NYC's Premier Medi-Spa & Wellness Centers Manhattan Total Health is a full service Physical Therapy and Rehabilitation facility with 3 NYC locations.

Identifying Common Causes of Tennis Elbow

Tennis elbowThe forearm tendons, known as extensors, connect the muscles to the bones. When these muscles and tendons become damaged and inflamed, the condition is known as tennis elbow, or lateral epicondylitis. Most often, the Extensor Carpi Radialis Brevis (ECRB) is the tendon that is affected by this condition. Tennis elbow is a painful condition that also typically involves a weakened grip strength, which can interfere with your ability to carry out day-to-day tasks. If you've been diagnosed with tennis elbow, a physical medicine specialist can help you recover. You may benefit from physical therapy and other nonsurgical treatments.

Repetitive Use

Tennis elbow is a strain injury that is caused by overuse of the forearm. If you frequently perform the same forearm motions over and over again, the stress exerted on these tissues can cause the development of very small tears in the tendons. These tears lead to inflammation and pain. The ECRB is most commonly affected by repeated use because of where it is located. The muscle makes contact with bony areas as the elbow bends and then straightens, causing wear and tear damage over time.

Certain Activities

People who engage in certain activities may be more likely to seek the help of a sports medicine specialist because of tennis elbow. As the name implies, avid tennis players are at a high risk. However, any repeated motion that involves this area can lead to tennis elbow, including chopping cooking ingredients, painting, or using plumbing tools.

Risk Factors

A person of any age could be diagnosed with tennis elbow. However, you may be more likely to develop if it you're between the ages of 30 and 50. Additionally, those who play certain sports with poor technique are at an increased risk, as are those who work as painters, carpenters, and butchers.

If you suffer from tennis elbow, frozen shoulder, runner's knee, or other sports-related injuries, you can find the comprehensive physical medicine solutions you need at Manhattan Total Health. Residents of NYC can reach our sports medicine facility by calling (888) 614-9257. At our orthopedic rehab facility, you'll also find caring and talented massage therapists, physical therapists, and acupuncturists.

Before, During, and After Your Acupuncture Treatment


Acupuncture is an ancient medical art that offers significant health benefits. Many people schedule acupuncture sessions to complement their physical therapy or orthopedic rehab program. It can be used to treat musculoskeletal conditions such as back and neck pain, hip pain, and shoulder disorders, among many others. If you’ve never had acupuncture before, you may wish to call the orthopedic rehab facility ahead of time and ask how you can prepare for your appointment.

Before Your Treatment

You can expect to have a medical consultation prior to your acupuncture session. During the consultation, the acupuncturist will review your medical history and assess your physical complaints in order to personalize your treatment. Schedule in some extra time for the acupuncture appointment to avoid feeling rushed. Additionally, it’s best to avoid or limit your caffeine intake before having acupuncture. Eat a light meal before your appointment and wear loose, comfortable clothing.

During Your Treatment

During an acupuncture session, you can expect to lie on a comfortable surface. Your exact position will depend upon the location of the needle placement. You’ll feel a little pressure as the needles are gently inserted. You may have about 12 needles inserted and they’ll remain in place for about five to 20 minutes. Sometimes, acupuncture therapy includes heat therapy or electrical stimulation.

After Your Treatment

After your acupuncture treatment, be sure to ask the acupuncturist about additional appointments. For best results, you can expect to schedule a series of treatments. To nurture your body, avoid alcohol, fried or otherwise heavy foods, and sexual activity for the rest of the day. In addition, avoid strenuous physical activity and try to maintain your relaxed mood.

Manhattan Total Health offers acupuncture at several convenient locations throughout NYC. We also provide massage therapy, physical medicine, physical therapy, and orthopedic rehab services within a comfortable, relaxing environment. If you wish to schedule a medical consultation with one of our licensed acupuncturists, please call (888) 614-9257.

A Brief History of Chiropractic Care

Content doctor showing a patient something on skeleton model

Chiropractic care is an ancient practice whose application in medicine is as important today as it was thousands of years ago. Medical texts that have survived through the millennia discuss techniques to manipulate the spine for better health. It is this manner of achieving wellness without invasive measures that continues to be the foundation of chiropractic care today.

