This weeks posts exercise and chiropractic, sciatic treatment, and review of adjustable beds

dreamstime_xl_52110136Post 1)

#Exercise and #chiropractic care go hand in hand as part of a comprehensive treatment plan to back or neck recovery.
Post 2)
When someone is suffering from #sciatic #pain, the first treatments should be heat or ice, chiropractic manipulations, massage, medications, and acupuncture, followed by exercises.

Post 3)

Back pain patients also often suffer from troubles with #sleep and look to find the best type of #bed for them. An adjustable bed can be best for people with certain spinal conditions where reclined or forward-bending positions are the most comfortable.

Back Discomfort During Pregnancy (Chiropractic can help)

baby_boy_shoes_on_belly_198403For patients going through back discomfort during pregnancy, #chiropractic care may provide effective relief from #pain with only a couple of simple treatments.

For instance:

  1. Manipulation or adjustment from the pelvis provides relief and restores function for 91% of patients analyzed. See much more about Chiropractic care Manipulation.
  2. To help increase effectiveness of these treatments, your chiropractor or medical professional may recommend: Easy stretching exercise programs.
  3. Finally a pelvic support belt may be recommended to help with the treatment.

Also See Exercise for Back Discomfort Throughout #Pregnancy.

Athletes and Heel Pain

How to evaluate and treat heel and foot pain.

Since I have become a chiropractor One of the things I love is treating complicated situations that are not the typical chiropractic case. I also love treating the spine and it is the bread and butter of the chiropractic industry, but some times you just need a change and challenge to keep life interesting.

One of theses areas is the treatment of heel or foot pain, in many cases this may be diagnosed as Planter fasciitis. A study was performed by Daniels and Morrell on plantar fasciitis and they found it “improved after a course of a multimodal treatment approach using chiropractic manipulation and soft tissue therapy in addition to exercise and stretching therapies.”(Daniels CJ, Morrell AP. Chiropractic management of pediatric plantar fasciitis: a case report.J Chiropr Med, 2012 Mar;11(1):58-63)

Many of my patients come in complaining of foot pain and this may also have an affect on there back and neck pain. In my 10 years of practice I have treated many athletes for back, shoulder, wrist, elbow, hip and Knee pain but as well as these complaints 10-15 percent also have heel and foot pain complaints at one time or another.

II have found that in some cases the foot pain may resolver with a few adjustments but in many cases this requires a multi modality approach. This approach often includes chiropractic adjustments of the foot and ankle joints, facial release techniques such as trigger-point, cold laser, and stretching as well as strengthening exercises. As a last resort special shoe inserts night be needed but not until the foot is aligned more normally. At this point

Anatomy of the Heel

The prominence at the posterior end of the foot is the heel and is crested by a projection from the calcaneus or heel bone. Other articulating bones of the ankle are the mortise (tibia and talus). When weight is applied to the foot the forces are distributed along the five toes or metatarsals. The lateral support stretches over the cuboid bone in the front to the heel and the medial support moves over the three cuneiform bones and the navicular to the heel. These bones form the three functional arches of the foot which are the medial longitudinal, lateral longitudinal, transverse arches. It is these arches that distribute compressive forces across an uneven terrain across the foot. Often when patients have foot pain they go to the drug store and buy arch supports but many of these supports only account for the main arch in the foot and as we know see there are three arches that need to be supported as well as the navicular bone and this is why in my office when arch supports are needed we recommend custom made orthodic supports. They are more expensive but worth the cost they many last up to 5 years if treated properly. Orthodics often help with the biomechanics of the foot. The heel is the actual point of contact during the heel-strike portion of the gait cycle. It is also an important point on which weight must be equally balanced from the forefoot and heel. When walking there needs to be a 50/50 weight distribution at the forefoot and hindfoot. Without this 50/50 distribution the gait and the standing positions are unhealthy.

When the foot is healthy the arches are working well together during gait and the heel strikes the ground in a slightly supinated position and during the gait cycle it moves into a slightly pronated position. Stand up and walk a few paces do you notice how it feels. A healthy gait is present in only only in about 10 percent of patients that I see. More often I see patient who are over pronating. This excessive pronation results in flattening of the arches and collapsing of the foot, this causes the heel to strike the ground in an over supinated position altered the heel-strike pattern and creating stress in the heel, but also altered biomechanical patterns of the foot. In the end this can lead to pain in the foot and heel. Excessive supination occurs much less frequently, most statistics suggest less than 5 percent, so its effects on the heel are not as profound.

Common Conditions

First there is the condition of Achilles tendinitis. This is due to excessive pronation of the feet and affects the tendon of the triceps surae. The collapse of the foot creates tension in the Achilles tendon, causing it to bow inward and this bowing is happening every time the foot over pronates creating microtrauma and stress to the Achilles tendon. If the Patient supinates, the bowing of the Achilles tendons is outward and creates similare strain and stress on the bones and soft tissue. Over time the body calcifies these tendons to support the joints that are unstable and spurs can develop on the posterior, superior portion of the calcaneus bone. Tight muscles and trigger-points may also form in the gastrocnemius and soleus muscles of the foot and lower leg. Achilles tendonitis is often debilitating due to the the pain and this continues to alter gait and mobility patterns to the point that it prohibits walking for any amount of time without pain. According to Papa “A combination of conservative rehabilitation strategies may be used by chiropractors to treat midportion Achilles tendinopathy and allow an individual to return to pain-free activities of daily living (ADLs) in a timely manner.” (Papa JA. Conservative management of Achilles tendinopathy: a case report.J Can Chiropr Assoc, 2012 Sep;56(3):216-24.)

Another common condition of the foot and heel is plantar fasciitis. A healthy plantar fascia ligament exhibits elastic properties but over time,the three arches of the foot tend to collapse. Over time this leads to excessive pronation and stresses the plantar fascia chronically. This causes the ligament to stay overstretched and it loose its elasticity and becomes longer due to the plastic deformation. Supination creates a thinner, tighter foot due to the tendency of the foot to roll outward creating a high instep with collapsed transverse and lateral arches in these patients. In either case, we can note biomechanical instability and irritation to the plantar fascia from its origin at the calcaneal tubercle across to the insertion on the metatarsal heads. In these patients symptoms begin as a dull ache in the underside of the heel that is more of an annoyance. Patients can still perform normal activities and sports, but over time the pain becomes more intense and sharp, these patients have to curtail or eventually stop their activities. In the later phases, pain can move off the heel and into the middle of the fascia, or at the insertion on the metatarsal heads.

We have all known some one with a sprained ankle. Ankle sprains range from the very mild kind to the severe, grades 1 through 3. The milder types are suggested when a patient complains of “turning the ankle.” This is like when someone missteps off a curb or a step. The opposite extreme is when ligaments and tendons are torn due to a traumatic injury. Either way, biomechanics, particularly of the calcaneus and talus, are compromised. The most common type an inversion ankle sprain, the calcaneus bone moves medial while the talus tends to move lateral. There is also an eversion sprain, where the talus bone moves medial while the calcaneus tends to move lateral. Recall that the bony anatomy allows inversion ankle sprains to occur much more frequently. In either case, the movement of the bones inhibits normal mobility. Since most people do not see a chiropractor after a sprained ankle, the bones stay out of alignment, leading to a slow rate of healing, chronic degree of tenderness and decreased function, and a tendency to repeatedly sprain the ankle in the future. Thus, it is imperative that chiropractors intervene and break this cycle. A 2004 study suggested “high velocity, low amplitude chiropractic manipulative therapy to the spine, pelvis, and extremities, particularly at the ankle, should be considered when managing young recreational athletes with functional chronic, recurrent, ankle inversion sprains.” (Gillman SF. The impact of chiropractic manipulative therapy on chronic recurrent lateral ankle sprain syndrome in two young athletes. J Chiropr Med, 2004 Autumn;3(4):153-9.)

