Bill Weinstein lecture on Dry Needling this Monday December 9th

Bill Weinstein, L.Ac. will be speaking at the Saugerties Public Library this coming Monday, December 9, from 6:00-8:00 PM.

Acupuncture, including a recent development commonly referred to “dry needling,” grows from an ancient lineage with branches in many cultures. Several thousand years of recorded practice demonstrate its efficacy and its safety. How does it work? A modern understanding of the nervous system has begun to elucidate the actual mechanisms underlying acupuncture’s action. “A Modern View of Acupuncture” will provide an overview of the history, practice, and physiology of acupuncture and its latter-day descendent, dry needling.

For directions to the Saugerties Library click this link

William Weinstein, L.Ac. has been an acupuncturist for more than eleven years. He has written about acupuncture for publications as diverse as Hudson Valley Business Journal and European Journal of Oriental Medicine.

William Weinstein, M.S., L.Ac., Dipl. NCCAOM
William Weinstein, Licensed Acupuncturist
3 Cherry Hill Road, Suite A (at Performance Sports & Wellness), New Paltz NY 12561.

Modern Acupuncture
Integrated Systemic Dry Needling for Sports Injuries and Trauma Rehabilitation

Dry Needling now available at Performance Sports & Wellness

William Weinstein, L.Ac., Licensed Acupuncturist (located at Performance Sports and Wellness with Dr. David Ness), is now certified in Integrative Systemic Dry Needling for Sports Injuries and Trauma Rehabilitation by the American Dry Needling Institute. Dr. Yun-tao Ma, institute director, is an internationally respected expert in the field, teaching in Europe and China as well as the U.S. Dry needling is currently a sought-after treatment modality in use by professional and Olympic athletes around the world. See for more information or call 845-255-2070. Find information about dry needling at

Muscle of the Month – The Hamstrings

Hello and welcome to May’s Muscle of the Month! It’s warm and wonderful outside. Running, hiking, and walking in the beautiful weather is a welcome change from those dark winter months that never seemed to end. So while you’re out there, don’t forget to stretch – especially your hamstrings.


What’s a hamstring?

“Hamstrings” is a term most people use to refer to the muscles on the backs of their legs, but there are three separate muscles in that area: semitendinosus, semimembranosus, and biceps femoris. All three muscles bend the knee and extend the hip because all three muscles cross the hip and knee joints (apart from the short head of the biceps femoris which only bends the knee because it only crosses the knee joint).

How to locate the hamstrings:

The hamstring muscles (semitendinosus, semimembranosus, and long head of the biceps femoris) start on your sits bones (ischial tuberosities) and go down the leg to the back of the knee. The semitendinosus and semimembranosus on the inside of your thigh, and the biceps femoris on the outside of your thigh. If you bend your knee, you can feel strong tendons right above your knee where your hamstrings end.

What do the hamstrings do?:

Bending the knee and extending the hip are key motions in running, walking, climbing and virtually all other forms of locomotion. Winding up for a kick or jump will also engage the hamstrings.

Common pains and problems with hamstrings:

Hamstring TP

When your hamstring is cramped, torn, painful or “acting up,” you feel it. It’s a very big group of muscles. We’ve all had those moments when we spend the better part of a day with a leg up on a table stretching our poor, neglected hamstrings. But even when you’re not in pain, hamstring tightness is huge in limiting flexibility of the spine and legs. Not being able to touch your toes may not seem like a big deal, but that lack of motion directly effects your low back. Chronically tight hamstrings can flatten the lower back, causing your spine to lose some very important curves. Lack of movement can lead to pain, chronic tightness, bad posture, arthritis, and subluxation. Trigger points can refer pain over a large part of the back of the thigh.

How to stretch the hamstrings:

Hamstring Stretch

Because it’s used nearly all the time that we are moving, the hamstrings need their own dose of TLC and stretching. Stretching the hamstring is easy because it’s such a big muscle. Start by standing. Walk your left foot out about two feet. Straighten your left knee and push your hips back. You should feel a deep stretch in the back of your left leg. Be careful not to put your hands over your left knee. You can put your hands on your thigh or your calf, but never apply pressure on an extended joint as it can cause damage to that joint. Hold the stretch for 30 seconds and switch legs. Repeat three times for a thorough stretch.

Injuries to the hamstrings can be relieved with active release technique, chiropractic, acupuncture, massage, physical therapy, and other bodywork techniques.   For increased flexibility of the hamstrings try Yoga, Tai Chi, Karate or other martial arts.

Be sure to visit Performance Sports and Wellness for a full evaluation of your hamstring pain or tightness and to ask any questions you may have.

Don’t have any hamstring pain to complain of? Great! Send this article to someone you know who does.

