Patients with asymmetric restriction in neck rotation and
increased neck muscle tension have a tendency to have dizziness and/or vertigo.
If you have a history of whiplash, or reduced neck range of motion, or shoulder (trapezius) muscle tension, or neck pain accompanied by headache and dizziness, these problems may result from lifestyle factors, habitual posture and neck muscle imbalance that can be helped by hands-on therapy and use of specific instrument tools that reduce muscle tension and joint dysfunction.
Studies of patients with dizziness suggest that primary anxiety disorders cause dizziness in about 30% of the dizzy population, anxiety and depression may be a result of dizziness as well (Staab JP, et al 2003). The rest may be related to the neck.
Dysfunction of the neck muscles (something you probably feel too) and neck joint dysfunction (something we can determine together) can be detected and treated by a visit with me. Call 310-444-9393 to schedule.
Aching and stiffness in the shoulders and neck are an extremely common problem, especially for those involved in desk and computer working. If you feel like you need a daily massage, the real cause tends to be postural. Whilst seated, staring at a screen for hours on end, it is easy to fall into a slumped position, with rounded shoulders and the neck protruding forwards. Assuming this position day-in, day-out can result in shortening of the chest muscles and weakening of the small, postural upper back and neck muscles which work to pull the shoulders back. This results in the larger back and neck muscles such as Trapezius and the Rhomboids working harder and becoming tight and achy. Working on correcting these imbalances, by stretching the chest muscles and building endurance strength in the postural muscles such as the lower Trapz and Serratus Anterior can result in a long-term fix.
I treat neck and shoulder pain with soft tissue therapy, mobilization of the stiff joints, ELDOA exercises, shockwave, laser, and posture training.
Treatments I have been using are becoming more and more popular for neck pain. These include Laser massage, Shockwave massage also known as Acoustic Wave Therapy and Magnet Therapy.
Patients who come to see me with chronic neck pain receive a comprehensive therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments. The techniques I use are aimed to decrease the pain and improve range of motion. My treatments are safe and cost-effective.
If you need an MRI or x-ray we can order that for you.
My method is a comprehensive system of physical therapy and chiropractic care.
I use ELDOA exercises, along with soft tissue therapy, chiropractic care and the latest technology in sports medicine. I develop personalized treatments specific for neck pain, or sessions can be used to improve overall pain and range of motion throughout the body. Because I use a complete system, the treatment often helps both pain and range of motion.
Exercise principles I use are from ELDOA, PILATES and FELDENKRAIS. This combination releases and connects energy at specified points throughout the body without the use of needles or injections.
Patients who come to see me with chronic neck pain receive a comprehensive therapeutic approach that involves hands-on therapy of the soft tissue and spinal segments.
The techniques I use are aimed to decrease neck pain intensity, improve function and physical quality of life. My treatments are safe and cost-effective.
Treatments I use are becoming more and more popular for neck pain. These include laser massage, shockwave massage and magnet therapy.
If you need an MRI or x-ray we can order that for you
This is a comprehensive system of physical therapy, chiropractic, and the principles of ELDOA, PILATES and FELDENKRAIS.
Chiropractic manipulation does not reposition a vertebra from a misaligned position to an aligned position. Rather, it is likely that manipulation breaks up adhesions present in the joints of the spine, which improves movement asymmetries and/or stimulates mechanoreceptors – thereby reducing spinal muscle excitability, enhancing proprioception and reducing pain.
While manipulation has been proven effective for the management of acute low back pain, a prospective placebo-controlled study by Senna and Machaly demonstrates that long-term chronic low back pain sufferers respond best to maintenance manipulations performed bimonthly for up to nine months. The authors suggest the occasional (Chiropractic) manipulations may allow for the “early treatment of any emerging problem, thus preventing future episodes of low back pain.”
My sports medicine and chronic pain therapy approach of using the DMS (vibration, percussion), EnPuls (radial shockwave), Piezowave (acoustic shockwave) and massage in conjunction with chiropractic enhances the breaking up of disruptive and painful scar tissue.
- Tullberg T, Blomberg S, Branth B, et al. Manipulation does not alter the position of the sacroiliac joint: a roentgenstereophotogrammetric analysis. Spine, 1998;23:1124-1128.
- Cramer G, Tuck N, Knudsen J, et al. Effects of side-posture positioning anti-posture adjusting on the lumbar zygopophyseal joints as evaluated by magnetic resonance imaging: a before and after study with randomization. J Manip Phys Ther, 2000;23:380.
- Nansel DD, Peneff A, Quitoriano J. Effectiveness of upper versus lower cervical adjustments with respect to the amelioration of passive rotational versus lateral-flexion end-range asymmetries in otherwise asymptomatic subjects. J Manip Phys Ther, 1992;15:99-105.
- Nansel D, Waldorf T, Cooperstein R. Time course effect of cervical spinal adjustments on lumbar paraspinal muscle tone: evidence for facilitation of intersegmental tonic neck reflexes. J Manip Phys Ther, 1993;16:91-95.
- Lehman GJ, McGill SM. Spinal manipulation causes variable spine kinematic and trunk muscle electromyographic responses. Clin Biomech, 2001;16:293-9.
- Childs JD, Fritz JM, Flynn TW, et al. A clinical prediction rule to identify patients with low back pain most likely to benefit from spinal manipulation: a validation study. Ann Intern Med, 2004;141:920-928.
- Cleland J, Fritz J, Whitman J, et al. The use of a lumbar spinal manipulation technique by physical therapists in patients who satisfy a clinical prediction rule: a case series. J Orthop Sports Phys Ther, 2006;36:209-214.
