Posts by Dr. Paul Kohler

Effective Back Pain Treatment

Bridgeville, PA back pain treatmentWe 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.

References

  1. 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.
  2. 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.
 

Back Pain and Car Accidents

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.

Many people report back pain after a car crash.
 

How Safe is Chiropractic?

Bridgeville, PA Chiropractic for familiesWe 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.

References

  1. 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.
  2. 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.
  3. 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.
 

Chiropractic Effective for Tension Headaches

Bridgeville, PA Headache Treatment by Dr. KohlerMany 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.

Reference

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.

 

Bridgeville, PA Back Pain Treatment

Bridgeville, PA back pain treatment by Dr. KohlerMost 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.

Reference

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.

 

Causes of Chronic Pain after Car Crashes

Bridgeville, PA auto injury treatmentOf 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.
 

Shoulder Pain and Auto Injury

We work with many auto injury cases in in our Bridgeville, PA office, and a widespread symptom we see in our patients is shoulder pain. What causes shoulder pain after an auto collision? How can chiropractic care help?

There are at least two ways that you can get shoulder problems after a crash: by direct trauma to the shoulder joint or by referred pain from the neck.

Direct injury can be caused by striking your shoulder on a hard object in the car during the crash, or can occur if you have a tight grip on the steering wheel during a rear end collision. With this type of injury, you'll often be aware of the pain shortly after the crash.

More frequently, Dr. Kohler finds that shoulder or arm pain does not immediately appear after a collision, but begins a few days or weeks after the trauma. This type of shoulder pain actually starts in the neck. Injured ligaments or muscles in your neck can tweak nerves in your neck, causing numbness, tingling, or soreness in your shoulder, elbow, or wrist.

We've worked with both kinds of shoulder pain in our Bridgeville, PA office. This treatment involves chiropractic adjustments to restore your spine's natural mobility and exercises that strengthen your neck and shoulder.

If you've been injured in a car crash and you're suffering from shoulder pain, Dr. Kohler is here to help. Dr. Kohler will first determine what's causing your pain and then work to restore your body to its natural functioning. Ready to make an appointment? Give us a call at (412) 257-3228 and we'll get you back on the road to health.

 

Lower Back Pain and the Sacroiliac Joint

We help a good number of men and women with back pain in our Bridgeville, PA office, and Dr. Kohler has noticed that quite a few cases of back pain stem from the sacroiliac (SI) joint. Investigation shows that around 25% of all back pain begins in the SI joint, and now fresh research confirms what we have observed in our clinic: chiropractic is an effective method for treating this issue.

In the study published in the Journal of Bodywork and Movement Therapies, 32 women with sacroiliac joint dysfunction were split into two groups and asked to engage in one of two treatment methods. one group went through a chiropractic adjustment only at the sacroiliac joint, and the other group got an adjustment to the sacroiliac joint as well as the lumbar spine.

Scientists found greater improvements in both pain and movement immediately following treatment, two days later, and 30 days after for the group who had been given high-velocity low-amplitude manipulation to both the sacroiliac joint and the lumbar spine. This demonstrates that chiropractic manipulation administered in these two areas offers both prompt and continuing benefits for sacroiliac joint pain sufferers—even with just a single treatment round.

So, if you are dealing with sacroiliac joint pain, or cope with back and leg pain and would like to know if your sacroiliac joint is the root, a consultation at our Bridgeville, PA office could be the first—and best—step towards feeling better. Give our office a call today at (412) 257-3228.

Kamali F, Shokri E. The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies 2012;16(1):29-35.

 

Bridgeville, PA Neck Pain and Car Crashes

If you suffer from neck pain after a car accident, don't worry. Dr. Kohler sees this type of problem very often in our Bridgeville, PA office. Chiropractic care is an effective way to treat neck pain. Let's look at how neck pain is caused by a crash and how Dr. Kohler can help you.

It's not surprising that neck pain is the most common problem experienced after a car crash. During even a low velocity crash, your head is exposed to very rapid acceleration. In such accidents, a head that normally weighs about 10 pounds can suddenly weigh 80 or more pounds. This force exerts a severe strain on the tissues of the neck. The bones of your spinal column are held together with strong bands of tissue called ligaments, and these ligaments provide stability for your neck. These ligaments can be sprained during a car crash, just as the ligaments in your ankle can be sprained. A sprain means that the ligament is stretched or torn.

When you experience a sprained ligament, the damaged area become inflamed and sore, and that's what happens after a car crash. Chiropractic helps by increasing mobility in the injured region, which helps the ligaments heal and helps decrease scar tissue.

If you've been injured in a car crash and you're suffering from neck pain, Dr. Kohler is here to help. Dr. Kohler will first determine what's causing your pain and then work to restore your body to its natural functioning. Ready to make an appointment? Give us a call at (412) 257-3228 and we'll get you back on the road to health.

 

Bridgeville, PA Chiropractic Effective for Cervicogenic Headache

We see a large number of people with headaches in our Bridgeville, PA office, and Dr. Kohler has been able to support many of them. Of course, the World Health Organization (WHO) states that half of all adults struggle with some kind of headache problem, so this really isn’t surprising. One of the most typical varieties of headaches that our patients are afflicted with is cervicogenic headache which, thankfully, chiropractic can generally help.

What is a Cervicogenic Headache?

A cervicogenic headache is one that stems from issues in the cervical spine. It can be caused by a condition with either the spine itself (in particular, the vertebrae, joints, or discs), or it can be attributed to a problem in the muscles and tendons of your neck. This problem in your spine brings about compression or irritation of the spinal nerves, which can bring about headache pain.

How do you find out if the headache you are going through is a cervicogenic headache? Other than receiving a diagnosis from a healthcare specialist, a common symptom of cervicogenic headaches is tenderness or discomfort in your neck. This is sometimes associated with pain in the back of your head or between your shoulder blades.

Headache Relief with Chiropractic

Because cervicogenic headaches will not go away until whatever problem is initiating them is remedied, it is essential to receive treatment instead of just trying to "wait it out." Chiropractic care is an excellent solution, and one that provides a considerable amount of headache pain relief.

In one study circulated in Chiropractic & Osteopathy, researchers studied 80 people who had frequent cervicogenic headaches. Half of them were given chiropractic care and the other fifty percent underwent light massage therapy. Each participant was assessed 12 and 24 weeks after the treatment and it was found that chiropractic provided the optimum outcomes.

In particular, this study noted that chiropractic adjustments provided patients better pain relief and reduced the number of headaches that occurred. In addition, it also diminished the disability that resulted from these painful headaches.

To find out what Dr. Kohler can do for you and your headache pain, call us today. We'll do our best to get you the pain relief you need!

References

  • Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
  • World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/