The Benefits of Scar Tissue Therapy using Graston Technique


    We incorporate Graston Technique into our treatment protocols at Advanced Chiropractic and Wellness Center the Offices of Dr. Richard Schwartz DC for many musculoskeletal conditions such as neck, arm, and hand pain. Conditions such as carpal tunnel syndrome, whiplash, and plantar fasciitis also respond favorably to Graston Technique. A technique used by Physical Therapists, Chiropractors, and DO

Here is an excerpt from the Graston website explaining Graston Technique:

Graston Technique® is an innovative, patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively break down scar tissue and fascial restrictions. The technique utilizes specially designed stainless steel instruments to specifically detect and effectively treat areas exhibiting soft tissue fibrosis(scar tissue) or chronic inflammation.

Originally developed by athletes, Graston Technique® is an interdisciplinary treatment used by more than 10,000 clinicians worldwide—including physical and occupational therapists, hand therapists, chiropractors, and athletic trainers.

GT is utilized at some 930 outpatient facilities and industrial on-sites, by more than 165 professional and amateur sports organizations, and is part of the curriculum at 48 respected colleges and universities.

Six stainless steel instruments form the cornerstone of Graston Technique® The curvilinear edge of the patented Graston Technique® Instruments combines with their concave/convex shapes to mold the instruments to various contours of the body. This design allows for ease of treatment, minimal stress to the clinician’s hands and maximum tissue penetration.

The Graston Technique® Instruments, much like a tuning fork, resonate in the clinician’s hands allowing the clinician to isolate adhesions and restrictions, and treat them very precisely. Since the metal surface of the instruments does not compress as do the fat pads of the finger, deeper restrictions can be accessed and treated. When explaining the properties of the instruments, we often use the analogy of a stethoscope. Just as a stethoscope amplifies what the human ear can hear, so do the instruments increase significantly what the human hands can feel.

What is Fascia?

The superficial fascia is a soft connective tissue located just below the skin. It wraps and connects the muscles, bones, nerves and blood vessels of the body. Together, muscle and fascia make up what is called the myofascia system.

For various reasons, including disuse, not enough stretching, or injuries, the fascia and the underlying muscle tissue can become stuck together. This is called an adhesion, and it results in restricted muscle movement along with pain, soreness and reduced flexibility or range of motion.

Myofascial release is a body work technique that uses gentle, sustained pressure on the soft tissues while applying traction to the fascia. This technique results in softening and lengthening (release) of the fascia, as well as the breaking down of scar tissue or adhesions between skin, muscles and bones.



Dr. Richard Schwartz DC talks about Trigger Point Massage

Trigger Point Massage

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When a Headache is Not Just a Headache

When a Headache is Not Just a Headache

Chiropractor in Horsham, Pa Blog

In most cases, headaches are minor nuisances that resolve within a short time. However, a headache can on rare occasions be the warning sign of a potentially serious disorder that requires immediate medical attention.

Potentially serious disorders that can produce headache pain include brain tumors, stroke (particularly stroke related to brain hemorrhage or an arterial tear in the neck) and inflammation of the temporal arteries. There are often subtle signs that accompany headaches associated with these conditions that can help people recognize that something more serious is causing their pain.

The American Chiropractic Association suggests people be aware of the signs that a headache is more than just a headache. If you experience any of the following symptoms with your headache, seek immediate medical attention:

— The sudden onset of severe headache that is more intense than any headache you have ever had in the past — Headache that is accompanied by blurred vision, double vision, trouble swallowing or speaking, or severe dizziness — Headache that is accompanied by numbness, tingling, weakness or clumsiness in the arms or legs — Headache that is worsened with lying down — In older adults, headache in the temple area that is accompanied by a feeling of pulsations in that area — Headache that is accompanied by confusion, disorientation or loss of consciousness — Headache that is accompanied by fever — Headache that is accompanied by a severe stiff neck — Headache that is accompanied by persistent or unexplained vomiting — Severe headache in someone over age 50 who does not normally suffer from headaches

“Many people find relief from their headache pain through natural, drug-free chiropractic care and massage therapy,” says Dr. Richard A. Schwartz of Horsham, Pa, a doctor of chiropractic with postgraduate training in neurology. “But in cases where a more serious condition is the root of the pain, it’s vital to identify the warning signs early and to seek immediate medical attention.”

5 Car Accident and Injury Questions Answered by Doctor in Warrington and Horsham Pa

5 Car Accident and Injury Questions Answered by Doctor in Warrington and Horsham Pa

The Questions:

1.    I’ve been examined at the Emergency Room. I was given medication for my pain. Do I need any more medical follow-up?

