Dr. Kohler works with countless sciatica patients here in our Bridgeville, PA office, and quite a few of these patients were nervous that they might need surgery to alleviate their pain. The latest research indicates that many people don't need surgery for this prevalent problem, and that chiropractic is more effective at solving sciatic nerve pain.
A popular surgery for sciatica is microdiscectomy, and in a 2010 study, physicians looked at 80 women and men with sciatica who were referred for this procedure.
Forty patients were then randomly placed in one of two groups. The first group received surgical microdiscectomy and the second group received chiropractic care.
Both groups improved; however, no noticeable difference in outcome was reported one year post-treatment between either group. In addition, around 60% of the participating subjects who could not find pain relief from any other treatment approach "benefited from spinal manipulation to the same degree as if they underwent surgical intervention."
Put another way, chiropractic delivered the same positive advantages as surgery without having to go through the higher levels of surgery-based pain or suffer through extended recovery times often associated with that type of treatment choice. Additionally, you also don't run the risks affiliated with surgical microdiscectomy, such as nerve root damage, bowel or bladder incontinence, bleeding, or infection.
Surgery ought to be the last option for sciatica pain. If you live in Bridgeville, PA and you're being affected by back pain or sciatica, give Dr. Kohler a call today at (412) 257-3228. We'll help determine the start of your pain and work hard to get you relief.
- McMorland, G et al. Manipulation or microdiskectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics 2010;33(8):576-584.
- Solberg TK, Nygaard OP, Sjaavik K, Hofoss D, Ingebrigtsen T. The risk of "getting worse" after lumbar microdiscectomy. European Spine Journal 2005;14(1):49-54.
According to The American Academy of Pain Medicine, more people in the US suffer with chronic pain than diabetes, coronary heart disease, stroke, and cancer combined. What's more, neck pain is the third most documented type of pain, beat out only by back pain and headaches.
Not surprisingly, a lot of patients come to our Bridgeville, PA office seeking neck pain care, and Dr. Kohler has helped many of them find relief. This is a smart decision, as some research shows that over 90 percent of neck pain patients improve with chiropractic care.
Studies Confirm Chiropractic's Positive Effects
A study published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 men and women who were suffering with neck problems. Roughly half were placed in an experimental group and the other half were designated to a comparison group. Both were given chiropractic adjustments of the neck as well as a home exercise program, while the experimental group also received thoracic spine adjustments.
Data was gathered before treatment began and one week after the adjustments. Researchers found that 94% of the experimental group reported "significantly greater improvements" in regard to pain and disability in their neck symptoms. Just 35% of the patients who received neck adjustments showed the same level of improvement, showing that thinking about the entire spine is a critical part of restoring the body's normal function.
One more study posted in Physical Therapy involved 60 adults who reported dealing with neck pain. Each man or woman was randomly assigned to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with follow-up exams occurring two and four days after the adjustments.
Researchers found that the study patients who received the thrust manipulations (the same manipulations that provided such positive results in the first report) "experienced greater reductions in disability" than the group that received the non-thrust manipulations. Their pain was lower as well, which shows that this type of technique offers many benefits.
Help After Failed Medical Procedures
One study also found the same type of positive results after thoracic adjustments in a patient who had a failed neck surgery. This specific case involved a 46-year-old woman who had recently had neck surgery but still experienced neck pain, headaches, pain in her elbow, and muscle fatigue.
The woman reported decreased pain in her neck and lower headache intensity, immediately after the first chiropractic adjustments. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still rated her pain at a zero on a scale of 1 to 10. Her neck disability improved as well, with a rating score that represented that it was a "great deal better."
It is scientific studies like these that substantiate the effectiveness of chiropractic adjustments, even if you've already attempted neck surgery that didn't provide relief. So, if you are suffering with neck discomfort and would like to find a remedy that has a high success rate, try chiropractic. It may just be the help you're looking for.
We're located in Bridgeville, PA and Dr. Kohler can help you recover from neck pain. Give us a call today at (412) 257-3228.
- AAPM facts and figures on pain. The American Academy of Pain Medicine.
- Masaracchio M, Cleland JA, Hellman M, Hagins M. Short-term combined effects of thoracic spine thrust manipulation and cervical spine nonthrust manipulation in individuals with mechanical neck pain: a randomized clinical trial. Journal of Orthopaedic and Sports Physical Therapy 2013;43(3):118-127.
- Cleland JA, Glynn P, Whitman JM, Eberhart SL, MacDonald C, Childs JD. Short-term effects of thrust versus nonthrust mobilization/manipulation directed at the thoracic spine in patients with neck pain: a randomized clinical trial. Physical Therapy 2007;87(4):431-440.
