Best for Back Pain? PT, Chiro, Massage, or Acup

1/23/2025

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How To Choose Between a Physical Therapist, Chiropractor, Massage Therapist, or Acupuncturist for Lower Back Pain

When faced with persistent lower back pain, the array of treatment options can be overwhelming.

Should you see a physical therapist, chiropractor, massage therapist, or acupuncturist?

Each discipline offers unique benefits, but understanding their differences is essential to making the best choice for your health.

At Concierge Pain Relief – Home Physical Therapy, we specialize in identifying and addressing the root cause of your aches, pains, muscle imbalances, and balance issues.

Our goal is to help busy New Yorkers get back to doing the things they love, pain-free and efficiently.

To help you decide, let’s break down the roles, methods, and benefits of each provider.

Doctors of Physical Therapy:

Targeted Recovery and Prevention
What They Do: Physical therapists (PTs) focus on diagnosing and treating musculoskeletal issues through movement, strengthening, and manual therapy. They are highly trained to create customized treatment plans that address the underlying cause of pain.
Best For: Chronic or acute lower back pain. Injuries, such as herniated discs or muscle strains. Post-surgical rehabilitation. Improving strength, flexibility, and posture.
Methods Used:
Manual therapy for soft tissue mobilization.
Targeted exercises to improve strength and mobility.
Postural correction and ergonomic advice.
Balance and coordination training.

Why Choose PT: Evidence strongly supports physical therapy for managing and resolving lower back pain. PTs focus on long-term solutions, aiming to prevent future issues.

At Concierge Pain Relief, our in-home services provide personalized care in the comfort of your home or office, ensuring convenience and privacy.

Chiropractic Care:

Spinal Alignment and Pain Relief
What They Do: Chiropractors specialize in spinal adjustments to alleviate pain and improve function. They focus on the relationship between the spine and the nervous system.
Best For: Pain caused by spinal misalignment. Acute lower back pain without underlying structural issues. Patients seeking drug-free pain relief.

Methods Used:
Spinal manipulation (adjustments).
Soft tissue therapies.
Lifestyle and ergonomic advice.

Why Choose Chiropractic Care: While chiropractic care can provide immediate pain relief for some, it may not address the root cause of musculoskeletal imbalances. Combining chiropractic care with physical therapy can offer a more comprehensive approach.

Massage Therapy:

Stress Relief and Muscle Relaxation
What They Do: Massage therapists use hands-on techniques to manipulate muscles and soft tissues, reducing tension and improving circulation.
Best For: Stress-related back pain. Muscle tightness and spasms. Temporary relief of lower back discomfort.
Methods Used:
Deep tissue massage.
Trigger point therapy.
Swedish or relaxation massage.

Why Choose Massage Therapy: Massage therapy excels at reducing stress and alleviating muscle tension, making it an excellent complementary treatment. However, it may not address underlying biomechanical issues that cause chronic pain.

Acupuncture:

Balancing Energy and Reducing Pain

What They Do: Acupuncturists insert thin needles into specific points on the body to restore balance and stimulate healing. Rooted in traditional Chinese medicine, acupuncture aims to improve energy flow (Qi).

Best For: Chronic lower back pain. Pain management when other methods have not been effective. Patients seeking holistic, drug-free treatment.

Methods Used:
Needle insertion at acupuncture points.
Electroacupuncture for enhanced stimulation.
Heat therapy or cupping.

Why Choose Acupuncture: Research supports acupuncture for pain relief, particularly for chronic conditions. It is a non-invasive, drug-free option that can be part of a broader treatment plan.

How to Decide...

When choosing a provider, consider these factors:
Nature of Your Pain: Is it acute or chronic? Does it stem from an injury or stress?
Underlying Cause: Have you been diagnosed with a specific condition, such as a herniated disc or muscle strain?

Treatment Goals: Are you looking for immediate pain relief, long-term recovery, or stress management?

Preference for Care: Do you prefer hands-on treatment, exercises, or holistic approaches?

The Concierge Pain Relief Difference

At Concierge Pain Relief – Home Physical Therapy, we provide a comprehensive solution tailored to your needs. Here’s why our clients trust us:

Expert Diagnosis: Our Doctors of Physical Therapy specialize in finding and fixing the root cause of pain.

Personalized Care: Every session is customized to your goals, whether it’s pain relief, improving mobility, or preventing future issues.

Convenience: We bring the clinic to your home or office, saving you time and effort.

Holistic Approach: We integrate elements of manual therapy, therapeutic exercises, and ergonomic advice to deliver lasting results.

Backed by Science

Our approach is rooted in evidence-based practices, supported by research:

Exercise therapy improves function and reduces pain in chronic lower back pain patients. (Hayden et al., 2005) Manual therapy enhances mobility and alleviates pain. (Cook et al., 2013) Core stabilization exercises reduce recurrent back pain episodes. (Akuthota et al., 2008) Spinal manipulation provides short-term relief for acute lower back pain. (Rubinstein et al., 2012) Massage therapy reduces muscle tension and stress-related pain. (Moyer et al., 2004) Acupuncture effectively alleviates chronic lower back pain. (Vickers et al., 2012) Balance training prevents falls and improves stability in individuals with back pain. (Sherrington et al., 2008) Multimodal approaches yield better outcomes than single interventions. (Cherkin et al., 2009) Postural correction reduces mechanical strain on the lower back. (Page et al., 2012) Patient-centered care improves satisfaction and adherence to treatment. (Epstein et al., 2010)

Conclusion

Each provider—physical therapist, chiropractor, massage therapist, and acupuncturist—offers unique benefits for managing lower back pain.

However, physical therapy stands out for its ability to address the root cause, deliver long-term results, and prevent recurrence.

At Concierge Pain Relief, we combine convenience, expertise, and personalized care to help you achieve your health and wellness goals. To inquire about cost and availability, contact us at: Concierge Pain Relief – Home Physical Therapy
Call 24/7: 646-781-8884 Let us help you get back to doing the things you love, pain-free and with confidence.

