With this cold snap we are having and people needing to be active I am seeing a lot of stiff necks in my Woodbridge, Dale City Virginia area Chiropractic office. The problem comes from the muscle being cold and the blood supply to it being decreased from the cold. Than you do some activity and the muscle isn’t ready for it. Leading to pulling of the muscle and the spasm to follow. The levator scapulae muscle is the most common one for those of you who want to google it!
The muscle runs from the top medial part of your shoulder blade up in to your neck. So the way to stretch it is to separate those two structures. You can do the stretch standing or sitting.
Lengthen the muscle by raising the elbow above the shoulder on the side to stretch.
In this position, first rest the elbow against a door jamb. This rotates the outside of shoulder blade up and the inside of it down, which lengthens the levator scapula muscle.
Second, turn the head away from the side that is stretching and bring the chin down, stretching the back of the neck .
Third, place the fingers of the other hand on the top of the head and gently pull the head forward increasing the stretch slightly.
Hold this for about 30 seconds to a minute.
If this helps great you got some relief before going to your chiropractor. If they didn’t call for an appointment because it won’t usually improve on its own.
As a chiropractor in the Woodbridge, Dale City Virginia area I see lots of musculoskeletal injuries. One thing I always tell patients is to ice them down if possible. Most of them are associated with inflammation. Once care starts people ask about other ways to help. It usually leads to the wondering about an anti-inflammatory type of medication. There are a few over the counters that may help. Here is some information on them that may help you decide if you should take them or just stick with the ice.
To properly assess the risks of chiropractic treatment, it must be compared against the risks of other treatments for similar conditions. For example, even the most conservative conventional treatment for neck and back pain— prescription and over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs)—may carry significantly greater risk than the drug-free chiropractic approach to these conditions.
The most common and most serious adverse effects associated with NSAIDs are gastrointestinal (GI) ulcers and bleeding. These conditions can often be very serious, and occasionally lead to fatal complications such as perforation of the gut or bleeding to death. According to a study from the American Journal of Gastroenterology, approximately one-third of all hospitalizations and deaths related to gastrointestinal bleeding can be attributed to the use of aspirin or NSAID painkillers like ibuprofen.
One retrospective study reported that nearly 80 percent of all ulcer-related deaths in the U.S. occurred in patients who were using an NSAID. At any given time, a patient on NSAID therapy has a 5- to 10-times greater risk than non-users of developing a gastric ulcer.
One large epidemiological study estimated that the death rate for NSAID-associated gastrointestinal problems was 0.04% per year among patients receiving NSAIDs specifically for osteoarthritis and related conditions. This figure extrapolates to 3,200 deaths in the U.S. per year.
A more recent study published in The New England Journal of Medicine estimated that at least 103,000 patients are hospitalized per year in the United States for serious gastrointestinal complications due to NSAID use. At an estimated cost of $15,000 to $20,000 per hospitalization, the annual direct costs of such complications exceed $2 billion. This study estimated that 16,500 NSAID-related deaths occur among patients with rheumatoid arthritis or osteoarthritis every year in the United States. This figure is similar to the annual number of deaths from AIDS and considerably greater than the number of deaths from asthma, cervical cancer or Hodgkin’s disease. If deaths from gastrointestinal toxic effects of NSAIDs were tabulated separately in the National Vital Statistics reports, these effects would constitute the 15th most common cause of death in the US.
Complications from NSAID use apparently do not result only from long-term use. One analysis found short-term NSAID use was actually associated with a higher risk of GI complications than chronic use. One double-blind trial found that 6 of 32 healthy volunteers (19 percent) developed a gastric ulcer that was visible on endoscopic examination after only 1 week’s treatment with naproxen (at a commonly prescribed dose of 500mg twice daily–the same dose received from 5 non-prescription Aleve per day).
Ahhhhhhh Virginia is the only state I know that has to keep relearning that water plus cold equals ice. Leaving my chiropractic office in the Woodbridge, Dale City Virginia area last week to take my 25-minute commute home I realized they had to relearn it again. What should have been 25 minutes took 2 hours. I thought I had it bad, until I was complaining to patients the next day. Some took 7 hours to do 40 minutes… I quickly shut up. Then I thought let’s all relearn some way to deal with stress because I am sure VDOT will probably get surprised again this winter. Definitely next winter so keep these handy.
