Back pain NYC-Low back pain NYC treatment-Sciatica NYC -Herniated disc NYC

Back pain NYC-Low back pain NYC treatment-Sciatica NYC -Herniated disc NYC
treatment www.nycdisc.com
Non-surgical solutions for Chronic Low Back suffers in Manhattan, NYC



Over the years we have treated some of the most difficult to treat Back pain patients in NYC in our Manhattan,NYC practice. www.livingwellnewyork.com

I gathered a few MRI report findings from some of our more difficult to treat patients and posted them below without the patient name of course.

Reading some of the findings you would expect for these patients to undergo spine surgeries to correct their problems, in fact most of these patients where told they needed a surgery to get them out of pain.
These patients came to our Manhattan Back pain clinic instead and received a combination of
Cox flexion distraction technique, Spinal decompression with the DRX 9000, Cold laser therapy with the Erchonia laser, Rehabilitation on the SpineForce, Custom fabricated corrective orthotics, Physcical therapy and massage.

Clinical History: Low Back Pain



Findings: There is a slight scoliosis of the lumbar spine, convexity to the right.

There is no significant bony abnormality noted. There is disc space

narrowing at L3-4 and L4-5. There is probably disc space narrowing

also at L5-S1.


There is slight retrolisthesis of L4 on L5. There is minimal

retrolisthesis of L3 on L4


Findings: At L2/L3, there is a small left foraminal disc herniation and mild

canal and bilateral foraminal stenosis.

At L1/L2, there is mild diffuse bulging of the annulus fibrosis with a

small left paracentral annular tear.

Central disc herniations are noted at T11/T12 and T12/L1, effacing

the ventral thecal sac but without compression of the distal spinal
cord.

Impression: Degeneration of the lumbar discs and facet joints in superimposed
on congenital lumbar stenosis, with the largest disc herniation and
most severe canal stenosis at L4/L5.


Impression: Degenerative changes L3-4 disc space level.

Disc bulge in the midline L3-4 and right paracentral disc herniation

also present at this level.

Congenital central stenosis

Foraminal stenosis L3-4 disc space level.


Impression: Multilevel discongenic degenerative changes, most

pronounced at the L4/5 and L5/S1 levels.


Impression: Multilevel discongenic degenerative disease, most

severe at the L2/L3, L4/L5, and L5/S1 levels.


Moderate central canal stenosis from L2/L3 to L3/L4.

Multilevel moderate to severe neuroforaminal stenosis

without nerve root contact.


Stable postoperative changes from L4/L5 through L5/S1 with stable

soft tissue extending into the far left lateral/ ventral soft tissues at

the level of L4 consistent with postoperative changes.


Findings: At L5-S1, there is a rudimentary disc space and the canal and

neural foramina appear free of compromise at this level. Mild

hypertrophic degenerative changes of the facet joints are seen

at the L2-3 through L4-5 levels.


Intradurally, the conus tip and cauda equina appear intrinsically

within normal limits and there are no intradural abnormalities noted.

There are no fractures and destructive osseous lesions

demonstrated. There are no paravertebral soft tissue masses

noted.

Impression: A transitional vertebral segment at the lumbosacral junction is

referred as a sacralized L5 segment. Given this numbering

assumption, at both the L3-4 and L4-5 levels, there are

degenerative changes of the discs and facet joints, associated with

small, broad based, posterior disc protrusions/herniations, mildly

compromising the lateral recesses at both levels.



indings: There is normal alignment. The alignment remains normal in flexion

and extension. In the neutral position there is straightening of the

normal lumbar lordosis

There is a transitional vertebra demonstrated on this study, the

lowest level on axial images being labeled L5-S1.


There is disk desiccation noted at L3-4 and L4-5.

Impression: Muscle spasm.


L3-4 and L4-5 central disk herniations, those two-level herniations,
encroaching on the anterior thecal sac best demonstrated in neutral
and extension views. There is tension spinal stenosis.

Impression: Muscle Spasm

Small focal left-sided disk protrusion at L5-S1 with slight disk
placement of the left S1 nerve root posteriorly.



Impression: Large left posterolateral disk extrusion at L3-4 with superior
migration of the extruded disk almost to the level of the L2-3
interspace. It compresses on the left L3 nerve root within the left
lateral recess.

