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Erik R. Persiani, D.C. Click Servive to Learn More

Massage Therapy
Comprehensive Exam
Diagnostic X-ray
Floating Spinal Decompression
Therapeutic Ultrasound
Electric Stimulation
Infrared LED light therapy
NITRIC OXIDE
NOGIER FREQUENCIES
Acupuncture Meridian Therapy
Rehab/therapeupic exercise
Custom Vitamins (Ideal Health Vitamins)
Custom Spinal Pevlic Stabilizers (FootLevelers)


Massage Therapy
#MM30884

Massage Therapy is the practice of applying structured pressure, tension, motion, or vibration to the soft tissues of the body (including muscles, connective tissue, tendons, ligaments, joints and lymphatic vessels) to achieve a beneficial response. There are many specialties within the field of therapeutic massage, each encompassing its own targeted techniques.

Many basic massage techniques aim to increase the circulation of bodily fluids and clear the body of toxins, thereby achieving a positive systemic effect that enhances overall wellness. Other, more specialized techniques are incorporated to address individual problem areas by working very specifically on related muscle groups and soft tissues.

Medical Massage refers to the application of therapeutic massage techniques with the goal of improving a patient’s diagnosed health condition. An individualized treatment plan is generally created and followed by the therapists, and this is usually done in coordination with a physician or chiropractor.

WHAT TO EXPECT

Arrive Early
It is best to arrive at least five to ten minutes early for your appointment to allow time for completing the intake paperwork. Treatment time may include up to 10 minutes of preparation and consultation. Late arrival time cannot be made up with treatment time, in consideration of other client appointments.

New Clients
If you are a new client you will be asked to fill out an intake form. Your health history is important. Some massage modalities are contraindicated for specific health conditions. If you have special needs disclose this ahead of time so that we may accommodate you.

Clothing
The preferred way to receive massage is without clothing. You may find a minimal amount of clothing is more comfortable. You may need to wear shorts or stretchy pants for range of motion, stretching or other rehabilitation treatments.

Draping
Our clients are always draped with a sheet. Only the area being massaged is exposed. This provides comfort and respect for your personal privacy.

Benefits

Experts estimate that upwards of ninety percent of disease is stress-related. And perhaps nothing ages us faster, internally and externally, than high stress. Massage is an effective tool for managing this stress, which translates into:
  • Decreased anxiety.
  • Enhanced sleep quality.
  • Greater energy.
  • Improved concentration.
  • Increased circulation.
  • Reduced fatigue.
Massage therapy can also help specifically address a number of health issues:
  • Alleviate low-back pain and improve range of motion.
  • Assist with shorter, easier labor for expectant mothers and shorten maternity hospital stays.
  • Ease medication dependence.
  • Enhance immunity by stimulating lymph flow—the body's natural defense system.
  • Exercise and stretch weak, tight, or atrophied muscles.
  • Help athletes of any level prepare for, and recover from, strenuous workouts.
  • Improve the condition of the body's largest organ—the skin.
  • Increase joint flexibility.
  • Lessen depression and anxiety.
  • Promote tissue regeneration, reducing scar tissue and stretch marks.
  • Pump oxygen and nutrients into tissues and vital organs, improving circulation.
  • Reduce postsurgery adhesions and swelling.
  • Reduce spasms and cramping.
  • Relax and soften injured, tired, and overused muscles.
  • Release endorphins—amino acids that work as the body's natural painkiller.
  • Relieve migraine pain.

Comprehensive Exam (what to expect on your first visit)

Upon arriving at the office for the first time you will need to fill out some basic paperwork. Also, it is very helpful to bring in with you any pertinent medical information that you received from other physicians such as radiology reports/films (X-ray, MRI, CT, etc.) or accident reports (auto cases). The more information that we have on the first visit the more accurately we can help you with your problem. Next, we will begin with your history/interview to establish your complaints and medical history. After the interview is concluded, we will proceed with the exam which may include but not limited to orthopedic testing, neurologic testing, posture analysis, muscle testing and range of motion.

