MAKE AN APPOINTMENT

FREQUENTLY ASKED QUESTIONS (FAQ)

Answers

By Dr. Alexandros Karaplis

What Are Some Common Conditions That Chiropractors Treat?

Chiropractors can help with many different conditions. Many seek treatment for musculoskeletal complaints of neck or back pain, headaches, scoliosis, disc problems and common muscle strains of the shoulder, elbow, ankle, etc.
Poor posture, trauma, hormone and nutrient imbalance, and dehydration are some causes that can affect spinal health.

How Many Vertebrae Are In The Spine?

wp2efb2996_05_06 There are 7 in the neck (cervical spine), 12 in the mid back (thoracic spine) and 5 in the low back (lumbar spine).
Some people may have 1 more or less, but this is rare.

What Are The Most Common Conditions That Chiropractors See Daily?

Text neck and low back pain are probably the most common!
Almost everyone suffers from text neck from toddlers to the elderly.
Text neck is a stiff neck caused by a head forward, looking down posture seen daily. Look around and you will see people using their cell phones, laptop, ipad, tablet or reading a book or newspaper with their head down.
Desks that are not adjustable and poorly designed chairs are also a major cause of spinal pain for kids and adults. text-neck-syndrome2 Text neck causes change in posture, pain in the head, neck, shoulders and back with eventual degenerative arthritis. Arthritis can happen at any age and degenerative change can now be seen in teenagers who spend long hours on their electronic gadgets. Early detection is key and a simple modification of posture can help.
Ask your chiropractor for treatment recommendations. texting_posture

What Is An Adjustment And What Does It Do?

An adjustment is a hands on technique applied to a joint. When the joint is moved, a cracking noise may be heard. It helps to relieve pain and restore normal joint motion. People of all ages can benefit from manipulation. Adjust-Baby

What Is The Cracking Sound During An Adjustment Or Manipulation?

The cracking noise is gas that escapes from the joint space when it is moved.
Chiropractors use the term adjustment or manipulation. Physical therapists tend to use the term joint mobilization.
There are many different types of manipulation or joint mobilization.

How Do I Know If I May Need An Adjustment?

bodyrear If an adjustment is needed, you will usually have joint stiffness, pain, or a decrease in flexibility or strength. It may or may not be accompanied by any pain or stiffness felt by the patient, but can be felt by the doctor as decreased joint motion.

What Is A Subluxation?

6241608_orig A subluxation is a term used by chiropractors to describe abnormal joint motion and position. It can often be felt, and be seen on X ray as well.If left uncorrected, it can cause physical and mental stress, nerve irritation and result in bony change such as arthritis which may be irreversible. subluxation_degeneration

What Are Some Causes Of A Misaligned Spine?

Falls, accidents, slouching posture, muscle imbalance, high heels or flat shoes, sleeping on the stomach and bending incorrectly are some of the causes of spinal misalignment. Asymmetrical sports such as golf, tennis, badminton, poor seated posture, and even a pillow that is too flat or too thick can also cause misalignments and altered joint motion. Your chiropractor will cover these common causes usually during the initial visit. good-bad-postures

What Are Some Common Things That People Do To Injure Their Back?

Many sit, bend, lift, cook, clean, sleep and exercise incorrectly. Bending forward with the legs straight is one of the worst ways to wreck your back. The toe touch exercise taught in schools damages our discs over time and is to be avoided at all costs. Exercises-that-Cause-Disc-Herniations

How Do I Know If I Am Sitting Correctly At The Computer?

Sitting incorrectly is one of the biggest causes of people with neck and back pain.
• To sit correctly, adjust your chair and work station as described below from the bottom up.
• Ideally your chair and arm rests should be fully adjustable but this is not common.
• Adjust your chair so your hips are bent at 90 degrees or slightly less with feet flat on floor.
• The ankles, knees, hips and elbows should all be at ~ 90 degrees.
• The top line of text on the monitor should be even with the top of the nose and a bit shorter than an arm length away.
An external keyboard should be used if your desk is too high, otherwise your neck and shoulders will tighten over time. Your back should be flat against the chair with a low back support cushion to minimize back pain with prolonged sitting. HCG_Illust04

I Feel Fine, Does That Mean I Am Ok?

