Pain Management AssociatesPain Management Associates
Pain Management AssociatesPain Management Associates
HomeAbout UsOur ServicesAbout ChiropracticMassageYour First VisitFive Wellness TipsNewsAffiliationsInsuranceRequest AppointmentContact/Directions


Keep up with us! Read Our Blog at

Upcoming Events

Stay Tuned!



Dear Friends,

I’m looking forward to 2016 with particular enthusiasm, as it will be my 20th year in practice!  It seems like only yesterday I was graduating and nervously excited about starting practice.  Some of you may be familiar with my history here at ICR, but most of you probably are not.  For instance, did you know that I was a patient of this clinic in the 1980s? Or that I worked here during the summers while I was in high school and college?  

At one time or another, I’ve been everything here from patient to owner. That’s why I’ve always felt that the only way to take care of you is how I would want to be cared for myself.  Your care over the next 20 years here will be just as comprehensive and compassionate as it has been since I started in 1996.

In the coming year we will have some events to mark this anniversary, so please, if you have not already been receiving our (sporadic) emails, send a message to to stay current with office happenings.

I would like to thank each and every one of you for continuing to trust us with your healthcare, whether you’ve been with us since 1996, or you just started today.  We’ve always tried our hardest to give you the best information and the best care to get you well as fast as possible. We will continue that mission going forward, not just for pain relief and musculoskeletal health, but for other health challenges like weight loss and stress management.

Make your health a priority in 2016. Start it off on the right foot by reserving your spot at our free weight loss seminar, Wednesday, December 30 at 6:00 p.m.

Best wishes,

Dr. L. Thomas Powell




Tech Neck...the 21st Century Pain Syndrome


Smartphone email check before getting out of bed. Tablet to browse the morning headlines. Laptop on the train to work. Hours on the work desktop. Multiple smartphone/tablet/computer email and social media checks. Like it or not, devices are increasingly commonplace in our lives. How many hours do you spend every day looking at a screen? Chances are, it’s several.

“Tech neck” is a term given to the pain and associated symptoms that occur from overuse of technology. You know these people: hunched shoulders, head forward straining to see their smartphone or tablet screens.

Over time, the body begins to sense, “this is our new normal position, we must accommodate,” and it starts remodeling your ligaments and muscles to maintain it. Initially, there may be no pain, but the abnormal positioning results in chronic muscle strain, nerve and joint irritation, which eventually cause pain that seems to have no cause. 

“Tech neck” is a buzzword given to a condition we have been treating for decades called “upper crossed syndrome.” By the time people come to our office with this pain, they have the associated joint and nerve pain. However, when caught early on, tech neck can be easily managed and even corrected with some common sense tips and some specific exercises.  First, the tips:

· Do you really NEED to spend all that time in front of a screen? Limit non-essential screen time to one hour per day.

· Take a 5 minute screen break every 30 minutes of screen time.

· Move the screen to eye level, not your eyes to screen level.

Now, for the exercises: Below are two  movements from our complete program. View the complete program video online at our website,

If you get pain with these stretches, STOP immediately and give us a call. Some mild soreness is normal with stretching, but pain indicates that something else is going on. Paper copies are also available at the office!

Unplug and stretch to enjoy a pain-free connected life! If you have a history of neck and/or shoulder injury, check with us before doing these movements.


Massage Therapy...It’s not JUST a back rub...

Many people tend to think of massage as a luxury, something you get while visiting an exotic beach or spa.  In fact, massage is beneficial for a number of medical issues, including hypertension, anxiety, breast cancer, carpal tunnel syndrome, migraines, and of course, back and neck pain.  This may be why hospitals are increasingly putting Massage Therapists on staff and insurance companies provide coverage for this service when medically necessary.   


