Did you know that even a minor fender bender can cause serious injury to your spine? Whiplash is a common word but not many people know exactly what it means. Whiplash occurs when you are in a collision with a car especially being rear-ended. When the collision happens, your neck rapidly extends backwards then flexes forward in a split second, which is traumatic to the ligaments and muscles in your neck. This can be very painful and cause decreased range of motion in your cervical spine (sometimes people don’t feel any pain until the next day). In most instances, the inflammation will irritate the spinal nerves which can cause sharp pains into your shoulder or down your arm which can cause decreased muscle strength or sensory changes. This is called a “radiculopathy.” In severe cases, fractures can even occur in the bones in your neck. According to a study, whiplash at even 5 mph can cause permanent damage to your cervical spine.
Whiplash is not the only injury one can sustain from even a minor car accident, low back pain and disc herniations in the lumbar spine can be very common as well. People may experience “sciatica” which is a sharp shooting pain down your leg. Most people will get sent to the hospital after a car accident, and if the x-ray is negative for fractures they will just be released with an anti-inflammatory or muscle relaxers. Most of the time this is not a sufficient treatment for the underlying cause of the injuries. Visiting a chiropractor for all of these injuries after an accident is a great way to deal and recover from the injuries. Taking pressure off of the nerves and getting you out of pain and increasing range of motion is the main goal of treatment. In most cases, the automobile insurance company will pay for all of the care you receive from a chiropractor for injuries due to a motor vehicle accident.
Hackettstown, NJ (July 11, 2018) Dr. Tyler Carlock, Chiropractic physician at Village Family Clinic explains the gravity of the damage a car accident can inflict on the spine and ways to promote recovery and rehabilitation.
Dr. Carlock defines whiplash, “a common word but [one that] not many people know exactly what it means,” as an injury that occurs most often during a collision. Specifically, with whiplash, the “neck rapidly extends backwards then flexes forward in a split second, which is traumatic to the ligaments and muscles in the neck” Carlock explains. Most often, the effects of whiplash materialize into “inflammation [that] irritates the spinal nerves which can cause sharp pains into the shoulder or down the arm which can cause decreased muscle strength or sensory changes. This is called ‘radiculopathy’.” The symptoms of whiplash may not be felt right away but could lead to issues in the future.
Carlock stresses the importance of visiting a chiropractor after even a minor car accident. Following a car accident, victims are sent to the hospital where they have x-rays that do not show inflammation and other symptoms of whiplash that many accident victims endure. Carlock indicates that “visiting a chiropractor for all of these injuries after an accident is a great way to deal and recover from the injuries. Taking pressure off of the nerves and getting you out of pain and increasing range of motion is the main goal of [chiropractic] treatment.”
If you have been involved in a car accident, however minor, a visit to a chiropractor can ensure a full recovery. Dr. Carlock points out that “in most cases, automobile insurance companies will pay for all of the care you receive from a chiropractor for injuries due to a motor vehicle accident.”
At Village Family Clinic, a team of chiropractors, physical therapists, and an acupuncturist are equipped to treat car accident victims and foster rehabilitation. For more information, a consultation, or treatment, call the Village Family Clinic at (908) 813-8200, or visit them on the web at hackettstownfamilyclinic.com.
Hackettstown, NJ (July 11, 2018) Village Family Clinic hosts their seventh annual Pet Food Drive at their office location in Hackettstown, NJ to collect pet food for local animal shelters August 20th through the 24th during office hours.
Dr. James R. Fedich, clinic director at Village Family Clinic, has organized a Pet Food Drive to support local animal shelters. Over the past seven years, Dr. Fedich’s team and their patients have collectively donated enough pet food to fill seven pick-up trucks. “Our Pet Food Drive has perennially benefited the local animal shelters and has allowed myself and our community to give back” Dr Fedich explains. “It also encourages new patients as well as beloved returning patients to visit the office.” In fact, Dr. Fedich is offering special services to motivate new and returning patients to donate pet food. If a patient, new or returning, donates just one 5lb bag of dog or cat food, he or she can choose to receive a free exam, free adjustment, or receive half off of one acupuncture session.
