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.


Sports Medicine Manhattan

If you have suffered a serious injury, your doctor may recommend that you undergo
physical therapy. On the other hand, you may also be able to refer yourself to physical therapy.


Whether you ask a friend who may have been to physical therapy or searching
on the internet, finding a physical therapist is quite simple. However,
which one is the best choice for you?


The following are important questions to ask before deciding on a physical


    • Do you accept my insurance? In many cases, patients attend physical therapy without knowing whether
      or not their insurance coverage is acceptable. Ensure that your prospective
      candidate accepts your insurance to avoid paying big out-of-pocket expenses
      and suffering a huge headache.


    • Do you specialize in treating my injury? Many physical therapists are board-certified clinical specialists, meaning
      that they have passes rigorous tests and spent many hours treating a specific
      condition or demographic. For instance, if you are experiencing hip or
      knee pain, you should see an orthopedic clinical specialist.


    • How many patients do you see a day? While some physical therapists elect to commit time to only one patient
      for each appointment, others may treat several people at the same time.
      If you feel that you need more individualized treatment, make sure to
      select a physical therapist that only sees one person at a time.


    • Will I see the same physical therapist or a different one each time? Some physical therapy clinics schedule patients with the same therapist
      to help build a strong relationship, while others may schedule appointments
      with the first available therapist, allowing a person to try different
      treatment strategies.


    • What is your cancellation or no show policy? Sometimes, emergencies occur which may force you to miss your appointment
      or be late. There are many clinics who charge their patients a fee if
      an appointment is canceled without a timely notice, typically 24 hours
      ahead of time. Toa void paying extra costs during your rehabilitation,
      find out the physical therapist’s cancellation policy.


Asking these questions can help you make the best decision possible about
your rehabilitation, and can help you find the best physical therapist
for your specific condition.


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.


Pain Management Manhattan

physical therapy and rehabilitation can sometimes be painful, not all pain is considered
the good kind. If you’re pushing through pain, you’re putting
yourself at a far greater risk of losing what you have gained from rehab
than if you were to ease up on your exercises. There are several types
of injuries that you cannot train through whatsoever.


The following are injuries you shouldn’t still train through:


    • Stress fractures – Stress fractures occur when you place more stress on your bones
      than they can handle. If you continue stressing the bone, the microscopic
      fracture can develop into a complete break.


    • Achilles tendonitis – Injury to the Achilles tendon can range from mild damage of the
      tendon to a complete rupture, which requires surgery to repair. If you
      try to push through it, the injury can become a chronic degeneration,
      known as Achilles tendinosis, or a complete tear of the tendon.


    • Runner’s knee – Patellofemoral pain syndrome occurs when the kneecap rubs on the
      thighbone, resulting in pain at the front of the knee. This injury often
      occurs when there is a muscle and strength imbalance in the quads and
      hips, as well as excessive tightness in the connective tissues surrounding
      the knee. Training through runner’s knee can result in increased
      damage to and degeneration of the cartilage that is positioned underneath
      your kneecap.


    • Lower back pain – This injury is typically the result of a weak core and glute muscles,
      overworking the muscles designed to support and stabilize the pelvis and
      spine, as well as improper movement patterns. If you continue to train
      with lower back pain, the lingering pain can become a debilitating chronic
      pain that disrupts your quality of life.


    • Hamstring strains – This injury occurs when the muscle tears, whether slightly or completely.
      Hamstring injuries are notorious for being chronic issues, so avoid training
      until the pain subsides.


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.


Runner’s Knee


Patellofemoral pain syndrome, also known as “runner’s knee,”
is considered the most common running ailment. The stress from running
can cause irritation under, slightly above or below the kneecap, which
is why runner’s knee isn’t a specific injury.


Common causes of runner’s knee include:


    • Overuse, especially if you constant perform repeated bending or high-stress
      exercises such as lunges or plyometrics.


    • Weak or unbalanced thigh muscles


    • A direct blow to the knee


    • Malalignment, when your bones are not lined up correctly


    • Issues with your feet, including fallen arches, overpronation, and hypermobile feet


    • Arthritis


    • A fractured kneecap


The main symptom of runner’s knee is a dull, aching pain around or
behind the kneecap, especially where it meets the lower part of the thighbone
or femur. You may feel pain when walking, running, kneeling, squatting,
climbing or descending stairs, sitting down or standing up, or sitting
for a long time with the knee bent. Other symptoms include swelling and
grinding or popping in the knee.


