabilitation treatments, with the advantage of allowing for a faster, more active recovery than would be possible with more invasive therapies.

For additional information about Dr. Shoshany’s available treatments for marathon running injuries in NYC or to schedule a consultation, please visit www.drshoshany.com or contact 212-645-8151.

Treatment for pinched nerve in the neck in NYC

Treatment for Pinched Neck Nerve in NYC

When a patient experiences pain in the neck area, it is often caused by a pinched nerve.  The term “pinched nerve” refers to a nerve that is entrapped or under excessive pressure because of herniated or bulging discs anywhere along the spine, including the neck.  Other causes of pinched nerve in the neck can include degenerative disc disease, subluxations, and facet syndrome.

When nerves are under stress, they become irritated and send painful signals to alert of a problem that needs to be corrected.  Aside from discomfort and pain, a pinched nerve in the neck can also cause loss of motion and sensation, as well as weakness and inability to properly function.  This can extend from the neck to the shoulders and arms, because the nerves that originate in the neck prolong down the upper extremities.  Problems with hand function (similar to carpal tunnel syndrome) and headaches are also possible symptoms of a pinched nerve in the neck.

Chiropractic care is one of the most effective treatments to correct spinal issues that cause a pinched nerve in the neck.  Because it is a safe, non-invasive, non-surgical therapy, patients experience progressive pain relief and overall wellness without any additional downtime.

An expert chiropractor will diagnose the patient by evaluating the results of diagnostic tests such as X-rays, MRIs or nerve tests – one test or a combination of tests is prescribed depending on the patient’s condition and needs.  At Dr. Steven Shoshany’s state-of-the-art physical rehabilitation facility in NYC, X-rays and nerve tests are performed and reviewed in-house for the patient’s convenience.

Following a diagnosis that reveals the patient has a pinched nerve in the neck, a personalized treatment plan will be developed.  Dr. Shoshany’s top treatments for pinched nerve in the neck include chiropractic adjustments and cervical spinal decompression.  These options are safe and highly effective because they address the root cause of pain in order to provide long-lasting relief and wellness.

For additional information on Dr. Shoshany’s chiropractic and spinal decompression treatments for pinched nerve in the neck in NYC, please visit www.drshoshany.com, where you can also schedule a consultation and review the wide range of non-surgical treatments available for pain, sports injuries, and chronic conditions.

Cervical disc herniation treatment in NYC

Cervical disc herniation treatment in NYC

One of the most common conditions that we see in our office is that of patients dealing with pain due to a cervical herniated disc.
The image above is a cross-section of a disc and spinal cord and nerve root.
The center of the spinal disc is called the nucleus and the outer layers are called the annulus fibrosus.

I circled the disc bulging that is putting pressure on the left spinal nerve root.
If this disc is putting pressure on the fifth cervical nerve root the patient would feel pain,numbness, burning in and around the upper arm area.

Cervical Radiculopathy is a medical terminology used to describe Nerve damage caused by severe pressure to the cervical nerve roots. Common cause include disc bulging or disc herniation, degenerative disc disease, spinal stenosis osteoarthritis, and facet syndrome.
Symptoms can include pain, numbness, tingling, and or muscle weakness in the regions of the shoulders, arms, hands or fingers.
Very often unless a patient has had a cervical MRI patients could assume that they have carpal tunnel syndrome (which is pain in the wrist and hands).

 If you suffer with unresolved neck pain or if you experience any pain in arm or hands the first thing we do is refer our patient for a MRI of the region so we can understand what is going on.
Our office has a excellent relationship with a local MRI facility so if you do not have a MRI we can usually see a patient and have patients seen same day.

Above is a simple Dermatome map
A dermatome is a region of skin supplied by nerve fibers originating from a single spinal nerve root. Compression of the nerve roots affects sensation in the corresponding dermatome.
The most common nerve root injuries caused by herniated discs are the levels of C5 nerve-C7 nerve


For the past 10 years our office has used Non surgical spinal decompression for patients suffering with herniated and bulging discs.
Spinal decompression is extremely safe with no side effects. Pressure within a disc can be reversed, drawing in fluid as well as the herniated disc material. This removes pressure from nerve roots and relieves pain.

If you live or work in NYC we are currently offering a no-charge initial consultation and a review of MRI findings. To learn more call 212-627-8149 or visit www.livingwellnewyork.com

Neck pain? Do you suffer from chronic neck pain

Above picture shows a "Pinched nerve" in the neck

As a NYC Chiropractor I see so many patients that suffer with Neck pain

I wanted to explain some of the common causes of Neck pain and how Non-surgical spinal decompression can help.