Think Positively
“Adopting the right attitude can convert a negative stress into positive,” said Hans Selye, author of the groundbreaking work around stress theory. When optimism is hard to muster, cognitive-behavioral therapy, which trains people to recognize negative thinking patterns and replace them with more constructive ones, can also help reduce the risk of chronic stress and depression.
Get Out and Enjoy Nature
While modern civilization has made our lives more convenient, it has deprived us of an essential source of stress relief—connection with nature. Studies show that interacting with nature can help lessen the effects of stress on the nervous system, reduce attention deficits, decrease aggression, and enhance spiritual well-being.
“Smell the Roses” for Better Mood
Aromatherapy, or smelling essential plant oils, recognized worldwide as a complementary therapy for managing chronic pain, depression, anxiety, insomnia, and stress-related disorders, can help you unwind. Orange and lavender scents, in particular, have been shown to enhance relaxation and reduce anxiety.
Relax with a Cup of Tea
During stressful times, coffee helps us keep going. To give yourself a break, however, consider drinking tea. Research shows that drinking tea for 6 weeks helps lower post-stress cortisol and increase relaxation. Habitual tea drinking may also reduce inflammation, potentially benefiting your heart health.
Laugh It Off
Humor relieves stress and anxiety and prevents depression, helping put our troubles in perspective. Laughter can help boost the immune system, increase pain tolerance, enhance mood and creativity, and lower blood pressure, potentially improving treatment outcomes for many health problems, including cancer and HIV. Humor may also be related to happiness, which has been linked to high self-esteem, extroversion, and feeling in control.
Build a Support System
Relationships are also key to health and happiness, especially for women. Women with low social support, for example, are more likely to increase blood pressure under stress. Loneliness may also contribute to stress in both men and women, also leading to poorer outcomes after a stroke or congestive heart failure. On the other hand, active and socially involved seniors are at lower risk for dementia and Alzheimer’s disease. Social support also helps cancer patients to boost the immune system and maintain a higher quality of life.
Employ the Relaxing Power of Music
Music, especially classical, can also serve as a powerful stress-relief tool. Listening to Pachelbel’s famous Canon in D major while preparing a public speech helps avoid anxiety, heart rate, and blood pressure, which usually accompany public speaking.
Singing and listening to music can also relieve pain and reduce anxiety and depression caused by lowback pain. Group drumming also showed positive effects on stress relief and the immune system. Music therapy can also elevate mood and positively affect the immune system in cancer patients and reduce fatigue and improve self-acceptance in people with multiple sclerosis.
To help people deal with stressful medical procedures, music can help reduce anxiety before surgery. When played during surgery, it can decrease the patient’s post-operative pain. Aiding recovery, a dose of calming music may lower anxiety, pain, and the need for painkillers.
Calm Your Mind
In recent decades, many forms of meditation have gained popularity as relaxation and pain relief tools. Focusing on our breath, looking at a candle, or practicing a non-judgmental awareness of our thoughts and actions can help tune out distractions, reduce anxiety and depression, and accept our circumstances. In cancer patients, meditation-based stress reduction enhances quality of life, lowers stress symptoms, and potentially benefits the immune system.
Guided imagery, such as visualizing pictures prompted by an audiotape recording, also shows promise in stress relief and pain reduction. Based on the idea that the mind can affect the body, guided imagery can be a useful adjunct to cancer therapy, focusing patients on positive images to help heal their bodies.
Enjoy the Warmth of Human Touch
Just as the mind can affect the body, the body can influence the mind. Virginia Satir, a famous American psychotherapist, once said that people need 4 hugs a day to help prevent depression, 8 for psychological stability, and 12 for growth. While asking for hugs may not work for some, massage can help us relieve stress and reduce anxiety and depression. Massage has also been shown to reduce aggression and hostility in violent adolescents, to improve mood and behavior in students with ADHD, and to lead to better sleep and behavior in children with autism.
Massage has other therapeutic properties, as well. Regular massage may reduce blood pressure in people with hypertension and may lead to less pain, depression, and anxiety and better sleep in patients with chronic low-back pain. Compared to relaxation, massage therapy also causes greater reduction in depression and anger, and more significant effects on the immune system in breast cancer patients.
