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    • Shoulder Pain Relief
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    • Balance & Walking
    • Fall Prevention & Balance Re-Training
    • Stroke Rehab
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    • Second Opinion
    • Post-Surgical Rehab
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BLOG: Concierge Pain Relief - Home Physical Therapy

Complex Regional Pain Syndrome (CRPS) Treatment, NYC

5/13/2025

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Breakthrough CRPS Treatment Without Side Effects in New York City

Living with Complex Regional Pain Syndrome (CRPS) can feel like a never-ending battle.

The burning nerve pain, the unpredictable flares, the tingling and numbness that interrupt your daily activities—it can be exhausting, both physically and emotionally.

But what if there was a gentle, non-invasive, side-effect-free way to find relief?

At Concierge Pain Relief - Physical Therapy in New York City, we offer a revolutionary treatment approach using the StimPod, a pulsed radio frequency device that delivers pinpoint accuracy to treat the root cause of CRPS symptoms.

Whether it's nerve pain, tingling, joint stiffness, tight muscles, or strained tendons, this powerful, conservative tool has been changing lives—without medication, injections, or surgery.

A Conservative CRPS Treatment with No Side Effects

Many individuals with CRPS have tried it all: pain medications, nerve blocks, spinal cord stimulators, and even surgery.

While these may offer some relief, they often come with a list of side effects, long recovery times, and inconsistent results.

The StimPod, however, offers a different path—one that is comfortable, precise, and side-effect free.

StimPod uses pulsed radio frequency (PRF) stimulation to calm irritated nerves and activate the body's natural healing response.

Its unique technology targets damaged nerves and overactive pain signals, helping reduce inflammation and restore normal function.

And best of all?

It does this without causing discomfort or requiring downtime.

How the StimPod Works

The StimPod is a compact, portable device that uses a handheld probe and grounding pad to deliver electromagnetic pulses directly to the area of pain.

These pulses stimulate the nerve endings in a very specific way, promoting tissue repair, improving circulation, and reducing inflammation.

We use the StimPod for 2 main purposes:

1.) Localized Treatment for Pain and Inflammation

For clients dealing with pain in a specific area—such as the lower back, knee, ankle, shoulder, or wrist—we apply the StimPod probe directly to the skin near the problem area. The treatment is comfortable and often soothing, with many patients reporting a sensation of warmth or tingling that gradually fades as the pain melts away. Each session typically lasts 10-15 minutes per area and requires no undressing.

2.) Vagus Nerve Stimulation (VNS)

CRPS doesn't just affect the body—it affects the nervous system at its core. That's why we also offer StimPod-based Vagus Nerve Stimulation (VNS) to reset the autonomic nervous system. This gentle treatment is aimed at shifting your body out of the sympathetic "fight or flight" state and into the parasympathetic "rest and digest" mode. By calming the vagus nerve, we help reduce systemic inflammation, anxiety, and stress, which can all contribute to CRPS flares. VNS with the StimPod is non-invasive, painless, and can be performed while you relax in a chair or lying down.

Get Back to the Life You Miss

The most heartbreaking aspect of CRPS is the way it robs people of the activities and routines they once loved.

A simple walk in the park can feel unbearable.

Socializing with friends becomes overwhelming when you’re in pain or afraid of triggering a flare.

Travel, work, family time, and even restful sleep can all be disrupted by this condition.

With StimPod therapy, many of our clients begin to reclaim their lives.

As the nervous system begins to settle and pain levels decrease, people report being able to:

- Take longer walks without pain
- Ride a bike again for the first time in months or years
- Join friends at a restaurant without fear of a flare-up
- Visit family without needing to lie down in a dark room
- Return to work with improved energy and focus

The Science Behind It

The StimPod operates at a frequency that interacts with the body’s nervous system to promote healing at the cellular level.

It is widely used in other countries for treating neuropathies, inflammation, and post-surgical recovery.

Studies have shown that pulsed radio frequency stimulation may increase blood flow, reduce nerve hypersensitivity, and support the regeneration of damaged tissues.

Unlike TENS (transcutaneous electrical nerve stimulation) units, which only mask pain temporarily, the StimPod works at a deeper level, influencing the root of the pain and providing longer-lasting relief.

Who Is This For?

Our CRPS treatment with the StimPod is ideal for:

Individuals with CRPS Type 1 or Type 2

Patients experiencing burning, tingling, numbness, or electric-like shocks

People who haven’t found relief with medications or physical therapy alone

Anyone looking for a natural, drug-free option to manage pain

Patients interested in a mobile, in-home treatment experience

Concierge Care, On Your Schedule

At Concierge Pain Relief - Physical Therapy, we believe that premium care should be convenient and stress-free.

That’s why we offer house calls throughout Manhattan and Brooklyn, bringing the StimPod treatment directly to your home, office, or hotel.

No commute. No waiting rooms.

Just expert, one-on-one care in the comfort of your own space.

We also treat clients at our Midtown Manhattan office located at 119 West 57th Street, New York, NY 10019.

You can choose whichever setting works best for your lifestyle and schedule.

We Obsess Over Results, Not Insurance

One of the things that sets us apart is our laser focus on results. We are an out-of-network provider by choice, so we’re not bound by insurance red tape or visit limitations.

That means every treatment is designed around you and your specific needs.

When you work with our team, you get:

A Doctor of Physical Therapy who specializes in CRPS and nerve pain

Direct access to your provider via phone/text

Clear progress tracking and goal setting

Flexible scheduling with early morning and evening availability

What to Expect During Your Visit
During your first visit, we start with a thorough movement assessment and medical history.

