and Director of ChiroMassage USA is offering affordable chiropractic and massage services for patients in pain, chronic pain, low back pain, neck pain, neck and shoulder pain, spasms, sports injuries, sciatica, pinched nerves, carpal tunnel syndrome, tennis elbow ,headaches, work related injuries associated with workers compensation accidents, and auto accidents or motor vehicle accidents.
If you are suffering from low back pain, neck pain, headaches, pinched nerves,
sciatica, spasms, sports injuries, carpal tunnel syndrome, tennis elbow, work
related injuries, auto accidents and or scoliosos related back pain in Bronx,
New York, Riverdale, New York, Spuyton, Duyvil, New York, Marble Hill, New York,
Woodlawn, New York, Jerome Ave, New York, Williamsbridge, New York, Fordham, New
York, Kingsbridge, New York, Inwood, New York, Washington Heights, New York and
Yonkers, NewYork you will find rapid relief of pain and professional , high
quality, compassionate and affordable care at Fogel Chiropractic and Massage
office.
If you live in the following zip codes: 10463, 10471, 10034, 10453, 10710,
10468, 10457, 10472, 10509, 10465, 10456, 10470, 10466, 10467, 10475, 10040,,
10451, 10801, 10459, 10708, 10705, 10530, and live with pain, chronic pain, low
back pain, neck pain, neck and shoulder pain, sciatica, spasms, sports injuries,
scoliosos related back pain, pinched nerves, carpal tunnel syndrome ,headaches,
work related injuries associated with workers compensation accidents, and auto
accidents or motor vehicle accidents. You need to make an appointment today with
chiropractor and massage expert Dr Robert Fogel.
Dr Robert Fogel accepts insurance including: EmpireHealthChoice,
EmpireBlueCross, EmpireBlueCross and Blue Shield SeniorPlanNetwork, GHI, Empire
Plan, Cigna, Cigna HealthCare,United HealthCare, Aetna, AetnaUSHealthCare, 1199,
National Benefit Fund, HealthFirst, Oxford, Medicare, NoFault, Workers
Compensation, American Chiropractic Network, Horizon Healthcare , Benefice
Advantage, Uni-Care, MultiPlan, First Health Network for the treatment of
chronic pain, low back pain, neck pain, neck and shoulder pain, sciatica,
pinched nerves, carpal tunnel syndrome ,headaches, stress and tension related
pain, work related injuries associated with workers compensation accidents, and
auto accidents or motor vehicle accidents.
Bronx chiropractor New York chiropractor Riverdale chiropractor Kingsbridge
chiropractor chiropractic medicine massage therapy tension headaches neck pain
sciatica spasm sports injuries pinched nerves carpal tunnel tennis elbow auto
accidents no fault workers compensation muscle spasms trigger points Aetna Cigna
EmpireHealthChoice EmpireBlueCross GHI Oxford United HealthCare Medicare 1199
National benefit Fund MultiPlan Horizon HealthCare
Welcome to ChiroMassage USA, located in the heart of the Bronx,
NY.
ChiroMassage USA will provide you, your family and neighbors with
predictably rapid relief of pain by integrating the best techniques of
chiropractic, massage, exercise therapy, nutrition and uplifting conversation
regarding your pain.
3424 Kingsbridge Ave. Suite 1H
Bronx, NY 10463
(718) 549-2800
drbob@chiromassageusa.com
Call today to make an appointment and let us help you!!
Dr. Fogel is a walking and hiking enthusiast and is often found on
the trails of Harriman State Park. or walking briskly around Rockland Lake or
Van Cortlandt Park. He is a member of The Appalachian Mountain Club and The
Adirondack Mountain Club. He is also quite a gourmet vegetarian cook and is
always available to speak to you regarding food, recipes, nutrition, weight loss
and health.
Dr. Fogel has been an avid radio listener and student of Gary Null for 25
years. He listens to WNYC Radio 820 AM. As a hobby "Bob" enjoys playing piano
and plays in a small ensemble for local nursing homes. Once a month he plays at
temple beth israel in Maywood NJ at Friday night sabbath service.
He is a single father with two amazing young men (;>)one in college$$$ and the
other high school.
His favorite movie is Ground Hog Day.
Back pain is the most common condition treated by chiropractic therapy.
If you are experiencing back pain that continues for more than 7 days you need
to make an appointment for a chiropractic evaluation. A simple strain that
continues untreated without correction can turn into a serious chronic problem.
After a complete orthopedic, neurological and chiropractic examination Dr
Fogel will diagnose and determine whether your back pain is of mechanical
(muscle, ligament, tendon or joint origin) or whether your problem is arthritic
in nature.
Q: How did I get this back pain?
Most mechanical back problems start with a mild strain associated with
a fall, sudden twist or heavy lift from a weak unsupported posture. Although the
original incident may have occurred years ago a new stress/strain or a
repetitive minor strain may provoke a new bout of pain.
