What is the BEST Treatment Option for a Herniated Disc?

We have been providing treatment for back and neck pain in Bergen County since 1992.

There is a lot of information out there on how to diagnose and treat a herniated disc in the low back. Some of it is good and some not so good. Our recommendations come from over a quarter century of front line experience, as well as our relationships with surgeons, radiologists and patients.

What most people don’t realize is that a herniated disc is very common. In fact, many people have them and do not even realize it. And when you are diagnosed with a herniated disc it is not the end of the world. And, it does not mean you automatically need back or neck surgery.

Often, a herniated disc will heal on it’s own. It just depends on the nature and severity of the condition and the patients overall health profile. All cases are different.

One thing for sure. Chiropractic adjustments should be considered as the #1 treatment option. This has been proven over and over again. Prior to anyone surgery non-invasive approaches should be tried first, because once you “cut” you can’t “uncut”.

It is common for people with what is called “failed back surgery syndrome” to enter our office.  The number one factor on whether we can help these individuals or not is dependent on what

DRX9000 004

Patient being treated on the DRX9000 with non-surgical decompression therapy.

was done to their spine in the operation.  Did they have screws, mesh-nettings, rods etc installed.  Any hardware makes it difficult for us to further treat, which again is why it is best to try every option before going under he knife.

In the event that chiropractic adjustments fail to deliver favorable outcomes there is a logical “next step”. It’s called nonsurgical spinal decompression. The machine we use is the DRX9000. The DRX9000 is designed and built to treat herniated and bulging discs in the lumbar spine nonsurgically. It is considered the gold standard for drugless disc treatment. You can find out more at www.BackPainRamsey.com.

So, if you have been diagnosed with a herniated or bulging disc in the low back, what should you do?

Our recommendation is that you find a clinic that has both chiropractic and spinal decompression.  Our office is located at 161 N. Franklin Tpke in Ramsey, NJ.  It’s right off Route 17 and easy to locate.  In our office we treat with traditional chiropractic, cold laser therapy and spinal decompression  as well as a host of other treatment options.

To find out if you are a candidate for spinal decompression therapy in Bergen County please call 201-825-6601 and ask for a complimentary consultation. Our parking lot comes right up to our front door to accommodate all our patients.

Until Next Time,

~ Dr. Guadagnino

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But He Shouldn’t Be “Cracked”

We recently had a consultation cancelled by an 85-year old man because his medical doctor told him not to see a Chiropractor; he told this gentleman he shouldn’t be “cracked” at his age. My first thought was, why would I ever “crack” an 85-year old man and why would his medical doctor even say I would “crack” him.

As a Chiropractor I understand that the general description of a chiropractic adjustment or manipulation is to call it by the sound it often makes – crack; but Chiropractors do a lot more than just “crack” all their patients. I would say that at least 40% of all my patients do not receive a typical chiropractic adjustment (crack). Instead our office utilizes multiple therapeutic techniques including ultra-sound, electrical muscle stimulation, interferential stimulation, cold laser, spinal decompression, flexion-distraction technic, percussion massage and activator adjusting techniques.  None of which offers the “crack”.

pexels-photo-1635907I also see many patients that do receive traditional adjustments and some of those do not wish to have their neck adjusted or their lower back manipulated. The treatment we perform in the office is very diverse, it isn’t the cookie-cutter “crack” that is often thought of when you visit a chiropractor’s office.

To go back to the 85-year old gentleman who wanted to visit the office and see if we could offer him relief without drugs, it’s a shame he was given such false information and a reinforcement of common misunderstanding that occurs in my office or another chiropractor’s office. We have learned over the years that medicating seniors isn’t the safest option, which could increase confusion and symptoms of dementia. A safe drugless option would be a better solution. One thing I can tell you, the odds that I would perform a traditional chiropractic adjustment on an 85-year old are basically zero.

Our office does receive referrals from medical doctors and many times before the patient arrives the doc will call me to ask what are my methods of treatment.

“Wisdom is not a product of schooling but of the lifelong attempt to acquire it.”
Albert Einstein

Until next time,

Dr. Michael Guadagnino, DC

@Dr._Guadagnino        NY NJ Non-Surgical Spinal Decompression Center

 

Can I be Helped with DRX9000 Spinal Decompression?

Many times when people with back pain enter the office they invariably ask if the big machine in that room can help them. I always respond with “it depends on what is causing your back pain”. Not everyone can be treated on the DRX9000 and not everyone should be treated on the DRX9000 – regardless of what ad you may have seen online or in the paper. I usually explain to the patient that someone has to have a real bad back issue before we consider putting them on the machine.