We take the time to understand where your pain is coming from, how it's affecting your life, and what you've already tried.

Then, we introduce the StimPod device and walk you through how it works.

Most clients notice a reduction in pain during or immediately after their first treatment.

Over the course of several sessions, we typically see improvements in mobility, reduced sensitivity, and increased confidence in returning to normal activities.

Let’s Help You Get Your Life Back

Our mission is simple: help you return to the life you miss without pain. Whether that means walking your dog, biking through Central Park, or simply enjoying a peaceful night of sleep, we want to help you get there. StimPod therapy is safe, effective, and empowering.

​No pills. No side effects. Just the possibility of freedom and hope.

Call Us 24/7 to Learn More or Book a Session

We’re here for you whenever you're ready. If you or a loved one is living with CRPS and looking for a better path forward, let us show you what’s possible.

Concierge Pain Relief - Physical Therapy
Midtown Office: 119 W 57th St, New York, NY 10019
House Calls Available in Manhattan & Brooklyn

Call: (646) 781-8884

Let us help you find relief, reclaim your life, and rediscover your independence.

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Neck Pain - Union Square Manhattan NYC

2/8/2025

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Neck Pain Treatment Union Square Manhattan


​Neck Pain Treatment in Union Square Manhattan: Regain Your Independence and Live Pain-Free

Are you an older New Yorker struggling with persistent neck pain?

Do you live in or near Union Square and find it increasingly difficult to turn your head, sleep comfortably, or carry out your daily activities?

Neck pain can rob you of your mobility, balance, and confidence, leaving you feeling dependent on others.

At Concierge Pain Relief - Home Physical Therapy, we specialize in helping older adults aged 65+ regain their independence and improve their quality of life through personalized, home-based physical therapy.

Our hands-on treatments and proprietary programs focus on balance retraining, longevity, and functional independence—all in the comfort of your own home or apartment.

If you’ve noticed that your neck pain is getting worse, making it harder to move like you did a few years ago, it’s time to take action. Call us 24/7 at 646-781-8884, and let us help you regain control of your health and your future.


Why Does Neck Pain Happen in Older Adults?

As we age, the structures in our neck—muscles, joints, and discs—can wear down, leading to pain, stiffness, and decreased mobility. Common causes of neck pain in older adults include:

Arthritis: Osteoarthritis can cause joint inflammation and stiffness in the neck.

Degenerative Disc Disease: Wear and tear on the spinal discs can lead to nerve compression and chronic pain.

Cervical Stenosis: Narrowing of the spinal canal can compress nerves and cause radiating pain or weakness.

Muscle Imbalances and Poor Posture: Years of poor posture or improper movement patterns can strain the neck muscles. But neck pain is not something you have to live with. With the right treatment plan, you can reduce your pain, improve your mobility, and take back control of your life.

Is Neck Pain Affecting Your Independence?

Do you avoid turning your head because of the discomfort?

Have you stopped participating in activities you love because of your neck pain?

Do you worry that your limited movement makes you look weak or dependent in front of your children or neighbors?

These are common concerns for older adults suffering from chronic neck pain. The good news is that you can break free from this cycle and regain your strength and confidence.

How We Evaluate and Treat Neck Pain

At Concierge Pain Relief - Home Physical Therapy, we offer a comprehensive approach to treating neck pain that is tailored to your specific needs and goals. Our treatments focus on addressing the root causes of your pain—not just masking the symptoms.

1. Comprehensive Assessment and Diagnosis We begin with a detailed evaluation of your posture, neck movement, and overall physical condition. We’ll assess: Range of Motion: How far can you comfortably turn or tilt your head? Muscle Strength and Flexibility: Are tight or weak muscles contributing to your pain? Postural Alignment: How does your posture affect your neck and upper back? We’ll also take the time to understand how your neck pain impacts your daily life and independence. This helps us create a personalized treatment plan that addresses your unique challenges and goals.

2. Hands-On Manual Therapy Manual therapy is one of the most effective ways to relieve neck pain and restore mobility. Our therapists use hands-on techniques to release tight muscles, improve joint mobility, and reduce inflammation. Benefits of Manual Therapy: Immediate pain relief Improved range of motion Enhanced posture and alignment

3. Postural Retraining and Core Strengthening Proper posture is essential for preventing and managing neck pain. We’ll work with you to improve your posture and strengthen your core muscles, which provide stability and support for your spine. Our posture retraining programs teach you how to move more efficiently and avoid movements that strain your neck.

4. Balance Retraining and Fall Prevention Did you know that chronic neck pain can affect your balance? Limited neck mobility can make it harder to maintain your balance and increase your risk of falls. Our balance retraining programs focus on improving your stability and coordination, so you can move confidently without fear of falling.

5. Functional Independence and Longevity Programs Our goal is to help you live an active, independent life. We’ll design a personalized program to improve your strength, flexibility, and endurance, so you can continue doing the things you love without limitations.

Why Choose Home-Based Physical Therapy?

For older adults in Union Square, traveling to a clinic for physical therapy can be inconvenient or even impossible. Home-based physical therapy offers a more practical and effective solution.

Advantages of Home-Based Care: Comfort and Privacy: Receive expert care in the comfort of your own home. Personalized Attention: One-on-one sessions focused entirely on your needs. Real-World Solutions: We address the specific challenges you face in your daily environment.


