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Services

Dr. Zerquera is highly informed and educated on ways to improve your health and well-being. You can put your trust in our professional and experienced team..

Evaluation of a western physician

A western physician evaluation as part of our integrated system will be made in conjunction with an oriental medicine evaluation to get a better approach of the patient’s concern.

Evaluation of an Oriental Medicine Doctor

Oriental massage and Oriental nutrition. It is a system of medicine that categorizes body patterns into specific types of diagnoses with corresponding treatment plans[..]

Diagnostic Test.


Spirometry

The Spirometry Room is fully designed to collect the most accurate respiratory readings possible in order to assure quality data analysis for our patient’s onsite. We work in conjunction with our Imaging Room in order to determine certain pathologies related to the respiratory System in patients. The staff members in charge of handling the Spirometry room has experience operating the equipment associated with this room from multiple studies that we have worked on including COPD and Asthma.

Range of Motion

The techniques detail measurement of both joint range of motion and muscle length testing of the spine and extremities using the goniometer, the inclinometer, and the tape measure. The range of motion test is useful to measurement the severity of the injury and to measure the outcome of the treatment.

Digital Scale

Every examination room is equipped with a wall diagnostic set, a stadiometer, and a digital scale appropriately calibrated by a certified company. We also have a digital BMI equipment to measure body composition using height and weight.

Sonogram

Our sonogram room is used to have a more profound insight towards the patient and his internal systems with this real-time imaging. We use a GE Logic 7 Ultrasound Machine which is known for its versatility and reliability when handling the projection of quality images. This system can alternate between ultrasound applications, increasing our range of imaging options and results we seek with each patient.

EKG

The electrocardiogram that we use at our site enables us to determine certain cardiovascular pathologies that are investigated by the physicians at our site. We use a Motara Instrument ELI 250 ECG machine which our site staff is fully trained and knowledgeable on the uses of the equipment.

Laboratory Room

At our site, we have a state-of-the-art laboratory facility that aids us in receiving results from our patients. Our staff is well-trained by protocol to interpret lab test results to determine the overall well-being of the patient. Our phlebotomist has experience with our site as well as in the past, allowing our results to maintain the quality that we tend to deliver with our services. We work with several equipment that allow for us to be as precise as possible with our tests and results. Our refrigerated centrifuge is the Du Pont Sorvall RT 6000B which we use for the blood and the serum that we collect. The lab incubator is a Digisystem Lab Incubator that is used to store our samples. We also have access to an Abaxis Piccolo Xpress Chemistry Analyzer which enables us to select from a wide variety of test panels for the test of our choice. Aside from our own laboratory facility, we also work in conjunction with a central laboratory by the name of Finlay Clinical Laboratory, Inc.

Rehabilitation Services.


Physical Therapy

Our program provides services needed to restore patients to former levels of operative movements and regaining patients with independence of their daily lives. All of our treatments and evaluations are performed by skilled healthcare professionals who creates a customized program the suits the individual needs of the patient.

Our goal oriented, pro-active approach is extremely effective in helping our patients restore physical function, regain flexibility, build strength and stamina as well as to improve their motor skills needed to perform daily activities. Physical rehabilitation includes but is not limited to the following: Pain management, education on injury prevention, Joint stability and muscle strengthening, increase in muscular endurance, and aerobic and cardiovascular reconditioning.

Ocupational Therapy

Our main goal is to help patients in performing their everyday activity with ease.  Occupational therapists (OTs) are degreed and licensed professionals who help people after an illness or injury, to regain their skills to participate in the activities we all do on a daily basis. Occupational therapists treat patients of all ages, including patients with disabilities. Writing, eating, grabbing, driving and, bathing are some of the daily activities that Occupational therapist assist with. Other commonly treated circumstances are Upper extremities and hand injuries and developmental delay issues.

Individualized evaluation and a unique treatment plan is developed for each patient. The focused program is designed in such a way to accelerate the patient’s occupational goals.  Communication with your physician and insurance carrier is also guaranteed with our accountable and professional staff members.

Respiratory Therapy

Respiratory therapist are health care professionals who are licensed and certified to diagnose, evaluate, monitor and perform therapy with the main goal of promoting healthy cardiopulmonary health. They provide personalized rehabilitation programs that fits the individual patient’s needs. Besides helping the patient deal with their rehabilitation, they also provide support to the patients and their families to educate them on healthy cardiopulmonary health.

