Richard Nebiosini, DC The Chiropractic Joint, PC

Richard Nebiosini, DC The Chiropractic Joint, PC Effective and Convenient Chiropractic , Physical therapy (631) 752-4000 Convenient and effective chiropractic and physical therapy. Walk ins welcome.

Open 6 days per week including evening and weekend hours. We accept most major medical plans, no fault, workers compensation cases, Health Savings Accounts HSA and Flexible Spending Accounts FSA
http://www.chiropractorlongisland-joint.com
https://millerplace.wixsite.com/thechiropracticjoint
41 Echo Ave Miller Place, across from Sylvan park and next to kids of Miller Place

Which rib is the longest?
05/17/2026

Which rib is the longest?

L5 Nerve Root: Clinical SummaryUnderstanding the L5 level is critical for identifying radiculopathy and disc herniations...
05/15/2026

L5 Nerve Root: Clinical Summary
Understanding the L5 level is critical for identifying radiculopathy and disc herniations at the L4-L5 segment. Here are the key diagnostic indicators:
Motor Function: The primary indicator is the strength of the Extensor Hallucis Longus (EHL). Weakness in the dorsiflexion of the great toe is a classic sign of L5 involvement.
Reflex: While L5 doesn't have a highly reliable "gold standard" tendon reflex like L4 (Patellar) or S1 (Achilles), the Posterior Tibial muscle reflex is the clinically associated test for this level.
Sensation (Dermatome): Sensory changes or numbness typically present along the lateral aspect of the leg, the dorsum (top) of the foot, and specifically the first web space between the great toe and the second toe.
Accurate testing of these three components—Motor, Reflex, and Sensation—is vital for localizing spinal pathology and guiding effective treatment plans.

"Chiropractors commonly manage cervicogenic headache (CGH) and tension-type headache (TTH) using nonpharmacological inte...
05/12/2026

"Chiropractors commonly manage cervicogenic headache (CGH) and tension-type headache (TTH) using nonpharmacological interventions such as spinal manipulative therapy. However, dedicated guidelines on chiropractic management of headaches are outdated."

"This clinical practice guideline created evidence-based consensus recommendations for chiropractic management of adults with CGH and TTH. Chiropractors may appropriately care for individuals with CGH and TTH using a variety of nonpharmacological interventions ..."

Trager RJ, Daniels CJ, Hawk C, Taylor DN, Walters SA, Price MR, Anderson KR, Crivelli LS, Mooring SA, Staab CA, Oakley CB. Chiropractic Management of Adults with Cervicogenic or Tension-Type Headaches: Development of a Clinical Practice Guideline. J Integr Complement Med. 2026 Apr;32(4):325-344. https://journals.sagepub.com/doi/10.1177/27683605251397769?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

At the Chiropractic Joint, we have a flexion distraction table that helps to alleviate stenosis
05/10/2026

At the Chiropractic Joint, we have a flexion distraction table that helps to alleviate stenosis

Intervertebral discs act as shock absorbers between the vertebrae.Unhealthy Disc: Shows signs of degeneration orwear and...
04/29/2026

Intervertebral discs act as shock absorbers between the vertebrae.
Unhealthy Disc: Shows signs of degeneration or
wear and tear," often losing its height and hydration.
Herniated Disc: The translucent, bulbous protrusion shown in the image represents the nucleus pulposus (the gel-like center) leaking out.
As the disc material herniates, it enters the narrow spaces of the spinal column The herniation specifically compresses a nerve root as it exits the spinal canal. This often leads to radiculopathy, causing sharp pain, tingling, or numbness that radiates down the arm.
In some cases, the herniation is central enough to press against the spinal cord itself, which can lead to more generalized weakness or coordination issues.
Osteophytes (Bone Spurs) develop as the body's response to chronic disc degeneration. As the discs lose height, the vertebrae may rub together, triggering the growth of these spurs to help stabilize the joint. Unfortunately, these spurs can further narrow the space available for nerves.
When a disc in the cervical spine (C1-C7) herniates, the "pinched" sensation is often felt in shoulders, arms hands/Fingers
The specific area of discomfort usually corresponds to the exact level of the spine where the nerve is being compressed. For example, a herniation at the C6-C7 level typically affects the triceps and the middle finger.

The SI joint is prone to dysfunction due to its unique structure and function. Here are some key reasons:1. Limited mobi...
04/26/2026

The SI joint is prone to dysfunction due to its unique structure and function. Here are some key reasons:

1. Limited mobility: The SI joint is designed to be a relatively rigid joint, which can make it more susceptible to strain and injury.
2. Asymmetrical forces: The joint is subject to uneven forces from daily activities like sitting, standing, or walking, which can cause one side of the joint to become more stressed than the other.
3. Muscle imbalances: Weak or tight muscles in the lower back, hips, or glutes can disrupt the normal functioning of the SI joint, leading to strain and pain.
4. Biomechanical stress: The joint bears a significant amount of weight and stress, particularly when transitioning from sitting to standing or engaging in activities that involve twisting or bending.
5. Anatomical variations: Individual differences in joint structure or alignment can also contribute to SI joint dysfunction.

These factors can lead to inflammation, irritation, or misalignment of the joint, causing pain and discomfort. recise structural chiropractic adjustments and strengthening of the surrounding muscles can often help alleviate symptoms and restore normal function.

Neck pain can lead to several risks, including:1. Chronic pain: Persistent neck pain can become chronic, causing long-te...
04/26/2026

Neck pain can lead to several risks, including:

1. Chronic pain: Persistent neck pain can become chronic, causing long-term discomfort and affecting daily activities.
2. Nerve damage: Compression or injury to nerves in the neck can cause numbness, tingling, or weakness in the arms or hands.
3. Limited mobility: Neck pain can reduce range of motion, making everyday activities challenging.
4. Headaches and migraines: Neck strain can radiate to the head, causing frequent headaches or migraines.
5. Poor posture: Compensating for neck pain can lead to poor posture, straining other muscles and joints.
6. Spinal instability: Untreated neck issues can lead to spinal instability, increasing the risk of further injury or degeneration.
7. Decreased quality of life: Persistent neck pain can impact sleep, mood, and overall well-being.

If you're experiencing persistent or severe neck pain, call our office for an appointment (631) 752-4000

Chiropractor adjustments reduce the shear forces to alleviate pain from a herniated disc
04/20/2026

Chiropractor adjustments reduce the shear forces to alleviate pain from a herniated disc

BURNING IN YOUR UPPER BACK!If you feel a burning sensation between your shoulder blades, it is often blamed on muscle te...
04/17/2026

BURNING IN YOUR UPPER BACK!

If you feel a burning sensation between your shoulder blades, it is often blamed on muscle tension, but in many cases the real cause is nerve irritation, because the intercostal nerves that run between your ribs can become sensitive due to prolonged sitting, stiffness, or limited movement in the thoracic spine, and when these nerves are irritated, they can create a burning or heat-like sensation in the mid-back area, even without intense physical activity, which is why the pain feels different from typical muscle soreness and can persist without clear triggers.

Address

170 Route 25A, Miller Place
Miller Place, NY
11764

Opening Hours

Monday 9am - 7pm
Tuesday 9am - 7pm
Wednesday 9am - 7pm
Thursday 9am - 7pm
Friday 9am - 6pm
Saturday 9am - 1pm

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