This is a follow up to the post Various Soft Tissue Manipulation Versus Massage Along With Chiropractic Care:  part I.   As a review, soft tissue manipulation (STM) techniques are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body. Generally, STM  enhances proper tone and/or extensibility (ability of a muscle to be stretched) through a number of proposed mechanisms. Read below about the Various Soft Tissue Manipulation Techniques Along With Chiropractic Care: part 2 in our North Palm Beach office.


Functional Techniques

Functional techniques focus on structure and function and this interrelationship in the body. Additionally, they focus on the tendency of the body toward self-regulation. Functional techniques restore normal ease of movement and reduction of abnormal afferent (inward) input (signals) into your nervous system by correcting the problematic muscles. Certainly, this restores joint mobility and muscle tone. Two examples of functional techniques are MRT and PRT described below.


Myofascial Release Technique (MRT)

The goal of myofascial release treatment (MRT) is to establish functional three-dimensional whole-body symmetry and motion by removing fascial (thin casing of connective tissue that surrounds bone, nerve fiber and muscle) restrictions and restoring the body’s equilibrium. Consequently, MRT reduces muscle spasm and fascial restrictions.  This eliminates irritation to these pain-sensitive structures and so increases range of motion.


Positional Release Therapy (PRT)

PRTs major characteristics include specific body positioning and the use of tender points (areas of pain). PRT works by the positional release of abnormal neural reflexive activities (a neural reflex is an involuntary response to a stimulus). This is accomplished by placing the involved soft tissues in an “ideal position of comfort.  Irritability of the tender points are reduced as PRT normalizes function. In short, a return to normal length of the muscle is ultimately achieved.


Manual Resistance Techniques


Manual resistance techniques includes those procedures that have varying degrees of contact pressure and joint movement or positioning. In other words, the doctor contacts with varying pressure and positions the patient and/or the joint. MRT also uses varying degrees of muscle contraction from none to strong sustained contractions from the patient. And the corrective process requires active patient participation. This encourages the patient to assume responsibility for self-care.  Two examples of manual resistance techniques are MET and PIR.


Muscle Energy Technique (MET)

MET incorporates the use of the patient’s muscular effort in the application of the procedure. The primary effect of MET is to influence joint function.  But, there will be effects on the muscles. Similarly, the aim of MET is to restore normal joint position and function while influencing proper posture. And to be effective, the soft tissue restrictive barrier must be found, accurately engaged and manipulated. Moreover, engaging the restrictive barrier is what distinguishes soft tissue manipulation (STM) from massage.


Postisometric Relaxation (PIR)

Postisometric relaxation (PIR) achieves results through neurologic mediation of neural pathways (nervous system pathways). PIR techniques focuses on the muscular system and on inducing muscle lengthening. So it lengthens the muscle by influencing the nervous system.   Firstly, PIR refers to the effect of subsequent relaxation experienced by the muscle after brief periods of isometric contraction. Isometric contraction occurs when muscle length remains relatively constant as tension is produced. Secondly, by relaxing the active elements within the muscle, the lengthening procedure may be more effective at stretching the connective tissue elements.  Thirdly, this normalizes the function of the contractile and noncontractile elements in the muscle. Lastly, PIR tends to be simplistic and gentle.  Above all, you can also carry out many useful types of self-administered PIR as home treatment between your visits.


Soft tissue manipulation techniques has many benefits for your health! 

Call your North Palm Beach Chiropractor at 561-253-8984 to find out more about Various Soft Tissue Manipulation Techniques Along With Chiropractic Care: Part 2 or to make an appointment.

Various Soft Tissue Manipulation Techniques Along With Chiropractic Care: Part 2 will be  followed up with a post (part 3) on BODY WALL REFLEX TECHNIQUES (ischemic compression, acupressure, chapmans reflex points). 




Bergman, Thomas. Peterson, Lawrence. Chiropractic Technique Principles and Procedures

  1. Third Edition

Hammer, Warren.  Functional Soft Tissue Examination and Treatment by Manual Methods.

Third Edition


Meiri Chiropractic





A common source of pain and disability is soft tissue injury with its resultant fibrosis and loss of elasticity and strength. Soft tissue injury and fibrosis may result from acute or repetitive trauma to muscular, tendinous, myofascial, or ligamentous tissue.  Therefore,  adjustments of the joint without attention to the supporting and controlling effects of the soft tissues (i.e. muscles, tendons, ligaments, fascia) will likely result in recurrence of joint dysfunction (misalignment of joint).  The reason being, abnormal soft tissue patterns and presentations may persist after joint function has been restored.  Accordingly, any soft tissue problems need to be treated along with the joint dysfunction. 

Most chiropractic adjustive techniques (adjustments) impart a thrust to move a joint into proper alignment of the body to normalize function.  In contrast, many manual therapy procedures (joint mobilization, traction, and soft tissue techniques) are designed to affect physiologic processes to normalize function without using a thrust. This post will focus on soft tissue manipulation (STM) techniques. STM techniques are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body.

Indeed, various and numerous forms of STM exist within the profession of chiropractic. Firstly, all STM techniques are not equivalent. Secondly, while all are often recommended for the relief of pain, all STM techniques are not interchangeable.  Thirdly, although all STM techniques have some effect on the soft tissues, one may be more appropriate or effective for a particular condition.