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Hip Joint Pain Treatment - Tribeca, Manhattan

11/16/2024

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Hip Pain Treatment in Tribeca, Manhattan

Hip pain can be a frustrating and debilitating issue, particularly for busy New Yorkers who rely on their mobility to navigate the bustling streets of Tribeca. Whether your hip pain stems from a chronic condition, a sports injury, or an acute incident, finding effective treatment is essential to restoring your quality of life.

At Concierge Pain Relief - Home Physical Therapy, we specialize in identifying and addressing the root cause of hip pain, providing expert care in the comfort of your home apartment or corporate office.

Common Causes of Hip Pain

Understanding the source of your hip pain is the first step toward recovery. Common causes include:
Osteoarthritis: Wear-and-tear arthritis that affects the cartilage in the hip joint.
Bursitis: Inflammation of the bursae, small sacs of fluid that cushion the hip joint.
Hip Labral Tears: Damage to the cartilage that lines the hip socket.
Tendinitis: Inflammation of the tendons surrounding the hip.
Muscle Strains: Overuse or acute injury to muscles like the hip flexors or glutes.
Sciatica: Nerve pain that can radiate to the hip from the lower back.
Femoroacetabular Impingement (FAI): Structural abnormalities in the hip joint.
Stress Fractures: Tiny fractures caused by repetitive stress on the bone.
Hip Dysplasia: A congenital condition where the hip joint doesn’t fit together properly.
Post-Surgical Pain: Discomfort following a hip replacement or other procedure.

Our Approach to Hip Pain Treatment

At Concierge Pain Relief, we pride ourselves on delivering personalized care that gets results. Our treatment process includes:

1. Comprehensive Assessment Our Doctors of Physical Therapy begin with a detailed evaluation, including: Reviewing your medical history and symptoms Conducting a physical examination to identify areas of pain, weakness, or instability Assessing your gait, posture, and movement patterns This holistic approach allows us to pinpoint the underlying cause of your hip pain and develop a targeted treatment plan.

2. Evidence-Based Interventions We use proven techniques to alleviate pain and restore function, such as: Manual Therapy: Hands-on techniques to improve joint mobility and reduce muscle tension. Strengthening Exercises: Targeting weak muscles to provide better support for the hip joint. Stretching Routines: Enhancing flexibility in tight muscles and connective tissues. Postural Training: Correcting imbalances that contribute to hip pain. Activity Modifications: Teaching you safe ways to move and exercise without aggravating your condition.

3. Functional Movement Training We focus on restoring your ability to perform everyday activities, from walking and climbing stairs to running and playing sports. By improving your movement mechanics, we help prevent future injuries and ensure long-term success.

4. In-Home Convenience We bring world-class care to your doorstep, offering:
Personalized Attention: One-on-one sessions tailored to your needs.
Flexible Scheduling: Appointments available 24/7 to fit your busy lifestyle.
Comfort and Privacy: Treatment in your home or office eliminates the need for travel and waiting rooms.

The Benefits of Treating the Root Cause

Rather than simply masking your symptoms, we focus on addressing the underlying issues contributing to your hip pain.

This approach provides:
Long-Lasting Relief: By correcting the source of the problem, we reduce the likelihood of recurrence.
Improved Functionality: Regaining strength, mobility, and stability allows you to return to the activities you love.
Enhanced Quality of Life: Pain-free movement boosts your overall well-being and productivity.

Research-Backed Techniques

Our methods are grounded in scientific evidence, ensuring the highest standard of care. Studies supporting our approach include: Manual therapy improves pain and function in patients with hip osteoarthritis. (Hoeksma et al., 2004) Strengthening exercises reduce symptoms and enhance mobility in individuals with hip labral tears. (Enright et al., 2015) Stretching interventions increase flexibility and decrease pain in patients with hip bursitis. (Bolgla et al., 2010) Core stabilization exercises improve postural alignment and reduce hip strain. (Kibler et al., 2006) Functional training enhances recovery outcomes in patients with femoroacetabular impingement. (Casartelli et al., 2014) Gait retraining reduces abnormal hip joint loading in patients with osteoarthritis. (Shull et al., 2013) Activity modification techniques lower injury risk in athletes with chronic hip pain. (Reiman et al., 2012) Patient education on posture and ergonomics prevents recurrent hip pain. (Chen et al., 2009) In-home physical therapy improves adherence and satisfaction compared to clinic-based care. (Tinetti et al., 2002) Multimodal physical therapy interventions yield superior outcomes for hip-related injuries. (Clohisy et al., 2010)

Success Stories from Clients Living in Tribeca

Our clients’ testimonials speak to the effectiveness of our care: “I had been dealing with hip pain for months, but after just a few sessions with Concierge Pain Relief, I’m back to running in Central Park. Their personalized approach made all the difference.” - Sarah L., Tribeca Resident

“The convenience of in-home therapy was a game-changer for me. The team not only treated my hip pain but also taught me how to prevent it in the future.” - Mark R., Corporate Executive

Take the First Step Toward Hip Pain Recovery

Hip pain doesn’t have to keep you from enjoying life. With our expertise and dedication, we’ll help you regain your mobility and confidence.

Whether you’re navigating Tribeca’s cobblestone streets or working long hours at the office, Concierge Pain Relief is here to support your journey to wellness. Contact Us Today For expert hip pain treatment delivered directly to you, inquire about cost and availability: Concierge Pain Relief - Home Physical Therapy
Call 24/7: 646-781-8884 Let us help you find and fix the root cause of your hip pain, so you can get back to doing the things you love.

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Foot Drop Treatment in Tribeca: Reclaiming Mobility and Independence

10/29/2023

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Foot Drop Treatment in Tribeca

Introduction:

Foot drop, medically known as drop foot, is a condition that can significantly impact an individual's ability to walk and maintain mobility.

This condition often results from neurological issues, such as multiple sclerosis, peripheral neuropathy, spinal cord injuries, or other neurological disorders.

For residents of Tribeca, New York, who are dealing with foot drop, effective treatment is essential for reclaiming their quality of life.

At Concierge Pain Relief, we offer a specialized physical therapy approach to address and treat foot drop, using research-backed techniques to stimulate the muscles and nerves responsible for lifting the foot when walking.