Give Exercise a Shot
To get the best of both worlds, affecting the mind through the body while getting into good physical shape, try exercise. In one study, a group of lung cancer patients increased their hope due to exercise. Exercise can also reduce depression and improve wound healing in the elderly. Tai chi, which works for people of all ages, may enhance heart and lung function, improve balance and posture, and prevent falls, while reducing stress.
I see sacroiliac injuries in my Woodbridge, Dale City Virginia Chiropractic office almost as frequently as any other spinal injury. People often come in complaining of what they consider hip pain. Once the injury is examined it is more often than not the SI joint. It is also the cause of unilateral low back pain. Patients will complain of lower left or right side low back pain. Same thing, once you examine the area it is the SI joint. Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area has some helpful information for you on the SI joint.
When the hip joint is spoken of, it is typically thought of as a vague area that may encompass anywhere from the iliac crest, the sacroiliac joint or the point at which the femur articulates with the acetabulum. The latter is the actual hip joint. Lower back pain that radiates more laterally to the pelvic area over the acetabulum, groin, and upper lateral thigh is not necessarily definitive of an L4/L5 disc syndrome. Pain in this region may also be secondary to a facet syndrome. Sometimes, pain to the lower abdominal and groin region may be a part of the symptomatology presented by a patient. The differentiation between the L/4/L5 disc and facet syndrome is that the disc with the radiculopathy will generally follow a known dermatome, while a facet syndrome follows a dermatomal pain pattern. Doctors of chiropractic usually find and treat articular lesions of the sacrum, ilium or lumbar spine, for a period of time, without cessation of symptoms or improvement of these complaints. One other consideration would be for a tear of the labrum in the hip, which may result in pain in the SI joint, gluteus area and even anterially into the groin.
Complaints in these more lateral areas are often due to a problem in an area that many doctors don’t check—the femoral head. The femoral head may need to be assessed for the need for manipulation or mobilization. This in turn may cause deep pelvic muscle spasms, which may become chronic. I believe that every day activities, from subtle movements like turning in bed to more repetitive activities like bearing more weight on a pronated foot time and time again, may cause misalignment to the femoral head. This area should be checked and adjusted for recovery, in my opinion.
Drawing upon an example from personal experience: I would open the car door and throw my right leg into the car and then sit down. I would experience a subtle “click” in the acetabulum area, followed by pain and irregular walking gait, pulling of the leg when weight bearing, causing deep spasms of the upper thigh and lower abdominal muscles, pulling the leg forward instead of pushing the leg forward, as in a normal walking gait. This caused a transition of weight-bearing muscle function to muscles not usually used in normal walking. (A compensatory walking gait is developed.) This caused me pain and spasm in adjacent muscles.
All too often, I believe that this problem is missed or misdiagnosed, resulting in unnecessary surgery, hip replacement, repetitive chiropractic adjustments, physical therapy and muscle massage, and none of them address the underlying cause of the condition.
Examination for Hip Joint Dysfunction
Place the patient in supine position, with your superior hand holding the ilium to the table with light A-P downward Force (near the ASIS) to ensure the ilium will not rise off the table during motion of the leg. Holding the ilium on the exam table, grasp the ankle and rotate the foot medially. The big toe should touch the table. Full rotation indicates no hip joint dysfunction. If the ilium rises off the table during this action, this indicates improper function of the femoral head/acetabular articulation.
Corrective Procedure
Ascertain (through the examination described above) the side of restriction. Place the patient in lateral Syms position (Syms is performed by having a patient lie on the left side, left leg extended and right leg flexed) as in a side roll. Place your superior hand under the armpit of the patient, holding the humerus and ribs, with your inferior hand reaching over the patient cupping the femoral head. Proceed with the side-roll-type procedure with this exception: The inferior hand (cupping the femoral head) is driven directly forward (anterior).
If correction has been obtained, the leg now should move freely in a medial direction smoothly and completely, with immediate Improvement of pain. Occasionally the patient may experience residual muscle soreness. Over the course of my practice, I have found that these patients have a tendency to walk around for a while with a displaced femoral head and a compensatory walk, the surrounding muscles are sprained and inflamed, and soreness may continue for days until the patient returns to a normal walking gait. Generally, I find the quicker the patient returns to a normal walking gait, the quicker the syndrome is alleviated. I feel it is important to re-address with the patient what is a normal walking gait and this may lengthen the post-correction period.