Chiropractic medicine has been a presence in the United States for more than a hundred years. Daniel David Palmer in particular was a leading force in the training of chiropractic experts, who must undergo years of schooling and training to become certified in their professions. Because of the efforts of Palmer and other chiropractic professionals, chiropractic care is a well-respected medical alternative for individuals seeking treatment without having to undergo invasive measures such as surgery.

Would you like to learn more about chiropractic care? Call Manhattan Total Health at (212) 832-9127. Our NYC facility offers a wide range of services, including massage therapy, physical therapy, and chiropractic care, for those contending with chronic pain and sports injuries.

Get the Facts on Back Pain

Woman with back pain

Many circumstances can produce back pain. A particularly rigorous workout, a day of moving boxes, or even a slip on an icy sidewalk can lead to days of bruising and soreness. While this type of discomfort often subsides after a few days, back pain can also become a chronic condition that interferes with overall quality of life. In fact, this problem is so prevalent that it causes millions of Americans to seek help for it each year.

Why Back Pain Happens

Acute back pain typically alleviates in days or weeks, but for many people, their discomfort persists even when the bruises heal or they aren’t working out. Chronic back pain normally signals an underlying issue beyond muscle soreness or temporary tissue trauma. The numerous parts that comprise the back, including the vertebrae, intervertebral discs, and connective tissues, can all experience damage or misalignment that time alone may not heal. Though accidents can cause these issues, progressive disease, poor posture, and repetitive motion can also contribute to chronic back pain.

Who Gets Back Pain

Back pain is a very common problem in the United States. Because it can stem from any number of conditions, people of all ages and backgrounds may suffer from it. For instance, advanced osteoarthritis of the back may lead to pain in many older individuals. However, highly trained athletes in prime physical health can also experience back pain should they suffer an injury on the field or court. Even children who carry overloaded backpacks to and from school are susceptible to back discomfort.

How Chiropractic Experts Can Address Back Pain

Medication can mask back pain, yet it does not address the reasons for it. Surgery may correct spinal issues but can necessitate months of bed rest. That is why so many people choose chiropractic care for their back pain problems. A chiropractic expert can isolate the cause of a patient’s back pain and provide noninvasive treatment with adjustments, massage therapy, and even acupuncture to remedy it. Patients can enjoy healthy back function without having to ensure months of recovery or rely on unnecessary medications.

Are you suffering from back pain? Let Manhattan Total Health in NYC help you find the relief you seek. To schedule a consultation, call (212) 832-9127.

What You Should Know About the Rotator Cuff

Shoulder Pain Injury

Each time you throw a ball or even shake a person’s hand, you are using your rotator cuff to complete the action. Its use in activities that require arm movement make it central to carrying out both common commands and specialized motions. As a result, damage to any area of the rotator cuff could bring on significant pain and severely reduced movement.


The rotator cuff is not a single structure in the shoulder. Rather, it comprises four different muscles and their connective tissues, which together stabilize the bones that make up the shoulder joint. These tissues cover the joint so that the humerus does not dislodge from its position against the scapula.


The muscles and connective tissues of the rotator cuff can withstand great amounts of pressure and strenuous use. However, excessive movement can make them prone to injury. Overhand motion in particular can cause inflammation and tissue damage. That is why swimmers, tennis players, baseball pitchers, and football quarterbacks are commonly at a higher risk for rotator cuff injuries than other demographics. Rotator cuff tendonitis can occur when this region of the body is used too rigorously. Impingement can also develop due to pressure on the connective tissues. Sudden or violent motion might result in a tear to a muscle that is part of the rotator cuff as well.


Rest is normally the first mode of care required to address rotator cuff injuries. If pain or shoulder dysfunction persists, professional treatment may be necessary. A sports medicine expert can utilize several modes of care to alleviate stiffness, tenderness, and reduced range of motion in the shoulder. Specifically, physical therapy can help heal and strengthen the muscles of the rotator cuff and help ward off future injuries as well.

Don’t let a shoulder injury get in the way of your daily activities and athletic endeavors. Call Manhattan Total Health today at (212) 832-9127 to set up an appointment with one of our NYC-based sports medicine specialists. For more information on our physical medicine services, you can also visit our website.

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