SERVICES https://www.eliteiwc.com/apps/photos/ SERVICES INITIAL EVALUATION The consultation will be performed by our double Board Certified Medical Physician, Dr. Sareta Coubarous, DO, DAOBPMR. Specialist in: Pain Management- Spine and Musculoskeletal Medical Marijuana Certification- NJ & PA Weight Management, Lifestyle & Nutritional Counseling Addiction and Opiate Use Disorder Independent Medical Examination (IME) Second and First Opinions of Pain syndromes https://www.eliteiwc.com/apps/photos/photo?photoID=192266307 192266307 DRY NEEDLING A solid filament needle is inserted into the skin and muscle directly at a myofascial trigger point. A myofascial trigger point consists of multiple contraction knots, which are related to the production and maintenance of the pain cycle. Inserting a needle into trigger points can cause favorable biochemical changes, which assist in reducing pain. A local twitch responses, which are spinal cord reflexes, response with dry needling. WHAT TYPES OF CONDITIONS CAN TDN ASSIST? Neck/Back Pain Shoulder Pain Tennis/Golfers Elbow Headaches Hip and Gluteal Pain Knee Pain Achilles Tendonitis/Tendonosis Plantar Fasciitis Sciatica Muscular Strains/Ligament Sprains Chronic Pain Athletic Performance https://www.eliteiwc.com/apps/photos/photo?photoID=192266305 192266305 OSTEOPATHIC MANIPULATIVE TREATMENT Muscle energy techniques are used to treat somatic dysfunction, especially decreased range of motion, muscular hypertonicity, and pain. Muscle energy techniques can be employed to reposition a dysfunctional joint and treat the affected musculature. Indications include, but are not limited to: muscular shortening, low back pain, pelvic imbalance, edema, limited range of motion, somatic dysfunction, respiratory dysfunction, cervicogenic headaches, and many others. https://www.eliteiwc.com/apps/photos/photo?photoID=192266312 192266312 TRIGGER POINT INJECTION A treatment used for the purpose of alleviating pain and improving posture and movement. It uses fine syringe needles with the injection of an anesthetic such as Marcaine. This office uses sterile, disposable needles and maintains a clean and safe environment. The needles are inserted through the skin into the underlying tissues and muscles at specific points known as myofascial trigger points. When a twitch response is obtained the trigger point is released. Manual therapy techniques are often incorporated into treatment. https://www.eliteiwc.com/apps/photos/photo?photoID=192266316 192266316 PERCUTANEOUS ELECTRICAL NERVE STIMULATION PERCUTANEOUS ELECTRICAL NERVE STIMULATION (PENS) A treatment used for the purpose of alleviating pain and improving posture and movement. It uses fine gauge acupuncture needles placed along the sides of the spine, and stimulated utilizing an electrical nerve stimulating unit. This office uses sterile, disposable needles and maintains a clean and safe environment. The needles are inserted through the skin into the underlying tissues and muscles. A twitch response may be obtained indicating a trigger point is released. Manual therapy techniques are often incorporated into treatment. Percutaneous electrical nerve stimulation (PENS) is not a form of acupuncture. https://www.eliteiwc.com/apps/photos/photo?photoID=206107110 206107110 JOINT INJECTION Treat arthritis pain, bursitis, tendonitis, trigger finger, and carpal tunnel syndrome. https://www.eliteiwc.com/apps/photos/photo?photoID=192266310 192266310 KINESIO TAPING Reduces pain, provides joint protection, support and proprioception, reduces swelling, improves posture, healing and muscle contraction Just like the athletes wear! https://www.eliteiwc.com/apps/photos/photo?photoID=192266309 192266309 TENS THERAPY The use of electric current produced by a device to stimulate the nerves for therapeutic purposes. A non-invasive, low-risk nerve stimulation intended to reduce pain, both acute and chronic. A few studies have shown objective evidence that TENS may modulate or suppress pain signals in the brain. For those that do not feel comfortable with needles, there is "needleless acupuncture" treatment