Chiropractor

Shopping Season

in Chiropractor  by September 11, 2015 0 comments

That’s it people!  Summer is over and we are on to holiday shopping!  I get asked all the time about how to prevent injuries.  Hey Doc I am gardening, digging a hole, lifting at work…  But no one ever thinks of shopping.  But there is a lot of bending and lifting involved!  Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area wants to give you some tips to help survive.

The holidays seem to come earlier and earlier every year — and along with them, the stresses and strains of frenzied holiday shopping. Take a stroll through your local mall, and you’ll already see symbols of the approaching holiday season — from Thanksgiving and Christmas decorations to notices of blowout sales. As your muscles tense with each passing day, the American Chiropractic Association (ACA) asks, “Are you ready for the holiday shopping challenge?”

“Our bodies have the capacity to do a little more than we normally do,” says Dr. Scott Bautch, past president of the ACA’s Council on Occupational Health. “But our bodies do not adapt very well to doing a lot more than we normally do. Since the added demands of this season can stress the capacity of our bodies, we need to do everything we can to help ourselves. Eat right, drink plenty of water, stretch, exercise and take a few minutes to slow down and reflect on what the season is all about.”

So relax and enjoy the holidays! Dr. Bautch and the ACA encourage you to consider the following tips to help keep you and your loved ones healthy, happy and safe this season.


Treat Holiday Shopping As An Athletic Event

Stay hydrated! Drink eight to ten 8-ounce glasses of water a day. (Coffee, tea, soft drinks and alcohol are dehydrators. Don’t substitute them for water.) On shopping days, you may need to drink even more water.

Be sure to stretch before and after a long day of shopping. When you are stressed-out, your muscles are less flexible than usual.

Wear shoes with plenty of cushioning in the soles to absorb the impact of walking on those hard shopping mall floors.

Make sure your clothing is as comfortable as possible. It’s a good idea to wear layers, because you may be going from a cold environment (outdoors) to a warm environment (indoors).

Leave your purse at home. Wear a light fanny pack, or if necessary, a light backpack instead. Pack only those items that are absolutely essential (driver’s license, credit card, etc.).

If you start to feel some pain, nip it in the bud. 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.

“During the holiday season, we’re running at absolute maximum capacity, which can lead to stress and even depression,” says Dr. Bautch. “We need to stretch and stay hydrated to increase our capacity, so we are not overwhelmed by the activities of the season.”

Plan Frequent Breaks Into Your Shopping Day

During a day of heavy shopping, most people should take a break every 45 minutes. Those with less stamina may even need to take breaks more frequently.

If possible, obtain a locker. Lockers can help cut down dramatically on how much you have to carry around. You can take a load off by scheduling trips to your locker into your breaks.

If your mall or shopping center doesn’t offer lockers, try to plan trips to your car. Don’t carry around more than is absolutely necessary at one time.

When taking breaks, try to eat light foods. A salad and some fruit is a much better option than a burger and fries.

Skip the coffee break! Coffee and sodas contain caffeine and sugar, which add even more stress to your body. Pass on the designer coffee at the java stand and keep drinking water.

“We actually need to eat better than normal during the holiday season,” explains Dr. Bautch. “On average, people gain five to six pounds during the holidays. And heart attacks occur more often during the holidays as well. Eating a heavy meal and then running out on an exhausting shopping trip can be very dangerous.”

Shopping With Children

If at all possible, DO NOT bring children along on a holiday shopping trip. Most children simply do not have the stamina for such an event, and you and your child will only become frustrated with one another. Don’t add this type of stress to an already stressful situation.

Try to split “child duty” up with a spouse or another parent. They’ll watch your kids while you shop, and vice-versa.

“Shopping with children is just a bad idea,” says Dr. Bautch. “If your hands are loaded with shopping bags, you may not be able to hold your child’s hand, which could increase the chances he or she might wander away from you. Take whatever steps necessary to not have to bring your child along.”

Wrapping Your Gifts

Since there is no “ideal” position for wrapping gifts, the most important thing to remember is to vary your positions. For example, try standing at a table or countertop for one package, sitting on a bed for another, sitting in a comfortable chair for another, etc.

Do not wrap packages while sitting on the floor. Wrapping packages while sitting on a hard floor can wreak havoc on your posture, and should be avoided.

