NYC Chiropractor Offers Cold Laser Therapy for Knee Pain

NYC Chiropractor Dr Steven Shoshany recently appeared on the nationally syndicated Dr. Oz show to demonstrate the use of a “cold” laser device to help speed up the healing process. This non surgical treatment has been receiving national attention lately due to its use among professional athletes who need to get back in the game as fast as possible, and can’t undergo lengthy surgeries and post surgery rehabilitation. The cold laser therapy treatments, used alongside physical therapy, and chiropractic adjustments have been gaining momentum among every day people thanks to doctors like Dr. Shoshany, who was one of the very first chiropractors in Manhattan to provide the treatment in his practice.

Cold laser therapy can help speed the healing process, and when used alongside an integrated treatment program it can help most people recover from pain quickly, and is also completely non invasive. Dr. Shoshany has found it to be especially effective for treating various forms of knee pain.

Dr. Shoshany also works alongside a pain management specialist who is able to help people who may be in too much pain to undergo physical therapy or those with osteoarthritis. The ability to help patients through non-surgical means like hylouronic acid knee injections is a great addition to his Manhattan practice and greatly expands the ability of his cutting edge practice to treat a variety of patients.

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Lower Back Pain Caused by Lumbar Disc Herniation

Dr. Steven Shoshany, a leading NYC chiropractor, is a specialist in non-surgical treatment of painful herniated discs.  His patented and highly sought-after Spinal Decompression treatment is the most effective protocol available to release pressure and restore appropriate space between vertebrae to allow discs to function and provide shock absorption to the spine.

Discs become herniated when the external membrane ruptures under vertebral pressure (due to poor posture, sedentary lifestyle or trauma), causing the internal matter to leak out, which can irritate the surrounding tissue.  Additionally, the pressure resulting from compressed vertebrae can cause impinged nerves, causing inflammation and pain that can extend from the lower back down the buttocks and legs, also known as sciatica.

Lumbar disc herniation is a common condition that can affect patients of all ages; however, incidence is higher in patients over the age of 50 and those with inactive lifestyles and poor nutritional habits.  Disc herniation can be easily detected with a simple chiropractic examination.  Symptoms of lumbar disc herniation include muscle spasms, leg numbness, weakness or tingling, and sharp or dull pains in the back, buttock, or leg area which can be aggravated by movement.

As painful and limiting as lumbar disc herniation can be, the condition is fortunately easily treatable and the vast majority of cases do not require surgical intervention.  Dr. Shoshany’s patented spinal decompression therapy is the most effective non-surgical treatment available.  Safe and painless, each session lasts about 20 minutes and is administered 2 to 3 times per week.  The duration of the treatment cycle depends on the patient’s initial condition as well as individual progress and response to treatment.  During treatment, patients lie comfortably while the spinal decompression device gently stretches out the affected vertebrae to increase space and release pressure.  Over the course of treatment, patients will experience increased comfort and a progressive reduction of pain.  There is no downtime or recovery period, and patients are free to continue their daily activities throughout their spinal decompression cycle.

Additionally, Dr. Shoshany offers chiropractic adjustments, physical therapy, medical massage therapy, cold laser therapy, and many other complementary non-surgical treatments that can enhance the effects of spinal decompression and provide long-term relief to patients suffering from lower back pain.  The benefits of spinal decompression will extend to the rest of the body, as the spine is the body’s control center.  Patients who undergo spinal decompression can also expect an improvement in overall health.

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SpineForce, Cutting Edge Physical Therapy in NYC

February 10, 2011 Leave a comment

The SpineForce is a cutting edge proprioceptively based piece of equipment, designed to help you strengthen the deep intrinsic core and lower back muscles. The Spineforce combines varied grips stances and pushing and pulling techniques, to help rehabilitate and strengthen the deep postural and stabilizing muscles that help keep your skeletal tissue from being overused and becoming dysfunctional.

Herniated, bulging and degenerated discs can be caused by something as seemingly simple as improper posture. Improper form when sitting, exercising, sleeping, and even walking, can compress the discs in the spine and overload deeper muscles causing the body to adapt the kinetic chain to improper movement patterns, further compounding the problems that lead to painful conditions, such as sciatica. At Living well Medical we use the SpineForce as a part of our integrated treatment plan for helping patients relieve pain and recover from herniated or bulging discs. When a patient, after undergoing non surgical spinal decompression, has improved enough to start a physical therapy program, the SpineForce is used as a part of that integrated, individualized process.