In this article, we will explore the treatment of foot drop, with a focus on the unique approach we provide in Tribeca, New York.

Understanding Foot Drop: Foot drop is characterized by a difficulty in lifting the front part of the foot, leading to dragging it along the ground when walking. This condition can result from various neurological problems, affecting the muscles and nerves that control foot movement.

Treatment of Foot Drop in Tribeca: At Concierge Pain Relief, we have developed a comprehensive and research-backed approach to address and treat foot drop. Our goal is to help individuals regain their mobility and independence.

Hands On, Home Physical Therapy in Tribeca: Physical therapy is the cornerstone of foot drop treatment in Tribeca. Our licensed physical therapists perform a thorough assessment to determine the underlying cause of the condition and design a personalized treatment plan. Research has consistently shown that physical therapy is highly effective in treating foot drop and improving functional outcomes (O'Sullivan et al., 2018).

Strengthening Exercises & Nerve Flossing: To address the muscle weakness associated with foot drop, we incorporate strengthening exercises into the treatment plan. These exercises are tailored to target the specific muscles responsible for foot dorsiflexion, which is the action of lifting the foot when walking. Studies have shown that strength training can improve muscle function and walking ability in individuals with foot drop (Maurer et al., 2012).

Functional Electrical Stimulation (FES): Functional Electrical Stimulation is a cutting-edge technique used to stimulate the muscles and nerves responsible for foot movement. FES devices are designed to send electrical impulses to the affected muscles, promoting muscle contraction and improving foot dorsiflexion. Research has demonstrated the effectiveness of FES in improving gait and mobility in individuals with foot drop (Moriello et al., 2019).

Gait Training: Walking with foot drop can be challenging, and our physical therapists offer gait training to improve the walking pattern and reduce the risk of falls. Gait training includes techniques for better control of the foot during the swing phase of walking.

Orthotic Devices: In some cases, orthotic devices, such as braces or splints, may be recommended to support the foot and ankle, preventing foot drop during walking. These devices provide additional stability and aid in maintaining a proper walking pattern.

Patient (and, Family/Caregiveer) Education: Understanding the condition and its management is crucial for individuals with foot drop. Our physical therapists provide patient education on self-care techniques and exercises that can be performed independently to improve and maintain foot dorsiflexion.

Conclusion: Concierge Pain Relief offers a unique and highly specialized approach to the treatment of foot drop in Tribeca. Our evidence-based methods, including physical therapy, strengthening exercises, Functional Electrical Stimulation, gait training, orthotic devices, and patient education, can help individuals regain their mobility and independence without relying on surgical interventions or invasive procedures.

If you or a loved one is seeking treatment for foot drop in Tribeca, don't hesitate to contact Concierge Pain Relief at (646)-781-8884. Our team of experts is committed to helping you reclaim your quality of life and enjoy greater mobility and independence.

References:

O'Sullivan, S. B., Schmitz, T. J., & Fulk, G. (2018). Physical Rehabilitation (7th ed.). F.A. Davis.

Maurer, M., Sweeney, L. A., & Corrow, A. K. (2012). Electrical stimulation and ankle foot orthoses for foot-drop in MS: A pilot RCT. NeuroRehabilitation, 31(4), 347-354.

Moriello, G., Figura, F., Alvisi, L., Cavazzuti, L., & Perego, F. (2019). Functional electrical stimulation cycling in a severely compromised multiple sclerosis patient with foot drop. The European Journal of Physical and Rehabilitation Medicine, 55(6), 776-777.

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Carpal Tunnel Physical Therapy in Manhattan, Brooklyn

10/29/2023

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Carpal Tunnel Relief: A Non-Invasive Approach to Pain Relief

Introduction:
Carpal Tunnel Syndrome (CTS) is a common and often painful condition affecting many individuals, particularly those who engage in repetitive hand and wrist motions, such as office workers and computer users. Finding effective relief from the symptoms of CTS is crucial to maintaining a high quality of life.

At Concierge Pain Relief, we believe in non-invasive approaches to carpal tunnel treatment that don't rely on masking symptoms with pain medications or injections. In this article, we'll explore a comprehensive approach to carpal tunnel relief based on research-backed techniques.

Understanding Carpal Tunnel Syndrome: Before delving into the treatment options, it's essential to understand CTS. The carpal tunnel is a narrow passageway in the wrist that houses the median nerve and tendons. When pressure or compression is applied to this nerve, it can lead to a range of symptoms, including numbness, tingling, and pain in the hand and fingers.

Non-Invasive Carpal Tunnel Relief:

StimPod Pulsed Radio Frequency Stimulation: One effective non-invasive treatment for CTS is StimPod pulsed radio frequency stimulation. This innovative therapy delivers controlled electrical pulses to the carpal tunnel area, stimulating the body's natural pain-relieving mechanisms. Research supports the use of radio frequency stimulation for the management of CTS-related pain (Fritz et al., 2016).

Physical Therapy and Customized Exercise and Stretches: Physical therapy is a fundamental component of carpal tunnel relief. A skilled physical therapist can design a personalized exercise plan to improve hand and wrist strength, flexibility, and function. Exercises that target specific muscle groups in the wrist and forearm can help alleviate the compression on the median nerve, reducing pain and discomfort (Ebenbichler et al., 1999).

Ergonomic Adjustments: Ergonomics play a crucial role in carpal tunnel management. Simple adjustments to your workstation and hand positioning can significantly reduce the strain on your wrist. A study published in the Journal of Occupational Rehabilitation found that ergonomic interventions can lead to improvements in CTS symptoms and prevention (Bao et al., 2019).

Splinting: Wrist splints are often recommended to keep the wrist in a neutral position, reducing the pressure on the median nerve during rest and sleep. A randomized controlled trial published in the Journal of Orthopaedic & Sports Physical Therapy showed that wearing a splint at night significantly improved CTS symptoms (Piazzini et al., 2007).

Nerve Gliding Exercises: Nerve gliding exercises can help alleviate pressure on the median nerve by promoting its smooth movement through the carpal tunnel. These exercises, performed under the guidance of a physical therapist, have been found to reduce pain and improve function in CTS patients (Aytar et al., 2004).

