Archive for March 2017
4 Core Brochure
4CoreBrochure
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ED Promotion
EFFECTIVE, SAFE, NON-DRUG ACOUSTIC COMPRESSION (ESWT) TREATMENT FOR ERECTILE DYSFUNTION
As part of Relief Medical Group’s Four Core System, and specifically under “function better” we offer the most advanced, correction-oriented treatment approach to erectile dysfunction (ED). As a full-service medical group, we can offer other effective temporary treatments for ED, such as a prescription for Viagra, testing and prescription for Testosterone therapy when appropriate, etc. See all services at our website: www.ReliefMedicalGroup.com.
However, what we are most excited about to treat ED is Acoustic Compression (ESWT). We are one of the few medical offices that have the necessary equipment and expertise to provide this very safe and effective treatment. This is a drugless approach that uses sound waves to address the cause of the problem and not only provide temporary improvement of the symptoms until the medication wears off. Scientific studies show that the results maximize over several months while the body responds to the treatment by improving the blood supply to the penis.
WHAT SHOULD I EXPECT?
You will undergo a history and examination. If you are a good candidate, you will undergo 6 sessions of therapy, which is painless and takes about 20 minutes. If necessary while the effects of the treatment are taking place in your body, temporary treatments such as a Viagra prescription will be provided for you at the discretion of our medical physician if it is safe to do so. Expect to come in to the office two times a week for the first week and then for 4 weekly visits for a total of 6 visits.
WHAT DOES THE TREATMENT COST?
The usual and customary charge for the examination and 6 ESWT ED treatments is $1150.00. However, since this treatment is still within the introductory stage at Relief Medical Group, and if you act NOW, you can receive this all 6 ED visits and the examination for $495.00.
TAKE ADVANTAGE OF THIS SPECIAL INTRODUCTORY OFFER
Call 510 796 2225 today to schedule your appointment.
To view videos, click below:
- RMG introduction to Erectile Dysfunction Services: https://www.youtube.com/watch?v=rbdlP0i-DQw
- Elvation ED video: www.youtube.com/watch?v=_Ed0aUgM9Js&feature=youtu.be
- Urological Conference: www.youtube.com/watch?v=Ta8ZnDPcLsw&feature=youtu.be
- Auto Accidents: https://www.youtube.com/watch?v=qzvvd4rpcBk
To review scientific studies and other information on this subject, see links below:
- ED1 Piezowave Study
- ED 2 Ther Adv Uro 2013
- ED 3 IIEF-5 questionnaire
- ED 4 Euro.Urol58-243-248
- ED 5 Uro Neurology Unit
- ED 6 12mo J.Sexual Med
- ED 7 Piezowave Pictures, Best App
Happy Clients
“Dr. Cremata is one of the most genuine, humble and talented doctors I’ve ever been to. I have had much experience with Botox in the past and it was like a breath of fresh air coming out of the office feeling beautiful because ‘Dr. C’ has a way of pointing out the good in my features and showing me how to make them really shine.” – Tiffany D.
“I’ve been going to Dr. Cremata for years and could not be happier with my care! Whether it is regular spine care to keep me healthy and active or, most recently, a Vitamin D injection to get my levels up to a healthy range, my care has been nothing but the best. Even though he’s not the closest doctor to me, I make sure to always go to him.” – Kate N.
“I was in pretty bad shape when I started a regular treatment program with [Dr. Cremata] and I am convinced that I would not have been able to continue working if I had not done so. I am on my feet all day at work and my hip problem was becoming so painful that it was becoming unbearable. The adjustments brought relief from the very beginning . . . I travel quite a distance to see him and I think it is totally worth it.” – Lu P.
“I could not be happier with the results of my Botox I had with Dr. Cremata!! He was so educational and talk to me through the whole process. He is just one of those doctors that instantly makes you feel comfortable. From here on out no one else will touch this forehead!!” – Sara W.
“I am super happy with the services at Relief Medical Group. The Doctors are fantastic.I agree with the other reviews. They are attentive and knowledgeable. I have used Botox and thought I would give the Xeomin a try. The results were fast and unbelievable. Great product and amazing technique. I am definitely going back.” – Issy G.
“I’ve been going to Dr. Cremata for years and could not be happier with my care! Whether it is regular spine care to keep me healthy and active or, most recently, a Vitamin D injection to get my levels up to a healthy range, my care has been nothing but the best.
Even though he’s not the closest doctor to me, I make sure to always go to him (and not just because I never feel it when he gives me injections)!” – Kate N.
“Dr. Grenman is the absolute best. She takes excellent care of me and her patients. Relief Medical Group is the awesome!” – Jarina M.
