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December 2016 Newsletter

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Rib Dysfunction

by Dr. Sasha Marinaccio

We often will see patients in the office who have just come from their Primary Care Physician, Urgent Care or the ER, being evaluated for chest pain only to be told they have a musculoskeletal problem. In these instances, the pain is (thankfully!) not being caused by a heart attack but often by a rib joint dysfunction.


There are 24 ribs in the human body, each connecting to the front of the body at the breastbone and the back of the body at the spine; these connecting points are moving joints! Each time we take a breath in and out, these joints need to move in order to allow for inhalation and exhalation within the lungs. There are also spinal nerves that run along the inside of each rib. When a rib isn’t moving properly, it can cause irritation to the nerves, creating pain. This is why breathing can be difficult or painful when one of those joints isn’t moving properly.


If you have fallen or have sustained trauma to the chest and have chest pain making it difficult to take any breaths, you may have a rib fracture. Your doctor will examine you to determine if this is a possibility. Common symptoms of a heart attack may include (but are not limited to): pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to your neck, jaw or back; nausea, indigestion, heartburn or abdominal pain; shortness of breath; cold sweat; fatigue; lightheadedness or sudden dizziness. If these symptoms occur, it is important to seek medical attention immediately to determine whether you are in process of a heart attack.


Symptoms of rib dysfunction include: pain on one side of the middle back, often near one of the shoulder blades; localized pain on one side of the front chest that is tender to touch; pain that radiates around the chest. Often, patients will report relief when pressing on the area of pain or moving into different positions. This can be due to muscle tension or knots around the rib that is not moving. These symptoms can result from poor posture, overuse (long hours of computer work or driving), carry heavy bags on one shoulder, or weakness of muscles of the middle back. Luckily, Chiropractic can be extremely helpful in fixing this problem! A gentle adjustment is performed to the problem area and patients typically report immediate relief. In the case of a chronic or recurrent rib problem, multiple treatments may be necessary and your doctor may prescribe exercises, stretches or massage therapy to help properly fix the problem.

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If you’re struggling with pain this holiday season, our Chiropractors are here to help you! We wish all our families the very happiest of holidays and look forward to a bright new year full of health!

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We are excited to announce that our Chiropractic team is growing! We would like to welcome Dr. Jeremiah Davis as he begins practicing in The Health Offices at Riverview Chiropractic on December 7, 2016. He will be available for patients Monday through Saturday by appointment.

Dr Jeremiah

Dr. Jeremiah graduated from D’Youville College with a Bachelor of Science in Biology in 2011. He received his Doctor of Chiropractic from New York Chiropractic College in 2014. Chiropractic has been a part of Dr. Jeremiah’s life from the young age of eight as the result of a bicycle accident involving his neck and head. This accident resulted in a great deal of pain and limited range of motion. The day after his accident he was taken in for a visit to his local chiropractor. The first visit consisted of some muscle therapy and a few adjustments which helped reduce the pain tremendously. A few days and adjustments later, Dr. Jeremiah was as good as new! This experience is what kindled his passion for chiropractic which would ultimately become his career years later. Dr. Jeremiah strives to provide others with the same type of healing care he has received since those first adjustments.

Jamie Rackl, LMT’s hours are changing. Her new hours are Monday, Tuesday, Wednesday and Friday from 1:00-6:00pm and Saturday from 8:00-11:30am.

Our office will be closed on Christmas Eve but Dr. Jeremiah Davis will be available for emergency calls for patients in the morning.

Our nutrition classes continue with classes scheduled for December 1st and 15th at 6:30pm with Kate Parker. Call to reserve your spot ASAP. The cost is $5.

The Standard Process 21-day Purification Program will be offered again and starts on January 8, 2017. The cost is $250 and all patients must attend Kate’s nutrition class as a prerequisite. Email questions to

Massage gift certificates are a wonderful gift this holiday season! Stop by the office to purchase yours today, in any amount.

crockpot pork

Recipe Of The Month

The Best Crockpot Pork Tenderloin


2 pounds of pork tenderloin (I use two small tenderloins)
¼ cup soy sauce
1.5 tablespoons of yellow mustard*
2 tablespoons of olive oil
3 tablespoons of maple syrup
1 teaspoon onion powder
1.5 teaspoons garlic powder
1 Shallot chopped

1. Turn crock pot on to low
2. In large measuring cup add all the ingredients for the marinade and whisk
3. Place tenderloin in crock pot and pour over the marinade
4. Cook on low for about 4 hours for two small tenderloins or about 5 hours for one large piece
5. Slice and serve pouring the juices over the meat
6. Recommended but not necessary: I turn the pork twice to ensure even cooking at 2 hours and 4 hours, pouring the juices all over

*Substitute dijon mustard for yellow mustard for even better flavor!

Serve with roasted brussel sprouts and brown rice for a delicious meal.



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