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Introducing Our Corporate Wellness Program

October 23, 2012   No Comments

Our Current Newsletter October 2012

October 23, 2012   No Comments

Case of the Month July 2012

The Patient

  • 42 year old male with a history of severe chronic pains (of around 6 years) in the lower back, mid back, neck, shoulders and hips.
  • The patient history revealed high levels of emotional stress, headaches, depression and difficulty sleeping, lifting, traveling, and sitting for long periods.
  • Patient is overweight by 22 pounds.
  • The patient related that the pains began from no known cause (insidious onset).
  • The patient has had multiple diagnostics tests (MRI and Bone Scan), which revealed mild degenerative joint disease in the spinal areas and mild arthritic changes in the shoulders, elbows, and wrists.
  • The patient has been under several medical doctors care over the course of 6 years and has been treated with pain medications and was prescribed a lumbar support orthosis (back brace).

Snapshot of My Examination Findings

  • Past diagnostic films and reports were reviewed and findings were confirmed.
  • Joint dysfunction and tenderness was found in the left sacroiliac joint, and at two lumbar vertebrae – L3 and L5.
  • Joint dysfunction, stiffness, and point tenderness of the hips on the left and right.
  • Patient demonstrates a loss of balance while standing and walking.
  • Guarding (protective movement and positioning) of the lower back.
  • Painful range of motion of the cervical and lumbar spine.
  • Painful muscular fibers and trigger point activity in the following muscles: quadratus lumborum, trapezius, rhomboid, and hip areas.

My Diagnosis

  • Multiple levels of Spine and Disc Degeneration.
  • Pain and Stiffness of the hip joints.
  • Segmental Dysfunction the Spine and Hip areas, with associated myofascial pain (abnormal muscle tension and trigger points).

My Recommendations

  • A course of conservative care for pain relief to include the following:
  • Chirporactic adjustments of the spine, sacroiliac joint, and hip areas.
  • Myofascial release to the muscles of the lower back, hips, upper back, and shoulders performed by massage therapist.
  • TENS unit (home electrotherapy device) for pain management.
  • The patient will progress to core stabilization/balancing exercises ASAP performed in-office and at home

The Prognosis

  • Fair

Discussion

Lower back pain can be caused by many different things.  Causes range from simple joint dysfunction or sprain/strains, to joint degeneration or even internal organ disease.  My exam was critical in determining that this patient’s pain had a biomechanical cause.  In this case, I was able to firmly conclude that the patient’s pain was originating from the joints, muscles, and nerves that were involved.

Chronic cases that have not improved with medical intervention can be the most difficult, due to internal weakness and developed dependence on pain medications.  In this case, the weakness centered in the patient’s lumbar spine, sacroiliac joint, and in her core.  This was in part due to her inactivity, dependence on medications, and constant reliance on a back brace for support.  This resulted in 6 years of chronic back pain that was marked by episodes of aggravations and partial recovery.

One of the best solutions for chronic lower back pain, is chiropractic care with core stabilization exercises.  This combination can help keep the spine healthy and prevent repeated relapses.

Upon following our advice and treatment schedule, in only 3 visits this patient has had over 50% improvement, with less pain, increased range of motion, and improved energy.  The intensity of the pain and the muscle tension in his neck, back, and hips has decreased considerably.  The patient still has several months of healing and rehab to achieve a full recovery, but the outlook is excellent.

Our Approach To Chronic Spinal and Hip Pain

If you were a new patient visiting our office, we always start with a thorough case history, consultation, and examination.  I will review any past diagnostic films that were taken.  I may recommend new diagnostic studies (x-ray or MRI) if I need more information. At this point, if I determine that you are a good candidate for care at our office, I will design a treatment plan for you.  If at any time I discover something beyond the scope of my practice, I won’t hesitate to contact your primary care provider to discuss a possible referral to another healthcare provider.

I specialize in providing short-term care for neck and back pain relief, and am fully licensed and certified to adjust the spine and extremities (arms, hands, legs, feet, etc.).  I am a certified instrument adjuster and use the Impulse iQ – a special adjusting instrument that allows me to perform adjustments without the typical twisting, turning, or popping as in traditional techniques.

If you are experiencing neck and/or back pain, we invite you to come in for a quick no-obligation consultation & examination.  Call us at 215-938-8500 for more information.

It would be an honor and a privilege to provide you with natural pain relief and to help your body heal and maintain the health you deserve.

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July 11, 2012   No Comments

Back From Vacation Ricketts Glen 2012

Well we’re back from another exciting trip to Rickett’s Glen State Park.  For those wondering, the park is in Benton, PA which is around 60 minutes west of Wilkes-Barre.

As always, we enjoyed the stay in the mountain-top cabin and filled our days with hiking, relaxing by the lake, playing capture the flag, viewing waterfalls, spying mountain wildlife, battling with airsoft guns, and socializing at the campfires.

I had some quiet times to reflect on the sacrifice and honorable service that all of our military men and women have provided us.  I am grateful to them for all they have done and helping make this country safe and free.

I hope you had a great weekend too.

We reopened the office Tuesday the 29th and have resumed normal office hours from 9-12 pm and 3-7 pm, Monday through Thursday.

We are ready to continue providing short-term care for your neck and back pain relief.  Remember that I am a certified instrument adjuster and use the Impulse iQ – a special adjusting instrument that allows me to perform adjustments without the typical twisting, turning, or popping as in traditional techniques.

As always, I feel it is an honor and a privilege to provide you with natural pain relief and to help your body heal and maintain the health you deserve.

If you are a new patient and are experiencing neck and/or back pain, I invite you to come in for a quick no-obligation consultation & examination.  When you first meet with me, I will determine if you are a good candidate for care at our office, and will make the best recommendation possible.  No x-rays will be required unless absolutely necessary and approved by you.

