• A Look at Our Diagnostic Tools

    Board-certified medical doctors, physical therapists, and other sports medicine specialists comprise the team here at Manhattan Total Health. When a new patient comes to us with an acute injury or chronic condition, the first step we take is to thoroughly assess that patient. Part of the diagnostic process may involve the use of imaging scans or other diagnostic tools. We encourage you to ask us any questions you may have about the diagnostic process and your diagnosis.


    X-rays are among the most commonly used imaging tools. They are helpful for identifying problems in many different parts of the body. X-rays are often used to diagnose bone fractures. However, they can also be used to check for infections, osteoporosis, and arthritis. Little preparation is needed for an x-ray exam. However, you should inform the provider if you have any metal implants.

    Diagnostic Ultrasound

    An ultrasound machine doesn’t use radiation to create medical images, unlike x-ray machines. Instead, it uses high-frequency sound waves to generate real-time images. Our medical providers may request a diagnostic ultrasound if your symptoms indicate a possible problem with your soft tissues or joints. For example, a diagnostic ultrasound can detect joint inflammation and evaluate blood flow.

    Nerve Conduction Test

    A nerve conduction study evaluates the rate at which an electrical impulse travels through a nerve. This test is used to diagnose nerve damage. If the provider suspects that you may have carpal tunnel syndrome, you may be asked to have this test. A nerve conduction study can also diagnose herniated disc disease, sciatic nerve problems, Guillain-Barre syndrome, and Charcot-Marie-Tooth disease.

    Electromyography (EMG) Testing

    An EMG test is often used in conjunction with a nerve conduction study. It measures the electrical activity in a muscle in response to nerve stimulation. This diagnostic test may be used to evaluate patients suspected of having carpal tunnel syndrome, peripheral neuropathy, or a herniated disc.

    From diagnostics to treatment to follow-up care, you can find all the wellness services you need under one roof at Manhattan Total Health. If you’re in need of sports medicine services in the New York, NY area, give us a call today at (888) 614-9257. Massage therapy, physical therapy, and chiropractic care are available at multiple locations around the city.

  • Preventing Neck Pain When Working Your Abs

    Crunches are great for working out your abdominal muscles, but they can also leave you with lingering neck pain that may send you to a sports medicine specialist in search of relief. Fortunately, there are ways to tone your abs without experiencing neck pain afterwards.

    Watch this video for tips on working your abs without hurting your neck. If crunches aren’t working for you, exercises that don’t involve moving your neck at all may be better choices.

    At Manhattan Total Health, we’re committed to helping you avoid pain and discomfort without relying on medication. We offer physical therapy, acupuncture, massage therapy, chiropractic care, and sports medicine in New York, NY. To schedule an appointment, call (888) 614-9257.

  • Can Physical Therapy Help to Reduce Injuries?

    Most people think of physical therapy as something you do after an injury has occurred or in the course of recovery from a surgical procedure. However, while physical therapy is extremely helpful for those purposes, it can also be used as a preventive tool for reducing the risk of injuries and helping you enjoy more effective and productive workouts. Many athletes rely on physical therapy to stay healthy and improve their performance. Could it be helpful for you? Here is a closer look at how preventive physical therapy can reduce your risk of injuries.

    Learn Proper Technique

    Many injuries that occur from physical activity aren’t acute injuries that happen in an instant. Instead, they occur from repetitive motions and build up over time. In many cases, these injuries are caused by, or exacerbated by, poor movement techniques. Your physical therapist can evaluate the motions you use during your normal activities and look for problems with your stance or movement that could put you at risk. By learning to correct these kinds of technique errors, you can reduce the chances of slow-building, repetitive motion activities.

    Develop a Warm-Up Routine

    Warm-ups are a critical part of training, but many people either overlook them or don’t do them effectively. A physical therapist can help you develop a warm-up routine that is appropriate for your fitness level and the activity that you are doing. He or she can design a personalized routine that targets any concerns you have to encourage a safer and more effective workout.

    Spot Signs of Injuries in Early Stages

    During preventive physical therapy sessions, your physical therapist may notice the signs of an injury in its very early stages, before you even notice the symptoms yourself. As a result, you can start treating the injury and adjust your activity accordingly, to prevent it from becoming worse.

    Find out if preventive physical therapy is right for you by scheduling a consultation at Manhattan Total Health. To make an appointment with a physical therapist in New York, NY, call (888) 614-9257.

  • How Often Should You Have Acupuncture?

    Acupuncture can help people overcome a wide range of complaints, from chronic pain to insomnia. People often feel such a dramatic improvement after receiving acupuncture that they wonder how often they need to have treatments to maintain, and even improve, their results. There is no single answer that is right for every patient, but there are some generally recommended guidelines that your acupuncture provider may suggest that you follow.

