DR. JOSHUA JOAQUIN

A third-generation chiropractor and Rindge native, Dr. Joshua J. Joaquin received his Doctor of Chiropractic degree from Life University School of Chiropractic, Marietta, GA in 1995. He has been in practice for over twelve years. He opened Meadow View Chiropractic in Rindge, NH in January 1996, and then moved the practice to Jaffrey in June 2000 as Jaffrey Chiropractic Health Center. In the past Dr. Joaquin has been an Anatomy and Physiology instructor at the North Eastern Institute of Whole Health in Manchester, NH. He also served as Treasurer and Director on the New Hampshire State Chiropractic Society Board.

In 2003, Dr. Joaquin was diagnosed with thyroid cancer. After two surgeries and radiation treatment, he is a cancer survivor! (read his story here) His interests include cycling, Kosho Ryu Kempo (he currently trains at Evans Kempo Karate Dojo in Jaffrey) and spending time with his family.

Dr. Joaquin and his wife have two children; both received their first chiropractic adjustment immediately after birth. You'll often see all of them when you visit Jaffrey Chiropractic, as it truly is a "family practice."

21ST CENTURY TECHNOLOGY

In order to provide the most effective care possible to our patients, we use a combination of tried and true chiropractic techniques and the latest high-tech treatment and outcome assessment instruments currently available to the chiropractic profession.

INSIGHT MILLENNIUM SUBLUXATION STATION

This state-of-the-art technology objectively helps us...

1. The Surface Electromyography (SEMG) Scan measures how well the motor nerves are working by reading the amount of currrent found in the muscles. Subluxations disturb the function of the nerve, causing an abnormal amount of electrical current flowing to your muscles.

2. The Muscle Balance or Symmetry Pattern Scan measures the amount of 'pull' the muscles surrounding the spine are exerting. When the spine is out of alignment, it causes a muscle imbalance, resulting in fatigued or weak muscles along the spine.

3. The Thermal Scan measures temperature differences between each side of your body. When the communication between the nervous system and blood vessels is disturbed, it causes the body's thermostat to malfunction, producing an imbalanced temperature reading along the spine.

IMPULSE ADJUSTING INSTRUMENT®

The Impulse Adjusting Instrument is the most technically advanced chiropractic adjusting instrument in the profession today.

Is It Effective? Compared with other adjusting instruments, the Impulse Adjusting Instrument is twice as fast and its waveform is specifically tuned to the natural frequency of the body allowing the creation of more bone movement with less force and simultaneously stimulate greater populations of nerve receptors for more effective adjustments and better results. A new 2004 study* has clearly demonstrated the superiority of Impulse on all of the biomechanical variables examined; a faster thrust, better frequency, and a larger range of forces for the chiropractor to choose from.

Designed By The Most Published Authors in the Field of Instrument Adjusting: Together, Dr. Tony Keller, a prominent bioengineer and spine researcher and Dr. Chris Colloca, a chiropractic practitioner and researcher, developed the Impulse Adjusting Instrument®. Combined, they have published over 20 research papers related to instrument adjusting in the scientific literature, and have brought over 15 years of research and engineering into the design of Impulse.

*Colloca et al. Comparison of mechanical force manually assisted chiropractic adjusting instruments. Journal of Manipulative and Physiological Therapeutics 2005; 28(6):414-22.

ERCHONIA® LOW LEVEL (Cold) LASER

The Erchonia Low-Level Laser is used to enhance tissue recovery and advance/speed up injury healing time. Low-Level Laser Therapy (3LT™) promotes healing in many conditions, including chronic/acute pain, wound healing and other joint and neurological conditions.

Erchonia's lasers made history by becoming the first to receive FDA market clearance for the treatment of chronic pain, proven through two double blind IRB studies. Dr. Jeff Spencer, the Chiropractor for the US Postal Cycling Team and Lance Armstrong uses the Erchonia Low-Level Laser.

FREQUENTLY ASKED QUESTIONS ABOUT 3LT™

What is a TRUE Laser?

The Erchonia Laser is a TRUE LASER, fully compliant to the definitions set forth by those great men of science such as Bose and Einstein who predicted LASER in 1924 and the contemporary physicists Schawlow and Townes who brought LASER into the modern age. LASER is an acronym for Light Amplification by stimulated Emission of Radiation. Light created in this way, is then culminated and directed into an intense beam of coherent light through the use of cathode and anode reflecting components in order to produce a single stable frequency. According to Webster's Dictionary, Lasers are coherent or marked by logical consistency. The Erchonia laser meets all the scientifically defined attributes of a laser and is therefore classified as a TRUE laser. We assure and maintain this classification, through our unique and patented process, which produces the emission of coherent light, generated at a precise and stable frequency, and in a focused direction.