For new or established patients, remember that we have a walk-in policy for your convenience. Just simply show up during our open hours and we will work you right in.  Our walk-in policy allows you to easily come in for treatment, often the day your symptoms arise. This is beneficial in reducing recovery times from an injury. Why wait to be seen days or even weeks later elsewhere?

As a reminder, we participate in most major medical insurance plans including Independence Blue Cross, Personal Choice, Personal Choice 65, Highmark, Medicare, Keystone, Keystone 65, Aetna, Aetna Medicare, Cigna, UnitedHealthcare, Amerihealth, Horizon, and many others.  We also accept auto injuries, workers compensation, and personal injuries.

I realize you have the freedom to choose who will provide your healthcare services.  If you, a friend or family member requires care for low back pain, neck pain, headaches, carpal tunnel syndrome, whiplash, or fibromyalgia, I sincerely appreciate the trust and confidence shown by choosing my services and look forward to serving you and your family presently and in the future.

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May 30, 2012   4 Comments

Help Me Welcome Laura Goldman Our New Receptionist

I am pleased to announce the newest addition to our team, Laura Goldman.  And yes… she is my lovely wife too!

Laura loves working with people and enjoys the healthcare environment of our office.  She is kind, considerate of others, and is a great communicator.

Laura is getting to know many of our patients and is becoming familiar with all of our office procedures… and she’s catching on fast.  She is really  helping to bring some needed stability to our front desk reception area.

Remember that we’re here for you – whether you have neck pain, back pain, headaches, whiplash, carpal tunnel, fibromyalgia, or other aches and pains.  We’re here to provide natural pain relief.  Give us a call, or just drop in (we welcome walk-in visits/no appointment is needed), and we’ll do whatever it takes to get you needed relief as fast as possible.

And the next time you’re in, please help me welcome Laura.  She’ll be the one who greets you a smile and an offer of coffee, tea, or a snack!

Stay well!

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March 15, 2012   No Comments

Valentine’s Day Massage Discount Gift Certificates Available

From now through February 29th, we are offering one-hour massage gift certificates at an amazing discount of 30% off our normal price!

That’s only $45.50 to give the gift of a relaxing 1-hour massage!  (Normal price is $65).

If you want to give an extra special treat of a warm and soothing hot-stone massage, that’s only $52.50! (Normal price is $75).

What a great Valentine’s Day gift for a loved one.

Valentine Bonus:

  • Buy 2 gift certificates and you will receive a FREE 30-minute massage for yourself!
  • Buy 4 gift certificates and receive a FREE 60-minute hot-stone massage for yourself!

Call our office today at 215-938-8500, to take advantage of this offer.  Gift certificates can be emailed (PDF format), mailed via USPS (same day), or picked up at the office.

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February 13, 2012   No Comments

Conservative Care Better Than Medicine For Neck Pain

Here’s an interesting study done this year that demonstrated the superiority of spinal manipulation and exercise as compared to medicine for the treatment of acute and subacute neck pain:

http://www.annals.org/content/156/1_Part_1/1.abstract

Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain

A Randomized Trial

  1. Gert Bronfort, DC, PhD;
  2. Roni Evans, DC, MS;
  3. Alfred V. Anderson, DC, MD;
  4. Kenneth H. Svendsen, MS;
  5. Yiscah Bracha, MS; and
  6. Richard H. Grimm, MD, MPH, PhD

+

Author Affiliations


  1. From Northwestern Health Sciences University, Pain Management and Rehabilitation Center, and Berman Center for Outcomes and Clinical Research at the Minneapolis Medical Research Foundation, Minneapolis, Minnesota.

Abstract

Background: Mechanical neck pain is a common condition that affects an estimated 70% of persons at some point in their lives. Little research exists to guide the choice of therapy for acute and subacute neck pain.

Objective: To determine the relative efficacy of spinal manipulation therapy (SMT), medication, and home exercise with advice (HEA) for acute and subacute neck pain in both the short and long term.

Design: Randomized, controlled trial. (ClinicalTrials.gov registration number:NCT00029770)

Setting: 1 university research center and 1 pain management clinic in Minnesota.

Participants: 272 persons aged 18 to 65 years who had nonspecific neck pain for 2 to 12 weeks.

Intervention: 12 weeks of SMT, medication, or HEA.

Measurements: The primary outcome was participant-rated pain, measured at 2, 4, 8, 12, 26, and 52 weeks after randomization. Secondary measures were self-reported disability, global improvement, medication use, satisfaction, general health status (Short Form-36 Health Survey physical and mental health scales), and adverse events. Blinded evaluation of neck motion was performed at 4 and 12 weeks.

Results: For pain, SMT had a statistically significant advantage over medication after 8, 12, 26, and 52 weeks (P ≤ 0.010), and HEA was superior to medication at 26 weeks (P = 0.02). No important differences in pain were found between SMT and HEA at any time point. Results for most of the secondary outcomes were similar to those of the primary outcome.

Limitations: Participants and providers could not be blinded. No specific criteria for defining clinically important group differences were prespecified or available from the literature.

Conclusion: For participants with acute and subacute neck pain, SMT was more effective than medication in both the short and long term. However, a few instructional sessions of HEA resulted in similar outcomes at most time points.

Primary Funding Source: National Center for Complementary and Alternative Medicine, National Institutes of Healt.

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February 8, 2012   3 Comments

Why Are We So Busy?

Why is our practice so busy?  It’s simple…

We give patients what THEY want!

Imagine this.  You go into a restaurant… a rather expensive one.  You sit down and when the waiter or waitress comes over to you - THEY TELL YOU WHAT YOU ARE GOING TO EAT AND PAY FOR!

