At HOLME CIRCLE CHIROPRACTIC, one of the leading chiropractors in Philadelphia we take great pride in providing only the finest care to all patients. Below is a sampling of the various up-to-date and "new state of the art services" we offer our patients in our N.E. Philadelphia office located at 3002 Holme Avenue, Philadelphia, PA 19136:


At Holme Circle Chiropractic, Dr. Wm. Brian Karabinos provides advanced spinal correction utilizing new & “state of the art” chiropractic techniques. Never in the history of chiropractic care have we been able to provide the level of help and expertise that now exists. These newer corrective methods are even safer, more comfortable and more effective than ever before. As a Doctor of Chiropractic, Dr. Wm. Brian Karabinos has over 20 years of training and experience in total holistic health care.


Pregnancy and birth need our respect, not intervention. Chiropractic is a natural approach to life and health which helps the mother gain trust in her own body’s ability. Chiropractic works specifically with your pelvis throughout pregnancy restoring a state of balance and creating an environment for an easier, quicker, safer delivery. See Dr. Karabinos' detailed benefits of Chiropractic Care during Pregnancy as well as his Tips For Pregnant Women located under Pregnancy & Chiropractic Care


Dr. Karabinos teaches our patients’ special “blueprint” exercises to help strengthen and correct each patient’s unique problems. Once learned, these stretches and exercises can be performed in the comfort of your own home & can improve the effectiveness of your spinal correction. Skeletal misalignment, muscles and connective tissues can be out of place or strained by improper alignment and use. Specific “personalized” exercises & stretches can build strength needed for your core muscles and body so that you can help your body stay in balance and good health.


We always find it helpful to “Coach” our patients on concerning their activities of daily living, thereby helping our patients to avoid aggravating their particular health challenges. Our goal is to help every patient get on track to attain a fulfilling and happy lifestyle enabling them to perform the activities they like most. We recognize that each patient is a whole person. Through cooperation between the doctor and our patients, it will be possible for them to achieve true health and wellness.


We provide specific recommendations on nutritional supplements and food choices to enhance our patients return to optimal health. Unfortunately, in today’s fast-paced lifestyle, people tend to take too many short cuts with food choices and neglect nutritional supplementation that are vital for one’s health.


Inversion Table Therapy involves hanging upside down up to 90 degrees or less, depending on the degree Dr. Karabinos determines is the most effective for each patient's needs. This therapy is monitored closely by Dr. Karabinos throughout the entire process.  When the body's weight is suspended from lower body, the pull of gravity decompresses the joints of the body below the anchor.

Inversion Table Therapy is particularly beneficial for the spine in that it relieves pressure on the discs and nerve roots; this in turn allows discs to recover lost moisture and to return to their original shape, decreasing the pressure they can exert on nerves. Holding the bones of the spine and legs together, the ligaments crossing the joints under traction are subject to pulling forces, assisted by passive muscle tension, the skin, and the fascia. The gradual introduction and increases of the intensity and duration of traction can cause stimulation for the strength of ligaments to increase.

It is not necessary for the body to be positioned completely upside down to gain benefits from inversion table therapy. The Inversion Table offers the flexibility to choose the most comfortable angle for each patient. Note: Even at a 15 degree angle your body will feel a mild muscular stretch and the benefits of increased blood and lymph circulation. Most people do not need to exceed 60 degrees as the spine decompresses at this angle. This physical therapy, of course, is done under strict supervision as each patient's needs and medical history are unique unto themselves.


Ultrasound is the best form of treatment for soft tissue injuries. It is used to treat joint and muscle sprains, bursitis and tendonitis. Ultrasound therapy is used to:

  • Relieve pain and inflammation
  • Speed healing
  • Reduce muscle spasms
  • Increase range of motion

Ultrasound makes high frequency sound waves. The sound waves vibrate tissues deep inside the injured area. This creates heat that draws more blood into the tissues. The tissues then respond to healing nutrients brought in by the blood and the repair process begins.

Ultrasound Therapy is given with a soundhead which emits the ultrasonic beam that is moved gently in strokes or circles over the injured area. The procedure may be performed with the soundhead alone or with a topical anti-inflammatory gel. The Ultrasound Therapy dosage can be varied in intensity or frequency of the ultrasound beam. Simply speaking, lower frequency application provides a greater depth of penetration and so is used in cases where the injured tissue is suspected to be deeply situated. Conversely, higher frequency doses are used for structures that are closer to the surface of the skin. One of the greatest proposed benefits of the Ultrasound Therapy is that it reduces the healing time of certain soft tissue injuries.


Intersegmental Traction is a particularly useful and effective therapy to treat and help prevent painful muscle spasms and muscle guarding specifically in spinal muscles.

Back Muscles:

Our Backs are a marvelous wonder. There are many muscles in your back used singley or in combination to achieve a tremendous range of motion (forward flexion, lateral flexion, rotation and extension). In your core muscles there are small muscles (semispinalis, intertransversaril, interspinus, Rotatores, etc) connecting one vertebrae to the next and there are the muscles of the Erector Spinae (Ilicostalis, Longissimus and Spinalis) which are longer and connect different sections together. When fatigued or affected by accident, injury or repetitive stress, these muscles can spasm and can lead to chronic muscle guarding.

Vertebrae Discs:

In between the vertebrae there are shock absorbing structures called vertebral discs, the outer layer of a vertebral disc (like the dough of a jelly doughnut) is comprised of multiple layers of annulus fibrosus which is a very tough fiber. The inside of the disc contains nucleous pulposus (the jelly) which is really very jelly-like and contains about 90% water.

The vertebral discs cushion the vertebrae from movement and act as a shock absorber during the more strenuous movements like walking or running. When back muscles are tight and spasming they can pull vertebrae out of alignment (because the muscles are attached to the vertebrae and they shorten during a spasm). When vertebrae are out of alignment they may cause the vertebral disc to be displaced or in severe cases rupture, which may lead to mild to severe pain.

Intersegmental Traction:

Intersegmental Traction is a great intervention. Intersegmental Traction is delivered through the use of a traction table. It is a table that you lay down (on your back) and there are rollers just underneath the surface of the table. These rollers are adjusted for your condition and weight to gently and specifically elongate and stretch your spinal joints and muscles. This benefits in reduction and prevention of muscle spasms and begin to reestablish normal range of motion for your spinal joints (each vertebrae). When your muscles become more relaxed and vertebrae begin to move normally your vertebral discs now have their normal position and functioning. This also helps to prevent abnormal wear and tear on the vertebral discs and vertebrae which in turn prevent further injury and reduce the arthritis process.


Interferential Stimulation also known as Interferential Electro-Therapy, is a therapeutic treatment to aid in the relief of pain and to aid in reducing the swelling of soft tissue. Ligaments sprains, muscles strains and spasms respond to this type of treatment, helping to reduce atrophy and increase blood circulation.

Tiny impulses of electrical impulses are induced into the tissues in the vicinity of the pain and/or injury. Where these frequency waves interest below the surface of the skin, low-frequency stimulation is created. This prompts the body to secrete endorphins and other natural pain killers to help relieve pain. Patients find Interferential Electro-Therapy beneficial and describe the treatment as a faint "pins & needles" sensation.

Patient Benefits:

  • Reduces painful symptoms
  • Decreases local swelling
  • Promotes muscle Tone
  • Helps restore normal movement
  • Releases body's natural pain killers
  • Accelerates the healing process

Simply relax as the soothing waves of relief diminish your discomfort.


(215) 708-0657

"The doctor of the future will give no medicine but will interest his patients in the care of the human frame, in diet and the cause and prevention of disease".

-Thomas Edison