Recent Posts

Chiropractic Treatment of Ankle Sprain

Bridgeville, PA natural ankle sprain treatmentWe see quite a few patients in our Bridgeville, PA office with ankle sprains but Dr. Kohler has had a lot of success helping them heal more quickly. Why are ankle sprains so common and how can chiropractic help?

According to the American College of Sports Medicine (ACSM), an estimated 25,000 men and women in the US sprain their ankles every day. As a matter of fact, these injuries make up nearly half of all sports injuries, causing people to spend time away from the activities they enjoy most.

Like any injury, there are many causes of ankle sprains. The most common is inversion, or when the ankle rolls inward. This injury can take place due to one forceful movement, or it can develop over time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have previous ankle injuries, poor posture or balance, weak muscles, and reduced range of motion.

How Can Chiropractic Treatments and Dr. Kohler Help?

A report printed in the Journal of Manipulative and Physiological Therapeutics set out to identify chiropractic's role when it comes to ankle sprain recovery. Researchers recruited 33 individuals between the ages of 18 and 45 who had a history of ankle inversion sprains, who were reporting tenderness and/or pain, and had not re-injured the area in the previous six weeks.

Eighteen of the subjects were assigned to participate in rehabilitation and the remaining 15 people received chiropractic in addition to rehab. Each individual had five full weeks of treatment, with the rehabilitation group receiving treatment seven days a week and the rehab plus chiropractic group receiving treatment six out of the seven days.

Research Proves Chiropractic Helps With Ankle Sprains

Researchers found that the individuals who had both rehabilitation and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. Furthermore, no undesirable effects were reported, showing that chiropractic is safe.

If you're near our location in Bridgeville, PA and you're struggling with an ankle injury, give us a call. We'll do what we can to keep you up and moving... literally!

Bibliography

  • American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
  • Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
 

Fibromyalgia Treatment with Chiropractic

Bridgeville, PA natural fibromyalgia treatmentIf you suffer with fibromyalgia, you are not alone, as Dr. Kohler sees many people with this particular condition in our Bridgeville, PA chiropractic clinic. In fact, the Centers for Disease Control and Prevention (CDC) reports that roughly two percent of all adults in the United States have fibromyalgia. Fortunately, chiropractic care is one treatment option that can provide positive results.

Research Supports Chiropractic Eases Fibromyalgia

In a paper released in mid-2015, 215 women and men with fibromyalgia were evaluated based on factors ranging from pain to quality of sleep to the levels of depression and anxiety they felt. Then they were split into two groups with one group receiving a multi-modal therapy plan for three months and the second group receiving the same program plus chiropractic adjustments (specifically, to the upper neck tissues) for the same length of time.

The subjects who received chiropractic care in addition to the multi-disciplinary therapy program reported greater results in all areas (pain, sleep, depression, and anxiety) at 12 weeks post-treatment when compared to the study participants who received multi-modal treatment without chiropractic. Furthermore, those positive outcomes were lasting as the subjects reported continued improvement one full year later.

Fibromyalgia can significantly decrease your quality of life, both psychologically and physically. If you're suffering from fibromyalgia, we might be able to help.

You don't have to suffer! To find out what Dr. Kohler can do for your fibromyalgia pain, call our Bridgeville, PA chiropractic office today.

Research

  • Fibromyalgia. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/arthritis/basics/fibromyalgia.htm on November 2, 2015.
  • Moustafa I & Diab A. (2015, July). The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatology International;35(7):1163-74.
 

Chiropractic and Disc Herniation Treatment

Bridgeville, PA non-surgical disc herniation treatmentDr. Kohler sees many people weekly in our busy Bridgeville, PA chiropractic office who are searching for relief from the pain and suffering they feel due to herniated discs. Our experience isn't unique; the scientific literature verifies that chiropractic is a great way to treat herniated disc problems.

Don't Suffer! Dr. Kohler and Chiropractic Care Helps With Disc Herniation

One particular research study involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The subjects reported that they were experiencing pain, limited range of motion, and sensory issues bad enough to keep them off work.

Over the course of the research period, the individuals were treated using one of two common chiropractic practices: traction for herniated discs in the cervical area or flexion distraction for the men and women who had herniation issues in the low back.

Each person was treated four or five times per week for the first two weeks, then three times weekly, and then as needed for the remainder of the study. Depending on the seriousness of the disc herniation, therapy ranged anywhere from six weeks to six months, with MRIs being conducted at a variety of stages to identify what impact, if any, the chiropractic care was having in regard to the disc herniation.

Research Supports Chiropractic Helps With Back Pain and Herniated Disc

The investigators reported that 80 percent of the subjects obtained a "good clinical outcome," meaning reduced pain and a reduction in other issues, such as numbness. Furthermore, 77 percent of these individuals also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of employment and led the researchers to conclude that chiropractic care is both "safe and helpful" for disc herniations.

If you have a herniated disc and suffer from chronic back pain and are near Dr. Kohler in Bridgeville, PA, contact our office today to see what chiropractic can do for you!

Reference
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.

 

Natural Carpal Tunnel Treatment with Chiropractic

Bridgeville, PA natural carpal tunnel treatmentDr. Kohler sees a lot of patients troubled with carpal tunnel syndrome in our busy Bridgeville, PA chiropractic practice. While some people think that the source of this wrist-related pain is muscular, it's really a syndrome that stems from the nerves--and not just the nerves in your hands.

Research Shows Chiropractic Helps With Carpal Tunnel Syndrome

Recent research published in the Journal of Orthopaedic & Sports Physical Therapy assessed 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon investigating the subjects' neck range of motion, the doctors discovered that the patients had reduced cervical flexibility when compared to a healthy control group.

In addition, they also found that the degree of the women's reported carpal tunnel pain was connected to the lateral flexion of the cervical spine. In other words, the less range of motion in the neck, the greater the level of pain.

This research is extremely important, as you cannot successfully address a problem until you fully understand its cause. By recognizing that the root of carpal tunnel symptoms is in the neck, this means that natural approaches such as chiropractic can often restore normal function, eliminating the need for risky surgical procedures.

If you have carpal tunnel pain, call our Bridgeville, PA office and ask how Dr. Kohler can help you get relief!

Research Studies

De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.

 

Avoiding the Surgeon's Knife with Chiropractic

Bridgeville, PA chiropractic back pain treatmentIn 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!

Studies

  • 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.
 

Thoracic Outlet Syndrome and Auto Injury

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.

 

Quicker Sciatica Improvement with Chiropractic Adjustments

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.

 

Chiropractic Superior for Sciatica Than Surgery

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.

References

  • 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.
 

Treating Neck Pain with Chiropractic

Bridgeville, PA chiropractic neck pain treatmentAccording 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.

References

  • 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.
 

Bridgeville, PA Chiropractic Care for Headache

Bridgeville, PA neck pain and headache treatment

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.

Reference

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.