What is a “really bad back issue” that requires the DRX9000? The first condition we always discuss is a lower back disc injury. Disc bulges and herniations may be a reason someone can be treated on the DRX9000. It is important to assess if the disc is actually causing the lower back or leg pain.  Recent studies have shown that positive disc findings on MRI have a high degree of NOT causing back or leg pain. A thorough history and examination can determine if the disc in question is actually causing the pain.  If it is not, then we do not treat it symptomatically, we may prescribe some exercises to keep that disc from one day causing pain.

12193670_10153079288422007_5420899305940277484_n-2-2Should it be identified that the disc in question is causing the pain, then we need to look further into the patient’s symptoms.  Do they have any stenosis, and if so what is the cause?  As discussed in a previous article, stenosis is just the closing in of a hole; in this definition the hole that the nerve enters and exits. That could be the sciatic nerve or other spinal nerves.  If there is stenosis is it boney or soft tissue?  Boney stenosis is self-explanatory; for some reason a bone is impinging on the hole that the nerve transverses through.  In this case we do not proceed further with DRX9000 treatment.  If it is soft tissue, such as the disc or an adjacent ligament, then spinal decompression treatment is very much indicated.

We follow this process with all lower back injuries to see if they could be treated with the DRX9000. Other injuries that could be helped are facet arthrosis/arthritis (joints that connect one vertebrae to the other that are injured or inflamed) and some forms of scoliosis that cause back pain.

There are true contraindications for spinal decompression which include surgery within the last 6 months, metal implants, mesh and other hardware.  We generally do not treat anyone with the DRX9000 if they have boney central canal stenosis because they have poor outcomes.

Back to the first question, who can be helped with the DRX9000? Someone who may suffer with any of the above issues without the contraindications; in these cases we will consider DRX9000 as a viable treatment option.  If someone cannot be treated with spinal decompression,  we do offer other treatment options and therapies that have excellent out comes; again depending on the results of the full analysis.

Until Next Time,

Dr. Michael Guadagnino, Chiropractic Physician

www.NYNJDRX.com

What Actually Is “Sciatica”?

Often times people who are suffering with either back pain, pain in the leg or a combination of both will call the office and say they have “sciatica”. This has become a catchall phrase but does not really tell the doctor what is actually wrong with their back or leg.

Ounnamed-18ur lower spine has nerves that branch off and head down the legs.  Some of these nerves go to the thigh, others into the groin region while others make their way all the way down to the leg to the foot.  This bundle of nerves is called the sciatic nerve.  Anything that irritates or insults these nerves can be called “sciatica”.

Knowing the pattern of the pain, or where the pain travels to (the ankle, the knee or the top of the foot etc.) allows the doctor to understand where to begin the examination.  If the nerves are irritated into the upper leg region, this would lead the doctor to begin the examination at the upper lumbar spine area. If the pain goes down the leg into the back of the ankle, this would be an indication to check the lower lumbar region.  Like wise for any number of pain patterns.

The sciatic nerve may also be irritated from a muscle in the buttocks. Often times this occurs with weight lifters, blue-collar workers and other people who use their hips and body doing strenuous activities. The sciatic nerve may also be impinged in the lower leg, at the knees or anywhere else along its course down the body.  Finally the nerve may be affected in the lower back as well as in the leg, creating what is commonly called a “double crush syndrome” meaning the nerve is injured in more than one area.

When a patient conveys this information verbally the doctor may begin to focus in and locate the causes of the “sciatica“, which as mentioned above could be many.  Some of the causes of sciatica may be an injured disc (slipped, bulging, herniated), arthritis, taught lumbar musculature, sacroilliac joint issues, lumbar facet syndrome…..as well as a few others.

The point being made is that sciatica is a blanket name for anything affecting the sciatic nerve. Reasons for these symptoms must be identified as the cause has many layers and many diagnoses. There is no single “treatment for sciatica” rather sciatica is a red flag to any practitioner that something is assaulting the nerve, a clear and concise diagnosis needs to be made and treatment that falls within the parameters of the diagnosis will get the patient out of pain and back to pre-injury status!

