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

 

 

Advertisements

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

Being Treated by a Chiropractor is Not a Lifetime Commitment

A common question we are asked, do I need to see you forever?

Patients treated in our office are relieved of their pain, given some exercises to do at home then released. Our policy is NOT to treat patients forever.

The overwhelming numbers of patients that enter our office come in for aches or pains; which could vary from headaches, neck pain and back pain or disc injuries. This office’s modus operandi is to do a thorough consultation and examination; then determine if chiropractic can help the patient. If the answer is yes we put together a treatment plan to help the patient return to pre-injury status; if not we will refer that patient out to an appropriate physician.

Once we begin the treatment plan honest goals are set and the patient will know approximately how long it will take before they are back at full strength. As soon as they have reached those goals, and the patient can return to their daily activities without pain they are discharged. We do not treat people forever.

There are those few patients that may have an active work schedule, or are athletes and need regular tune-ups because of the constant impact they put upon their spine. Otherwise patients come in, they get treated and they return to their life, many times never to be seen in the office ever again.

So the next time anyone states that once you start with a chiropractor you need to see him forever, remember not in this office!

Dr. Guadagnino, DC

17 Foods That Can Clean Out Arteries & Protect From Heart Attacks

Avocado

Avocados are great in fighting bad cholesterol which will seriously help your arteries out. They are rich in nutrients and fats.

Salmon

Salmon is very healthy since it contains an abundance of fatty acids. These acids are great for your cholesterol and triglycerides but also for soothing inflammation. You can also find fatty acids in other fish such as tuna, mackerel, and herring.

Nuts

Nuts are a great source of rich omega-3 and unsaturated fats. These fats act as memory boosters, and they’re great for your cholesterol but also for treatment of the joint pain. In order to achieve this, you should consume a variety of almonds and walnuts every day.

Cranberries

Cranberries are very rich in potassium and, for this reason, great for your cholesterol. You should drink 3 glasses of this precious juice in order to lower the risk of heart diseases by at least 40%.

Persimmon Fruit

To fight against bad cholesterol, you should eat persimmon fruit because it’s rich in fibers and good sterols.

Turmeric

Since turmeric is rich in curcumin, you should use it as often as possible in your meals. You can also drink it as a tea. It’s good when it comes to anti-inflammatory features and it also prevents fat storage.

Seaweed

Seaweed is absolutely fabulous since it’s extremely rich in various vitamins, minerals, antioxidants, carotenoids, as well as in proteins. If you consume it regularly, you have better chances to balance your blood pressure, enhance your circulation, widen your blood vessels and reach a healthy and good cholesterol level.

Green Tea

Green tea proves to be a fabulous antioxidant and great help when it comes to having a healthy metabolism and good cholesterol. Also, catechins found in green tea calm our body and act as an energy booster. In order to enjoy its full benefits, try consuming this mighty tea 1-2 cups a day.

Coffee

According to many pieces of research, coffee proves to be great for heart attack prevention. For this reason, you should consume 1-2 cups a day of this popular breakfast beverage.

Spinach

Spinach has so many health benefits. It keeps your arteries clean without buildup, supports muscle tissues, controls your blood pressure and also keeps your heart healthy.

Broccoli

Broccoli is great for good cholesterol and balanced blood pressure. It is extremely rich in vitamin K.

Olive oil

Olive oil has been used throughout the centuries as a very potent fix. Among many useful characteristics, this oil is extremely good for your heart and cholesterol due to its healthy fats.

Asparagus

Asparagus is a mighty food for lowering high cholesterol. It consists of powerful compounds responsible for soothing inflammation, but it also works great in preventing blockage of the veins.

Pomegranate

Pomegranates contain nitric oxide that has amazing results when it comes to good blood circulation.

Watermelon

Watermelon is fantastic and you can use it in many ways for various purposes. It contains nitric oxide, responsible for widening blood vessels.

Orange Juice

Orange juice is abundant in various antioxidants. For this reason, orange juice is great for blood pressure and blood vessels. A glass a day of this precious juice provides our body with daily supplies of vitamin C and many other useful vitamins. Make sure to watch the sugar levels on various orange juices.

Whole Grains

Flour made of whole grain is rich in fibers that control cholesterol and this way keep your arteries clean and your heart healthy and strong.

Please try to eat more of these great foods. Many of them not only taste delicious but are also heart and artery healthy!

source:  Health Life Star 9/9/16

Dr. Michael Guadagnino, DC  

Headaches, How Can a Chiropractor Help?

After you read this article, please check the two research paper links below supporting treatment for headaches.

One of the most common ailments that we treat in our office are headaches.  There are a few different types of  headaches, many of which are associated with the neck.

16387280_10154114709372007_2716926642706450058_n

 

A great majority of headaches originate from the base of the skull, where the spinal column attaches; also know as the occipital area.  Located in this area of the spine are very sensitive nerves, that when irritated can create pain upwards into the head.

The most common type of headache we treat are Tension headaches. These headaches feel like a band that wraps around the head and could also involve pain the runs behind the eyes.  Tension, poor posture, lack of sleep as well as a host of other irritating factors could create a tension headache.

Cluster and migraine headaches are also treated in our office, but they are not as common a type of headache.  Cluster headaches usually involve one eye, which could create teardrops, appear “less open” or be felt into the eye brow.  At times, pain may be experienced in the shoulder located on the same side of the body as the affected eye.  Treatment for a cluster headache would also involve reducing tension and poor segmental motion in the neck and shoulder.