Various Soft Tissue Manipulation Versus Massage Along With Chiropractic Care: the Restrictive Barrier Concept

Probably the most well known soft tissue technique is massage (methodical, friction and kneading of the body upon bare skin). Subsequently, some chiropractors do not use manual therapy (non thrust techniques) and refer their patients for massage (i.e. deep tissue) because of the exclusiveness of  adjustments (thrust techniques). And in the chiropractic practice, one of the functions of massage is to relax your muscles.  This prepares the irritated region for adjustments. 

So massage is great for pain reduction, relaxation, improved circulation and even softens superficial fascia. However, massage is not soft tissue manipulation therapy which crosses the restrictive barrier. Many conditions require the restrictive barrier to be found and accurately engaged to provide  functional improvement.  The barrier concept provides an important distinction between massage procedures and other STM techniques.

You cannot get whichever therapy (massage) you prefer and expect the same  outcome.  Some soft tissue injuries/conditions may require a soft tissue manipulation technique beyond massage for restoration of full functional and/or structural improvement.  Furthermore, when considering the use of treatment of certain soft tissue conditions a working knowledge of the fundamental principles behind them is necessary and helpful. 




Chiropractors have far more education than a massage therapist. A chiropractor has to complete a four-year undergraduate degree and then must finish a four-year doctorate of chiropractic program. All chiropractic programs teach a comprehensive program incorporating elements of basic science (e.g., physiology, anatomy, and biochemistry), clinical science (e.g., laboratory diagnosis, radiographic diagnosis, orthopedics, neurology, and nutrition), and clinical intern experience.

During their education, chiropractors also have to complete a residency program that includes hands-on training, pass several board exams, and pass certification tests. In conclusion, government inquiries and comparative evaluations have determined that the coursework and hours of instruction in the basic sciences are very similar between chiropractic and medical schools. Chiropractic students on average spend more hours in anatomy and physiology and fewer hours in public health. In the clinical arena chiropractic students have very limited training in pharmacology and critical care, but have significantly more training in clinical biomechanics, neuromusculoskeletal diagnosis, manual therapy, and exercise rehabilitation.


Part II of this post will discuss some various soft tissue manipulation techniques utilized at Meiri Chiropractic such as:




Positional release technique

MRT, Myofascial release technique



MET, Muscle energy technique

PIR, post isometric relaxation

PNF, proprioceptive neuromusculoskeletal facilitation

Ischemic compression

Trigger point therapy

Receptor-tonus technique



Acupressure point stimulation

Chapman lymphatic reflexes

Bennett vascular reflexes


If you just need to relax and treat yourself, you should head to a massage therapist. However, if you have more serious complaints, such as back/neck pain, frequent headaches, TMJ pain or even arm and leg pain, you may get more benefits from chiropractic soft tissue manipulation techniques. Call Meiri Chiropractic today at 561-253-8984 to make an appointment or to learn more about various soft tissue manipulation versus massage along with chiropractic care: Part 1 in North Palm Beach.




Bergman, Thomas. Peterson, Lawrence. Chiropractic Technique Principles and Procedures

2011. Third Edition

Hammer, Warren.  Functional Soft Tissue Examination and Treatment by Manual Methods.

Third Edition



Meiri Chiropractic




Premenstrual syndrome (P.M.S.) is a hormone mediated response to fluctuating levels of progesterone and estrogen (sex and reproductive hormones).  Symptoms generally represent the consequences of emotionaI lability (rapid, often exaggerated changes in mood, where strong emotions or feelings occur). For instance, mood swings, anxiety, and depression occur. Furthermore, hormonal effects on neuroendocrine (cells that release hormones into the blood in response to stimulation of the nervous system) function cause headaches, food cravings, fluid retention, breast tenderness or fullness, and back pain.  P.M.S. appears 7 to 10 days prior to menses and improves within hours to days following the onset of menses. After that, dysmenorrhea (menstrual symptoms) may appear.


Dysmenorrhea is the medical term for pain with your period (menstruation) or menstrual cramps. There are two types of dysmenorrhea: primary and secondary. Primary dysmenorrhea is the name for common menstrual cramps that come back over and over again (recurrent). Secondary dysmenorrhea can be due to other diseases.  With secondary dysmenorrhea (due to endometriosis or fibroids), you may want to talk to your doctor (OB/GYN) about a diagnosis and treatment options.


More than half of women who menstruate have some pain for 1 to 2 days each month. Usually, the pain is mild. Others have severe pain with other symptoms, including diarrhea, nausea, vomiting, headache, and dizziness. Above all, it keeps them from doing normal activities for several days a month.


Why Do P.M.S. (Premenstrual Symptoms) and dysmenorrhea occur?

The pituitary gland, a pea-sized gland at the base of the brain, produces a number of hormones. Each of these hormones affects a specific part of the body.  Luteinizing hormone and follicle-stimulating hormone produced by the pituitary, promote ovulation and stimulate the ovaries to produce estrogen and progesterone.

