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East Bay Chiropractic Wellness P.C.

Knees

Can Graston Help with Mobility After Joint Replacement Surgery?

September 18, 2025 by Dr. Martin Marmorale

During joint replacement surgery, damaged or worn-out bone and cartilage are replaced with artificial components made of metal and plastic. The goal is to restore mobility and reduce pain. In many cases, patients return home the same day or within a few days of surgery.

But recovery doesn’t stop there. Physical therapy, scar tissue management, and other supportive treatments can significantly impact your outcome. One such treatment is the Graston Technique®.

Is the Graston Technique® Useful After Total Knee Replacement?

Yes, the Graston Technique® can be beneficial after a total knee replacement, once your incision has healed and your doctor or physical therapist clears you to proceed. This soft tissue therapy uses stainless steel instruments to gently break up fascial restrictions and scar tissue in muscles and connective tissue.

After knee replacement, it’s common to experience lingering tightness, swelling, or restricted mobility due to internal scar formation. Graston therapy may help:

  • Improve range of motion
  • Reduce post-operative discomfort
  • Encourage healthy blood flow to the healing area

While Graston is not recommended immediately after surgery, it can be a valuable addition to your recovery regimen when timed appropriately.

How to Reduce Inflammation After Knee Replacement?

Even though inflammation is a normal part of the healing process after total knee replacement, excessive swelling can slow down recovery and limit mobility. Common methods to reduce inflammation include:

  • Rest and elevation
  • Ice therapy
  • Compression garments
  • Walking and light activity (with crutches or a walker)
  • Blood thinners, if prescribed

How Do You Loosen Stiff Knees After Joint Replacement?

Stiffness after knee replacement is one of the more common challenges post-surgery. The most important thing you can do is work with your healthcare team and stick to their plan of physical therapy. It’s important to focus on exercises that help restore movement through stretching, strengthening, and mobility.

Arthrofibrosis, also called stiff-knee syndrome, is a condition that occurs when there is excessive scarring around the knee. Though it can affect any joint, it is most often linked to knee surgeries, like ACL reconstruction or a repetitive injury that can cause scar tissue to build up over a long period of time.

The Graston Technique® may also play a role in reducing muscle tightness and helping to break down internal scarring, also known as adhesions, in the surrounding tissues. Adhesions can limit movement when they form excessively around a joint. These internal scars can’t be eliminated, but therapy can manage the impact they have on a person’s mobility. There is no one-size-fits-all solution for breaking up internal scar tissue after a knee replacement. Recovery is a unique process for each patient and requires a tailored plan. A proper course of care planned out with a healthcare provider is often a mixed course of therapy exercises and manual therapy.

Boost Your Healing with East Bay Chiropractic Wellness

East Bay Chiropractic Wellness has helped many people recover more effectively for more than 35 years. We offer a wide range of holistic chiropractic services, including adjustments, massage therapy, trigger point therapy, kinesiology techniques, and more. We also specialize in the Graston Technique®, which can improve healing time and increase your range of motion after an injury. Contact us today to learn more or to schedule an appointment.

Filed Under: Graston, Knees

5 Tips for Preventing Pain Caused by Surfing

August 14, 2025 by Dr. Martin Marmorale

Summer in New York is the perfect time to enjoy the outdoors, and many of us find ourselves more active during this season than any other. Studies show that activity levels peak in spring and summer, from walking in our communities to participating in sports like surfing. And while staying active is key to a long, healthy life, it doesn’t come without risks.

A 2023 study revealed that over 3.7 million people were treated in emergency departments for sports- and recreation-related injuries. Even more experience mild aches and pains that go untreated. Surfing, in particular, uses muscles we often neglect in daily life, making the risk of injury higher than expected.

Common Injuries Caused by Surfing

Surfing doesn’t just pose a risk of injury from wipeouts; the activity itself can strain your body. Some of the most common surfing-related injuries include:

  • Shoulder impingement
  • Lower back pain
  • Knee injuries
  • Hip flexor strain
  • Cuts and abrasions to the feet and toes

5 Tips to Prevent Surfing Injuries

To minimize injury while surfing, incorporate the following practices into your routine:

  1. Warm up with mobility exercises before entering the water.
  2. Use proper surfing technique to reduce joint and muscle strain.
  3. Stretch and cool down after surfing to aid recovery.
  4. Take regular rest days to allow your body to heal.
  5. Consider soft tissue support treatments, like the Graston Technique®, to manage pain and prevent chronic conditions.

