2 Locations in Nassau County:

Oceanside

516.764.7760

Valley Stream

516.593.7990

Rehabilitation

The Benefits Of Acupuncture

Wednesday, July 18th, 2018

acupuncture in Oceanside

It is easy to feel hopeless when you seem to have tried every remedy for treating your chronic pain and are not seeing any results. You are tired of putting different medications in your body and want a safe, natural way to relieve your pain. As a component of traditional Chinese medicine, acupuncture has the aim of balancing the patient’s energy flow throughout their body in order to help boost wellbeing and cure illnesses. At Comprehensive Healthcare Group, we offer Acupuncture in Oceanside and Valley Stream that can help you safely reduce pain and discomfort.

What Is Acupuncture?

Acupuncture is a medical practice that involves inserting very thin needles through a person's skin to stimulate specific points on the body in order to alleviate pain. An acupuncturist will normally insert 10-20 needles into the body at a time. Because these needles are so small and thin, patients will not experience any pain during the process. Traditional Chinese medicine believes that health is a result of balance and harmony within the body. Therefore, illness is believed to be a result of imbalance. Inserting the right combination of needles into the body’s energy flow points is said to bring proper energy flow back to the body or in other words, relieve discomfort.

What Conditions Does It Treat?

Our acupuncture in Oceanside is used to relieve discomfort that results from conditions such as:

  • Lower back pain
  • Neck pain
  • Osteoarthritis
  • Knee pain
  • Headaches and migraines
  • Dental pain
  • Labor pain
  • Menstrual cramps
  • Carpal tunnel

Recently, it has grown to be popular for treating certain health conditions and overall wellness such as stress management, anxiety, and depression.

What Are The Benefits Of Acupuncture?

Acupuncture has been proven to have an array of benefits among patients such as:

  • Very few, if any, side effects
  • Can be combined with other treatments
  • Can control some types of pain
  • Can safely help patients who cannot take medication

At Comprehensive Healthcare Group, our practice is proud to offer a variety of types of acupuncture in Oceanside. If you are interested in using acupuncture to help relieve pain, make an appointment here.

The Difference Between Episodic And Chronic Migraines

Thursday, June 28th, 2018

Chiropractor in Valley Stream

Chiropractor in Valley Stream

Headaches are a common medical condition that many patients experience on a consistent basis. Headache types can range from to the extremely common tension headaches, to the more painful cluster headaches.  One of the most well-known and feared forms of headache pain is caused by migraines. Migraines are notorious for causing debilitating pain and discomfort. They can often appear without warning and disappear just as suddenly. Scientists are unsure about what the exact cause of migraines is. However, many believe that genetic and environmental factors play a huge role.  

Those suffering from a migraine attack are often left completely debilitated from the pain. The general symptoms include nausea, vomiting, and extreme sensitivity to lights and sounds. In extreme cases, a person might experience visual disturbances as a result of the migraine. While the symptoms tend to be very similar, there are actually several different types of migraines. Two of the most important types of migraines include episodic migraines and chronic migraines.

For those suffering from episodic migraines, the migraine attacks will occur less than 15 times per month. The attacks themselves will tend to last less than 24 hours. A majority of migraine cases, fall under this category.  Many people will not experience another migraine attack for quite a while. However, If they are ignored, episodic migraines will eventually develop into chronic migraines over the course of months and years.

For those suffering from chronic migraines, the migraine attacks will occur more than 15 days within a given month. Chronic migraines can lead to a drastic decline in a patient’s quality of life, as they spend nearly half a month in pain and agony.  Chronic migraine sufferers often have trouble maintaining jobs and relationships as a result of living with constant pain. a side effect of chronic migraines often includes depression.

Although there is no cure for migraines, there are several treatment options available for reducing pain. One safe and effective treatment option includes visiting a chiropractor. Chiropractors, such as our chiropractor in Valley Stream, have been extremely effective at eliminating migraine pain entirely. They have also been shown to reduce the likelihood of other migraine attacks in the future.

Chiropractor in Valley Stream

Here at Comprehensive Healthcare Group, episodic and chronic migraines are just two of the many different health conditions that our chiropractor in Valley Stream can treat. From spinal manipulation to electrical muscle stimulation, we offer a wide range of different chiropractic services for our patients.

