Rehabilitative Exercise and Chiropractic Care

Patients, Friends, and Family:

Please view my recent presentation on rehabilitative exercise for the spine and low back and it’s role in chiropractic care.  There are seven short videos.  Please follow this link in Facebook for the first video. 

Neck and Back pain

Friends and Patients:

Thank you for reading my new Health Newsletter email! Hopefully, this will be the beginning of a series of health tips that I will be providing you several times a month. Many of you have seen this picture in my office before.
When I show it to you during an examination it usually means that you are in pain and we are trying to figure out what happened. There are many causes of neck and low back pain, but typically a sprain injury or tearing of a ligament is the most common cause.
Just like sprain and ankle, the neck and back holding elements are subject to traumatic and overuse forces that cause pain, swelling, spasm and inability to function as normal.

Scar Tissue Formation:

Not responding to the injury with appropriate treatment can lead to scar tissue formation.
Look at those giant cross-bridges! The scar tissue in the above picture is ineffective in providing stability for the normal forces expressed on a joint. Future re-injury risk is high in this scenario!

Treatment at Corrado Chiropractic & Rehabilitation Center, LLC, consists initially of passive care with modalities and adjustments for proper re-establishment of healing tissues, improved motion from manipulation and stimulation of mechanoreceptors in the joints to provide neurological stimulation to correct the timing, patterning, and coordination of muscles that support the injured joint. We all feel that we are not moving correctly when we are in pain! Treatment works to alleviate this! Exercise and rehabilitation, after there has been a decrease in pain, is provided to help build endurance of Type 1 spinal muscles and again to stimulate mechanoreceptors with balance exercises for improved neurological control.

Happy to help.

We are happy to help you here at Corrado Chiropractic & Rehabilitation Center, LLC, with your injuries and concerns.  Feel free to call us any time to set up and appointment or consultation at (856)596-0086 or visit our website at

Copyright © 2017 Corrado Chiropractic & Rehabilitation Center, LLC, All rights reserved.
These are special tips for your health as a patient from your chiropractor, Dr. Corrado!

Our mailing address is:

Corrado Chiropractic & Rehabilitation Center, LLC

151 Greentree Road
Suite C

Marlton, New Jersey 08053

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Broccoli as a Cancer Fighter

Image result for broccoli

Patients and Friends:

Don’t forget to eat your broccoli! Recent studies have shown that a chemical in broccoli called sulphoraphane can have anti-cancer activity with certain cancers. The best way to eat the broccoli is to maximize the sulphoraphane content by steaming it for 3-4 minutes. Remember to buy organic broccoli. Also, try raw organic broccoli sprouts in your salad to increase the sulphoraphane intake by about 50 times!

Effective Exercise (Aerobic vs. Anaerobic?) Part 4


So the previous 3 parts of this series involve comparing traditional aerobic exercise with anaerobic exercise or High Intensity Interval Training or HIIT.  Both forms have their benefits, but the stimulation of human growth hormone or HGH with HIIT maximizes health and strength and enables effective and quicker training results.  The following according to Slosberg and Mercola is a list of benefits from HIIT and raising HGH levels from 500-750%:

  • Massive breakdown of stored glycogen in Type 2a and 2b muscle fibers.
  • Increased insulin sensitivity.
  • Increase activation of hormone-sensitive lipase (fat breakdown enzyme) and breakdown of fats for energy.
  • Decreased insulin levels, blood sugar, blood fats, and blood pressure.
  • Increased production of muscle stem cells and synthesis of new muscle cells.
  • Increased muscle mitochondria production.
  • Increased neuronal (nerve) mitochondria.
  • Decreased biomarkers for diseases such as diabetes, heart disease, and cancer.
  • Anti-aging due to reduced shortening of telomeres (end caps) on your chromosomal DNA. (Telomeres shorten with factors such as smoking, obesity, and toxin exposure).
  • Improved muscle tone.
  • Increased athletic speed and performance.
  • Increased sexual libido.
  • Improved metabolism and increased energy levels.
  • Anti-aging features such as firmer skin and fewer wrinkles.
  • Improved aerobic capacity.
  • Weight loss.

