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Chiropractic — Practitioner Statement</p>
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<p><IMG src="../images/1chiro.jpg" width="200" height="206" align="right" hspace="15" vspace="15"> “According to the American Chiropractic Association, “Doctors of Chiropractic are physicians who consider man as an integrated being and give special attention to the physiological and biochemical aspects including structural, spinal, musculoskeletal, neurological, vascular, nutritional, emotional and environmental relationships.”</p>
<p>At the Center for Health and Healing, doctors of chiropractic use their unique skills, in conjunction with other like-minded healthcare professionals, to enhance the health of our patients. We feel that sharing our expertise for the benefit of the patient speeds their recovery and improves their overall level of functioning and well-being.</p>
<p>My particular specialty is Sports Medicine. In 1996 I completed a post-graduate program leading to board certification by the American Chiropractic Board of Sports Physicians. I use a variety of manual therapies to treat sports-related injuries and concerns.</p>
<p>In addition, chiropractic manipulative therapy can benefit patients with many different types of conditions. Research has shown it to be of benefit for acute low back problems, neck pain, and headaches among others. I use a comprehensive physicial examination, which includes orthopedic, neurologic and chiropractic tests, to accurately diagnsis your condition. We will then discuss your diagnosis and treatment plan together. After fully understanding the nature of the condition and the proposed treatment, we will proceed with your treatment. </p>
<p><a href="../center/staff_minardo.asp">Michael Minardo,DC</a><br />
Click <a href="../center/appt.asp">here</a> to make an appointment with Michael Minardo, DC, <a href="../center/staff_barone.asp">Nancy Barone, DC</a> or any Center practitioner.<br />
<a name="spotlightNB"></a></p>
<p><span class='head2'><b>Profile of Nancy Barone, DC and her Chiropractic Practice</b></span><br />
Nancy Barone, DC brings a family tradition of quality chiropractic care to The Continuum Center for Health and Healing. Born in Hackensack, New Jersey, a graduate of Rutgers with a degree in biological medicine and a doctor of chiropractic medicine from New York Chiropractic College, Nancy worked for ten years along side her chiropractor father and “learned some old-fashioned techniques, which really work, that they don’t teach in school.” Nancy feels her health practice is unique because she grew up in a healing home. Her two brothers are osteopaths and her sister works with autistic children. While Nancy was growing up, health was her family’s favorite mealtime topic of conversation. </p>
<p>Nancy came to the Continuum Center in August of 2002 because the Center’s staff offers many opportunities for holistic treatments. Nancy considers the staff to be “exceptional people in every way.” To enhance a patient’s overall wellness, she often works in conjunction with other Center Practitioners: Mary Beth Augustine, an integrative nutritionist; Aurora Ocampo, a clinical nurse specializing in mind-body approaches such as imagery and aromatherapy; Tina Awad, massage therapist; and Arya Nielsen and Basia Kielczynska, clinical acupuncturists. Aside from Nancy’s work at the Center, she maintains a practice in New Jersey as well as working one day a week with neurologically-compromised patients at the ALS/MS (amyotrophic lateral sclerosis/multiple sclerosis) Clinic at Mt. Sinai Medical Center in NYC.</p>
<p>Nancy describes her New York patients as being generally younger and more acutely stressed than her New Jersey clients. She says that a large number of people come in for regular adjustments “to ease pain resulting from everyday injuries like sitting at a computer all day. That leads to chronic back pain and disc injuries.” Nancy sometimes recommends gentle stretching exercises to ease tense, tired muscles and stiff joints. She believes that people should approach exercise with some caution. This is especially the case with arthritis patients.</p>
<p><span class='head3'>Arthritis</span><br />
A large number of women with osteoarthritis and osteoporosis can benefit from regular spinal adjustments. Nancy believes that a lot can be done for arthritic patients because gentle manipulation keeps the individual joints mobile. She considers joint mobility to be a key factor in both osteoporosis and osteoarthritis. She says, “I have a lot of patients who come to the Center monthly, without my telling them, because treatment stabilizes and increases flexibility of joints and slows the progress of the disease.” Nancy is particularly careful when recommending exercise for osteoporotic patients. She does not recommend yoga for them. “Stretching in the wrong way can be very damaging because someone with osteoporosis can more easily break bones.” For certain patients she recommends massage to improve circulation. “Treatment must be very individualized. Stretching and exercises should match a person’s needs. I help my patients to know their spine and be more sensitive to the entire body.” The best exercises for osteoporosis are low-impact, weight bearing movements and simple stretches. “Start by lifting no more than one pound. Work the upper body muscles without lifting over the head. You can stretch the legs and back while sitting by placing weights on the ankles. While sitting, you can bend forward at the waist as long as your knees are bent.” </p>