Heel Spurs are a painful and common problem of the heel. As previously discussed, a heel spur forms at the posterior, superior calcaneus bone courtesy of Achilles tendinitis. The most common place we see a spur is on the underside of the foot at the calcaneal tubercle where the plantar fascia originates. The worse the chronic pull on the bone, the worse the spur. Spurs form when the body tries to stabilize an unstable joint. According to Wolf’s Law the Body will remove calcium from places where it is not needed and deposit it in areas were force and instability requirer it. We can’t take the spur away, of course, but we can help it from getting worse and if the joint stabilizes the body may even re-absorb some of the calcium reducing the size of the spur. Depending on how quickly you seek treatment for one or more of the above ailments, the faster they heal. If a patient is acute enough and there is sharp pain and inflammation, modalities like cold laser, ultrasound, ice, etc., are indicated. You can also provide light, soft-tissue therapy at this stage, making sure you apply the appropriate amount of pressure.

Chiropractic treatment for foot and ankle injuries!

Adjusting the bones of the feet to restore healthy biomechanics is extremely important. Adjusting the calcaneus, talus, navicular and cuboid bones is particularly helpful. If you don’t get in there and move those bones, they will not heal very well and will be prone to future injuries.

Another helpful tool is stabilizing orthotics. These are flexible, have all three arches and are custom molded and help to support the patient’s feet as well as the rest of their body. A 2002 study suggests the effectiveness of applying orthotics and ankle braces during the acute and subacute phases of ankle rehabilitation. (Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train, 2002 Dec;37(4):413-429.) The use of orthotics, when necessary, has been a part of chiropractic practice as well as my practice. They help to maintain proper biomechanics and structural integrate as well as helping hold the adjustments longer.

Ankle stretches and stabilization exercises also can be provided, and they are helpful as well as easy. A passive exercise (Doctor performs) would be to have the patient cross the affected ankle over the opposite leg and passively dorsiflex, plantarflex, invert and evert the foot. Another exercise is to have the patient stand on the edge of a step or a door frame and stretch the calf muscles, each repetition should be held for 30 seconds. Stabilization exercises should be performed with elastic tubing. The patient performs the following active movements of the foot and ankle dorsiflexion, plantarflexion, eversion and inversion. Elastic tubing is easy and convenient, and you can change the resistance quickly.

It is common for patients to walk into our office complaining of ankle and foot pain. At our office we take a few moments to listen, look and feel so we can help them in a manner that isn’t complicated or time consuming. Since the ankle is such an important stability structure for the entire body, our patients benefit tremendously from our expertise and care of their ankle and their entire body.

By: Dr. Paul R. Mahler

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Backpack Misuse and Overloading

Backpack and chiropractic

Chiropractic: Carrying Backpacks Versus Pulling Them on Trolleys

Bags really are a common site in the present schools. Nearly every child appears to bring a bag of one type or another. And there is sufficient proof to link backpack misuse and overloading will lead to back and neck pain. More students are reporting pain and discomfort associated with their back packs. Recent studies have reported that as much as 64% of children suffer with back pain (Negrini, 1999). These numbers are alarming, but that number doesn’t really matter. What matters is when your son or daughter is one of these. So what are parents to do?

Studies from John Hopkins Children Hospital and numerous other childrenes institutions show that back packs are a primary cause of neck, back, and shoulder pain and are also responsible for poor posture in children. The common student reports a visible analog pain scale amount of 4.3 with some attaining an 8-9, as explained by Northeastern College in June of 2001. The American Academy of Orthopedics found 71% of wellness practitioners feel backpacks are a health-related problem, 58% of these doctors see kids with pain connected to backpacks, and 52% genuinely think this could be a significant problem. In these studies, 55% of pupils carried an overloaded back pack, as explained by Simmons University in February of 2001. The Consumer Product Safety Commission reported 3,300 cases of children between the ages of 5-14 were seen in the emergency rooms in 1997 for back pack related injuries. An Auburn University study verified that 67% of children experienced muscle tenderness, 51% back pain, 24% numbness and 15% neck pain associated with backpacks. 65% of teenagers’ doctor visits are due to backpack accidents and this was reported on National Public Radio in October of 1998.

Reports from John Hopkins Children Center and a number of other childrens’ institutions show that back packs lead to neck, back, and shoulder pain as well as bad posture in children. The typical student reports a visual analog pain scale level of 4.3 with some achieving an 8-9, as described by Northeastern University in June of 2001. The American Academy of Orthopedics found 71% of health practitioners feel backpacks are a medical problem, 58% of these physicians see children with pain linked to backpacks, and 52% genuinely believe that this can be a serious problem. An overloaded backpack is carried by 55% of students, as described by Simmons College in February of 2001. The Consumer Product Safety Commission reported 3,300 of school aged children 5-14 were treated in emergency rooms in 1997 for backpack associated injuries. An Auburn University study confirmed that 67% of children experienced muscle tenderness, 51% back pain, 24% numbness and 15% neck pain. 65% of teenagers’ physician visits are due to backpack accidents as reported by National Public Radio in October of 1998.

Here are a few methods to find a suitable backpack and the proper way to make use of it. The acceptable load in a backpack is related to the child’s weight. Do not overload. One of the main 55% of pupils for injuries due to back packs is over loading. and according to  American Chiropractic Association as well as the American Academy of Orthopedic Surgeons, the following weight limits are recommended.

    • A 60 lbs. child can carry a maximum backpack weight of 5 lbs.
    • 60-75 lbs. can carry 10 lbs.
    • 100 lbs. can carry 15 lbs.
    • 125 lbs. can carry 18 lbs.
    • 150 lbs. can carry 20 lbs.
    • 200 lbs. can carry 25 lbs.
  • Under no circumstances should a backpack weigh over 25 pounds, Carry only what is needed.
  • To transfer the weight to the hips pack heavier items on the bottom.
  • Use all of the compartments. Backpacks with multiple compartments help keep the load stable and keeps it from shifting.
  • Flat items should be kept closer to the back and bulky or pointy items should be packed away from the back..
  •  Always use both shoulder straps. Never carry a back pack on one shoulder.
  • Make sure the shoulder straps are tight and the backpack sits no more no more that 4 inche below the waist line (where the belly button is, not the hips) and just below the shoulders.
  • Use the waist and chest straps.
  • Only carry the backpack when necessary.

Other Options

  • Use handouts instead of textbooks or keep a second set of textbooks at home.
  • If possible use separate backpacks for separate classes or activities and don’t carry all of your after school gear to every class.
  • Use a different style of bag such as a saddle bag design that goes over the head with a bag on both the front and back is a good option.
  • Do not use a shoulder bag because it is all the weight with only half the support.
  • Do not use rolling bags. In a recent study using German primary school children. Researchers wanted to learn if giving the kids rolling luggage, to transport their school books,would reduce spinal pressure. The finding were that just because this works work well for Mom at the airport doesn’t mean that it works well for children. Hauling books across irregular sidewalks, and all the way to school can be a problem. This shows that school children should use bags in the place of trolleys but load the backpacks to the appropriate weight.

It’s well understood that heavy backpacks are taking a heavy toll on our childrens spines. The Department of Orthopedic Surgery, University of California,  recently conducted a weight barring (standing) magnetic resonance imaging study and found “Increasing backpack loads significantly compressed lumbar disc heights measured in the midline sagittal plane” and that: “student subjects reported significant increases in back pain, associated with increasing backpack loads from 4, to 8, and finally to 12 kgs of carried weight”.

In a recent study using German primary school children. Researchers wanted to learn if giving the kids rolling luggage, to transport their school books, would reduce spinal pressure. The finding were that just because this works work well for Mom at the airport doesn’t mean that it works well for children. Hauling books across irregular sidewalks, and all the way to school can be a problem. This shows that school children should use bags in the place of trolleys but load the backpacks to the appropriate weight.

It is important that parents and children follow the safety tips for backpack use. This will help children avoid back injuries early in life and produce a better quality of life in their twenties, thirties, and forties.

Reference: Negrini S, Carabalona R and Sibilla P (1999). Back pain as a daily load for school children. The Lancet 354: 1974.

By: Paul R. Mahler Dc Jr.

Chiropractic 33 Principles: Number Six

The Triune of Organization. Any organized structure is a triunity having three necessary factors, namely intelligence, matter and the force which unites them.

6: The Triune of Organization. Any organized structure is a triunity having three necessary factors, namely intelligence, matter and the force which unites them.

Chiropractic 33 Principles: Number Four

No Organization Without the Effort of Force. Matter can have no organization without the application of force by intelligence.

