Miami Chiropractor Dr. Michael P. Newman

Our patients often find chiropractic treatments to be effective for a number of issues, including neck pain, back pain, and headaches. In fact, chiropractic care helps many of our patients experience relief without the need for prescription medication or surgical procedures.

A subluxation is a misalignment of one or more of your spinal vertebrae, which cause interference to your nervous system. When your nervous system is interfered with, your body's natural ability to heal itself and function at its optimum potential becomes impaired.

The cost of care is an important aspect of pain treatments, especially when that treatment is long-term. We recommend speaking to Dr. Newman directly about the treatment plan he recommends based on your specific situation.

No, a referral is not required.

Chiropractic adjustments are used by chiropractors to reposition the bones that are out of proper alignment, or subluxated There are various techniques of adjusting the vertebrae. Depending on the patient's age, condition, and the doctor's training and experience, any of these techniques may be used. The purpose of the adjustment is to remove any interference to the nervous system, which improves spinal function and overall health. Chiropractic adjustments are safe for all ages and are completely natural.

No. We will determine if chiropractic care can be helpful by taking a history, performing a physical examination, and possibly taking X-rays. If chiropractic care is warranted, we will recommend a treatment plan and outline how much time it might take to reach the goals of the plan. If chiropractic care is not indicated, we will suggest other sources of help, and make an appropriate referral. Every case is different, and each person’s response varies.

Some adjusting methods can produce a popping sound when the gas and fluids that exist in the joint shift. It’s much like opening a bottle of champagne or removing a suction cup. The sound isn’t a guide to the quality or need of the adjustment.

Yes. Chiropractic has an excellent safety record.

Even though most people are able to receive this type of care, there are a few exceptions. Patients who have severe Osteoporosis are not able to receive this treatment. If you do have Osteoporosis though, please allow us to check and see how severe it is because commonly it is not severe enough to preclude treatment. Women that are pregnant cannot receive this treatment. Anyone with above grade 2 Spondylolisthesis is not able to have this care. Please make sure you have one of our Doctors evaluate the degree of your Spondylolisthesis. Many times it is of a lesser degree and we are still able to treat you. Anyone with a descending Aortic graft is also not able to have our care. Patients that have bone cancer also are not able to have our care. More times than not however, we find that patients seldom fall into any of the above categories and are successful in getting care at our clinic.

No not at all. There are multiple safety features that occur to prevent from any injury happening. We also check our patients very well to make sure they are a candidate for this treatment program and to further assure the patients opportunity for success. Most of our patients sleep throughout their treatment time. Many times we have to awaken them prior to taking them to their next therapy. It is comical at times because most offices have a difficult time getting their patients to keep their appointments, whereas our patients cannot wait for their appointments and usually show up early. It is a good problem for us to have however, because how great a practice can you have when not only are your patients getting well, but they enjoy the process while it is occurring. Our treatment is very different from going for injections or surgery to say the least.

Fluid leaves the disc usually for one of three different reasons to include: time, injury, or a combination of the two. People who are more active and enjoy activities that require a great deal of downward pressure on the disc, such as football players, high jumpers, or power weight lifters, are more prone to disc injuries. We see them at a much younger age. Others, however, are also prone simply due to time and age. By age 55, 85% of the population suffers from degenerative disc disease or dry disc disease. Just the process of everyday walking, bending, or lifting eventually wears out the disc and the fluid is lost. Hence the diagnosis of dry disc disease being the same as degenerative disc disease.

Yes, at any given time in our practice, 15% to 20% of our patients have had what is called Failed Back Surgery Syndrome and have had a prior Laminectomy and/or Micro Discectomy that failed to decrease the patient’s pain and increase their function. This type of prior surgery does not preclude us from providing the care necessary to help the patient. As long as there is no spinal fusion, either bony or with metal, we can provide Spinal Decompression, although there are other methods of help to you even if you have had a fusion.

Traction is a one dimensional, unilateral pull of the spine, not specifying any one segment. The downward intradiscal pressure when a person is standing is 100 mmHg of pressure. When generalized traction or inversion therapy is performed, the intradiscal pressure drops down to 40 mmHg of positive downward pressure. This is the point that muscle spasms can be relieved, however not enough to create transfer of fluid from outside of the disc back into the nucleus palposus or the center of the disc. Inversion therapy is just another form of generalized traction, pulling the ankles, the knees, the hips, the low back, the mid back and the neck, never creating enough of a decrease in the intradiscal space to allow for the transfer of the fluid outside of the disc back into the center of the disc.

Yes you will be able to drive. There is no medication or injections that are given to you during your course of care that would make your drowsy or unable to drive your car. The only thing you will feel is very relaxed and excited about finally being able to have the cause of your problem treated, not just the symptoms.