Status post left L5 hemilaminectomy. Enhancing tissue in the left
lateral epidural space and surrounding the left S1 nerve root is
consistent with epidural granulation tissue. Soft tissue in the left
ventral epidural space representing either granulation tissue or
small left posterolateral disk protrusion without impingement on the
emerging S1 nerve root

Degenerated mildly bulging intervertebral disk with superimposed
small right foraminal disk protrusion at L4-5 possible impinging the
exiting right L4 nerve root.

Some of these patients had previous back surgeries and most all these patients suffered with back pain and have tried physical therapies, epidurals and pain management without success.
If you are suffering with Back pain,Sciatica,Low Back pain,Neck pain,sciatica, slipped,bulged and herniated disc pain in Manhattan NYC call us for an immediate no-charge consulation at (212) 627-8149

Low Back Pain& Radiating Leg Pain- Back pain specialist helps to differentiate-Back pain treatment NYC

Low Back pain & Radiating Leg pain
NYC Back pain specialist-Dr Steven Shoshany

It is necessary to differtiate between pain in the lower back and pain, which radiates down the leg. It is common for the layperson to combine them into one category but to a physcian or surgeon,they represent different pathologies.
Lower back pain is not due to the pressure on a nerve root, as lower extremity pain is. Most low back pain is muscular or mechanical in nature, caused by overexertion, overuse, strain or sprain of the ligaments and tendons of the low back.
It may also be attributed to degeneration of the disck space and facet joints, which hold the spine together. It may also be caused by arthritis or stenosis or referred symptoms from organ involvement (bladder,gallblaffer, kidney, prostate One must also rule out organic causes as any form of cancer.

Lower extremity (leg) pain is often seen to radiate, termed "radicular pain". This refers to pain which shoots down the leg, from the low back or buttock. It usually results from pressure on a nerve, which produces a "pinching" of the nerve, which appears to radiate down the leg in the distrubution of the nerve pattern. Visit leg pain nyc for a excellent chart on nerve distribution.
When the "pinching" of the nerve is mild, one may experience numbness or tingling. As it progresses and becomes more severe, pain may develop. Further progression may present actual damage to the nerve and weakness may also result.
Each nerve in the lumbar spine has a specfic pathway. the nerves also carry threee distinct characteristic properties. They carry all threee of these properties to specific parts of the leg and foot.

1 One characteristic is known as sensory distribution property. What this means is that a nerve will supply the sensory (sensation) property to a certain part of the leg. for example the S1 nerve root, which is the first sacral root, supplies sensation to the lateral aspect of the foot (little toe).

2 One characteristic is known as the motor function property. What this means is that each nerve also supplies a characterisitc muscle.The S1 root supplies the calf muscles (gastrocnemius), which allows each of us to stand on our toes.

3 One characterisitic is known as the reflex pattern propert. Several of the nerves in the lumbar spine have a reflex associated with them. The S1 root has the Achilles reflex, which is elicted by tapping on the tendon of the heel.

Leg pain brought on by walking:

Neurogenic claudication refers to pain in the lower extremities brought upon by wallking. This is often caused by pressure upon the spinal nerves within the spinal canal, usually the result of the disc bulging into the nerves when standing.

Vascular or intermittent claudication is a type of pain, which must be distinguished from the lefg. and lower extremity pain from above. Vascular claudication is due to insufficient blood supply to the legs (arterial insufficiency), and is also brought upon by walking. the difference between the two is that merely standing (without walking) can cause neurogenic claudication but vascular claudication can only be brought on by walking.

Spinal decompression is truly the most effective procedure for severe and chronic cases of bulging, herniated discs, degeneration, arthritis, stenosis and pressure on nerves.

To learn more about our Back pain and herniated disc treatments visit www.drshoshany.com
Back pain NYC, Sciatica treatment NYC, Physical therapy NYC

herniated disc therapy questions, NYC-

Spinal Decompression

Subject herniated disc therapy

A recent question that was emailed to me and answer below:

