Posted by: Oscar in Acupuncture,Clinic,Deep Tissue Massage,Massage on May 15th, 2014

 

Acupuncture and Massage Treatments

Clinic Located at 959 East 12th Street, Brooklyn, NY 11230

Call 718 258 1829 for an appointment to eliminate your pain, stress and anxiety

 

Not accepting new appointments. Thank you for your past patronage.

 

Stress Related Issues Muscular, Postural, Nervous and Digestive System Complaints Muscular Aches and Pains, Back, Neck, Shoulder, TMJ Headache, Sinus Congestion Symptoms of Mild Depression and Excess Grief

Oscar Abraham, M.S., L.Ac., L.M.T. has over 15 years experience in the field of pain and stress reduction. He knows from first hand experience that acupuncture and massage help reduce pain, edema and muscular tension caused by trauma, overwork and poor posture.

Acupuncture and Massage treats a wide variety of conditions and maladies besides muscular aches and pains. It is an effective treatment for infertility and other gynecological issues such as menstrual cramps, PMS pain, and menopause conditions. In addition, Acupuncture has been shown to effective in treating IBS,  Crohn’s disease and other GI issues such as diarrhea and constipation. Acupuncture is an effective treatment for many lung conditions such as coughing, asthma and sinus issues.

Our patients will tell our success stories.  See the testimonials page (under construction) for our success stories.

Not accepting new appointments.

Conditions Treated

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Find us on Facebook – Become a Fan . Acupuncture Methods: Acupuncture needle insertion, retention and manipulation; Electical stimulation of acupuncture points; spot acupuncture; auricular acupuncture; cupping; gua sha; moxibustion; tui na; chi gong; meditation Massage Methods: Swedish massage; Deep Tissue massage; Relaxation Massage; Shiatsu; Tui Na; Accupressure; Pulse Balancing; Hot Stone Massage; Homework: Posture Recommendations; Exercise Recommendations; Referral to other practitioners as necessary. Click this Link to Contact Me. Click This Link for Directions to the Clinic.

Posted by: Oscar Abraham in Clinic,Massage,pain on March 20th, 2014

Quadratus LumborumPatient reported pain in the left anterior inquinal area (where the torso joins the leg) the for the past 17 years. She could not walk properly and it was throwing her whole body out of whack (a technical term). Upon first impression and observation it appeared to be an issue with either the left psoas muscle or the left anterior rectus femoris. These muscles are responsible for flexion of the thigh, that is, raising the leg, an action that is required to walk. After treating both those muscles, I asked the patient to walk. Surprisingly, there was no improvement whatsoever. I had expected some improvement if only for a short duration. But, nothing. Therefore it must be something else. I asked the patient to raise her left leg in a stationary position as she was holding the wall to stabilize herself. She could not do it.

 

I then remembered my first A & P instructor very clearly, “the hip hiker”. The hip hiker muscle is the Quadratus Lumborom muscle which, among other things, stabilizes the hip joint to allow standing on one leg. I asked the patient to return to the table where I treated this muscle while the patient was in a supine (face up) position. After 5 – 10 minutes I asked the patient to walk again. The improvement was amazing. I asked the patient to lift the leg while in a stationary position. Again, night and day. I then treated this muscle in the prone (face down) position and applied heat for 10 minutes. After the treatment I showed the patient a slide of the trigger points and pain patterns for this muscle and she said that she had experienced those exact pain patterns. I then recommended some stretching exercises for the QL which the patient stated she would do regularly.

A week after the initial treatment the patient is reporting normal walking patterns.

All treatments used for this patient were massage treatments.

Posted by: Oscar Abraham in Acupuncture,Clinic,Health,Massage,pain on May 23rd, 2012

 People whose mama told them to keep their back straight often develop a “flatback”. In this condition, the shoulder is behind the hips. Women who have flatback may also think they are fat whereas they may be as skinny as a rail. This is because when their shoulder is behind the hip the abdomen is pushed forward where it is visible to the eye. These women (men too) think that if they can see their abdomen that they are fat.

 However, sustained flatback can result in unremitting low back pain as the angled posture presses and inflames the sciatic nerve that exits in the low back. Furthermore, this angled posture can collapses the intervertebral disks causing permanent damage and more pain. All the King’s horses and all the King’s men (drugs,  therapy, or surgery) provide temporary relief at best. The only true therapy is correcting the posture.

 Your mama told you to straighten your back. She did not tell you how. That’s my job.