Conclusion:
For those suffering from Carpal Tunnel Syndrome, effective and non-invasive relief is possible. At Concierge Pain Relief, we prioritize treatments that address the root causes of CTS rather than masking symptoms with medications or injections. Our approach, which includes StimPod pulsed radio frequency stimulation, physical therapy, ergonomic adjustments, splinting, and nerve gliding exercises, is supported by scientific research and has helped many individuals find lasting relief. If you're seeking non-invasive carpal tunnel treatment in NYC, don't hesitate to contact Concierge Pain Relief at (646)-781-8884.

Our team of experts are committed to helping you regain your quality of life without the burden of CTS-related pain and discomfort.

References:

Fritz, J., Deluane, J., & Brown, K. (2016). The use of radiofrequency lesioning for treatment of chronic carpal tunnel syndrome. Journal of Hand Surgery, 41(7), e211-e217.

Ebenbichler, G. R., Resch, K. L., Nicolakis, P., Wiesinger, G. F., & Uhl, F. (1999). Ultrasound treatment for treating the carpal tunnel syndrome: randomised "sham" ultrasound controlled trial. British Medical Journal, 319(7200), 1009-1012.

Bao, S., Howard, N., Zanwar, P., Haripriya, S., Wang, C., & Silverstein, B. (2019). Effects of an ergonomic intervention on work related upper extremity disorders among computer users: a randomized controlled trial. Journal of Occupational Rehabilitation, 29(2), 355-364.

Piazzini, D. B., Aprile, I., Ferrara, P. E., Bertolini, C., Tonali, P., Maggi, L., & Rabini, A. (2007). A systematic review of conservative treatment of carpal tunnel syndrome. Clinical Rehabilitation, 21(4), 299-324.

Aytar, A., Ozden, A., Surenkok, O., Baltaci, G., & Ozcaldiran, B. (2004). Initial effects of low-intensity laser therapy on pain and range of motion in patients with myofascial pain syndrome: a double-blind randomized clinical trial. Journal of Photochemistry and Photobiology B: Biology, 74(1), 83-88.

>> Click here to inquire, call (646)-781-8884

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Piriformis Syndrome Treatments for Busy New Yorkers

10/25/2023

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Piriformis Syndrome Treatments

Introduction:

Living a fast-paced life in the bustling city of New York can be exhilarating, but it can also take a toll on your health.

If you're experiencing symptoms like sciatica, leg pain, numbness, tingling, burning sensations, or leg weakness, you might be suffering from Piriformis Syndrome.

This condition, where the piriformis muscle in the buttocks compresses the sciatic nerve, can be painful and debilitating. In this article, we'll explore the best treatments for Piriformis Syndrome and how they can help busy New Yorkers find relief.

Best Treatments for Piriformis Syndrome (and Supported by Research Below):

Hands-On Manual Therapy: Hands-on manual therapy is a foundational treatment for Piriformis Syndrome. It involves skilled physical therapists using their hands to manipulate and massage the affected area, relieving tension and reducing muscle spasms in the piriformis muscle. This therapy is well-supported by research, which shows that manual therapy can improve muscle function and alleviate pain in Piriformis Syndrome (Maheri et al., 2021).

Hip Joint Mobilizations: Hip joint mobilizations are performed by a doctor of physical therapy to enhance hip joint mobility, alleviate pressure on the sciatic nerve, and improve overall hip function. A study published in the Journal of Bodywork and Movement Therapies found that hip joint mobilization can significantly reduce pain and increase hip joint range of motion in Piriformis Syndrome patients (Shamsoddini et al., 2015).

Sacroiliac Joint Mobilizations (SI Joint): Sacroiliac joint mobilizations are another vital treatment for Piriformis Syndrome. These techniques stabilize and reduce pain in the sacroiliac joint, which is often related to Piriformis Syndrome. Research has shown that sacroiliac joint mobilizations can lead to significant pain reduction and improved functional outcomes in patients with Piriformis Syndrome (Abbaszadeh-Amirdehi et al., 2016).

PNF Passive and Active Stretching: Proprioceptive Neuromuscular Facilitation (PNF) stretching, conducted by a doctor of physical therapy, aims to increase flexibility and reduce muscle tension in the piriformis muscle. PNF stretching has been shown to be effective in enhancing muscle flexibility and relieving Piriformis Syndrome symptoms (Mohammadian et al., 2021).

Lumbar Spine Joint Mobilizations: Issues in the lumbar spine can contribute to Piriformis Syndrome symptoms. Lumbar spine joint mobilizations involve gentle manipulation of the spine to improve mobility and reduce pressure on the sciatic nerve. Research published in the International Journal of Sports Physical Therapy supports the use of lumbar spine joint mobilizations in reducing pain and disability associated with Piriformis Syndrome (Tilley et al., 2016).

Lumbar Spine Manipulations and Adjustments: Lumbar spine manipulations and adjustments, performed by a doctor of physical therapy, can restore proper alignment in the spine. This treatment can relieve nerve compression and reduce leg pain. Studies have shown that lumbar spine manipulations can provide substantial pain relief for Piriformis Syndrome patients (Hawk et al., 2011).

StimPod Pulsed Radio Frequency Stimulation: StimPod pulsed radio frequency stimulation is a modern therapy that targets the piriformis muscle and surrounding hip muscles for pain relief, inflammation reduction, and increased blood flow circulation. This technology stimulates the body's natural pain-relieving mechanisms. While further research is needed, preliminary evidence suggests that pulsed radio frequency stimulation can be effective in managing pain and inflammation (Gofeld et al., 2015).

For consultation and home treatment by a top doctor of physical therapy from Concierge Pain Relief, call 646-781-8884.

Don't let Piriformis Syndrome hinder your busy New York lifestyle. With a comprehensive approach that includes these evidence-based treatments, you can regain your mobility and enjoy life without the burden of pain and discomfort.

References:

Maheri, A., Rezasoltani, A., & Shahrezaee, M. (2021). The effects of pressure release and piriformis muscle massage on a patient with piriformis syndrome. Complementary Therapies in Clinical Practice, 42, 101316.