If you are suffering from migraine pain and are looking to visit a chiropractor in Valley Stream, click here.

What is Fibromyalgia

Thursday, June 21st, 2018

Physiatrist in Oceanside

Fibromyalgia is considered a chronic disorder defined by broad musculoskeletal pain paired with fatigue, sleep, basic memory, and mood complications. Fibromyalgia heightens pain sensations by changing the way the brain processes pain signals. Comprehensive Healthcare Group, a physiatrist in Oceanside and Valley Stream uses personalized management techniques to reduce these sensations.  

Research states that consistent stimulation of the nerves causes the brain of those suffering from fibromyalgia to interact differently. This change elevates specific neurotransmitters in the brain that signal pain. These neurotransmitters develop a memory to pain, becoming more hypersensitive and can cause overreactions to pain signals.

Fibromyalgia is more commonly seen in women and those who have a genetic history of fibromyalgia inside one’s family. Comprehensive Healthcare Group has a physiatrist in Oceanside that offers some of the best treatment for fibromyalgia.

Symptoms

Fibromyalgia causes one to have aches all over, including some “trigger points” in your body that can continue to ache no matter what at-home remedies you may try. Common symptoms of fibromyalgia include:

  • General Pain- Dull aches and pains that have been consistent for at least three months. These pains normally occur all over your body, both above and below your waist area.
  • Fatigue- Even if you are sleeping for a long period of time, people with fibromyalgia still often wake up groggy and do not feel refreshed. In some cases, those with fibromyalgia may develop specific sleep disorders, including but not limited to restless leg syndrome and sleep apnea. Restless leg syndrome includes a sensation in one’s legs that gives you a constant urge to move to relieve the sensation, while sleep apnea obstructs ones breathing during sleep.
  • “Fibro Fog”- The symptom of “fibro fog” impacts the ability to maintain focus to complete basic mental tasks. This fog impacts your ability to choose words and hold conversations.

 

Physiatry

While there is no determined cure for fibromyalgia, there are management techniques known by our physiatrist in Oceanside to help control pain brought by fibromyalgia. Some of the most successful management techniques come from exercise and relaxation, reducing personal stress is also known to weaken the fibromyalgia pain.

There is not one specific approach known for pain management, but each patient who is seen by a physiatrist in Oceanside has their own disciplined focus arranged to set them up to function at the highest possible level. Rehabilitation is tailored to each symptom of pain to reduce stress caused by chronic pain.

In addition, some exercise will improve your function and diminish pain. Overworking may flare up pain so it is important to listen to your body. It is important to focus on aerobic exercises such as walking, swimming, or biking, one common recommendation is to complete 30 minutes of walking, swimming or biking at least three times a week. Once again it is important to remember that there is no competition when it comes to rehabilitation, everyone's body is different and reacts differently to different portions of aerobics. Slower paced practices include yoga or hot yoga, yoga uses deep breathing and slow movements to relax the body and keep fibromyalgia from flaring.

If you or anyone you know suffers from fibromyalgia or the symptoms of fibromyalgia do not hesitate to contact Comprehensive Healthcare Group, a physiatrist in Oceanside and Valley Stream today.

Treatment For Low Back Pain

Thursday, June 7th, 2018

Chiropractor in Valley Stream

Chiropractor in Valley Stream

Many patients report having low back pain throughout their lives. This pain can be caused by anything from poor posture to a herniated disc. Significant research has been conducted to show that low back pain should be treated with chiropractic care in the early stages of treatment. Not only is it effective, but it safe and non-invasive. To make an appointment with a chiropractor in Valley Stream or Oceanside, contact us here.

