Carpal Tunnel Prevention

Carpal tunnel syndrome can be very problematic especially now that everything we do seems to involve a keyboard of some sort.  This used to be an injury seen mainly in people who type all day.  Now everything we do no matter what your job seems to involve typing or keyboard use.  Complete side note my mom got it from knitting.  As your chiropractor in the Woodbridge, Dale City VA area I want to show you a stretch that can help.

The forearm and digit energizer series is a great way to manage that fatigue and pain you are feeling creep into your hands and wrists from excessive typing, gripping, or handstand walking.

This series is challenging and can place your hands into a position that they may not be comfortable being in to start, so exercise restraint on your first time. If you find your hands, wrists, or fingers are tender in any of these stretches, try first to reduce the pressure applied, and then slowly and progressively increase that pressure over time until you gain a full range of motion. We encourage you to challenge yourself with the finger flexing and neuromuscular components shown as well. You will be surprised at how much dexterity you gain from just a few round of this series, and the fatigue you feel when you first begin is expected. However, in time, when your fingers are dancing across your keyboard pain free and you suddenly are able to shuffle a deck of cards like a riverboat gambler, you will understand why we call it the energizer series!

LINK TO STRETCHES

A couple things to remember:

Complete 5-10 good reps of all the exercises shown, and take the time to slow down the movement and get a good amount of time under tension for these small endurance muscles.

Spend more time, 60-90 seconds, in the stretching ranges that are especially difficult or hard to stretch.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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IT band pain

As your chiropractor in the Woodbridge, Dale City VA area I see lots of low back complaints.  When I hear the patient say the pain is on one side or the other with a leg referral my first thought is the SI joint.  It is usually that but there are the odd balls (simmer down it is not said in disrespect to the person) that have an IT band injury.   This injury tends to be more on the side of the leg.

Symptoms

Symptoms of ITB syndrome consist of pain on the outside of the knee, more specifically at or around the lateral epicondyle of the femur or bony bit on the outside of the knee.

It comes on at a certain time into a run and gradually gets worse until often the runner has to stop. After a period of rest the pain may go only to return when running starts again. The pain is normally aggravated by running, particularly downhill.

Pain may be felt when bending and straightening the knee which may be made worse by pressing in at the side of the knee over the sore part. There might be tightness in the iliotibial band which runs down the outside of the thigh. A therapist or trainer may use Ober’s test to assess this. Weakness in hip abduction or moving the leg out sideways is another common sign. Tender trigger points in the gluteal muscles or buttocks area may also be present.

Causes

TFL muscleCertain factors may make you more susceptible to developing runners knee or iliotibial band syndrome. A naturally tight or wide IT band may make someone more susceptible to this injury. Weak hip muscles, particularly the gluteus medius  are also thought to be a significant factor.

Over pronation or poor foot biomechanics may increase the risk of injury. If the foot rolls in or flattens, the lower leg rotates and so does the knee increasing the chance of friction on the band. Other factors include leg length difference, running on hills or on cambered roads.

Treatment

Below are outlined a number of treatment options for ITB friction syndrome. See rehabilitation for more details on how the various forms of treatment might be included in a full rehabilitation program.

Rest

Rest is important to allow the inflamed tendon to heal. Continuing to run with ITB syndrome will most likely make it worse. Initially complete rest is a good idea but later activities other than running which do not make the pain worse such as swimming or cycling should be done to maintain fitness.

Cryotherapy

Apply cold therapy or ice to reduce pain and inflammation. Ice should be applied for 10 to 15 minutes every hour until initial pain has gone then later 2 or 3 times a day and / or after exercise is a good idea to ensure the pain does not return. Once the inflammation has gone then potential causes must be addressed such as a tight ITB or the pain will most likely return.

Medication

A doctor may prescribe anti-inflammatory medication such as NSAID’s e.g. Ibuprofen. This is useful in the early acute stage to reduce pain and inflammation. Long term it is not likely to be of benefit, particularly if it is just being used to mask in injury and not as part of the treatment. Always check with a doctor before taking medication in case you have contraindications which mean they could cause harm, for example asthmatics should not take Ibuprofen.

