Chiropractic Care in Ambler, PA

What to Do If Injured, Chiropractic Care in Ambler, PA

Automobile Accidents, Chiropractic Care in Ambler, PA

Understanding what to do when an accident happens, and what types of injuries can occur may save you time, money, and long-term medical care. A prompt physical examination is the best advice. A thorough examination by a chiropractic physician is a wise precaution to determine the presence or absence of “hidden” injuries. Confer immediately with your doctor of chiropractic who will determine the extent of any injuries.

Serious and costly injuries do not always result in immediate pain or bloodshed. Aside from the more dramatic wounds which require surgery or hospitalization, other serious and costly injuries may result from auto accidents. Doctors of Chiropractic are particularly well-qualified to detect and treat a wide variety of injuries of the spine, nerves, and other related structures.


Common Injuries:

Low-Velocity Injuries (under 10 mph), usually result from the rapid movement of the body during the accident. This movement may result in muscle strain, seat belt bruises or Traumatic Brain Injury (TBI). Other symptoms may be delayed, but pain and stiffness may occur within 12-36 hours after impact.

High-Velocity Injuries (over 10 mph), usually result from a second impact, the body hitting objects inside the vehicle such as the dashboard, steering wheel, or window. Common injuries of this kind include shoulder, head or knee hematomas, wrist fractures, neck sprains, concussions, and a variety of contusions.

Traumatic Cervical Syndrome, more commonly known as whiplash, occurs when the neck is forced through a rapid series of movements faster than the bones, muscles and ligaments can accommodate. Some symptoms include swelling, tenderness, weakness or pain in the neck and shoulder; sore throat and/or loss of voice, trouble swallowing; jaw problems; vomiting; flashing lights in the visual field; headache; light-headedness or dizziness; painful tingling sensations; visual disturbances or blurred vision; and ringing in the ears. In some cases pain may not present itself for 12-36 hours after impact. 

Low Back Pain / Horsham, PA Chiropractic, Chiropractor in Horsham 215-283-2844

Low Back Pain / Horsham, PA Chiropractic, Chiropractor in Horsham 215-283-2844

Dr. Richard Schwartz



By Dr. Richard Schwartz 215-283-2844


A prospective patient arrives with a problem for you to manage – say a backache (a not uncommon scenario!).

Where do you begin? I would suggest you begin by viewing the problem through a broad lens.


The tissues of your (and your patient’s) body respond to applied demands (stressors) deriving from backgrounds of overuse, misuse, abuse (trauma) and disuse, overlaid onto a combination of developmental and maturational experiences of life – the inherited and acquired habits and patterns of use (for example postural or respiratory), ergonomic, work and leisure stresses, as well as the results of injuries, surgeries, emotional burdens and more.

These features and experiences will have blended to create tissues that may gradually have changed from a state of normotonicity to a palpably dysfunctional state, at times involving hypertonicity, and at others hypotonicity, along with altered firing sequences, modified motor control, abnormal postural and/or movement patterns and ultimately dysfunctional chain reactions. What emerges is a picture of impaired or altered function of related components of the somatic framework; skeletal, arthrodial, myofascial, as well as related vascular, lymphatic and neural features, all examples of adaptational overload.But to the patient, it is simply “a backache.” Such changes almost always demonstrate functional, sometimes visible, often palpable, evidence, that can frequently be assessed in order to guide you towards clinical decision-making, as to what form of management may be most appropriate. What therapeutic and rehabilitation strategies, in the context of acute and chronic somatic dysfunction, may be able to assist in normalization of dysfunction, pain management and rehabilitation? Parsons & Marcer (2005) note that “it is through the summation of both quantitative and qualitative findings that one obtains an indication of the nature and age of the underlying dysfunction”

Repetitive Lumbar Injury: An Example of Adaptation Overload

In discussing a form of low back pain that they describe as Repetitive Lumbar Injury (RLI), Solomonow, et al (2011a), outline the etiology of a complex multi-factorial syndrome that fits the model of adaptive overload. This involves an adaptation sequence, in which prolonged cyclic loading of the low back can be shown to induce a process of creep – defined as continued deformation of a viscoelastic material under constant load over time – in the spinal tissues (Sanchez-Zuriaga 2010), reduced muscular activity, triggering spasms and reduced stability, followed by acute inflammation and tissue degradation (Fung et al 2009), as well as muscular hyperexcitability and hyperstability (Li et al 2007).