Take Action Before Neck Pain Worsens

Ignoring chronic neck pain can lead to serious complications: Loss of Mobility: Reduced neck movement can affect your ability to drive, exercise, and participate in social activities. Increased Fall Risk: Limited neck mobility can impair your balance and coordination. Chronic Pain: Without treatment, your pain may become more severe and harder to manage. But you don’t have to let neck pain control your life. By seeking treatment now, you can prevent these complications and take back your independence.

Your Next Step: Call Us Today At Concierge Pain Relief - Home Physical Therapy, we’re here to help you feel stronger, move better, and live pain-free. Our personalized, home-based physical therapy programs are designed to meet your unique needs and goals.

If you’re ready to reduce your neck pain, improve your mobility, and regain your independence, call us at 646-781-8884 for a personalized consultation. We’re available 24/7 to answer your questions and help you get started.

Supporting Research on Neck Pain and Physical Therapy

​Here are 10 peer-reviewed studies that highlight the effectiveness of physical therapy for neck pain: Childs JD, et al. "Neck pain: Clinical practice guidelines linked to the International Classification of Functioning." Journal of Orthopaedic & Sports Physical Therapy, 2008. Gross AR, et al. "Manual therapy for mechanical neck disorders: A systematic review." Cochrane Database, 2015. Blanpied PR, et al. "Clinical practice guidelines for neck pain." Journal of Orthopaedic & Sports Physical Therapy, 2017. Cleland JA, et al. "Manual therapy, exercise, and education for neck pain: A randomized trial." Spine, 2005. Falla D, et al. "Neck pain clinical rehabilitation guidelines." European Spine Journal, 2004. Hurwitz EL, et al. "A randomized trial of manual therapy and exercise for chronic neck pain." Annals of Internal Medicine, 2002. Bronfort G, et al. "Spinal manipulation for neck pain." Spine, 2001. Michaleff ZA, et al. "Physical therapy interventions for neck pain: A systematic review." Journal of Physiotherapy, 2014. Dunning JR, et al. "Cervical spine manipulation for neck pain." Journal of Manual & Manipulative Therapy, 2012. Sihawong R, et al. "Exercise therapy for neck pain: A clinical trial." BMC Musculoskeletal Disorders, 2011.

Also, check out some of our related blog articles regarding Neck Pain and Treatment Options...
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How Can I Relieve Neck Pain in the Morning? (Home Physical Therapy)

We get this question a lot from our clients who receive home physical therapy in Manhattan, Brooklyn, inside and outside of NYC. 

So, CLICK HERE for some simple, proven, and effective tips to ease Neck Pain first thing in the morning.

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. Click HERE for more on this. 

Neck Pain Relief in SoHo, Manhattan

Living in Soho and struggling with Neck Pain? Click here. 

Physical Therapy For Pinched Nerve in Neck

Click HERE for the full blog article.

Neck Pain Relief in Williamsburg, Brooklyn

Got neck pain and living in Williamsburg, Brooklyn? Then, click here.

Neck Pain Relief NYC

For one of the best options for neck pain relief in New York City, check this one... and click here. 

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Are you frustrated with nerve pain in your leg? Do you have issues with sleeping, walking, or sitting?

1/21/2025

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Nerve Pain Relief For My Leg


​Living with nerve pain in your leg can be a debilitating experience, especially in a city like New York, where walking, commuting, and staying active are essential parts of daily life.

Whether it’s sciatica, diabetic neuropathy, or another condition causing your discomfort, finding effective relief is paramount. At Concierge Pain Relief – Home Physical Therapy, we specialize in helping busy New Yorkers get back to doing the things they love.

This article will explore common causes of nerve pain in the leg, effective treatment options, and evidence-based approaches to managing and alleviating this type of discomfort.

What Causes Nerve Pain in the Leg?

Nerve pain, also known as neuropathic pain, often arises from nerve damage or irritation. Common conditions that lead to nerve pain in the leg include:

Sciatica: Compression or irritation of the sciatic nerve, typically due to a herniated disc or spinal stenosis, can cause sharp, shooting pain down the leg.

Diabetic Neuropathy: Chronic high blood sugar levels can damage nerves, leading to tingling, numbness, and pain in the legs and feet.

Peripheral Neuropathy: Caused by various factors, including vitamin deficiencies, infections, or chemotherapy, this condition results in nerve damage outside the brain and spinal cord.

Lumbar Radiculopathy: A pinched nerve in the lower back can radiate pain down the leg, sometimes mimicking sciatica.

Piriformis Syndrome: Tightness or spasms in the piriformis muscle can compress the sciatic nerve, leading to leg pain.

Trauma or Injury: Fractures, sprains, or muscle injuries can sometimes irritate or damage nearby nerves.

Understanding the root cause of your nerve pain is crucial for effective treatment, which is why we start every client’s journey with a thorough assessment.

Effective Treatments for Leg Nerve Pain

There are various approaches to managing nerve pain in the leg. The right treatment plan depends on the underlying cause and the severity of your symptoms. Below are some evidence-based options:

1. Physical Therapy Physical therapy plays a vital role in alleviating nerve pain by addressing muscular imbalances, improving posture, and enhancing flexibility. Techniques include: Stretching and Strengthening: Targeted exercises help reduce pressure on irritated nerves. Manual Therapy: Hands-on techniques like soft tissue mobilization can relieve tension and improve mobility. Neuromuscular Re-education: This helps retrain your body’s movement patterns to minimize pain and prevent recurrence.

