Chiropractor - Doroski Chiropractic Neurology, Woodbridge, VA

Adjusting our kids

in Chiropractor by Doroski July 8, 2016 0 comments

I get asked a lot by my patients what age is it ok to have your child adjusted. I never really thought about an age and I am not sure there is a specific age. There are a fair amount of studies pointing out the benefits of child adjusting so I usually tell my patients any age works. Especially with the stuff kids have to carry for school and the terrible video game postures. Your Woodbridge, Dale City Virginia Chiropractor has some information for those who may be trying to decide about having their kids adjusted.

According to Dr. David Sackett, the father of evidence-based medicine, there are three prongs to the evidence-based decision: clinical expertise, scientific research and patient preference. While chiropractic has more than 100 years of clinical expertise from which to draw, our profession is still quite young when it comes to its base of scientific research—a state that is even more so for one of our youngest subspecialties, chiropractic pediatrics. Dedicated researchers are working hard to fill in these gaps. Recent studies are beginning to confirm what our century of clinical experience has already shown—that chiropractic care for children is not only safe, but also effective for a variety of pediatric conditions.

Dr. Joyce Miller and her colleagues at the Anglo-European College of Chiropractic in the U.K. have contributed much to our knowledge of chiropractic pediatrics in the past few years. Here is a brief summary of some of their latest studies:

Safety study: Miller et al. examined 781 pediatric patients under three years of age (73.5 percent of whom were under 13 weeks) who received a total of 5,242 chiropractic treatments at a chiropractic teaching clinic in England between 2002 and 2004.¹ There were no serious adverse effects (reaction lasting >24 hours or needing hospital care) over the three-year study period. There were seven reported minor adverse effects, such as transient crying or interrupted sleep.

Nursing study: Miller et al. also performed a clinical case series of chiropractic care for 114 infants with hospital- or lactation-consultant-diagnosed nursing dysfunction.² The average age at first visit was three weeks. All infants in the study showed some improvement, with 78 percent able to exclusively breastfeed after two to five treatments within a two-week period.

Colic: Browning et al. performed a single-blinded randomized comparison trial of the effects of spinal manipulative therapy and occipito-sacral decompression therapy on infants with colic.³ Forty-three infants younger than eight weeks of age received two weeks of chiropractic care. Two weeks and four weeks after beginning treatment, the infants in both treatment groups cried significantly less and slept significantly more than prior to receiving chiropractic care.

Long-term sequelae of colic: Research has shown that children who were colicky as infants suffer from poor behavior and disturbed sleep as toddlers. Miller et al. performed a survey of parents of 117 such toddlers who had received chiropractic care as infants vs. 111 who had not received chiropractic care.4 They found the treated toddlers were twice as likely not to experience long-term sequelae of infantile colic, such as temper tantrums and frequent nocturnal waking. In other words, colicky infants who had received chiropractic care were twice as likely to sleep well and to experience fewer temper tantrums in their toddler years.

That is just a sampling of some of the great work that is being done by the dedicated and hard-working researchers focusing on chiropractic pediatrics.

References:

Miller JE, Benfield K. Adverse effects of spinal manipulation therapy in children younger than 3 years: a retrospective study in a chiropractic teaching clinic. J Manipulative Physiol Ther 2008;31(6):419-422.
Miller JE, Miller L, et al. Contribution of chiropractic therapy to resolving suboptimal breastfeeding: A case series of 114 infants. J Manipulative Physiol Ther 2009;32(8):670-674.
Browning M, Miller JE. Comparison of the short-term effects of chiropractic spinal manipulation and occipito-sacral decompression in the treatment of infant colic: A single-blinded, randomised, comparison trial. Clinical Chiropractic 2008;11(3):122-129.
Miller JE, Phillips HL. Long-term effects of infant colic: a survey comparison of chiropractic treatment and non-treatment groups. J Manipulative Physiol Ther 2009;32(8):635-638.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Get moving safely

in Chiropractor by Doroski July 1, 2016 0 comments

Before you jump into a new exercise regime you need to work out in your mind a plan before you work out your body. A lot of routines fail because people don’t think about what they want. Just buy some shoes and go for a run or get a membership and just start. Granted doing something is better than doing nothing but having a solid plan may make you more likely to stick with it. Your Woodbridge, Dale City VA chiropractor has some basic guidelines for you.