About Us
Edward Cremata, DC, RN
Nursing and Rehabilitation Director
Dr. Cremata has provided health care services to the community for 33 years with vast experience in multidisciplinary spinal pain relief and rehabilitation programs. His decades as a practicing chiropractor bring patient-oriented and evidence-informed treatment protocols for application into the medical treatment provided at Relief Medical Group, Inc., under the direction of Edmund Kemprud, MD.
He is a full professor at Palmer Chiropractic College West and has specialties in providing Fibrosis Release Procedures, Including Manipulation Under Anesthesia, and Acoustic Compression (Extracorporeal Shockwave Therapy) procedures for patients that have not responded to prior conservative medical, physical therapy, and chiropractic protocols. While these advanced procedures are available through Relief Medical Inc., the conservative and multidisciplinary medical procedures provide under the direction of Dr. Kemprud are so effective, that only in-office procedures are necessary for 95% of patients receiving treatment at Relief Medical Group, Inc.
Danielle Steckel, CDM
Ideal Protein Coach
Danielle has studied nutrition for the last 20 years. She holds a certificate in Dietary Management and Food Protection. She has over eight years experience in weight loss and weight management. She understands every situation in weight loss is different and loves to help clients get through their challenges and succeed. Danielle believes nutrition is very important for prevention and longevity.
Noemi Retana
Patient Coordinator
Noemi Retana joined Relief Medical Group, Inc. three years ago as the patient coordinator. She is a wonderful asset in our office providing excellent service to all. She is fluent in English and Spanish and is eager to help patients with their needs and desires, ensuring excellent service for each patient.
Relief Medical Group
Your partners in restoring function, feeling more youthful, and alleviating pain
Tel: 510 796 2225
Fax: 510 792 0802
Email: [email protected]
| Edward Cremata, DC, RN Nursing and Rehabilitation Director | Edmund Kemprud, MD Emergency Medicine |
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SPINAL AND JOINT APPROACHES
Correction-focused spinal and joint rehabilitation programs with multidisciplinary input.
PAIN RELIEF AND PAIN MANAGEMENT
Conservative medication and injection procedures available. Fibrosis Relief Procedures, Including Manipulation Under Anesthesia, are provided for chronic and difficult conditions not responsive to more conservative in-office procedures.
ACOUSTIC COMPRESSION
Also known as Extracorporeal Shockwave Treatment, we are one of the few offices in the Bay Area to offer this effective and conservative option.
FEEL AND LOOK YOUNGER
Botox and other cosmetic procedures available.
HORMONE REPLACEMENT THERAPY
Hormone deficiencies common in the aging population are addressed in a safe and effective manner.
Diet and Supplementation
Botox and Fillers
BOTOX – PREVENTIVE AND REJUVENATION TREATMENT FOR FACIAL WRINKLES
The International Association for Physicians in Aesthetic Medicine (IAPAM) teaches that Botox injections have preventive uses for younger patients and rejuvenation uses for those with already established facial wrinkling (see quotation below).
“Share with the patient that the best use for Botox is preventative – NOT reparative. By starting Botox every 4 months in your late 20s or early 30s, patients effectively avoid the years for crunching and frowning which eventually lead to furrows.”
THE MOST EXPERIENCED PROVIDERS, REASONABLE PRICES
Relief Medical Group, Inc. is pleased to have one of the most experienced physicians in the Bay Area, Edmund Kemprud, MD, providing the cosmetic injections for Botox and fillers. Botox is the most commonly used wrinkle treatment and Juvederm is a popular option to fill lines that have developed on your face.
A TYPICAL USE FOR A JUVEDERM FILLER IS SEEN IN THE PICTURE BELOW:
VARIOUS USES FOR PATIENT WRINKLES WITH BOTOX
ARE SEEN IN THE EXAMPLES OF PATIENT RESPONSES BELOW:
IF YOU HAVE ANY QUESTIONS ABOUT BOTOX OR JUVEDERM PROCEDURES, EMAIL US AT [email protected]
COSTS
Relief Medical Group Inc. offers reasonable prices for Botox, based fairly on a per unit charge, and costs are very flexible to accommodate a patient’s specific needs, desires, and budget. Look for internet specials on the home page or ask about our introductory specials available for first time Botox users. A complimentary follow-up visit in one week is provided at no charge to help optimize your Botox treatment needs.
Articles
Click any article to open it as a PDF in a new window.
