Women’s Health

Osteoporosis

ImageOsteoporosis is the thinning of bone tissue and loss of bone density over time. There are no symptoms in the early stages of the disease. Symptoms occurring late in the disease include:

  • Bone pain or tenderness
  • Fractures with little or no trauma
  • Loss of height (as much as 6 inches) over time
  • Low back pain due to fractures of the spinal bones
  • Neck pain due to fractures of the spinal bones
  • Stooped posture or kyphosis, also called a “dowager’s hump”

Prevention

EXERCISE

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Regular exercise can reduce the likelihood of bone fractures in people with osteoporosis. Some of the recommended exercises include:

  • Weight-bearing exercises — walking, jogging, playing tennis, dancing
  • Resistance exercises — free weights, weight machines, stretch bands
  • Balance exercises — tai chi, yoga
  • Riding a stationary bicycle
  • Using rowing machines

Avoid any exercise that presents a risk of falling, or high-impact exercises that may cause fractures.

DIET

Get at least 1,200 milligrams per day of calcium, and 800 – 1,000 international units of vitamin D3. Vitamin D helps your body absorb calcium.

dietFollow a diet that provides the proper amount of calcium, vitamin D, and protein. While this will not completely stop bone loss, it will guarantee that a supply of the materials the body uses to form and maintain bones is available.

High-calcium foods include:

  • Cheese
  • Ice cream
  • Leafy green vegetables, such as spinach and collard greens
  • Low-fat milk
  • Salmon
  • Sardines (with the bones)
  • Tofu
  • Yogurt

STOP UNHEALTHY HABITS
Quit smoking, if you smoke. Also limit alcohol intake and carbonated drinks. Too much alcohol or carbonated drinks can damage your bones, as well as put you at risk for falling and breaking a bone.

Osteoporosis is the most common type of bone disease.

Osteoporosis occurs when the body fails to form enough new bone, when too much old bone is reabsorbed by the body, or both.

Calcium and phosphate are two minerals that are essential for normal bone formation. Throughout youth, your body uses these minerals to produce bones. If you do not get enough calcium, or if your body does not absorb enough calcium from the diet, bone production and bone tissues may suffer.

As you age, calcium and phosphate may be reabsorbed back into the body from the bones, which makes the bone tissue weaker. This can result in brittle, fragile bones that are more prone to fractures, even without injury.

Usually, the loss occurs gradually over years. Many times, a person will have a fracture before becoming aware that the disease is present. By the time a fracture occurs, the disease is in its advanced stages and damage is severe.

The leading causes of osteoporosis are a drop in estrogen in women at the time of menopause and a drop in testosterone in men. Women over age 50 and men over age 70 have a higher risk for osteoporosis.

Other causes include:

  • Being confined to a bed
  • Chronic rheumatoid arthritis, chronic kidney disease, eating disorders
  • Taking corticosteroid medications (prednisone, methylprednisolone) every day for more than 3 months, or taking some anti-seizure drugs
  • Hyperparathyroidism

White women, especially those with a family history of osteoporosis, have a greater-than-average risk of developing osteoporosis. Other risk factors include:

  • sodaAbsence of menstrual periods (amenorrhea) for long periods of time
  • Drinking a large amount of alcohol
  • Drinking a large amount of carbonated drinks (pop)
  • Family history of osteoporosis
  • History of hormone treatment for prostate cancer or breast cancer
  • Low body weight
  • Smoking
  • Too little calcium in the diet

If you feel that you are at risk or are interested in learning more on how to prevent osteoporosis happening to you give Dr. Collard a call 801-569-1141. Dr Collard is also available for free lectures on how to prevent osteoporosis.

Menstrual Problems/Irregularities

Many patients have found protection from unnecessary surgery, useless medication and needless suffering when they started to read drug product inserts; books on their condition; got second and third opinions; and, whenever possible, explored alternatives to hysterectomy and drug therapy. Remember, a healthy spinal column is essential for the health of the female reproductive system and it is vital for women with gynecological problems to have routine spinal checkups by a doctor of chiropractic. A chiropractic spinal examination could make all the difference between sickness and health.

Your Spine, Nerves & Hormones
The female sexual organs-the ovaries, oviducts (tubes), uterus, cervix, vagina, glands and related structures-all need a healthy nerve supply from the spine to function properly. Doctors of chiropractic help see that the sexual organ/spinal column relationship is a healthy one.

The Chiropractic Approach
Though not a treatment for gynecological troubles, the chiropractic approach has been a blessing to countless women with such problems. Chiropractors correct the vertebral subluxation complex (a dangerous condition in your spine that interferes with the nervous system and causes a state of “dis-ease” or reduced health and wholeness) that can lead to disease.

Spinal Care
It is no coincidence that many who suffer from menstrual cramps also suffer from neck or back pain. In one study of 122 dysmenorrhea sufferers, most had lower back problems and spinal displacements. Perhaps that is why many women who initially visited a chiropractor for neck or back problems experienced beneficial effects on menstrual cramps, pain and other gynecological problems. There are, however, many women who suffer from menstrual problems and other health conditions who will not go to the chiropractor because: “If I don’t have a backache, why go to the chiropractor?” Because of this misconception that chiropractors are “backache doctors” many never receive the true benefits of chiropractic care.

Many organs other than the sexual ones are responsible for reproductive health. For example, chemicals produced by the ovaries and adrenal glands that are essential for reproduction are broken down by the liver. If the liver isn’t working properly, these chemicals can build up to unhealthy levels and cause fibroid tumors in the uterus (leiomyomas), which, although benign, account for at least one-third of all gynecological admissions to hospitals.

The Spine/Pelvis Relationship
For over a hundred years, many women who have suffered from a wide variety of pelvic and gynecological conditions-from pain to PMS-have discovered the natural benefits of chiropractic care. Patients have also observed that menopausal symptoms including depression, hot flashes, back or joint pain, irritability, headaches or fatigue have been reduced from chiropractic spinal care. Dr. J. E. Browning is a doctor of chiropractic who has written extensively on the chiropractic management of patients with pelvic problems. His clinical observations have led him to state that, “Various disturbances in pelvic organ function have been successfully managed by chiropractic … symptoms [include] bladder, bowel, gynecologic, and sexual dysfunction …”

If you have any questions please give us a call 302.408.0000. Dr. Broskoskie will be happy to discuss with you how chiropractic, and therapeutic massage may help you.