Before You Start an Exercise Program

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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Workplace ergonomics

in Chiropractor by Doroski June 24, 2016 0 comments

Sitting here hunched over my key board at my poorly designed desk I feel the need to talk about ergonomics. Sit up straight, stand straight, pull your shoulders back… those all ring in our ears but we never really applied them. I can think back to doing construction and working on a garbage truck while finishing collage and my back hardly ever hurt. Plop me in this chair for 15 minutes and it is killing me. As your chiropractor in the Woodbridge, Dale City VA area I am obligated to help you improve your ergonomics.

What Are Good Ergonomics?

According to the United States Department of Health and Human Services, ergonomics is the science of fitting workplace conditions and job demands to employee capabilities. An ergonomic assessment of the workplace critically appraises the physical work environment—followed by changes based on the assessment. Ergonomic principles are then used to make the workplace compatible with the employee, improving the employee’s safety and productivity. In other words, the easier it is to do a job, the more productive and happy the worker will be.

When considering the impact of proper ergonomics on workplace safety, three basic principles are especially important:

1- When lifting, the largest muscles in the area should perform the task. The larger the muscle or muscle group used for lifting, the lower the stress placed on smaller, more vulnerable muscles.

2- During any work activities, people should be able to comfortably assume a number of different postures and not remain in one position for an extended time. Muscles will fatigue and be more prone to injury when assuming a particular posture, especially a poor one (e.g., partially bent forward at the waist).

3- When performing tasks, it is important to keep the joints either in their neutral posture or approximately halfway into the range of motion. Working with your joints at the extremes of their ranges of motion for prolonged periods places abnormal stresses on them and can cause repetitive stress injuries.

When working at a desk, try these suggestions for greater comfort:

1- Choose a desk that is the proper height. All things on your desk should be within easy reach.

2- Your feet should be touching the floor, with the legs and body forming an angle of 90 to 110 degrees.

3- Keep your body straight with the head and neck upright and looking forward, not to the side. Do not hunch over or slouch.

4- Adjust the height of your monitor. Look forward with your head in a neutral position. Your eyes should be at the same height as the top of the monitor. Leaning your head forward can lead to headaches and neck pain.

5- When typing, keep your wrists straight, your shoulders perpendicular to the floor, and your forearms parallel to the floor.

6- When reading at your desk, use a bookstand or a paper holder to keep your eyes in the same neutral position you use to read documents on your computer monitor.

7- When talking on the phone, use a headset, when possible, especially if you talk on the phone for prolonged periods. Holding the phone between your shoulder and cheek will only lead to neck pain and headaches.

8- Stand up and stretch your legs with a short walk about every 20 to 30 minutes.

9- Take micro-breaks often, stretching your neck, arms and wrists, back, and legs. Simple stretches include neck rotations, fist clenches, arm dangles, and shoulder shrugs.

10- If your eyes concentrate on a particular object for long periods, relax your eye muscles by shifting your focus from objects that are close to you to objects that are farther away. This helps reduce eye strain.

When lifting, follow these simple suggestions:

When lifting from the floor, keep your back straightand lift with the legs. Do not bend over at the waist and lift with the muscles of the low back. Your body is more easily injured in this position. Keep the object being lifted close to your body. Keep your elbows flexed. Keep your head up and your neck straight as you lift.

When working with a computer mouse, try the following:

Don’t move the mouse with just your wrist. Use your entire arm and shoulder. Don’t rest your arm on the edge of the desk while manipulating the mouse. Hold the mouse loosely. Keep your wrist relaxed. Don’t hold it up or down; instead, hold it in a neutral (straight) position Move away from the mouse several times per hour and move your wrists, arms, and shoulders around.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Get some sleep!

in Chiropractor by Doroski June 17, 2016 0 comments

With all the running around we do in our lives sleep is very important. Sadly, we are all guilty of cutting into our sleep to time get things done. It may seem like we are getting things done be we are actually hurting ourselves in the process. Your Woodbridge, Dale City VA Chiropractor has some tips that my help you. Of course if you can’t sleep due to pain get to your local chiropractor.