These adaptive changes are seen – in animal studies (Solomonow 2011b) and in humans (Solomonow 2003) – to be a response to rapid movement, high loads, numerous repetitions and short rest periods. Behaviours that are not uncommon in many common work and leisure/athletic activities. The conclusion is that viscoelastic tissues ultimately fail via a process involving the triggering of inflammation, due to overuse, a process that appears to initiate the mechanical and neuromuscular characteristic symptoms of the disorder.

In contrast, Solomonow, et al (2011a), found that low magnitude loads, short loading durations, lengthy rest periods, low movement velocity and few repetitions do not constitute significant risk factors, yet nevertheless triggered transient stability deficits and pro-inflammatory tissue degradation. It is suggested that it might be more appropriate to designate these conditions as low risk instead of no risk. In perspective, Repetitive Lumbar Injury – manifesting in your patient with backache – is seen to be a complex multi-factorial syndrome. A clear example of adaptation to imposed demands that exceed the ability of the tissues involved to respond. Repeated bending activities in daily living appear to change both structure (ligaments, discs) and function (protective spinal reflexes).

Therapeutic interventions in such a spectrum of progressive dysfunction (such as myofascial release, muscle energy technique etc) need to offer various potential benefits, for example improving restricted mobility (Lenehan et al 2003), possibly reducing excessive inflammatory responses (Fryer & Fossum 2010), while simultaneously enhancing motor control (Wilson, et al 2003). But, unless the patterns of use that fuelled this degenerative process are modified, the manual interventions will offer short-term symptomatic relief at best.

Grieve’s Decompensation Model

In 1986, Grieve presciently offered a perspective on the evolution of chronic dysfunction. He described the example of a typical patient, presenting with pain, loss of functional movement, or altered patterns of strength, power or endurance and suggested that, all too commonly, this individual would either have suffered major trauma which had overwhelmed the physiological tolerances of relatively healthy tissues or might be displaying “gradual decompensation, demonstrating slow exhaustion of the tissue’s adaptive potential, with or without trauma.” As this process continued, Grieve explained, progressive postural adaptation influenced by time factors and possibly by trauma, would lead to exhaustion of the body’s adaptive potential, resulting in dysfunction and ultimately, symptoms.

Grieve correctly noted that therapeutic attention to the tissues incriminated in producing symptoms often gives excellent short-term results, however “unless treatment is also focused towards restoring function in asymptomatic tissues responsible for the original postural adaptation and subsequent decompensation, the symptoms will recur.”

A Therapeutic Formula: Reduce Adaptive Load And Enhance Function

A therapeutic formula is proposed for the clinician who is confronted with chronic adaptive changes, of the sort highlighted by Solomo now or Grieve, who may well walk into your office with a backache. It is suggested that the focus should be on both reducing adaptive demands; altering the patterns of behaviour that have produced, or which are maintaining, dysfunction, while at the same time focusing on enhancement of function, working with the self-regulatory systems of the body, so that those adaptive demands can be better managed by the body (Chaitow et al 2005). The only other therapeutic possibility would seem to be symptomatic attention.

In simple terms, musculoskeletal tissue absorbs or adapts to forces applied to it and many manual and movement approaches are capable of modifying these changes – for example the use of Muscle Energy Technique (MET) in dysfunctional shoulders of the elderly (Knebl 2002); following sporting injuries (Bolin 2010); hamstring problems (Smith & Fryer 2008), or even in backache (Licciardone et al 2010)! Why do I emphasise MET? Because its track record is excellent (see citations) and because it is safe and easy to use. But I admit to being biased – and acknowledge that other modalities may be equally useful, but not unless underlying stressors are also dealt with.