<p><span class='head3'>The Chiropractic Visit</span><br />
Normally, a new patient exam involves taking a history and using several methods of diagnosis, which may include X-rays or MRIs. Then Nancy examines trigger points to locate problem areas. A trigger point on the surface of the skin indicates referred pain that originates from somewhere in the body. That means a point on the leg or hips may show up a back problem even if the back does not hurt. After Nancy has reached a diagnosis using these and other methods, she adjusts the patient. </p>
<p>Nancy is supportive and caring. “The body holds memories and a chiropractic adjustment may access a deeper healing process.” She has worked with trauma cases and has found that adjustments help to ease physical and emotional discomforts. She says, “Sometimes a person just needs to cry and have someone comforting listen to them.” </p>
<p>Nancy adjusts infants and children as well as adults and finds they respond individually — some like to be touched and others not. That can make a difference in healing.</p>
<p><span class='head3'>Neurological Disease</span><br />
Nancy finds her work with multiple sclerosis (MS) and amyotrophic lateral sclerosis ALS (Lou Gehrig’s disease) to be extremely rewarding. Her adjustments for patients with ALS/MS are gentle craniosacral therapy and trigger points. She describes craniosacral work on the cranium (head) and sacrum (tail bone) to be “completely non-invasive, non-force adjustments. They enhance the smooth flow of spinal fluid throughout the length of the body. ” A healthy patient has a certain rhythm in the flow of cerebral spinal fluid, that being 6 — 12 cycles per minute. However, this can be disrupted by neurological, muscular, visceral, or other reasons. The adjustments Nancy gives to these patients enhance emotional balance, reduce stress, and thereby improve their quality of life. </p>
<p>Encouraging advances have been made with Parkinson’s using an integrative approach. Because the Continuum Center is part of the Beth Israel Medical Center complex, Parkinson’s patients are referred from the hospital to receive treatment at the Center. Parkinson’s patients may be referred to Nancy for chiropractic adjustments as well as to the Center’s Chinese medical specialists for acupuncture treatments. Aurora Ocampo, a clinical nurse specialist, offers various approaches to stress management including guided imagery, aromatherapy, hypnosis and biofeedback. Dr. Little, a clinical psychologist, offers counseling for changes of daily activity and identity issues associated with Parkinson’s. Mary Beth Augustine provides nutritional counseling and can recommend some excellent foods and teas to help relieve symptoms. Karin Boyar, a nurse practitioner, dancer, and medical researcher, holds dance movement classes especially for Parkinson’s patients on Wednesdays at the Center. She and Barbara Glickstein, the Center’s liaison with Beth Israel, work with Susan Bressman, M.D., Chairman of the Department of Neurology at Beth Israel, to select the most appropriate health specialists for neurological diseases.</p>
<p><span class='head3'>Immunity</span><br />
Nancy has used cranial and spinal adjustments with her patients to enhance immunity. Releasing interference of nerve compression by spinal adjustments stimulates one’s immune system. She says with pride that, while growing up, she and her brothers and sister were often adjusted by her chiropractor father and they always had perfect attendance at school. Nancy, who is slender and petite, adjusts large people and athletes as well as infants. “Strength” she says, “is not important in my work. It is all in the leverage I use and the points that I stimulate to release tension and pain.” Nancy’s personal fitness program includes an early morning run, lots of walking, and kick boxing. She recommends wearing a good but not overly specialized or expensive running shoe. For daily wear, she recommends comfortable fitting shoes but will not automatically ask a patient to change to a flat heel. Some of her patients have worn high heels for so long that their bodies have adjusted to that height. “Too big a change can result in additional stress,” says Nancy with a smile. Her approach is to educate and treat her patients so that they can move and live with maximum comfort.</p>
<p>by Letha Hadady, D. Ac.</p>
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<p class="timestamp">Content last modified on Apr 26, 2004</p>
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