SpineForce can improve not only muscular strength and endurance, but it also improves stability, joint mobilization, proprioception, balance, flexibility, posture as well as cardiovascular conditioning. Combined with an oscillating platform and varied grips and visual feedback, it is a cutting edge piece of technology that is also simple to use.

It can not only be used to treat muscular imbalances and help rehabilitation, but it can help improve general strength and athletic ability. When combined with other non invasive treatments such as the Graston Technique, non surgical spinal decompression, Cold Laser Therapy, Active Release Techniques and Physical Therapy, the SpineForce can be a great tool in fighting back pain, and physiological dysfunction.

Visit Living Well New York to learn more.
Watch the SpineForce at work:

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How to Prevent Slips and Falls in NYC

February 2, 2011 2 comments

At Living Well Medical we’ve definitely noticed the extreme weather conditions this winter, and its been one of the worst on record for New York City, and definitely the worst that we can recall for the past few years. Its not just the piles of snow that are collecting on every sidewalk, but this year, the amount of ice and slippery slush have been unreal. The ice can contribute to a host of injuries ranging from simple bruises to more serious injuries like sprains and broken tail bones. Some injuries may require rest ice and some rehabilitation, while other may require more thorough diagnostic care like X-rays.

As a physical therapist Lisa Corey DPT. sees tons of patients coming in throughout the winter season with sprained ankles, wrists, and sore backs. It’s not too surprising to find that a common cause of injury is from slipping on ice! Although we can’t avoid all the snow that has been affecting the NYC area, there are ways to prevent slips and falls and the resulting injuries.

The first line of defense against the snow can take place before you even go outside, by wearing proper footwear. Avoid shoes with heels or smooth soles and wear boots or shoes that provide proper traction for the weather. This way you are less likely to slip!

Once outside you can use your own body mechanics to help avoid a fall. Walk with a wider base of support, keeping your toes pointing outward and your knees slightly bent, this keeps your body in a state of readiness and makes it easier for your center of gravity to re center and react to the sudden changes of walking on an unstable, slippery surface.

It will also help to keep your arms out at your sides and out of your pockets to stabilize your upper body, almost like walking on a tight rope. This way, your arms are also available to help catch and ease your fall in case you find yourself on a slippery sidewalk. It also helps protect your face and head from hitting the ground if your hands aren’t stuck inside your pockets.

There are also a few simple tips to follow when walking, take short steps or even shuffle for better stability.

Stay alert, pay attention to asphalt conditions so you won’t be surprised by things like black ice, and you will be better able to react and control yourself when dealing with a very slippery surface. Your body is better able to react to unstable conditions when it has more proprioceptive feedback, so you’re less likely to slip when you can also see and anticipate instability.

Stay loose, try not to shrug your shoulders up and tuck your chin in, it might keep you a bit warmer, but a relaxed posture is better at dealing with shifting/ slippery surface conditions.

Pack properly, make sure you carry all your stuff in the proper bags, a backpack will allow you proper use of your arms and bulky handbags and purses can be awkward to carry and can end up adding to the challenge of walking around on slippery surfaces.

If you do end up getting hurt from a fall or accident, it’s often a good idea to seek proper treatment, weather its knee pain from landing on your knees, or if you’ve thrown your back out shoveling the driveway, it’s been a nasty winter and it looks like it may get worst. Slips falls or overuse injuries can become chronic if untreated, and can be very debilitating and painful, like sciatica, or herniated cervical or lumbar discs.

Getting proper treatment form a qualified medical practitioner can mean a faster recovery, less pain, and for certain people it can mean avoiding painful and invasive surgery. This has been one of New York City’s worst winters, but it doesn’t have to lead to chronic painful conditions. If you’re suffering from pain and discomfort, no matter what the cause of the injury, Living Well Medical has a vast array of experts and techniques that can help reduce pain and speed up the body’s natural healing process using integrated, non invasive techniques.

Living Well Medical is located at 632 Broadway, in the Tribeca/ SOHO area of New York City.

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Shoulder Pain Treatment in NYC

December 10, 2010 Leave a comment

shoulder pain nyc

Shoulder pain doesn’t have to be a constant issue, if you’re an athlete, a fitness enthusiast or just a regular average joe who’s suffering from an old injury or just concerned about that lingering tightness in your shoulder. Shoulder pain and discomfort can result from many things, from tossing a baseball around or a playing with a 20 pound toddler, an awkward fall or even sleeping on it the wrong way.

