treatments
TREATMENT STARTS ONLY AFTER A THOROUGH review of the patient's HISTORY and An exhaustive physical EXAMINATION.
Our treatment options include:
Prolotherapy Treatment
Prolotherapy is the injection of growth-stimulating dextrose or glucose into the body’s tissues to create new natural tissues. Traditional prolotherapy originated in England in 1927, developed by Dr. George Hackett in the 1930s with a book published in 1956. Two professional organizations regularly teach this technique to the U.S. and international physicians. The type of prolotherapy uses a larger 12.5% dextrose solution concentration. The most common substances used in Prolotherapy are dextrose or glucose, the same sugar that is in the blood. We use dextrose or glucose mixed with a local anesthetic and sterile water. This safe substance is introduced with a local anesthetic into the areas of injury.
Manipulations
Gentle Manipulations
Dr. Abraham has 40 years of experience with gentle manipulations. Often manipulations are useful instead of injections, or as an additional treatment. These involve performing very gradual movements with patients to relieve discomfort. He does manipulations after taking a careful medical history and performing a thorough physical examination. Through manipulation, various parts of the body can respond quite well.
Dr. Abraham has a lot of experience coordinating with physical therapists. He additionally has years of training physical therapists in subjects that Dr. Abraham is an expert at. He is very careful to send patients to select individual therapists who understand and will do the correct job for his patients. There is a list of therapists that Dr. Abraham knows and trusts. Dr. Abraham will maintain communication with the therapist throughout the process.
Chronic Pain
Physical therapy is often a useful part of treatment. Physical therapists have a great knowledge of the physical examination of a patient and can respond to the patient’s needs by retraining and strengthening. Every patient is different and needs their own set of guidelines for improvement. Dr. Abraham has a very long history of working with physical therapy and referring patients to therapists.
Dr. Abraham has a lot of experience coordinating with physical therapists. He additionally has years of training physical therapists in subjects that Dr. Abraham is an expert at. He is very careful to send patients to select individual therapists who understand and will do the correct job for his patients. There is a list of therapists that Dr. Abraham knows and trusts. Dr. Abraham will maintain communication with the therapist throughout the process.
The Fascial Distortion Mode
This is a new non-invasive technique (no needles) that uses a deep massage technique for in-office therapy for chronic or acute musculoskeletal pain.
A very thin but important layer of tissue is present in the skin throughout the body. Each layer is known as Fascia.This Fascia is best thought of as a tube of tissue over and around all the muscles in the body; the fascia connects closely to the outside borders of muscles and assists in proper movement. Damage to the fascia can cause pain and this pain can last for years.Fascia can itself undergo local damage. Then this Fascia becomes a unique and chronic source of pain. This damage can present in a variety of ways: a little depression under the skin; a ribbon of tenderness; a restriction of joint movement; an area that is tender to touch in a larger area (such as part of the thigh or arm).
We first find the areas of pain in the Fascia by asking the patient to show the pattern of pain with the thumb, fingers, and hands. Each patent demonstrates with fingers and hands where the pain starts and where it ends. Either single or multiple different types of fascial damage can be present in the same area or adjacent.Treatment is "non-invasive”. No needles are used. We use our fingers and hands to essentially push in or rub away the pain by smoothing out the Fascial layer. It has been amazing to see how fast the pain can be improved or resolved merely by the pressure from the hands. We measure the duration of the pressure in a time period lasting from seconds to a few minutes.
Sometimes the applied pressure by the thumb, finger, or hand will cause a temporary increase in pain. Fortunately, the amount of pain produced in the processes of treatment is brief and not severe, unbearable, or damaging. Getting a bruise is unusual. Good improvement follows rapidly while still in the office.
This treatment, like many others, may need several repetitions to be permanent.
No insurance company will reimburse me for this work, so there will be a charge.
Direct Neural Treatment
This treatment is a new addition to the Fascial Distortion Model Therapy.
We are using the same nerves lying just under the skin that we treat with dextrose (glucose ) solution to stop the pain and promote healing. We lightly touch a single nerve; then we determine if the nerve is stiffer than normal, painless, and/or swollen. My teacher for this work, Dr. Everett Johnson, has developed this method of direct gentle treatment of these nerves.
Each nerve is connected on either side to the loss layer of tissue under an even bit of skin, known as the Fascia. The nerves just under the skin can be pulled by an irritation of the fascia, much like a tiny wrinkle in a shirt.
Using one or two fingers, we press in different ways on the fascia connected to the nerve, not the nerve itself. This is a Direct Nerve Treatment. After a minute or so, any pain is much less; the fascia relaxes its hold on the nerve; and the nerve itself becomes softer, less painful, more normal, and feels softer. Like every type of treatment we do, one or more related sessions may be needed.
This treatment has the advantage of using fingers or thumbs only, gently, and no needles or injection of any solution.There will a separate charge for Fascial Distortion (FDM) work in this office, in addition to any insurance co-pay, and for any injection therapy that is extensive on the same day.
Dr. abraham's professional goal
He specializes in the diagnosis and non-surgical treatments of lower back pain, shoulder problems, and other chronic physical ailments of tendons, ligaments, and joints.
Dr. Abraham invests time in obtaining a complete physical examination of the patient in order to treat the patient's problems and avoid surgery when possible. His goal is to return each patient to optimal health so they can go back to enjoying their daily activities.