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  • CONCERNING WHIPLASH AND INJURIES
  • It is estimated that 15-40% of those who are injured in a motor vehicle collision will suffer from ongoing chronic pain.(Journal of the American Academy of Orthopedic Surgeons, 2007)
  • Whiplash injuries not only increase the incidence of chronic neck and shoulder pain, it also significantly increases the incidence of other systemic ill health effects. In other words, whiplash injuries cause more than neck pain and headache, it hurts the health of the entire body.(Journal of Clinical Epidemiology, 2001)
  • That essentially 100% of those who are suffering from chronic pain caused by a whiplash injury will have an abnormal psychological profile with standard assessments, and the only way to resolve the abnormal psychological profile was to successfully treat the chronic spinal pain. Psychotherapy was not able to improve the abnormal psychological profile, nor was it able to improve the patient’s chronic pain complaint.(Pain, 1997)
  • In the longest study ever performed on whiplash-injured patients (a study looking at the health status 17 years after injury),55% of the patients still suffered from pain caused by the original trauma.(Accident Analysis and Prevention, 2002)
  • 90% of those who are initially given a cervical collar for their whiplash injuries will be suffering from chronic neck pain 6 months later.(Spine, 2000)
  • 2% of whiplash-injured patients will have severe pain and problems that require ongoing medical investigations and drugs 7.5 years after being injured.(Injury, 2005)
  • 1 in every 100 (1%) people on our planet suffer from chronic neck pain caused by whiplash injury.(Pain, 1994)

The Motor Vehicle Collision Injury Problem Statistically, every American can expect to be in a motor vehicle collision once every ten years.

Motor vehicle collisions have been the number one cause of death of our children for decades.

Since 911 (September 11, 2001), about 3,000 Americans have died as a consequence of terrorism; about 360,000 Americans have died in motor vehicle crashes.

Since the start of the American Revolution in 1775, about a million Americans have died in our wars. Since Henry Ford introduced the mass-produced motorcar in 1913, more than 2.5 million Americans have met their deaths on the road.

And millions of Americans who did not die from motor vehicle collisions were injured.

The Bottom Line… To understand whiplash injury and treatment, it is most important to know the answers to these three questions:

Astonishingly, the answer to all three questions is the same:

The tissues in and around the spine, including but not limited to the facet joints and the tissues of the disc joints

Consequently, it is inevitable that some whiplash-injured patients will develop chronic pain and that chiropractic is often the best management choice for these patients.

Whiplash, or “Whiplash Associated Disorders” (WAD), results from a sudden jarring motion, often from a car crash that occurs too fast for someone to voluntarily “brace” themselves. This is because the whole “whiplash cycle” is over within 300msec, and we cannot contract a muscle faster than 700-800 msec. Other injury factors include: the type and angle of the crash, the size of the involved vehicles, the speed, the absorption of the crash by crushing metal (or lack thereof), the size of the person (and gender), angle of the seat back and it’s “stiffness,” the position of the head rest, and the slipperiness of the road. ALL these factors (and more) help determine whether an injury occurs as well as the degree of injury!

There is so much published about neck pain resulting from whiplash that it’s confusing (to say the least) about which exercises are best for the whiplash patient. Rather, each patient needs to be assessed and managed based on their unique situation.

In regards to neck pain, an exercise program must have three goals: Stretching, Strengthening, and Stabilizing. All three goals work towards a common purpose: To restore function. Initially, when pain factors are high, patients perform active movement within reasonable pain boundaries to improve their cervical range of motion. Once movement is fairly well tolerated, it’s time to focus on strengthening exercises.

There are certain muscles that can “hide” behind larger, stronger muscles and are more difficult to isolate, and therefore, very often remain weak — even sometimes in spite of strengthening exercises. One VERY important muscle group is called the deep neck flexors, which “hide behind” the stronger, more superficial neck flexing muscle called the sternocleidomastoid (SCM). To “trick” the SCM into NOT contracting (so we can engage and exercise the deep neck flexors), we drop the chin to the chest without flexing the head forwards (like the downward motion when nodding “yes”). Try it! You should feel “the pull” or a stretch in the muscles in the back of your neck. This is referred to as “craniocervical flexion” but we’ll call it a “chin tuck.”

