In our Philadelphia office, it's common for us to see patients suffering with sciatic nerve pain, and Dr. Wm. Brian Karabinos has helped many of them heal with chiropractic. What makes chiropractic care so helpful to those who suffer with sciatica? First off, it shortens their recovery time and a Norwegian research study confirms it.
In the report, which took place in a Norwegian hospital's orthopedic division, researchers looked at 44 patients who reported abrupt low back pain that was identified as acute sciatic nerve pain. The participants were all treated by a chiropractor, with the average follow-up being two years after treatment.
The authors discovered that all but two patients went back to work after receiving chiropractic treatment, which is a 95% success rate. Furthermore, the average amount of time that the patients 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 missed in 2013 due to employees dealing with back or spine-related issues, that is nearly 112,500 work days that could potentially be recovered each and every year solely by receiving chiropractic care. Not only could that increase work productivity, but it might also reduce costs to businesses and workers from lost work.
If you live in Philadelphia and you suffer with sciatica pain, Dr. Wm. Brian Karabinos is here to assist. Give us a call at (215) 708-0657 and we'll work with you to find the root cause of your sciatica 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.
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. On top of that, neck pain is the third most reported type of pain, beat out only by back problems and headache.
Of course, a lot of patients come to our Philadelphia office looking for neck pain care, and Dr. Wm. Brian Karabinos has helped many of them find relief. This is a smart decision, as some research indicates that over 90 percent of neck pain patients benefit from chiropractic care.
Studies Confirm Chiropractic Works
A study published in The Journal of Orthopaedic and Sports Physical Therapy involved 64 men and women who were suffering with neck problems. Around half were placed in an experimental group and the other half were assigned to a comparison group. Both received chiropractic adjustments of the neck as well as a home exercise program, whereas the experimental group also received adjustments of the thoracic spine.
Data was collected before treatment began and one week post-treatment. Researchers found that 94% of the experimental group claimed "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 an important part of restoring the body's normal function.
One more study posted in Physical Therapy involved 60 adults who were suffering with neck pain. Each man or woman was randomly allocated to one of two groups--thoracic spine thrust manipulation or non-thrust manipulation--with examinations occurring two and four days after the treatments.
The investigators found that the study participants who received the thrust manipulations (the same adjustments that provided such positive results in the first study) "experienced greater reductions in disability" than the patients who received the non-thrust adjustments. Their pain was lower as well, which shows that this type of approach offers many benefits.
Help After Failed Medical Procedures
One study found the same sort of positive outcomes after thoracic adjustments in a woman who had a failed neck surgery. This particular case involved a 46-year-old woman who had recently had neck surgery but still endured neck pain, headaches, pain in her elbow, and muscle fatigue.
The patient documented reduced pain in her neck and lower headache intensity, right after the first chiropractic treatment session. After six weeks of care, which involved chiropractic, exercise, and patient education, the patient still placed her pain at a zero on a scale of 1 to 10. Her neck disability reduced as well, with a rating score that represented that it was a "great deal better."
It is scientific studies like these that substantiate the advantages of chiropractic adjustments, even if you've already attempted neck surgery that didn't provide relief. So, if you are suffering with neck problems 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 Philadelphia and Dr. Wm. Brian Karabinos can help you recover from neck pain. Give us a call today at (215) 708-0657.
- 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.
Many people suffer from headache pain, and tension headaches are a common problem in our busy lives. Postural problems and stress are common causes of tension headaches, and ones that Dr. Wm. Brian Karabinos and the team here in our Philadelphia chiropractic office have a lot of experience in treating.
The scientific literature confirms our findings: A 2016 study from Spain treated 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 coupled with the suboccipital inhibition.
When we get stressed, the nerves and tissues in the neck can be disrupted, causing pain. Chiropractic works by removing these strains and restoring the normal nerve function to the area.
If you live in Philadelphia and are suffering from any kind of headache, we're here to help you get relief. Call Dr. Wm. Brian Karabinos today at (215) 708-0657 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.
In our Philadelphia office, we see many patients who are dealing with back pain, and some of these folks have been told they might need surgery to recover. Fortunately, Dr. Wm. Brian Karabinos has helped many people get pain relief without the need for any type of surgical treatment. The scientific literature confirms the results we see in our practice. One research study published in the medical journal Spine found that seeing a chiropractor as your first step in overcoming with your back pain may literally keep you out of the operating room.
