Congratulations. If you are reading this page it means that I have accepted you as a patient. You may have even just experienced your first chiropractic treatment, and still have some questions about your problem, chiropractic and your treatment plan.
Please read the information that was given to you in the office, and the information listed below. Together with the treatments you will receive, the information provided for you will help you achieve the goal of restored health. If you have any questions, please don’t hesitate to ask on your next visit.
Thank you for choosing me as your doctor. You have taken a very important step in the pursuit of getting your health back. You have my promise that I will do everything in power to see that you succeed in your pursuit.
Dr. Daniel Keren
What to Expect
Initial Visit (Skip this section if you already experienced your initial visit)
It is recommended that you arrive at the office fifteen minutes before your appointment time to complete the necessary paperwork.
On the first visit I will help you identify the cause of your problems. A detailed history will be taken that will include your health history, lifestyle, recreational and work related physical activities.
If you have x-rays or other imaging examinations available bring them with you. They will be examined to see any signs of pathology, malformations or fractures in your spine. The general condition of the joints in your spine will be noted, along with specific angulations and curvatures.
A thorough examination will include a physical, orthopedic, neurological and chiropractic examination to determine how you can best be helped. This will determine if your problem is indeed a chiropractic case.
If your problem is found to be suitable for chiropractic care, an initial test treatment will be given to see how your body responds to care. Treatments will include any and all of the following: chiropractic adjustment, soft tissue treatment, stretching/traction, and rehabilitative/stabilization exercises.
The Chiropractic Adjustment
The chiropractic adjustment is the foundation of chiropractic care. Adjustments are applied to joint complexes that have been identified as being 'fixated' (not moving properly) or misaligned. Allowing joints to remain in a 'fixated' or misaligned state will ultimately likely lead to degenerative changes, dysfunction, and pain. Chiropractic adjustments involves applying a specific force to a joint complex (or complexes) to allow for better movement. This allows for improved function and less pain. Adjustments can be applied through many different means. The type(s) of adjustments that are administered depends on individual patient needs.
Stretching and traction are also commonly used in chiropractic treatments. Short or contracted muscles are stretched. Cox Flection/Distraction technique is used in most cases of disc bulging or herniation.
I will then tell you the amount of improvement you can expect in your condition, as well as how long it will likely take to achieve meaningful results. You will be given an individualized treatment schedule and a re-exam date where we can determine your progress.
Note: After your first chiropractic treatment, a very small percentage of patients experience and slight increase in symptoms and/or a shifting or movement of symptoms to another area of the body. If you are currently experiencing this, do not be alarmed. The temporary change in your symptoms are the result of your body adjusting to the changes made during your treatment.
Second Visit and Subsequent Visits
The second and subsequent visits are considerably shorter than the initial consultation, examination and treatment. Your problem has already been identified and recorded, and now it is my job to continue the process of restoring proper structure and function to your spine.
Depending on your situation, home exercise may be prescribed as soon as the second visit. Rehabilitative/Stabilization exercises are many times necessary to help the patient 'hold' the effects of chiropractic adjustment and soft tissue treatment. Whereas chiropractic manipulation in conjunction with soft tissue treatment will help to eliminate pain and restore proper function, rehabilitative/stabilization exercises will allow the patient to hold the corrections. Your involvement in the care plan is and important part of chiropractic care, and you should actively be involved in maintaining your progress. Home exercises are a tool to help you do so.
Links to PDF Exercise
Israel can be a fast paced and stressful place to live. Chiropractic is helpful in maintaining your spinal alignment and balance, and therefore, helps to prevent future problems. It can also help to decrease recovery time if an injury is sustained. You do not have to be currently experiencing symptoms to benefit from a chiropractic adjustment.
Stay healthy--see your chiropractor once a month and see how much better you will feel.
Most people have heard of ergonomics and think it is something to do with seating or with the design of car controls and instruments. It is...but it is much more! Ergonomics is the application of scientific information concerning humans to the עיאdesign of objects, systems and environment for human use. Ergonomics comes into everything which involves people. If well designed, work systems, cars, sport and even leisure, should all embody ergonomic principles.
Ergonomics deals with the interaction of technological and work situations with the human being. The basic human sciences involved are anatomy, physiology and psychology, these sciences are applied towards two main objectives: the most productive use of human capabilities, and the maintenance of human health and well-being. In a phrase, the job must “fit the person” in all respects, and the work situation should not compromise human capabilities and limitations.
The contribution of basic anatomy lies in improving physical 'fit' between people and the things they use, ranging from hand tools to aircraft cockpit design. Achieving good physical fit is not a simple task when one considers the range in human body sizes across the population. The science of anthropometrics provides data on dimensions of the human body, in various postures. Biomechanics considers the operation of the muscles and limbs, and ensures that working postures are beneficial, and that excessive forces are avoided.
