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Sunday, September 30, 2018

What Is Craniosacral Therapy? And How Can It Change Your Life?


Acute physical pain like headaches or back aches ruin well deserved days off at the weekend. If allowed to continue, not only will you be suffering from chronic pain but also mental fatigue. Issues like chronic pain can be pervasive and cause serious mental health problems like depression and increase likelihood of illness as they drain your ability to rest. They can increase stress levels and make what would be otherwise easy to manage health conditions much more difficult to deal with. At Mount Sinai’s Department of Rehabilitative Medicine, we have a fantastic method of dealing acute pain.
Craniosacral Therapists work to improve the movement of cerebrospinal fluid and reduce tension through gentle manipulation of the head and spine which can help you not only overcome daily hassles but also thwart chronic and emotional pain. Treatment consists of entering our relaxation sanctuaries with our fantastic on-site craniosacral therapists and beginning your treatment on a couch.
Our therapists will begin by exploring your with gentle hands, identifying and working through pressure points and built up tension in the body. Your body and nerve system will respond to the therapists touch as they pick up on tensions or distortions which may be indicative of ill health. Your therapist will help your body relax allowing the body to find an equilibrium.
What makes craniosacral therapy unique is the empathy our therapists have with your body. Their unique training allows them to identify and patiently relieve your body of tension and chronic pain.
The Primary Respiratory Mechanism (PRM)
This is a mechanism that is proficient in working and has been summarized in five ideas and encompasses the routine.
  1. Inherent motility of the central nervous system
  2. Fluctuation of the cerebrospinal fluid
  3. Mobility of the intracranial and intraspinal dural membranes
  4. Mobility of the cranial bones
  5. Involuntary motion of the sacrum between the ilia
If you are experiencing chronic pain and heightened levels of stress in your daily life, and especially if you are struggling to cope, please call (212) 241-6321) to see if we can help.
 

Sunday, September 23, 2018

A Beginner’s Guide to Yoga


In our last issue we looked at stress and how it can slowly degenerate your bodily systems by shutting them down in preparation for a fight or flight response. If you haven’t read it yet, then click here to learn more. Yoga is a method we use at Mount Sinai’s Department of Rehabilitative Health, to help patients alleviate stress and tackle long term health problems. It also focuses on preparing patients to develop mobility, flexibility, and range of motion. We have set up some basic yoga tips so that even if you don’t pop in to see us – you can participate.




 

Firstly, you need to ensure you are in the right environment. Practicing yoga in your office isn’t going to be beneficial if you are constantly interrupted by impromptu meetings and telephone calls. Our first tip is to practice in a quiet environment where you are unlikely to be disturbed by others.

 

As we are trying to disengage from the world, it is important ensure that there is nothing that could possibly interrupt you. Our specialists frequently report people struggling to maintain a good temperature. If you are too cold or too hot and the environment is a distraction, then it would be wise to adjust it. This will make the session more effective than otherwise.

 

One of the easiest positions for beginners is the corpse position (otherwise known as the dead pose). This will give you a great entry into yoga that you can try this afternoon – or whenever you can gift yourself the time.

 

  • Lie flat on your back. Stretch your arms out, spelling out the letter T. We recommend, for comfort reasons, that you place a suitable pillow under your head and/or knees.
  • Close your eyes and begin to enter a relaxed state of mind. The essential part here is to form a clear intention to yourself that you intend to relax. Begin breathing deeply and exhale at a rate of 1:2 (e.g. 1 second inhale 2 second exhale).
  • Lightly contract muscles and relax them. This can begin with whichever muscle group you desire. A great focus is on muscles that are particularly tight or stressed – only you can really know that. For example, you tighten your shoulders periodically and then release them. Tighten your quadriceps, then release them. Your buttocks… Continue going through all your muscles periodically from your feet to your head.
  • You will at this stage begin to defuse bodily tension. After you have completed these fairly simple exercises, you can happily remain lying in a state of relaxation for as long as you desire. We recommend practicing between 10 to 30 minutes for practical reasons – if you can do longer then great.
     
    If you are considering yoga classes Mount Sinai offers classes with certified yoga teachers (CYTs). Please contact us on (212) 241-6321) to see if we can further help.
     

 

Sunday, September 16, 2018

What Is Stress? And How Can Yoga Help You Cope?

We realize that sometimes we need to think outside the realms of the norm when dealing with stress and relaxation. If there were a safe long-term prescription to tackle stress – then everyone would take it. Unfortunately, there is not – and part of our bespoke patient diagnosis often includes taking up yoga. This is a practice that refers to loosening ourselves of bodily and mental tension while learning to consciously disengage our stress and muscles systems when they are not needed.





 

One of the most basic organic response systems is famously called the “fight or flight response”. It symbolically refers to the wild, cliched scenario in which the burly caveman, equipped with nothing more than a spear is being confronted by the sabretooth tiger. The body’s system engages – the heart accelerates, and he begins to perspire. The body has entered into a state where it is ready for a physical challenge.