Can Chiropractic Care Help During Pregnancy?

Chiropractic care and spinal adjustments help to ensure a healthier pregnancy, and alleviate some of the discomfort, as well as prevent future problems that may arise as a result of pregnancy.

Chiropractic care during pregnancy can be helpful in the following ways:

• Help to maintain daily activities during and after pregnancy
• Promotion of spinal stability
• Increased endurance
• Pain relief
• Improved physical fitness
• Promotes self care
• Aides a speedier recovery following childbirth

pregnancyChiropractors can evaluate and treat pain in the body, especially in the spine, joints, and muscles.  One of the most common complaints in pregnancy is muscle soreness and spinal discomfort.  Chiropractors perform safe treatments that will help maintain motion in the spine as well as soft tissue work and massage to relax muscles that have been strained due to the changes in the woman’s body.  Your chiropractor may also advise you on proper ergonomic positions for lifting, getting up from seated, and getting in and out of the car, to keep yourself from unnecessary strains on your body and decrease some of the common pregnancy discomforts.

Is Chiropractic Care Safe During Pregnancy?
Because chiropractors use a drug-free approach, chiropractic care is absolutely safe during pregnancy for both you and your unborn baby.  Chiropractors use special tables and treatments that are safe for the baby and equally as effective for you.  Because your body is going through a great deal of changes in a short time, it is recommended that you get regular chiropractic care, as this will keep your body limber and moving easily, thus aiding in a healthy delivery and faster recovery.

What Causes Back Pain In Pregnancy?
Back pain is a very common complaint during pregnancy.  This can be caused by a number of things.  It is most often the result of your center of gravity shifting with your growing abdomen, causing strain and stress on the muscles and ligaments surrounding your spine.  As you get further along in your pregnancy, a hormone called relaxin is produced to help your body loosen the ligaments in preparation for the birthing process.  Unfortunately, this can also be a cause of back pain, as well as pain in other areas of the body, as they are more easily strained and your body misaligned.  This hormone can remain in your system for some time after pregnancy also, causing instability in the joints.  Your chiropractor can give you some mild exercises to help re-strengthen the muscles of your back and abdomen, aiding in support of your spine.

How Can Chiropractic Care Help After Pregnancy?
One of the more common complaints following childbirth is lower back pain.  Due to the stress of carrying the baby, the relatively rapid weight gain, and hormonal changes within your body, the spine and the muscles surrounding it are strained and stretched.  Chiropractic treatments can help to restore your body structure to its pre-pregnancy state.

Can Chiropractic Care Be Helpful For My Partner And Baby?
Although mainly the mother experiences the majority of the changes during pregnancy, parenting a new baby can be physically and mentally demanding on the whole family, including the infant.  Parents often complain of beck and neck aches from holding and feeding their new baby.  The baby also goes through a demanding birth process, and a chiropractor can help your baby recover and adjust to their new environment.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Chiropractic for Pregnancy

Chiropractic care can help the spine and pelvis cope with the effects of pregnancy by restoring a state of balance.Image

During pregnancy, a woman’s center of gravity shifts forward to the front of her pelvis. This additional weight in front, causes stress to the joints of the pelvis and low back. As the baby grows in size, the added weight causes the curvature of her lower back to increase, placing extra stress on the fragile facet joints on the back side of the spine. Any pre-existing problems in a woman’s spine tend to be exacerbated as the spine and pelvis become overtaxed, often leading to pain and difficulty performing normal daily activities.

Studies have found that about half of all expectant mothers develop low-back pain at some point during their pregnancies. This is especially true during the third trimester when the baby’s body gains the most weight. Chiropractic care throughout pregnancy can relieve and even prevent the pain and discomfort frequently experienced in pregnancy, and creates an environment for an easier, safer delivery. It is one safe and effective way to help the spine and pelvis cope with the rapid increase in physical stress by restoring a state of balance. In fact, most women have found that chiropractic care helped them avoid the use of pain medications during their pregnancy, and studies have shown that chiropractic adjustments help to reduce time in labor.

We should be your partner for a healthy pregnancy. We can provide adjustments, as well as offer nutritional, ergonomic and exercise advice to help address your special needs.

Chiropractic Tips for Pregnant Women

Be sure to get adjusted regularly. Chiropractic care is important to help maintain a healthy skeletal structure and nervous system function throughout a pregnancy and childbirth.

Do some gentle exercise each day. Walking, swimming, or stationary cycling are relatively safe cardiovascular exercises for pregnant women. Avoid any activities that involve jerking or bouncing movements. Stop exercise immediately if you notice any unusual symptom, such as nausea, dizziness or weakness.

Wear flat shoes with arch supports. Your feet become more susceptible to injury during pregnancy, partially due to a rapidly increasing body weight, but also because the ligaments that support the feet become more lax.

When picking up children, bend from the knees, not the waist. Your low back is much more prone to injury during pregnancy.

When sleeping, lay on your side with a pillow between your knees to take pressure off your lower back. Full-length “body pillows” or “pregnancy wedges” are very popular and can be helpful.

Eat several small meals or snacks every few hours, rather than three large meals per day. This will help alleviate nausea, stabilize blood sugar and allow your body to extract the maximum amount of nutrients from the foods that you eat.

Take a prenatal vitamin with at least 400 micrograms of folic acid every day; 800 micrograms is even better. Folic acid has been shown to dramatically reduce the risk of neural tube defects in a developing fetus. Be sure to check with your doctor before taking any vitamin or herbal supplement to make sure it’s safe for you and the baby.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Chiropractic to Treat Whiplash

The most effective treatment for whiplash injuries is a combination of chiropractic care, rehabilitation of the soft tissues and taking care of yourself at home. Image

The term “whiplash” was first used in 1928 to define an injury mechanism of sudden hyperextension followed by an immediate hyperflexion of the neck that results in damage to the muscles, ligaments and tendons – especially those that support the head.  Today, we know that whiplash injuries frequently do not result from hyperextension or hyperflexion (extension and flexion beyond normal physiological limits), but rather an extremely rapid extension and flexion that causes injuries.

