Sports Medicine Doctor in NYC

Should I Get Rehab Before Surgery?

Pre-operative physical therapy, also known as “pre-habilitation” or “prehab,” can make a huge difference when it comes to your recovery. Sometimes pre-operative therapy makes the most sense for people who are having an operation because of a serious injury. This is especially true if:

  • Your injury is debilitating.
  • Your pain and injuries are keeping you immobile.
  • You don’t plan to undergo surgery for several more weeks or months.

What Are the Benefits of Doing Rehab Before Surgery?

Prehab has a number of great benefits, most of which come onto the scene after your surgery is over. In addition to keeping you mobile and healthy in the days and weeks leading up to your surgery, there are a variety of ways that pre-operative physical therapy can make a huge difference during your post-op recovery, including:

  • Reduced recovery time
  • Less time spent recuperating in the hospital
  • Improved chances of a positive outcome overall
  • Ability to regain former level of strength and agility much more quickly
  • Reduced risk of infection and other common post-operative complications

What Happens in Pre-Operative Therapy?

Your health is your own, and our physical therapists at Manhattan Sports Therapy are on your side. We want to help you work toward your goals and get the results you want.

We are experts in physical therapy and sport injuries, but we are also able to offer a helping hand in a number of different areas you may wish to address during pre-op therapy, including:

Physical Rehab & Sports Therapy in New York

At Manhattan Sports Therapy, we do everything possible to help you achieve your goals and get back to being healthy, active, and competitive. We know an injury can be a major setback, so we are highly motivated to help you regain your strength. While helping you avoid further injury, we take your overall health into consideration and seek to provide the kind of attentive, holistic care you just can’t find anywhere else.

Call (646) 798-1330 to speak to a New York physical therapist and find out if pre-operative rehab is right for you! You can also connect with us by sending us an email.


Cold Laser Therapy

At Manhattan Sports Therapy, we believe in giving you options. We offer a wide range of services and are committed to taking a creative, personalized approach to every patient and injury. Cold laser therapy is one of many treatments we have learned, perfected, and used to treat a variety of injuries.

If you’re interested in learning more about the process or exploring other recovery options, call (646) 798-1330 to schedule your first appointment with our experienced physicians.

How Cold Laser Therapy Works

Heated lasers are often used by surgeons to make precise incisions. Cold lasers, on the other hand, have proven highly effective for the body’s healing processes. However, the low temperature isn’t the only thing that makes it work, and it isn’t just a glorified ice pack—so what does it actually do?

Cold lasers alter the photochemical processes in and around the injury site. When cold lasers are concentrated on the injured area, the cells become more permeable and receptive to the flow of important fluids and nutrients. This has a number of positive effects for injured persons, including:

  • Less scar tissue: Ultimately, the best kind of recovery is the one that leaves you without a trace of injury. In cases of serious injury, lots of fibrous tissue can develop, which can cause long-term discomfort and pain, even long after your injury has healed. Cold laser treatments minimize the formation of scar tissue, setting you up for less pain and greater likelihood of regaining full function after your injury heals.
  • Reduced inflammation: Inflammation is the body’s normal response to many injuries—but, if it persists, it can cause your injury to become worse and prolong your recovery time. By opening up the cells in the tissues surrounding the injury site, cold laser therapy can increase the flow of blood and important nutrients. This can cause any swelling to stop and go down, allowing your body to heal itself much more effectively.
  • Nerve revitalization: Sometimes serious injuries can result in nerve damage or localized numbness around the injury. However, this doesn’t have to be permanent, and cold lasers can help your nerves heal as well. Cold laser therapy can help increase the feeling in and around your injury and prevent long-term harm or deadness in your nerves.

Will Cold Laser Therapy Work for My Injuries?

Cold laser therapy may not be suitable for every injury, but it’s hard to know unless you’ve talked to an experienced physical therapy profession. If you’re unsure whether this treatment is right for you, connect with a member of our staff at Manhattan Sports Therapy today by calling (646) 798-1330.

