Treatments We Provide
At Rehab Chiropractic Network, we take a holistic approach. Dr. Nencheck administers a range of highly-focused treatments that are tailored to each individual patient. Along with his passive treatments, Dr. Nencheck prescribes specific rehabilitation protocols for each patient, as he believes that active care in an important and often over looked portion of a patients treatment plan.
Each treatment program begins with Dr. Nencheck hearing your story. He takes a detailed note of your medical history and performs a physical exam. From there he creates an individualized treatment plan aimed at achieving the functional goals we set together.
Chiropractic manipulative therapy involves placing specific forces through certain joints of the body to induce movement, stimulate mechanoreceptors, and restore normal biomechanics. It is the most commonly used technique in the chiropractic profession. Improving joint function and decreasing muscle hypertonicity will optimize bodily function and in-turn, decrease pain.
Chiropractors look at the spine for joint restrictions and joint motion dysfunction. In a very similar way, extremities can have joint restrictions and motion dysfunction. Signs of possible symptoms of an extremity issue include:
Extremity pain or pain in the extremity joint
Weakness in an extremity or joint
Stiffness in the extremity
Immobility of an extremity joint
Numbness or tingling in an extremity
Catching or locking of an extremity joint
Also know as the "drop table." This involves a specialized table with padded platforms designed to drop a set amount of force when the doctor applies a quick thrust. This will make a precise adjustment. The subtle dropping motion makes it very comfortable for most patients. It can be used for the spine or extremities.
This is a hand-held, spring-loaded instrument-based adjustment tool. Instead of the adjusting forces being delivered by hand, the force is generated with the small device that delivers a lighter thrust.
The Activator can be used as a primary treatment protocol for all patients or a selective method for patients who may not desire manual adjustment. The activator is an FDA approved device. It is used to restore range of motion to the vertebrae and/or extremity joints.
Sacro-Occipital Technique (SOT)
This is a specific chiropractic technique that uses triangular-shaped blocks. These blocks are usually placed under the patients pelvis to treat problems identified in the lower back.
Low force, slow pressure types of manipulations may be used to address joint problems. SOT may be used as an exclusive treatment technique or as an adjunct method of patient management.
Flexion Distraction Technique
This is the use of a specialized table that gently “distracts” or stretches the spine In order to create a negative decompressive force to help draw the contents of a herniated disc away from a spinal nerve. As the disc moves away from the exiting nerve, it will reduce inflammation around the nerve root. Over time, this will decrease any associated pain and inflammation around the lower back which will lead to a decrease in pain.
Assisted Proprioceptive Neuromuscular Facilitation (PNF) Stretching
PNF is a stretching technique utilized to increase ROM and flexibility. PNF increases ROM by increasing the length of the muscle and increasing neuromuscular efficiency. PNF stretching has been found to increase ROM and decrease pain.
Neuromuscular Therapy (NMT)
Neuromuscular therapy targets the soft tissue or trigger point that causes the pain. When pain is reduced, the range of motion is improved. This type of massage relieves muscle tension and soreness which boosts mobility and flexibility.
A technique that focuses on the muscles as well as the surrounding connective tissue (fascia). Many factors such as stress, diet, dehydration, trauma, lack of exercise, postural habits or over exertion can contribute to congestion, tightness and shortening of the muscles and fascia. This impairs their normal function causing pain and/or restriction. Myofascial release uses deeper sustained pressure and slow strokes to melt and elongate the muscle and fascia normalizing circulation, eliminating pain and restriction, restoring life, health and vitality to the area.
Trigger Point Therapy
Trigger points are sore, painful spots—also called knots—found in muscles. These knots are sensitive and when pressure is applied, it produces pain in a different part of your body. A trigger point massage helps work out those knots and reduce the pain associated with them.
Therapeutic ultrasound is used primarily to provide deep heating to soft tissue structures in the body. Deep heating tendons, muscles or ligaments increases circulation to those tissues to help with the healing process. Increasing tissue temperature with ultrasound is also used to help decrease pain by increasing local blood flow and breaking down scar tissue. Deep heating can also be used to increase the extensibility of muscles and tendons that may be tight or contracted. The most common conditions treated with ultrasound include soft tissue injuries such as tendonitis, bursitis, non-acute joint swelling, and muscle spasm. Most muscle and ligament injuries can benefit from therapeutic ultrasound.
Cold Laser Therapy
Cold Laser Therapy or Low Level Laser Therapy (LLLT) is a FDA approved treatment that utilizes specific wavelengths of light to interact with tissue to help accelerate the healing process. It can be used on patients who suffer from a variety of acute and chronic conditions in order to help eliminate pain, swelling, reduce spasms and increase functionality. Cold laser therapy can be used to help treat muscle spasms, muscle strains/sprains, tendinitis, bursitis, back pain and extremity pain (such as tennis elbow, carpal tunnel syndrome and plantar fasciitis).
E-stim uses pads placed onto the area of muscle spasm/discomfort to create electrical pulses to mimic the action of signals coming from neurons (cells in your nervous system). These mild electrical currents target either muscles or nerves.
E-stim therapy for muscle recovery or pain sends signals to targeted muscles to make them contract passively (flexing your biceps is a form of muscle contraction). By causing repeated muscle contractions, blood flow improves, helping repair injured muscles and decrease muscle spasms, therefore, decreasing pain.
This treatment, also known as tapotement, is a new breakthrough in soft tissue therapy that treats patients with soft tissue/muscular pain. It helps accelerate the growth of tissues and repairs them by providing strong, rapid, short-duration pulses deep into the tissues of the body.
Rehabilitative Exercise Protocols
A specific and tailored rehab session focusing on correcting postural and biomechanical abnormalities related to the patients pain. This helps to increase pain free range of motion, stabilize their structure, and increase muscle strength. Dr. Nencheck will prescribe a specific rehab protocol based on the ailment at hand to assist in recovery and to prevent any further issues in the future.
Cupping therapy is an ancient form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. This helps with pain, inflammation, blood flow, relaxation and well-being, and as a type of deep-tissue massage.
Instrumented Assisted Soft Tissue Manipulation (IASTM)
Instrument assisted soft tissue mobilization (IASTM) is a popular treatment for myofascial restriction. IASTM uses specially designed instruments to provide a mobilizing effect to scar tissue and myofascial adhesions.
Dr. Nencheck is a certified yoga instructor through the Yoga Alliance. He did his teacher training through Yoga Loka in Frenchtown, NJ (2015). He teaches basic hatha yoga, mindfulness, and meditation techniques.