Advanced Wellness: Herniated Discs

Health &Wellness The Newsletter About Your Health and Caring For Your Body


Do you suffer from back or neck pain? At times this pain can radiate, indicating a potential problem with your discs. The bones in your spine are called the vertebrae. The vertebrae are held together and in place by ligaments and small discs that act as shock absorbers. These control your spine’s range of movement and flexibility, as well as keep the spinal cord safe from damage. However, when a disc is damaged, the inside can squeeze out of place and either bulge or herniate, leaving the spinal nerves susceptible to damage. When this occurs, the result is called a herniated, slipped,

or ruptured disc. (continued inside)


• Herniated Discs • Clinician Spotlight • Is That Thigh Pain Really Sciatica? • Tips For Sitting At Work

Health & Wellness The Newsletter About Your Health and Caring For Your Body

To Get Out of Pain, Get Back to Your Best Life! HERNIATED DISCS

A herniated disc can be incredibly painful, causing several limitations on the body’s mobility. This reduced movement can hinder a person’s ability to complete day-to-day tasks. Depending on where the herniated disc is located, you may experience a variety of symptoms including radiating pain down the arm or leg. Bulging discs are the beginning phase of herniated discs. Very often people have a bulging disc and don’t even know it. Only when the outside of a bulging disc becomes irritated and affects the surrounding tissue does it begin to cause back ache, generally in the same area and not down the leg.

A herniated disc in the neck can be just as painful as a herniated disc in theback.Armpain fromaneckherniateddisc isoneof themorecommon neck conditions treated by our spine specialists. A herniated disc in your neckmaystart from injury to thespine, thesymptoms, includingarmpain, commonlystart frompoorpostureormusclestrains.Thearmpain froma neckherniateddiscoccursbecause theherniateddiscmaterial “pinches”or presses on a nerve, causing pain to radiate along the nerve down the arm. Our specialized physical therapists are trained to examine your spine and movement tofind the rootcauseofyourproblem. Ifyouaresuffering from acutebackpain fromaherniatedorbulgingdisc,makeanappointment for anevaluation.We’llassessyourspecificconditionandcreateacustomized treatment plan to get you back to your best health


Timothy Jones is a graduate of the University of Tennessee, Knoxville with a Master’s of Science Degree in Nursing. Mr. Jones has been awarded University honors by the Sigma Theta Tau International Honor Society and the Professional Nurse Traineeship Award. He has been published in the areas of Fibromyalgia and Allergic Diseases in Advanced Pathophysiology textbooks for Advanced Practice Nurses. Mr.JonesbeganhiscareerasaRegisteredNurse in Intensive Care Units before going into family practice in the rural areas of East Tennessee. He moved into the area of Interventional Pain Management early in his career as a Nurse Practitioner while in EastTennessee. He worked in the San Fernando Valley of Los Angeles,

California in the area of Community Health before moving to the New Jersey to resume his career in Pain Management. Mr. Jones taught Nursing at the University of Tennessee, Knoxville. He has extensive experience in managing acute and chronic pain patients, including performing injections for joint pain, myofascial pain, tendonitis and bursitis. He works closely with physical therapists, chiropractors, acupuncturists and other specialists to optimize outcomes for pain patients. When he is not caring for his patients, Mr. Jones enjoys spending time with his family, playing music – especially guitar, and mountain biking.


One of the most common mistakes is to assume that all leg pain is sciatica and must be due to a disc in the back pressing on a nerve. In fact, most leg pain is not pain from the nerve in your spine, and has nothing to do with a herniated disc. There is much confusion about the term sciatica. The term sciatica is defined as pain running down the leg in the path of the sciatic nerve. It is best to understand the difference between referred leg pain, which “refers” from another area and nerve root pain which begins in the spine. Irritation of any of the tissues of the back can cause pain down one or both legs. Seventy percent of patients with back pain have some radiating pain to their legs. This referred pain can come from the tissues, muscles, ligaments, joints, discs or other back structures. It is usually a dull ache that spreads into the buttocks and thighs. In addition, it may affect both legs, however, it usually does not go much below the knee. Referred pain is not due to anything pressing on a nerve. It is not sciatica. Irritation of the nerve root in the spine gives a quite different pain, which is sharp and specific to an area of your leg. Nerve root pain usually radiates to the foot or toes. Patients often describe the pain with sensations such as pins and needles or numbness. It usually affects one leg only and is greater than the pain one has in the back. Nerve root pain is much less common than referred leg pain. Furthermore, if you have back pain alone and no leg pain

or nerve symptoms, a nerve root problem is very unlikely. If you do have leg pain, then your legs should be examined by a physical therapist for signs of nerve irritation or nerve compression. Diagnosing nerve irritation depends on tests that stretch or press on an irritated nerve root to cause pain. Our physical therapists at Advanced Wellness perform different tests for nerve irritation. A common test is raising the legstraight in theairand looking for radiatingpainwith limitation. There are many things that can contribute to leg pain. If you’re experiencing pain, weakness, or discomfort, it’s a good idea to schedule a pain evaluation to get to the bottom of the problem. We’ll run a full assessment and pinpoint the problem so we can get to work on creating the solution.