4: No Organization Without the Effort of Force. Matter can have no organization without the application of force by intelligence.

Chiropractic’s 33 Principals


The 33 principals of chiropractic. Why Chiropractic is safe and why chiropractic can help.

There are 33 guiding principals that are taught at all chiropractic schools. These principals are the basis for the chiropractic paradigm and philosophy. This is the basis for chiropractic treatment and teachings. It is also what leaded to the different way in which chiropractors treat and view disease. Many of the principals apply to more than chiropractic and and hint at an understanding of universal intelligence. Is life random or is there a designee under all of the apparent randomness. These principals do not answers these questions but do hint at the answers to these questions, read on.

One of the most important things as a Chiropractor is to connect with the “Why” of what we do.

This leaves several questions to be answered. Why Chiropractic? Why do you deliver the Chiropractic Adjustment?  What can Chiropractic do for me as a patient? What can Chiropractic do for me as a doctor? For MD and DO’s can chiropractic help me serve my patients better? Do chiropractors only treat neck and back pain? Why can chiropractic help when nothing else has helped?

As a Principled Chiropractor, the answers to these questions can all be easily answered by the 33 Principles set forth in Chiropractic.  This is as much my connection with the Principle of Chiropractic as it’s a guide to help you connect with what Chiropractic really is.  Chiropractic Philosophy cannot exist without the subluxation, otherwise it’s just anybody’s philosophy.


1.  The Major Premise… A Universal Intelligence is in all matter and continually gives to it all it’s properties and actions, thus maintaining it in existence. (I consider this Universal Intelligence to be the power that controls the universe and gives life and without LIFE you cease to exist.  The difference between you and a pile of dust is LIFE, or Universal Intelligence.)

2.  The Chiropractic Meaning of Life… The expression of this Intelligence through matter is the Chiropractic meaning of Life. (I really see this as LIFE.  Chiropractic or not, failure to express Universal Intelligence through self is the opposite of LIFE, it’s DEATH.  From the day we’re born, we are on a journey of Intelligent expression to the point of no expression.  Chiropractic is the key to fully expressing LIFE throughout the journey.)

3.  The Union of Intelligence and Matter… Life is necessarily the UNION of Intelligence and Matter. (In other words, LIFE occurs when your spirit unites with your physical being.  A breakdown of the connection between Universal Intelligence and your body is caused by Subluxation.)

4.  The Triune of Life… Life is a Triunity having 3 necessary united factors, namely: Intelligence, Force, and Matter. (Mind, Body, and Spirit.  Life cannot occur without the the connection between Intelligence, Force, and Matter.  Chiropractic looks beyond the mechanistic view of simply Matter and considers the Triune of Life to be vitally important. Life is more than the sum of its parts)

5.  The Perfection of the Triune… In order to have 100% LIFE, there must be 100% Intelligence, 100% Force, 100% Matter. (100% expression of LIFE can only be accomplished when connection of the Triune of Life is 100%.  An ADJUSTMENT is one way to facilitate the proper connection of the Triune of Life and hence, the expression of LIFE.)

6.  The Principle of Time… There is no process that does not require time.(The breakdown of LIFE takes time.  Reconnecting the LIFE Force takes time.  This goes beyond Chiropractic and the body. The important thing is that you’re willing to put in the time.)

7.  The Amount of Intelligence in Matter… The amount of Intelligence for any given amount of Matter is 100%, and is always proportional to it’s requirements. (This is somewhat of an abstract concept.  There is 100% Intelligence for a heart or lungs that’s functioning at 100%.  If, however, the heart and lungs requires less, the amount of Intelligence will proportionally become lower.)

8.  The Function of Intelligence… The function of Intelligence is to create Force. (Universal Intelligence drives Force.  Without this Intelligence, Force would be powerless.)

9.  The Amount of Force Created by Intelligence… The amount of Force created by Intelligence is always 100%. (The amount of Universal Intelligence that flows into us is always 100% and cannot be any less.)

10.  The Function of Force… The function of Force is to Unite Intelligence and Matter. (I look at Force as the Brain and Nervous System.  It’s the connector of Spirit and Body.  Without it, LIFE would not exist and with it, LIFE is beautiful.)

11.  The Character of Universal Forces… The Forces of Universal Intelligence are manifested by physical laws;  are unswerving and unadapted, and have no solicitude for the structures in which they work.(Universal Intelligence does not discriminate.  The expression of Universal Intelligence has nothing to do with the structure it’s being expressed through.  The liver, heart, tongue, and big toe all have equal opportunity to express Universal Intelligence.)

12.  Interference with Transmission of Universal Forces… There can be Interference with Transmission of Universal Forces. (Subluxation is the Interference of Transmission.  Nothing else can Interfere with the Transmission of Universal Forces.  Chiropractors are the ONLY people on earth who can reduce and eliminate the Interference that connects Universal Intelligence with Matter, or the Power that made the body with the Body.)

13.  The Function of Matter… The Function of Matter is to Express Force.(The purpose of the heart is to beat (function) in order to express LIFE (force).  The purpose of the muscles of the middle finger are to flip the bird to the mechanistic doers (function) in order to express dissatisfaction with the medical mindset (force).  lol)

14.  Universal Life… Force is manifested by motion in Matter;  all Matter has motion, therefore there is Universal Life in all Matter. (Motion is simply the expression of Universal Intelligence, so every Motion is a manifestation of Universal Life.  It would stand to reason that the expression of a bad choice would have to be due to Subluxation and the Interference of fully expressing Universal Intelligence and LIFE.)


15.  No Motion without the Effort of Force… Matter can have no Motion without the application of Force by Intelligence. (Since “everything” has Universal Intelligence, it’s the Force that allows for Expression through Matter.  The difference between being alive and dead, is the Force.  You will always have Universal Intelligence and you will always have Matter, but the difference between being dead and alive is the ability to express Universal Intelligence through Matter by the Force.  “May the Force be with YOU”, because if it’s not, you’re DEAD.)

16.  Intelligence in both Organic and Inorganic Matter… Universal Intelligence gives Force to both Organic and Inorganic Matter. (Everything from YOU, to tree that gives you shade has Universal Intelligence.)

17.  Cause and Effect… Every Effect has a Cause and every Cause has Effects. (Failure to express Life (effect) is caused only by Subluxation (cause).  Chiropractors removes Subluxation in order to restore LIFE.  Subluxation (effect) is caused by Emotional, Chemical, and Physical Stress (cause).  Removal of the Subluxation then must be followed by Adjusting the cause.)

18.  Evidence of Life… The signs of Life are evidence of the Intelligence of Life. (Life the motion of trees are evidence of wind, motion of matter is evidence of Universal Intelligence.  If a tree falls and it not longer blows in the wind, it doesn’t mean the wind no longer exists, it just means it no longer is able to express the effects of the wind.  When the human body dies it doesn’t mean there is no longer Universal Intelligence, it just means it no longer has the ability to express Intelligence through Force.)

19.  Organic Matter… The material of the body of a “living thing” is organized Matter. (I would argue that all Matter, regardless of Organic or Inorganic, is Organized Matter.  The difference is that we as humans, and other living creatures, have a unique ability to express Universal Intelligence through a Universal Force.)

20.  Innate Intelligence… A “living thing” has an inborn Intelligence within it’s body, called Innate Intelligence. (Internal expression of universal intelligence and maintains LIFE.)

21.  The Mission of Innate Intelligence… The Mission of Innate Intelligence is to maintain the material of the body of a “living thing” in active organization. (When innate Intelligence is reduced due to Subluxation, disorganization begins and a breakdown of matter occurs.  In other words, the body becomes diseased and malfunctions, and if left uncorrected, death will occur.)

22.  The Amount of Innate Intelligence… There is 100% of Innate Intelligence in every “living thing”, the requisite amount, proportional to it’s organization. (As the individual becomes less and less organized due to Subluxation, proportionately innate Intelligence is expressed at less than 100% until the system fails and death occurs.)

23.  The Function of Innate Intelligence… The function of Innate Intelligence is to adapt Universal Forces and Matter for use in the body, so that all parts of the body will have coordinated action for mutual benefit.(When innate intelligence is allowed to be expressed at 100%, the body functions in harmony and the individual is able to live without disease.  When Subluxations reduce the expression of innate intelligence, the body begins to function out of harmony and without “ease”.)