 

There aren’t many sabre tooth tigers in rural, suburban, or city centres. So, what happens? Our bodies still have the fight or flight response when challenged by an obstacle (think of it as a mini sabre tooth) but we do not get the opportunity to fight or run. This means that our stress levels remain at a state of anxiety. We don’t have short term problems like the cave man, we have long term problems. If our bodies do not learn how to switch off, then our bodies remain in a state of preparation for something which never comes. This is why stress “runs us down” and we are more prone to illness and fatigue. Your body wants to run, but it can’t due to the environment we live in.

 

Yoga Can Teach You to Switch Off

 

Yoga is an interesting practice as it locates a space between effort and non-effort. You consciously engage in an activity that requires you to not engage in anything. Once we pass this somewhat paradoxical conundrum – you’ll find that yoga is simply switching off in an organized and methodological manner. Yoga is the practice of conscious relaxation. It is a way in which you can turn off your fight or flight response which will in turn increase your overall health. Conscious relaxation encourages you to release the grip of your muscles when you don’t need them – and allows you to switch off your high corticosteroid level.

 

Click here to read about how you can practice yoga and follow our series on stress related issues.

 

If you are considering yoga classes Mount Sinai offers classes with certified yoga teachers (CYTs). Please contact us on (212) 241-6321) to see if we can further help.

 

 

 

 

Sunday, September 9, 2018

Avoiding Work Related Musculoskeletal Disorders


The workplace, for the most part, tends to be a safe environment. But there’s one deadly aspect that looms over all of us workers who sit behind computers all day – sitting down all day and the posture you keep while doing so. The duration and way you sit can have a negative impact on the rest of your life and cause life altering muscular skeletal disorders (MSDs). This week, as we continue to wage our war on inactivity and MSDs, we are going to give you top tips to use in and out of work to avoid long term damage.




 

Astronauts found that life under zero gravity led to accelerated bone and muscle loss during studies conducted over 40 years ago. A similar effect occurs when sitting at your desk all day

MSDs are serious, and studies have linked them to a heightened risk of type 2 diabetes, some types of cancers, and early death.

 

The first step we can take is to look at your equipment. That is your computer, it’s placement, and your chair. This can be summarised as follows:

 

  • Adjust your chair so that your feet are placed firmly and comfortably on the floor. If this is not possible, then you should bring this up with your employer who should accommodate you with a foot rest of some description.
  • You should ensure, while adjusting your chair, that your screen is at eye level. This will stop you from straining you neck one way or another. Secure your keyboard at a comfortable level so that you can easily use it without slouching or overstraining.
  • Your chair should be bent at a 90-degree angle and you should be able to slip two fingers between the bottom of your thigh and your chair – and your backrest should push your lower back slightly forward.
  • Do not use your handset for long periods and replace it with a headset if you need to make frequent long phone calls.
     
    These seemingly minor alterations could change your life. Speak to your employer if there is anything you need, and they should aid you in avoiding bad habits with a new chair or headset.
     
    On top of this, to reduce your risk of ill health from inactivity one should exercise approximately 150 minutes a week.
     

If you are experiencing MSD related pain and would like to discuss it with one of our physicians, then please contact us on (212) 241-6321) to see if we can further help.

 

Sunday, September 2, 2018

Motion Related MSDs

This week, with an intention of holistically covering MSDs – we are going to outline how poor body mechanics can contribute to this ailment.  To recap, MSDs are injuries or pains in the musculoskeletal system, including the joints, ligaments, muscles, nerves, tendons, and structures that support limbs. They are not only costly for people but companies too across the United States. It is estimated that 50 billion dollars a year is spent on direct costs of MSDs, and indirect costs could be up to 5 time more. Whether you are a worker or an employer – MSDs should be of concern to you.

 

The good news is that MSDs are highly avoidable – but they do pose a threat to people who are frequently lifting or moving heavy objects – either in the gym or as part of their daily work routine. The principle method of avoiding MSDs is using correct lifting techniques.

 

Gym Goers

 

Ensure you are aware of proper lifting technique – and get a personal trainer if you need to.



 

It is highly advisable that if you are new to the gym or weightlifting that you get yourself a personal trainer – even if its just for a couple of months. Use the trainer until you feel comfortable weight lifting alone. This will teach you good posture and technique that you can keep with you for the rest of your life. Good technique will mean that you don’t damage or overuse areas that are unintended with a particular motion, for example – curving the spine when deadlifting can damage your spine irreparably and lead to unforeseen MSDs down the line. Not only can bad technique give you MSD but it also increases the likelihood of them developing at a later stage.

 

 

Work Related Lifting

 

Make sure you follow protocol on lifting and/or moving heavy objects in the workplace.