Always stretch before and after you wrap gifts.

“When wrapping presents, it’s a good idea to ‘stretch the opposites,'” says Dr. Bautch. “In other words, if you are leaning forward when wrapping your gifts, stretch backward when you are done.”

Chiropractic Care Can Help

If you experience pain or discomfort as a result of holiday shopping, consider a visit to your doctor of chiropractic. Your doctor of chiropractic can help alleviate your pain naturally, so you can enjoy the holiday season as it was meant to be.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Perfect Posture

in Chiropractor  by September 4, 2015 0 comments

I tell my patients that it isn’t the activity that hurt your back it is everything leading up to that movement that caused the injury.  Most of my patients at my Woodbridge, Dale City VA chiropractic office would agree.  It wasn’t the piece of paper they bent over to pick up or the sneeze that hurt them it had to be something else.  It is the way we sit, the way we stand the way we sleep that leads to that one little thing that hurts us.  Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area wants to provide you with some tips to help correct your posture.

Why is good posture important?

Good posture helps us stand, walk, sit, and lie in positions that place the least strain on supporting muscles and ligaments during movement and weight-bearing activities. Correct posture:

  • Helps us keep bones and joints in correct alignment so that our muscles are used correctly, decreasing the abnormal wearing of joint surfaces that could result in degenerative arthritis and joint pain.
  • Reduces the stress on the ligaments holding the spinal joints together, minimizing the likelihood of injury.
  • Allows muscles to work more efficiently, allowing the body to use less energy and, therefore, preventing muscle fatigue.
  • Helps prevent muscle strain, overuse disorders, and even back and muscular pain.

Several factors contribute to poor posture-most commonly, stress, obesity, pregnancy, weak postural muscles, abnormally tight muscles, and high-heeled shoes. In addition, decreased flexibility, a poor work environment, incorrect working posture, and unhealthy sitting and standing habits can also contribute to poor body positioning.


How do I sit properly?

  • Keep your feet on the floor or on a footrest, if they don’t reach the floor.
  • Don’t cross your legs. Your ankles should be in front of your knees.
  • Keep a small gap between the back of your knees and the front of your seat.
  • Your knees should be at or below the level of your hips.
  • Adjust the backrest of your chair to support your low- and mid-back or use a back support.
  • Relax your shoulders and keep your forearms parallel to the ground.
  • Avoid sitting in the same position for long periods of time.

How do I stand properly?

  • Bear your weight primarily on the balls of your feet.
  • Keep your knees slightly bent.
  • Keep your feet about shoulder-width apart.
  • Let your arms hang naturally down the sides of the body.
  • Stand straight and tall with your shoulders pulled backward.
  • Tuck your stomach in.
  • Keep your head level-your earlobes should be in line with your shoulders. Do not push your head forward, backward, or to the side.
  • Shift your weight from your toes to your heels, or one foot to the other, if you have to stand for a long time.

What is the proper lying position?

  • Find the mattress that is right for you. While a firm mattress is generally recommended, some people find that softer mattresses reduce their back pain. Your comfort is important.
  • Sleep with a pillow. Special pillows are available to help with postural problems resulting from a poor sleeping position.
  • Avoid sleeping on your stomach.
  • Sleeping on your side or back is more often helpful for back pain.
  • If you sleep on your side, place a pillow between your legs.
  • If you sleep on your back, keep a pillow under your knees.

Your doctor of chiropractic can assist you with proper posture, including recommending exercises to strengthen your core postural muscles. He or she can also assist you with choosing proper postures during your activities, helping reduce your risk of injury.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Carpal Tunnel Information

in Chiropractor  by August 28, 2015 0 comments

Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area has been treating various types of nerve complaints.  A common complaint we see a lot of is hand and wrist pain.  It is no surprise due to all the time we spend on computers, including the time it is taking to do this blog.  Carpal Tunnel or CTS is one of the more common surgeries performed at this time.  Here are some basics you should know and you should consult a chiropractor as well as orthopedic surgeon.

CTS typically occurs in adults, with women 3 times more likely to develop it than men. The dominant hand is usually affected first, and the pain is typically severe. CTS is especially common in assembly-line workers in manufacturing, sewing, finishing, cleaning, meatpacking, and similar industries. Contrary to the conventional wisdom, according to recent research, people who perform data entry at a computer (up to 7 hours a day) are not at increased risk of developing CTS.

