In our Bridgeville, PA practice, we see many patients who are struggling with back pain, and a few of these people have been informed they might need surgery to recover. Fortunately, Dr. Kohler has helped many people get relief without the need for any type of surgery. The science agrees with the success we see in our practice. One study published in the medical journal Spine found that seeing a chiropractor as your first move in dealing with your back pain may literally keep you off of the operating table.
In this report, medical professionals from Dartmouth reviewed data from 1,885 workers from the state of Washington who first saw either a surgeon or a chiropractic doctor for their back-related issues. They then used three years' worth of follow-up medical information to ascertain whether the individuals ended up having back surgery in an effort to treat the issue.
What the authors determined was that about 43% of the individuals who first saw a surgeon for their back pain ended up having a surgical procedure in that 3-year time frame, whereas only 1.5 percent of those who first saw a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are remarkable results. Seeing a chiropractor dramatically reduces your odds of having back surgery, plus the chiropractic patients in this scientific study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also take note this important detail: this study was carried out by orthopedic surgeons from Dartmouth College, and printed in the world's most distinguished medical journal on spinal injuries.
Why You Should Avoid Surgery
Any surgery has risks, but a major problem linked to spinal surgery is that there's a very high failure rate. In an important analysis in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The experts in this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Kohler believes that surgery should be the absolute last choice for treating back pain. Chiropractic care works to restore your spine to its normal function--without the need of high-risk surgery or drugs--and many scientific studies have confirmed the usefulness of chiropractic for back pain.
If you live in Bridgeville, PA and you need relief for your back pain, give our practice a call today at (412) 257-3228 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
If you have thoracic outlet syndrome after a car crash, don't worry. Dr. Kohler sees this type of condition very often in our Bridgeville, PA office. Let's look at the root cause of thoracic outlet syndrome after an auto injury and see how chiropractic care can help.
The thoracic outlet is a bundle of nerves and blood vessels that travel through your neck and shoulder to your arm. These nerves and blood vessels don't have a lot of space, so they pass under and through the strong bands of muscles that support your head.
In a collision, these muscle groups can be stretched and strained. If damaged, the muscles become inflamed and tender, and they can develop scar tissue which restricts motion and puts pressure on the tissues of the thoracic outlet. Pressure on the nerves can cause tingling or numbness in the shoulder, elbow and even the wrist. Pressure on the blood vessels can also cause problems in the arm.
Bridgeville, PA Thoracic Outlet Treatment
Chiropractic can be an effective way to treat thoracic outlet syndrome, as Dr. Kohler will help improve mobility in your spine and restore normal nerve function in your neck and shoulder.
Dr. Kohler has been helping patients in Bridgeville, PA since 1994, so we know what you're going through. We're here to help you, too. First, we'll do a careful examination to establish the root cause of your problem, and then decide how to restore your body's natural functioning. Call us today at (412) 257-3228 if you have questions or would like to make an appointment.
In our Bridgeville, PA practice, it's common for us to see people struggling with sciatic nerve pain, and Dr. Kohler has helped many of these people recover with chiropractic. What makes chiropractic so beneficial to those who suffer with sciatica? First, it shortens their healing time and a Norwegian research study confirms it.
In the study, which took place in a Norwegian hospital's orthopedic department, the authors looked at 44 patients who had sudden low back pain that was clinically diagnosed as acute sciatic nerve pain. The individuals were all treated by a chiropractor, with the mean follow-up being two years after treatment.
The researchers found that all but two patients returned to work after receiving chiropractic adjustments, which is a 95% success rate. Furthermore, the average amount of time that the individuals spent off work "was reduced by two thirds as compared with that associated with conventional medical treatment."
Considering that the Bureau of Labor Statistics reports that over 170,000 workdays were lost in 2013 due to employees dealing with back or spine-related issues, that is almost 112,500 work days that could potentially be recovered each and every year solely by receiving chiropractic care. Not only would that increase productivity, but it could also reduce costs to businesses and employees from lost work.
If you live in Bridgeville, PA and you suffer from sciatic pain, Dr. Kohler is here to assist. Give us a call at (412) 257-3228 and we'll work with you to find the root cause of your sciatic pain and get you back on the road to health.
Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30(2):135-139.
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.