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Spinal Rehabilitation and Remodeling

Although Dr. Garnecki has completed extensive training in scoliosis treatment, she works with patients of all ages and levels of health: from preventative and wellness care for maternity and newborns to whiplash injury recovery and sports injuries in young athletes.  Treatment recommendations are provided based on individual goals and needs.

Three-Step Treatment to Change Spines and Scoliosis Treatment

Our spinal treatments use a combination of Pettibon System, Palmer Chiropractic adjusting techniques, instrument adjusting techniques, sacro-occipital technique, therapeutic and neuromuscular re-education, and spinal exercises.

The goal is to reduce pain and reduce postural distortions–including scoliosis curvatures–so the body can function optimally. The Advanced Scoliosis Treatment Protocols are effective as long as patients actively participate in their healing.

The three steps in our spinal rehabilitative treatment involves 1) first, loosening the muscles and ligaments, 2) then, adjusting the spine to reduce postural distortions and improve function, and 3) finally, re-train the body’s postural muscles to hold the (new) correct position. All three steps must be done in order for patients to achieve ideal results from the treatment.

Step 1: WARM (Ups)

Without a physical warm-up, the discs (gelatin-type material) that cushion the space between the spinal bones or vertebrae will resist change with rigidity.  Thus, prior to performing chiropractic spinal adjustments, the patient’s spine is warmed-up with a variety of activities and devices:

  • The Active Rehabilitation Chair sits on a ball-and-socket joint and flexes in every direction to put the spine through a full range of motion.
  • The Cervical Traction Device is used by the patient to achieve gentle, repetitive spinal traction throughout all the spinal discs.
  • The Vibrating Traction device uses a slow, soothing vibration to relax the ligaments and soft tissues of the spine.
  • The mechanical massager uses varying speeds of a tapotement type of massage on soft tissue ligaments and muscles to relax them so the spine to which they attach is pliable and flexible.  Gua-sha therapy uses a special tool to apply a friction and scratching motion with an emollient to “melt” myospasm and areas of edema or swelling over soft tissues.
  • The Eckard Flexion/Distraction table is a motorized table with belts that de-rotate the scoliosis curves out of the spine while the spine is relaxed without the compressive force of gravity.

Regardless of your age or level of flexibility, these warm-ups are necessary in order for the scoliosis treatment to be effective.

Step 2: FIX / Chiropractic Spinal Adjustments

Mechanical instruments and specialized drop pieces should be used for nearly all adjustments for scoliosis treatment. They’re more precise and require less force than manual chiropractic adjustments. Cranial therapy is effective for patient’s suffering from migraines, stress, and sinus congestion.

The adjustments made by the chiropractor are based on each patient’s individual x-rays and postural presentation.  When necessary, follow-up x-ray images are taken of the neck, upper body and lower back to confirm the patient is responding positively to the correction.

Step 3: HOLD / Neurological Retraining Rehab

Immediately following the chiropractic spinal adjustments, the spine needs to be retrained to “hold” its corrected position to ensure the changes are permanent.  “SET” involves spinal weighting to mirror-image the posture patterns of the spine, whole body vibration therapy such as the Zen Pro Vibration Platform and the Scoliosis Traction Chair.  Other “HOLD” therapies include gait therapy, which re-trains patterns of moving and walking with the spine in it’s new and corrected position.

Exercise is a fundamental component of  HOLD phase of treatment. Prescribed exercise workouts should be completed at home and in the clinic–both on whole body vibration platform to increase efficacy by two to three times.

NOTE: Lasting corrective changes of scoliosis treatment won’t work without the patient’s compliance. Remember, the spine has endured postural deformities over a long period of time, particularly in the case of scoliosis.  It may take one to two hours per day of exercises for months or even years to reverse those changes.

However, those corrective changes will become permanent when the HOLD procedures and exercises are followed.

Research on Clinical Applications of Whole Body Vibration Therapy

Whole Body Vibration Acceleration helps athletes overcome sports injuries more efficiently than traditional rehabilitation therapies — great summary of WBV articles from Dr. Joseph Mercola.

Balance

Torvinen S, Vuori I, et. al. Effect of a vibration exposure on muscular performance and body balance. Randomized cross-over study.
Clin Physiol Funct Imaging. 2002 Mar;22(2):145-52. Abstractfull article.

Lam FM, My P, et. al.  The effect of whole body vibration on balance, mobility and falls in older adults: a systematic review and meta-analysis. Maturitas. 2012 Jul;72(3):206-13. doi: 10.1016/j.maturitas.2012.04.009. Epub 2012 May 18. Abstract.

Bone Density

Verschueren SM, Boonen S, et. al. Effect of 6-Month Whole Body Vibration Training on Hip Density, Muscle Strength, and Postural Control in Postmenopausal Women: A Randomized Controlled Pilot Study. J Bone Miner Res. 2004 Mar;19(3):352-9. Epub 2003 Dec 22. Abstractfull article.

Flieger J, Lyritis G, et. al. Mechanical Stimulation in the Form of Vibration Prevents Postmenopausal Bone Loss in Ovariectomized Rats. Calcif Tissue Int (1998) 63:510-5. Abstractfull article.

Bone Loss in Space

NASA Researchers studied the benefits of vibration therapy to combat the effects of muscle atrophy and bone loss that astronauts experienced in space in this Good Vibrations article.

Strength Gains

Delecluse C, Verschueren SM, et.al. Strength Increase after Whole-Body Vibration Compared with Resistance Training. MEDICINE & SCIENCE IN SPORTS & EXERCISE. ASCm; 2003: p. 1033 – 41. Abstractfull article.

Issurin VB and Tenenbaum G,  Acute and residual effects of vibratory stimulation on explosive strength in elite and amateur athletes. J. Sports Sci., 1999, 17, 177±182. Abstractfull article.

 

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Contact Spinal Health and Wellness

570.392.6599 | E-mail

122 Lakewood Road
Tunkhannock, PA 18657