Some common causes of shoulder pain:

  • Arthritis.
  • From the shoulder or torso being twisted, impacted, or pushed or shaken
  • Prolonged stress to the Spine or Shoulder Girdle
  • Sleeping incorrectly or in awkward positions or surfaces
  • Preexisting injuries
  • Muscular imbalances
  • Repetitive use/ over use
  • Injuries resulting from participation in sports
  • Whiplash, resulting from an accident or situation where the head is quickly snapped in an awkward way
  • General daily wear and tear

Some problems associated with the shoulder can also lead down the appendage and effect the arm and even the hand. These problems include neuritis, neuralgia, rheumatism, bursitis, fibrositis, and common sprains, strains, and sore muscles resulting from exercise and general activity or may even be a result of poor blood circulation. Furthermore, shoulder pain can be associated with soft tissue (muscles, tendons, nerves) problems, or the issue can lie in the hard tissue like cartilage and bone.

Shoulder pain caused by nerve damage

 Some shoulder pain that radiates down the length of the arm. The pain can be felt as far as the wrist and hand and even resulting in pain further down the origin of the injury, such as pain associated with conditions like carpal tunnel. Such pain can be a result of damage to the brachial plexus nerves. The brachial plexus nerves lie in the lower part of the neck and serve the surrounding shoulder and arm areas. Different symptoms and problems may be caused by damage to different brachial plexus nerves. If the patient is suffering from neck pain or stiffness, it be one of an early indicator of brachial plexus damage. Sometimes there might be no pain in the neck, but it may be felt just in the appendage, and sometimes may lead to numbness which can be a good indicator of nerve damage. Nerve damage often causes a sensation of “pins and needles” in the affected areas, as well as weakness of the associated limb. Chiropractic care is a great way to treat problems associated with nerves since chiropractors specialize in diagnosing, treating and preventing mechanical disorders of the musculoskeletal system.
Chiropractic treatment is especially effective in dealing with problems that may arise the spine, and central nervous system which lies within the spine, which branches off in to the pripheral nervous system. So problems with the central nervous system can have an effect on the proper function of the rest of the body. Living Well Medical offers the best possible chiropractic care available in NYC.

Pain associated with Damage to the joint

Aside from nerve damage, pain caused by trauma to the actual musculoskeletal tissue can be just as, if not more, painful. Sometimes the pain can be difficult to treat, but with the proper diagnosis and treatment such as those provided by Living Well Medical, pain and surgery may be avoided. Shoulder pain can vary between a lingering deep soreness to severe pain that limits the joint’s full range of motion, and the pain can last for a long time, especially without proper treatment. Sometimes even with proper treatment, the healing process can take some time. Common causes of shoulder pain like tendinitis, bursitis, arthritis, frozen shoulder, adhesive capsulitis, inflammation, and rotator cuff injuries can start out slowly but can become chronic. There are also injuries like the separation of the A-C joint in the shoulder, which can not only result from trauma, but can also be caused by repetitive use. Injuries to the shoulder can also result in dislocation of the arm and subluxation, which is instability of the joint due to a partial dislocation.

Shoulder pain caused by muscular weakness or imbalance can be easily treated by proper Physical Therapy.
Chiropractors can make manual adjustments to the shoulder and scapula in combination with other advanced techniques, and produce real results, which result in reducing and often eliminating pain and weakness. Along with quality chiropractic care there are many available ways to treat shoulder pain and injuries, all of which are provided by a highly qualified staff at Living Well Medical. The techniques range from:

  • Acupuncture
  • Physical therapy
  • Massage
  • ART (Active Release Techniques)
  • Cutaneous stimulation (heat/cold therapy)
  • The Graston technique ( soft-tissue mobilization technique)
  • Electrotherapy
  • Cold laser theraphy
  • Nutritional Support
  • Kinesio taping
  • Behavior modification

Along with a range of diagnostic procedures available at Living Well Medical, there are no shortage of options when it comes to treating shoulder pain

The shoulder is a bit more complicated than a simple ball and socket, there are may, varied underlying and overlapping support, and movement systems that are responsible for keeping it going, but naturally a complicated system can break down or simply wear down, however there are no shortage of ways that shoulder pain can be diagnosed and treated here at Living Well Medical.

Living Well Medical is located at Broadway and Bleecker Street in the West Village in New York City.