Estrogen and progesterone stimulate the uterus and breasts to prepare for possible fertilization. Estrogen causes the breast ducts to enlarge. Progesterone production causes the milk glands to swell. Both of these events can cause your breasts to feel sore.

Before a period begins, the cells that form the lining of the uterus begin to break down.   As a result, large amounts of inflammatory prostaglandins are released. During menstruation these chemicals constrict the blood vessels in the uterus and make the muscle layer contract, causing painful cramps.  Additionally, prostaglandins can cause symptoms of headache, nausea, vomiting, diarrhea, and urinary frequency.  Heavy contractions can lead to low back pain.  Similarly, lower abdominal pain can radiate into the low back.


Theories to explain why symptoms vary from woman to woman:


-Some women may metabolize progesterone differently with the result of less allopregnenolone. (Allopregnanolone is a neuroactive steroid involved in modulating behavioral functions, stress)


-Serotonin levels decreasing. Serotonin is a key hormone that stabilizes our mood, feelings of well-being, and happiness.


-There is estrogen excess or progesterone deficiency (through stimulation of the renin-angiotensin system and increased levels of aldosterone) leads to fluid retention. The Renin-Angiotensin-Aldosterone System (RAAS) is a hormone system within the body that is essential for the regulation of blood pressure and fluid balance. 


-There are nutritional imbalances in B6 and magnesium, altered blood sugar levels, and prostaglandin imbalance. 


Dr. Natalie adjusts a patient spine and pelvis

Meiri Chiropractic Can Provide Chiropractic Care for Premenstrual Syndrome (PMS) and Menstrual Symptoms


Relieve and manage your PMS and menstrual symptoms naturally with chiropractic care.  After all, pain medications can be harmful and additive. In regards to Chiropractic spinal manipulation studies, most have tested the treatment effect for dysmenorrhea and some studies have indicated manipulation has a positive effect on PMS. The following is recommended along with adjustments:

Exercise may help decrease the frequency or intensity of PMS symptoms.

Stop smoking.

Diet. Recommendations for diet modifications include:

-eat small, regular meals

-follow a low-fat or vegetarian diet; limit red meats, dairy products, foods with a high sugar content, and fried foods

-limit or eliminate caffeine and alcohol

-increase dietary fiber and water (increase to six to eight glasses/day for natural diuresis)

Get enough sleep/relax


Seek the help of an experienced North Palm Beach chiropractor to ensure you get the best Chiropractic Care for Premenstrual Syndrome (PMS) and Menstrual Symptoms. Visit your North Palm Beach chiropractor today to learn about other things you can do to keep your body healthy, or get treatment for acute or chronic pain! 



Walsh MJ, Polus BI. A randomized, placebo-controlled

clinical trial 011 the efficacy of chiropractic therapy on premenstrual

syndrome. J Manipulative Pbysiol Tbe1c 1999;


Oyelowo TA. Diagnosis and management of premenstrual

syndrome in the chiropractic office. Top Clin Cbiro.


Liebl NA, Butler LM. A chiropractic approach to the treatment

of dysmenorrhea. ] lvIrtnipulative Pbysiol Ther.



Meiri Chiropractic



Prospective patients always ask how Meiri Chiropractic is able to help them. Chiropractic care can help with a range of health issues, including chronic/acute pain, and dysfunction. It also keeps you at your peak performance with wellness chiropractic care.  Next, a common question is “how much does chiropractic care cost?”  That can be a complicated question to answer.  The price a patient must pay can vary based on if and what type of insurance a patient has. Also, price may vary based on what specific services are rendered. 


The best way to know for sure if your health insurance will cover a visit is to call us directly to check the details of your policy.  Patients usually do not understand the insurance they carry. While prospective patients may have heard about all the great benefits of chiropractic care, often times they are scared away by worries about how much it will cost. In actuality, their insurance may cover some or all of it.

Many insurance plans will cover the full cost of your chiropractic care. This includes the initial exam, any necessary x-rays, and all necessary treatments. Some insurance plans may cover all these expenses no matter what the problem is while other insurance plans will only cover all of these expenses if the patient has sustained some injury, be it in an automobile accident or another type of accident.

Your plan may require a co-pay, you may have to meet a deductible or it may only cover a percentage of a treatment up to a certain dollar amount. Most plans will front at least some or a majority of your chiropractic care bill, making going to see a chiropractor an affordable option.


Cost of Chiropractic Care:

Does Insurance Cover It?


In our office the majority of patients do use their health insurance to help with the cost of their care. We do, however, see patients that do not have insurance.  Patients without insurance pay for chiropractic care out of their own pocket.  Pricing for the first visit can vary depending on the level of exam performed and x-rays required.  After the first visit, a typical treatment price varies based on how many regions are treated.  Typical patients in our office have the spine and multiple extremities (i.e. arms, legs, hands, feet) treated at each visit.

No matter how you spin it, healthcare can be expensive.  However, visits to the doctors, prescriptions for pain or health management, surgeries, and other healthcare expenses can quickly add up. Medications work temporarily, but are not a long lasting solution.  Medications do not alleviate the root cause of the problem.  This means you’re spending more money on more visits to the doctor or more prescriptions.  When problems worsen, surgeries or even hospitalization can be very costly.  Additionally, time off work can be costly because of illness or chronic pain. 


