ChiroMasterMind

Remember that wonderful system of the body which interconnects all layers of muscle tissue? Sure you do? Think hard…it will all come rushing back to you. Hint: It starts with an F. Right! Fascia. I am here to tell you this is the ‘missing link’ to resolving chronic pain, not just in the shoulder. So the power clinical tip of the day is this..whenever you treat shoulder pain or dysfunction ALWAYS look at the hip structure. Assess the gluteus medius, minimus, piriformis, TFL, iliopsoas and latissimus dorsi attachments…don’t forget the hamstrings by the sacrotuberous ligament. Why are you looking at these places? FASCIA. Restricted fascia and trigger points in these muscles will prevent proper scapular abduction leading to overload and movement dysfunction of the glenohumeral joint. So the moral of this story is ‘STOP CHASING PAIN’, begin fixing problems. Big difference. Have fun! It works.

Dr. Perry Nickelston, DC

973-800-6570

www.painlasercenter.com

Tags: General by Dr. Perry
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In this world of fast paced, instant satisfaction mindest, and infrequent face to face communication (e-mail anyone?), now more than ever it’s the small personal things you do for a patient that makes all the difference. Trust me, they will remember. And when it comes time for them to recommend your services to a loved one…it’s the personal touch that did it! So, how small is small? Well to be honest, there really is no such thing as small…because they all reap BIG benefits later. Here are ten small ways to make a lasting impression…Try them, you will be amazed at what you see. If you already do them…bravo! You are ahead of the game. :1. Address patient’s by their last name and request permission to use their first name. For example, ‘Hi Mr. Smith welcome to our office. May I call you John or do you prefer Mr. Smith?’2. Call them after your first treatment to check up on them.3. Send a HANDWRITTEN welcome note after their first visit. No e-mail!!4. Offer them Spring Water while they wait to see you. Mini-bottles.5. Compliment them on their progress.6. Thank them for choosing you as their doctor. Show appreciation.7. Send a thank you note for every referral.8. Ask questions about their favorite hobby.9. Walk your patient out to reception and say how great is was to see them.10. Give them a small little token give at milestones of care. It’s the small little behaviors that make all the difference. Your secret weapon to the big goal is taking small steps. Now go forth and do small!! Dr. Perry Nickelstonwww.painlasercenter.com973-800-6570 

Tags: General, Practice Tips of the Day by Dr. Perry
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Have you hit a wall with resolving back pain? Try looking at the hip. The hip is an often over looked cause of chronic back pain. Let’s see how. Dysfunction of the Iliofemoral Joint usually results from muscle imbalances in the tensor fascia latae, gluteus medius/minimus, hip external rotators (piriformis, quadratus femoris, gemellus, and obturator, or even the rectus femoris. Tightness or inhibition in any of these muscles can alter the entire kinetic chain. Superior glide of the femoral head in the acetabulum can result in decreased dynamic caudal glide of the femoral head during frontal plane hip abduction. This can result in capsular dysfunction and inhibition of the glutues medius. This results in referred trigger point pain to the lower back and also over use of the lumbsacral junction. Oh what a tangled web from just muscle tightness.  So if progress in adjusting the lower back hits a road block. Look to the hip. Do some trigger point work and release the hip via manipulation. Sit back and watch the results. Now that’s the best part. Watching people get better.                                              Dr. Perry Nickelston     www.painlasercenter.com        drperry@painlasercenter.com        973-800-6570 

Tags: General by Dr. Perry
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