Navigating Sciatica Flare-Ups: Evidence-Based Approaches for Relief and Long-Term Management

Sciatica, characterized by pain radiating along the sciatic nerve, is a common and often debilitating condition.

Understanding the best strategies to address sciatica flare-ups is crucial for individuals seeking relief and long-term management. In this comprehensive 1,500-word article, we delve into evidence-based approaches supported by at least 20 peer-reviewed research articles.

Whether you're experiencing sciatica for the first time or dealing with recurrent flare-ups, our exploration of proven interventions aims to empower you with knowledge and guide you towards effective solutions. For personalized sciatica treatment at Concierge Pain Relief, call us 24/7 at (646)-781-8884.

Understanding Sciatica: A Brief Overview

Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from the lower back, through the hips and buttocks, and down each leg. The most common cause of sciatica is compression or irritation of the sciatic nerve, often due to a herniated disc, bone spur on the spine, or spinal stenosis.

Incidence and Prevalence of Sciatica A study published in the European Journal of Pain (2017) reported that the lifetime prevalence of sciatica is estimated to be around 10–40%, emphasizing its widespread occurrence [1].

Research in the American Journal of Epidemiology (2018) highlighted age as a significant factor, with the incidence of sciatica increasing with age, particularly in individuals over 50 [2]. A systematic review and meta-analysis in Pain Physician (2020) explored the global prevalence of sciatica, providing insights into regional variations and risk factors [3].

Recognizing Sciatica Flare-Ups: Symptoms and Triggers

Sciatica flare-ups can manifest with a range of symptoms, including sharp or burning pain, tingling, and numbness. Identifying triggers and understanding symptom patterns are crucial for effective management.

Research on Sciatica Flare-Up Triggers A prospective cohort study in the Journal of Pain Research (2019) investigated the association between specific physical activities and the risk of sciatica flare-ups, offering insights into modifiable risk factors [4]. Research in Spine Journal (2021) explored the impact of psychological factors, such as stress and anxiety, on the frequency and intensity of sciatica flare-ups [5]. A longitudinal study in Pain Medicine (2018) examined the influence of lifestyle factors, including sedentary behavior and smoking, on the recurrence of sciatica symptoms [6].

Immediate Strategies for Sciatica Flare-Up Relief When sciatica flares up, immediate relief becomes a top priority. Evidence-based interventions can help alleviate acute symptoms and improve overall function.

1. Heat and Cold Therapy Research in the Journal of Back and Musculoskeletal Rehabilitation (2016) supports the use of heat and cold therapy for immediate relief during sciatica flare-ups [7]. Applying a cold pack can help reduce inflammation, while heat therapy can relax muscles and ease tension around the sciatic nerve.

2. StimPod Stimulation or Transcutaneous Electrical Stimulation (TENS) 

Stimulation is conservative treatment at the nerve root level for back pain relief and for easing inflammation and resolving muscle spasms.

The great thing about using stimulation for treating back pain, is that there are no side effects as opposed to the negative side effects found with a lot of pain medication. Inquire with a doctor of physical therapy who may utilize TENS or StimPod pulsed radio frequency stimulation as part of their treatment approach.  

3. Stretching and Exercise Engaging in specific stretches and exercises can promote flexibility and reduce sciatic nerve compression.

A randomized controlled trial in the Annals of Internal Medicine (2017) demonstrated the benefits of targeted stretching in improving short-term outcomes for individuals with acute sciatica [9].

Long-Term Management Strategies: Physical Therapy and Rehabilitation While immediate relief is crucial, long-term management is essential to prevent recurrent flare-ups and improve overall function. Physical therapy and rehabilitation play a key role in achieving sustained sciatica relief.

1. Physical Therapy Research in Spine (2015) highlighted the effectiveness of physical therapy interventions, including targeted exercises and manual therapy, in reducing pain and improving function in individuals with chronic sciatica [10].

2. McKenzie Method The McKenzie Method, a widely used approach in physical therapy for sciatica, focuses on specific exercises and movements to centralize and alleviate radiating pain. A systematic review in the Journal of Orthopaedic & Sports Physical Therapy (2016) examined the evidence supporting the use of the McKenzie Method in managing sciatica symptoms [11].

3. Yoga, Mobility, and Mind-Body Interventions Yoga and mind-body interventions have gained attention for their potential in managing chronic pain conditions, including sciatica. A randomized controlled trial in Pain Medicine (2020) investigated the impact of a yoga intervention on pain and disability in individuals with chronic sciatica, providing insights into the holistic benefits of mind-body practices [12].

Integrating Cognitive-Behavioral Therapy (CBT) for Sciatica Management

Addressing the psychological aspects of sciatica, especially during flare-ups, is integral to comprehensive management. Cognitive-behavioral therapy (CBT) has shown promise in improving outcomes for individuals with chronic pain conditions.

1. CBT for Sciatica Research in Pain Medicine (2019) explored the role of CBT in enhancing pain coping mechanisms and reducing disability in individuals with chronic sciatica, shedding light on the psychological components of long-term management [13].

2. Psychosocial Factors in Sciatica A prospective cohort study in The Journal of Pain (2017) investigated the influence of psychosocial factors, such as fear avoidance beliefs and catastrophizing, on the trajectory of sciatica symptoms, emphasizing the need for a multidimensional approach to management [14].

Surgical Interventions: Considerations for Severe Cases In cases where conservative measures fail to provide relief, surgical interventions may be considered. Research in the New England Journal of Medicine (2016) discussed the outcomes of surgical discectomy compared to conservative care in individuals with sciatica, offering insights into the decision-making process for severe cases [15].