Health & Wellness Tips

Ears in line with shoulders If you’re leaning too far forward or backward, your posture is off-kilter. Use this trick whenever you’re sitting at your desk. Pull back shoulder blades Drawing them back and down will bring your chest up and out, and help you avoid getting rounded shoulders. Using a lumbar pillow A lumbar support pillow does some of the work for you by supporting your spine. You’ll be forced into the correct position every time you sit down. For a quicker fix, use a folded or rolled-up towel. Uncross those legs The correct way to sit in a chair requires you to place your feet flat on the ground. That means no crossing your legs or sticking them out in front of you. Get up and move Sitting for long periods of time is really terrible for the body. Your blood flows slower, abdominal muscles get weaker, bones get thinner due to inactivity and your life expectancy decreases. TIPS FOR SITTING AT WORK Do You Know Your Wellness Score? Determine the status of your overall health with our Wellness Score – a comprehensive scoring system that includes a variety of testing parameters. After a thorough consultation, we’ll assign you a wellness score from A to F and show you the exact areas where your strengths and weaknesses lie. From there, we’ll design a completely customized wellness program tailored to your specific needs in order to improve your score! Call today to schedule your Wellness Score consultation! (732) 431-2155 Use code: IB-1117-B

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Advanced Wellness


Back Pain Relief Without Surgery

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5 Back Pain Myths MYTH 1: Back Pain Goes Away Quickly Astudyfoundthat75%ofpa- tientsstillhavebackpainayear afterfirstvisitingtheirdoctors. 3 Manypatientsmayalsogoto othertherapistsandchiroprac- tors,nevertellingtheirfamily medicaldoctorwhattheyare doingabouttheirbackpainand howitstillaffectstheirlives. MYTH 2: Back Pain is a Trivial Problem Onestudyshowedjusthow seriously back pain affects one’s quality of life. Lower backpainistheleadingcause ofdisabilityforpeopleunder 45yearsofage,and80-90%of alladultswillsufferwithlow backpainatsometimeintheir lives. 1 MYTH 3: Pills (NSAIDs & Muscle Relaxers) Are Safe and Effective for Your Back Pain People with back problems generally suffer over many years,evendecades.Complica- tionsmaybeseenwithlong term use of these medicines such as NSAIDs, which can causebleedinginthestomach and intestines and lead to ulcers and kidney damage. Theyhavealsonotbeenshown tobeeffectiveinsomeclinical trials. 4 MYTH 4: Bed Rest is Good for You Inactivitywillactuallymake yourbackpainmuchworsein mostcases.Itwillactuallyre- conditionyourspinalmuscles andmakethemweaker—which means morepainandlessfunc- tionforyou. MYTH 5: The Pain is the Problem Back pain is a signal that thereissomethingwrong.Low back problems, not just low back pain, can be how you function, how your spine movesandtheactualstructures inyourbackthatareinjured. It’s important to have your problemsexaminedobjectively. pain is a signal th t ere is something wrong. Low back problems, not just low back p in, c n be ttributed to h w you fu ction, how your spine t e actual structures r back that are injured. It’s important tohaveyourproblems examined objectively.

Testimonials that DRX9000 TM Noninvasive Treatment Works Many of our patients have received significant relief after just a few treatments. Some, after just one! The really good news is that this isnot a treatment you have to continue for the rest of your life in most cases. “I had 15 epidurals over the course of 10 years for my back and sciatic pain. Since using the DRX9000, I have been pain free for months…Years ago I had surgery on my neck for the same problems and after comparing the two, I truly feel this machine could be the end to back surgery!!!” —MaryAnneS.,Bloomingdale,NJ— “I didn’t think I was going to be able to walk down the aisle at my own wedding the pain was so bad… Miraculously, not only did I walk down the aisle, I was able to dance all night pain free!!!” —AlyciaB.,Paterson,NJ— “I am an avid tennis player and I try to play at least four times a week. Because of my disc herniations, I had to stop playing altogether…I was becoming very depressed so I started trying all types of treatments, but chiropractic, physical therapy and medications didn’t help. I found Dr. Wolf through the newspaper and decided to give his program a try. I could not be happier. Not only am I back to playing tennis, but I have started running again. I can’t begin to tell you how happy I am. If you have a herniated disc you have to try this miracle machine!!!” —RubenK.,Mahwah,NJ— “I suffered with back and sciatic pain for more than five years…I have been receiving epidurals and nerve blocks for the last year and a half…Previously I had tried chiropractic, physical therapy and acupuncture. With the help of the DRX9000, I have beencompletely pain free for more than four months!” —PegC.,Clifton,NJ— “I had constant pain in my lower back and both legs…My neurosurgeon told me that surgery was my only shot for relief. In fact, he wanted to schedule me that day. My orthopedist told me to try Dr. Wolf and the DRX9000 as a last ditch effort…not only is my excruciating pain gone, I have actually returned to all of my normal routines!” —DianaO.,Wayne,NJ— Cilea Cilea – Mary Anne S. – – Alycia B. – – Ruben K. – – Peg C. – – Diana O. –

