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The Ongley Institute - Back, Neck & Joint Pain Center Dr. Milne J. Ongley, Director

Treatment Process

Treatment is based upon diagnosis.  These are the two elements of the clinic that are far and away different from what you may have experienced in other medical facilities.  Our diagnostic approach is by way of functional examination of the entire musculoskeletal system when required or a focal functional examination of say…you rotator cuff problem.

Once we have identified the structures which are functional and normal, we then easily find those that are compromised and in need of treatment.

Generally speaking, injured joints have limited range of motion secondary to adhesions which formed during and after the initial injury.   Our first goal is to reestablish normalcy to the area in question.  We do this by reealigning bony malalignments and rupture adhesions that are restricting movement in any given joint such that, within a few minutes, you will have a full range of motion that is pain free.

Once that has been achieved, we wait one day before beginning to stabilize structures that require stabilizing (ligaments, tendons, etc.).  If you are that patient who is contemplating hip or knee replacement surgery, we will also begin to awaken the chondrocytes (cartilage making cells) and synoviocytes (cells that make the fluid that lubricates you joints).  You will invariably require ligamentous strengthening by way of selective inflammation repeated at approximately weekly intervals.  The intervals vary according to the joints.  Below is an example for the number of average treatments per joint.

Knees, Shoulders, Hips

One initial treatment + 4-5 inflammatory sessions at weekly intervals

Neck

6 sessions

Low Back

8 sessions

Naturally this is subject to variability as introduced by degree of degeneration and any surgical interventions at the time of examination.

Please take note that this works on all synovial joints in your body (e.g., toes, fingers, temperomandibular joints (TMJ)).

Torn or Pulled Muscle:  If you have a torn or pulled muscle, we can free up the scar tissue in the muscle and regenerate a great deal of the muscle fibers as well as repairing the tendinous point of attachment to bone.

Sciatica:  Sciatica is an old Greek work for “pain down the leg” and your M.D. has requested an imaging study such as an MRI of your low back.  Upon review of the MRI he points out that you have a bulging or herniated disc in your low back.  He sends you to physical therapy and prescribes some pain medication.  After 3-4 months of this, you return to his office still with the same pain.  His decision will likely be to remove the disc (discectomy).  It may be needed but such is the case in very few circumstances.  This decision making process is flawed by the usually perfunctory nature of examination of the low back, and by the great degree of uncertainty that accompanies any finding on any imaging study.  Surprisingly, The MRI has a great deal of uncertainty regarding its ‘findings’.  Several studies have shown that pain radiating down a leg is most often secondary to soft tissue injury.  Additionally, there are many persons with bulges larger than yours who are free of both pain and dysfunction.  So if you have back surgery you may or may not improve.  Some physicians offer an injection of ‘Cortisone’.  This usually reduces symptoms for a few weeks or months only to see them return as it does not address the underlying cause of your pain.  If the examination focuses on you and not the MRI, we have found that we can localise another cause for your pain and successfully treat it.  We will also look at the MRI and interpret it, but it is your body and our testing of its function both mechanical and neurological that leads us to a diagnosis. 

Over 96% of our patients see immediate results which will not last unless you follow through with the treatment and rehabilitation program.  It seems that about three months after the last session of treatment the patient turns a corner of sorts in that many forget that they even had a problem to begin with.  As they continue to get stronger so also do the ligaments.  The ligaments are getting shorter, thicker and developing an increased area of attachment to bone.  This process that we initiate continues for up to and in some cases over a year.

Please remember that if you plan to visit us at least two days will be required during the first week of treatment.  Please see that you enquire about the wide array of places to stay when you call the clinic to make your appointment.    

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