For more information on Low Back Pain Care in Horsham, Pa Call Dr. Richard Schwartz@ 215.283.2844






  1. Bolin, D. 2010. The application of osteopathic treatments to pediatric sports injuries. Pediatric clinics of North America, 57 (3):775-794.
  2. Chaitow, L. 2005. Muscle Energy Techniques (3rd edition) Churchill Livingstone, Edinburgh.
  3. Fryer G, Fossum C. 2010. Therapeutic Mechanisms underlying muscle energy approaches. In: Fernandez-de-las-Penas C Arendt-Nielsen L Gerwin R (Eds). Tension-type and Cervicogenic Headache: Pathophysiology, Diagnosis, and Management. Sudbury, MA: Jones and Bartlett Publishers, Pp 221-229.
  4. Fung DT, Wang VM, Laudier DM, et al 2009. Subrupture tendon fatigue damage. J Orthop Res 27(2):264-273.
  5. Grieve, G. 1986. Modern manual therapy. Churchill Livingstone, London.
  6. Knebl, J. 2002. J. American Osteopathic Assoc. Improving functional ability in the elderly via the Spencer technique, an osteopathic manipulative treatment.102(7):387-400.
  7. Lenehan K Fryer G McLaughlin P 2003. Effect of MET on gross trunk range of motion. Journal of Osteopathic Medicine, 6(1): 13-18.
  8. Li L, Patel N, Solomonow D, Le Pet al 2007. Neuromuscular response to cyclic lumbar twisting. Hum Factors 49(5):820-829.
  9. Licciardone J Buchanan S Hensel K et al 2010. Osteopathic manipulative treatment of back pain and related symptoms during pregnancy. American Journal of Obstetrics & Gynecology 202:43.e1-8.
  10. Parsons J Marcer N 2005. (Eds) Osteopathy: Modesls for diagnosis, treatment an practice. Churchill Livingston Edinburgh.
  11. Sanchez-Zuriaga D, Adams MA, Dolan P et al 2010. Is activation of the back muscles impaired by creep or muscle fatigue? Spine 35(5):517-525.
  12. Smith M Fryer G 2008. Comparison of two MET techniques for increasing flexibility of the hamstring muscle group. Jnl. Bodywork & Movement Therapies 12(4):312-317.
  13. Solomonow M Bing He Zhou EE Yun Lu et al 2011a. Acute repetitive lumbar syndrome. Journal Bodywork & Movement Therapies. In Press.
  14. Solomonow M 2011b. Time dependent spine stability. Clin Biomechanics 26(3):219-228.
  15. Solomonow M, Baratta RV, Banks A et al 2003. Flexion-relaxation response to static lumbar flexion in males and females. Clin Biomech (Bristol, Avon) 18(4):273-279.
  16. Wilson E et al 2003. Muscle energy technique in patients with acute low back pain. Journal of Orthopedic and Sports Physical Therapy 33: 502-512

More Hospitals offering alternative therapy services including Chiropractic Horsham, Pa 19044

More Hospitals offering alternative therapy services including Chiropractic

Horsham, Pa 19044

Dr. Richard Schwartz of Ambler, Pa practices Chiropractic which is gentle and safe.

Advance Chiropractic and Wellness Centers Ambler, PA


Alternative therapies, including meditation, relaxation training, homeopathy and chiropractic care, are being offered at more hospitals, mostly in response to patient requests, a survey finds.

Forty-two percent of hospitals in the survey said they offer one or more alternative therapies, including massages, relaxation training, homeopathy and chiropractic care

September 8, 2011

Growing numbers of U.S. hospitals, responding to patient demand, are integrating acupuncture, massage therapy and other alternative services into their conventional medical care, a new national survey shows.

Forty-two percent of hospitals in the survey said they offer one or more alternative therapies, including meditation, relaxation training, homeopathy and chiropractic care.

That’s up from 37% of hospitals that said they offered such medical services in 2007.

The alternative options are provided mostly in outpatient settings and come primarily in response to patient requests.

“Hospitals have long known that what they do to treat and heal involves more than just medications and procedures,” said Nancy Foster, vice president for quality and patient safety at the American Hospital Assn. “It is about using all of the art and science of medicine to restore the patient as fully as possible.”

The report is based on responses from 714 hospitals nationwide, or about 12% of nearly 6,000 facilities that were mailed surveys last year.

It was written by the Health Forum, a subsidiary of the national hospital association, and the Samueli Institute, a nonprofit research organization
that investigates the role of “healing” practices in medical care. The Alexandria, Va., institute was founded by Henry Samueli, co-founder of Irvine-based Broadcom Corp., and his wife, Susan.

Among the survey’s findings: 65% of hospitals said they offer alternative therapies for pain management. Massage therapy in particular is given to cancer patients to help alleviate pain and stress.