2.    Is it important for further diagnostic testing?

3.    What kind of treatment for my injuries can I expect to receive?

4.    Who pays for my medical care after my auto accident?

5.    How do I receive compensation for my injuries?


It’s common after an accident to feel some pain and discomfort, but it is not uncommon for these type symptoms to persist and lead to further problems later. Soft tissue injuries such as muscles and ligaments are overstretched so sprained/strain injuries result, but usually it’s inflammation that causes the pain. Muscles tend to tighten or spasm in an effort to protect the joint. If the inflammation is not properly managed within the first few days, scar tissue will form around the joints, causing pain and decreasing your joint mobility. Seeking medical attention right after your accident would be the first step in determining the seriousness of your injuries. Leaving the doctor’s office with some medication for pain and no medical follow up to management of your injuries could be disastrous. Typically most physicians can easily misdiagnose some of these kinds of conditions or overlook the seriousness of not treating these type of injuries with therapy. That is why it’s important to choose a physician who is trained in the treatment and diagnosis of these types of soft tissue injuries. •

2. Is it important for further diagnostic testing?  Most of the time, pain from your injuries may be managed through conservative measures. It is not until a thorough exam has been conducted by Dr. Richard Schwartz, that an initial diagnosis can be made. Usually it is standard to order x-rays of the injured areas to view any fractures, joint dislocations and spinal misalignment. Depending on the severity of your condition after the accident and the results of your exam, you may require further diagnostic testing. This may include an MRI or CAT scan, which gives a detailed picture of the soft tissue structures (muscles, ligaments, discs and internal organs). From a scan the doctor can give a more definitive soft tissue diagnosis and determine the extent of your injuries and approximate the length of care or additional care may need to be given. •

3. What kind of treatment for my injuries can I expect to receive?  No matter how insignificant you may think your injuries may be following an auto accident, foregoing treatment may lead to a much bigger medical problem later. With the proper medical care you have a better chance for a full recovery. After your initial examination, a prescription for medication may be written for pain along with therapy orders that might be applied, beginning that same day. It is important to know that medication will not treat your injuries but only mask the problem. Without therapy you may have less of a chance for a full recovery. Try to be patient; it may take a few weeks of therapy to get you back to where you were before the accident. Don’t worry; our physicians are prepared to help you with work related notes that you may need for time off or any other job restrictions. Our patient care coordinators will also assist you with your insurance benefits to ensure that you will be reimbursed for any time missed from work. Remember the old saying, “an ounce of prevention is worth a pound of cure”. “What little time you give to getting well is less time you have staying sick”. When you start your treatment sessions with us, our staff of chiropractic physicians, massage therapists and athletic trainers will begin by applying your therapies, which may range from 45 minutes to an hour in length. Treatment will consist of several different types of therapy modalities, which will include ice or heat, paired with electrical muscle stimulation, ultrasound, massage and manual therapies, active rehabilitative therapy and/or spinal manipulation. Initially, our therapeutic goal is to reduce the pain levels by treating the inflamed tissues and muscles spasms. As you respond favorably to your treatment, your therapy will become more advanced. Our therapeutic goal is to restore range of motion to the effected joints and begin to strengthen tissues that have lost their tone.  Immediately following your auto accident, Dr. Schwartz a chiropractor in Horsham, and Blue Bell Pa will closely treat your condition over the next several days. If your condition suddenly worsens and/or new symptoms arise, further diagnostic testing will be ordered, and therapy may be altered until we review the results of those tests. Some of the common soft tissue symptoms associated with neck and back injuries from an auto accident are sharp shooting pain into the limbs and numbness and tingling into the hands and feet. These symptoms, which are more than likely nerve related, are commonly mistaken for cardiovascular problems. The cause is usually a result of a disc injury. One of the first symptoms of disc injury is numbness and tingling in the arms or legs with or without associated muscle weakness.  Headaches and dizziness can also be related to neck injuries. The most common neck injury in relation to an auto accident is whiplash. This occurs when the muscles and ligaments are stretched beyond their normal range of motion, tearing the tissues and damaging discs.  Brain injuries can result from a more serious whiplash causing your head to hit a hard object. As a result, you can develop a concussion, posttraumatic amnesia, and even seizures. All of which are conditions that can be related to some neural damage within the brain. Expect to have good and bad days with your pain, as this is common with the rehabilitation process. Our physicians are monitoring your treatment daily, ordering the appropriate diagnostic tests when needed, and modifying your therapy as to assure progression of your rehabilitation goals. In addition our physicians usually will perform periodic medical exams every three to four weeks. This is to determine the status of your condition and if you need any further medical care or changes to your current plan of treatment. Pain medication is part of your treatment and it may be necessary to help manage your pain initially, but long-term use of pain medication can become addictive and harmful. Again our objective is to treat your condition and not just your pain. •