Due to their complicated nature and profound impact on peoples lives, few topics in health care generate as much controversy as whiplash injuries.  Unlike a broken bone where a simple x-ray can validate the presence of the fracture and standards of care can direct a health care professional as to the best way in which to handle the injury, whiplash injuries involve an unpredictable combination of nervous system, muscles joints and connective tissue disruption that is not simple to diagnose and can be even more of a challenge to treat.  In order to help you understand the nature of whiplash injuries and how they should be treated, it is necessary to spend a bit of time discussing the mechanics of how whiplash injuries occur.

The Four Phases of a Whiplash Injury

During a rear-end automobile collision, your body goes through an extremely rapid and intense acceleration and deceleration.  In fact, all four phases of a whiplash injury occur in less than one-half of a second!  At each phase, there is a different force acting on the body that contributes to the overall injury, and with such a sudden and forceful movement, damage to the vertebrae, nerves, discs, muscles, and ligaments of your neck and spine can be substantial. 

Phase 1

During this first phase, your car begins to be pushed out from under you, causing your mid-back to be flattened against the back of your seat.  This results in an upward force in your cervical spine, compressing your discs and joints.  As your seat back begins to accelerate your torso forward, your head moves backward, creating a shearing force in your neck.  If your head restraint is properly adjusted, the distance your head travels backward is limited.  However, most of the damage to the spine will occur before your head reaches your head restraint.  Studies have shown that head restraints only reduce the risk of injury by 11-20%.

Phase 2

During phase two, your torso has reached peak acceleration – 1.5 to 2 times that of your vehicle itself – but your head has not yet begun to accelerate forward and continues to move rearward.  An abnormal S-curve develops in your cervical spine as your seat back recoils forward, much like a springboard, adding to the forward acceleration of the torso. Unfortunately, this forward seat back recoil occurs while your head is still moving backward, resulting in a shearing force in the neck that is one of the more damaging aspects of a whiplash injury.  Many of the bone, joint, nerve, disc and TMJ injuries that I see clinically occur during this phase.

Phase 3

During the third phase, your torso is now descending back down in your seat and your head and neck are at their peak forward acceleration.  At the same time, your car is slowing down.  If you released the pressure on your brake pedal during the first phases of the collision, it will likely be reapplied during this phase. Reapplication of the brake causes your car to slow down even quicker and increases the severity of the flexion injury of your neck.  As you move forward in your seat, any slack in your seat belt and shoulder harness is taken up.   

Phase 4

This is probably the most damaging phase of the whiplash phenomenon.  In this fourth phase, your torso is stopped by your seat belt and shoulder restraint and your head is free to move forward unimpeded.  This results in a violent forward-bending motion of your neck, straining the muscles and ligaments, tearing fibers in the spinal discs, and forcing vertebrae out of their normal position.  Your spinal cord and nerve roots get stretched and irritated, and your brain can strike the inside of your skull causing a mild to moderate brain injury.  If you are not properly restrained by your seat harness, you may suffer a concussion, or more severe brain injury, from striking the steering wheel or windshield.

Injuries Resulting from Whiplash Trauma

Whiplash injuries can manifest in a wide variety of ways, including neck pain, headaches, fatigue, upper back and shoulder pain, cognitive changes and low back pain.  Due to the fact that numerous factors play into the overall whiplash trauma, such as direction of impact, speed of the vehicles involved, as well as sex, age and physical condition, it is impossible to predict the pattern of symptoms that each individual will suffer.  Additionally, whiplash symptoms commonly have a delayed onset, often taking weeks or months to present.  There are, however, a number of conditions that are very common among those who have suffered from whiplash trauma.

Neck Pain

It is the single most common complaint in whiplash trauma, being reported by over 90% of patients.  Often this pain radiates across the shoulders, up into the head, and down between the shoulder blades.  Whiplash injuries tend to affect all of the tissues in the neck, including the facet joints and discs between the vertebrae, as well as all of the muscles, ligaments and nerves.

Facet joint pain is the most common cause of neck pain following a car accident.  Facet joint pain is usually felt on the back of the neck, just to the right or left of center, and is usually tender to the touch.  Facet joint pain cannot be visualized on x-rays or MRIs.  It can only be diagnosed by physical palpation of the area.

Disc injury is also a common cause of neck pain; especially chronic pain.  The outer wall of the disc (called the anulus) is made up of bundles of fibers that can be torn during a whiplash trauma.  These tears, then, can lead to disc degeneration or herniation, resulting in irritation or compression of the nerves running through the area.  This compression or irritation commonly leads to radiating pain into the arms, shoulders and upper back, and may result in muscle weakness.

Damage to the muscles and ligaments in the neck and upper back are the major cause of the pain experienced in the first few weeks following a whiplash injury, and is the main reason why you experience stiffness and restricted range of motion.  But as the muscles have a chance to heal, they typically don’t cause as much actual pain as they contribute to abnormal movement.  Damage to the ligaments often results in abnormal movement and instability.

Headaches

After neck pain, headaches are the most prevalent complaint among those suffering from whiplash injury, affecting more than 80% of all people.  While some headaches are actually the result of direct brain injury, most are related to injury of the muscles, ligaments and facet joints of the cervical spine, which refer pain to the head.  Because of this, it is important to treat the supporting structures of your neck in order to help alleviate your headaches.

Temporomandibular Joint (TMJ) Problems

A less common, but very debilitating disorder that results from whiplash is temporomandibular joint dysfunction (TMJ).  TMJ usually begins as pain, clicking and popping noises in the jaw during movement.  If not properly evaluated and treated, TMJ problems can continue to worsen and lead to headaches, facial pain, ear pain and difficulty eating.  Many chiropractors are specially trained to treat TMJ problems, or can refer you to a TMJ specialist.