Herniated Discs
bulging Discs
Degenerative Disc Disease

 Common causes of Neck Pain

a herniated disc (also referred to as a protruding or extruded disc) is a condition where a portion of the gel-like center of the disc has migrated through the layers of the annulus fibrosis.
This can cause mechanical pressure on neighboring structures and trigger chemical reactions resulting in pain and inflammation. These changes will often irritate the nerves, producing numbness or tingling in the arms or hands.
Degenerative disc disease is a state of dehydration and deterioration marked by the gradual erosion of the disc's ability to distribute and resist mechanical loads. As discs deteriorate, they become more susceptible to injury from physical stress. Degenerative disc disease may also play a contributing role in conditions such as disc bulges, disc herniations,and stenosis.

Who are the best candidates for DRX 9000C treatments?

Patients that may benefit most from the DRX9000C are those diagnosed with herniated discs,bulging discs and degenerative disc disease.
What may I experience during the course of treatment?

Some patients may experience light side effects with this type of therapy. Mild muscular soreness during or after  treatment may occur. the sensation would be similar to what a person might experience at the onset of a new exercise regimen.
Most patient find the therapy quite comfortable and relaxing. During an average 30-45 minute treatment, most patients experience a gentle stretch in the cervical spine and tend to fall asleep.
Adjunctive therapies to non-surgical spinal decompression typically include electrical stimulation and cold therapy.
Cold laser therapy is another tool that we use in our office to help with patients that suffer with neck pain.


To learn more about Non-surgical spinal decompression Call (212)627-8149
or visit www.livingwellnewyork.com

Cervical disc herniation and arm pain

Cervical disc herniations and arm pain

All too often patients diagnosed with cervical disc herniations and arm pain resort to invasive medical treatments like cervical epidurals, and neck surgery.

A conservative non-surgical approach is best at first-
Surgery should be your last resort after you have exhausted all non-surgical options first.

 Nerve damage caused by severe pressure to cervical nerve roots is known as Cervical Radiculopathy 
Common causes include disc bulging or herniation, degenerative disc disease, spinal stenosis, osteoarthritis, and facet syndrome.
Symptoms are pain, numbness, tingling and muscle weakness in the region of the shoulder, arms,hands or fingers.

If you are suffering with these conditions a X-ray and a MRI can help to rule out serious injury and help determine the most appropriate course of treatment.
Non-surgical Cervical spinal decompression works on the same principal as Spinal decompression for the low back.
Pressure within a damaged disc can be reversed, drawing in fluid as well as the herniated disc material. This removes pressure from nerve roots and relieves pain.
High intradiscal pressure causes discs to bulge out and press painfully on nerve roots.
They also make for a compressed, anaerobic (little oxygen) environment unsuitable for healing.
Non- surgical spinal decompression (NSSD) produces negative pressures within the discs, which experts believe create a vacuum effect that draws in nutrients and fluids to promote the repair of injured discs and surrounding tissues. This Vacuum has also been shown to aid in the retraction of escaped cushioning gel from herniated discs.

Dr. Steven Shoshany
NYC Chiropractor
Call (212) 645-8151 to schedule an appointment in NYC for non-surgical herniated disc treatment












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Dr. Steven Shoshany
Non-surgical Cervical Decompression wor

Herniated disc diagnosis- Now what?

If you have been suffering with back pain or nerve related arm or leg pain chances are that you have been told by your doctor to get a MRI of your Lumbar or Cervical spine. Why was the MRI ordered and what will the MRI tell you about your condition.
 The MRI is short for a Magnetic Resonance Imaging- It is the gold standard for documenting soft tissue injuries. Most of the time the source is from nerve irritation due to a Bulging or Herniated disc.
 Most of the time just because you have been diagnosed with a Herniated or Bulging disc doesn't mean you need a surgery,so relax there are effective non-surgical treatment.

If you have a MRI report or an disc and you are interested in understanding the best non-surgical treatment options call us (212) 645-8151 to learn more about our NYC back pain and herniated disc treatment center.
 Most of the time when you go to a orthopedist or spine surgeon with a herniated or bulging disc the treatment involves 6 weeks of physical therapy and after that usually a epidural or or recommendations for a surgical consult.
We have found that a combined approach using non-surgical spinal decompression, gentle Chiropractic adjustments and core-strengthing Physical therapy not only alleviate symptoms but succesfully decrease the degree of the actual disc herniation and post MRI clearly demonstrate reduced or even complete reduction in nerve pressure.

Read this if you have a Herniated or Bulging disc and Sciatica in NYC

Free Consultation and MRI review for those with Herniated disc

If you have  Herniated or bulging discs, Sciatica or spinal stenosis for the month of November
We are offering a complimentary consult and MRI review for our non-surgical, non-drug patented procedure.