DC care and the heart Chap 10 7.14
Effects of lat bend original 1989
Gonstead approach-cremata etal
Jannetta Neurogenic hypertension 7.13
Lat bend and C neuropathy, Carrick 12.13
Medication – Assisted Spinal Manipulation
Pre-Post Static Pos Chg 1990 498-506
Manipulation Under Anesthesia/Fibrosis Release Procedures
Is chronic pain interfering with your life? Think you’ve tried everything? Think Again!
“The best thing about MUA/FRP is that it gives you your life back!”
When intense, chronic pain doesn’t respond to conservative or traditional treatments, surgery is not the only remaining option. There is an alternative. In fact, debilitating problems may persist even after surgery, and surgeons themselves refer patients to Relief Medical Group for Manipulation Under Anesthesia/Fibrosis Release Procedures to relieve adhesions and scarring that are common after-effects of spinal surgery.
MUA/FRP has been Proven to be Effective for Patients Who Experience:
Recurrent Pain and Aggravation Following Injuries
Persistent Pain After Back Surgery
Fibrotic Adhesions or Internal Scarring That Limit Motion and Cause Pain
Unfragmented Herniated Disc and Chronic Disc Problems
Chronic Muscle Spasm, Myofascitis
Neuromusculoskeletal Conditions with Intractable Pain
Dr. Cremata, DC, RN is one of the few doctors of chiropractic who are certified to perform Manipulation Under Anesthesia/Fibrosis Release Procedures in California. He teaches the procedures to other doctors for four MUA/FRP accrediting agencies. He has served on various MUA/FRP committees to help determine appropriate patient selection and optimal patient protocols. His most recent publication is regarding MUA/FRP (please refer to the MUA/FRP link to read this or any of his other research publications). He has served as an expert at numerous trials before the Workers’ Compensation Appeals Board of California regarding MUA/FRP.
For more information, see Research Articles
Manipulation Under Anesthesia/Fibrosis Release Procedures is neither new nor experimental. It has actually been practiced since the late 1930’s and used by osteopathic physicians and orthopedic surgeons for many years as a proven form of treatment. During the past twenty five years, interest in MUA/FRP has greatly increased thanks to tremendous advances lately achieved in the science of anesthesiology.
What Is Manipulation Under Anesthesia/Fibrosis Release Procedures?
Manipulation Under Anesthesia/Fibrosis Release Procedures (MUA/FRP) is the use of manual manipulation of the spine combined with the use of anesthesis. The addition of anesthesia allows for the benefits of manipulation to be shared with those patients who cannot tolerate manual techniques because of pain response, spasm, muscle contractures, and guarding. It is also a proven procedure for those patients whose chronic pain has not responded satisfactorily to in-office chiropractic care and other adjunctive procedures. MUA/FRP uses a combination of specific short-level arm manipulations, passive stretches, and specific articular and postural kinesthetic integrations to obtain a desired outcome. It is a multidisciplinary procedure where a medical doctor and chiropractors work together to offer you the most benefit from these procedures. The chiropractors provide the services that they are expert in and are within their scope of practice, such as the spinal adjustments, traction, stretching, and myofascial release techniques. The medical physician, board certified in anesthesiology, provides all of the medical treatment, including medical management and the dispensing of any necessary medicines at their discretion and based on their area of expertise. This assures you the safest and most effective combination of expertise to assure that you receive optimal benefit from these very safe and effective procedures.
Who Can Benefit From MUA/FRP And Why Does MUA/FRP Work?
The goal in treatment of mechanical spine pain is to correct the aberrant spinal motion of the involved segments, thereby improving function and decreasing pain. This is achieved via a variety of techniques, most of which can be simplified into two types of forces : (1) high-velocity, short-duration and (2) low velocity, long-duration.
These two applications of force will affect different aspects of the restricted components. The former affects the osseous disrelationship or misalignment. The latter addresses the “tough soft tissue” component. These applications are used in an isolated or combined fashion, depending on the nature of the lesion. Office based SMT (spinal manipulative therapy) is rendered via specific short-lever arm-adjustive forces typically combined with traditional physiotherapeutic modalities such as ultrasound, electrical stimulation, cryotherapy, traction, and passive/active rehabilitation.
A percentage of these patients ultimately will not respond to in-office spinal manipulative therapy on the basis of one or more of the following criteria:
Chronicity of the case because of joint or soft tissue fibrosis, which has inhibited restoration of appropriate joint mechanics.
Acute myofascial rigidity and painful inhibition, which disallows conscious SMT.
Severe joint dysfunction and subluxation such that correction of evident spinal biomechanical misalignment is not achievable through conscious SMT.
Contained disc herniation (bulge) that has become refractory to conscious SMT.
Multiple recurrences during the active-resistive phase of joint rehabilitation.