I can tell you first hand the differences I have experienced with HIIT.  My workouts are much faster, I spend only 4 minutes total of hard exercise (although they are the most grueling 4 minutes).  I have had significant weight loss, especially at my waist which is important because waist diameter is an important indicator of future health and disease risk.  I can run 3 miles, no problem, up and down hills.  My aerobic capacity has improved even without aerobically training.  I have improved energy levels and drive.  My blood pressure is 116/66 mmHg.  My pulse rate is 66 beats/minute resting.  I have reached my maximum heart rate for my age at 173 beats/minute while training.  I have never felt better than I do now since grade school.  I do want to relay to all of you, however, that I did have a cardiac stress test first to determine my heart’s ability to withstand the stress of HIIT.  I also have had mild to moderate groin and hamstring strains from sprinting.  So, please be careful and use good sense for your health.  Enjoy HIIT and the benefits of increased HGH.

Aerobic vs. Anaerobic Exercise Part 3

Silhouette of man and woman running jogging together into sunset

Effective Exercise (Aerobic vs. Anaerobic?)  Part 3

Aerobic exercise does have a place in our exercise repertoire, however, anaerobic or high intensity interval training (HIIT) provides a more efficient means of exercise with faster and more profound results.  As a side note here, it is important to relate that this type of exercise is not for compromised individuals, especially with underlying or manifested cardiovascular issues because of the stress of the exercise.  Before trying this program, it is important to have a medical evaluation and, if necessary, a cardiac stress test to make sure your heart is functioning normally.  HIIT requires a maximal effort over a relatively short duration follow by a rest time in multiple intervals, hence the name of high intensity interval training.  A typical profile of exercise would include using a stationary upright or seated bicycle or elliptical machine.  The program as described by Dr. Mercola works as follows:


  • 3 minute warm-up at a low level at a low pace and resistance.
  • At the 3 minute mark, begin an all-out effort of exercise as hard as you can at a higher level of resistance.
  • Continue for 30 seconds of all-out effort.
  • At the 30 second mark, decrease your intensity to a low pace and lower the resistance.
  • Continue this cycle for a total of 8 repetitions. Start at the 5, 7, 9, 11, 13, 15, and 17 minute marks, ending at their 30 second marks.
  • At the end of 8 repetitions perform a cool down at low pace and low resistance for 3 more minutes.

It is important to remember to try to give your maximum effort while performing the exercise.  You will be out of breath and you will most likely, sweat profusely.  Your heart rate will increase and continue to increase with each consecutive repetition.  It is very helpful to use a heart rate monitor to help track your heart rate.  Your heart rate will likely reach and surpass your calculated maximum heart rate by 5-10 beats.  Your maximum heart rate is found by subtracting 220 minus your age.  For example, if you are 40 years old then subtract 220 minus your age and get a maximum heart rate of 180 beats per minute.  You will want to watch how quickly your heart rate recovers to a slower pace.  This is a good indicator of your conditioning.  This type of workout can be difficult to say the least, so be sure to allow for adequate time between training sessions to prevent over-training and burnout.  Leaving 2 days between sessions should help sufficiently with recovery.  Do not do HIIT more than 3 times per week.

If you are just starting out it is fine to scale back the workout.  For instance, you may only be able to finish 2 repetitions initially, and then as your fitness levels increase, you can add more repetitions.  Also, if you are really just a beginner, then use intermittent slow walking and faster walking intervals or stationary biking geared down with slower and then medium intensity on the faster cycles.  You will still reap some of the benefits of HIIT.  If you are more of an athlete, or as your conditioning progresses, you can increase the intensity of your HIIT.  Some ideas include, swimming, sprinting, and even sprinting uphill. Be careful however, and make sure your conditioning is at the proper level, and you warm-up and stretch appropriately to avoid injuries.  It is very easy to tear a hamstring or pull a groin muscle, especially if you are not used to sprinting.

Here is a link to watch Dr. Mercola and Phil Campbell, innovators of HIIT,

See the final portion of this series, Part 4, to understand all the benefits of HIIT and stimulation of HGH.