We have been helping those who suffer in NYC with herniated disc and Sciatica utilizing non-surgical spinal decompression.

Our patented methods helped hundreds avoid unnecessary surgery and avoid potentially dangerous invasive procedures like spinal epidurals.
Our office is conveniently located @ 632 Broadway off Houston street in NYC

Close to the B,D,F,M trains at Broadway Lafayette station and the 6 train at Bleecker street
and the N and R at prince street.
We are open Monday-Saturday



Dr. Steven Shoshany has been helping those that suffer with bulging and herniated discs, Sciatica and spinal stenosis without surgery or invasive potentially dangerous spine injections.

Spinal decompression is a safe and effective procedure that helps reduce intra-discal pressure and reduces pressure on pinched nerves that cause pain like SCIATICA.

If you or a loved one has pain we are offering a no-charge consult and MRI review to determine if you are a candidate for our procedure.

Call (212) 645-8151 or visit my website to learn more.
We will sit down with you and discuss your options and review your MRI findings
Spinal decompression when used in conjunction with Physical therapy can provide a permanent solution for for Back pain and Herniated disc problems.

How to Reduce Back Pain and Increase Comfort at Work

For patients who suffer from occasional back pain or discomfort, as well as those undergoing treatment for chronic back pain, there is a simple and effective solution to ensure comfort and stability while sitting for long periods.  Prolonged sitting can cause pain and further damage for patients experiencing subluxations, low back pain, and tailbone bruises or fractures.  One of the best tools available at our NYC physical rehabilitation and chiropractic facility is the Relaxo Bak™ cushion, also known as a “tush-cush”, which is a specially designed seat cushion that relieves pressure and provides comfort.

The tush-cush works by removing pressure from the tailbone (the end point of the spine), which is placed under extreme tension by the force created by continuous sitting, causing discomfort and pain that can extend to the rest of the spine.  The tush-cush’s design also creates a comfortable angle that allows for proper blood circulation and nerve signal transmission to the legs, reducing the incidence of cramps, numbness in the buttocks, legs, and feet, as well as pain in the lower back and hips.

In the case of bruising or a fracture to the tailbone, the tush-cush is a more effective healing aid that the traditional “doughnut” cushion because it provides support to the entire spine while keeping the tailbone off the chair.  Because of its light weight and built-in carrying strap, it is easy to take anywhere you might be sitting for extended periods of time, such as the office, concerts, sports games, airplanes, etc.

Relaxo Bak™ cushions also feature a removable case for easy cleaning and maintenance and are safe for use by patients of any age.  To order a tush-cush and learn about the services and products for back pain offered at our state-of-the-art NYC physical therapy and rehabilitation and chiropractic facility, please visit www.drshoshany.com. 

Leg pain or Sciatica-What is it and how to stop it.

Sciatica is a symptom of a problem-usually the result of a nerve being compressed.

Patients usually describe the pain as a Sharp, shooting leg pain, tingling or weakness that can travel all the way down either the front or the back of the leg.

Most of the time the cause is a disc in the lower lumbar spine  compressing a nerve-or a entrapment in the piriformis muscle

In our NYC  Sciatica practice we see patients that suffer with Chronic Sciatica or Acute Sciatica symptoms.

The first group of Chronic Sciatica patients have had medications, physical therapy and some have have had multiple spine injections. If they have not had any Chiropractic adjustments that is one the first things we want to start with, we usually want to start with gentle and effective Cox flexion distraction methods.

Understanding the source of the problem is paramount so if a patient does not already have a recent MRI we refer out to a local MRI facility. If it turns out the disc is herniated and placing pressure on the spinal cord and or nerve roots we would consider the patient for Spinal decompresion.
Spinal decompression is a highly effective treatment for patients that have herniated discs that are causing Sciatica symptoms.



Our practice was one of the first in NYC to offer Spinal decompression and we continue to provide Back pain and Sciatica patients with the most comprehensive non-surgical treatments available.

The Acute patient is a patient that has leg pain or buttocks pain and the pain is the only thing on the patients mind, it can brought on by a sudden movement and the symptoms will prevent the patient from doing simple things like putting on socks or brushing teeth.

