A logical & foundational approach to mechanical pain

image27

My father took me to see the only chiropractor in my small town to see if he could help me with my chronic elbow pain. That chiropractor fixed my elbow in 7 visits... He fixed it when no one else could. I also suffered with chronic neck and back pain , and injured my shoulder while in the Marines. When I returned home from active duty , it was chiropractic, manual therapy and exercise that helped me recover and manage these issues.


I believe I was meant to be in this profession. Since 1989 ,  I have strived to acquire the skills necessary to provide the most logical and effective methods of diagnosis and treatment. I have treated champion athletes , young children  and the elderly... Along the way , what I have learned is that a team approach is often the best approach. When you work with like minded providers, the patient can always benefit. Progressing from the least invasive methods to more invasive , as dictated by the patient's status , just makes good sense. I regularly refer for outside consults and care when I think it is the right call for my patient.


Back pain, neck pain , and other painful musculoskeletal issues can be debilitating . You deserve to be treated with compassion and understanding . I will do my best to help you understand your individual problems , as well as how my treatment and guidance can  play a role in your injury recovery , pain management , and performance care. 

image28

Rehabilitating complicated issues can become even more complicated without a strong foundation to base care upon...

Compensatory Pattern Management & Foundational Fitness Care helps provide the strong foundation  we need to monitor , improve and manage many of the most common mechanical dysfunctions and imbalances that we deal with on a regular basis.  The goal is to help you optimize recovery from injuries ,  manage pain  and improve performance.  This concept creates a more structured , global approach to the evaluation , treatment and management of  issues , versus just looking to the location of pain for all of the answers.


I have  been involved in various forms of fitness activities throughout high school, the Marines, and currently into my 50s. In addition to being a DC for almost 30 years, I was a CSCS through the NSCA for 24 years. I have worked with athletes involved with Crossfit, running,weight lifting, golf, tennis,soccer,field hockey, baseball,football,etc,  


What I have observed with myself , these athletes, and many other patients ,  is that when certain foundational asymmetries/imbalances are present, we tend to suffer with chronic injuries and limited performance. 


CPMCare™ helps  identify and address these most foundational issues.


--------------------------------------


Frustrated because every time you exercise , you seem to injure yourself ?


Old injuries continue to flare up ?


Does it seem like the more you try to stretch or strengthen a muscle,  the worse you get ?


It could be because your body mechanics are off... 


------------------------------------------------------------------


CPMCare™ & Foundational Fitness Care™ are interdependent. 


There are about 260 bones in the body and about 600 muscles . Muscles moves bones. Nerves tell muscles what to do, and what not to do , due to feedback from joint and muscle receptors. Your brain may ask your leg to move forward for example. However , your muscle and joint sensors may decide it's not such a great idea to move with the normal pattern of muscle recruitment ,  due to problems these sensors detect with various muscles and  joints involved in that normal movement pattern. Your nervous system will then create an alternative way to move your leg forward... This can lead to imbalances and overuse injuries , which may compound over time. 


Trying to strengthen an inhibited muscle or muscles is not the answer. The reason for the inhibition must be dealt with first. Only then will the body permit strengthening to improve the muscle imbalance. 


What I am trying to say is, you often can not just exercise your way to foundational fitness. Frequently , I have found that  we must apply specific manual therapy methods to help "reboot" your system , which is causing the inhibition of a muscle or muscles. When these treatments are successful , they will help deactivate the body's compensatory safety mechanisms,  allowing the inhibited muscles to once again become active and receptive  to conditioning and strengthening. 


Sometimes restoring these normal movement patterns can be complicated, requiring you to go through various stages of treatment to reach optimal improvement. Generally, the longer the problem has existed , the longer it takes to peel back the layers of compounded compensatory issues .  Once we reach the  most basic levels of compensation ,  management becomes much more simple and effective.


Ultimately , we must strive to create symmetry and balance with regards to how we use our bodies in our most basic activities of daily living .  I look forward to helping you make the most out of the basics. Problems often become chronic , because the basics were not handled adequately , or ignored completely.


Getting you out of pain is the first step. Regular monitoring and care of your most foundational issues can then help prevent unnecessary injuries  and improve performance.


CPMCare™ screening exams are designed to reveal several common imbalances that often go undetected and untreated. 