Stretching exercises

Stretching exercises for the muscles on the outside of the hip in particular are important. The tensor fascia latae muscle is the muscle at the top of the IT band and if this is tight then it can cause the band to be tight increasing the friction on the side of the knee.

Foam roller exercises

Using a foam roller on the IT band and gluteal muscles can help stretch the iliotibial band and remove any tight knots or lumps in the tendon. therefore friction on the side of the knee.

Strengthening exercises

Improving the strength of the muscles on the outside of the hip which abduct the leg will help prevent the knee turning inwards when running or walking and therefore help reduce the friction on the ITB tendon at the knee. In particular strengthening exercises for the tensor fascia latae muscle and gluteus medius such as heel drops, clam exercise and hip abduction are important.

Sports massage

A professional therapist may perform sports massage to help relax and loosen the tissues and use myofascial release techniques which have been shown to be highly effective. Self massage techniques can also be very helpful in correcting excessive ITB tightness, especially where access to a massage therapist on a regular basis is not possible.

Electrotherapy

Use of electrotherapeutic treatment techniques such as TENS or ultrasound may help reduce pain and inflammation.

Acupunture

Dry-needling techniques or acupuncture may be beneficial also. Acupuncture is performed by inserting needles of various lengths and diameters into specific points over the body and in this case around the knee joint. The needle is usually inserted, rotated and then either removed immediately or left in place for several minutes. It is thought to be beneficial in reduce chronic or long term pain.

 

Training modification

Errors in training should be identified and corrected. These can include over training or increasing running mileage too quickly. As a general rule a runner should not increase mileage by more than 10% per week. Running across a slope or camber in the road for long periods or poor foot biomechanics should be considered. When training starts again avoid too much downhill running.

A rehabilitation strategy which includes stretches and exercises to strengthen the hip abductors is important. In acute or prolonged cases a corticosteroid injection into the site of irritation may provide pain relief.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Safe Yard work

If you haven’t gotten your plants in the ground you are missing out on all this rain.  On the flip side you can still use these tips to help prevent a back injury.  As your Woodbridge, Dale City VA Chiropractor I see lots of yard work/gardening injuries this time of year.  You generally don’t think of it as work but a bag of mulch is the same as lifting weights but it is a lot harder to balance.  Here are some tips to help you prevent an injury.

Gardening can be enjoyable, but it is important to stretch your muscles before reaching for your gardening tools. The back, upper legs, shoulders, and wrists are all major muscle groups affected when using your green thumb.

A warm-up and cool-down period is as important in gardening as it is for any other physical activity,” says Dr. Scott Bautch, a member of the American Chiropractic Association (ACA) Council on Occupational Health. “Performing simple stretches during these periods will help alleviate injuries, pain and stiffness.”

To make gardening as fun and enjoyable as possible, it is important to prepare your body for this type of physical activity. The following stretches will help to alleviate muscle pain after a day spent in your garden.

Garden Fitness Stretches

Before stretching for any activity, breathe in and out, slowly and rhythmically; do not bounce or jerk your body, and stretch as far and as comfortably as you can. Do not follow the “no pain, no gain” rule. Stretching should not be painful.

While sitting, stretch your leg out in front of you, knee straight, and prop your heel on a step. Then lean forward until you feel a stretch in the back of the thigh, or the hamstring muscle. Hold this position for 15 seconds. Do this once more and repeat with the other leg.

Stand up, balance yourself, and grab the front of your ankle from behind. Pull your heel towards your buttocks and hold the position for 15 seconds. Do this again and repeat with the other leg.

While standing, weave your fingers together above your head with the palms up. Lean to one side for 10 seconds, then to the other. Repeat this stretch three times.

Do the “Hug your best friend” stretch. Wrap your arms around yourself and rotate to one side, stretching as far as you can comfortably go. Hold for 10 seconds and reverse. Repeat two or three times.