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Cervical disc herniations and Chiropractic care-New Study-Chiropractor NYC

Cervical disc herniations and Chiropractic care.
We have been treating patients with Cervical herniated disc in our Herniated disc NYC clinic using a combination of Chiropractic care, Cervical spinal decompression and Cox cervical flexion distraction. This was a recent study that was made available by the American Chiropractic Association.
To learn more about our NYC clinic visit

BenEliyahu et al. Magnetic Resonance Imaging and Clinical Follow-up: Study of 27 Patients Receiving Chiropractic Care for Cervical and Lumbar Disc Herniations. Journal of Manipulative and Physiological Therapeutics Volume 19, Number 9, November/December, 1996

Objective: To prospectively investigate the effect of chiropractic management on clinical and anatomical outcome of disc pathomorphology in previously magnetic resonance imaging (MRI)-documented disc herniations of the cervical and lumbar spine.

Setting: Private practice.

Subjects: Twenty-seven patients with MRI-documented and symptomatic disc herniations of the cervical or lumbar spine. A prospective clinical case series.

Design: All patients were evaluated before commencement of chiropractic care by MRI scans for presence of disc herniations. Precare evaluations also included clinical examination and visual analog scores. Patients were then treated with a course of care that included traction, flexion distraction, spinal manipulative therapy, physiotherapy and rehabilitative exercises. All patients were re-evaluated by postcare follow-up MRI scans, clinical examination and visual analog scores. Percentage of disc shrinkage on repeat MRI, resolution of clinical examination finding, reduced visual analog pain scores and whether the patient returned to work were all recorded.

Results: Clinically, 80% of the patients studied had a good clinical outcome with postcare visual analog scores under 2 and resolution of abnormal clinical examination findings. Anatomically, after repeat MRI scans, 63% of the patients studied revealed a reduced size or completely resorbed disc herniation. There was a statistically significant association (p, .005) between the clinical and MRI follow-up results. Seventy-eight percent of the patients were able to return to work in their predisability occupations.

Conclusion: This prospective case series suggest that chiropractic care may be a safe and helpful modality for the treatment of cervical and lumbar disc herniations. A random, controlled, clinical trial is called for to further substantiate the role of chiropractic care for the non-operative clinical management of intervertebral disc herniation.

Dr. Steven Shoshany DC-Chiropractor NYC (212) 645-8151
This is a great study-when someone has a cervical herniated disc it can cause allot of pain and dysfunction like shooting or burning arm pain to name a few symptoms.
What I like best about the combining Spinal decompression with Chiropractic care is the fact that is non-drug and non-surgical and it actually allows the disc to return back to its normal position.
If you are looking for a spinal decompression clinic in San Francisco I recommend Executive Express Chiropractic.

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Lower Back Pain and Sleep Loss

Lower Back Pain and Sleep Loss

Severe back pain can lead to significant sleep loss and longer recovery times.

Having trouble with your lower back is a completely life-altering experience for so many people.  It might sound like an overstatement, but it’s true.  Everything they do can be affected. Even one of the most important things we do but constantly take for granted: sleeping.

Here at Living Well Medical in NYC, I regularly hear from patients who are suffering from pain in their back or neck that is so severe that it begins to affect how well and how often they are sleeping during the night.  It’s just one of the many problems that go along with having a badly aching back.  Some of my patients have even noted that sitting, standing AND lying down all caused pain.  In other words, there was no comfortable position to be in at all.

How can you get better if you can’t sleep?  Rest is one of the key components for the body’s own maintenance and repairs.  In cases like these, often related to problems with the intervertebral discs like herniation or bulging discs, it’s best to be proactive, not reactive.  Many times, orthopedic doctors will point right to surgery or long term pain medication regimens when there are alternatives that can help.  At Living Well Medical, we integrate a number of non-surgical therapies and technologies to stop back pain without relying on the invasive side of medicine.

One of our most exciting treatments is non-surgical spinal decompression with the DRX9000.  It’s a computer-guided medical device that places specific amounts of stretch on areas of the spine that have herniated discs (and other disc-related spinal conditions).  In so doing, pressure placed on the nerves by displaced disc material can be relieved and important nutrients encouraged to move in.  That can jump start the healing process and relieve back pain in the process.  Some patients even feel relief after only a few sessions (it’s even been reported that some patients fall asleep during treatment!)

So it might be that you are losing sleep from back pain, but there’s still hope for recovery without surgery or drugs.  Come in and see us at Living Well Medical in SoHo in Downtown New York and find out what we can do for you!  Give us a call at 212-645-8151, and return to restful nights of sleep.

– Dr Steven Shoshany, NYC chiropractor