SpineForce

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The SpineForce equipment is available Tuesdays and Thursdays from 9-4 and Wednesdays 9-11. Using the list below, find an open day for the SpineForce equipment and click on DETAILS to reveal what appointments are available to choose from. You can conveniently book multiple days and times by selecting ADD TO CART for each day you want to book and when done, select VIEW CART to select the times for each day. Call (716) 626-6301 or email us here to ask us about discounts for 10 and 50 session purchases.

Due to machine maintenance, Spine Force appointment scheduling will resume on November 16, 2015. Sorry for any inconvenience.
[EVENT_CUSTOM_VIEW event_category_id="spineforce-1433123791"]
Body Parts Treated

Hand & Wrist

Elbow

TMJD

Migrane & Face

Shoulder

Neck & Upper Back

Low Back & Sacroiliac

Hip

Knee

Foot & Ankle

Featured Articles

Prolotherapy for cartilege growth in severe knee osteoarthritis December 4, 2016 - Chondrogenic Effect of Intra-articular Hypertonic-Dextrose (Prolotherapy) in Severe Knee Osteoarthritis Gasto´n Andre´s Topol, MD, Leandro Ariel Podesta, MD, Kenneth Dean Reeves, MD, FAAPM&R, Marcia Mallma Giraldo, MD, Lanny L. Johnson, MD, AAOS, Raul Grasso, MD, Alexis Jamı´n, MD, Tom Clark, DC, RVT, RMSK, David Rabago, MD Abstract Background: Dextrose injection is reported to improve knee…
The Dormant Butt Syndrome June 6, 2016 - http://www.cbsnews.com/news/dormant-butt-syndrome-a-cause-of-common-aches-and-pains/ Multiple news sources last week have reported on a physical phenomenon labeled as a “dormant butt syndrome”. This is a condition where postural muscles become deconditioned from too much siting and cause problems in the lower back, knees and hips. Although it sounds like it is something that has been newly discovered, medical, sports…
Soft Tissue – Why Is It Important April 28, 2015 - The soft connective tissue, located just under the skin, is a white membrane that wraps and connects the muscles, bones and blood vessels of the body. Soft tissue is also called fascia. This of it like the white fuzz inside an orange peel, connecting the "skin" and the "meat" of the orange. Learn More
Spring Clean the Diet April 22, 2015 - Spring is a time of regrowth and renewal. As the sun begins to shine and the temperature rises, we begin to open windows or clean the yard in order to prepare for a new season. Tis’ also the perfect time to “spring clean” your diet, transitioning from common comfort foods of winter to nutrient dense…
Physical Therapy Outdoor Walking Season April 13, 2015 - Spring marks the opening of “outdoor walking season” in western New York. Like any other activity, walking has its own specific injury profile often involving the foot and ankle. Learn More
Prolotherapy Prolotherapy Stimulates Tissue Repair March 23, 2015 - Prolotherapy is injection of any substance that promotes growth of normal cells, tissues, or organs. Studies have shown that it stimulates tissue repair.
Lumbar Spinal Stenosis: Understand it and Beat it! February 23, 2015 - The typical lumbar spinal stenosis patient has difficulty with walking, standing and occasionally reaching overhead. You are not doomed to a life of leg pain and weakness. We can guide you through a progression of non-surgical options.
What exactly is the practice of Yoga? February 23, 2015 - The practice of yoga is for keeping in shape, but it creates fitness in more then just the physical sense. Learn more about what the practice of yoga is.
Hypoglycemic Index helps determine what kind of foods are good for you! February 13, 2015 - The Glycemic Index is a way to categorize carbohydrate rich foods and classifies foods from 0 to 100, based on how quickly glucose is absorbed after foods are consumed. Learn more...
PRP Platelet Rich Plasma (PRP) Treatment for Knee Osteoarthritis: Study shows significant pain reduction and improvement in function December 14, 2014 - The purpose of this study was to investigate whether platelet-rich plasma therapy for early knee osteoarthritis is associated with good clinical outcomes and a change in magnetic resonance imaging (MRI) structural appearances.