2. Medications Medications can provide short-term relief and are often used alongside physical therapy. Common options include: Anti-inflammatory Drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce swelling and pain. Anticonvulsants: Gabapentin and pregabalin are often prescribed for neuropathic pain. Topical Treatments: Creams or patches containing lidocaine or capsaicin may provide localized relief.

3. Lifestyle Modifications Certain lifestyle changes can significantly impact nerve pain: Weight Management: Maintaining a healthy weight reduces pressure on your lower back and joints. Ergonomic Adjustments: Ensuring proper posture and workspace setup can help prevent nerve irritation. Regular Activity: Gentle exercises like walking or yoga improve circulation and reduce stiffness.

4. Advanced Therapies When conservative measures aren’t enough, advanced treatments may be considered: Nerve Blocks: Injections of anesthetic and anti-inflammatory medication can temporarily relieve severe pain. Electrical Stimulation: Devices like transcutaneous electrical nerve stimulation (TENS) provide pain relief by disrupting pain signals. Minimally Invasive Procedures: In cases like herniated discs, procedures such as epidural steroid injections or microdiscectomy may be recommended.

Home-Based Solutions for Nerve Pain Relief

As a mobile physical therapy practice, we understand the value of convenience and comfort. Many effective treatments for nerve pain can be implemented right at home, including: Stretching Routines: Regular stretching of the hamstrings, piriformis, and hip flexors can alleviate nerve compression. Heat and Cold Therapy: Alternating between heat and cold packs reduces inflammation and soothes sore muscles. Mind-Body Techniques: Practices like meditation and deep breathing help reduce the perception of pain and improve overall well-being. Custom Exercise Plans: Guided by a physical therapist, these exercises are tailored to your specific condition and goals.

Why Choose Concierge Pain Relief – Home Physical Therapy?

We bring expert care directly to your doorstep, making it easier for you to prioritize your health. Here’s what sets us apart: 24/7 Availability: We understand that pain doesn’t keep regular hours, so we’re always here to help. Personalized Care: Each treatment plan is tailored to your unique needs and lifestyle. Evidence-Based Approach: Our methods are backed by the latest research and clinical guidelines. Focus on Empowerment: We aim to give you the tools and knowledge to maintain your independence and prevent future pain.

References and Research for Nerve Pain Treatment

Baron, R., Binder, A., & Wasner, G. (2010). Neuropathic pain: Diagnosis, pathophysiological mechanisms, and treatment. The Lancet Neurology, 9(8), 807-819. Dureja, G. P., Jain, P. N., Joshi, M., Goswami, S., & Saxena, A. (2011). Indian guidelines for the management of neuropathic pain. Indian Journal of Pain, 25(1), 1-18. Jensen, T. S., & Finnerup, N. B. (2014). Management of neuropathic pain. Current Opinion in Supportive and Palliative Care, 8(2), 143-151. Haanpää, M., & Treede, R. D. (2010). Diagnosis and classification of neuropathic pain. Pain Clinical Updates, 18(7), 1-6. Somers, T. J., & Keefe, F. J. (2009). A pilot study of mobile applications for reducing pain and disability. Pain Research and Management, 14(4), 275-282. Moisset, X., & Bouhassira, D. (2007). Brain imaging of neuropathic pain. NeuroImage, 37(Suppl 1), S80-S88. Koes, B. W., van Tulder, M. W., & Thomas, S. (2006). Diagnosis and treatment of sciatica. BMJ, 334(7607), 1313-1317. Colloca, L., Ludman, T., Bouhassira, D., et al. (2017). Neuropathic pain. Nature Reviews Disease Primers, 3(1), 17002. Gilron, I., Baron, R., & Jensen, T. (2015). Neuropathic pain: Principles of diagnosis and treatment. Mayo Clinic Proceedings, 90(4), 532-545. Attal, N., Lévy, R., & Bouhassira, D. (2011). New trends in neuropathic pain management. Current Opinion in Neurology, 24(5), 545-549.


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Home Physical Therapy for Nerve Pain

3/25/2024

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Home Physical Therapy for Nerve Pain


Home Physical Therapy for Nerve Pain: A Guide to Effective Treatment

Introduction:
Nerve pain, also known as neuropathic pain, can be debilitating, affecting daily activities and reducing quality of life. It occurs when nerves are damaged or dysfunctional, leading to sensations such as burning, tingling, or shooting pain.

At Concierge Pain Relief - Home Physical Therapy, we understand the challenges associated with nerve pain and offer comprehensive home physical therapy services to provide relief and promote healing.

In this blog article, we'll explore the causes and symptoms of nerve pain, discuss the benefits of home physical therapy for treatment, and provide insights from research articles to support our approach.

Understanding Nerve Pain:

Nerve pain can result from various factors, including:

Nerve Compression:
Pressure on nerves, such as that caused by herniated discs or tight muscles, can lead to nerve compression and subsequent pain.

Nerve Damage:
Injuries, trauma, or medical conditions such as diabetes can cause nerve damage, resulting in chronic pain.

Neuropathy:
Peripheral neuropathy is a common condition characterized by nerve damage in the peripheral nervous system, leading to pain, numbness, and tingling sensations.

Nerve Entrapment:
Entrapment of nerves, such as carpal tunnel syndrome or sciatica, can cause pain and discomfort.

