Perry Nickelston, DC, FMS, SFMA

Dr. Perry Nickelston, a 1997 graduate of Palmer College of Chiropractic, practices in Ramsey, N.J., serving as clinical director of the Pain Laser Center and focusing on performance enhancement, corrective exercise and metabolic fitness nutrition. He has been a regular contributor to DC for several years and writes for various other industry trade publications dedicated to health and fitness.

Dr. Nickelston has been involved in the fitness industry for more than 20 years and is currently in the process of publishing several books on health, fitness and laser therapy.

Previous Articles

Muscle Adaptations: Hamstrings to Glutei
April 1, 2020 (Vol. 38, Issue 04)
The Power of Different for the Brain (and Patient Outcomes)
January 1, 2020 (Vol. 38, Issue 01)
Three Simple Rules for More Effective Correctives
March 1, 2018 (Vol. 36, Issue 03)
Invisible Inflammation: Target the Sciatic Nerve
September 1, 2017 (Vol. 35, Issue 09)
Are You Turning Patients Off?
Shoulder Rehab: Start With the Scapula
February 1, 2017 (Vol. 35, Issue 02)
10 Ways to Be the Coach Your Staff and Patients Deserve
Reach Out and Touch More Patients: 3 Steps to Expand Practice Reach
Why Ankle Mobility Impacts the Kinetic Chain (and How You Can Optimize It)
June 1, 2016 (Vol. 34, Issue 11)
Don't Forget the Iliacus
March 15, 2016 (Vol. 34, Issue 06)
Tap Into the Power of Branding
Elevated Shoulder? Check the QL
January 15, 2016 (Vol. 34, Issue 02)
Foot Inversion and Eversion Matter: Assessing Movement Patterns to Reveal Dysfunction
December 1, 2015 (Vol. 33, Issue 23)
It's Not Who You Know, It's Who Knows You
Treat Every Patient as an Athlete
August 15, 2015 (Vol. 33, Issue 16)
If You Build It, They Will Come
The Tall- to Half-Kneeling Assessment
June 1, 2015 (Vol. 33, Issue 11)
Getting in the Sports-Injury Game: Marketing Do's and Don'ts
Pain in Motion: Neck Pain Caused by Sternocleidomastoid Imbalance
February 1, 2015 (Vol. 33, Issue 03)
Solving the Pain Puzzle
December 1, 2014 (Vol. 32, Issue 23)
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
August 15, 2014 (Vol. 32, Issue 16)
The Internal Obliques and Central Zone Core Stabilization
February 15, 2014 (Vol. 32, Issue 04)
Five Things You're Probably Not Doing (But Should Be)
Stabilizing the Posterior Oblique Movement Chain
January 1, 2014 (Vol. 32, Issue 01)
The Lateral Subsystem and Lower Extremity Pain
December 1, 2013 (Vol. 31, Issue 23)
Thoracolumbar Fascia: The Chronic Pain Linchpin
November 1, 2013 (Vol. 31, Issue 21)
Taping the Diaphragm
July 15, 2013 (Vol. 31, Issue 14)
The Sporting Life: Specializing in Sports Injuries
The Pallof Press for Core Stability Evaluation
June 1, 2013 (Vol. 31, Issue 11)
Dynamic Activation of the Posterior Oblique Chain: The Reverse Lunge
May 1, 2013 (Vol. 31, Issue 09)
The Quadruped Pushback for Reflexive Core Stability
March 15, 2013 (Vol. 31, Issue 06)
The Rib-Roll Stretch for Thoracic Spine Mobility
February 15, 2013 (Vol. 31, Issue 04)
A Deep Tissue Laser Therapy Approach for Carpel Tunnel Symdrome
January 15, 2013 (Vol. 31, Issue 02)
The Four Pillars of Success for a New (or "Old") Practice
The Baby Get-Up Assessment
December 2, 2012 (Vol. 30, Issue 25)
Locking in Ankle Strength and Increasing Ankle Mobility for Injury Prevention
November 4, 2012 (Vol. 30, Issue 23)
Which Laser is Right for You?
Primal Rehab: Getting Back to Basics
October 7, 2012 (Vol. 30, Issue 21)
Five Hidden Signs of Instability
August 26, 2012 (Vol. 30, Issue 18)
Implementing New Modalities: Why Staff is Key
Primal Rolling Patterns for Core Sequencing and Development
August 12, 2012 (Vol. 30, Issue 17)
Condition Specific Marketing
Reprogramming Movement Efficiency: The Dowel-Assisted Hip Hinge for LBP
July 1, 2012 (Vol. 30, Issue 14)
Dealing with Bad Patients and How to Get Better Ones
The Fundamental 5: Kick-Start Your Practice by Going Back to the Basics
May 6, 2012 (Vol. 30, Issue 10)
The Chop-and-Lift Exercise for Back Rehabilitation
April 9, 2012 (Vol. 30, Issue 08)
Build Your Practice by Building Relationships
February 26, 2012 (Vol. 30, Issue 05)
Laser Therapy in Rehabilitation
January 1, 2012 (Vol. 30, Issue 01)
Active Isolated Fascial Stretching
November 18, 2011 (Vol. 29, Issue 24)
The Therapeutic Benefits of Indian Club Swinging
October 7, 2011 (Vol. 29, Issue 21)
Small Mistakes, Huge Disasters
People Make the Program, Not the Therapy: Four Rules to Practice By
August 12, 2011 (Vol. 29, Issue 17)
The Posterior Chain: It's All in the Hips
July 15, 2011 (Vol. 29, Issue 15)
The Rehabilitation Benefits of Suspension Training
If You Speak It, They Will Come
June 17, 2011 (Vol. 29, Issue 13)
The Ankle Mobility Drill
June 3, 2011 (Vol. 29, Issue 12)
Designing an Exercise Rehab Program
May 20, 2011 (Vol. 29, Issue 11)
Corrective Exercise: Bridging the Gap Between Rehab and Fitness
Russian Kettlebell Swings for Injury Rehab
April 22, 2011 (Vol. 29, Issue 09)
Infraspinatus Trigger-Point Syndrome
March 12, 2011 (Vol. 29, Issue 06)
Key Action Steps for Practice Success
February 12, 2011 (Vol. 29, Issue 04)
Implementing Active Therapy and Fitness Equipment
The Overhead Squat Assessment
January 15, 2011 (Vol. 29, Issue 02)
Stop Chasing the Pain: The Example of Chronic Lateral Epicondylitis
January 1, 2011 (Vol. 29, Issue 01)
Avoiding Flavor-of-the-Month Syndrome: Let Basic Principles Guide You
December 16, 2010 (Vol. 28, Issue 26)
Functional Exercise and Joint Movement
August 26, 2010 (Vol. 28, Issue 18)
Six Ways to Reach the Next Level
July 15, 2010 (Vol. 28, Issue 15)
Communicate Your Way to Success
May 20, 2010 (Vol. 28, Issue 11)
The Art of Patient Motivation
Seven Things I Wish I'd Known Sooner
April 9, 2010 (Vol. 28, Issue 08)
Know Your Competition
February 12, 2010 (Vol. 28, Issue 04)
"Everything Speaks": Adding New Life to Your Practice
January 15, 2010 (Vol. 28, Issue 02)
Strategic Marketing in Today's Economy
December 2, 2009 (Vol. 27, Issue 25)
Selling You: Your Most Important Product
November 4, 2009 (Vol. 27, Issue 23)
When Small Is BIG
July 29, 2009 (Vol. 27, Issue 16)
Shoulder Pain: The Missing Link
May 20, 2009 (Vol. 27, Issue 11)
Niche Marketing: Targeting Your Ideal Patient
April 9, 2009 (Vol. 27, Issue 08)
A Winning Formula for Practice Excellence
February 12, 2009 (Vol. 27, Issue 04)
What Does It Take to Be the Best?
January 15, 2009 (Vol. 27, Issue 02)
Plantar Fasciitis: A Unique Approach
November 4, 2008 (Vol. 26, Issue 23)
Mastering Your Report of Findings
October 7, 2008 (Vol. 26, Issue 21)
Identifying First-Rib Fixation Syndrome: Thinking Outside the Box
July 29, 2008 (Vol. 26, Issue 16)
7 Networking Mistakes to Avoid
April 8, 2008 (Vol. 26, Issue 08)
Six Habits of a Chiropractic Champion
February 12, 2008 (Vol. 26, Issue 04)
TMJ Syndrome: An Integrative Treatment Approach
January 1, 2008 (Vol. 26, Issue 01)
Retention: 21 Ways to Keep Your Patients, Part 2
October 22, 2007 (Vol. 25, Issue 22)
Retention: 21 Ways to Keep Your Patients, Part 1
October 8, 2007 (Vol. 25, Issue 21)
Lower Crossed Syndrome and Knee Pain
May 21, 2007 (Vol. 25, Issue 11)
Upper Crossed Syndrome and Shoulder Pain
January 1, 2007 (Vol. 25, Issue 01)
Trending
Diagnosis & Diagnostic Equip
Diagnosing Radiculopathies Through History & Observation
Diagnosing Radiculopathies Through History & Observation