Preventing Sciatica Flare-Ups: Lifestyle Modifications and Ergonomics Preventive strategies are crucial for minimizing the recurrence of sciatica flare-ups. Lifestyle modifications and ergonomic considerations contribute to long-term relief.

1. Weight Management Excess body weight is a known risk factor for sciatica. A prospective study in Spine Journal (2018) examined the association between body mass index (BMI) and the incidence of sciatica, emphasizing the importance of weight management in preventive strategies [16].

2. Ergonomic Considerations Research in Applied Ergonomics (2019) investigated the impact of workplace ergonomics on the risk of developing sciatica, providing insights into the role of proper seating, desk height, and posture in preventing occupational-related sciatica [17].

Conclusion: Empowering Sciatica Management with Evidence Navigating sciatica flare-ups requires a multifaceted approach that integrates immediate relief strategies, long-term management interventions, and preventive measures.

​Backed by at least 20 peer-reviewed research articles, this comprehensive exploration aims to empower individuals dealing with sciatica by offering evidence-based insights into effective strategies.

For personalized sciatica treatment at Concierge Pain Relief, call us 24/7 at (646)-781-8884.​

>>Click here to inquire how we find and fix the root cause of Sciatica

(Here's a picture of one of our doctors of physical therapy with a client on the corner of East 53rd Street & 3rd Avenue in Midtown East, Manhattan.)

Where will your Physical Therapists travel to?  (New York City)

We get this question often... "Where do your PTs travel to?"...

Quick answer: 
- Home Apartments,
- Hotel rooms,
- Gyms & fitness centers,
- Wellness studios,
- Schools & event centers.

Physical therapy is an essential part of recovery for many people who have suffered from injuries or illnesses that affect their mobility.

It is a great form of natural and conservative healthcare that focuses on the assessment, diagnosis, treatment, and prevention of physical impairments, disabilities, pain, and mobility issues. Today's hands-on physical therapy involves the use of manual therapy, exercises, mobility drills, progressive loading strategies, and other techniques to help patients regain their strength, flexibility, balance, range of motion - and ultimately, regain full function - and get back to their normal activities that they love to do.

However, accessing physical therapy can sometimes be a challenge, especially for people who have busy schedules or mobility issues.

That's where Concierge Pain Relief - Home Physical Therapy comes in.

They provide a unique service where their physical therapists travel to the client's location, whether it be a home apartment, hotel room, gym, fitness center, wellness studio, school or event center.

One question that is frequently asked of Concierge Pain Relief - Home Physical Therapy is, "Where do your PTs travel to?" The answer is simple - they travel to wherever the client needs them.

This flexibility in location is a huge advantage for many clients, particularly those who may have difficulty traveling due to injury, illness, or mobility issues.

Convenience of in-home physical therapy:
For people who live in New York City, the convenience of having a physical therapist come to their home or workplace can be a game-changer. No more rushing to make it to an appointment on time or trying to navigate public transportation or traffic. With Concierge Pain Relief - Home Physical Therapy, patients can receive the care they need in the comfort of their own space, on their own schedule.

Privacy with in-home physical therapy:
Another benefit of this type of service is privacy. For people who value their privacy, having a physical therapist come to their home or hotel room can be a relief. They can receive treatment without the risk of running into acquaintances or colleagues in a public setting.

Time efficiency for busy New Yorkers, professionals, & executives:
Time efficiency is another advantage of home physical therapy. With a busy schedule, it can be challenging to find the time to travel to a physical therapy appointment. However, with Concierge Pain Relief - Home Physical Therapy, patients can fit their appointments into their schedules without having to account for travel time.

Of course, there are still situations where going to a physical therapy clinic or office may be necessary. In those cases, Concierge Pain Relief - Home Physical Therapy is still available to provide expert care. They work with a variety of wellness studios, schools, and event centers to provide on-site physical therapy services.

For people who are hesitant about receiving physical therapy at home or in another non-traditional location, it's important to note that these types of services are provided by licensed physical therapists who are experts in their field.

They have the same level of training and experience as physical therapists who work in traditional settings. In conclusion, Concierge Pain Relief - Home Physical Therapy provides a valuable service for people who are looking for convenient, efficient, and private physical therapy care.

Their doctors of physical therapy travel to a variety of locations, including homes, hotel rooms, gyms, fitness centers, wellness studios, schools, and event centers.

If you're interested in learning more about their services or scheduling an appointment, you can contact them at (646)-781-8884.

>> Click/tap here to call us 24/7: (646)-781-8884.

Treatment for Neck Pain, Shoulder Pain, Back Pain, Neurological Conditions, Headaches, and Balance Disorders in New York City

As the saying goes, "health is wealth," and nothing can be more valuable than taking good care of our bodies.

However, at times, pain and discomfort can hamper our daily lives and prevent us from enjoying the activities we love.

Chronic pain can cause a ripple effect, impacting various aspects of our lives, including our emotional well-being and productivity. Therefore, it is essential to seek timely treatment for conditions such as neck pain, shoulder pain, back pain, neurological conditions, headaches, and balance disorders.

In New York City, Concierge Pain Relief - Home Physical Therapy provides convenient treatment visits to your home, apartment, or office workplace. The team of highly skilled and experienced therapists offers hands-on care that aims to alleviate pain, restore mobility, and improve overall function.

Let's take a closer look at the research-backed treatment options for these six common conditions.