 

There are probably guidelines at your place of work concerning how you should lift. The most famous example is keeping your back straight when lifting heavy objects off of the ground. The best advice we can give you aside from seeing you in person is that you should follow these guidelines. They are set out to prevent overuse of wrong muscle groups, joints, or tendons when lifting – which can lead to MSDs through repetitive strain. If you are a company, you should ensure that your workers all have access to lifting guidelines as high effort task repetition could seriously injure your workers if not managed properly.

 

If you are experiencing MSD related pain and would like to discuss it with one of our physicians then please contact us on (212) 241-6321) to see if we can further help.

 

 

 

Thursday, August 30, 2018

What Are Stem Cells Solutions?

Researchers over the last decade have made remarkable strides in increasing the effectiveness of stem cell therapy says Dr David Spinner, a physician at Mount Sinai’s Department of Rehabilitative Medicine. In the last decade, there has been a tremendous amount of research that giving us ways of treating issues that otherwise were not healing. 

Stem cell therapy is a process that involves harvesting the most basic cells from bone, blood, or tissue to help regenerate previously untreatable conditions. It is most commonly used in cancer treatment, when cells or bone marrow has been damaged or destroyed by the disease, but it is also used at Mount Sinai’s Department of Rehabilitative Medicine as a treatment for degenerative conditions such as tendonitis or partial ligament tears.



Blood cells begin their journey in bone marrow, and, once blood cells have matured move into the peripheral blood system. If the bone marrow (the soft spongey tissue inside our bones) is damaged or destroyed by a degenerative condition or cancer, then the marrow cannot make normal blood cells. Stem Cell therapies will extract red and white blood cells alongside platelets at an early stage of their maturity in other parts of the body where they are properly nourished and transplant them into the damaged area.

We already mentioned that stem cell therapy is an effective treatment for people with degrative joint diseases, but it is especially good at treating damage to areas with poor surface of the cartilage. We can also use the therapy on rotator cuff disease or rotator cuff tears to amend damage before impossible to treat. A great method we adopt is concentrating stem cells after we have harvested them before putting them back into an area that is injured.

Stem cell is also a fantastic treatment for spine damage and knee damage caused by arthritis. If the spine or knee is inflamed around one or more joints the area will become increasingly painful and will gradually worsen if not attended to. This issue can be down to your genetics or lifestyle such as poor posture, bad lifting technique, or not enough moving. The stem cell therapy we outlined above is a promising treatment for arthritis all over the body, and can help you reclaim your life.

If you would like to learn more, or would like to visit a consultant or physical therapist for referrals, call us on (212) 241-6321).


Friday, August 17, 2018

Get Back in The Game with Platelet Rich Plasma

You’ve had a great season, everybody said so – but your body is now tired, underperforming, developing tendinitis, you have a fracture in your hip, and you slowly feel tennis elbow pains emerging. That might be a bit extreme and sensationalist; to be honest, you would be quite unlucky if all those problems arose after one season – but it is likely that if you are involved in physical activity, eventually, you will experience a symptom or tear that could require a long recovery period. Luckily, we have a game-changing therapy that will get you back onto the track quicker than “On your marks. Set. GO.”



Unlock Your Super Healing Abilities



Platelet Rich Plasma Therapy (PRP) is a blood plasma that contains concentrated amounts of platelets and growth factors that encourage and trigger tissue repair. That means we can speed your recovery along. The therapy is a progressive non-surgical treatment plan that uses the plasma harvested from your own blood to help repair, regenerate and rejuvenate. That’s right, you’ll be just like the Lizard (for all the Marvel Universe fans reading).





According to the current literature, the following injuries that respond best to this procedure are the following:



·       Achilles tendinitis

·       Medial collateral ligament (MCL) tears

·       Knee osteoarthritis

·       Injuries to ligaments and muscles

·       Chronic lower back pain

·       Spinal stenosis

·       Tennis elbow

·       Acute and chronic tendon problems

·       Joint fractures

·       Plantar fasciitis

·       Neck pain

·       Rotator cuff tears

·       Morton’s neuroma



But, What Exactly is This Procedure?



Like red and white blood cells, platelets and plasma are a normal component of blood. Plasma refers to the liquid component of blood, the medium that dilutes these cells. It also helps to move other material travelling in your blood system around the body. The injection consists of less-than-usual plasma and a more-than-usual number of platelets.



Platelets alone do not have any healing properties, that is to say, there is nothing “magical” in them. However, the secrete substances called growth factors and other proteins that regulate cell division, stimulate tissue regeneration, and promote healing. Alongside this, they aid the blood in clotting open wounds. That is why, a person with defective platelets or two few platelets will bleed excessively from a cut.



This therapy that avoids surgery for many painful and difficult to treat conditions uses your own cells to help your body heal, rejuvenate your joints, and regenerate after sustaining damage. Numerous professional athletes including Tiger Woods, NBA champions, and NFL stars have all used this procedure to help them get back into the game.



If you would like to learn more, or would like to visit a consultant or physical therapist for referrals, call us on (212) 241-6321) to see if we can help you this sporting season.