Low back pain and sciatica are very common reasons to see your Woodbridge, Dale City VA Chiropractor. We often diagnose patients with a small muscle in your buttock as being the cause of their big pain. The piriformis muscle can cause low back pain, buttock pain and sciatica. The piriformis muscle can cause all sorts of problems. Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area wants to provide you with some information on piriformis syndrome.
Anatomy
The piriformis muscle originates from the anterior (front) part of the sacrum, the part of the spine in the gluteal region, and from the superior margin of the greater sciatic notch (as well as the sacroiliac joint capsule and the sacrotuberous ligament). It exits the pelvis through the greater sciatic foramen to insert on the greater trochanter of the femur. Its tendon often joins with the tendons of the superior gemellus, inferior gemellus, and obturator internus muscles prior to insertion.
The piriformis, pyramidal in shape, lying almost parallel with the posterior margin of the gluteus medius.
It is situated partly within the pelvis against its posterior wall, and partly at the back of the hip-joint.
It arises from the front of the sacrum by three fleshy digitations, attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina: a few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament.
The muscle passes out of the pelvis through the greater sciatic foramen, the upper part of which it fills, and is inserted by a rounded tendon into the upper border of the greater trochanter behind, but often partly blended with, the common tendon of the obturator internus and superior and inferior gemellus muscles.
The piriformis muscle crosses over top of the sciatic muscle and if the muscle spasms it will compress the sciatic nerve and cause pain in to your buttock and leg. Once you have been properly diagnosed by your chiropractor or healthcare provider it is time to start treatment.
Treatment
Now that we know what the piriformis is and how it can cause us pain by compressing the sciatic nerve stretching it is one of the first things you should try. Video
Lie on the back with the legs flat. Pull the affected leg up toward the chest, holding the knee with the hand on the same side of the body and grasping the ankle with the other hand. Trying to lead with the ankle, pull the knee towards the opposite ankle until stretch is felt. Do not force ankle or knee beyond stretch. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.
Lie on the floor with the legs flat. Raise the affected leg and place that foot on the floor outside the opposite knee. Pull the knee of the bent leg directly across the midline of the body using the opposite hand or a towel, if needed, until stretch is felt. Do not force knee beyond stretch or to the floor. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.
Lie on the floor with the affected leg crossed over the other leg at the knees and both legs bent. Gently pull the lower knee up towards the shoulder on the same side of the body until stretch is felt. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.
These stretches work great for after care and between visits but active care may be needed by your chiropractor to help eliminate any other causes of the sciatic compression.
As a chiropractor in the Woodbridge, Dale City VA area I get asked by my patients about what to eat all the time. Diet is a funny thing! Making huge changes all at once almost never works. I try to encourage my patients to make little changes over the course of months. Even if that means we start at one big mac instead of two for lunch. Trying to come in and make radical changes almost always leads to failure. Here are a few good things to try to slowly improve your eating habits.
Healthy Dietary Choices
Eat more raw foods. Cooking and canning destroys much of the nutrition in foods. With the exception of canned tomatoes, which have been shown to help prevent prostate cancer, fresh or frozen fruits and vegetables generally have more natural vitamins and minerals.
Select organically grown foods when possible, because they have lower amounts of toxic elements, such as pesticides and heavy metals.
Consume 25 to 30 grams of fiber a day. Whole-grain breads and cereals, beans, nuts and some fruits and vegetables are good sources of fiber. High-fiber diets can help prevent digestive disorders, heart disease and colon cancer.
Eat out more sparingly. Food preparation methods in restaurants often involve high amounts—and the wrong types—of fat and sugar.
Brown-bag your lunch to control your fat and sugar intake while adding nutritious fruits, vegetables and grains.
Drink plenty of water to stay hydrated. Don’t substitute coffee, tea and soft drinks for water.
Limit your intake of alcohol, and quit smoking. Drinking alcohol excessively and/or smoking hinder your body’s ability to absorb nutrients from food.
Vegetarian Diets
Research shows that a good vegetarian diet as part of a comprehensive health program can help prevent heart disease, cancer and other diseases. However, fried foods, hydrogenated fats and commercial meat substitutes may contain more sugar and fat than a meat-eater would consume. If you are considering a vegetarian diet, keep the following tips in mind:
Eat a variety of fruits, vegetables, grains and legumes to consume a wide range of nutrients.
Consume fortified foods or take supplements, such as vitamin B12, to obtain the nutrients you no longer get from animal-based products.