4. Who pays for my medical care after my auto accident?  When you are involved in an auto accident in the State of Pennsylvania, regardless of who is at fault, your medical treatment is covered under your own auto insurance carrier. Your personal injury protection or “PIP” insurance is required for every Floridian to have in order to drive legally in this state. Your PIP insurance allows up to $5,000 in medical benefits, which pays for your medical care, lost wages or any medical -related expense as a result of your auto accident. That may seem efficient coverage (money) to handle your medical bills, but sometimes it is just not enough. A visit to the Emergency Room can be costly and the medical bills can run up into the thousands of dollars if any diagnostic tests are performed. Hospitals have the right to bill at a much higher rate for practically the same services you’ll receive at any standard medical facility. Florida law states that any medical provider outside the hospital that renders services to you can only bill your PIP benefits at 200% of Medicare fees. No matter how much they bill for their services, they cannot collect any more from you or your insurance company than what is allowed to be paid. That’s why if you are not seriously hurt (i.e., need stitches or have broken bones or head trauma) from your accident, try to seek medical attention elsewhere. You will save time and your PIP money. 5. How do I receive compensation for my injuries?  When your PIP benefits are exhausted and you are still having problems with the injuries you sustained from the accident, you may have to seek legal ways to get the money to pay for future medical expenses that you might incur. Pennsylvania statues states that you have to determine that an injury is permanent in order to get medical compensation from the at-fault party’s insurance carrier after PIP benefits have run out. Permanent Injury is defined by Statue 627.737(2) “(A) plaintiff (the person who initiates a law suit) may recover damages in tort (suing the at-fault party for a civil wrong) for pain, mental anguish, and inconvenience because of bodily injury, sickness, or disease arising out of the ownership, maintenance, operation or use of such motor vehicle only in the event that the injury or disease consists in whole or in part of”: a) Significant and permanent loss of an important bodily function. b) Permanent injury within a reasonable degree of medical probability, other than scarring or disfigurement. c) Significant and permanent scarring or disfigurement.

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Whiplash from a Car Accident What can a Chiropractor do?

Whiplash How Did This Happen

By: Dr. Richard Schwartz

The accident injury doctor

You’re in your car, relaxed, waiting and suddenly you hear the screeching of tires. In that split second and before you can brace yourself, you feel the car lunge forward. You’ve been rear-ended. What happens in this brief moment can surprise you and what you do about it in the next few hours, days, and weeks can and will affect your future health. Chiropractic can help stop the harmful effects of car accidents that happen in Ambler, Pa , Horsham, Pa , Glenside, Pa In fact Dr. Schwartz helps all types of injuries from auto, work injuries to sport injuries even herniated disc. Please read on to see how you can be affected by a car accident

Upon impact, your body pushes deeply into the seat. Your head, momentarily isolated by your neck, delays its reaction while your body quickly reaches the limits of the seat. Then, your body instantly changes directions, moving forward to the limits of your seat belt. Now, your head starts moving backward in the opposite direction. Unrestrained by a seat belt your head is jerked back and forward beyond its normal limits. Your head is always going opposite of your body. What happens when you hold a piece of paper and move your hands in opposite directions, it tears. This is exactly how we can tear the ligaments and muscles of the neck. Everything is happening in slow motion, yet you are unable to prevent your head from whipping back and forth.

How can we minimize our injuries in a rear-end collision, we must be restrained by a seat belt this obviously prevents severe injuries and excessive forward motion of your body. The second crucial factor is the position of the headrest. It has to be no more than 1 inch away from the back of your head and the height has to extend above the top of your head. With the proper positioning the headrest can prevent excessive backward motion. If the position is incorrect the headrest actually adds to the problem by creating a fulcrum, which allows your head extend over the top and increases the stretching of ligaments and muscle tissue in the front of your neck.

Don’t minimize your own injuries because your car has sustained little or no damage in Horsham, Pa . It has been proven that a 5 mph impact can result in soft tissue injury. Signs and symptoms from a whiplash type injury can be many and vary in severity. The most common symptom is neck pain, which may take a few hours to begin due to the adrenaline rush. Headaches are the second most common symptom, 85% of all headaches are tension headaches, and we know after the above description of an accident we would have tension. Do not let these signs and symptoms go for a long period of time, because pain is an indication that something is wrong and just blocking the pain will not fix the problem. A thorough evaluation would be required to identify the problem and to determine the treatment you need. You have to restore proper motion with in the neck, in order to allow the muscles and ligaments of your neck to repair and heal. Don’t wait or think, my accident wasn’t that bad, seek proper care. Chiropractic can help. Dr. Schwartz a local chiropractor in Horsham, Pa is a specialist in accident and injury rehabilitation.