Nursing Services

Speech Therapy

We pride ourselves with employing some of the best, Certified Speech-Language Pathologists. Speech-Language Pathologists evaluate, diagnose and treat an assortment of conditions related to communication, swallowing and feeding disorders.

The Speech-Language Pathologist will develop and put into action a treatment plan that is customized to the patient’s needs. The therapist will also counsel and provide care for patients and their families on the specific disorder and how to manage with the accompanying stress. They will also instruct them on specific treatment techniques and compensatory approaches to use at home. Therapists treat a variety of voice related disorders commonly known as Dysphagia. These disorders are usually due to vocal cord pathology or dysfunction. Reasoning may vary in degrees of oral motor weakness, swallowing, and feeding disorders.

Speech-Language Pathologists treat adults with varying degrees of language, cognition, speech and feeding difficulties resulting from Stroke, Cerebral Palsy, or Progressive Neurological Conditions, such as Alzheimer’s, MS, Dementia, Parkinson’s disease. Sometimes patients with Autism, traumatic brain Injury, developmental delays may have problems with Articulation, Stuttering, cognitive communication disorders, Dysarthria, or pragmatic disorders can will benefit greatly from Speech Therapy.

Oriental Medicine Services.


Acupuncture

Acupuncture is a form of alternative medicine and a key component of traditional Chinese medicine involving inserting thin needles into the body at acupuncture points. It can be associated with the application of heat, pressure, or laser light to these same points. Acupuncture is most commonly used for pain relief, though it is also used for a wide range of conditions. Clinical practice varies depending on the country. It is rarely used alone but rather as an adjunct to other forms of treatment.

Tui na is a form of Chinese manipulative therapy often used in conjunction with acupuncture, moxibustion, fire cupping, Chinese herbalism, t’ai chi, and qigong. Tui na is a hands-on body treatment that uses Chinese taoist and martial arts principles in an effort to bring the eight principles of Traditional Chinese Medicine (TCM) into balance. The practitioner may brush, knead, roll/press, and rub the areas between each of the joints, known as the eight gates, to attempt to open the body’s defensive (wei) chi and get the energy moving in the meridians and the muscles. Techniques may be gentle or quite firm. The name comes from two of the actions: tui means “to push” and na means “to lift and squeeze.” Other strokes include shaking and tapotement. The practitioner can then use range of motion, traction, with the stimulation of acupressure points. These techniques are claimed to aid in the treatment of both acute and chronic musculoskeletal conditions, as well as many non-musculoskeletal conditions. As with many other traditional Chinese medical practices, there are different schools which vary in their approach to the discipline. It is related also to Japanese massage or anma.

Chinese herbal medicine is part of an integrated system of primary health care, known as Traditional Chinese Medicine (TCM) that has an uninterrupted history of development dating back thousands of years in China and other parts of East Asia.

Cupping

Cupping is one of the oldest methods of traditional Chinese medicine. The earliest recorded use of cupping dates to the early fourth century, when the noted herbalist Ge Hong wrote about a form of cupping in A Handbook of Prescriptions. Later books written during the Tang and Qing dynasties described cupping in great detail; one textbook included an entire chapter on “fire jar qi,” a type of cupping that could alleviate headaches, dizziness and abdominal pain.

Originally, practitioners would use hollowed-out animal horns for cups, and place them over particular points or meridians. Today, most acupuncturists use cups made of thick glass or plastic, although bamboo, iron and pottery cups are still used in other countries. Glass cups are the preferred method of delivery, because they do not break as easily as pottery or deteriorate like bamboo, and they allow the acupuncturist to see the skin and evaluate the effects of treatment.

In a typical cupping session, glass cups are warmed using a cotton ball or other flammable substance, which is soaked in alcohol, let, then placed inside the cup. Burning a substance inside the cup removes all the oxygen, which creates a vacuum.

As the substance burns, the cup is turned upside-down so that the practitioner can place the cup over a specific area. The vacuum created by the lack of oxygen anchors the cup to the skin and pulls it upward on the inside of the glass as the air inside the jar cools. Drawing up the skin is believed to open up the skin’s pores, which helps to stimulate the flow of blood, balances and realigns the flow of qi, breaks up obstructions, and creates an avenue for toxins to be drawn out of the body.