If necessary, we may take x-rays of the area(s) to be treated. This will be done on-site and the x-rays are usually able to be viewed the same day to correlate with the physical exam finding.


Diagnostic X-ray (why do we x-ray?)

X-Ray Safety and Usage

Chiropractic Physicians Regularly Utilize Diagnostic X-rays

Based on the nature of your condition as well as a number of other factors, x-ray studies of your spine or injured body part may be indicated. Chiropractic Physicians receive over 300 hours of x-ray studies in college prior to graduating. They are also tested on these procedures in their national board and state board exams. Thus, your Doctor is fully trained and certified to take radiographs and identify abnormalities of the spine as well as more serious pathologies.

X-Rays are Safe and Provide Valuable Diagnostic Information

X-rays are a safe and cost effective way to view the structure and general condition of the spine as well as the other joints of the body. They reveal the true condition of spinal regions, illustrate abnormal areas of stress, and expose areas of degenerative variation. This provides essential information which your Doctor integrates with your history and examination findings to render your diagnosis. Diagnostic X-rays allow for accurate biomechanical analysis and individualized, effective treatment plans. X-rays are also useful in assessing the appropriateness of chiropractic care as they can help to rule out the existence of more serious pathological processes such as spinal fractures, tumors and infections, which require immediate emergency medical intervention.

Radiologic Science for Technologists: Physics, Biology, and Protection. 6 th Edition; Stuart C. Bushong. St. Louis : Mosby, 1997

1988 Conference of Radiation Control Program Directors - Plaugher G. Textbook of Clinical Chiropractic: A Specific Biomechanical Approach. Baltimore : Williams & Wilkins, 1993



Floating Spinal Decompression

Information Coming Soon.


Therapeutic Ultrasound (therapeutic effects)

Ultrasound is a therapeutic modality that has been used by physical therapists since the 1940s. Ultrasound is applied using a round-headed wand or probe that is put in direct contact with the patient's skin. Ultrasound gel is used on all surfaces of the head in order to reduce friction and assist in the transmission of the ultrasonic waves. Therapeutic ultrasound is in the frequency range of about 0.8-1.0 MHz.

The waves are generated by a piezoelectric effect caused by the vibration of crystals within the head of the wand/probe. The sound waves that pass through the skin cause a vibration of the local tissues. This vibration or cavitation can cause a deep heating locally though usually no sensation of heat will be felt by the patient. In situations where a heating effect is not desirable, such as a fresh injury with acute inflammation, the ultrasound can be pulsed rather than continuously transmitted.

Ultrasound can produce many effects other than just the potential heating effect. It has been shown to cause increases in tissue relaxation, local blood flow, and scar tissue breakdown. The effect of the increase in local blood flow can be used to help reduce local swelling and chronic inflammation, and, according to some studies, promote bone fracture healing. The intensity or power density of the ultrasound can be adjusted depending on the desired effect. A greater power density (measured in watt/cm2 is often used in cases where scar tissue breakdown is the goal.

Ultrasound can also be used to achieve phonophoresis. This is a non-invasive way of administering medications to tissues below the skin; perfect for patients who are uncomfortable with injections. With this technique, the ultrasonic energy forces the medication through the skin. Cortisone, used to reduce inflammation, is one of the more commonly used substances delivered in this way.

A typical ultrasound treatment will take from 3-5 minutes. In cases where scar tissue breakdown is the goal, this treatment time can be much longer. During the treatment the head of the ultrasound probe is kept in constant motion. If kept in constant motion, the patient should feel no discomfort at all. If the probe is held in one place for more than just a few seconds, a build up of the sound energy can result which can become uncomfortable. Interestingly, if there is even a very minor break in a bone in the area that is close to the surface, a sharp pain may be felt. This occurs as the sound waves get trapped between the two parts of the break and build up until becoming painful. In this way ultrasound can often be used as a fairly accurate tool for diagnosing minor fractures that may not be obvious on x-ray.