For most people, runner’s knee can be successfully treated without
surgery. The injury heals on its own with time and treatments which address
the knee issue that’s causing the pain.


To speed up the recovery process, those suffering from runner’s knee
should do the following:


    • Rest your knee as much as possible by avoiding activities which may worsen
      the pain, including running, lunging, squatting, or standing or sitting
      for long periods of time.


    • Ice your knee for 20-30 minutes every three to four hours for two to three
      days, or until the pain goes away.


    • Wrap your knee with an elastic bandage, sleeves, or patellar straps for
      extra support.


    • Elevate your leg on a pillow when you’re sitting or lying down.


    • Take NSAIDs, such as ibuprofen or naproxen to combat inflammation and relieve
      pain and swelling.


    • Stretch and perform strengthening exercises.


    • Use arch supports or orthotics for your shoes.


People heal at different rates, so your recovery time is based on your
body and your injury. Whatever you do, do not rush it.


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.


Awkward Sleep

Sleep is an integral part of our daily function, helping us recover from
the wear and tear our bodies endure after each day, as well as repairing
and growing tissue, like bone, muscle, and nerves. Additionally, sleep
positioning is just as important in order for your body to heal properly.
So if you sleep the wrong way, it can be detrimental to your health.


If you are experiencing any pain, numbness, or tingling in the fingertips,
it may be early signs of a nerve compression issue known as
Carpel Tunnel Syndrome (CTS). In fact, how you position yourself when you sleep can potentially lead to CTS.


If you have CTS already, the symptoms are often worst in the evenings since
the tissue fluid located in the arms is being redistributed when there
is no active muscle pump. In other words, when we are not moving when
we attempt to sleep, increased fluids results in increased carpal tunnel
pressure. So how patients position their wrists during sleep is one factor
which affects carpal tunnel pressure.


The following are two sleep positions you should


    • The Fetal Position – One study discovered a strong association between people sleeping
      on their side and CTS. However, people who sleep on their side are more
      inclined to sleep in a fetal position, which includes a forward head and
      rounded shoulders posture, bent at the elbow, and the wrist bent in a
      flexed position. Not only does this position increases the risk of CTS,
      but also increases the risk of other nerve compression injuries.


    • On Your Stomach – This position increases the risk of CTS by placing increased pressure
      on the wrists. Furthermore, it also increases the risk of other nerve
      compression injuries at the elbow and shoulder, as well as irritating
      the neck, back, and spine.


The preferred sleeping positions include:


    • On Your Back – Less stress is placed on the cervical spine in this position. Also,
      there is less risk of nerve compression at the elbow, shoulder, and wrist.
      If your legs are propped up, it places less pressure on the lumbar spine.


    • On Your Side – If you prefer to sleep on your side, you should gently hug a pillow
      or a body pillow to prevent going to the fetal position. If you have CTS,
      wear a wrist brace to keep the wrist in a neutral position. Lastly, put
      a pillow in between your legs for proper hip support and spine alignment.


If you are suffering from Carpel Tunnel Syndrome in New York,
schedule an appointment with our experienced doctor at
Manhattan Sports Therapy today.



Linda Kelly of Dallas, Texas thought her running days were over. Now into
her mid-60s, Kelly has long been a respected and revered member of the
distance running community in the city, but began battling knee pain in
early 2016. The pain grew so bad so quickly that by February, she was
limited to running just a quarter-mile before her pain forced her to walk.


None of the traditional orthopedist treatments helped her progress to recovery
at all, including bike rides, deep-tissue massages, and lots of walking.
One of her friends suggested that she see a local specialist who specialized
in active release techniques (ART) treatments. The very next day, she
was able to run a couple of miles.


In an interview with SportsDay, Kelly said “I felt the difference almost immediately. It made me
squirm a little bit, but it seems to have done the trick. The next day,
I was able to run a couple miles. I hadn’t been able to run in a couple


This past weekend, Kelly set a record by finishing the Plano Pacers Hall
of Fame 8K run in 40 minutes, 23 seconds.


What are Active Release Techniques?