- Salvatori R, Rowe RH, Osborne R, Beneciuk JM. Use of thoracic spine thrust manipulation for neck pain and headache in a patient following multiple-level anterior cervical discectomy and fusion: a case report. The Journal of Orthopaedic and Sports Physical Therapy 2014;44(6):440-449.
There are many different kinds of headache, but one of the most common types is known as "cervicogenic headache," or those that start in your neck.
Dr. Kohler sees a lot of people in our Bridgeville, PA office who are struggling with recurring headaches. Luckily, chiropractic adjustments can usually help, potentially reducing these types of headaches by 50%, and research confirms it.
Research Supports Chiropractic Helps With Cervicogenic Headaches
A study was conducted involving 80 participants who reported experiencing at least five cervicogenic headaches during the prior three months. The goal was to discover how effective chiropractic care was for this type of head pain, as well as to determine the number of treatment sessions necessary to achieve a positive effect.
The individuals were divided into four separate groups, so that each group was similar in age, gender, number of cervicogenic headaches, and their intensity. Of the four groups, two engaged in chiropractic treatments and two received light massage. Furthermore, one group assigned to each treatment received eight sessions and the other group received twice that amount.
Each person was assessed based on head pain, neck pain, and disability prior to the study and 12 and 24 weeks after treatment was complete. The authors found that those who received chiropractic as opposed to massage reported fewer headaches at the conclusion of the study. Furthermore, improvements were maintained when checked six months after treatment ended.
Additionally, participants who were taking medications for their headaches were able to lower their intake after completing the study. Those who received chiropractic care had lower drug usage 24 weeks post-study.
We Can Help Clients Find Comfort From Head Pain
Dr. Kohler has helped many people who were suffering from headache pain in our Bridgeville, PA office. Call us today at (412) 257-3228 for more information or for an appointment.
Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal 2010; 10: 117-128.
Regrettably, quite a few of our Bridgeville, PA patients know the pain caused by a herniated disc all too well. Fortunately, Dr. Kohler has helped many people with disc pain, and a number of research studies have confirmed that chiropractic care can help patients recover from this kind of condition.
Research on Chiropractic for Disc Herniations
In one report, a group of doctors from Switzerland selected 148 patients who were suffering with pain in their lower back and legs due to a herniated disc (which was confirmed through magnetic resonance imaging, or MRI). Each individual then received chiropractic adjustments that focused on the location of his or her disc herniation.
Data was gathered after the initial treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to establish what type of short-term and long-term effects, if any, chiropractic offers when it comes to treating this particular problem. Among the data obtained was the person's self-reported changes in both back and leg pain.
Researchers found that, as a whole, the study participants reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the study participants claimed that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those test subjects who were defined as "chronic" still claimed an improvement in pain at a rate of 89% one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Disc Herniation and Chiropractic: A Case Study
In this study, a 26-year-old male had presented with disc herniation symptoms such as pain in the low back, left leg, and left groin area, along with left foot drop and muscle weakness. He had suffered with these issues for more than two years after sustaining an athletic injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic care, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." In addition, the patient was still enjoying relief one year after the chiropractic intervention.
Studies like these show how beneficial chiropractic can be when it comes to alleviating herniated disc pain and reducing the symptoms they cause. So, if you are suffering from back pain caused by a herniated disc and want to find some relief, chiropractic might be an effective solution.
Don't suffer from chronic herniated disc pain. Give our Bridgeville, PA office a call today at (412) 257-3228 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
We see many back pain patients in our Bridgeville, PA practice, and Dr. Kohler has helped a lot of them get relief with chiropractic care. At the same time, recovering from back problems doesn't necessarily mean having to make a choice between chiropractic care and medical treatment, as many people use both types of care with great success.
Research Confirms Chiropractic and Medical Treatment Work Well with Each Other
In a report published by the academic journal Spine investigators1 looked at a group of active-duty military personnel between the ages of 18 and 35 who claimed both acute soreness and restricted function due to back-related issues. Some of the test subjects received treatment via standard medical therapy, while the remainder received chiropractic adjustments as well as standard medical care, as the authors wanted to see which group fared better.
Researchers determined that the patients who received standard medical care combined with chiropractic care scored "significantly better" than the group that received medical care alone; 73% reported positive benefits in comparison to just 17 percent of the medical care only group who indicated the same amount of improvement. This was true regarding both pain and level of function at the two- and four-week marks.