~Dr. Michael Guadagnino

www.BackPainRamsey.com

 

 

Dr. Guadagnino Selected as One of (201) Magazine Bergen’s Top Chiropractors of 2017

Congratulations to Dr. Michael Guadagnino, DC of Ramsey, NJ for being selected as one of (201) Magazine Bergen’s Top Chiropractors of 2017

(201) Magazine is proud to present the results of the third annual Bergen’s Top Chiropractor survey, conducted by Professional Research Services (PRS) of Troy, Mich. IMG_2614PRS contacted each licensed and active chiropractor within Bergen County. PRS asked those chiropractors in an exclusive peer-review online survey which chiropractors they would recommend, other than themselves across the county. Each Chiropractor was allowed to recommend up to three colleagues. Once the ballots were complete, each nominee was carefully evaluated on the basis of the survey results, the legitimacy of their license and their current standing with the State Board of Chiropractic Examiners. Chiropractors who received the highest number of votes in chiropractic medicine are featured in the Top Chiropractors for 2017.

~(201) Magazine November 2017 issue page 96.

http://www.ChiropracticRamsey.com  www.BackPainRamsey.com   http://www.ChiropraticRamsey.org   http://www.ChiropractorRamsey.org

Low Back Surgery – A Last Resort

Once you cut you cannot uncut……that’s the truth.

Once a spine is fused, you cannot un-fuse it, or once a spine under goes a laminectomy you cannot return the cut bone to your body, the same as with laser disc surgery or arthroscopic spine surgery etc. So often people with lower back pain and/or sciatica think they need surgery, when there are plenty of other options. Choices that if tried could spare a person from the hospital stay, the operation and often failed back surgery syndrome (FBSS).  If all other non-invasive options are expended, then the final resort can be surgery.

One of the other options is non-surgical decompression with the DRX9000. We were one of the first offices in New Jersey to treat patients with the DRX9000; we started in February 2006. The treatment involves a series of visits aimed at restoring the injured lower back structures and moving them off the pain causing nerves. Once the nerves are free of any pressure they can heal and allow the patient to live pain-free.

If you suffer with lower back pain and/or sciatica you are welcome to a FREE consultation to see if DRX9000 treatment can help you. We will perform a free consultation and evaluation to find the underlying cause for your low back pain and/or sciatica. Should you have any MRI’s or x-rays you may bring them in so we can do a complete evaluation (although MRI’s and x-rays are not required for the consultation and evaluation).  Call the office at 201-825-6601 for your FREE office visit.  We are located at 161 N. Franklin Tpke in Ramsey (half way between Main St and the Interstate Shopping Center).

~Dr. Michael Guadagnino, DC

If you ever lose bowel or bladder function associated with lower back pain and/or sciatica this is a medical emergency and you need to call 911.

 

 

3 Symptoms That May Indicate You Have Lumbar Degenerative Disc Disease

1. Pain that is provoked by activity, then subsides
Often times, a symptom of lumbar degenerative disc disease is pain that is provoked by physical activity—such as bending, lifting, or twisting—and then subsides. For example, your lower back pain may flare-up after swinging a golf club or following an extended period of gardening.

If you have degenerative disc disease, it is likely that the pain from these activities will soon return to a low-grade level, or disappear entirely.

However, in certain cases it is possible for severe episodes of lower back pain caused by lumbar degenerative disc disease to last for anywhere between a few days and a few months.

2. Pain is worse when sitting
Many of my patients find that their degenerative disc disease pain is worse when sitting. One reason for this is that sitting places 3 times as much pressure on the discs at the bottom of your spine as standing.

So if you work a sedentary office job, you may be provoking your symptoms simply by going about your daily routine. One way to test whether sitting is exacerbating your symptoms is to alternate between a standing desk and sitting in a chair during your workday.

It is important to note that some patients still feel pain from degenerative disc disease while standing—but they may find significant relief while walking (or engaging in some other form of exercise).

3. Pain is better when resting in a reclining position
Many people who suffer from lumbar degenerative disc disease find that their symptoms are alleviated by resting in a reclining position (such as lying in a reclining chair). Additionally, others find relief simply by sleeping with a pillow under their knees. This is due to the fact that both positions relieve the stress on your lumbar disc space.

In some cases, patients with degenerative disc disease choose to purchase an adjustable bed—as it can be configured in a number of ways to support your body in a reclining position.

Conclusion:
If you suspect your back pain is caused by lumbar degenerative disc disease, make sure to schedule an appointment.  Dr. Guadagnino can help you accurately identify the source of your symptoms—which is the first step when it comes to finding the right course of treatment. Our office is located at 161 N. Franklin Tpke, Ramsey, NJ and the phone number is 201-825-6601.

source Spine-Health 5/1/17 Scott Kutz, MD

www.BackPainRamsey.com        Dr Guadagnino

Is Treatment Expensive?

