Hozho Health & Wellness

Hozho Health & Wellness Acupuncturist specializing in Orthopedic Pain Management, Sports Medicine, and a fully integrated practitioner for Autoimmune care using acupuncture.

Sciatica vs. Sciatic Nerve PainDo you suffer from low back or gluteal pain and wonder if its sciatica? It could be, but ...
06/29/2021

Sciatica vs. Sciatic Nerve Pain

Do you suffer from low back or gluteal pain and wonder if its sciatica? It could be, but it can also be sciatic nerve pain.

Sciatica is a type or symptom of lumbar radiculopathy and it is caused when a nerve root from L4-S1 is compressed by either a herniated disk, bulging disk or disk degeneration; as these are the most common causes. When one of these lumbar nerve roots becomes compressed, it triggers symptoms such as paresthesia (tingling, pins and needles or tightness) sharp pain, numbness and/or weakness that radiates from the low back to the thigh and down to the knee and ankle.

When a person is experiencing pain that initiates in the lateral side of the gluteal region and it does not radiate down a lower extremity can be due to sciatic nerve pain caused by inflammation and pain from the piriformis muscle which Is located above the junction of sciatic nerve roots through the greater sciatic foramen which is an opening in the pelvic bone. When the piriformis becomes aggravated, it can put pressure on the sciatic nerve, causing sciatic nerve pain, NOT sciatica.

Another type of sciatic nerve pain that gets confused with sciatica is SI or Sacroiliac Joint pain. The SI joint is located in the pelvis connecting both the pelvic and sacrum bones. Pain is felt in your sacrum region (the lowest part of your spine between your low back and tailbone) and pelvic bone and it can be described as sharp with movement such as walking, twisting or turning and it’s a localized pain. SI joint pain can also radiate to the gluteal area and down the posterior thigh but it does not radiate down the entire lower extremity. Sacroiliac joint can be aggravated by twisting, turning or moving the wrong way, heavy lifting such as squats using excessive amount of weight, etc…

Low Back Pain Continued...Image  # 1: The next weak muscle area is the gluteus medius which long term sitting leads to w...
05/26/2021

Low Back Pain Continued...

Image # 1: The next weak muscle area is the gluteus medius which long term sitting leads to weakness of this muscle due to over flexibility and muscle inactivation. This area causes pain in a person who notices that they lean to one side for stability or support while standing. This pain is also dull and gnawing and doesn't go away unless the muscle is activated. Sadly, the pain will also increase with muscle activation while using proper form, until the muscles as well as ergonomics are working together.

Last 4 images: The last are the paraspinal muscles. These are typically tight in people with weak gluteal activation or from long term sitting with a slouching posture. Over time the iliopsoas can become tight and triggers back pain with stretching and rest. These muscles can also trigger migraine headaches, shoulder, and arm pain. These muscles require gluteal activation as well as trapezius activation, specifically the middle trapezius to help with long term improvement.

Low back pain?A lot of people come in with low back pain also knows as lumbago and sometimes mistaken for sciatica. Many...
05/26/2021

Low back pain?

A lot of people come in with low back pain also knows as lumbago and sometimes mistaken for sciatica. Many patients think I've lost my mind when I ask questions about sitting, posture, amount of time seated, soft beds or lounge chairs, and whether or not you have lower leg cramps or poor ankle flexibility. 

Why is this important?

Image #1) Poor ankle flexibility often creates a referred pain to the SI joint where some people see dimples in their lower back. This type of back pain is often a dull ache or gnawing type of pain that doesn't get relief with stretches. In fact, taking NSAIDs often makes the pain worse or has no effect. 
Image #2) Iliopsoas muscles. The filet mignon muscles which are often severely tight due to long-term sitting, hiking with a heavy pack or steep hills, or the worse, workout out leg day and doing hinge squats. Usually, if a person has poor flexibility in their ankles then their soleus (calf) muscles are tight, if those are tight the patient often has excess use of their knees for heavy lifting or balance and will indicate knee pain over time. Once these two hinge locations are overactive then the anterior hip becomes overused and excessively tight which then leads to back pain. Much of what is needed to fix this, other than Acupuncture, is gluteal activation exercises and ankle flexibility. Treating one does not necessarily improve the other. They both need care together. This pain can be sharp, pulling, or throbbing and often feels worse with back extension or lateral flexion. The patient often says that curling their knees to their chest feels best and standing for a long period of time is the most uncomfortable. 