In the meantime, a little research never hurts! Check out our very own Dr. Rolland Nemirovsky’s take on cold laser therapy treatments. Cold laser therapy may be a great solution if your injury falls into any of these categories:

  • Bursitis
  • Tendonitis
  • Back and spine pain
  • Sprained and strained muscles
  • Chronic or undiagnosed pain
  • Acute pain
  • Sprained or strained ligaments
  • Tennis elbow
  • Carpal Tunnel
  • Arthritis
  • Fibromyalgia

Even though your injury or source of discomfort may not be listed here, you could still benefit from exploring this treatment. Don’t rule it out until you’ve gotten a second opinion.

Physical and Sports Therapy Clinic in New York

If you are in need of physical therapy for sports injuries in New York, our team at Manhattan Sports Therapy is prepared to do whatever needs to be done to get you back on your feet. Whether your injury is sports-related or just presents a functional problem, we can help.

Send us a message to tell us about your injury and request an appointment with us today.


Chiropractor in Midtown

The Lancet medical journal released a series of 3 papers revealing disturbing facts
regarding lower back pain. According to the journal, lower back pain plagues
over 540 million people around the globe and is often mistreated by medical


Many working people experience short-term lower back pain and commonly
report reoccurring episodes. The most common treatments include the use
of steroid injections or opioids. Medical professionals additionally recommend
that patient rest and stay home from work. However, according to
The Lancet, this is some of the worst advice.


There is little evidence to support the use of opioids, steroids, or acetaminophen
(Tylenol®) for back pain. “In many countries, painkillers that
have limited positive effect are routinely prescribed for low back pain,
with very little emphasis on interventions that are evidence-based, such
as exercises,” stated co-author Nadine Foster.


According to
The Lancet, the proper medical recommendations to manage lower back pain include:


    • Exercise


    • Superficial heat


    • Spinal manipulation therapy


    • Massage and acupuncture


According to the study, only half of those treated in the U.S. are prescribed
exercise as a form of treatment. In 2016, a
JAMA Internal Medicine study found that working and consistent exercise reduces the risk of back
pain by up to 45%. Additional, short-term treatments, such as spinal manipulation
therapy (SMT), can offer long-term relief. According to
The Annals of Internal Medicine, patients who underwent SMT experienced lasting results up to a year after


Schedule Your Spinal Manipulation Therapy Appointment Today: (646) 798-1330.


If you suffer from lower back pain, consider spinal manipulation therapy
through Manhattan Sports Therapy. Our doctor of sports medicine, Dr. Rolland
Nemirovsky, expertly pinpoints the source of your pain and services patients
throughout New York. We work to develop a treatment to bring you long-lasting
pain relief and get you back to an active, pain-free lifestyle.


Contact our Manhattan sports medicine doctor
today at Manhattan Sports Therapy.


What Causes Shoulder Pain While Running

It happened again. Another run cut short by neck and shoulder pain. If anything, you should be feeling the burn in your legs—so why is your shoulder hurting instead?

You may be surprised to find out that the shoulder and neck pain you experience while running are caused by the typical culprits:

  • Tension
  • Poor posture
  • Bad form

Many Americans (especially those who spend a great deal of time looking into computer screens, phone screens, or books) experience tightness in their neck and shoulders for a variety of different reasons, ranging from sleep to sedentary jobs. This often happens because you’ve been sitting still too long, sitting improperly, or performing motions that result in painful stress and strain on your neck and shoulder muscles. When you get moving, that tension or strain can become much more noticeable.

Stretches and Motions that May Reduce Running-Related Shoulder Pain

Regardless of the source, there are a few solutions to help you break up the tension in your neck and shoulders and get back to training for that big race. Next time you’re on a run and your shoulder starts hurting, try doing any of the following:

  • Moving your arms in a windmill motion (forward and backward)
  • Place your hands on your head and push your elbows back
  • Elongate your spine and run chest-first (as opposed to headfirst or shoulders-first)
  • Drop your shoulders down and relax them

If these don’t work to reduce your pain, there could be a deeper issue. When shoulder pain persists, it is always best to get the help of a professional.