24.  The Limits of Adaptation… Innate Intelligence adapts Forces and Matter for the body as long as it can do so without breaking a Universal Law, or Innate Intelligence is limited by the limitations of Matter. (The body has an amazing ability to adapt to it’s environment.  Innate Intelligence allows the body to adapt according to the environment.  When limitations of Matter occur, which are considered Subluxations, innate intelligence’s ability to accommodate is reduced and disease builds.)

25.  The Character of Innate Forces… The forces of Innate Intelligence never injure or destroy the structures in which they work. (The only thing that can destroy Matter is the lack of Innate Intelligence.  Disease occurs when  Innate Intelligence is interfered with.  The job of the Chiropractor is to remove the interference and allow innate intelligence to flow from Above-Down-Inside-Out.)

26.  Comparison of Universal and Innate Forces… In order to carry on the Universal cycle of LIFE, Universal Forces are destructive, and Innate Forces constructive, as regards structural Matter. (innate intelligence is designed to create and construct order in the body.  Anything other than 100% innate intelligence leads to destructive behavior and results.)

27.  The Normality of Innate Intelligence… Innate Intelligence is always normal and it’s function is always normal. (If Matter suffers from dysfunction, it’s because of a lack of innate intelligence rather than caused by innate intelligence.  The Chiropractor removes the interference allowing the body to innately restore normal function.)

28.  The Conductors of Innate Forces… The Forces of Innate Intelligence operates through or over the nervous system in animal bodies. (innate intelligence acts through the brain, spinal cord, and nerve roots and supply every cell of the body with LIFE.  Subluxation causes interference of the flow of LIFE through the nervous system and consequently a loss of innate intelligence Intelligence to the end tissue.)

29.  Interference with Transmission of Innate Forces… There can be interference with the Transmission of Innate Forces. (It’s a good thing, because that’s what Chiropractic is all about.  The Subluxation.  Chiropractors have the only tool that can free the body from interference and allow innate intelligence to flow from ADIO.  It’s called an ADJUSTMENT.)

30.  The Cause of Dis-Ease… Interference with the transmission of Innate Forces causes In-coordination and Dis-Ease. (Interference = Subluxation)


31.  Subluxations… Interference with transmission in the body is always directly or indirectly due to Subluxations in the Spinal Column.(Subluxations directly impede the transmission of innate intelligence through the nervous system.  “Indirectly due to Subluxations” leads me to believe there are other factors that interfere with the transmission such as severe trauma or abnormal development.)

32.  The Principle of Coordination… Coordination is the Principle of Harmonious Action of all the parts of an organism, in fulfilling their offices and purposes. (When “Coordination” occurs, all functions are working Harmoniously together.  Allowing the purpose of Matter to fully express itself.)

33.  The Law of Demand and Supply… The Law of Demand and Supply is existent in the body in it’s ideal state;  wherein the “clearing house” is the brain, Innate the virtuous “banker”, brain cells “clerks”, and nerve cells “messengers”. (The job of the nervous system is to supply the Matter of the body with innate intelligence.  The body works on a Demand and Supply basis.)

By: Paul R. Mahler JR DC

Mahler Family Chiropractic Center

Is chiropractic safe? Look at the Science.

Chiropractic is safe for all ages

Is Chiropractic Safe

Is chiropractic safe?

This is a question that I am often asked as a chiropractor. The cervical adjustment or neck adjustment as it is commonly know is often the most common aspect of the chiropractic adjustments that is brought in to question. More specifically the cervical adjustment is often accused of causing VBS or stroke. This is a rare cause for stroke, arterial dissection occurs when one of the neck arteries supplying blood to the brain is torn. A stroke can occur when a clot, formed on the torn membrane, is dislodged and subsequently travels to the brain, blocking circulation. There have been many campaigns to scare the public away from chiropractic care based on VBS but this is not a claim founded in scientific research it is mainly biased on the opinion of a small number of health care providers. The association occurs because patients tend to seek care when they’re having neck pain or headaches, often conditions treated by chiropractors. Sometimes they go to a chiropractor, sometimes they go to a physician. But But according to a Canadian study there is no increased likelihood of them having this type of stroke after seeing a chiropractor, according to a story published in the Saturday’s Globe and Mail, Toronto, {Published Saturday, Jan. 19, 2008 12:53AM EST; Last updated Monday, Mar. 30, 2009 2:47PM EDT:} “The findings, published today in the journal Spine, help shed light on earlier studies that had cast a cloud on the chiropractic profession and suggested that their actions resulted in some patients suffering a stroke after treatment.” This Canadian study concluded ” there is no increased risk related to chiropractic treatment in the heated debate about whether neck adjustments can trigger a rare type of stroke.” The difference in this study was that the researchers checked the prevalence of visits to chiropractors and to medical doctors as it related to VBS. {see the abstract}

 This is just one such study and one of the most recent.

This study is important because it refutes the conclusion that chiropractic is the cause for these strokes. But for decades it was assumed although not prove that chiropractic was the cause and there were many studies done on the rate of these incidents. Here are a handful of these studies including those with the highest averaged incidents.

The following information is taken from Vertebrobasilar Stroke, by Allan G.J. Terrett


1972 – Maigne suggested: “There is probably less than one death of this nature out of several tens of millions of manipulations.”

1978 – Cyriax stated: “…this risk works out to about one in ten million manipulations, and is no argument against manipulative reduction in suitable cases.”

1981 – Hosek et al suggested: “…we may form a conservative likelihood estimator by looking at the ration of vertebrobasilar injuries to adjustments performed. This ration would be 100 injuries per 100 million adjustments…one in about one million.”

1983 – Gutman concluded: “There are 2-3 serious incidents involving the vertebrobasilar system occurring in 1 million manipulations to the upper cervical spine.”

1993 – Carey found: “In a study of a five year period (1986-1990), using statistics from Provincial Governments of Canada, the Canadian Protective Association, and reported legal/insurance claims, concluded an incidence rate of one in every 3,846,153 neck manipulations. None involved death, one had complete recovery, six had some neurologic deficit, four completely resolved, and two had psychological problems, but no physical deficit. If the Province of Quebec were isolated, with 14 million manipulations performed and only one CVA in a five year period, there would be an incidence of one in 14 million.”

1995 – Dabbs and Lauretti following their research wrote “…in a three year period 1991 to 1993, NCMIC closed a total of 96 claims for cerebrovascular accident. Of this total, 61 were closed with payment and 35 were closed without payment. If one concludes that there was little or no merit to the 35 claims that were closed without payment, this would average 20 cerebrovascular accident claims per year. This figure was recently accepted by a popular consumer magazine as a correction to a previously published article (Corrections. Consumer Reports March 1995, page 132). Because NCMIC insures about one-half of the US chiropractic profession, their members should be similar to the national average…Curtis and Bovee report that rotary adjustments of the cervical spine make up about 30% of the visits made to chiropractors. Therefore, chiropractors insured by NCMIC each performed some 1,800 cervical manipulations in each of the three years reported above. Considering these numbers, we calculate that NCMIC’s 24,000 D.C.’s perform some 43 million cervical manipulations per year. Twenty post SMT strokes indicate a rate of less than one stroke per 2 million cervical manipulations.”

As you can see at the worst rate off incidence is 1 in every one million adjustment and can be as high as 1 in 10,000,000 adjustments or less. In the article Death by Medicine By Gary Null, PhD; Carolyn Dean MD, ND; Martin Feldman, MD; Debora Rasio, MD; and Dorothy Smith, PhD, {} “The most stunning statistic, however, is that the total number of deaths caused by conventional medicine is an astounding 783,936 per year. It is now evident that the American medical system is the leading cause of death and injury in the US. (By contrast, the number of deaths attributable to heart disease in 2001 was 699,697, while the number of deaths attributable to cancer was 553,251.5)”. Compare these number to the 20 stokes a year associated to chiropractors in the NCMIC study and also take in to account the Canadian study that indicates that this is probably due to the patient having the condition before seeing a chiropractor and you can start to form a complete picture of the situation.

Chiropractic is safe! and has been for over 100 years.