“Today’s patients have better access to health information and are demanding more personalized care,” said Sita Ananth, one of the study’s authors and director of knowledge services for the Samueli Institute. “The survey results reinforce the fact that patients want the best that both conventional and alternative medicine can offer.”


For more information and question call 215-283-2844 or visit Horsham Chiropractor

How to Choose a Massage Therapist in Horsham, Pa and Ambler, Pa, Blue Bell, Pa

How to Choose a Massage Therapist in Horsham, Pa and Ambler, Pa, Blue Bell, Pa

Finding a truly great massage practitioner — one whose skills, style and personality all suit you — can make the difference between a merely nice (or worse, ho-hum) experience and the kind of transformative healing dynamic that keeps you coming back for more.

You won’t know for sure until you get on the table, but here are some key questions to help you decide whether a therapist is right for you.

1. Are you nationally certified?
More than 300 schools and programs in the United States offer accreditation for massage therapists. To become nationally certified, a person must have a basic set of skills, pass an exam, adhere to certain ethical guidelines, and take part in continuing education.  

2. Are you state certified?
Every state is different, but most of them (42, plus the District of Columbia) offer certification for massage therapists; some are voluntary, and others are mandatory. Seek out a massage therapist who is state certified, which typically means he or she met a minimum number of training hours and passed an exam.

3. How many hours of training have you completed?
This is a helpful question, especially in states lacking strict oversight of who can call themselves a massage therapist. The answer you’re looking for is a minimum of 500 hours. According to the American Massage Therapy Association, the average practitioner has 633 hours of training. A massage therapist with less than 500 hours of training can still be good, but consider the number a benchmark.

4. Do you have any special or advanced training?
The best massage therapists spend years developing specialties and honing a specific skill set. The massage therapist who is passionate about Chinese meridians and spends several weeks a year going to special trainings may have an edge over the generalist who hasn’t evolved beyond the basic moves she learned in massage school. The same goes if you have special needs. For instance, a massage therapist who emphasizes sport massage might be a good bet if you have a weekend-warrior injury, but not if you have fibromyalgia. At our wellness center

5. How much do you charge?
Expect to pay roughly $1 a minute for a chair massage at the mall or airport. At an upscale spa or studio, massage rates range from about $60 to $120 an hour, plus a 15 to 20 percent tip. (Sometimes, packages of four or six massages are available at a discount.) If you have health insurance, ask your provider if you are eligible for either a discount (available with some plan-approved therapists) or if you can pay for massage with money from a flexible spending account. Unless you have the Mercedes-Benz of healthcare plans, preventive massage is probably not covered 100 percent, but if your doctor or chiropractor recommends massage therapy, your plan might cover a specific number of sessions.  

One final tip: Get a referral.
It’s OK to be picky about who puts their hands on your body. If you’re feeling spontaneous and want to book a one-time massage at a local spa, great. But if you’d like to explore massage as a long-term investment in your body, or if you have some tenacious kinks to work out and you think you might need a series of treatments, talk to your friends about whom they like and why. If your friends don’t get massage, ask for a recommendation at your local yoga studio, health club, acupuncture center or chiropractor’s office. More often than not, these folks are plugged in to the local “who’s who” of bodyworkers and can steer you in the right direction.

For more information call Dr. Richard Schwartz @215.283.2844 or go to or

Horsham, Pa Chiropractic, Horsham, Pa / Horsham Chiropractor / Glenside, PA

Chiropractors warn ‘text neck’ incidences on the rise+


Society can add another ailment to the growing list of problems associated with using text messaging. Chiropractors are warning of a condition on the rise that they are calling “text neck”.

Text neck is caused by keeping the neck flexed for long periods of time, which often occurs when texting obsessively throughout the day. The positioning people use when sending text messages is generally a down gaze with the neck flexed to make the head look down. It’s not just texting either, sufferers who generally get this ailment may be spending too much times on other gadgets, such as iPads.


MSNBC’s Today Health reports, “This is a global epidemic,” says Richard Schwartz, a chiropractor who practices at the Advanced Chiropractic and Wellness Center in Ambler, Pa., Horsham, Pa Glenside, Pa.

