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    Herniated Disc NYC

December 3, 2017

Hip Pain and the Lower Back….are they connected?

Solutions for Hip and Back Pain

By Dr. Richard Mak PT

Hip Pain New York NYEver had hip pain that occurred without any trauma? Do you experience hip discomfort when sitting for a long time? Does your hip still feel weak and painful even after performing exercises to strengthen the hip muscles? Do you experience some mild aching and stiffness in the lower back?

If so, then your lower back can contribute to your hip pain and weakness. Your lower back is a series of joints that move on top of one another to enable you to bend backwards, bend forwards, and shift your hips from side to side. Stiffness in the lower back will affect some of these motions and may affect the nerves that exit from the lower back and innervate the leg. Some signs of nerve irritation are pain, burning, numbness/tingling, and weakness in the muscles that are innervated by that nerve.

Hip Pain Accompanied By Low Back Pain

When you experience stiffness in the lower back along with hip pain, you may notice that you will have difficulty bending forward to pick up an object and/or have discomfort returning upright. This lower back stiffness can affect the nerves that innervate your hip and contribute to your pain. Improving the motion of a stiff lower back can alleviate the nerve irritation.

Once the nerve irritation is alleviated, the discomfort should subside and your hip strength will improve. People with hip discomfort when sitting for a long time may notice their symptoms decrease once they sit in an upright posture or get up to move around.

A number of my patients are surprised how much their hip pain and strength improves after I address their lower back stiffness in addition to treating their hip. They may complain of minor aching and stiffness in the lower back, but will focus more on the limitations and pain in their hip since it notably affects their daily activities.

Diagnose and Treat Hip Pain

In addition to a movement assessment of the lower back, you will undergo a weak link assessment on the Red Cord system. A Redcord weak link assessment is a series of tests to identify weakness/dysfunctional movement patterns in the core stabilizers and legs that may contribute to your hip pain. The combination of hands on therapy to get your back moving and weak link corrections with the Redcord system will have you moving pain free again.

Come in for a lower back and weak link assessment and we will create a treatment plan to have you back to your favorite activities pain free.

February 15, 2017

Everything You Need To Know About Herniated Disc Treatment In New York

Herniated Disc Relief NYC

There are several different types of disc problems that people can develop as the result of jarring, impact events, unhealthy lifestyles and even excess body fat. These include disc extrusion, disc protrusion and sequestered discs. Learning more about each of these conditions and their underlying causes is the first step in identifying the best herniated disc treatment in New York.

What Disc Protrusion Is And How It’s Identified And Treated

Disc protrusion is commonly referred to as a slipped disc. Sadly, however, the notion of a slipped disc is really a broad and all-encompassing term. This can describe a vast range of medical issues affecting the spinal discs and the muscles and soft tissues that surround them. A slipped disc can be a protrusion or extrusion of the disc. It can also be a ruptured disc or a disc sequestrum.

Identifying and Diagnosing Lumbar Disc Protrusions

When an actual protrusion does exist, this can occur at the lumbar, cervical or thoracic spine. These are the lower back, the neck and the chest or mid-portion of the spine. With protrusions, while a person might have pain in a specific part of his or her body, the source of this discomfort can lie somewhere else entirely. Thus, the key to identifying bulging discs or other spinal health issues lies in paying attention to the symptoms. Advanced diagnostics can also be used to assess the spine for subluxations or areas of misalignment that might pinpoint the exact location of the injured disc.

Treating Protrusions, Extrusions And Ruptured Or Degenerated Discs

While the common assumption is that protrusions, extrusions and ruptured discs can easily be treated with the hands-on methods that chiropractors use, advanced problems like these are rarely safe to address with anythings so aggressive as adjustments or other forms of spinal manipulation. The first and most important step in these efforts is to alleviate the pressure, stress and swelling that surrounds the injured area and that is affecting the actual injury itself.