PROCEDURE 1: Perform the above “chin tuck” by lying on your back, chin tuck, and press your neck down into the bench or floor, hold for three-to-five seconds and then release the chin tuck SLOWLY (two times slower than the initial downward movement). If you can’t get your neck to flatten out, repeat this with a small rolled up towel placed behind the neck. Start with three-to-five repetitions and gradually increase the reps and sets. To make this more “portable” so you can do this during the day, see Procedure 2.

PROCEDURE 2: In a seated or standing position, place your finger tips behind your neck and push your neck into your fingers gradually increasing the pressure as you apply the “chin tuck.” Do this slowly, applying gradual pressure INTO your finger tips and then (MOST IMPORTANTLY), release the pressure SLOWLY (again, two times slower than the initial “push”). Repeat three-to-five times for one session and do multiple sessions during the day. SET THE TIMER on your cell phone for two or three hrs to REMIND you to do these multiple times a day!

Next month, we will address the deep neck extensors, as well as other deep muscles!

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

If tingling/numbness primarily affects your thumb, index, third, and ring fingers, it very well could be carpal tunnel syndrome, or CTS. Chances are you’ve probably had this condition for months or even longer but it’s been more of a nuisance than a “major problem” and therefore, you probably haven’t “bothered” having it checked out. Let’s take a look at some “facts” about CTS!

WHAT IS CTS? CTS is basically a pinched nerve (the median nerve) that occurs on the palm side of the wrist that innervates the three middle fingers and the thumb on the palm side. This nerve starts in the neck, runs through the shoulder to enter the arm, and travels down the palm side forearm through the carpal tunnel. The carpal tunnel is made up by eight small bones (called “carpal bones”) that form the roof and walls of the tunnel. The floor of the tunnel is a ligament called the transverse carpal ligament. The median nerve lies immediately on the floor, and deeper inside the tunnel are nine tendons that connect the muscles of our forearm to the fingers, which allow us to make a fist and grip. When swelling occurs inside the tunnel, the nerve is pinched against the floor (ligament) and symptoms occur.

SYMPTOMS OF CTS: Symptoms typically start gradually with tingling, numbness, burning, itching, or a “half-sleep” feeling in the palm of the hand, thumb, and middle three fingers. The fingers can feel swollen and weak, though “swelling” is usually NOT visible. CTS can occur in one or both hands, but it is usually worse in the dominant hand. Initially, you may only notice symptoms at night or in the morning. As CTS worsens, sleep interruptions, grip weakness, difficulty distinguishing hot from cold, increased pain, pain radiating up the arm, and more may occur.

CAUSES OF CTS: There are many causes of CTS that often occur in combination: 1) Heredity or genetics — being born with a smaller wrist than others; 2) Trauma — a fall on the arm/hand (sprain or fracture); 3)  Overuse of the arms/hands (like repetitive line work, serving tables, or using a computer), 4) Hormonal causes — during menstruation, with pregnancy, during menopause, diabetes, hypothyroid, overactive pituitary gland; 5) Rheumatoid arthritis; 6) Fluid retention; 7) Cysts, tumors, or spurs inside the tunnel; 8) Vibrating tools, 9) Hobbies such as knitting, sewing, crocheting; 10) sports; or 11) an “Insidious” or unknown cause!

CTS RISK FACTORS: 1) Gender: Women are three times more likely to develop CTS, possibly because they generally have a smaller carpal tunnel than men, in addition to hormonal differences; 2) Diabetes or other metabolic disorders; 3) Adults, especially >50 years old; 4) Job demands.