Cost of Chiropractic Care:

Regular Chiropractic Care Costs Significantly Less Than Conventional Medical Care


The study below looked at the cost of traditional healthcare verses chiropractic care. They  found that undergoing regular chiropractic care was significantly less than the cost of conventional medical expenses:


Low back pain initiated with a doctor of chiropractic (DC) saves 20 to 40 percent on health care costs when compared with care initiated through a medical doctor (MD), according to a study that analyzed data from 85,000 Blue Cross Blue Shield (BCBS) beneficiaries in Tennessee over a two-year span. The study population had open access to MDs and DCs through self-referral, and there were no limits applied to the number of MD/DC visits allowed and no differences in co-pays. Researchers estimated that allowing DC-initiated episodes of care would have led to an annual cost savings of $2.3 million for BCBS of Tennessee. They also concluded that insurance companies that restrict access to chiropractic care for low back pain treatment may inadvertently pay more for care than they would if they removed such restrictions.

Liliedahl et al (2010), Journal of Manipulative and Physiological Therapeutics


Chiropractic care has been shown to be effective at treating numerous issues, and even doctors that practice conventional medicine recommend it for musculoskeletal conditions.  Moreover, chiropractic is natural and does not utilize drugs or surgery for treatment.

Please contact us with any questions regarding the Cost of Chiropractic Care: Does Insurance Cover It? We would welcome the opportunity to provide you and your family with chiropractic care.


Meiri Chiropractic

11985 US-1 Ste 102

North Palm Beach, FL 33408



From Dr. Natalie Meiri’s Clinical Pearl Stories:

 A Chiropractor Can Help Failed Back Surgery Syndrome 

This was a 87 year old patient who presented to my office with low back pain and pain in both legs. To be HIPAA compliant, I will call him Henry instead of his real name.   Henry had  a laminectomy nearly 10 years ago on his low back. A laminectomy is a surgical procedure that removes a portion of the vertebral bone called the lamina, which is the roof of the spinal canal. Also known as decompression surgery, a laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves. It is a major spine operation with residual scar tissue and may result in Failed Back Surgery Syndrome (FBSS) which was the case with Henry. FBSS patients  have new or persistent pain after spinal surgery for back or leg pain.

Henry had the laminectomy on his L4-L5 vertebra due to a dropped foot.  Although, his dropped foot improved after the surgery, he had pain in his low back and legs which he didn’t have prior to the surgery.  Foot Drop is a term used to describe difficulty lifting the front part of the foot. Common causes are L4-L5 radiculopathy (nerve compression), caused by either a herniated disc, degenerative disc and/or foraminal spinal stenosis, and peroneal peripheral neuropathy in the leg.




Henry’s Medical History


Henry was active in his younger years playing tennis and golf almost every day.  In addition to the laminectomy, Henry had a left total knee replacement a few years ago. He started going to the gym since his knee replacement, but his back and leg pain kept getting worse.  Henry was on numerous drugs for the pain and for his high blood pressure. 


His internist had ordered a doppler ultrasound to rule out a circulation problem in his legs. Henry had tried acupuncture without any success.  Furthermore, the physical therapy treatments at home seemed to help some, but not enough.  Therefore, Henry came to see me. Henry wanted to feel better and go back to the gym.


Henry’s Exam and Imaging

Upon examination, Henry had positive tests for both hips, right knee, both ankles, mid and low back.  X-rays taken in my office showed osteoarthritis (wear and tear arthritis) in his thoracic spine (mid back), lumbar spine (low back), hips, right knee and both ankles.  I would send Henry for further imaging (i.e. magnetic resonance imaging, MRI) or a electromyography (EMG) and nerve conduction study (NCS) if there wasn’t any improvement within 12 visits.


Dr Natalie adjusts the knee


Henry’s Chiropractic Treatment for Failed Back Surgery Syndrome: Low Force Techniques Were Considered to be Safer

Firstly, Henry’s chiropractic treatment for failed back surgery syndrome consisted of chiropractic manipulation/ adjustments of the lumbopelvic spine and associated regions utilizing low force techniques.  Moreover, the adjustments were delivered around the level of the laminectomy, but not at L4/L5 where the laminectomy was performed. Associated regions that were adjusted were his thoracic spine, both hips, right knee and both ankles which were misaligned (subluxations or intersegmental dysfunctions) due to the conditions he had. Secondly, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation techniques) and modalities (cold/heat therapy and electric muscle stimulation) were administered. Thirdly, he was given therapeutic exercises to continue his treatment at home. 

Henry’s Outcome for Treatment of Failed Back Surgery Syndrome

Henry started feeling better in the first few visits. He wondered why he had waited so long to try chiropractic for this problem?  Many people think they have to live with the pain or dysfunction. Chiropractic adjustments normalize function, restore joint mobility, resolves joint inflammation and reduces the patient’s pain.  Even for post-surgical cases, patients can get fast pain relief and over time improve function.