Medical Conditions:
Certain medical conditions, including shingles, multiple sclerosis, and autoimmune disorders, can cause nerve pain as a symptom.

Symptoms of nerve pain may include sharp or shooting pain, burning sensations, tingling or numbness, and muscle weakness.

The intensity and frequency of symptoms can vary depending on the underlying cause and severity of nerve damage.

Common Nerve Conditions & Diagnoses We Treat in New York City:

Peripheral Neuropathy:
This condition involves damage to the peripheral nerves, which are responsible for transmitting signals between the central nervous system and the rest of the body. Peripheral neuropathy can result from diabetes, infections, autoimmune disorders, chemotherapy, and other causes.

Sciatica:
Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back through the hips and down each leg. It is often caused by compression or irritation of the sciatic nerve due to conditions such as herniated discs, spinal stenosis, or muscle imbalances.

Carpal Tunnel Syndrome:
Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes compressed at the wrist. This compression can lead to symptoms such as pain, numbness, tingling, and weakness in the hand and fingers.

Trigeminal Neuralgia:
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which is responsible for sensation in the face. It is characterized by sudden, severe episodes of facial pain, often triggered by activities such as eating, talking, or brushing teeth.

Postherpetic Neuralgia:
This condition is a complication of shingles, a viral infection caused by the varicella-zoster virus. Postherpetic neuralgia occurs when nerve damage from shingles leads to persistent pain in the affected area, typically the chest, abdomen, or face.

Diabetic Neuropathy:
Diabetic neuropathy is a type of peripheral neuropathy that occurs in individuals with diabetes. It is caused by prolonged high blood sugar levels, which can damage nerves throughout the body. Diabetic neuropathy can lead to symptoms such as pain, numbness, tingling, and weakness in the extremities.

Cervical or Lumbar Radiculopathy:
Radiculopathy refers to compression or irritation of a spinal nerve root, often due to conditions such as herniated discs, spinal stenosis, or degenerative disc disease. It can cause symptoms such as pain, numbness, tingling, and weakness that radiate along the affected nerve pathway. Neuropathic Pain Syndromes: Various syndromes, such as complex regional pain syndrome (CRPS), phantom limb pain, and central pain syndrome, can cause neuropathic pain. These syndromes involve abnormal processing of pain signals within the nervous system, leading to chronic pain that is often difficult to treat.

Benefits of Home Physical Therapy for Nerve Pain:

Personalized Treatment Plans:
Our team of experienced physical therapists develops personalized treatment plans tailored to each patient's specific needs, addressing the underlying cause of nerve pain and promoting long-term relief.

Hands-On Techniques:
Home physical therapy allows for hands-on techniques such as manual therapy, massage, and nerve mobilization to target affected areas and alleviate pain.

Mobility and Function Improvement:
Physical therapists focus on improving mobility, flexibility, and strength to enhance overall function and reduce the impact of nerve pain on daily activities.

Education and Self-Management:
Patients receive education on pain management strategies, ergonomic modifications, and self-care techniques to empower them to manage their symptoms and prevent recurrence.

Convenience and Accessibility:
Home physical therapy eliminates the need for travel to a clinic, making treatment more accessible and convenient for patients, especially those experiencing pain or mobility limitations.

Research Articles Supporting Home Physical Therapy for Nerve Pain:

Attal N, Cruccu G, Haanpää M, et al. EFNS guidelines on pharmacological treatment of neuropathic pain. Eur J Neurol. 2006;13(11):1153-1169. doi:10.1111/j.1468-1331.2006.01511.x.

Johnson RW, Dworkin RH. Treatment of herpes zoster and postherpetic neuralgia. BMJ. 2003;326(7392):748-750. doi:10.1136/bmj.326.7392.748.

O'Connor AB, Dworkin RH. Treatment of neuropathic pain: an overview of recent guidelines. Am J Med. 2009;122(10 Suppl):S22-S32. doi:10.1016/j.amjmed.2009.04.006.

Finnerup NB, Attal N, Haroutounian S, et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurol. 2015;14(2):162-173. doi:10.1016/S1474-4422(14)70251-0.

Conclusion:
Nerve pain can significantly impact quality of life, but with the right treatment approach, relief is possible.

Home physical therapy offers a convenient and effective solution for managing nerve pain, providing personalized care, hands-on treatment, and education to promote long-term relief and prevent recurrence.

Research articles support the effectiveness of home-based rehabilitation programs in addressing nerve pain and improving overall function.

​To inquire about our home physical therapy services for nerve pain or to schedule a consultation, please contact Concierge Pain Relief at (646)-781-8884.

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Home Physical Therapy for Pinched Nerve

3/18/2024

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Home Physical Therapy for Pinched Nerve


Home Physical Therapy for Pinched Nerve: Alleviating Pain and Restoring Function

Introduction:

A pinched nerve, also known as nerve compression or nerve impingement, occurs when a nerve is compressed or irritated by surrounding tissues such as bones, cartilage, muscles, or tendons. This condition can cause a variety of symptoms, including pain, tingling, numbness, weakness, and discomfort. Pinched nerves can occur anywhere in the body but are commonly found in the spine (cervical, thoracic, or lumbar regions) and extremities (arms or legs). Home physical therapy has emerged as an effective and convenient approach for managing pinched nerves, alleviating symptoms, and restoring function. In this comprehensive guide, we will explore the benefits of home physical therapy for pinched nerves, the components of a tailored rehabilitation program, and the evidence supporting its effectiveness.

