Chiropractor Chiropractor at Work Chiropractor Chiropractor 1/6 Sunday Monday Tuesday Wednesday Thursday Friday 9:30 - 19:00 9:30 - 13:30 9:30 - 19:00 closed 9:30 - 19:00 closed Clinic Hours Chiropractic Treatment of back pain - neck pain - sports injuries Clinic LAUREN FRIEDMAN - South Africa I have been treated by Dr Roy Sery as my Chiropractor for the past 4 years. am a long distance runner and personal trainer and need to remain injury free while I train for marathons. I originally went to Dr Sery with a long standing ITB injury (knee pain) for which no one I had previously seen could help my problem. After one amazing session, I was running injury and pain free the following week. Since then I have run in footlevelers orthotics (which Dr Sery suggested) and visited Dr Sery between once and three times a month to treat various niggles and pains. Dr Sery has aided me in running successfully and injury free. I have done two ultra marathons, the New York marathon, Peninsula marathon, Soweto marathon and numerous half marathons in the past 4 years thanks to the ongoing help of Dr Sery and footlevelers. Send Thanks, we'll be back soon Lower back pain and sciatica Neck pain Headaches and migraines Whiplash injuries Sports Injuries Back pain during pregnancy Foot levelers - custom made orthotics that help stabilize and reduce loads from the hips, knees, pelvis and spine. Instrument assisted soft - tissue mobilization (IASTM) / Graston Technique® - the use of metal hand-held tools to treat soft-tissue injuries Kinesiology Taping Rocktape is one of the world’s leading brands in musculoskeletal rehabilitation. Helps treat orthopedic conditions to relieve pain, reduce inflammation and improve postural control. Kinesiology Taping Dry Needling – treatment of trigger points for pain relief and reduction of muscle tension. Chiropractic bulletin board Chiropractic treatment for:

Chiropractic Clinic What is chiropractic? A health profession concerned with the diagnosis, treatment and prevention of mechanical disorders of the musculoskeletal system, and the effects of these disorders on the function of the nervous system and general health. There is an emphasis on manual treatments including spinal adjustment and other joint and soft-tissue manipulation. – Definition by the world federation of chiropractic What is manipulation? In chiropractic, we term spinal manipulation as a ‘chiropractic adjustment'. It is a high velocity, low amplitude thrust delivered to a joint that is fixated or displays aberrant motion. The purpose of the adjustment is to restore movement to joints that have such loss of normal motion. Often, a ‘click’ or ‘crack’ sound is heard when an adjustment is performed. The sound, although often considered to be scary by some, is not painful. There are some techniques that are used to correct joint movement without creating a ‘click’ or ‘crack’. It is not dangerous to have spinal manipulation done when performed by a properly trained chiropractor. HADLEY SHAPIRO - South Africa In December 2010 I was involved in a serious, high speed car accident that luckily left me with no major injuries at first. However, within a month I developed extreme pain and movement restriction in my neck. I was referred by a friend to Dr Sery whom I first saw in January 2011. He diagnosed me with severe whiplash. He started to treat me with normal chiropractic treatment along with a specialist technique called Graston Technique. Dr Sery was one of two chiropractors in South Africa who is licenced, trained and talented in the use of Graston Technique. With Dr Sery's different methods of treatment, I had almost immediate relief of pain as well as more mobility. My long term condition gradually improved. Over the time as a patient of Dr Sery I found him highly professional and an excellent chiropractor who is extremely skilled in his line of work. Dr Roy Sery is an Israeli born chiropractor who was raised and studied in South Africa. He completed his Doctor of Chiropractic Degree at the University of Johannesburg in South Africa in 2005. The University of Johannesburg Chiropractic School is recognized internationally and is accredited with the European Council on Chiropractic Education (ECCE). He had been practicing and managing his own chiropractic practice in South Africa until 2012 and from 2012 he has been practicing in Israel. He is one of very few chiropractors in Israel that holds a specialist diploma in sports chiropractic. This Internationally Certified Chiropractic Sports Practitioner (ICCSP) Diploma provided by the International Federation of Sports Chiropractic (FICS) places him in elite standing in treating sports injuries as well as the many other conditions treated by chiropractors. In the past, he has lectured and taught in the field of clinical biomechanics and kinesiology at the University of Johannesburg. Today, he teaches in Israel and Europe for Rocktape. Dr Sery is a member of the Israeli Chiropractic Society (ICS) and is an executive board member.

