"Medical practice must be inspired with soul and be filled with understanding and equipped with the gift of keen observation; these together with accurate scientific knowledge are the indispensable requisites for proficient medical practice."

~ Maimonides,
1135-1204

Ask the Doctor

 

Is there help for chronic sinus congestion?

Chronic sinus congestion (or sinusitis) is a common condition in which the lining of the sinus cavities become inflamed and swollen. This condition interferes with normal drainage and causes mucus to build up, which causes more inflammation. If you have chronic sinusitis you may have difficulty breathing. You may feel a lot of pressure in your sinuses and you may have throbbing facial pain or headache. Chronic sinusitis is often caused by an injury or restriction in the structure of the face, head or neck that prevents the sinuses from draining normally. Osteopathic manual medicine may be used to normalize these restrictions while various homeopathic remedies are used to reduce inflammation. The combination of these therapies often greatly improves or completely resolves chronic sinusitis.

What is Myofascial Pain Syndrome?

Myofascial Pain Syndrome (MPS) is a chronic, painful musculoskeletal condition that results in pain and inflammation in muscles and other soft tissues of the body. MPS is characterized by the presence of “trigger points” and is a frequent cause of chronic pain. Trigger points are painful “knots” within muscles that cause pain in the surrounding areas, as well as other parts of the body. Many factors may result in trigger points such as trauma, inactivity, repetitive use, systemic diseases (heart attack, gall bladder attack, stomach irritation…), and excessive stress. MPS results when these trigger points go untreated. It is an often misunderstood and misdiagnosed condition as it can result in a wide variety of seeming unrelated symptoms. Fortunately, this is a treatable condition. Trigger point injections have been shown to be one of the most effective treatments available to bring about prompt relief. They are simple, relatively pain free and often result in rapid, long term relief of chronic pain.

What are trigger points?

Trigger points are highly irritated, painful nodules found in muscles that are the result of injury or overuse. When these trigger points irritate the nerves around them it causes referred pain (or pain that is felt in another region of the body) often far away from the actual trigger point itself. Unresolved trigger points may result in a wide range of chronic pain conditions such as headaches, migraines, jaw pain, neck and back pain, joint pain and many others. Trigger point injections have been shown to be one of the most effective treatments available to bring about prompt relief of symptoms caused by trigger points. It is a very simple office procedure that is relatively pain free, and has a very low likelihood of side effects and usually offers immediate relief.

Dr. Nani is covered by many insurances including Medicare.

Does osteopathy work for chronic ear infections?

Ear infections are the cause of more pediatric doctor visits in the first three years of life than any other medical problem. One child in three develops chronic fluid accumulation in the middle ear making them prone to recurrent ear infections. There are many potential causes of ear infections. One of the main causes however is early childhood trauma to the head occurring in either the birth process (including c-sections) or childhood injuries. The osteopathic approach to treating ear infections is to correct the underlying structural restrictions which are causing fluid to accumulate in the ear. When these structural restrictions are resolved the vast majority of children have their symptoms resolve, they will typically have far fewer ear infections and they will not have to use antibiotics.

What is carpal tunnel syndrome?

Carpal tunnel syndrome is a very common condition caused by repetitive straining of the hands and wrists. It is caused by a compression of one of the nerves (median nerve) that supplies the hand. Carpal tunnel usually begins with numbness and tingling in the hand and fingers and may involve aching in the fingers and hand, forearm or shoulder. The symptoms may be intermittent or constant and may range from mild to disabling. Carpal tunnel syndrome usually responds very well to osteopathic manual medicine. Various manual and neural therapy techniques are used to remove the underlying strain patterns in the neck, shoulders, arms and hands while homeopathics are used to minimize inflammation and reduce pressure of the median nerve. This combination of therapies often results in long term relief of carpal tunnel syndrome and eliminates the need for corrective surgery.

Is there help for chronic headaches/migraines?

Yes! We all experience headaches on occasion but when they are severe or become chronic they can have a huge impact on our quality of life. Headaches are one of the most common complaints seen in medical offices. There are many potential causes including sinus pressure, eyestrain, stress, hormone changes, dental issues or any combination of these things. But the most common causes originate from tension or old injury to the head, neck and upper back. This results in muscles that are tight or spasming, in joint restrictions, compression of local nerves and blood vessels, and most importantly, in chronic inflammation of the head and neck, including the meninges (the tissue that surrounds the brain and spinal cord). Most of our patients with chronic headaches have great relief of their symptoms. Our main goal is to stop the cycle of inflammation and to remove any underlying injury patterns that led to this inflammation in the first place. We will address all potential causes of the headaches. We use a combination of many different therapies including subtle osteopathic manipulation, homeopathy, trigger point injections to eliminate muscle tension and spasm, and neural therapy to help resolve old injury patterns that may be causing the pain.