Finally, be aware of your body technique, body form and correct posture while gardening. Kneel, don’t bend, and alternate your stance and movements as often as possible to keep the muscles and body balanced

After the Bulbs Are Planted

If you feel muscle aches and pains after your day in the garden, there are ways to alleviate the discomfort. Apply a cold pack on the area of pain for the first 48 hours or apply a heat pack after 48 hours, and consider seeking the services of a doctor of chiropractic in your area.

Doctors of chiropractic (DCs) practice a drug-free, hands-on approach to health care that includes patient examination, diagnosis and treatment. While best known for their expertise in treating the musculoskeletal system and their use of spinal manipulation, DCs have broad diagnostic skills and are also trained to recommend therapeutic and rehabilitative exercises, as well as to provide nutritional, dietary and lifestyle counseling.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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A common cause of Low Back Pain

Summer is here and based on vanity alone it is time to lose some weight.  That being said there is another reason to drop those extra pounds.  Low back pain is one of the most common reasons people go to the doctors.  As a chiropractor in the Woodbridge, Dale City VA area I obviously see lots of low back pain.  Not all of it is weight related but it is a major factor in the cause of low back pain.

According to the American Obesity Association, episodes of musculoskeletal pain, and specifically back pain, are prevalent among the nearly one-third of Americans who are classified as obese.2  The American Obesity Association also reports that more obese persons say they are disabled and less able to complete everyday activities than persons with other chronic conditions.1

Some of the most common obesity-related problems include musculoskeletal and joint related pain.1 For people who are overweight, attention to overall weight loss is important as every pound adds strain to the muscles and ligaments in the back.  In order to compensate for extra weight, the spine can become tilted and stressed unevenly. As a result, over time, the back may lose its proper support and an unnatural curvature of the spine may develop.

In particular, pain and problems in the low back may be aggravated by obesity. This occurs for people with extra weight in their stomachs because the excess weight pulls the pelvis forward and strains the lower back, creating lower back pain. According to the American Obesity Association, women who are obese or who have a large waist size are particularly at risk for lower back pain.1

Obese or overweight patients may experience sciatica and low back pain from a herniated disc. This occurs when discs and other spinal structures are damaged from having to compensate for the pressure of extra weight on the back.

In addition, pinched nerves and piriformis syndrome may result when extra weight is pushed into spaces between bones in the low back area.3

Arthritis of the spine that causes back pain may be aggravated when extra body weight strains joints. Those patients with a Body Mass Index (BMI) of greater than 25 are more likely to develop osteoarthritis than those with a lower BMI. The American Obesity Association recommends modest weight loss as a treatment for some types of osteoarthritis.2

The effectiveness of back surgery may also be affected by a patient’s weight. Obese patients are at higher risk for complications and infections after surgery compared to patients who are not obese.2 For seriously overweight patients, paying attention to weight loss before undergoing back surgery may improve the healing process after surgery.

Identifying the Need for Weight Loss

Body Mass Index (BMI) is a measure commonly used by medical practitioners. BMI is a mathematical formula (BMI=kg/m2) that takes into account a person’s weight in kilograms and height in meters and calculates a number. The higher a person’s BMI falls on a pre-determined range of values, the higher the likelihood for obesity.  Although there is some debate over the specific meaning of BMI measurements, a BMI of 30 or higher is typically considered to be obese, while a measure of 25 to 29.9 is typically considered to be overweight.4

It is also important to evaluate where excess fat is carried on the patient’s body. Patients who carry more weight around their midsection are at greater risk for obesity-related health problems, such as low back pain. Weight loss for health considerations is often advisable for women with a waist measurement of more than 35 inches or men with a waist measurement of more than 40 inches.4

 

References

 

1  American Obesity Association. “Health effects of obesity.” AOA Fact Sheets. 2002.

2  American Obesity Association. “What is obesity?” AOA Fact Sheets. 2002.

3  Fishman L., Ardman C. Back Pain: How to Relieve Low Back Pain and Sciatica. New York: W.W. Norton & Company, 1997: 248.

