Richard Nebiosini, DC The Chiropractic Joint, PC

04/29/2026

Intervertebral discs act as shock absorbers between the vertebrae.
Unhealthy Disc: Shows signs of degeneration or
wear and tear," often losing its height and hydration.
Herniated Disc: The translucent, bulbous protrusion shown in the image represents the nucleus pulposus (the gel-like center) leaking out.
As the disc material herniates, it enters the narrow spaces of the spinal column The herniation specifically compresses a nerve root as it exits the spinal canal. This often leads to radiculopathy, causing sharp pain, tingling, or numbness that radiates down the arm.
In some cases, the herniation is central enough to press against the spinal cord itself, which can lead to more generalized weakness or coordination issues.
Osteophytes (Bone Spurs) develop as the body's response to chronic disc degeneration. As the discs lose height, the vertebrae may rub together, triggering the growth of these spurs to help stabilize the joint. Unfortunately, these spurs can further narrow the space available for nerves.
When a disc in the cervical spine (C1-C7) herniates, the "pinched" sensation is often felt in shoulders, arms hands/Fingers
The specific area of discomfort usually corresponds to the exact level of the spine where the nerve is being compressed. For example, a herniation at the C6-C7 level typically affects the triceps and the middle finger.

04/26/2026

The SI joint is prone to dysfunction due to its unique structure and function. Here are some key reasons:

1. Limited mobility: The SI joint is designed to be a relatively rigid joint, which can make it more susceptible to strain and injury.
2. Asymmetrical forces: The joint is subject to uneven forces from daily activities like sitting, standing, or walking, which can cause one side of the joint to become more stressed than the other.
3. Muscle imbalances: Weak or tight muscles in the lower back, hips, or glutes can disrupt the normal functioning of the SI joint, leading to strain and pain.
4. Biomechanical stress: The joint bears a significant amount of weight and stress, particularly when transitioning from sitting to standing or engaging in activities that involve twisting or bending.
5. Anatomical variations: Individual differences in joint structure or alignment can also contribute to SI joint dysfunction.

These factors can lead to inflammation, irritation, or misalignment of the joint, causing pain and discomfort. recise structural chiropractic adjustments and strengthening of the surrounding muscles can often help alleviate symptoms and restore normal function.

04/26/2026

Neck pain can lead to several risks, including:

1. Chronic pain: Persistent neck pain can become chronic, causing long-term discomfort and affecting daily activities.
2. Nerve damage: Compression or injury to nerves in the neck can cause numbness, tingling, or weakness in the arms or hands.
3. Limited mobility: Neck pain can reduce range of motion, making everyday activities challenging.
4. Headaches and migraines: Neck strain can radiate to the head, causing frequent headaches or migraines.
5. Poor posture: Compensating for neck pain can lead to poor posture, straining other muscles and joints.
6. Spinal instability: Untreated neck issues can lead to spinal instability, increasing the risk of further injury or degeneration.
7. Decreased quality of life: Persistent neck pain can impact sleep, mood, and overall well-being.

If you're experiencing persistent or severe neck pain, call our office for an appointment (631) 752-4000

04/20/2026

Chiropractor adjustments reduce the shear forces to alleviate pain from a herniated disc

04/17/2026

BURNING IN YOUR UPPER BACK!

If you feel a burning sensation between your shoulder blades, it is often blamed on muscle tension, but in many cases the real cause is nerve irritation, because the intercostal nerves that run between your ribs can become sensitive due to prolonged sitting, stiffness, or limited movement in the thoracic spine, and when these nerves are irritated, they can create a burning or heat-like sensation in the mid-back area, even without intense physical activity, which is why the pain feels different from typical muscle soreness and can persist without clear triggers.

04/15/2026

Pain with standing up!