Children, pregnant and breast-feeding women, and people recovering from illness should consult their healthcare practitioners before eliminating animal products from their diet.
Supplements
While dietary supplements are becoming increasingly popular, they are not substitutes for foods, nor can a person sustain good health simply by taking vitamin and mineral supplements. When taken properly, however, supplements can play an important role in achieving maximum health.
Since supplements are just an added source of nutrients, consume dark green vegetables, oils, nuts and seeds, which are sources of magnesium, fatty acids and many other vitamins and minerals.
Don’t “self-prescribe.” Consult your doctor of chiropractic to determine what supplements are best for you, especially if you have symptoms such as headaches, chronic fatigue or cardiac problems.
We have all heard of TMJ or TMD but what is it and could I have it? Lots of people have face pain or headaches and just assume it is face pain or some type of headache. So they take Advil or some type of medication and wait for it to go away. Sometimes it does but sometimes it comes back. If it keeps coming back and nothing is helping it could be your TMJ. Once it is diagnosed correctly it can be treated and the pain stops. Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area wants to share with you the ACA checklist on jaw pain.
Does it hurt when you chew, open wide to yawn or use your jaws? Do you have pain or soreness in front of the ear, in the jaw muscle, cheek, the teeth or the temples? Do you have pain or soreness in your teeth? Do your jaws make noises loud enough to bother you or others? Do you find it difficult to open your mouth wide? Does your jaw ever get stuck/locked as you open it?
If you answered “yes” to some of these questions, you may have a temporomandibular joint disorder, or TMD. TMD is a group of conditions, often painful, that affect the jaw joint.
Signs may include:
Radiating pain in the face, neck, or shoulders;
Limited movement or locking of the jaw;
Painful clicking or grating when opening or closing the mouth;
A significant change in the way the upper and lower teeth fit together;
Headaches, earaches, dizziness, hearing problems and difficulty swallowing.
For most people, pain or discomfort in the jaw muscles or joints is temporary, often occurs in cycles, and resolves once you stop moving the area. Some people with TMD pain, however, can develop chronic symptoms. Your doctor of chiropractic can help you establish whether your pain is due to TMD and can provide conservative treatment if needed.
What Causes TMD?
Researchers agree that TMD falls into three categories:
Myofascial pain—discomfort or pain in the muscles of the jaw, neck, and shoulders;
A dislocated jaw or displaced disc;
Degenerative joint disease—rheumatoid arthritis or osteoarthritis in the jaw joint.
Severe injury to the jaw is a leading cause of TMD. For example, anything from a hit in the jaw during a sporting activity to overuse syndromes, such as chewing gum excessively or chewing on one side of the mouth too frequently, may cause TMD.
Both physical and emotional stress can lead to TMD, as well. The once-common practice of sitting in a dentist’s chair for several hours with the mouth wide open may have contributed to TMD in the past. Now, most dentists are aware that this is harmful to the jaw. In addition to taking breaks while they do dental work, today’s dentists also screen patients for any weaknesses in the jaw structure that would make physical injury likely if they keep their mouths open very long. In that case, they may use medications during the procedure to minimize the injury potential, or they may send the patient to physical therapy immediately after treatment. In less severe cases, they instruct patients in exercises they can do at home to loosen up the joint after the visit.
While emotional stress itself is not usually a cause of TMD, the way stress shows up in the body can be. When people are under psychological stress, they may clench their teeth, which can be a major factor in their TMD.
Some conditions once accepted as causes of TMD have been dismissed—moderate gum chewing, non-painful jaw clicking, orthodontic treatment (when it does not involve the prolonged opening of the mouth, as mentioned above), and upper and lower jaws that have never fit together well. Popular theory now holds that while these may be triggers, they are not causes.
Women experience TMD four times as often as men. Several factors may contribute to this higher ratio, posture and higher heels.
TMD Diagnosis and Treatment
To help diagnose or rule out TMD, your doctor of chiropractic (DC) may ask you to put three fingers in your mouth and bite down on them. You may also be asked to open and close your mouth and chew repeatedly while the doctor monitors the dimensions of the jaw joint and the balance of the muscles. If you have no problems while doing these things, then the problem is not likely to be TMD. Your DC can then look for signs of inflammation and abnormalities. Sometimes special imaging, an x-ray or an MRI may be needed to help confirm the diagnosis.