4  National Institutes of Health. National Institute of Diabetes & Digestive & Kidney Diseases. “Understanding adult obesity.” 2001. http://win.niddk.nih.gov.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Neck Pain and Chiropractic

One of the most common complaints I see as your Woodbridge, Dale City VA Chiropractor is neck pain.  There are so many causes of neck pain that range from whiplash to sleeping funny.  The main thing that links them all is stretching the supporting tissue to far and causing a sprain/strain to the neck.  These are injuries you shouldn’t ignore to long because they tend to get worse or they will start to flare up more and more.

Our neck, also called the cervical spine, begins at the base of the skull and contains seven small vertebrae. Incredibly, the cervical spine supports the full weight of your head, which is on average about 12 pounds. While the cervical spine can move your head in nearly every direction, this flexibility makes the neck very susceptible to pain and injury.

The neck’s susceptibility to injury is due in part to biomechanics. Activities and events that affect cervical biomechanics include extended sitting, repetitive movement, accidents, falls and blows to the body or head, normal aging, and everyday wear and tear. Neck pain can be very bothersome, and it can have a variety of causes.

 

Here are some of the most typical causes of neck pain:

 

Injury and Accidents: A sudden forced movement of the head or neck in any direction and the resulting “rebound” in the opposite direction is known as whiplash. The sudden “whipping” motion injures the surrounding and supporting tissues of the neck and head. Muscles react by tightening and contracting, creating muscle fatigue, which can result in pain and stiffness. Severe whiplash can also be associated with injury to the intervertebral joints, discs, ligaments, muscles, and nerve roots. Car accidents are the most common cause of whiplash.

Growing Older: Degenerative disorders such as osteoarthritis, spinal stenosis, and degenerative disc disease directly affect the spine.

Osteoarthritis, a common joint disorder, causes progressive deterioration of cartilage. The body reacts by forming bone spurs that affect joint motion.

Spinal stenosis causes the small nerve passageways in the vertebrae to narrow, compressing and trapping nerve roots. Stenosis may cause neck, shoulder, and arm pain, as well as numbness, when these nerves are unable to function normally.

Degenerative disc disease can cause reduction in the elasticity and height of intervertebral discs. Over time, a disc may bulge or herniate, causing tingling, numbness, and pain that runs into the arm.

Daily Life: Poor posture, obesity, and weak abdominal muscles often disrupt spinal balance, causing the neck to bend forward to compensate. Stress and emotional tension can cause muscles to tighten and contract, resulting in pain and stiffness. Postural stress can contribute to chronic neck pain with symptoms extending into the upper back and the arms.

Chiropractic Care of Neck Pain

During your visit, your doctor of chiropractic will perform exams to locate the source of your pain and will ask you questions about your current symptoms and remedies you may have already tried. For example:

 

When did the pain start?

What have you done for your neck pain?

Does the pain radiate or travel to other parts of your body?

Does anything reduce the pain or make it worse?

Your doctor of chiropractic will also do physical and neurological exams. In the physical exam, your doctor will observe your posture, range of motion, and physical condition, noting movement that causes pain. Your doctor will feel your spine, note its curvature and alignment, and feel for muscle spasm. A check of your shoulder area is also in order. During the neurological exam, your doctor will test your reflexes, muscle strength, other nerve changes, and pain spread.

 

In some instances, your chiropractor might order tests to help diagnose your condition. An x-ray can show narrowed disc space, fractures, bone spurs, or arthritis. A computerized axial tomography scan (a CT or CAT scan) or a magnetic resonance imaging test (an MRI) can show bulging discs and herniations. If nerve damage is suspected, your doctor may order a special test called electromyography (an EMG) to measure how quickly your nerves respond.

 

Doctors of chiropractic are conservative care doctors; their scope of practice does not include the use of drugs or surgery. If your chiropractor diagnoses a condition outside of this conservative scope, such as a neck fracture or an indication of an organic disease, he or she will refer you to the appropriate medical physician or specialist. He or she may also ask for permission to inform your family physician of the care you are receiving to ensure that your chiropractic care and medical care are properly coordinated.