Hello. I need a little advice that I hope you can give to me. In January 2010 I herniated my L2-3 disc. there was a central disc herniation with anterior thecal sac impingement and left foraminal impingement. I was going to a chiropractor who had me on the decompression table- the old fashioned kind where they strap your body in and there is calibrated wights that stretch your lower body as the table moves back and forth. It worked fine. But I was tod that I really needed a PT to help me rehab the core area and build myself back to normal. I have been going to a Mackenzie Specialist But all i was getting was heat treatments and then doing birddog exercises and a bicycle sort of exercise lying on my back. he also put me on this machine called the Repex machine- which stands for repetitive end range movements. Did Ok - but seemed to be going nowhere- I was doing the Mackenzie cobras at home every day Am and Pm. he told me not to do anything at home??? After almost 2 months of going to him I have now stopped. I do the cable exercises at home for my core- rotation and pulls etc etc BUT I still have some SLIGHT soreness in my left gluteal area and si AREA - this IS WHAT HE CALLS REFERRED PAIN.I understand that BUT what I need to know is how long will it take for me to feel 100% better. I have stopped ALL working out and am reallly really careful.I stand and sit with great posture and use lumbar supports in the car and at home. I also use the TENS machine and heating pads frequently. I read on many sites that COMPLETE SCAR tissue healing of a disc can take between 12-15 months. Does that mean this is when I will feel 100% better?????? I also have the book written by Jesse Cannone-- Lose the back pain.com and one exercise shows spinal decompression- by DRAPING yourself OVER the physio ball and letting yourself roll forward-- is this an OK exercise???If here is any added info you can advise me on I would be so very grateful for any expertise you can pass my way - either in the way of exercises besides the plethora of info I have found on the web or just some good old pat on the back to tell me that I will be OK- before this happened I could do anything- this back accident caused by doing deadlifts the WRONG way- has really slowed me down for the last few months- I would really like to get back to some exercises etc as soon as possible...P.S-- I do a lot of treadmilling since this occurred and just recently I have started to let myself hang from my chinning bar to let my spine decompress also-- please advise me on this also. Thanks so much for your ear and I hope to hear from you soon.

To answer your question,First I am not exactly sure about the type of spinal decompression table that you where treated on,there are so many table and products out there that claim to provide spinal decompression.
I use the DRX-9000 spinal decompression table in my NYC office, it provides consistent results and is very comfortable for the patient.
That being said, most everyone that completes spinal decompression needs to Rehab the Core muscles and strengthen the weak muscles and stretch the short muscles.
In my NYC non-surgical disc herniation facility we utilize the SpineForce Rehab system, it works by targeting all of the deep spinal muscles and works on strengthening them and stretching them, it's pretty awesome,check it out at www.spineforce.com
I like pull ups as well, that is a great way to lengthen your spine and strengthen your upper body, just be aware of any swaying and concentrate on form.
I don't know the Repex machine, but I use a machine that basically does a similar thing it is a repetitive flexion extension machine that does the Mackenzie technique.
It sounds like that you are doing everything you can and need to allow yourself time to heal, The disc is a avascular structure (meaning it has a poor blood supply) it takes time to heal after spinal decompression.
I have had patients complete a protocol and sometimes not see their desired results until a month or two after our last session. Healing a herniated disc takes time.
It is important to work on the core muscles and it sounds like you are already doing that, keep a positive mental attitude.
Good luck, and one more thing if after 2 months you are still hurting-I would go out and get a weight bearing MRI and add flexion,extension views
To learn more about herniated disc treatment in NYC
visit www.nycdisc.com
chiropractic care manhattan,chiroprator nyc, back pain treatment

End Back pain naturally NYC

I have been practicing Chiropractic care in NYC for 14 years now and the past 7 years I have been utulizing Non -surgical Spinal decompression with the DRX 9000 spinal decompression table.
www.drshoshany.com

I remind my patients that spinal decompression is not a panacea, but in most cases when all other methods have failed patients can expect great things from spinal decompression. A patient that recently completed a spinal decompression protocol with us in our NYC office was kind enough to email me a testimonial in english and spanish. I posted it below.