Is Surfing Hard on Your Body?

Yes, surfing is a full-body workout that demands strength, flexibility, balance, and endurance. It places stress on multiple muscle groups, especially the shoulders, knees, core, and back. Consistent surfing in challenging conditions requires proper warm-ups and cool-downs to avoid strain and injury.

How Often Do Surfers Get Injured?

Like any high-impact sport, surfing comes with its share of injuries. Rotator cuff tendonitis is common among surfers due to the repetitive paddling motion. Lower back and knee strains are also prevalent, often linked to soft tissue damage.

One proven method for treating these injuries is the Graston Technique®. This treatment utilizes stainless-steel instruments that comb over the affected areas and pinpoint the location of the scar tissue buildup around the damaged soft tissue. The scar tissue deep under the skin can then be broken up, which alleviates the pain and increases mobility. This allows you to heal faster and get back to your favorite activities, including surfing.

East Bay Chiropractic Wellness Can Assist With Your Recovery from Surfing Injuries

If you love summer activities like surfing, don’t let an injury keep you on the sidelines. At East Bay Chiropractic Wellness, we specialize in the Graston Technique® to relieve pain, reduce inflammation, and restore mobility. Our experienced team has nearly 30 years of expertise helping patients recover from sports injuries and chronic conditions.

Contact us today to discover how chiropractic care can support your active lifestyle and help keep doing what you love, pain-free.

Filed Under: Back, General Chiropractic, Graston, Health & Wellness, Knees, Shoulder

Can Graston Treat IT Band Syndrome?

June 12, 2025 by Dr. Martin Marmorale

The iliotibial (IT) band is a thick band of fibrous tissue that runs along the outside of the thigh, stretching from the hip to the knee. IT Band Syndrome (ITBS) occurs when the IT band causes friction against the lower outer edge of the thighbone, which may cause inflammation in the bone, tendons, or small, fluid-filled sacs in the area.

What Is IT Band Syndrome (ITBS)?

Some researchers believe ITBS stems from the abnormal compression of underlying tissue by the iliotibial band. While the exact cause is still being researched, it’s widely agreed that repetitive knee bending and extension play a major role. As a result, long-distance runners and individuals new to running are most commonly affected.

You’re more likely to develop ITBS if you:

  • Run on uneven or downhill terrain
  • Wear worn-out running shoes
  • Push beyond your physical limits
  • Have a slight inward leg slope (bowlegged)

To reduce your risk, ease into any new running routine gradually. Make sure to stretch properly and increase training intensity over time rather than all at once.

How Do You Treat ITBS?

In many cases, treating a tight IT band will involve:

  • Reducing or modifying activity, such as pausing running
  • Using ice therapy and anti-inflammatory medications
  • Making lifestyle changes
  • Practicing targeted exercises to strengthen and stretch muscles around your hip and knee

If symptoms don’t improve after several weeks of making proper adjustments, consult a healthcare provider. Your knee pain might be due to a different injury or condition.

Your provider will review your medical history, perform a physical examination, and rule out other potential causes. In unclear cases, they may recommend imaging such as an X-ray or MRI. Fortunately, most cases of ITBS respond well to proper treatment and rehabilitation.

How Does the Graston Technique® Help IT Band Syndrome?

The Graston Technique® is a form of instrument-assisted soft tissue mobilization (IASTM). A trained provider uses stainless steel tools to gently scrape the skin and underlying tissue to:

  • Promote tissue repair
  • Reduce inflammation
  • Restore mobility
  • Break down adhesions and knots in the fascia

In a study of the Graston Technique® for Iliotibial Band Syndrome, all participants treated with the Graston Technique® reported a reduced level of pain post-treatment.

Talk to East Bay Chiropractic Wellness If You Suspect IT Band Syndrome

If you are experiencing IT band syndrome or a similar condition, the East Bay Chiropractic Wellness team can create a holistic treatment plan to help you return to your normal routine. With more than 35 years of experience, you’ll be in good hands with us. Fill out our contact form or call (516) 679-2225 to learn more about how we can help you.

Filed Under: General Chiropractic, Graston, Health & Wellness, Knees

Does Graston help Patellar Tendonitis?

May 15, 2025 by Dr. Martin Marmorale

Being physically active throughout our lives is important, especially as we get older. Exercising, such as jogging and playing sports, well into our later years can help keep us healthy and strong, which is essential for maintaining independence in our golden years.