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A Message from Dr. Tim Speciale

Dear Patients and Friends,

As you know, my wife Faith and I had moved to Florida 3 years ago. I was very blessed to continue to practice my God given gift performing Prolotherapy/Regenerative Medicine while in Florida. Our roots are in Western New York with our growing family (now 6 grandkids) and close friends. Through a series of God ordained circumstances and much prayer, we decided to come back to Western New York. In doing so, I will be joining my good friend and colleague Dr.Leonard Kaplan. You may remember that Dr.Kaplan took over my practice over 3 years ago and successfully created Osteopathic Wellness Medicine of Western New York (a comprehensive wellness clinic offering many modalities including Prolotherapy/Regenerative Medicine, Yoga Wall Therapy, Personalized Physical Therapy, Aesthetics, and Nutrition counseling). I feel very honored and privileged to work alongside my good friend and excellent physician colleague Dr.Leonard Kaplan at Osteopathic Wellness Medicine.

We are pleased and excited to join both our minds and unique comprehensive skills to strive to provide the very best care for all of you. I would be honored to continue caring for you. I will begin seeing patients on November 3rd 2017

Dr. Tim Speciale

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Prolotherapy for cartilege growth in severe knee osteoarthritis

Chondrogenic Effect of Intra-articular Hypertonic-Dextrose (Prolotherapy) in Severe Knee Osteoarthritis

Gasto´n Andre´s Topol, MD, Leandro Ariel Podesta, MD, Kenneth Dean Reeves, MD, FAAPM&R, Marcia Mallma Giraldo, MD, Lanny L. Johnson, MD, AAOS, Raul Grasso, MD, Alexis Jamı´n, MD, Tom Clark, DC, RVT, RMSK, David Rabago, MD

symptomatic-knee-oa-on-the-rise-feature-image-1080x663Abstract Background: Dextrose injection is reported to improve knee osteoarthritis (KOA)related clinical outcomes, but its effect on articular cartilage is unknown. A chondrogenic effect of dextrose injection has been proposed.

Objective: To assess biological and clinical effects of intra-articular hypertonic dextrose injections (prolotherapy) in painful KOA.

Design: Case series with blinded arthroscopic evaluation before and after treatment. Setting: Physical medicine and day surgery practice.

Participants: Symptomatic KOA for at least 6 months, arthroscopy-confirmed medial compartment exposed subchondral bone, and temporary pain relief with intra-articular lidocaine injection. Intervention: Four to 6 monthly 10-mL intra-articular injections with 12.5% dextrose.

Main Outcome Measures: Visual cartilage growth assessment of 9 standardized medial condyle zones in each of 6 participants by 3 arthroscopy readers masked to pre-/postinjection status (total 54 zones evaluated per reader); biopsy of a cartilage growth area posttreatment, evaluated using hematoxylin and eosin and Safranin-O stains, quantitative polarized light microscopy, and immunohistologic cartilage typing; self-reported knee specific quality of life using the Western Ontario McMaster University Osteoarthritis Index (WOMAC, 0-100 points).

Results: Six participants (1 female and 5 male) with median age of 71 years, WOMAC composite score of 57.5 points, and a 9-year pain duration received a median of 6 dextrose injections and follow-up arthroscopy at 7.75 months (range 4.5-9.5 months). In 19 of 54 zone comparisons, all 3 readers agreed that the posttreatment zone showed cartilage growth compared with the pretreatment zone. Biopsy specimens showed metabolically active cartilage with variable cellular organization, fiber parallelism, and cartilage typing patterns consistent with fibro- and hyaline-like cartilage. Compared with baseline status, the median WOMAC score improved 13 points (P ¼ .013). Self-limited soreness after methylene blue instillation was noted.

Conclusions: Positive clinical and chondrogenic effects were seen after prolotherapy with hypertonic dextrose injection in participants with symptomatic grade IV KOA, suggesting disease-modifying effects and the need for confirmation in controlled studies. Minimally invasive arthroscopy (single-compartment, single-portal) enabled collection of robust intra-articular data.

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The Dormant Butt Syndrome

http://www.cbsnews.com/news/dormant-butt-syndrome-a-cause-of-common-aches-and-pains/
Multiple news sources last week have reported on a physical phenomenon labeled as a “dormant butt syndrome”. This is a condition where postural muscles become deconditioned from too much siting and cause problems in the lower back, knees and hips.