Depending on the condition being treated, the cups will be left in place from 5 to 10 minutes. Several cups may be placed on a patient’s body at the same time. Some practitioners will also apply small amounts of medicated oils or herbal oils to the skin just before the cupping procedure, which lets them move the cups up and down particular acupoints or meridians after they have been applied.

In China, cupping is used primarily to treat respiratory conditions such as bronchitis, asthma, and congestion; arthritis; gastrointestinal disorders; and certain types of pain. Some practitioners also use cupping to treat depression and reduce swelling. Fleshy sites on the body, such as the back and stomach (and, to a lesser extent, the arms and legs), are the preferred sites for treatment.

In addition to the traditional form of cupping described above, which is known as “dry” cupping, some practitioners also use what is called “wet” or “air” cupping.

In “air” cupping, instead of using a flame to heat the cup, the cup is applied to the skin, and a suction pump is attached to the rounded end of the jar. The pump is then used to create the vacuum. In “wet” cupping, the skin is punctured before treatment. When the cup is applied and the skin is drawn up, a small amount of blood may flow from the puncture site, which are believed to help remove harmful substances and toxins from the body.

While cupping is considered relatively safe (especially air cupping, which does not include the risk of fire and heat), it can cause some swelling and bruising on the skin. As the skin under a cup is drawn up, the blood vessels at the surface of the skin expand. This may result in small, circular bruises on the areas where the cups were applied. These bruises are usually painless, however, and disappear within a few days of treatment.

In addition, there are several instances where cupping should not be performed. Patients with inflamed skin; cases of high fever or convulsions; and patients who bleed easily, are not suitable candidates for cupping. Pregnant women should not have cupping on their stomach or lower back. If the cups are being moved, they should not cross bony areas, such as the ridges of the spine or the shoulder blades.

Moxibustion

Moxibustion is a traditional Chinese medicine technique that involves the burning of mugwort, a small, spongy herb, to facilitate healing. Moxibustion has been used throughout Asia for thousands of years; in fact, the actual Chinese character for acupuncture, translated literally, means “acupuncture-moxibustion.” The purpose of moxibustion, as with most forms of traditional Chinese medicine, is to strengthen the blood, stimulate the flow of qi, and maintain general health.

There are two types of moxibustion: direct and indirect. In direct moxibustion, a small, cone-shaped amount of moxa is placed on top of an acupuncture point and burned. This type of moxibustion is further categorized into two types: scarring and non-scarring. With scarring moxibustion, the moxa is placed on a point, ignited, and allowed to remain onto the point until it burns out completely. This may lead to localized scarring, blisters and scarring after healing. With non-scarring moxibustion, the moxa is placed on the point and lit, but is extinguished or removed before it burns the skin. The patient will experience a pleasant heating sensation that penetrates deep into the skin, but should not experience any pain, blistering or scarring unless the moxa is left in place for too long.

Indirect moxibustion is currently the more popular form of care because there is a much lower risk of pain or burning. In indirect moxibustion, a practitioner lights one end of a moxa stick, roughly the shape and size of a cigar, and holds it close to the area being treated for several minutes until the area turns red. Another form of indirect moxibustion uses both acupuncture needles and moxa. A needle is inserted into an acupoint and retained. The tip of the needle is then wrapped in moxa and ignited, generating heat to the point and the surrounding area. After the desired effect is achieved, the moxa is extinguished and the needle(s) removed.

In traditional Chinese medicine, moxibustion is used on people who have a cold or stagnant condition. The burning of moxa is believed to expel cold and warm the meridians, which leads to smoother flow of blood and qi. In Western medicine, moxibustion has successfully been used to turn breech babies into a normal head-down position prior to childbirth. A landmark study published in the Journal of the American Medical Association in 1998 found that up to 75% of women suffering from breech presentations before childbirth had fetuses that rotated to the normal position after receiving moxibustion at an acupuncture point on the Bladder meridian. Other studies have shown that moxibustion increases the movement of the fetus in pregnant women, and may reduce the symptoms of menstrual cramps when used in conjunction with traditional acupuncture.