Even worse, they tell you that you can only eat today if you commit to eating there several times a week for the next few months.

What would you do if your food server told you that?  You’d probably get up and walk out…

 Right?

You would go to a restaurant where you can order whatever you want, have it prepared just the way you like it, and you could come back whenever you want… or never again.

What does all this restaurant talk have to do with you and why our practice is so busy?

 Quite a bit.

You see – there are two basic types of doctors.  The first type dictates your care.  They examine you and tell you exactly what your care plan is going to be.

This is not a bad thing.  They are trained professionals and should be giving you what they believe is the best possible treatment plan.

But, that does not mean they are always right… or that treatment plan is the best for YOU.

That’s Why In This Office, We Try Hard To Be Different.

We examine patients and tell them exactly what is going on.  But, we also listen to our patients and take into consideration YOUR input.

The most important thing is WHAT YOU WANT, not necessarily what we think is best.

That’s why we customize our recommendations and work with YOU to give YOU exactly what YOU want.

In other words… we treat you as if you were a member of our family.  We always ask ourselves…

If This Patient Was My Relative What Would I Do?

That means – we do not try to make you commit to long term treatment plans.

Who wants to commit to something they don’t know they are going to like?

For that reason, you can try a few visits and see if it really is for you.  If it is… and you are getting the results you want, then you can keep going until the desired results are achieved… and you can stop whenever you want.

Our goal is to give you what you came in for – as fast as possible.

Everyone reacts to care a little differently – so you may get out of pain really fast and not need any more care.

Most patients want what we call, “Relief Care.”  They come in with some kind of ache or pain and we get them out of pain.  It’s pretty simple.

And here’s something really important: we do not get upset or lecture you if you have not been in to see us in a while.

We completely understand that you have a life and you may not need care. In fact – WE THINK THAT IS GOOD!

…and yes, we also love it when patients drop back  in – it’s a sign they love what we do.

And, I literally mean “drop in.”  Patients love that we do not have appointments so they can come when they want and fit us into your busy schedule.  Once again, we are here for you, not the other way around.

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January 20, 2012   2 Comments

Practice Update January 2012

HAPPY NEW YEAR!  I hope the new year finds you healthy and joyful.

Have you ever had neck or back pain and considered Chiropractic… but feared you’d be required to commit to long term Chiropractic Care?

You are not alone.

Even though there is plenty of research backing up Chiropractic, some patients just can’t afford the time or expense of  long-term, corrective care Chiropractic.

That’s why we now offer “pay-per-visit” Chiropractic for your neck pain or back pain.

This means you can call and come in on the same day and get exactly what you want… an affordable drugless solution for your aches and pains.

Our mainstream approach has gotten us featured along with many medical doctors and spine surgeons on Spine-Health.com… one of the most visited online back pain information websites in the country.

So, if you, your spouse, or a friend is complaining of aches and pains, rest assured that you can come in and get the care you want and can afford.

Give us a call at 215-938-8500. We’ll take good care of you.  Or just stop by, because…

We have a new walk-in policy for established and new patients.

Simply show up during our open hours and we will work you right in!

Our walk-in policy allows our patients to easily come in for treatment, even the same day symptoms arise. This is beneficial in reducing recovery times from an injury.  Why wait days or even weeks for an appointment elsewhere?

Also, you may have noticed… We changed our name to “Huntingdon Valley Pain Relief Center”.

Our new name accurately describes our practice focus.  We may have a new name, but you can expect to receive the same great service and top-notch chiropractic care!

Also, we’re excited to tell you that…We have completely remodeled our office!

Come in and experience the difference… more spacious, completely private treatment rooms, bright new lighting, fresh paint, and a refreshment/snack area for patients.

Lastly, I want to remind you that you are always welcome back no matter how long it’s been since we last saw you.  We are here to help you in any way we can and will be happy to see you!

Hope everything is going well and we’ll see you soon!

Sincerely,

Dr. Ken Goldman, D.C.

P.S. If you are not in pain and would like to still get a check-up… or… you are in pain and would like a treatment or two… just give us a call (or simply drop in) and we promise we’ll get you in immediately.  We always welcome walk-in visits, and are here for your convenience and promise prompt service!

 

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January 13, 2012   No Comments

Top Chiropractor In North Wales, PA

North Wales PA Chiropractor
http://www.montcochiro.com

North Wales PA Chiropractor Blog
http://www.montcochiro.blogspot.com

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January 5, 2012   No Comments

Practice Update December 2011

Hello! I hope this holiday season finds you healthy and content with your many blessings.

I just wanted to spend a moment to detail some of our new and exciting changes in our practice…

1) Our practice name has changed to “Huntingdon Valley Pain Relief Center”. This name more accurately describes our focus and will help eliminate any confusion among newer clients.

2) We are in the process of remodeling our whole office. Some of the changes include: new walls, fresh paint, a snack & beverage area for patients, new ceiling & lighting, and more. Stop in… have a snack and drink on us. You’ll see and feel the difference.

3) We have a new “Walk-In” policy. This means that if you are a new or established patient, you can simply come in during our open hours and you will be taken care of very quickly. If you still want to make appointments, that’s fine with us. Just remember that appointments are optional.

If you are in pain, give us a call or simply stop in. You know we’re here to help. And remember that you can stop in any time, whether you are in pain or not. I’d be happy to see you.

So I would like to extend warm wishes for a wonderful holiday season and a happy new year… from myself and my staff. We hope to see you soon.

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December 13, 2011   No Comments

Dr. Goldman Receives New Certification

Dr. Goldman attended a continuing education seminar and became certified in instrument adjusting.  He was instructed by three top chiropractic doctors in the country and deepened his skill and education in the utilization of the Impulse IQ adjusting instrument.