Do you know someone like Henry who is in need of chiropractic treatment? A Chiropractor Can Help Failed Back Surgery Syndrome.  Contact Dr. Natalie Meiri of Meiri Chiropractic today serving North Palm Beach, Jupiter, West Palm Beach, and Palm Beach Gardens and get the relief you need. We also offer chiropractic care for many other ailments. Call 561-253-8984 to learn more or to schedule an appointment.


Meiri Chiropractic

11985 US Hwy 1 Ste 102

North Palm Beach, FL 33408



From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic and Cancer: Chiropractic Can Decrease Pain and Improve the Quality of Your Life

Author: Natalie Meiri, D.C.    Posted: 3/27/21

This was a 89 year old patient who presented to my office with low back pain, right shoulder pain, and pain in both legs and feet. To be HIPAA compliant, I will call him Amos instead of his real name.   Amos had metastatic cancer in his lung. When Amos’ wife called for the appointment, I advised her, “Chiropractic does not treat or cure cancer.  Chiropractors do treat patients who have cancer, seeking care mainly for neuromusculoskeletal complaints”. Amos was under the care of his oncologist (medical doctor who treats cancer) and was taking 20 different drugs prescribed by his various doctors.  He was also going through chemo and radiation therapy for his cancer for a few years.

Amos’ Medical History

Amos’ pain in his legs and feet started with his low back problem over 10 years ago. With some treatment in the past, it had “come and gone” over the years.  He had a left total hip replacement since then. Furthermore, undergoing the rigorous cancer treatments, battling the psychological effects of his cancer diagnosis and the metabolic effects of the therapeutic approaches had exacerbated his low back, bilateral (both) leg and foot pain.  His right shoulder was in a sling and special “medical wrap” due to the “intramuscular edema” as reported on his MRI of his right shoulder. Moreover, the radiologist stated the edema was from the radiation therapy for his right lung cancer. Amos was depressed due to his pain, fatigue and his inability to do activities he did prior to his cancer. 


After the radiation and chemotherapy he stated, his last “scans for the cancer were good”.  Currently, improving the quality of  his life was important as well.  Amos wanted pain relief, more mobility and energy. With chiropractic care, he hoped for better sleep and to go back to the gym daily again. 

Dr. Natalie Meiri treating a patient

Amos’ Exam and Imaging

Upon examination Amos had positive tests for both knees, ankles, right hip, mid and low back.  X-rays taken in my office showed osteopenia (condition of bone loss) and osteoarthritis (wear and tear arthritis) in his lumbar spine (low back).  Amos had spinal stenosis (narrowing of the spinal canal) with pain in both legs and feet.  Any  contraindications were considered and weeded out very carefully due to his cancer diagnosis for his chiropractic treatment plan. A contraindication is a condition that serves as a reason to not render a certain medical treatment due to the harm it would cause the patient. 

The range of contraindications noted were: the medication used, cancer/metastasis location, possible bone density or ligamentous integrity alterations due to the cancer, post-chemotherapy osteoporosis, muscle weakness/atrophy.


Amos’ Chiropractic Treatment: Low Force Techniques Were Considered to be Safer

Firstly, Amos’ chiropractic treatment for lumbar spinal stenosis and lower extremity (both legs and feet) pain consisted of chiropractic manipulation/ adjustments of the lumbar spine, knees, ankles and associated regions utilizing low force techniques.  Associated regions that were adjusted were his thoracic spine and right hip, which were misaligned (subluxations or intersegmental dysfunctions) due to the conditions he had. Secondly, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation techniques) and modalities (cold/heat therapy and electric muscle stimulation) were administered. Thirdly, he was given therapeutic exercises to continue his treatment at home.  Lastly, Amos had a homeopathic consultation for his depression, fatigue and to expedite healing of his neuromusculoskeletal conditions.  His right shoulder couldn’t be adjusted due to the enormous amount of edema and the proximity of the cancer metastasis. 



Amos started feeling better right away with care at my north palm beach office. In spite of all the pain medications/drugs, it was the chiropractic treatments that gave Amos relief for his neuromusculoskeletal complaints. Chiropractic adjustments normalize function, restore joint mobility, resolves joint inflammation and reduces the patient’s pain. 

Within 6 weeks of treating regularly, Amos got pain relief, his sleep pattern improved, had higher energy levels, and more mobility.  He felt psychologically better and stated he even felt a “sense of well-being and immune system improvement”.

Do you know someone like Amos who is in need of chiropractic treatment? Chiropractic and Cancer: Chiropractic Can Decrease Pain and Improve the Quality of Your Life!   Contact Dr. Natalie Meiri of Meiri Chiropractic today serving North Palm Beach, Jupiter, West Palm Beach, and Palm Beach Gardens and get the relief you need. We also offer chiropractic care for many other ailments. Call 561-253-8984 to learn more or to schedule an appointment.



Chiropractor for Asthma: Chiropractic Does Help Asthma

Author: Natalie Meiri, D.C.   Posted: 3/20/21


Chiropractic does not treat asthma directly. Yet many asthmatic patients receiving regular chiropractic care have found it beneficial. Read below about the chiropractor for asthma: chiropractic does help asthma.


