Saxon Chiropractic & Adult Health

Back Pain Specialist for over 30 years

Chiropractic, Spine Care

Nerve, Muscle, Joint, Pain Management

Car Accident Injuries

631-968-8300

Saxon Chiropractic & Adult Health

Back Pain Specialist for over 30 years

Chiropractic, Spine Care

Nerve, Muscle, Joint, Pain Management

Car Accident Injuries

631-968-8300

Providers

Anthony Castellino DC

Dr. Castellino earned his Bachelor of Science degree from Hofstra University and his Doctor of Chiropractic degree from New York Chiropractic College, where he graduated with distinction. His education is further enhanced by extensive postgraduate training in radiology, pediatrics, nutrition, and sports injury management, ensuring a well-rounded approach to patient care.

Specializing in chiropractic care, pain management, and rehabilitation, Dr. Castellino integrates advanced techniques with a holistic approach to patient wellness. He is a Certified Chiropractic Sports Physician (CCSP) and is proficient in electrodiagnostic testing, which enhances his ability to accurately diagnose and manage complex musculoskeletal issues. His training and certifications allow him to provide comprehensive care, addressing not only symptoms but also the underlying causes of pain and dysfunction.

Dr. Castellino is skilled in kinesiology taping, a technique used to support and stabilize muscles and joints without restricting movement. This expertise plays an integral role in his rehabilitation protocols, helping to alleviate pain, enhance athletic performance, and promote faster recovery.

Dr. Castellino is committed to utilizing evidence-based methods and the latest advancements in chiropractic care to help his patients achieve optimal health and functional recovery. Whether you're dealing with chronic pain, a recent injury, or seeking to improve overall wellness, Dr. Castellino's approach ensures that each patient receives the personalized, effective care they need to thrive.

Richard Castellino NP

Anthony Castellino DC

Richard Castellino Pain Management, auto accident care, auto accident doctors

Castellino is a board-certified nurse practitioner specializing in Adult Health. With an extensive educational background and a commitment to advancing healthcare, he brings a wealth of knowledge and experience to his practice. Castellino earned his Master of Science in Advanced Practice Nursing from St. Joseph’s University with scholastic honors. He also holds a Bachelor of Science in Biological Sciences from Seton Hall University and a Bachelor of Science in Nursing from Gwynedd Mercy University.

He holds advanced leadership and management training, earning certifications in Executive Healthcare Leadership and Healthcare Change Management from Cornell University. He is currently working towards a Doctoral degree at Johns Hopkins University, and teaching certification.

Castellino is certified by the American Academy of Procedural Medicine in a range of specialized treatments, including PRP (Platelet-Rich Plasma) injection, non-invasive facial aesthetics, and musculoskeletal ultrasound. He also holds a certification in Spinal Manipulation from the American Academy of Manipulative Therapy. His current research interests include exploring the use of trigger point injection therapy and exosome therapy in PRP joint injections, focusing on advancing treatments for musculoskeletal pain and injury.

Castellino previously served as a Clinical Assistant Professor of Nursing and Health Sciences at Manhattanville College and as an Assistant Professor/Industry Professional at St. John’s University in the Department of Clinical Health Professions.

Zachary Nowicki DC

Anthony Castellino DC

Zachary Nowicki DC

Dr. Nowicki earned his Doctor of Chiropractic degree with honors from the University of Bridgeport, and his Bachelor of Science from Stony Brook University.

Dr. Nowicki is dedicated to providing high-quality chiropractic care with a clinical focus on family and geriatric populations.

He incorporates a variety of evidence-based techniques, including spinal adjustments, flexion-distraction, myofascial release, therapeutic stretching, spinal decompression, and instrument-assisted methods to enhance his patients’ comfort, mobility, and overall quality of life.

He is also highly skilled in kinesiology taping and has completed extensive postgraduate training in radiology, sports medicine, and musculoskeletal care.

He is committed to delivering personalized, compassionate care to patients of all ages, tailoring treatment plans to meet each individual's unique health goals and needs.

Outside of his professional practice, Dr. Nowicki enjoys spending quality time with his wife, Erin, and their son, Benjamin. Together, they enjoy taking walks, exploring new restaurants, and creating meaningful memories. In his free time, he also enjoys reading and traveling to new destinations.

Nerve, Muscle, Joint, Back Pain, & Auto Accident Injuries

Anthony Castellino DC (Chiropractor)
Richard Castellino NP (Nurse Practitioner-Pain Management)

Discover Our Amazing Services :

We offer a wide range of services and incorporate interdisciplinary care in order to best serve our patients. All patients are evaluated holistically and treatment is always customized to fit case specific needs.