Dr. Fedich is excited about the opportunity to meet new patients: “Some people are hesitant that chiropractic, acupuncture, and other services offered at our clinic are what they need. The week of our Pet Food Drive is an opportunity for those people to see our office, meet and speak with the doctors, and save money by receiving a free exam, free adjustment, or half off an acupuncture session all for the cost of one 5lb bag of pet food.” During the Pet Food Drive, new and returning patients can save money on their treatment and play a part in giving back to the community by benefiting local animal shelters and the animals there. According to Dr. Fedich, the goal of this year’s Pet Food Drive is to collect enough pet food to fill one entire pick-up truck.
The Pet Food Drive will be held at the Village Family Clinic in Hackettstown, NJ the week of August 20-24, 2018, during office hours, 9am until 7pm. For more information, directions, or an appointment, contact the Village Family Clinic at (908) 813-8200, or visit them on the web at www.hackettstownfamilyclinic.com.
Hello everybody Dr. James Fedich, Clinic Director at Village Family Clinic in Hackettstown, NJ. If you don't know we are we're in Hackensack New Jersey and we are one of the area's largest health care providers. We havehave multiple chiropractors, physical therapists, acupuncturists, nutritionists, and medical pain management over here for all your healthcare needs.
In this video we're talking about sleeping. We see a lot of patients in the clinic with problems sleeping so we're gonna give you some sleep tips, tips to get you to sleep better, and some general tips about sleep positioning.
There's a lot of people with insomnia which means you're not getting enough sleep. There's a couple different problems. It's really kind of two major problems when we're having trouble falling asleep and/or we're having trouble staying asleep. So there's different problems in there this is a complex issue.
The number one reason people do not sleep well is actually muscle aches and pain. So you're waking up because your back hurts your neck hurts you're rolling on your shoulder. It is physical problems that is actually the number one reason why we're not getting good night's sleep. So if you have a physical problem, back pain, neck pain,headaches, shoulder problems, or anything like that give us a call at (908) 813-8200 and we'll fix that up for you.
There's some other good tips I'd like to give you today. Let’s talk general sleep problems versus a physical problem. Number one is electronics. We're all into iPhones iPads and computers. We had a guy in recently with trouble sleeping. It turns out he leaves his I pad on and it alerts when he's getting email alerts all night and of course it's waking him up multiple times. So rule number one in getting a good night's sleep is turning electronics off an hour before bedtime. Turn phones off, iPads off, no TVs in the room an hour before bedtime. All that light, it's gets complicated, but the light stimulating hormones in the brain and keeps you awake. The body thinks there's some light out there and wants to be awakened.
Rule number two. We don't want to eat or drink anything in our before bed as well. So if you were eating this midnight snack or drinking a big glass of water, then you got to get up and go to the bathroom. So it's no food or drinking at bedtime.
Your room environment is very important so a couple things in the general room for you to think about. A lot of us are
sleeping way too warm whether it's in the summer or winter. Most of you are sleeping too warm. If you set sleep temperatures at 72 or 70, then you're under the blankets. You're gonna be 75 degrees in there as your body heat is all trapped in there. There's a lot of different strategies but the best thing for most is to keep the room a little bit cooler enough that you don’t need a thick blanket. Myself, we use something called the chill pad at home where it circulates water underneath you and it helps regulate your body temperature.
Next we’ll discuss sleep positions. A lot of people don't know how to sleep. Number one we never want to sleep on our stomach. There's just no good way to sleep on your stomach. It's gonna put strain on the neck and it's hard to breathe properly. For women out there they say gives you wrinkles quicker if you sleep on your stomach. So that's why I get my women patients to sleep on their back or sides. I found a change that happens to work. Get all those long body pillows at Target or some store like that. Just get one of those big long and inexpensive pillows and start putting it underneath you. Start gently turning off your stomach toward your side or back, either is okay, whatever it's better for you.
I know a lot of people have trouble snoring. If you're snoring a lot and your partner says you kind of stop breathing in the night you could have something called sleep apnea where you're waking up continually and which is actually a very serious medical problem. So if you have a severe snoring and your partner says that you're kind of not breathing in middle of night you want to get a sleep study done to evaluate you for sleep apnea.
One thing we recommend is one good pillow. So a normal pillow you are going to find at the stores are probably not going to give you enough support. One of the pillows that we have here is this water-based pillow. Basically what you do is you fill up water level based on how big you are. So you use just one pillow. A nice thing about the water pillow is that it's nice and heavy, doesn't slide around. So we use these at the clinic.