Brain Injury

Mild to moderate brain injury is common following a whiplash injury, due to the forces on the brain during the four phases mentioned earlier.  The human brain is a very soft structure, suspended in a watery fluid called cerebrospinal fluid.  When the brain is forced forward and backward in the skull, the brain bounces off the inside of the skull, leading to bruising or bleeding in the brain itself.  In some cases, patients temporarily lose consciousness and have symptoms of a mild concussion. More often, there is no loss of consciousness, but patients complain of mild confusion or disorientation just after the crash.  The long-term consequences of a mild brain injury can include mild confusion, difficulty concentrating, sleep disturbances, irritability, forgetfulness, loss of sex drive, depression and emotional instability.  Although less common, the nerves responsible for your sense of smell, taste and even your vision may be affected as well, resulting in a muted sense of taste, changes in your sensation of smell and visual disturbances.

Dizziness

Dizziness following a whiplash injury usually results from injury to the facet joints of the cervical spine, although in some cases injury to the brain or brain stem may be a factor as well.  Typically, this dizziness is very temporary improves significantly with chiropractic treatment.

Low Back Pain

Although most people consider whiplash to be an injury of the neck, the low back is also commonly injured as well.  In fact, low back pain is found in more than half of rear impact-collisions in which injury was reported, and almost three-quarters of all side-impact crashes.  This is mostly due to the fact that the low back still experiences a tremendous compression during the first two phases of a whiplash injury, even though it does not have the degree of flexion-extension injury experienced in the neck.

Recovery from Whiplash

With proper care, many mild whiplash injuries heal within six to nine months.  However, more than 20% of those who suffer from whiplash injuries continue to suffer from pain, weakness or restricted movement two years after their accident.  Unfortunately, the vast majority of these people will continue to suffer from some level of disability or pain for many years after that, if not for the rest of their lives.

Whiplash is a unique condition that requires the expertise of a skilled health professional specially trained to work with these types of injuries. The most effective treatment for whiplash injuries is a combination of chiropractic care, rehabilitation of the soft tissues and taking care of yourself at home. 

CHIROPRACTIC CARE

Chiropractic care utilizes manual treatments of the spine to restore the normal movement and position of the spinal vertebrae.  It is by far the single-most effective treatment for minimizing the long-term impact of whiplash injuries, especially when coupled with massage therapy, trigger point therapy, exercise rehabilitation and other soft tissue rehabilitation modalities.

Soft Tissue Rehabilitation

The term ‘soft tissue’ simply refers to anything that is not bone, such as your muscles, ligaments, tendons, nervous system, spinal discs and internal organs.  During a whiplash injury, the tissues that are affected most are the soft tissues, the muscles, ligaments and discs in particular.  In order to minimize permanent impairment and disability, it is important to use therapies that stimulate the soft tissues to heal correctly.  These include massage therapy, electro-stimulation, trigger point therapy, stretching and specific strength and range of motion exercises.

Home Care

The most effective chiropractic care and soft tissue rehabilitation will be limited in its benefit if what you do at home or at work stresses or re-injures you on a daily basis.  For this reason, it is important that your plan of care extend into the hours and days between your clinic visits to help speed your recovery.  Some of the more common home care therapies are the application of ice packs, limitations on work or daily activities, specific stretches and exercises, taking nutritional supplements and getting plenty of rest.

Medical Intervention

In some severe cases of whiplash, it may be necessary to have some medical care as part of your overall treatment plan.  The most common medical treatments include the use of anti-inflammatory medications, muscle relaxants, trigger point injections and, in some cases, epidural spinal injections.  These therapies should be used for short-term relief of pain, if necessary, and not be the focus of treatment.  After all, a drug cannot restore normal joint movement and stimulate healthy muscle repair.  Fortunately, surgery is only needed in some cases of herniated discs, when the disc is pressing on the spinal cord, and in some cases of spine fractures.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Neck Pain

ImageChances are, you’ve experienced a stiff or sore neck at one time or another. Given the complex mechanics and function of the neck, it’s no wonder that neck pain is so common. The neck supports your head, which may weigh 10 pounds or more, and needs to bend up and down and turn side to side. According to Renee Calliet, M.D. if the head weighs 10 lbs. and the center of the ear sits directly over the center of the shoulder, the load on the spine and its tissue is only 10 lbs. However, if the head is translated forward, its weight will increase by 10lbs. for every inch forward it is. In effect, if the center of the ear is 3 inches forward for the center of the shoulders, the weight of the head on the spine and its discs, joints and nerves is 30 lbs.(1)

Major neck pain or recurring pain is a definite sign that something serious is wrong. Even minor neck stiffness can be a signal that something is wrong inside your spine and you should seek a professional evaluation from a specialist, such as a chiropractic physician.

The Cervical Spine

The spine in the neck area is made up of seven bones called vertebrae. These vertebrae protect the spinal cord and nerve roots that exit from the spinal cord. Between the vertebrae are pads of tissue called discs that help cusion the vertebrae as the spine flexes and bends. A sudden injury such as a fall or a car accident may cause damage and pain in the neck. Often though, damage occurs slowly and silently over time from poor posture, wear and tear, lack of normal spinal position and movement even constant emotional stress from work or relationships.

Injuries and imbalances can cause cervical vertebrae to move out of their normal position or become restricted. Soft tissues (such as tendons, ligaments and muscles) can become inflamed, worn out and fatigued. The discs separating and cushioning the cervical vertebrae can begin to decay and lead to disc bulges or ruptures (herniation). Nerves can become pinched or irritated, with as little pressure as the weight of a dime, from misaligned spinal areas or bulging discs. Finally, the neck changes as we age. Arthritic changes in the spinal bones such as spurs (abnormal bony growths), disc degeneration, and muscle or ligament deterioration may change the normal, healthy curve of the neck and cause irritation to the nerves in the spine.

Symptoms of neck problems

Problems with the neck can lead to symptoms of pain and reduced range of motion (normal rotation should allow the chin to be nearly parallel with your shoulder). Neck problems can also lead to pain in the shoulder, arm, wrist, hands, or fingers. And even seemingly unrelated conditions can be due to neck problems: headaches, sinus congestion and pain, ringing in the ears(tinnitus), and vision disturbances have all been associated with neck dysfunction.