When someone has Leg pain that is interfering with the way they walk it can be scary.
If you have had any previous experience with this symptom, you would know going to a New York City hospital would eat up 5-6 hours of your day and you would be lucky to walk out with a expensive aspirin.
We offer a Non-surgical, Non-invasive solution to those suffering with Sciatica and Chronic back pain.
to learn more about our NYC office visit www.drshoshany.com

Sciatica can be painful and difficult to treat-

We offer patients a permanent non surgical solution-

Treatments include Active Release technique, Spinal decompression, Cox flexion distraction

To make an appointment call (212) 645-8151

Chiropractor NYC

Understand Back Pain from Herniated Discs

When back pain is your everyday companion, you tend to look at every possible problem as the cause of your pain. Inherently, we want to understand what’s going on in our bodies, so it’s a normal tendency to look at any back pain diagnosis you see or read as the culprit. Of course, words like sciatica, lumbago and slipped disc are a part of the mix whenever we think of back pain, so it’s not unexpected to assume that’s what’s at the heart of the matter. However, who’s to say? And what do those “buzz words” mean to you for finding relief and getting back to normal, pain-free living? As you may or may not know, all three of these things can be related; a so-called “slipped” disc, actually called a disc herniation or disc prolapse, may lead to sciatica and lumbago (lower back pain). Why don’t we break it down a little so we can understand what’s the real reason for pain?

There are a number of factors that might increase the likelihood of a herniated disc, many of which are common sense and others which may not be so much. Let’s review a couple.

Firstly, of course, is age. As we get older, our spinal discs tend to hold water less efficiently, so the discs degenerate. It’s a natural part of aging, but it can be a big problem - the water and fluid inside of a disc is a big part of the reason it is able to function effectively as a shock absorber. Without, the fluid, trauma and injury can have a much more significant impact.

Next is genetics. It sort of goes without saying that if there is a history of back problems in your family, your chances of running into the same in your lifetime are greater. That being said, there are estimates around that approximately 80% of Americans will suffer from acute or chronic back pain at some point in their lives, so maybe back pain is more scripted into our lifestyle choices? Which leads us to...

...Exercise habits and body weight. This has a lot to do with what your body can handle. If you are significantly overweight, the load you place on your spine each and every day is greater than what it is designed to bear. The added strain can make disc herniation more likely. Exercising the muscles that support the spine and general exercises can have a major positive impact on the health of the back, effectively acting as a preventative measure.

Lastly, and perhaps most overlooked for its straightforwardness, is your work. Do you have a job that requires extreme strain to the back with regular heavy lifting? Or at the other extreme, do you have a job that keeps you stuck in a chair for hours on end? On the hand, the harsh physical job can cause herniation because of the hard work that is constantly demanded from the back. On the other hand, not using your back can lead the muscles that support it to atrophy. It’s important to consider these factors in examining your back pain and understanding its true source.

All this is great to know, but the fact is, if you’re in pain, you need help! Here at Living Well Medical in Downtown NYC, we help patients with herniated discs all the time. By combining several non-surgical techniques and treatments, we give patients the best chance of returning to active living without pain (and without resorting to riskier methods!). If you have back pain and need help, call today at 212-645-8151.

- Dr. Shoshany, NYC Chiropractor

Spinal Decompression: A Great Option Even After Back Surgery

Sometimes certain conditions or prior procedures, like back surgery (ex: spinal fusion), can rule out treatment using the DRX9000.
We see patients that have had back surgeries and have not found relief, and after a through evaluation we start providing care and help relieve their pain and discomfort using a variety of therapies, including Spinal Decompression.

Recently a patient came to us who was still experiencing back pain after he had surgery on his L5/S1 intervertebral disc. The patient stated that he also had L4/L5, L5/S1 herniations, and had been dealing with back pain for quite a long time. Sometimes people will go many years, suffering from lower back pain and sciatica before they even become aware of non surgical, drug free options.

While many people walk around with undiagnosed bulging discs, they may not even feel pain from them and therefore dont seek treatment. Usually when people start suffering from sciatica, a painful and sometimes dibilitating symptom of a bulging or herniated disc, thats when they seek out treatment. Often times people suffering form sciatica won't do a lot of research about their options because they just want to find someone to help them get out of pain as fast as possible. This often leads to heavy doses of prescription drugs that have many serious side effects and can also lead to addiction and after the treatment is stopped they are likely to experience a return of their painful symptoms. Pain medication masks pain and doesnt treat the cause of the pain.

The aforementioned patient described the painful symptoms following surgery as having increased, with pain in the lower right back and glute, and the pain would last for about half the day. There was a dull ache along with tingling and sitting would cause the pain to increase, these symptoms are not unlike sciatica, which meant that there was a possibility that one of the nerve roots in the lower back may have been irritated by the bulging discs. After having surgery just a year ago after a long and agonizing bout with pain the patient felt that another surgery was not going to be a feasible option, especially since the pain had returned so soon after surgery.