Repetitive strains are numerous and they include house chores, painting,
mopping, new exercise programs, reaching upward to a shelf, prolonged sitting in
front of computer monitor turned to either right or left.
The cervical spine is the upper part of the spinal column between the head and
shoulders and is composed of seven of freely movable spinal joints. The neck is
subject to a number of common pain syndromes involving both mechanical and
arthritic causes. Neck strain can arise from improperly designed work
environments such as computer screens set too far to the right or left of
center, holding a telephone between the ear and shoulder, sleeping in the
presence of a fan or cold draft and sleeping on a couch.
Whiplash or trauma stemming from a motor vehicle accident can cause micro
tearing of muscle, tendon and ligamentous structures, resulting in mild to
severe neck pain.
Tension, emotional stress and physical illness with prolonged bed rest all can
cause sustained neuromuscular contraction of the neck.
Tension Headaches are often associated with mild neck
pain or stiffness. A careful examination and history which reveals a connection
between your longstanding or chronic neck pain points toward a very high
probability of success in treatment.
Research has demonstrated that 80% of all headaches are cervicogenic (caused
by dysfunction of the neck spinal joints and or musculature). Wearing new
bifocals, prolonged viewing of a computer monitor, reading or watching TV in
bed, whiplash etc, have all been associated with neck-related headache.
The upper neck is particularly vulnerable to headache causing symptoms including
dizziness and mild visual disturbances. Dr. Fogel has had great success with
these types of cases.
Sciatica is another common condition treated at our office.
Sciatica refers to a syndrome of low back, leg, hip and buttock pain.
Sciatica has several possible causes and degrees of complexity. The good news
is that more than 50% of sciatic cases seen here will be treated successfully.
We provide a comprehensive evaluation to determine the cause of your sciatica.
Dr. Fogel will let you know whether your problem is a herniated disc, a
pyriformis muscle spasm or an osteoarthritic spine or hip.
A more serious herniated disc is accompanied by muscle weakness, numbness and
reflex change. In this situation you will be referred to an excellent spinal
surgeon.
Discs are fibro-cartilagenous pads that link the bony spinal
blocks or vertebra of the spinal column. Inside each disc is a soft spongy
spherical core which allows the vertebral plates above and below to pivot or
tilt. This core is called the nucleus pulposus.
The vertebra above and below the sandwiched disc forms a functional unit that
performs three essential and very different functions:
1. Discs absorb the weight/pressure of the upper torso and head as the
body’s main structural column.2. Discs allow the otherwise bony spinal column to
flex, laterally bend and rotate.
3. The spinal column which is composed of multiple vertebra and disc units,
houses and protects the delicate nerve bundle- the spinal cord and its spinal
nerve branches, which exit the spine at each disc level to control and
communicate with the organs, muscles and blood vessels.
The disc vertebral unit has a very special relationship to the spinal nerves as
they exit the spinal column and perform their many functions of signaling,
control and regulation.
There are three basic types of disc problems:
1. Leg pain disc caused by a ruptured or herniated nucleus propulsus moving
outside the confines of the surrounding disc and compressing a nerve or nerve
covering.
2. Back pain disc caused by an internally disrupted disc without rupture or
herniation and yet disrupting the pain sensitive fibres surrounding the nucleus
or central disc. This creates back pain and occasional buttock and leg pain.
3. A mixed pattern can arise with small contained disc herniations with variable
amounts of leg, buttock and back pain although without compression of a nerve.
Osteoarthritis (OA) is the most common joint disease of the
spine and extremities (shoulders, hips, knees ). The smooth gliding surfaces at
the ends of bone referred to as articular cartilage loses its mechanical
resistance, elasticity and smoothness, and is consequently worn out by the
movements of the joint. This process called “reactive bone remodeling”, will
cause osteophytes (think of calcium barnacles growing along the end surface of
bones ), microfractures, subchondral eburnation and pseudocysts, and exposure of
the articular end of the bone. The consequent roughness of the articular
cartilage surfaces elicits secondary inflammatory reactions of the synovial
membrane and bone. Unlike rheumatoid arthritis and other inflammatory joint
diseases, the inflammatory component of OA is relatively mild.Clinical
manifestations of OA are joint pain, stiffness in the morning or after rest,
pain at night, limited joint motion and/or joint deformity. Joint pain in OA may
also be caused by stretching of the joint capsule or ligaments, bone irritation
due to osteophyte formation, microfractures, bone swelling, or muscle spasm.
NSAIDs ( Ibuprofen, Advil, Motrin etc.) are the most widely prescribed drugs to
reduce joint pain and stiffness. Since the inflammatory component of OA is
usually minimal, the need for the anti-inflammatory effect of NSAIDs in this
condition is controversial. Occasionally severe side effects including
gastrointestinal bleeding, hypertension, congestive heart failure, hyperkalemia,
and renal insufficiency make these a poor choice for many patients. Any
advantage gained from NSAIDS will come from the pain relieving( analgesic )
quality of these drugs.
