Kosmides Family Chiropractic & Massage
Here in Hilo, Hawaii The office is inside Vive Institute at Big Island Academy of Massage Make an appointment for Dr. George, you can Book here (808) 969-7676 or Dr. George’s cell (310) 562-3990. Walk-ins are always welcome.
What is Chiropractic?
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On Vacation on the Big Island of Hawaii?
Do you need Chiropractic treatment or a great massage but don’t have time to visit the office during regular business hours?
Do you prefer Chiropractic treatment in the privacy of your own home or hotel? Are you in too much pain to leave your home or hotel?
Dr. George Kosmides is a Board Certified Doctor of Chiropractic who has treated everyone from infants to professional athletes. Dr. George Kosmides will bring his expertise and personalized style of chiropractic care to you in the privacy, convenience, and comfort of your own home or hotel.
The doctor is fully equipped to perform any service you would find in a normal office setting, rendering amazing results.
• Spinal manipulative therapy
• Soft tissue therapy
• Functional assessment
• Kinesiology Taping
• Electrical muscle stimulation
• Strength and rehabilitation
• Diet & lifestyle coaching
• Ergonomics and ergonomic coaching
• Injury prevention
• Postural assessment
What to expect?
If this is your first visit, the doctor will evaluate your health history and give you a full examination. Once the diagnosis is rendered, your personalized treatment will begin.
1st-time treatment will last anywhere from 45-60 minutes.
Follow up treatments will last from 30-45 minutes depending on the severity of the diagnosis.
If you are looking for a House Call Chiropractor, call our office line at 310 562-3990 to schedule. If you are in need for a house call chiropractor and are trying to reach us outside of regular office hours you can E-Mail the doctor directly at Drkosmo@gmail.com
Massage Therapy House Calls
A licensed massage therapist will travel to you so that you can be treated in the privacy, convenience, and comfort of your own home or hotel.
Chiropractic – A system of medicine based on the adjusting treatment of misalignments of the joints, especially those of the spinal column, which are held to cause other disorders by affecting the nerves, muscles, and organs.
Chiropractic is a health care profession that focuses on the relationship between the body’s structure and nervous system—mainly the spine—and its functioning. Although practitioners may use a variety of treatment approaches, they primarily perform adjustments (manipulations) to the spine or other parts of the body with the goal of correcting alignment problems, alleviating pain, improving function, and supporting the body’s natural ability to heal itself.
- Most research on chiropractic has focused on spinal manipulation. Spinal manipulation appears to benefit some people with low-back pain and may also be helpful for headaches, neck pain, upper- and lower-extremity joint conditions, and whiplash-associated disorders.
- Side effects from spinal manipulation can include temporary headaches, tiredness, or discomfort in the parts of the body that were treated. There have been rare reports of serious complications such as stroke, but whether spinal manipulation actually causes these complications is unclear. Safety remains an important focus of ongoing research.
- Tell all your health care providers about any complementary health approaches you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.
Overview and History
The term “chiropractic” combines the Greek words cheir (hand) and praxis (practice) to describe a treatment done by hand. Hands-on therapy—especially adjustment of the spine—is central to chiropractic care. Chiropractic is based on the notion that the relationship between the body’s structure (primarily that of the spine) and its function (as coordinated by the nervous system) affects health.
Spinal adjustment/manipulation is a core treatment in chiropractic care, but it is not synonymous with chiropractic. Chiropractors commonly use other treatments in addition to spinal manipulation, and other health care providers (e.g., physical therapists or some osteopathic physicians) may use spinal manipulation.
Use in the United States
In the United States, chiropractic is often considered a complementary health approach. According to the 2007 National Health Interview Survey (NHIS), which included a comprehensive survey of the use of complementary health approaches by Americans, about 8 percent of adults (more than 18 million) and nearly 3 percent of children (more than 2 million) had received chiropractic or osteopathic manipulation in the past 12 months. Additionally, an analysis of NHIS cost data found that adults in the United States spent approximately $11.9 billion out-of-pocket on visits to complementary health practitioners—$3.9 billion of which was spent on visits to practitioners for chiropractic or osteopathic manipulation.
Many people who seek chiropractic care have low-back pain. People also commonly seek chiropractic care for other kinds of musculoskeletal pain (e.g., neck, shoulder), headaches, and extremity (e.g., hand or foot) problems.
An analysis of the use of complementary health approaches for back pain, based on data from the 2002 NHIS, found that chiropractic was by far the most commonly used therapy. Among survey respondents who had used any of these therapies for their back pain, 74 percent (approximately 4 million Americans) had used chiropractic. Among those who had used chiropractic for back pain, 66 percent perceived “great benefit” from their treatments.
During the initial visit, chiropractors typically take a health history and perform a physical examination, with a special emphasis on the spine. Other examinations or tests such as x-rays may also be performed. If chiropractic treatment is considered appropriate, a treatment plan will be developed.
During follow-up visits, practitioners may perform one or more of the many different types of adjustments and other manual therapies used in chiropractic care. Given mainly to the spine, a chiropractic adjustment involves using the hands or a device to apply a controlled, rapid force to a joint. The goal is to increase the range and quality of motion in the area being treated and to aid in restoring health. Joint mobilization is another type of manual therapy that may be used.
Chiropractors may combine the use of spinal adjustments and other manual therapies with several other treatments and approaches such as:
- Heat and ice
- Electrical stimulation
- Relaxation techniques
- Rehabilitative and general exercise
- Counseling about diet, weight loss, diabetes and other lifestyle factors
- Dietary supplements.