Unfortunately, aging can also make us more susceptible to injuries from exercising. Even when we’re younger and trying our best to avoid it, injuries can still affect us at the most inopportune times.

One such common injury related to exercise and sports is patellar tendonitis. So, what exactly causes this injury?

What Causes Patellar Tendonitis?

The primary cause of patellar tendonitis is overuse of the tendon that connects our kneecap to our shin bone. This happens from repeated stress on the tendon, causing a series of microtears. This can result from playing sports that involve frequent jumping, such as basketball and volleyball, but it can happen in other instances as well.

Does Patellar Tendonitis Go Away?

For mild cases, it can eventually go away with proper care, but it’s important not to work through the pain. Paying attention to when you have pain developing between your kneecap and shin bone can help keep you from overexerting yourself and making things worse. It’s common for the pain to initially only appear while you’re being active, but eventually it can start to occur more and more frequently even when not being active, which can start to impact your quality of life. Seeking help from a professional at that point will help expedite the healing process.

Is Scraping Good for Patellar Tendonitis?

The Graston Technique® is designed to treat injuries just like patellar tendonitis. That’s because this technique, which only certified professionals can administer, is ideal for breaking up scar tissue that forms on soft tissue, including your tendons, that develops from these injuries. When your body is trying to heal from microtears in soft tissue, the hard, coarse tissue that develops over it creates pain and limits mobility. The Graston Technique® breaks that up to restore your mobility and expedite your healing process.

East Bay Chiropractic Wellness Can Help You Recover

Sports injuries might seem like minor inconveniences to some, but conditions like patellar tendonitis can become chronic and significantly affect your quality of life. Ongoing pain and mobility issues can introduce unexpected limitations into your daily routine, making even simple activities more difficult.

At East Bay Chiropractic Wellness P.C., we’ve been helping patients manage pain and restore mobility for over 35 years. Our team offers a comprehensive range of chiropractic services tailored to your needs, including massage therapy, stretching exercises, spinal adjustments, and the Graston Technique®. This specialized approach has been shown to support faster, more effective rehabilitation.

Schedule your appointment today to get evaluated and explore the best treatment options for getting back to the life you enjoy.

Filed Under: General Chiropractic, Graston, Health & Wellness, Knees

Chiropractic Care for Ski Injuries

December 30, 2024 by Dr. Martin Marmorale

Every year, more than half a million Americans are injured while skiing or snowboarding. After hitting the slopes during winter break, many of us have returned from our vacation with aches and pains, injured joints, pulled muscles, or even broken bones.

If you have sustained a skiing injury, or if you’re simply sore from a holiday ski trip, chiropractic care can help you feel and heal better.

Is Skiing Hard on Your Body?

Skiing can be a fantastic workout, improving strength, balance, coordination, endurance, and heart health. However, it can also take a toll on your body, especially if you’re a novice skier or venture onto rugged terrain. The repetitive stress and physical demands can strain your knees, ankles, and lower back, often leading to various injuries.

What Is the Most Common Injury While Skiing?

Skiing injuries can range from mild soreness to severe joint or bone damage. Some of the most frequent injuries experienced by skiers include:

Knee Injuries

  • Nearly half of all reported ski-related injuries involve the knees like ACL and MCL tears along with meniscus damage.

Other Common Injuries

  • Fractures: Broken legs from falls or collisions.
  • Spinal Injuries: Whiplash or other spinal issues from sudden stops or collisions.
  • Wrist Injuries: Fractures or sprains from falls.
  • Skier’s Thumb: Torn thumb ligaments from falling while holding a ski pole.

Is Snowboarding Hard on Your Body?

Like skiing, snowboarding can be a fun way to stay fit. However, inexperience, improper form, or overly challenging slopes can strain your joints and muscles, increasing the risk of injury. As with any sport, it’s important to warm up first and wear the appropriate protection equipment to prevent injuries.

What Is the Most Common Snowboarding Injury?

Snowboarding presents its own set of injury risks. Here are some of the most common injuries and their causes:

Wrist Fractures

  • Wrist fractures account for nearly a quarter of all snowboarding injuries due to falls with arms extended.

Other Frequent Injuries

  • Ankle Strain or Fracture: Caused by the lack of stabilization in the snowboarding boots.
  • Shoulder Dislocations: Resulting from falling with outstretched arms.
  • Knee Injuries: Occurring during falls or hard landings after jumps.