It is the misconceptions of a few that leads to the perception that chiropractic is not safe. The VBS are the only death that have ever been attributed to chiropractic care but as demonstrated by the scientific research and literature the mortality rates are extremely low and that is only if chiropractic causes the strokes there are now studies indicating that it is just a coincidence caused by the fact that people seeking care for neck pain or headaches from chiropractors may already have these aneurysms. If you think you need a chiropractor feel safe to contact them. Chiropractic is safe and since many chiropractors screen for vertebral basilar insufficiency one of which is the VBS you might just find the chiropractor saving your life. Chiropractic care is safe.

By: Paul R. Mahler DC
Mahler Family Chiropractic Center
Kingston PA
May be reproduced in whole only with all links and credit

How to avoid low back injuries when golfing.

© Karlien Du plessis | Dreamstime Stock Photos

The golf swing places a large amount of stress on the low-back, and over time the lower back becomes fatigued. This will results in a decrease in performance and possible injury.

So how do you prevent such an injury from occurring? Golfers can takes steps to prevent low back injuries. One of these steps is the implementation of a fitness program targeted at improving your golf game. Included in this routine will be exercises targeted at improving lower back flexibility such as the one above and strengthening the lower back to avoid injury and pain. This part of the program contains a series of golf-specific flexibility exercises geared to maintaining the range of motion within the lower back. One exercise to increase flexibility in the lower back is descried here. It is a simple exercise for the low back to improve flexibility and rotation during the back-swing, and it also helps keep the musculature of the lower back flexible.

Here’s how to perform the exercise. First begin the exercise by lying on your side with the left hip in contact with the floor, then bend both knees approximately 90 degrees, resting the right knee on top of the left. The second step is to extend both arms straight out from the shoulders, resting the left arm on the floor, and hands clasped together and slowly raising your right arm off the left. Finlay continue to raise and rotate the right arm until it is resting on the floor opposite your left arm and hold this position for 20-30 seconds, and repeat the exercise sequence by switching sides. This should be performed 2-4 times on each side. Remember, to go slow with a new exercise and, check with your physician before starting any new physical training program.

Keep in mind not all lower back injuries can be prevented, but with the implementation of a lower back flexibility and strengthening program, the possibility of one occurring to you can be greatly reduced.

Most acute low back injuries that occur during a game of golf will get better over a couple of days. The most common injuries from golf include, muscle strains which typically occurs with rough or forceful golf swings or a sudden shift during the downswing, muscle and tendon sprains which generally occurs due to excessive use, accidents or swing abnormalities while playing golf, and disc injuries which can occur from swinging abnormalities. It is important to not that disc injuries may be present but symptoms may not occur without the incorrect golf swing (see preventing golf injuries).

For relief of the miner low back pain and to promote healing from golf-related injuries and low back pain, it is generally advisable to rest for a day or two, and apply ice. It is advisable not to further stress inflamed muscles by continuing to play golf through an episode of low back pain. If you take time off the injury will often heal quicker allowing you to get back to golf sooner. It is important to continuing stretching and exercise programs between golf sessions. A low-impact aerobic exercise program, such as walking for 30 to 40 minutes every other day can be helpful and after the low back pain has stopped, slowly return to playing golf and apply the prevention tips to help avoid injuries.

It is well known one of the most common injuries in golf is the lower back. Research indicates more than half of all golfers will incur a lower back injury at some time during their playing careers. Professional golfers spend great deal of time and energy preventing low back injuries. So prevention in this case is the best medicine. If you do injure your low back and the pain continues for more than a few day to a week, a specific problem may be the cause of the back pain and a chiropractic professional should be consulted. Chiropractic are uniquely train in neuromuscular injuries and can often help get you back on the links sooner, you might even shave a stroke or two off your game.

Contact a chiropractor
By: Paul R. Mahler DC
may be reproduced in whole only

Herniated Disc: About back pain and how to treat it.

herniated discLow back pain with pain radiating into the legs is one of the most common injuries in the United States. Many of the patients with these symptoms along with lower extremity weakness may have a herniated disc. Herniated discs are also called protruding, bulging, ruptured, prolapsed, slipped, or degenerated discs. A disc herniation occurs when the cushion that sits between the spinal bones, or vertebrae  moves from its normal position and enters the spinal canal. This is a problem because this is where the spinal cord and nerve roots are located.

What is the spinal disc?

The soft structure that sits between the each vertebrae is referred to as the spinal disc. The disc is composed of a soft center similar to the center of jelly donuts and referred to as the nucleus pulposus. The nucleus is surrounded by several layers of connective tissue that is composed of material similar to ligaments and tendons called the outer annuls and looks like concentric rings, like the annular growth rings of a tree. This spinal disc becomes more rigid with age. In a young individual, the disc is soft and elastic, but like so many other structures in the body, the disc gradually looses its elasticity and is more vulnerable to injury. As early as 30 a disc may show signs of deterioration and on MRI about 30% of people demonstrate deterioration.

What happens with a ‘herniated disc’?

As we age and the spine becomes less flexible and when this happens the disc may rupture. When a disc ruptures a portion of the nucleus pushes outside of its normal borders and may be completely extruded, outside the disc, this is called a herniation. When this herniation enters the spinal canal pressure can be put on the spinal cord and nerve roots, often referred to as a pinched nerve. There is normal some extra space around the spinal cord but if there is not enough to accommodate the herniation then the nerves are compressed.

What causes herniated disc symptoms?

Once the herniation occurs and a nerve is pinched that is when symptoms arise. A herniated disc may occur suddenly in an event such as a fall or an accident, or may occur gradually with repetitive straining of the spine. Often times when a disc is herniated the person may already have spinal stenosis or a narrowing of the spinal canal. This leads to less space for the herniation and increased pain due to further irritation of the nerve.

What are the symptoms of a herniated disc?

When the spinal cord becomes compressed it does not function properly and may lead to a range of symptoms. Abnormal signals may get passed from the compressed nerves, or signals may not get passed at all. There are several common symptoms of a herniated discs. The pressure on the nerve will cause abnormal sensations, commonly experienced as electric shock pains. When the compression occurs in the cervical (neck) region, the shocks go down your arms, when the compression is in the lumbar (low back) region, the shocks go down your legs. Tingling, numbness or pins and needles are often abnormal sensations associated with disc injuries. These symptoms may be experienced in the same region as painful electric shock sensations, but may not be in the area of the actual injury. Because of the nerve irritation, signals from the brain will be interrupted causing muscle weakness. Nerve irritation can therefore be tested by examining reflexes, testing muscle strength, and assessing sensory input. Of all of the symptoms associated with disc problems the most serious is bowel or bladder problems. These symptoms are important because they are signs of cauda equina syndrome, a possible condition resulting from a herniated disc. This is a medical emergency, and your should see your doctor immediately if you have problems urinating, having bowel movements, or if you have numbness around your genitals. These symptoms are all due to compression of the spinal nerves but that may not be the full extent of the damage, as seen in the cauda equina syndrom organs can also be effected leading to issues with breathing, digestion, or even heart problems..

How is the diagnosis of a herniated disc made?

Most often, your physician can make the diagnosis of a herniated disc by physical examination performed by a chiropractor. By testing sensation, muscle strength, and reflexes, your chiropractor can often establish the diagnosis of a herniated disc.

Often this diagnosis will be confirmed using MRI and other advanced imaging. The MRIs is only useful in conjunction with the physical examination and should not be performed by itself. It is normal for a MRI of the lumbar spine to have abnormalities, especially as people age. Patients in their 20s may begin to have signs of disc wear, and this type of wear would be expected on MRIs of patients in their 40s and 50s. This is the reason that your physician may not be concerned with some MRI findings noted by the radiologist.

The diagnosis and treatment of disc issues are dependent on the physical findings and symptoms. Your chiropractor will also take into account the patients experience and asses the imaging studies. Only once this information is put together can a reasonable treatment plan be considered.

Chiropractic Treatment

Chiropractic care is an excellent treatment choice for the management of herniated disc problems. Chiropractic is safe, non-invasive and non-toxic and it also works! Chiropractic care is a modern treatment approach for herniated discs. Typically chiropractic care involves spinal adjustments, physiotherapies, muscle therapies, such as massage and trigger point work, nutritional support and active care rehabilitation.

