Michael Randall Shapiro

About Michael

Michael uses an immense variety of noninvasive non-drug pain management techniques available for treating Lymphedema, neck, back pain and most other chronic pain. A few of the most widely accepted in comprehensive pain management programs are the following:

•    Exercise—physical exertion with the aim of training or improvement. Includes flexion and extension exercises, aerobic routines, adaptive fascial training and many others. May involve active, passive, and resistive elements. Exercise is necessary for proper cardiovascular health, disc nutrition, and musculoskeletal health.

•    Manual techniques—manipulation of affected areas by means of massage therapy, stretching, cupping and gua sha. Evidence for the effectiveness of these techniques is available.

•    Behavioral modification—use of behavioral methods to optimize patient responses to back pain and painful stimuli. Cognitive therapy involves teaching the patient to alleviate back pain by means of relaxation techniques, coping techniques, and other methods. Biofeedback involves the gradual alteration of neuromuscular signals for symptomatic improvement.

•    Cutaneous stimulation —superficial heating or cooling of skin. These pain management methods include cold packs and hot packs, and should be used in conjunction with exercise.

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