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Chiropractic Manipulation

A chiropractic adjustment, also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is a common therapeutic treatment for lower back pain.
A chiropractic adjustment refers to a chiropractor applying manipulation to the vertebrae that have abnormal movement patterns or fail to function normally.
The objective of this chiropractic treatment is to reduce the subluxation, with the goals of increasing range of motion, reducing nerve irritability and improving function.

Chiropractic Adjustment Description
A chiropractic adjustment typically involves:

A high velocity, short lever arm thrust applied to a vertebra
An accompanying, audible release of gas (joint cavitation) that is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation).
A relieving sensation most of the time, although minor discomfort has been reported (that usually lasts for a short time duration) if the surrounding muscles are in spasm or the patient tenses up during this chiropractic care.

A chiropractic adjustment, also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is a common therapeutic treatment for lower back pain.

A chiropractic adjustment refers to a chiropractor applying manipulation to the vertebrae that have abnormal movement patterns or fail to function normally.

The objective of this chiropractic treatment is to reduce the subluxation, with the goals of increasing range of motion, reducing nerve irritability and improving function.

Chiropractic Adjustment Description
A chiropractic adjustment typically involves:

A high velocity, short lever arm thrust applied to a vertebra
An accompanying, audible release of gas (joint cavitation) that is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation)19
A relieving sensation most of the time, although minor discomfort has been reported (that usually lasts for a short time duration) if the surrounding muscles are in spasm or the patient tenses up during this chiropractic care.

It should be known that joint cavitation or cracking does not occur at times, typically as a result of significant muscle splinting or the patient not being adequately relaxed during the chiropractic manipulation. At times like this, it is sometimes best for the chiropractor to apply ice, have the patient rest, or do electrical stimulation and massage prior to attempting the chiropractic adjustment.


A chiropractic adjustment, also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is a common therapeutic treatment for lower back pain.

A chiropractic adjustment refers to a chiropractor applying manipulation to the vertebrae that have abnormal movement patterns or fail to function normally.

The objective of this chiropractic treatment is to reduce the subluxation, with the goals of increasing range of motion, reducing nerve irritability and improving function.

Chiropractic Adjustment Description
A chiropractic adjustment typically involves:

A high velocity, short lever arm thrust applied to a vertebra. An accompanying, audible release of gas (joint cavitation) that is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation). A relieving sensation most of the time, although minor discomfort has been reported (that usually lasts for a short time duration) if the surrounding muscles are in spasm or the patient tenses up during this chiropractic care.

It should be known that joint cavitation or cracking does not occur at times, typically as a result of significant muscle splinting or the patient not being adequately relaxed during the chiropractic manipulation. At times like this, it is sometimes best for the chiropractor to apply ice, have the patient rest, or do electrical stimulation and massage prior to attempting the chiropractic adjustment.

Chiropractic Adjustment Techniques
There are many different manipulative techniques that can be utilized in chiropractic, and there is a certain skill level and “art” involved with high velocity, low amplitude adjustment or manipulation. It is perhaps more important for the chiropractor to determine when not to apply the adjustment.

Chiropractic Adjustment Side Effects
The most common reaction to a chiropractic adjustment is aching or soreness in the spinal joints or muscles. If this aching or soreness occurs, it is usually within the first few hours post-treatment and does not last longer than 24 hours after the chiropractic adjustment. Application of an ice pack often reduces the symptoms relatively quickly.

Flexion Distraction

Some patients with low back or buttock pain resulting from sacroiliac joint dysfunction may favor a more gentle chiropractic treatment over the traditional spinal manipulation techniques.

Less forceful spinal manipulation involves slower (low-velocity) techniques that allow the joint to remain within its passive range of motion. Gentle chiropractic techniques include:

Gravity traction using adjusting blocks: Padded “blocks” that vary in shape and size are strategically placed underneath the body. With the patient lying face down, the practitioner can gently reposition the sacroiliac joint and other areas, employing gravity from the block instead of relying solely on force.
Respiratory-assisted adjusting, long-axis leg traction techniques: While the chiropractor gently pulls a leg at a specific angle, the patients takes deep breaths to facilitate the adjustment.
A “drop” approach using a special chiropractic table: This table has sections that can be raised up to be dropped at the same time as the thrust, allowing gravity to assist the adjustment.
A specialized adjusting tool or device called an Activator: The Activator is a spring-loaded instrument that is used during an adjustment to provide a low-force impulse directed at specific locations along the spine.
The “flexion distraction” technique: Flexion distraction involves the use of a specialized table that gently distracts, or stretches, the spine. The chiropractor is able to isolate the area of pain while slightly flexing the spine in a pumping rhythm.