ART are a revolutionary, non-invasive procedure that can be applied to
muscles, tendons, ligaments, and nerves in order to restore them and regain
pain-free motion. Specialists in these treatments use a unique course
of diagnostic protocols to identify the issue and create a recovery plan.
In many cases, these treatments involve a soft-tissue technique which
breaks down scar tissue to restore motion.


For those like Kelly, who began experiencing this immense knee pain thanks
to scar tissue, this technique restored her motion and gradually helped
her build up her training mileage once again. Kelly saw her physician
(Dr. David Lee, now retired) twice per week for a month.


Seeking ART in New York


Dr. Rolland Nemirovsky of Manhattan Sports Therapy is a licensed ART specialist
and can provide you with these treatments if you are suffering from ligament
or tissue pain. By providing you with ART, Dr. Nemirovsky helps facilitate
tissue movement during recovery, which breaks up scar tissue and prevents
muscles from weakening. These pain-free procedures may be able to help
you return to pain-free mobility and activity in as little as one visit,
depending on the severity of your injury.

If you have been injured and are suffering from chronic pain,
contact Manhattan Sports Therapy and schedule an appointment today! Find out more about our ART treatments
by calling {F:P:Site:Phone

Chiropractor in Midtown


Are you constantly on your phone, with your head down, frantically scrolling
and typing away? With so much of our lives happening somewhere else, it’s
no surprise that we all happen to be looking down at those screens we
can’t seem to let go of. Whether you’re checking emails for
work or playing that new addicting game, chances are you’re spending
too much time craning your neck downwards and typing,. The chances of
developing carpal tunnel are increasing at an alarming rate, and you might be next.


At Dr. Rolland Nemirovsky’s Manhattan Sports Therapy office, we strive
to make sure you are never in any physical discomfort or pain, which is
why we offer comprehensive, professional, and compassionate care. Many
people don’t realize that the newest wave of carpal tunnel stems
from straining your neck to look down at your mobile device, in addition
to the constant and repetitive hand and wrist movements. If you’re
experiencing any of the below symptoms, look no further than Dr. Rolland
Nemirovsky for a top sports medicine doctor in New York.


The symptoms of carpal tunnel stemming from phone or mobile device overuse
include, but are not limited to:


    • Hand, wrist, or forearm pain


    • Numbness


    • Pins and needles


    • Clumsiness


    • Weakness


Often referred to as “tech neck,” these unfortunate and often uncomfortable symptoms are a consequence
that some of us can’t avoid due to our careers or lifestyles. Our
expert and comprehensive care will help you heal, whether that requires
physical therapy or a more extensive surgical route. Dr. Rolland Nemirovsky’s
professional examinations will assess your pain, strength, range of motion,
and overall status of nerve damage. If you are interested in learning
more about how we can help alleviate your pain,
contact us at 646.798.1330 to speak to one of our informed professionals today.


Chiropractor in Midtown

As much as 80% of the population will experience some kind of back pain
in their lives, according to the American Chiropractic Association, and
half of all working Americans report having back pain symptoms. While
there are various ways to treat back pain, chiropractic care has almost
always been looked at with a wary eye. Recently, numerous studies have
surfaced to prove the effectiveness of chiropractic care as a useful treatment
for different types of back pain. So, why does the bias remain?


According to an article in the
New York Times, physicians are suspicious of chiropractic care because the methods chiropractors
use have not been scientifically explained. Spinal manipulation, the most
common type of chiropractic care, involves applying pressure to the spine
in certain positions to allow the vertebrae to stretch and pop, relieving
pain and pressure. In the past, studies conducted to evaluate the usefulness
of spinal manipulation found the procedure to be no better than a sham,
but new, more thorough research has found very different results.


A study related in The Journal of the American Medical Association, revealed
that, out of the 1,700 patients in the trial, nearly 1,400 reported improvements
in function after spinal manipulation treatments. Other prominent medical
authorities, like the Annals of Internal Medicine and the American College
of Physicians agreed with assessments of chiropractic care as a reliable
non-invasive treatment for back pain. The American College of Physicians
also recommended back pain sufferers to seek heat, massage, acupuncture
or spinal manipulation as the first line of treatment before looking into
invasive procedures.