CPMCARE™ provides a foundation for musculoskeletal health

MUSCULOSKELETAL CARE, MONITORING AND MANAGEMENT SHOULD BEGIN AT A YOUNG AGE. I BELIEVE CPMCare™ SHOULD BE THOUGHT OF AS A FORM OF PRIMARY CARE MECHANICAL MUSCULOSKELETAL MEDICINE

image29

 THE  #1 SHORT & LONG TERM DISABILTY DIAGNOSIS FOR THE STATE OF DELAWARE IS FOR MUSCULOSKELETAL ISSUES.



THE WORLD HEALTH ORGANIZATION HAS RECENTLY DECLARED THAT WE ARE IN AN "INACTIVITY PANDEMIC"



SOMETHING IS VERY WRONG WITH THE CURRENT WAY WE APPROACH MUSCULOSKELETAL HEALTH 


__________________________________________________________________________________________________



HIGHMARK BC/BS , AETNA, PA IBX , ANTHEM , & OTHER BC/BS PLANS


(Please check with your insurance for details of coverage)



PLEASE UNDERSTAND THAT YOUR CHIROPRACTIC INSURANCE BENEFITS WILL PROVIDE  SPECIFIC LIMITATIONS AND PROTOCOLS THAT WE MUST FOLLOW. 


We also provide affordable cash CPMCare™ visits . CPMCare™ visits allow us to optimize your care, unhampered by insurance benefit restrictions.



DISCOUNTS APPLIED ON A CASE BY CASE BASIS TO MILITARY, VETERANS, FIRST RESPONDERS & TEACHERS...THANK YOU FOR YOUR SERVICE !

CHIROPRACTIC MEDICINE & MANUAL THERAPY

image30

Each visit is a combination of various manual and physical medicine modalities linked to the chiropractic philosophy of optimizing nervous system functioning . The soft tissues and the joints are given equal consideration and treatment is usually a mix of both soft tissue and joint techniques .


WHAT I DO IN THE OFFICE IS DESIGNED TO HELP YOU HELP YOURSELF


SELF CARE COUNSELING

image31

This is not a high volume practice. Optimally, we will set aside 30 minutes per visit. This time allotment is in part due to the fact that self care counseling is often a part of each visit.  Frequently , insurance restrictions require some modifications to what I consider an optimal allowance of time per visit. In order to deal with this , I  have created a number of options for patients,  allowing them to choose which option works best for them.

About Us

Richard M. Jannelli,DC,CertMDT

image32

1989 Palmer College graduate

U.S.M.C  Veteran


Diversified , Gonstead, Activator, Flexion-Distraction, SOT, Drop Table, Nimmo, Extremities


McKenzie Mechanical Diagnosis & Therapy Certified 1999

ART Full body, nerve entrapments and Masters certifications maintained for 11 years

Certified Strength & Conditioning Specialist 24 yrs

Graston 2002 FAKTR 2012

Kinesiotaping 1990s

Trigger Point Manual Therapy & Dry Needling



Influenced by a variety of practitioners from various professions including, but not limited to : chiropractic , osteopathy, physical therapy, PM&R,  and exercise medicine.

CPMCare™

image33

Founder and developer of this logical and  effective approach for monitoring,  treating and managing the most basic mechanical structural problems we encounter every day. 


Provides for a more structured and global approach to injury recovery and musculoskeletal health care.


Creates the opportunity to manage your musculoskeletal health from a young age . 


My youngest CPMCare™patient is a very active 8 year old. Her mother saw the logic of this approach, and asked if she could bring her then 7 year old child in for this type of care.

CPMCare™ Screenings

image34

 Once you become a patient , I will teach you several quick screening exams you can do on yourself and your loved ones . 




FREE CPMCare™ Screenings to family & friends of current patients




"DEEP & SIMPLE IS FAR MORE ESSENTIAL THAN SHALLOW & COMPLEX"


Mr. Rogers



Mastering , monitoring , revisiting and optimizing the basics , just makes good sense.

Contact Us

Send Message

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Call to Schedule an Appointment

Please contact us directly with any questions, comments, or scheduling inquiries you may have.

WE ARE LOCATED DIRECTLY ACROSS THE STREET FROM THE SILVERSIDE MEDICAL AID UNIT (2700 SILVERSIDE ROAD), IN THE DEVELOPMENT OF BENTON ( dr jannelli chiropractor in Wilmington )

Richard M. Jannelli,DC,CertMDT

1 Benton Court, Willmington, DE 19810

(302) 475-9226

Hours

Monday - Friday: by appointment