Although it sounds like it is something that has been newly discovered, medical, sports fitness and rehabilitation professionals have recognized this problem over a decade ago and have been addressing it through a variety of strength building exercises. In the course of my medical career, I became aware of this issue 13 years ago when I started to study and understand the consequence of sitting on the body. Based on this experience I would like to offer this description of the syndrome and provide some practical solutions to prevent it.

“Dormant butt syndrome” refers to weakening of the buttock muscles that occurs during sitting. The issue at it’s most basic is that our bodies were never built for the amount of sitting that our modern environment demands. The human body developed through evolution to be an efficient hunting and gathering machine. We are built for walking and running for miles with a purpose of foraging for plant food, chasing down pray, or running away from predators. The muscles that support us rely on motion for maintenance of strength and conditioning of the leg and core muscles and the process starts when the foot comes in contact with the ground. This force of the weight of the body is transmitted through the feet, and ground responds in kind, transmitting an equal force back through the feet to the bigger muscles of legs, pelvis and back. The force that is transmitted from the ground up is called a ground reaction force. An overwhelming presence of electronics in the home and work place has placed us in sedentary positions where this communication with the ground does not happen. The feet loose their essential role in stimulating the legs and core to support the body weight. As a result our bodies slump. The weight of the upper body can now bear down, and the pressure builds in the discs and joints of the spine. This creates wear and tear of the spine that can lead to disc injuries and spine joint osteoarthritis.

Without the ground reaction force to keep our muscles active, core muscles, buttock muscles, and muscles of the legs become deconditioned and weak. These weakened muscles cannot provide enough support to the joints of the back, hips and knees. This lack of support leads to overuse of the joints and ultimately to stiffness and pain.

The good news is that we can prevent the problems of the “dormant butt syndrome”.

The solution consists of two parts, postural alignment and exercise.

In regards to proper posture, it is crucial that the feet are touching the ground and are actively pressing into it to create the stimulus to the muscles of the legs and core that typically happens during standing. The back needs to be supported by the back of the chair or a lumbar support to prevent the slump that otherwise occurs as muscles fatigue. Even with these adjustments, the body still needs to be given a break from sitting. Frequent alternating between sitting and standing with the help of a hi-lo desk or a hi-lo desktop computer station has been shown to be the best way to avoid the weakening of the muscles and the build up of pressure in the spine. Exercise is also a critical part of the solution and can reverse much of the issues that sitting creates. The catch is that it must be done correctly and frequently. Seated back and leg machines should be avoided because they place even more pressure on the back and confuse the muscles of the legs. The exercises that use body resistance, focus on total body movements and are either done standing or prone (face down), are the most effective. Early morning exercise should not include bending, twisting or heavy weight lifting as the spine discs contain the highest amount of pressure then and are most susceptible to injury. In conclusion, even though the demands of our modern lives glue our butts to our seats, we don’t have to take it sitting down! A few simple postural adjustments and a solid, well thought out exercise routine can spare us the dreaded dormant butt. Osteopathi Wellness Medicine’s specialized yoga and fitness classes provide guided training to prevent posture related issues and maintain optimal fitness.

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Calm, Cooling Poses for Nurturing Your “Inner” Garden

Yoga Pose‘Tis in ourselves that we are thus or thus.
Our bodies are our gardens to which our wills are gardeners.
~William Shakespeare, Othello

While tending our gardens we take heed of the cycles of the seasons that are best for our plants to flourish. Observing the rhythms of the seasons in a yoga practice can also be beneficial to our minds and bodies.  Our bodies will begin to naturally shift and adapt to the changes of the seasons to produce the balance of wellness. Adding a calm and cooling practice that would help sustain us from the heat of the day is one such adaptation.

Our Spring Retreat practice introduced us to an invigorating, warming meditation to promote circulation and stir up the metabolic fire.  As we enter the warmer months, practice should be relaxed and soothing to balance the energy of summer. One way to do that is to practice Moon Salutations in place of Sun Salutations which cause the body to heat up. Moon Salutations are a particular series of poses that produce a cooling flow and calm the mind. This sequence is favorable when energy and/or temperature are soaring. Another great pose cooling pose would be legs up the wall, which helps calm the mind and relieves lower back pain.

I invite you to come discover more ways to enrich your summer practice at our Seasonal Wellness Retreat on the 18th of July.

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