Recently medical doctors are prescribing analgesics like paracetamol for OA of
the knees. However, the long term use of paracetamol may lead to liver and
kidney damage. These disadvantages clearly calls for the use of a less toxic
pain managing therapy for OA such as chiropractic and massage.
Our care for Osteoarthritic patients is wholistic and includes diet, exercise,
nutritional supplementation and hands on chiromassage techniques. Call us …we
can help reduce your pain and stiffness, naturally!
Injuries sustained while traveling at high rates of speed is a relatively
new type of health problem never before seen on our planet till the invention of
the auto at the beginning of the twentieth century.
If you fell off a high cliff and hit the bottom at 35 MPH… chances are you
didn't survive.
Seriously though, injuries sustained in motor vehicle accidents (MVA) are
a public health problem. The costs are great: both economically, and personally.
Not only are many people killed, yet many of those who do survive are left with
lifelong impairments and disability of varied degrees. The patient(s) who
continue to live with chronic varied degrees of pain, impairment and
disability is a controversial topic unfortunately, due to the involvement of
insurance companies, lawyers and money and doctors who fail to appreciate the
nature of chronic pain.
There are many of you who continue to suffer with pain and disability as a
result of auto accidents long after the event.
The physics of forces that come to bear on the occupants of colliding
vehicles weighing approximately 2000 to 3500 pounds are tremendous. A head-on
collision can create 5500lbs of force on a spine, an unsupported head and neck.
In this discussion I will focus on the soft tissue injuries most likely
to result from the motor vehicle accident.
Muscles are soft tissues (the meat of animals, fowl and fish we eat)
that are attached at their tapered ends to tendons and ultimately bone and thus
and move the skeletal system.
Muscles are like cloth in that they are both composed of tiny fibers, which
when subjected to traumatic force may stretch increasingly and to the point they
eventually fail and thus tear.
A muscle tear may be mild, moderate or severe. Symptoms will reflect
the degree of injury, of course. Pain, spasm, swelling, hemorrhage and loss of
active range of motion may be associated with various degrees of injury.
Similarly, ligaments which strap bone to bone and thus hold our
skeletal frame together, are subject to forces which my strain and eventually
cause tearing of structure,
Spinal discs are particularly vulnerable to rotary forces combined with
compression or bending
Discs may tear, bulge, protrude and herniate. See section on discs for
additional information including anatomy.
If you are injured at work while performing your job duties New
York State Workers Compensation Law provides for no out of pocket medical
treatment.
If you have a work related injury and need treatment it is your responsibility
to make sure your employer has filed the proper C2 accident report and that it
is filed with the State.
Dr Fogel has been treating injured workers for over twenty-two years and is
committed to your rapid, healthy and safe return to work. If you have a workers
compensation hearing you can rely on him to be there and testify on your behalf.
He will provide you a work absence note, detailing the nature and diagnosis of
your work- related injury and probable return to work date.
When you are ready to return to work, Dr Fogel will write for you a return to
full duties authorization letter. If you are having problems with the workers
compensation system, you will be referred to an excellent workers compensation
attorney.
With regard to your treatment, therapy and rehabilitation, Dr Fogel is familiar
with the state of the art, up to date latest techniques of treating strain,
sprains, tendonitis, inflammation, pinched nerves, disc problems, carpal tunnel
and all types of neck and back injuries.
If you require a medical referral for a problem beyond the scope of chiropractic
therapies you will certainly be given an excellent choice of specialists
suitable for your injury.
The best treatments for the injuries described above of course
would vary depending on the acute or chronic nature, severity and location of
the injured tissue.
Here at Dr. Fogel's office after a careful history, examination and diagnostic
assessment to determine these factors a proper plan of healing will be
recommended. The following therapies are an example of the treatment options
available to you here at this office.
ChiroMassage that reduces stiffness, pain, spasm, trigger points, muscle
tension and stress.
Spinal Adjustment to reduce joint pain and increase range of motion,
Ice to reduce swelling and inflammation.
Moist heat to reduce myospasm.
Ultrasound to reduce spasm, mild swelling and trigger points (muscular knots).
Electrical muscle stimulation to decrease pain, muscle tension and
increase muscle restricted range of motion.
Doctor assisted exercise to stretch specific tight overly contracted muscle
and strengthen weakened muscles.
Home exercise to stretch and strengthen muscles.
Nutritional guidance to reduce inflammation.
Weight loss programs that work.
Motivational conversation for healing and positive attitude change.
Referrals to appropriate quality specialists and high quality imaging centers
for X-Ray, MRI, and electrodiagnostics are made when necessary and not when
unnecessary!
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