 

Neck Adjustments

A neck adjustment (also known as cervical manipulation) is a precise procedure applied to the joints of the neck, usually by hand. A neck adjustment works to improve the mobility of the spine and to restore range of motion; it can also increase movement of the adjoining muscles. Patients typically notice an improved ability to turn and tilt the head, and a reduction of pain, soreness, and stiffness.

 

Of course, your chiropractor will develop a program of care that may combine more than one type of treatment, depending on your personal needs. In addition to manipulation, the treatment plan may include mobilization, massage or rehabilitative exercises, or something else.

 

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3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Leaf Raking Time

This looks like the weekend to get your yard ready for summer.  It is important that there are no dead leaves on your lawn so it can die evenly in the mid July heat.  That being said as your Woodbridge, Dale City VA area chiropractor I have a few tips to help you clean up your yard without injury.  In the even an injury does happen make sure you call right away.

Just as playing football or golf can injure your body, the twisting, turning, bending, and reaching of mowing and raking can also cause injury if your body is not prepared. Like an athlete, if you leap into something without warming up or knowing how to do it, the chances of injury are greater.

What Can You Do?

The American Chiropractic Association (ACA) offers the following tips to help prevent the needless pain yard work may cause.

Do stretching exercises, without bouncing, for a total of 10 to 15 minutes spread over the course of your work. Do knee-to-chest pulls, trunk rotations, and side bends with hands above your head and fingers locked. Take a short walk to stimulate circulation. When finished with the yard work, repeat the stretching exercises.

Stand as straight as possible, and keep your head up as you rake or mow.

When it’s still warm outside, avoid the heat. If you’re a morning person, get the work done before 10 a.m. Otherwise, do your chores after 6 p.m.

Wear supportive shoes. Good foot and arch support can stop some of the strain from affecting your back.

When raking, use a “scissors” stance: right foot forward and left foot back for a few minutes, then reverse, putting your left foot forward and right foot back.

Bend at the knees, not the waist, as you pick up piles of leaves or grass from the grass catcher. Make the piles small to decrease the possibility of back strain.

When mowing, use your whole bodyweight to push the mower, rather than just your arms and back.

If your mower has a pull cord, don’t twist at the waist or yank the cord. Instead, bend at the knees and pull in one smooth motion.

Drink lots of water, wear a hat, shoes and protective glasses. And, to avoid blisters, try wearing gloves. If your equipment is loud, wear hearing protection. If you have asthma or allergies, wear a mask.

Try ergonomic tools, too. They’re engineered to protect you when used properly.

If you do feel soreness or stiffness in your back, use ice to soothe the discomfort. If there’s no improvement in two or three days, see your local doctor of chiropractic.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Proper Workstation

You would think sitting all day would be relaxing and feel good.  That usually isn’t the way it goes.  You can make it as good as possible by making sure your workstation is set up correctly.  As your chiropractor in the Woodbridge, Dale City VA area I would suggest you follow the instructions below and not use my set up as your guide.

The first step in setting up an office chair is to establish the desired height of the individual’s desk or workstation. This decision is determined primarily by the type of work to be done and by the height of the person using the office chair. The height of the desk or workstation itself can vary greatly and will require different positioning of the office chair, or a different type of ergonomic chair altogether.

Once the workstation has been situated, then the user can adjust the office chair according to his or her physical proportions. Here are the most important guidelines – distilled into a quick checklist – to help make sure that the office chair and work area are as comfortable as possible and will cause the least amount of stress to the spine:

Elbow measure

First, begin by sitting comfortably as close as possible to your desk so that your upper arms are parallel to your spine. Rest your hands on your work surface (e.g. desktop, computer keyboard). If your elbows are not at a 90-degree angle, adjust your office chair height either up or down.

Thigh measure

Check that you can easily slide your fingers under your thigh at the leading edge of the office chair. If it is too tight, you need to prop your feet up with an adjustable footrest. If you are unusually tall and there is more than a finger width between your thigh and the chair, you need to raise the desk or work surface so that you can raise the height of your office chair.