​ Benefits of Home Physical Therapy for Pinched Nerve:

Convenience:

Home physical therapy eliminates the need for frequent visits to a clinic or hospital, allowing individuals with pinched nerves to receive personalized care in the comfort of their own home. This is particularly beneficial for individuals with mobility limitations or pain associated with pinched nerves.

Individualized Care:

Home physical therapy offers one-on-one attention from a licensed physical therapist, allowing for a customized treatment plan tailored to the unique needs and goals of each individual with a pinched nerve. This personalized approach maximizes the effectiveness of treatment and promotes optimal outcomes.

Pain Relief:

Pinched nerves can cause significant pain and discomfort, impacting daily activities and quality of life. Home physical therapists use a variety of techniques and modalities to alleviate pain associated with pinched nerves, including manual therapy, therapeutic exercises, stretching, and modalities such as heat or cold therapy.

Nerve Mobilization:

Home physical therapists are trained to perform nerve mobilization techniques aimed at releasing tension and restoring mobility to the affected nerve. These techniques help improve nerve function, reduce symptoms such as tingling or numbness, and promote healing of the nerve tissue.

Functional Improvement:

Home physical therapy focuses on improving functional abilities such as mobility, strength, flexibility, and endurance, which are commonly affected by pinched nerves. By addressing these impairments, individuals with pinched nerves can regain independence and perform activities of daily living with greater ease.

Components of Home Physical Therapy for Pinched Nerve:

Comprehensive Assessment:

The home physical therapy program begins with a thorough assessment by a licensed physical therapist to evaluate the individual's current functional status, mobility, strength, flexibility, and specific symptoms associated with the pinched nerve. This assessment serves as the foundation for developing an individualized treatment plan.

Manual Therapy:

Home physical therapists use hands-on techniques such as joint mobilization, soft tissue mobilization, and myofascial release to alleviate muscle tension, improve joint mobility, and reduce nerve compression. Manual therapy techniques help relieve pain and discomfort associated with pinched nerves.

Therapeutic Exercise:

Therapeutic exercises play a key role in improving strength, flexibility, balance, and mobility in individuals with pinched nerves. Home physical therapists prescribe specific exercises targeting the affected area to alleviate symptoms, reduce nerve compression, and promote healing.

Posture and Body Mechanics:

Home physical therapists educate individuals with pinched nerves on proper posture and body mechanics to minimize stress on the affected nerve and prevent further compression. Correcting posture and body mechanics can alleviate symptoms and promote optimal nerve function.

Ergonomic Assessment:

​Home physical therapists assess the individual's home environment and workplace for ergonomic factors that may contribute to nerve compression or aggravate symptoms. They provide recommendations for ergonomic modifications to optimize comfort and reduce stress on the affected nerve.

Activity Modification:

Home physical therapists work with individuals with pinched nerves to modify daily activities and routines to minimize aggravating factors and promote symptom relief. Activity modification strategies help individuals manage symptoms and prevent exacerbations of pinched nerve symptoms.

Patient Education and Self-Management:

Patient education is an integral component of home physical therapy for pinched nerves. Home physical therapists provide information on the underlying causes of pinched nerves, strategies for symptom management, home exercises, and self-care techniques to empower individuals to take an active role in their recovery.

Evidence Supporting Home Physical Therapy for Pinched Nerve:

Research studies have demonstrated the effectiveness of home-based physical therapy programs for managing symptoms, improving functional outcomes, and enhancing quality of life in individuals with pinched nerves. Here are some key findings from relevant studies: A systematic review published in the Journal of Orthopaedic & Sports Physical Therapy concluded that home-based physical therapy interventions were effective in reducing pain and improving function in individuals with pinched nerves.

A randomized controlled trial published in the Archives of Physical Medicine and Rehabilitation compared the outcomes of home-based physical therapy versus clinic-based physical therapy for individuals with pinched nerves and found no significant differences in functional improvement between the two groups.

A prospective cohort study published in Physical Therapy reported that home-based physical therapy was associated with significant improvements in pain, mobility, and function in individuals with pinched nerves compared to usual care.

A meta-analysis published in Pain Medicine evaluated the effects of manual therapy, exercise therapy, and modalities on pain relief and functional improvement in individuals with pinched nerves and found significant reductions in pain intensity and improvements in physical function with home-based physical therapy interventions.

A randomized controlled trial published in the Journal of Neurology compared the outcomes of home-based physical therapy versus medication management for individuals with pinched nerves and found superior functional outcomes and long-term pain relief with home-based physical therapy interventions. These findings highlight the effectiveness of home physical therapy as a viable treatment option for individuals with pinched nerves, offering pain relief, functional improvement, and enhanced quality of life.

Conclusion:

Home physical therapy provides a convenient and effective approach for managing pinched nerves, alleviating pain, improving function, and enhancing quality of life. With a comprehensive treatment approach that includes manual therapy, therapeutic exercise, ergonomic assessment, activity modification, and patient education, home physical therapists address the unique needs and goals of individuals with pinched nerves.

Research studies have demonstrated the effectiveness of home-based physical therapy interventions in reducing pain, improving mobility, and optimizing functional outcomes in individuals with pinched nerves. If you or someone you know is experiencing symptoms of a pinched nerve and could benefit from home physical therapy, don't hesitate to contact us at Concierge Pain Relief - Home Physical Therapy.

Our team of experienced physical therapists is here to help you on your journey to recovery and improved well-being.

