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Practice Credo & Philosophy

"Pain is inevitable.  Suffering is optional." 
-Anonymous Zen saying.

“The pain of the mind is worse than the pain of the body”
-Publilius Syrus (Roman author, 1st century B.C.)



As noted, Dr. Carcione's focus is on neuromusculoskeletal medicine. It is an office-based practice dedicated to the use of osteopathic principles & practice and electrodiagnostic examinations in the management of neuromusculoskeletal disorders. Those cases that may necessitate inpatient management (hospitalization) are referred out.

Dr. Carcione takes a truly holistic approach to the patient. Many patients continue treatment with their respective health care providers and come to us for consultation, electrodiagnostic evaluation, and injection therapies or to receive osteopathic manipulation. The practice has many types of referring clinicians besides traditional internal or family medical physicians. We enjoy a professional working relationship with many chiropractors, acupuncturists, dentists, oral surgeons, and psychologists as well as the traditional medical & surgical subspecialties of neurosurgery, orthopedics, rheumatology, and anesthesiology. All referring clinicians receive periodic updates. The practice does not make any attempt to take over cases. After testing or treatment, all patients are returned to their referring provider. Dr. Carcione maintains that honest, open communication with the patient and their referring provider is the only way to effectively manage cases.

Dr. Carcione recognizes the fact that chronic pain related to neuromusculoskeletal disorders is a complex phenomenon. When deemed necessary, patients may be asked to have a behavioral medicine, psychological, or psychiatric evaluations. This is an important concept in treating the overall adaptive and coping mechanisms of an individual with chronic disease. If the patient cannot understand this process, they cannot help themselves. A patient must realize that their lifestyles and health habits clearly affect any disorder diagnosed. Stress, poor personal support systems, illicit drug use, obesity, tobacco and alcohol as well as many other psychosocial factors play a role in the management of how a patient deals with their disorder. Dr. Carcione believes that such management is a "two-way" street. The patient must be an active participant in their care. This participation comes first and foremost in the education of the patient about the situation they are in.


Conditions Managed & Therapies Offered
"To be able to intelligently prescribe any and all drugs, one must first learn the fundamental principles that govern their administration. Namely: There must exist within the body the physiologic wrong for which the drug is given. Otherwise, it becomes a poison instead of a remedial agency."
- A.T. Still, M.D., D.O.        

Many of our patients are seen for one or more of the following conditions:

    • Low back pain
    • Scoliosis; diagnosis and non-surgical management
    • Entrapment syndromes (pinched nerves), such as carpal tunnel syndrome
    • Neurological disorders of the hand and forearm - carpal tunnel syndrome (CTS), ulnar
      neuropathy, and other nerve disorders due to sports related injuries or repetitive stress.
    • Chronic numbness or weakness of a limb
    • Traumatic nerve Injury
    • Occupational Medicine
    • Work related repetitive stress syndromes
    • Neurorehabilitation evaluations

Additionally, the following services are performed for our referring healthcare providers and clients:

    • Independent medical evaluations
    • Second opinion examinations
    • Peer review
    • Article 81 examinations (Dr. Carcione has been Article 81 certified from Pace University School
      of Law)
    • Workers' Compensation Scheduled loss of use evaluations
    • Social Security & disability examinations 
     
Our interventions include:

    • Comprehensive history & clinical examinations on all new patients
    • On-site comprehensive clinical neurophysiology laboratory
    • Medication management
    • Nerve blocks
    • Physical therapy modalities
    • Therapeutic exercise
    • Osteopathic Manipulative Therapy
    • Medical acupuncture
    • Electroacupuncture
    • Stress management & behavioral modification
    • Neurofeedback & biofeedback
    • Clinical Hypnotherapy for Pain & Stress Management

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