What is Lumbar Flexion Distraction technique?

Lumbar flexion distraction technique is, a chiropractic treatment, used in our clinic. It is often referred to as Cox flexion distraction. Cox Technic is non-surgical, doctor-controlled, hands-on spinal manipulation used to help treat  herniated disc symptoms. It is performed with the patient lying on The Cox Table a specially designed chiropractic instrument. This table permits an effective decompression adjustment and manipulation. This is a widely used approach to treating symptomatic disc injuries involving back pain and accompanying leg pain. During the treatment the spine is gently distracted or stretches which allows the chiropractor to isolate the area of disc involvement while slightly flexing the spine in a pumping rhythm. There should be no pain involved in the treatment.

The tractioning or distraction of the disc combined with isolation and gentle pumping of the involved area allows the central area of the disc, the nucleus pulposus, to assume its central position in the disc. Flexion distraction is also thought to improve disc height. Well-researched and documented, flexion distraction and decompression help relieve spinal pain and return patients to their desired quality of life by dropping intradiscal pressure, widening the spinal canal foraminal area, reducing pressure on the spinal nerves, and returning motion to the spinal joints. Cox Technique is appropriate for conditions causing low back and leg pain as well as neck and arm pain. It also reduces pain attributable to disc herniation, a slipped disc, a ruptured disc, facet syndrome, stenosis, spondylolisthesis, and other conditions.


The surgical approach to treating a herniated disc is removal of the disc (discectomy), surgically fusing two vertebrae together with hardware, or cutting away part of the vertebrae (laminectomy) in order to decompress the spine. Spinal surgery has a very poor track record, a 50% failure rate. It is also the most invasive treatment option. Because of this, surgery should only be considered as a last resort not a first choice. You should try everything else available to you before allowing anyone to operate on your spine. Most surgeon would never even consider operating on you until you have first tried all the conservative treatment choices. This would include chiropractic care, physical therapy, massage therapy, medications, acupuncture, etc. Is surgery ever the right choice? Yes, absolutely, there are certain times when the problem is so severe that it is no longer treatable via conservative methods. That being said, you should still always start with the least invasive approaches first and progress from there.

If you have been suffering with a herniated disc call me to schedule a free, no-obligation consultation.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat herniated discs and back injuries and pain  including sciatica, disc, herniation,  slipped disc, stenosis, and much more.

Fibromyalgia what is it and how to treat it?

chiropractors can help with fibromyalgia

syndrome affects 3-6 million people in the United States and is chronic disorder which includes widespread muscle pain, fatigue, and multiple tender points. Fibromyalgia is associated with long-term pain and tenderness in the joints, muscles, tendons, and other soft tissue, often spread throughout the entire body, and can be associated with chronic fatigue syndrome. Fibromyalgia has also been associated with chronic fatigue, sleep problems, headaches, depression, and anxiety. The word fibro-my-algia is derived from the Latin term for fibrous tissue (fibro) and the Greek words for muscle (myo) and pain (algia).

For reasons that are unclear, more than 90% of those who develop fibromyalgia are women, often between the ages of 20 to 50. It is not currently known whether the predominance of women who suffer from fibromyalgia is a phenomenon of the socialization of women in the American culture or whether it is some combination of the female reproductive hormones and other genetic predispositions. Although the cause if often unknown fibromyalgia is often triggered by trauma (physical or emotional), abnormal pain responses associated with areas in the brain, sleep disturbances, and infections.

There are several conditions that can be associated with or mimic fibromyalgia making diagnosis at best tricky. Some of the conditions that must be ruled out are chronic neck add back pain, chronic fatigue syndrome, depression, hypothyroidism, Lyme disease, and sleep disorders.

There are several symptoms to watch for. The first is painful areas referred to as tender points or trigger points, these are found in the soft tissue, and are located in the back of the neck, shoulders, chest, lower back, hips, shins, elbows, and knees. The pain then spreads out from these areas, and may be described as deep, achy, shooting, or burning pain. This pain does not come from the joints but may radiate into them. These trigger points often get worse thought the day and are affected bu cold damp weather, anxiety, stress, and infection. The trigger points can often lead to fatigue, depression, and sleep disorders (trouble falling asleep or trouble staying awake). Other symptoms associated with fibromyalgia are irritable bowel syndrome (IBS), memory loss, concentration problems, numbness or tingling in the hands and feet, heart palpitations, inability to exercise, and headaches.

“Fibromyalgia is defined as “a history of pain in all four quadrants of the body lasting more than 3 months” according to the American College of Rheumatology (ACR). Pain in all four quadrants means that you have pain in both your right and left sides, as well as above and below the waist. The ACR also described 18 characteristic tender points and you must experience symptoms in at lest 11 of these, there are nine on the right and nine on the left and they are arms (elbows), buttocks, chest, knees, lower back, neck, rib cage, shoulders, and thighs. Blood and urine tests are usually normal. However, tests may be done to rule out other conditions that may have similar symptoms.

Fibromyalgia is often confused with other conditions such as myofascial pain syndrome or myofascitis. Both fibromyalgia and myofascitis can cause pain in all four quadrants of the body and tend to have similar tender point locations, but that is where the similarities stop. Myofascitis is an inflammatory condition due to overuse or injury to your muscles, whereas fibromyalgia is caused by a stress-induced change in metabolism and healing. Myofascitis comes on suddenly and is associated with a particular activity or injury. Fibromyalgia is slow and usually beginning in early adulthood. It is very important to diagnose each of these correctly, for they require very different approaches to treatment. Unfortunately, fibromyalgia is a chronic condition, meaning it lasts a long time, possibly a lifetime. However. it won’t cause damage to your joints, muscles, or internal organs.

Fibromyalgia can be difficult to treat. Not all doctors are familiar with fibromyalgia and its treatment, so it is important to find a doctor who is. Fibromyalgia treatment often requires a team approach, utilizing chiropractic care, trigger point therapy, massage, dietary changes, as well as exercises and stretching.

Treating Fibromyalgia With Chiropractic

Chiropractic care is essential for those who suffer from fibromyalgia because fibromyalgia causes the muscles to tighten up and lose some of their natural pliability resulting in a global loss of movement in the spine. The loss of movement in the spine results in a neurological reflex that causes the muscles to tighten further and over time will lead to increased pain, increased muscle tightness, loss of movement, difficulty sleeping and the development of more and more trigger points.

The best option is to adjust the spine and keep it moving. Chiropractic adjustments are modified to be gentle so as not to create more issues. This helps to decrease the stress on all of the small supporting muscles of the spine, which can be easily injured. It is important when seeking chiropractic care, to make sure that the doctor is familiar with the muscular changes that occur with fibromyalgia so that they can adjust their treatment accordingly.

Treating Fibromyalgia with Cold Laser Therapy

Since poor healing of muscle tissue and chronic pain are characteristic traits of fibromyalgia, laser therapy is an important part of any treatment plan. Two of the major benefits of cold laser therapy is stimulation of tissue healing and decreased sensations of pain.

A 1997 study of 846 people with fibromyalgia reported in the Journal of Clinical Laser Medicine and Surgery demonstrated that two-thirds of the patients experienced improved pain and mobility with cold laser therapy. Another study published in Rheumatology International in 2002, showed that those who received laser therapy had a significant improvement in pain, fatigue and morning stiffness.

We have successfully helped fibromyalgia sufferers and we can help you too! Our approach involves a combination of chiropractic, laser, rehab and nutrition. The goal is to reduce inflammation and irritation making you feel better! We’d love to hear from you and we are looking forward to helping you live a pain-free life for years to come!

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat fibromyalgia and chronic fatigue  syndrome. Cold laser is effective in conjunction with chiropractic care.

Pain relief and how to treat neck pain

© Russiangal |

Neck pain affects millions of Americans and if you have ever woken up with a kink in your neck, suffered a whiplash injury, experienced chronic neck stiffness, felt popping and crackling whenever you move your neck around or suffer with chronic nagging pain in your neck that travels up into the back of your head, you know what I’m talking about. this can be intensely irritating and cause a disruption in your daily life. Neck pain can affect your ability to concentrate, sleep, play sports, read, do household chores or even watch TV.