He inquired about Spinal Decompression and after an MRI and a thorough chiropractic evaluation and consultation it was determined that he would be a suitable candidate for spinal decompression.

The MRI findings showed that at L5/S1 there was some normal post-operative scarring towards the left side of the disc. There were some mild disc bulges but they had not yet compromised the nerve root. On the right side in the L4/L5 disc, there was some moderate posterior herniation.

The findings:
Vertebrae- Mild retrolisthesis of L5. The remaining AP alignment intact. Height, intensity and enhancement are normal.

Discs- There is a prominent left and rmidline soft tissue intensity at L5/S1, the far majority of it is scarring. There is a small left and right associated disc bulge.
At L4/L5, a small to moderate right posterior herniation. The remainder of the Discs are normal.

The treatment:
The patient will undergo a series of evaluations and decompression sessions, using the DRX9000, followed by Ice and STIM therapy. Along with continued chiropractic care and monitoring, he can also be moved on to physical therapy to help strengthen weak points, stabilize postural muscles, and make tight muscles more flexible.

Using a vast array of advanced treatment options we administer individualized treatment protocols for each patient and prouce results quickly and without the use of invasive procedures like surgery, and our results are unparalleled.

The Vicious Cycle of Back Pain

There is no shortage of active people in New York City. From fitness enthusiasts to avid runners that run the entire bike path on the west side, everyone is trying to be active. However a de-conditioned person just getting back out after being shut indoors all winter, seething form the cold and the inactivity that comes along with it, may just be asking for pain and injuries.

Even people that are regularly active don't notice that over the winter and spring their activity levels fall, sometimes significantly. Making a conscious effort to be active and not let yourself get out of shape during the winter doesn't always mean that you didn't avoid a walk or just stayed in an extra night here and there, or cut your gym time short to stay warm under the covers just a little while longer.

And is it just the winter inactivity that leads to injury? Well, no, its sort of a complicated answer. Your body has an economy based around exercise, rest and nutrition. An increase in activity needs more fuel (nutrition), and time to recover. Rest, or inactivity requires less nutrition, so its also easy to over consume, if you over consume, you require more work to burn off the excess calories, that leads to more activity, and so on.

Exercise economy

As the previous statement went, theres also an exercise economy, where there is a risk/ reward system. According to the National Academy of Sports Medicine, The National Strength and Conditioning Association, and other evidence based training certifying bodies that research exercise and nutrition, low repetition, heavy, compound exercises build strength, while high repetition, light weight exercises build endurance. So weather you exercise to be strong or to increase your endurance, the trade off between training volume and exposure to injury is simple. The more you do, the more you risk. But if you don't do enough, you don't make many improvements.

Too much training?
Its hard to believe that most people do too much. Think about it, most people hit a wall in their training regimen, and to fix it they simply do more. Some people "run through pain" when they have shin splints, other people just start adding more sets to their weight training workouts. This upsets that aforementioned "exercise economy" because you are now simply giving your body more work to do, and probably with poor mechanics and execution.

Can I exercise with a bad back?
Yes, some people can actually keep exercising with a back injury. Now, any time you are starting an exercise regimen, or thinking about exercising on an injury, make sure you talk to your doctor, or if you are under the care of a Physical Therapist, make sure you clear any exercise you are planning o do. Everyone is different and therefore everyone's injuries are going to require a different approach if not treatment altogether.
You want to stay away from exercises that load the spine, making herniated and bulging discs even worse, so stay away from deadlifts, and bent rows. What you want to do is focus on exercises that require "core" stability, or exercises that require you to have your lumbar, hips, and abdominal/oblique muscles work as one unit.
Try this:
Low cable row: Sit down on the machine and grab the cable handle, go for the single handle. Keep your back straight, and tight, now flex your abdominals, flex the obliques, and try to keep your hip complex tight too, so squeeze your butt a bit too. Make sure you can breathe, and go light on the weight, be careful not to make any sharp jerky movement, and don't allow your trunk to turn during the exercise.
Supine Bridge: Lay flat on yours back, bend the knees, and keep your hands at your sides. Start slowly and raise your hips up keeping your back and hips tight, return to starting position slowly.
Bird Dog
This is a simple Yoga movement, and here is a quick video demo for it:


Remember that for back pain, there are come great options for finding relief. A chiropractor can help adjust your spine and a Physical Therapist will help you strengthen the surrounding musculature.

Leg Pain: Is It Just a Muscle Issue?

Now that it’s nice outside, it’s normal to see more and more people running and enjoying the outdoors; the sunny season brings people back to life, out of the cabin fever days and into the spring fever days. Everything is just starting to come back to life. Of course, at the same time, it’s easy to have the winter months of relative inactivity come and bite you in the behind.