Even though most people are able to receive this type of care, there are a few exceptions. Patients who have severe Osteoporosis are not able to receive this treatment. If you do have Osteoporosis though, please allow us to check and see how severe it is because commonly it is not severe enough to preclude treatment. Women that are pregnant cannot receive this treatment. Anyone with above grade 2 Spondylolisthesis is not able to have this care. Please make sure you have one of our Doctors evaluate the degree of your Spondylolisthesis. Many times it is of a lesser degree and we are still able to treat you. Anyone with a descending Aortic graft is also not able to have our care. Patients that have bone cancer also are not able to have our care. More times than not however, we find that patients seldom fall into any of the above categories and are successful in getting care at our clinic.

Most times the answer is no. Most of our patients continue their usual and customary duties of their employment while having to change nothing. If you are a person that is in extreme acute pain and have a career that requires heavy lifting, it may be in your best interest to try to be put on light duty while going through the treatment program. Many of our construction workers are unable to do that and we are still able to successfully treat them as well. Most of our patients have little trouble if any in going through with their program regardless of the type of work they do.

It is not out of their lack of caring for you, it is most times their lack of knowledge about this procedure. Keep in mind the tools they are equipped with in medical school are medication, injections, and surgery. Their tool bag has little information about Non-Surgical attempts when treating disc injuries. The statistics speak for themselves however. Failed Back Surgery Syndrome is a real entity studied by the medical profession because of the high failure rate when performing spinal surgery. The non-surgical approach has far less complications for secondary permanent negative effects. Most good surgeons will always recommend exhausting all non-surgical procedures prior to entering into a surgical route to treat your spine pain. We get a great deal of referrals form Medical Doctors and Surgeons that are informed about what we do.

No there is not. We have had patients in their late 80s and early 90s that have done well, however there are certain conditions that make a patient unacceptable or not a candidate for care which we see more of in our very senior consultations. Safety of the patient and an attempt for good results are our primary goals.

Yes. Many patients do not experience pain and only have loss of sensation or even loss of motor function. If we determine that you are a candidate for care and that your numbness is coming from nerve root pressure due to a bulging or herniated disc, then yes this treatment utilizing Non-Surgical Spinal Decompression Therapy can work very well to increase sensation and increase function even in the absence of pain.

Cold Laser Therapy is non-toxic, non-invasive and has generally no side effects. The doctor may well include laser therapy as a part of your treatment plan if he expects it will help your pain. Laser light can speed the process of nerve cell reconnection to bring the numb areas back to life. It can reduce inflammation and has been shown to help with a variety of pain conditions, including: Acute and chronic pain Arthritis Back pain Bursitis Carpal Tunnel Fibromyalgia Ligament sprains Muscle strain Soft tissue injuries Tendonitis Tennis elbow

No you should not. We advise you to discuss your medication with your Medical Doctor and once you have started to have less pain and greater function, to ask your Medical Doctor to assist you with lessening your medication. You should always follow your Doctor’s prescription for your medication and never stop without his or her advice.

Not usually, but it does depend on the stability of the vertebral motor units that are being called decompressed.

If appropriate for your condition, the doctor may conduct acupuncture treatments, typical in conjunction with other healing modalities. Acupuncture has an influence on most of the body’s systems – the nervous system, circulation, muscle tone, hormone outputs, antibody production and allergic responses, and the respiratory, urinary, digestive and reproductive systems.

Nick, that is a very personal question. It depends on the problem, the length of time you’ve had the problem, and your age. I would not be able to give you a definitive answer without a consultation to know what we’re dealing with. Thank you for your question.

The first thing a chiropractor will do is ask you about the health complaints about which you are chiefly concerned. The DC will also ask about your family history, dietary habits, other care you may have had (chiropractic, osteopathic, medical, etc.), your job, and other questions designed to help determine the nature of your illness and the best way to go about treating the problem. A physical examination will be performed in accordance with your DC’s clinical judgment, which may include x-rays, laboratory analysis and other diagnostic procedures. In addition, a careful spinal examination and analysis will be performed to detect any structural abnormalities which may be affecting or causing your condition. All of these elements are important components of your total health profile, and vital to the doctor of chiropractic in evaluating your problem.

Yes you may. We have had several professional athletes that have been treated in our facility while continuing their exercise programs necessary for their profession. What we do ask though is that you limit your lifting in an upright position. We say limit because we know it is virtually impossible to eliminate lifting all together. We teach that your spine is like a coil, and when you have a bad disc, it is like having a bad portion of that coil. When lifting in an upright position, you put greater pressure on that damaged coil. It is for this reason we recommend when going to the gym to do your lifting exercises, that you do them in a reclined or flat position so as not to put greater pressure on and already damaged disc.

Chiropractic has a broad range of things that it encompasses. I am also certified in acupuncture and do Worker’s Comp. physical rehabilitation. Another specialty in the office is axial spinal decompression for lumbar and cervical disc problems.