Connect with a Sports Therapist in Manhattan Today

Our team at Manhattan Sports Therapy is familiar with all kinds of running and sports-related injuries, including an achy runner’s shoulder. When our clients come in, we do everything in our power to get them back out there and doing what they love as soon as possible. It is our mission to offer you personalized physical therapy solutions that work and help you overcome your injury and discomfort once and for all.

Schedule your first appointment with our Board Certified Therapist today by calling (646) 798-1330. You can also contact us online to tell us about your injury or pain, and someone from our team will be in touch with you promptly.


Sports Medicine Doctor in NYC


If you are set to undergo
physical therapy to recover from your injury or surgery, you may be wondering “does
it hurt?” While the answer is often “yes,” it’s
a good kind of pain.


“Good pain” occurs when you obtain a high level of therapeutic
benefit, especially during an endurance exercise or strengthening. If
done correctly, therapeutic exercise produces a gradual increase in “burning”
sensation within muscles as a result of stored carbohydrate being used
as fuel more quickly than created, creating lactic acid. This burning
discomfort goes away within a few seconds once the exercise is complete,
as your bloodstream absorbs the lactic acid.


Beneficial pain also occurs during manual techniques and stretching exercises
used at the end of your range of motion. Stretch receptors within your
muscles and tendons send signals to your brain that you are nearing the
end of the range of motion and should stop stretching before you suffer
an injury.


On the other hand, “bad pain” is often a sign that sensitive
tissues are being damaged and/or irritated. It usually occurs near or
within a joint. It can also happen due to nerve irritation.


Keep in mind, whenever you are “hurt,” it is your brain interpreting
a stress in an unfavorable way. Those who have experienced chronic pain
for years have brains which perceive discomfort differently than those
without chronic pain. Fortunately, good pain can overcome bad pain.


If you believe that the pain you are experiencing in physical therapy is
excessive, in the wrong place and/or of the wrong type, you may need to
speak with your physical therapist about changing your program.


If you have found yourself on the sidelines due to a sports-related injury
or pain in New York,
request an appointment with our experienced doctor at
Manhattan Sports Therapy today.


ACL Surgery

If you have scheduled surgery to repair a torn ACL, it is imperative to
have a thorough understanding of the recovery timeline and know what you
need to do to remain on track during the healing process. In general,
from the time you first undergo surgery through full rehabilitation, the
recovery process can take up to six months or more.


While your doctor may provide certain recommendations depending on your
specific circumstances, being proactive in your recovery can lead to faster
healing, reduced pain, and a quicker return to your day-to-day activities.


The following is a rough timeline for ACL surgery recovery:


    • First two weeks after surgery – Since surgery is a traumatic experience for your muscles, ligaments, and
      other tissues, your body will respond with inflammation, which is why
      this is the most crucial time during the recovery process due to your
      body’s vulnerability. During this time, you will use crutches because
      you will not be able to bear weight on the affected leg. You may be given
      exercises that need to be performed daily to support your healing.


    • Two to six weeks after surgery – Your physical therapist will focus on helping you regain full
      range of motion during this time. You will you able to start bearing weight
      on both legs at this point in time. You may be able to drive during this
      time. However, activity will remain limited since your tissues are actively
      healing. You will probably wear a protective brace.


    • Six weeks to three months after surgery – As your knee strengthens and the healing process continues, you
      will be able to perform more low-impact activities, including swimming,
      cycling, and rowing. At the end of this time period, you may be able to
      start light jogging.


    • Three to six months after surgery – As your body is nearly ready to perform athletic activities, you
      will continue performing strengthening exercises to support the connective
      tissues in the knee joint.


    • After six months – If the damaged tissue is completely healed, you can return to athletic
      activity. You may need to wear a supportive brace for one to two years
      after ACL surgery as a precaution.