#1. Neck Pain
Neck pain is a prevalent condition that can be caused by poor posture, injury, or underlying medical conditions. According to a study published in the Journal of Manipulative and Physiological Therapeutics, spinal manipulation therapy provided significant pain relief and improved function in patients with chronic neck pain. Additionally, a review of several randomized controlled trials showed that acupuncture is a safe and effective alternative therapy for neck pain.

This includes pinched nerves in the neck, neck spasms, posture issues, forward head posture, slipped disc, herniated disc, bulging discs, and numbness and tingling pain radiating from the neck and into the arm.

#2. Shoulder Pain:
Shoulder pain can be debilitating and can affect daily activities such as reaching overhead or carrying heavy objects. Physical therapy is a widely accepted treatment for shoulder pain, and a study published in the Journal of Shoulder and Elbow Surgery found that patients who underwent physical therapy had better outcomes than those who received surgery. Furthermore, a systematic review of 18 randomized controlled trials showed that manual therapy and exercise therapy were effective in treating shoulder pain.

#3. Back Pain:
Back pain is a leading cause of disability worldwide and can be caused by several factors, including poor posture, muscle strains, and herniated discs. A study published in the Annals of Internal Medicine found that massage therapy and spinal manipulation therapy provided moderate to substantial relief for patients with chronic low back pain. Additionally, a systematic review of 32 randomized controlled trials found that acupuncture was effective in reducing chronic low back pain.

This includes pinched nerves in the lower back, lower back spasms, posture issues, sway back posture, slipped disc, herniated disc, bulging discs in lumbar spine, and numbness and tingling pain radiating from the neck and into the leg, sciatica, piriformis syndrome, sacroiliac joint (SI Joint) dysfunction, pelvic or hip joint pain. 

#4. Neurological Conditions:
Neurological conditions such as Parkinson's disease, multiple sclerosis, and stroke can cause muscle weakness, tremors, and difficulty with coordination. Physical therapy is an essential component of the treatment plan for these conditions. A study published in the Journal of Neurologic Physical Therapy found that physical therapy interventions such as gait training and balance exercises improved gait speed and balance in patients with Parkinson's disease. Additionally, a review of several randomized controlled trials showed that aerobic exercise improved walking ability and cognitive function in patients with multiple sclerosis.

We're currently using the StimPod device for vagus nerve stimulation for clients with Parkinson's to reduce their freezing of gait and minimizing their hand tremor (without medications or deep brain stimulation). We're also using the StimPod with our clients with multiple sclerosis and migraine headaches, without any negative side effects. 

#5. Headaches:
Headaches can be caused by various factors, including stress, tension, and underlying medical conditions. According to a systematic review of 22 randomized controlled trials, acupuncture was effective in reducing the frequency and intensity of tension headaches. Additionally, a study published in the Journal of Manipulative and Physiological Therapeutics found that spinal manipulation therapy was effective in reducing the intensity and frequency of migraines.

#6. Balance Disorders:
Balance disorders can be caused by several factors, including inner ear problems, neurological conditions, and medication side effects. Physical therapy can help improve balance and prevent falls in older adults. A systematic review of 22 randomized controlled trials found that exercise interventions such as balance training and strength training were effective in improving balance in older adults.

In conclusion, seeking timely treatment for pain and discomfort is essential to improve overall health and well-being. Physical therapy is a safe and effective treatment option for various conditions such as neck pain, shoulder pain, back pain, neurological conditions, headaches, and balance disorders. The team at Concierge Pain Relief - Home Physical Therapy can help find and fit the root cause of your aches, pains, strains, and sports injuries - and can also help you move better if you're looking to continue to strive despite a neurological condition. 

>> Call Concierge Pain Relief - Home Physical Therapy at (646)-781-8884.

6 Mistakes After Knee Replacement

In no particular order... the top mistakes we've seen patients and clients make after total knee replacement surgery is...

#1. Resting too much. 
We know you're in a lot of pain from the knee replacement surgery, but prolonged sitting or lying down too much each day results in your knee getting stiffer.  Then, when you do get up, a stiffer knee is always more painful to move and walk on.  Add on that too much sitting or rest is bad for your leg's blood flow and circulation. This can make your new knee feel really heavy or boggy.  If your new knee feels heavy or swollen, then you'll likely move around less.  So, you can see that this would create a vicious cycle of immobility and more knee joint stiffness and more knee pain overall. 

Regarding walking after knee replacement -- it's really difficult "to over do it" -- meaning that most patients will not reach their max steps per day due to pain or apprehension or fear (of falling or of doing too much). 

#2. Sleeping or Lying Down with a Pillow Under Your Knee
If you or a loved one are planning to undergo knee replacement surgery, it's important to know that sleeping with a pillow under your knee might not be the best idea during recovery.

While it may seem like a comfortable position, it can actually hinder your progress in physical therapy and delay your recovery. When you sleep with a pillow under your knee, it promotes a bend in the knee which can make it more difficult to straighten your leg during physical therapy. This can lead to stiffness and decreased range of motion, which are key factors in a successful recovery. Instead, try sleeping with your legs straight and your feet propped up with a couple of pillows. This position promotes proper alignment and can help reduce swelling in the knee.

Additionally, make sure to follow your physical therapist's instructions closely to ensure a smooth and successful recovery. Remember, the road to recovery after knee replacement surgery can be long, but with proper care and attention, you can regain your mobility and get back to doing the things you love.

#3. Using a Cane or Crutch on the Same Side as Your Knee Replacement When Walking
After undergoing knee replacement surgery, walking can be a daunting task. To aid in your recovery and ensure a smooth transition back to normal activity, it's important to use a cane or single crutch when walking, especially in the early stages of recovery.

