We are not “pain management doctors,” but at Dr. Moscow & Associates, we do have some pretty awesome treatment methods for treating and managing acute to chronic pain. We only treat our patients the way we would want to be treated ourselves.
At Dr. Moscow and Associates, we specialize in treating pain in several different ways outside of Chiropractic Care including MDT, Massage Therapy (Manual Therapy,) Laser Therapy, Custom Orthotics, and Physiatry.
Today, if you need or want a massage, you can choose from among 80 massage therapy styles with a wide variety of pressures, movements, and techniques.
These all involve pressing, rubbing, or manipulating muscles and other soft tissues with hands and fingers. Sometimes, even forearms, elbows, or feet are used.
Massage is generally considered part of complementary and alternative medicine.
Studies of the benefits of massage demonstrate that it is an effective treatment for reducing stress, pain and muscle tension.
Some studies have found massage may also be helpful for:
Dr. Moscow & Associates is pleased to offer World Class Laser Technology for drug-free pain relief and reduced inflammation for accelerated healing!
Since 1917 when Albert Einstein established the theoretical foundations for the laser, research has produced a variety of improved and specialized laser types, optimized for different performance goals.
All light is composed of photons. Photons are small packets of light energy—in the form of waves— with a defined wavelength and frequency.
Photon energy is able to more effectively penetrate the skin and underlying structures, therefore accelerating the healing process.
Light travels at a constant speed and oscillate up and down as it moves forward.
However, all light is not the same. It is measured in wavelengths, with each wavelength of light representing a different color of the spectrum.
The number of oscillations per second represents the frequency of each wavelength; shorter waves have a greater frequency than longer waves.
Laser energy is coherent (well-ordered photons), monochromatic (single-color) light energy. When produced as a narrow, bright beam.
Laser therapy has an anti-edemic effect as it causes vasodilation, but also because it activates the lymphatic drainage system (drains swollen areas). As a result, there is a reduction in swelling caused by bruising or inflammation.
Laser therapy has a high beneficial effect on nerve cells which block pain transmitted by these cells to the brain and which decreases nerve sensitivity. Also, due to less inflammation, there is less edema and less pain.
Photons of light from lasers penetrate deeply into tissue and accelerate cellular reproduction and growth. The laser light increases the energy available to the cell so that the cell can take on nutrients faster and get rid of waste products.
Laser light will significantly increase the formation of new capillaries in damaged tissue that speeds up the healing process, closes wounds quickly and reduces scar tissue.
Laser therapy for pain relief creates higher outputs of specific enzymes, greater oxygen and food particle loads for blood cells.
Laser therapy stimulates muscle trigger points and acupuncture points on a non-invasive basis providing musculoskeletal pain relief.
Laser Therapy reduces the formation of scar tissue following tissue damage from cuts, scratches, burns or surgery.
Slow recovery of nerve functions in damaged tissue can result in numbness and impaired limbs. Laser light will speed up the process of axonal regeneration, nerve cell reconnection, and increase the amplitude of action potentials to optimize muscle action.
Laser light has a direct effect on immunity status by stimulation of immunoglobulins and lymphocytes. Laser Therapy is absorbed by chromophores (molecule enzymes) that react to laser light. The enzyme flavomono-nucleotide is activated and starts the production of ATP (adenosine-tri-phosphate), which is the major carrier of cell energy and the energy source for all chemical reactions in the cells.
Laser light stimulates fibroblast development (fibroblasts are the building blocks of collagen, which is predominant in wound healing) in damaged tissue. Collagen is the essential protein required to replace old tissue or to repair tissue injuries.
You may or may not know that not all laser therapy is the same!
In contrast to Class 1, 2, and 3 low level lasers (LLLT) with low power from 1 – 500 miliWatts (0.5 Watts) resulting in limited dosage levels; our Aspen Laser incorporates advanced Class 4 laser technology that is much more powerful than any class 3 laser on the market.
These higher powers, in combination with proper wavelengths, laser beam size and treatment techniques enables us to safely and effectively deliver significantly higher dosage levels (a key to success) and enhanced abilities to penetrate deeper into the cellular tissue providing better and longer-lasting clinical outcomes.
Class IV lasers offers better therapeutic outcome, based on six characteristics of this new technology:
Larger dosages of therapeutic energy. Class IV lasers can deliver up to 1,500 times more energy than Class III and consequently reduce treatment time.
