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Second Moderna Covid-19 vaccination received 2/10/2021

The office remains open during the quarantine. On February 10th 2021 I received the second Moderna Covid-19 vaccination. I am a grateful “1A” recipient of the exhaustive and timely efforts scientists, researchers and pharmaceutical companies made during Operation Warp Speed. Dr Saracino

Concussion Video

I was asked to speak about concussion to about 500 attorneys at the Pennsylvania Bar Association’s Annual Workers Compensation Conference in Hersey a few months ago.

Please copy, highlight and paste the following link into your browser.

If you know someone who suffers from these symptoms, please send them the link. I welcome your comments. Your efforts are appreciated.

Dr Saracino
610 337 3335

Concussion and Migraine Update

A few years ago, the codes doctors use to label diseases was upgraded. To we chiropractic and medical neuarologist’s satisfaction, many of the symptoms that accompany concussions, migraines and severe headaches, such as abdominal complaints like nausea (G43.DO), visual changes causing double-vision and eye pain (G43.B) and mental-state changes of mental fatigue while concentrating and personality changes not experienced prior (R41.9), were included in the new codes. These reevised codes were more inclusive and they, in some respects, justified our long-time recognition of the complications of concussion(SO6. …), migraines (G43. …) and headaches.
The list below shows just a few of the updated conditions that were not well understood not long ago and ones seen in my patient population.
Our understanding of concussions and other head-origin complaints is growing.

                 ICD-10 Cranial (head) Doiagnostic Codes

R51        Headache & Facial px: chronic or daily
M53.0    Cervicocranial syndrome
G43.C0   Periodic headache syndromes child or adult
G44.209 Tension, cervicogenic headache
G44.011 Cluster headache, episodic
G44.021 Cluster headache, chronic
G43.009 Migraine without aura
G43.109 Migraine with aura
G43.809 Other migrc/ostatusmigrainosus(days long)
G43.809 Allergic headache
G44.1      Vascular headache
G43.B      Ophthalmoplegic migraine
G43.D0    Abdominal migrane
S06.0X0   Concussion without loss of consciousness
S06.0X1   Concuss with loss of conscious less 30 mins
S06.0X9   Concuss with loss of conscious unspec time
H93.1       Tinnitus (ringing in the ears)
I63.9        Cerebral infarct
G51.0       Bell’s Palsy
H81.0       Meniere’s disease
F07.81      Post-concussion syndrome
H51.11     Convergence insufficiency
H81.49     Vertigo central origin, ear
S07.OXXA Crushing injury of face
S00.83XA  Contusion face
H81.10      Benign paroxysmal positional vertigo BPPV
M54.81     Occipital neuralgia
H57.811    Brow ptosis R
H57.812    Brow ptosis L
H57.813    Brow ptosis bilateral
G31.84      Mild cognitive impairment
R41.0        Mental state- not thinking clearly
R41.9        Unspec cognitive functions and awareness
R25.0        Abnormal head movements

Upper Neck Tightness Causes Many Disturbances

If the top two bones in the neck are out-of-alignment or not moving well from sustained head-tilting and repetitive head movements the nerves that pass through the area over stimulate the adjacent nerves can cause: stomach upset, heart palpitations, fatigue, sleep disorders, irritability, upper neck stiffness and pain and headache and migraine.


Drugless Effective Treatment for Parkinson’s Disease

Electric Muscle Stimulation to the muscles around the ear is starting to be researched and understood to be an effective method of treating Parkinson’s Disease. I suggest you read the short “Background” and “Conclusion” paragraphs.

Research Paper on Therapy I Perform for Chronic Concussion Syndrome

PUBLISHED TODAY! A chiropractic neurologist and his team of researchers, today, had a scientific paper describing the changes we render with our therapy in the Mental and Physical Health of Severe Concussion Patients is published!

The paper was presented this at the 12th World Congress on Brain Injury in New Orleans, LA, in March, 2017 and now it is available in Frontiers Neurology: Neurotrauma Section (Impact Factor 3.552) (see link below).


The short ‘Results and ‘Conclusion’ paragraphs are interesting and informative.

Context: There are approximately 1.8 to 3.6 million…

An over-the-counter Amino Acid is Found to Lower Blood Pressure

A research study performed at my alma mater.


The 7 meta-analyses that were included in this umbrella review reported significant positive benefits for reducing systolic and diastolic blood pressure in hypertensive adults by 2.2 to 5.4 mm Hg and 2.7 to 3.1 mm Hg, respectively, reducing diastolic blood pressure in pregnant women with gestational hypertension by 4.9 mm Hg, and reducing the length of stay in the hospital for surgical patients; in addition, 2 of the 3 meta-analyses indicated a 40% reduction in the incidence of hospital-acquired infections. However, these positive results should be considered with caution because statistically significant heterogeneity was observed in 5 of the 7 meta-analyses.


Some evidence appears to support the benefit of l-arginine supplementation for reducing systolic and diastolic blood pressure in hypertensive adults and reducing the incidence of hospital-acquired infections and the length of stay in the hospital for surgical patients. Given the limitations of the included studies, interpretations should be made with caution.

On Coffee and Espresso Drinking and Brewing

Espresso is less deleterious to drink than coffee. It’s brewing process which requires a higher temperature, shorter time while under high pressure extracts fewer of the toxins other forms of making coffee produce. Additionally, freshly ground beans for any coffee making process decreases the oxidation of the good components of the bean, namely minerals and antioxidants, which increases its beneficial nutritional content and flavor. The time of day one drinks either type of brew is important, as well. When our normally-occurring (diurnal, sleep-wake cycle) hormonal late-morning to early afternoon drop (11 am – 2 pm) in cortisol first occurs, this is the best time to consume. I have been drinking espresso, not coffee, grinding beans right before brewing and adhering to this drinking schedule daily for several years. I recommend it to those who drink coffee regularly. However, the nervous system stimulation that caffeine provides should not be abused. I believe, one should drink no more than one cup of coffee a day regardless of the brewing process.
I recommend you open the link and read of the benefits coffee provide.

Anatomic Diagram Correction on Largest Low Back Muscle- Psoas

Too often, anatomic diagrams are incorrect in their description of muscles and how they are drawn.

A 6/23/2015 facebook post to my professional facebook profile:

…from a dancer and choreographer in Detroit had a diagram of the largest low back muscle which is deep inside the front of the spine behind the belly-button. My response to the incorrect post is as follows.

Pronounced “SO-iss” it is the primary thigh flexor muscle which is contrary to what most people think flexes the thigh forward- the large front-of-thigh muscle rectus femorus. Most folks over-work the psoas by performing abdominal exercises incorrectly. Flexing the leg onto the hip overworks the psoas, which also increases the curve in the low back, so instead of it decreasing low back pain leg-lifts and the like increases low back pain! The best way to exercise the abdominal muscles is to flex the rib cage onto the pelvis while exhaling WITHOUT flexing the thigh onto the hip, with cable-pull down techniques which I can demonstrate in the office.

Shoveling Tips – Part One

Understanding the proper way to shovel can prevent low back pain.

While bending forward to scoop keep the low back arched and knees bent with each push to fill the blade. Bend the knees even more to lift the snow off the ground. Throw the snow forward, not to the side, which prevents the trunk from twisting.

This tips is most often not performed and it is as important as keeping the back arched with knees bent. Switch hands and alternate sides every ten shovels-full. This will prevent the dominant shoveling side from over-working.

Dr. Saracino
610 337 3335

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