Calf measure

With your bottom pushed against the chair back, try to pass your clenched fist between the back of your calf and the front of your office chair. If you can’t do that easily, then the office chair is too deep. You will need to adjust the backrest forward, insert a low back support (such as a lumbar support cushion, a pillow or rolled up towel), or get a new office chair.

Low back support

Your bottom should be pressed against the back of your chair, and there should be a cushion that causes your lower back to arch slightly so that you don’t slump forward or slouch down in the chair as you tire over time. This low back support in the office chair is essential to minimize the load (strain) on your back. Never slump or slouch forward in the office chair, as that places extra stress on the structures in the low back, and in particular, on the lumbar discs.

Resting eye level

Close your eyes while sitting comfortably with your head facing forward. Slowly open your eyes. Your gaze should be aimed at the center of your computer screen. If your computer screen is higher or lower than your gaze, you need to either raise or lower it to reduce strain on the upper spine.

Armrest

Adjust the armrest of the office chair so that it just slightly lifts your arms at the shoulders. Use of an armrest on your office chair is important to take some of the strain off your upper spine and shoulders, and it should make you less likely to slouch forward in your chair.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

 

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Homemade Sports Drinks

Summer is here!  With all the preaching I do as your Chiropractor in the Woodbridge, Dale City VA area about hydration I feel somewhat obligated to give you a few options.  Water is the best but if you are outside sweating it is good to replace some electrolytes.  You can use Gatorade but here are some DIY sports drinks that aren’t horrible.

 

Maple Sports Drink

This easy-to-make, maple syrup-flavored recipe is delicious and settles well because it is not acidic, says recipe developer and author Nancy Clark, RD. “When you are working out for more than an hour, enjoy this all-natural sports beverage to energize your workouts,” she says. (If you dig natural syrups, try this molasses recovery shake, too.)

 

3 3/4 cups cold water

1/4 cup pure maple syrup

1/4 teaspoon salt

 

  1. Mix all ingredients together in a 1-quart bottle.
  2. Shake well and enjoy!

 

Yield: 1 quart.

Note: Maple syrup is also a tasty alternative to energy gels. Put some in a small flask and take nips during extended exercise.

 

“Greaterade”

 

When the Golden State Warriors decided to ban commercial sports drinks and started making their own with Himalayan sea salt, Chef John of FoodWishes in San Francisco was inspired to try his own—with less sugar. “You can tweak this recipe to create your perfect formula,” he says. (This is how much sodium you really need each day.)

 

8 cups fresh cold water

3 tablespoons honey, or other sweetener to taste

1/2 teaspoon fine *Himalayan pink salt (mine was coarsely ground, so I used a rounded 1/2 teaspoon), or sea salt (or any pure salt)

3/4 teaspoon calcium magnesium powder (I used NOW Foods Cal-Mag Citrate)

pinch cayenne

3/4 cup freshly squeezed orange juice

2 lemons, juiced

2 limes, juiced

  1. Pour 1 cup of water into a large pot.
  2. Add honey, salt, calcium-magnesium powder, and cayenne.
  3. Place pot over low heat and whisk until ingredients have dissolved.
  4. Remove from heat and allow to return to room temperature.
  5. Add juices to room temperature mixture in pot.
  6. Pour in remaining 7 cups water and whisk until well blended.

 

Makes about 9 cups.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Weekend Warrior Time

It is looking like we are getting some warm weather on a more consistent basis.  So that means it is time to find your golf clubs and softball mitt.  Just don’t follow my lead on this one.  I like to take three or four swings in the front yard than go ok where are my cigars I am ready to play.  As your chiropractor in the Woodbridge, Dale City VA area I should give you some really advice.

Anyone who concentrates all their exercise into 1 or 2 intense bouts a week could be considered a weekend warrior. But physicians agree that weekend warriors tend to be men older than 30, especially former competitive athletes who expect their bodies to adapt to—and recover from—activity the same way it did when they were teenagers.

But even people who are not super athletes can suffer injuries if they do intense activities over the course of a day or two, such as a weekend of yard work or cleaning gutters.