✔Check out Part B of this post.



Meet Hozho Health and Wellness provider ROBERT R. PONTECORVO JR. LAC.A San Diego based Acupuncturist specializing in Ort...
04/29/2021

Meet Hozho Health and Wellness provider

ROBERT R. PONTECORVO JR. LAC.

A San Diego based Acupuncturist specializing in Orthopedic Pain Management and Symptomology, Worker’s Compensation, Sports Medicine, and one of the few fully integrated practitioners for Autoimmune care using acupuncture. Robert is an experienced biochemist and retired registered nurse, active professor and California State Board Licensed Acupuncturist.   He had graduated with a Masters Degree from Pacific College of Oriental Medicine for Acupuncture and Herbology and recently has finished his Professional Doctorate (Ph.D. Equivalent) in Internal Medicine and Healthy aging for chronic illnesses where he had completed research on better diagnostics and integrative treatment for Lupus and Fibromyalgia
In the 24 years of medical experience, education and practice Robert has used methods taught to him by various Western clinicians in diagnostics as well as nutrition as a form of treatment. In 1997 he had the great honor to be taught acupuncture from Dr. Adriana Wu (Wu, Tung Lu) who was one of the original students of Dr. Tung in Taiwan, renowned for pain management and acupuncture anesthesiology. After four years of her teaching he spent six months in Taiwan where he treated patients with acupuncture and myofacial release in a community setting often caring for 60-80 patients a day. It was at this time that he decided to begin his Masters Degree in Acupuncture for licensure in California

Herbal medicine is complimentary to your acupuncture treatment in that it often extends the benefits of a treatment or e...
04/27/2021

Herbal medicine is complimentary to your acupuncture treatment in that it often extends the benefits of a treatment or even helps enhance the process of bringing your body to homeostasis (back to normal). We also have a separate listing for Herbal and Supplement consultation for those not ready for acupuncture. Hozho Health and Wellness provides formulas in two highly effective, capsule, and granule which are custom made for your specific condition. Most clinics give herbs from "Patent" formulas that is more of a one size fits all method, we don't find this to be as effective however; we will honor the patients request to give a formula that you have found works best for you.

Many actions that are done on a daily basis can lead to a simple injury. In this case reeling in a fish led to extensor ...
04/25/2021

Many actions that are done on a daily basis can lead to a simple injury. In this case reeling in a fish led to extensor forearm pain, decreased grip, and pain with flexion or extension. The brachioradialis and extensor muscles were all tight and upon direct needle Acupuncture, therapeutic heat, a light active release the patient was able to have full action of her forearm again. Yes a video would have been nice as a before and after however the patient and I did not think of that and instead the picture was taken because she wanted to show a friend what Acupuncture does.

If you have any questions or would like to book an appointment, go on our website hozhohealth.com or call us at 1(877)909-0508 or visit our Genbook page for available apartments.


Happy Sunday everyone! Here at Hozho Health and Wellness not only helo our patients with acupuncture care, but we also t...
04/25/2021

Happy Sunday everyone! Here at Hozho Health and Wellness not only helo our patients with acupuncture care, but we also treat with cupping. If you are wondering what cupping is or if it's the right treatment for you, here is a little information that can helo you.

Cupping:
If provided cupping to a patient you will feel a “sucking” sensation over portions of your body that mimics a deep massage. As seen in recent sporting events including the olympics and periodically witnessed on celebrities like Gwyneth Paltrow, Angelina Jolie and Dwayne Johnson aka The Rock, there is often the purple circles on a patients back. This is normal in some patients and the duration of time this mark remains is between hours to a few days. We recommend you to be honest with your acupuncturist if you are not wanting this form of treatment or have a formal event to attend to within days of your visit.
We do recommend that you not go into the ocean, wear open backed clothing or expose your affected area to the environment for at least 24-48 hours after treatment.
This treatment as well as Tui Na can be done individually without Acupuncture for those that are not ready for an Acupuncture treatment

We are open today from 8:30am to 2:30pm. Book your appointment today! You can find us on Genbook for appointments.
For more information, visit our website hozhohealth.com or call us at (877)909-0508



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5222 Balboa Avenue #43
San Diego, CA
92117

Opening Hours

Wednesday 10am - 7:30pm
Friday 9am - 7:30pm
Sunday 8:30am - 2:30pm

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