Another bias that as prevented doctors from referring patients to chiropractic
care is the risk of harm. Poorly trained or uneducated practitioners could
potentially worsen back pain symptoms and cause damage, though in the
studies mentioned above, no adverse symptoms were reported. To avoid any
possibility of harmful practice, patients should
only see certified chiropractors with the necessary education and credentials.
Ask your chiropractor about his or her background before your spinal adjustment
to ensure you are in good hands.


Compared to other treatment options, surgery or pain medicines, chiropractic
care can cost less in the long run. Plus, surgeries can go wrong, and
some pain medication can lead to dangerous addictions and be very costly.


If you are considering chiropractic care or physical therapy to treat your
back pain, consider our Board Certified Chiropractic Sports Physician
at Manhattan Sports Therapy. Some of the areas our facility specializes
in are disc herniation, bulging discs, sciatica, and sports or exercise
related injuries. Located in New York, we treat anyone with pain, from
professional athletes and celebrities to everyday workout enthusiasts.
We offer acupuncture, sports massage, physical rehab, chiropractic care,
cold-laser light therapy, pain management, and pre or post-operation rehab.


Contact Manhattan Sports Therapy to request an appointment and begin your road to recovery.


Carpal Tunnel

For many Americans who suffer from
carpal tunnel syndrome (CTS), daily tasks such as typing on a keyboard or gripping a coffee mug
can be extremely painful. Although many rely on medications or wrist braces
for relief, one of the most effective forms of treatment is massage therapy.


What is Carpal Tunnel Syndrome?


Carpal tunnel is a condition that can cause pain and numbness in the wrists,
hands, and arms. If often occurs due to excessive pressures placed on
the median nerve, which passes through the carpal tunnel located on the
wrist. Repetitive hand movements and tasks are the most common cause for
the development of CTS.


When CTS is caught and treated in its early stages, symptoms are often
reversible. But if left untreated, however, the damage may be permanent.


How Massage Therapy Can Help


Massage therapy is an effective treatment for pain relief, soothing the
muscles, tendons, and nerves contained in the wrist. Physical therapists
possess an extensive knowledge of the inner-workings and anatomy of the
human body and can apply remedial techniques with maximum effect. The
type and length of treatments depend on the injury.


Reach Out to Manhattan Sports Therapy Today


Dr. Nemirovsky will conduct a thorough evaluation, assessing your pain
symptoms, range of motion, and hand grip strength. He is able to examine
the median nerve directly and determine the exact site of compression
or dysfunction.


Through hand therapy and carpal tunnel exercises centralized on soft tissue
mobilization, he relieves the inflamed median nerve and restores proper
function to your wrist, hand, and arm. By skillfully incorporating state-of-the-art
therapies and the Graston Technique®, Dr. Nemirovsky can be successful
in helping you obtain wrist pain relief and restoration.


Contact us and
request an appointment immediately.


Chronic Headaches

For those who experience chronic
headaches, over-the-counter medication is typically considered a reliable solution.
However, pain medication can take a heavy toll on the body over time.


Fortunately, there is an alternative and drug-free treatment. Physical therapy.


How Physical Therapy Alleviates Headaches


Headaches can be caused by various conditions, including the muscles and
the joints. Physical therapy can treat headaches which are caused by musculoskeletal
problems, such as muscle tension, poor posture, restricted neck motion,
and tightness.


Patients who receive therapy with neck conditions will also experience
headaches as one of the symptoms. Many are unaware that the two issues
are connected. On the other hand, some patients receive therapy exclusively
for headaches.


How Manhattan Sports Therapy Can Help


Treatment can be considerably effective and work fairly quickly. Some patients
enter our facility with a headache in their initial visit and leave without
one. But when it comes to addressing more severe motion and strength conditions,
a few weeks of therapy may be necessary.


If you suffer from chronic headaches, our professional team will conduct
a thorough evaluation to determine the source of the problem and all available
solutions. If we determine that the headaches originate from muscle injury
or tension, a variety of treatment methods may be sued.


Treatments can include the following:








Chronic headaches which are musculoskeletal in nature and have been occurring
for long period of time may not go away completely until physical therapy
treatment is used. Physical therapy is worth a shot when you experience
headaches frequently on a daily basis.


Contact Manhattan Sports Therapy and
request an appointment today.