 

The types of injuries that frequently occur for weekend warriors are:

Muscle strains, such as hamstring injuries

Ligament sprains, particularly ankle sprains

Tendonitis in the Achilles tendon and elsewhere

Shin splints

Shoulder or rotator cuff injuries

 

Nearly all of these types of injuries can be resolved by following the RICE (rest, ice, compression, elevate) protocol. If pain lasts longer than a few weeks or doesn’t improve, make an appointment to see your doctor.

 

Prevent injuries before they occur

The main trigger for weekend warrior injuries is the abrupt transition from little or no activity to intense bouts of it. Muscles and soft tissues need gradual conditioning to perform at their best.

To prevent this, it’s important to exercise more regularly, if possible. Even if your main period of activity is on the weekends, try to fit in at least 1 or 2 periods of exercise on weekdays.

 

Build up activity slowly.

If you’ve been inactive for most of the winter or you’re starting training for a marathon in the fall, gradually increase your exercise time and intensity each week.

 

Warm up.

Before you jump into activity, warm up your muscles with 10 minutes of moderately paced activity like jogging, for example.

 

Stretch.

After doing a few minutes of light exercise, stretch your major muscle groups, such as your quads and hamstrings, as well as any muscles that will be heavily used during your chosen activity. You can also benefit from using a foam roller before you stretch, which has been shown to increase flexibility and lessen post-exercise pain.

Don’t forget to stretch after you finish exercising too. The findings about the benefits of pre-exercise stretching are mixed, but stretching after exercise has clear benefits for decreasing soreness and helping muscle tissue return to its normal state.

 

Use proper technique and proper equipment.

It may help to consult a coach, trainer, or physical therapist if you’re new to a sport or piece of equipment.

 

Find an exercise program.

A class or race training group can help you set a good pace for working toward your exercise goals.

 

Don’t push through serious pain.

Mild muscle soreness is normal after a workout, but stop exercising if you experience sudden, piercing pain or if you have pain that’s getting steadily worse.

 

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Woodbridge VA 22192

703 730 9588

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Back injuries from lifting

You obviously can’t avoid lifting things.  So, the next best thing is making sure you lift things correctly.   A large percentage of the low back injuries I see in my Woodbridge, Dale City VA Chiropractic office are from lifting.   Here are some tips you can use to avoid lifting injuries.

Back pain and injuries from improper lifting techniques typically lead to three kinds of injuries to the muscles, vertebral discs, and joints.  Some injuries from incorrect lifting include:

1  Disc injury

2  Joint injury

3  Muscle injury

With improper lifting, you may experience a tear, rupture, or shift out of position of the soft cushions between your vertebrae, called discs.  If this injury does occur, the fibrous rings surrounding the soft leathery discs can bulge and even rupture.  This can cause the dislocated or ruptured disc to press against a nerve, causing pain and numbness to radiate down into you buttocks or leg.

Because of the numerous joints in your spinal column that connect all of the various bony structures, injury may occur.  A joint injury can be caused by a bad lift because it causes excessive strain on your joints, irritating tissue within them, and in some cases, locking them up.  As well, if you change position during a lift, you can place a lot of stress on your lower back muscles.  This added stress can easily strain and injure your back, usually in the form of a small twist or tear of a single muscle or group of muscles.

An important rule to remember when lifting is to never bend from your waist and then stand upright to lift an item from the ground.  Keep your back straight and crouch first by bending at the knees or hips.  This all depends on where the item is that you are lifting and allows your arms and shoulder muscles to do the brunt of the lifting, rather than your back.  Some simple lifting techniques include:

1  Make sure you have a place to put the object you are lifting.

2  If you need to turn while lifting the object, use your feet to pivot, not your back.

3  Your leg muscles should be the ones providing the power during your motion to stand erect, not your back.

4  Keep the object close to your body in order to maximize the use of your arms and shoulder muscles.

5  Keep your chest forward and bend at your hips, or knees, not your lower back.

6  When lifting, push your chest out, pointing forward.  Avoid twisting or turning during your lift as this will cause injury.

7  Lead with your hips, not your shoulders and keep your shoulders in line with your hips.

8  Don’t lift any objects that are obviously too heavy.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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