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June 30, 2018 Dr. Lamb's Advice0

Does one need to make any preparations before their chiropractic visit?

Some chiropractic techniques require patients to be gowned to allow for skin on skin contact. Most do not and in my office people only need to remove their belts, shoes and any large objects from their pockets. In my office, if someone is wearing a dress or skirt, I drape their lower body with a towel to protect them. Most offices do not do this, so dress appropriately and bring a change of clothes(shorts, sweat pants, t-shirt) if necessary. Besides that, the only other preparation I can think of is to be mentally prepared to relax while getting adjusted and to expect things to move and make some little clicks as in when cracking your knuckles.

What are some of the common complaints that your clients usually have?

Most people come in with neck pain/stiffness, lower back pain, sciatica, frozen shoulder, plantar fasciitis, scoliosis, torticollis, but people with many other conditions also seek help in my office. Although I help people in any way that I can, employing a variety of physical therapy modalities and other means, I first and foremost give people chiropractic adjustments so that their bodies can heal better and function properly.

What are the medical conditions that chiropractic can help with?

Many chiropractors advertise that they can help with neck and back pain, sciatica, headaches, digestion, blood pressure, and many other musculoskeletal and organic ailments/issues. The main purpose of chiropractic is to allow the brain to communicate with the body properly. If this is possible, then every aspect of the body is going to be able to function better and to be at ease.

What are some of the reasons why chiropractic wouldn’t work for someone?

If we can effect a change in the nervous system through a chiropractic adjustment, something will happen. It may not be the immediate result one is looking for (as in when you are seeking pain relief and it still hurts after the adjustment), but the body will function better on some level (even when unnoticed) and the ability to heal and perform better improves.

Are there any side effects to getting a chiropractic session?

Occasionally, after the first few adjustments, depending on the technique, people can be a bit sore. It’s much like engaging in an exercise that one has never done before or hasn’t done in a while and their body is just not used to it yet.

Are there certain medical conditions in which chiropractic would be contraindicated?

There are certain medical conditions in which certain chiropractic adjustments or techniques would be contraindicated.  An example would be, if a person had severe neck trauma, perhaps cervical adjustments involving too much force or rotation would be contraindicated.  That same person could still see a chiropractor and get a variety of gentle. low force techniques that would be safe and effective.

Should a person only visit a chiropractor when they’re in pain?

Most people first go to a chiropractor because of pain. Most pain is due to pressure on nerves. Once they start getting adjusted and properly aligned, pressure is gradually removed from nerves and the pain goes away. This does not mean there is no danger of pain returning and it does not mean that the entire body is no functioning at optimal levels. Regular chiropractic care helps improve performance and healing on many levels. A fun quote I’ve seen around is, “Going to the chiropractor just for pain is like robbing a bank and only taking the pens”

How does one choose the right chiropractor for them?

There are many different chiropractic techniques and each chiropractor’s philosophy on treatment methods can vary widely. Take your time and research a few chiropractor’s websites and see what resonates with you. All techniques work, but some people prefer one method to another. As a chiropractor who has been getting regular adjustments for over 30 years and has been adjusted by a couple hundred different chiropractor’s, I love to try new techniques and experience others styles, but I practice the way I would want things done to me.

How long should someone wait before they expect to see results from their chiropractic visit?

I do not believe in making any guarantees in relation to symptomatic relief. There are many factors influencing the speed of recovery in any given situation. Chiropractic is NOT designed to make you instantly FEEL better. It IS designed to make you instantly HEAL better. That being said, most people will report feeling better after a chiropractic adjustment.

Is chiropractic covered by medical insurance or not?

Chiropractic is often covered by insurance, but it varies by plan. Many people pay a lot of money for insurance and think they have coverage, only to find out that they have large deductibles that need to be met first. If you are seeing many medical doctors for expensive treatments, these deductibles can be met quickly, but if you are seeing a chiropractor once a week, sometimes these deductibles are never met.

Can you elaborate on what you mean by nutritional support?