Studies in medical journals like the Annals of Internal Medicine and the International Journal of Neural Science have reported on the benefits of massage for back pain and migraines.  In 2004, a study performed at the University of Miami School of Medicine found that patients receiving massage therapy for carpal tunnel syndrome experienced less pain, reduced symptoms, and better grip strength than those who did not receive it.  Patients with high blood pressure who receive 3 ten minute massages a week had a notable decrease in blood pressure compared to those who tried relaxation without receiving massage.  The positive effects of massage are far reaching and affect the whole body!

Massage appointments fill up fast! Call soon to get your preferred time. If your insurance doesn’t cover massage therapy, mention this newsletter to get your first massage for  just $45.


Considering a Detox After the Holidays?


Every now and again, a patient will tell me that they’re doing a “cleanse” or a “detox.” After a few questions, it’s clear that these are almost always a prepackaged quick fix or tabloid nonsense that promises big results, but will be unlikely to create long term results. That’s not to say the products aren’t good, it’s that the program is probably much, much too short.


Most store-bought detox programs usually only last a few days and are essentially a modified fast: very little or one type of food, lots of water, and some supplements.  They are short term because they starve the body of proper nutrition, which the body and mind will not rightfully not tolerate.


We offer a detoxification and purification (D & P) program that helps support the body systems affected by dietary and environmental toxins, most notably the liver, kidneys, and gastrointestinal system. The 21 day program is based on eating whole foods bought at your usual grocery store, whole food supplementation to support the liver, kidneys, and gastrointestinal system, and of course, plenty of water.  In addition to eating whole foods, you’ll enjoy smoothies that provide phytonutrients, antioxidants, and essential amino acids and fats.


Most people think that detoxification involves fasting or starving. Nonsense! Everyone who has done our program says they find it difficult to eat all the food that’s suggested! This is because our bodies are hungry for nourishment, not empty calories. In other words, we crave quality, not quantity. We need the full spectrum of nutrition to satisfy our hunger and create a state of good health.


No detox discussion is complete without talking about weight loss. Most people are looking to shed holiday pounds this time of year. Our D&P program produces weight loss between 8-15 pounds over 21 days!  Looking to lose more weight?  Check out our weight loss website, for information about our comprehensive weight loss program.


Get the professional help you need to detox right, and save 20% when you sign up by January 8, 2016!






































Past Newsletter Articles

Winter 2015

Dear Friends and Patients,

It’s that time of year when we take time to visit with family and friends and give thanks for what we have.  We are certainly fortunate to have served your healthcare needs this past year.  A heartfelt thanks for your patronage!   

We’re going into 2015 with some exciting new equipment and programs!  We’re now offering laser acupuncture, which eliminates the use of needles and takes less time.  I’ve also developed a comprehensive weight management system that provides both quick weight loss and lifetime weight management.  See the articles within for more information! 

As you plan for the holidays and the coming year, remember to make your health and wellness a top priority!  Take time to manage your stress, eat well, and get in for an adjustment or a massage.

The Staff and I wish you a happy, healthy and peaceful holiday season!  We look forward to seeing you soon!


Best of health,

Dr. L. Thomas Powell

Make your 2015 Resolution “Stick”!

If you’re going into the New Year with a commitment to get healthier, we can help you!  Whether it’s weight loss or smoking cessation, acupuncture can help you reach your goals!  If it’s weight loss, consider coming to one of our seminars, the next is on Tuesday, January 13th (see page 2).

If you’re trying to quit smoking, a short course of acupuncture treatments can help you with the cravings that typically cause relapses. 

We have some special programs using acupuncture for weight loss and smoking cessation, call the office for more details today!  Scared of needles?  Read about our new laser below!

Massage is good for THAT?!

Most people seek out massage therapy for relaxation or muscular pain.  Of course, it’s fantastic for those conditions!  But did you know that it can be beneficial for migraine headaches, carpal tunnel syndrome, and high blood pressure? 