What Is The MUA/FRP Procedure Like?
Before the day of the procedure, the patient is instructed regarding their nothing-by-mouth status and medications pursuant to instructions by a medical physician. The patient must be accompanied by a friend or family member to drive the patient home after the procedure. No patient will be allowed to drive themselves home after this procedure due to safety concerns. The patient then signs an informed consent affidavit and right after placed on the procedure table and hemodynamic monitoring is instituted, including electrocardiography, blood pressure, and pulse oximetry. Supplemental oxygen is given via nasal cannula. The patient is initially sedated mildly with Versed.
All medical procedures, including the use of drugs, are provided by a Board Certified Medical Anesthesiologist.
The MUA/FRP procedure generally takes between fifteen and twenty-five minutes. The patient is continually monitored by the anesthesiologist. Blood pressures are obtained at least every five minutes, and a complete anesthesia record is maintained. The patient is taken to the recovery room at the completion of the procedure. He or she will then be continually monitored in the recovery room, with supplemental oxygen administered on the basis of the facility protocol, which includes stable vital signs, and a fully awake condition.
Post-Procedure care
Post-procedure care is one of the most important parts of the MUA/FRP procedure and helps to make it highly effective. The therapy begins soon after the procedure to prevent subsequent adhesion formation.
After the last MUA/FRP procedure, the patient should follow an intensive therapy program for six to eight weeks in their doctor’s office, which will consist of the same stretches and adjustments accomplished during the procedure.
Post-MUA/FRP rehabilitation includes stretching, flexibility and strengthening exercises, plus periodic adjustment as required by the doctor. This regimented post-MUA/FRP therapy will help the patient regain pre injury strength, maintain motion improvements obtained from the MUA/FRP procedures, and help prevent future pain and disability.
Diet and Supplementation
Do dietary supplements (including vitamins and minerals) really offer a significant health benefit?
Yes. Decades of scientific studies confirm that dietary supplementation can improve overall health, improve or prevent disease, and even reduce the risk of serious diseases such as cancer and heart disease.
Can supplementation make up for a poor diet?
No. Although supplements can help you to achieve appropriate intake levels of the nutrients that make up a healthy diet, supplementation cannot undo the clear and dangerous risks of a poor diet.
It is important to introduce good nutrition to your family early.
Does quality differ among supplement manufacturers?
Yes, very substantially. Supplements are evaluated for strength, bioavailability (how well they are absorbed and utilized by the body) synergism with other supplements and purity. Product quality evaluations are performed by independent laboratories, so this information is readily available. Douglas Laboratories, makers of Relief Medical Group’s supplement blend, is consistently rated among the best supplement producers.
What constitutes an optimal dietary supplement?
Although in certain cases, lower-quality and lower-dosage supplements have been shown to provide some health benefits, there is no doubt that higher-quality and more complete supplement combinations are better for achieving optimal health.
What about concentrated tea and whole fruit and vegetable supplementation?
Studies suggest that whole food supplements offer numerous advantages over individual vitamins and minerals. Several hundred vitamins, minerals, and other nutrients have been identified which seem to work better when consumed in their natural state – as part of a whole food. Furthermore, scientists believe there may be over 19,000 so-called “phytonutrients” which are only found in whole fruits and vegetables that play a crucial role in the supplements’ effectiveness. The American Cancer Society and the American Heart Association endorse the view that consumption of whole fruits and vegetables reduces the incidence of some cancers and heart disease.
What are Probiotics?
Probiotics are concentrated doses of the “friendly” bacteria that help maintain a healthy microbiological “landscape” in your digestive tract, a.k.a. your flora. Probiotic supplementation has been shown to improve immune function, as well as digestive and other disorders. It also appears to be particularly beneficial in restoring healthy flora for patients who have taken antibiotics, which can detrimentally effect microorganism populations in the body.
Are Omega-3 Fatty Acids (from fish oil and other substances) an important part of a supplementation regimen?
Numerous articles have been published in the past decade showing that fish oils can help prevent and/or treat a number of serious ailments, including cardiovascular disease, depression, bipolar disorder and inflammation. In fact, Omega-3 Fatty Acids may be one of the most beneficial supplements you can include in your daily regimen.
What is Coenzyme Q10?
Coenzyme Q10, or CoQ10 for short, has been shown in studies to be helpful as an antioxidant that increases the usefulness of Vitamins C and E. Proposed benefits include supporting the cardiovascular system, decreasing soreness following injury and decreasing fatigue during exercise.
What role does diet play in my overall health?
There are well-established connections between diet and most “western” diseases, such as cancer and heart disease. In addition to reducing your risk of disease, making good dietary choices will help you to feel happier and healthier in your daily life.