Many providers use anti-inflammatory drugs or even cortico-steroid injections. As pain, inflammation and irritation abate, the ability to alter disc alignment increases. This might be done by using specific chiropractic techniques or tables that alter the body and eliminate spinal strain or through physiotherapeutic modalities for better inflammation reduction and targeted healing. In every instance, the ultimate goal should be to supply patients with individualized, integrated plans that are unique to their circumstances, level of suffering and spinal conditions.

Slipped Discs And Sciatica

Some people develop lower back pain that radiates down the buttocks, legs or groin and which is usually the result of both disc pressure and irritation within the associated nerves or nerve groups. When this pain spreads to the area of the leg that falls below the knew, this would be identified as sciatica. Sciatica indicates pressure or irritation of the sciatic nerves and thus, it is perfect example of how analyzing a person’s symptoms can lead to the identification and location of the spinal injury, long before more advanced diagnostic measures are employed.

October 7, 2016

Cervical disc disease: Treatment options in NYC

Most people experience a painful neck from time to time and usually the symptoms and stiffness will start to dissipate, especially if the symptoms have been caused through sleeping awkwardly, poor posture or as a result of a minor injury. However, neck pain is often caused through a degenerative disorder, like cervical disc disease, typically associated with age, or through wear and tear of the spine. Degenerative disorders which affect the cervical spine affect a great many people and the loss of flexibility when it comes to moving the neck can make day to day living quite difficult.

Cervical Disc Disease

Typically, the neck is extremely flexible extending forward, back, from side to side, and moving in a circular motion when required. These movements are enabled by the joints within the cervical spine. Called vertebrae, there are seven cervical bones which, on an individual basis, are unable to bend, but the joints ensure movement. Although flexible, there is stability as it is connected by three joints which are comprised of two opposing surfaces made up of bone. The joints are also covered with cartilage and this affords the movement of the surfaces.


The spinal cord houses the nerves within the spine and these transmit signals to the brain. Where damage or degeneration has occurred, pain and stiffness is transmitted through the nerves and the individual feels the sensation of pain.

Cervical Disc Disease Diagnosis

It is important that anyone suffering from a stiff and painful neck seeks medical help and to ascertain the cause. When diagnosing any degenerative disorders, the doctor will require detailed responses to questions about how and when it started as well as any symptoms. There will also be an in-depth examination of the neck area. It can be difficult for diagnosis when neck pain is such a common complaint and is often caused through muscular pains too as well as more serious spinal disorders. Any pain that has continued for over 3 weeks is unlikely to be muscular pain and further diagnosis will be considered.

Cervical Disc Disease Treatment in NYC

Seeking advice and treatment from a Chiropractor is beneficial as they will look at 3 main causes:

  • Whether degeneration disturbs the spine mechanics
  • Whether any degenerative discs’ bulge and subsequently add pressure to the nerves
  • Stenosis causes back and leg pain.

A thorough examination will take place and the Chiropractor is likely to inquire about any previous injuries or back and neck problems. They will need to look at how the individual walks while considering posture. They will check to see if there is any restricted joint motion, muscle spasms or even injury to any disc. A treatment plan will then be devised and discussed and the aim will be to improve joint mechanics by way of the reduction of inflammation and spinal motion. They may also try to improve the inter-vertebral discs, but if advanced disc degeneration is present, this may not be possible. Spinal adjustment may prove beneficial, as this serves to restore movement to the joints.

Seek Professional Help

When neck pain is present, it pays to seek professional medical help and to use chiropractic care as many conditions can be improved even those caused by age or wear and tear. Triggers such as poor posture need to be identified to avoid making any symptoms worse, but generally, with regular treatment and lifestyle changes, there is usually great improvement.


September 20, 2016

Slipped disc and spinal disc problems

Spinal disc problems can be debilitating and extremely painful, causing back and neck pain, weakness, numbing and tingling. They can be caused by a number of things, but the main cause is a slipped disc.