PHOTOBYCALELLOPHOTOGRAPHY, INC. Non-surgical spinal decompression therapy using the FDA clearedAxiom DRX9000™ treats disc injuries in the neck and lower back.

largenumberofhealthcare providers in the United States. NewJerseySpinalCare of Wayne, New Jersey, utilizes DRX9000 spinal decompressiontherapyfor candidateswhosufferfrom severe neck or back pain, sciatica,discandlegpain whomaybenefitfromthis treatment. Non-surgical spinal de- compressionisbasedonthe theory that decompressing yourspineisonewaythat discspacescanbeincreased and disc protrusions may thenbereduced. During the DRX9000 treatment the patient lies faceupwiththekneesbent withsupportunderneaththe shoulders.Youdonotgrip onto anything with your handsduringthetreatments, which can be tiring and painful for some patients. Theangleofdecompression can then be adjusted to affectdifferentcervicalor lumbarlevelsinthelower spine,allowingthedoctorto pinpointtheproblemarea. An experimental study hasshownthatinbulging discs, decompression can lowerthepressureinsidethe disc. 2 Formanypatients, this canmeanpainrelief,andif thepressureonthenerveis released,healingcanbegin. Astudyinthe Orthopedic Technology Review showed amarkedreductionindisc herniationsorprotrusionsin 71% of patients using the DRX9000. 2 Whenatreat- mentmayhelpevenafrac- tion of the patients with these types of back, neck andlegpain—whennothing else has worked—that’s significantinouropinion. NJSpinalCareistaking newpatients.CallNJSCat providers in the United States. AdvancedWellness of Marlboro,New Jersey, utilizes DRX9000 spinal decompression therapy for candidat s who suffer from severe neck or back pain, ciatica,disc and leg pain who m y benefit from this treat ent. Non-surgical spinal decompression isbasedon th theory that decompressi g your spine is one way that disc spaces can be increased and disc protrusions may then be reduced. During the DRX9000 treatme t the patient lies face up with the kne s bent with support under ath the shoulders.Yo do not grip onto anything with your hands during the treatments, which can be iring nd painful for some pat ents. The angle of decom ression can then be a justed to affect different cervical or lumbar lev ls i th lower spine,allowing the doct r to pinpoint the probl m area. An experimental study has shown that in bulging di cs,decompress on can lower th pressure nside the disc. 2 For many patients, this can m an p in relief,and if th pressure on the nerv is released, healing can begin. i t rt e ic logy Review showed r e reduction in disc i i i in 71% of patients i the D 90 . 2 When a tr atmentmayh lpevena fractionof the ti t with t types of back,neck l i e t i l has worked—that’s i ificant in our opinion. AdvancedWellness is taking new patients.Call

(973)942-4449toschedule your free consultation (a$200value)toseeifyou are a candidate for the DRX9000 spinaldecompres- siontreatment. Pain— Did You Know...? 1) A2005articleinthepres- tigious orthopedic journal Spine studiedpatients who suffered with lower back painand/orsciatica.99%of the patients were told they wouldgeteitheramoderate or great improvement in theirqualityoflifeaftersur- gery. But the study found that,inreality,39%didnot evenhaveminimallysignif- icantimprovement. 5 2) A scientific study from 2005indicatedthatpatients showedshort-termimprove- ment with injections, but whentheywerecheckedtwo yearslater,morethantwo- thirdsofthesepatientshad undergoneadditionalinva- siveprocedures. 6 Sothereis atwo-thirdschancethatyou couldeventuallyendupwith an invasive spinal surgery followinginjections. 3) There’satermthatisused alotinorthopedicandmed- icalcircles, failed back sur- gery syndrome .Thegreatest risk factor for having a second back operation is havingoneinthefirstplace. Andthegreatestriskfactor forhavingathirdoperation is having two previous sessionsunder theknife. Patients with unsatisfac- toryresultslikethesemay becandidatesforDRX9000 spinaldecompression. AdvancedWellness at 732-387-7441 to schedule your free consul ation (a $200 value) to see if you are a candidate for the DRX9000 pi al decompression treatment. i i You ow.. ? 2005 article in the pres- i s orthopedic journal i e studied patients who ered with lower back i and/orsciatica.99%of thepatientswere told they ldgeteitheramoderate great improvement in their qualityof l feaftersurgery. But thest dy found that, inreality,39%didnoteven haveminimallysignificant mprovement. 5 2) A scientific study from 2005 indicated that patients showed short-term improve- ment with injections,but when they were checked two years later,more than two-thirdsof thesepatients hadundergoneadditional in- vasiveprocedures. 6 So there is a two-thirdschance thatyou couldeventuallyendupwith an invasive spinal surgery following injections. 3) There’s a term that is used a lot in orthopedic and medical circles, failed back surgery syndrome . The greatest risk factor for having a second back operation is having one in the first place.And the greatest risk factor for having a third operation is having two previous sessions under the knife. Patients ith unsatisfac- tory results like thesemaybe candidates for DRX9000 spinal deco pression.