Our practitioners are skilled in the latest techniques and treatments for alleviating back pain & more.

Our practice combines traditional Chiropractic care, with the latest medical advancements including pharmacological and injection therapies.

Some of the common conditions we treat include:

Low Back Pain
Neck Pain
Degenerative Disk Disease
Herniated Disk
Muscle Pain
Osteoarthritis
Sciatica
Sprains
Strains
Auto accidents
Radiating Pain
Work injuries
Knee, Hip, Joint Pain
PAIN

Nerve, Muscle, Joint, Back Pain, & Auto Injuries

Chiropractic treatment East Islip, Islip NY, back pain relief, injection therapy

Spinal Manipulation

We use a variety of effective treatments including traditional chiropractic adjusting, and pharmacological therapies. Depending on the needs of a individual patient, our treatment plans are adjusted accordingly.

Spinal manipulation, commonly performed by chiropractors or qualified providers involves applying controlled force to joints of the spine or other parts of the body.

Here are some benefits of spinal manipulation based on research and clinical practice:

Pain Relief: Spinal manipulation is often used to alleviate acute and chronic pain, particularly in the lower back, neck, and other joints. It can help reduce pain by restoring joint mobility and reducing muscle tension.
Improved Functionality: By restoring joint mobility and reducing pain, spinal manipulation can improve overall functionality and range of motion, making it easier to perform daily activities and participate in physical exercises.
Headache Relief: There is evidence suggesting that spinal manipulation, particularly cervical manipulation, can help alleviate tension headaches and migraines.
Muscle Relaxation: Spinal manipulation can lead to muscle relaxation, which can further help reduce pain and stiffness in the affected areas.
Improved Posture: Correcting spinal alignment through manipulation can contribute to improved posture, which may alleviate stress and strain on the muscles and joints.
Enhanced Joint Health: Regular spinal manipulation may promote joint health by preventing degenerative changes and maintaining optimal joint function.
Complementary Treatment: It is often used as a complementary treatment alongside other interventions such as physical therapy, exercise, and ergonomic adjustments to maximize pain relief and functional improvement.
Potential for Faster Recovery: In cases of acute injuries or flare-ups of chronic conditions, spinal manipulation may facilitate faster recovery by addressing underlying joint dysfunction and reducing pain.
Non-invasive Option: Spinal manipulation is generally considered a non-invasive treatment option compared to surgery or medication, making it appealing to individuals seeking drug-free pain relief.

While spinal manipulation has demonstrated benefits for many individuals, it is essential to consider potential risks and contraindications. Not everyone is a suitable candidate for spinal manipulation, particularly those with certain spinal conditions, fractures, or other health concerns. Therefore, it is important to consult with a qualified healthcare provider. Our providers are here to guide you along the way to optimal health.

Laser & Infrared Heat

Infrared heat is better able to penetrate deep into your body, through the layers of your skin, muscles, nerves, and bones. Infrared heat is highly effective and helps boost local blood circulation.

This form of therapy has been studied for various health benefits, including:

Pain Relief: Infrared heat therapy can help alleviate muscle and joint pain by increasing circulation and relaxing muscles. It may be beneficial for conditions such as arthritis, fibromyalgia, muscle strains, and chronic pain syndromes.
Improved Circulation: The heat generated by infrared therapy dilates blood vessels, which can enhance blood circulation. Improved circulation promotes oxygen and nutrient delivery to tissues, aiding in healing processes and reducing inflammation.
Muscle Relaxation: Infrared heat penetrates deeply into muscles, promoting relaxation and reducing tension. This can help relieve muscle spasms and improve flexibility.
Enhanced Detoxification: Some proponents of infrared heat therapy suggest that it can facilitate detoxification by increasing sweating and promoting the elimination of toxins through the skin.
Boosted Immune System: Regular use of infrared therapy may support the immune system by increasing the production of white blood cells and enhancing immune response against infections.
Skin Rejuvenation: Infrared therapy has been used in cosmetic treatments to improve skin tone, texture, and elasticity. It can stimulate collagen production and promote faster wound healing.
Stress Relief: The warmth from infrared therapy can have a calming effect on the body, helping to reduce stress and promote relaxation. This can be particularly beneficial for overall mental and emotional well-being.
Accelerated Healing: By increasing circulation and promoting tissue repair, infrared heat therapy may accelerate healing processes for injuries and surgical wounds.
Pain Management: Infrared heat therapy is sometimes used as part of pain management programs, either alone or in combination with other treatments, to reduce reliance on medications.

