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Dori Fortunato, LAc, LMT is an acupuncturist in New York, NY specializing in massage therapy and acupuncture.
30 East 40th Street Suite 905
New York, NY 10016
50 Station Road Building 3 Unit 1
Blooming Grove, NY 11976
Lyme Disease
Lyme disease is a condition caused by bacteria (borrelia burgdorferi) that are transmitted via infected ticks. Most cases of Lyme disease are found in the United States East Coast and parts of the Midwest. The three main vectors of transmission for Lyme disease are:
As background, ticks lay on the tops of grass and brush, clutching onto leaves with their legs and with their arms outstretched. This formation is called "questing" and allows ticks to quickly latch onto passers-by. Within two hours of biting a person's skin, the tick slowly begins to feed from the blood of its host, which can transmit the bacteria that causes Lyme disease. This tick activity generally occurs seasonally and tick bites mostly occur during the springtime.
After being infected, people with Lyme disease may develop symptoms like fever, exhaustion, headache, joint aches, and skin rash, usually three to thirty days after the tick bite. Lyme disease is characterized by a particular skin rash called erythema migrans, which is an enlarged red rash that starts at the site of the tick bite and expands outwards. The rash is a strong indicator that someone has developed or is at risk of developing Lyme disease.
In the following few months, symptoms may worsen and progress to include:
Most cases of Lyme disease dissipate over a few months. Lyme disease may be cured by a course of oral antibiotics, such as amoxicillin or doxycycline. Other treatments may include:
People can take action to prevent Lyme disease by exercising caution when in environments with ticks. Using insect repellant and wearing long socks and protecting clothing can help prevent tick bites. Outdoor enthusiasts should regularly perform "tick checks," evaluating their skin for small ticks, especially in areas where ticks may easily burrow. Showering within two hours of returning indoors also can reduce the likelihood of developing Lyme disease.
Temporomandibular Joint Disorder (TMJ)
TMJ stands for the temporomandibular joint, the little round joint that lies in front of the ear between the temporal bone ( the cheek bone) and the mandible (the lower jaw.) Often people use the acronym 'TMJ' to refer to temporomandibular joint dysfunction or disorder - that is, pain and stiffness in this joint and the muscles around it.
TMJ can cause a wide variety of symptoms related to the movement of the jaw. They can include earaches, headaches, an inability to open the mouth very far, painful clicking or popping noises when chewing or talking, and stiffness or pain in the jaw, face, or neck. Sometimes TMJ symptoms seem to go in cycles, getting better or going away for a while only to come back again. Symptoms can be mild and not very bothersome, or so persistent and painful as to be almost debilitating.
There can be many potential causes of TMJ. An injury or trauma to the jaw, arthritis, or grinding the teeth can all contribute to TMJ. The temporomandibular joint contains a small disc of cartilage that allows it to move smoothly, and this disc can become dislocated or torn. Sometimes the cause is unknown. There are no standard tests for TMJ, and it can be difficult to diagnose and treat.
Mild cases of TMJ may benefit from self-care such as eating soft foods, practicing stress management techniques, and applying ice packs to the jaw. NSAIDS, such as ibuprofen, can be purchased without a prescription and work to reduce pain and inflammation. Some dentists and occupational therapists can suggest stretching techniques for the jaw which may help relieve stiffness. More serious cases may require a form of splinting called a stabilization splint or bite plate, which helps reduce pressure on the joint. Extreme cases may benefit from arthroscopic surgery on the joint.
She has a state license in New York.
Licensed In: New York
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Ms. Dori Fortunato practices massage therapy and acupuncture in Blooming Grove, NY. Her areas of expertise include the following: temporomandibular joint disorder (TMJ), multiple sclerosis (MS), and lyme disease.