If you have found yourself on the sidelines due to a sports-related injury
or pain in New York,
schedule an appointment with our experienced doctor at
Manhattan Sports Therapy today.


What is Tommy John?


One of the most common injuries we see in baseball is a fully or partially
torn ulnar collateral ligament (UCL). This occurs when a pitcher throws
a pitch, then grabs his elbow.


In most cases, these players choose to have Tommy John surgery to reconstruct
the UCL. The process of rehabilitation to return to a level of playing
equal to before the injury often takes approximately a year for pitchers
and about six months for position players.


The following is a general timeline of the rehabilitation process:


    • Following UCL reconstruction and lasting for 7 to 14 days – The elbow is placed in a brace with no movement in a 90-degree
      position. The player is able to move his wrist and shoulder.


    • Two weeks until six weeks after reconstruction – While the goal in the previous step is to control pain and maintain
      motion in the shoulder and wrist, the goal changes to gradually increasing
      movement in the elbow in order for the player to regain full motion by
      the end of the sixth week. This is typically accomplished by increasing
      the amount of motion the brace allows. Since less movement results in
      an increase in pain, pain control remains important.


    • Six weeks to 18 weeks after reconstruction – There is a minimal increase in intensity of exercises, such as
      cardiovascular, core stabilization, and lower extremity exercises. While
      the goal remains to protect the elbow and not stress the UCL, exercises
      for the shoulder and scapula will also start to incorporate safe elbow
      motions and become increasingly harder to strengthen and prepare the pitcher
      to start throwing again.


    • 18 weeks to 40 weeks after reconstruction – The pitcher may start throwing the baseball 30 times at 45 feet
      every other day and progress to 50 throws at 45 feet within about two
      weeks. Then it progresses to 60 feet and increases by 30-foot increments
      every two to three weeks, then progress long tosses to 100 total throws
      with 24 of those throws at distances as high as 210 feet. As soon as sufficient
      throwing strength is obtained and the pitcher is long tossing five days
      per week with solid mechanics, he progresses to throwing from the mound.


    • 8 to 10 months after reconstruction – This is considered the “return to pitching” phase and
      involves throwing from the mound. After sufficiently tossing the ball
      from a long distance to loosen up, pitchers will throw 20 to 25 pitch
      bullpens, adding five pitches every other time and throw two bullpens
      per week. Additionally, they continue the long toss three times per week.
      As soon as they can throw 40-45 pitch bullpens (about five to six weeks)
      without any soreness and with good mechanics and near normal velocity,
      they throw several session facing hitters in batting practice and ultimately
      pitch in a live game.


If you have found yourself on the sidelines due to a sports-related injury
or pain in New York,
schedule an appointment with our experienced doctor at
Manhattan Sports Therapy today.


We Are an Effective, Performance-Based Sports Medicine Clinic in New York

At Manhattan Sports Therapy, we have served a number of successful athletes and know what it takes to help you get the physical therapy or other treatment you need to be as successful as possible. We provide an array of practical, effective solutions to help you address your challenges, get back to the top of your game, and stay there for as long as possible.

Call (646) 798-1330 today to get in touch with one of our sports therapy providers in New York.

How Is a Sports Massage Different from Other Massages?

Deep tissue and Swedish massages target the deeper tissue in your muscles and connective tissues and use a series of specific strokes, including rolling, tapping, kneading and others in order to stimulate blood flow. These massage varieties can be a great solution for people who are under a great deal of stress or are experiencing painful muscle tension and stiffness. They can even benefit athletes, though they aren’t intended to address the specific needs of people who routinely engage in highly strenuous physical activity.

Sports massages, on the other hand, are primarily intended to prepare athletes to perform and compete to the best of their ability. They serve athletes by reducing inflammation, improving blood flow during recovery, increasing flexibility, and more. Sports massages have proven valuable for competitors in just about every avenue of athletic competition, from marathon running to professional football, and they are valuable in both treatment and preservation of an athlete’s current physical capabilities.

What Are the Benefits of Sport Massages?