Care for your Neck

Many people seek the standard medical treatments for neck pain such as muscle relaxants, pain killers or tranquilizers. These medications only “cover up” the pain; they do nothing for the underlying cause which is why when you stop taking the pills the pain returns or increases. More drastic medical interventions include cortisone injections or surgery. Long term use of medications can lead to unwanted side effects and damage internal organs such as your liver and kidneys. There are over 400,000 deaths each year from inproperly prescribed medications. The chiropractic approach to treating neck pain doesn’t just treat the symptoms. The goal is to find what the underlying cause is and eliminate it. Your doctor of chiropractic will perform a complete history and thorough examination with special attention to the spine and its effect on the nervous system. Doctors of chiropractic are experts in the care of the bones, nerves, muscles and connective tissues that make up about 60% of your body. The conservative chiropractic approach is to find the source of the pain which most often is dysfunction (subluxation) in the vertebrae and correct it allowing the body to heal naturally. Once the dysfunction is corrected the spine moves normally and most importantly the spinal nerves are no longer irritated or pinched allowing proper nerve flow to the different body areas. Many research studies have proven chiropractic medicine to be more effective and safer the other forms of traditional care. One study, published in the Journal of Manipulative and Physiological Therapeutics found that patients who received chiropractic care reported significant improvement in their neck function and a reduction in their neck pain whereas those taking pain-killers did not.

1. Calliet R. Soft tissue pain and disability. Philadelphia: FA Davis Co., 1977

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Ergonomics and Back Pain

ImageSince contemporary society is becoming increasingly technologized, it’s no wonder that more and more so-called ‘white collar’ workers are seeing health issues, both physical and psychological — all because they are simply sitting down in a chair for too long. Not only do we spend the vast majority of our work days sitting in front of a computer screen, but most of our leisure time is spent in just about the same stance, as we play video games, watch TV, or browse the web.

People with poor posture will unconsciously perpetuate this fault while driving and even during their resting hours. This will dramatically increase several health risks, such as damage to the spine and back pain. Such issues start out as mere nuisances, but can soon develop into more serious problems.

Luckily, however, the science of ergonomics can go a long way in helping combat these issues. By becoming aware of your posture issues and working toward a more ergonomically-friendly environment at home and at work, you, too, can correct these problems before it becomes too late. Here are a few things you can do, in order to make sure that your poor posture doesn’t turn into a severe health threat.

  • Know your back pain

Bad posture is one of the leading causes of back pain, but it’s not the only one. You can tell if your sitting habits are the source of your sore back and neck, if you mostly experience such pains after long days spent working in a chair, yet not after more leisurely and active days, such as at the weekend. Posture-inflicted back pain will start in your neck area and travel down into your upper back, lower back, and limbs. It will also go away in the bat of an eye, if you stand up or shift positions – and, similarly, it can appear suddenly, when you get a new office chair, a new office, or a new car.

  • Take time to move

There is a vicious cycle at work, when it comes to back pain and poor posture: to a certain extent, they determine each other. After sitting for a long time, your muscular mass will grow tired, causing you to slouch or slump. In turn, this will shift your body weight to the sensitive areas of the neck and back. In order to prevent such mistakes, stand up, stretch, or take a brief, two-minute walk every other half an hour.

  • Buy ergonomically

Ergonomics is not some exotic, new-fangled thing-a-ma-jig. It’s been around as part-science, part-design for ages, and has led to the appearance of all sorts of back and posture-friendly objects and devices: from chairs for your office, to footrests, lumbar back support systems which you can carry along with you, lumbar pillows for intensive drivers, ergonomic bags and backpacks, as well as chairs with adjustable backrests, seats, armrest, etc.

Aside from this, it’s important to make sure your eyes aren’t unnecessarily straining your back. Adjust your PC screen to the position that comes most naturally to you and wear the correct prescription eyeglass lenses, to avoid tilting forward or straining your neck in other ways.

  • Use your chair wisely

It’s not like modern chair designers are completely unaware of the link between good ergonomics and a healthy back and neck. That’s why they’re designing office chairs to help users prevent such issues. The right way to use such seating is to keep the body aligned, with your body mass evenly distributed throughout your frame. Have your frontal, dorsal, and lateral body weight aligned as much as possible, and work on maintaining a vertical axis that goes down from your ears, through your shoulders and into your hips at all times – both when sitting, as well as while standing.

Remember that maintaining the same stance for hours on end will take its toll on your body, no matter how healthy the position may be. Rest your back in the chair every now and again, to avoid sitting up straight for too long a time. Also, avoid lack of balance, which is encouraged by such positions as crossed legs, hunching your back, tilting your head, or leaning to the side.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

HOW IMPORTANT IS WATER?

Proper water intake is essential to health and healing.  The attached graphic shows just how important water is to our body systems.  If you happen to substitute coffee and soft drinks for water throughout the day then I suggest you start small.  I recommend my patients drink a glass of water with breakfast, lunch, and dinner to start.  Often, its difficult to cut out coffee/soft drinks/juice if you have been drinking them daily for years.  However, by starting with just 3 simple glasses of water per day, you will be well on your way to proper hydration.  Image

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Chiropractic Treatment and Women’s Health

ImageWomen’s bodies are uniquely designed

Women face a number of specific healthcare concerns and challenges because their bodies are designed differently than men. A woman’s body experiences hormonal fluctuations, and has a unique physiology that enables her to bear children.

Women have specific health care concerns

Many young women encounter headaches, backaches, bloating, and swelling, due to hormonal fluctuations associated with their menstrual cycles. Women also experience postural changes, weight gain, and fallen arches of the feet during pregnancy. Once the arches of the feet have been affected, these women often face hip and knee problems later in life because their feet no longer absorb the shock of routine walking as well as they used to.

Many women are active caregivers, providing daily for the needs of their families, friends and loved ones. Ongoing stress of a demanding schedule may cause muscle tightness and fatigue. As a woman ages, pressure on the nerves to the gallbladder may negatively impact digestion, causing gas and bloating. Pressure on the nerves to the thyroid gland can slow metabolism, resulting in weight gain. Women struggle with obesity and diabetes more often than men. Women are now experiencing increased risk of mid-life stroke and heart attack. Older women have a higher incidence of Alzheimer’s and osteoporosis than men.