Studies in 1998 and 2006 found that massage therapy decreased the frequency of migraine headaches and improved sleep quality.  A 2004 study at the University of Miami School of Medicine concluded that the subjects receiving massage experienced less pain, reduced symptoms and better grip strength than those who did not.  Research has also shown that patients with high blood pressure who received just three 10 minute back massages per week had a reduction in blood pressure compared to those who tried to increase relaxation without massage.  Make regular massage part of your health care regimen.  Give us a call to schedule or find out about insurance coverage.

Scared of Needles? Laser Acupuncture is Here!

After 11+ years of providing acupuncture services here at the office, I’m still amazed by the results people obtain and the way it perfectly complements chiropractic care.  

Most people picture scores of tiny needles when they think of acupuncture.  While the use of needles is the most typical way to stimulate acupuncture points, there is another, completely painless way to accomplish the same goal:  Laser stimulation.

The word “laser” is actually an acronym: L.A.S.E.R. stands for Light Amplification by Stimulated Emission of Radiation.  A unique aspect of laser light is that it can be tuned to a specific wavelength.  Acupuncture points respond best to a wavelength of 635 nanometers (a nanometer is one billionth of a meter), which is a red beam.

It takes only 10-15seconds to stimulate an acupuncture point with a laser.  This is a 100% pain free procedure!  And, studies have shown that laser acupuncture point stimulation can be just as effective as needle stimulation, without needle related anxiety.

We recently acquired an FDA approved 635nm acupuncture laser and are looking forward to the results it provides.  We can also treat trigger points and nerve pain with this device!  If you’ve got an issue you suspect might be helped by acupuncture, but were hesitant to treat because of the needles, we now have a way to provide you anxiety-free treatment in a relaxing environment.  Call today to schedule!

Exciting New Weight Loss Program!

The statistics relating to obesity in this country are not good:

· 65% of adults are overweight or obese

· Over 1/3 of adolescents and children are overweight or obese

As a country, we’re overfed but undernourished!  After reading countless books and articles over the years, I have determined that there are two main hurdles to losing weight and lifetime weight management:

1. Understanding

2. Accountability

Without knowing how certain foods affect your metabolism, you will be hard pressed to reach your weight loss goals. 

It is not simply about a numerical calorie count, but rather the impact different types of calories have on your metabolism.  Obesity is a fat storage disorder, and not all calories affect fat storage the same way.

Secondly, if you do not understand how to set reasonable goals, you will set  yourself up for failure.  Once you understand the impact of foods and how to set attainable goals, you must be accountable for what you eat and  the appropriate effort in to reach your mark. We want to help with both of these barriers!

I’ve developed a program combining whole food nutrition, laser or needle acupuncture for craving control, and scheduled counseling to help you attain and maintain your goal weight...with foods available at any supermarket!  We even provide you with a cookbook!

Achieving and maintaining a healthy weight isn’t about depriving yourself, it’s about choosing nutritious, delicious foods.  This program is practical and sustainable.

Reserve your seat at a special seminar on Tuesday, January 13, 2015 from 6-8pm at the office...or call today to get started right away. Cardiologists and other health care providers have attended our seminar!


Have You Been Here Yet?





We are very happy at our new location, 9111 Broadway!  We’ve been here six months now and are very pleased with our  move.  We still have some pictures to hang, but overall we’re settled in.  Patients and friends who have visited are all impressed with the layout and décor.


A courtyard sign (not pictured) makes our suite even easier to find.  Monica will be glad to give you directions, or you can click the “Contact/Directions” button on our website,  Stop by and visit  us today!


Morning Stiffness Relief

Are you plagued by aching and stiffness in your lower back when you get out of bed in the morning?  Does it take you a few minutes to stand up and get moving, and an hour or two to feel “normal?”  This is not an uncommon situation for many people with arthritis or degenerative disc problems.  In the past several months, we’ve had some success with a new intervention, but let’s review some basics first:

1. Check your mattress.  If it’s sagging or 10 years or older, it’s time to replace it.

2. Apply ice or moist heat for 20 minutes right before bed.

3. Stretch right before going to sleep and immediately upon waking.  You’ll get moving more quickly.

If you’ve tried these recommendations and still have morning stiffness, consider taking Trace Minerals B12 from Standard Process®.  Patients who have taken just 1 tablet per day noted significant reductions in morning stiffness.  Call the office today to check availability!