Spinal Decompression testimonial

My name is Sylvia Rivera and I am 59 years old. This is my story. It has been 5 years since I began suffering from backaches. I have been hospitalized, taken many pain killers, patches and different kinds of injections such as epidurals, joint facets, cortisone and many other relievers. But these just proved to be temporary pain relievers. At times I could not walk,tie my shoes,pick anything up or carry anything. I thought my life was over, as I have always been extremely active and had to stop dancing which has always been a passion of mine. However, since I went to Living Well Medical and met Dr. Shoshany my life has changed for the better. I can do so many things I thought I would never be able to do again. Now I can dance, walk and enjoy my life . I am so happy that I met Dr. Shoshany and was recommended the Spinal Decompression treatment. Dr. Shoshany made my life healthier and I am much happier. If you want your life back, I strongly recommend seeing Dr. Shoshany

In Spanish:
Mi nombre es Sylvia Rivera Y tengo 59 anos y esta es mi historia. Hacen aproximadamente cinco anos que he estado sufriendo de dolores de espalda. He estado internanda, he estado tomando medicamentos fuertes y injeciones en la espina dorsal con un poco de sedante o sea anestesia, me han recetado parchos para aliviar los dolores, Y he estado en tratamientos de terapia fisica por un ano. Me sentia casi invalida no tenia vida social, no me podia levanter de la cama todo era con mucho esfuerzo y con dolores constante. Desde que conoci al Dr. Shoshany en la clinica Living Well Medical y me hicieron el tratamiento de decromprencion mis dolores han disminuido en una forma fantastica. Ahora puedo amarrarme los zapatos, puedo bailar, caminar mejor y disfrutar de lo que me habia resignado,! disfrutar la vida!. El tratamiento que el Dr. Shoshany me ha recomendado ha sido lo mejor que me ha pasado en muchos anos. Si quieres tener tu vida activa otra vez Y sentirte mas fuerte deberias ir a ver al Dr. Shoshany YO LO RECOMIENDO.

As you can read this her quality of life has greatly improved, I see this type of recovery daily in our office.
If you or a loved one suffers with Back pain, Sciatica, pain from a pinched nerve or herniated disc consider Spinal decompression treatment prior to a surgical intervention.
If you have a MRI report I can review it at no charge and determine if it makes sense to come in for a No charge consultation. Fax the MRI report to
(212)777-1653 please inculde a cover sheet with your name and contact information, I will do my best to return calls within one day.
to learn more about Spinal decompression visit www.truespinaldecompression.com

How Can I Tell that I Have a Herniated Disc?

Chances are, during the course of your life, you've heard someone talk about having "slipped a disc." They likely mean a herniated disc. It's something I encounter week in, week out at Living Well Medical here in NYC. Maybe you got into a car accident that did it. People with jobs that require a lot of heavy lifting or weight-bearing are also some of the more common sufferers. What's more, as you get older, it gets easier for a spinal disc to herniate.

Now, not everyone who has a herniated disc will even feel pain. We see it all the time. On the other hand, there is definitely the potential for severe pain.

So maybe you have some awful back or neck pain, and you suspect a herniated disc. How in the world can you possibly tell if it is, in fact, a disc herniation? Are there certain symptoms? Are there any signs that conclusively point to it as the culprit? I'll explore these questions a little below and hopefully help anyone with chronic low back or neck pain get some answers.

---

There are symptoms that are associated with a herniated disc. Radiating arm and/or leg pain, a weak grip, numbness, tingling, pins and needles, deep muscle pain, and pain in the mornings and nights are all symptoms that one can experience because of a herniated disc. Unfortunately, there are a number of nerve entrapments causes that can lead to similar symptoms, so in terms of a "definitive" set of symptoms, a self-diagnosis for any one of these symptoms just can't be 100% accurate.

The only sure-fire way to know if you have a herniated disc is to get medical imaging scan done, specifically an MRI. I know, probably not the news you were hoping to hear, but the truth is that there are just too many other potential reasons for the types of pain described above. Diagnostic imaging can give a physician the detailed images of the spine they need to understand what is happening to you.

If you are in pain, Living Well Medical in NYC has a strong relationship with MRI facilities throughout the city, so you can get the help you need. And if you do have a herniated disc, we can prescribe effective, non-surgical treatment like spinal decompression, gentle chiropractic care, and physical therapy. Give us a call at 212-645-8151 today if you need someone who can guide you through stopping pain.

- Dr. Shoshany

Pinched Nerves and Sciatica NYC

Back pain can take many forms, all of which are at least a disruption to your life and at worst a major obstacle to normal living. In many cases, the sciatic nerve has a close relationship with the symptoms that a pain sufferer exhibits, and it’s not uncommon to hear terms like ‘sciatica’ and ‘pinched nerve’ thrown around in connection to the pain. Sciatica is a set of symptoms that are displayed by a patient whose sciatic nerve is being compressed, or ‘pinched’ due any number of factors. At our comprehensive treatment center in NYC, Living Well Medical, we regularly treat patients who have debilitating pain related to a pinched nerve. We bring together a number of non-surgical treatments that include chiropractic adjustment, non-surgical spinal decompression with the DRX-9000 for herniated or bulging spinal discs, pain management with a Medical Doctor, cold laser therapy and physical therapy.