Some conditions treated with ultrasound include tendonitis (or tendinitis if you prefer), non-acute joint swelling, muscle spasm, and even Peyronie's Disease (to break down the scar tissue). Contraindications of ultrasound include local malignancy, metal implants below the area being treated, local acute infection, vascular abnormalities, and directly on the abdomen of pregnant women. It is also contraindicated to apply ultrasound directly over active epiphyseal regions (growth plates) in children, over the spinal cord in the area of a laminectomy, or over the eyes, skull, or testes


Electric Stimulation (therapeutic effects)

Interferential Current Therapy (IFC)

Interferential current therapy is a treatment to aid the relief of pain and the promotion of soft-tissue healing.

Tiny electrical impulses are induced into the tissues in the area of the pain. Where these waves intersect below the surface of the skin, the low-frequency stimulation induces the body to secrete endorphins, which are the body's natural pain-killers.

Most patients find interferential therapy to be very beneficial and describe the treatment as being relaxing and having a 'pins and needles' sensation.

Ligament sprains, muscle strains and spasms often respond well to interferential current therapy.


Infrared LED light therapy (description)

WHAT DOES INFRARED THERAPY DO?

Light therapy has been shown to Increase vascularity (circulation) by increasing the formation of new capillaries, which are additional blood vessels that replace damaged ones. New capillaries speed up the healing process by supplying additional oxygen and nutrients needed for healing.

Stimulate the release of adenosine triphosphate (ATP). ATP is the major carrier of energy to all cells. Increases in ATP allow cells to readily accept nutrients and expel waste products faster by increasing the energy level in the cell. All food turns into ATP before it is utilized by the cells. ATP provides the chemical energy that drives the chemical reaction of the cell.

Increase RNA and DNA synthesis. This helps damaged cells to be replaced more promptly.

Stimulate fibroblastic activity which aids in the repair process. Fibroblasts are present in connective tissue and are capable of forming collagen fibers.

Induce a thermal like effect in the tissue. The light raises the temperature of the cells although there is no heat produced from the diodes themselves.

Stimulate tissue granulation and connective tissue projections, which are part of the healing process of wounds, ulcers or inflamed tissue. Stimulate acetylcholine release. Acetylcholine causes cardiac inhibition, vasodilation, gastrointestinal peristalsis and other parasympathetic effects.


NITRIC OXIDE (NO)

The Nobel Assembly in Karolinska Institute in Stockholm, Sweden awarded the 1998 Nobel Prize for Physiology of Medicine to # American Scientists for the discovery of Nitric Oxide as a signaling molecule in the cardiovascular system. Many researchers believe NO to be one of the bodies most powerful vasodialators, and the mechanism of action that allows infrared light therapy to be so effective.

DEPTH OF PENETRATION

Depth of penetration is defined as the depth at which 60% of the light is absorbed by the tissue, while 40% of the light will continue to be absorbed in a manner that is less fully understood. Treating Trigger points with Light can have a dramatic effect on remote and internal areas of the body through the stimulation of nerves, acupuncture and trigger points that perform a function not unlike transmission cables. The diverse tissue and cell types in the body all have their own unique light absorption characteristics; that is, they will only absorb light at specific wavelengths and not at others. For example, skin layers, because of their high blood and water content, absorb red light very readily, while calcium and phosphorus absorb light of a different wavelength. Although both red and infrared wavelengths penetrate to different depths and affect tissues differently, their therapeutic effects are similar. Visible red light, at a wavelength of 630-660 nanometers (nm - 1 nanometer is equal to one billionth of a meter), penetrates tissue to a depth of about 8-10 mm. It is very beneficial in treating problems close to the surface such as wounds, cuts, trigger and acupuncture points and is particularly effective in treating infections. Infrared light (800-1000nm) penetrates to a depth of about 30-40 nm which makes it more effective in the treatment of joints, deep muscle, etc.

CONTRAINDICATIONS
The effects of infrared light therapy with the following conditions is unknown and not to be used on the following contraindications:
  • Pregnancy - Do not apply light therapy directly over the womb during the pregnancy.
  • Cancer - Do not apply light therapy over areas where an active cancer is present.