Chiropractic is just one part of being healthy. Proper nutrition is very important and many chiropractors like myself offer varying degrees of nutritional advice and often have some products available in office.


March 21, 2018 Dr. Lamb's Advice0

Osteoarthritis(OA) is the loss of cartilage in your joints as a result of wear and tear/chronic
repetitive activities and can be found in any one particular joint. Rheumatoid arthritis(RA) is an
autoimmune disorder where your body attacks your joint cartilage and is usually found on both sides of
the body in a symmetrical pattern (both wrists, etc.). Although there is no proven treatment/cure for
arthritis in the medical community, OA pain is usually managed with NSAIDS and RA with steroids.
Keeping active and maintaining a healthy weight is helpful, but for many it’s a catch 22- you
need to lose weight to be able to exercise and you need to exercise in order to lose weight. There are
many different herbs and supplements that can help manage pain, inflammation and possibly provide
some more joint mobility. I’m going to focus on a couple of those today.

Joint health advice from Dr Adam Lamb

For inflammation, turmeric , ginger, fish oil, pineapple, papaya, resveratrol, boswelia and long
list of other, more obscure herbs can help. I recommend taking a good turmeric supplement such as
APEX energetics “Turmero” ( a liquid variety emulsified with some healthy fat to aid absorbtion), as well
as trying to include it in your food as much as possible along with ginger and the fruits I mentioned. Fish
oil should be a part of your daily regimen as well.

Joint health advice from Dr Adam Lamb

Glucosamine and Chondroitin have been shown to be helpful in increasing joint mobility in many
people. These substances are part of normal cartilage and although have not been definitely proven to
help in studies, have helped millions and have no side effects as they are very safe things to consume (as
long as there is no allergy to shellfish as this is the most common source). To see if Glucosamine and
Chondroitin are right for you, I would recommend a trial period. If you’re taking pills, you’re going to
need to take one pill, 3 times a day for 3 months to give it adequate time to make a difference. I use a
liquid formulation that works a lot faster. You take ½ an ounce 2 times a day for a month and you
should see a difference by then. If you see a benefit, you continue as directed. If not, it may not be the
key for you.

Most quality glucosamine and chondroitin supplements will also contain some addition joint
mobility aids. MSM and vitamin C are crucial for collagen repair. The liquid glucosamine that I use also
contains MSM. SAMe is another compound found naturally in the body that helps with joint mobility
and chronic pain. As an added bonus, SAMe also helps with depression and anxiety. I’ve always thought
that if you have chronic pain, you will probably be depressed as a result and this connection makes
sense to me.

I really wanted to find Glucosamine that I could give to all my patients with joint issues. The Glucosamine that I would recommend to my patients should be easily absorbed and safe. After countless hours of research on existing products and their ingredients, I found a great liquid formula that would work quickly to improve joint mobility. This inexpensive and effective solution is safe for humans and even pets too. Give it a try!

Dr Lamb’s Glucosamine



By Jackie Walters

Living (Well) With Chronic Pain: 10 Tips for Those Newly Diagnosed

Whether you’ve just been diagnosed with fibromyalgia or rheumatoid arthritis, you’re thankful to finally put a name to why you feel the way you do. But along with that sense of relief, you’re  bound to feel a sense of loss and grief as well — along with the pain. From the initial shock to eventual acceptance down the road, it’s all part of the journey. Below are ten tips to help you live well despite the pain.

  • Know that it’s okay not to feel okay for awhile. Of course you’re going to grieve. The good news is that this feeling won’t last forever, but there’s no way around that initial shock. Give yourself permission to feel exactly what you’re feeling. It’s the first step in the process. Studies show that the best way to cope is to face your diagnosis head on vs. avoiding or denying it.
  • Decide to become a survivor vs. a victim. This means that you take control of the situation. Commit yourself to exploring strategies to make your life easier. Begin with educating yourself on the disease so you can make informed decisions regarding the best treatments for you. Find a healthcare professional who listens to you and is knowledgeable of your particular condition.
  • Reduce as much stress from your life as you can. Stress lowers your pain tolerance level. If you want to feel less stressed, decluttering your life is a good place to start.  Begin discarding everything that doesn’t bring you joy, beginning with your closets and kitchen cabinets. It’s amazing how having organized closets can give you a whole new lease on life. Be careful to tackle this at your own pace, though, even if it’s just organizing one shelf per week.

