Archive for the 'Articles' category


  Posts Posted by under Articles, Testimonials on Tuesday, September 29th, 2015 3:22 pm

A fabulous article from a learned colleague, Dr. George Kukurin:

When I started practice years ago, I thought most auto-accidents injuries were just like any other neck or back pain. Over the years and after treating hundreds of patients who were injured in an auto-accident, I came to realize that there was something different about the pain many of my patients developed after being involved in a motor vehicle accident. Many researchers have suggested that the thing that is different between a neck that is hurting from whiplash and most other types of neck pain is the potential for a cash settlement from a lawsuit. They imply that most chronic whiplash suffers exaggerate they their injuries hoping to get a nice settlement for pain and suffering. I even know some doctors who sarcastically suggest the best treatment for whiplash is a settlement check and that the patient’s pain will magically go away once their check clears the bank. Undoubtedly there are some people who look to cash-in when they are involved in a motor vehicle accident. But I observed many more people who continued to seek my care long after their insurance claim had settled. Patients that were actually spending money out-of-their-own-pocket to treat symptoms related to an accident that occurred years even decades ago. When I would treat them, so many of these patients would tell me that they were “never quite right” after their accident. One thing that became clear to me was that whiplash injures are indeed different from other types of painful syndromes that I have been treating.

Recent research is emerging that supports the idea that whiplash is different from other types of neck and back pain. Also that the injuries sustained in a whiplash commonly persist even after the best medical treatments currently available are utilized. A study published in the Journal of Bone and Joint Surgery, followed a group of whiplash victims for 30 years. That is a really long term follow-up period. What the researchers found was a little frightening; less than half of people involved in a motor vehicle accident fully recovered even after three decades. Stated another way this means that one of every two whiplash patients will have problems related to their accident for the rest of their life. It additionally suggests that the current therapies used to treat whiplash patients usually fail to provide relief.

This study supports what I commonly have seen in my own practice treating whiplash patients. Namely that many of them have lifelong problems that persist decades after their case was settled. They weren’t exaggerating their injuries to get a bigger settlement, their injuries were not like most others that heal and resolve over time. Thus it seems that there is something different about whiplash injuries that make them resistant to most types of current care.

Researchers publishing in the Journal of Forensic and Legal Medicine may have an explanation for why whiplash victims are at such a high risk for lifelong pain. They suggest that it is common for whiplash victims to sustain brain, spinal cord and nerve injures leading to hypersensitivity of the pain pathways.

This means that the pain and injury are related to damage in the nervous system not necessarily the bones, joints and muscles. After a motor vehicle accident, a patient may have localized injury to the neck, but damage to the central nervous system magnifies and prolongs the pain from the injured muscle. In fact, we know the delicate nerve fibers called axons are much more susceptible to stretching, twisting and compression than are muscles and joints. We also know that when axons are injured they can produce nerve pain that can persist long after the initial injury to the muscle has healed. Pain from damaged nerve fibers is called neuropathic pain. Neuropathic pain can cause changes in the brain which can cause the pain to spread, making parts of the body that were not injured in the original accident to feel hypersensitive, a condition pain researchers call alodynia.

Furthermore, these injuries to the tiny nerve fibers often can’t be visualized with routine diagnostic tests, so it is not surprising that current treatment helps less than 50% of whiplash patients fully recover. This is why some doctors accuse whiplash patients of “not really wanting to get better” and patients so often feel more pain after standard treatment rather than relief of their symptoms. The treatment for neuropathic pain is entirely different from the treatments that help muscle and joint pain

So how do we improve on this poor success rate in the treatment of whiplash?

To start we must find the area or areas in the nervous system that have been injured and are not functioning properly due to the whiplash. This can be more difficult than it sounds because many of these neurological injuries involve loss of function and tests like X-rays or MRIs are useful for evaluating “structural” not:functional” problems. The truth is that an MRI, the most sophisticated diagnostic imaging test we have available to us, can be used only for assessing the structure of the body. The MRI is incapable of assessing the function of the nervous system and in fact was never intended to assess how well nerves are functioning.

So if a doctor can’t see functional neurological problems even with an MRI scan, how can he identify and more importantly fix malfunctioning circuits in the brain, spinal cord or peripheral nerves?

The answer is straight forward; the doctor must use a functional neurological examination of the patient.

One important part of this functional neurological examination is assessment of a patient’s ability to maintain his or her balance. This functional assessment of balance includes tests with eyes open, eyes closed, standing on a hard surface versus standing on a unstable surface.

I can’t go into too much detail in this article, but a comprehensive balance assessment can tell the doctor if a patient has a poorly functioning peripheral nervous system, if their spinal cord and brainstem is working optimally, even if their cerebellum, inner ear and if the brain itself is functioning optimally. Another functional assessment a doctor can perform to evaluate nervous system function in a patient who has suffered a whiplash is to do a detailed assessment of a patient’s eye movements.

Most people don’t realize that there are a number of different types or classifications of eye movements. Furthermore each type of eye movement is associated with a specific part of the brain. So eye movements, if they are comprehensively and systematically assessed can tell a doctor which part of a patient’s brain is functioning optimally and more importantly those regions of the brain that maybe be structurally intact, but are functioning poorly.

With this information the doctor can devise a specific neurological rehabilitation program for each patient based on the findings of a functional (as opposed to structural) comprehensive examination. Since we now know that whiplash leads to malfunction in the nervous system, treating it based on restoring lost function determined from information derived from a thorough functional neurological assessment is likely to help many more whiplash patients than current therapy. Surely, we expect that a functional neurological approach to whiplash injury will produce better long term outcomes than the current one-in-two results of traditional care.