Slipped disc

The spinal chord is made up of 24 individual vertebrae bones, which are built on top of each other. Intervertebral discs are located in between these vertebrae, throughout the whole spine. These flat, circular pads have an elastic core called nucleus pulposus and a tough outer membrane called annulus fibrosus. They act as a shock absorber between the vertebrae, maintaining your movement and flexibility. The spinal discs are held firmly in place by ligaments and bend on facet joints. These joints allow the spine to bend and move, but not enough that it would damage the nerves that run through the center of the vertebra.

When put under great stress, a disc may swell and push through its outer membrane. When this happens it breaks from its secure place, and presses against surrounding nerves. If this gets worse, it can rupture or tear, injuring the spinal cord itself. This is called a spinal disc herniation and normally occurs in the lower part of the back.

Slipped Disc Symptoms

Some slipped discs do not press on nerves, so don’t cause any pain or discomfort. But a slipped disc is mostly very noticeable for the majority of sufferers. Sharp pains, numbness of limbs, tingling sensations and weakness in the arms and legs are all symptoms of a slipped disc. Many people suffer from prolonged and chronic pain, which grows worse when bending the spine and being more active.

Slipped Disc Causes

Slipped discs are much more common in older people than younger people. As people get older, their discs’ cores solidify and lose fluidity, make them much more at risk of damage. People who do not exercise are also much more likely to suffer from slipped discs. Slipped discs can also be caused by a sports injury or accident, after great trauma or stress to the spinal cord.

Slipped Disc Diagnosis

You would need to visit a doctor to diagnose a slipped disc; they will perform a neurological examination to check for weaknesses, damage, and reflexes. X-rays may not work as it is hard to see the soft tissues with these. When the source of the pain has been located, it is relatively easy to diagnose.

Slipped Disc Treatments

Rest and pain relief work well for slipped discs in their early stages. But if the outer membrane has ruptured or the nerves are damaged, treatment is much more difficult. Transcutaneous electrical nerve stimulation (TENS) is a small electrical current which helps some sufferers, as well as acupuncture. There are types of surgery which can help more damaged discs as well. These range in depth, with microsurgery only removing some of the swellings to take pressure off the nerves, to replacing a damaged disc with an artificial replacement. There is a range of therapies and options to be considered, which your doctor or Chiropractor will be able to advise you on.


May 23, 2016

Herniated Disc NYC; An Overview Of Herniated Disk And How It’s Treated

A disc herniation is also called extrusion, protrusion, rupture, or prolapse. This is a painful spinal condition that occurs when the center of the disc escapes through wear and tear. Once this happens, the annulus fibrosus compresses on the lumbar nerve root. If you suffer from herniated disk, you may feel a tingling, electric-like pain in your lower limb or sciatica.


It is important to understand that the low back pain associated with disc herniation originates from annular tear and physical compression of the nerve root. This in turn causes inflammation within the nerve root. There are different types of herniation that vary in size from contained type (protrusion) to non-contained herniation (extrusion).


Disc herniation is grouped according to its exact location. For example, if you imagine the disc being a clock, at 6 it would be dead-center posterior, at 7 it would be a foraminal position, and at 8 it would be neural foramina. This is a far lateral position located in the foraminal herniation.

Herniated Disc Treatment

The main goal of treatment for patients suffering from this condition is to help relieve their symptoms and discomfort. To achieve this, a Chiropractor comes up with an individualized treatment plan that is based on the source of the pain, its severity, and the symptoms that the patient experiences. It is therefore imperative that you discuss all your symptoms with an experienced Chiropractor for detailed evaluation prior to undergoing treatment.


In general, patients are advised to start their courses of treatment by undergoing non-invasive and non-surgical procedures in the chiropractic clinic. For cervical and lumbar discs, non-surgical therapies can be applied for around one month or longer in order to reduce discomfort. These sessions are necessary as the Chiropractor can then find the right combination of treatments that work on the patient.


Patients can try one therapy at a time before finding the most suitable one for relieving their discomfort. For instance, if the treatment is to focus on pain relief, it may be better to try physical therapy as a follow up. Some chiropractors will also use spinal decompression therapy for lumbar pain.