Protect your health

Adequate amounts of rest, a healthy diet, and a physician-approved exercise program are essential for maintaining health. As a preventative measure, chiropractic care can strengthen and maintain overall body function and efficiency.

How chiropractic treatment can help

Chiropractors offer conservative treatments, therapies, and exercises that do not involve drugs or surgery. Doctors of chiropractic often perform physical and neurological examinations, orthopedic examinations, and postural analysis in order to better understand the needs of each patient. Chiropractic works by removing nerve pressure and interference, re-establishing proper posture and bone alignment, and restoring normal function.

Our female patients have been treated for:

  • Migraines, tension headaches, and allergy / sinus headaches
  • Low back pain (also with pregnancy)
  • Foot pain / plantar fasciitis following pregnancy
  • Whiplash injuries and neck pain (female necks are not as thick and muscular, making women more susceptible to whiplash traumas)
  • Infertility
  • PMS and dysmenorrhea
  • Menopause and other hormone-related symptoms
  • Urinary tract and yeast infections
  • Arm pain, Carpal Tunnel Syndrome
  • Gall bladder, thyroid and weight loss
  • Fibromyalgia and Chronic Fatigue Syndrome

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!

Women’s Health Concerns

Women have special needs, from menstruation to pregnancy to menopause. Chiropractic care can help women deal with these life changes.

Menstrual cramps
During menses, women discover they not only experience cramping in the lower abdominal region but also lower back pain. Pressure on the nerves leading to the uterus can be relieved through specific spinal adjustments during this “time of the month”, often diminishing or eliminating pain in both regions. In a study performed through the National College of Chiropractic, 88% of women receiving chiropractic adjustments (treatment) reported reduced pain during their menstrual periods compared to women not receiving Chiropractic care.1 Therefore, by receiving chiropractic adjustments during the menstrual period, you can eliminate the need for many analgesics (i.e. Advil, Alleve) many of which have serious side effects.

Pre- and Post-Natal Needs
Pregnancy – During pregnancy, a women’s body experiences a period of rapid changes (shape, hormonal and loose ligaments). As a result, the body becomes stressed. Many women develop upper back pain, lower back pain and sciatica. Chiropractors have special tables which expand to allow pregnant women to lie on their stomach. The special tables in conjunction with specific methods geared to the pregnant woman, will allow safe and proper chiropractic treatment up to labor. In a study by JM Daly3, 91% of pregnant women studied reported pain relief as a result of regular chiropractic care during their pregnancy. Through regular chiropractic care during pregnancy, women can benefit from proper nervous and body system function so important to fetus development. Specific chiropractic adjustments are now shown to be preventative measure and treatment for toxemia.2

Abnormal fetal positioning – Many women may discover their fetus is in an improper position, breech (feet first) or transverse lie (fetus is in an angle in the uterus). After the seventh month of gestation, if a fetus is in this type of abnormal position, it can be subject to biomechanical stress leading to vertebral subluxations. Any abnormal biomechanical stresses to the vertebra may cause abnormal development of cartilage structures (which eventually become boney). A chiropractor trained in evaluating and treating pregnant women for abnormal fetal positioning can adjust the patient with good results (97% successful).9 This is a safe method, not only for mother but for the fetus and normal positioning of the fetus usually occurs within 4 to 5 visits. When the fetus is in a normal position, it’s chances of developing properly in the uterus, greatly increase.

Labor – A 1977 Harvard Medical School study discovered association between use of epidurals to relieve pain and maternal fever during labor and/or sepsis (an infection) in newborns, requiring antibiotics.8 Is having your newborn subjected to antibiotics when their immune system is still fragile a good idea? Finding a way to decrease discomfort experienced during childbirth thereby decreasing utilization of epidurals can be not only healthier for the mother, but healthier for her child.

Multiparous women (women pregnant 3 or more times) were shown to have a 39% shorter labor time to those receiving chiropractic care in a study by J Fallon4 in 1991. Other studies show that standing or squatting during delivery provides the fewest problems for both mother and baby (including few forceps delivery).5, 6 & 7 Many women under regular chiropractic care, visit their doctor on their way to the birthing center or hospital for a chiropractic treatment.

Post-Natal – Due to the abnormal stress that the mother’s body goes through during childbirth, frequently the upper back musculature becomes tight, interfering with proper nerve flow to the breasts. By adjusting the spine following delivery, can allow the breast milk to flow properly, decreasing frustration for the mother and increasing the breast milk flowing to the baby. By breastfeeding, the child has an opportunity to receive natural immunities from their mother allowing them to experience improved health. Regular chiropractic adjustments in new mothers can relieve back discomfort associated with reduced sleep and lifting the new baby.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!  Call me, I am here to help. (302) 408.0000.

Footnotes:

  1. Kokjohn K; Schmid DM; Troiano JJ; Brennan PC; The effect of spinal manipulation on pain and prostaglandin levels in women with primary dysmenorrhea. J Manipulative Physiol Ther 1992.
  2. Hampton, D: What is the role of osteopathic manipulative therapy in obstetric care? For normal patients? For patients with toxemia of pregnancy? J AM Osteopath Assoc. 1974; 74(3): 192-7.
  3. Daly JM, Frame PS, Rapoza PA. Sacroiliac subluxation: a common treatable cause of low back pain in pregnancy. Fam Prac Res 1991: 11(2): 149-159.
  4. Fallon, J: The effect of chiropractic treatment on pregnancy and labor: a comprehensive study. Proceedings of the World Chiropractic Association, 1991: 24-3
  5. Gardosi J, Randomized controlled trial of squatting in the second stage of labor. Lancet 1989: 2(8654) 74-7.
  6. Borgatta L; Piening SL; Cohen WR; Association of episiotomy and delivery position with deep perineal laceration during spontaneous nulliparous women. Am J Obstet Gynecol 1989; 160 (2): 294-7.
  7. Paciornik M; Commentary: arguments against episiotomy and in favor of squatting for birth. Birth 1990; 17(2): 104-5.
  8. Lieberman E, Lang JM, Frigoletto F Jr, Richardson DK, Ringer SA, Cohen A, Epidural analgesia, intrapartum fever, and neonatal evaluation. Pediatrics 1997; 99(3): 415-9.
  9. Anrig C. Chiropractic approaches to pregnancy and pediatric care. 1993:383-432.