Soft Tissue Mobilization

Soft tissue in the human body is made up of muscles, ligaments, tendons and fascia. The soft tissue supports joint action. After a trauma, soft tissue can shorten, restricting the natural movement of a joint. Inflammation causes soft tissue thickening, which can also impede joint function.

Soft tissue manipulation is a manual technique used to reduce pain, relax muscles, increase range of motion and restore strength. It is also used to treat adhesions, which may form within the soft tissue as a result of trauma, surgery, immobilization or repetitive strain.

Soft tissue mobilization breaks down adhesions and stimulates tissue regeneration.

With this treatment, the physical therapist gently moves a joint through its natural motion, stretching the soft tissue, releasing tension from the muscles and improving blood circulation. The physical therapist slowly adds force to this movement until the deep tissue is reached and released.

Physical Modalities

Multiple modalities are commonly employed to reduce low back pain. They are especially useful in alleviating acute low back pain (e.g. an intense, debilitating episode of low back pain) for the patient. Physical therapists or chiropractors usually use passive modalities.

Heat and Cold Therapy
Heat and/or ice are easily available and are the most commonly used type of modality. Each type of therapy helps reduce muscle spasm and inflammation.

Some patients find more pain relief with heat therapy using heat packs and others with cold therapy such as ice massage. The two may also be alternated. They are generally applied for 10-20 minutes once every two hours, and are more useful early on (the first few days) in the course of an episode of pain.

Electrical Muscle Stimulation
Electrical muscle stimulation—often called “e-stim” or “TENS”—is a type of treatment often used in physical therapy or other rehabilitation settings.

The two primary uses for this treatment are pain relief and muscle re-education. In most settings, there is a machine that provides an electrical current.

Ultrasound
Ultrasound is often used to provide deep heating to soft tissue structures in the body. Deep heating tendons, muscles or ligaments increases circulation to those tissues, which is thought to help the healing process. Increasing tissue temperature with ultrasound is also used to help decrease pain.

Rehabilitative Exercises

At Spine Care Club we feel that your treatment is not complete unless you have received exercises to help you fully recover and avoid flare-ups. In fact, we often prescribe (and demonstrate) some specific rehabilitative activities on your first visit. Research has proven that specific strengthening, stretching, and coordination exercises will help you recover more quickly from your injury and also help prevent re-occurrence.

We use a science-based, progressive rehabilitation protocols that will increase in difficulty as your condition improves. The goals of rehabilitation include reducing pain, improving function, improving strength, increasing flexibility, and reduce the risk of re-occurrence. All of our doctors and therapists have training and experience in rehabilitative exercise which gives you quality assurance that your program will be the correct one for you and supervised appropriately. Our rehabilitation room provides ample room and supplies to coach you through anything from a single exercise to a comprehensive routine.

It’s important to note that we don’t chain you to an expensive “in-office” rehabilitation program. On the contrary, we believe in exercises that fit your needs and lifestyle and in educating you to take control. Once we teach you what you need to know, we give you the knowledge and tools to do your physical maintenance at home, when traveling, at your gym, or on the playing field.

Hydro Massage

Hydromassage is a spa treatment that uses high-pressure water jets as massage tools. According to the Good Spa Guide website, the jets are more powerful than those found in a standard whirlpool tub or a Jacuzzi, and the water temperature is warmer. Traditionally, hydromassage involved immersion in water; however, some massage units now feature waterproof membranes that prevent the water from touching the skin. If you have heart disease or another medical condition, you should consult your physician before starting hydromassage therapy. You also should talk to your doctor or therapist first if you are pregnant, are recovering from an injury or surgery, or have high blood pressure. Avoid eating a large meal or drinking alcohol before your treatment.

Stress Relief

Hydro massage has been shown to reduce physical tension and mental stress, according to the Caldera Spas website. Immersing the body in warm water may reduce the secretion of cortisol and other hormones associated with stress. A study conducted by Washington State University’s Bruce Becker, M.D., showed that soaking in a 102 degree F tub for 25 minutes produced relaxation and an accompanying decrease in anxiety.

Improved Sleep

Hydrotherapy can help reduce insomnia and promote restful sleep, according to the Caldera Spas website. This may be because the body’s internal temperature rises during hydrotherapy, then drops afterward. The internal temperature drop cues the body to get ready for sleep. Hydrotherapy can also improve sleep by relieving pressure on the body’s joints and muscles, which reduces nighttime discomfort.