Both skiing and snowboarding can result in serious head injuries, making protective headgear and safety precautions essential.

Can a Chiropractor Help with Sports Injury?

Chiropractic care is a noninvasive, medication-free way to help you heal faster and better from sports injuries. After an injury on the slopes, chiropractic care can:

  • Reduce pain and inflammation.
  • Improve your range of motion.
  • Prevent tight scar tissue formation.
  • Enhance future athletic performance.

Chiropractic adjustments also ensure proper body alignment, improving posture, coordination, flexibility, and overall mobility.

Is Graston® Useful in Treating Injuries from Skiing?

The Graston Technique® is a treatment method used to break up fascial adhesions that can result from many types of ski injuries. The Graston® Technique alleviates aches and pains by releasing tight muscles, enhancing blood flow, reducing inflammation, and promoting healing.

We also offer traditional spinal adjustments, physical therapy, massage therapy, and other treatment modalities to provide a holistic approach to healing after skiing or snowboarding.

Winter Sports Injury? Contact Us Today to Schedule an Appointment

For more than three decades, East Bay Chiropractic Wellness in Bellmore, NY, has provided chiropractic services for skiers and other athletes. Don’t let winter sports injuries hold you back! Contact East Bay Chiropractic Wellness today to start your recovery journey.

Filed Under: Ankle, Back, General Chiropractic, Graston, Knees, Wrist

Should You See a Chiropractor Before a Marathon?

October 24, 2024 by Dr. Martin Marmorale

Every fall, runners train in earnest for the New York City Marathon, taking place this year on November 3. Serious runners may look forward to the marathon, but not necessarily to its impact on their bodies. Running is great exercise and a rewarding sport, but it causes strain on muscles and joints, as well as spinal misalignment and irritated nerves. It may even result in repetitive motion injuries. Luckily, chiropractic care can help runners prevent these injuries, improve their performance, and recover more quickly from injury or aches and pains.

Can a Chiropractor Help You Prepare for a Marathon?

Chiropractic care can be an important part of both marathon training and marathon recovery. Because runners are prone to a wide variety of overuse injuries, it’s crucial to optimize your biomechanics, increase your flexibility and range of motion, and strengthen any areas of weakness in your body before a race. This can help prevent common runner injuries like stress fractures, plantar fasciitis, shin splints, and more.

Regular chiropractic visits not only help prevent injury but also offer other benefits, such as:

  • Pain relief.
  • Improved joint function and range of motion.
  • Quicker recovery times.
  • A more robust immune system.

Not only can chiropractic care help marathon runners, but it can offer many benefits to anyone involved in athletics.

Should You See a Chiropractor Before a Marathon?

Many runners only think of visiting their chiropractor in the days following a marathon. Much of the stiff and sore aftermath of a grueling race can be prevented or reduced by seeking consistent care during the leadup to a race, during marathon training, and year-round.

Can Graston Technique Help Marathon Runners?

At East Bay Chiropractic, we specialize in the Graston Technique®. This process uses specialized stainless steel tools to locate and break up the scar tissue and fascial adhesions that can plague runners. Graston® also releases knotted muscles, allowing for healthy blood flow, reduced inflammation, and faster healing. Adapting Graston® for athletes can be incredibly beneficial.

Other chiropractic treatments we offer include adjustments to remove subluxations, massage therapy, physical therapy, acupuncture, and nutritional counseling and supplements.

How Often Should Runners See a Chiropractor?

How often you should see a chiropractor depends on your running goals, how often and how intensely you train, and your current physical condition. We recommend visiting your chiropractor more often during marathon training or any time you increase the frequency or intensity of workouts.

We also suggest monthly or bi-monthly year-round maintenance treatments to prevent pain and injury and to address any ongoing issues. Remember, you don’t have to be injured or in pain to benefit from chiropractic treatment.

East Bay Helps Athletes Prepare, Optimize, and Recover

East Bay Chiropractic Wellness has provided a broad range of chiropractic services to runners and other athletes for more than 35 years. Whether you’re a marathoner, a casual runner, or somewhere in between, we can help you feel your best with the Graston Technique®, adjustments, massage, and more. Contact us online to schedule an appointment.

Filed Under: Ankle, Feet, General Chiropractic, Graston, Health & Wellness, Knees, Shin Splints

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