Common Reasons for Low Back Pain

Low back pain can be caused by a wide variety of things. Sometimes injuries to the vertebrae can create inflammation and pain, and other times poor posture is the sole cause for low back pain. Some of the most common reasons that patients suffer from low back pain are:

    • A torn or pulled ligament and/or muscle in the back!
        • Also known as a sprain or strain, these injuries are common because they can be caused by so many different things (lifting a heavy object, poor posture, over-stretching, slipping and/or falling down).
      • If you think you may have pulled or torn a muscle in your back, contact us here to make an appointment with a chiropractor in Valley Stream.
    • Sports injuries
    • Degenerative disc disease
      • A disease in which the disc between vertebrae within the spine loses hydration, causing tears and weakness.
    • Spinal stenosis
      • A condition where the spinal canal narrows, compressing the nerves and causing pain.
    • Joint dysfunction
  • Arthritis

Chiropractic Treatments for Low Back Pain

Why should you choose chiropractic as one of your first lines of treatment? The methods that chiropractors use involve little to no risks and zero pharmaceutical drugs. In those that suffer from low back pain, many different treatment options are available. For a chiropractor in Valley Stream, contact us here to make an appointment. Treatment methods can include the following:

    1. Chiropractic spinal adjustment
      1. Chiropractors will use their hands to manually align the spine into its proper position. This can improve range of motion, reduce irritability, and most importantly reduce low back pain.
    1. Mobilization
      1. This is a more gentle approach to spinal manipulation, using a lower-velocity adjustment speed to increase the range of motion in the spine.
    1. Heat and cold therapy
      1. Using heating pads and ice packs can reduce inflammation and allow for more blood to flow to the affected area.
    1. Diet counseling
      1. Many chiropractors may offer lifestyle advice on how you may change some habits such as eating for weight loss to relieve the pressure that the extra weight adds to your back.
  1. Ultrasound
    1. This provides deep heat to areas reducing pain and inflammation.

Chiropractor in Valley Stream

To treat your low back pain safely, effectively and non-invasively, contact us here to make an appointment with a chiropractor in Valley Stream.

Most Common Shoulder Injuries Explained

Thursday, March 30th, 2017

Common Shoulder InjuriesShoulder injuries most commonly occur during sports activities, work-related tasks, projects around the home, falls or motor vehicle accidents. Shoulder pain may be acute or chronic, depending on the structures involved. If untreated, these injuries can lead to severe loss of shoulder function and mobility. While an acute injury may occur from a fall on an outstretched arm or a direct blow to the shoulder, overuse injuries can be the result of too much stress placed on a joint or other tissue, or overdoing an activity. An established multi-disciplinary practice on Long Island, Comprehensive Healthcare Group (CHG) with two locations in Valley Steam and Oceanside NY offers state-of-the-art treatment for shoulder injuries.

Common Shoulder Conditions

Bursitis - Injury or strain to the shoulder joint causes shoulder bursitis. Bursae are small, fluid-filled sacs located in the joints throughout the body, including the shoulder. These sacs act as cushions between bones and the overlying soft tissues, helping to reduce friction between the gliding muscles and the bone. Common risk factors for shoulder bursitis include throwing a ball, lifting objects overhead, and trauma from a fall onto the shoulder.

Tendinitis - Tendons are thick cords that join muscles to bones. Inflammation of tendons results in rotator cuff tendinitis, or tendonitis. The most common cause of tendinitis is repetitive action, where the tendons need to make a certain movement over and over. Chronic tendinitis is mostly caused by degenerative diseases like arthritis or repetitive wear and tear due to age. Athletes who play certain sports — such as tennis, golf, bowling, or basketball — are at higher risk of this condition.

Tendon Tears – A patient with this injury may not be able to lift or rotate his / her arm with the same range of motion as before the injury. Patients also experience significant pain associated with shoulder motion. Tendon tears may result from acute injury, degenerative changes in the tendons due to advancing age,or a sudden injury. These tears may be partial or may completely split the tendon into two pieces. In most cases of complete tears, the tendon is pulled away from its attachment to the bone.

Arthritis - Shoulder pain can also result from arthritis. Arthritis is inflammation of one or more of your joints. In a diseased shoulder, inflammation causes pain and stiffness. The most common type of arthritis in the shoulder is osteoarthritis. This condition develops slowly and destroys the smooth outer covering of the bone. The pain it causes worsens over time. Other types of arthritis that typically affect the shoulder include Rheumatoid and Post-traumatic arthritis, periarthritis of the shoulder.

Non-surgical as well as surgical treatments are currently available to restore shoulder mobility and flexibility. For better understanding of shoulder problems and injuries, physicians may review the anatomy and function of the shoulder using digital X-rays.