If you have TMD, your doctor may recommend chiropractic manipulation, massage, applying heat/ice and special exercises. In most cases, your doctor’s first goal is to relieve symptoms, particularly pain. If your doctor of chiropractic feels that you need special appliances or splints (with the exception of the “waterpack” and other guards against teeth grinding), he or she will refer you to a dentist or orthodontist for co-management.
In addition to treatment, your doctor of chiropractic can teach you how to:
Apply heat and ice to lessen the pain. Ice is recommended shortly after the injury or after your pain has started. In the later stages of healing, you need to switch to heat, especially if you are still experiencing discomfort.
Avoid harmful joint movements. For example, chomping into a hard apple is just as bad as crunching into hard candy (some hard candies are even called “jawbreakers”—for good reason). And giant sandwiches can cause the mouth to open too wide and have a destabilizing effect on the jaw.
Perform TMD-specific exercises. Depending on your condition, your DC may recommend stretching or strengthening exercises. Stretching helps to loosen tight muscles and strengthening helps to tighten muscles that have become loose. Special feedback sensors in the jaw can be retrained, as well, if needed.
This diagnosis is sometimes more confusing then helpful. With a wide range of symptoms, it doesn’t really pin anything down. What the patients are sure of is that they are in pain without much that medical science can do for them. Your Woodbridge, Dale City Virginia chiropractor has some information that you may find helpful.
Fibromyalgia is typically diagnosed in patients with:
Widespread pain in all 4 quadrants of the body for a minimum of 3 months; and
Tenderness or pain in at least 11 tender points when pressure is applied. These tender points cluster around the neck, shoulder, chest, hip, knee, and elbow regions.
Some fibromyalgia experts say, however, that many people may still have fibromyalgia with fewer than 11 tender points if they have widespread pain and several other common symptoms, including:
Fatigue
Sleep disorders
Chronic headaches
Dizziness or lightheadedness
Cognitive or memory impairment
Malaise and muscle pain after exertion
Jaw pain
Morning stiffness
Menstrual cramping
Irritable bowels
Numbness and tingling sensations
Skin and chemical sensitivities
Correct Diagnosis Is Key
Correct diagnosis of fibromyalgia is very elusive, so if you are diagnosed with the disorder—or suspect that you have it—seek the opinion of more than 1 health care provider. Other conditions may create fibromyalgia—like pain, fatigue, and other symptoms. Ruling other conditions out first is very important.
In addition to clinical evaluation that will assess possible causes of your pain, your doctor may need to order blood work to determine if you have:
Anemia
Hypothyroidism
Lyme disease
Other rheumatic diseases
Hormonal imbalances
Allergies and nutritional deficiencies
Disorders that cause pain, fatigue, and other fibromyalgia-like symptoms.
If the tests show that you have 1 of these conditions, treatment will focus on addressing that problem first. If your pain is caused by a muscle or joint condition, chiropractic care may help relieve it more effectively than other therapies.
Treatment Alternatives
If no underlying cause for your symptoms can be identified, you may have classic fibromyalgia. The traditional allopathic approach includes a prescription of prednisone, anti-inflammatory agents, antidepressants, sleep medications, and muscle relaxants. These temporarily relieve the symptoms, but they do produce side effects. If you prefer a natural approach, the following suggestions may be helpful:
Studies have shown that a combination of 300 to 600 mg of magnesium per day, along with malic acid, may significantly reduce may significantly reduce the number of tender points and the pain felt at those that remain. B vitamins may also be helpful.
Eating more omega-3 fatty acids and fewer saturated fats has shown promise in fibromyalgia patients. Limit red meat and saturated fats and increase the amounts of omega-3 fatty acids by including fish, flax, and walnut oils in your diet. Fatty acid deficiencies can interfere with the nervous system and brain function, resulting in depression and poor memory and concentration.
Improving the quality of sleep can help reduce fatigue. Watch your caffeine intake, especially before going to bed. Reduce TV and computer time. If you watch TV in the evening, choose relaxing, funny programs instead of programs with violent or disturbing content. Ask your doctor of chiropractic for other natural ways to help you sleep better.
Stress-managing strategies can also help address anxiety or depression issues. Cognitive therapy has been shown helpful in relieving fibromyalgia patients’ negative emotions and depression by changing their perception of themselves and attitudes toward others.
