Friday, May 30, 2008

Spinal Decompression NYC for Herniated discs

Case Study reveals an increase in Disc Height and a decrease in size of Disc Herniation after treatment with the DRX9000
New York, NYC The DRX9000 True Non-surgical Spinal Decompression System™ was developed to provide a non-invasive option for discogenic low back pain. Researchers of a case report published in Volume 2 Issue 1 of the European Musculoskeletal Review state, “Evidence-based data that show the promising effects of DRX9000 on the safe and effective treatment of LBP [low back pain] continue to accumulate.” The report titled, “Management of Low-Back Pain with a Non-surgical Decompression System (DRX9000™) – Case Report” reveals the pre- and post-treatment MRI findings of a 69-year old male with low back pain. Prior to treatment with the DRX9000, the patient reported experiencing low back pain radiating into both legs. When asked to describe his pain intensity on a scale of 0-10, the patient rated his pain intensity at 10. The patient underwent 22 treatments over a seven-week period. Utilizing the same pain intensity scale the patient reported a pain level of 1 post-treatment. Four months after the initial visit a follow up MRI revealed decreased herniation size and increased disc height at multiple lumbar levels. The authors conclude, “This case report further builds on previous findings that have demonstrated improvements in disc morphology after treatment with the DRX9000.”
The Spinal Decompression protocol has helped the lives of many patients suffering with a herniated disc.
I recently had a patient that had a epidural injections that provided no relief and is at her wits end.
After reviewing her MRI I determined that she is a candidate for spinal decompression. This patients will benefit because she has bilateral (both sides) neural-foraminal stenosis (the area that the spinal nerve exits is smaller that it should be)
I will update her progress.
www.drshoshany.com

Monday, May 26, 2008

Spinal decompression NYC

Spinal Decompression NYC
www.drshoshany.com
As Spinal Decompression gains in recognition as the preferred treatment for patients suffering with Chronic low back pain and or a herniated disc I would like to offer my opinion for both the potential patient and or Doctor conisdering getting into this fantastic treatment.
The most asked question is what table is the best?
I get this emailed to me every day about 10 times from both patients and Chiropractors interested in getting into the game.

I only use the best system which I believe is the DRX 9000- this is the system that is currently being studied by John Hopkins,University of California at San Francisco, Mayo Clinic,Stanford University School of Medicine
There are other systems on the market but I steer patients and Chiropractors away from the low-end tables like the DTS made by Chattanoga, these are nothing more than a glorified traction table. I would be embaressed to charge someone a full case fee ($5,800) for treatment on a DTS table or a triton table, and if I was a patient I would not pay more that $75 a visit.
It really depends on where your practice is the type of practice you want have.
I practice in Manhattan, SOHO to be exact. I offer top-notch service and I only work with the top of the line equipment like the DRX 9000 and the SpineForce made by LPG.
If you are a patient and have a choice I would chose the bettter table, why settle for anything but the best?
www.drshoshany.com
I also have used the Extentrac elite and the Antalgic-trac I prefer to use the Cox Flexion distraction decompression table and manually decompress the patient then put them on the linear Spinal decompression table.
I recently expanded my practice, I now have 4,000 sq feet in Manhattan dedicated to Non-surgical spinal decompression and rehab for the disc herniation patient.
www.drshoshany.com

Wednesday, May 7, 2008

Spinal decompression NYC

Spinal Decompression NYC
www.drshoshany.com
Spinal Decompression in NYC
Spinal Decompression Conditions

The most common spinal condition treated with decompression treatment is a herniated disc. Spinal compression can cause disc herniations to expand, putting pressure on surrounding spinal nerve roots. Decompression treatment takes the pressure off these damaged discs so that the disc bulge will shrink back closer to its original size.

Degenerative disc disease is also a common condition treated with decompression therapy. Loss of disc height can be exacerbated by spinal compression, causing the vertebral bodies to move closer together. This can cause nerve compression and other forms of common back pain. Decompression eliminates the overwhelming pressure on degenerated discs reducing or eliminating painful symptoms.