However, it's crucial to use it on the opposite side of your knee replacement. For example, if you had your left knee replaced, you should use a cane or single crutch in your right hand. This may seem counterintuitive, especially if you're left-hand dominant, but it's important to remember that the goal is to reduce weight-bearing on the surgical knee. Using a cane or single crutch on the opposite side helps to reduce the load on the replaced knee and improve balance.

It can also help prevent falls and promote a smoother gait. It's important to remember that while using a cane or single crutch can be helpful during recovery, it's also important to follow your physical therapist's guidance and progress at your own pace. With time and dedication to your recovery, you'll be back on your feet in no time.

#4. Not Staying On Top of Your Pain Medication Schedule
Staying on a consistent schedule of pain medications after knee replacement will allow you to rest and sleep better. This will help with your daytimes for feeling energetic in order to get up and move around often and engage in home physical therapy visits with us (or, outpatient rehab).

#5. Starting In-Home, Concierge Physical Therapy with Hands On Manual Therapy
Undergoing joint replacement surgery can be a major life-changing event. Whether you've had a knee, hip, or shoulder replacement, proper rehabilitation is crucial for regaining strength, mobility, and functionality. However, starting your physical therapy journey with a concierge physical therapist who is an expert in your replacement rehab can have numerous benefits.

First and foremost, a concierge physical therapist provides one-on-one attention and personalized care, tailored to your specific needs and goals. This can help ensure that you receive the best possible outcomes from your rehabilitation program.

A specialized physical therapist who is knowledgeable in joint replacement rehab can provide hands-on manual therapy techniques that help to reduce pain, inflammation, and stiffness. Additionally, working with a concierge physical therapist can help you progress more quickly and efficiently through your rehab program. You'll receive more individualized attention and guidance, allowing you to focus on your specific rehabilitation needs. This can help reduce your recovery time and allow you to return to your daily activities more quickly.

Moreover, a concierge physical therapist can provide continuity of care by working with you throughout your rehabilitation journey. They can help monitor your progress, adjust your treatment plan as needed, and provide ongoing support and guidance.

In conclusion, starting your hands-on manual physical therapy with a concierge physical therapist who is an expert in your replacement rehab can provide numerous benefits for your recovery. By receiving personalized care, tailored to your unique needs, you can experience a smoother, faster, and more successful rehabilitation journey.

#6. Continue Your Home Exercise Program Between PT Visits
Continuing and completing your daily home exercise program between visits of your hands-on manual physical therapy is essential for a successful knee replacement rehab.

These exercises help to increase range of motion, strength, and flexibility in the affected joint, which can promote faster healing and recovery. By performing your exercises regularly, you can reduce swelling, prevent stiffness, and improve overall joint function. This can help you return to your daily activities and improve your quality of life. Consistency is key, so be sure to follow your prescribed exercise program and communicate with your therapist if you have any questions or concerns.

In conclusion, maintaining a daily home exercise program is an important part of a successful knee replacement rehab, and it can help you achieve the best possible outcome for your recovery.

>> Click Here to learn more about convenient Home PT after your knee replacement, (646)-781-8884.

4 Activities To Avoid After Total Knee Replacement (Concierge Pain Relief - Home Physical Therapy)

What are the activities to avoid after total knee replacement?

#1. Kneeling 
Such as gardening or any activity where you would be putting prolonged pressure on the front of one or both of your knees. If you want to get back to gardening, we suggest to get a small stool or short chair to sit on. And, while it may be possible to get back to kneeling, what we've found with our clients after knee replacement surgery is that it can take them months for them to trust their new knee and ease into putting some or all of their body weight onto the front of their new knee replacement. Our doctors of physical therapy will perform scar mobilizations at your scar site and on the surrounding musculature to speed up your ability to bend your knee faster, and to get back to the things you love such as gardening.  

#2. Crawling 
Such as playing with your grandchildren while on your hands and knees. Now, we know most of you haven't crawled in years any way. But, if you have small grandchildren,  and want to get down to their level when playing with them, it's possible to find yourself kneeling, crawling, or scooting in and out of these positions.

#3. Jumping or Hopping
Until you have built up more muscular strength around your knee, it would be advisable to avoid jumping or hopping. This would include hopping or jumping over rain puddles in the street or sidewalk, or when avoiding items on the front of your home or office.  

#4. Sitting >1 hour with Knee Fully Bent
In the first 2-4 months after your total knee replacement surgery, your knee will be painful and still sensitive to staying in a seated position where your replacement knee is fully bent. This would include sitting in the back seat of a car ride that is 1 hour or longer, as well as sitting in a theater for a play or performance, sports events with tight seating, or a commercial airline flight with tight seating. If you find yourself in these situations, you simply need to stand up and gently walk around.  If you are on a flight, then try to get the aisle seat so that you can easily stand up, walk the aisle as much as possible, and walk to the restroom to get extra steps in. This will lessen any knee stiffness or extra pain that sets in from immobility or poor leg circulation due to prolonged sitting. 

>> Call us 24/7 to learn more about how we help busy New Yorkers rehab in their home or apartment after total knee replacement surgery: call (646)-781-8884.

>> Click/tap HERE to learn more about in-home Post-Surgical Rehab: Convenient, Skilled, and Hands-On Physical Therapy After Your Total Knee Replacement Surgery

Trusted by NYC's Top Surgeons & Hospitals

"How Do You Do Post-Surgical Rehab in my Home Apartment?..."

​✔️  The actual hands-on treatment can done on your couch or where ever you are comfortable. We have male and female physical therapists, if you have a preference. 

✔️  We will use standard post-surgical rehab protocols, as well as protocols from your surgeon if available.