Schwartz said,

“It’s starting younger and younger. There are more than six billion phones connected, and that’s not counting the Kindles, iPads, tablets and all these devices we rely on daily,” adding, “Go outside, to a restaurant, the supermarket, a gym, the airport and notice the posture of almost everyone around you. You will see this everywhere, and now multiply that by every city in the world.”

Schwartz noted 45 percent of his patients have the same complaint and all are connected to the positioning used when looking down at various forms of screens or gadgets.

The Telegraph reports, Rachael Lancaster, of Freedom Back Clinics in Leeds, said,

“Sufferers are increasing as the use of smart phones and tablet computers become more popular.”

Lancaster relates this to joints and tissues in the neck not “built” to handle being flexed for extended periods of time. Lancaster stated, “Imagine sitting on your ankle sideways for 10 minutes. It would feel stiff and sore when you returned it to its natural position,” adding, “That is exactly what people are doing with their necks. If people continue to put their necks in these positions, the body will gradually adapt to the stresses.” Another concern is the natural curvature of the neck reversing. Chiropractors are warning this can lead to other health issues such as headaches and other body pains in shoulders, arms and wrists. Over the long term experts are warning this could lead to permanent arthritic damage. Health experts are indicating that “text neck” can be mitigated by taking breaks and allowing the neck to sit in its natural positioning, and also repositioning the phone to be higher can help too. Additionally getting enough regular exercise might also help reduce the risks associated with text neck. Over the years since computers have become a part of daily life for a couple of decades now, ailments such as carpal tunnel syndrome, have been associated with heavy use. Being texting is relatively new in the scale of technology; there is perhaps not enough data to provide a rounded scenario of the long-term effects; however doctors appear to be reporting increased incidences of body pains related to technology. Now “text neck” can be added to the list. The medical community has long been concerned about the ill-health effects often linked to texting.

Horsham Chiropractor talks about Cold and Flu Season

Cold and flu season is around the corner, but Dr. Richard Schwartz, a Horsham based Pediatric Chiropractor, believes that doesn’t mean you have to become a victim and he has a 7-Pillar Strategy for Natural Health During Cold and Flu Season.  Because government organizations like the Center for Disease Control advice that everyone from 6-months to 100 years old be given the annual flu vaccines, most people think that the flu vaccine is the best way to avoid getting the flu. Dr. Schwartz, who has been practicing for over 12 years, advises that you inform yourself of the risks of the flu vaccine and then make a decision based on that information; the Institute of Medicine (IOM) now admits: “Vaccines are not free from side effects or “adverse effects.”

The good news is that you can be proactive with your health and immunity! If you follow Dr. Christine Anderson’s seven pillars of health outlined below, then you will have taken great steps to insure that you and your family’s immune system stays strong not only during cold and flu season, but always!

Here are Dr. Richard Schwart’s 7 Pillars of Natural Health for a Healthy Immune System:

1. Proper Rest/Sleep: Minimum 7 hours per night for adults and 10-12 hours for children. Getting to bed before midnight is more restful and rejuvenating. Sleep in a completely dark room to fully activate the pineal gland, an area of the brain that regulates our body’s natural cycles. Exercise daily, but not in the evening as the activity can cause you to revive! Remove electronics from the bedroom and cease your computer usage at least an hour before wanting to retire. Some herbs to help relax and calm are chamomile, skullcap, valerian, and passiflora. Homeopathic remedies include camomila, coffea cruda, and nux vomica. 5—HTP is a metabolized form of tryptophan that is the precursor of serotonin – the neurotransmitter responsible for making us feel sleepy. Chiropractic can help the balance between the sympathetic nervous system (the part that makes you go) and the parasympathetic nervous system (the part that slows you down.) Besides repair, rejuvenation, and immune building, sleep can also keep you slim by keeping cortisol (your stress hormone) levels down.

2. Hydration: Take your body weight and halve it – that is how much water you should be drinking per day in ounces. Pure water—preferably filtered of pollutants, chemicals, and heavy metals. So if you weigh 140 lbs, then you should drink 70 ounces of water minimum; this is almost 9 eight oz glasses of water per day. If you have anything dehydrating, such as tea, coffee or alcohol, then add one glass per drink. Your body is primarily composed of water and the metabolic processes need it to function and flush out waste.