Is Chiropractic Safe
- Side effects from spinal manipulation can include temporary headaches, tiredness, or discomfort in the parts of the body that were treated.
- There have been rare reports of serious complications such as stroke, cauda equina syndrome (a condition involving pinched nerves in the lower part of the spinal canal), and worsening of herniated discs, although cause and effect are unclear.
- Safety remains an important focus of ongoing research:
- A 2007 study of treatment outcomes for 19,722 chiropractic patients in the United Kingdom concluded that minor side effects (such as temporary soreness) after cervical spine manipulation were relatively common, but that the risk of a serious adverse event was “low to very low” immediately or up to 7 days after treatment.
- A 2009 study that drew on 9 years of hospitalization records for the population of Ontario, Canada analyzed 818 cases of vertebrobasilar artery (VBA) stroke (involving the arteries that supply blood to the back of the brain). The study found an association between visits to a health care practitioner and subsequent VBA stroke, but there was no evidence that visiting a chiropractor put people at greater risk than visiting a primary care physician. The researchers attributed the association between health care visits and VBA stroke to the likelihood that people with VBA dissection (torn arteries) seek care for related headache and neck pain before their stroke.
Practitioners: Education and Licensure
Chiropractic colleges accredited by the Council on Chiropractic Education (CCE) offer Doctor of Chiropractic (D.C.) degree programs. (CCE is the agency certified by the U.S. Department of Education to accredit chiropractic colleges in the United States.) Admission to a chiropractic college requires a minimum of 90-semester hour credits of undergraduate study, mostly in the sciences.
Chiropractic training is a 4-year academic program that includes both classroom work and direct experience caring for patients. Coursework typically includes instruction in the biomedical sciences, as well as in public health and research methods. Some chiropractors pursue a 2- to 3-year residency for training in specialized fields.
Chiropractic is regulated individually by each state and the District of Columbia. All states require completion of a Doctor of Chiropractic degree program from a CCE-accredited college. Examinations administered by the National Board of Chiropractic Examiners are required for licensing and include a mock patient encounter. Most states require chiropractors to earn annual continuing education credits to maintain their licenses. Chiropractors’ scope of practice varies by state in areas such as the dispensing or selling of dietary supplements and the use of other complementary health approaches such as acupuncture or homeopathy.
If You Are Thinking About Seeking Chiropractic Care
- Ask about the chiropractor’s education and licensure.
- Mention any medical conditions you have, and ask whether the chiropractor has specialized training or experience in the condition for which you are seeking care.
- Ask about typical out-of-pocket costs and insurance coverage. (Chiropractic is covered by many health maintenance organizations and private health plans, Medicare, and state workers’ compensation systems.)
- Tell the chiropractor about any medications (prescription or over-the-counter) and dietary supplements you take. If the chiropractor suggests a dietary supplement, ask about potential interactions with your medications or other supplements.
- Tell all of your health care providers about any complementary health approaches you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.
- Agency for Health Care Policy and Research. Chiropractic in the United States: Training, Practice, and Research. Rockville, MD: Agency for Health Care Policy and Research; 1997. AHCPR publication no. 98–N002.
- Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: The United States, 2007. CDC National Health Statistics Report #12. 2008.
- Bronfort G, Haas M, Evans R, et al. Effectiveness of manual therapies: the UK evidence report. Chiropractic & Osteopathy. 2010;18(3):1–33.
- Cassidy JD, Boyle E, Côté P, et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Journal of Manipulative and Physiological Therapeutics. 2009;32(2 Suppl): S201–S208. (Republished from Spine. 2008;33(4 Suppl): S176–S183.)
- Coulter ID, Hurwitz EL, Adams AH, et al. Patients using chiropractors in North America: who are they, and why are they in chiropractic care? Spine. 2002;27(3):291–296.
- The Council on Chiropractic Education. Standards for Doctor of Chiropractic Programs and Requirements for Institutional Status January 2007. The Council on Chiropractic Education Web site. Accessed at www.cce-usa.org/Publications.html(link is external) on November 23, 2009.
For More Information – PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches in PubMed.
Glossary of Explanations
Back sprains and strains are experienced by approximately three out of four adults. Sprains are caused when ligaments—the tough bands of tissue that hold bones together—become overstretched or torn. Strains involve a muscle and/or a tendon. Either one can occur when you lift too much weight, play a strenuous sport, or even bend or twist improperly during regular activities during the day. The pain may be aching, burning, stabbing, tingling, sharp, or dull.
Cervicogenic headaches are caused by referred neck pain. The pain from this type of headache is usually felt at the back of the head, in the temples, and/or behind the eyes. A cervicogenic headache may be mistaken for migraines or cluster headaches.
Coccydynia is pain that develops in the spine’s tailbone. Some people who fall down or who ride a bike for a long time may develop coccydynia, which can get worse when sitting. Sometimes the pain begins without any known cause.
Degenerative disc disease (DDD) is usually associated with aging. As you become older, your intervertebral discs— the pillow-like cushions between your vertebrae—can degenerate or break down due to years of strain, overuse, or misuse. The discs may lose flexibility, elasticity, and shock absorption. They also become thinner as they dehydrate.
A herniated disc usually occurs in the neck or low back. A herniated disc can cause pain when the outer ring (annulus) or interior matter (nucleus pulposus) presses on a nearby nerve root.