    Studies indicate that meditation also has a positive impact on your stress levels and pain. Creating a healthy, peaceful home environment, complete with a serene meditation space can be of great help. Here are some tips for making your home a stress-free space.

Also helpful are relaxation techniques that have been shown to alleviate chronic pain.

  • Exercise. It not only produces natural endorphins, but it’s an essential aspect in the treatment of chronic pain. “Everybody can do something,” says Perry Fine, MD, a board member at the American Pain Foundation. Walking, yoga, Pilates, swimming, and tai-chi are some of your best choices.
  • Don’t smoke. The short-term relief from nicotine brings long-term problems. Smoking has been shown to worsen chronic pain.
  • Keep excess weight off. Studies suggest that pain complaints increase steadily as body mass index (BMI) increases.
  • Eat healthy. Research shows that diet should be an integral part of a pain management program. Experts say that if you suffer from chronic pain, a diet makeover with a focus on vegetables can have a dramatic effect.
  • Join a support group. Because chronic pain is basically an invisible illness, it’s easy to feel that you’re alone with it. There’s nothing like connecting with others who experience many of your same problems and frustrations. They can give you hope and offer practical suggestions. In time, you will get the satisfaction of helping them too. Ask your healthcare provider if he/she knows of a good support group in your area, or join one of the many free online support groups for your particular condition.
  • Treat yourself to regular massages. Massage is a safe and effective way to relieve pain. It increases the release of endorphins and helps decrease the perception of pain, along with the accompanying stress, anxiety, and depression that are associated with it.
  • Become passionate about something.  Pursue anything that elicits a positive reaction inside of you, be it birdwatching or learning French. Living with chronic pain can take an emotional toll on you, and it’s up to you to seek out those things (and people) that give you an emotional lift.

By following these tips, you might find that you’re an even stronger, more patient, and compassionate person than you were before your diagnosis. You’re also about to make some new life-long friends and be adopting healthful habits that will help you in every aspect of your life. Sure, there will be ups and downs, but in time, you will learn to live well on this new road you’re on.



February 14, 2018 Dr. Lamb's Advice1

 

Every year, millions of people get sick with the flu, despite the fact that many of them had a flu shot. This may be explained by this: flu shots containing only 3 or 4 variants of the flu, but people are hoping that they will gain protection against the thousands of possible flu variants. Personally, I do not believe that ubiquitous flu vaccination is effective therefore I choose to opt out of flu shots. 

If you are currently sick with the flu, I do hope you get better quickly! This may come as a surprise, but visiting your chiropractor may be very helpful when trying to prevent getting sick or trying to fully recover from the flu you just had.  When my practice members miss a visit, I often tell them, “Life happens and it’s no big deal for having to cancel.  The only excuse I do not accept is that you are sick, for it is then that is the most important time to get in and get adjusted.”

Sick with the flu? Get adjusted!

Our musculoskeletal system is connected to the central nervous system. Every misalignment in the musculoskeletal system jams up the healing signals of our brain and prevents them from reaching the organs. Clear instructions that originate in our brain cannot reach the organs in a misaligned body. You will help your body to heal by aligning your spine and restoring that connection.

Most people would agree that the central nervous system is the control center of our bodies.  I think most people look at the immune system as if it is just reacting to foreign bodies, but I tend to believe that it is much more than this.  I believe there is a dynamic relationship between the nervous system and the immune system.  The fields of psychoneuroimmunology and psychoneuroendocrinology show that there is great interest into the study of these complicated connections.

Since chiropractic aims to enable full expression of the central nervous system and the nervous system has a very important effect on the immune system, it seems to me that if your immune system needs a boost, besides loading up on your antioxidants,  fat soluble vitamins like D, Echinacea and whatever other herbs that may have a positive effect,  GET ADJUSTED!