What Is CTS?

CTS is a problem of the median nerve, which runs from the forearm into the hand. CTS occurs when the median nerve gets compressed in the carpal tunnel—a narrow tunnel at the wrist—made up of bones and soft tissues, such as nerves, tendons, ligaments, and blood vessels. The compression may result in pain, weakness, and/or numbness in the hand and wrist, which radiates up into the forearm. CTS is the most common of the “entrapment neuropathies”—compression or trauma of the body’s nerves in the hands or feet.

What Are the Symptoms?

Burning, tingling, itching, and/or numbness in the palm of the hand and thumb, index, and middle fingers are most common. Some people with CTS say that their fingers feel useless and swollen, even though little or no swelling is apparent. Since many people sleep with flexed wrists, the symptoms often first appear while sleeping. As symptoms worsen, they may feel tingling during the day. In addition, weakened grip strength may make it difficult to form a fist or grasp small objects. Some people develop wasting of the muscles at the base of the thumb. Some are unable to distinguish hot from cold by touch.

Why Does CTS Develop?

Some people have smaller carpal tunnels than others, which makes the median nerve compression more likely. In others, CTS can develop because of an injury to the wrist that causes swelling, over-activity of the pituitary gland, hypothyroidism, diabetes, inflammatory arthritis, mechanical problems in the wrist joint, poor work ergonomics, repeated use of vibrating hand tools, and fluid retention during pregnancy or menopause.

How Is It Diagnosed?

CTS should be diagnosed and treated early. A standard physical examination of the hands, arms, shoulders, and neck can help determine if your symptoms are related to daily activities or to an underlying disorder.

Your doctor of chiropractic can use other specific tests to try to produce the symptoms of carpal tunnel syndrome.  The most common are:

Pressure-provocative test. A cuff placed at the front of the carpal tunnel is inflated, followed by direct pressure on the median nerve.

Carpal compression test. Moderate pressure is applied with both thumbs directly on the carpal tunnel and underlying median nerve at the transverse carpal ligament. The test is relatively new.

Laboratory tests and x-rays can reveal diabetes, arthritis, fractures, and other common causes of wrist and hand pain. Sometimes electrodiagnostic tests, such as nerveconduction velocity testing, are used to help confirm the diagnosis. With these tests, small electrodes, placed on your skin, measure the speed at which electrical impulses travel across your wrist. CTS will slow the speed of the impulses and will point your doctor of chiropractic to this diagnosis.

What Is the CTS Treatment?

Initial therapy includes:

Resting the affected hand and wrist

Avoiding activities that may worsen symptoms

Immobilizing the wrist in a splint to avoid further damage from twisting or bending

Applying cool packs to help reduce swelling from inflammations

Some medications can help with pain control and inflammation. Studies have shown that vitamin B6 supplements may relieve CTS symptoms.

Chiropractic joint manipulation and mobilization of the wrist and hand, stretching and strengthening exercises, soft-tissue mobilization techniques, and even yoga can be helpful. Scientists are also investigating other therapies, such as acupuncture, that may help prevent and treat this disorder.

Occasionally, patients whose symptoms fail to respond to conservative care may require surgery. The surgeon releases the ligament covering the carpal tunnel. The majority of patients recover completely after treatment, and the recurrence rate is low. Proper posture and movement as instructed by your doctor of chiropractic can help prevent CTS recurrences.

How Can CTS Be Prevented?

The American Chiropractic Association recommends the following tips:

Perform on-the-job conditioning, such as stretching and light exercises.

Take frequent rest breaks.

Wear splints to help keep the wrists straight.

Use fingerless gloves to help keep the hands warm and flexible.

Use correct posture and wrist position.

To minimize workplace injuries, jobs can be rotated among workers. Employers can also develop programs in ergonomics—the process of adapting workplace conditions and job demands to workers’ physical capabilities.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Neck pain as the cause of your headaches

in Chiropractor  by August 21, 2015 0 comments

Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area has over 20 years’ experience treating neck pain.  Most headaches seem to stem from the upper cervical area and more often than not fixing the neck problem helps with the headache.

