Chiropractic Update: Did You Know This About Dr. Wohl?

Did You Know?

Dr. Peter E. Wohl is a chiropractic physician who, along with his wife Dr. Kelly Blundy, co-founded The Spine and Health Center of Montvale. Dr. Wohl was recently named one of the Top 10 Chiropractors of New Jersey by the American Institute of Chiropractors™ (AIOC). Congratulations Dr. Pete, it is well-deserved!

In addition to all his work at The Spine and Health Center, Dr. Peter Wohl is a team chiropractic physician for the 2015 ACC Champion Clemson Women’s Indoor and Outdoor Track and Field teams. During the spring season, he travels with the teams to their meets and works with the athletes before and after each event to help them maximize their performance. Certified in ART (Active Release Technique™), SFMA (Selective Functional Movement Assessment™), FAKTR™, Graston Technique™ and most recently, Trigenics™, Dr. Wohl uses the latest and most cutting-edge treatments to ensure the best results possible for each athlete. This experience has been instrumental in helping young athletes that come to The Spine and Health Center.

What Can Chiropractic Do For Me?

By performing a comprehensive evaluation that includes specific strength and range of motion testing as well as designing a treatment plan that utilizes the latest research-supported techniques, Dr. Wohl goes above and beyond to help get you going on the road to athletic success. If you are an athlete looking to maximize your performance on and off the field, the time is now to come to The Spine and Health Center of Montvale to experience first hand what real results feel like. Give us a call at 201-746-6577 and schedule your chiropractic appointment today!

“Dr. Wohl is a miracle worker. After suffering for nearly 30 years with migraines, I haven’t had one in 10 years thanks to him.” – D. Reiss


Check out those championship rings!

Dr. Wohl Chiropractic Ring 2015 ClemsonDr. Wohl Chiropractic Ring 2015 Clemson

 

I have Bursitis and Tendonitis! What is it?

I get so many patient’s that are diagnosed with bursitis and tendonitis and they have absolutely no idea what it is.  All they know is that they went to their doctor, they looked at the area of complaint for a second or two.  They saw that the patient can move the body part ok, but they had pain. The answer…BURSITIS or…..TENDONITIS.  What the heck is bursitis and tendonitis.  Lets begin by getting a definition, then we will break it down by location, the mechanism of injury and ultimately how to get rid of it (which is obviously the most important thing).

BURISITIS:

bursa

First, lets break the word down.  Burs- stands for bursa.  A bursa is a fluid-filled sac lined by a membrane.  It provides a cushion between bones and tendons and/or muscles around a joint. This helps to reduce friction between the bones and allows free movement. Bursae are filled with synovial fluid and are found around most major joints of the body.  -Itis stands for inflammation.  Therefore, when we put it together bursitis stands for inflammation of a bursa.  The most common locations for bursitis are in the shoulder, elbow and hip. But you can also have bursitis by your knee, heel and the base of your big toe. Bursitis often occurs near joints that perform frequent repetitive motion.  If you have bursitis, the affected joint may feel achy or stiff, hurt more when you move or press on it and may look swollen or red.  A lot of my patients get bursitis from throwing a baseball or lifting something over their heads repeatedly, leaning on their elbows for long periods of time, excessive kneeling like my carpet guys or scrubbing floors like my cleaning people and my patients that sit for long periods of time, especially on hard surfaces.  Does this remind you of someone?

TENDONITIS or TENDINITIS

tendon

Again, lets break it down.  Tendon-stands for a thick elastic band that attaches the muscle to a bone.  -Itis again is inflammation.  So putting it together means inflammation of a tendon.  Sometimes the tendons become inflamed for a variety of reasons, and the action of pulling the muscle becomes irritating.  If the normal smooth gliding motion of your tendon is impaired, the tendon will become inflamed and movement will become painful.  There are too many causes for tendonitis to even list.  Anything that you do can case tendonitis if the right mechanisms are there.  Unlike bursae which are not located all over the body, every muscle has a tendon so tendonitis can occur anywhere.  The most common sites are at the base of the thumb, elbow, shoulder, hip, knee and achilles tendon.

 

 

So I have Bursitis and/or Tendonitis, what do I do?  Usually by the time my patients get to me they have tried a long period of “wait and see”.  I usually tell people to avoid the “wait and see” mentality all together.  I know its tough these days, when you look everything up on the internet and it says that most things will go away on its own.  Although, this may be true sometimes, it is definitely not true all the time.  My philosophy is that if your body can handle it, your body won’t even let you know you have something wrong.  By the time your body gives you conscious awareness of a problem (a symptom) for example pain, swelling, redness, spasm, fever it should be looked at by a professional.  Again, most things are not severe, but what if there is something severe going on and you don’t have it checked by a professional, now we have a problem.  The worst thing that can happen with a non-serious condition is that your doctor sends you home and tells you that there is nothing wrong.  However, when you don’t go to a professional and there is something serious going on, the worse case scenario can be very severe. (just my two cents!!!).  Back to the treatment.  The first thing anyone wants to do when they have bursitis/tendonitis is stop the activity that caused it from happening.  Continued irritation will only make the condition worse.  If you are throwing you need to stop throwing, if you are kneeling you need to stop kneeling.  A lot of times just eliminating the mechanism of injury will heal the problem.  Another modality to use is ice.  If you look back into my heat vs. ice blog you can learn more about the benefits of ice.  Anti-inlammatories are helpful for these conditions as well because as we said -itis is inflammation so taking an anti-inflammatory will help reduce the inflammation and help with the overall pain.  I tell all my -itis patients that if you got it once you may be prone to getting it again so strengthening is usually very helpful to prevent further episodes.  There are a few cases that do not respond to general therapies like a just listed so more aggressive or advance therapies are available.  In my office we offer a class IV 15 watt laser therapy to heal tendonitis and bursitis.  We perform techniques like Active Release Technique (A.R.T.) and Graston technique.  We use Kinesio Tape and other supports to help.  Our physicians perform cortisone injections and even P.R.P. injections for the very advanced cases.  This is not the only way to treat it but a very effective combination is usually very successful with my patients.  If treated properly a full recovery is expected and when done correctly therapy prevents the prevalence of further episodes as well.