NOGIER FREQUENCIES

Using an exceedingly sensitive pulse test, a frequency generator, and a hand-held probe Dr. Nogier had been able to discover frequencies-vibrations-that are in resonance with various body tissues. The embryos of all animals, form into three tissues: ectoderm (outside skin), endoderm (inside skin), and mesoderm (middle skin). All organs form from these three tissues. The pattern of resonating frequencies is the same in all animals-"a monumental discovery." When illness occurred in particular tissues and organs, Dr. Nogier found that he could initiate dramatic healing responses by treating with the appropriately selected resonance frequencies (pulsed on and off). "Nogier offered a basic theory of sickness and healing. When ill, cells, molecules, or particles of matter are out of their normal resonance, or vibratory pattern. They often can recover when they are exposed to their normal resonance frequencies over and over in what could be called a retraining program."

WHAT IS THE DIFFERENCE BETWEEN LED's AND LASERS?

A study done by the Mayo Clinic in 1989 suggests that the results of light therapy are a direct effect of light itself, generated at specific wavelengths, and are not necessarily a function of the characteristics of coherency and polarization associated with lasers. In a study entitled Low-Energy Laser Therapy: Controversies and New Research Findings, Jeffrey R. Basford, M.D. of the Mayo Clinic's Department of Physical Medicine and Rehabilitation, suggests that the coherent aspect of laser may not be the source of its therapeutic effect. He states "firstly, the stimulating effects (from therapeutic light) are reported following irradiation with non-laser sources and secondly, tissue scattering, as well as fiber optic delivery systems used in many experiments rapidly degrade coherency. Thus any effects produced by low-energy lasers may be due to the effects of light in general and not to the unique properties of lasers. In this view, laser therapy is really a form of light therapy, and lasers are important in that they are convenient sources of intense light at wavelengths that stimulate specific physiological functions (Lasers in Surgery and Medicine 9:1-5, Mayo Clinic, Rochester, Minnesota, 1989).


BREIF HISTORY OF ACUPUNCTURE

Some archeological studies report evidence that crude forms of acupuncture were used in Egypt and Persia over seven thousand years ago. It is thought to have migrated to India and Tibet finally making its way to China. There is also evidence that different forms of acupuncture were practiced from Babylon to South America three to five thousand years ago, making it the oldest healing art known to man.

Throughout the millennium the practice of acupuncture was at the mercy of the many emperors that ruled China. Certain emperors looked favorably upon acupuncture while others banned the application of it during their rule. The rejuvenation of acupuncture began after the communists took power in the 1950’s. Chairman Mao Zedong directed a policy to unite western schools with the traditional schools as matter of national pride. He also encouraged acupuncture anesthesia for surgery. Most Americans got their introduction to acupuncture during President Nixon’s 1972 trip to China. An American reporter, James Reston, developed a case of acute appendicitis while traveling with the President. His surgery with acupuncture anesthesia was widely covered by the American press.

In rural areas of China where there are no established health care facilities, a bride has to demonstrate a working knowledge of basic acupuncture before the village elders will permit the marriage as she is responsible for the health care of her family. These caregivers are at times forced to treat their families with their sewing needles because almost all acupuncture needles produced in China are exported. Today acupuncture is practiced worldwide in many forms and with many different techniques. In this course we will introduce you to many of these different acupuncture styles. Our main goal is to teach you the fundamentals of acupuncture needle technique and its application in your daily practice.

VOCABULARY
ACUPUNCTURE:
Acu = needle, puncture = to pierce with a sharp point
QI: Chi
Energy, or Qi, travels through the body via the meridian systems. Qi is the fundamental substance that is found in the universe. Qi has been translated as energy, matter, vital force, life force, and moving power. Qi is difficult to translate correctly because of its fluid nature, whereby Qi can assume different manifestations and be different things in different situations. There are many different forms of Qi.