Neck pain and headaches are linked more often than you would think.  Most people think they have a headache and it is local to the head.  Further investigation could find the cause being your neck.  There are two major types of headaches:  Migraines (which we all seem to know about) and cervicogenic.   Most people assume a really bad headache is just a migraine.  This isn’t always the case and more often than not the headache is coming from the upper neck region.  This is the reason migraine medication doesn’t work on these headaches.

Getting the headaches properly diagnosed will help people properly treat them.  I see tons of patients who come in with “migraines.”  They explain the entire headache.  It starts in the back of my neck then shoots into my head.  By this point they are taking their medication but it never seems to work.  Then they sit in a dark room and try and ride out the “migraine.”

Visiting Doroski Chiropractic Neurology in Woodbridge VA is a great place to start to get the headaches properly diagnosed.  If that isn’t possible check out a local chiropractor who can help you properly diagnose the headache.   The headache could be what is called a cervicogenic headache.  Sound scary but it is treatable and generally chiropractic care is the place to begin.


By definition a cervicogenic headache is any headache which is caused by the neck. The term ‘cervicogenic’ simply refers the cervical area, which is a part of your spine located right near the base of the skull. The pain of cervicogenic headache is usually unilateral; it originates in the neck and then spreads to the oculofrontal-temporal areas of the head. The headache initially presents as intermittent episodes and then progresses to an almost continuous pain. Pain may be triggered or exacerbated by neck movement or a particular neck position; it can also be triggered by applying pressure over the ipsilateral upper part of the back of the neck or the ipsilateral occipital region.   If this sounds like your headache visiting a Doroski Chiropractic Neurology in Woodbridge Virginia may help.

There are some simple things you can do at home to help prevent the headaches if you can’t get to a chiropractor.

Relaxation

Heat or cool the head and neck

Mobilizing

Postural exercise

Improve your computer work station ergonomics (see our tips on this in other blogs at doroskichiropractic.com)

Of course if the headaches are severe enough and none of your home therapies are working do not hesitate to contact your Doctor.  Headaches could be a symptom of a more serious problem and your Doctor will be able to do further testing or imaging to rule out more serious conditions.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Office chair and back pain

in Chiropractor  by August 14, 2015 0 comments

We all seem to sit for large parts of our days.  The idea of sitting sounds so great when you have been standing for a long period of time.  Sadly once you get a seat your back starts hurting and the wonderful break now becomes torture.  It can be as simple as properly adjusting your office chair and Doroski Chiropractic Neurology in the Woodbridge, Dale City area wants to help.

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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Core strength

in Chiropractor  by August 7, 2015 0 comments

You hear it all the time!  Keep your core strong and you won’t have back pain!  That is somewhat true but the bigger thing is what do you do to strengthen your core.  Most of the exercises are low tech and can be done anywhere.  Doroski Chiropractic Neurology in the Woodbridge, Dale City Va area has a few here that can help.

Situps/Crunch. Lie on your back on the floor or a yoga mat. Legs are straight on the floor, leg muscles tight, backs of the legs “glued” to the floor. Either do slides (sliding your hands on your legs) or cross your arms in front of you (putting your hands behind your head will pull your head up, resulting in your neck being strained). Engage your transverse abdominus to initiate the crunch/sit up. Keeping legs “glued” to the floor, come all the way up to sitting tall with a straight spine. To modify, keep knees bent, feet flat on the floor and procede as above. If you are not ready for full sit ups, do a crunch, holding your transverse abdominus in the whole time. Beginners start with 1-2 sets of 10-12 repetitions, intermediates perform 2-3 sets of 12-15 repetitions, advanced perform 3-5 sets of 15 repetitions holding a weighted medicine ball. If you are ready for a further challenge, do as many as you can. At the number you stop, mark that down somewhere so you don’t forget. Each time you exercise, increase the number of situps by increments of 3-5. Increasing the number slowly will help get your abs used to doing situps. This gives you the “six pack” and a strong core. Performing crunches on an unstable surface such as a stability ball will further challenge the core muscles.