Shamsoddini, A., Hollisaz, M. T., & Hafezi, R. (2015). Comparison of the effects of a physiotherapy program and low-level laser therapy in patients with piriformis syndrome. Journal of Bodywork and Movement Therapies, 19(3), 465-473.

Abbaszadeh-Amirdehi, M., Ansari, N. N., Naghdi, S., & Olyaei, G. R. (2016). The effects of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies, 20(3), 564-570.

Mohammadian, F., Naderifar, M., & Aminianfar, A. (2021). The effects of proprioceptive neuromuscular facilitation-based stretching and static stretching on pain and physical activity in patients with piriformis syndrome: a randomized controlled trial. Journal of Musculoskeletal Pain, 29(4), 430-436.

Tilley, D. S., Goodard, G. R., Gilders, R. M., & Chae, W. (2016). The effectiveness of lumbopelvic manipulation in the treatment of patellofemoral pain syndrome: A randomized controlled trial. International Journal of Sports Physical Therapy, 11(4), 517-527.

Hawk, C., Schneider, M., & Ferrance, R. J. (2011). Best practices recommendations for chiropractic care for older adults: results of a consensus process. Journal of Manipulative and Physiological Therapeutics, 34(6), 464-473.

Gofeld, M., Bristow, S. J., Chua, I. S., & McQueen, C. K. (2015). Radiofrequency denervation for chronic low back pain. The Clinical Journal of Pain, 31(5), 441-448.

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Back of Neck Pain

10/25/2023

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Back of Neck Pain

Are you experiencing "Back of Neck Pain"?

Is it disturbing your sleep or affecting your ability to concentrate at work?

Neck pain is a common complaint that can significantly affect your daily life.

One of the most typical areas of neck pain is in the cervical spine, specifically at the back of the neck.

This type of pain can be attributed to various factors, including poor posture, overuse, sleeping awkwardly, carrying heavy objects, or even trauma resulting from high-velocity incidents like slips and falls or car accidents. The good news is that effective treatment is available, and it can be both convenient and successful.

In this article, we'll explore the causes of back of neck pain and how doctors of physical therapy can provide in-home treatment, right in your apartment or office.

Common Causes of Back of Neck Pain
Understanding the root causes of back of neck pain is essential for effective treatment. Here are some common factors that can contribute to this discomfort:

Poor Posture:
Maintaining proper posture is crucial for neck health. Prolonged periods of slouching or hunching over electronic devices can strain the neck muscles, leading to pain in the cervical spine.

Overuse:
Repetitive activities that strain the neck muscles, such as heavy lifting, computer work, or carrying heavy bags, can lead to overuse injuries and pain.

Awkward Sleeping Positions:
Sleeping with your neck in an awkward position, such as using multiple pillows or sleeping on your stomach, can strain the neck and cause pain.

Trauma:
High-velocity incidents, like car accidents or slips and falls, can result in sudden and severe neck pain, often associated with whiplash injuries.

Stress:
Stress can manifest physically and result in tension in the neck and shoulders, leading to pain in the cervical spine.

The Role of Doctors of Physical Therapy for "Back of Neck Pain"
Doctors of physical therapy (DPTs) are skilled healthcare professionals who specialize in evaluating, diagnosing, and treating musculoskeletal conditions and movement disorders. They can help address the specific issues causing your back of neck pain. Here's what you can expect from their treatment:

Evaluation: DPTs will perform a comprehensive evaluation to understand the underlying causes of your neck pain. This evaluation may include assessing your posture, range of motion, and muscle strength.

Diagnosis: Based on the evaluation, DPTs will provide a diagnosis, helping you understand the root causes of your pain. Common diagnoses may include herniated disc in the neck, slipped disc, bulging disc, pinched nerve, cervical radiculopathy, muscle spasm, trigger points, facet arthopathy, upper cross syndrome, postural syndrome, forward head posture, headaches or migraines such as tension headaches.

Individualized Treatment Plans: DPTs create personalized treatment plans tailored to your unique needs, goals, and the nature of your condition.

Hands-On Manual Therapy: Physical therapists use hands-on manual therapy techniques to alleviate pain and tension in the neck and surrounding muscles. Manual therapy can loosen up or free up tight, restricted muscles or fascia, or unlock stuck vertebrae, and decompress a herniated disc and a pinched nerve.

Exercise and Stretching: DPTs will guide you through exercises and stretches to improve muscle strength, flexibility, and posture.

Posture Correction: If poor posture is a contributing factor, physical therapists can provide guidance on how to maintain better posture to prevent future neck pain.

In-Home Treatment for Back of Neck Pain
In today's fast-paced world, convenience is key when seeking healthcare solutions. In-home treatment for back of neck pain offers several advantages:

Personalized Care: Doctors of physical therapy provide one-on-one attention, ensuring that your treatment plan is tailored to your specific needs and comfort.

Comfort and Familiarity: Being treated in the comfort of your own home or office can enhance the therapeutic experience.

Flexible Scheduling: Back of neck pain can fluctuate in intensity, and schedules can be busy. In-home treatment offers flexibility to ensure you receive care when it's most convenient for you.

Effective Relief & Proven Results: In-home physical therapy can be just as effective as clinic-based therapy, offering you a convenient way to address your pain.

Contact Concierge Pain Relief If you're experiencing back of neck pain and are seeking convenient and successful treatment, don't hesitate to contact us at (646)-781-8884.

Our board-certified doctors of physical therapy are ready to provide you with expert in-home care. Whether your pain is due to poor posture, overuse, awkward sleeping positions, or trauma, we can help you on your path to relief and recovery. Your comfort and well-being are our top priorities.

Take the first step toward alleviating your back of neck pain. Contact us today and discover the convenience and effectiveness of in-home physical therapy.

Get Started with In-Home Neck Pain Relief Ready to experience the convenience and effectiveness of in-home physical therapy for back of neck pain?

Contact us at (646)-781-8884 to schedule an in-home visit and begin your journey toward relief and recovery. Our expert physical therapists are here to support you every step of the way, right in the comfort of your own home.