What is low-level laser?

Unlike high power lasers that use heat and destroy tissue, low energy lasers affect the cellular energy of the underlying tissue. Hot lasers have a thermal effect and have an output of 1MW or above.Cold (or) Low-Level Lasers do not have a thermal effect on tissue, lasers that stimulate biological function have an output below 10mw- milliwatts (ten - one thousandths of a watt).

What is 3LT™ - Low-Level Laser Therapy?

Low-Level Laser Therapy (3LT™) refers to the modality of applying a "low" energy or "low-level" laser to tissue that stimulates cellular processes and thereby enhancing biochemical reactions. For example, studies show that LLLT increases ATP production in the mitochondria of the cell. Since more energy is now available, the cell may utilize this fuel to function or operate more efficiently.

How does it work?

Many theories exist as to the mechanism of action for Low-Level Laser Therapy(3LT™) but simply put, photonic energy is absorbed by the photo acceptor sites on the cell membrane which trigger a secondary messenger to initiate a cascade of intracellular signals that initiate, inhibit or accelerate biological processes such as wound healing, inflammation, or pain management.

What conditions can be treated?

Low-Level Laser Therapy (3LT™) has been successfully used to treat many conditions such as acute and chronic pain reduction, repetitive use disorders like carpal tunnel syndrome, soft tissue strains and sprains, inflammation reduction, enhanced tissue wound healing, and cell regeneration.

Are there any side effects?

There are over 1500 published studies and not one of them mentions any negative side effects of semi-conductor diode lasers at the 5mW range like the Erchonia 3LT™ Lasers. Low-Level Lasers are safe, non-toxic and non-invasive, there has not been a recorded side effect in over 1700 publications. There are some nessecary common sense precautions that need to be considered, such as avoiding pointing the laser beam directly into the eye and maintaining it there, which could prove to be damaging to the eye.

What makes one laser different from another?

A laser can differ in its wavelength, power source or whether it is a continuous or pulsed wave form. The first lasers were used to cut, cauterize or ablate tissue and were classified as "hot' lasers. "Cold", "Low Energy" or "low-level" lasers are used to enhance metabolic activity at the cellular level through non-thermal reactions.

What is wavelength? And do the different wavelengths matter?

Light is measured in wavelengths and is expressed in units of nanometers (nm). Different wavelengths have different energy levels and can have various effects on tissue. For example, the Erchonia 3LT™ Laser is 635 nanometers, which is found within the "red" spectrum of visible light (400-800 nm) and has anabolic tissue effects, whereas, radiation that has a wavelength shorter than 320 nm (ultraviolet (UV), gamma rays, x-rays) has ionizing effects on cells and can be harmful even in small doses.

What is the difference between Lasers and LED's (light emitting diodes)?

Lasers are monochromatic (single color wavelength), collimated (non-divergent) and coherent (wavelengths in- phase) in contrast, LED's are neither coherent nor collimated and generate a broader band of wavelengths (multiple). In addition, a significant difference between the two is the power output. The peak power output of lasers is measured in watts, while that of LED's, is measured in milliwatts. Also, LED's usually have a 50% duty cycle, meaning that they are "on" 50% of the time and "off" 50% of the time regardless of what frequency (pulses per second) setting is used.

There are many light emitting products on the market today, claiming to be lasers that do not meet scientifically defined attributes for being a true laser. For example, products that use Light Emitting Diodes or LED's as they are more commonly known, do in fact produce light, however the light is not intense, producing very little energy and is non-coherent, similar to light produced by common household light bulbs. Non-coherent or non-culminated light is the result of photons moving in random directions at random times, generating random frequencies. The most common use of LED's is in electronic equipment, such as cell phones and VCRs, to inform the users that the item is ON. LED's are cheap and easy to reproduce (Pontinen 1992). Obviously, these devices are NOT lasers. This misconception is in large part a by-product of marketing. Some sales professional use the word "laser" in order to describe a process such as in "laser pointers" which refers more to mankind's collective imagination than scientific comprehension.

How long are the treatments?

Treatments can vary in time from seconds to minutes depending on the condition. Research studies show that there may be a dose dependent response, so it may be more effective to treat at lower doses at multiple intervals then to treat a single time with a high dose.

How long does the treatment last?

A treatment plan may vary, depending on the condition. For instance, an acute soft tissue injury or open wound may require multiple short treatments initially then the interval between treatments will lengthen as the condition improves.