Plank. Lie on the floor, or yoga mat, face down. Place forearms and toes on the floor, push up so only the forearms and toes remain on the floor. Tighten your hip, leg, arm, back, chest, and abdominal muscles making this a total body exercise. Keep your whole body straight from the base of the skull all the way to the heels, and keep even breathing. You’ll want to drop your hips a little bit further than shown here. After 30 seconds, relax for a few seconds. Then for another 30 seconds, lift yourself up again, but on your right side. Your right forearm and toes should be the only things touching the ground. Shoulders and hips will be stacked directly over one another. Feet can be separated or on top of one another. Hold for 30 seconds, rest, then switch to your left side. Repeat the whole cycle one to three more times. When 30 seconds is a breeze, increase the time by at least 5 seconds. The plank strengthens not only your core, but your total body,increasing core stability.

Arm sweep. Sit on the floor and slightly outstretch your legs “gluing” them to the floor, or bending the knees with feet flat. Sit tall, engaging your mid back to help you sit up straight. Stretch out your arms out the sides. Next, twist your body to the left so that you rotate and your right hand reaches for the left foot, and the left hand touches the ground behind you or is raised in the air behind you. Repeat on your right side. This results in a sweeping motion of your arms and twisting your body to engage the abdominal muscles and back muscles. Your fitness level determines the number of sets and reps you aim for. Beginners, 1-2 sets of 8-10 reps, intermediates, 2-3 sets of 12-15 reps, advanced, 3-5 sets of 15-30 reps.

Superman. Lie on the floor, or your yoga mat, face down. Reach your arms directly in front of you, reaching to the opposite wall. Straighten your legs, “gluing” your heels and inner thighs together by tightening the inner thighs and glutes. Lift your arms, chest, head, legs and feet off of the ground. At this point, only your belly and hips are touching the ground (no knees or feet). Keep holding your arms, chest, head, and legs up, engaging your low-mid back muscles and your glutes, for at least 30 seconds. Then relax. Do it again for another 30 seconds. When 30 seconds in simple, increase your time by 5 seconds or more. This exercise strengthens the back muscles that help support your spine and are necessary for a strong core.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

 

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We all need sleep!

in Chiropractor  by July 31, 2015 0 comments

Sleep is something we all need!  It is never over looked but sometimes can be neglected or even hard to get!  But how we feel and how we act is greatly dependent on getting enough sleep!  Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area has some tips for you that may help.

An old Chinese proverb states, “Only when one cannot sleep does one know how long the night is.” Anyone who’s ever experienced an occasional bout with insomnia—and that’s most of us—can relate to this all too well.

In fact, surveys have shown that between 40 and 60 percent of the general population has trouble sleeping. Daily stress and worries, pressures from job and family, body aches and pains caused by uncomfortable beds or pillows, and a host of other issues can keep a person from getting enough quality sleep.

Sleep is critical to good health and functioning, so lack of it is a serious matter. “Sleep is one of the most important functions of the brain,” says Frederick R. Carrick, DC, PhD, president of the American Chiropractic Association’s Council on Neurology. Through it, our bodies recharge and renew for the next day’s challenges.

As wellness experts, doctors of chiropractic can provide patients with a different approach to their sleeping problems— without the use of sleeping pills, which leave many people in a mental haze the next morning. To start, here are a few helpful tips they would recommend for the sleepless in Seattle (or any city, for that matter):

Exercise regularly. Exercising in the morning is best, but if you must exercise in the evening, do so at least two or three hours before bedtime. Any later, and your increased heart rate can interfere with your sleep.

Limit your intake of caffeinated beverages such as coffee, colas and tea—try to avoid them altogether late in the day and near bedtime. In addition, for each cup of caffeinated beverages you drink each day, drink an equal amount of water.

If you have trouble sleeping and then get thirsty, drink tap water at room temperature (cold water may disturb the digestive system).

Eat an early dinner. Eating after 6 p.m. may interfere with sleep as your body works to digest the food you’ve eaten.

Go to bed at the same time each night and get up at the same time each morning. The routine will help your body know when it is time to rest.

Keep your bedroom at a cool, comfortable temperature and try to make it as dark as possible when you’re ready for bed.


Creating a comfortable place to sleep by choosing the correct mattress and pillow is also essential to getting the quality sleep that your body needs to function at its best.

A mattress, for instance, should support the body’s weight evenly and allow the spine to stay in its natural alignment. Choosing the right one is a personal matter.

