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Blog Posts in December

  • Portal Tip 1: Adding My Charts App After logging in, go to the home page. Scroll to the bottom left hand side until you see “App Center”. Click on “+Add Apps”. Select under My Charts. Any information that is viewable in chart form will have this icon. You must click on this to view the chart. See sample chart below: Portal Tip 2: Adding Blood Sugar App After logging in, go ...
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  • Portal Tip 1: Request an Appointment After logging in, go to the home page. On the top right hand side you will see a box titled “Appointments”. Click on “Request”. Click on “Select an Organization”, and then select NYSWC. Click on “Provider” and select the name of the provider you would like to schedule an appointment with. Click on ...
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  • Portal Tip 1: Health Journal After logging in go to the Home page. Scroll to the bottom of the page. On the left hand side you will see a section called “Health Journal”. You can use this tool to help you keep track of your progress and any other health information you would like to record. To record a new entry click on the new button. A window will pop up, allowing you to type the ...
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  • Portal Tip 1: Sign in Preferences After logging in click on the “My Account” option located at the top of the screen. Click on the “Preferences” option. Select “Sign in Preferences”. Select “Add” to log into your FMH account via Facebook, Microsoft, Cerner Health, Google, or Yahoo. You can use the username and password associated with it to sign in ...
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  • The organization selected for Charity Jeans Friday for the month of October was the Vera House. We raised $506 which was given to Carol Charles, Development Director at Vera House, by Dr. Robert Tiso.
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  • What are “nerve pain medications” or “neuropathics”? These can be gabapentin (Neurontin), topiramate (Topamax), or pregabalin (Lyrica). These are anti-seizure medications or anticonvulsants. You might think “but I don’t have seizures”. Well, in medicine, we often use other types of medications to treat other things. When your medical provider prescribes ...
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  • Opioid induced hyperalgesia is a condition where the opioid pain medication creates more pain rather than pain relief. This can be caused from any dose of opioid pain medication, but is more likely to occur with higher doses. Patients with opioid induced hyperalgesia may have: Increased sensitivity to painful and non-painful stimuli such as light stroking or pressure Worsening pain despite ...
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  • Yoga can help increase strength in very specific muscles and muscle groups. It requires concentration and specific use of muscles throughout the body. Many postures in yoga gently strengthen the muscles in the back, as well as the abdominal muscles. Back and abdominal muscles are essential components of the muscular network of the spine, helping the body maintain proper upright posture and ...
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  • Core muscles are the underlying muscles of your trunk or torso. It is important to have strength in this area for many reasons. Core strength can help reduce pain in your back (both now and in the future) by improving your posture. Strong core muscles help keep the spine in alignment and decrease strain on the lower back, preventing future injuries such as disc herniation or vertebral (bone) ...
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  • Often times, I come across patients who believe that exercise has not helped them or has even made their pain worse. When this happens, I question what they did in the gym, at home, in formal physical therapy, or simply what exercise program they attempted. Many times, they were in too much pain to realistically progress in their given program. They would be sent to physical therapy in so much ...
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  • Postural awareness is important because it has many benefits in maintaining an optimal state of health. Proper posture is maintaining a neutral spine by keeping your head over your pelvis. Think about a plumb line dropped from the ceiling. If you stood next to it, this line would pass through the center or just behind the ear, through the center of the shoulder line up with your hip bone, the ...
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  • I always encourage my patients to exercise and stretch. We all have to begin somewhere. Getting started is the hardest part of any exercise program. I encourage my patients to make it a part of their daily routine, like brushing their teeth. If they say they do not have time, then we will discuss making time. Everyone can find 20 to 30 minutes a day when they are motivated and inventive. You can ...
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  • Be sure you are drinking enough water every day. Water is your body's principal chemical component and makes up about 60 percent of your body weight. Every system in your body depends on water. For example, water flushes toxins out of vital organs, carries nutrients to your cells, and provides a moist environment for ear, nose and throat tissues. Lack of water can lead to dehydration, ...
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  • Everyone occasionally feels sad; however these feelings are usually short lived and pass within a few days. When you have depression, sad feelings last longer and cause problems in your daily life. Depression is a common but serious medical condition. Researchers know that there is a connection between depression and chronic pain; however it is not fully understood exactly how they are linked. ...
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  • It is very important for each patient to know what medications they are on as well as the dose. This enables every healthcare provider to present the safest treatment to each patient. Certain medications can interact with each other and could have the potential to result in negative reactions. Therefore, it is dangerous for a patient to not know what medications they are on. If you are having ...
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  • I am often asked by patients, "I have back pain, is it ok for me to have sex?" I assume it would get asked more often if not for the sensitive nature of it. My response is always yes. After all, sex is a form of exercise and exercise is good for the spine! Some patients express that sexual activity increases their back pain. I tell them, like with most regular exercise, position ...
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  • Aqua therapy uses warm water, exercise, and, at times, whirlpools to decrease pain and pressure on aching muscles and joints. Just like land-based physical therapy, water therapy can be tailored to every individual patient. Patients can strengthen their muscles by using the viscosity of the water as resistance. You can improve your range of motion and mobility by performing range of motion ...
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  • Be Educated : Make sure to educate yourself as much as you can on your condition. This does not necessarily mean google searching your diagnosis and reading every blog posted on the subject. This means speaking with your health care provider and asking questions. This means reading books and journal articles written by medical professionals on the topic. The more you know, the better advocate you ...
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  • A nerve conduction study consists of two parts, electromyogram (EMG) and the nerve conduction study. An EMG measures the activity of your muscles at rest and when contracted. A nerve conduction study measures how well (how strong) and how fast the nerves are sending signals. When a nerve "fires", it gives a command to your muscles to contract. An injury to the nerves can cause the muscle ...
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  • Sleep disturbances, in conjunction with chronic pain, plays a large part in the overall well-being of an individual. Our bodies require sleep just as much as they require eating, drinking and breathing. When one does not get a good night’s sleep, the entire next day is going to be harder to gain pain control. This becomes a vicious cycle of pain and sleep deficiency. Many medications can ...
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  • Chiropractic care is a conservative treatment founded in the 1890’s. A chiropractor is a doctor of chiropractic care who was specially trained in this field for 4+ years. They learn how to manage conditions of the spine by looking at how the nervous system is functioning as a whole. Chiropractors are trained to diagnose, treat and prevent musculoskeletal disorders. Their belief is that ...
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  • Many patients who I see think that they are going to be getting a nerve block when they are seen for the first time at New York Spine & Wellness Center. Others are overwhelmed by the stress of having to be seen by a new practitioner. I would like to take this opportunity to explain the process and give you a brief overview of your first visit with us. The initial visit involves the completion ...
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  • Very often, you are asked to rate your pain using a scale from 0 to 10. We also ask that you rate your pain using the pain scale on your “best” day, “worst” day, and “average” day. This helps us get a clear picture of how your pain level fluctuates on a daily basis. It is important to accurately rate your pain. A 0 out of 10 rating would indicate that you have ...
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  • Over the last 6 years, I have observed an interesting phenomenon in some of my chronic pain patients. It seems that there comes a point in time when patients accept the fact that they are going to have pain and "own it". They come to realize that they can be in charge and their pain is not going to dictate everything in their life. It is truly awesome to see when this happens. The ...
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