Car Accidents, Auto Accident injuries, Work Related Injury

Car accident treatment, car accident doctor, East Islip Chiropractic, Richard Castellino, Anthony

Auto Accident Treatments

Car accidents, even minor ones, can result in injuries that affect your body in both the short and long term. When involved in a collision, the force and impact can cause whiplash, soft tissue damage, spinal misalignments, and other injuries that may not always be immediately apparent. Many people believe that car accident injuries will heal on their own, but without proper treatment, they can lead to chronic pain, limited mobility, and long-term health issues.

Injection therapies, Pain management East Islip, car accident treatments, Chiropractic

Chiropractic & Pain Management

Common Car Accident Injuries We Treat:

Whiplash: A common result of rear-end collisions, whiplash occurs when the head and neck are suddenly jerked forward and backward, causing strain on the muscles, ligaments, and spinal joints. Symptoms include neck pain, stiffness, headaches, dizziness, and sometimes numbness or tingling.
Herniated or Bulging Discs: The impact from a car accident can cause the discs in your spine to slip, bulge, or rupture, leading to pain, numbness, or weakness that can radiate down your arms or legs.
Soft Tissue Injuries: Ligaments, tendons, and muscles can be overstretched or torn in a car accident, causing pain, swelling, and reduced mobility.
Spinal Misalignments: Even a minor collision can lead to spinal misalignments, which can cause ongoing pain, discomfort, and nervous system issues. Chiropractic adjustments can help realign the spine and restore normal function.
Headaches and Migraines: Accidents can lead to tension headaches and migraines due to muscle strain and nerve compression in the neck and upper back.

Transforming Lives Through Health

Neuromuscular Rehabilitation & Physical Therapy

Physical therapy and Chiropractic care auto accidents, car accident injuries doctor East Islip

Rehabilitation and physical therapy play a vital role in recovery for individuals dealing with a wide range of conditions, including auto injuries and age-related challenges. Whether recovering from a car accident or addressing the physical limitations that often come with aging, these therapies are essential in restoring function, reducing pain, and enhancing overall quality of life. For auto injury patients, rehabilitation helps in alleviating the often debilitating effects of whiplash, soft tissue damage, and musculoskeletal strains, offering targeted exercises, manual therapy, and pain management techniques to promote healing. For the elderly, physical therapy focuses on strengthening muscles, improving flexibility, and preventing falls, while addressing common issues like joint pain, arthritis, and limited mobility. By strengthening the muscles surrounding damaged joints or tissues, physical therapy also aids in pain reduction, allowing individuals to regain independence and reduce their reliance on medications. For both groups, a combination of therapeutic exercises, manual therapy, and personalized treatment plans can help optimize recovery, increase strength, and reduce pain, making it easier to return to daily activities with less discomfort. With a focus on gradual progress and tailored care, rehabilitation becomes a cornerstone in both short-term recovery and long-term wellness.

Kinesiology Taping

Kinesiology taping therapy is a versatile and effective technique used to alleviate pain, support muscles and joints, and enhance overall function.

By applying specially designed elastic tape to the skin, kinesiology taping helps to reduce discomfort, improve circulation, and facilitate the body’s natural healing processes.
This method not only supports injured or overworked muscles but also allows for greater range of motion, making it a popular choice for athletes and individuals recovering from injuries.
The tape works by lifting the skin slightly, which helps to relieve pressure on underlying tissues, reduce inflammation, and promote proper muscle function. Ideal for both acute and chronic conditions, kinesiology taping therapy can be integrated into a comprehensive treatment plan to accelerate recovery and improve quality of life.

Trigger Point Injection Therapy, Nerve Blocks

Injection therapy, Trigger Point injections, Cluneal nerve block

Trigger Point Injection Therapy

Trigger Point Injections are a safe treatment for alleviating muscle tightness and stiffness. Trigger Points can become active anywhere; most notably around the neck, shoulders, and back. Trigger point injection therapy has been proven to reduce muscle pain, and may also provide relief to those with chronic pain.