Facet joint syndrome is yet another condition treated with spinal decompression. Of all the conditions, this one shows the least promising results for permanent pain relief. Conceptually, facet syndrome causes pain due to arthritic changes in the vertebral bones. Decompression helps to create more space between the vertebrae, hopefully reducing painful symptoms.
Spinal Decompression Modalities
Forget about old fashioned attempts at decompression therapy. Pulley and weight traction systems have never been proven to do anything, except injure patients in rare circumstances. Inversion therapy might create decompression of the spinal column, but is best left for fitness usage.
Cox Technic is a time tested form of decompression used primarily by chiropractors.

The modern versions of decompression therapy are Vax-D and the wonderful DRX9000. Another addition to the decompression industry is the Accu-Spina system. Check out these state of the art machines if you think that decompression therapy might be right for your form of back pain.
I prefer the DRX 9000 because it is the most comfortable to the patient and it allows a targeted decompression.
www.drshoshany.com

Sunday, April 27, 2008

Spinal Decompression Therapy

www.drshoshany.com
Non Surgical spinal decompression

A full Physical Therapy Department with a masters-level, licensed physical therapist
Five licensed massage therapists.
Functional capacity assessment and automated impairment rating by ARCON
Computerized strength training using state-of-the-art MedX equipment
Spinal Decompression technology using the DRX9000™
Pharmacotherapy
Injection Therapy.


All types of acute injuries are treated at the clinic. Its statistics show whiplash (due to rapid deceleration or acceleration) to the neck and mid-to lower back region are the most common injuries seen.

Monday, March 31, 2008

New York Chiropractor, DRX 9000 Manhattan,Graston Technique

New York Chiropractor, DRX 9000 Manhattan,Graston Technique

Seven's On Call with Dr. Jay Adlersberg By Dr. Jay Adlersberg NEW YORK (WABC) -

www.drshoshany.comGraston Technique,NYC (212) 645-8151 for Graston technique in NYC
This is a technique that I have utilized in my practice in NYC chiropractic practice for several years, If you are looking for Graston technique in NYC Dr. Steven Shoshany uses this tool to help patients with plantar facitis along with cold laser therapy.
- There is a way to get rid of pain without surgery or medication. The technique uses steel tools to loosen tissue, and it's been very successful.
Seven's On call with Dr. Jay Adlersberg.
It's a technique that has been patented and is used only by trained chiropractors and sports trainers. It involves specific tools, and it's a method that can relive some painful conditions.
Sharon Klamzar
I woke up one morning and could not put my foot down," she said.
She had plantar fasciitis, painful swelling of the tissue under the heel.
Sharon got no relief from anti-inflammatory injections.
"It just came back again," she said.
However, she did get relief from a treatment called the Graston Technique.NYC Physical therapist Jamei Howard became a believer after nothing helped a nagging muscle injury.
"It was the only thing that would work out the tightness in my leg," she said.
When muscles, tendons or ligaments are injured, they can heal haphazardly, with random scar tissue forming. The area can be tight and painful.
The Graston Technique breaks up those fibers and smoothes the tissue underneath. Even though the stainless steel tools look more like torture devices, Howard says they are essential in finding and loosening scar tissue.
"You can feel things you just can't with your hands," she said.
There are different tools for different body parts.
There is one for the back or neck. There is another for carpal tunnel syndrome and trigger finger, or tendonitis of the thumb. The Graston Technique has become a staple for professional sports trainers. The Philadephia Flyers, Sixers and Eagles use it extensively.
Dr. Richard Goldberg, a rehabilitation specialist, has seen good results with his patients.
"I don't think there's much of a downside to the Graston Technique," he said.
Patients usually receive two treatments per week, for four to six weeks. On average, improvement comes after the third or fourth treatment. The technique developers say it's successful 60 to 90 percent of the time.