3. Exercise: Everyday, at least 30 minutes. Dancing around the house counts. Running around the house after kids counts, but you probably could also do with some focused exercise for stress release! Moderate exercise stimulates the immune system, but sustained hard core exercise can cause your body to become stressed and rundown. Include cardio, strength, including core, and flexibility aspects into your workouts. Once you get past the initial 2 weeks and the soreness goes away you will find you have more energy, stamina, you sleep better, and your self esteem will get a boost, too. For all you parents out there, your children will also get a firsthand look at what it means to take care of themselves. Heck, take them along on the walk or bike ride and get out there and kick the soccer ball around! For more information on Exercise and Pregnancy and Pregnacy massage, go to visit Ambler Chiropractor Dr. Richard Schwartz .

4. Manage Stress: Most likely than not there will always be stress in your life. We actually need a little bit otherwise we wouldn’t get out of bed in the morning. But what will run our systems down is the chronic unrelenting stress that never ends and continually releases cortisol, which will cause our bodies to shut down and collapse! Deadline after deadline, one thing after another, and never having enough time in the day – these are the things that wreak havoc. Schedules help. Limiting time wasters such as TV, computers, email, and social networking is another. Pursue a hobby. Practice yoga or meditate. Take a bath. Exercise. Only you will know what it is that helps you to release stress and then whatever it is, do it on a regular basis.

5. Eat foods that are nourishing, and eliminate foods that are depleting: Whole, unprocessed plant-based foods are the way to ensure that you have the fuel to build your body up and keep it functioning. By consuming processed foods, such as soda, energy drinks, coffee, cakes, cookies, candy, chips, fast food, and fried foods we use up our precious resources and weaken our defenses. The immune system is shut down for 5 hours after consuming sugar! Milk, fruit juices and alcohol are all hidden sources of sugar. Green juices are a great way to start the day and will give you an energy boost you won’t believe and won’t cause you to crash later on. Nuts and seeds provide sustainable energy and fruits and vegetables provide antioxidants which help protect your body from breaking down. Once you start consuming whole foods, processed ones will lose their appeal and as your body is nourished you will naturally consume less food, so you may even lose weight with no diet and no hunger!!

6. Spinal Hygiene: Hygiene is a funny word, no? (BTW—laughter is next…) Hygiene means the science dealing with the preservation of health. And the best way to preserve the health of the spine is with regular chiropractic check ups. Chiropractic is based on the philosophy that the nervous system controls and coordinates ALL the functions in the body – including the immune system. So, if you have physical, emotional or toxic stress from accidents, day to day stress, or eating a less than perfect diet, then subluxations (spinal misalignments) can cause nerve signals to be altered so your body can not get the proper signals to function optimally. Gentle chiropractic adjustments can help the whole family survive and even thrive during cold and flu season! For more information on Spinal Health, go to

7. Laughter-Meaningful relationships-Life Purpose: Laughter releases endorphins—our natural morphine and reduces stress. Love and caring causes secretory IgA to be released, which is our first line of defense in the immune system. Conversely, anger causes secretory IgA to drop. Knowing that you are making a difference to someone or something causes cortisol to lower—so volunteer or get a pet if you don’t feel that your life has purpose at this point in time. High levels of cortisol over a long period of time deplete our immune system.

If you would like to take some immune boosters to further fortify your defenses, then there are some natural remedies which can help. Gemmotherapy are the buds of plants and there are certain ones, like Briar Rose and Black Currant that can be taken preventatively and are great for kids. Taking antioxidants, such as vitamin A, C, E, and selenium can help. There is an association with immunity and vitamin D, which is actually a hormone – so it is best to have your levels checked before consuming a supplement. Getting 15 minutes a day of sun is safer than taking supplemental vitamin D, if you are in an area that has sun!

Take your omega 3’s—preferably from plant sources such as flax and algae (versus fish which have the potential for being contaminated with heavy metals and hormone disrupting chemicals). Herbs that are adaptogenic such as astralagus and ginseng may be helpful. Echinacea may be taken for 2 weeks at a time as a preventative. Other immune boosting herbs are medicinal mushrooms, olive leaf, garlic, and larch tree.

Please note that the substances listed above are for the purpose of example only. Before consuming any supplement or herb, please consult your health care practitioner. The decision about whether or not to vaccinate is a personal one and should be made with full informed consent.