Pain Relief

Hydrotherapy sessions may help reduce chronic pain caused by arthritis, fibromyalgia and other conditions. According to the Caldera Spas website, the warm water improves circulation, which delivers oxygen and vital nutrients to muscle tissues. Water immersion also reduces the body’s weight by up to 90 percent, taking weight off the limbs and joints. The water jets used in hydromassage therapy may also provide healing benefits by massaging injured, tense or sore areas.

Cardiovascular Rehabilitation

Water immersion and hydro massage may be a useful tool for people who have heart conditions. According to the Caldera Spas website, hydromassage can increase the heart rate without a corresponding increase in blood pressure.

Nutritional Consultation

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Nervous about seeing a nutritionist? Don’t be! A nutrition counseling session may never be like getting a massage, but it doesn’t have to be torture, either. A good nutrition consultation shouldn’t feel like a lecture about what you should be doing, and you shouldn’t feel as though you’re being scolded or judged on your eating habits, either. Rather, we take the time to listen closely and to understand where you are right now in terms of your lifestyle and diet, and work with you to help achieve your goals. Nutrition counseling can be done by a certified nutrition consultant or a registered dietitian (RD). Both nutritionists and RDs are qualified to create individual action plans to help you adopt a healthier lifestyle.

Who Can Benefit from a Nutrition Consult?

Lots of people can benefit from working with a nutritionist, for many different reasons–whether you need a complete diet overhaul, are looking to manage a medical condition, want to fine-tune your food choices, or get inspiration for new, healthy recipes. It’s best to book a nutrition consultation after a check-up with your primary care provider. That can help inform whether you have any specific conditions that can be addressed with nutrition, such as elevated blood sugar or cholesterol, or blood pressure issues.

While some patients come in for a nutrition consultation to learn more about how their food choices affect their health, others end up in my office at their doctor’s suggestion. The following are just a few of the conditions that can benefit specifically from dietary interventions:
With most nutrition counselors, we’ll ask about your goals, objectives, and reasons for wanting to see a nutritionist. We’ll review your medical history, including any medications and supplements you’re currently taking. Then we’ll delve into your lifestyle to get a sense of your stress levels, sleep patterns, energy levels, exercise, and gastrointestinal function. It will be helpful for to you write down everything you ate in the 24 hours prior to the appointment (or better yet, a food diary of two to three days’ worth of meals and snacks). With that guidance, we can begin to discuss your dietary preferences and cooking habits, and identify trouble spots, like skipping breakfast or late-night snacking. From there, we’ll develop some initial pointers to help you start eating healthier.

  • Heart disease
  • High blood pressure
  • High cholesterol
  • Allergies
  • Diabetes and pre-diabetic conditions
  • Irritable bowel syndrome (IBS)
  • Celiac disease
  • Obesity or overweight
  • Pregnancy

Non-Surgical Spinal Decompression

Neck and back pain are significant health and socioeconomic problems in our society, affecting over 80% of North Americans. Symptoms are often recurrent, even if the original presentation resolves, and some people suffer chronic, unremitting symptomatology.

Disc degeneration, bulges and herniations are primary causes of neck or low back pain. Surgical intervention, often with fusion, is frequently suggested, but the end result can be reduced mobility, stiffness and continuing pain - the “failed back syndrome.” Lipson, in a 2004 paper in the New England Journal of Medicine,(1) states that 151,000 spinal fusions are done each year in America. He advocates restraint because of the complications and typically modest benefits associated with surgery.

The high incidence of chronicity, recurrence of pain and ‘failed back syndrome’ for patients with neck and back pain suggests that management protocols need to be revisited.

Spinal decompression is essentially the evolution of traction.

With respect to neck or back application, traction can be defined as an intermittent or continuous force applied along the long axis of the spine, in an attempt to elongate the spine, or the act of pulling or stretching muscle or joints. However, pain relief with traction has been inconsistent and short-lived.

Why Spinal Decompression Differs from Traction Therapy.

When traction is applied, the body’s reaction is to pull in the opposite direction. Spinal decompression equipment, on the other hand, contains sensitive computer-feedback mechanisms, such as strain gauges, to overcome this phenomenon and allow for maximum therapeutic results. A strain gauge is designed to convert mechanical motion into an electronic signal. This allows the equipment to continuously monitor muscular reaction and to compensate by re-adjusting its distraction parameters. Each treatment is centered on a variety of adjustable logarithmic ramp-up, hold and release protocols implemented by the computerized system designed to bypass the proprioceptive response of ligaments and muscles to distraction. By comparison, physiotherapy, traction, chiropractic or osteopathy cannot adequately bypass the body’s protective proprioceptive response and therefore cannot create negative intradiscal pressure for extended periods.

