Our Services

Dr Shtulman offers a wide range of chiropractic techniques

Chiropractic Techniques
Manipulation Under Anesthesia, MUA
Cranial Release Technique (CRT)
Diversified
Flexion-Distraction - Chiromanis Technic
Activator Methods
Pierce Stillwagon
Nimmo - Receptor Tonus Technic
Motion Palpation
Extremity Adjustments
Extremities is a subspecialty in which the doctor, in addition to working with the whole spine, works with the different joints of the body such as elbows, shoulders, wrists, hips, knees, and ankles.

Additional Services
Massage Therapy
Nutritional
Physiotherapy

SPECIALTIES

Temporomandibular Joint
Temporomandibular Joint disease (TMJ) is a painful condition affecting the area where the lower jaw connects to the sides of the skull. TMJ impairs function and sensation in the face and jaw, and may spread to the ears, neck, and shoulders. Symptoms include: facial pain; jaw joint pain often in combination with neck, shoulder and back pain; headaches; popping, grating or clicking sounds with movement of the jaw; swelling on the side of the face and/or mouth; a bite that feels uncomfortable; limited opening or inability to open the mouth comfortably; deviation of the jaw to one side; the jaw locking open or closed; swallowing difficulties; and sometimes ringing in the ears.  

YOUR FIRST VISIT

An initial chiropractic consultation is free. Dr. Shtulman will answer your questions about chiropractic care, give you a general overview of what to expect, and determine whether chiropractic care is the right care for you.

Later, during your first formal visit, you’ll complete a health history, and then have a spinal exams. During the spinal exam, Dr. Shtulman will perform orthopedic and neurologic tests, and Chiropractic analysis. A computerized nervous system scan on the "insight millennium" is part of the examination.  Spinal x-rays may also be taken at the time of the initial examination.  Why do we do such a thorough evaluation?  Because we don't want to guess about your health!  Dr. Shtulman will study the results of your exam, then recommend a program of health care for you.

Your free consultation is about 20 minutes. The first visit with the examination takes about 60 minutes. Future visits take just a few minutes depending on your health goals. 

PRE-VISIT FORM:  Please print this form and fill it out at home. Bring it in on your first visit. Don't worry if you can't fill it out completely. I will go over it with you. See you in the office! [ Download PDF Sign-Up Form ]

FOLLOW-UP VISITS

On your second visit a review of your results will be followed by your chiropractic adjustment which is specific to your area of spinal subluxations. The doctor will then prescribe particular exercises, stretches or a series of things to do and/or avoid in your daily activities and/or work. A treatment plan will then be described to you and should be followed for maximum results.

In case you are curious, Dr. Shtulman’s youngest patient was 3 days old and the oldest was 96 years old. The smallest patient was 3 lb 10 oz, the heaviest was 406 lb, and the tallest was 6’8”. If you fall within those parameters there is an appropriate Chiropractic adjusting technique for you.

CHIROPRACTIC TECHNIQUES

Manipulation Under Anesthesia, MUA
For chronic pain sufferers across the United States and Abroad, a simple and painless procedure is offering a level of relief never dreamed possible. Manipulation of the spine with the patient sedated is one of the gentles and most effective methods of altering chronic conditions. MUA provides manipulation and adjustments of the spine and surrounding tissue in a atmosphere where the patient is more responsive and less apprehensive, therefore eliminating resistance and muscle contracture. - Learn more

Cranial Release Technique (CRT)
Cranial Release Technique (CRT) is a new and effective, hands-on approach to overcoming stress, relieving discomfort and to achieving optimum health for the entire family. - Learn more

 Diversified
Diversified Technique is the classic chiropractic technique, developed by D.D. Palmer, DC. and taught in all chiropractic colleges. Diversified Technique was refined and developed by the late Otto Reinert, DC, to address biomechanical failure in each section of the spine, as it relates to specific subluxation. The focus is on restoration to normal biomechanical function, and correction of subluxation. In addition, Diversified methods have been developed to adjust extremity joints, allowing for beneficial applications in treating sports injuries and other injuries. Diversified adjusting of the spine uses specific lines of drives for all manual thrusts, allowing for specificity in correcting mechanical distortions of the spine. X-rays and case histories are used in analysis and diagnosis. No instruments are used in the adjusting procedure. Motion palpatation and full spine, hands-on techniques are used to deliver a deeper thrust, which makes an osseous (popping) sound as the adjustment is given.