Complex Digital Motion X-ray and Chiropractic

Image
COMPLEX DIGITAL MOTION X-RAY is a diagnostic test that records real time, full motion x-ray imaging of any body joint.  It records at a rate of 30 frames per second. It is unlike standard Fluoroscopy that is used in the hospital where the X-ray machine is moved around the body part. We allow the body part being scanned to move while recording the mini-movie.

This technology objectively and visually demonstrates aberrant movement of bones allowing the doctor to specifically determine which ligaments or other soft tissues are injured.

Medical doctors have used it for years to diagnose ligament injuries in the cervical spine. For instance, in the article “Cineradiograms of cervical spine in diagnosis of soft-tissue injuries”JAMA 198(1):143, 1966, published over 47 years ago in the Journal of the American Medical Association, medical doctor researchers concluded:

Buonocare, Hartman, and Nelson examined the cervical spines of 107 patients using cineradiography, including 57 who  sustained flexion-extension injuries. They concluded, “The ability to demonstrate localized abnormal motion in the cervical spine allows one to predict soft-tissue injuries and the quality of spinal fusions, spinal stability, and early subluxation of the cervical spine–conditions that may not be identified on static roentgenograms nor at physical examination.”

Complex Digital Motion X-ray is quick, easy, and may reveal permanent ligamentous injury commonly missed by other diagnostic procedures.

Patients and Motion X-ray
It is our goal at Results Chiropractic to help you achieve pain relief, mobility, wellness, and to have a quick recovery.

Complex Digital Motion X-ray uses cutting edge technology that demonstrates injuries that could never be seen before. MRI, CT or standard X-rays commonly miss injuries because it is a static (non-moving)  study. Complex Digital Motion X-ray is just the opposite. Dr. Broskoskie is able to find injuries that are evident only when you move. If your pain increases with movement logic tells you that your injuries should be looked at while moving.

You may need Complex Digital Motion X-ray if:

1. You have been in an auto accident
85% of our business is examining the neck for so called whiplash injuries. The difference between Results Chiropractic and other doctors is we can scan your neck to determine if you have in fact sustained some degree of ligament damage which shows proof to the doctor, insurance company and attorney that you have indeed injured yourself. The motion x-ray provides concrete proof of an injury, which can not be disputed.  Injury victims must prove their the nature, extent, and permanency of their injuries in order to receive the compensation they deserve in court. Before digital motion x-ray technology became available, many injury victims settled for lesser amounts than they deserved because it was hard to prove some types of ligament damage with static x-ray, MRI, and CT. Now, with Complex Digital Motion X-ray, doctors can actually see abnormal motion, document it, and zero in on damaged areas. This objective evidence helps the treating physician identify the area to treated, recommend targeted treatment protocols, and help their patients get the compensation they deserve for their injuries.

2. You are suffering from a sports injury

3. You have been injured on the job
We can help support and document injuries you have sustained on the job. This helps you when trying to prove your claim but it will also help the treating physician to see your injuries more clearly and hopefully treat you more efficiently.

4. Daily activities aggravate an injured area
Daily activity injuries, even if they seem minor, are important to get checked out so you can prevent degeneration or further injury in the future.

5. You are taking medication to suppress pain
If you have been taking pain medication to suppress pain, but still have that nagging injury let us examine you to determine if another form of treatment will help you heal faster, without the side effects of drugs.

6. You suspect that the underlying cause of the pain has gone undiagnosed With Complex Digital Motion X-ray you can now see what you could not see before. This new technology has changed the way doctors detect injuries. Most injuries go undetected because they are not in motion.

Signs and symptoms of injury
– Neck pain
– Back Pain
– Shoulder pain
– Joint pain
– Tingling
– Nausea and headaches
– Dizziness
– TMJ Pain
– Limited motion in your body

WHY IS IT IMPORTANT TO USE COMPLEX DIGITAL MOTION X-RAY IN SPINAL LIGAMENT CASES?

Complex Digital Motion X-ray is a medical break-through to objectively demonstrate the  functional loss caused by impaired joints of the spine due to permanent  ligament damage. Complex Digital Motion X-ray is the best objective test because normal MRI  testing is primarily concerned with static imaging of intervertebral  discs and nerves, not ligaments, and there are no discs in the upper  cervical spine. Complex Digital Motion X-ray is also used as a screening tool when performing  proton density MRI and functional MRI imaging, which are capable of  showing injuries to some of the individual spinal ligaments.

Many  times injury victims hurt when they move due to spinal instability caused by traumatic ligament injuries. Most plain film x-rays and  recumbent MRI imaging cannot detect the true cause of the pain or the  full extent of the injuries, which can only be revealed by Complex Digital Motion X-ray showing  the abnormal function of the joints in motion. Many of the same  principles followed by radiologists and chiropractic physicians in  reading plain film x-rays are also followed in reading Complex Digital Motion X-ray.

Complex Digital Motion X-ray is much improved technology over traditional plain film x-rays by  demonstrating spinal instability due to abnormal joint motion caused  by  ligament damage. At its heart Complex Digital Motion X-ray is still a simple x-ray, however,  it  works with a video camera to take 30 individual x-ray frames per  second  to create a motion x-ray that lasts less than 60 seconds. The video images are made  as the patient’s  head is moved through nine  ranges of motion in a  normal, weight-bearing  posture, thereby  providing an assessment of all  22 major cervical  ligaments.  This  results in about 3,000 individual x-ray images that can be viewed  on a  computer monitor, freeze framed, zoomed in or out, or viewed in  slow  motion. The individual images that best show the damage can be  saved as  static x-ray images by the reviewing physician, and then  analyzed using  x-ray digitization software.

While the ligaments themselves are not  shown on the x-ray  images, the effect of injured ligaments can be  ascertained by abnormal  movement of the spinal vertebral bodies in  relation to each other. An  analogy is to watch leaves blowing in a  tree, where we cannot see the  wind, but we can see the effect of the  wind. Likewise, even though we  cannot see the cervical ligaments, we  can see the results of ligamentous  injuries by abnormal movement of the  vertebral bodies, which is easily  observed by anyone trained in  musculoskeletal radiology using standard  radiology practices.

