Dr. Trakhtenberg and Dr. Shestakovsky are leading providers of safe, effective manual medicine techniques aimed at relieving chronic and acute pain and other issues in patients from Midtown Manhattan throughout New York City.
Manual medicine is a treatment approach that uses palpation, or touch, to help diagnose and treat a wide array of medical issues that are related in some way to the musculoskeletal system.
Many chronic and acute health issues are related to issues involving the musculoskeletal system. That includes joint problems, headaches, neck and back pain, fibromyalgia, osteoarthritis and chronic regional pain syndrome (CRPS), among many other issues. Manual medicine targets the underlying source of symptoms, such as contracted muscles or inflamed myofascia - the tough covering that surrounds muscles - to help release strains and promote healthy circulation that's necessary for fast, complete healing.
Trigger points are painful spots that occur on the myofascia. When the myofascia becomes irritated, it can contract and swell, forming bumps and lumps that can be felt under the skin. Relieving these muscle "knots" is the key to resolving many types of chronic pain, including chronic headaches.
Like any other office visit, your appointment will begin with a comprehensive review of your health and your symptoms to develop an in-depth understanding of your condition so your treatment can be customized for your needs. During the exam itself, several techniques can be used to diagnose the cause of pain and other symptoms, including numbness and weakness. These techniques can include gentle stretching and resistance exercises using carefully applied force, palpations of muscles and other soft tissues, myofascial release and chiropractic methods to help release tension and pressure to help resolve inflammation, irritation, muscle contraction and other issues that can cause symptoms. The immediate goal of treatment is to locate through palpation the source of pain and other symptoms, and then to use focused manual manipulative techniques to address that source specifically.