What causes neck pain? Neck pain may be caused by any number of causes including car accidents, falls, emotional stress and chemical toxins. Neck pain occurs when the bones in your spine become misaligned causing severe irritation the muscles, ligaments, tendons, and to the nervous system causing pain. Spinal misalignment also stretches and severely irritates the spinal cord & sets the stage for premature wear and tear of the spinal cord and nerve roots. That pain in the neck may even be a pinched nerve.

One of the main causes of neck pain is trauma. A car accident, slip and fall, the birth process, a sports injury or some other type of trauma can cause damage to the bones, joints, discs, ligaments, muscles and other connective tissues of the neck. If you have experienced any kind of trauma past or present you should have it checked out. Neck injuries can lie under the surface for years before you notice major symptoms such as pain or numbness and by then it may be too late for a complete recovery. Chiropractors are uniquely qualified to evaluate, diagnose and treat neck problems due to trauma. A chiropractor can even tell you if that pain in the shoulder is referred from the neck.

Medical Approach

A common approach to treating neck pain involves going to a pharmacy for an over the counter (OCT) medication such as Tylenol, Motrin or Aleve. These medications sometimes work to offer temporary relief. However the problem usually comes back. At this point, many people will call their family doctor for help. The family doctor’s typical course of action will be to prescribe more powerful medications (such as a narcotic for the pain and muscle relaxants). Medications don’t really do much other than to mask symptoms. They don’t actually cure you or go after the root cause of your problems.

 Chiropractic Approach: How to treat neck pain

At Mahler Family Chiropractic Center, we offer a unique approach to treating neck problems. Our methods are extremely effective at getting you out of pain, restoring range of motion, improving posture, and correcting misalignment. We have treated people who had been to numerous medical doctors, various therapists and even other chiropractors and weren’t getting any results until they came to us. Our methods are different and they work. Please call our office to schedule an appointment for a free, no-obligation consultation.

Laser Therapy for Neck Pain:

Recently the medical journal Lancet performed a review of studies and concluded from the results that low-level laser therapy is immediately effective for acute neck pain. Lasers therapy is effective within the first treatment and lasts up to 22 weeks following a complete treatment protocol for chronic neck pain. The study reviewed 16 previous studies and found laser therapy to be effective overall, with results comparing “favorably with other widely used therapies, and especially with pain killers and other medications, for which evidence is sparse and side-effects are common.” That’s good news considering that neck pain is one of the most common and disabling conditions, accounting for substantial lost workdays, diminished productivity, and use of over-the-counter medications. If you suffer from chronic neck pain call us now and we may be able to help.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat neck pain and injuries disc, herniation, slipped disc, and more.

Low Level Laser Therapy: The Healing Power

Pain Relief and Cold LaserLasers are all around us today. They can be found in supermarket scanners and compact disc players. They can measure the distance from the Earth to the moon within a millimeter and repair your vision with just one treatment. They can cut steel, produce three-dimensional images and transmit telephone messages around the world. Lasers were first theorized by Albert Einstein in 1917 and invented in 1960. Lasers are the solutions to many of todays hight tech problems. More people are also learning that lasers may be the solution to there health problems. Lasers are being used by health care providers nationwide and increasing in popularity and use. More and more people are probably wondering about lasers and have questions.

Laser therapy is the application of low levels of laser light in and around the 830 nm wave length, such as the Micro Light Laser we use in our office. LLLT is a type of light treatment. This low level light is applied to areas of the body that have been injured. These differ from the high powered lasers many people are used to hearing about. High-powered lasers used in health care cut tissue, such as surgical or hair-removal lasers. Low level or therapy lasers produce beneficial photochemical and photo-biological interactions that can help relieve pain, reduce inflammation, reduce edema and repair injured tissue.

The use of light as a healing modality dates back 4,000 years, and was used by the ancient Egyptians. Albert Einstein theorized about lasers in the early 1900ś, and the laser was invented in 1960. Laser light is monochromatic, one color, coherent, all waves travel in phase, and can be collimated, reduced to one small spot. It is these unique properties that allow the laser at 830nm to penetrate up to 5cm bellow th surface of the skin, helping to repair muscle and tissue damage. This damage could not be directly treated before.

Therapy lasers have been used in Europe since 1967 and the U.S. Food and Drug Administration (FDA) gave market clearance to the first therapy laser in 2002. Since then, progressive chiropractors, osteopaths, medical doctors and other have been offering laser therapy to their patients in increasing numbers. We acquired our first laser in 2005 and it has been part of our regular treatment protocol since.

The photons of laser light penetrate up to 5cm below your skin where they are absorbed by special components in your body’s cells called chromophores. The absorption of the photons by your cells causes increased production of cellular energy, similar to photosynthesis in plant. This increases the energy available to the cell and improves the rate and quality of healing. This is refered to as biostimulation. This allowes cells to function at a higher energy level improving not only healing but all cellular functions. Studies on tissue cultures reveal a wide range of beneficial physiological effects, including increased levels of endorphins, prostaglandins and other beneficial components. Reduced levels of harmful compounds including C-reactive protein and interleukin-1 affect pain modulation through a variety of mechanisms and increased rate and quality of tissue healing.

What does this means for you is relief from acute and chronic pain, reduced inflammation and muscle spasms, improved range of motion and restored function. It also leads to reduced healing time and even relief from chronic conditions such as fibromyalgia. Patients suffering from headaches, neck pain, carpal tunnel syndrome, low back pain, sports injuries, post-surgical pain and more have been helped with laser therapy.

Some patients will notice improvement after the very first treatment while others will take a few treatments. The effect of laser therapy is cumulative, meaning that each successive treatment builds on previous ones. The main benefit to patients, as reported by chiropractors across the country, is that care plans that include laser therapy produce faster and better quality results.

With very low-powered therapy lasers, you feel nothing at all. You may notice a tingling sensation in the treatment area as blood vessels dilate, or that muscle spasms are reducing in strength and duration. Laser therapy is a painless healing treatment.

There are two ways that laser light can damage tissue; if it is very concentrated (high power density) or if the photons are very high energy. Therapy lasers use power densities that are far below the levels that cause tissue damage. Ultraviolet light has very high-energy photons capable of ionizing molecules, but therapy lasers use visible and near-infrared light, which only cause molecular vibrations. You could argue that therapy laser light is safer than sunlight.

Some patients may experience soreness in the area of treatment, as toxins are released and blood flow is restored. World experts on laser therapy have commented that therapeutic lasers have no undesirable side effects in the hands of a reasonably qualified therapist. Laser therapy is safe, painless and inexpensive compared to alternatives.

If you are ready to find out more contact a chiropractor. We are glad to answer all of your questions at Mahler Family Chiropractic Center so call us today.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat carpal tunnel syndrome and pain wrist pain, hand pain, arm pain, elbow pain and neck pain. Cold laser is effective in conjunction with chiropractic care.

What is a carpal tunnel and how to treat carpal tunnel syndrome?

What causes Carpal Tunnel Syndrome (CTS) and who gets it?

Carpal Tunnel Syndrome and chiropracticCarpal Tunnel Syndrome (CTS), the most common repetitive-stress injury affects millions of people a year. It is a manifestation of nerve and tissue damage caused by fast, forceful and seemingly harmless repetitive wrist and hand motions. Carpal Tunnel Syndrome is one of the most widespread occupational health problems we face today. With our growing reliance on computers there seems to be no end in sight. Pressure on the median nerve is responsible of carpal tunnel syndrome and the pain associated with it. The median nerve is responsible for neural impulses to the thumb, index finger, middle finger and 1/2 of the ring finger as well as part of the palm.

Pressure on the median nerve can be caused by an injury or sustained use from common activities like typing, chopping, hammering, or pushing. njury often occurs in production and manufacturing workplaces. Common repetitive activities that cause CTS include cutting meat, dressing poultry, assembling auto-mobiles, and secrateral or office work. CTS frequently causes temporary or permanent disability, imposing substantial costs on employers. Carpal Tunnel Syndrome costs GM an estimated $250 million per year, including worker compensation payments.