Chiropractic & pregnancy Chiropractic and Pregnancy Carrying a baby during pregnancy is a natural task, but it does not always go smoothly for all women. Treatment at the chiropractor may help you avoid some of the uncomfortable musculoskeletal side-effects related to changes in your posture and weight gain. By 10-12 weeks of gestation, relaxin, a hormone produced by the body during pregnancy to allow stretching of the ligaments and joints surrounding the growing fetus, has begun to soften ligaments and allow for joint laxity. The uterus enlarges in a forward direction, shifting the center of gravity of the body over the legs. It is not uncommon for a pregnant woman to develop musculoskeletal compensations to the forward position of the fetus and the increasing weight of the breasts. Common observations of postural changes include: ‘Rounded shoulders’ and 'forward head posture' due to the increasing weight of the breasts. This creates pain in the neck, mid back and headaches and is due to straining of the muscles, joints and ligaments of the spine in those areas. Increase in the arch of the low back (lumbar lordosis) may contribute to the development of lower back ache due to an increase in pressure on the spinal facet joints and sacro-iliac or pelvic joints. This postural strain may cause referred pain into the buttocks and leg/s as a common side effect. Flattening of the arches of the feet creating pain in the balls of the feet. This can be due to the forward weight shifting from your heels to the toes. Treatment of the feet can help pain in the feet and ankles allowing to stand longer periods. Send Thanks, we'll be back soon

Sport injuries Sports Injuries and Performance We are told to exercise regularly in order to keep healthy. But what if a minor or a major injury is stopping you from doing what you want to do? From the professional sports person to the weekend warrior or occasional gym user / crossfitter, runner, tennis player or golfer, muscle, tendon and joint injuries are likely to occur. These can range from mild strains to the career ending injury. Many people find that they reach the threshold of their ability and cannot improve no matter how hard or how much time they train. There may not be an actual ache or pain, but it is important to determine if there is an undetected joint, muscle or nerve dysfunction hampering improvement. Having proper technique of the sport you do, lowers the risk of injury. Proper technique or rather, proper quality of movement, requires repetition during training. Repetition of movement often results in repeated stresses to the musculo-skeletal system which may lead to loss of proper functional movement in the joints of your spine, pelvis or legs and arms. This in turn interferes with the relationship your muscles and nerves have and so they become affected. You may have ignored the pain and carried on with your sport for too long only to find yourself stuck with a chronic injury. ​ Acute or Chronic Sports Injuries treated include: Muscle strains and tears – hamstrings, calf, groin or thigh Tendon injuries – Achilles tendinopathy Ligament sprains – ankle, knee, hip, shoulder, elbow, wrist and hand Back and Neck pain Shoulder: Rotator cuff injuries, Impingement syndromes, AC joint injuries or Adhesive Capsulitis Elbow: Tennis or Golfer’s tendinopthy Hip: Femoroactebular impingement (FAI); Trochanteric Bursitis Knee: Meniscus injuries Foot: Plantar fasciitis Send Thanks, we'll be back soon

Back pain & joint problems Low Back Pain and Sciatica Back pain affects health drastically and is a leading cause as to why people seek chiropractic care. Current evidence suggests that 60% - 70% of adults will have an episode of low back pain at some time during their life. However, back pain episodes can be helped by staying physically active with good exercise and with the help of conservative, physical and manual therapies. Causes of Low Back Pain Repeated daily activities such as bending, lifting and twisting may result in bad movement patterns, which could lead to a lower back pain episode. The reason for this will be a fatigue process in the muscles, ligaments and joints of the spine, pelvis and hip area. A major pain episode in your life can cause you to compensate your movements to initially avoid pain. Repetition of such compensation movements even after the injury has healed, can place excess pressure on structures. Degeneration of the spine (osteoarthritis) and in particular of the