What can I do to ensure that my diet and supplementation requirements are met?
There are two things you should do:
1. To optimize your health through the foods that you eat, incorporate these three important dietary changes into your lifestyle (from The China Study, by Colin Campbell, PhD):
a. Maximize your intake of fruits and vegetables and whole grains.
b. Minimize your intake of refined carbohydrates, e.g. non-whole grain pasta, white bread, crackers and sugars; added vegetable oils, e.g. corn oil, peanut oil and olive oil; and fish containing high levels of mercury, e.g. salmon, tuna and cod.
c. Avoid as much as possible meat, dairy and eggs.
2. Take the Essential-4 Nutrition Pack
ESSENTIAL-4 Nutrition Pack
NOW AVAILABLE THROUGH RELIEF MEDICAL GROUP
NOT AVAILABLE AT THE RETAIL SITE
DIET/SUPPLEMENT INGREDIENTS
Cellulite Removal
WHAT IS CELLULITE?
It isn’t fair, but women suffer from cellulite at a much greater incidence than men and it is most commonly found in the hip and buttock regions. Up to 85% of women complain of some degree of cellulite that worsens as they age. This is due to the higher number of fat cells stored in female fatty tissue and the aging process that breaks down and loosens connective tissue that would normally contain these fat cells. This leads to an imbalance of the deposition of fat and the breakdown of fat, and causes these large fat cells to create a bulging of the skin.
(Knobloch, et.al, BMC Women’s Health, (2010) 10:29 , http//www.biomedcentral.com/1472-6874/10/29)
NEW EFFECTIVE TREATMENT AVAILABLE
Historically, treatments available have been limited to ones that provided only temporary effects (and for many were not very effective at all). Now there is a new treatment available to help reduce or eliminate your cellulite problems, using scienti cally- supported application of high energy sound waves, which is not painful and does not require either injections or surgery. This treatment is called Acoustic Compression and is commonly referred to as Extracorporeal Shockwave Treatment (ESWT).
HOW DOES IT WORK?
Consider the cause of cellulite as discussed above and how you would reverse the cause of the problem for a long-term solution. Acoustic Compression has been shown to strengthen the connective tissue in the fat layer below the skin to better contain the fat cells being deposited in this fat layer. It is the bulging of these fat cells beyond its connective tissue (restraining tissue) constraints that manifests as the skin dimpling that is commonly referred to as cellulite.
HOW WELL DOES IT WORK?
Very well! To avoid misleading anyone about the anticipated results from this procedure, let’s look at examples from the published scienti c evidence. These are results actually obtained during a research study on the effects of Acoustic Compression for Cellulite. (Dermatol Ther (Heidelb) (2013) 3:143-155). As referenced below in pictures, these results were obtained after 6 sessions of Acoustic Compression treatment followed by a 3-month period to assess the effects of the newly healed, stronger, and less dimpled tissue. More treatment may produce continued improvement, but this study was limited to studying the effects of 6 weekly sessions followed by a three-month waiting period.
CASE STUDIES
Improvement of the Cellulite Severity Score from 15 to 7 in a female patient suffering from cellulite before and 3 months after six sessions of focused extracorporeal shockwave therapy (0.35 mJ/mm2)
Improvement of the Cellulite Severity Score from 12 to 2 in a female patient suffering from cellulite before and 3 months after six sessions of focused extracorporeal shockwave therapy (0.35 mJ/mm2)
Improvement of the Cellulite Severity Score from 10 to 6 in a female patient suffering from cellulite before and 3 months after six sessions of focused extracorporeal shockwave therapy (0.35 mJ/mm2)
WHAT SHOULD I EXPECT DURING TREATMENT VISITS?
First and foremost, results are anticipated from these effective treatments, but allow three months after the seventh treatment ends before assessing your particular results. No reputable health care provider would guarantee individual results, but at Relief Medical Group, Inc., we use the same protocols and energy levels that were used in these studies, so it is reasonable to expect a similar result in patients that share similar characteristics as those in the this study. We use a seven-visit protocol instead of six visits, since the evidence on Acoustic Compression shows that the results are dose-dependent (the more the better, to a point), and other studies on this subject obtained good results with up to eight visits.
HOW MUCH WILL THE CONSULTATION COST TO SEE IF I AM GOOD CANDIDATE FOR ADDRESSING MY CELLULITE THROUGH ACOUSTIC COMPRESSION?
Nothing. The initial consultation is done at no charge. If you are a good candidate, we will design an individualized treatment program consisting of seven weekly visits, and provide a follow-up visit after three months to assess the results.
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