As mentioned above, there are several reasons that a nerve like the sciatic nerve can be pinched and compressed, leading to severe and chronic pain. Perhaps the most common, however, is a herniated or bulging spinal disc as a result of long-term wear or trauma.

When a weakness develops in the fibrous outer wall of a disc, the fluid from the interior of a disc can be forced out into contact with the sciatic nerve causing irritation, inflammation and general pain. This is typically referred to as nerve impingement, and severe nerve impingement of the lumbar nerve roots can cause the symptoms we know of as sciatica.

Sciatica often encompasses problems like leg pain, lower back pain, pain in the buttocks, numbness, tingling and even muscle weakness. Different people will experience different combinations of these symptoms, but the universal aspect is significant pain that makes an active life difficult. That’s where our office in NYC can help patients without the fears that go along with surgery or long-term pain medications.

Specifically intended for treatment of herniated discs and other conditions that cause severe low back pain, non-surgical spinal decompression with the DRX-9000 is an alternative to back surgery that has been safely helping patients stop the pain for years.

The DRX-9000 is a computer-controlled therapeutic device that applies specific amounts of force to targeted areas of the spine (based on where the herniated or bulging disc is located). By placing patients in a harness that helps directs the stretches to the lower back, malfunctioning discs can be ‘pumped’ and made to absorb more nutrients and fluids that will aid them in healing themselves. Because the discs are mostly avascular (having little blood supply), the nutrients are an important part of the healing process. Stretching through the DRX-9000 can also help create a pocket of negative pressure inside of the disc that can draw herniated material back to inside the disc over time. At Living Well Medical in NYC, our chiropractic physician, Dr. Steven Shoshany has been helping patients with his patented spinal decompression protocol for years.

If you suffer with sciatica and the pain of a pinched nerve due to a herniated disc in NYC, call Living Well Medical at 212-645-8151 or visit our website and find out more about non-surgical spinal decompression therapy with the DRX-9000.

Ergonomic tips for your workstation

A great article from SpineHealth-
looking for a great Physical therapist or a Chiropractor in Manhattan,NYC?
Visit us online www.livingwellnewyork.com
11 Ergonomic Tips for Synchronizing Your Workstation and Office Chair

October 29, 2009
by: Sylvia Marten



Having the best designed and most ergonomically-friendly office equipment may not necessarily mean much for preventing back pain, neck pain and other pain if such equipment is out of sync with your workstation, as confirmed in a recent study that provides a great forum for examining how you can adjust an office chair to your work environment.

Detailed in the October issue of the Journal of Occupational and Environmental Medicine, a new study found that workers who received not only new ergonomic office furniture but professional set-up by an ergonomist had less symptoms of musculoskeletal pain and eyestrain 18 months later than those workers who had to set up their new furniture on their own based off instructions.

Now what if your employer can’t afford to hire a professional ergonomist to visit your office during these tough economic times? Well, there are still many ways to be proactive when setting up your office chair and desk just right to your needs and the principles of ergonomics.

Understand the Ultimate Goal



Having a special chair is often viewed as the be-all, end-all of correct office ergonomics. While an ergonomically-designed chair can certainly do wonders, remember that the ultimate goal is to achieve balance between finding a work chair that fits you, provides good support and minimizes stress on the back, and using it correctly in relation to your work environment.



Before providing instant analysis of your chair, examine other factors, including your optimal desk level, how you sit, and the height of your computer screen, and strive to improve on these areas.



Get Suited to Your Work Surface



Rather than just going out and buying a new chair, ask yourself “what type of chair will fit your work station?” Examine how long you sit all day and how you sit at your desk.



Are you semi-seated (similar to sitting on a bar stool) or do you sit straight up? Do you need to adjust your chair? Where is your computer in relation to your body?



Determine your appropriate work surface (which takes into account the position of your arms, elbows and hands in relation to your desk’s height and your laptop or desktop computer) and be sure to have a chair that allows you to attain this specific height.