intervertebral disc, typically happens due to excessive pressure on the lower back structures over a period of many years. Trauma from motor vehicle accidents, slips and falls and sports injuries may also be a cause of low back pain. Osteoarthritis (Degenerative Joint Disease) Osteoarthritis (OA) is also described as degenerative joint disease and occurs when the cartilage in the joints is worn down as a result of wear and tear, aging, injury or misuse. It can be due to increased forces on a functional joint or normal force on a dysfunctional joint over time. Osteoarthritis also includes loss of cartilage, overgrowth of bone and the formation of bony spurs. This causes the bones under the cartilage to rub together, resulting in pain, swelling and loss of motion of the joint. Osteoarthritis can occur in any joint but most often occurs in the spine, hips and knees. The typical symptoms of OA are: • Joint pain • Joint stiffness • Instability of the joint/s • Loss of function of the joint/s Chiropractors cannot reverse osteoarthritis, but can help treat the symptoms with the aim to reintroduce movement to the areas that have become stiff over time. Joints that do not move and become stiff cause the soft tissues, such as muscles and ligaments around it, to tighten and lose flexibility as well. Performing manipulation or mobilization as a gentle, controlled movement, helps stimulate the fluid in the joints, allowing them to glide and move more easily, relaxing the soft tissues around it. Soft tissue techniques on the muscles may be performed and appropriate exercise advice given. Send Thanks, we'll be back soon Spinal Stenosis The backbone / spine runs from your neck to your lower back. The bones of your spine form a canal, which houses and protects the spinal cord and its exiting nerves. Spinal stenosis occurs when the open space of the spinal canal becomes narrowed, putting pressure on the spinal cord and the nerves that travel from the spine. Spinal stenosis occurs most often in the lower back and the neck, and is mainly due to osteoarthritis / degenerative changes to the bones and joints due to ‘wear and tear’. Osteoarthritis may lead to overgrowth of bone, thickening of ligaments and herniation of disc material that result in spinal canal narrowing. Symptoms of spinal stenosis include: Numbness or tingling in a hand, arm, foot or leg; Weakness in a hand, arm, foot or leg; Problems with walking and balance; Neck or low back pain; Spinal stenosis of the low back may cause pain or cramping in one or both legs when you stand for long periods of time or while walking. This is known as neurogenic claudication and usually eases when you bend forward or sit. Bulging or Herniated Discs The 'Slipped Disc' Intervertebral discs in your back cannot actually "slip out" of place. It is better to classify them as bulging or herniated. Spinal discs are made of outer fibrous rings (annulus fibrosus) attached to the vertebrae, with a softer gel sac inner core (nucleus pulposus). The annulus can tear from trauma or degeneration causing pain. Later on, this can allow the inner gel sac (nucleus pulposus) to push out. Direct mechanical pressure from the disc or inflammatory chemical irritation to the spinal nerve can occur. This is known as a pinched nerve or trapped nerve in your spine and is medically referred to as a radiculopathy. Pinched nerve(s) from your lumbar spine can cause pain in your back and/or 'referred' nerve symptoms (pain, pins and needles, numbness or weakness) over an area that the nerve supplies. In the case of the lower back, irritated nerves cause sciatica, which is pain in the leg. Neck Pain and Headaches Your neck supports the weight and movement of your head and generally ‘works’ constantly as an adult's skull can weigh between 4 and 7 kgs and requires some stability. It also contains the vast majority of nerves that reach from your brain to the rest of your body. Neck pain occurs for a number of reasons, including but not limited to: Osteoarthritis (as indicated by stiffness and loss of proper joint movement) A bulging / herniated disc (pinched nerve in the neck causing brachialgia or arm pain) Whiplash injury (acceleration-deceleration neck injury) Sports injury / sprain-strain syndrome Prolonged poor posture Neck pain may also be associated with and be a source of headaches. Whiplash Injury Whiplash injuries are also known as acceleration - deceleration injuries and need not be a result of a car accident. In fact, you do not