Physical Therapy for Herniated Disc

In addition to physical therapy,the recovery process is vital in helping the patient find comfort. By using proper lifting techniques, excessive wear and tear on the discs can be prevented. Once all the chiropractic methods are tried, the patient will soon experience reduced discomfort. However, if severe pain is still experienced, the Chiropractor can take the treatments to the next level and use advanced methods such as TENS in order to reduce pain and discomfort.



During the one month treatment sessions, the Chiropractor will typically use physical therapy and gentle exercises to help relieve pressure on the nerve root. There is also ice and heat therapy as well as spinal decompression to be tried. Although there are many anti-inflammatory medications available, these are only for the short term, whereas the chiropractic methods of treatment are meant to relieve the symptoms that the patient experiences for the long term. Keep in mind that pain medications are not without their side effects and only offer a temporary solution.

May 19, 2016

Herniated Disc Treatment In New York

A herniated or bulging disc is a spinal injury caused by trauma, sudden force, bad posture and factors affecting the balance of surrounding joints. The damage is responsible for painful symptoms experienced in the back, arms and legs making it difficult to move without discomfort. Herniated disc treatment in New York incorporates modern structured therapy to support musculoskeletal strength in the recovery and prevention of spine injuries.


Vertebral discs in the spinal column house the spinal cord and consist of rubber cushioning or shock absorbers between each disc. Balanced joints and nerves promote smooth flexible movement while walking, standing or engaging in exercise. Damage to the discs causes the soft tissue to leak outwards and compress the nerves causing pain and imbalanced function.

Symptoms of Herniated Disc

Where a herniated disc injury has been sustained, resting for prolonged periods of time will not recover the affected joints and tissues. The pressure on nerves disrupts healthy nervous system operation and permanent damage may occur. Once spinal nerves are affected it causes numbness, tingling or weakness in the limbs, severe back pain, and difficulty to move.


Both children and adults are at risk of sustaining bulging disc injuries with most incidents reported in older smoking adults. An increase in age includes loss of bone density and a narrowing of the discs with patients becoming increasingly susceptible to sustaining spinal damages. Poor posture, incorrect lifting of heavy objects, strenuous exercise and force can cause a ruptured disc.

Diagnosing Herniated and Buldging Discs

To identify the presence of bulging discs requires a physical examination and X-rays or MRI scans. The practitioner will discuss symptoms and medical history with an assessment of range of movement and posture. Neck, back and limb pain and an inability to lift arms or legs owing to increased weakness or discomfort indicate an injury.


Non-invasive treatments based on individual healthcare needs are provided to support the recovery of joints, nerves and tissues. Rest combined with structured medically supervised exercises remove pressure and provide the spinal joints and muscles with strength to prevent additional damage and deterioration. Patients affected by herniated discs can benefit with the Redcord physical therapy system, designed to work with the body for enhanced recovery, performance and fitness.

Herniated Disc Treatment and Relief in New York

Developed by physical therapists, the Redcord system provides comprehensive solutions for improved individual health and sports performance. The program introduces core concepts and exercise technique to alleviate neuromuscular and skeletal dysfunction for strong and balanced movement. Methods target the condition of joints and muscles with the goal of relieving musculoskeletal pain and limitations without surgical intervention.


Suspension exercises overseen by a qualified medical practitioner aim to stabilize weak muscles endurance, coordination and prevent injuries. Highly trained therapists focus on the muscle groups and structures that are weak and introduce non-invasive technique to develop tone, stamina and control. Individuals affected by ruptured discs are supported and eased into training programs to improve neuromusculoskeletal function and relieve symptoms.


Herniated discs can cause tremendous pain and limited mobility that will deteriorate without effective care. Physical therapy incorporating the Redcord system offers muscle, joint and tissue support by strengthening, stabilizing and building on fitness for individual patients and athletes. The exercises are supervised by trained therapists to minimize injuries, promote healing and improve quality of life.