Treatment for a shoulder injury may include:

  • Ice or Heat Applications
  • Physical Therapy
  • Physical Medicine
  • Rehabilitation
  • Orthopedic Treatments
  • Joint, Trigger Point Injections
  • Chiropractic Care
  • Exercise Programs

Based on Long Island, Comprehensive Healthcare Group (CHG) provides effective shoulder pain treatments. Specialists at the center develop a customized treatment plan depending on the type and severity of the injury, how long ago the injury occurred, the patient's age, health condition, and activities such as work, sports, or hobbies.

From the Physical Medicine Specialist - WHY DOES MY SHOULDER HURT?

Tuesday, June 17th, 2014

Why Does My Shoulder Hurt?  And What Can Be Done About It?

 

You wake up in the morning and get out of bed.  You do your big morning yawn and stretch and OW! Why does my shoulder hurt?  Did you sleep wrong on it? Was it last night’s basketball game with the guys?  Are you just getting old?

Many things can cause shoulder pain.  When should you see your healthcare professional for shoulder pain?  If any of the following are present:

  • Inability to carry objects or use the arm
  • Shoulder pain that occurs at night or while resting (as in when you aren’t asking your shoulder joint to do any work)
  • Weakness in the shoulder
  • Shoulder pain that persists beyond a few days
  • Inability to raise the arm
  • Injury that causes deformity of the joint (or change in normal appearance of the shoulder joint and arm), swelling or significant bruising
  • Signs of an infection, including fever, redness, warmth

Anatomy of the Shoulder Joint -  the bones, muscles, ligaments and tendons all work together beautifully to make your shoulder work smoothly.  When one or more of these doesn’t work right, pain and dysfunction result.

The clavicle or collarbone is a long bone that connects the scapula and the sternum.  [Interesting factoid! It is the only long bone in the body that lies horizontally.]  For our purposes talking about shoulder pain, we are only concerned with the connection the clavicle makes to the shoulder.

The humerus is the long bone in the arm that runs from the shoulder to the elbow.

The scapula or shoulder blade connects the humerus and the shoulder blade.

The acromium is the part of the scapula that meets up with the clavicle at the acromioclavicular joint.  This joint is one of the places where problems can occur, either through traumatic injury or repetitive motion.

 

How is a Diagnosis Made?

Your health care professional will identify what is causing your shoulder pain through diagnostic testing such as x-rays, MRIs and a thorough physical examination that likely will include range of motion testing and shoulder strength testing.

Possible diagnoses include:

Shoulder bursitis, rotator cuff tendonitis -  inflammation of a particular area within the shoulder joint (rotator cuff tendons and the bursa or lubricating bodies between tendons and bones) that causes impingement.

Impingement syndrome occurs when there is inflammation of the rotator cuff tendons and the bursa that surrounds these tendons, in the acromioclavicular space (A/C joint).  It can be caused by an initial trauma or injury, or reaction to chronic overuse.  Inflammation leads to thickening or calcification of the subacromial bursa and/or supraspinatus tendon leading to more crowding of the anterior shoulder (A/C joint) causing more pain and restriction of motion.

Shoulder Arthritis - often called wear-and-tear arthritis.  Osteoarthritis is the leading cause of arthritis in the shoulder.

Adhesive Capsulitis (Frozen Shoulder)  - in this condition, the capsule surrounding the shoulder joint contracts and forms scar tissue leading to marked stiffness of the joint and significant pain which causes further inability to want to use the shoulder.

Shoulder Trauma – these conditions are related to sports injuries, car accidents, Workers’ Compensation injures and falls.  They are often initially treated differently than the previously described conditions and sometimes require surgery.

  • Acromioclavicular  separation – a disruption of the acromioclavicular joint
  • Rotator cuff tears – these can occur when the tendons rupture or separate from the bone
  • Shoulder Instability (Loose Joint) – often caused by traumatic injury or developed over time
  • Labral Tear – the labrum is cartilage in the shoulder joint
  • SLAP lesion – a labral tear specifically at the top of the joint – typically seen in overhead and throwing activities (pitchers, tennis players)
  • Shoulder Dislocation - occurs when top of the humerus becomes disconnected from the scapula

And Now the Part You’ve Been Waiting For!!!

How Can My Shoulder Pain Be Treated?  How Can You Make My Pain Go Away?