    If you are undergoing acupuncture for an acute condition, you may benefit from having one or two sessions per week. Your acupuncturist will discuss your symptoms with you at your appointments and determine when you have reached the phase at which your acute care needs are under control—at which point, you can benefit from maintenance acupuncture sessions. Generally, people need treatments every four to six weeks to maintain their treatment results.

    Learn more about getting acupuncture in New York, NY, by calling Manhattan Total Health. Our team can explain our acupuncture services and help you get scheduled for an appointment. Call (888) 614-9257 for more information.

  • Why Your Warm-Up Is Essential to Your Workout

    The key to any successful workout and recovery is a good warm-up. With a proper warm-up, you can often reduce the risk of injury and help muscles recover faster when your workout is over. If you go to physical therapy, your therapist will always guide you through a warm-up and may even recommend a warm-up routine for you to follow at home before your workouts. If you try to save time by skipping your workout warm-up, here are some reasons that you should definitely put it back into your schedule.

    Increase Your Muscle Temperature

    One of the reasons warm-ups have the name that they do is that they literally increase the temperature of your muscles. When your muscles are warm, they stretch and relax faster and easier, which reduces the chances of a tear or strain happening during your workout. By warming up your muscles, they will be ready when you perform more strenuous activities later in your workout.

    Boost Your Range of Motion

    If you jump right into your workout, your joints are likely to be stiff and not capable of performing their full of motion. This can either hold back your workout or cause you to attempt to push your joints too far, leading to injury. A warm-up lets you slowly build up your movement, so that your joints are prepped for physical activity.

    Dilate Blood Vessels and Increase Blood Oxygen

    During your warm-up, your blood vessels will dilate, allowing your blood to pump more efficiently so that your heart is under less strain. At the same time, the temperature of your blood will increase, which allows the bond between oxygen and hemoglobin to weaken. As a result, oxygen can get to your muscles via blood flow faster, so that they can perform at the highest possible levels.

    Manhattan Total Health has physical therapists and sports medicine specialists on staff to help you achieve your best performance levels in the healthiest way possible. When injuries do strike, our team can help you get out of pain and back to doing what you love quickly. Learn more about our sports medicine services in New York, NY, by calling (888) 614-9257.

  • Understanding the Symptoms of Rheumatoid Arthritis

    Rheumatoid arthritis (RA) is a chronic autoimmune disorder that can significantly disrupt a person’s quality of life. When the disease first develops, patients may seek massage therapy or acupuncture to relieve the tender, swollen, and stiff joints. Typically, the disease affects the smallest joints first, such as the fingers and toes. Over time, the symptoms may spread to the larger joints.

    You can watch the accompanying video to hear about one woman’s experience with rheumatoid arthritis. As an avid volleyball player and active mom, she was distressed that her RA symptoms interfered with her daily routines. Now that she’s been diagnosed and is receiving treatment, she can return to doing the things she loves.

    Here at Manhattan Total Health, your wellness and quality of life are our top priorities. Call (888) 614-9257 to request an appointment for physical therapy or massage therapy at our New York, NY offices.

  • Answering Common Questions from First-Time Physical Therapy Patients

    A physical therapist can help athletes and non-athletes alike. This treatment modality is appropriate for people who are recovering from an injury or looking for non-surgical treatments. Physical therapy can also help you if you’re recovering from surgery, are interested in improving your range of motion, or are undergoing intensive athletic training. If you’ve never worked with a physical therapist before, you likely have some questions about the process.

    What should I bring to my appointment?

    You should always bring your insurance card and related paperwork to any medical appointment. In addition, you should bring any medical documents, such as imaging scans, if you had those completed at a different facility. Bring the contact information for your primary care doctor. You can also bring a list of questions and concerns to discuss with the physical therapist.

    What should I wear to physical therapy?

    Physical therapists recommend that you wear loose, comfortable clothing to each session. Wear athletic sneakers too. If you use any assistive devices, such as crutches or a walker, you should bring them.

    Do I really have to do the exercises between appointments?

    It’s common for physical therapists to give their patients “homework” between appointments. And yes, it really is important that you complete the exercises and stretches as directed. You undoubtedly want to heal and recover as quickly as you can. Completing your routine between your appointments can help you get there. If you experience any problems with the recommended exercises or stretches, such as worsening or new pain, you can call the office to ask if you should discontinue them until your next appointment.

    How many physical therapy sessions will I have?

    No two patients are alike. Your treatment plan will be carefully designed especially for you, with your lifestyle, preferences, and goals in mind. During your first appointment, your physical therapist will explain what you can expect from your treatment plan, including an estimate of how many sessions you might need.

    The professional physical therapists at Manhattan Total Health have extensive experience working with patients with musculoskeletal dysfunction. Our goal is to restore you to your pre-injury functioning as quickly as possible. Call (888) 614-9257 to request an appointment for physical therapy in New York, NY.

