John Giugliano DC PC

John Giugliano DC PCJohn Giugliano DC PCJohn Giugliano DC PC

call: 516-679-3100

  • Home
  • Family Chiropractic
  • Sports Chiropractic
  • FAQ
  • Contact Us
  • Adjustment videos
  • More
    • Home
    • Family Chiropractic
    • Sports Chiropractic
    • FAQ
    • Contact Us
    • Adjustment videos

call: 516-679-3100

John Giugliano DC PC

John Giugliano DC PCJohn Giugliano DC PCJohn Giugliano DC PC
  • Home
  • Family Chiropractic
  • Sports Chiropractic
  • FAQ
  • Contact Us
  • Adjustment videos

We Specialize in Treating

Back Pain, Neck Pain, Spinal Degeneration, Herniated/Bulging Discs, Degenerative Disc Disease, Stenosis, Pain or Injuries of the Shoulder, Elbow, Wrist and Hand, Radiating Arm and/or Leg Pain, Tendinopathies, Post-Traumatic Sprains/Strains, Arthritis, Sciatica, Headache, Vertigo, Carpal Tunnel Syndrome, Temporomandibular Joint Dysfunction (TMJ), Sports-Related Injuries, Repetitive-Use Injuries, Occupational Injuries, Auto Accident-Related Injuries, Whiplash,  Plantar fasciitis, Fibromyalgia, Chronic Pain

Services

  • Chiropractic Manipulation (Adjustments)
  • X-ray, MRI referral 
  • IASTM - Instrument Assisted Soft Tissue Mobilization
  • Modalities
  • Postural/Sleep Guidance
  • Diet & Exercise Counseling
  • MUA - Manipulation Under Anesthesia 

Chiropractic Manipulation (Adjustments)

Manual techniques used to mobilize fixated (abnormal-motion) joints which can lead to joint dysfunction, resultant pain, and other symptoms. 

X-ray, MRI referral

Licensed New York chiropractors are authorized to order advanced studies such as

x-ray, CT, MRI, or ultrasound. 

IASTM

IASTM, or Instrument Assisted Soft Tissue Mobilization, is a type of treatment used by many chiropractors to locate and treat injured soft tissue. It involves using hand-held tools to break up adhesions and scar tissue in muscles, ligaments, tendons, and fascia. Pain relief and increased range of motion may occur, in varying degrees on the very first treatment. The friction from the instrument generates heat, which in turn decreases the viscosity of the tissue, making it softer.

Modalities

  • Ultrasound
  • Electrical Stimulation
  • Lumbar Distraction
  • Transcutaneous Nerve Stimulation (TENS)
  • Moist Heat (Hydrocollator)
  • Cold/Ice

Postural/Sleep Guidance

One of the leading causes of non-traumatic spine pain is poor postural and sleep habits.  We can help you find your perfect sitting and standing posture and well as your best sleeping positions. 

Diet & Exercise Counseling

We can guide you to a more common sense approach to improving dietary needs and exercise options.  We can also refer you to dietitians or trainers if you may require more in-depth assistance.

MANIPULATION UNDER ANESTHESIA (MUA)

A Conservative Treatment Alternative for Chronic Pain

MUA is a non-surgical solution to pain where standard chiropractic manipulations have minimal results.  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 H.E. Clybourne reported a success rate of 80-90% in the Journal of American Osteopath Association; these statistics have 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 manipulation under anesthesia has now shifted to chiropractors and their expertise in manipulation skills. 

Indication For Manipulation Under Anesthesia

Spinal 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 unresponsive to previous conservative therapy. Etiology of their pain can be disc bulge/herniation, chronic sprain/strain, failed back surgery, myofascial pain syndrome, 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.  


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