available. https://www.eliteiwc.com/apps/photos/photo?photoID=192266315 192266315 BIOFREEZE APPLICATION Helps muscle and joint pain naturally https://www.eliteiwc.com/apps/photos/photo?photoID=192266304 192266304 SPRAY AND STRETCH The spray and stretch technique quickly alleviates acute pain and restricted range of motion due to muscle trigger points. The application of a vapocoolant acts as a counterirritant to myofascial pain due to muscle spasm and trigger points. https://www.eliteiwc.com/apps/photos/photo?photoID=192266313 192266313 STRETCHING EXERCISE DEVELOPMENT https://www.eliteiwc.com/apps/photos/photo?photoID=192266314 192266314 MASSAGE We utilize the referral of an Independent (Non Elite Wellness Center Employee) Mobile Massage Therapist and an In-office Massage Therapist, to improve your range of motion, relaxation, pain, and overall health. https://www.eliteiwc.com/apps/photos/photo?photoID=206107135 206107135 ANTI-AGING & SKIN CARE The FREE Skincare Analysis analyzes your response to a series of questions about age, skin type and skin concerns. You will discover an ideal skin regimen that will enhance the beauty of your skin everyday. Begin the Skincare Analysis by completing the survey. This survey will take approximately 5 minutes to complete, and you must answer each multiple choice question as accurately as possible in order to complete the analysis. To complete the FREE analysis log onto: http://www.nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206106908 206106908 NUTRITIONAL COACHING https://www.eliteiwc.com/apps/photos/photo?photoID=194614674 194614674 NUTRI-PHYSICAL NUTRITIONAL ANALYSIS Identify areas of improvement: Cardio Health, Blood Maintenance, Stress Reduction, Sleep Hygiene, Diet/Exercise, Weight Management https://www.eliteiwc.com/apps/photos/photo?photoID=206107225 206107225 GENETIC TESTING, SNP ANALYSIS-TO CUSTOMIZE HEALTH THERAPIES GENE SNP ANALYSIS-TO CUSTOMIZE HEALTH THERAPIES Obtains genetic sample through a cheek swab administered by our Physician Evaluates 48 genes and 61 SNPs spanning several different areas of health Evaluates diet, lifestyle, exercise, cardiovascular and mental emotional markers of health. Delivers a comprehensive Weight & Wellness Report with concrete suggestions from your health practitioner for maintaining your optimal health potential. Based on a careful analysis of your genetics, diet and lifestyle your health practitioner will recommend the best products & services to meet your health goals. While your DNA does not change, your lifestyle does, and our program is designed to help you maximize your health potential. https://www.eliteiwc.com/apps/photos/photo?photoID=206107106 206107106 DETOXING - NUTRITIONAL https://www.eliteiwc.com/apps/photos/photo?photoID=206107097 206107097 CUSTOMIZED LIFESTYLE WEIGHT MANAGEMENT Consultations with the Doctor https://www.eliteiwc.com/apps/photos/photo?photoID=206107204 206107204 CUSTOMISABLE MEAL PLANS Meal plans are customised according to your commitment level, medical history, health and weight loss goals. https://www.eliteiwc.com/apps/photos/photo?photoID=206108781 206108781 EXERCISE PLANS We will customise an exercise plan to meet your needs and commitment level. Always consult your private physician before starting any exercise plan. https://www.eliteiwc.com/apps/photos/photo?photoID=206108780 206108780 WELLNESS COUNSELING https://www.eliteiwc.com/apps/photos/photo?photoID=206107098 206107098 ISOTONIX LIQUID VITAMINS & MINERALS- DRINK TO HEALTH You can drink your Vitamins and Minerals and Antioxidants, and never have to take a pill again. Pill vitamins are made with fillers and the absorption os no more than 30%, where as Isotonix is 98-100% absorbed, because there is nothing to break down. https://www.eliteiwc.com/apps/photos/photo?photoID=206107108 206107108 PA MEDICAL MARIJUANA CERTIFICATION CONSULTATION 4 REQUIRED steps to become certified for the 23 conditions in PA 1. Register to be a patient (or caregiver) @ medicalmarijuana.pa.gov 2. Gather your medical or psychological records from a doctor that has diagnosed you with one of the 23 conditions, and present it to OUR doctor for certification review. 