The Big Test in New Jersey on whether Corporatism and Lobbyist Affect 3.7 Million People’s Insurance Coverage

On November 1st the New Jersey Department of Banking and Insurance will rule on whether New Jersey Blue Cross/Blue Shield health plans may use an outside 3rd party company to authorize or deny various forms of physical medicine for providers. There has been heavy lobbying by the insurance carrier in an effort to legally not fund treatment deemed necessary by licensed NJ doctors, therapists and acupuncturist.

Most plans cover somewhere around 30 visits for some sort of physical medicine. Subscribers pay for these visits from either wage garnishes, out-of-pocket payments or from their funded retirement plans. In an effort to save costs Horizon is looking to contract with an out-of-state third party provider who will “review” all claims which includes sending providers a plethora of paperwork to justify care. The company they have chosen has a reputation of denying the insured visits they have rightfully paid for as well as have been deemed medically necessary by providers licensed and vetted by the State of New Jersey. In fact this outside company recently settled out of court for $11.8 million because they were denying subscribers reimbursement for necessary treatment.

So where does this leave New Jersey and the power of the people versus corporatism and lobbyist? As of last month the Governor received over 170,000 emails from concerned citizens asking that this agreement not be approved. Various Assemblypersons and Senators are against it, while some wish to remain silent or actually support this insurance company mission. If the NJDOBI green lights this relationship, those with Blue Cross Blue Shield coverage would be left paying for health care they cannot access.

In the coming weeks we will see if the alliance between corporate sweetheart deals and political favors wins the day…..or should I say loses the day for 3.7 million New Jersey residents.

Dr. Michael Guadagnino

Chiropractic Physician

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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

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

Competitive Athletes Should be Seeing a Chiropractor, That Goes Without Say.

I received a lot of inbox questions from my last blog “Everyone Who Exercises Should be Seeing a Chiropractor”. A common theme I read is that it is even more important for anyone who regularly competes athletically to get chiropractic adjustments. As stated previously, if you exercise you should see a chiropractor on a maintenance schedule; but if you are a competitive athlete, especially one in-season, you may need to see a chiropractor a couple times a week.

In the last article, I spoke about the stress being placed on one’s body when exercising regularly, but when talking about a competitive athlete you have to add hitting one’s body against ground, pounding against a competitor or expending more energy running?  These types of stresses are compounded, even more so than one would realize.

While playing or practicing in an athletic setting, your body will release endorphins  which act as the bodies natural pain medication.  This is why it is so common not to feel bumps and bruises until long after the game.  As you unwind, your body begins to rest and the output of endorphins eases. The level of insult placed on the body isn’t even realized at times until long after the game; or until someone on the bench tells you about a hit you took and got right back up.

football players

Photo by Joe Calomeni on Pexels.com

Not all sports like, tennis and track are contact sports. Although these sports do put a world of strain on the body; ask any long distance track runner what their body goes through during a meet.  The constant pounding, the pushing of one’s body further and mental anguish of these sports taxes the spine and extremity joints. The sooner full motion can be returned to all the body’s articulations the faster the athlete may recover. The same can be said about all contact sports including football, basketball, hockey, soccer etc. The level of trauma from impact, whether great of small will affect the body in similar ways.  Baseball and softball were not included here but they have their own contact/non-contact stress; whether it is sliding to a base, repetitive throwing of a ball, twisting with a swing or diving for a ball.

Competitive athletes do better when seeing a chiropractor and getting adjusted regularly. In-season I typically see an athlete two times a week; usually a day after their game while they recover, and the day before their next game for complete competitive fluidity. Of course this excludes treatment for true injuries they may suffer, for the sake of this article we are only speaking about optimizing full athletic ability.

Treatment usually consists of some mild therapy to relax the soft tissue musculature then an adjustment.  The therapy varies depending on the athletes body type and sport played; this is all determined at the initial consultation.  A visit typically lasts 10 – 15 minutes, which is plenty of time to get the athlete feeling his or her top self.

The same way an athlete eats right, sleeps enough and exercises regularly chiropractic treatment will enable him or her to reach a physical level of freedom of movement and post-game repair that will ultimately help their game and athletic potential.

 

Until Next Time.

Dr. Michael Guadagnino, Chiropractic Physician

www.NYNJDRX.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.

 

 

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  

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