Mugwort, also known as artemesia vulgaris or ai ye in Chinese, has a long history of use in folk medicine. Research has shown that it acts as an emmenagogue ­ that is, an agent that increases blood circulation to the pelvic area and uterus and stimulates menstruation. This could explain its use in treating breech births and menstrual cramps.

Although moxibustion has been safely used in traditional Chinese medicine for centuries, it is not for everyone. Because it is used specifically for patients suffering from cold or stagnant constitutions, it should not be used on anyone diagnosed with too much heat. Burning moxa also produces a great deal of smoke and a pungent odor. Patients with respiratory problems may request that their practitioner use smokeless moxa sticks as an alternative.

Herbs and Formula

Chinese herbal medicine is part of an integrated system of primary health care, known as Traditional Chinese Medicine (TCM) that has an uninterrupted history of development dating back thousands of years in China and other parts of East Asia.

Tui Na Massage

Tui Na is a therapeutic form of massage and has been used in China for more than 2,000 years. Tui Na massage therapy has been considered the external form of massage and is used for giving special treatments to people of all ages, from infancy to old age. This Chinese therapy makes use of rhythmic compression techniques along different energy channels of the body to establish harmonious flow of Qi throughout the body and bringing it back to balance. It works deeply with the positive energy of the body. Tui Na makes use of various hand techniques in combination with acupuncture and other manipulation techniques.

To enhance the healing process, the practitioner may recommend the use of Chinese herbs. Many of the techniques used in this massage resemble that of a western massage like gliding, kneading, vibration, tapping, friction, pulling, rolling, pressing and shaking. In Tui Na massage, the muscles and tendons are massaged with the help of hands, and an acupressure technique is applied to directly affect the flow of Qi at different acupressure points of the body, thus facilitating the healing process. It removes the blockages and keeps the energy moving through the meridians as well as the muscles. A typical session of Tui Na massage may vary from thirty minutes to an hour. The session timings may vary depending on the patient’s needs and condition. The best part of the therapy is that it relaxes as well as energizes the person. The main benefit of Tui Na massage is that it focuses on the specific problem, whether it is an acute or a chronic pain associated with the joints, muscles or a skeletal system. This technique is very beneficial in reducing the pain of neck, shoulders, hips, back, arms, highs, legs and ankle disorders. It is a very effective therapy for arthritis, pain, sciatica and muscle spasms. Other benefits of this massage therapy include alleviation of the stress related disorders like insomnia, constipation, headaches and other disorders related to digestive, respiratory and reproductive systems. The greatest advantage of Tui Na is that it focuses on maintaining overall balance with both physical and mental health. Any one who wants to avoid the side effects of drugs or a chemical based treatment can adopt this effective massage technique to alleviate their pain. Tui Na massage therapy is now becoming a more common therapy method due to its focus on specific problems rather than providing a general treatment.

Services


Paint Management

Acupuncture is an ancient form of medicine that originated in China several thousand years ago. Research on the neurophysiology of acupuncture analgesia supports the theory that it is mediated primarily via the selective release in the central nervous system of neuropeptides. Evidence of its anti-inflammatory effects is emerging. Meta-analyses of randomized controlled trials provide evidence for acupuncture’s effectiveness in treating back pain, neck pain, and osteoarthritis. Applications of electro-acupuncture using transcutaneous electrical nerve stimulation can provide good pain relief via home treatment and make management of cancer pain using acupuncture knowledge realistic.

Emotional and psychological conditions

Acupuncture can be a powerful treatment for emotional and psychological conditions. Most patients having acupuncture treatment for any condition notice how relaxing, calming and centering it can be. For patients with emotional or psychological difficulties, this effect can be profoundly helpful.

Symptoms of Depression

Depression is a mood disorder characterized by both physical and psychological symptoms that can be detrimental to one’s normal daily functioning. Depressed individuals often suffer from poor sleeping habits, crying spells, anxiety, worry, poor memory, inability to concentrate, body aches, stomach disturbances and a lack of interest in activities previously enjoyed. In extreme cases, individuals become helpless and hopeless about their lives and suicide is often considered.