Schedule your appointment with Dr. Lamb today!

Sick with flu? Get adjusted!



March 22, 2017 Dr. Lamb's Advice0

One of the main things that separates the modern human from previous evolutionary versions is our bipedal locomotion and associated erect posture.  Increased brain development largely enabled this function.  As our brains continue to develop and evolve, so does our capacity for athletic ability, thanks to increased balance and coordination of systems.

Most people know that while we grow inside the womb, the general shape of the body is curled inward in what is known as the fetal position.  When we are born, the extensor musculature is not fully developed.  As the infant becomes aware of its environment and starts to look and listen, it usually starts looking up at its caretakers.   As this happens, it starts to develop a curve in its neck by extending the head backwards.  This curve is called a lordosis or lordotic curve.  Soon, the baby starts crawling.  As it crawls, the belly drops down towards the floor and helps pull the lower back forward to create a lordotic curve there as well.  These lordotic curves, combined with the remaining kyphotic curves of the spine, basically cause the spine to act as a giant spring, or shock absorber to adequately distribute the forces of walking erect.  If all goes well and we develop these curves properly, neurological function is optimized through a properly stimulated brain, a properly protected spinal cord and a properly balanced musculature.

Proper posture - ergonomic workstation © Lamb Chiropractic
Next, most of us spend the rest of our lives doing things to destroy these normal curves.  We sleep in abnormal postures, with our heads pushed forward.  We sit at desks reading and writing while having our heads flexed forward even more.  We bend forward at out waists while lifting things inappropriately and cause unnecessary stress to our lumbar spine.  Robin McKenzie, a Physical Therapist from New Zealand developed a protocol in the 60’s that can be summed up by teaching people to do extension exercises of the spine to improve their lordotic curves and therefore put less stress on the body.  There are practitioners who specialize in these exercises, but the basic premise is easy to get and put into practice.  Doing extension exercises for the cervical and lumbar spines will do wonders to increase overall flexibility and function of the body.  There are a variety of devices that can help as well and many chiropractors like myself use and sell these sorts of devices in the office.

When you look at someone with poor posture, you will see a few main things.  Forward head translation or posture, a slouching forward of the shoulders and a leaning forward at the waist is very commonly noticed.  Most therapists would attribute this to weak back and neck muscles and give their patients exercises to strengthen these.  This is important and helpful, but so is stretching some of the overused muscles in the anterior or front of the body, most importantly the pectorals and the hip flexors.  Stretching these regularly, will make the biggest improvements in posture in my opinion.

There are other steps one should take to improve and maintain normal posture.  Sleeping with a supportive mattress and pillow to maintain those curves and neutrality are very useful.  Pillows need to be the right size to support one’s individual curvature.  Having a workstation that is ergonomically sound is also important.  There are a variety of aspects that go into this and I have included some diagrams and resources to use to help.
Ergonomic workstation, evodesk, etc

There are specific chiropractic techniques that focus mainly on restoring the curves in the body to the ideals established by studies done using engineering ideals and physics.  Chiropractic Biophysics (CBP) and Advanced Biostructural Correction (ABC) are two that come to mind.  I believe in weaving aspects of these techniques into my own practice, rather than adhering to any strict protocols.  There are hundreds of different chiropractic techniques out there and some practitioners choose to do just one, while others like myself like to use a variety to fit each individual’s needs.  All techniques work and I do not put down one over another.  Every individual is different and I try to find the best method to restore one’s normal structure, so that they may function more perfectly.

That, to me is the essence of chiropractic.  Structure determines function.  Getting regular chiropractic adjustments is vital in the achievement of this goal.  Proper ergonomics and lifestyle modifications are also important.  Call our office today 212.883.8700 to start improving your life.