By Dr.James L.WoLf CHIROPRACTIC PHYSICIAN y R. JOSEPH J. CILEA I I YSICIAN About40%ofadultshave had back pain in the past month and around 60 to 90% of adults will have backpainatsomepointin theirlives. 1 Manybackpainsufferers giveuptooearlyonfinding the right treatment. They thinktheywillhavetolivea lifewithpainastheybelieve thereisnothingthatcanbe done for them. This may oftenleadtofeelingsofdis- couragementandinactivity, both of which can make chronicbackpainworse. Fortunately,manydoctors today recognize that back painaloneisgenerallynota sufficientreasontoturnto spinal surgery. At best, spinalsurgeryshouldonly beusedbythosewhohave triedeverythingelse,have excruciatingpain,oraneu- rological deficit condition (likefootdrop).But,evenin caseslikethese,surgeryis nocure-all. Thereisapromisingtreat- ment,however,thatfallsbe- tweentheoptionofinvasive, irreversible spine surgery anddoingnothingatall… It’sthebreakthrough treat- ment spreading rapidly across the United States, Canada and Europe used moreandmorefrequently forprofessionalathletes— called DRX9000 TM Spinal Decompression Therapy. The following research and facts will hopefully guideyoutothispotentially better solution for your chronic back, neck or leg pain. Your doctor(s) may not have discussed or even knownaboutthisnewtech- nology,nowbeingusedbya t lt have had back pain in the past and around 60 to of adults will have ain at some point in . 1 a y i sufferers t early on finding right reatment.They t live a it li e n t ing that can be for them.This may t fe lings of discouragementand inactivit , b of which can make i orse. Fortunately, t recognize that back eneral y not a cient reason to turn to surgery.At bes , surgery should only by those who have everything else,have i ti pain,or a neurologicaldeficit t . ut,even in like these,surgery is . tr atment,however, that falls between the ption of nvasive, irreversible pine surgery and doing nothing at all…It’s the breakt rough tr atment spreading rapidly s the United States, and Europe used and more frequently f r profes ional athletes— lle DRX9000TM Spinal si erapy. The following researchand factswillhopefullyguid you to this potentially better solution f r your chronic back,neckor legpain. Your doctor(s) may not havediscussedorevenknown about thisnew t chn logy, now being used by a larg umber of healthcare

Owner and Author 101 Great Ways to Improve Your Health

Dr. James L. Wolf Chiropractic Physician & Facility Director

Dr. Joseph J. Cilea

601 Hamburg Tpk, Suite 101 • Wayne, NJ 17 North Main Street • Marlboro, NJ 07746

1.Bigos,S.,et al.Acute LowBackProblems inAdults,ClinicalPracticeGuidelineNo.14.Rockville,MD:U.S.PublicHealthService,U.S.Dept.ofHealth andHumanServices,AHCPR pub.No.95-0642, Dec.1994. 2.Eyerman,Edward,M.D.MRI Evidence ofNonsurgical,MechanicalReduction,Rehydration andRepair of theHerniated LumbarDisc.Journal ofNeuroimagingVolume 8/Number 2April1998. 3.Croft,Peter,et al.Outcome of LowbackPain inGeneralPractice:AProspectiveStudy.BritishMedical Journal1998:316 :1356-1359 (2May). 4.HancockMJ,MaherGC,Latimer J,et al.Assessment ofDiclofenac orSpinalManipulativeTherapy,orBoth, inAddition toRecommended First-lineTreatment forAcute LowBackPain:ARandomized ControlledTrial,Lancet 2007; 370:1638 5.SOURCE:Spine,June 15,2005. 6.DattaD,et al. (2005).LowBackPain. In EDHarris Jr.,et al,eds.,Kelley’sTextbook ofRheumatology,7th ed.,vol.1,pp.588-600.Philadelphia:ElsevierSaunders Call now and see how good it feels to live life without pain! (973) 942-4449 Call Now for a FREE Consultation Medicare Rules Apply 732-387-7 1 732-431-2155 or use code: IB-1117-B

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