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

 

 

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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

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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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

But I don’t want to be “Cracked”.

No one wants to be “cracked”, that’s a horrible word.  A more scientific term is “articular cavitation where the pressure inside the joint is released to the outside of said joint and this pressure gradient change makes a sound”.  Even if someone still does not wish to be cared for in this way there are many different options a patient with neck or back pain may be treated.

Back in the old days, before chiropractic was scientifically proven this form of manipulation was the only way people were treated.  Today, with the influx of improved education, expanded therapeutic techniques and medical/chiropractic co-treatment of patients there is now a multitude of methods to help our patients.

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The Activator Instrument

One of the most gentle, yet very effective ways to get a similar result for patients without making that “sound in the spine” is the use of Activator Adjusting.   This process utilizes an activator instrument to gently percuss the areas a traditional adjustment would take place.  This is an approach developed a couple decades ago which is now a normal standard method of treatment.

Also used in practice are typical treatment therapies such as electric muscle stimulation, ultra-sound therapy, cold laser therapy and non-surgical spinal decompression.  None of these therapies create that “cracking sound” and are very helpful to relive patients of neck and back pain.

 

If you suffer with either neck or back pain, but are afraid of the “crack”, we do utilize a host of alternative treatments that have a great track record to getting people well quickly without the use of drugs or surgery.  Call the office for a free no-obligation consultation at 201-825-6601.  The office is open days, nights and Saturday mornings.

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

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.

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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

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