This is the next generation in adjusting instruments, which allows Dr. Goldman to provide patients with an outstanding adjustment experience.  Dr. Goldman is one of the few doctors in the area using the Impulse IQ instrument and the only Certified Impulse IQ Chiropractor in Huntingdon Valley.

In the hands of a skilled certified doctor, the Impulse IQ instrument delivers multiple, safe and precise impulses every second in order to correct joint dysfunction and relieve pain.


COMPUTERIZED ADJUSTMENT

High-tech computerized adjustments with Impulse iQ® actually precisely measure how the spine is moving during the treatment so that just the right amount of care can be provided.

YEARS OF RESEARCH

Over five years of research have gone into the development of the Impulse iQ Adjusting Instrument® to create gentle and specific chiropractic adjustments that are safe and effective for patients of all ages.  High-tech computerized adjustments with Impulse iQ® actually precisely measure how the spine is moving during the treatment so that just the right amount of care can be provided.

CONTROLLED FORCE

Impulse iQ® has three different force settings for different parts of the body and to treat patients of all ages. The controlled low force thrust of Impulse® make treatments comfortable.

EXTREME SPEED

Impulse iQ® is twice as fast as other adjusting instruments and 100x faster than manual chiropractic adjustments. The gentle thrust is faster than the body’s tendency to tighten up and resist the adjustment.

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October 18, 2011   1 Comment

How to Avoid Carpal Tunnel Surgery

Are you suffering from hand pain? Perhaps you have shooting pain from your hand into your wrist and forearm.

Have you tried nearly everything to stop the pain? Have you tried pain killers, physical therapy, squeezing rubber balls, using wrist braces, ice, heat, and stretches without success?

Sometimes, doing those things can be all you need to get rid of the pain. But often times it isn’t enough, and eventually you will become so frustrated with your nagging pain, that you believe getting surgery is the only solution.

In most cases, your wrist pain is caused by a combination of joint dysfunction and abnormal muscle tension in your forearm. In many cases the joint problem has its origin in your neck. This is largely overlooked by many physicians, who are trained only to examine the specific area of pain.

In some cases you may have been misdiagnosed and don’t really have carpal tunnel syndrome at all. The problem may actually have its root in your cervical spine (your neck) and/or your forearm.

You can find out what is truly causing your wrist and hand pain today.

Call our office or just stop in for a consultation and examination with myself. No appointment needed. You are always welcome.

During our consultation and examination, I would examine your whole spinal area, and most likely be able to quickly diagnose your condition. Then I will determine if you are a good candidate for care at our office.

If you qualify for treatment at our center, I will recommend a combination of chiropractic adjustments (of the spine and wrist), laser therapy treatments, and other natural therapies to help get you out of pain and get you back to enjoying normal activites again.

Why suffer, when a natural, safe, and quick solution is right within your grasp?

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September 18, 2011   No Comments

Do You Have This Common Cause of Neck Pain?

Are you suffering from neck, back, and/or shoulder pain? Does your pain begin as tension in the upper back and creep upwards until the pain shoots upwards causing a piercing headache? Does the pain settle over or behind your eye or at your temple?

If you answered “yes” to any of the wbove questions, you may have one of the most common causes of neck pain and headaches. I see this problem in my practice almost on a daily basis. And there is usually a quick fix for it too.

The culprit may be a myofascial trigger point (muscle knot) in one of your muscles between your neck and upper back/shoulder area.

The most common muscle trigger points I see in my practice pop up in these muscles: the trapezius, the elevator scapula, the rhomboid. If you have a “fired up” trigger point in one of these muscles, you will have pain, stiffness, and will not be happy.

The most common causes of these trigger points includes: muscle strain, repetitive poor posture, whiplash, stress overload, and/or spinal joint dysfunction.

Injuries(even small ones) from years ago, such as car accidents, falls, sprains/strains, can be the cause of your neck pain today.

But the solution can be simple, virtually painless, and fairly quick. You’ll need to take action.

What makes trigger points so tricky, is the fact that they send out pain to other areas of the body. This means that your trigger point in your shoulder area can create pain in your neck and head.

It’s my job to find out the cause of your pain, and develop a natural solution to get you out of pain and back to life as quick as possible.

Over years of practice, I have developed the skill to locate hidden trigger points in your neck and back. Through a consultation and exam I can also figure out possible causes and develop of plan to help you get out of pain and avoid a possible relapse.

If you are suffering with unrelenting neck or back pain, call our office today for a no-hassle, no-pressure, consultation & examination with me (Dr. Goldman). I look forward to meeting you, helping you become pain-free, and getting you back to life.

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August 15, 2011   No Comments

Five Ways to Prevent Back Pain

Statistics have indicated that back pain will affect around 80% of all people at some time in their life.  Back pain can range from the lower back area to the upper back and shoulder blade area.  Back pains are especially bad when they impact every day functions such as walking, bending, sleeping, or sitting.  Americans spend billions of dollars every year fighting their back pains.  Is there any way to prevent it?  Here are five simple ways to help prevent back pain.