Physical Therapy

Stretching and strengthening of the muscles around the shoulder joint may help decrease the burden on the shoulder. Preventing atrophy of the muscles through exercise is an important part of maintaining functional use of the shoulder.

  • Joint mobilization is a highly skilled painless technique that our physical therapists  provide.  This involves the loosening of the restricted joint and increasing its range of motion.
  • Myofascial release is a soft tissue therapy for the treatment of muscle immobility and pain. The therapy relaxes contracted muscles, improves blood and lymphatic circulation, and stimulates the stretch reflex in muscles.

Our physical therapists are trained to provide pain relief and manual therapy, and also to teach you a home exercise program. Most times a period of physical therapy is initiated for at least 2-4 weeks before any surgical consideration.

Cortisone injections

Injections may help decrease inflammation and reduce pain within a joint. While this will not cure shoulder arthritis or other shoulder conditions, they can quickly diminish the symptoms and help control pain.

NSAIDs

Prescription and non-prescription drugs that treat pain and inflammation. These can be very effective utilized along with physical therapy to help the patient achieve the most relief.

Acupuncture

Has been shown to be extremely helpful in relieving pain.  Our facility offers acupuncture from our trained heath care professionals.

Taping

Kinesio taping is very effective in relieving pain and permitting motion and recovery of shoulder joint pain.  Your physical therapist is skilled in the proper application of tape to achieve maximum relief.

 

The health care professionals at Comprehensive Healthcare Group in Oceanside and Cedarhurst strive to bring you maximal comfort quickly when you are in pain.  Up-to-date training in the latest techniques along with tried-and-true therapies combine to give you pain relief in our state-of-the-art facilities.

 

We will be talking again soon about pain in other joints.  Also watch for our next article on that irritating “pins-and-needles” sensation.  As always,

Yours in Good Health!

 

 

 

 

 

 

 

Carpal Tunnel Syndrome

Friday, May 16th, 2014

More than 2.8 million nonfatal workplace injuries were reported in 2012, according to estimates from the Survey of Occupational Injuries and Illnesses conducted by the U.S. Bureau of Labor Statistics. Hours lost for recuperation time from nonfatal injuries do nothing to help the worker or the employer. So, preventing injury and helping the worker return to the workplace are worthwhile goals. Repetitive stress injuries account for 60% of these job-related injures.

 

Carpal tunnel syndrome (CTS) also known as median nerve compression is the most common form of repetitive stress injury. CTS can affect clerical workers, computer programmers, data entry workers, sewers, electronics manufacturing line workers, cow milkers (!), gardeners performing hand weeding, musicians, supermarket checkout clerks and locksmiths. Women are three times more likely than men to develop carpal tunnel syndrome, perhaps because the carpal tunnel itself may be smaller in women than in men.

 

You may be asking how seemingly benign activities such as typing and clicking a mouse button or work in trades with repetitive fine motion of tools (e.g., screwdrivers) or use of vibrating hand tools could possibly be harmful. The three primary risk factors are poor posture, poor technique, and overuse.

 

CTS injury occurs when the median nerve that runs from the forearm to the hand becomes compressed inside a narrow tunnel formed by bone and ligament at the wrist. This tunnel contains nerves that conduct sensory and motor impulses to and from the hand. Prolonged repetitive, forceful, or awkward hand movements repeated many times over hours and days, months and years, eventually strain the muscles and tendons of the forearms, wrists, and fingers, causing microscopic tears and inflammation. The injured muscles tend to contract, decreasing range of motion necessary for unimpeded movement. The sheaths that cover essential tendons run out of lubrication because they aren't given enough time to rest and recuperate, resulting in chafing and pain. Due to this abrasion, tendons become inflamed and can pinch neighboring nerves. This cycle repeats itself over and over, and a long-term, chronic problem results.

 

Common symptoms of CTS include numbness and tingling in the hand, burning, weakness, decreased grip strength, inability to grasp small objects and even itching in the palm. Left untreated, the pain can move into the elbow, shoulder and neck.

 

The diagnosis of CTS begins with the doctor’s physical exam with a focus on your neck, arms, wrists, and hands. The exam is to help find out whether your symptoms are caused by compression of the median nerve as it passes through the carpal tunnel in the wrist.