Accordingly, combining these two forms of care can greatly benefit you--the patient--offering benefits when compared to medical care alone. However, while chiropractic care and medicine can work together, chiropractic offers some unique advantages over medical therapy.
Where Chiropractic Wins
Although it may seem as if each method plays a 50-50 role, there is one significant advantage that chiropractic has over medical care and that is in patient satisfaction. In fact, a piece of research conducted at UCLA2 that was published in the American Journal of Public Health reports that, on average, chiropractic patients are generally more satisfied with their recovery than patients undergoing medical care.
According to the researchers, the main aspects that patients preferred over medical treatment were "self-care advice and explanation of treatment." This isn't surprising, as chiropractors typically spend much more time consulting with their patients as to how they can better their health on their own, as well as explaining more thoroughly what to expect from chiropractic.
Chiropractic Care Is a Natural Approach to Wellness
Certainly, the methods associated with chiropractic are very different than those provided with medical therapy, but a great deal of the distinction is the fact that chiropractic is a natural approach to health and well-being. In contrast to focusing on just relieving the symptoms, chiropractic care means tracking down the primary cause of your pain, which often means greater improvement as you are addressing the problem at its source.
In addition, while medication is sometimes helpful for managing certain conditions, many health issues respond well to a natural approach such as chiropractic. This means fewer negative responses to medications and longer-lasting results.
You don't have to suffer from back pain or other health issues. Give our Bridgeville, PA clinic a call today at (412) 257-3228. We'll do everything we can to help you get and continue to be free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
If you suffer from back pain after a car accident, you're not alone. Dr. Kohler sees this type of condition frequently in our Bridgeville, PA office. Let's see why back pain is frequently experienced after an auto injury and see how chiropractic care can help you get better.
During a rear-end auto collision, your car and car seat are quickly accelerated forward against your torso. Since car seats don't perfectly align with the curvature of your back, the car seat can put inconsistent pressure on your back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential motion can sprain or strain the tissues that hold your spine together. This type of injury can cause chronic back pain if not treated right away. Fortunately, chiropractic is one of the most effective ways to treat back pain.
Dr. Kohler has been helping patients in Bridgeville, PA since 1994, so we know what you're experiencing. We're here to help you, too. Dr. Kohler will first determine what's causing your pain and then work to restore your body to its natural functioning. Call us today at (412) 257-3228 if you have questions or would like to make an appointment.
We care for a large number of patients in our Bridgeville, PA office, and Dr. Kohler has helped many people eliminate a wide array of health challenges. Even so, one issue that seems to stop some folks from seeking care is whether or not chiropractic care is safe. Luckily, according to three different studies (out of quite a few on the issue), the answer to this concern is a resounding: "Yes! Chiropractic is safe!"
Australian Study: Chiropractic is Safe
The first study(1) was published in Spine and included 183 women and men between the ages of 20 and 85. Each person reported affected by spinal pain, and half of the patients received real chiropractic adjustments whereas the remaining patients were given two fake chiropractic adjustments. Data was obtained after each real or fake adjustment to discover if any unpleasant negative effects were caused by the real chiropractic adjustments.
Researchers reported that no participants reported any serious negative side effects in any way after receiving one or two sessions of chiropractic. Some individuals did report that they had a headache (9 percent) or muscle stiffness (37%) post-treatment, but the effects were not of a serious nature.
Nationwide Survey Confirms that Chiropractic Care is Safe
The second article(2), also published in the important medical journal, Spine, was done in an effort to establish the safety of chiropractic care. The test group was much larger as it involved just under 20,000 patients. Each participant received chiropractic adjustments of the neck, with over 50,000 total adjustments for all patients.
Again, the experts discovered no serious adverse side effects. The authors calculated the risk of total adverse reactions to be about 6 out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the first study, some volunteers did report non-serious, milder, side effects such as dizziness (about 1.6%) or a headache (4 out of every 100), and this prompted the researchers to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Care Is Safe for Kids
This third research paper(3) is different from the previous two reports, as it concentrates on the safety of chiropractic care for children. In this case, researchers analyzed results reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic treatment sessions.
Out of 5,438 chiropractic visits made for the kids, chiropractors responding to the survey documented only three cases where there were adverse effects. When parents were questioned, they indicated only two adverse side effects out of 1,735 visits. Furthermore, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on these three studies (and many more!), chiropractic care has been found to be safe and effective for everyone. To discover what chiropractic can do for you, call our Bridgeville, PA office and make an appointment today at (412) 257-3228.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
Many people suffer from headache pain, and tension headaches are a frequent problem in our busy lives. Postural problems and stress are common sources of tension headache, and ones that Dr. Kohler and the staff here in our Bridgeville, PA chiropractic office have a lot of experience in treating.