The presentation of asthma is variable depending on the type. In a child with an allergic form of asthma, there will be recurrent episodes of wheezing, coughing, difficulty or labored breathing, and a feeling of chest tightness. These attacks may be related to exposure to an environmental allergen or may be aggravated by stress or exercise. The attacks may be occurring in the early morning. In an adult, it is common to have similar symptoms. However, the adult asthmatic will not be aware of allergies. There is often a history of a prolonged respiratory infection, exposure to occupational toxins, and/or a history of smoking.


According to the Centers for Disease Control and Prevention (CDC), 1 in 13 people have asthma. More than 25 million Americans have asthma.  This is 7.7 percent of adults and 8.4 percent of children.  Asthma is a leading chronic disease in children.  There is no cure for asthma, but it can be managed with proper prevention of asthma attacks and treatment.  Asthma may be rising due to rising levels of environmental pollution, food additives, genetics, toxins and allergens.


Chiropractor for Asthma:

Does Chiropractic Help Asthma?

Asthma is a multi-factorial dysfunction of the respiratory system. Nutritional, environmental, genetic, and emotional factors all play an important part in the etiology (cause) of this condition. Asthma is a lung disease that causes obstruction of the airways.  During an asthma attack, spasms in the muscles surrounding the bronchi (small airways in the lungs) constrict, impeding the outward passage of air. Additionally, bronchoconstriction, mucus (phlegm) production, mucosal edema (swelling), and underlying inflammation join together to cause wheezing with associated dyspnea (difficult or labored breathing).

These spasms are a result of inflammation and hypersensitivity of the airways to certain stimuli such as:

  •     Environmental allergen/pollution

              (mold, fumes, tobacco smoke, dust mites, animal dander)

  •     Food additives, chemicals, drugs
  •     Extreme cold/dry/humid air
  •     Emotional stress
  •     Exercise
  •     Respiratory infection such as bronchitis

Many studies have been done regarding chiropractic manipulation administered to the upper thoracic spine (mid back) for asthma treatment. Objective measurements were collected using a peak flow meter and subjective data using an asthma specific questionnaire etc. Some studies and literature reviews seem to provide mixed results which show the effectiveness of chiropractic, but suggest the need for further research.


Nevertheless, there are numerous anecdotal (personal account) reports of success with chiropractic management. In a study published in the Clinical Chiropractic Journal in 2012, a prevalence of complementary and alternative medicine (CAM) use amongst adult asthmatics which ranges from 4% to 79% was reported. Moreover, in children, it ranged from 33% to 89% which showed the effectiveness. Finally, of the various practitioner-based CAM therapies, chiropractic stood as the most popular for both children and adults.

Chiropractic Co-management of

Medically Treated Asthma

Conventional medical treatment of asthma includes avoidance of known allergens or other triggering substances, desensitization shots, and drugs.  Asthma can be life threatening sometimes, in which case, drugs are simply necessary. Nevertheless, patients are turning to chiropractic and CAM therapies since all conventional drugs carry the risk of side effects.  Also, for long term management of asthma, many patients found a combination of conventional and chiropractic more effective. Drugs are for symptom relief and only mask the problem.


In treating asthmatic patients, the objective of chiropractic spinal manipulative therapy is to increase the motion of the thoracic cage (mid back), mobilize the ribs, enhance arterial supply and lymphatic return, and to affect nervous system activity. This is all to reduce the symptomatology of the patient.


Meiri Chiropractic is your chiropractor for asthma: chiropractic does help asthma

Meiri Chiropractic offers spinal manipulation to the lower cervical spine (neck), upper thoracic spine (mid back), and costovertebral joints (ribs). Furthermore, trigger-point therapy and post-isometric relaxation techniques (soft tissue technique) utilized for the hypertonic/spasmed musculature have been beneficial for our asthma patients. We also offer constitutional homeopathic treatment in conjunction with chiropractic. All asthmatics have gone through periods when symptoms were minimal, even though no obvious environmental changes had occurred. These treatments may make the periods of freedom from asthma more frequent and longer lasting. 


Asthma is  generally a deep-seated chronic illness, but that doesn’t mean the symptoms have to dominate your life.  Even though you can expect to need standard drugs at times, with regular chiropractic care overall improvement is possible.

Call Meiri Chiropractic today for your chiropractor for asthma: chiropractic does help asthma!


Meiri Chiropractic




From Dr. Natalie Meiri’s Clinical Pearl Stories:

A Chiropractor Can Help Patients with Osteoporosis Naturally 

Author: Natalie Meiri, D.C.     Posted: 03/11/21

This was a 69 year old patient who presented to my office with mid and low back pain. To be HIPAA compliant, I will call her Betty instead of her real name.  Her chief complaint was her low back which she injured recently while lifting a heavy box. Betty also had a history of osteoporosis which affected her mid back with a kyphosis (forward curve of upper back).  The osteoporosis had started years ago and seemed to be getting worse.  Betty’s doctor had prescribed a drug and hormone therapy for her osteoporosis in the past. Betty’s mother had osteoporosis and also had a kyphosis. Betty wondered if I could help her with the chronic pain she experienced in her mid back?  Additionally, she felt she would have more energy if she could “stand straighter” with better posture.  Betty wondered if a chiropractor can help patients with osteoporosis naturally?