If you feel a sharp pain in your lower back when getting up from a chair, it might seem like weakness or stiffness, but what’s really happening is a rapid mechanical change inside your spine, because when you sit, especially in a flexed position, pressure builds up in the back part of your intervertebral discs, and when you suddenly stand up, that pressure shifts quickly as your spine moves into extension, and this rapid redistribution can temporarily stress the disc and nearby nerve structures, which is why the pain often appears in that exact moment of transition, not because damage suddenly occurred, but because your body is reacting to a sudden change in internal pressure.

04/11/2026

04/01/2026

MRI, CT Scan & X-Ray

1. *MRI (Magnetic Resonance Imaging)
Uses strong magnets & radio waves to create detailed pictures of soft tissues. Best for Brain, disc muscles, ligaments, and other soft‑tissue injuries or diseases. No radiation, great for seeing discs, nerves & organs in high detail.

2. CT Scan (Computed Tomography) Takes multiple X‑ray images from different angles and combines them into cross‑sectional views.
Detecting fractures, internal bleeding, and organ injuries.
Uses X‑ray radiation, fast and good for emergency assessments.

3.X‑Ray Sends a small dose of radiation through the body to make images of dense structures. Best for Checking bones and lung conditions Quick & inexpensive, but shows less detail of soft tissues.
Think of it like photography – MRI gives a high‑resolution “colour” picture of soft parts, CT gives a detailed “black‑white” slice of everything, and X‑ray gives a fast “snapshot” of bones.

03/29/2026

In pain, call our office at 631-752-4000 for an appointment

03/01/2026

Anterior pelvic tilt (APT)occurs when the pelvis rotates forward in the sagittal plane, increasing lumbar lordosis and altering the alignment of the spine, hip, and trunk. Biomechanically, the pelvis acts as the foundation of the spine, so any forward rotation immediately changes how forces are transmitted through the lumbar vertebrae and intervertebral discs. What looks like a simple postural change actually creates a cascade of mechanical consequences throughout the kinetic chain.

In an anteriorly tilted pelvis, the center of mass shifts forward, increasing the lumbar extension moment. To prevent collapse, the lumbar extensors become overactive, leading to increased compressive loading on the posterior elements of the spine. At the same time, the abdominal wall loses its optimal length–tension relationship, reducing its ability to counterbalance spinal extension forces. This imbalance explains why APT is frequently associated with low back discomfort and fatigue during prolonged standing or sitting.

Muscle length–tension relationships are central to APT biomechanics. The hip flexors (especially iliopsoas and re**us femoris) are placed in a shortened position, pulling the pelvis anteriorly. In contrast, the gluteus maximus and deep abdominal muscles are lengthened and mechanically disadvantaged, limiting their ability to posteriorly rotate the pelvis. This imbalance reinforces the tilted posture, making it self-sustaining during daily activities.

From a spinal loading perspective, anterior pelvic tilt redistributes disc pressure. Instead of evenly shared compressive forces, loading becomes asymmetrical, increasing stress on the posterior annulus and facet joints. Over time, repeated exposure to this altered loading pattern may contribute to degenerative changes, especially when combined with prolonged static postures or poor movement control.

Comparatively, the neutral pelvic position shown in the image allows balanced load sharing between the anterior and posterior spinal structures. Lumbar curvature is maintained within an optimal range, abdominal and hip musculature operate efficiently, and joint moments are minimized. This alignment supports efficient force transfer during walking, lifting, and transitional movements.

Functionally, anterior pelvic tilt is not inherently pathological—it becomes problematic when excessive, rigid, or poorly controlled. The key biomechanical issue is reduced adaptability: the pelvis loses its ability to move dynamically between anterior and posterior tilt in response to task demands. Restoring control with chiropractic adjustments and therapeutic exercises are essential rather than simply “correcting posture” is therefore essential.

In summary, anterior pelvic tilt is a biomechanical imbalance of forces, moments, and muscle efficiency, not just a visual posture problem. Addressing it requires improving pelvic motion and control, restoring muscle balance, and re-establishing efficient load distribution across the spine and hips.

02/23/2026

For extra points how many bones in the human body?