Five Moves Below That Dramatically Reduced Neck Pain and Increased Neck Strength

A study published in the Journal of Applied Physiology found that the five moves below dramatically reduced neck pain and increased neck strength in female office workers. For the best results, complete at least three sessions a week. (A session consists of three sets of three of the moves listed here; for each set, repeat the exercise ten to 12 times.)

shoulder shrug1. Shoulder Shrug
Stand, holding a pair of two-pound dumbbells at your sides. Keeping your neck straight, slowly lift up your shoulders toward your ears and lower them again. Repeat.

one-arm row2. One-Arm Row
With a dumbbell in your left hand, stand at the left side of a knee-high workout bench. Set your right knee on the bench and bend at the waist, setting your right palm on the front of the bench for balance. Your left arm should be straight, palm facing in, with the weight hanging toward the ground. Slowly pull up the weight toward your chest, then gently lower and repeat. Switch sides and repeat with the opposite arm.

upright row3. Upright Row
Stand holding a weight in each hand, resting the weights on your thighs, palms facing your body. Bending at the elbows, slowly lift up the dumbbells to chest height (your elbows should point slightly up, not straight out to either side). Keep the weights close to your body and your neck relaxed and straight. Lower gently and repeat.

reverse fly4. Reverse Fly
Reposition your bench so it’s at a 45-degree angle to the floor. With a weight in each hand, straddle the seat and press your chest against the raised end of the bench. Extend your arms toward the floor, palms facing in. Keeping your elbows slightly bent, extend the weights out to your sides until your arms are parallel to the floor. Slowly lower and repeat.

shoulder abduction5. Shoulder Abduction
Stand holding the weights at your sides, pressed against your thighs. With your elbows slightly bent, extend the weights out to your sides until your arms are parallel to the floor, palms down. Keep your neck straight and relaxed. In a smooth motion, lower and repeat.

Do You Have Scar Tissue?…… Here’s a Q&A on Graston Technique and How it Can Help You.

graston chiropractor montvale

What is the Graston Technique?

The Graston Technique® incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that affect normal function.

The Technique:

  • Separates and breaks down collagen cross-links, and splays and stretches connective tissue and muscle fibers
  • Increases skin temperature
  • Facilitates reflex changes in the chronic muscle holding pattern
  • Alters spinal reflux activity (facilitated segment)
  • Increases the rate and amount of blood flow to and from the area
  • Increases cellular activity in the region, including fibroblasts and mast cells
  • Increases histamine response secondary to mast cell activity

Why is scar tissue a problem?

Scar tissue limits range of motion, and in many instances causes pain, which prevents the patient from functioning as he or she did before the injury.

How is scar tissue different from other tissue?

When viewed under a microscope, normal tissue can take a couple of different fashions: dense, regular elongated fibers running in the same direction, such as tendons and ligaments; or dense, irregular and loose with fibers running in multiple directions. In either instance, when tissue is damaged it will heal in a haphazard pattern–or scarring–that results in a restricted range of motion and, very often, pain.

How are the instruments used?

The Graston Technique® instruments are used to enhance the clinician’s ability to detect adhesions, scar tissue or restrictions in the affected areas. Skilled clinicians use the stainless steel instruments to comb over and “catch” on fibrotic tissue, which immediately identifies the areas of restriction. Once the tissue has been identified, the instruments are used to break up the scar tissue so it can be absorbed by the body.

Is the treatment painful?

It is common to experience minor discomfort during the procedure and some bruising afterwards. This is a normal response and part of the healing process.

Is Graston Technique® used alone?

No. Whether the injury is work or non-work related, the Graston Technique® protocol is the same. Our protocol includes a brief warm-up exercise, Graston Technique® treatment, followed by stretching, strengthening and ice.

What is the frequency of treatment?

Patients usually receive two treatments per week over 4-5 weeks. Most patients have a positive response by the 3rd to 4th treatment.

Will treatments affect my everyday activities?

Most patients are not disabled and continue to perform their regular functions at home or work.

What kind of results does Graston Technique® produce?

Historically, the Graston Technique® has had positive outcomes in 75–90 percent of all conditions treated. It is equally effective in restoring function to acute and chronic injuries, and pre- and postsurgical patients. Click here for Outcome Summary Data of the 17 most common diagnoses.

At The Spine and Health Center we have been treating and having great results with some of the following conditions:

  • Neck and low back pain (sprain/strain)
  • Carpal tunnel syndrome
  • Lateral (Tennis elbow) and Medial (Golfer’s elbow) epicondylitis
  • Plantar fasciitis (foot)
  • Rotator cuff tendinitis (shoulder)
  • Achilles tendinitis (ankle)
  • Patellafemoral disorders (knee)
  • Fibromyalgia
  • Shin splints
  • Scar tissue
For any questions or inquires to see of Graston is the right treatment for you, you can call us at 201-746-6577 or visit the Graston web site www.grastontechnique.com.