March 1, 2016

How A Chiropractor Helps Herniated Disc: New York, NY March 2, 2016

Spinal Injury and Herniated Disc

Spinal injuries can be a source of intense pain. Herniated discs are by no means an exception to this rule. They can make it difficult for people to perform most everyday activities and consequences of herniated discs can increase as time goes own. This is why you should consider chiropractic management whenever dealing with mechanical problems such as these.

A herniated disc can also be referred to as being slipped. It means that the spine is not properly aligned, or moving properly, and that there is damage to the protective cushioning between the vertebral bones. These bones create mechanical stress each time the area is moved, which leads to degenerative changes and often times, excruciating pain. It also leads to faster degeneration of the spine.

Treating Symptoms of Herniated Disc

People tend to have two basic issues that they want to resolve when it comes to this type of injury. First, they want to regain lost mobility and comfort so that they can enjoy active lives again. They also want to reduce the long-term effects that disc herniation will have on their spines. People can take pain medications to mute their pain, but pain pills are not designed to provide lasting benefits or protect the spine.

There are several forms of therapy that chiropractors can use to reduce the inflammation and pain of a slipped disc while gradually restoring spinal alignment. This is a process that builds over time, but people will see consistent improvements as they move forward. They can receive complimentary massage services, manual adjustments and even ultrasound and decompression traction therapies.

Lifestyle Changes Associated With Herniated Disc

It may be necessary for people to make dietary and lifestyle changes in order to achieve lasting results. For some individuals, losing excess weight can limit the amount or pressure and stress being placed on the injured area. For others, eating for proper nutritional support could be necessary for expediting the healing process.

A good Chiropractor will provide a customized and integrated plan that is designed to meet your unique needs. These services can help you regain a sense of normalcy by restoring balance to your life. They can additionally limit the lasting effects of major injuries by promoting optimal functionality and well-being in the spine.

Chiropractic care alleviates spine, hip, knee, shin and toe pain naturally, safely and effectively.

February 26, 2016

Herniated Disc Symptoms And Treatment

Herniated discs are spinal injuries involving severe pain, numbness and tingling sensations experienced in the neck, back and extremities. Referred to as a bulging or slipped disc, the lumbar condition places stress and abnormal strain on surrounding nerves and soft tissues responsible for the imbalance and limiting symptoms. Managing a herniated disc requires an individualized approach for rehabilitation to relieve discomfort, limited mobility and promote recovery.

The most common type of spinal injury includes herniated discs in the lower back causing severe nerve dysfunction, pain and limitations. The cervical disc herniation occurs when the discs supporting the spinal bones become damaged or cracked and begin to bulge outwards onto the surrounding nerves and tissues. The ruptured disc can form within the vertebrae, most commonly noted in the lower back upper cervical spine.


Herniated Disc and Pinched Nerve

A pinched nerve can result from bulging discs as the fluid leaking onto the surrounding nerves and tissues can compress and irritate the affected nerve. Symptoms the nerves are impacted by the injury include nerve root pain radiating from the source of damage into the extremities. Patients experience sharp shooting and stabbing sensations between the neck and the arms or the back and legs.


Degeneration of the vertebral joints and discs can cause the exterior to become severely dry and cracked resulting in severe limitations in movement and overall flexibility. Arthritic changes in the condition of the vertebrae can cause severe nerve disruptions including Read More

October 22, 2015

DRX9000 Treatment in NYC

The DRX9000 machine is designed specifically to help reduce the pressure on your spine during treatments. This machine is used when treating a variety of issues that cause back or neck pain. By applying traction on the spine the machine allows the spinal disks to heal themselves and get into the proper position that allows them to function normally. This is one of many different treatment options we have available for our clients.

We serve people from throughout Midtown NYC, Midtown Manhattan and the surrounding NYC area. If you are interested in learning more about the DRX9000 machine and whether or not it is right for you, please be sure to get in touch with us to schedule a consultation. Our team of medical doctors, chiropractors, acupuncturists and physical therapists will work with you to determine the right treatment plan based on your specific circumstances.