CTS DIAGNOSIS: Your doctor of chiropractic will review your patient history and then evaluate the neck, shoulder, arm, and hand, as ALL can be involved in producing CTS-like symptoms. He/she may also order blood tests (to check for diabetes, thyroid levels, rheumatoid arthritis, etc.) and/or an EMG/NCV (electromyogram/nerve conduction studies) to test for nerve damage.

We will FINISH THIS interesting discussion next month covering: Treatment, prevention, and research.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Carpal Tunnel Syndrome (CTS) is the leading cause of numbness to the middle three fingers and thumb and affects millions of Americans each year. There are MANY potential causes of CTS, and these causes can be unclear or multi-factorial. We have discussed the importance of night splints and what chiropractic can do for CTS in the recent past. This month, let’s look at what YOU can do for CTS.

“Self-help” concepts are VERY important as they empower YOU to gain control of your condition’s signs and symptoms, thus placing less reliance on those of us who manage (in this case) CTS. There is a time for “PRICE” or, Protect, Rest, Ice,Compress, Elevate, such as when most activities make symptoms worse. This is the time for splinting, reducing activities of daily living (which sometimes includes work restrictions), and the use of ice cupping or massage. Patients should initiate movement or exercise-based approaches as soon as such activities can be tolerated. Here are four different exercises you can do:

1. Fist / “Bear Claw” / Open Wide Hand: This is a three-step exercise, and you can start or stop on any of the three “steps.” A. FIST:  Make a fist and squeeze as tightly as tolerated; B. BEAR CLAW: Starting from the fist position (A), open only the palm of the hand (keep your thumb and fingers bent but straighten the big knuckle joints at the base of the fingers); C. OPEN WIDE: Straighten and spread ALL your finger joints by opening up your hand as much as possible and feel for a good stretch in the palm. HOLD each position for one to five seconds (vary the “speed” of moving between the three positions – fast, medium, and slow; emphasize what feels best if you have a preference). Repeat five to ten times or until your hands feel looser.

2. “Church Steeple”: Place your hands together in front of you (“prayer position”) touching the pads of the thumbs and all four fingertips together and spread your fingers as wide as possible. Next, separate your palms as far as you can while applying pressure against your finger/thumb tips and repeat. Alter the speed and number of repetitions until your hands feel stretched out.

3. “Shake and Flick”: Simply shake your hands as if you just washed them and you’re shaking the water off to “air dry” them. Again, alter the speed and reps until they feel loosened up.

4. Forearm Stretches: Place one arm out in front, elbow straight, and fingers pointed straight, palm up (first set). Reach with the opposite hand and pull the fingers, hand, and wrist down and back towards you until you feel a strong “pull” in your forearm muscles. Hold until the forearm muscles feels stretched (5-10 seconds). Repeat this with the palm facing down for the second set to stretch the opposite (extensor) forearm muscles.

Do these on each side two to three times each (even the “good” side) EVERY HOUR (or as often as possible). Think about what you do on a daily basis and if you work in a repetitive manner (on the job or a hobby at home), try to do these exercises DURING THE REPETITIVE ACTIVITY to help keep your symptoms from getting out of control. If you can alter the position or speed of a work or avocational activity, do so for long-term prevention purposes!

If you cannot gain control of your CTS condition, you may need additional treatment options of which chiropractic offers a safe, non-surgical approach.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ, CHIROPRACTIC PHYSICIAN at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Whiplash Associated Disorders (WAD) is the appropriate terminology to use when addressing the myriad of symptoms that can occur as a result of a motor vehicle collision (MVC). In a recent publication in The Physician and Sportsmedicine (Volume 43, Issue 3, 2015; 7/3/15 online:1-11), the article “The role of the cervical spine in post-concussive syndrome” takes a look at the neck when it’s injured in a car accident and how this relates to concussion.