Trigger point injection (TPI) is a procedure used to treat painful areas of muscle that contain trigger points, which are knots or tight bands of muscle that can be painful and cause referred pain in other areas of the body. Here are some benefits of trigger point injections:

Pain Relief: The primary benefit of trigger point injections is pain relief. By injecting a local anesthetic or a mixture of anesthetic and corticosteroid directly into the trigger point, the muscle is relaxed and the pain is often reduced or eliminated.
Improved Range of Motion: Trigger points can restrict movement and cause stiffness. By reducing pain and relaxing the muscle, trigger point injections can improve range of motion and flexibility in the affected area.
Reduced Muscle Tension: Trigger points are associated with muscle tension and spasms. Injection of medication directly into the trigger point can help to release the tension and reduce muscle spasms.
Quick Relief: Many patients experience rapid relief of pain following trigger point injections, which can be particularly beneficial for acute or severe pain episodes.
Localized Treatment: Trigger point injections target specific areas of pain and muscle dysfunction, providing more focused treatment compared to systemic medications.
Complementary Therapy: Trigger point injections are often used as part of a comprehensive treatment plan that may include physical therapy, stretching exercises, and other modalities aimed at addressing underlying musculoskeletal issues.
Improved Functionality: By reducing pain and muscle tension, trigger point injections can enhance overall functionality and quality of life, allowing patients to perform daily activities and participate in physical therapy or exercise programs more effectively.
Potential for Long-Term Relief: In some cases, trigger point injections can provide long-lasting relief, especially when combined with appropriate rehabilitation and management strategies such as spinal manipulation and chiropractic care.

Suprascapular Nerve Block

What is a Suprascapular Nerve Block?

A suprascapular nerve block is a minimally invasive procedure designed to provide pain relief for shoulder pain and related conditions. It involves the injection of a local anesthetic around the suprascapular nerve, which is crucial for shoulder sensation and movement.

Why is it Done?

Pain Relief: Ideal for conditions like rotator cuff injuries, shoulder arthritis, or bursitis.
Post-Surgical Care: Effective for managing pain after shoulder surgeries.
Diagnostic Tool: Helps identify if the suprascapular nerve is contributing to shoulder pain.

Benefits

Immediate Pain Relief: Provides significant pain reduction, which may last from a few hours to several days.
Improved Function: Helps in alleviating discomfort, potentially improving shoulder function and mobility.

Cluneal Nerve Block

What is a Cluneal Nerve Block?

A cluneal nerve block is a procedure used to provide relief from pain in the lower back and buttocks. It involves injecting a local anesthetic near the cluneal nerves, which are responsible for sensation in these areas. This block can help diagnose and manage conditions related to the cluneal nerves, such as lower back pain and certain types of neuropathic pain.

What is Cluneal Nerve Pain?

Cluneal nerve pain is a type of discomfort that originates from the cluneal nerves, which are responsible for sensation in the lower back and buttocks. The cluneal nerves include the superior, middle, and inferior cluneal nerves, each serving different areas in the lower back and buttocks region.

Symptoms of Cluneal Nerve Pain

Localized Pain: Pain is typically felt in the lower back and buttocks. It can be sharp, burning, or aching.
Numbness or Tingling: Some people experience numbness or tingling in the areas innervated by the cluneal nerves.
Discomfort: Pain may be aggravated by sitting, standing, or certain movements.

Causes of Cluneal Nerve Pain

Nerve Compression: The cluneal nerves can be compressed by surrounding tissues, such as muscles or ligaments, leading to pain.
Trauma or Injury: Direct injury or trauma to the lower back or buttocks may affect the cluneal nerves.
Inflammation: Conditions that cause inflammation in the lower back area, such as certain types of arthritis or muscle strain, can irritate the nerves.
Postural Issues: Prolonged sitting or poor posture may contribute to nerve irritation or compression.

Why is it Done?

Pain Relief: Effective for managing pain in the lower back and buttocks, especially when it is related to the cluneal nerves.
Diagnosis: Helps identify if the cluneal nerves are the source of pain.

Benefits

Pain Relief: Provides significant relief from lower back and buttock pain, which can be immediate or gradual, lasting from weeks to months.
Improved Function: Helps restore function and mobility by reducing pain.

Occipital Nerve Block

What is an Occipital Nerve Block?

An occipital nerve block is a procedure used to alleviate pain in the head, particularly in the areas around the scalp, forehead, and the back of the head. It involves injecting a local anesthetic, and sometimes a corticosteroid, near the occipital nerves, which are responsible for sensation in these areas.

Why is it Done?

Migraine Relief: Helps reduce the frequency and intensity of migraines and chronic headaches.
Cluster Headaches: Provides pain relief for those suffering from cluster headaches.
Occipital Neuralgia: Treats pain caused by irritation or damage to the occipital nerves.
Post-Surgical Pain: Manages pain following certain head or neck surgeries