A traditional gym-based or aerobic exercise program may exacerbate fibromyalgia symptoms and is not recommended. Instead, yoga, Pilates, or tai chi—which offer mild stretching, relaxation, and breathing techniques—may work better than vigorous exercise.
Studies have shown that acupuncture is another effective, conservative approach to treating fibromyalgia symptoms and many doctors of chiropractic offer this service right in their offices.
Chiropractic care has consistently ranked as one of the therapeutic approaches that offer the most relief for the fibromyalgia patient. Your doctor of chiropractic can also include massage therapy, ultrasound and electrical stimulation in the treatment program, which may help relieve stress, pain, and other symptoms.
Your doctor of chiropractic has the knowledge, training, and expertise to help you understand your problem and, in many cases, to manage it successfully. Remember, however, that the treatment program can be successful only with your active participation. If your doctor of chiropractic feels that he or she cannot help you, you will be directed to another health care provider.
The odds of all of us getting a headache this time of year is darn near 100%. Those headaches are understandable! Between the in-laws and the holiday punch I know I will have a few. But some headaches can be prevented and no that doesn’t mean move and don’t give your family your new address. Your Woodbridge, Dale City Virginia chiropractor has a few ways that you can prevent headaches year round.
Headaches are more common in adults, although they can develop at any time in life. Approximately 4 out of 5 children have headaches at some point, but most are benign and self-resolving. In fact, many adults who suffer from headaches report having the first headache in childhood.
Headache symptoms usually begin gradually. In fact, the sudden onset of severe headache may signify a serious problem and requires immediate medical attention. Common headache is often described as achy, dull or throbbing pain. It typically begins at the base of the skull/upper part of the neck and may radiate into the eye(s), the temple, or other locations. Headaches may be felt on one or both sides of the head. Often loud noises or bright lights may make them worse. Some patients may become nauseated or experience odd smells, sounds, or sights before and during the headache attack.
How Is a Headache Evaluated?
Early diagnosis and treatment are important in identifying a serious underlying cause for your headache. In most cases, an in-depth history and physical examination can help determine if your symptoms are related to an easily treated problem, or if it is more serious.
Your doctor can use other tests that reproduce the symptoms of your headache to help develop a specific management plan for your condition, or refer you to another health care provider. X-rays, laboratory tests and even advanced imaging studies like magnetic resonance imaging (MRI) may be necessary. Your doctor may ask you to complete a headache diary, recording:
day and time of the headache
headache location
what the headache feels like
what you were doing when the headache began
how long the headache lasts
what makes it feel better or worse
anything else you notice before, during, or after the attacks
What Is the Treatment for Headaches?
Headache treatment is cause-related. Doctors of chiropractic often treat patients with tension-type headaches and headaches caused by problems with the joints and muscles in the neck, as well.
Joint manipulation and mobilization of the neck, along with stretching and strengthening exercises, have been demonstrated to be effective in the treatment of this type of headache.
Massage and other forms of soft-tissue treatment can sometimes be helpful.
Scientists are also investigating other therapies, such as acupuncture, to prevent and treat this disorder. Over-the-counter pain relievers, such as acetaminophen, can be used for an occasional headache, but not for long-term headache management.
More serious causes of headache require aggressive treatment, and your doctor of chiropractic can assist you in finding a medical headache specialist. The majority of patients with headache recover completely after treatment. Unfortunately, the recurrence rate is relatively high, particularly with tension-type headache. If you have any questions or concerns about headache, feel free to discuss them with your doctor or chiropractic.
What Causes Headaches?
Headaches can be primary and secondary. Primary headaches do not result from some other health condition.
The most common type of primary headache is caused by problems with the neck muscles. Changes in the blood vessels inside the skull usually cause migraines. Other common types of headache include “cluster” headaches—headaches grouped together over weeks at a time; sinus headaches, associated with allergies and/or sinus infection; and headaches from poor vision.
Secondary headache results from some other cause or condition—head injury, concussion, blood vessel problems, or high blood pressure—or from side effects of some medications, infections in the head or sinuses or elsewhere in the body. Rare headache causes include tumors, aneurysms and other abnormal growths inside the skull, and toxic substances in the blood. Certain foods, such as monosodium glutamate (MSG), a food flavor enhancer, may cause headaches, as well.
How Can Headaches Be Prevented?
