We have been treating severe conditions for more than 15 years. It is obvious that patients who do not take care of themselves at home and do not participate in supportive care develop greater problems that cost more time and money. Most important, quality of life is decreased — sometimes permanently. We make supportive care effective and affordable.

Stretches and exercises: Exercises and stretches are determined based on patient condition and function. In general, gentle yoga and mat Pilates can be performed with minimal risk (Google: sun salute and trunk stabilization exercises). The Internet is littered with exercises and stretches designed for spinal health. Perform all exercises well within your limitations and pain-free zone. Do not work out fast and hard or through pain. If you have surgical hardware in your neck or back, avoid extension (bending backward) exercises. If you’re having increased pain or problems with exercise, we can help you find a modified exercise that gives you benefits without causing wear and tear, pain and problems.

Diet and nutrition: Minimize sugar, white flour, alcohol and caffeine. This will help decrease inflammation in your body and allow for increased cellular healing. Take vitamin C and probiotics/enzymes daily for improvement absorbing nutrition. For quality affordable naturopathic products for pain, inflammation, immune system function and musculoskeletal health, visit our website and click on the link for Natural Partners. For a comprehensive, scientific look at what happens when food hits your body and a nutrient-dense diet, purchase the book, “Nourishing Traditions,” by Sally Fallon at amazon.com $25.

Ice and heat: If you have had an injury within the last 48 hours, ice 20 minutes on, 50 minutes off, throughout the day. If it is after 48 hours from the time of injury, feel free to use ice or heat. Apply for no more than 20 minutes and alternate ice and heat: 20 minutes ice, 20 minutes heat. Rest the area for at least one hour before reapplying.

Posture and joint support: When sleeping, sitting or traveling, be sure to properly support the curves of the spine. On the couch or in the car, use a small pillow in the low back. This will support your mid-back and torso from collapsing onto your low spine. With the torso upright, the head and neck shift up and back, decreasing strain on the spine. When lying down, place a flat, folded towel under your pelvis/low back and a pillow under your knees. This will keep the joints from collapsing into the bed and opening up, causing strain on the ligaments. Place a pillow between your knees when lying on your side. This puts slack into your spine, relaxing it. Kinesio-taping can help to maintain decreased myofascial strain, superficial nerve tension, and provide joint support.

Proper gait and activity: Be sure to reset your body with periodic stretching. This can be done prior to house cleaning, washing dishes, working on a hobby, or simply walking. After you get up from a seated position, stretch briefly for 10 to 20 seconds before you begin moving again. This will help realign your joints, relax strain in your muscles, and lessen irritation. If you are out of alignment, you are causing damage.

Balance your energy: Throughout the day and throughout life we only have so much energy in the tank. Use it wisely. Do not waste unnecessary emotions, thoughts or actions as they will slowly drain your tank. Running low on energy and having poor sleep makes for poor healing and increased pain. Get at least 7-8 hours of sleep.

Do not underestimate SUPPORTIVE CARE: “An ounce of prevention is worth a pound of cure.” -Ben Franklin. Once your condition has reached an optimal level, the body needs an outside influence of manual therapy to maintain proper posture and alignment. With proper posture and alignment everything else that you are doing is much more effective. On average, if you are doing your part at home, most people should be treated once every 2 to 5 weeks.

Conjunctive therapy: When necessary Dr. Bonacci co-manages patient care with naturopathic and/or medical doctors to achieve fast, long-lasting results. If you feel your treatment is not effective, ask Dr. Bonacci for referrals. There are many options.

Arizona Pain & Posture offers a wide variety of services and has multiple treating therapists. To make your experience and time with us optimal, we invite open communication. If there is a service you prefer, tell us. In most cases, patients will see the doctor for joint alignment, and either the doctor or one of our skilled manual therapists for soft-tissue work and exercises.