So, no food or drinking before bedtime, no electronics at night before bedtime, try to go to bed a little earlier, No electronics, no food, nothing else an hour before bed. Once in a nice calming relaxing bedroom, get the temperature down. Most of us are sleeping way too warm. Get it to 72 degrees in there and sleep a little cooler. Sleep positions, be on our back or a side. Use one good pillow. If you have a bad lower back, a sleep pill is ok and use a pillow or two underneath the knees to elevate them so that you can take some pressure off the spine.
Come on in and we can delve into this a little bit more. Hopefully this helped you out a little bit. Check out our website hackettstownfamilyclinic.com or give us a call.
How's everybody doing? This is Dr. Carlock with Hackettstown, NJ’s Village Family Clinic. I'm here today talking about a couple of home exercises and stretches you can do if you're suffering from any neck pain or discomfort.
A lot of us at our jobs are sitting all day at the computer with shoulders and neck bent forward and that's a really common problem in today’s society. So if you want to help yourself a little bit letme show you a couple stretches.
So range of motion stretches are relatively easy to do. You're just go to one side to get the range of motion and hold it for like 10 seconds. Go to the other side 10 seconds and a good one in. There's your levator scapulae muscles on your shoulder. It attaches to your neck.
You're gonna bring your head down, you're gonna look towards your armpit,you're just going to enforce it to go down a little bit more. Hold that for again like 10 seconds or so. You can do the other side as well, neck down, look over pull.
Another really good exercise is called chin tucks. That's for your posture and your suboccipital muscles right up there at the base your neck. So you're gonna look forward straight ahead and all you're gonna do is bring your chin in and tuck it. If you see me from this side I'm not bending my neck, I'm just plugging my chin back. I'm gonna hold that for about 10 seconds. If you want you can push it down a little bit. I know that looks funny but if you do that about 10 times with a 5 to 10 second hold a couple times a day that'll be really good for your neck
So those are some things you can do at home for your neck pain. If you have any concerns you can come on in we'll take a look at your neck. You can call us at (908) 813-8200.
A lot of our patients come in our office with complaints about low back pain. A lot of times it's coming from the lumbar spine whether it's a disc or a pinched nerve. But a lot of times the pain can be coming from your pelvis and that includes the ilium these are these two bones on the ides and your sacrum is right at the bottom there. So if this pelvis isn't functioning properly (it’s supposed to be moving back and forth). This joint is called your sacrum realiac and if that’s stuck stuck that can manifest and low back pain. It can be on the side and it can hurt worse when you're getting up from a seated position and things of that nature.
We have a good way to evaluate it in the office. You can present with a short leg sometimes and other things of that nature. So if you have lower back pain and you don't know where it could be coming from, come on into the office we'll evaluate you and provide you the chiropractic care necessary here in Hackettstown to get you feeling better.
Positional – it gets triggered by certain head positions or movements
Vertigo – a false sense of rotational movement
BPPV is a mechanical problem in the inner ear. Benign paroxysmal positional vertigo (BPPV) is probably the most common cause of vestibular vertigo accounting for approximately 20–30% of diagnoses of vertigo. It occurs when some of the calcium carbonate crystals (otoconia) that are normally embedded in gel in another part of the inner ear dislodge and fall into one of the three canals of the inner ear.
If enough of these particles accumulate in one of the canals they can disrupt the normal flow of the fluid in the canal. This will cause the inner ear to send abnormal signals to the brain causing certain head motions to trigger a sense of Vertigo/Dizziness. The majority of cases occur for no apparent reason, with many people describing that they simply went to get out of bed one morning and the room started to spin.
The sense of dizziness or vertigo from BPPV usually lasts less than 1 minute. It is usually brought on by particular head motions such as looking upward or downward or to one side. Such as looking up to a high shelf, shampooing your hair, bending down to put on shoes or socks or rolling from one side to the other in bed.
Between vertigo spells some people are usually symptom-free, while others feel a mild sense of imbalance or disequilibrium.
HOW IS IT DIAGNOSED?
Normal medical imaging (e.g. an MRI) is not effective in diagnosing BPPV, because it does not show the crystals that have moved into the canals. When someone with BPPV has their head moved into a position that dislodges the crystals an error signal causes the eyes to move in a very specific pattern, called “nystagmus”.