Posted by: Oscar Abraham in Clinic,Massage,pain on May 22nd, 2012

Surgical procedures create havoc in the body. The body treats surgery like it would treat any cut, and a major cut at that. Without going into a long story, the body throws fluid at the cut, lots and lots of it. This results in post surgery edema or swelling. The swelling causes major discomfort and retards the healing process.

Lymphatic drainage massage (LDM)  helps the body get rid of this excess fluid by encouraging lymph flow. LDM increases lymph flow up to 40 times the normal flow. Unfortunately, LDM by massage therapists is generally not covered by insurance so patients who want this treatment usually have to pay out of pocket. However, the cost is not that high and well worth the reduced pain.

Patients with cardiovascular issues or kidney issues should consult with their doctor to find out if they can handle the increased fluid flow generated by LDM.

Posted by: Oscar Abraham in Acupuncture,Clinic,Health,Massage,pain on January 28th, 2012

Baby Steps was the name of the book the Richard Dreyfuss character wrote in the very funny movie “What about Bob”. It was supposed to help people overcome their psychological problems. However, I see “baby steps” or short steps as a major cause or contributor to severe sciatic pain. People who take short, stiff legged steps generate shock waves which travel up the leg to the back every time they hit the pavement. This severe trauma to the sciatic nerve splints the muscles along the sciatic nerve causing severe pain. Medical treatment including drugs (Percocet and the like) and injections to the spine mask the pain for a short time but does not provide long lasting relief.

Sometimes the pain is so great that the patient cannot move normally so that a proper evaluation cannot be made. In this situation, one or two treatments of acupuncture and massage can alleviate the pain to the point where the patient can move well enough so that an evaluation can be made. In many cases, there are multiple causes for the pain and there may be pain in other areas of the leg besides the lower back, hip area and upper leg. Both a postural and gait analysis must be undertaken to evaluate the causes of pain. If there are no clear postural or gait anomalies then a referral should be made for an MRI or a CAT scan to determine if there are any organic or histopathologic issues involved.

In complex cases, the method of discovery requires testing and eliminating causes of the symptoms one by one. This method is frustrating to the patient and the therapist as it takes time while the patient is in pain. However, acupuncture and massage do provide significant pain relief while testing is underway.

I would like to point out that “bulging” discs or other disc anomalies in the spine are not in themselves a cause of pain. Many people have disc issues and have no pain whatsoever.

If you or someone you know has sciatic pain then come in for an evaluation of your symptoms. Call 718 258 1829 for an appointment.

Posted by: Oscar Abraham in Acupuncture,Clinic,Deep Tissue Massage,Health,Massage,pain on July 24th, 2011

Stilettos… A Pain In The????
By Erik Dalton, Ph.D.

The biomechanical effect of heels in everything from running shoes to stilettos has puzzled researchers and fired controversy for almost a century. In a highly functioning body, the neuro-myo-skeletal system ‘hangs’ in dynamic equilibrium, each part balancing the other. But when a woman wears high heels, a new dynamic equilibrium occurs (Fig 1) If one body part becomes ‘fixed,’ the whole system must compensate with altered movement patterns resulting in kinetic chain ‘kinks.’ Here’s an interesting experiment that’ll help you get a feel for biomechanical adjustments high-heel wearers deal with every day:

• Stand barefoot with the back against a wall. Observe how your ‘upright’ body column forms a perpendicular line (ninety degree angle) with the floor (Fig 2A).

• Slide a two inch wedge of some kind (phone book, etc.) under both heels and notice that by keeping your body column rigid, you’re forced to tilt forward from ninety to about seventy degrees (Fig 2B).
• Now replace with a three inch heel wedge and straighten up so you’re touching the wall again and feel the dramatic myo-skeletal adaptations that take place. Can you feel your ankles shift from dorsi to plantar-flexion? In this standing posture, the knees are buckled, hips flexed, low back swayed, and the shoulder girdle retracted (Fig 2C). (more…)

Posted by: Oscar Abraham in Acupuncture,Clinic,Health,Massage,News,pain on December 28th, 2010

And yet another study showing acupuncture works. Thanks to Dan Poreda for this link.

Follow this link to WebMD for a video on acupuncture and back pain.

Posted by: Oscar Abraham in Acupuncture,Clinic,Health,Massage,pain on December 8th, 2010

Lymph drains from the body very slowly; much slower than blood movement. Lymph movement is measured in pints while blood movement is measured in gallons. In addition, damaged lymph nodes can retard lymph movement to the point where it causes lymphedema or swelling in the arms or legs. Manual lymphatic drainage (MLD) is a technique to help move the lymph up to 40 times faster than normal.