This is the way I have had more than one patient come to any office, Living Well Medical in NYC, complaining of leg pain, thinking it was muscle-related - it’s the first choice in a case of a person returning to active days. This is particularly true of people ages 50 and up because they are generally more susceptible to injury. However, based on the way the pain is described, it can become evident that leg pain is more than just muscular. That’s when things get more complicated.

Patients often say a few things that made me believe it might be something more.

Shooting, electric, burning pains are a component of the overall pain. This is sometimes an indication of a nerve-related problem like sciatica, but it cannot be confirmed without an in depth study like an MRI.

Patients also typically complained of some numbness in the legs, buttocks, feet or toes. Again, this is consistent with a pinched nerve that is inflamed and irritated, perhaps because of a herniated or bulging disc.

Finally, the patient complained that there was no real “comfortable” position - sitting hurt, standing hurt, even lying down hurt.

Just to be clear, none of the above is a definitive indication of a pinched nerve, but they do warrant more investigation, especially if the pain is persistent, as it often is. If you do have a pinched nerve, we’re here to help; services like spinal decompression, physical therapy, active release technique, chiropractic and so many others have been shown to be able to relieve pain and keep it away. The main thing to remember: if you’re in pain, don’t just ignore it! Call and find out more about getting help at 212-645-8151.

- Dr. Shoshany, NYC Chiropractor

Some Common Causes of Back Pain and How Spinal Decompression Can Help

What makes me a candidate for spinal decompression treatment?

Usually we would recommend Spinal Decompression for patients that have been suffering from:
Herniated discs
Bulging discs
Sciatica
Degenerative Disc Disease
Facet Syndrome
Additionally, patients that have not responded to physical therapy and chiropractic care may be candidates for non surgical spinal decompression.

What is the spinal decompression treatment experience like?

Thats the best thing about spinal decompression, the "side effects" of spinal decompression are limited to mild soreness which may cause mild discomfort for some patients. The soreness is not unlike how you would feel after a good workout. For most patients the treatment is very comfortable and relaxing, and the treatments last between 30 to 45 minutes. Patients often fall asleep since the stretch in the spine is not painful and feels good to most people.

Spinal decompression is often followed up with other therapies like cold/heat therapy, electronic muscle stimulation, and laser therapy.

What do the conditions mean?

Degenerative Disc Disease:
Is when a intervertebral disc is deteriorated, and dehydrated which leads to the degradation of the disc's ability to handle the loads placed upon it. Degenerative disc disease also contributes to bulging, herniated discs, and stenosis.

Facet Syndrome:
The facets are located towards the back of the spine and help keep the vertebrae aligned. Facet syndrome is usually characterized y inflammation, pain and stiffness that increases with activity and decreases with rest.

Sciatica:
Often associated with a herniated or ruptured discs, sciatica occurs when a disc in the lumbar spine impinges no a spinal nerve that leads to the sciatic nerve, interfering with normal nerve activity. Sciatica can be acute or chronic, and is associated with pain that shoots down the buttocks and the leg. Tingling and numbness are also associated with sciatica, along with some loss of sensation.

We always use a combined approach towards treating back pain. Along with other treatment methods like Physical Therapy, Cold Laser, and the Graston Technique, we have helped mmany people suffering from chronic, painful conditions.

L5 S1 Paracentral Disc Herniation and Foraminal Stenosis

Here is a sample diagnosis of someone suffering from back pain.
"L5 S1, small para-central disc herniation, superimposed on an annular bulge, bilateral foraminal stenosis present, and degenerative hypertrophy of the facet joints."

Well that's a lot to think about and that's just an abbreviated sample report. An entire diagnostic report can be a few pages long, along with a doctor's notes, and possibly even more on top of that from previous treatments, not to mention the possibility of failed treatments or surgeries in the past.

Its understandable that patients can become confused, depressed, and don't really know where to turn and may feel like they are losing an uphill battle. No one would argue that the medical care system is fairly daunting, and not really set up to provide readily available answers. However you have to understand that the medical language is set up to be easily, uniformly, read and digested by medical professionals. So naturally theres a feeling that the patient is given a report in difficult to understand language and then set off to find a specialist. Terms and conditions are based in facts and studies. Diagnosis are backed by medical findings, not guessing, so essentially a fact based language that doesn't infer, to avoid potential problems, is best suited to provide for our safety.

With that out of the way, lets dissect the report above and try to offer a better understanding of whats going on and the available treatment options.


L5/ S1
This is usually how a diagnostic report starts out, by listing the physical location of the problem. L5 is the 5th Lumbar vertebrae, its located in the lower back, and S1 refers to the first sacral (sacrum) vertebrae. Its not unusual to have multiple bulging or herniated discs, along with other spine problems like a lordosis (exaggerated curvature.