Not necessarily. Many problems can be present for a long time and be without symptoms.
For example, your arteries can be 90% clogged and you may feel fine.
A heart attack or sudden death may be the first indicator.
You can have cancer and not have any symptoms either.
Periodic check ups are advised to maintain ideal health and to identify any potential health problems and to monitor existing health issues.

How Many Ribs Are In The Body?

Usually there are 12 sets of ribs. There may be one or two extra at the bottom and those are called floating ribs and are usually smaller than the other ribs. The ribs are connected to the vertebrae in the back and the breast bone (sternum) in the front. The ribs help us breathe and the rib cage protects our organs from injury.

What Is A Spinal Disc?

A spinal disc is a round cartilage spacer that sits between the vertebrae. It helps to absorb shock and provides our spine flexibility to bend and move in many ways. They can be easily injured and low back pain is one of the leading causes of disability and lost time from work worldwide. facetjoints2-BB

What Can Affect The Spinal Discs?

Trauma, surgery, tumors, dehydration, nutritional deficiencies, smoking, drugs, prolonged sitting, slouching, lack of or excess exercise are some of the many factors that can negatively affect our spine and overall health.

What Is A Bulge Disc Versus A Herniated Disc?

A bulge disc is a small tear in the inside of the disc and can make the spine weaker and less able to absorb shock. A herniated disc is much the same but worse. The disc tears all the way through and can affect the spinal cord and nerves and cause nerve damage or possibly paralysis if severe enough. Disc injury is best seen on an MRI scan. X-rays can show narrowed disc spaces implying disc wear.
A normal disc looks grey with a white center on MRI scan. A bulge disc buckles and presses towards the spinal cord. It usually causes pain over the spine. A herniated disc presses into the spinal canal and can cause nerve damage or paralysis. MRI studies show that 2 of 3 people have disc bulges and may be without symptoms. So, absence of pain does not equal absence of a problem. Sagittal MRI of herniated L5-S1 lumbar disc.

What Are Some Disc Symptoms?

The disc symptoms can vary based on the location of the disc injury. Pain felt over the spine, numbness, tingling, weakness, hot/cold or burning sensations are often symptoms of disc and or nerve injury. Increased pain with coughing, sneezing or straining at the stool can indicate disc injury or possibly a tumor of the spine.

Are X-Rays Necessary And Why Do Doctors Do Them?

X-rays give us a picture of your body from the inside and give us clues to what problems may exist. X rays show bones well and are very inexpensive and easy to do.

What Are Some Common Reasons To Do An X-Ray?

X rays or radiographs help to determine bone quality and alignment and to check for many different diseases, some of which can be deadly. Pain, stiffness, bad posture, joint grinding and crunching noises or trauma such as a fall, car accident, or sport injury can be reasons why some docs do them.
X-rays help to narrow down the possibilities and eliminate serious injury or trauma as reasons for your complaint and may influence referral to a specialist and help to guide your treatment as well as the recommendations that your doctor will give you. Early detection and correct diagnosis can save you time, money and help the doctor make the appropriate treatment recommendations.
It may even save your life if a life threatening condition such as leukemia or cancer is detected.
Prostate cancer for example is common in males over the age of 60. Often, the first sign of prostate cancer is low back pain. Cancer spreading to your back can often be seen with X ray even in patients without obvious symptoms. Different types of cancer can affect people of all ages and is not only common in the elderly.

What Are Some Possibilities For Changes Seen On X-Ray?

Poor posture, excessive sports or incorrect exercise form, trauma, surgery, infections, inflammation, dehydration, nutritional deficiencies, hormone imbalance, cancer, osteoporosis, leukemia and many other conditions can change the normal appearance of bones.

What Is A Scoliosis?