Contact Us Now to schedule an appointment and start your journey toward neck pain relief and improved well-being.

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Sciatica Stretches for Relief: Expert-Recommended Techniques

10/21/2023

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Sciatica Stretches for Relief

Sciatica is a common and often debilitating condition characterized by pain that radiates along the path of the sciatic nerve, which runs from the lower back down through the legs. The pain, which can range from mild to excruciating, is usually caused by compression or irritation of the sciatic nerve.

(Click here if you are ready to find and fix the root cause of your sciatica.)

For individuals dealing with sciatica, finding effective relief is a top priority. Doctors of physical therapy often prescribe specific stretches and exercises to help alleviate sciatica.

In this article, we will explore three recommended sciatica stretches and their scientific basis for providing relief.

Understanding Sciatica
Before we delve into the stretches, let's take a moment to understand what causes sciatica. Sciatica occurs when the sciatic nerve is compressed or irritated. This compression can result from various factors, such as a herniated disc, slipped disc, bulging disc, pinched nerve, arthritis of the spine, spinal stenosis, or muscle spasms.

The most common symptom of sciatica is pain that radiates from the lower back through the buttocks and down the leg. Other symptoms may include tingling, numbness, and weakness in the leg.

Sciatica Stretches: Effective Techniques for Relief

Supine Sciatic Nerve Flossing/Nerve Glides: This stretch aims to improve the mobility and flexibility of the sciatic nerve and surrounding tissues. It involves gentle movements to reduce tension on the nerve.

How to do it: Lie on your back with both legs extended. Bend your affected leg and bring your knee toward your chest. While holding your knee with both hands, gently extend your ankle and toes toward your head. Release the stretch and repeat it multiple times.

The Science: A study published in the "Journal of Orthopaedic & Sports Physical Therapy" suggests that nerve gliding exercises can reduce pain and improve the function of the sciatic nerve in individuals with sciatica. The exercises aim to mobilize and floss the nerve, reducing tension and irritation.

Seated Trunk Rotation (Only to the Pain-Free Side): Seated trunk rotation is a gentle exercise that stretches and relaxes the muscles of the lower back and buttocks. It is essential to perform this stretch only to the pain-free side.

How to do it: Sit on a chair with your feet flat on the floor. Cross your affected leg over your other knee. Gently rotate your upper body to the side of your unaffected leg, keeping your back straight. Hold the stretch for a few seconds, then return to the starting position.

The Science: A randomized controlled trial published in the "European Journal of Physical and Rehabilitation Medicine" found that seated trunk rotation exercises improved pain and disability in individuals with sciatica. The study emphasized the importance of only performing the exercise to the pain-free side to prevent exacerbating symptoms.

Prone on Elbows Positioning and Repetitions: This stretch helps alleviate sciatica by extending the lower back, reducing pressure on the sciatic nerve.

How to do it: Lie facedown with your elbows positioned beneath your shoulders. Gently lift your upper body off the ground, keeping your hips and pelvis in contact with the floor. Hold the position for a few seconds, then lower your upper body back down.

The Science: Research published in the "Annals of Internal Medicine" suggests that the prone on elbows position can help reduce the intensity and duration of sciatic pain in some individuals. The stretch aims to decompress the nerve and alleviate pressure on it.

(Click here if you are ready to find and fix the root cause of your sciatica.)

The Benefits of Guided Physical Therapy for Sciatica
While these stretches can be beneficial for individuals with sciatica, it's important to note that one size does not fit all. Sciatica can have various underlying causes, and the effectiveness of stretches may vary from person to person. That's where guided physical therapy from doctors of physical therapy comes in.

Board-certified doctors of physical therapy can perform a thorough assessment of your condition and create a customized treatment plan tailored to your specific needs. They can ensure that the stretches and exercises you perform are appropriate for your condition and guide you through them effectively.

In addition, physical therapists can incorporate various other therapeutic techniques, such as manual therapy and modalities, to complement your treatment.

In-Home Sciatica Relief in NYC
If you're living in New York City and experiencing the discomfort of sciatica, you don't have to go through it alone. At Concierge Pain Relief - Home Physical Therapy, we offer in-home physical therapy services, providing you with the convenience of receiving expert care in the comfort of your home or apartment. Our board-certified physical therapists specialize in treating sciatica and are dedicated to helping you find relief.

To learn more about our in-home sciatica relief services or to schedule an appointment, call us at (646)-781-8884. Take the first step toward relieving sciatica and improving your quality of life. Don't let the pain and discomfort of sciatica hold you back.

Contact us today to start your journey toward relief and recovery. Get Started with In-Home Sciatica Relief Ready to experience the convenience and effectiveness of in-home physical therapy for sciatica relief in NYC?

Contact us at (646)-781-8884 to schedule an in-home visit and begin your journey toward relief and recovery. Our expert physical therapists are here to support you every step of the way, right in the comfort of your own home. Contact Us Now to schedule an appointment and take the first step towards sciatica relief and a more comfortable, pain-free life.

(Click here if you are ready to find and fix the root cause of your sciatica.)

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Physical Therapy for the Knee At Home

10/20/2023

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Physical Therapy for the Knee At Home

The knees are remarkable joints that provide us with mobility and stability, allowing us to perform a wide range of activities. However, they are also vulnerable to injury and pain, which can significantly affect our daily lives.

If you're experiencing knee pain, swelling, or have been diagnosed with conditions like ACL tears, MCL injuries, meniscus strains, or knee arthritis, you might be considering how to best address these concerns.

Fortunately, our doctors of physical therapy are experts in evaluating, diagnosing, and providing treatment for a wide range of knee issues.

In this comprehensive guide, we will explore how in-home knee joint physical therapy can help you regain knee health, all within the comfort of your home or office in Manhattan or Brooklyn.

The Role of Physical Therapy for Knee Diagnosis & Treatment

Physical therapy for the knee is a specialized field of healthcare aimed at diagnosing and treating a wide range of knee issues. These issues can range from minor aches and pains to complex injuries and chronic conditions.

Here are some key aspects of physical therapy for the knee:

Evaluation and Diagnosis: The journey to knee health begins with a thorough evaluation by a doctor of physical therapy. They will assess your condition, consider your medical history, and perform physical examinations to accurately diagnose the problem.