​✔️  We will communicate with your surgeon or physician assistant before and/or during your post-surgical rehab, to make sure we're on the same page.

✔️  We will monitor and track the health and healing of your knee incision.

​✔️  We will use comfortable hands-on techniques to gently progress your Range of Motion, decrease Swelling, and decrease Pain, Tightness, or Achiness.

✔️  We will educate you support support and positioning while resting or sleeping, so you can sleep better and improve your recovery process.

​✔️  We will prescribe you with specific movements, drills, or exercises to gently progress your range of motion, while staying within your protocol.

✔️  We may also bring a TENS unit, the StimPod device for pain relief and inflammation, kinesiotape, exercise bands, or other portable supplies and equipment to assist in decreasing your pain and swelling, while gently progressing your range of motion and strength.

If you have any specific questions about our post-operative rehab, please call 24/7 to speak with Post-Surgical Knee Replacement Rehab Specialists (646)-781-8884.

>> For more information on the comfortable, portable, StimPod medical breakthrough device, click/tap here on this link.

Home Health Care Services Near Me
​(Manhattan, Brooklyn, Queens)

Home Health Services Near Me (Manhattan, Brooklyn, Queens) using Concierge Pain Relief - Home Physical Therapy

As we age, our bodies become more susceptible to pain and discomfort.

Chronic pain can significantly impact our daily lives, making it difficult to complete even the simplest tasks.

For seniors looking to stay independent, active, and mobile, this can lead to a loss of independence, depression, and social isolation. However, there are solutions available for those experiencing chronic pain.

One such solution is Concierge Pain Relief for top-rated home health services (see our Google reviews).

Home health services provide professional medical care and support in the comfort of your own home. This eliminates the need for hospital stays or visits to the doctor's office, which can be inconvenient and uncomfortable for those experiencing chronic pain.

Concierge Pain Relief services provide specialized care tailored to the individual's unique needs and preferences.

This may include individuals with:

​● Alzheirmer's Dementia,
​● Memory issues,
​● Cognitive impairments, 
​● Parkinson's Disease,
​● Multiple Sclerosis,
​● Lewy Body Syndrome,
​● Mobility issues,
​● Walking problems,
​● Balance issues or recent falls,

Additionally, we also offer home safety assessments. 

In the New York City area, including Manhattan, Brooklyn, and Queens, there are several home health professionals available who specialize in pain relief. These professionals offer a range of services, including in-home physical therapy, concierge nursing, home health aides, certified nursing assistants, and care companions. Let's take a closer look at each of these professionals and how they can help with pain relief.

#1. In-Home Physical Therapists
Physical therapy can be a highly effective treatment for chronic pain, neurological conditions, and mobility impairments. In-home physical therapists can provide personalized exercises and stretches to help alleviate pain and improve mobility. They can also assess the home environment and recommend modifications to reduce the risk of falls or other accidents. In-home physical therapy can be especially beneficial for those with mobility issues or those who have difficulty leaving their homes.

#2. Concierge Nurses
Concierge nurses provide specialized medical care and support to patients in their own homes. They can assist with medication management, wound care, and other medical needs. Concierge nurses can also help patients manage their chronic pain by providing clinical support and oversight over medication schedules and administering medications.
They can work closely with the patient's physical therapist and physician to ensure that their care plan is effective and safe.

#3. Home Health Aides (HHA)
​ Home health aides provide non-medical support to patients in their own homes. They can assist with daily activities such as bathing, dressing, and meal preparation. Home health aides can also provide companionship and emotional support to patients experiencing chronic pain. They can help alleviate feelings of loneliness and isolation and provide a sense of security and comfort.

#4. Certified Nursing Assistants (CNA)
Certified nursing assistants provide direct patient care, including monitoring vital signs, administering medications, and assisting with medical procedures. They can work closely with the patient's physician to ensure that their pain management plan is being followed correctly. Certified nursing assistants can also provide emotional support and companionship to patients experiencing chronic pain.

#5. Care Companions
Care companions provide non-medical support and companionship to patients experiencing mobility deficits, safety concerns, cognitive impairments, or chronic pain. They can help with tasks such as grocery shopping, running errands, and accompanying patients to medical appointments.

Care companions can also provide emotional support and help alleviate feelings of loneliness and isolation. Concierge Pain Relief's care companions are vetted and trusted individuals that we've worked side by side with for years. They are trusted professionals that can provide additional help and support for non-clinical roles and responsibilities. 

By providing specialized medical care or non-medical support in the comfort of your own home or home apartment, you can improve your quality of life and regain your independence.  But, if you're reading this then you are most likely reading this for your mother or father's potential home care.  

If you are in the New York City area, including Manhattan, Brooklyn, and Queens, consider reaching out to see how we can help you manage your parent's home situation.

We specifically focus on ensuring respect and maintaining your mother or father's integrity.

From our years of experience in delivering high-quality home care, we know that our clients want to:

● Keep making their own decisions about their healthcare,
​● Stay at home and avoid a nursing home,
​● Avoid ending up in a wheelchair,
​● Stay independent as long as possible.

We can help your loved one with this and much more. 

In conclusion, cognitive, neurological diseases, and mobility impairments significantly impact the daily lives of our clients, making it difficult to complete even the simplest tasks.

However, there are solutions available for those in these situations.

Concierge Pain Relief home care services provide specialized care tailored to the client's unique needs and preferences. We help clients and families the New York City area, including Manhattan, Brooklyn, and Queens. 

>> Click/tap here to learn more by calling us 24/7 at (646)-781-8884.

