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Specialties

Chiropractic adjustments are performed to treat a wide variety of conditions, including (but not limited to):

  • Arthritis

  • Bursitis

  • Carpal tunnel syndrome

  • Chronic muscle pain and stiffness

  • Headaches

  • Most Musculoskeletal Injuries

  • Nerve disorders

  • ​Tendonitis

  • Pain and stiffness in the spine, pectoral girdle, pelvic girdle, upper and lower extremities

  • Repetitive Strain Disorders

  • Sciatic pain

  • Scoliosis

  • Sports-related injuries

  • Whiplash and other traumatic injuries

Dr. Gorky F. Massache is an Authorized Healthcare Professional of TEMPUR-PEDIC. Our office can help you buy the perfect mattress, for a perfect nights sleep. Please visit www.tempurpedic.com for more information. 

Chiropractic Manipulative Therapy

 


The Doctor of Chiropractic is a specialist in spinal musculosketal disorders. He or she is expertly trained to diagnose and treat the many musculosketal injuries that may occur on the job or in your daily life.
 
Upon injury, the individual often alters the normal position or flexibility of the spinal vertebrae. Chiropractic treatment is designed to restore normal alignment and thus minimize pain and suffering. Gentle manipulative therapy or an "adjustment" is often effective in rapidly returning the injured person to a productive status. The Doctor or Chiropractic can also provide guidance with advice designed to reduce work-related injuries, proper lifting procedures, and therapeutic stretching exercises.

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What do Chiropractors do?

Chiropractors diagnose and treat spinal misalignments that can occur from lifestyle or injuries causing pain, discomfort and degenerative conditions.

 

Who do you treat?

Our practice treats patients from a full spectrum. Our patients range from seniors to infants, as well as expecting mothers, little league sports injuries to professional athletes, auto-related injuries, and hard-to-treat conditions that other healthcare providers were unable to help. Our team of multi diciplinary physicians will work together to get you out of pain and back to your life.

Custom Foot Orthotics

 


Our office has the latest digital thermal scan to make precision foot orthotics.

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  • Sport Specific Orthotics

  • Leg Legnth inequality

  • ​Fallen Arches

  • ​Flat Feet

Comprehensive Spinal Care

 

 

Employing the latest research coupled with years of experience our patients benefit with the best care from a team of specialist. We first begin with a comprehensive evaluation with possible diagnostic imaging ordered to confirm you problem. We will then manage your case from non invasive Chiropractic Manipulative Therapy, Physical Therapy Modalities, Soft issue mobilization to minamally invasive Spinal Injections, pain management, to invasive spinal surgeries. Whatever your specific spinal problem we are able to help you and / or refer you to the physician who can. The majority of our patients only require Chiropractic or soft tissue mobilization. For those patients that require more invasive care you have selected the right Practice.

Manipulation Under Anesthesia

 


Spinal manipulation under anesthesia is a procedure that primarily originated with the osteopathic profession and has been utilized for the treatment of spinal pain since the late 1930s. Documentation regarding the success and value of manipulation under anesthesia has been recorded in the osteopathic literature since 1948 when Clybourne reported in the Journal of American Osteopath Association a success rate of 80-90% which has been maintained to this day. In the last two decades, the emphasis regarding manipulation in osteopathic education has greatly decreased. Therefore, the osteopaths that had been adequately trained in manipulation are coming to the close of their careers or have retired. Because of the need for continuance of this procedure, the focus for the performance of spinal manipulation under anesthesia has now shifted to chiropractors and their expertise in spinal manipulation skills. Indication For Manipulation Under AnesthesiaSpinal manipulation under anesthesia is a procedure that is intended for patients that suffer from sometimes acute, but mostly chronic musculoskeletal disorders in conjunction with biomechanical aberrancies. These individuals have also been minimally responsive to previous conservative therapy. Etiology of their pain can be disc bulge/herniation, chronic sprain/strain, failed back surgery, myofacial pain syndromes in conjunction with those listed below. The procedure is extremely beneficial for the patient that has muscle spasm accompanied with pain and terminal joint range of motion loss. These types of patients typically respond well to manipulation/physical therapy/exercise, but their relief may only be temporary (days to weeks).