Breast cancer patients often have lymph nodes removed. Remaining lymph nodes are susceptible to damage either in treatment or by heavy pressure. When this happens it can result in severe lymphedema. The best treatment for this is MLD by especially trained therapists.

However, swelling does not have to progress to the point of lymphedema to be uncomfortable and even painful. In this case, MLD is a most excellent treatment. I had very good success in this type of treatment in cases of swelling due to bone breaks and surgery.

Posted by: Oscar Abraham in Acupuncture,Clinic,Deep Tissue Massage,Health,Massage,pain on November 29th, 2010

Watch and listen to this post on xtranormal.com 

A patient states that he has been diagnosed with right sided Arthritis of the Hip. This diagnosis is complete with X-Rays and report which states there is mild osteoarthritis in the hip. He is being medically treated for this and is also self treating himself with expensive supplements. Yet the patient’s pain is still there after four months, he walks with difficulty and has a hard time climbing stairs.

As I look at the patient, I notice that his standing posture is not exactly consistent with hip pain yet he favors his right side while walking. He also states that he was also recently diagnosed with a pinched nerve in his lower back. Upon examining the patient in the prone position, I observe that his lower back muscles are very contracted. As I palpate his back and hip area he states that most of his pain is in the front, not at the side or the back.

I then tested the patient in the supine position. These tests reveal that the right psoas muscle is severely contracted. I then recall that the patient’s standing posture is consistent with unilateral psoas contraction and the whole symptomology is consistent with unilateral psoas contraction. I start the process to release the psoas and ask the patient to walk. The patient reports that while there is still pain, it is much less severe. As Willie Nelson puts it, we are “On the Road Again”.

I guess that the patient originally went straight to X-Ray without meaningful observation or examination. While there certainly is arthritis in the hip (X-rays cannot lie), it is most likely not the cause of pain.

My doctor friend’s son was a medical student at the University of Chicago and interned at a large Manhattan hospital. I first heard this from him. “Physical Examination is dead.” I think this case proves that. It is up to the “Alternative” medicine crowd to keep it alive.

Posted by: Oscar Abraham in Acupuncture,Clinic,Health,Massage,News on November 5th, 2010

“Round up the Usual Suspects” is a line made famous by Claude Rains in the 1942 movie Casablanca. This is also true in medicine where we look for usual suspects in order to diagnose a disorder.

In my practice, however, the usual suspects should have been “rounded up” before the patient sees me. Most of my patients have already seen their doctors, specialists, physical therapists, and chiropractors. They have had X-Rays, MRI’s, CAT scans and other procedures and still no help. I am sure that most people find relief with this course of action. However, a small number don’t get help and are in pain for years. In these cases, I suspect, the problem continues because “usual suspects” have hid themselves either in misdiagnosis, or excess pain. In some cases the pain is something else altogether and the usual suspects are in the clear.

Misdiagnosis. The “usual” case of misdiagnosis comes from “chasing the pain”. Those following my blog know that the upper back is often treated in upper back pain. Unfortunately, this treatment does not address the source of the pain and is often unsuccessful. The usual suspect is left untreated. When the correct suspect is rounded up, treatment dramatically reduces the pain.

Excess Pain. Sometimes the usual suspect is so stressed that treating it does not elicit the desired relief. The practitioner then looks elsewhere. However, other signs do point to the usual suspect. When a patient who complained of pain for 10 years came to me in desperation I was greatly puzzled by her situation. After application of a general treatment the area of pain calmed down enough so that I could determine that the usual suspect was indeed involved. This usual suspect did not respond to initial treatment because the pain level was too high. Once the pain was somewhat reduced a treatment plan could be developed.

Unusual Suspect. A patient complained of sciatica and was diagnosed with piriformis syndrome. As the patient was not responding to treatment, her MD suggested removing the piriformis altogether. She was assured she could live without it. When I treated the patient, I too thought that the piriformis was involved since that was the usual suspect. Again the patient did not respond my treatment. That is, the relief experienced was temporary where I usually got a better response to this type of treatment. The patient’s other complaints were caused by damp heat aggravated at the time of ovulation. I then suspected that in addition to her main complaint, she also suffered from endometriosis and that this actually was involved in her sciatica. She was eventually told that she had severe endometriosis which has spread to the posterior pelvis and was pressing on her spine and causing the pain. A true unusual suspect.

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