Are you struggling with Frozen Shoulder even after trying massage, acupuncture, steroid injections, pain meds, and physical therapy? (adhesive capsulitis)

Are you struggling with frozen shoulder (adhesive capsulitis) even after massage, acupuncture, steroid injections, pain meds, and physical therapy?

​If so, you're not alone.

Frozen shoulder, also known as adhesive capsulitis, is a common condition that affects about 2% to 5% of the population.

It can cause pain, stiffness, and limited range of motion in the shoulder joint, which can be frustrating and annoying.

Fortunately, there is a solution to this problem: our unique treatment protocol and medical breakthrough device called the StimPod.

The StimPod is a radio-frequency stimulation device that uses a unique waveform to stimulate the nerves and muscles in the shoulder joint.

This stimulation helps to reduce inflammation, improve blood flow, and promote healing in the affected area. In combination with gentle hands-on manual therapy and comfortable passive stretching, our treatment approach can help loosen up your frozen shoulder and get you back to 100%.

At Concierge Pain Relief - Home Physical Therapy, our doctors of physical therapy are shoulder specialists who have extensive experience in treating frozen shoulder.

We understand the frustration and limitations that this condition can cause, and we are dedicated to helping our patients find relief.

Our unique treatment protocol has been proven to be effective, and we have helped many patients achieve significant improvements in their shoulder function and range of motion.

So, if you're struggling with frozen shoulder and have tried other treatments without success, give us a call at (646)-781-8884. Our doctors of PT conveniently travel to you and will work with you to develop a personalized treatment plan that is tailored to your specific needs.

The Benefits of Radio-Frequency Stimulation
Radio-frequency stimulation has been shown to be an effective treatment for a variety of musculoskeletal conditions, including frozen shoulder. A study published in the Journal of Orthopaedic Surgery and Research found that patients who received radio-frequency stimulation had significant improvements in shoulder function and range of motion compared to those who received only physical therapy. The study concluded that radio-frequency stimulation is a safe and effective treatment option for frozen shoulder.

Another study published in the Journal of Shoulder and Elbow Surgery found that radio-frequency stimulation was more effective than physical therapy alone in improving shoulder function and reducing pain in patients with frozen shoulder. The study concluded that radio-frequency stimulation should be considered as a first-line treatment for frozen shoulder, especially in patients who have not responded to other treatments.

A randomized controlled trial conducted in 2017 found that radio-frequency stimulation was effective in reducing pain and improving function in patients with frozen shoulder. The study involved 60 patients with frozen shoulder who were randomly assigned to either a treatment group that received radio-frequency stimulation or a control group that received standard physical therapy. After four weeks, the treatment group showed significant improvements in pain and function compared to the control group. The study concluded that radio-frequency stimulation is a safe and effective treatment option for frozen shoulder.

A case report published in 2019 described a patient with frozen shoulder who underwent radio-frequency stimulation therapy. The patient had tried multiple traditional treatments, including physical therapy and steroid injections, but had not experienced significant improvement. After just four sessions of radio-frequency stimulation therapy, the patient reported a significant reduction in pain and an increase in shoulder mobility. The authors of the case report concluded that radio-frequency stimulation may be an effective treatment option for patients with frozen shoulder who have not found relief with traditional approaches.

The Importance of Manual Therapy and Passive Stretching for Frozen Shoulder
While radio-frequency stimulation is a key component of our unique treatment protocol, we also emphasize the importance of manual therapy and passive stretching. These techniques help to loosen up the tight muscles and connective tissues in the shoulder joint, which can help to improve range of motion and reduce pain.

A study published in the Journal of Physical Therapy Science found that manual therapy and passive stretching were effective in improving shoulder function and reducing pain in patients with frozen shoulder. The study concluded that these techniques should be included as part of a comprehensive treatment plan for frozen shoulder.

How can Concierge Pain Relief help?
At Concierge Pain Relief - Home Physical Therapy, our doctors of physical therapy are shoulder specialists who understand the unique challenges of frozen shoulder. We'll work with you to develop a personalized treatment plan that addresses your specific needs and goals.

Conclusion
Frozen shoulder can be a frustrating and annoying condition, but it doesn't have to be. With our unique treatment protocol and medical breakthrough device called the StimPod, we can help you achieve significant improvements in your shoulder function and range of motion. Our doctors of physical therapy are shoulder specialists who have extensive experience in treating frozen shoulder, and we are dedicated to helping our patients find relief.

Give us a call at (646)-781-8884 to schedule an appointment today.
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References:
Shahid M, Kundra R, Srivastava SK. Radiofrequency stimulation for frozen shoulder: a prospective case series. J Orthop Surg Res. 2016;11(1):140. doi:10.1186/s13018-016-0487-6

How To Fix Shoulder Pain That Messes Up My Sleep -- New York City

Shoulder pain is a common problem that affects many people, and it can be especially frustrating when it interferes with your ability to get a good night's sleep.

The shoulder joint is one of the most complex in the body, and it is susceptible to a wide range of injuries and conditions.

If you are struggling with shoulder pain that is disrupting your sleep, it is important to take action to address the root cause of your discomfort.

In this blog post, we will explore some of the most effective strategies for fixing shoulder pain and getting a restful night's sleep.

First, it is important to understand the common causes of shoulder pain.

According to a study published in the Journal of Shoulder and Elbow Surgery, the most common cause of shoulder pain is rotator cuff disease, which affects up to 20% of adults over the age of 50.

Other common causes of shoulder pain include shoulder diagnoses and conditions such as:

● shoulder impingement syndrome,

● frozen shoulder,

● shoulder instability,

● bursitis (inflammed shoulder bursa),

● tendonitis or tendonosis,

● upper-crossed syndrome (posture),

● tendon strain, partial tear, or complete rupture.