Manipulation Under Anesthesia

Manipulation under anesthesia (MUA) is a noninvasive procedure to treat chronic pain unmanageable by other methods. MUA is designed not only to relieve pain, but also to break up excessive scar tissue. Scar tissue frequently builds up after orthopedic surgery, impeding movement of soft tissue and joints, so MUA is a valuable in re-establishing optimal range of motion. The patient normally goes through a series of examinations, including imaging tests and laboratory work, before undergoing MUA. These tests are necessary to precisely identify the targeted area and to ensure the patient’s ability to benefit from the procedure. MUA may be performed by a number of different types of medical professionals, but only those who have studied MUA and received certification in the technique.

Reasons for MUA

Though it may occasionally be used to alleviate acute pain, MUA is most often recommended for patients suffering from chronic musculoskeletal problems of the back, shoulder and knee. When more conservative treatments have not resolved the problem, MUA may be considered for the following conditions:

  • Chronic musculoskeletal pain
  • Spinal disc degeneration or herniation
  • Myofascial pain syndrome
  • Infant torticollis
  • Chronic muscle spasms
  • Frozen joints or restricted range of motion
  • Ongoing pain or limited ROM after orthopedic surgery
  • Nerve compression due to adhesion formation
  • Chronic post-traumatic/whiplash syndrome
  • Nerve entrapment
  • Failed spinal surgery
  • The advantages of MUA involve the fact that the patient’s body is able to be manipulated therapeutically to a degree that would be too painful if the patient were not anesthetized. MUA is a multidisciplinary treatment, performed by at least two collaborating specialists in an outpatient surgical setting. Practitioners who participate, including orthopedic surgeons, chiropractors, osteopaths, and anesthesiologists, must have certification in MUA. MUA is administered to improve articular and soft tissue movement using controlled release, myofascial manipulation and mobilization techniques. All of this manipulation is done while the patient is sedated using monitorized anesthesia care (MAC). The patient may be under general anesthesia, local anesthesia administered by spinal injections, or may be sedated intravenously.

The MUA Procedure

The MUA procedure varies in length depending on the number of areas of the body being treated. During the treatment, the patient’s joints are artificially articulated and put through their full ranges of motion and the limbs are stretched. Low intensity, repetitive stretching normally helps to break up internal scar tissue. In some cases, however, high impulse velocity thrusts may be performed to break barriers to movement. As scar tissue is broken down, joint restriction is reduced and muscle fibers are stretched, resulting in increased range of motion. In some cases, the patient undergoes the procedure again on another day. MUA may be repeated up to four times if necessary for maximum benefit.

Cold Laser

Cold Laser therapy – sometimes known as “class 4” laser therapy – uses specific light wavelengths to penetrate damaged tissue and begin the healing process. Our specialists can choose the exact depth that the laser will penetrate in order to target the root of your pain. When the infrared laser comes in contact with the tissue, the body begins to produce adenosine tri-phosphate, which the cells use for energy. This process stimulates the damaged cells, which then results in healing, reduced inflammation and pain, and improved nerve function and vascular activity.

The number of therapy sessions required to relieve your pain depends on the severity of your condition. The good news is that because Cold lasers don’t generate heat, this treatment option is completely painless. While some patients may experience a slight tingling sensation, many feel nothing at all during the process.

There are many non-invasive methods of pain relief out there that can eliminate discomfort without any recover time. At Spine Care Club of Hempstead , cold laser therapy is one of the treatments we use to alleviate pain and stimulate healing in our patients. Many people find that they experience immediate results after a short laser therapy session.

Our cold laser therapy pain relief has proven effective for a number of conditions, including:

  • Degenerative Disc Disease
  • Disc Herniations or Bulges
  • Sciatica
  • Spinal Stenosis
  • Peripheral Neuropathy

Regenerative Medicine

If you suffer with the Following Shoulder ConditionsLearn more about how Regenerative Cell Therapy can help restore your health and help you live Pain-Free!

  • Shoulder Injuries
  • Rotator Cuff Tears
  • Shoulder Degeneration and Arthritis Bursitis

If you suffer with the Following Knee Conditions Learn more about how Regenerative Cell Therapy can help restore your health and help you live Pain-Free!

  • Meniscus Tear
  • Knee Degeneration
  • ACL or PCL Injury
  • Chondromalacia

Call us for consultation - (516) 292-2800

* All procedure are performed by Board Certified Physicians