  • Is Your Smartphone to Blame for Your Aches and Pains?

    If you are seeing a physical therapist or chiropractor because of aches and pains in your neck and shoulders, you may be surprised to know that your smartphone could be the cause. As people become increasingly addicted to staring at their phones, cases of back and neck pain are skyrocketing in response.

    Watch this video to learn more about pain caused by smartphone usage. When you hang your head to look down at your phone, you put strain on the muscles and joints in your neck, which can cause pain in your neck, shoulders, and back.

    If your smartphone usage is causing you discomfort, Manhattan Total Health can help. To make an appointment with a chiropractor or physical therapist in New York, NY, call (888) 614-9257.

  • Tips for Distinguishing Between Muscle and Joint Pain

    Muscle and joint pain are both very common. You may be more likely to experience them frequently if you’re a professional or amateur athlete, or if your occupation requires repetitive or strenuous movements. When you visit a sports medicine specialist, such as a physiatrist, for muscle or joint pain, you’ll be asked to describe your symptoms in as much detail as possible. This helps your provider determine whether your symptoms are caused by muscle or joint pain.

    Causes of Muscle and Joint Pain

    One of the ways to distinguish between muscle and joint pain is to identify the underlying cause. The potential causes can overlap. For example, both muscle and joint pain may be caused by a sports injury. Other possible causes of muscle pain include the following:

    • Over-activity or excessive exertion
    • Muscle tension or stress
    • Infections, including influenza

    Chronic medical conditions that can cause muscle pain include:

    • Fibromyalgia
    • Lyme disease
    • Lupus
    • Chronic fatigue syndrome

    Joint pain can also be the result of acute or chronic medical problems. Some of the possible causes of joint pain include:

    • Arthritis
    • Soft tissue injury (including ankle sprains)
    • Bursitis
    • Lupus
    • Cartilage damage
    • Broken bones
    • Joint dislocation
    • Fibromyalgia
    • Complex regional pain syndrome

    Signs and Symptoms of Muscle and Joint Pain

    Muscle and joint pain may feel achy or sharp, and it can range in severity from mild to debilitating. Muscle pain can also feel like a burning or cramping sensation. Aside from pain, other symptoms you may experience in the joints include:

    • Loss of range of motion, flexibility, and strength
    • Joint weakness
    • Joint stiffness
    • A grating sensation
    • An audible popping or clicking sound with movement

    Other symptoms you may experience with muscle pain include:

    • Muscle weakness
    • Muscle tenderness
    • Muscle spasms

    Along with understanding the specific types of symptoms you have, it can be helpful for the healthcare provider to know when they developed. Let your provider know how you injured yourself, if you were previously diagnosed with a related medical condition, and whether you’ve already tried treatments for pain relief.

    If you have muscle or joint pain, you need rapid relief that lasts. Call Manhattan Total Health at (888) 614-9257 to request an appointment at our locations in Gramercy, Midtown, Wall Street, Grand Central, or the West Side. We offer complete sports medicine services in New York, NY, including chiropractic care, physical therapy, and acupuncture.

  • Should You Exercise if You’re in Pain

    Exercise is often uncomfortable. That comes with the territory when you’re pushing yourself to be your best. However, there is a difference between feeling uncomfortable and being in pain. How do you know when you should push through the discomfort of a tough workout and when you need to stop and see a sports medicine specialist? Here is what you need to know.

    Mild burning is your muscles working.

    It’s normal to feel some mild burning pain when you’re working out. As your push your muscles, lactic acid and the addition stress on them cause a mild burning sensation that is indicative of the pressure that they’re under. This pressure is a good thing, since it is a sign that you’re effectively targeting your muscles with your exercise technique. This kind of burning should stop when the activity stops. If it doesn’t, then you should cease exercising until you consult with a physical therapist or sports medicine specialist.

    Joint pain is not a normal part of exercise.

    There is no kind of exercise that should induce joint pain. If you feel joint pain during your workout, you should stop your activity immediately. In some instances, joint pain may improve after resting for a few days, but it can also indicate a serious issue that could get worse with increased activity. If you’re experiencing joint pain, seek treatment before returning to your usual workout.

    Sudden, intense pain could indicate an injury.

    If you experience a sudden, intense pain when you are exercising, you could have a muscle or ligament tear, a sprain, or a fracture. In each case, the injury will become more severe with increased activity. Stop exercising in the case of an intense pain that hits suddenly, so you can pinpoint the cause and reduce the risk of exacerbating the injury.

    Manhattan Total Health has physical therapists, sports medicine specialists, and physiatrists in New York, NY to help you stay active and healthy. If you’re dealing with pain during or after exercise, call us today at (888) 614-9257.