Modern Treatment for Depression

Modern medicine typically treats depression with a form of psychotherapy and/or anti-depressant drugs regardless of the specific symptoms presented by the depressed patient. In the United States, the DSM-IV, a diagnostic tool for appropriately categorizing psychological disorders, is widely used in the diagnosis and treatment for depression.

How Chinese Medicine Views Depression

In contrast, Traditional Chinese Medicine (TCM) does not recognize depression as a particular illness per se, but it aims to treat the specific symptoms that are unique to the individual using a variety of techniques such as acupuncture, Chinese herbs, tui-na massage, and energetic exercises to restore imbalances found in the body.

Based on a holistic approach, acupuncture consists of fine needles inserted along various points in the body, with the purpose of stimulating the body’s flow of energy and functionality, known as Qi. Though acupuncture has been traditionally taught as a preventive form of health care, it has also been proven effective in the treatment of pain and chronic conditions.

Obesity and Acupunture

Obesity is a serious, prevalent, and refractory health problem. Individuals who are overweight or obese are at greater risk for a variety of medical conditions including diabetes, hypertension, dyslipidemia, fatty liver, cardiovascular disease, and polycystic ovary syndrome. Typical therapy for obesity includes: diet restriction, regulation of physical activity, behavior treatment, pharmacotherapy, operation, or the use of any of these methods in combination. The cost of treatment of obesity and obesity-related diseases is significant in general health expenditures of various countries. Moreover, pharmacotherapy and surgical operations have side effects and may be unsafe for some people. Even the behavioral treatments, including diet restriction and regulation of physical activity, seem to produce unfavorable psychological changes. The introduction of new therapies for obesity is in demand. Acupuncture, practiced for several thousand years in China as monotherapy or complementary therapy that よゆ safe and inexpensive, is increasingly used worldwide in the treatment of a wide spectrum of clinic symptoms and diseases. Acupuncture has been found effective in weight control since 1980s’. An increasing body of evidence demonstrates that acupuncture has good effects for weight loss without adverse reactions. Although relatively new, acupuncture therapy for obesity is increasingly accepted by more and more people around the world. In addition, acupuncture can help with the treatment of obesity-related diseases. Extensive research on acupuncture weight loss has been conducted in both basic and clinic areas in recent years. In this chapter we try to provide a comprehensive review of the most recent basic and clinical advances relating to acupuncture in the treatment of obesity.

Adictions

Did you ever think that heroin addiction could be treated with acupuncture? Few of us have. Acupuncture has been used for 3,000 years for everything from allergies to chronic pain, but since 1973 there has been an increase in using acupuncture as a treatment for addictions.
Acupuncture works on the concept of yin and yang- two complementary and opposing dynamics found in nature. When we are healthy, our yin and yang is said to be in balance. Addicts are found to be lacking in yin, and since yin is like water and yang is like fire, a shortage of yin means the fire of yang can grow out of control.
As a treatment or therapy, acupuncture needles stimulate certain locations in the body to improve the corresponding problem area. Research has shown that acupuncture raises endorphin levels, which are natural painkillers, found in and produced by the body. It was noted that addicts were better able to curb cravings and withdrawal symptoms when endorphin levels were kept high.
Acupuncture is a natural treatment with no side effects. Acupuncture is beneficial in treating addictions to a wide range of drugs including barbiturates, cocaine, and nicotine.