  1. Eat Right.  Excess weight puts more stress on your lower spine and contributes to injuries.  Animal-based foods (all meats, poultry, fish, and dairy) contribute to a pro-inflammatory diet and also lead to the production of chemicals that fuel the pain process.  Eating a healthy, whole food, and plant-based diet will reduce pain and inflammation, and can help reduce your back pain.
  2. Minimize Stress.  Life is stressful!  Everyone experiences stress of some degree or another.  Excess stress causes muscles to tighten and interferes with the normal healing process.  Prolonged stress leads to homone imbalances of the stress glands of the body – the adrenal glands.  These glands secrete hormones that regulate many body functions including: sleep, digestion, weight gain, estrogen, progesterone, testosterone, immune system, arthritis, allergies, heart function, fatigue… to name a few.  These glands can be checked easily in our office and can usually be balanced/repaired through diet and supplements.
  3. Maintain Good Posture and Ergonomics.  Maintaining good posture means keeping the body in a balanced and neutral position as much as possible.  Avoid stressful and damaging prolonged postures where ever you are.  Moat people use computer work stations both at home or at work.  These can be a problem if the ergonomics aren’t set up correctly.  Screens should be centralized and keyboards should be positioned where the height allows your arms to be bent at 90 degrees.  Some lower back pillow is recommended if you are sitting for long periods.  Frequent breaks to move and stretch can also help maintain body posture and balance.
  4. Perform Healthy Exercises Regularly.  Regular cardiovascular exercise is important to help maintain good cardiovascular health, manage weight, and reduce stress.  But nothing replaces targeted spine-specific exercises to focus on your core.  Some of the bast exercises for your core also involve balance and muscle endurance.  Some examples are:
    • Quadruped – on hands and knees.  While holding abdominals in tight (hollowing), alternate straightening opposing arm and leg and holding for 5 seconds.  Repeat 20 times.
    • Bridge – on back.  Lift pelvis, torso, and shoulder blades off floor and hold for 30 seconds.  Repeat.
    • Plank – pushup position supported on the forearms rather than hands.  While keeping abdominals in tight (hollowing), hold your body straight for 30 seconds.  Repeat.
    • One Leg Balance – standing.  Keep abdominals in and balance on one foot (stork stand) for 30 seconds.  Switch legs and repeat.
  5. Get Adjusted By Your Chiropractor.  Everyday activities, stress, and toxins take their toll on our bodies.  Our joints and muscles tighten, become restricted, and become imbalanced.  Adjustments help to retore normal joint motion and can rebalance your spine and body.
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July 15, 2011   No Comments

Office Closed Monday July 4th 2011

Our office will be closed on Monday, July 4th 2011.  We will reopen on Tuesday, July 5th at 9:00 am.

Have an amazing Independence Day!

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July 1, 2011   No Comments

Case of the Month June 2011

The Patient

  • 52 year old female with a history of lower back pain, mid back pain, sleep difficulties, and digestive troubles
  • Patient is overweight by 30 pounds
  • The patient had a traumatic spinal injury from a slip and fall 3 years ago, that was corrected by spinal surgery

The Patient’s Complaints

  • Moderate to severe lower back pain, hip pain bilaterally, and pain down the back of the thighs
  • The patient has difficulty walking normally and must use a cane due to her disturbed gait and balance

Snapshot of My Examination Findings

  • Past surgical reports, X-ray evaluations, and MRIs were reviewed and revealed moderate to severe degenerative disc disease of the lumbar spine and showed the site of the surgery at L5S1.
  • Patient demonstrates a loss of balance while standing and walking
  • Guarding (protective movement and positioning) of the lower back and lower extremity
  • Multiple areas of spinal subluxations (jammed spinal bones that irritate the nervous system) with focal tenderness to the lumbar vertebrae when pressed
  • Painful range of motion of the lumbar spine in flexion and extension (worse in extension)
  • Painful muscular fibers and trigger point activity around the lumbosacral spine and the hip areas bilaterally
  • Positive orthopedic test for sciatic nerve irritation

My Diagnosis

  • Lumbar Spine and Disc Degeneration
  • Pain and Instability of the Lumbosacral Spine
  • Subluxations of the Spine and Hip area, dysfunction and pain
  • Sciatica

My Recommendations

  • A course of 12 visits of integrative care to include the following:
  • Chirporactic adjustments of the spine, and hip areas
  • Myofascial release to the lower back, hips, and lower extremity areas performed by massage therapist
  • Progressive therapeutic exercises targeting the lower back and core, with a focus on restoring normal balance
  • Ice the lower lumbar spine at home as needed for 15 minutes per hour

The Prognosis

  • Fair

Discussion

Lower back pain can be caused by many different things.  Causes range from simple joint dysfunction or sprain/strains, to joint degeneration or even internal organ disease.  My exam was critical in determining that this patient’s pain had a biomechanical cause.  It was the joints, muscles, and nerves that were involved.

Post-surgical cases can be the most difficult, due to internal weakness at and around the prior site of the surgery.  In this case, the weakness centered in the patient’s lumbosacral spine and in her core.  Following surgery she had rehabilitation, but the exercises she had learned were not continued. In time, she became de-conditioned, overweight, and developed a weak and unstable core.  This resulted in chronic back pain that is marked by episodes of aggravations and recovery.

One of the best solutions for chronic lower back pain, is chiropractic care with core stabilization exercises.  This combination can help keep the spine healthy and prevent repeated relapses.

Upon following our advice and treatment schedule, this patient has had an approximate 50% improvement in 4 weeks of care, with less pain,  improved balance, and increased range of motion.  She has had moments where she was able to walk without limping, but she still has a way to go.

Our Approach To Post-Surgical Chronic Lower Back Pain

If you were a new patient visiting our office, we always start with a thorough case history, consultation, and examination.  I may recommend diagnostic studies (x-ray or MRI) if I need more information. At this point, if I determine that care is appropriate and you decide to begin care, I will design a treatment plan for you.  If at any time I discover something beyond the scope of my practice, I won’t hesitate to contact your primary care provider to discuss a possible referral to another healthcare provider.