Diagnosis of CTS is confirmed by performing certain tests to detect damage to the median nerve. A positive Tinel's test or Phalen’s test will indicate damage to the median nerve. Electrodiagnostic testing (EMG/NCV) measures how fast and how well the median nerve transmits messages to muscles and can indicate if there is nerve damage. X-rays, MRI, or ultrasound may also be ordered.

 

Once the diagnosis of median nerve compression has been confirmed, there are many nonsurgical treatment options. Our team at CHG specializes in the treatment of CTS with physical therapy modalities of electrical stimulation, therapeutic ultrasound, myofascial release, strength and conditioning exercises, ice and paraffin treatment. Kinesio taping is very beneficial and once applied in the office can be worn for days with significant relief. Specific exercises supervised by a physical therapist are also part of our program. Wrist splints can be worn to alleviate pain. You might be recommended to wear the splint after work and particularly during sleeping hours. Pain medication may be prescribed. Studies have shown nonsteroidal anti-inflammatory drugs (NSAIDs) to be ineffective for CTS.

 

Surgery may be necessary if the symptoms are severe and if the other measures do not provide relief. Surgery should not be the first choice for treatment. Even after surgery, a number of patients may still have some weakness of grip. Surgery is a last resort, but carpal tunnel surgery is among the most common surgical procedures in the U.S.

 

Have we answered your questions about CTS? Do you have any other questions for us? If you do, please fill out the contact form and we will be happy to respond to you individually.

 

Yours in Good Health!

Car Accidents and Their Sequelae (What Happens After)

Friday, April 4th, 2014

 

The National Highway Traffic Safety Administration reports there were over 2 million car crashes with injuries in the US in 2010. The good news is that since cars are safer than ever before, fatal crashes are down to their lowest levels in more than 50 years.

 

But it’s very likely that in the course of your lifetime, you may have a nonfatal car crash.

 

So what happens to your body in a car accident? Maybe you remember physics class in high school. A body in motion stays in motion. So when a car hits something or something hits a car, the car might stop, but the people in the car (and any loose items in the body of the car) keep moving. That’s why it’s imperative to wear a seatbelt, to keep you from sailing right through that front window or side window. Okay, so the seatbelt stopped your movement, maybe even saving your life. But what happened to the bones and muscles and joints in your body?

 

Well, you might have fractured (broken) a bone. You might have a laceration (a cut) and be bleeding. You may have suffered a sprain or a strain in a muscle or joint. You may have ruptured (to break suddenly) or herniated (to protrude in an abnormal way) a disc in your spine along your neck or back. Maybe you hit your head and lost consciousness momentarily (you might have suffered a concussion – the most common form, and the most minor form, of traumatic brain injury).

 

Some injuries are obvious right away – like a broken bone or a laceration. But some become apparent that night, when you finally get home, or the next morning, when you wake up bruised and stiff and feeling worse than the day before. Your body has been through a traumatic situation or a traumatic injury that asked your muscles and bones and joints to move in ways that they aren’t naturally designed to do. If a bone broke, you may have gotten a cast or a splint. You might have had x-rays. But maybe there was an injury they couldn’t see right away.

 

Hopefully, you saw your doctor or went to the hospital ER or an urgent care center after the accident. If you haven’t already, the doctors in our practice specialize in traumatic injuries of the spine and extremities. We can take x-rays to evaluate your condition and, in most cases, quickly start an individualized treatment program tailored to your needs.

 

If you broke a bone, your doctor may ask you to have physical therapy after the accident to rehabilitate (restore to health by training or therapy) your body after the injury. Sprains or strains can prevent full range of motion. Our team of physical medicine and rehabilitation, neurology, chiropractic and acupuncture specialists can help restore those muscles, ligaments and tendons to their pre-accident state.


 

In our blog, we hope to educate and inform you on a variety of topics that are of interest to many. We have lots of plans for interesting articles for you to read right here on our website. We may provide links for you, but we want you to be able to get the basic information you need right here. If there are any topics you would be interested in having us cover, use the contact-us link you see here on our website and we’ll try to add it to the list. We might even mention you in our article!

Thanks for reading and we’re looking forward to having you check back for our next installment.

 

Yours in good health!