One more reason to continue chiropractic care



Chiropractic has always been on the forefront of preventative healthcare and health maintenance in its truest form.  “Eat well, think well, move well, be well” is our official motto at Integrated Chiropractic Rehab.  Regular wellness or “maintenance” care is like flossing your spine.

People often forgo or drop out of maintenance care only to come back a few months later with a flare-up of their condition.  Typically, it takes a number of these episodes for the realization to sink in:  Maintenance care is a good idea...and now science is beginning to confirm what we have long known.

A study recently submitted to the medical journal Spine examined whether continued spinal manipulation (adjustments) was beneficial for people with chronic low back pain (LBP).  60 patients with chronic, nonspecific LBP lasting at least 6 months were randomly assigned to one of three groups.  The first group got 12 sham (fake) adjustments over one month, the second group received 12 actual adjustments over one month but no follow-up care, and the final group got 12 adjustments followed by maintenance manipulation every two weeks for nine months.  Those receiving the real adjustments (groups 2 and 3) had significantly lower pain and disability at the end of one month, but only the third group (the maintenance group) showed a continuation of these benefits at the 10 month mark.  Regular chiropractic adjustments can be the ticket to continued pain control and improved quality of life.  In almost every case, there is also a substantial financial savings when compared to treating multiple episodes.  Maintenance care takes less time and less money, so what’s stopping you?

Senna, M et al. Does maintained spinal manipulation for chronic non-specific low back pain result in better long term outcome?  Spine. Published ahead of acceptance  January 17, 2011.


Acupuncture for Hot Flashes...Free Evaluation Through January 2012!



A recent study found that Acupuncture worked as well as a drug commonly used to treat menopausal hot flashes in women receiving treatment for breast cancer.  Acupuncture was just as effective as the drug Effexor in managing hot flashes and night sweats.  Treatment helped reduce the number and intensity of hot flashes.  Furthermore, the symptoms of the acupuncture recipients were reduced for 15 additional weeks after treatment was discontinued, compared with only 2 weeks in the medication group.  The side effects of medication were typical; nausea, headache, dizziness, difficulty sleeping, fatigue, anxiety, and increased blood pressure.  Acupuncture side effects were increased energy, overall sense of well-being and sexual desire.  There were no bad side effects.

Since we began offering acupuncture 5 years ago, we have treated many women who were experiencing menopausal hot flashes not due to breast cancer or its treatment. Almost all of them received very good relief, and many were delighted  that their hot flashes went away completely.  Some did require an occasional “booster” treatment, but this was only about 15% of the time.  Acupuncture is  a safe option for managing “power surges” and “personal summers,” why not give it a try?  We are now offering a FREE EVALUATION ($120 value) through January 31, 2012.

Walker EA, et al Acupuncture for the treatment of vasomotor symptoms in breast cancer patients receiving hormone suppression treatment. International Journal of Radiation Oncology - Biology – Physics. Abstract No. 228. Volume 72, Number 1, Supplement, 2008.








Past Articles

Staying Well in a Down Economy

With the challenges facing us every day, it is imperative that we stay healthy enough to keep working.  The recent financial crisis has put additional stress on an already frazzled population. 