MRI is currently the gold standard for identifying radicular pathology, but unfortunately, it requires preauthorization, which isn’t easy to obtain. Physical tests are what most practitioners depend on – despite the marginal reliability of the tests. The information in this article brings history and observation to the forefront of radicular diagnostics. Each factor listed can significantly increase the clinician’s ability to diagnose radiculopathies.

K. Jeffrey Miller, DC, MBA
Billing / Fees / Insurance
Multiple-Procedure Claim Reductions?
Multiple-Procedure Claim Reductions?

With some plans – and it starts with Medicare (CMS) – there is a payment protocol called the multiple-procedure payment reduction (MPPR). This protocol means that if a health care provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the highest-valued procedure. The subsequent procedures will be reduced, as there is overlap.

Samuel A. Collins
Chronic / Acute Conditions
From Sciatica to Brain Tumor: A Life-Saving Diagnosis
From Sciatica to Brain Tumor: A Life-Saving Diagnosis

A 42-year-old male former patient arrives at your chiropractic office with excruciating low back pain that travels all the way down his right leg to his foot. A spinal surgeon previously recommended surgery to correct an MRI-confirmed disc herniation (sequestration) at L5, but the patient chose conservative chiropractic care. Although conservative treatment is effective for many lumbar disc herniations, the warning signs in this case call for escalation.

Ronald Feise, DC