When done in concert with other tailored treatments, sport massages have been known to offer a number of great benefits for athletes, including:

  • Improved blood flow to muscles
  • Reduced soreness
  • Less fatigue
  • Greater flexibility
  • Improved range of motion
  • Better endurance
  • Reduced likelihood of injury

Start tapping into these benefits now and contact us today!


Kinesiology Tape


Since gaining worldwide visibility at the 2012 Summer Olympics, athletes and fitness enthusiasts around the world have wondered what benefits those brightly colored strips of fabric stretched across Olympians’ shoulders, knees, calves, etc. could possibly provide. Kinesiology tape (or “kinesio tape,” as it has come to be known), can benefit athletes of all levels who are recovering from or actively trying to avoid injuries. No matter your sport or the intensity of your workout regimen, you may benefit from getting some of those stretchy neon strips for yourself.

Kinesiology Tape May Improve Proprioception

Amplified proprioception is one of the main benefits of kinesiology tape cited by athletes. Proprioception, generally defined as being an overall sense of self, is essentially one’s spatial awareness of the relative position of one’s own body parts. The body has multiple proprioceptors that send information to your brain about the position, angle, motion, muscle tension, and overall movement of different parts of your body. It is thought by some that by taping a certain joint, muscle, etc., kinesiology taping can send additional information to the brain about the positioning and movement of that specific body part, which could potentially help athletes correct faulty motion and avoid injury.

Kinesiology Tape May Help Injuries Heal More Quickly

Many athletes use kinesiology tape as a means of facilitating the body’s natural mechanisms for healing in order to reduce and maximize recovery time. This is thought to occur because of convolutions, which are created when tape is stretched, applied to the skin while maintaining tension, and forms what appear on the surface to be just wrinkles. These skin convolutions increase blood flow and important lymph fluids to the affected area, which is thought to be helpful in reducing recovery time, curtailing muscle spasms, reducing harmful inflammation after injury, and relieving pain by minimizing pressure placed on the subdermal pain receptors around the site of the injury.

How Do I Know if Kinesiology Tape Is Right for Me?

If you have been injured or are worried about becoming injured, kinesiology tape may provide a great solution. At Manhattan Sports Therapy, we have helped many people like you explore creative solutions to their injuries and overcome their limitations. Whether it be kinesiology tape or any other method, our New York sports therapy team is here to serve you and help you get back to doing what you love as soon as possible.

Request your appointment or call (646) 798-1330 to speak to a physical therapist in New York today.


Acupuncture & Chronic Pain

Chronic pain in the muscles and joints can make it difficult and miserable
to conduct your day-to-day life. Common treatments include physical therapy,
anti-inflammatory medications, as well as ice and heat. But when these
options are not as effective as they should be,
acupuncture is an option worth considering.


Acupuncture is part of a traditional Chinese medicine that has been around
for thousands of years. It works by applying needles, heat, and pressure
to certain points on the body. Inserting the needles are thought to correct
imbalances in the flow of energy in the body—also known as qi (or chi).


According to the National Institute of Health (NIH), a number of studies
suggest that acupuncture works particularly well on chronic pain, including
neck and back pain, knee pain, and headache. Additionally, pain relief
with acupuncture derives from inactivating the source of pain by modulating
endorphin levels.


If you have tried everything else and you are interested in acupuncture,
plan on weekly treatments until you start to see a benefit, then gradually
lengthen the time until the next visit. Treatments typically range between
$65 and $125 per session.


How Manhattan Sports Therapy Can Help


Manhattan Sports Therapy, our acupuncture services target the root of the problem, which allows
us to provide solutions that are long-lasting. Acupuncturist Irina Logman
can give you the soothing and relaxing environment you need in order to
move forward with a pain-free life. Our experienced and licensed staff
is committed to helping you get your life back on track.


If you have found yourself on the sidelines due to a sports-related injury
or pain in New York,
request an appointment with our experienced doctor at Manhattan Sports Therapy today.