The correct surface level can vary from profession to profession (for example, architects and draftsmen often prefer to sit higher), and the final decision as to what’s appropriate is thus determined by each individual.



Become a Series of Right Angles While Sitting and Typing



Sit down straight and as close and comfortable as possible to your desk, with your upper arms parallel to the spine and your hands rested on the work surface.



At this point, take a step back and examine whether your elbows are at a 90-degree angle. If they are not, adjust your office chair higher or lower as deemed fit.



Also make sure that your legs are bent at the knees at a 90 degree angle. Try to maintain this ideal sitting posture as much as possible, and if you find yourself slacking, give yourself a break by getting up and stretching.



Don’t Sit Too High Unless Necessary



Did you know that all of our ankles swell up anywhere from 6 to 8 percent by the end of the day, but for patients with back, leg or circulation problems, this swelling can jump from 10 to 15 percent, especially if sitting in a chair that is too high and leaves the feet dangling?



Generally speaking, a seat height ranging from 16 to 21 inches off the ground is suitable for most workers. To tell whether your chair is too high or at the right height for the desk surface, slide your finger underneath your thigh at the front end of the chair.



If this proves easy to do, your chair is likely at a good height. However, if this proves difficult, your chair is likely too high, which can put extra pressure on your feet and require you to proceed to the next tip.



Boost Your Feet in Certain Situations



In situations where you have to lift your feet off the ground because of a chair or even a desk that is too high, or where the chair height is right but you’re not that tall, consider using a foot stool to prop and rest your feet as opposed to leaving them hanging all day long.



Such action will reduce both pressure on the feet and the likelihood of foot pain at the end of the day.



Raise Your Work Surface When Applicable



Standard seats should allow for 2-4 inches between the back of the knees and chair.



However, if you’re a taller worker, you may be familiar with this problem: your chair seat is not long enough for your thighs, which have too much space underneath them. In these rarer situations, raising the work surface level may be necessary to ensure circulation at the back of the knee.



Make a Fist to Your Calf



Ensure that there is enough room between the front edge of your chair and calves by simply making a fist, bringing it to the edge of the chair and pushing it on the calf.



If you can fit your full fist between the front edge and your calf, you likely have enough space for circulation and pressure. If not, your chair is likely too deep.



Adjusting the backrest forward, inserting a cushion, pillow or rolled-up towel to support your lumbar spine (lower back), or purchasing a new office chair are some possible solutions to this problem.



Have the Support of Your Back



Back support is a main focus of many ergonomic chairs, but what makes a chair good in terms of supporting the back?



Ideally your work chair should do a couple of things: provide back support angling just past 90 degrees or up to 90 degrees, and include cushioning that pushes your back forward when sitting back in the chair.



Such low back support is essential in preventing slouching as you tire and minimizing the load or strain on your back. With this in mind, the backrest of an ideal ergonomic office chair is typically between 12 and 19 inches wide.



Sit Right



A lot of times, workers have chairs with great back support but don’t take advantage of these features because they sit on the edge of the chair.



Make a conscious effort to press your bottom against the back of the chair, and avoid slumping or slouching, which places extra stress on the lumbar discs and other structures of the lower back.



Apply A Different Kind of Eye Test



Once your chair has been adjusted to the height of the table, your legs have gotten comfortable and your back is supported, close your eyes and take a deep breath.



Casually look forward with your eyes closed, and then open your eyes, which should be aimed at the center of your computer screen. Depending on whether the computer screen is higher or lower than your gaze, you may need to raise or lower the monitor.



If you need to raise your laptop, consider using a stack of books or even a small box, which has personally helped me reduce the likelihood of neck strain at work.



Adjust Your Armrest



Armrests play an important role in reducing neck and shoulder strain and diminishing the likelihood of slouching forward in your chair.



Adjust the armrest to the point where your arms are slightly lifted at the shoulders. Doing so will allow the armrest to support just the elbow and take weight off the shoulders.



Perhaps after making all these changes, you ultimately decide that you do need a new office chair.

If you find yourself in the market for a new chair, you’ll want to consider many factors, including the seat’s height, width, depth, materials, armrests, back rest, lumbar support and swivel.

For more information, view the following article: Choosing the Right Ergonomic Office Chair. or visit www.livingwellnewyork.com