In this study, medical researchers from Dartmouth analyzed data from 1,885 workers from Washington state who first saw either a surgeon or a chiropractic doctor for their back-related issues. They then examined three years' worth of follow-up medical records to ascertain whether the subjects wound up having back surgery in an effort to treat the problem.
What the authors discovered was that about 43% of the men and women who first consulted with a surgeon for their back problems ended up with surgery in that 3-year time frame, whereas only 1.5% 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 findings. Consulting with a chiropractor significantly decreases your odds of getting back surgery, plus the chiropractic patients in this report "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 conducted by orthopedic surgeons from Dartmouth College, and printed in the world's most distinguished medical publication on spinal injuries.
The Problems with Surgery
Any surgical procedure has risks, but a major downside linked to spinal surgery is that there is a very high failure rate. In an important review 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. Wm. Brian Karabinos believes that surgery should be the absolute last resort for treating back pain. Chiropractic care works to restore your spine to its normal function--without risky surgery or drugs--and many studies have demonstrated the efficacy of chiropractic for back pain.
If you live in Philadelphia and you need relief for your back pain, give our office a call today at (215) 708-0657 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.
Shoulder Pain is a common symptom after a car crash, and it's something that Dr. Wm. Brian Karabinos sees frequently in our Philadelphia office. Why is shoulder pain such a common condition after a car accident? How can your chiropractor help you recover?
There are at least two ways that you can get shoulder pain after a crash: by direct trauma to the shoulder or by referred pain from the neck.
Direct trauma can be caused by hitting 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 crash. With this type of trauma, you'll usually be aware of the pain shortly after the wreck.
More commonly, Dr. Wm. Brian Karabinos finds that shoulder or arm pain doesn't immediately appear after a crash, but starts a few days or weeks after the trauma. This type of shoulder pain actually starts in the neck. Injured muscles or ligaments in your spine can squeeze nerves in your neck, causing tingling, numbness, or pain in your shoulder, elbow, or wrist.
We've worked with both kinds of shoulder problems in our Philadelphia office. This approach involves chiropractic adjustments to restore your spine's natural flexibility and home exercises that strengthen your neck and shoulder.
Dr. Wm. Brian Karabinos is here in Philadelphia to help you recover from shoulder pain. We've been helping patients since 1983 and we can probably help you, too. Dr. Wm. Brian Karabinos will first determine what's causing your pain and then work to restore your body to its natural functioning. Give our office a call today at (215) 708-0657 to make an appointment.
Asthma is a serious issue for many people in Philadelphia and for society as a whole, really, since the Centers for Disease Control and Prevention (CDC) reports that this condition currently affects almost 19 million adults and 7 million kids in the United States. A full-blown asthma attack likely means a hospital visit. Fortunately, Dr. Wm. Brian Karabinos has helped many folks in Philadelphia get relief from asthma symptoms.
The scientific literature confirms what we see in our practice. For instance, a paper published in Clinical and Experimental Allergy assessed 31 adult asthma patients after receiving four weeks of chiropractic treatments. The researchers reported that the participants who received chiropractic adjustments had a 34% decrease in asthma symptoms.
The Journal of Manipulative and Physiological Therapeutics printed another asthma-based study, except this one involved kids. In this paper, the 36 kids ranged from 6 to 17 years in age and their asthma was considered either mild or moderate in severity.
After 12 weeks of chiropractic care, as a whole, the patients reported a higher quality of life and a reduced level of severity. As a bonus, they also indicated that they depended less on their bronchodilator and these positive effects were still being demonstrated one year after chiropractic care was finished.
So, whether you're 7 or 70, if you have asthma attacks, be sure to contact Dr. Wm. Brian Karabinos in Philadelphia and schedule an appointment today. We'll do what we can to help you breathe easier!
- Asthma. Centers for Disease Control and Prevention.