- Senna M, Machaly S. Does maintenance spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcomes? Spine, 2011 Aug 15; 36(18):1427-37.
Chiropractic. The goal of this treatment is to significantly decrease symptoms such as pain, tightness, stiffness, soreness, aches, and improve athletic performance, mobility, and your ability to perform general activities.
Laser. Evidence for the effectiveness of laser is strong. Patients feel the relief especially for knee pain and TMJ pain
Shockwave therapy. This form of medical treatment is acknowledged as a means for enhancing scar tissue mobility and breaking up muscle tightness and muscle and joint adhesions. It is also helpful for chronic pain reduction and improved mobility. It helps osteoarthritic symptoms with improved functional mobility and quality of life.
Along with laser, Deep Muscle Stimulator (DMS), shockwave therapy is effective for pain control of osteoarthritis of the knee, neck pain, low back pain, and increasing mobility.
Deep Muscle Stimulator Massage. Followed by hands on therapy, DMS is the most commonly utilized treatment in my office. Patients feel better after this type of massage than receiving a regular hand massage. They have significant improvements in pain, stiffness, and physical function.
Dietary supplements. I use a variety of products from Metagenics, Xymogen, Designs for Heath, and Standard Process for joint pain, arthritis, inflammation, and weight loss.
Widening the integrative approach to treatment
There is emerging evidence that integrating multiple conventional and alternative therapies such as chiropractic, exercise, laser, shockwave, DMS, lymph therapy provide the best results for patients.
If you are a person who still has pain and diminished mobility who has already explored other therapies and doctors but have been disappointed, I would like the opportunity for you and I to meet. I continuously evaluate the increasing body of evidence in support of new therapies, and I am confident in offering my patients a wider range of choices than standard chiropractic care.
Call 310-444-9393 for an appointment
If you have any of the above, have you tried Pneumatic Lymphatic Pump Therapy?
One of the most neglected systems of the body is the Lymphatic system. An innovative treatment for chronic pain, foot pain, hip pain, inflammation, neck pain, shoulder pain, & TMJ pain is Lymph Drainage Therapy (DLT). In my office I use state of the art technology called LymphaTouch for DLT. Benefits of the LympaTouch Pump Therapy include reduction in limb circumference, pain, increase in range of motion, scar mobility and improved functioning of the immune system. The immune system is stimulated through increased lymph flow. The additional flow carries more antigens to the lymph nodes, thereby increasing antibody/antigen contact. This has been found to help with chronic or subacute inflammatory processes — chronic fatigue syndrome, autoimmune disease, bronchitis, sinusitis, tonsillitis, laryngitis, arthritis, acne and eczema.
Call 310-444-9393 to schedule an appointment
We are the first office in Los Angeles to offer the PiezoWave therapy. The PiezoWave machine supplies an acoustic wave used to target tissues at varying depths (0 to 20 mm). It is a very focused, precise, deep tissue therapy. The device locates myofascial trigger points in the muscles. These are hyper-irritable spots located in a taut band of skeletal muscle. They generate pain, both locally and in referred pain patterns, and often accompany chronic musculoskeletal disorders. PiezoWave is being used for regional pain, especially in the neck, shoulders, low back and hip areas. If you know you have tension headaches, temporomandibular joint pain, decreased range of motion in the legs, and low back pain, even if you have tried other therapies like laser I would suggest a trial of PiezoWave.
Watch this one minute video to learn which exercise to perform
I was recently asked a question about neck pain and Kinesio-Taping. Gonzales-Iglasias et al. (2009) studied the short term effectiveness of Kinesio-Taping on reducing pain and increasing cervical ROM in patients that have suffered an acute whiplash injury. They used 41 patients (21 females) for this particular study, and the subjects were randomly assigned to 2 groups. The experimental group received a Kinesio-Taping application (applied with tension) to the cervical spine, and the control group received a Kinesio-Taping application (applied with NO tension). Baseline data for pain and for cervical ROM were collected, then data was collected immediately following the application of the Kinesio-Tape to the cervical spine, and data was collected 24 hours later by an individual who was not aware to who received which particular intervention. The results showed that statically the Kinesio-Tape intervention group showed improvements in pain and increases in ROM. It was noted, however, that the improvements were small and may not be clinically significant. (Gonzalez-Iglesias et al, 2009) The study recommends that future studies on the long-term effectiveness of the application of Kinesio-Taping. Also, it recommended that studies be conducted on the potential enhanced outcome when Kinesio-Tape and physical therapy are used together (Gonzales-Iglesias et al, 2009) which was one of the original intent of the use of Kinesio-Tape.
Chiropractors, PT’s, AT’s & coaches frequently use Kinesio-Taping techniques in there practices. The majority of patients that I use tape on notice immediate results of reduction of pain and an increase in their ability to move that particular body part. The typical time-frame for application is around 3-4 days. I typically apply the Kinesio-Tape in a fashion that facilitates muscular contraction in the desired muscle group, by theory that the Kinesio-Tape provides afferent stimuli, that reduces the effects of pain inhibition on muscle function.
Gonzalez-Iglasias, J., Fernandez-De-Las-Penas, Cleland, J., Huijbregts, P., del Rosario Gutierrez-Vega, M. Short-Term Effects of Cervical Kinesio Taping on Pain and Cervical Range of Motion in Patients with Acute Whiplash Injury: A Randomized Clinical Trial. (2009) Journal of Orthopedic and Sports Physical Therapy. 39 (7): 515-521