About Dr. Swann: Dr. Casey Swann graduated from Southern California University of Health Sciences with her Doctorate of Chiropractic in spring 2012. She is full body certified in Active Release Technique and holds certifications in Graston Technique, Cox Technique and Kinesiotaping.  She practices at Performance Sports and Wellness with Dr. David Ness in New Paltz & Poughkeepsie.


picture 1:

picture 2:

picture 3:

Track & Field Injuries in adolescents

As the Track and Field season kicks into high gear we are seeing more and more lower extremity injuries in our office in high school and college athletes.  Some of the most common injuries we are seeing are shin splints, plantar fasciitis, knee pain, ITB Syndrome, runners knee, and hip pain.  The most common cause of adolescent running injuries are; over training, poor bio-mechanics  lower crossed syndrome, incorrect footwear, lack of core strength and stability.  All of the above conditions if left untreated can lead to stress fractures anywhere from the spine down to the foot.

The body is a machine and it is designed to work synchronously when running is involved.  Normally the knees line up under the hips and above the ankle or foot.  There can be slight variations between boys and girls with girls being more prone to a little more angle at the knee due to the shape of the female pelvic bones.  When things don’t line up right and your running track & field, stress gets placed on different parts of the body that over time with the volume and intensity of track will lead to any of the above conditions.  Another cause of improper stability is a lack of core stabilization.  Today’s children’s posture is so poor that they have no core stabilization or flexibility, which when you are a track and field athlete is a recipe for injury.

How do you know the difference between muscle strain and injury?  Most injuries begin with some muscle pain or joint pain.  Normal aches and pains can be expected in the beginning of the season and after intense track workouts.  Pain that doesn’t go away after 2-3 days should be considered abnormal.  If a child continues to run with pain compensations happen throughout the body that can worsen the current injury or create a new one.

Below is a brief description of some of the conditions we see in our office, and in the Vassar College Athletic department where I have just finished my third season as the chiropractor and Active Release Techniques provider.

Plantar Fasciitis: pain  and swelling in the arch of the foot.  Cause: improper arch support, foot weakness.

Shin Splints: pain anywhere along the shin bone. Cause; stress reaction in the bone from overuse,  improper bio-mechanics

Achilles Pain:: pain in the tendon above the ankle.  Cause:  Tight calves and foot muscles, overuse, bio-mechanics

ITB Syndrome/ Runners Knee/ Patella Femoral Tracking Disorder: pain in the knee.  Cause: Bio-mechanics, lack of stability and overuse.

Piriformis Syndrome / Hip pain: Cause: Bio-mechanics, lack of stability,  and overuse.

Stress Fractures: stress fractures can occur anywhere in bones from the foot to the hip.  The most common are stress fractures of the foot,  followed by the lower leg, hip, pelvis, and spine.  Most stress fractures will prevent an athlete from running normally and will present with acute pain with running.  In the past few years we have seen more stress fractures in the femur and sacrum which mimic lower back pain.

The bottom line is that track & field is a highly intense and repetitive motion sport.  If your child is not bio-mechanically sound or is beginning to experience pain in their bodies they should be checked out by a sports medicine professional. In our office we use slow motion video gait analysis, and functional movement assessment to determine the underlying causes of most running injuries.   Most of the injuries when caught early can be corrected allowing the athlete to continue to participate in their sport.  If you wait too long to have something looked at, and your child is unable to run without pain, the injury  may lead to the athlete being shut down for a period of time for the injured area to heal,  and for the underlying problem to be identified and corrected.  Injuries that keep reoccurring are a sign that the real problem has not been identified or the proper treatment hasn’t been received.  A proper diagnosis needs to be found so the proper treatment and rehab program can be administered.  In our office we use ART to treat most soft tissue injuries, and corrective exercise prescription to address bio-mechanical deficiencies.  Most of our patients recover within weeks instead of months because of the speed in which ART treatment works, sometimes within 4-6 treatments over a few weeks.

Dr. Ness has been in private practice since 1988 with offices in New Paltz and Poughkeepsie.  He is the official chiropractor and Active Release Techniques provider for the Vassar College Athletic Dept, and the Hudson Valley  Triathlon club.  He has cared for hundreds of injured runners and triathletes from pro’s and elite age groupers to weekend warriors and beginners.  If your child has pain or an injury that hasn’t responded to treatment call us today at 845-255-1200,  or you can email Dr. Ness by filling out our contact form.







ART techniques is the cover story in Training & Conditioning magazine

ART techniques is the cover story in Training & Conditioning magazine

ART Magazine Cover 2013

This is an article about the head Athletic Trainer for Syracuse University who is a Physical Therapist and ART practitioner.  As I finish my 3rd year as the Chiropractor and ART provider for Vassar College I can testify how ART is great for sports injury rehab.  As well, ART techniques when combined with pre or in season functional movement assessments can be used to improve athlete bio-mechanics, reduce injuries, and improve athletic performance.  Enjoy!

