Multiple Locations in Jacksonville, St. Augustine, & Fernandina Beach, FL
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Therapeutic Modalities

Therapeutic Modalities

During your chiropractic appointment at Absolute Injury & Pain Physicians, you are likely to be offered to participate in therapeutic modalities to decrease your pain, swelling and inflammation.

Because not all patients are candidates for each modality, a thorough examination will be done first to make sure each person does not have any condition that disqualifies them from receiving any treatment.

Therapeutic modalitie: Electrical muscle stimulation

Some of our treatment options that we use in conjunction with spinal manipulation, stretching and rehabilitation exercises are described and pictured below.

Electrical Muscle Stimulation (EMS)

There are different types of electrical muscle stimulation and reasons for using this modality. The primary use of this tool in our practice is for muscle relaxation and pain relief.

Therapeutic modalitie: Electrical muscle stimulation

We place four conducting pads around the treatment area, which is usually the area(s) of pain. The intensity is then slowly increased to allow the current to flow through to the opposing pads. This causes a slight tingling sensation in the area. The treatment increases circulation to the area, which encourages healing, improves recovery time, causes the muscles to relax and releases chemical pain relievers. Patients experience pain relief and improved healing.

Not all patients are candidates for electrical muscle stimulation. EMS should never be used with an electrical implant such as a pace maker, over the heart, or the front of the neck. You should not use EMS over known cancer or infection, as it may increase the growth.

Therapeutic Ultrasound

Although it looks similar to diagnostic ultrasound which is regularly used during pregnancy, therapeutic ultrasound is a common physiotherapy treatment modality. It is applied using a round-headed wand or probe that is put in direct contact with the patient’s skin. One of our Chiropractic assistants will put ultrasound gel and/or Biofreeze directly on the skin in the treatment area to reduce friction.

therapeutic modalities ultrasound

Each treatment takes 5-8 minutes depending on the size of the affected area. For the entire duration of the treatment, the head of the ultrasound probe is kept in constant motion to assist in the transmission of the ultrasonic waves which are caused by the vibration of crystals inside the head of the wand. Sound vibrations, as fast as a million times per second penetrate the tissues deep in the body, creating a healing response.

Most patients feel nothing or a pleasant and relaxing sensation below the surface of the skin. Ultrasound speeds up the healing process by increasing blood flow, nerve conduction velocity, collagen deposition/synthesis, and cell membrane permeability while also decreasing swelling and forming stronger connective tissue.

Intersegmental Traction (IST)

IST helps create better mobility in the spine, strengthen paraspinal muscles and ligaments and prevent disc degeneration. The rollers beneath the surface slowly travel the length of the spine, flexing spinal joints. Most patients find this form of treatment to be relaxing and very helpful as it flexes and exercises the spine without effort. Since discs do not have a direct blood supply, they get nutrients from the circulation of fluids surrounding spinal joints. Fixations prevent this natural circulation and can cause disc thinning and degeneration. Intersegmental traction helps increase and restore necessary elasticity and motion to the spine. It is comfortable and relaxing, it increases mobility, improves circulation of spinal fluids and helps prevent disc degeneration.

therapeutic modalities intersegmental traction

The above physiotherapy modalities are just an example of the variety of noninvasive treatment options we have at Absolute Injury & Pain Physicians in addition to Chiropractic adjustments, myofascial release, therapeutic and strengthening exercises and various pain management options provided by our medical doctors. Each treatment plan is designed specifically for each patient to provide maximum benefit in their unique situation. Don’t hesitate to give us a call with any questions!

Related post: What to Expect on Your First Chiropractic Visit

Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.