Deeper penetration into the body. Leading Class III lasers only penetrate 0.5-2.0 cm2. Class IV can penetrate up to 10 cm2.
Larger treatment surface area. Class III cover a treatment area of 0.3-5.0 cm2, depending on the model and manufacturer. Class IV cover up to 77 cm2. This is important when treating large regions, such as the lumbar spine, quadriceps or hips.
Greater power density. Power density indicates the degree of concentration of the power output. This property has been shown to play a major role in therapeutic outcomes.
Continuous power supply. In Class III lasers, the power is pulsed or modulated approximately 50 percent of the time. In other words, light is permitted to pass through the probe for only 50 percent of the total operating time.
In most cases, Class IV lasers deliver a consistent amount of energy over a given time. Their power can be adjusted for acute and chronic conditions.
Superior fiber optic cables. Fiber optic cables transmit laser energy from the laser to the treatment probe (wand) at the end of the cable.
Several studies reveal that as much as 50 percent of the light energy generated by a Class III laser may be lost by the time it reaches the end of the probe.
At Dr. Moscow & Associates, we are proud to make custom-made Foot Levelers Orthotics that are individually designed for your feet – helping achieve a balanced foundation and stabilized pelvis.
Our Custom Orthotics are handmade for your unique feet based on a 3D laser foot scan and Dr. Moscow’s Orthotics exam.
Whether you’re visiting your Sarasota Pain Management Clinic for pain, preventive care or to improve your athletic performance, Foot Levelers’ custom-made functional orthotics may help.
Why does Dr. Moscow choose Foot Levelers?
Generic, off-the-shelf insoles risk worsening your symptoms because they address only general conditions, and with questionable results. Your feet are as unique as your fingerprints. Only Foot Levelers custom-made orthotics are built specifically to meet your individual feet, body and health needs.
Over-the-counter insoles may initially cost less, but they only support one arch in your foot. When only one arch is being supported, it may not maintain the structure of your plantar vault, and problems can start in other parts of your body. In fact, “over-supporting” just one arch of the foot may actually cause pain and symptoms, not relieve them.
Foot Levelers custom-made orthotics are designed to provide the best possible support for all 3 arches of your feet:
This allows us to correct leg length asymmetry as well as correcting the 3 arches of your feet. Don’t settle for less!
Having collapsed arches and unequal leg length can cause decrease and/or release stress on your body and can lead to aches and pains of not only your feet, but also of your knees, hips, lower back, neck, and can even cause headaches and migraines.
In addition, having collapsed arches of the foot and asymmetric leg lengths can cause early onset degenerative arthritis. What happens if you drive your car on misaligned tires? They wear out unevenly! Same thing happens to our bodies.
Our custom-made orthotics can be a vitally important part to wellness!
We have a Sarasota MD on staff to assist our patients with Physiatry.
What is Physiatry?
Physical Medicine and Rehabilitation, also known as Physiatry, is a branch of medicine that specializes in diagnosis, treatment, and management of disease for the musculoskeletal system – the muscles, bones, and associated nerves, ligaments, tendons, and other structures- and musculoskeletal disorders that cause pain and/or difficulty with functioning.
A physiatrist’s treatment focuses on helping the patient become as functional and pain-free as possible in order to participate in and enjoy life as fully as possible.
Physiatrists strive to treat the whole patient – not just the specific injury or condition – in order to improve overall recovery and prevent recurrence of back pain or other source of dysfunction.
The goals of physiatry for pain management treatment are always to restore the patient’s normal function and improve the quality of life for our patients from a physical, emotional, psychosocial, and vocational perspective.
Physiatrists diagnose injuries and problems of the musculoskeletal system by taking a thorough medical history of the patient and performing a complete physical exam. Further diagnostic testing may include laboratory testing, X-rays, MRI scans, electromyography, and nerve conduction studies.
Electrodiagnostic medicine may be employed in order to detect areas of nerve and muscle damage. This includes electromyography (EMG) and nerve conduction studies [NCS], which are used to measure the condition of your nerves and muscles in their relaxed and stimulated states.
The treatment offered for pain and injury is a multifaceted approach that may include one or some combination of:
We have the latest and greatest in X-ray technology. We are fully digital which allows us to produce the best images with minimal radiation.
An X-ray is a common imaging test can help us view the inside of your body without having to make an incision. This can help us diagnose, monitor, and treat many medical conditions.
Dr. Moscow may order an X-ray to:
Conditions that may call for an X-ray include:
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