Betty’s Exam, X-rays, and Diagnosis

Betty’s exam findings showed she had sprained her lumbar spine (low back) while lifting the heavy box.  Her x-rays taken in my office showed healed compression fractures in her thoracic spine (mid back). Furthermore, Betty’s x-rays showed osteoarthritis (wear and tear arthritis) throughout her spine. 


 Betty’s Treatment

“Softer” approaches involving “no rotation” chiropractic manipulative treatments such as flexion-distraction, blocking, and specific low-force prone (patient face down) drop-table adjusting were utilized.  Other therapies, such as soft tissue techniques, therapeutic exercise, electric muscle stimulation, ice/ heat therapies and homeopathic consultations, also provided some relief for Betty’s pain. Starting at 2 times a week, then 1 time a week, Betty’s treatment frequency decreased to every 3 weeks.

Foremost, the goal was to address Betty’s neuromusculoskeletal complaints of pain and dysfunction as noted above. Next, a lifestyle habit of maintaining an adequate amount of calcium and vitamin D with a nutritionally supportive regimen was important.  Moreover, recommendations were made for avoidance of known contributors to osteoporosis acceleration including smoking, alcohol, caffeine, carbonated drinks, etc.

The exercise prescription for Betty or any osteoporotic patient should meet two goals. First, to stimulate bone production and prevent loss. Second, to strengthen muscles to provide support and to provide proprioceptive (body’s ability to sense its location, movements, and actions) training to prevent falls. In order to have a bone mass response, the exercise must provide mechanical loading either through pull of muscle on bone or with weight bearing. Therefore, strengthening and resistance exercise was added a few times a week along with walking.

Betty gradually recovered from her acute low back and chronic mid back pain complicated by the healed compression fracture.  Her posture and energy level improved as well. She continues with chiropractic care on an as needed basis.


A Chiropractor Can Help Patients with Osteoporosis Naturally 


The decreased bone mass or increased porosity that occurs with osteoporosis weakens the structural support of the spinal column. In severe cases of osteoporosis as Betty’s, everyday normal activities may cause a spinal compression fracture. This type of vertebral fracture causes loss of height and a “humped” spine even after it is healed, especially in elderly women. This disorder (called kyphosis) is an exaggeration of your spine that causes the shoulders to slump forward and the top of your back to look  humped.  Pain may subside as the compression fracture is healing. However, many continue to feel some pain even after the compression fracture has healed. Over time, individuals may begin to show a loss of height, stooped over posture, and back pain.

The National Osteoporosis Foundation reports about 54 million Americans have osteoporosis and low bone mass, placing them at increased risk for osteoporosis. Studies suggest that approximately one in two women and up to one in four men age 50 and older will break a bone due to osteoporosis. Osteoporosis is the most common metabolic disorder of bone, affecting approximately 100 million people worldwide. The disease affects men by age 75 years, even though osteoporosis is often focused on as a women’s health issue.

High-force chiropractic manual techniques may be contraindicated for osteoporosis, but other chiropractic techniques are safe for patients such as Betty. Practice-based studies on chiropractic summarize that geriatric patients receiving chiropractic care in addition to traditional medical services had fewer hospitalizations and used fewer medications than patients receiving allopathic/conventional medical care only.


Are you suffering from back pain and osteoporosis and looking for natural healing solutions?

Osteoporosis can cause unnecessary pain to your spine. A chiropractor will help you maintain your posture, give you adequate exercises, and important education for better health. A chiropractor can help patients with osteoporosis naturally!

Get in touch with us at Meiri Chiropractic to schedule an appointment  today.


Meiri  Chiropractic






Chiropractic provides natural care during and after pregnancy.  Many people ask, “is chiropractic safe during pregnancy?”  The answer is, “it is absolutely safe during pregnancy.” There are no known contraindications to chiropractic care throughout pregnancy. All chiropractors are trained to work with women who are pregnant or trying to conceive. Chiropractic care during pregnancy can provide benefits including: a healthier pregnancy, controlling nausea, possibly reducing the time of labor and delivery. The nervous system is the master communication system to all the body systems including the reproductive system. Keeping the spine aligned helps the entire body work more effectively.

Your chiropractor can monitor, counsel, and treat musculoskeletal issues associated with pregnancy to help you stay active. 85% of exercising women will have a normal spontaneous non-invasive birth/delivery.  In comparison, only 50% to 55% of those women not exercising had a non invasive delivery and had interventions such as c-sections instead. Also, regular exercise appears to decrease musculoskeletal complaints. Even as little as 45 minutes of physical activity per week has an effect of decreasing lumbar (low back) pain in pregnancy.

Pregnancy Related Changes and Problems

There are several physiological and endocrinological changes that occur in preparation for creating the environment for the developing baby. For instance, relaxin is a hormone produced by the ovary and the placenta with important effects in the female reproductive system and during pregnancy. In preparation for childbirth, it relaxes the ligaments in the pelvis and softens and widens the cervix.  However, it also affects other ligaments in the body.


The following pregnancy changes can result in a misaligned spine or joints:

  • Protruding abdomen and increased back curve
  • Pelvic changes
  • Postural adaptations

The weight of the baby and breasts may contribute to strain on the cervical (neck) and thoracic (midback) spine.  Knee pain can develop due to the pressure of increased weight, “looser” joints (due to relaxin), and a “waddling” gait.