“There are a wide variety of comfort preferences. It’s very subjective,” says Brian Darcy, operations manager for Springwall, the manufacturer of premium-quality Chiropractic® sleep sets that ACA has endorsed for the past 38 years.

But regardless of whether you like your mattress firm or soft, give it a good trial run before you buy. Darcy recommends lying down on a mattress for a minimum of three to five minutes to get a good feel. Sitting on it simply won’t do.

Useful mattress facts…

A mattress should provide uniform support from head to toe. If there are gaps between your body and your mattress (such as at the waist), you’re not getting the full support that you need.

If you do have back pain and your mattress is too soft, you might want to firm up the support of your mattress by placing a board underneath it. But do this just until the pain goes away; such firmness is not good for “routine” sleeping.

Every few months, turn your mattress clockwise, or upside down, so that body indentations are kept to a minimum. It’s also good to rotate the mattress frame every so often to reduce wear and tear.

If you’re waking up uncomfortable, it may be time for a new mattress. There is no standard life span for a mattress; it all depends on the kind of usage it gets.

Be aware that changes in your life can signal the need for a new mattress. For example, if you’ve lost or gained a lot of weight, if a medical condition has changed the way you sleep, or even if you have changed partners, it could mean that it’s time to find a new mattress that will accommodate those changes and help you sleep more soundly.

If you’re not in the market for a new mattress, and your current mattress is too firm, you can soften it up by putting a 1- to 2-inch-thick padding on top of it – usually available at mattress and bedding stores.

Next, pillow talk…

After investing in a quality mattress, don’t forget to choose an equally supportive pillow, advises Peter Mckay, DC, who is in private practice in San Diego and also works as a consultant for Innovative Choices, the maker of the Therapeutica Pillow-another ACA-endorsed product. “People will spend thousands of dollars on a mattress and then skimp on a pillow that doesn’t support their head and neck properly,” he observes. A good pillow will keep the cervical (neck) section of the spine aligned with the thoracic and lumbar (chest and lower back) sections. “[The sections] move together and should be supported together.”

When choosing a pillow, be selective. When lying on your side, your head and neck should remain level with your mid and lower spine. When lying on your back, your head and neck should remain level with your upper back and spine. In other words, your pillow should not be so thick that it causes your head and neck to be propped up or angled sharply away from your body.

Be wary of pillows that are made out of mushy foam materials. The weight of your head can displace this kind of foam, leaving little support. Choose firmer foam and materials that press back and support the head.

If you find yourself sleeping on your side with one hand propped under your pillow, that’s a clue that you’re not getting the support you need from that pillow.

There is no such thing as a universal fit when it comes to pillows. Find one that is consistent with the shape and size of your body.

Chiropractic Care Can Help…

If you continue to experience pain and discomfort at night or have difficulty falling asleep, visit your doctor of chiropractic. Doctors of chiropractic are trained to treat spinal problems that can interfere with a restful night’s sleep. They can also offer nutritional and ergonomic advice that can help improve the quality of your sleep.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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How to safely start exercising

in Chiropractor  by July 24, 2015 0 comments

People say they need to start exercising all the time.  It is all over the news, tv shows and in most offices.  The big question is how do you do it safely so you can stick with it.  Nothing worse then starting a program and getting hurt.  You will almost never go back to it.  Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area want to give you some basic guidelines that can go a long way.

Before you start an exercise program, there are a few things your need to figure out:

Question Yourself

What are your goals?

Lose weight… Increase cardio performance…   But if you’re of a certain age or have certain cardiovascular risk factors, you may need to see your physician before beginning a program that involves vigorous (as opposed to moderate) aerobic activity.


Here’s how exercise intensities are typically defined:

Low-to-Moderate

Something you can do for about 60 minutes.  Usually included in the 60 minutes is a slow gradual warm up leading to brisk pace.

Vigorous

Name says it all.  Usually after 20 minutes of this type of exercises fatigue starts to set in.  Heart rate and breathing significantly increased.

Are you planning to participate in vigorous activities and are a man over 45 or a woman over 55? You should receive a medical exam first. The same is true for individuals of any age with two or more coronary artery disease risk factors. If you’re unsure if this applies to you, check with your physician.