I have severe arthritis, is there anything I can do besides take pain medications?

Yes, here is one patients’ story:
Jane came in with advanced psoriatic arthritis (one of the many different forms of arthritis). Her disease had progressed for many years. She had to walk very slowly with a cane and her neck was so rigid from the disease that she couldn’t move her head in any direction. She was in constant pain and her medications were no longer helping. Jane came in and we immediately began using gentle osteopathic treatments with her to improve her flexibility and to increase blood flow to the effected regions. Then we began using homeopathic injectible remedies that are formulated specifically to treat the pain of arthritis and the underlying inflammation that causes it, as well as oral remedies to help reduce inflammation. Within 1 month Jane was noticing significant improvement in her symptoms, and by 3 months she was walking without a cane, was able to move her head and neck again, and was no longer in pain constant pain.

I frequently have insomnia, what can I do?

Ear infections are the cause of more pediatric doctor visits in the first three years of life than any other medical problem. One child in three develops chronic fluid accumulation in the middle ear making them prone to recurrent ear infections. There are many potential causes of ear infections. One of the main causes however is early childhood trauma to the head occurring in either the birth process (including c-sections) or childhood injuries. The osteopathic approach to treating ear infections is to correct the underlying structural restrictions which are causing fluid to accumulate in the ear. When these structural restrictions are resolved the vast majority of children have their symptoms resolve, they will typically have far fewer ear infections and they will not have to use antibiotics.

What is scar deactivation?

Most people think of scars as essentially inert or dead tissue. Not true. Traumatic and surgical scars can lead to pain at the scar site as well as chronic musculoskeletal pain or other illness elsewhere in the body. According to the principles of Neural Therapy, scars are electrically active and can disrupt the electrical activity of cells and tissues in the surrounding area as well as elsewhere in the body creating what is known as “interference fields”. The normal voltage of tissues and organs in the body is around -70 millivolts but the voltage of a scar can be as high as 1-2 volts, that is 14-28 times stronger. Scars are “deactivated” by injecting them with tiny amounts of procaine, a local anesthetic. This turns off the electrical activity that is emitted by the scar, removes the interference fields, and allows chronically injured tissue to heal. Deactivating scars can have an immediate and long lasting effect on many chronic conditions including musculoskeletal pain, asthma, allergies, headaches, gastrointestinal problems and many others.

I have knee pain and have been told that I have osteoarthritis and will probably need surgery. Is there anything else I can do?

Osteoarthritis of the knee is extremely common, especially as we age. There are many treatment options with surgery being the last resort. There are some things that we can do however to help prevent surgery, even in severe cases. Here is one patients story:

Judy came in with severe knee pain that had persisted for about 6 months. The pain was there all the time and was so severe that she could barely walk. She went to her doctor who ordered an X-ray. This showed severe osteoarthritis and she was told that she needed an immediate knee replacement surgery. Judy decided that she wanted to try osteopathy first. She came in and we began treating her using gentle manipulation techniques. We also began using homeopathic injectable remedies to control the pain, reduce inflammation, and begin the process of repairing broken down tissue. She began noticing some relief of her pain right away. We continued treating her and now (6 months later) she is pain free, is able to do all of her usual activities, and has not needed surgery.

Is there help for tension headaches?

Headaches are one of the most common complaints seen in a medical office. There are many different kinds of headaches but 90 % of them are tension headaches.

Most muscles of the body relax when they are not being used but some muscles have to work all the time in order to keep your body upright. Muscles in the back of your neck must always be tensed, otherwise you would not be able to keep your head upright. When these muscles are forced to work too hard however, they become chronically tight and can cause neck pain and tension headaches.

When patients come in with tension type headaches it can be safely assumed that the neck is involved. However, the entire body must be assessed in order to determine the underlying imbalances that are causing the soft tissue of the neck to over work. Several different therapies may then be applied to help normalization these underlying imbalances which naturally results in the relaxation of neck muscles. By treating the whole patient we are able to create a more permanent resolution of tension headaches.

I was recently in a car accident but I don’t seem to have symptoms. Is there any reason to be concerned about future problems?

Absolutely. Motor vehicle accidents and many other types of forceful injuries (such as falls) result in an enormous amount of force moving through the tissues of the body and can create strain patterns that often go unnoticed for a long period of time. These strain patterns change how the body functions and over time can result in symptoms that seem completely unrelated to the original trauma. For example we frequently see patients with symptoms like vertigo or migraines and upon careful questioning and examination find that these problems resulted from a severe strain pattern in the upper neck that was caused by an injury that occurred years before. In another example a strain pattern through the ribs and chest may restrict the movement of the lungs. Over several years the restricted motion of the lungs creates congestion and inflammation and we see symptoms of asthma begin. The good news is that once we remove these strain patterns, even if they have been there for years, we see the symptoms resolve.