Muscle-tension headaches can often be avoided by maintaining proper posture and neck movements while performing your normal activities. You should:
Avoid slouching
Avoid reading with your neck bent forward
Keep your computer monitor at eye level
Take frequent breaks from reading and working on the computer.
Try a low-fat, high-complex carbohydrate diet. A recent study demonstrated that such a diet can dramatically lower the frequency, intensity, and\duration of migraine headaches.
Well like it or not it is winter time. Secretly it is a chiropractor’s favorite time of the year. Snow shoveling, slips on ice, maybe mix in a car accident… Those are the unavoidable but it is the winter athlete that really keeps us busy. Those injuries can be avoided with proper warm ups and a regular cardio routine. Your Woodbridge, Dale City Virginia Chiropractor has a few tips to help you stay out of your chiropractor’s office.
When snow, ice and frigid weather blast into town, watch out, says the American Chiropractic Association (ACA). Winter recreational activities and chores can pose problems for the outdoor enthusiast whose body is not in condition. Winter sports like skating, skiing and sledding can cause painful muscle spasms, strains or tears if you’re not in shape. Even shoveling snow the wrong way, clambering awkwardly over snow banks, slipping on sidewalks and wearing the wrong kinds of clothing can all pose the potential for spasms, strains and sprains.
Simply walking outside in the freezing weather without layers of warm clothing can intensify older joint problems and cause a great deal of pain. As muscles and blood vessels contract to conserve the body’s heat, the blood supply to extremities is reduced. This lowers the functional capacity of many muscles, particularly among the physically unfit. Preparation for an outdoor winter activity, including conditioning the areas of the body that are most vulnerable, can help avoid injury and costly health care bills.
“Simply put, warming up is essential,” says Olympic speedskating gold and silver medalist Derek Parra. “In fact, when pressed for time, it’s better to shorten the length of your workout and keep a good warm-up than to skip the warm-up and dive right into the workout. Skipping your warm-up is the best way to get hurt.” Parra, who took both the gold and silver medals during the 2002 Winter Olympics in Salt Lake City, UT, adds that, “You can complete a good warm-up in 15-20 minutes. And believe me, it will make your workout more pleasant and safe.”
Derek Parra and the ACA suggest that you start with some light aerobic activity (jogging, biking, fast walking) for about 7-10 minutes. Then follow these tips to help you fight back the winter weather:
Skiing – do 10 to 15 squats. Stand with your legs shoulder width apart, knees aligned over your feet. Slowly lower your buttocks as you bend your knees over your feet. Stand up straight again.
Skating – do several lunges. Take a moderately advanced step with one foot. Let your back knee come down to the floor while keeping your shoulders in position over your hips. Repeat the process with your other foot.
Sledding/tobogganing – do knee-to-chest stretches to fight compression injuries caused by repetitive bouncing over the snow. Either sitting or lying on your back, pull your knees to your chest and hold for up to 30 seconds.
Don’t forget cool-down stretching for all of these sports – At the bottom of the sledding hill, for instance, before trudging back up, do some more knees-to-chest stretches, or repetitive squatting movements to restore flexibility.
Shoveling snow can also wreak havoc on the musculoskeletal system. The ACA suggests the following tips for exercise of the snow shoveling variety:
If you must shovel snow, be careful. Listen to weather forecasts so you can rise early and have time to shovel before work.
Layer clothing to keep your muscles warm and flexible.
Shoveling can strain “de-conditioned” muscles between your shoulders, in your upper back, lower back, buttocks and legs. So, do some warm-up stretching before you grab that shovel.
When you do shovel, push the snow straight ahead. Don’t try to throw it. Walk it to the snow bank. Avoid sudden twisting and turning motions.
Bend your knees to lift when shoveling. Let the muscles of your legs and arms do the work, not your back.
Take frequent rest breaks to take the strain off your muscles. A fatigued body asks for injury.
Stop if you feel chest pain, or get really tired or have shortness of breath. You may need immediate professional help.
After any of these activities, if you are sore, apply an ice bag to the affected area for 20 minutes, then take it off for a couple of hours. Repeat a couple of times each day over the next day or two.
If you continue to feel soreness, pain or strain after following these tips, it may be time to visit a doctor of chiropractic. “I’ve always believed in chiropractic care,” says Parra. “I’ve used a lot of other treatments for injuries and pain, but the problem doesn’t get fixed until I go to a doctor of chiropractic.”