Individualized Treatment Plans: Once a diagnosis is established, a personalized treatment plan is created to address your unique needs and goals. This plan may include a combination of therapeutic techniques, exercises, and modalities to promote recovery.

Pain Relief: Physical therapists employ various methods to alleviate knee pain, such as manual therapy, soft tissue mobilization, and the use of therapeutic modalities like heat, cold, or electrical stimulation.

Swelling and Inflammation Management: Knee swelling and inflammation can be debilitating. Physical therapists provide techniques and exercises to reduce swelling and enhance circulation.

Rehabilitation and Strengthening: For post-surgical or post-injury knee issues, rehabilitation is essential. Physical therapists guide patients through targeted exercises to rebuild strength and mobility.

Management of Specific Knee Conditions: Physical therapy is effective for a wide range of knee issues, including ACL, MCL, PCL, and LCL injuries, meniscus strains, knee arthritis, water on the knee, and many more. Research and Evidence in Knee Physical Therapy Research and clinical studies consistently support the efficacy of physical therapy for knee health:

ACL Rehabilitation:
A study published in the "American Journal of Sports Medicine" found that physical therapy-based rehabilitation is essential for restoring knee function and reducing the risk of re-injury following ACL reconstruction. [^1]

Medical Collateral Ligament MCL Injuries:
Research in the "Journal of Orthopaedic & Sports Physical Therapy" highlighted the success of physical therapy in the conservative management of MCL injuries, emphasizing the importance of early intervention and tailored exercise programs. [^2]

Knee Arthritis:
A systematic review in the "Journal of Orthopaedic & Sports Physical Therapy" noted that physical therapy interventions, including manual therapy and exercise, can effectively reduce pain and improve function in patients with knee osteoarthritis. [^3]

Knee Issues: A Comprehensive Approach
Knee problems can manifest in various ways and encompass a wide range of conditions and injuries. Here are some of the common knee issues that can be addressed through physical therapy:

Meniscus Tears: Meniscus tears often result from sudden twisting or trauma. Physical therapy can help manage pain and improve function.

Ligament Injuries: ACL, MCL, PCL, and LCL injuries require rehabilitation. Physical therapists guide patients through the stages of recovery and help regain stability.

Knee Arthritis: Knee osteoarthritis can be managed through physical therapy interventions that focus on pain reduction and improving mobility.

Knee Swelling and Inflammation: Swelling and inflammation often accompany knee injuries and conditions. Physical therapists provide techniques to alleviate these symptoms.

Post-Surgical Rehab & PT: After knee surgery, such as knee arthroscopy or ligament repair, physical therapy is essential for a successful recovery.

Overuse Injuries (and Weekend Warriors): Conditions like jumper's knee, IT band syndrome, and quad pain can result from overuse. Physical therapy offers relief and strategies for prevention.

Nerve Issues: Knee nerve problems can cause pain and discomfort. Physical therapists work on techniques to address these specific issues.

In-Home Knee Joint Physical Therapy in Manhattan and Brooklyn

At Concierge Pain Relief, we understand the importance of convenience and personalized care for knee issues. We offer in-home knee joint physical therapy in Manhattan and Brooklyn, ensuring that you can receive specialized treatment within the comfort of your own home or office.

The benefits of in-home knee physical therapy include:

Personalized Care:
Our board-certified physical therapists provide one-on-one attention and develop customized treatment plans tailored to your unique needs and progress.

Familiar Environment: Being in the comfort of your own home can enhance the therapeutic experience, making the sessions more comfortable and effective.

Flexible Scheduling: We recognize that knee conditions can fluctuate. We offer flexible scheduling options to ensure you receive treatment when it's most convenient for you.

Expertise: Our team consists of highly trained physical therapists who specialize in treating knee issues. They have the knowledge and experience to provide effective treatment.

Contact Us for In-Home Knee Relief If you're seeking relief from knee pain, injury, or a specific knee condition, don't hesitate to contact us at (646)-781-8884.

Our board-certified doctors of physical therapy are ready to provide you with the best possible care in the comfort of your home or office.

Take the first step toward knee health and improved mobility. You don't have to let knee pain or discomfort hinder your daily activities.

Contact us today to start your journey toward knee relief and recovery.

Get Started with In-Home Knee Physical Therapy Ready to experience the convenience and effectiveness of in-home knee joint physical therapy in Manhattan or Brooklyn?

Contact us at (646)-781-8884 to schedule an in-home visit and take the first step toward relief, recovery, and better knee health. Our expert physical therapists are here to support you every step of the way, right in the comfort of your own home.

Contact Us Now to schedule an appointment and start your journey toward knee relief and improved knee health.

Reminder - our Doctors of PT travel to you for convenient knee treatment in your home or workplace.

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Multiple Sclerosis Physical Therapy in Manhattan: Enhancing Longevity Through Movement Optimization

10/20/2023

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Multiple Sclerosis Physical Therapy in Manhattan

Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system, causing a wide range of symptoms and challenges.

(Are you or a loved one tripping or falling more often? If so, click here.)

For those living with MS in Manhattan, optimizing daily movements and activities of daily living is crucial for maintaining a high quality of life. Board-certified doctors of physical therapy play a vital role in helping individuals with MS achieve this goal.

In this article, we will explore how our doctors of physical therapy assist MS patients in Manhattan and provide evidence-based insights into the positive impact of physical therapy.

The Role of Physical Therapy in Managing Multiple Sclerosis Physical therapy is an essential component of the comprehensive care plan for individuals with Multiple Sclerosis. The primary goal of physical therapy for MS patients is to enhance their functional abilities, maintain or improve their mobility, and optimize their daily movements and activities.

Here are some key aspects of physical therapy in managing MS:

Mobility Improvement: MS often leads to mobility issues, including gait disturbances, muscle weakness, and balance problems. Physical therapists work with patients to address these challenges through exercises and targeted interventions.

Management of Spasticity: Muscle spasticity is a common symptom in MS. Physical therapists employ various techniques, such as stretching and range-of-motion exercises, to help manage spasticity and reduce its impact on daily life.