It’s estimated about 3.8 million concussion injuries, also referred to as “mild traumatic brain injury” (mTBI), occur each year in the United States. Ironically, it’s one of the least understood injuries in the sports medicine and neuroscience communities. The GOOD NEWS is that concussion symptoms resolve within 7-10 days in the majority of cases; unfortunately, this isn’t the case with 10-15% of patients. Symptoms can last weeks, months, or even years in this group for which the term “post-concussive syndrome” (PCS) is used (defined as three or more symptoms lasting for four weeks as defined by the ICD-10) or three months following a minor head injury (as defined by the Diagnostic and Statistical Manual of Mental Disorders).

There have been significant advances in understanding what takes place in the acute phase of mTBI, but unfortunately, there is no clear physiological explanation for the chronic phase. Studies show the range of force to the head needed to cause concussion is between 60-160g (“g” = gravity) with 96.1g representing the highest predictive value in a football injury, whereas as little as 4.5g of neck acceleration can cause mild strain injury to the neck. In spite of this difference, the signs and symptoms reported by those injured in low-speed MVCs vs. football collisions are strikingly similar!

Research shows if an individual sustains an injury where the head is accelerated between 60-160g, it is HIGHLY likely that the tissues of the cervical spine (neck) have also reached their injury threshold of 4.5g. In a study that looked at hockey players, those who sustained a concussion also had WAD / neck injuries indicating that these injuries occur concurrently. Injuries to the neck in WAD include the same symptoms that occur in concussion including headache, dizziness/balance loss, nausea, visual and auditory problems, and cognitive dysfunction, just to name a few.

The paper concludes with five cases of PCS that responded well to a combination of active exercise/rehabilitation AND passive manual therapy (cervical spine manipulation). The favorable outcome supports the concept that the neck injury portion of WAD is a very important aspect to consider when treating patients with PCS!

This “link” between neck injury and concussion explains why chiropractic care is essential in the treatment of the concussion patient! This is especially true when the symptoms of concussion persist longer than one month!

We realize you have a choice in whom you consider for your health care provision and we sincerely appreciate your trust in choosing our service for those needs.  If you, a friend, or family member requires care for Whiplash, we would be honored to render our services.

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up.

Carpal Tunnel Syndrome (CTS) affects MANY individuals from all walks of life and in many occupations. Today’s discussion centers around CTS in musicians, and most importantly, what can be done about it.

It’s thought that CTS affects musicians because of their rapid, repetitive finger movements. The “formula” for CTS risk includes: Repetition + Speed + Force = CTS. This means highly repetitive movements at a fast pace using forceful movements significantly increase a person’s risk for developing CTS. If we add other risk factors of CTS including, but not limited to obesity, age over 50, female, the presence of diabetes, arthritis (especially rheumatoid), thyroid disease and others, then the risk increases dramatically. We can modify certain factors by losing weight, reducing practice time, changing the speed at which we practice (mixing it up between fast vs. slow tempos), taking mini-breaks from practicing, and more. However, we may not be able to change other factors like the presence of diabetes, arthritis, thyroid disease, and other hormonal imbalances. So the question arises, what can chiropractic do for CTS?

Chiropractic management focuses on the goal of treating what causes CTS – which frees up the nerve from being compressed. It is well established that compression of the median nerve ALONG ITS ENTIRE COURSE from the neck to the hand can create CTS or CTS-like complaints. Therefore, we determine the location(s) of compression by placing pressure over the points of common nerve entrapment, which include the wrist’s carpal tunnel, the forearm near the elbow (pronator tunnel), the inner upper arm near the elbow (Struther’s ligament), the shoulder and the arm pit area (behind the pectoralis minor muscle), as well as under the collar bone, and importantly, between the anterior and medial scalene muscles in the front/side of the neck (frequently missed). Chiropractic treatments may include manual release techniques such as Active Release Technique (ART), myofascial release (MFR), trigger point therapy (TPT), joint manipulation of the wrist, forearm, elbow, shoulder, neck and/or home self-applied treatment which includes activity modifications, using a night time splint, and exercises (which we teach you how to do). Nutritional considerations are also important (see last month’s Health Update)!