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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Why posture is important

in Chiropractor by Doroski June 10, 2016 0 comments

Sometimes it isn’t the one little movement that injures us, it is everything leading up to that movement that hurts us. I see it all the time in my Woodbridge, Dale City VA chiropractic office. All I did was bend over to grab a piece of paper or I just sneezed and my back went out. I agree with the patient that it is hard to believe “THAT” caused my injury. But when you compound “THAT” with bad posture or repetitive movements sometime “THAT” is all it takes. Our muscles adapt to whatever postures we keep them in. So If you sit in your chair leaning on your right elbow for 8 hours a day then you would expect all your muscles on the right to be tighter than they should be. Now lean to the left for a piece of paper and BAM something happen. Your Woodbridge, Dale City VA chiropractor has some important posture information for you.

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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Safe Gardening

in Chiropractor by Doroski June 3, 2016 0 comments

Now that all the snow is gone it is time to focus on the garden or flower beds. You know the area of your yard that while covered in snow you had all these plans for but now that it is uncovered you wish it was covered again. But procrastination time is over and time to get to work. Realistically gardening can be great exercise! Your Woodbridge, Dale City VA chiropractor has a few tips for you so you don’t get injured.

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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Carpal Tunnel injuries

in Chiropractor by Doroski May 26, 2016 0 comments

I treat all types of nerve complaints in my office. One of the common complaints we get is pain into the hand. That could generally be a pinched nerve in the neck, elbow or wrist. The true skill comes from figuring out where it is pinched and hopefully making a quick fix for the patient. A pinched nerve in the neck is a pretty common injury and very fixable in a chiropractic office. Same with the elbow pinched nerve. Carpal Tunnel is a bit harder and requires lots of rest. That is the usual problem. Everything we do uses the hands and telling people to stop is harder than you would think. Your Woodbridge, Dale City Virginia chiropractor has some CTS information for you.

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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Backpack safety

in Chiropractor by Doroski May 19, 2016 0 comments

School is just ending so add this to your before school shopping list. The good old days of going to your locker between classes appears over. Now it looks like you load everything into your backpack and lug it around all day. This is putting a lot of stress on kids backs but it looks like it is just the way it is. Your chiropractor in the Woodbridge, Dale City VA area wants to provide you with the ACA guidelines on back pack safety.

Back pain is pervasive among American adults, however it is not uncommon among children and teens either. In a new and disturbing trend, young children are suffering from back pain much earlier than previous generations, and the use of overweight backpacks is a contributing factor, according to the American Chiropractic Association (ACA). In fact, the U.S. Consumer Product Safety Commission has previously reported that backpack-related injuries sent more than 7,000 people to the emergency room in one year’s time.1

“In my own practice, I have noticed a marked increase in the number of young children who are complaining about back, neck and shoulder pain,” said Dr. Scott Bautch, a member of ACA’s Council on Occupational Health. “The first question I ask these patients is, ‘Do you carry a backpack to school?’ Almost always, the answer is ‘yes.'”

This new back pain trend among youngsters isn’t surprising when you consider the disproportionate amounts of weight they carry in their backpacks – often slung over just one shoulder. According to Dr. Bautch, a study conducted in Italy found that the average child carries a backpack that would be the equivalent of a 39-pound burden for a 176-pound man, or a 29-pound load for a 132-pound woman. Of those children carrying heavy backpacks to school, 60 percent had experienced back pain as a result.

According to Dr. Bautch, preliminary results of studies conducted in France show that the longer a child wears a backpack, the longer it takes for a curvature or deformity of the spine to correct itself. “The question that needs to be addressed next is, ‘Does it ever return to normal?'” Dr. Bautch added.

The results of these types of studies are especially important as more and more school districts – many of them in urban areas – remove lockers from the premises, forcing students to carry their books with them all day long.

The problem has become so widespread, in fact, that some states have passed legislation that would force school districts to develop ways of reducing the weight of students’ backpacks. ACA believes that limiting the backpack’s weight to no more than 10 percent of a child’s body weight and urging the use of ergonomically correct backpacks are possible solutions.

What Can You Do?

ACA offers the following tips to help prevent the needless pain that backpack misuse could cause the students in your household.