YIN/YANG:
Yin and Yang is probably the single most important and distinctive theory of Traditional Chinese Medicine. Yin and Yang represent opposite but complementary qualities. Each thing or phenomenon could be itself and its contrary. It is the principle of the entire

It is the parent of every change, and the root source applied to the human body every physiological process and every symptom or sign can be analyzed in the light of Yin —Yang theory. The Yin and Yang theory states that Yj and the shady or dark side of the slope, were as Yang is positive and is the y lig of the slope. These principles in nature are the causes of diseases that befall those who rebel against the laws of nature or those who do not conform to them.


The length and width of the patient’s finger(s) are taken as a standard for point location. There are three methods commonly used:
  • The width of the interphalangeal joint of the patient’s thumb is taken as one cun.
  • When the patient’s middle finger is flexed, the distance between the two medial ends of the creases of the interphalangeal joint is one cun.
  • The width of the patient’s four fingers (little to index) close together is three cun.
  • A Fen is 1/10 of a Cun. Used with depth.
MERIDIANS, CHANNELS, VESSELS:
The meridians are specific pathways that run throughout the body. These meridians are sometimes near the skin surface (ie. superficial pathways), and sometimes deep (ie. deep pathways). There are twelve principle meridians which is assigned to an organ. Six of them carry predominately the yang qualities of energy and six yin carry qualities. At specific locations along the meridians the energy may be regulated. These locations are called acupoints.

FRONT MU POINTS/ALARM POINTS:
These points are located on the chest and abdomen where the qi of the respective zang — fu organs is infused and converged. They are located close to their corresponding organs and play a significant role in the diagnosis and treatment of internal disorders. These points are 3 times as powerful as the acupoints on the extremities.

ACQUIRED QIJ NUTRIENT QI:
Derived from the qi of the food essence (ying qi) produced by the spleen/pancreas and the stomach. Acquired qi is also formed from the clean qi (ging qi) inhaled by the lungs and physical exercise. Ying or acquired qi circulates in the vessels.

JING/ESSENCE:
Jing is a type of vital substance similar to Qi. While Qi has the property of energy, Jing is more fluid in nature. Jing or essence forms the basis of growth, development and reproduction.

I. THE PRINCIPLE OF YIN & YANG

Oriental medical science originated in China about four to five thousand years ago.

The most important of the medical classics was called the Nei Ching or “The Yellow Emperor’s Canon of Internal Medicine” The authorship of this book was attributed to the Yellow Emperor and his physicians. The Nei Ching is a treatise on the Chinese therapy. It is in the form of questions and answers and it embraces hygiene, pathology, physiology as well as politics, economics and the arts and sciences of that day. The work was definite, and the development and evolution of Chinese medicine stemmed from it.

THE THEORY OF THE YIN-YANG AND THE FIVE ELEMENTS

The Nei Ching said: “The principle of Yin and Yang is the basic principle of everything in creation. It is the principle of the entire universe. It is the parent of every change; it is the root and source of life and death; it is also found within the temples of the gods. In order to treat and cure diseases one must search into their origin. Heaven was created by an accumulation of Yin, the dark element. Through their interaction and their functions, Yin and Yang, the negative and positive principles in nature, are the causes of diseases which befall those who are in rebellion against the laws of nature, or those who do not conform to them.”

The law of the Yin and the Yang and the law of The Five Elements are the absolute and fundamental laws of Chinese philosophy, and it is upon these laws that Chinese medicine based.