have to hit your head or neck. Just a sudden movement, especially if it is repetitive, may cause a whiplash injury. A slip, a fall or a collision on the sports field with an opponent can all cause a whiplash injury. In a road accident, all it takes is 8km/h or 5mph of velocity to cause whiplash symptoms. Even a 'minor' bumper bashing can cause a whiplash injury. Rather than just a simple injury of a neck muscle strain or neck ligament sprain, research shows that during a motor vehicle accident involving a rear-end collision, the neck curves in an abnormal S-shape which alters normal neck movement. Normally the joints of your neck glide over each other, but a whiplash injury forces them together. This can injure the neck muscles, ligaments, intervertebral discs and spinal nerves. There are tiny nerve receptors, called proprioceptors, in the neck ligaments, muscles and in the spinal joint capsules surrounding the vertebral joints. These relay constant information to your brain about the position of the joints. The result is a loss of proper movement in the joints in your neck and stiffness in your muscles. This can lead to pain, although it may take days, weeks or even months to develop. Whiplash symptoms include: Neck pain due to muscle spasm Headaches Dizziness Pain referred to the arms Fatigue Poor Concentration TMJ Disorder

Treatment methods Treatment Techniques and Methods used in the Clinic The initial consultation includes a full orthopedic, neurologic and functional assessment of the reason for your visit. Images such as x-ray, CT or MRI will also be reviewed. Your condition is diagnosed and a treatment plan specific for you and your condition is provided. Treatments may include: Spinal and peripheral joint mobilization or manipulation Diversified Technique A collection of different forms of manipulation characterized by a high-velocity, low-amplitude thrust to restore proper movement of spine and peripheral joint dysfunction. It is often accompanied by a ‘click’ or ‘crack’ sound indicating a change in pressure in the joint and surrounding soft-tissue fluids. Cox / Flexion-Distraction This technique is a doctor-controlled, hands-on form of manipulation performed with the patient lying on a specific treatment table specially designed for this procedure. This table, with its variety of movements, permits the effective administration of flexion-distraction and decompression of the spine and its joints. Flexion-distraction and decompression helps relieve spinal pain and return patients to their desired quality of life by: Reducing pressure within the intervertebral discs Reducing pressure on the spinal nerves Returning motion to the spinal joints This technique is appropriate for conditions that cause low back and leg pain such as: Disc bulges or Disc herniations, Spinal stenosis, Spondylolisthesis and facet joint degeneration. Myofascial Dry Needling / Intramuscular stimulation Trigger points are described as hyperirritable spots in muscle that are associated with palpable nodules or taut bands of muscle fibers. The trigger point model states that pain frequently radiates from these points of local tenderness to broader areas, sometimes distant from the trigger point itself. Referred pain patterns have been identified from trigger points. Activation of trigger points may be caused by a number of factors, including acute or chronic muscle overload, activation by other trigger points, direct trauma to the region such as a car accident, radiculopathy, psychological distress, infections and other health issues or disease. Myofascial dry needling or intramuscular stimulation by needle is one form of therapy that treats trigger points successfully. For those people who may be weary of needles, trigger point therapy by pressure (also known as ischemic compression) has also been found to be very effective. Soft-tissue release Techniques IASTM: Instrument assisted soft-tissue mobilization / Graston Technique® Cupping Therapy Flossing or Blood flow restriction (Rockfloss) Kinesiology Taping (Rocktape) Kinesiology Tape (Rocktape) has been proven to have positive physiological effects on the skin, lymphatic and circulatory systems, fascia, muscles, ligaments, tendons, and joints. It is used in conjunction with a multitude of other treatments and modalities to reduce pain, promote improved circulation and healing, help to re-educate the neuromuscular system and enhance performance and help prevent injury. Send Thanks, we'll be back soon