Carpal Tunnel Syndrome Symptoms

Carpal Tunnel Syndrome has a wide range of symptoms including burning pain, numbness, and tingling in the wrist, hands, and fingers as well as weakness, or loss of grip strength. Loss of sleep, due to discomfort, are often a result of Carpal Tunnel Syndrome. At the onset of CTS you may feel a shooting pain in the shoulders, and tenderness, swelling, tingling and burning in the fingers and hands. As CTS progresses, these symtoms become so acute and that an afflicted person no longer can perform the simplest of tasks, such as grasping objects.

The longer the swelling compresses or pinches the median nerve, the greater the chance that some of the nerve cells will die. When enough nerve cells die, hand muscles deteriorate and lose their ability to grip. CTS sufferers may become permanently disabled if they ignore the symptoms. Atrophy (shrinking and weakness) to some of the muscles in the hand is a long-term result of untreated Carpal Tunnel Syndrome.

Double Crush

Double Crush and Carpal Tunnel Syndrome (CTS)The median nerve travels trough the neck, also referred to as the cervical region of the spine, and then travels down to the armpit, or axial region. At this point the brachial plexus is – a complex web of nerves. At this point the media nerve travels down the arm, past the elbow, into the forearm and then into the wrist, hand and fingers. The median nerve can be injured anywhere along this path. The classic carpal tunnel syndrome is when this nerve is injured in the wrist but this is often not the case it can often be injured in any place along the nerve. If this happens in more than one place you have a double crush syndrome.

When a peripheral nerve such as the median nerve gets compressed or crushed in two or more areas, that is called a “double crush syndrome” or a “double crush injury”. This condition was first described in a British medical journal called the Lancet (in 1973). There are four areas in which it is common for the nerve to get entrapped. The first three areas are not in the wrist at all. The first and second most common area of entrapment in carpal tunnel syndrome is the neck, especially after a whiplash or whiplash like injury. The second most common area is in the shoulder and this often happens for three reasons tendonitis, bursitis, or anterior shoulder fixation. The third are outside of the wrist is the forearm, the pronator teres muscle can put pressure on the median nerve as it runs through the muscle belly.

finally the median nerve may get entrapped in the carpal tunnel itself which is a tunnel in the wrist. The carpal tunnel in the wrist contains nine flexor tendons and the median nerve, this does not leave much room for inflammation or scare tissue. When the flexor tendons are irritated, they become inflamed and swell up, and in doing so, crush the little median nerve which also runs through the same pathway.

Treatment for Carpal Tunnel Syndrome

The medical approach to treating carpal tunnel syndrome includes pain pills, steroid injections and surgery. Non-surgical treatments for CTS include immobilization, cold and hot therapy, aspirin, cortisone, infra-red heat ultrasound, electrical stimulation, paraffin baths, various types of physical therapy, and anti-inflammatory drugs. All of these have a rather poor track record. The drugs don’t fix anything, they just mask symptoms. You may buy some time, but ultimately it’s going to catch up to you.

In the most severe cases, surgery is performed to enlarge the Carpal Tunnel and repair ligaments. Statistics from the National Center for Health indicate that 2.4 million visits were made to physicians in 1999 because of CTS, of which 1 million were made to orthopaedic surgeons. And the surgery, in addition to having a poor success rate (57% of all surgeries fail – according to the research), there’s also a risk of scar tissue formation, wrist instability and other long-term problems.

At Mahler Family Chiropractic Center, offer a unique approach to treating carpal tunnel syndrome. Our methods address ALL areas of potential involvement. We take the pressure off the nerve, and use cold laser to reduce inflammation so you can finally get permanent relief! Additionally our approach is safe, no toxic drugs and no risky invasive surgery. To see what we can do to help you, call us to schedule a free no-obligation consultation.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat carpal tunnel syndrome and pain wrist pain, hand pain, arm pain, elbow pain and neck pain.

What is lower back pain and how to treat low back pain?

Eighty percent of individuals suffer from some form of back pain in their lifetimes, and back pain is the second most common cause for people visiting the doctor. Back pain, particularly lumbar pain, is outnumbered only by upper-respiratory infections. Seventy five million Americans will have back pain every year, and 80 percent of the adult population will have some type of low back pain. It is the most frequent reason for disability for people in the 30-50 year age bracket, and since these age groups are typically the most productive in the work force, the economic effect of low back pain is huge. Back pain can be explained as follows:

The low back area is prone to injury and pain because it is in a highly unstable portion of the spine, just like the neck is. That instability is one of the reasons for our mobility. This mobility is resposibal for our ability to stand upright, pick something up off the ground, tyeing our shoes and touching our toes, but at the price of increased chance of injury and low back pain.

When the low back is healthy and working properly, it can handle great forces without injury. One illustration is a professional weight lifter who is able to lift several hundred pounds and not injure his lower back. But, if the low back is compromised and out of adjustment or has lost strength in the supporting muscles, an act as basic as lifting a bag of groceries from the trunk of the car, picking up a young child, or bending down to feed the cat can cause a lower back injury.

The old belief that back pain would disappear by itself has been found to be inaccurate. While back pain may disappear for some time even without medical intervention, the latest scientific reports indicate that it will probably reappear. Low back pain should be taken seriously, and it is important to get professional chiropractic treatment. That is particularly true with recurring pain.

Although back pain patients make up the second largest diagnostic group examined by medical professionals, the recommended treatments from these professionals (drugs) are frequently discovered to be less than helpful. A highly regarded medical researcher has suggested that family doctors consider referring their back pain patients for chiropractic treatment, since it has shown to be beneficial for this disorder. Medical intervention is appropriate for lower back pain; a chiropractor can provide that. More and more people every year are visiting chiropractors for help with their lower back pain.

The Causes of Low Back Pain:

Because there are many factors that might cause low back pain, and a few of these factors may be very serious if not treated, it is vital to get the help of a professional. Chiropractors are leaders in determining the causes of lower back pain along with establishing the correct treatment for low back pain.

Lower back pain can be the result of various factors. Among these causes are stress and emotional tension that makes muscles tighten and contract, which results in stiffness and pain. Extra back pain might be due to bad posture and being on your feet for long periods, or sitting improperly (so be careful when you are at the office). A third cause of lower back pain is frequently linked with heavy physical labor, lifting or forceful movement, twisting or bending or awkward positions. This is worsened because of incorrect lifting practices, in other words, mechanical trauma and work. The most routine home or work tasks involving bending, twisting and lifting can stress your lower back muscles resulting in lower back pain. A few of those activities are tennis, biking, gardening, golf and even horseback riding and any of these might potentially injure your back. Finally, mechanical lower back pain might be caused by injuries and accidents, such as car wrecks, sports injuries and slips and falls. Carrying excess weight is another risk for low back pain, since it puts stress and pressure on the back, particularly the low back. Simply getting older is the last risk for back pain. As we get older, the ligaments thicken and discs dry out and we are more prone to back pain. Those age-related changes in the spine can lead to disorders that put pressure on the spinal nerves. The symptoms of pain might be combined with weakness or numbness. You may feel your discomfort on either or both sides of your back.

Our Approach To Your Care:

(treatment for back pain) We provide an all-inclusive, unique approach to treat back pain.

We believe back pain can best be alleviated by chiropractic adjustment. A chiropractic adjustment is an easy, low force correction that realigns the vertebrae, reduces stress to the spine and central nervous system and restores normal joint function. Trigger point therapy is a system of putting pressure on certain points in the body to lessen or get rid of muscle pain. Muscle contraction and lack of flexibility are characteristic of the majority of patients who have long-term back pain. To repair these issues, we create a flexibility and stretching routine that is intended to restore a pain-free range of motion. If the spine has been injured or if an old injury exists that was never properly evaluated and treated, we will frequently combine balance and stabilization rehabilitation to enhance coordination and spinal structural integrity.

The strength of the spine ultimately depends on the strength of the soft tissues supporting it, specifically, the muscles. Back muscles support spines the same way cables support bridges. Back pain can reappear again if any back muscle is not sufficiently strong. To fix this issue, we do a functional evaluation to locate weak spots. The back must be assessed to discover which areas need strengthening to alleviate the condition.

By: Paul R. Mahler Jr. DC
Mahler Family Chiropractic Center
1144 wyoming Ave.
Kingston, PA. 18704
May be reproduced in whole only.
We can treat low back injuries and pain  including sciatica, disc, herniation,  slipped disc, stenosis, and much more.