The scientific literature verifies our results: A 2016 study from Spain managed a group of 76 patients with chronic tension headaches. The participants were divided into four treatment groups: 19 patients were treated with suboccipital inhibition (the doctor presses on the tight tissues at the top of the spine); 19 with chiropractic adjustments; 19 with both adjustments and suboccipital inhibition; and 19 received no treatment.
The authors reported that the spinal adjustments were effective at relieving pain, and that the best results were found when adjustments were combined with the suboccipital inhibition.
When we get stressed out, the nerves and tissues in the neck can be disrupted, leading to pain. Chiropractic works by removing these stresses and restoring the normal nerve function to the area.
If you live in Bridgeville, PA and are dealing with any kind of headache, we're here to help you get relief. Call Dr. Kohler today at (412) 257-3228 for an appointment or more information.
Espi-Lopez GV, Rodriguez-Blanco C, Oliva-Pascual-Vaca A, et al. Do manual therapy techniques have a positive effect on quality of life in people with tension-type headache? A randomized controlled trial. European Journal of Physical Rehabilitation Medicine 2016; February 29.
Most of us suffer from back ache at some point in our lives. Experts estimate that nearly 1 out of 3 adults deal with some kind of regular spinal pain. Dr. Kohler and our talented staff see many back and neck pain cases in our Bridgeville, PA office, and we've found that chiropractic care is an effective way to not only help you recover from back pain, it's also an excellent way to prevent future episodes.
A recent study from the University of Utah confirms what our Bridgeville, PA patients have reported: your Bridgeville, PA chiropractor is the best first choice for an episode of back pain.
In this paper, 747 participants were treated for low back pain. Each patient was evaluated based on the first person they sought treatment with, whether it was a primary care physician, a chiropractor, a physiatrist (also known as a rehabilitation physician), or a physical therapist.
What the researchers discovered is that the subjects who first saw a chiropractor had fewer advanced imaging tests and fewer surgical procedures.
Other studies have found the same results. A 2012 study found that chiropractic patients had the best functional recovery and pain relief for chronic back pain.
Chiropractic works by restoring the natural, pain-free function of your spine. Dr. Kohler and our team help your body heal with gentle chiropractic adjustments that don't use drugs or risky surgical procedures.
If you live near our Bridgeville, PA office and would like to get out of pain, give our office a call today at (412) 257-3228 for an appointment.
Fritz JM, Kim J, Dorius J. Importance of the type of provider seen to begin health care for a new episode of low back pain: associations with future utilization and costs. Journal of Evaluation in Clinical Practice. 2015(Sep 29).
Cecchi F, et al. Predictors of functional outcome in patients with chronic low back pain undergoing back school, individual physiotherapy or spinal manipulation. European Journal of Physical and Rehabilitation Medicine 2012;48:371-8.
Of the over 2 million rear-end collisions in the United States annually, a significant number of folks end up suffering from long-term pain and impairment. Some research shows that about 20% of people are still in pain one year after a crash.
Dr. Kohler sees many car crash cases in our Bridgeville, PA location, and we frequently see patients who have been hurting for many years and have not been able to find help. Dr. Kohler has great success in treating these patients.
The Roots of Chronic Pain
During a crash, the structures of your spine can be sprained or torn. The injured area becomes swollen and irritated and transmits pain signals to the spine and brain.
Pain tells your nervous system that something is wrong, which tells the muscles in the damaged area to contract to shield the area from further damage.
If the trauma isn't addressed immediately, a negative cycle develops. The injured tissues keep sending pain signals and each time, your nervous system responds. This brings about a feedback loop in your nervous system that researchers refer to as "central sensitization." Your nervous system basically becomes oversensitive to any kind of stimulation, triggering chronic pain.
Dr. Kohler is able to help this kind of issue, as chiropractic care is a proven way to restore your nervous system's healthy functioning. Research shows that adjustments are effective at reducing pain from car accidents and shows that chiropractic in fact has positive effects on the pain centers of the brain.
If you live in Bridgeville, PA and have been in a crash, you don't have to suffer with chronic pain. Give Dr. Kohler a call today at (412) 257-3228 for a consultation or appointment.
- Ferrari R. A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury. Rheumatic & Musculoskeletal Disease 2015; doi:10.1136/rmdopen-2014-000007.
- Stone AM, Vicenzino B, Lim EC, Sterling M. Measures of central hyperexcitability in chronic whiplash associated disorder - A systematic review and meta-analysis. Manual Therapy 2012;18(2):111-7.