- Bronfort G et al. (2001, July-August). Chronic pediatric asthma and spinal manipulation: a prospective clinical series and randomized clinical pilot study. Journal of Manipulative and Physiological Therapeutics;24(6):369-77
- Nielsen N et al. (1995, January). Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Clinical and Experimental Allergy;25(1):80-8
We see quite a few people with back pain in our Philadelphia practice, and Dr. Wm. Brian Karabinos has helped a lot of them find relief with chiropractic. At the same time, dealing with back pain doesn't necessarily mean having to make a choice between chiropractic care and medical care, as many individuals use both types of care with great outcomes.
Study Confirms Chiropractic and Medical Treatment Work Well with One Another
In a report published by the academic journal Spine experts1 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 engaged in treatment via standard medical therapy, while the remainder were given chiropractic care together with standard medical care, as the authors wanted to see which patients fared better.
Researchers discovered that the group that received standard medical care along with chiropractic scored "significantly better" than the group that received medical care alone; 73 percent reported positive benefits in comparison to just 17% 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.
Therefore, integrating these two forms of treatment can greatly benefit you--the patient--offering benefits when compared to medical care alone. However, while chiropractic care and medical approaches can work alongside each other, chiropractic offers some distinct strengths over medical treatment.
Where Chiropractic Wins
Although it may seem as if each approach plays a 50-50 role, there is one major advantage that chiropractic has over medical care and that is in patient satisfaction. In fact, a study from 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 treatment.
According to the experts, the main factors that patients liked over medical treatment were "self-care advice and explanation of treatment." This isn't surprising, as chiropractors tend to spend much more time advising their patients as to how they can better their health on their own, as well as outlining more thoroughly what to expect from chiropractic.
Chiropractic Care Offers a Holistic Approach
Certainly, the techniques associated with chiropractic are quite different than those offered with medical care, but a large amount of the distinction is the fact that chiropractic is a holistic approach to health and well-being. Instead of focusing on simply relieving the symptoms, chiropractic care involves searching for the root cause of your pain, which often translates to greater improvement as you are tackling the problem at its source.
Furthermore, while medication is sometimes helpful for treating certain conditions, many health issues respond well to a natural approach like chiropractic care. This means fewer negative side effects from medications and longer-lasting recovery.
You don't have to struggle with back pain or other health issues. Give our Philadelphia clinic a call today at (215) 708-0657. We'll work 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.
We tend to a large number of patients in our Philadelphia clinic, and Dr. Wm. Brian Karabinos has helped many people overcome a variety of health challenges. However, a frequent concern that seems to stop a lot of women and men from seeking care is whether or not chiropractic is safe. Luckily, according to three separate studies (out of many on the subject), the answer to this concern is a resounding: "Yes! Chiropractic is safe!"
Australian Study: Chiropractic is Safe
The first research paper(1) was published in Spine and included 183 women and men between the ages of 20 and 85. Each person was affected by some kind of back pain, and half of the individuals received real chiropractic care while the other half received two sham chiropractic treatment sessions. Data was collected after each real or fake adjustment to identify if any unfavorable side effects were caused by the genuine chiropractic treatments.
The doctors reported that nobody reported any significant negative side effects in any way after getting one or two sessions of chiropractic care. Some participants did state that they had a headache (just 9% of people) or muscle stiffness (about 1 out of 3) post-treatment, but the results were not serious.
Nationwide Survey Reports that Chiropractic is Safe
A second study(2), also released in the prestigious publication, Spine, was done in an attempt to establish the safety of chiropractic. The study group was much larger as it involved just under 20,000 patients. Each participant received chiropractic adjustments of the cervical spine, with over 50,000 total adjustments for all study participants.
Once again, the experts found no serious adverse side effects. The authors calculated the risk of total side effects to be approximately six out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the previous study, some participants did report non-serious, milder, side effects such as dizziness (16 out of every 1,000 treatment consultations and 15 out of every 1,000 treatment sessions) or a headache (4%), and this prompted the researchers to conclude that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Is Safe for Kids
The third study(3) is different from the previous two reports, as it focuses on the safety of chiropractic care for kids. In this article, the researchers analyzed data reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic adjustments.
Out of 5,438 chiropractic visits made for the kids, chiropractors responding to the survey documented only three cases where there were adverse side 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 studies like these, chiropractic care has been found to be safe and effective for everyone. To discover what chiropractic care can do for you, call our Philadelphia clinic and schedule an appointment today at (215) 708-0657.
- 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.