We follow a very effective  treatment strategy based on the letters ASR.  They stand for:

Our Wellness Program Options

  • Relief Care – We offer short-term plans for fast pain relief and recovery.  When many people seek care in our office they have one goal… relief.  So that’s where we start!  During this initial stage of intensive care, we have the following obligations: 1) To uncover the underlying cause of the health problem.  2) To suggest a care plan to produce the fastest results possible.  3) To offer ways patients can participate in their recovery.  4) To explain the value of exercise, nutrition and other aspects of wellness.
  • Rehabilitative Care – We offer comprehensive plans for optimal recovery following injury.  Many of our clients want to continue corrective care into the next phase of care – the rehabilitative phase. Wisdom has taught us that long-lasting pain relief can be achieved only when complete healing occurs and your body returns to optimal function. This part of the healing process usually involves therapeutic exercises. We provide one-on-one coaching through this phase of care and focus on flexibility, strength, endurance, balance, and core-conditioning.
  • Supportive/Wellness Care - We offer ongoing plans to help keep you active and feeling great.  Many of our clients enjoy regular chiropractic “checkups” and/or massage because they have found that they feel better, have more energy, and enjoy life more.
  • Weight Loss & Detox Programs – our 30-day “Quick-Start” program can help you lose weight fast, detoxify, regain your energy, and enjoy life again!  Experience one-on-one counseling and personal attention from our holistic nutritionist, Stephanie Brabazon.  We may also use laser auriculotherapy to help you lose weight.  Laser therapy is non-invasive, requires no needles, and is painless. We see many overweight people that have tried diets but have failed because they have difficulty curbing their appetite and cravings. Our program helps to curb your appetite, depress hunger cravings, stimulate your metabolism to burn off extra calories, and correct internal body hormonal imbalances.

Our Passion

It’s our passion to help you feel great and be your best!

After meeting with Dr. Ken Goldman and discussing your heal goals, we will put together aspecific treatment plan just for you.  We have many natural therapies to consider – chiropractic, massage, exercise, nutritional counseling, and laser therapy techniques.  This strategy sets us apart from many other health practitioners, and gives our patients the best opportunity to achieve superior health.

We will do our best to find the cause of your problem and correct it.  If at any time we discover something beyond the scope of our practice, we won’t hesitate to refer you to another healthcare professional.

We accept most health insurance plans and provide a variety of affordable payment options (even for those without health insurance coverage).  We also accept car accident cases, work injuries, personal injuries, and sports injuries.

We don’t want you to have to resort to dangerous medicines, injections, or surgery.  Our approach is to use chiropractic care and other natural therapies (such as massage, rehab exercises, or nutrition) to correct your back pain quickly and  naturally.

 

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June 21, 2011   1 Comment

New Government Food Guide Falls Short Again

Well the new government food guide is out.  It can be found at ChooseMyPlate.gov.  This is the latest change in dietary recommendations from the USDA.  It is meant to replace the old “Food Pyramid” from 1993, which replaced the “4 Food Groups” from years earlier.  The recommendations now are:

Balancing Calories
Enjoy your food, but eat less.
Avoid oversized portions.
Foods to Increase
Make half your plate fruits and vegetables.
Make at least half your grains whole grains.
Switch to fat-free or low-fat (1%) milk.
Foods to Reduce
Compare sodium in foods like soup, bread, and frozen meals and choose the foods with lower numbers.
Drink water instead of sugary drinks.

Some of the USDA’s recommendations are sound, and the web site has some good information if you poke around.  One good piece of advice is to make half of your plate fruits and vegetables.  However, there are some glaring weaknesses in their recommendations and also quite a bit of confusion.  It seems that they came up with a very diplomatic program that wouldn’t offend anyone – especially the big food industries.  The only industry they may have offended is the “sugary drink” people.

Here are some of the glaring problems I discovered:

  • Dairy is included as a requirement at every meal.  Dairy is a dietary non-factor.  Although containing some nutrients, dairy products are very  low in overall nutrition compared to many other food choices and are not just not essential.  Many cultures (such as China) have gotten along fine without much dairy at all, and have very strong bones and teeth!
  • They recommend only half of your grains be whole grains.  I would like it to be 100%.  Why did the USDA stop at 50%?
  • They recommend a mystery food group called “Protein”.  Most people quickly think of meats, poultry, and fish.  It’s as if the USDA is saying that vegetables aren’t a good source of protein, when in fact they are the best source.  Dark green leafy and solid vegetables contain more protein per calorie than lean beef!  Look to the elephant or the horse – powerful bones and muscles, and completely vegetarian.  They also don’t mention how much protein we need each day… perpetuating the “protein-myth”.
  • They don’t clarify what lower sodium foods are.  They just say to “compare… and choose the foods with lower numbers”.
  • They completely ignore legumes, nuts, and seeds on the plate, but can be found if you dig into the site under “Protein Food Group”.
  • They ignore plant-based sources of calcium – which are actually the best choices, and instead only cover dairy-based foods.

If you really want to enjoy amazing health, you have to make some big changes.  Changes that make a big difference, and changes that are sustainable.  Although perhaps a bit of an improvement over the last Food Pyramid, the recommendations of our government don’t go far enough to make much of a difference.  There’s too much room for mediocrity.  The government has let us down again.  Surprised?

Here are two better solutions that you can use as a food guide instead of the “ChooseMyPlate” deal:

 

From the Physicians Committee for Responsible Medicine - www.PCRM.org

 

The “PowerPlate” is a simple guide that gets right to the point.  Here’s another guide for the person looking for some more detail…

 

From Dr. Joel Fuhrman - www.drfuhrman.com


If you would like to talk to someone in our office for advice on weight loss or healthy eating, feel free to give us a call at 215-938-8500, and ask for Dr. Ken Goldman or Stephanie Brabazon, our holistic nutritionist.