 

To ensure good results with a procedure of this type, one of the most important considerations is patient selection. Indications:
 

  1. Bulging, protruded, prolapsed or herniated discs without free fragment and are not surgical candidates

  2. Frozen or fixated articulations

  3. Failed low back surgery

  4. Compression syndromes with or without radiculopathies caused from adhesion formation, but not associated with osteophyic entrapment 

  5. Restricted motion, which causes pain and apprehension from the patient

  6. Minimally responsive to manipulation and adjustment when they are the therapy of choice

  7. Minimally responsive pain, which interferes with the function of daily life and sleep patterns, but which falls within the parameters for manipulative treatment

  8. Minimally responsive muscle contraction, which is preventing normal daily activities and function 

  9. Post-traumatic syndrome injuries from acceleration/deceleration or deceleration/acceleration types of injuries, which result in painful exacerbation of chronic fixations

  10. Chronic recurrent neuromusculoskeletal dysfunction syndromes, which result in a regular periodic treatment series, that are always exacerbation of the same condition

  11. Neuromusculoskeletal conditions that are not surgical candidates but have reached MMI especially with occupational injuries

Physical Therapy Modalities

 


A modality is a type of electrical, thermal or mechanical energy that causes physiological changes.


It is used to relieve pain, improve circulation, decrease swelling, reduce muscle spasm, and deliver medication in conjunction with other procedures. Typical types of modalities include electrical muscle stimulation, ultrasound, heat, ice, and traction.

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Ultrasound (US)

  • High frequency sound waves that produce a form of deep tissue heating

  • For relief of pain and muscle spasm

  • Promotes circulation

  • Relaxes tight muscles/soft tissue – prepares tissues for stretching


Phonophoresis

  • Use of ultrasound to drive in topical medications through the skin

  • Medications are usually a form of cortisone and xylocaine

  • For treatment of localized inflammations, eg. Heel spurs, tendonitis


Electrical Stimulation

  • Use of different forms of electrical current through surface electrodes that cause muscles to contract and relax

  • For relief of muscle spasm, pain and swelling

  • For muscle re-education and strengthening


Iontophoresis

  • Use of electrical current to drive topical medications through the skin

  • For treatment of localized inflammation, scar softening, reduction in joint calcium deposits


Traction

  • A longitudinal pull or distraction of spinal segments for the relief of nerve irritation (radicultis) or muscle spasm by use of a machine on the cervical (neck) spine with the use of a neck halter or lumbar (low back) spine with the use of a pelvic belt attached to a patient lying down

  • Can also be done manually


Transcutaneous Nerve Stimulation (TENS):

  • Use of low voltage electrical current through surface electrodes that overrides the sensation of pain

  • Small unit (slightly larger than a beeper) worn throughout the day for pain control that the patient can apply a needed


Moist Heat (Hydrocollator)

  • Produces a deeper heat than a dry heating pad

  • Increases circulation, reduces swelling, relaxes muscles/soft tissue, prepares tissue for other treatments


Cold/Ice

  • Use of “ice packs” or “ice massage” in acute injuries and for pain relief (acute or chronic)

  • Reduces swelling, inflammation, muscles spasm


Paraffin

  • A form of heat using paraffin wax and mineral oil

  • Usually applied to hands or feet where other applications of heat are difficult

Sports Medicine & Rehabilitation

 


Dr. Massache is a certified sports physician and certified professional level fitness trainer. He is an avid runner, rock climber, Soul Cyclist, weight lifter. His office has the Synergy Rehabilitation System used by many professional athletes. He is an advocate to get you back to working out or on the field as quickly as possible. 

Synergy Rehabilitation

 


Professional quality! Easy to move from exercise to exercise using resistance rubber cords with dense cushion handles for optimal training. Ideal for athletes on and off the field.

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