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February 5, 2017 Dr. Lamb's Advice0

Mattresses and sleeping - dr Adam Lamb

Sleep is one of the key components of health and adequate sleep is necessary for our bodies to repair themselves, so I just wanted to spend a few minutes talking about some recommendations to help everyone get better rest.  As one of the most commonly discussed topics in my office, having some resources here may be able to many of you. Some of the most common questions I get each day are:

-What is the best mattress to sleep on?

-What is the best position to sleep in?

-What is the best pillow to use?

Let’s try to address these questions.  First, a common line of thought is that peoples bodies sometimes hurt when they lie down, or when they wake up, so therefore, it must be their beds or mattresses.  For many, the damage was done long before they reach the bed.  Bodies are subjected to many different stresses during the day, whether you are engaging in heavy lifting on the job or at the gym, or sitting for long hours at a desk.  Muscles get strained, ligaments get stretched and massive forces are imposed upon the body in less than optimal positions.

There are many choices these days when it comes to selecting a mattress and it can be a bit confusing.  Firm, soft, plush, pillow top, foam, etc.  My recommendation for mattresses has traditionally been a firm mattress with a pillow top.  You can start the selection process online or in a store where you can actually test them out live(my preferred method). For many years, I slept on a foam mattress and loved it.  Last year, after years of recommending them to others, I decided to try a sleep number bed https://www.sleepnumber.com/sn/en/how-to-sleep-better , a mattress which can be adjusted from firm to soft.  This bed is known as the “relationship saver”, as you can have each side a different firmness.  My only suggestion on this mattress is spring for a middle tier model as the lower end ones do not provide enough foam between the top of the bed and the air compartments.  Their sleep monitoring program is very glitchy and their customer service is poor.  Some of the mattress companies have cool questionnaires https://www.helixsleep.com/get-personalized to help you determine your ideal match. As many people are concerned about what their bedding is made of, there are companies like www.saatva.com that are providing eco-friendly and organic materials.  Lastly here, I will mention that getting something with a good return policy is useful.  One of the best I’ve seen is from Bloomingdales.  I will provide a few links/resources here.

http://fashion.bloomingdales.com/fashion-tips/mattress-buying-guide/#comfort_guarantee

https://onpurple.com/

https://casper.com/

https://www.tempurpedic.com/

As far as sleeping position goes, this is a very difficult question, as people have developed their sometimes bad sleeping habits over their lifetimes and resistant to change.  The key is trying to get your body in as neutral position as possible.  If you’re a back sleeper, a small pillow or a neck roll under the curve of you neck is best while trying to keep a pillow behind your knees.  If you’re a side sleeper (most people), having enough pillow under your head and neck to support it and keep it in line with the rest of your spine while keeping a small pillow between the knees is our goal.  If you’re a stomach sleeper, I’ve got some bad news – it’s not good for you no matter how you spin it.  Some of the worst spines I’ve seen, riddled with arthritis and incredibly tight upper back and neck muscles stem from sleeping on your stomach with your head twisted in one direction or another.  Most sources will recommend that you sleep on your left side to relieve or minimize acid reflux as well as improve heart circulation for pregnant women.  Either side is fine in my book as long as you are well supported and comfortable.

The pillow question may be the most common one I get in the office.  I mentioned some suggestions along with sleeping positions, but as far as specific pillows go, there is a vast number of choices out there. For many years, I carried Tempurpedic pillows in the office.  They are somewhat expensive and there are many cheaper alternatives.  I do like the support of foam pillows, but there are others that do the job as well.  The most popular pillow recommended by chiropractors for years is the Tricore pillow, available on Amazon for about $40  Buckwheat, microbeads, beans, rice, water, air, down, etc.  Whatever feel you prefer is fine as long as it’s the right size.  Some pillow companies like tempurpedic make pillows of different sizes.  The pillows I’ve recently been recommending for the majority of my patients are the Proper Pillow and the Ortho Bone pillow.

Please contact the office for any further questions.

topchiropractornyc.com/product/the-proper-pillow/

https://www.tempurpedic.com/pillows/

Tri-Core Cervical Pillow

Original Bones™ OrthoBone® Pillow in Velour


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