With traditional treatments, 1-in-two patients are at risk for lifelong, neurologically driven, pain hypersensitivity. Chiropractic neurology deals with the function of the brain, spinal cord and nerves. This allows us to pinpoint areas of the nervous system than may look normal on an MRI, but function poorly. Using techniques like balance assessment and targeting tests we often can identify structures in the nervous system that need treatment and then design a specific rehabilitation program for them. A new and promising approach to chronic whiplash problems.

Dr. George Kukurin is a chiropractic neurologist with over 20 years of experience treating neurological conditions. He was recently appointed assistant professor of neurology at the Carrick Institute, one of the world’s largest providers of post-graduate education in neurology. The result Dr. Kukurin’s methods have produced for his patients have been presented at scientific conferences at Johns Hopkins, are published in the National Library of medicine and have been featured on television news reports.

Article Source:

Neurotransmitters and Weight Loss

  Posts Posted by under Articles on Monday, November 14th, 2011 7:05 pm


Neurotransmitters (NT) are chemical messengers produced by your body to send signals along a nerve pathway. In order for messages to be relayed along the miles of nerves within your body, neurotransmitters must be produced, released, received and cleared from the spaces between the nerves, the synapse. For example, if you step on a sharp piece of glass in your bare foot you immediately feel pain. The pain message is relayed along a series of nerves from your foot to your brain. The message jumps from nerve to nerve by specific neurotransmitters.
Neurotransmitters are proteins that are produced inside your body. They are synthesized from amino acids obtained from the foods you eat. Different combinations of amino acids form different neurotransmitters. If your dietary choices do not supply all the necessary amino acids you could potentially wind up with a specific neurotransmitter deficiency. There are dozens and dozens of different neurotransmitters produced in your body and each one has a different purpose. Some have the job of exciting other nerves and some have the job of calming down or inhibiting other nerves. Each neurotransmitter has a unique molecular form that allows it to attach to only one type of receptor on the next nerve. It is similar to a specific key to open your front door and a different one to open your office door. If you try to open your front door with your office key you won’t get the desired effect. If you don’t eat the right foods you won’t have the necessary amino acids to produce neurotransmitters to give you their desired effect.
Some of the more common neurotransmitters you may have heard of are GABA, acetylcholine, glutamate, serotonin, epinephrine, and dopamine. Different causes of NT deficiencies include poor dietary intake, emotional stress, physical stress, medication use/abuse and surprisingly, weight loss diets. Studies from several major universities have shown the same thing: Improper weight loss diets will deplete your body of serotonin, which in turn leads to increased cravings, lack of motivation, and increased moodiness all of which leads to rebound weight gain.
Another symptom of NT deficiency is depression. Most people in today’s world are either taking an SSRI (selective serotonin reuptake inhibitor) or they know somebody who is. These are the most commonly prescribed antidepressant medications. The most common complaint I hear from patients, particularly females, is the weight gain associated with taking these drugs.
Different NT deficiencies can lead to abnormal thyroid gland function. If your thyroid gland starts to slow down, so does your metabolism. Thus, your weight goes up. You can try one of the many fad diets to lose weight, but if you don’t crank up the thyroid again by balancing NT’s, you will never succeed.
NT’s affect the way the adrenal glands function. This is a big issue in today’s fast paced, high stress world. Adrenals are already stressed by poor diet, emotional stress, poor sleep habits, excess caffeine and soft drinks. Add to that NT imbalance and you are staring at adrenal fatigue. Blood sugar dysregulation, cortisol surges and insulin spikes all just compound the problem.
Traditional health care is not equipped to deal with these types of chronic health problems. Typically you will be given a drug to cover up the symptoms, your metabolic condition will persist, and you will have to deal with the side effects of the medications, most notably, unwanted weight gain. This is a flawed system of trying to regain health.
In our office we utilize a very detailed history including asking about any drugs or medications you have ever taken. We also have all of our patients fill out two very in-depth questionnaires: one that explores their metabolic profile and another that evaluates their NT levels. This is the only way to truly get at the root cause of patients chronic health problems and helping people regain their health while losing weight.

Dr. Robert McCarthy
Board Certified Chiropractor
916 Evans Street
Greenville, NC 27834

Dr. Robert McCarthy
Dr. McCarthy graduated from the prestigious S.U.N.Y.@ Stony Brook with a bachelors degree. He then attended New York Chiropractic College in Seneca Falls, NY, graduating with a Doctorate in Chiropractic. After graduation Dr. McCarthy accepted an appointment to the NYCC faculty where he was a distinguished instructor in orthopedics, neurology and radiology.
Dr. McCarthy has been in practice for the last 15 years in Greenville. Having focused on meeting the health needs of entire families, Dr. McCarthy offers unique treatments for children, adults, and elderly patients. He has a passion for helping people who have “been everywhere” and “tried everything”. Chronic conditions that destroy peoples lives are given special attention in his office.
Dr. McCarthy served as the chairman of the Research Committee for the North Carolina Chiropractic Association. He lectures regularly on health topics ranging from weight loss and thyroid gland function to immune system function and autoimmune disease management. For more information please call 252-758-2222 or visit our websites at:

How Eating Affects Your Sex Hormones

  Posts Posted by under Articles on Wednesday, July 20th, 2011 6:06 pm

© Copyright 2008 Neurometabolic Solutions. All rights reserved.
916 Evans St. Greenville, NC 27834
For appointments call: (252) 758-2222

Any use of this site constitutes your agreement to our terms of service.