Your body needs essential nutrients each and every day; 60 minerals, 16 vitamins, 12 essential amino acids and essential fatty acids. Without these nutrients your body cannot and will not function properly, thus leading to disease/illness. In fact, every disease known to man can be traced to nutritional deficiency.
Eat only natural foods avoid artificial sweeteners and man made products (ie. synthetic vitamin supplements which cannot be digested/assimilated)
Cholesterol and fats are important in the development and maintenance of the brain and central nervous system. Eggs and real butter are excellent sources, in moderation (1-2 eggs / 1 tbs. of butter per day). Avoid margarine and ˜fat free” products which do not provide nutrition.
Water is very important in cellular metabolism, anti-aging and weight loss. Drink a gallon-per day minimum of fresh water: deep well, spring, reverse osmosis, distilled or bottled water. Avoid dehydration, which draws water from our tissues, including our skin(causing wrinkles). Also, increased water consumption will aid in fat metabolism, allowing you to lose weight.
Remove the word diet from your vocabulary. You cannot live without food/water. As your body begins receiving the proper nutrients, cravings should begin to change and subside. However, listen to your body. When you want something salty or sweet, eat it (in moderation), when you are thirsty drink water. You will eat less, thus losing weight. You can also control the amount of weight loss by the amount of exercise--calories taken in versus calories burned. Healthy weight loss should result in a decrease in body fat, not muscle or organ tissue.
Aerobic/Anaerobic: Aerobic exercise involves the use and burning of oxygen (walking, running, cycling, swimming, rowing, stair-climbing, aerobic dance/step) Aerobic exercise is very, very important. It aids in the prevention/treatment of cardiovascular disease, osteoperosis and obesity. The term anaerobic means without oxygen. Weight lifting is an example of anaerobic exercise, it is important in the development and strengthening of muscles.
Everyone should begin an exercise program immediately - being grateful that it is possible. Start by walking minimum of 1.5 km on flat ground, then Increase speed, incline and distance as your body becomes more comfortable. Jogging or a slow run should be implemented with your increase in strength. Finally begin running gradually improving to 30 minutes per day.
With exercise and proper nutrition you will be healthier than 95% of all Israelis.
It Is Never Too Late
Our bodies are constantly rejuvenating; celIs die and new ones are born every second. Our longevity and amount of disease is based upon the environment the new cells are born. By changes in nutrition and exercise, cells will be brought into a healthy environment, making it possible for a sick person to become healthier. Prescription and over-the-counter medications only entertain our symptoms as the body heals. In most cases the side effects of these drugs are worse than the conditions supposedly being treated. The cancer rate has risen at an alarming rate and is believed to be directly related to the over-utilization of medications. Breast and cervical cancers were almost non-existent before the invention of the PILL. Our bodies are amazing, more complex than any machine or computer. It is self regulating and self healing, but it must receive the proper fuel and maintenance. We tend to take our bodies for granted and accept a lower standard of health. The best antibiotic is a healthy immune system. DO NOT BECOME A VICTIM OF MODERN MEDICINE!
Take responsibility for your own health! I can help you with your choices.
Pain in the Backpack
How heavy backpacks are weighing down today's kids.
Many young people and their worried parents are consulting physicians about muscle strains thought to be due to carrying heavy backpacks.
Some common complaints include, "I have shoulder pains. There’s a sore, pulling feeling, and I worry about my spine being bent over all crooked under the weight," she says. "But I don’t really have a choice. There’s not enough time between classes to go to my locker."
More and more students in the fourth and fifth grades are complaining about backaches, fatigue, and [physical]stress. They just don't have the body strength to remain erect under these very substantial loads of the backpacks they are carrying, and their skeletons are put under substantial duress."
Long-Term Effects Are Unclear
While there is abundant evidence that backpacks can cause short-term problems, it’s unclear whether they may cause permanent orthopedic conditions such as scoliosis, a curvature of the spine, or long-term damage to still-developing skeletons. The scientific studies that would establish a cause-and-effect relationship simply haven't been done.
Solutions and Guidelines
According to guidelines from the American Chiropractic Association (ACA) and the American Occupational Therapy Association (AOTA), students should carry no more than 10% of their body weight in a backpack. (See table: "How Much Is Too Much?") The backpacks should have two adjustable and padded shoulder straps to equalize the weight and prevent shoulder, neck, and back problems. Belts around the waist can also help distribute the weight properly. Although backpacks slung casually over one shoulder may be fashionable, this posture puts further stress on the back and spinal cord.
How Much is Too Much?
According to the American Chiropractic Association, a child’s backpack should weigh no more than 10% of his or her body weight. Here's how that translates for different weights:
● 50 pounds: 2.5 to 5 pounds
● 80 pounds: 4 to 8 pounds
● 100 pounds: 5 to 10 pounds
● 130 pounds: 6.5 to 13 pounds
● 150 pounds: 7.5 to 15 pounds
23 kgs 1.1 - 2.3 kgs
36 kgs 1.8 - 3.6 kgs