www.drshoshany.com

New York Chiropractor, DRX 9000 Manhattan,Graston Technique

New York Chiropractor, DRX 9000 Manhattan,Graston Technique

Seven's On Call with Dr. Jay Adlersberg By Dr. Jay Adlersberg NEW YORK (WABC) -

www.drshoshany.comGraston Technique,NYC (212) 645-8151 for Graston technique in NYC
This is a technique that I have utilized in my practice in NYC chiropractic practice for several years, If you are looking for Graston technique in NYC Dr. Steven Shoshany uses this tool to help patients with plantar facitis along with cold laser therapy.
- There is a way to get rid of pain without surgery or medication. The technique uses steel tools to loosen tissue, and it's been very successful.
Seven's On call with Dr. Jay Adlersberg.
It's a technique that has been patented and is used only by trained chiropractors and sports trainers. It involves specific tools, and it's a method that can relive some painful conditions.
Sharon Klamzar
I woke up one morning and could not put my foot down," she said.
She had plantar fasciitis, painful swelling of the tissue under the heel.
Sharon got no relief from anti-inflammatory injections.
"It just came back again," she said.
However, she did get relief from a treatment called the Graston Technique.NYC Physical therapist Jamei Howard became a believer after nothing helped a nagging muscle injury.
"It was the only thing that would work out the tightness in my leg," she said.
When muscles, tendons or ligaments are injured, they can heal haphazardly, with random scar tissue forming. The area can be tight and painful.
The Graston Technique breaks up those fibers and smoothes the tissue underneath. Even though the stainless steel tools look more like torture devices, Howard says they are essential in finding and loosening scar tissue.
"You can feel things you just can't with your hands," she said.
There are different tools for different body parts.
There is one for the back or neck. There is another for carpal tunnel syndrome and trigger finger, or tendonitis of the thumb. The Graston Technique has become a staple for professional sports trainers. The Philadephia Flyers, Sixers and Eagles use it extensively.
Dr. Richard Goldberg, a rehabilitation specialist, has seen good results with his patients.
"I don't think there's much of a downside to the Graston Technique," he said.
Patients usually receive two treatments per week, for four to six weeks. On average, improvement comes after the third or fourth treatment. The technique developers say it's successful 60 to 90 percent of the time.

www.drshoshany.com

Monday, March 17, 2008

Chiropractor NYC

Issue: March 2008
Chiropractor NYC featured in national Chiropractic magazine
www.drshoshany.com


New York DC Pioneers Nonsurgical Treatment
by Alan Ruskin

Steve Shoshany, DC, patents NYCDisc technique and turns decompression treatment into a practice success.

Steve Shoshany, DC, was concerned. After practicing for a while in the Greenwich Village area of New York City, he began losing patients, specifically those with the painful problem of herniated lumbar disks. "I wasn't able to help them using traditional chiropractic methods, so they were leaving for pain control specialists or surgery. didn't want to lose patients, and I wanted to help them."


Steve Shoshany, DC, explains that, in order for a lumbar disk to heal, it needs to open and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it.
Shoshany, who opened his practice in 1999 after graduating from Life University in Atlanta in 1996, responded by exhaustively researching the problem, determined to come up with a solution. One of the most important results of his investigation was learning about the Axiom Worldwide DRX 9000, a table designed for spinal decompression. Shoshany calls the table "a benchmark, what other tables are compared to," and adds, "I only work with top-of-the-line equipment."

He noted that other chiropractors who were using less costly and what he considers inferior equipment were charging fees equal to his, but not getting the same good results. So Shoshany made use of the DRX 9000 a mandatory part of his treatment protocol. He also emphasizes correct analysis of the patient's MRI, a practice in which he is well skilled, having worked as an MRI technician for 6 years prior to beginning his chiropractic practice.


Steve Shoshany, DC, shown bracing a patient, has built a successful practice based around comprehensive decompression techniques.
Other key aspects in his treatment regimen are nutrition, neuromuscular reeducation (core stabilization and core strengthening), bracing, and follow-up with physical therapy. Another chiropractic table, the Cox Flexion Distraction, is also utilized.

Additionally, Shoshany is careful about which patients he selects to undergo treatment. "A key to getting excellent results is being picky with patients," he unabashedly declares. "If a patient has metal implants in their spine, or is morbidly obese, I don't take them. Instead I refer them to pain-management specialists, where they might get epidural injections or selective nerve blocks. In some extreme cases, when they have extruded or fragmented disks, I advise them to consider surgery. Being able to recognize whether patients should or should not have surgery is what makes a better clinician."

