Dr. Moscow is a firm believer in doing whatever works for any particular patient. That may mean different things are done on different patients’ due to a variety of factors.
Dr. Moscow looks at the overall health of the person before focusing on any particular problem. Many physicians are too focused on the micro and don’t give enough consideration to the macro.
You’ll be very comfortable discussing the reason for your visit with Dr. Moscow as he truly listens to his patients’ problems and concerns.
If you are in town for the winter or here for a vacation and are in need of a chiropractor, Dr. Moscow can often replicate the treatment that you’ve been having at home.
Dr. Moscow evaluates the patient based on many criteria. From observing your gait, to measuring range-of motion, to performing neurologic or orthopedic testing, Dr. Moscow walks his patients through this process so that are always comfortable. He will palpate the area of concern looking for things such as pain, the temperature of the skin, tautness of muscle, and looks for asymmetry and or restrictions in muscles and joints. He may examine your feet to determine whether the foot and ankle over pronate giving someone a “flat foot.”
A treatment with Dr. Moscow may involve being adjusted. A chiropractic adjustment is a wonderful thing. Some benefits of being adjusted include:
- A reduction in pain- Patients often feel an immediate reduction in pain upon being adjusted by reducing mechanical stress on your system.
- Restores motion to your joints
- Reduces muscle tension
- Reduces stress
- Improves posture.
- Reduces the need to take pain medications. You may find that you don’t need them anymore. Why is this important?
According to the American Journal of Gastroenterology, people taking NSAIDS are three times more likely than those who do not to develop serious adverse gastrointestinal problems such as hemorrhage (bleeding) and perforation. That risk rises to more than five times among people age 60 and older.
Moreover, the number of prescriptions for powerful drugs such as oxycodone and hydrocodone have tripled in the past 12 years. The Centers for Disease Control and Prevention (CDC) has reported that abuse of these commonly prescribed painkillers are among the leading causes of accidental death in the United States. Overdoses of opioid painkillers are responsible for some 15,000 deaths per year; that’s more than the number of deaths from cocaine and heroin combined.
- Improves your nervous systems ability to communicate with itself.
- Helps restore your body to its fullest potential
Dr. Moscow has many techniques that he utilizes and this also depends on your particular needs. His preferred method is usually diversified, but he also uses Thompson drop, Flexion-Distraction, Gonstead, Arthrostim, Activator, or any number of other named adjusting techniques.
Dr. Moscow may utilize therapy such as Proprioceptive Neuromuscular Facilitation (PNF) a technique that was developed in the 1940s as a means to treat neuromuscular conditions including polio and multiple sclerosis.
PNF stretching has been proven to improve active and passive range of motion. It can be used to supplement daily, static stretching and has been shown to help athletes improve performance and make speedy gains in range of motion. Not only does it increase flexibility, but it can also improve muscular strength.
While there are multiple PNF stretching techniques, all of them rely on stretching a muscle to its limit. Doing this triggers the inverse myotatic reflex, a protective reflex that calms the muscle to prevent injury. “PNF causes the brain to go ‘I don’t want that muscle to tear’ and sends a message to let the muscle relax a little more than it would normally.”
Dr. Moscow may also do any combination of gait analysis, therapeautic activities, thereapeautic exercices, manual therapy, provide ideas for home self-care, do traction, electrical muscle stimulation, ultrasound or use ice or heat.
Dr. Moscow also does nutrition counseling. He may order x-rays, MRIs, CT scans or labs, depending on the what’s needed for a particular patient. He will also refer to the appropriate doctor if it better serves the patient. He works with physiatrists, orthopedic surgeons, neurologists, neurosurgeons, internists, family doctors as dentists when the need arises.