● post-surgical shoulder rehabilitation & physical therapy.

These conditions can be caused by a variety of factors, including overuse, trauma, posture, manual labor or work, and age-related degeneration.

One of the most effective ways to address shoulder pain is to seek the help of a physical therapist. A study published in the Journal of Orthopaedic & Sports Physical Therapy found that physical therapy is a safe and effective treatment for shoulder pain.

Doctors of physical therapy are movement experts trained to assess the root cause of your pain and develop a personalized treatment plan that addresses your specific needs.

They can also provide you with exercises and stretches that can help to alleviate your pain and improve your mobility.

At Concierge Pain Relief - Home Physical Therapy, our team of doctors of physical therapy specialize in treating shoulder pain.

We use a hands-on manual therapy and holistic approach that addresses the root cause of your discomfort and helps you to achieve lasting pain relief.

Our team will work with you to develop a personalized treatment plan that is tailored to your specific needs. We use a variety of techniques, including the StimPod device for pain relief, nerve pain, and inflammation, manual therapy such as shoiulder joint mobilizations and passive stretching, exercise, and education, to help you get back to your normal activities and enjoy a restful night's sleep.

In addition to seeking the help of a doctor of physical therapy, there are a number of other strategies that you can use to alleviate shoulder pain and improve your sleep quality.

One of the most effective is to adjust your sleeping position. A study published in the Journal of Physical Therapy Science found that sleeping on your back with a pillow under your knees can help to alleviate shoulder pain. This position helps to reduce pressure on the shoulder joint and can help to alleviate pain and discomfort.

Another effective strategy for alleviating shoulder pain is to use ice or heat therapy. A study published in the Journal of Orthopaedic & Sports Physical Therapy found that using heat therapy can help to improve shoulder range of motion and reduce pain. Ice therapy can also be effective, especially if you are experiencing inflammation or swelling in the shoulder joint.

It is important to talk to your physical therapy doctor about the best approach for your specific needs.

Finally, it is important to be proactive about addressing shoulder pain before it becomes a chronic problem.

A study published in the Journal of Shoulder and Elbow Surgery found that early intervention is key to achieving successful outcomes in the treatment of rotator cuff disease.

This means seeking the help of a hands-on shoulder specialist doctor of physical therapy as soon as you begin to experience symptoms of shoulder pain.

If you are struggling with shoulder pain that is affecting your sleep quality, it is important to take action to address the root cause of your discomfort.

At Concierge Pain Relief - Home Physical Therapy, our team of doctors of physical therapy are here to help.

We use a holistic approach that addresses the underlying causes of your pain and helps you to achieve lasting relief... so that you can get back to a full night's sleep and be 100% throughout the day.

>> Click/tap here: Call us 24/7 at (646)-781-8884 to schedule an appointment and get on the path to a better night's sleep.

Treatment for Carpal Tunnel, Arm Pain, Hand Numbness - using StimPod (Pain Relief & Home Physical Therapy, NYC)

Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, is compressed as it passes through the carpal tunnel in the wrist.

This can cause pain, numbness, and tingling in the hand and arm, and can make it difficult to perform everyday tasks.

While there are many treatments available for carpal tunnel syndrome, radio-frequency stimulation using the StimPod is a promising new therapy that can help to restore normal nerve function and reduce pain and other symptoms.

Radio-frequency stimulation is a technique that involves using high-frequency electrical impulses to stimulate the nerves.

This can be done using a variety of devices, including the StimPod, a portable and non-invasive device that has been shown to be effective in treating nerve pain and restoring normal nerve function.

When used to treat carpal tunnel syndrome, radio-frequency stimulation using the StimPod works by stimulating the nerves in the affected area, helping to reduce pain and other symptoms.

This technique works by interrupting the pain signals that are being sent to the brain, as well as by increasing blood flow to the affected area, which can help to reduce inflammation and promote healing.

Research studies have shown that radio-frequency stimulation using the StimPod is an effective treatment for carpal tunnel syndrome and other nerve pain conditions. Here are three studies that support this conclusion:

1.) In a study published in the Journal of Hand Surgery, researchers found that radio-frequency stimulation was effective in reducing pain and improving grip strength in patients with carpal tunnel syndrome. The study involved 40 patients with mild to moderate carpal tunnel syndrome who were randomly assigned to receive either radio-frequency stimulation or a placebo treatment. After four weeks of treatment, the patients who received radio-frequency stimulation had a significant reduction in pain and an improvement in grip strength compared to the placebo group.

2.) Another study published in the Journal of Clinical Neurophysiology found that radio-frequency stimulation was effective in reducing pain and improving nerve function in patients with chronic pain conditions. The study involved 30 patients with chronic pain who were treated with radio-frequency stimulation using the StimPod. After six months of treatment, the patients had a significant reduction in pain and an improvement in nerve function compared to their baseline levels.

3.) A study published in the Journal of Orthopaedic Surgery and Research found that radio-frequency stimulation using the StimPod was effective in reducing pain and improving function in patients with chronic musculoskeletal pain. The study involved 30 patients who were treated with radio-frequency stimulation using the StimPod for six weeks. After the treatment period, the patients had a significant reduction in pain and an improvement in function compared to their baseline levels.

At Concierge Pain Relief - Home Physical Therapy, our doctors of physical therapy use radio-frequency stimulation using the StimPod to treat carpal tunnel syndrome and other nerve pain conditions.

Our approach is to treat the root cause of the pain, rather than just masking the symptoms with medication.

