5431 Jonestown Rd

Harrisburg, PA 17112 US

(717) 540-8448

Monday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

Wednesday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Thursday:

8:00 am - 12:00 pm

Friday:

8:00 am - 12:00 pm

3:00 pm - 6:00 pm

Saturday:

Closed

Sunday:

Closed

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Making Sense of Guidelines for Care

Not too long ago, the Eighth Joint National Committee (originally commissioned by the National Heart, Lung, and Blood Institute) released a new set of evidence-based guidelines for evaluation and treatment of hypertension (high blood pressure). The guidelines committee, comprised of 17 academics, spent five years reviewing evidence as preparation for developing the new recommendations.

The committee’s report represents nothing less than a sea change in the treatment of patients with higher-than-normal blood pressure readings. The primary shift is from a long-held standard of implementing treatment when a person’s blood pressure is higher than 140/90 mmHg. The new guidelines recommend beginning treatment only when blood pressure readings are higher than 150/90 mmHg. The new standard is a huge modification of decades-old practice methods, and has generated substantial controversy.1.2 Of course, a good portion of the pushback is from those who have a vested interest in maintaining the status quo, such as physicians who dispense medications from their office and earn substantial income from selling antihypertensive drugs at multiples of their wholesale costs. In addition to physicians who act as pharmacies, drug companies who manufacture antihypertensive medications also stand to lose significant revenue. But aside from considerations related to the practice of medicine as a business, the real issues should be focused on the benefits and harms to patients. In this context, it may be reasonably stated that fewer medications are, by and large, a good thing.

The new blood pressure guidelines have two primary impacts. First, for people over age 60, treatment for presumed hypertension should be initiated when blood pressure readings are higher than 150/90 mm/Hg. More than 7.4 million Americans over age 60 will be in the new safe range. Many of these millions of people have been taking antihypertensive medication for years, possibly needlessly as implied by the new guidelines. Next, for all those under age 60, there is insufficient medical evidence that a systolic blood pressure (the first number in the reading) threshold exists that would dictate treatment. In other words, for many years the systolic threshold had been 140 (as in 140/90 mmHg). Higher systolic readings virtually mandated antihypertensive treatment. Although the committee expressed its opinion that the systolic threshold of 140 mmHg ought to be maintained for those younger than age 60, even though evidence for such a threshold is weak. Thus, it may be that many millions more people have been taking antihypertensive medication without such recommendations being backed by sound scientific research.

The point here is not that people should stop taking their blood pressure medication.3 All such types of decisions should be made in consultation with the prescribing physician. The main consideration is having the ability to make informed choices. Some medication regimens may be appropriate. Some may not. Some may need to be reevaluated. As always, regular chiropractic care is of value by providing you with the best opportunity to achieve maximum good health.

1Mitka M:Groups spar over new hypertension guidelines. JAMA 311(7):663-664, 2014
2Kieldsen SE, et al: Hypertension management by practice guidelines. Blood Press 23(1):1-2, 2014
3Sheppard JP, et al: Missed opportunities in prevention of cardiovascular disease in primary care: a cross-sectional study. Br J Pract 2014, Jan;64(618):e38-46. doi: 10.3399/bjgp14X676447

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Regular Office Hours

By Appointment Only

Monday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

8:00 am-12:00 pm

3:00 pm-6:00 pm

Saturday:

Closed

Sunday:

Closed

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Testimonials

Reviews By Our Satisfied Patients

  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    Teresa S.
  • "Wonderful staff. Makes you feel like it's home. Dr. Skocik is a wonderful gentleman. Just wants to help you so you can be better. Goes up and beyond."
    Sean F.
  • "This office is extremely friendly and provides excellent service!!!!"
    Rohimah H.
  • "Best doctor and best staff ever the service is perfect thanks you all guys I appreciate it."
    Pagal R.
  • "Always super helpful! I got hit by a car earlier this year and they have been helping me heal ever since!"
    Charlette B.
  • "My experience With Dr. Skocik has been exceptional. The staff provides excellent services and care. I always feel better after my treatment! Looking forward to a full recovery!"
    Linda S.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "Very great dr.Skocik, and amazing nurses they definitely know what they doing."
    Alona L.
  • "Helped me with a damaged disk.very knowledgeable and a great way to go to handle pain in a natural way."
    Tommy H
  • "The best Chiropractor in town."
    Bryan D.
  • "Good experience. Explains things patiently. Friendly Staff"
    Amit K.
  • "The staff is all great and Dr. Skocik is one of the best and nicest chiropractors."
    Matthew G.
  • "Dr. Skocik did a wonderful job helping me get back to normal. He explained things in detail. A very pleasant and courteous atmosphere. I found my go to chiropractor!!"
    Diane L.
  • "Dr Sk is thorough in his exams and explanations of recommended treatment and process. The staff are courteous, friendly and professional. I have seen improvement in my range of motion, mobility and reduction of pain in back and spine."
    Arlis V.
  • "I love this place. I have been going through a rough time, injuries, employment, school, death in the family, and stress. Dr. Skocik and his staff are a blessing. They have been there to help me not only with my injuries but with my life in general. No matter how much pain and misery I may be going through, I always leave feeling better and with a smile on my face. I think the entire staff is awsome."
    Melissa J.
  • "Quote from the movie The best exotic marigold hotel- β€œMost things don’t work out as expected, but what happens instead often turns out to be the good stuff.” - reminded me of you all. Thank you for helping me through my rough and frustrating healing process !!"
    Shirly P.
  • "Great office, sure had helped me"
    William G.
  • "Thank you to the entire team, Dr. Skocik, Kourtnay, Shannon, Nicole, and Daphne for taking great care of me. From not being able to walk to using a cane to now...you are a god-send! Highly recommended!!!!!"
    Dwayne D.
  • "Thanks"
    Jody B.
  • "Very nice people."
    Kim D.
  • "Great Doctor! Amazing Staff! The first time I went to skocik chiropractor I was in a lot of pain but after just a few months I feel so much better."
    Waslat W.
  • "In addition to the standard chiropractic services, Skocik also offers massage. The massage therapist is awesome, the prices are fantastic and I have never left anything but totally satisfied. You do give up a tiny bit of ambiance compared to a "spa", but what you get is more than worth it in my opinion. Highly recommended."
    Tiffany I.
  • "I appreciate Dr Skocik calling me at home to inquire about my recovery!
    Try stem cell & PRP therapy. It's worth it if it means having your life back without surgery!"
    Regenerative Medicine Patient O. Olagbemi
  • "I have been coming to this office for years and I would refer anyone to come to this office I never have had a bad experience."
    J. Weldon
  • "I like the combination of services they have.
    Adjustments, Maintenance, Physical Therapy options, massage and laser therapy.
    Not many places have that."
    A. Schultz
  • "The staff was very welcoming & make you feel completely comfortable. I would recommend them to anyone."
    T. Mahone
  • "Great Chiropactor , great staff, they are passionate about what they do and it shines through. I would highly recommend Skocik Chiropractic ! πŸ‘"
    T. Romberger
  • "Dr Skocik treats his patients like family, great rehab equipment, phenomenal staff and amazing massage therapists!!!"
    T. Warner
  • "I go here for massages, best you'll find in the area, and very good prices. The large office that has a wide range of chiropractic treatment equipment, and is a complete back treatment and rehab facility."
  • "This office is highly professional and organized! Great chiro service and I highly recommend!"
    J. LeCadre
  • "Simply the best! Period."
    J. Williams
  • "Dr. Skocik office treats you like family, wonderful staff and I will recommend anyone to his office.πŸ‘ πŸ‘ πŸ‘"
    K. Trollinger
  • "Amazing first impression and excellent, thorough exam for diagnosis. Physical therapy feels great."
    C. Campbell
  • "This office is organized and very professional, great chiro care! Would definitely recommend this office!"
    C. Myers
  • "I've been seeing Dr. Skocik for many years. Very professional office, he and his staff take great care of me. I recommend them often."
    T. Mowatt
  • "Absolutely love Dr. Skocik and his staff!!! I treated with this practice for several years after a really bad fall, thanks to the wonderful chiropractic care and massage therapy I am pain free and have my mobility back!! Highly recommend Dr. Skocik!!!"
    T. Coffman
  • "Coming from Toronto and seized up shoulder. Dr went way out of his way on a Saturday to open the clinic for me to assess. Very professional and kind. Wonderful."
    A.C.
  • "Doctor Skocik is really sincere about helping people"
    J. Peiffer
  • "What I love about my experience. I was able to be seen with in a 24 hours window..For those who suffer from lower back pain will truly understand how important that is. For that alone i give you five stars .. Excellent staff"
    F. Jackson
  • "I love coming here. The staff is very Friendly! I have had all kinds of issues with my back and ever since I started coming here i have made lots of improvement. I highly recommend Skocik Chiropractic!"
    Jessica C.
  • "The level of care, from the chiropractic services, to the massage therapy..to the office staff...EVERYONE treats you like family. I can honestly say that their is a genuine concern for your progress and well being.
    I would highly recommend."
    Craig W.
  • "I have always had a good experience with them and I have been a patient for a number of years. They are very nice about rescheduling appointments. The staff is always very friendly and I have always found them reasonably priced."
    L. Henninger
  • "I had a great experience in Skocik Chiropractic and they are very professional and fixed my lower back pain problem. My whole family goes to this practice and we highly recommend to other people."
    F. Zhang
  • "Skocik Chiropractic was very personable and informative. Dr. Skocik and his staff purposefully takes care of their patients with attentiveness and professionalism. I enjoyed my time there and highly recommend Skocik Chiropractic."
    B. Wanda

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