Make sure your child’s backpack weighs no more than 5 to 10 percent of his or her body weight. A heavier backpack will cause your child to bend forward in an attempt to support the weight on his or her back, rather than on the shoulders, by the straps.

The backpack should never hang more than four inches below the waistline. A backpack that hangs too low increases the weight on the shoulders, causing your child to lean forward when walking.

A backpack with individualized compartments helps in positioning the contents most effectively. Make sure that pointy or bulky objects are packed away from the area that will rest on your child’s back.

Bigger is not necessarily better. The more room there is in a backpack, the more your child will carry-and the heavier the backpack will be.

Urge your child to wear both shoulder straps. Lugging the backpack around by one strap can cause the disproportionate shift of weight to one side, leading to neck and muscle spasms, as well as low-back pain.

Wide, padded straps are very important. Non-padded straps are uncomfortable, and can dig into your child’s shoulders.

The shoulder straps should be adjustable so the backpack can be fitted to your child’s body. Straps that are too loose can cause the backpack to dangle uncomfortably and cause spinal misalignment and pain.

If the backpack is still too heavy, talk to your child’s teacher. Ask if your child could leave the heaviest books at school, and bring home only lighter hand-out materials or workbooks.

Although the use of rollerpacks – or backpacks on wheels – has become popular in recent years, ACA is now recommending that they be used cautiously and on a limited basis by only those students who are not physically able to carry a backpack. Some school districts have begun banning the use of rollerpacks because they clutter hallways, resulting in dangerous trips and falls.

If you or your child experiences any pain or discomfort resulting from backpack use, consider visiting a doctor of chiropractic (DC). DCs are licensed and trained to diagnose and treat patients of all ages and will use a gentler type of treatment for children. In addition, DCs can also prescribe exercises designed to help children develop strong muscles, along with instruction in good nutrition, posture and sleeping habits.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Stay Hydrated

in Chiropractor by Doroski May 13, 2016 0 comments

My favorite thing to hear in my office is a patient say “Yea yea I know stay hydrated”. It is very important to maintain a proper level of hydration. In my office I stress the importance from a musculoskeletal stand point. But the hydration helps with almost every function that goes on in the human body. There is a reason we can’t survive three days without water. As your chiropractor in the Woodbridge, Dale City VA area I am going to force this point down your throat just like the water I badger everyone about. Now grab a glass of water, sit back and get reading.

Even healthy eaters often underestimate the importance of their water intake and wind up suffering from chronic, low-grade dehydration. Here are just a few reasons good hydration is essential to good health, followed by six tips for staying hydrated:

Energy: Suboptimal hydration slows the activity of enzymes, including those responsible for producing energy, leading to feelings of fatigue. Even a slight reduction in hydration can lower metabolism and reduce your ability to exercise efficiently.

Digestion: Our bodies produce an average of 7 liters of digestive juices daily. When we don’t drink enough liquid, our secretions are more limited and the digestive process is inhibited. (Note that drinking too much water all at once, particularly with food, can also dilute digestive juices, reducing their efficacy and leading to indigestion.)

Regularity: As partially digested food passes through the colon, the colon absorbs excess liquid and transfers it to the bloodstream so that a stool of normal consistency is formed. When the body is low on water, it extracts too much liquid from the stool, which then becomes hard, dry and difficult to eliminate. Slowed elimination contributes to bodywide toxicity and inflammation.

Blood Pressure: When we are chronically dehydrated, our blood becomes thicker and more viscous. Additionally, in response to reduced overall blood volume, the blood vessels contract. To compensate for the increased vein-wall tension and increased blood viscosity, the body must work harder to push blood through the veins, resulting in elevated blood pressure.

Stomach Health: Under normal circumstances, the stomach secretes a layer of mucus (which is composed of 98 percent water) to prevent its mucus membranes from being destroyed by the highly acidic digestive fluid it produces. Chronic dehydration, though, impedes mucus production and may irritate and produce ulcers in the stomach lining.

Respiration: The moist mucus membranes in the respiratory region are protective; however, in a state of chronic dehydration, they dry out and become vulnerable to attack from substances that might exist in inhaled air, such as dust and pollen.