Race coverage for the upcoming Triathlon / Duathlon Season

Dr. David Ness and Dr. Casey Swann of Performance Sports and Wellness will be providing Active Release Techniques Performance care at the following races this season.

Spring Dual against Cystic Fibrosis April 27th New Paltz
NYTC Trooper Biathlon May 5th West Hurley 10-11am
American Zofingen 5/19 1-5pm  Mohonk Preserve
NYTC Pawling NY 6/1 10-11am
HVTC Race 1  6/12 6:45-8 Woodstock
HVTC Race 2 7/10 6:45 – 8 Woodstock
Ironman Lake Placid  7/18-7/20
HVTC Race 3 8/14 6:45 – 8 Woodstock
Survival of the Shawangunks TRI 9/8 New Paltz 11:30-2:30
HVTC Race 4 9/11 6:45 – 8 Woodstock


Muscle of the Month – Glut Maximus

Hello and welcome to April’s edition of Muscle of the Month!

By: Dr. Casey Swann

This month, I’d like to talk about gluteus maximus. While the glute max is often the butt of many jokes, this is a muscle that demands respect. Located superficially, the glute max begins at the end of the iliac crest and attaches down the sacrum to the coccyx. The muscle then stretches outwards and downwards and inserts into two places: its own bony protuberance on the femur (gluteal tuberosity) and iliotibial band (IT band). (picture obtained from Grey’s Anatomy)


When gluteus maximus is performing correctly, it extends the thigh, rotates the hip outwards or inwards, brings the hip up or down, braces the leg when the knee is straight, draws the pelvis backward and assists our bodies in standing up straight. Having a healthy, fully functional glute max is very important to proper biomechanics and posture.


(picture obtained from

Finding your gluteus maximus is pretty easy. If you simply put your hand on your own buttocks, you are feeling your gluteus maximus. To feel the glute max working, stand on your right leg and put your left leg slightly out in front of you. Now place your hand on your left buttock. Bring your left leg slowly back behind your body. When you’ve brought it back as far as you can and you’re squeezing the leg straight, you should be able to feel your glute max tensed up under your hand.

Lately I’ve been seeing quite a few tight and unhappy gluteus maximus muscles in the office. Glute weakness is very common because we sit on them all day. When you sit, the muscles are stretched, and any muscle stretched all day will become inhibited and weak. Other problems arise from lack of warm up before physical activity, muscle knots and trigger points, inhibited calf muscles, and bad biomechanics of the pelvis.


(picture obtained from

Because the gluteus maximus is so big and inserts into so many places, it has ties to many other muscles. At its origin on the iliac crest and sacrum it shares connections to the erector spinae muscles and therefore to low back pain. It inserts onto the thigh bone between the adductor muscles and the biggest quad muscle (vastus lateralis) influencing two of the largest muscles in the thigh. It also becomes part of the IT band which any runner will tell you woeful stories about. The gluteus maximus also lays directly ontop of the piriformis muscle which is a huge aspect of the treatment of sciatica. It’s safe to say the gluteus maximus a very important muscle to consider when treating dysfunction of the thigh muscles, IT band syndrome, low back pain, and sciatica.

Stretching your gluteus maximus is easy. Simply lie on the floor and bring a single knee to your chest. Hold that knee securely with your hands and bring the knee across your chest slightly. You should feel a stretch in your buttock. Also using a foam roller to stretch the glutes can be very helpful.

Strengthening the gluteus maximus is also relatively simple. Lie on your back. Bend your knees and bring your feet close to your seat. Now push your pelvis up to the sky, contracting your buttocks. This is called a bridge-up. Do several repetitions and you will feel your glutes burning. Be sure to keep your neck relaxed.


(picture obtained from

A very important thing to realize is that if you sit a majority of the day, you need to get up and walk around to avoid over-stretching your glutes.

Other methods of treating dysfunction of the gluteus maximus muscles is active release technique, massage, acupuncture, and physical therapy.

Be sure to visit Performance Sports and Wellness for a full evaluation on your gluteus maximus muscles and to ask any questions you may have.

Don’t have any gluteus maximus problems to complain of? Great! Send this article to someone you know who does.

About Dr. Swann: Dr. Casey Swann graduated from Southern California University of Health Sciences with her Doctorate of Chiropractic in spring 2012. She is full body certified in Active Release Technique and holds certifications in Graston Technique, Cox Technique and Kinesiotaping.  She practices at Performance Sports and Wellness with Dr. David Ness in New Paltz & Poughkeepsie.