Find out more about whiplash click here

Car Accident and Work Injury Chiropractic Treatment For Montgomery County

Car Accident and Work Injury Chiropractic Treatment For Montgomery County

Specializing in physical rehabilitation, we are committed to helping our patients restore their normal lives after a car accident or work-related injury. Using the latest knowledge and technology in chiropractic care, we apply a multidisciplinary approach to diagnosing and treating your condition.

If you’ve ever been involved in a car accident or work-related injury, it often isn’t until days – or even weeks – later those physical problems arise, stemming from the accident.

When your livelihood, and more importantly, your health are at risk, you want to be sure your care is entrusted to experienced and qualified medical professionals. At Burch Chiropractic Center, we specialize in and frequently treat a wide variety of chiropractic conditions, including:

  • Back pain
  • Headaches
  • Neck pain
  • Muscle spasms
  • Stiffness
  • Insomnia
  • Located at 701 Limekiln Pike, Ambler, Pa

Your health should be your top priority after a car accident or work-related injury. To schedule a free exam, call or contact us online today!


Massage Therapy Horsham, Pa

What can Massage Therapy Really do for your Back Pain? Horsham, Pa /Montgomery County Chiropractor Discusses

If done correctly, massage therapy can work wonders for people with back pain. It may not always be the best choice, and it may not work for everyone. But most people will get great results if the massage therapist has a good understanding of the human body, muscle imbalances, and how to work with them. A word of caution: Massage therapy should never be considered a substitute for proper medical attention. At our Horsham, Pa chiropractic and wellness center we have well trained and certified doctors and massage therapist

As a massage therapist for the past 10 years, I have watched massage therapy grow in popularity and credibility to the point where the practice is now commonplace for those who suffer from back pain. There is no denying the positive effects massage can have on the body. Most massage therapists use a variety of techniques during a session, such as energy techniques and stretching, along with traditional massage. The Touch Research Institute at the University of Miami has coordinated over 100 studies that document the therapeutic effects of massage. One study on massage and back pain found that massage decreased back pain and depression while also improving sleep and range of motion for most joints.

What to look for in a massage therapist

As in many other professions, there are varying degrees of training and qualifications a massage therapist can have. It is up to you to find one who is trained in techniques that actually address issues of back pain. Some of the more popular styles of massage for back pain are: orthopedic massage, medical massage, and something called St. John’s Technique. It would also be a good idea to look for a massage therapist who has comprehensive knowledge of muscle imbalances relating to back pain. Good luck finding one, because they are rare.

How does massage therapy provide relief?

You probably have heard that massage improves circulation, right? But exactly what does that mean? Well, throughout our bodies we have a clear fluid that circulates around the body tissues called “lymph.” At the same time, we may have inflammation, which is an immune response to injury or infection that causes pain, redness, heat, and swelling in the affected area – in our muscles, around our muscles, even in our joints. When lymph and inflammation start to accumulate in the body, the excess fluid will put pressure on blood vessels and our circulation will decrease, limiting blood flow to that area. As the pressure increases, it irritates the nerves, which will cause you to have pain. By helping the body remove excess lymph and inflammation, massage therapy can make your blood flow better, which will reduce the pressure that is irritating the nerves and get rid of your pain.

And as if that were not enough, massage provides a number of other benefits: relaxing the muscles, improved range of motion, improved sleep, and increased production of endorphins, which will improve your mood. Is it any wonder you feel like a million bucks after a massage?

Is massage all you need to get relief?

As helpful as it is, massage has a very limited scope and cannot fully address your condition. It’s great for removing inflammation and providing relaxation, but back pain is a physical condition that requires a physical solution. Sure, a massage therapist may stretch your body a little. But that’s not a substitute for identifying muscle imbalances and postural dysfunctions and then developing a very specific and very targeted action plan to correct them and restore the body’s harmony.

If massage is part of an overall plan that includes working with a trained expert in muscle imbalances and postural dysfunctions, then you may be on to something. Unfortunately, most people don’t go this route. In my opinion, the ones who do will get the best and fastest results.

Is massage right for everyone?

Of course not. There are a number reasons why massage might not be right for you. Please review this list as you consider massage as an option.

1 Fever
2 Infectious Disease
3 Recent Operation
4 Skin Diseases
5 Varicose Veins
6 Cancer
7 Pregnancy
8 Cuts or Abrasions
9 Thrombosis

10 Heart conditions
11 Hypertension
12 Edema
13 Angina
14 Epilepsy

All massage sessions are one-on-one, which gives you the opportunity to converse with the therapist as well as get the personal attention you need to get results. You can ask questions about how you compare with other people. Feel free to ask the therapist what approach he or she will be taking so you know what to expect. The massage therapist has many different techniques to use to deal with your back pain, and some are better than others.

Be aware that sometimes a massage therapist can get distracted with other problem areas. It is in your best interest to keep the therapist focused on your back and associated ailments. You may need to try several different therapists before finding the one that works best for you – and with you.