Now the standard questions you need to ask yourself:

A “yes” to any one of the following questions means you should talk with your doctor, by phone or in person, before you start an exercise program. Explain which questions you answered ‘’yes’’ to and the activities you are planning to pursue.

Have you been told that you have a heart condition and should only participate in physical activity recommended by a doctor?

Do you feel pain (or discomfort) in your chest when you do physical activity? When you are not participating in physical activity? While at rest, do you frequently experience fast, irregular heartbeats or very slow beats?

Do you ever become dizzy and lose your balance, or lose consciousness? Have you fallen more than twice in the past year (no matter what the reason

Do you have a bone or joint problem that could worsen as a result of physical activity? Do you have pain in your legs or buttocks when you walk?

Do you take blood pressure or heart medications?

Do you have any cuts or wounds on your feet that don’t seem to heal?

Have you experienced unexplained weight loss in the past six months?

Are you aware of any reason why you should not participate in physical activity?

If you answered “no” to all of these questions, and you passed the first round of questions, you can be reasonably sure that you can safely take part in at least a moderate-intensity physical-activity program.

But again, if you are a man over 45 or a woman over 55 and want to exercise more vigorously, you should check with your physician before getting started.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Golf injury prevention

in Chiropractor  by July 17, 2015 0 comments

Golf is supposed to be a relaxed enjoyable event.  Most of us leave tense and frustrated but there is not need to get hurt while torturing yourself.  At Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area golf injuries are very common.   Chiropractors are well versed in the biomechanics of the back and they are a great place to go for treatment and rehabilitation.  Here are some basics to help you prevent injury.

  1. Warm-up before playing golf to prevent low back pain

Warming up sounds so simple but even I am guilty of jumping out of my car and in to the golf cart.  Then stand on the first tee and twist to the right then back to the left, light a cigar and we are off.  Worked so-so when I was younger not at all now that I am in my 40’s.  A thorough warm-up before starting to golf—including stretching and easy swings—is critical for the muscles to get ready for the game.

First, start with stretching before beginning to play golf. Stretching should emphasize the shoulder, torso, and hip regions as well as the hamstring muscles.

The shoulder and torso may be stretched by holding a golf club behind the neck and shoulders and then rotating the torso.


The hips maybe stretched by pulling the knee to the chest.

The hamstrings maybe stretched by bending over and trying to touch the toes.

Next, gently swinging a golf club helps warm up the necessary muscle groups and prepares them for the torque (force) and torsion (twisting) that a golf swing produces. Time permitting, going to the driving range before a golf game is very helpful. Golf practice should begin with the smaller irons and progress up to the larger woods. This process allows the muscles to incrementally warm up.

Overall, muscles that have been stretched and gradually loaded are much less prone to being injured while playing golf and can take more stress before either being strained or sprained.

  1. Practice swinging before playing golf to prevent low back pain

The objective of a golf swing is to develop significant clubhead speed, and to do this a lot of torque (force) and torsion (twisting) is applied to the low back. Golfers should emphasize a smooth, rhythmic swing, as this produces less stress and less low back pain (such as minimizing muscular effort and disc and facet joint loading).

With a proper swing, the shoulder, pelvis (hip), and thoracolumbar segments (chest and lower spine) rotate to share the load of the swing. The shoulder and hip turn, along with the wrist snap, will produce more clubhead velocity than a stiff arm swing.

Good balance while golfing is achieved by slightly bending the knees and keeping the feet approximately shoulder-width apart. The spine should be straight, and the golfer should bend forward from the hips. Weight should be distributed evenly on the balls of the feet.

As most golfers will agree, while developing an easy, fluid swing may be desirable in terms of reducing stress to the low back and preventing low back pain, this is often easier said than done. To avoid a low back injury, beginners would be well advised to work with a golf pro when starting out, since most aspects of a golf swing are not natural or intuitive. Additionally, golf lessons may be useful for senior golfers who have decreased flexibility and strength.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Knee Pain

in Chiropractor  by July 10, 2015 0 comments

Knee pain can be very debilitating and most people assume it requires surgery.  One type of knee pain that is fixable without surgery is ITB syndrome.  This syndrome creates pain along the outside of your knee and it is increased with any real use of the knee.  Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area wants to help you understand this syndrome.

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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