Acid-Alkaline Balance: Dehydration causes enzymatic slowdown, interrupting important biochemical transformations, with acidifying results at the cellular level. The acidification of the body’s internal cellular environment can be further worsened when excretory organs responsible for eliminating acids (e.g., the skin and kidneys) don’t have enough liquid to do their jobs properly. An overly acidic biochemical environment can give rise to a host of inflammatory health conditions, as well as yeast and fungus growth.

Weight Management: Feelings of thirst can be confused with hunger, both because eating can soothe thirst and also because dehydration-induced fatigue is often misinterpreted as a lack of fuel (e.g., sugar). Both dynamics can lead to false sensations of hunger, triggering overeating and weight gain. Inadequate hydration can also promote the storage of inflammatory toxins, which can also promote weight gain.

Skin Health: Dehydrated skin loses elasticity and has a dry, flaky appearance and texture. But dehydration can also lead to skin irritation and rashes, including conditions like eczema. We need to sweat about 24 ounces a day to properly dilute and transport the toxins being eliminated through our skin. When we are chronically dehydrated, the sweat becomes more concentrated and toxins aren’t removed from our systems as readily, which can lead to skin irritation and inflammation.

Cholesterol: Cholesterol is an essential element in cell membrane construction. When we are in a state of chronic dehydration and too much liquid is removed from within the cell walls, the body tries to stop the loss by producing more cholesterol to shore up the cell membrane. Although the cholesterol protects the cell membrane from being so permeable, the overproduction introduces too much cholesterol into the bloodstream.

Kidney and Urinary Health: When we don’t drink enough liquid, our kidneys struggle to flush water-soluble toxins from our system. When we don’t adequately dilute the toxins in our urine, the toxins irritate the urinary mucus membranes and create a germ- and infection-friendly environment.

Joint Health: Dehydrated cartilage and ligaments are more brittle and prone to damage. Joints can also become painfully inflamed when irritants, usually toxins produced by the body and concentrated in our blood and cellular fluids, attack them, setting the stage for arthritis.

Aging: The normal aging process involves a gradual loss of cell volume and an imbalance of the extracellular and intracellular fluids. This loss of cellular water can be accelerated when we don’t ingest enough liquids, or when our cell membranes aren’t capable of maintaining a proper fluid balance.

6 Hydration Tips

Start each day with a glass of water (no ice). Drink it down before you have coffee, tea or juice. It will help replace fluids lost overnight and get your hydration efforts off to a good start. Also fill a water bottle you can take with you in the car, or keep with you and refill during the workday.
Eat two or three servings of fruits and vegetables at every meal. They are brimming with water and include the minerals that help your body absorb and use it properly. Keep in mind that most processed foods (including sugars, flours, salty snacks and processed meats) result in a lowering of the body’s water table. Eating a lot of meat puts pressure on your kidneys and tends to increase your body’s need for water.
Establish regular water breaks, if possible. Tailor your drinking to meet your needs. For instance, drink an extra glass of water if you worked out or didn’t squeeze enough fruits and vegetables into your day.
Substitute sparkling water and low-sodium vegetable juice for soda and fruit juice. While it’s true that all beverages count toward your daily tally, the sugar in regular soda and fruit juice, as well as the chemicals in diet versions, can trigger a host of unwanted reactions in the body, including blood-sugar spikes.
Install water filters in your home and use a pitcher-type filter at the office. Resort to bottled water when you must, but beware of the drawbacks: It’s expensive and environmentally wasteful, the plastic contains harmful chemicals that can leach into the water, and there are no guarantees that bottled water is any better for you than the water flowing from the tap.
Cook with high-quality sea salt. A good, unrefined sea salt is rich in trace minerals, which are key to cell health and hydration. Bonus: Sea salt is also lower in sodium than table salt.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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What is fibromyalgia…

in Chiropractor by Doroski May 6, 2016 0 comments

A pretty common but often misunderstood diagnosis is fibromyalgia. With more information out there the diagnosis isn’t as confusing as it used to be but it is still one of those that people don’t quite grasp. The cause still remains a mystery, although an estimated 3 to 6 percent of Americans, predominantly women, have fibromyalgia syndrome. At Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area we see this condition daily. Even diagnosing the condition can be complex: according to the National Fibromyalgia Association, it can take a patient up to 4 years to be accurately diagnosed.

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.

+scottdoroski3122/posts

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link