Aerobic vs. Anaerobic Exercise Part 2



Disadvantages with aerobic training include spending longer and longer times training to increase metabolism once cardiovascular efficiency has been achieved and the relative increase of wear and tear on the joints with prolonged stress.  Continued wear and tear on joints can lead to micro trauma, chronic inflammatory responses and pain, and potentially degenerative joint disease or arthritis.  Steady state activities, such as running, take the variation out of exercise and eventually can compromise an individual’s adaptation to physical stress by recruiting only slow twitch, Type 1 muscle fibers.  Fast twitch (Type 2a and Type 2b) fibers can begin to atrophy.  In prolonged scenarios, the loss of fast twitch muscles can effect glycogen metabolism (the body’s source of energy) by promoting lack of insulin sensitivity. Insulin is a very important hormone in our bodies that regulates carbohydrate metabolism.  Insulin resistance is a major problem in our country today with rampant increases in Type2 diabetes mellitus, mainly due to high carbohydrate diets and lack of exercise.

In contrast, interval training or high intensity interval training (HIIT) profoundly uses Type 2a and Type 2b muscle fibers due to the quickness, intensity and contractile nature of the exercise.  The “burst-like” activity increases and shocks your body’s metabolism, burning more calories while performing the exercise and a continuance of calorie burn after exercise with the repair phases, just like other fast twitch muscle exercises, like lifting weights.  This increase in metabolic rate causes an expansive amount of glycogen depletion in all of your muscles, leaving only some storage in your liver.  This is a very important concept regarding HIIT.  This type of training promotes insulin sensitivity vs. insulin resistance.

When there is no demand for fast twitch muscle activity, glycogen (energy storage form of glucose) stores are full, like lounging on the couch or sitting for 12 hours at work during the day.  As your glucose intake continues to increase with meals high in refined carbohydrates, simple sugars, and high fructose corn syrup, a positive energy balance is established, causing fatty acid synthesis for triglyceride formation for energy storage.  Over-consumption of glucose and constant stimulation of the potent hormone, insulin, from your pancreas causes insulin resistance leading toward diabetes.  By using fast twitch muscle stimulation with HIIT and depleting glycogen stores, your body become insulin sensitive decreasing the need for insulin and preventing diabetes.

HIIT also has a tremendous influence on a very important hormone, human growth hormone or HGH.  Unfortunately, as we age our levels of HGH decrease.  After age 30, our levels of HGH drop precipitously leading to a condition called somatopause in both men and women.  This is similar to menopause in women where aging leads to a drop in sex hormones and a host of conditions, like osteoporosis, loss of muscle mass, and depression.  Further drops in HGH levels are also experienced by all of us in our daily lives, especially during periods of stress and cortisol production, loss or improper amount of sleep, and sedentary activity.  Higher HGH levels help us with the retention and production of muscle cells, loss and breakdown of fats, anti-aging, and a decrease in insulin levels, promoting insulin sensitivity.  HIIT causes a “fight or flight” reaction and an epinephrine release that significantly bolsters levels of HGH anywhere from 500-750%!  This is a huge benefit!  Growth hormone keeps us young, keeps our weight under control, prevents disease, increases muscle mass, and makes us healthier and stronger.  Considering the shorter training times, the vast increases in HGH, and the promotion of insulin sensitivity, HIIT or anaerobic conditioning is a superior training technique.


See Part 3 of this series for an explanation on how to perform HIIT.  Part 4 will recap all of the benefits of stimulating growth hormone for the best type of conditioning,

Effective Exercise: Aerobic vs. Anaerobic? (Part 1)

We all have learned the importance of exercise in our lives today.  Every source of media in the world has information regarding exercise, our doctors espouse the benefits, and it is common that we all try to shoe-horn time in our busy lives for the health of our bodies.

Many people spend hours working hard to increase our metabolisms to shed unwanted pounds, in the hope of looking toned by summer for that new bathing suit or to have that stylish outfit look good for an important job interview.  Exercise can be hard work and frustrating at times, to say the least.  The following information will discuss some differences in exercise types, especially traditional aerobic or cardiovascular exercise in contrast to anaerobic training, in particular, high intensity interval training or HIIT.

Continue reading Effective Exercise: Aerobic vs. Anaerobic? (Part 1)