Flexion-Distraction
Flexion-Distraction (also known as Cox Technic), as a marriage of chiropractic principles with the osteopathic principles set forth by Alan Stoddard, DO, in his book, Manual of Osteopathic Technique, written about the manipulative procedures developed by John McManis, DO, in the early 1900's. The technique, developed a manipulation instrument for effective use of the technique, conducted clinical, as well as participated in experimental, research; lectured around the world, and written well-received articles, chapters for textbooks, and textbooks.

Activator Methods
Activator Methods is based on the postulate that understanding body mechanics and force is the key to understanding how to move bones. A leg test is utilized to tell the doctor if the subluxation exists, chiefly in the lumbo-sacral area or cervical region of the spine. With further research into body mechanics, W.C. Lee D.C. and A.W. Fuhr D.C. were able to analyze the body and produce from the analysis consistent changes using a light non-force specific chiropractic adjustment. Lee and Fuhr understood that force was not necessary to correct subluxations in the body. Two components are necessary for fast, effective reduction of nerve pressure caused by subluxations. They are speed and line of drive. Speed and line of drive are what make chiropractic the distinct and dynamic art and science that it is. The activator instrument was designed to deliver this specific dynamic thrust. It is a small hand-held gun-type mechanism that delivers a sharp percussive thrust upon triggering. The activator instrument controls the force and speed of the adjustment exceptionally well and with the activator, the line of drive can be more specific.

Pierce Stillwagon Technique
The Pierce-Stillwagon Technique is a system of analyzing and adjusting the spine that combines previously understood concepts with a very simplified, logical and effective procedure to correct vertebral subluxation complex. Developed by Dr. Glenn Stillwagon and Dr. Vern Pierce beginning in 1963, the technique is practiced by approximately 20% of all chiropractors. This full spine technique requires the use of a hi-lo table with drop pelvic and cervical pads. It uses X-ray analysis, instrumentation and other physical findings to eliminate guess-work from case management. The X-ray analysis and instrumentation used is Thermography, a non-invasive, non-contact temperature measurement technique. Thermographic examination has resulted in accurate measurement of skin temperatures of the back, which relate directly to the effectiveness of the chiropractic adjustment. Stillwagon Seminars and Technique use VISI-THERM thermography, which substantiates the findings of the initial patient examination, and thereby assists the doctor in assessing the efficacy of his or her treatment. Studies demonstrated that a significant percentage of what were originally considered complaints of undocumented origin eventually led to diagnosis of reflex sympathetic dystrophy (RSD), nerve root irritation, and thoracic outlet syndrome. For this reason, thermography has been shown to be of significant value in detecting otherwise overlooked organic disorders, particularly those of sympathetic dysfunction that may be diagnosed as psychogenic in nature. The adjustment is given by hand, in a high velocity, low force manner.