The inner ears and the eye muscles are what normally allow us to stay focused on our environment while the head is moving. Since the dislodged crystals cause abnormal information to be sent to the brain, the person’s nervous system thinks they are moving when they’re not. It mistakenly causes the eyes to move, which makes it look like the room is spinning. Tests such as Dix-
Hallpike or Roll Tests involve moving the head into specific orientations. This causes movement of the dislodged particles triggering the vertigo and allows the clinician to look for specific eye movements that can help to specify which ear and canal has the problem.
HOW IS IT TREATED?
Though many people are given medication for BPPV, there is no evidence to support its use in treatment of this condition. In extremely rare circumstances, surgical options are considered. However, fortunately, in the vast majority of cases, BPPV can be corrected mechanically via Canalith Repositioning Maneuvers. Many studies have been done into the effectiveness of treatment maneuvers for BPPV, with results showing rates of resolution well into the 90% range by 1-3 treatments.
Symptoms not associated with BPPV!
It is important to know that BPPV will NOT give you constant dizziness that is unaffected by movement or a change in position. It will NOT affect your hearing or produce fainting, headache or neurological symptoms such as numbness, “pins and needles,” trouble speaking or trouble coordinating your movements. If you have any of these additional symptoms, tell your healthcare provider immediately.
BPPV is a common problem, and will more then likely be seen more and more as our population ages. The impact can range from a mild annoyance to a highly debilitating condition, and can affect function, safety and fall risk.
If you have any questions regarding this condition and would like more information contact Village Family Clinic or please feel free to ask one of our staff members or clinicians,.
There is a new saying going around that “sitting is the new smoking” and it is a problem
that is affecting millions of Americans. How many of us sit all day for our 9-5 job? The
vast majority of America is sitting more than 75% of the day. We wake up, drive to
work, sit for 8 hours, drive back from work, then sit in front of the television in the same
crunched posture. We, as Americans, are in a sitting epidemic. Human beings were not
meant to sit this long. We develop our natural curvature of the spine as infants in three
separate phases: keeping our heads up, crawling, and standing. The posture of sitting
puts the most ligamentous stress on the spine, which over time will begin to reverse the
normal curvatures of the spine. This will increase pain, tightness, and a slew of other
symptoms including sciatica and potential gastrointestinal distress. Another big problem
in today’s society is what I would like to call “text neck.” Everyone always has their
head down looking at their smart phone now more than ever. This is another disastrous
posture for your neck and natural curvature of the cervical spine. It can lead to headaches
and tight muscles as well as arm pain, shoulder pain, and pinched nerves. Now I know
what you are thinking, “Listen Doc, I know all of this is bad, but what can I do about it?”
Well, I’m glad you asked. Let me raise awareness of correct posture – sitting up straight
towards the edge of your chair, head up, shoulders back, and feet shoulder width apart
flat on the floor. If you are sitting all day for your job, obtain an ergonomically correct
chair or a lumbar support pillow to help out your lower back. Also, it is recommended to
stand and take a walk/stretch once per hour of sitting. Place your computer screen at eye
level to reduce bending your neck down. Standing desks are also a positive. The most
important advice is just get up and move! Movement is life and the research states that
only 30 minutes of exercise a day has countless benefits such as increased mood,
decreased weight, increased energy, and overall better outlook on life. Remember,
correcting your posture with proper ergonomics will take some effort but it will be worth
it. Visiting a chiropractor to ensure proper spinal health and movement is also an integral
part of improving posture and increasing your quality of life – if you book an
appointment with us and tell us you read this article – we will give you a free digital
The use of acupuncture as a treatment for pain is systematically increasing across America. We are proud to inform you that our chiropractic treatment team here at Village Family Clinic has provided acupuncture care services to our Hackettstown, NJ patients for years nowand with great success. Some consider it better than powerful painkillers.
The Veterans Affairs medical system has utilized acupuncture to treat pain for several years. Some insurance companies cover it and we feel that it is only a matter of time before they all do. Some states currently offer acupuncture to patients who have Medicaid, an insurance program for the less financially fortunate. The states are mainly ones where many people have become sick or died from overdosing on opioid drugs. The opioid crisis is believed to have started with the misuse of painkilling drugs prescribed by doctors.
Many people became addicted to opioid drugs after seeking help to relieve pain. Acupuncture could be a way to help keep some patients from using opioids in the first place. For a long time in the U.S., acupuncture was considered unstudied and unproven. Federal researchers say there is evidence that acupuncture can help some patients deal with some forms of pain.