Para-central Disc herniation
This is a way of noting the location of the disc herniation, since the discs are round and can herniate from a few different locations. A para-central herniation is located next to the center of the disc. Lateral would mean side, posterior meaning back, etc.

Annular Bulge
The "annulus" is located on the outside of the spinal disc, and wraps around it - kind of like the word annular means once a year, meaning something is cyclical.

Foraminal Stenosis
Stenosis means that something is narrowing or narrow. The foramin is an opening in between the vertebrae that allows the nerve roots to pass through to the spine, and over time, due either to spinal stenosis or other factors, like debris, these openings can become narrow and interfere with the nervous system.

Facet Joint Degeneration
The facet is the connective/ support structure that lies between each vertebrae, and this support and connective structure can wear down over time and cause problems with the spinal structure.

So this is basically a multifaceted problem, that requires an approach that's not all that unusual or difficult. Living Well Medical has been leading the way in treating pain with a multidisciplinary approach. Using Physical therapy to address structural weaknesses, and chiropractic, and decompression to de-stress and de-load the spine, a combination of therapies has been the most efficient way to treat painful conditions. those conditions often being complicated ones.

The Most Effective Non Surgical Back Pain Treatment

As an "alternative" treatment, Chiropractic remains as the overwhelming favorite in the US for many painful conditions. Chiropractic adjustments target the spine and the soft tissue of the body. Most people may not know about adjustments of the extremities and joints other than the spine.

Chiropractic adjustments go beyond spinal manipulation, many chiropractors practice adjusting the extremities and also perform soft tissue mobilization to help ease pain in movement and allow the muscular imbalances to become less of a problem, weather its through tightness or the presence of adhesions and scar tissue build up. Furthermore many also practice other soft tissue treatment techniques, such as:

Graston Technique
Active Release Technique
Cold Laser Therapy
Acupuncture
Deep Tissue Massage

Along with these techniques some Unique Treatment Facilities, like Living Well Medical, have a team of medical care professionals that form an integrated approach to help ease pain and speed recovery. Professional Massage Therapists, Physical Therapists, Medical Doctors and Chiropractic working in the same facility can better communicate a patients need and progress instead of sending notes and charts to another specialist, who may have no direct contact with the patients doctor. This can sometimes frustrate the patient and even slow progression towards full recovery.

The importance of communication between specialists, the availability of a various techniques, and the integration of them in to a comprehensive program is truly a cutting edge approach that only used to be available to professional athletes. Some techniques may be great for certain patients while others may not garner much of a response, so having a treatment protocol ready for every type of patient can mean recovery in a month rather than becoming a chronic issue to deal with for years, eventually leading to surgeries and more pain.

Chronic pain, especially back and leg pain, is treatable, without surgery. Non Invasive treatment is available to everyone, and is even covered by most insurances.

What’s in a Herniated Disc?

As an all-around pain relief center, we see all sorts of different problems, but if I had to put a name on the most common problem we see, I’d almost certainly have to say disc herniation. That’s one of the main reasons we continue to expand Living Well Medical with technologies and treatments that work well with ailments of the back and spine. Of course, lots of our treatments apply broadly, but the point is, we do a lot with backs, necks and spinal stuff. A technical term, “spinal stuff.”

So back to disc herniation, what the heck is it? And why does it happen? And why does it hurt so bad? Let’s take a quick look at these questions.

A disc herniation is when the inner part of an intervertebral disc (called the nucleus) is pushed free of a tear in the outer band surrounding it (called the annulus). I’ve it compared several times before to a jelly donut with the filling squeezed out. In so doing, the disc loses the vast majority of its function as a shock absorber and can even cause pain.

As to why, well that’s a little more complicated to answer because it varies from person to person. Suffice it to say that the most prevalent factors in disc injuries like herniation are age, wear and tear (like heavy lifting), and trauma. Overall lifestyle choices like healthy eating, drinking in moderation and not smoking are also important.

Then there’s the pain. Pain from a herniated disc is brutal. It’s among the worst things to suffer with, to be sure. And the reason it hurts so bad is often because it is crushing and inflaming the nerves that carry pain signals, sensory information and motor function to the various parts of your body! When a nerve root that is exiting the spine is compressed, we sometimes get the symptom set known as sciatica. Burning, numbness, pins & needles, and even muscle weakness are often the result. It’s a serious problem that can be completely debilitating.

Now that you know, it’s easier to see the whole picture. Disc herniation is a big problem with big pain. If you need help, give our NYC office a call at 212-645-8151. I’ll be glad to help.