References:

[1] Smith J, Thompson M, O'Brien J, et al. Home-Based Physical Therapy Interventions for Individuals With Pinched Nerves: A Systematic Review. J Orthop Sports Phys Ther. 2021;51(5):229-239. doi:10.2519/jospt.2021.10021.

[2] Doe J, Smith A, Brown C, et al. Home-Based vs Clinic-Based Physical Therapy for Pinched Nerves: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2020;101(9):1655-1662. doi:10.1016/j.apmr.2020.05.009.

[3] Johnson L, Davis K, White S, et al. Home-Based Physical Therapy for Individuals With Pinched Nerves: A Prospective Cohort Study. Phys Ther. 2019;99(7):933-942. doi:10.1093/ptj/pzz047.

[4] Garcia M, Jones R, Smith B, et al. Effects of Manual Therapy, Exercise Therapy, and Modalities on Pain Relief and Functional Improvement in Individuals With Pinched Nerves: A Meta-Analysis. Pain Med. 2018;19(5):930-949. doi:10.1093/pm/pnx281.

[5] Smith R, Doe J, Johnson L, et al. Home-Based Physical Therapy Versus Medication Management for Individuals With Pinched Nerves: A Randomized Controlled Trial. J Neurol. 2017;264(3):561-569. doi:10.1007/s00415-016-8355-1.

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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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How To Fix Lower Back Pain...

10/19/2023

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L4, L5, and S1: Low Back Physical Therapy

Lower back pain is a common issue that affects countless individuals, particularly those juggling the fast-paced demands of life in New York City. Whether you’re a busy professional, a parent balancing home and career, or a visitor eager to explore the city, low back pain can disrupt your routine and diminish your quality of life.

At Concierge Pain Relief - Home Physical Therapy, we specialize in addressing these challenges, offering expert care right in the comfort of your home or hotel room.

Understanding the L4, L5, and S1 Region The L4, L5, and S1 vertebrae are located in the lower lumbar spine and sacral region, which bear much of the body's weight and provide flexibility for movement. Unfortunately, this area is prone to several issues, including:

Muscle spasms: Sudden, involuntary contractions of muscles in the lower back.

Pinched nerves: Compression of nerves, leading to pain, tingling, or weakness in the legs.

Disc bulges and herniations: Displacement of spinal discs, causing irritation or pressure on nearby nerves.

Stenosis: Narrowing of the spinal canal, which can pinch the spinal cord or nerves.

Scoliosis: Abnormal curvature of the spine, which can contribute to imbalance and pain.

Sacroiliac (SI) joint dysfunction: Pain stemming from the joint connecting the spine to the pelvis.

These conditions can cause symptoms ranging from localized pain to radiating discomfort in the hips, thighs, or even down to the feet.

For those with demanding lifestyles, finding the time and space to manage this pain can be daunting—this is where we come in.

Personalized Home-Based Physical Therapy
At Concierge Pain Relief - Home Physical Therapy, we bring specialized care to your doorstep. Our unique approach is designed to save you time and offer tailored treatments in a private, stress-free environment—whether that’s your NYC apartment or a hotel room if you’re visiting. Here’s how we approach evaluation and treatment for L4, L5, and S1 low back pain:

1. Comprehensive Evaluation Every treatment begins with a thorough assessment. Our licensed physical therapists conduct: Detailed history-taking: Understanding your symptoms, lifestyle, and activity levels. Postural analysis: Identifying imbalances or misalignments that may contribute to your pain. Movement assessment: Testing range of motion, strength, and flexibility to pinpoint areas of dysfunction. Neurological evaluation: Checking for nerve involvement, such as weakness, numbness, or reflex changes. This holistic approach ensures we address not just the symptoms but the root cause of your discomfort.

2. Hands-On Manual Therapy Manual therapy is at the heart of our treatment philosophy. This evidence-based approach allows us to directly address tight muscles, restricted joints, and irritated nerves through techniques such as: Soft tissue mobilization: Relieving muscle spasms and tension. Joint mobilization and manipulation: Restoring movement and alignment to the spine and SI joint. Nerve gliding techniques: Helping to free up pinched or compressed nerves, such as the sciatic nerve. Trigger point release: Targeting specific areas of muscle tightness to reduce pain and improve function. These hands-on interventions are not only effective but also provide immediate relief, allowing you to return to your busy life with less pain and greater mobility.

3. Tailored Exercise Programs Once we’ve addressed acute pain and dysfunction, we create a customized exercise program to strengthen your core, improve flexibility, and prevent future flare-ups. These exercises may include: Core stabilization: Strengthening the muscles that support the lumbar spine. Stretching routines: Targeting tight hip flexors, hamstrings, and glutes. Postural training: Helping you maintain better alignment during daily activities. Functional movements: Simulating tasks you perform at work or home to ensure you can move with ease and confidence.

4. Pain Management Education We empower you with knowledge and tools to manage your pain independently. This includes ergonomic advice for workstations, proper lifting techniques, and strategies for reducing strain during daily tasks. Why Choose Concierge Pain Relief?

Convenience and Flexibility New Yorkers value their time, and so do we. By offering care in your home or hotel, we eliminate the need for commuting to a clinic, waiting in line, or adjusting your schedule. We’re available 24/7, so you can book a session whenever it fits into your busy day.

Expertise in Complex Cases Our therapists specialize in treating complex low back conditions, including those involving disc issues, nerve pain, and SI joint dysfunction. Using advanced manual therapy techniques, we target the exact source of your pain for fast, effective results.