Acupuncture has been practiced in China for thousands of years. Acupuncturists put thin metal needles into specific spots in the ears or other parts of the body. They say needles put in these spots restore the flow of energy — called "qi" — through the body. This heals the body and eases pain. In government studies, 1 in 67 U.S. adults say they get acupuncture every year, up from 1 in 91 in 2008.
American veteran Jeff Harris was one of the first people to ask for acupuncture when veteran’s hospital began to offer it. "I don't like taking pain medication. I don't like the way it makes me feel," he said. Harris also did not want to risk getting addicted to painkilling drugs. Harris began acupuncture two years ago. The 50-year-old Marine Corp veteran said he hurt his back while training in the military in the 1980s. Today, he has pain down his legs and numbness in his feet. Acupuncture "helped settle” his pain." Another veteran, Harry Garcia of Connecticut, tried acupuncture for his back pain after years of using pain medications. Acupuncture “keeps pain down for up to 10 days,” said Garcia.
About ten years ago, the military and Veterans Affairs began using several different ways to treat pain, including acupuncture and yoga. A recent study says now two-thirds of military hospitals and other treatment centers offer acupuncture. While research continues, the willingness of medical insurance companies to pay for acupuncture is growing. California, Massachusetts, Oregon and Rhode Island pay for acupuncture for pain through their Medicaid insurance programs. Massachusetts and Oregon also pay for acupuncture as a treatment for drug abuse.
Today, more than ever, fad diets are becoming a popular way to lose weight fast. Diets are based on everything from a persons blood type, skin color, eye color, counting carbs, and some are based on nothing at all. Many of these diets are about deprivation. The basic idea behind many of these diets is the depriving your body of something that it wants and craves. While I don’t believe that you should eat everything that you can get a hold of, your body craves things for a reason.
A lot of times women crave chocolate at certain times of the month, that is due to the high concentration of magnesium in chocolate, a nutrient which becomes depleted. While there may be better ways to get magnesium, your body is very intelligent and knows what it needs to survive. Why would you not want to listen to your own internal regulation system? Losing weight has and always will be about eating less and exercising more. However, depravity is not part of that equation necessarily.
Mostly all of these diets will make you lose weight quickly but an extremely high percentage gain all of the weight back just as fast. Your body burns approximately 1200 calories per day while lying in bed. If you work during the day, you can burn nearly 2000 calories a day not doing anything for exercise. So, how many calories are you eating a day? 3000? 4000? The key to losing weight and maintaining that loss is to equal that balance and then to exceed the calorie intake by 500 per day. A bottle of soda has about 250 calories in it. Therefore, if you drank two bottles of soda a day, switch to water, you would essentially lose a pound per week if all other intakes were even.
Small changes can make a big difference: take the longer walk to work, park your car across the parking lot, take the dog for a walk, cut out soda, take the stairs instead of elevator, little things like this can make a large impact. Simply working out for twenty minutes a day, three to five times a week, and cutting 500 calories out of your diet every day, you will lose one to two pounds per week, healthily, happily, and without depriving your body. It is the little things that matter most in this world and the same applies to becoming healthy, little changes everyday, add up to big changes in the end.
Dr. Carlock is a practicing chiropractor at Village Family Clinic in Hackettstown, NJ. We are a multi-disciplinary facility that offers chiropractic treatment, physical therapy, acupuncture treatment, nutritional counseling, and pain management. Call us at (908) 813-8200 for any questions or to schedule an appointment.
“Hi I'm Laurel, I'm a patient at the Village Family Clinic. I just want to thank Dr. Fedich and the whole staff for everything they have done for me. My back feels so much better. This machine that I have been using has really helped my back and I just want to thank everybody. Thank you!
“Hi! My name Maria and I'm here at the Village Family Clinic. I came for compression for my neck and chiropractic for my back and I'm feeling better. The atmosphere in this clinic is so friendly. They know what they're doing and I would love for people come to this place. They're very friendly, especially my friend Jessica. Fully nice work, everybody fully nice. I wish everybody would come here. Very friendly people in this clinic.
“Hi my name is Karen. Back in December, I came to Dr. Fedich because I'd been in a lot of pain with my neck. I had a herniated disk and they introduced me to this Triton machine, which has really been a God send, helping me pull my neck and taking the pain away. I also referred my father and my son because I trust this Doctor so much...he's helped me so much. Now, I'm going to Ashley for massages. I'm just addicted to this place..