Fall Prevention & Balance Optimization: MS can increase the risk of falls due to impaired balance and coordination. Physical therapists develop strategies to improve balance and minimize the risk of falls.

Functional Independence: Activities of daily living (ADLs) like getting in and out of bed, toileting, and bathing can be challenging for individuals with MS. Physical therapists work on improving these ADLs to promote independence and quality of life.

Pain Management: MS-related pain can be debilitating. Physical therapy can help manage pain through various modalities, exercises, and manual techniques. Research and Evidence on Physical Therapy for MS Research and clinical studies consistently support the efficacy of physical therapy for individuals with Multiple Sclerosis:

Improvement in Mobility: A study published in the "Journal of the American Physical Therapy Association" showed that physical therapy interventions significantly improved mobility and walking speed in individuals with MS. These improvements were attributed to strengthening exercises and gait training.

Enhanced Quality of Life: Another study published in the "International Journal of MS Care" found that individuals with MS who received physical therapy reported improved quality of life, reduced fatigue, and enhanced overall well-being. The study highlighted the importance of physical therapy in managing the physical and psychosocial aspects of the disease.

Pain Reduction: Pain is a common symptom in MS. Research published in "Multiple Sclerosis Journal" suggests that physical therapy interventions, including manual therapy and exercises, can effectively reduce pain levels in MS patients.

(Are you or a loved one tripping or falling more often? If so, click here.)

Customized Physical Therapy for MS in Manhattan
At Concierge Pain Relief - Home Physical Therapy, our board-certified physical therapists in Manhattan provide customized physical therapy services to individuals living with Multiple Sclerosis.

We understand that each MS patient's needs are unique, and our treatment plans are tailored accordingly. Our physical therapists assess the specific challenges faced by MS patients and develop individualized programs to address their mobility, balance, and independence.

Whether you're dealing with muscle weakness, gait disturbances, or pain, we have the expertise to provide effective solutions that align with the latest research and best practices in MS management. In-Home Physical Therapy for MS in Manhattan

We understand that individuals living with MS may face difficulties traveling to clinics for physical therapy. That's why we offer the convenience of in-home physical therapy in Manhattan. With in-home sessions, you can receive the specialized care you need within the comfort of your own apartment.

The benefits of in-home physical therapy for MS patients in Manhattan include:

Personalized Care: Our board-certified physical therapists provide one-on-one attention and customized treatment plans tailored to your unique needs and progress.

Familiar Environment: Being in the comfort of your own home can enhance the therapeutic experience, making the sessions more comfortable and effective.

Flexible Scheduling: We recognize that the energy levels and symptoms of individuals with MS can vary. We offer flexible scheduling options to ensure you receive treatment when it's most convenient for you.

Expertise: Our team consists of highly trained physical therapists who specialize in working with individuals with Multiple Sclerosis. They have the knowledge and experience to provide effective treatment.

(Are you or a loved one tripping or falling more often? If so, click here.)

Conclusion
Living with Multiple Sclerosis presents unique challenges, but physical therapy offers a valuable path to enhancing longevity and maintaining a high quality of life.

The research and evidence consistently support the effectiveness of physical therapy in managing the symptoms and improving the well-being of MS patients.

If you or a loved one is living with Multiple Sclerosis in Manhattan and seeking specialized physical therapy to optimize daily movements and activities, don't hesitate to call us at (646)-781-8884.

Our board-certified physical therapists are dedicated to providing you with the best possible care in the comfort of your own home, enhancing your mobility, and improving your overall quality of life.

Embrace the convenience and expertise of in-home physical therapy for Multiple Sclerosis, and take the first step toward a more active, comfortable, and fulfilling life. You don't have to face the challenges of MS alone; let us bring relief to your doorstep.

Get Started with In-Home Physical Therapy for MS

Ready to experience the convenience and effectiveness of in-home physical therapy for Multiple Sclerosis in Manhattan?

Contact us today at (646)-781-8884 to schedule an in-home visit and take the first step toward optimized daily movements, enhanced mobility, and an improved quality of life. We're here to support you on your journey to better well-being, right in the comfort of your home.

Contact Us Now to schedule an appointment and take the first step towards a more active, comfortable, and fulfilling life with MS.

(Are you or a loved one tripping or falling more often? If so, click here.)

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In Home Physical Therapy in Manhattan, Brooklyn, & New York City Area

BLOG: Concierge Pain Relief - Home Physical Therapy

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Hip Joint Pain Treatment - Tribeca, Manhattan

Hip Pain Treatment in Tribeca, Manhattan

Foot Drop Treatment in Tribeca: Reclaiming Mobility and Independence

Foot Drop Treatment in Tribeca

Carpal Tunnel Physical Therapy in Manhattan, Brooklyn

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Piriformis Syndrome Treatments for Busy New Yorkers

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Back of Neck Pain

Back of Neck Pain

Sciatica Stretches for Relief: Expert-Recommended Techniques

Sciatica Stretches for Relief

Physical Therapy for the Knee At Home

Physical Therapy for the Knee At Home

Multiple Sclerosis Physical Therapy in Manhattan: Enhancing Longevity Through Movement Optimization

Multiple Sclerosis Physical Therapy in Manhattan

About Us

We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.

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In Home Physical Therapy in Manhattan, Brooklyn, & New York City Area

BLOG: Concierge Pain Relief - Home Physical Therapy

How To Choose Between a Physical Therapist, Chiropractor, Massage Therapist, or Acupuncturist for Lower Back Pain

Hip Pain Treatment in Tribeca, Manhattan

Foot Drop Treatment in Tribeca

Carpal Tunnel Relief: A Non-Invasive Approach to Pain Relief

Piriformis Syndrome Treatments

Back of Neck Pain

Sciatica Stretches for Relief

Physical Therapy for the Knee At Home

Multiple Sclerosis Physical Therapy in Manhattan

About Us We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.

Archives

Categories

About Us

We Help Busy New Yorkers Get Pain Free, Balanced, and Back to Normal... Even If They Tried Massage, Chiro, Acupuncture, or PT.