WHO HAS APPROVED THE USE OF COMPLEX DIGITAL MOTION X-RAY?

The use of Complex Digital Motion X-ray was approved for patients with spinal and peripheral  joint disorders by the U. S. Food and Drug Administration in 1994,  the National  Guideline Clearing House (a governmental agency that works with the  American Medical Association and the health insurance industry), the  American Chiropractic Association Council on Diagnostic Imaging  Physicians, and its use endorsed by Pain Management, A  Practical Guide For Clinicians by the American Academy of Pain  Management, Occupational Medicine Practice Guidelines by the American  College of Occupational and Environmental Medicine, and further  supported by a large number of peer reviewed medical articles published  in Spine and other medical journals.

The widespread acceptance of Complex Digital Motion X-ray is also shown by being at the top of  the list of five approved imaging methods, ahead of MRI and CT  imaging,  for a Medicare documentation requirement to establish a spinal  subluxation diagnosis for a patient before a chiropractic physician  can  be paid for treatment by Medicare.

OTHER BENEFITS OF COMPLEX DIGITAL MOTION X-RAY

There are other benefits of  Complex Digital Motion X-ray in  addition to showing function of the cervical spine through  motion  testing. Complex Digital Motion X-ray images have an enhancing effect by showing the  cortical  margins of the bones in black. In other words, in a digital  x-ray of an  egg, the shell of the egg appears black, and the contents  are grey. This  allows the interpreting physician to detect compression  fractures which  are occasionally missed by traditional x-ray. Plain  film x-rays do not  show some fractures as well because the cortical  margins are displayed  as white, and the body of the bone is also shown  as white, thus  detecting abnormalities is harder when looking at a  white on white image  on plain x-ray. Another benefit is that Complex Digital Motion X-ray testing only subjects  the patient to a low dosage of radiation because  it uses a low powered  pediatric type x-ray machine, which is good for  imaging necks,  temporomandibular joints, and extremity joints; but does  not have enough  radiation power to image the low back unless the  patient is a child or  small adult person.


Should you ask your doctor to order a Complex Digital motion exam for you?

To find out ask yourself these questions:

• Do I have pain in one or more of my joints that increases with motion?

• Did I injure myself with a sudden jolt to one or more of my joints, as a whiplash injury, slip and fall or blow from a sporting activity?

• Do I have joint pain, the cause of which has not been determined by conventional x-ray, MRI or other diagnostic tests?

If you have answered yes to any of the above, you should consider a Complex Digital Motion examination.  

Stretched and torn ligaments can result in a condition called “kinesiopathology” or abnormal motion of the bones that make up the joint. This abnormal motion results in ongoing rubbing and grinding of the bone surfaces during motion, preventing normal healing, and leading to premature onset of degenerative joint disease, a wear and tear type of arthritis. Only Complex Digital Motion studies can fully evaluate internal joint motion, and properly screen for kinesiopathology.

Results Chiropractic has partnered with a local imaging center to offer this unique approach to chiropractic care.  Dr. Broskoskie has extensive post-graduate training in this x-ray technique and has performed this on thousands of patients  over the past 18+ years to effectively diagnose and treat many musculoskeletal problems that are otherwise left untreated.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College and has many hours of post-graduate training and teaching time on Complex Digital Motion X-ray. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!  Call me, I am here to help. (302) 408.0000.

What is “Instrument Adjusting”?

High velocity, low amplitude (HVLA) adjustments are a common form of chiropractic manipulation. Typically this is a more traditional manipulation that results in a cracking, snapping, or popping noise. Although chiropractic adjustments are usually carried out by hand, instrument adjusting has become an increasingly popular method of manipulation in chiropractic treatment. In fact, instrument adjusting is now the most commonly used chiropractic technique after manual spinal manipulation. A wide variety of professional adjustment instruments are available on the market, ranging from mechanical spring-loaded models to high-tech, electrically powered brands. However, most lack FDA approval and many lack any diagnostic value as they are strictly treatment oriented.

ImageChiropractic adjustment instruments are designed to provide fast and targeted adjustments to a patient at around 100 times the speed of a manual adjustment. Whereas manual adjustment will vary depending on the precise force of the practitioner, adjustment instruments can be set to deliver the same impact on each adjustment. Further, the small tip of adjustment instruments can be targeted much more precisely than human hands. In addition to these advantages, adjustment instruments do not cause the popping and cracking sounds that typically accompany manual manipulation, which makes them particularly useful when treating nervous patients such as children and seniors or patients that simply don’t want to be twisted.

Being treated with an adjustment instrument has been described as feeling like a light tapping on the treated area. The treatment is usually painless, and patients often report reduced pain and greater mobility following adjustment. There is also evidence to suggest that instrument adjusting may lead to fewer painful side-effects than manual manipulation. The precision of adjustment instruments can be used to move spinal vertebrae without disturbing adjacent muscles, which results in less pain for the patient. In addition to being better for patients, using adjuster instruments reduces the physical impact of practice on chiropractors who can—ironically—suffer from carpal tunnel and postural problems brought about from frequent daily applications of manual treatment to patients.

Although the research on the use of adjustment instruments is still in its infancy, several studies have demonstrated the effectiveness of this form of treatment for a wide range of musculoskeletal problems. Add to that the fact that pre and post treatments assessment can be objectively measured and the choice is clear.  Instrument adjusting is clearly the better option.  The instrument I use in my office is the PulStar Fras unit.  It is the only instruement that is FDA approved for this purpose.The fact that it has found widespread acceptance in modern chiropractic therapy suggests that many chiropractors themselves have become convinced of the practical use of mechanical adjustment, and that it is likely to remain a core part of chiropractic treatment for the foreseeable future.

About the author:
Dr. Brian Broskoskie is a chiropractor at Results Chiropractic Center in Rehoboth Beach, Delaware. He is a graduate of Sherman College. Follow him on Twitter and be sure to LIKE his Facebook Fan page for daily health, exercise, nutrition, wellness, chiropractic tips and much much more!  Call me, I am here to help. (302) 408.0000.