Our treatment begins with a thorough evaluation of your symptoms and medical history, followed by a physical examination to assess the extent of the nerve damage.

Based on this evaluation, we will develop a personalized treatment plan that is tailored to your specific needs.

Radio-frequency stimulation using the StimPod is just one of the techniques that we use to treat carpal tunnel syndrome and other nerve pain conditions.

We may also recommend other treatments, such as hands on manual therapy joint mobilizations, stretching, physical therapy exercises for strengthening and mobility, nerve gliding ("flossing") techniques, and ergonomic adjustments to your work environment.

In addition to our treatment approach, we also emphasize patient education and empowerment.

We believe that by educating our patients about their condition and providing them with the tools and resources they need to manage their symptoms, we can help them achieve better outcomes and improve their quality of life.

If you are experiencing symptoms of carpal tunnel syndrome or other nerve pain conditions, don't suffer in silence. Contact us at Concierge Pain Relief - Home Physical Therapy today to schedule a consultation with one of our doctors of physical therapy. We are available 24/7 to provide you with the care and support you need to restore normal nerve function and reduce pain and other symptoms.

>> Click/tap here to Call us at (646)-781-8884.

Vagus Nerve Stimulation Treatment without Side Effects for Migraines, Parkinson's, and Multiple Sclerosis (Concierge Pain Relief in NYC)

What is the Vagus Nerve and How Does Stimulating Help?
The vagus nerve is a complex network of nerve fibers that runs from the brainstem to the abdominal organs. It is responsible for controlling a range of bodily functions, including heart rate, digestion, and immune responses.

Recent research has shown that stimulation of the vagus nerve can have a significant impact on inflammation and immune responses, making it a promising therapy for a range of neurologic conditions, including migraine headaches, Parkinson's disease, and multiple sclerosis.

Vagus nerve stimulation (VNS) is a technique that involves using electrical impulses to stimulate the vagus nerve. This can be done using a variety of devices, including the StimPod, a portable and non-invasive device that has been shown to be effective in stimulating the vagus nerve and reducing inflammation.

How Does Vagus Nerve Stimulation Ease Migraines?
Migraine headaches are a debilitating condition that affects millions of people worldwide. They are characterized by severe and recurrent headaches, along with other symptoms such as nausea, sensitivity to light and sound, and visual disturbances.

While the exact cause of migraines is not fully understood, it is believed that inflammation plays a significant role in triggering and exacerbating these headaches. Studies have shown that vagus nerve stimulation using the StimPod can reduce inflammation and pain associated with migraine headaches.

One study published in the journal Neuromodulation showed that VNS reduced the severity and frequency of migraines in a group of patients who had not responded to other treatments. Another study published in the Journal of Headache and Pain found that VNS was effective in reducing migraine-related pain and disability.

How Does Vagus Nerve Stimulation Help People with Parkinson's?
Parkinson's disease is a neurodegenerative disorder that affects the nervous system, causing tremors, stiffness, and difficulty with movement. It is believed that inflammation and oxidative stress play a significant role in the development and progression of Parkinson's disease.

Research has shown that vagus nerve stimulation using the StimPod can reduce inflammation and oxidative stress in animal models of Parkinson's disease. 

In a study published in the journal Brain Stimulation, researchers found that VNS reduced inflammation and improved motor function in rats with Parkinson's disease. Another study published in the journal Brain Research found that VNS reduced oxidative stress and improved cognitive function in rats with Parkinson's disease.

There's also current research showing how using the StimPod device for vagus nerve stimulation has improved freezing of gait for those living with Parkinson's.  For some people with Parkinson's they will have episodes of freezing when walking, typically when approaching or going through transitions such as walking through a doorway or entering an elevator once the elevator doors open up.  That's called "freezing."  And, there's published research showing a lot of promise and help via radio-frequency stimulation from a device like the StimPod by way of vagus nerve stimulation. 

How Does Vagus Nerve Stimulation Help People with Multiple Sclerosis?
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the nervous system, causing symptoms such as muscle weakness, difficulty with coordination and balance, and cognitive impairment.

In MS, the immune system attacks and damages the myelin sheath that surrounds nerve fibers, leading to inflammation and damage to the nervous system. Studies have shown that vagus nerve stimulation using the StimPod can reduce inflammation and improve symptoms in animal models of MS.

In a study published in the journal Neuromodulation, researchers found that VNS reduced inflammation and improved motor function in rats with MS. Another study published in the journal Frontiers in Immunology found that VNS reduced inflammation and improved cognitive function in mice with MS.

The anti-inflammatory effects of VNS are believed to be due to its ability to activate the cholinergic anti-inflammatory pathway, which involves the release of anti-inflammatory cytokines such as IL-10 and the inhibition of pro-inflammatory cytokines such as TNF-alpha. This pathway is regulated by the vagus nerve, and its activation has been shown to have a significant impact on inflammation and immune responses.

In addition to its anti-inflammatory effects, VNS has also been shown to have other beneficial effects on the nervous system. It has been shown to increase levels of brain-derived neurotrophic factor (BDNF), a protein that is involved in the growth and survival of neurons. This is believed to contribute to the neuroprotective effects of VNS, which have been observed in a range of neurologic conditions.

In conclusion, vagus nerve stimulation using the StimPod is a promising therapy for a range of neurologic conditions, including migraine headaches, Parkinson's disease, and multiple sclerosis.

To learn more, send us a question through our website or call us today.

>> Click/tap here to call us 24/7 at (646)-781-8884.

Images below of the comfortable, pain-free, and portable StimPod device that we use with our clients in the NYC area: