Archive for Dr. Michael Bastkowski

Palm Beach Post Features Michael Bastkowski

Steve Dorfman writer of the Healthy Living column, which is published in the Palm Beach Post, was nice enough to give me a write up back in 2010. I was extremely honored and I hope you will give it a read.

Michael Bastkowski Feature

Blast from the Past

I was organizing my computer the other day and came across this interview from my old football days.

Michael Bastkowski Football Interview

A Great Infographic For Headache Sufferers

I was cruising the web recently and came across this great infographic on Headaches, hope you enjoy it!

Headaches Infographic

Created by Hosmer Chiropractic Health

Chiropractic Adjustments For Elderly Patients

Dr. Michael Bastkowski treats elderly patients.

Dr. Michael Bastkowski treats elderly patients.

Most healthcare providers and chiropractic practitioners are often asked if chiropractic adjustments are safe for elderly patients since chronic musculoskeletal conditions like backache, neck pain and other ailments are frequently common in elderly patients as compared to young adults. Moreover, interventional or pharmacological therapies are often not the first choice due to high risk of complications and co-morbid medical conditions in elderly patients leaving lesser options for management and cure.

Chiropractic care is the holistic method of wellness that is generally considered safe and is directed at improving the overall health and well-being in individuals of all age groups, young children, pregnant mothers and elderly patients.

The most common concern and misconception reported with chiropractic adjustments in elderly populations is the higher risk of vertebra-basilar strokes with cervical neck manipulations. However, research report published by JD. Cassidy suggested that within a period of 9 years (from 1993 to 2002) only 818 cases of VBA stroke were reported per 100 million individuals per year which indicates the overall risk of stroke is very rare with chiropractic care. Moreover, statistical analysis suggested that chiropractic therapy does not pose any additional risk of stroke in patients above 45; as opposed to a higher incidence of VBA stroke cases reported in patients after visit to primary care physicians.

Various research studies suggest that the risk of life threatening complications with chiropractic manipulations is almost equivalent to the risk of anaphylactic reaction with ingestion of aspirin. Other common complications include vertebral fracture and risk of bleeding in some susceptible patients if therapy is attempted in inexperienced hands.

Chiropractic adjustments are more cost effective and rewarding than most pharmacological and surgical interventions. All elderly patients who are at risk of developing chronic renal or liver disease due to long term consumption of pain killers and analgesics for the management of chronic backache should employ chiropractic care for promising results. Moreover, all the patients who are not likely candidates of surgery due to the critical nature of surgery or uncontrolled co-morbid medical conditions that interfere with general anesthesia fitness can benefit from chiropractic adjustments. Other indications are long term management of headache and vascular disorders, non-surgical management of spinal disc herniation, migraine headaches, respiratory disorders, and the management of coordination and balance issues.

A research study published in the scientific journal The Journal of the American Osteopathic Association, by Donald R. Noll discussed the effects of Osteopathic manipulative treatment in elderly patients (mean age above 65 years) and a history of chronic obstructive pulmonary disease (with forced vital capacity of 70% and lower). All patients underwent 7 standardized sessions of Osteopathic manipulative treatment with each therapy session lasting 20 minutes. After the end of treatment session, almost 82% patients who underwent chiropractic therapy reported improvement in breathing symptoms with statistically better profiles of forced expiratory flow, mid-expiratory phase, vital capacity and airway resistance. No significant complications were reported in any patient.

Cheryl Hawk presented another research study that was published in the Journal of Chiropractic Medicine that was conducted on elderly patients to decrease the risk of falls. This study was small scaled and conducted on only 10 patients with mean age of 60 years or above in whom the coordination and balance was poor (marked by frequent history of falls). All patients were subjected to 16 sessions of chiropractic spinal manipulation and assessed on Berg Balance Scale (BBS). At the end of therapy, most of the patients reported improvement of symptoms and a BBS score of less than 45 (before therapy almost all the patients had a BBS score of greater than 45), indicating marked improvement of symptoms.

Chiropractic adjustments are generally safe in elderly patients; however, it is primarily indicated to speak to your primary chiropractor for a preliminary assessment of your medication condition and overall bone health. The most common contraindications for chiropractic adjustments include elderly patients with advanced osteoporosis or altered bone mineral density, patients with history of bone tumors or signs of metastatic bone diseases, and patients with uncontrolled diabetes.

By: Ron Ayalon

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Discount Rehab Supplies is a woman-owned minority business committed to saving you money. Their executives are very experienced in the physical therapy industry and understand the importance of low prices without sacrificing product quality or service excellence. Their promise is simply to save you money. For biofreeze, or other products visit our website at

Management Of Chronic Sports Injuries

Dr Michael Bastkowski treats many different kinds of sports injuries

Dr Michael Bastkowski treats many different kinds of sports injuries

According to Sports Injury statistics of Children’s Hospital Pittsburg, over 30 million children participate in a variety of sports related activities each year, but unfortunately almost 10% (corresponds to 3.5 million children) develop significant sports injuries that affect the quality of their lives temporarily or permanently. The same website suggests that almost 33% of all injuries reported in adolescents are sports related that require time in the recovery process and may require rehabilitation services.

The most common sports related injuries are acute and self-resolving; however, 775,000 children require serious hospital management in the emergency unit. The brain and other vital parts of the nervous system (like spinal cord or peripheral nerves) are involved in almost 21% of all recreational sports injuries in adolescents. Most brain injuries are fatal if emergent treatment is not instituted. The most common pattern of injury in adolescents is ligamentous tear, muscle sprain or straining of other connective tissue elements of joints. Most injuries are reported with sports like cycling, hiking, skating and skate-boarding and contact sports like football and basketball that account for 400,000 injuries each year in children under 15 years of age. One of every 4 such injuries is serious. Plantar fasciitis is reported in almost 10% of all athletes who are engaged in active running as part of practice or the sports activity itself.

Management of most sports related injuries is focused on decreasing the intensity of pain and inflammation by drugs and pain-killers. However, most musculo-skeletal injuries take longer to heal in young children when compared to adults due to the higher rate of physical activity and improper rest.

If not managed properly, sports related injuries can change the entire life of your child. They can cause chronic pain and discomfort due to improper healing and scarring of injured ligaments and connective tissue. Due to altered healing, the child may develop permanent wrong posture to decrease the intensity of pain and thus increase the risk of stress and strain on normal tissues of the body. This eventually leads to an aggravated rate of tissues destruction and age related wear and tear changes. Ongoing disease processes in cervical or lumbar vertebrae or age related thickening of ligaments can limit the mobility of neck and may produce symptomatic pain during adult years. Injuries can also lead to the limitation of physical activity and inability to participate and compete in sports.

Besides decreasing the risk of sports related injuries by adopting proper preventive measures, it is also advised to manage and treat every case properly. Besides medical and surgical management (or correction), additional measures like physical therapy are extremely helpful.

Physical therapy helps by creating proper alignment of all components of connective tissue in order to decrease the intensity, severity of pain by decreasing the inflammation. Most of the time, injured tissues didn’t get the nourishment and proper nutrition due to inflammatory swelling or damage to blood vessels during injury process. Physical therapy exercises help in improving the blood flow across the injured tissue to promote healing and regeneration. While improving the range of motion, physical therapy tactics help in the correction of posture by allowing your muscles and ligaments to perform in the state of least resistance and maximum comfort. This increases the overall tissue health and physical wellness among patients.

The benefits of physical therapy are immense and regardless of the age of the patient, active as well as passive physical therapy methods are available to manage individual cases. Massage is helpful in stimulating tissues, decreasing inflammation and increasing blood flow. It can be performed in patients of all age groups without any discomfort.

Stretching exercises are helpful in realigning tissues and ligaments and at the same time, also help in decreasing the risk of scarring that is associated with permanent damage to connective tissue components leading to decrease in exercise endurance, chronic pain and discomfort and limitation of range of motion. There are a number of stretching exercises (suggested to patients according to age and nature of injuries) and include static, ballistic and Proprioceptive neuromuscular facilitation.

Mild electric stimulation is helpful in cases when tissue damage is severe and pain (or discomfort) prevents the child from performing stretching exercises. Mild electric stimulation is helpful in preventing scarring of tissue while still keeping the injured tissue alive and reactive.

By: Ron Ayalon

Article Directory:

Discount Rehab Supplies is a woman-owned minority business committed to saving you money. Their executives are very experienced in the physical therapy industry and understand the importance of low prices without sacrificing product quality or service excellence. Their promise is simply to save you money. For biofreeze, or other products visit our website at