Health is our most valuable asset, without it we cannot work, play, or enjoy family, so protecting it is of utmost importance.  I was recently at a nutrition seminar and several of us were discussing simple, easy to follow recommendations that would help keep just about everyone in good health.  We decided that the following core recommendations were a good start:


1.  Eat Well or Supplement Well.  Giving your body the nutrients it needs with food is best.  Most agreed that the Mediterranean diet is ideal, a mixture of quality protein, fats, fruits and vegetables helps fend off heart disease and diabetes.  Limit or eliminate refined white flour and sugar.  If you are not eating well, or are inconsistent, a quality whole food multivitamin and multi-mineral supplement will help replace what you're missing.  Catalyn® and Trace Minerals B12® from Standard Process® are excellent choices.

2.  Exercise.  No surprise here, but you don't just need cardio! Flexibility and strength training are vital to obtaining positive health benefits.  Remember to check with your doctor before beginning any exercise regime.

3.  Manage stress.  If you are exercising, you're already helping to manage your stress.  Consider a yoga or tai chi class for your flexibility, you'll be amazed at how relaxed you'll feel.  Pick up a hobby or a class just for fun!

4.  Get adjusted.  Consider it "dental floss for the spine."  Over the past 12 years of doing this, I have noticed that my patients who are regularly adjusted once every month  are largely more healthy and active than those who only seek care when they have pain.  Another interesting characteristic of these patients is that they are typically more mature, in their 60s, 70s, and 80s.

These are some simple, inexpensive choices that may help you maintain good health during good and bad times alike.  If you need any help getting started, or if you haven't been in for a adjustment lately, give us a call.  We always have time to help you make healthy choices.


Best of health,

Dr. Powell

P.S. Visit our website for more wellness tips!




Getting the most from your care...and the most for your money!

At Integrated Chiropractic Rehab, we understand that you need to get the most from your healthcare dollar.  Each of the following recommendations may not particularly apply to you, but certainly some should.  If you have a question or concern, do not hesitate to call us!

1.  Stay on schedule.  Of course it's not the most convenient thing to have to visit the Chiropractor/Acupuncturist a few times a week, but the nature of these treatments typically relies on repetition for the best results.  It is always less costly to adhere to your prescribed plan than to take a visit or two here or there.  Remember, we can accommodate most scheduling conflicts, so if you foresee a problem, give us a call.

2.  When in doubt, use ice.  If you have discomfort between appointments and don't know what to do, apply ice for 20 minutes using a gel pack or plastic bag filled with ice.  Always use a moist towel between your skin and the pack.  Do not use ice on any body part known to have circulation problems.

3. "No pain, no gain" is a MYTH!

Pain is a warning signal, not a reward.  If you are doing something that increases your pain, but choose to work through it, you may be doing more harm than good.  This even applies to exercises we may give you!

4.  Ask questions.  We encourage you to get involved and ask questions about your care, we do not see it as an imposition.

5.  Do your exercises at least twice a day. Period.


Diet and Exercise Considerations for Osteoporosis

The right diet, supplementation, and exercise can help you build bone mass (or maintain it) quickly and powerfully.

Osteoporosis is often confused with osteoarthritis because people think it is painful.  In fact, osteoporosis is called the "silent killer," because it is painless and can result in falls, fractures, and blood clots.  Bone density loss is not visible on an X-ray until upwards of 30% is gone!  So get your Bone Mineral Density tests on a regular basis.  The Mediterranean diet is the best choice for healthful eating.  There are numerous books on the subject, but the basics are as follows:


  • Lots of fruits and veggies
  • Using healthy fats, like olive oil
  • Small portions of nuts
  • Eating fish on a regular basis
  • Lean cuts of meat in moderation

Recently, supplementation guidelines have changed.  Raw bone supplementation is now considered the superior choice for building bone mass.  We recommend Calcifood® from Standard Process® in addition to calcium lactate.  Additional supplementation should include a high quality source of cod liver oil and butter oil.

Weight lifting is now considered the preferred way to increase bone mass.  Consider this fact:  The dominant hand of a professional tennis player has 35% more bone mass than the other arm, simply from all the exercise!  If you have not been exercising, check with us or your general physician prior to beginning any physical activity.