A scoliosis is a curved spine. It may be mild or severe and is first seen in children and does not resolve without treatment. Scoliosis is more common in females.
It is 5 times more common in Asia than N. America and is of unknown cause. Common treatments are bracing, chiropractic, physical therapy and in severe cases surgery. 2143804115_862e7cba7d_z

How Long Do I Have To Come For Chiropractic Treatment?

This depends on what you want out of the treatment, the severity and cause of your condition, your goals are and your overall health status and how motivated you are to improve yourself. This varies tremendously from person to person. Those who are younger and follow a healthy lifestyle will recover faster with less effort than someone who has not taken care of their health for their whole life.
Ideally, you want to be as pain free as possible with normal joint flexibility and strength. This may not always be possible for everyone as pre-existing problems such as arthritis, postural change, prior unresolved injuries, and of course finances are significant factors.
The goals of treatment are to improve function and comfort, and to restore the quality of life given the circumstances and motivation of the patient to want to change and follow through with the suggested recommendations. Getting better is a team effort. The doctor can help you, but you have to help yourself and show up to improve. If you have any questions or concerns, feel free to ask your chiropractic doctor. Commonly asked questions that arise will be posted under our FAQ section on our web site. Back-Pain-Vomero-Chiropractic-Back-Pain-Relief

How Does The Vibracussor Work?

It uses vibration compression waves and is fully adjustable for all patients. The Vibracussor is adjustable from 8 to 52 percussion cycles per second.

Does Vibracussor Hurts?

No. The instrument is pressed lightly over the body and a pumping vibration sensation is felt. The Vibracussor is quite relaxing and can be used on people of all age and sizes.

Why Use Vibracussor And Not The Hands?

Both work well but more force can be applied with greater comfort using the Vibracussor. Our hands can get tired but the Vibracussor doesn’t! The hands are best for smaller, bony areas such as the neck and arms, but the vibracussor covers bigger areas such as the back in less time. Less time spent with more relief gives the patient more value.

What Is The Difference Between Massage and Vibracussor Treatment?

Massage uses side to side motions and the Vibracussor penetrates deeper with a vibrating up and down movement Time crunched clients may not have 1 hour or more to spend for a massage. The Vibracussor penetrates deeper and gets more vigorous results in less time.

What Can The Vibracussor Do That Massage Can Not Do?

The Vibracussor stimulates a wide variety of muscle and joint receptors that massage does not. We have many sensory organs in our skin, muscles and joints that respond to a variety of pressure. Massage can not stimulate vibration or deep muscle and joint receptors for example. The Vibracussor can penetrate deeper tissue with higher frequency not attainable with the hands.

How does Flexion-Distraction Work?

For disc related condition
– Increases the intervertebral disc height to remove annular tension on the annular fibers and nerve by making more room and improving circulation.
– Allows the nucleus pulposus, the center of the disc, to assume its central position within the annular fibers and relieves irritation of the spinal nerve.
– Restores vertebral joints to their physiological relationships of motion.
– Improves posture and locomotion while relieving pain, improving body functions, and creating a state of well-being.

For non-disc related condition
Patients with other conditions causing back pain (facet syndrome, spondylolisthesis, sprain/strain, scoliosis, transitional vertebra, sacroiliac restrictions and misalignment, certain types of spinal stenosis), Flexion/Distraction provides all of the above benefits plus the ability to place the spinal joints into normal, painless movements so as to restore spinal motion without pain:
– The posterior disc space increases in height.
– F/D decreases disc protrusion and reduces stenosis.
– Flexion stretches the ligamentum flavum to reduce stenosis.
– Flexion opens the vertebral canal by 2 mm (16%) or 3.5 to 6mm more than extension.
– Flexion increases metabolite transport into the disc.
– Flexion opens the apophyseal joints and reduces posterior disc stress
– The nucleus pulposus does not move on flexion. Intradiscal pressure drops under distraction to below 100mm Hg. On extension the nucleus or annulus is seen to protrude posterior into the vertebral canal