The Key Modality for Pain Relief
When treating patients, Shoshany makes frequent use of the H-Wave, a high-voltage patented wavelength that aids in fluid exchange. He also utilizes interferential therapy and the cold laser. But the central modality in his treatment plan is definitely the DMX 9000 table, which works by decompressing and unloading the lumbar spine, creating a vacuum that allows the disk to open up and expand so that blood, nutrients, and oxygen from surrounding tissue can reach it, thus allowing the disk to heal on its own.

Looking for a Pain-Treatment Niche?
Electrical stim, iontophoresis, and ultrasound, from manufacturers such as Amrex Electrotherapy Equipment, EMPI, and the Chattanooga Group, help activate patients’ bodies to relieve pain and promote healing, while giving chiropractors several methods to combine or use separately to build their practice niche.
"A lumbar disk," Shoshany explains, "is an avascular structure, meaning it doesn't have a good blood supply. So if the disk is injured, it will get progressively worse. Blood supply to the disks generally stops when the individual is about 19 to 20 years old. After that, it has to be rejuvenated, which stimulates the collagen to strengthen the fibers that contain the lesion. In time, with decompression, proper exercise, and nutrition, the disk will heal."

Citing one of his cases, Shoshany relates the testimonial of a female patient who was injured while performing duties on her job as a police officer. "Loretta" was thrown to the ground while making an arrest and suffered a severely herniated L5 disk, which put pressure on her S1 nerve root. "For 8 months she had shooting pain down both legs, couldn't sleep, could barely walk, and was taking Vicodin and Percocet like crazy, as well as epidural injections. She couldn't work and was on disability. She went to three different surgeons and all said they wanted to operate, recommending microdisectomy of the disk."


Steve Shoshany, DC, stands beside the DRX 9000 system, which works by decompressing and unloading the lumbar spine.
But Loretta, a mother to four children, didn't want to be further incapacitated by surgery, so she searched online and came across Shoshany's Web site at www.DrShoshany.com After consulting with him, she decided to make the 250-mile round trip drive from Cold Springs, NY, three times per week. After just a few sessions, "I was able to straighten up and walk, sometimes with no pain at all." A month later she was sleeping through the night, and now, 4 months later, she is working again, walking 3 miles several times per week, and is totally off pain medication. She credits Shoshany with "quite literally restoring the quality of my life." Shoshany says that a post-treatment MRI showed a "dramatic 50% increase in the height of the disk."

Nutrition for Recovery
Shoshany believes nutrition is very important to recovery, but he doesn't make any stipulations regarding diet. Instead, he advises his decompression patients to drink 10 to 12 glasses of water per day and take supplements, especially Omega 3, as well as MSM, glucosamine chondroitin, calcium, and magnesium. The herbs Devil's Claw and Boswellia are also recommended for their anti-inflammatory effects.

Exercise is also an important part of Shoshany's rehabilitation regimen. Core stabilization is the key, and devices like the Powerplate www.powerplate.com and the "wobble chair" are excellent for helping to strengthen and stabilize the lumbar region. Shoshany describes the modality of the wobble chair as "similar to a physio ball, but with vibrations. The idea is to rehydrate the disk." Yoga-type exercises also are strongly recommended.

The Secret of Success

Interested in marketing decompression? Visit the August 2007 Archive.
When it comes to "turning lemons into lemonade," Shoshany must be regarded as a master. From being dismayed over being unable to help and subsequently losing patients with herniated disks, he has created a thriving practice, 50% of which is devoted exclusively to spinal decompression. He now heads a team of five chiropractors and in 2006 had his technique patented under the name "NYCDisc." His practice has become so busy that he recently added 4,000 square feet by acquiring the former New York University Outpatient Rehabilitation Clinic, which he is in the process of remodeling and plans to open later in 2008.

Shoshany's stated goal is "to become the leader in spinal decompression in New York City." To judge not only by his practice, which has a "92% success rate," but also by the calls and inquiries he gets from other doctors, orthopedists as well as chiropractors, including those in foreign countries who visit his office to learn about his technique, he is already well on his way.


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Alan Ruskin is staff writer for Chiropractic Products.For more information, please contact aruskin@ascendmedia.com.