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June 15, 2011   2 Comments

Office Hours Change

 

We are now open on Fridays and Saturdays from 9:00 – 12:30 by appointment, and have full day hours on Wednesday.  Our weekly office hours now looks like this:

www.naturaltherapydr.com/contact-us/

Monday:

9:00 am – 7:30 pm

Tuesday:

9:00 am – 7:30 pm

Wednesday:

9:00 am – 7:30 pm

Thursday:

9:00 am – 7:30 pm

Friday:

9:00 am – 12:30 pm (by appointment only)

Saturday:

9:00 am – 12:30 pm (by appointment only)

Sunday:

closed

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June 5, 2011   No Comments

Back From Refreshing Trip To Rickett’s Glen

Well, we’re back from our yearly trip to Rickett’s Glen.  If you’re not familiar with Rickett’s Glen, it is a wonderful PA park in the endless mountain region, near Benton, which is around 45 minutes due west of Wilkes-Barre. The park is known for its old, pristine forest and incredible hiking trails.  The most difficult trail is called the “Falls Trail”, and is home to 21 breath-taking waterfalls.

We had a great time despite three thunderstorms, four scraped knees, two concussions, hundreds of fly and mosquito bites, and one canoe tipping.  We managed to fit in two hikes, six campfires, one game of capture the flag, two games of football on the beach, several trips to the lake, one trip to Knoebels Amusement park, two games of manhunt, one try at fishing, and one late night trip to the lake to star gaze.

We’ve made it sort of a tradition to meet three other families there, each with their own cabin.  This was the first year that my whole family hiked the falls trail and made it to all 21 waterfalls.  And I was very proud of all my kids (especially Joshua, age 6 and pictured above with his dad) who didn’t complain one bit during the 3.5 hour adventure. We planned it so that near the end of the hike (around 2.5 hours in), we made it to the Ganoga Falls, a 94′ tall and powerful waterfall.  We were all starting to tire some, but after being blasted with cold air and mist at the bottom of the falls for a minute or two, we were totally refreshed.  What a blessing!

Rickett’s Glen is a beautiful place, and filled with so much to see and do. Everyone had a great time.  But it’s good to be back.

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June 1, 2011   No Comments

Fennel and Heirloom Tomato Salad-Light and Fresh

Fennel and Heirloom Tomato Salad

 

  • 2 stalks of Fennel (with bright green prawns)
  • Heirloom tomatoes (washed, your choice of colors)
  • Ground Fenugreek seeds
  • 2 pinches of gray salt
  • Freshly ground black pepper
  • 3 Meyer lemons
  • Extra virgin olive oil

Start by prepping the fennel and heirloom tomatoes by quartering the tomatoes and slicing the fennel very thin (try slicing on a mandolin if possible). Cut 2 of the meyer lemons into thin half moon shapes. In a small bowl emulsify the olive oil, the juice of the 3rd lemon with the salt, pepper and fenugreek seeds. Assemble the tomatoes and fennel on a white plate so the colors magnify for great presentation. Pour the dressing on top of the salad (lightly mix), then chop the fennel prawns and sprinkle all over salad and plate for an up-scale approach!

This salad is fantastic for those hot summer nights when you want something light and easy. Making this salad for your friends and family will not only satisfy the taste buds because of the intense flavor the meyer lemons have to offer but it will make your body very happy because of the high nutrient contents. The fenugreek seeds are known for treating any sinus issue also clear up lung congestion. The seeds are a great source of selenium and a natural source of iron. Who knew this simple salad with minimal ingredients can pack in so much satisfaction (nutrient wise) and be so tasty and figure friendly! Outdoor summer fun here I come!

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May 17, 2011   1 Comment

Petition Against Criminalizing Taking Photos of Farms

I just signed Slow Food USA’s petition against legislation in three states that would criminalize taking photos or video of farms.

If you, too, believe that a well-managed farm should have nothing to hide, and that consumers have a right to see how their food is produced, please join me in signing their petition:

http://org2.democracyinaction.org/o/5986/p/dia/action/public/?action_KEY=6675.

If we can raise a big enough stink, we can stop this outrageous effort from spreading to other states and send a clear message that consumers have a right to know where our food comes from.

Thanks!

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May 13, 2011   No Comments

Forks Over Knives – Local Screening

 

“Forks Over Knives”, a new health awareness movie, has just come out.  It looks like a good, in-your-face, challenging documentary… and it’s actually filmed in 3D!

Here’s the official trailer:

There’s a local Premiere Screening in Plymouth Meeting on Thursday, May 19th.  For only $15, you get dinner and the movie. This is from the movie web site http://www.forksoverknives.com/:

Philadelphia Premiere (May 19)

Reception (6:00 PM)
Plant-Strong dinner and book signing with Rip Esselstyn, author of the Engine 2 Diet, on the rooftop cafe at Whole Foods Market Plymouth Meeting.
500 West Germantown Pike, Plymouth Meeting, PA 19462

Screening & Panel Discussion (7:30 PM)
AMC Plymouth Meeting Mall , 494 W. Germantown Pike,Plymouth Meeting, PA 19462
Q&A details will be announced soon.

Tickets
$10 movie, $10 dinner, $15 for both (Proceeds donated to a local nonprofit organization)
Buy Tickets Online

And another bonus, Rip Esselstyn – the author of the Engine 2 Diet, will be there!  Rip is the son of Caldwell Esselstyn, Jr., M.D., the author of the groundbreaking book - Prevent and Reverse Heart Disease.

 

Here is a synopsis of the movie from their web site:

What has happened to us? Despite the most advanced medical technology in the world, we are sicker than ever by nearly every measure.