Treatment may also include exercises like the Carpal Stretch and the First Rib Stretch. The Carpal Stretch (median nerve flossing) involves standing sideways to a wall with your elbow straight, fingers pointing down with palm against the wall at shoulder height. Feel for the deep stretch in the forearm palm-side muscles. Follow this by bending your head sideways away from the wall.  Using your opposite hand, gently pull your head over further sideways (no sharp pain allowed). Hold for up to 30 seconds and repeat two to three times or until you feel it loosen up. This can be repeated multiple times a day. If you don’t have a wall, do the same thing but with the arm extended forwards from the body (rather than sideways). Reach under your hand and gently pull your thumb back feeling for a similar deep stretch through the carpal tunnel (palm side wrist) and forearm. To perform the First Rib Stretch, place a towel over the shoulder close to the neck. Reach behind with the opposite hand and grasp the towel pulling downwards while the other hand grasps the front of the towel also pulling down. Drop your head sideways to the opposite side to increase the stretch. We can OFTEN help you avoid surgery so PLEASE try these exercises and our treatments BEFORE granting permission for surgery!

To Receive Daily Health Updates, go to www.DrFrankGomezBlog.com and sign up

 

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http/:www.DrFrankGomezBlog.com and sign up.

Whiplash – or perhaps most accurately, “whiplash associated disorders” (WAD) – is a term that is applied to the MANY different types of injuries that can occur at the time of an automobile collision.

The cervical spine includes bony structures, ligaments (that hold bones tightly together), tendons (that attach muscles to bones), nerves (that allow us to feel and provides muscle strength), disks (that serve as shock absorbers between our vertebra), and other connective tissues that can be injured depending on MANY factors! The brain can also be injured (i.e., concussion) in a crash WITHOUT the head hitting anything! Individuals in car accidents can also experience seat belt-related injuries to the shoulder, chest, abdomen, mid-back, and/or low-back, as well as the extremities.

There are many factors that can increase your risk of injury including the size of the two vehicles (worse when a large vehicles strikes a smaller vehicle), the direction of the collision, the position of the head upon impact (worse if rotated), the size of the neck (females are at greater risk), the angle and springiness of the seat back, the position of the head rest (too low is common), and the amount of vehicular damage (or lack thereof).

The latter is the surprising part! You may have noticed when a racecar crashes, it’s made to literally break apart until the only remaining piece is the cage that holds the driver. The reason for this is when a crash occurs, the energy of the impact (or “G-force”) is absorbed by crushing metal or breaking away parts. If the vehicle is ‘built like a tank’ and no metal crushes or parts break off, the energy is transferred to the contents inside the vehicle – namely the driver and occupants!

Hence, the concept of “no vehicular damage means no injury” is actually quite the opposite! When low-speed collisions occur, there is no energy absorption by the crushing of metal or breaking away of parts. Hence, there’s a greater chance of injury at low speeds when little-to-no damage occurs to the target vehicle!

We at Sayville Immediate Chiropractic Care realize you have a choice in who you choose to provide your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

The Sayville Chiropractic office that makes it convenient for you to get the care you want in today’s busy society! Our practice has a strong working relationship with many local allied health care professionals and primary care MD’s.

No Appointment Necessary, Walk-in Chiropractic Care:
New patients welcome. No Long Term Care Plans

Since Back Pain, Neck Pain and Headaches are one of the most common complaints presenting to the chiropractic physician, please ask for more information about this if you or a loved one is suffering.  It’s one of most significant acts of kindness you can give to those you care about.

Serving the areas of Sayville, Oakdale, Bohemia, Bayport.

YOU MAY BE A CANDIDATE FOR DRUG FREE RELIEF!
FOR A FREE NO-OBLIGATION CONSULTATION CALL
DR. FRANK GOMEZ at 631 991-3492

Not ready yet…No Problem.

To Receive These “Daily Health Updates” Via E mail go to
http://www.DrFrankGomezBlog.com and sign up