Migraine headaches are a more complex type of headache for which we have had some success treating.  Like the other types of headaches, this too involves irritation of the nerves in the neck, only it produces much different symptoms than a tension or cluster headache.  Many people misdiagnosis at home a migraine headache when it really is a tension headache.

In our office we help to relieve those tight soft tissues and gently restore motion allowing that area of the spine to “reset” and remove the pain associated with the headache.  If your headache requires more invasive medical types of care, we will (and have) refer patients to someone who could offer that help.

So, if you suffer with headaches and would like to not live on medication for your symptoms what should you do?

Our recommendation is that you find a chiropractic office with experience treating headaches.  Our office is located at 161 N. Franklin Tpke in Ramsey, NJ. It’s right off Route 17 and easy to locate. We have 26-years experience treating and caring for people who suffer with headaches.

To find out if we can help you please call 201-825-6601 and ask for a complimentary headache consultation. Our parking lot comes right up to our front door to accommodate all our patients.

1. Bryans R, Descarreaux M, Duranleau M, et al. Evidence based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther 2014; 37: 42-63.

2. Bryans R, Descarreaux M, Duranleau M, et al. Evidence based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther 2011; 34: 274-89.

A Happy and Healthy?

So what does a happy healthy new year mean to you?

Is it the start of a yearly resolution? diet? or exercise program?  And why do so many people need to make this resolution; often times the same resolution every year?

Personally, I do not think it has anything to do with weakness, failure or any other negative connotation.  Actually, we as humans are wired to keep doing what we’ve always done, unless something actually moves us to do something new.  Sir Isaac Newton referred to the force needed to change direction as Inertia.  So what will it take to create some positive inertia in your life this January 1st?

fullsizerender-56In the 1970’s a popular self-help book titled Pscho-Cybernetics stated that it takes 21 days to change a habit, or start a new habit.  These 3 weeks were important to re-train the body and mind.  This will create enough inertia to make a valuable change in one’s personal direction.  Twenty-one days supposedly directs the unconscious to start seeing things differently and allow the physical being to not only start  new but stay on that fresh path.

So what can you do to stay motivated?  On December 31st or January 1st, whenever you are ready to forge ahead with a resolution, take out paper and pen and write down everything you are thinking with respects to this new path.  Write the why’s, the how’s and put to paper the excitement you are feeling now and will feel once this idea has changed your life.  Then every morning upon waking and every night before going to bed read what you have written.  Read it slowly and think of the words you are saying.  Let it be a part of your wake and your sleep.  Then after the 21 days are up, you should see yourself on a new path, only now you will be 3 weeks into your venture, not “hoping” to start a new.

After you have completed the 21-days, take out a new paper and pen then write where you wish to see your life in the next 3-weeks.  Again write about everything you are feeling, how you wish to get there and why it is necessary to succeed.  Read this new paragraph every morning and night.   Before you know it you will have seized upon enough inertia so next New Year’s there will be no need to wish for this resolution again.   Good Luck with your aspirations for 2017 and have a Happy New Year.

~ Dr. Guadagnino

Is All Jaw Pain a TMJ Condition?

The Temporomandibular Joint (TMJ) is a hinge like joint that moves the your jaw up and down.  This is an important function that allows you to chew, talk and often times breathe.  What supports the jaw and allows it to move up and down are skeletal muscles.  In fact, the primary use of all skeletal muscles is to move bones.

The initials TMJ have become synonymous with anyone at anytime having jaw pain, but many times jaw pain is not coming from your TMJ.  There are a host of other things other than a problem in either your left or right jaw  joint (TMJ) that can give you pain and discomfort.

The most common problem are tight masseter muscles, followed by tight temporalis muscles.  Everyone has two macerater muscles, one in either cheek and two temporals muscles on the outside of your head.  The masseter is a very powerful muscle, in fact it is one of the most powerful muscles in the body.  This muscle, like every other muscle in your body could become sore, fatigues or develop trigger points.  Do to the location, density and use of the masseters any tightness will most likely cause pain.

I am writing this today because I had this very issue with a patient this morning.  She had a very tight, sore and slowly moving jaw.  A careful analysis revealed her masseters are very tight and needed some soft tissue work.

So if you ever develop a problem with your “jaw”, don’t always assume TMJ.  It may be TMJ, or it may be something else.  Get it checked out by a competent professional who may offer you a simple solution.      ~Dr G.

temporalis-and-masseter.jpg

http://www.ChiropracticRamsey.com                           http://www.BackPainRamsey.com

SmartPhone use from Dr. Michael Guadagnino, Chiropractor in Ramsey, NJ

Take Breaks from Smartphone Use Every 20 Minutes:
Smartphones have become ubiquitous, and people
seem to be interacting with their electronic devices at every opportunity. In this study, researchers asked participants to sit and
use their smartphones for varying lengths of time while they measured the muscle activity in their neck and shoulders, as well
as whether or not they felt any pain. They found that participants experienced significant fatigue in the muscles the neck and
upper back when they used their phones for more than twenty minutes. Additionally, the longer participants used their phone,
the greater their risk for developing neck and/or shoulder pain. The researchers conclude it would be appropriate to recommend
taking a break every twenty minutes to allow the muscles in the neck and shoulders to relax before resuming smartphone use.
Journal of Physical Therapy Science, June 2016

13879187_10153628978412007_6107079030049583536_n

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