Thursday, September 17, 2009

8 Back Pain Mistakes

8 Back Pain Mistakes

Which ones are you making that put you at risk?
Steven Shoshany DC CCEP

1. Continuing to do what does not work!
We can this "INSANITY!" Definition of insanity-doing the same thing over and over expecting a different result!

2. Not dealing with back pain the first time!
Remember, back pain is the RESULT of weeks, months or years of improper body posture and muscle imbalance.

3. Thinking you are too fit to have back pain!
People who exercise regularly are just as likely - if not more so - to develop back pain. Cyclists, runners, swimmers, dancers, gymnasts, and bodybuilders are prime candidates. Why? Because their specific training creates muscle imbalance between the spinalis muscles of the back, core muscles, and other large muscle groups of the body.

4. Treating only the symptoms!
Cortizone shots, anti-inflammatory drugs such as Ibuprofen, electrical stimulation, ice packs, heating pads, etc. are common treatments. you are in pain because of abnormal changes in your muscles, joints, and ligaments that are functioning under increased stress and strain. The problem is not likely to get better if you are only treating the symptoms. The end result could be HERNIATED DISCS!

5. Not understanding the back pain process!
Back pain, sciatica, and herniated discs take years to develop! PAIN is the result! What created the muscle imbalance that led to the pain? X rays, MRI'S, and CT Scan do not reveal MUSCLE IMBALANCES.

6. I've tried everything syndrome!
There is nothing more I can do. I either have to have surgery or just learn to live with the pain!

7. Not taking control!
Educate yourself. Patients who are knowledgeable get better and faster results!

8. Sitting passively for two hours or longer on a daily basis!
Passive sitting for long periods weakens the core muscles and spinalis muscles of your back. Over time this leads to muscle imbalance and increases your risk of back injury.

Do you live or work in NYC?
We are having a workshop next week September 23rd. from 7:30-8:00 - This workshop is free and we have 12 available slots.
In this half hour workshop you will learn how to prevent the most common types of back injuries and learn proper workplace ergonomics.
If you would like to attend please email me directly at
or visit us online at

Tuesday, September 8, 2009

Headaches and Chiropractic care, in NYC

This post is about Headaches, I recently had a patient come in that worked in the NYC Philharmonic and she suffered with headaches for years.
She was taking antiseizure medications to manage the headaches with little results.
She never tried Chiropractic care. She had interest in Cold laser therapy.
We evaluated her and determined that she had no cervical curve and extremely tight trapezius muscles. We diagnosed her as having Cervicogenic headaches, a fancy way of saying that the headaches are coming from her neck misalignment.
So I treated her with a combination of Chiropractic care and Cold laser therapy. The release was much needed.
Today was her second visit and she stated that this was the first time in years that she was headache free for three days!
So the moral of my story is try Chiropractic care if you suffer with headaches.
If you live or work in NYC and want to learn more about Chiropractic care or Cold laser therapy Feel free to visit our website
Chiropractic and Headaches
or visit my website at
Headaches are common pain events for many people, and they are often recurring. A variety of prescription and over-the-counter medications may control headache pain, but they only mask the pain without addressing the cause. Headache medications may also have side effects, especially with long use. Hoping to find a more natural and holistic solution to chronic headaches, many people turn to chiropractic.

What is a Headache?
A headache may arise from muscular tension, vascular changes, sinus congestion, eyestrain and many other underlying causes. They can start over the eyes, in the back of the head, on the sides or top of the head, or feel centered behind the eyes. The one thing all these headaches have in common is that they hurt, and sometimes they hurt a great deal. The amount of pain associated with a headache may range from a mild ache to a throbbing, nauseating, relentless pain.

It is a common misconception that some types of headaches hurt more than others. It is often said that, for example, migraine headaches are more painful than other headaches. It is also common to call any kind of severe headache a "migraine." In fact, almost any kind of headache can cause a great deal of pain. Three types of headaches are commonly seen in chiropractic offices: tension headaches, migraine headaches, and cervicogenic headaches. Cervicogenic headaches are caused by pain referred to the head from the bony or soft tissues of the neck.

Headaches can be either primary, those that start independently, or secondary, those that begin as a side effect of another disease process. Headaches arising from muscular tension (generally arising from stress) and migraine headaches (vascular headaches) are two of the most common types of headache; both of these headache types are considered primary headaches. A large body of research suggests that chiropractic can effectively treat primary headaches, and many patients have found lasting relief from headache pain through chiropractic care.

Chiropractic and Tension Headaches
Tension headaches are caused by muscular tension and contraction involving the muscles of the shoulders, neck and head. Often this tension is a result of emotional stress, though injuries can also set a pattern of muscle contraction into play. It is normal for muscles to contract when we are threatened, irritated or angry, a reaction known as the fight or flight response. Over time, though, if work or home life creates a constant source of stress from which we can neither fight nor flee, the muscular tension can become chronic. This, in turn, leads to uneven stresses on the skeletal structure of the body, and changes in normal posture and movement to compensate. These misalignments lead to more muscular tension and contraction. This can become a vicious cycle that eventually results in pain, often as headache pain.

Chiropractic adjustments, combined with other therapies such as trigger point therapy and massage, can release muscular tension and realign the skeleton to break the cycle of pain. Often patients with chronic headaches will find relief through chiropractic in just a few treatments, as muscles relax and nerve irritation is reduced.

Chiropractic and Migraine Headaches
Migraine headaches are vascular headaches, arising from sudden dilation of the blood vessels of the head. No one knows exactly what causes migraine headaches, though the basic mechanism, involving both the nervous and vascular systems, is well studied. Migraines can be triggered by hormonal changes, foods, smells, weather changes, stress, and many other triggers. The headaches often begin with symptoms other than pain, such as visual auras, nausea or sensitivity to light and sound. The headache that follows can vary in intensity, but is often severe. Many migraine sufferers have found over-the-counter pain medications to be ineffective, and resign themselves to wait out the migraine event in a dark, quiet room. A variety of pharmaceutical drugs have been developed to treat migraines, but none of them work for everyone, and many have unwanted side effects.

Chiropractic can play an important role in treating migraines. Clinical studies, though still preliminary, suggest that chiropractic may have a measurable role in the prevention of migraines. Through manipulation and adjustments of the spine and neck, migraines can often be reduced or prevented. Nerves control vascular system tension, and chiropractic adjustments reduce irritation of the nervous system beginning with its roots in the spine, also improving vascular flow.

How Will a Doctor of Chiropractic Treat Headaches?
The fundamental technique of chiropractic, spinal manipulation, is used improve spinal alignment, reduce nerve irritation, relax muscle tension and improve vascular flow. Trigger point therapy, massage and other adjunct therapies may also be employed to broaden the treatment plan. Finally, the chiropractor will often recommend exercise, stretching and changes in posture, or teach relaxation techniques.

For preventive care, most chiropractors will also provide advice on nutritional supplements, vitamins, herbs, and diet toward the development of a long-term wellness plan to prevent future headaches.

Chiropractic care can provide a holistic, comprehensive treatment plan for chronic headaches, giving patients an opportunity to put an end to what can be a very stubborn type of pain and a considerable improvement in quality of life.

If you suffer with headaches in NYC and are looking for a solution visit our website or call us (212) 645-8151