Nimmo
Also called the Nimmo Receptor-Tonus Method, this technique was discovered by Raymond L. Nimmo, D.C. Seminars on this technique are now given in most chiropractic colleges. A normal muscle has normal tonus. Accident, insult, and injury may cause too many impulses to fire into the cord producing hypertonus or hypermyotonia. If this situation exists for a sufficient time, it can change the position of bones, producing subluxations, body distortions, low hips, etc. Later a trigger point may form in the muscle which sends a barrage of noxious impulses into an area producing vasoconstriction with consequent ischemia. Since tonus is controlled by the sympathetics, and is not under conscious control, we can not correct our own distortions. However, it was discovered that pressure applied in proper degree, at proper intervals, will release both trigger and hypermyotonia. Wooden "T-Bars" with rubber tips are used to reach between ribs and transverse processes in order to eliminate trigger points and segmental neuropathy, the latter usually being referred from viscera. Post adjustment procedures are used. Palpation is the only means of diagnoses. X-rays are not used. Most conditions that are encountered in general chiropractic practice including neuromuscular disorders and the cause of practically all pain can be successfully treated using the Nimmo technique. Receptor-Tonus relieves most pain immediately.

Motion Analysis (Palpation)
Motion Analysis was brought to the United States in 1981 and quickly gained acceptance as a standard diagnostic tool for the chiropractic profession. Motion palpation is now taught in chiropractic colleges throughout the world. Motion Palpation is a diagnostic technique used by a doctor of chiropractic to locate joint dysfunction within the spinal column and extremities. This method of spinal analysis, also called Motion Analysis, is based upon the conclusion that a vertebra cannot be displaced or remain displaced if some anomaly in the soft tissues (muscles, ligaments, articular capsule, etc.) does not cause and perpetuate its malposition. Therefore a study of the normal and abnormal mobilities of all the vertebral articulations and eventually all the extra spinal points was done to determine whatever anomalies in motion could be found in relation to subluxations. Intimate methods of palpating, and later of measuring motilities, were developed before and after different adjustments. Motion Analysis/Palpation was created as a system of spinal analysis, which permits an easy examination of the spine, both in pinpointing the different subluxations and in determining their types. This system also serves in determining direction and force of adjustment. It was found that subluxations can be classed according to the degree of restriction of mobility. It was also found that correction of the fixation usually has a spontaneous correcting effect on smaller fixations. Furthermore, when the key fixation in any series is discovered and corrected, there was found to be a series of fixations which usually occurred together and disappeared together. Medical diagnosis is used to determine if a subluxation to be adjusted is the site of any pathology. Clinical diagnosis is also necessary to determine if a medical specialist is needed before proceeding with adjustment. Motion Analysis is a comprehensive diagnosis that helps the doctor to apply treatment in the most beneficial way. References: http://www.motionpalpation.org (and) Researchers: H. Gillet, D.C. & M. Liekens, D.C.

ADDITIONAL SERVICES

Massage Therapy Massage Therapy is a method of healing that utilizes human touch to promote relaxation, relief of tension, and a greater level of well being. There are numerous methods and techniques of massage, ranging from the most gentle, superficial stimulation to deep, forceful manipulation of muscle groups. Massage is used as a complement to many other forms of healing. Massage Therapy promotes healthy circulation, ease of movement, deep breathing, strong immunity, and mental clarity. Massage lowers stress and anxiety levels, reduces blood pressure, and shortens the healing time of injuries. Massage is an effective way to increase the body's receptivity to chiropractic alignment. Used before an adjustment to warm and soften tight muscles, and afterward, to encourage the body to accept and retain the treatment.

Consider recent clinical research on the efficacy of massage for pain relief:

• Massage therapy is more effective for chronic back pain than other complementary therapies.

• Massage therapy promotes relaxation and alleviates the perception of pain and anxiety in cancer patients.

• Massage stimulates the brain to produce endorphins.

Nutritional

Dr Shtulman is a Juice Plus+ distributor. It is the only nutritional supplement he sells because he believes that strongly in its benefits. In a nutshell…Juice Plus+ is 17 different fruits, vegetables, and grains specially prepared in capsules with the water, sugar, and fiber removed. What is left are the vitamins, enzymes, anti-oxidants, and phytochemicals which are so crucial to health and anti-aging. The Juice Plus+ capsules provide the 5-9 servings of fresh fruits and vegetables recommended by the American Heart Association and the American Cancer Society.