Shifting in the normal weight bearing function of your calcaneus (heel bone) to the metatarsals (tubular bones in the forefoot) can cause foot pain. 

Additionally, hip pain is common due to the same reasons of increased weight coupled with the effect of relaxin on the ligamentous support of the hip.

Chiropractic Care During and After Pregnancy

Firstly, there is literature support for the role of chiropractic treatment of the pregnant patient with low back pain. Secondly, chiropractic adjustments for your knees and hips are a natural, drug free solution as well.  Thirdly, chiropractic adjustments of the joints of the foot and ankle are helpful for foot pain and to help decrease any swelling. Finally, your chiropractor can provide relief with stimulation of sacral and low-back reflex points via acupressure.

Chiropractic provides natural care during and after pregnancy.  If you are seeking options that support your body’s natural abilities to function and heal, contact your North Palm Beach chiropractor today at 561-253-8984.



1) Sternfeld B, QuesenbelY CP, Eskenazi B, Newman L

Exercise during pregnancy and pregnancy outcome. lUcd

Sci Sports Exerc. 1995;27:634-640.

2) Horns PN, Ratcliffe LP, Leggett.IC, Swanson MS. Pregnancy

outcomes among active and sedentary primiparous women.

] ObJ’tet Gynecol Neonatal NuTS. 1996; 25 :49-5 4.

3) Dialow DRP, GadsbyTA., Gadsby JB, et 31. Back pain during

pregnancy and labor. J Ivlanipulative PbJIiol Tber.

1991 ;14:116-118.


Meiri Chiropractic

11985 U.S. Hwy 1, Ste 102

North Palm Beach, FL 33408





Learning all the chiropractic vocabulary and commonly used terms can feel overwhelming. Therefore, Meiri chiropractic’s glossary of commonly used chiropractic terms and vocabulary should help you make the most of your appointments. By familiarizing yourself with basic chiropractic terminology beforehand, you can be sure to understand your prognosis.  Then you can ask your chiropractor the proper questions after your examination. Review the list of terms below for a more productive appointment!


Acute (traumatic) Injuries

Injuries that occur due to a traumatic and unexpected event such as a fall, a car accident, or a sports injury.



The chiropractic adjustment or manipulation is a manual procedure applying a gentle yet firm thrust, typically delivered in the direction of reduced joint motion to restore normal motion and alignment. Spinal or extremity joint dysfunction, termed subluxation (chiropractic subluxation complex), can adversely affect nerve function, and the body’s ability to regulate and maintain health. Chiropractic adjustments address disturbed joint biomechanics and the associated effects on nervous system function.



A gradual breakdown, or deterioration, of the joint spaces in your musculoskeletal system. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. There are many different types of arthritis. The most common types of arthritis are osteoarthritis and rheumatoid arthritis.


Bulging Disc

A bulging disc occurs when the spongy discs in the spine become compressed, usually due to age related degeneration.




A healthcare discipline which emphasizes the inherent recuperative ability of the body to heal itself without the use of drugs or surgery.  In practice, chiropractic “focuses on the relationship of structure (primarily the spine) and function (as coordinated by the nervous system) and how that relationship effects the preservation and restoration of health.



A Chiropractic Physician also known as a Doctor of Chiropractic (D.C.), diagnoses and treats a broad range of physical conditions in patients with muscular, nervous and skeletal system problems.

Doctors of chiropractic are extensively educated in the diagnosis and treatment of conditions affecting the spinal and extremity joints and associated neurology. Furthermore, based on examination findings and indication for care, the chiropractor will recommend a course of care to help relieve pain and improve function.


Disc Herniation

Extrusion of the nucleus pulposus (jelly-like center of the disc) into a defect in the annulus fibrosus (tough circular exterior of the intervertebral disc).


Electrical Muscle Stimulation (E.M.S.)

A form of electrical stimulation applied by the chiropractor designed to help reduce swelling and inflammation.



Limb (anatomy); arms and legs.



A system of medicine that uses extremely dilute concentrations of specially prepared plants, animals and minerals to stimulate the body’s defense mechanisms and healing processes. Additionally, it is nontoxic, and when administered according to homeopathic principles, are safe in infants, children, and adults.



Soft Tissue Manipulation Techniques

Are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body.



Joint injury in which some of the fibers of a supporting ligament are ruptured, but in which the continuity of the ligament remains intact.



An overstretching and tearing of musculotendinous tissue.



Less than acute, between acute and chronic.


Meiri Chiropractic’s Glossary of Commonly Used Chiropractic Terms and Vocabulary was meant to be informative for terms used in our office.  Please don’t hesitate to contact us with any questions at 561-253-8984.  Meiri Chiropractic offers the best comprehensive alternative treatment solutions for patients in North Palm Beach, Jupiter, Palm Beach Gardens, Juno Beach, and West Palm Beach.  Call for an appointment or to learn more today.



  1.  Chiropractic Technique- Bergmann, Peterson  pp.84, 419


Meiri Chiropractic

11985 US-1, STE 102

North Palm Beach, FL 33408