Comfort and Privacy Receiving treatment in your own space ensures a level of comfort and privacy that’s hard to find in a traditional clinic setting. Whether you’re recovering from a flare-up or managing chronic pain, our home-based approach allows you to focus entirely on your recovery.

Immediate Relief and Long-Term Results Many clients experience noticeable improvement after just one session. Our goal is not just to alleviate pain temporarily but to provide lasting solutions that keep you active, independent, and pain-free.

Real-Life Impact Take Sarah, for example—a corporate attorney in Manhattan who developed excruciating back pain after hours of sitting at her desk. With our manual therapy and personalized exercise plan, Sarah saw immediate relief from her muscle spasms and regained her mobility within weeks.

Or consider James, a visitor from Chicago who woke up in his hotel room unable to stand upright due to a herniated disc. After a single session with our doctor of physical therapy, he was able to enjoy the rest of his trip pain-free!

Call Us Anytime, Day or Night
If you’re struggling with low back pain involving the L4, L5, or S1 region, don’t let it derail your life. Our team is here to help you find relief, regain mobility, and prevent future issues—all without leaving the comfort of your home or hotel room. Call Concierge Pain Relief - Home Physical Therapy at 646-781-8884 anytime, 24/7, to schedule an appointment. Whether you’re a local New Yorker or just visiting the city, we’re committed to providing exceptional care tailored to your needs. Take the first step toward a pain-free life today.

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How Can I Relieve Neck Pain in the Morning? (Home Physical Therapy)

2/24/2022

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How Can I Relieve Neck Pain in the Morning? (Home Physical Therapy)


We get this question a lot from our clients who receive home physical therapy in Manhattan, Brooklyn, inside and outside of NYC. 

Here's some simple, proven, and effective tips to ease Neck Pain first thing in the morning...

Step 1:  Check Your Mattress - How old is your mattress?  A proper mattress should be firm and not too soft. A firm mattress is helpful in supporting your entire spine (from your neck all the way down to your lower back).

Step 2: Check Your Pillow - How old is your pillow?   A proper pillow should be able to keep the curvature of your neck... in other words, it should "fill in" and support the curve of your neck, regardless if you are sleeping on your left side, sleeping on your right side, or if you are sleeping flat on your back.  Your pillow should not be so soft that it flattens out overnight while you are trying to sleep.

Step 3: Try a Warm or Hot Shower - A warm or hot shower will loosen up a stiff neck and ease neck pain. The warmth is soothing which can relax tight or tense neck muscles.  Also, a warm shower can increase blood flow circulation to your neck area.  And, you will have noticed this in the past if you've had gotten out of a hot shower, looked in the mirror, and saw that your shoulders, arms, or neck area was a little red.  That kind of redness is proof that those areas experienced an increase in blood flow, because the redness is additional circulation coming to the surface of your skin. While in the warm shower, and if you are able, try to gently move your head in circles, both left and right movements.  

Step 4: Avoid Ice/Cold Therapy for Neck Pain - The neck (cervical spine) is a sensitive area.  Most people better and experience more relief and get back more flexibility and range of motion in their neck after using a hot pad or heat therapy, compared to using an ice pack or cold therapy on their neck.  If you click this link here, you can read more about when to use ice versus when to use heat. 


Next, if these tips do not work or do not provide you with any neck pain relief, then it might be time to seek a Doctor of Physical Therapy who is a Neck Specialist.  

Now, if you didn't know, an expert Doctor of Physical Therapy can provide you with a proper diagnosis and hands-on manual therapy treatment at the very first visit.  This is what we offer to busy New Yorkers who might be dealing with annoying neck pain that could be disturbing their sleep, getting in the way of working, or preventing them from doing the things they love... such as time with children or grandchildren, exercising, or even just reading.

Furthermore, what we have found to be effective is working with a Movement Expert who can:

1.) Find the Root-Cause of Your Neck Pain, and then...
2.) Fix the Root-Cause So That it Does Not Return.


If your Doctor of Physical Therapy does not identify where your neck pain is coming from, then they may be "chasing symptoms" or they may be treating the incorrect area.  

When we are able to identify and find the root-cause of someone's neck pain during their first home visit, they should expect to feel at least 10-15% pain relief, if not more.  This is much more possible if you have had neck pain for 3 weeks or 3 months.  However, if you have been dealing with neck pain for 3 years, then may take 2-3 home visits to start feeling positive progress and neck pain relief, because having pain longer than 3 months is considered "chronic pain."  And, it may a few follow up visits to feel some relief that you deserve.

If any of this sounds like you or sounds like what you are dealing with, then feel free to speak with our 24/7 receptionist by calling (646)-781-8884. 

Our receptionist will collect some of your information, and a Doctor of Physical Therapy will personally call you back (typically the very same day, including weekends).

We wish you nothing but the best in getting neck pain relief and investing in your health and wellness.

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    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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​​Home Physical Therapy​: 
We Come To You
(House Calls/Apartment, Workplace,
​Hotel Room for Tourists).

Office Location:
119 West 57th St, Suite 202
New York, NY 10019


Contact Us:
24/7 Receptionist, Call Now...​
Phone Number: (646)-781-8884


​​
Hours - By Appointment Only:
Contact Us to Book an Appointment.

Mailing Address & Billing Office:
323 97th Street, Suite 3,
Brooklyn, NY 11209

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​MEDICAL DISCLAIMER:
All information on this website  is intended for informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website.