Introduction:

Lower back pain is a widespread issue affecting people across different walks of life, and those working in the busy downtown area of Lower Manhattan, New York, are no exception.

The pain can arise from various conditions, including disc bulges, pinched nerves, disc herniations, spinal stenosis, scoliosis, and arthritis.

It can be debilitating, affecting your daily life, work, and overall well-being. At Concierge Pain Relief, we offer a non-invasive and research-backed physical therapy approach to address and treat the root causes of lower back pain, without relying on pain medications or injections.

In this article, we will explore effective strategies for lower back pain relief in downtown Lower Manhattan, New York.

Understanding Lower Back Pain: Lower back pain can have a range of underlying causes, including muscle strain, joint dysfunction, herniated discs, spinal stenosis, and more. Identifying the precise cause of the pain is essential for crafting an effective treatment plan.

Non-Invasive Lower Back Pain and Spine Relief:

Physical Therapy: Physical therapy is the cornerstone of lower back pain relief at Concierge Pain Relief. A skilled physical therapist will perform a comprehensive evaluation to determine the cause of your pain and tailor a treatment plan accordingly. Research has consistently shown that physical therapy is highly effective in treating lower back pain and improving function (Foster et al., 2018).

In Home Concierge Physical Therapy: Concierge Pain Relief offers the convenience of receiving physical therapy in your home or workplace. This eliminates the need for multiple trips to a clinic, making it an ideal option for busy professionals in Lower Manhattan.
 

Hands On Manual Therapy: Manual therapy techniques, including joint mobilizations and soft tissue manipulation, are integral to our approach. These hands-on methods aim to reduce pain, restore mobility, and improve circulation in the lower back. Research has demonstrated the effectiveness of manual therapy in reducing lower back pain and disability (Rwandamuriye et al., 2019).

Customized Therapeutic Exercises, Stretches, and Mobility Drills: A customized regimen of therapeutic exercises plays a vital role in strengthening the muscles supporting the lower back and improving overall function. Scientific studies have highlighted the benefits of therapeutic exercises in alleviating lower back pain and enhancing quality of life (Slade et al., 2020).

Posture Improvement and Ergonomics: A proper workstation setup and good posture are crucial for preventing and managing lower back pain. Our physical therapists can provide ergonomic assessments and guidance on posture correction, which can significantly reduce the risk of pain and discomfort.

Patient/Client Education: Understanding the contributing factors and effective self-management techniques are crucial for preventing recurring lower back pain. Patient education is an essential component of our treatment approach.

Conclusion: Concierge Pain Relief prioritizes non-invasive treatments for lower back pain that address the underlying causes of your discomfort. Our evidence-based methods, including physical therapy, manual therapy, therapeutic exercises, posture correction, and ergonomic adjustments, can help you find relief without relying on pain medications or injections. For individuals in downtown Lower Manhattan, New York, the convenience of receiving physical therapy at home or work is an added benefit. If you're seeking lower back pain relief in NYC, don't hesitate to contact Concierge Pain Relief at (646)-781-8884.

Our team of experts is committed to helping you regain your mobility and enjoy a pain-free life in the heart of Lower Manhattan.

References: Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P., ... & Maher, C. G. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368-2383.

Rwandamuriye, F., Masaka, G., & Schneiders, A. G. (2019). The effects of manual therapy and exercises targeting the hips in patients with low back pain with movement coordination impairments: A randomized clinical trial. Journal of Bodywork and Movement Therapies, 23(2), 250-257.

Slade, S. C., Dionne, C. E., Underwood, M., Buchbinder, R., & Beck, B. (2020). The role of exercise in the treatment of chronic low back pain. Best Practice & Research Clinical Rheumatology, 34(3), 101514.

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 

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.

​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.

Hip Pain when Walking. Treatment at home in New York City.

Do you have hip pain when standing or walking?...

Do you feel hip pain when going up or down stairs?...

How about hip pain in bed while sleeping or getting out of bed?

Have you felt hip pain when sitting for too long?