OVERVIEW AND HISTORY OF AURICULOTHERAPY

A Historv of Auriculotherapy
  • Ancient China: (475 BC) All systems of acupuncture began with the original Chinese medical text, the Yellow Emperor’s Classic of Internal Medicine. In this text, all six Yang Meridians were said to be directly connected to the Auricle, whereas the six Yin meridian were indirectly connected to the ear. These, ancient Chinese Ear Points were not organized Somatotopicaily, but were arranged as a scattered array of points on the ear.
  • Ancient E Greece, and Rome: (400 B.C.) Ancient physicians like Hippocrates and Galen recorded clinical uses of ear rings and other forms of ear stimulation for various problems, particularly the treatment of sexual and menstrual disorders.
  • Ancient Persia : (200 AD.) After the fall of Rome, ancient medical records were best preserved in Persia. These ancient records showed a treatment for Sciatica by cauterizations on the ear.
  • Middle Ages: (1500) The f East India Company, while pursuing merchant trading in China, brought Chinese acupuncture back to Europe. Included in these discoveries were the use of Ear Acupuncture, as well as the development of the Western hypodermic needle from Chinese acupuncture needles.
  • Renaissance : (1700) Sporadic clinical reports in Europe discussed the use of ear cauterizations to relieve Sciatica pain.
  • Modern France: (1950) Dr. Paul Nogier, a neurologist from Lyon, France, observed the occurrence of scars on the ear of patients who were successfully treated by French lay practioners for Sciatica pain. He developed the Somatotopic Map of the Ear, based upon the concept of an Inverted Fetus orientation. I-Es work was first presented in France, then communicated to a German acupuncture society, and finally was translated into Chinese.
  • Modern China : (1960) The Nanking Army Ear Acupuncture Research Team verified the clinical accuracy of the Nogier Ear Homunculus. They empirically assessed the ear points of over 2,000 clinical patients, utilizing “Barefoot Doctors” as part of Mao Tse Tung’s efforts to de -Westernize Chinese Medicine.
  • United States : (1980) A double blind, experimentally controlled UCLA research study statistically verified the scientific accuracy of Auricular Diagnosis. A statistically significant level of 75% accuracy was achieved in diagnosing the musculoskeletal pain problems of 40 pain patients. By evaluating specific areas of heightened tenderness and increased electrical activity on the ear, areas of the body with some dysfunction could be correctly identified, whereas areas of the body free from pathology were correctly identified as non - pathological points on the ear. Subsequent UCLA research focused upon the comparison of Chinese and French auricular points, the use of auricular electro - acupuncture for withdrawing chronic pain patients from opiate medications, and the naloxone reversibility of dental analgesia produced by auriculotherapy.
Auriculotherapy Manual

Comparison of Ear Acupuncture and Body Acupuncture
  • History: Both systems of Acupuncture had their historical origins in Ancient China. However, Body Acupuncture has remained essentially unchanged, whereas Ear Acupuncture was greatly modified by the discoveries of Dr. Nogier in France. Further research has yielded even newer developments in Auriculotherapy and Auricular Medicine.
  • Meridians: Body Acupuncture is based upon a system of 12 Meridians, six Yang meridians and six Yin meridians, which run throughout the surface of the body as lines of force. Ear Acupuncture connects to these Meridians, but it is not dependent upon them. The ear is a self-contained micro-system that affects the whole body.
  • Somatotopic Inversion: In Body .e the Meridians run in lines along the body, with no apparent anatomical Logic regarding the body organ represented by that Meridian. In Ear Acupuncture, there is an orderly arrangement of points, based upon an Inverted Fetus perspective of the body. The head areas are represented toward the bottom of the ear, the feet toward the top, and the body in between M with the somatotopic map in the brain, the auricular humunculus devotes a proportionally larger area to the head and hand than to the body. The size of a somatotopic area is related to its functional importance rather than its size.
  • Acupuncture Points: ‘these points are anatomically defined w on the skin. They are set at a fixed, specific locus in Body Acupuncture, and can always be detected. In Ear Acupuncture, however, an Acupuncture Point can be detected only when there is a problem in the corresponding art of the body which that ear point represents. The dull, aching feeling called “The Chi”, which often accompanies the stimulation of body acupuncture points, is not observed by stimulating ear acupuncture points; rather, there is a sharp, tender, piercing feeling which accompanies auricular stimulation.
  • Skin Resistance: In both Body and Ear Acupuncture, the Acupuncture Points are localized regions of lowered Skin Resistance, or inversely stated, higher Skin Conductance. Also in both systems, when there is pathology of some form in the body organ represented by that Meridian Point or Auricular Point the Electrodermal Activity of that Acupuncture Point is even higher, and it feels more tender to touch.