Using DRX9000 for Decompression

This machine is the most advanced decompression therapy option on the market today. It is an advanced table that uses negative pressure, which is focused on the area of your spine that is causing you problems. In most cases you will need to have multiple treatments to help alleviate the cause of the pain you are experiencing in your back or neck. Using incremental improvements in your spine, many patients are able to enjoy significant benefits.

The treatment with the DRX9000 is often combined with chiropractic care to help get your spine in proper alignment, which can lead to significant reduction in pain. In many cases, this type of treatment can provide long term solutions to a variety of issues.

Natural Back Pain Relief

One of the things that many people love about using the DRX9000 is that it is not invasive and it doesn’t pump you full of drugs. This is a much more natural option that doesn’t have any negative side effects in either the short term or the long term. For this reason, many patients who prefer a natural solution whenever possible are inclined to at least give it a try. While no treatment option is 100% effective, this one gives you an excellent chance of improvement without the risks of surgery or other common treatment options. For this reason, we often recommend giving it a try before moving on to more invasive or potentially dangerous treatments.

Contact Us to Learn More

If you are interested in learning more about the DRX9000 treatment option, please make sure to get in touch with us. We serve people from throughout Midtown NYC, Midtown Manhattan and the surrounding area and would be happy to set up an appointment with you. You can meet our doctors and evaluate whether or not the DRX9000 is a good choice based on your specific condition. While not right for everyone, many people will find that it is very effective at reducing pain and facilitating a long term recovery.

October 22, 2015

Herniated Disc Treatment in NYC

Suffering from a herniated disc can be extremely painful and debilitating. For many people it can make it impossible to work, play or do anything but sit or lay down. Even sitting and laying down can be extremely uncomfortable. Depending on the severity of the herniated disc, there are many treatment options. Unfortunately, none of them can provide immediate and complete relief. With the right care, however, you can eliminate the back pain and restore your life to the way it once was.

When seeking treatment for a herniated disc there are two ‘camps’ that are most popular for treatment. Some doctors like to jump right to a surgical solution whenever possible. Other doctors prefer offering medication to dull the pain and some physical therapy to attempt to fix the actual issue. Unfortunately, neither of these options is best. Here at our clinic we look at each patient and evaluate what the best course of action is. We use a variety of treatment options based on your specific needs to help you get the best possible results. We’ve helped hundreds of people who suffered from herniated discs in Midtown NYC, Midtown Manhattan and throughout NYC, and we’d be honored to help you as well.

Chiropractic Treatment for Herniated Disc

One of the things that we offer our patients that many other doctors don’t is our chiropractic care. A herniated disc can often be dramatically improved through the skilled manipulation of the spine that our trained Chiropractor can do. In some cases our Chiropractor can help align your spin, which will help relieve the pain and allow your body to heal itself naturally. Even when this is not possible, the chiropractic care can help make other treatment options more effective.

Acupuncture Treatment for Disc Herniation

We also have a skilled acupuncturist on staff who can help treat your herniated disc. Acupuncture can serve as a natural pain blocker while other treatments are being used. In addition, this ancient treatment can also help to relax muscles to allow your spine to recover more naturally. Whether used to treat the disc directly or as part of your overall treatment plan, acupuncture is an extremely helpful option for many of our patients.

Other Treatment Options for Disc Herniation

In addition to the Chiropractor and acupuncturist, we have a team of medical professionals who can help provide you a holistic treatment plan. This can include medications, massage, decompression therapy and much more. Unlike many doctors, we are open to a wide variety of different treatment methods based on the specifics of your case. Our goal is always to provide you with a treatment that will allow your body to recover so you can live pain free without relying on any medications.

Contact Us

Please be sure to give us a call at 646-770-0916 to speak with one of our customer service professionals. They can answer questions about our treatment options or set you up with an appointment with our team. We happily serve people throughout Midtown NYC, Midtown Manhattan, NYC and the surrounding area who are suffering with a herniated disc or any number of other ailments.