Our office gets it, we all live in the real world.  When we first started treating people with the DRX9000 back in 2006, it was an expensive treatment.  Today many offices still follow that old “cash only” payment model; our office DOES NOT!

Since those early days of spinal decompression treatment we have accepted insurance.  Most of our patients have insurance that will pay for care in a chiropractic office.  By utilizing your insurance plan, the treatment is usually the cost of your co-payment.

When you enter the office for DRX9000 treatment, we will check your insurance for what type of coverage you may have.  Most often there is chiropractic coverage on people’s plan.  This includes covering therapies, depending on the insurance company, may be what  spinal decompression treatment falls13177519_10153446229947007_7353294888869806141_n under.  A through communication between our office and your insurance company will allow us to understand what, if any treatment may cost.

As always, our initial consultation for the DRX9000 is complimentary.  This includes a thorough analysis on why your back and/or leg may be hurting, orthopedic & neurological testing and report of findings.  If we feel that spinal decompression is something that cannot help you, we will tell you – and you still will not be charged.  If it is something that can help you, we will explain what course of treatment you should take and what your insurance covers.

Don’t let a rumor that treatment with the DRX9000 is unaffordable stop you from pursing care.  We have received referrals from other providers (including MD’s), former patients who were successfully treated with the DRX9000 and even insurance companies.

Why wait, call Dr. Guadagnino today at 201-825-6601 to see if and how DRX9000 treatment can help you.

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What Treatment is the BEST for a Herniated Disc?

We have been providing treatment for back and neck pain in Bergen County for 25 years.

There is a lot of information out there on how to diagnose and treat a herniated disc in the low back. Some of it is good and some not so good. Our recommendations come from almost a quarter century of front line experience.

1924121_117736327006_3055536_n-2-2

Patient receiving non-surgical decompression in our office

What most people don’t realize is that a herniated disc is very common. In fact, many people have them and do not even realize it. And when you are diagnosed with a herniated disc it is not the end of the world. And, it does not mean you automatically need back or neck surgery.

Often, a herniated disc will heal on it’s own. It just depends on the nature and severity of the condition and the patients overall health profile. All cases are different.

One thing for sure. Chiropractic adjustments should be considered as the #1 treatment option. This has been proven over and over again.

In the event that chiropractic adjustments fail to deliver favorable outcomes there is a logical “next step”. It’s called nonsurgical spinal decompression. The machine we use is the DRX9000. The DRX9000 is designed and built to treat herniated and bulging discs in the lumbar spine nonsurgically. It is considered the gold standard for drugless disc treatment. You can find out more at www.BackPainRamsey.com.

So, if you have been diagnosed with a herniated or bulging disc in the low back, what should you do?

Our recommendation is that you find a clinic that has both chiropractic and spinal decompression.  Our office is located at 161 N. Franklin Tpke in Ramsey, NJ.  It’s right off Route 17 and easy to locate.  In our office we treat with traditional chiropractic, cold laser therapy and spinal decompression.

To find out if you are a candidate for spinal decompression therapy in Bergen County please call 201-825-6601 and ask for a complimentary consultation. Our parking lot comes right up to our front door to accommodate all our patients.

DRX9000 – Over 10 Years of Helping People

Back in January of 2006 I visited the manufacture of the DRX9000 to see if it was all it claimed to be.  After a day at the factory I believed it would help my patients and make a difference in the life of people suffering with chronic low back pain, sciatica or low back disc issues.  I spent a month training on how to effectively use the technology and in February of 2006 my new DRX9000 was delivered to my office.

Over the past 10+ years I have seen countless patients who once suffered with aliments that were now helped with the DRX9000.  It is important as the doctor who will be treating their back that I do a comprehensive evaluation, review any paperwork and give them a precise & accurate prognosis on their condition as well as what they can expect with treatment.  Unfortunately at times I have to tell people that I don’t believe I can help them, but more times than not I give them hope.   It is vital for patients to understand their condition and understand how they will heal, when they will heal and what they should experience while healing.

It’s now 2016, not so long ago this was new technology.  Over those 10 years I have seen the DRX9000 originally called “experimental treatment” to now receiving referrals from MD’s to even treating MD’s who suffer with chronic low back pain, sciatica or low back disc issues, as well as helping hundreds of patients who once thought their pain was never going to go away.

~Dr. Guadagnino

12193670_10153079288422007_5420899305940277484_n

http://www.BackPainRamsey.com               http://www.NYNJDRX.com