Trigger points refer to a specific area of your body where you feel a painful nodule or band under the skin and in your muscle that often twitches or palpitates to the touch, thus irritating the nerves around it and causing pain to radiate to another part of your body. Traumatic events or minor but repetitive injuries are associated with the development of trigger points. Common trigger points include muscles in the lower back, upper back and shoulders, namely the rhomboid and trapezius, which can cause shoulder pain, neck pain and headaches. Trigger points are also associated with chronic musculoskeletal disorders, including fibromyalgia, myofascial pain syndrome and chronic back pain.
To alleviate this, we use trigger point injections (TPI), where we inject those hyper-tender areas with a local anesthetic and saline, making the trigger point inactive and reducing pain and spasming. Several trigger points can be injected during one in-office treatment, and you may only need one treatment to experience sustained relief. If you are allergic to a certain medication, we can employ a dry needling technique or use acupuncture rather than trigger point therapy to help you get out of pain. There are virtually no serious complications associated with TPI. You may experience post-injection pain, which generally subsides quickly.
Not all trigger points require TPI. Physical therapy may be the most effective option to deactivate a trigger point and alleviate pain. However, if you have a chronic trigger point that causes constant pain in your body, TPI will give you more relief.
Once we’ve completed your TPI treatment, we may recommend additional therapies such as manipulation and exercise, as they will likely be more successful in helping you experience lasting relief.
Prolotherapy is an injection treatment designed to stimulate healing of ligament laxity, tendon weakness, joint instability and hernia. After we identify painful and weakened area(s) in your body, we administer a precise injection of a proliferant solution, an irritant that causes an intense inflammatory reaction. This reaction then initiates a new healing phase wherein cells called fibroblasts deposit new collagen, form a new layer of tissue and strengthen the weakened area. This strengthening of the injected joint or ligament works to alleviate pain and improve overall mobility.
Prolotherapy is not a surgical treatment. Rather, it’s known as a regenerative joint injection or a form of nonsurgical ligament and tendon reconstruction. The injections are administered right here in our office. Depending on your condition, we will administer between four to 15 injections per session and ask you to come in for a number of sessions over the course of several months—in order to give you the best results possible.
The side effects associated with prolotherapy are minimal. You may experience temporary swelling or pain at the site of the injection. If you experience both pain and fever, possible signs of an infection, these should be addressed immediately with antibiotics. Keep in mind that the injected joint may feel worse immediately after the procedure before it feels better.
Along with ensuring that your musculoskeletal system is strong, we’re interested in helping you maintain healthy balance and posture with our postural therapies.
According to the American Posture Institute, posturology is the “scientific study of the body’s static and dynamic alignment as it stabilizes itself in space against gravity and other forces.” More specifically, posturology is the study of how the human body—and the sensory information it receives from the environment through the feet, bite, eyes and skin—affects posture, and how posture reflects the state of those receptor sites.
All human beings are asymmetrical to an extent, thanks to our diverse physical makeups and lifestyles. If your body is able to compensate for this asymmetry, you may feel fine. But if you’re experiencing pain, a distortion or misalignment in your postural system could be an associated factor. Moving your body with a misalignment can exacerbate this pain, inhibit mobility and cause injury. And if you do not address the misalignment, your brain and muscles can adapt to this compromised way of moving and may not be able to revert to correct movement.
Our postural therapies restore proper alignment and biomechanics to alleviate migraines, hip and neck pain, carpal tunnel syndrome, dizziness, repetitive sprains, plantar fasciitis and more.
We begin by performing a computerized postural screening to determine the state of your current alignment, which areas of your body need support and the treatments that will be most effective for you, such as manipulation and exercise. We’ll then create a treatment plan for you, including in-office procedures and at-home exercises, and track your progress.
Reflexology is a hands-on technique in which we massage reflex points in your hands and feet that correspond with certain areas in your body—to activate sensory receptors, stimulate your nervous system and release natural pain-killing neurochemicals, such as endorphins and encephalin. Reflexology can alleviate pain, enhance relaxation, relieve anxiety, improve sleep and more. It’s generally a pain-free therapy, however you may experience some discomfort if certain areas of your body are tight or tender.
Rooted in ancient Chinese medicine, practitioners used reflexology as early as 4000 BC. The practice was modernized in the 1800s by Russian and German physicians who studied reflex response and its effect on the body’s organs. As we’ve entered the 21st century, growing numbers of physicians and practitioners have adopted it and use it with patients.
At Physicians Health & Wellness, we combine our foot reflexology and massage therapy services to give you the best results possible. When we work on your feet, we use a foot chart to guide us in targeting the most effective points for you. We may also use simple tools such as rubber bands, wooden sticks and balls to help us apply pressure accurately. All you have to do is sit back, relax and let us know if any of our movements feel uncomfortable.
Discover advanced, pain-relieving injection and postural therapies at Physicians Health & Wellness. Call 212.838.8265 or use our Request an Appointment form. We welcome patients from New York, Manhattan, Midtown, Queens, the Bronx and close-by areas.