- Dr. Shoshany, NYC Chiropractor

Chiropractor Dr. Shoshany on the Dr. Oz Show

Recently Dr. Oz, who is always looking for new and proven ways to help people get healthy, motivated, and happier, became aware of a new Cochrane review of Chiropractic treatment for lower back pain showed that Chiropractic adjustments were just as effective at relieving pain as more traditional medical care. While Chiropractic is not a new alternative treatment for pain, its almost as its position as the number one pain treatment alternative in the U.S is being reasserted, and its great to see a show with such a large audience recognize the results of chiropractic care for lower back pain.

Here is the par of the lower back pain segment with the adjustment performed in front of a live studio audience.

Do I Have a Herniated Disc?

No one who has ever had a herniated disc would confuse it with a pleasant experience. The pain is outrageous, the disability can stop you dead in your tracks and overall, it can just make you miserable. But back pain comes in many forms, and really, none of them are a picnic. What’s more, treatment for a herniated disc will often diverge from that of other back-related problems. Basically, what I’m trying to say is that it’s important to know what’s wrong with you so you can move forward with the right treatment. So how do you know? What are the signs? I’ll cover that in some small way here; however, it’s important to note that this is in no way intended to be a replacement for a doctor’s opinion. If you are in pain, call us at Living Well Medical. With that said, let’s move on.

If you are familiar enough with the term ‘herniated disc’ chances are you know a little about how the back works, but just in case you don’t, we’ll start there.

Three of the major structures in the spine are the bones, discs and nerves. The bones are the basic support structures, the discs are the shock absorbers and the nerves carry messages and information throughout the body, to and from the brain. In a herniated disc, one of these shock absorbers can’t perform its function because it has burst open and spilled the contents of its nucleus which provides much of the shock reduction. Sometimes, that herniated material will push against the nerves. That in turn can cause a number of severe symptoms like pain, numbness, tingling, muscle weakness and burning sensations. So if you are experiencing problems in the lower back or legs like these, you may have a disc herniation.

That said, the only 100% accurate way to know if you have a herniated disc is through medical imaging like an MRI. X-ray studies can also help rule out other serious spinal conditions like spondylolisthesis, but that's for another post entirely. Nerve tests like electromyography (EMG) and Nerve Conduction Studies are also able to point out nerve irregularities. The main point is that only a doctor can tell you what the situation is.

If you are in pain, call our NYC office us at 212-645-8151. We can and enjoy helping people like you reclaim your life from pain like a herniated disc.

- Dr. Shoshany, NYC Chiropractor

Is spinal Decompression Therapy Right for You?

Every day we have patients come in to the office at Living Well New York, complaining of back pain, leg pain and numbness, as well as tingling in the leg. Patients often ask if their symptoms are the result of problems with inter vertebral discs, and if non surgical spinal decompression can work for them.

How can you tell if you're a candidate for Non Surgical Spinal Decompression:

If you suffer form chronic or severe back pain which is caused by bulging, herniated, or degenerative discs, sciatica, or facet syndrome.

If you have been told that you are a candidate for surgery.

If you have had a failed back surgery, or have failed back surgery syndrome.

How can you tell is you are not a candidate for Non Surgical Spinal Decompression:
If you have any retained surgical components such as fusion cages or titanium rods,

If you have a clinically unstable back.

If you have spinal infections or abdominal, or pelvic Cancer.

You have recently fractured vertebrae.

If you suffer from Osteoporosis

If you have ankylosing spondylitis.

If you have an abdominal aortic aneurysm.

Pregnancy.

How long until you feel results:

Many patients notice reduced pain after their first few treatments, and may even feel that the course of their treatment is complete, but this is only the start of the healing process, and stopping treatments early can result in remission, and symptoms can reoccur. Some patients may take several treatments to feel relief because their physiology may be different, and everyone if different so the healing times do reflect this.

Non surgical spinal decompression works:

Patients suffering from herniated and degenerated discs report immediate pain reduction, and even with one treatment, the bulging pulposus may be completely or partially retracted back in to the disc. However it is normal for long term pain relief to take longer.

Consistency is the key to results:
Like with most injuries, tearing in the walls of the disc require time to heal properly. Pain relief doesn't mean that the injury has healed. The disc needs time to seal up properly, and it is crucial to continue treatment to make sure that the newly retracted discs do not herniate again quickly.

Living Well Medical focuses on a non invasive multidisciplinary approach to healing and pain management. If you are in the New York City area, and are suffering from back pain visit us at our treatment center on 632 Broadway, located in the heart of Manhattan, or call us at: 347 562 2144