Hip pain is a common complaint that affects millions of people worldwide. It can be caused by a variety of factors, including joint problems, muscle imbalances, and nerve issues.

Hip pain can also affect people of all ages, and it can impact their ability to perform everyday tasks such as walking, standing, and climbing stairs.

In this blog article, we will review the causes of hip pain and how physical therapy treatment can help alleviate it. Hip joint problems are one of the most common causes of hip pain.

The hip joint is a ball-and-socket joint that connects the thigh bone (femur) to the hip bone (pelvis). When the hip joint is damaged or inflamed, it can cause pain and discomfort in the hip area.

According to a study published in the Journal of Orthopaedic Science, physical therapy interventions such as joint mobilization, joint decompression, and stretching exercises have been found to be effective in reducing pain and improving function in patients with hip joint problems (Kovacs, 2018).

"Is it a piriformis muscle issue or piriformis syndrome?
The piriformis muscle is another common source of hip pain. This muscle is located in the buttocks and helps to stabilize the hip joint. When the piriformis muscle becomes tight or inflamed, it can compress the sciatic nerve, causing pain and discomfort in the hip area. A study published in the Journal of Physical Therapy Science found that manual therapy techniques such as cupping therapy and stretching exercises can be effective in reducing pain and improving function in patients with piriformis syndrome (Jung et al., 2016).

"Is my hip pain coming from hip muscle weakness?"
Hip muscle weakness is another potential cause of hip pain. The hip muscles play a crucial role in stabilizing the hip joint and supporting the body's weight during movement. When these muscles are weak or imbalanced, it can put extra stress on the hip joint, leading to pain and discomfort. A study published in the Journal of Orthopaedic and Sports Physical Therapy found that targeted hip strengthening exercises can be effective in reducing pain and improving function in patients with hip muscle weakness (Ishøi et al., 2018).

"Is my hip pain coming from my Sacroiliac Joint (SI Joint)?
The sacroiliac joint (SI joint) is another potential source of hip pain. The SI joint is located at the base of the spine and connects the sacrum to the hip bones. When this joint becomes inflamed or irritated, it can cause pain and discomfort in the hip area. A study published in the Journal of Manipulative and Physiological Therapeutics found that manual therapy techniques such as joint mobilization and stretching exercises can be effective in reducing pain and improving function in patients with SI joint dysfunction (De Groot et al., 2018).

"Is my hip pain because of hip flexor tightness?
Hip flexor tightness is another common cause of hip pain. The hip flexors are a group of muscles that are responsible for moving the hip joint. When these muscles become tight or imbalanced, it can cause pain and discomfort in the hip area. A study published in the Journal of Manual and Manipulative Therapy found that stretching exercises and manual therapy techniques such as trigger point release can be effective in reducing pain and improving function in patients with hip flexor tightness (Cheatham et al., 2018).

"Is my hip pain coming from my lower back (lumbar spine)?
Finally, hip pain can also be caused by issues in the lower back. The lumbar spine is located in the lower back and is responsible for supporting the weight of the upper body. When the lower back becomes injured or inflamed, it can cause referred pain in the hip area. A study published in the Journal of Physical Therapy Science found that manual therapy techniques such as nerve flossing and stretching exercises can be effective in reducing pain and improving function in patients with lower back pain that is causing hip pain (Lee et al., 2019).

At Concierge Pain Relief - Home Physical Therapy, we offer a range of hands-on manual therapy treatments to address hip pain and its root causes. These include

- hip joint mobilizations,
- hip joint decompression,
- hip muscle cupping therapy,
- hip joint StimPod treatment,
- nerve flossing,
- hip muscle stretching,
- gluteal/hip stimulation such as NMES or TENS,
- and hip muscle strengthening.

Our doctors of physical therapists are experts in their field and have the training and experience necessary to provide effective treatment for hip pain.

In conclusion, hip pain can be a frustrating and debilitating condition that can impact your quality of life.

If you're suffering and dealing with daily and annoying hip pain, contact us today to inquire and learn more...

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