Two out of every three of us are overweight. Cases of diabetes are exploding, especially amongst our younger population. About half of us are taking at least one prescription drug. Major medical operations have become routine, helping to drive health care costs to astronomical levels. Heart disease, cancer and stroke are the country’s three leading causes of death, even though billions are spent each year to “battle” these very conditions. Millions suffer from a host of other degenerative diseases.

Could it be there’s a single solution to all of these problems? A solution so comprehensive but so utterly straightforward, that it’s mind-boggling that more of us haven’t taken it seriously?

FORKS OVER KNIVES examines the profound claim that most, if not all, of the so-called “diseases of affluence” that afflict us can be controlled, or even reversed, by rejecting our present menu of animal-based and processed foods. The major storyline in the film traces the personal journeys of a pair of pioneering yet under-appreciated researchers, Dr. T. Colin Campbell and Dr. Caldwell Esselstyn.

Dr. Campbell, a nutritional scientist at Cornell University, was concerned in the late 1960’s with producing “high quality” animal protein to bring to the poor and malnourished areas of the third world. While in the Philippines, he made a life-changing discovery: the country’s wealthier children, who were consuming relatively high amounts of animal-based foods, were much more likely to get liver cancer. Dr. Esselstyn, a top surgeon and head of the Breast Cancer Task Force at the world-renowned Cleveland Clinic, found that many of the diseases he routinely treated were virtually unknown in parts of the world where animal-based foods were rarely consumed.

These discoveries inspired Campbell and Esselstyn, who didn’t know each other yet, to conduct several groundbreaking studies. One of them took place in China and is still among the most comprehensive health-related investigations ever undertaken.  Their research led  them to a startling conclusion: degenerative diseases like heart disease, type 2 diabetes, and even several forms of cancer, could almost always be prevented—and in many cases reversed—by adopting a whole foods, plant-based diet. Despite the profound implications of their findings, their work has remained relatively unknown to the public.

The filmmakers travel with Drs. Campbell and Esselstyn on their separate but similar paths, from their childhood farms where they both produced “nature’s perfect food”; to China and Cleveland, where they explored ideas that challenged the established thinking and shook their own core beliefs.

The idea of food as medicine is put to the test. Throughout the film, cameras follow “reality patients” who have chronic conditions from heart disease to diabetes. Doctors teach these patients how to adopt a whole foods plant-based diet as the primary approach to treat their ailments—while the challenges and triumphs of their journeys are revealed.

FORKS OVER KNIVES utilizes state of the art 3-D graphics and rare archival footage. The film features leading experts on health, examines the question “why we don’t know”, and tackles the issue of diet and disease in a way that will have people talking for years.

FORKS OVER KNIVES was filmed all over the United States, and in Canada and China.

 

 

 

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May 4, 2011   2 Comments

Pretty Polenta Cakes-Healthy Comfort

Pretty Polenta Cakes

  • 1 package of ready made Polenta
  • 1 package of pine nuts
  • 2 large bell peppers (washed)
  • 1 jar of organic marinara sauce, 24 oz.
  • ground flax seeds
  • 2 egg whites
  • 5 garlic cloves (chopped)
  • oregano
  • 1 bay leaf
  • fresh Basil
  • fresh flat leaf parsley
  • parmesan cheese (both grated and block), or vegan substitute

Start by heating up the marinara sauce, bay leaf and oregano at a low-medium temperature. Dice the peppers, then chop the garlic. Saute the garlic and peppers in a non-stick skillet  until tender then add in the ground flax seeds. Slice the polenta cakes into 1/2 inch circles, then dredge into the egg whites then into the cheese. Cook the polenta cakes for 3-5 min per side on medium heat. In a separate dry skillet toast the pine nuts at a very low temperature (keeping an eye on these as they would burn very quickly!).

Add basil to marinara sauce at the very end of cooking to retain freshness. When the polenta cakes are finished layer them on top of each other on a plate, then pour sauce on top of cakes then the pepper and garlic mixture. For presentation chop the fresh parsley sprinkling that and the pine nuts on top of meal and all around the plate.  Finally to end this eye catcher, shave some cheese (vegan) as a topping and simply enjoy!

This meal is great for one or many. These polenta cakes are both comforting and healthy. When you have had a long day its great to know this recipe can be assembled and on the dinner table in less than a half an hour!  Now that’s my kind of fast food!

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May 2, 2011   No Comments

Healthy Living Awareness Movies

While talking with various patients this week, I realized that many, good, health awareness movies have come out in just the last few years. Although I haven’t seen them all, it seems that each one has a unique perspective and a lot of good things to say… and to think about.

Here is a list of the movies I recommend:

  • Eating
  • Food Inc.
  • Food Matters
  • Super Size Me
  • King Corn
  • A Diet For All Reasons
  • A Diet For A New America
  • Simply Raw
  • Fresh
  • Forks Over Knives

I recommend viewing these movies with your friends and family, especially if you’re interested in learning more about how to keep yourself and your loved ones healthy in this “toxic” world.  These movies reveal some of the modern forces that literally war against your health goals and threaten your very health and wellness.  Some of the varied topics include:

  • the obesity epidemic in the USA
  • organic vs. conventional food
  • genetic modification of food
  • the use of chemicals in modern farming (pesticides, herbicides, fungicides, etc.)
  • natural vs. factory farming
  • the causes of modern diseases (heart disease, cancer, diabetes, etc.)
  • the truth behind ranches, pig farms, chicken farms, and slaughter houses

If you have any thoughts, please leave a comment.  And if you can, please list any other similar movies that you would recommend.  Also, please let me know if you would be willing to watch a community screening (in our office) of the movie, Fresh.

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April 30, 2011   No Comments