Skin Diseases

Skin is the body’s largest organ. It is also the most visible and vulnerable organ. Skin conditions are very common and the discomfort of conditions like acne, rosacea, eczema, psoriasis, and dry skin is often followed by distress over their appearance. While acne is most common in adolescents, and eczema is becoming increasingly common in children, each of these conditions affects people of all ages. Eczema is the appearance of dry, scaly, red patches of skin. Rosacea is the term used to describe an uneven and often permanent blush across a person’s forehead, cheeks, and chin, which is often accompanied by small bumps and visible blood vessels. Psoriasis can spread across the body, but is most commonly found on the elbows and knees. It is the result of excess skin production that forms red or whitish scaly patches that can be itchy and painful.
Dermatology is a recognized specialty in traditional Chinese medicine.1 Traditional Chinese medicine treatments for skin disorders have been in use since 1100 to 221 B.C. in China. Acupuncture and Chinese herbal therapy are the most common methods in TCM used to treat skin conditions and can provide longer-lasting relief than Western methods. Chinese herbology is effective for several reasons. Because of the complexity of plant materials, it is far more balanced than medicine that is based on isolated active ingredients, and is far less likely to cause side effects. Herbal medicine seeks primarily to correct internal imbalances rather than to treat symptoms alone, and therapeutic intervention is designed to encourage this self-healing process.
Numerous clinical studies have been conducted that prove Oriental medicine’s efficacy in the treatment of skin conditions. In a clinical trial at the famous Beijing Guan Anmen hospital, Department of Dermatology professor Zhu Renkang enrolled 108 patients with widespread plaque psoriasis to investigate the effectiveness of Chinese herbal medicine in treating this stubborn disease. His results revealed that 72.2% of the patients had a total clearing of skin, and 11.1% had significant improvement, meaning that there was over 80% improvement in the patients’ conditions. A report documented in 1992 in the British Journal of Dermatology reveals that traditional Chinese herbal medicine has been shown to be extremely effective in the treatment of severe cases of atopic eczema.

Sport Medicine

Sports Medicine Acupuncture is a synergistic blend of the ancient wisdom and methods of Traditional Chinese Medicine (TCM), modern sports medicine science and assessment, and specialized treatment techniques. It is a comprehensive and intelligent approach to treating pain, sports injuries, work injuries, and postural imbalances, as well as promote enhanced athletic performance and improve range of motion.
Using orthopedic and manual muscle testing sports acupuncturists can ascertain the exact location of pain, muscle imbalance, or soft tissue lesion and use specialized acupuncture points to correct overactive or inhibited muscle fibers. The acupuncturist uses motor point needling techniques to “reset” the affected muscle spindle fibers. This teaches the body to maintain balance between its opposing muscle groups, maintain the muscles strength and tone, as well as open the nervous system circuit to maintain optimal functioning and range of motion. When these techniques are performed correctly by a licensed acupuncturist with this highly specialized training, results are immediate, which provides a quick return to activity and peak level of performance for the patient. Follow up treatments may be necessary to maintain optimal body functioning and for lasting results.

IV Injection Therapy

Infusion therapy is the intravenous (IV) administration of medicines and nutrition. Patients include those who need pain management, are dehydrated, have nutrition deficiencies, infections, diabetes, cancer or renal failure.
Compared with other routes of administration, the intravenous method is, by far, the quickest and most effective way to deliver these vital medications and fluids throughout the body. We are proud to offer this state-of-the-art medical service to our patients. IV infusion therapy is offered at our facility 6 days a week and on holidays in order to serve each patient with the best possible care. Simply call the office or send us an email.

Acupunture and Infertility

Did you know that treating Infertility with Acupuncture and TCM (Traditional Chinese Medicine) has been recorded in our ancient texts, and even on the backs of turtle shells for thousands of years? How can this age-old medicine make such a difference? In the last five years the science behind many studies reveal that:

• Acupuncture can increase blood flow to the reproductive organs, which dramatically improves a woman’s response to the hormonal therapy.

• Acupuncture has been shown to regulate hormone levels by moderating the release of beta-endorphin levels in the brain, which improves the release of gonadatrophin releasing hormone by the hypothalamus, follicle stimulating hormone from the pituitary gland, and estrogen and progesterone levels from the ovary.

• Acupuncture reduces stress and a hyperactive sympathetic nervous system response.

• Acupuncture has been speculated to moderate cyclooxygenase and prostaglandin levels in the uterus, reducing uterine motility to improve implantation rates.

• Conditions such as PCOS and Endometriosis often engender a hormonal environment that is hostile to the conditions optimal for the developing embryo. Acupuncture and Chinese medicine contribute to correcting hormonal imbalances prior to IVF, giving women a much higher chance of achieving a healthy and successful pregnancy. The American Society of Reproductive Medicine’s Fertility & Sterility Journal has concludedthe utility of acupuncture in conjunction with assisted reproductive technology. With all this conclusive “proof” in the last five years, you would think that every reproductive clinic in the world would require their patients to receive acupuncture. Thanks to the role that acupuncture and TCM has played in helping women get pregnant, and the media coverage it has received in recent years, all of that is changing.