3. Once certified by our physician, return to the website medicalmarijuana.pa.gov to pay the State the registration fee for the card. 4. Choose a dispensary to purchase your MMJ medication. https://www.eliteiwc.com/apps/photos/photo?photoID=206107103 206107103 MMJ & CBD EDUCATION https://www.eliteiwc.com/apps/photos/photo?photoID=206107101 206107101 NJ MEDICAL MARIJUANA CERTIFICATION CONSULTATION Only In the NJ Office ELITE SPINE & PAIN To become a registered patient with the Medicinal Marijuana Program (MMP), you must: Maintain a bona fide relationship with a physician who is registered with the program. A bona fide relationship is defined as a relationship in which the physician has ongoing responsibility for the assessment, care, and treatment of a patient?s debilitating medical condition, where: The physician-patient relationship has existed for at least one year; or The physician has seen and/or assessed the patient for the debilitating medical condition on at least four visits; or The physician assumes responsibility for providing management and care of the patient?s debilitating medical condition after conducting a comprehensive medical history and physical examination, including a personal review of the patient?s medical record maintained by other treating physicians reflecting the patient?s reaction and response to conventional medical therapies. Be a New Jersey resident. Be diagnosed with a qualifying debilitating medical condition by a New Jersey physician registered with the MMP. https://www.eliteiwc.com/apps/photos/photo?photoID=206107104 206107104 TELEMEDICINE VISIT Telemedicine visit for wellness, smoking, second opinions follow ups, nutriphysical and skin analysis, and weight loss https://www.eliteiwc.com/apps/photos/photo?photoID=206107109 206107109 ALCOHOL & OPIATE TREATMENT Addiction to Opiates and Alcohol treatment with just one injection per month. Vivitrol injection. https://www.eliteiwc.com/apps/photos/photo?photoID=206107201 206107201 SMOKING CESSATION Prescribed smoking cessation medications https://www.eliteiwc.com/apps/photos/photo?photoID=206107107 206107107 SECOND OPINIONS Do you need a second opinion about treatment options for pain problems such as headaches, neck pain, low back pain, radiating limb pain, disc problems, joint problems or numbness and tingling? Have you been told you need surgery, and it is your only option? What treatment options are there for addiction to Opiates or Alcohol? https://www.eliteiwc.com/apps/photos/photo?photoID=206107099 206107099 WELLNESS WORKSHOPS Informational sessions provided by the physician, certified wellness and nutritional coach, certified athletic trainer, and massage therapists. https://www.eliteiwc.com/apps/photos/photo?photoID=206107105 206107105 ANTI-AGING Multivitamins, energy, vitality, cognitive/memory, menopause, and cardiovascular nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206107202 206107202 SKIN CARE Anti-aging skin care and repair nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206107203 206107203 MENOPAUSE SUPPORT We customize nutritional supplement and dietary options to reduce the symptoms associated with Menopause https://www.eliteiwc.com/apps/photos/photo?photoID=206108749 206108749 BEAUTY nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206107205 206107205 PERSONAL CARE nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206107206 206107206 HEALTH & NUTRITION nutrametrix.com/elitespineandwellness Cardiovascular, Blood Sugar, Hormonal, Vitamins and Minerals, Anti-Oxidents & Anti-Inflammatory/ Pain, Visual, Memory, Stress, Probiotics, Libido, Menopause, Prostate, Bone/Joint Support https://www.eliteiwc.com/apps/photos/photo?photoID=206107207 206107207 BABY CARE nutrametrix.com/elitespineandwellness https://www.eliteiwc.com/apps/photos/photo?photoID=206107208 206107208 MEMBERSHIP PLANS Consults, Treatments, Products, and Health/Weight Loss Management Plans Free Extras: Health Blog and Tips Meal Plans Exercise Plans Wellness Coach Contact Weight Loss Challenge Groups https://www.eliteiwc.com/apps/photos/photo?photoID=206124490 206124490