Dale City VA Chiropractors

Making a proper bed choice

Some mornings I used to wake up and look at my bed and try and figure out what it did to me.  I thought I was being nice to it… clean sheets, climate-controlled area, no one jumping on it yet it seems to be mad at me.   Of course, any back pains I advise you see your Woodbridge, Dale City VA chiropractor.   Getting a new bed may help what I am fixing on you in my office.  Here are some bed buying tips that may help you decide on what you buy.

Lower back pain: Patients suffering with low back pain (LBP) most often prefer beds that are firmer. One study purported that hard beds should be the first choice for LBP sufferers, but if that did not help, then they should try waterbeds. The recommendation is not that they should sleep on a rock-hard bed, but rather, that they need support. A firmer bed prevents the low back from sinking deeply into the bed and irritating the facet joints. Higher-end luxury beds can provide plenty of support along with comfortable padding, while lower-end discounted beds can provide the firmness, but with less comfort.

Upper back and neck pain: Patients who are suffering from upper back and neck pain often prefer softer or plushier bedding. The plushier cushioning in the bed allows the head and thoracic area to sink into the bed to support the cervical area. A pillow-top mattress, or one with softer foams, padding and quilting, can be a good recommendation. There are also several types of pillows that can provide extra support for the neck.

Arthritis and fibromyalgia: Patients suffering with multiple painful joints often prefer bedding with cushioning that disperses the weight across the greatest body surface. Frequently, such patients also have spinal complaints. Balancing cushioning with proper support for the spine requires a higher-end mattress. Since fibromyalgia is related to stress levels, it also is important to review pre-sleep rituals with patients to help relax them before going to bed.

Stomach sleepers: Sleeping on the stomach in a soft bed can stress the thoracolumbar spine. The weight of the belly and pelvis also compress the bedding. To provide support to the stomach, pelvis and thoracolumbar areas, a firmer mattress is necessary.

Side-lying sleepers: An estimated 73 percent of the population sleeps on its side.  Plush mattresses are often recommended to side-lying sleepers because they provide the best way to maintain the natural shape of the spine and the curves of the hips and shoulders while sleeping. Plush bedding will cradle the body and help disperse the weight of the body across the maximum surface area, instead of creating pressure points at the hips and shoulders. Special pillows also may be necessary to support the neck in a position parallel to the ground.

Seniors: Most seniors grew up sleeping on extremely stiff beds, because that was what manufacturers made at that time. Having slept on firm mattresses their entire lives, many prefer firmer bedding, even if their health conditions indicate that plushier bedding would be better. Some education may be necessary to convince an older person of the need to change mattresses.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Fibromyalgia

I have patients that come into my Woodbridge, Dale City VA Chiropractic office with diffuse complaints of pain.  Most aren’t sure why all of a sudden something starts hurting or why they have no energy.  When you start asking more questions you discover there are lots of other problems.  Sometimes it is unrelated but sometimes it is something bigger causing all of them.  Here is some information on fibromyalgia which is a big cause of a lot of different symptoms.

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.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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New moms and exercise

After giving birth most new moms are anxious to get back to their old routines.  That is after the new baby gets some sort of a routine.  The biggest one I hear a lot of as your Woodbridge, Dale City VA area chiropractor is when can I start exercising.   You have to remember that giving birth is traumatic for the body.  One of the biggest things to remember is that if you lifted or ran blah blah, before you gave birth you shouldn’t attempt that right away after you gave birth.  Exercise people never quite grasp that concept… me included.  Here are the guidelines for returning to exercise for new moms from Fit Pregnancy.

  1. Starting Back Slowly

As a general rule, I recommend that women do not return to postnatal or mommy and me yoga until their bleeding has stopped. If a woman gave birth via cesarean section, she needs to wait 6 weeks before rejoining class. If you push yourself too hard in the beginning, then you can actually be setting yourself back from real recovery. That of course does not mean you need to be held hostage in your house for 6 weeks. A walk can be considered a good start to your road back!

  1. Watch For Your Bleeding to Stop

Once you do embark on some heavier activities, pay attention to signs from your body. Some women find that their bleeding that had tapered down starts to get heavier again, which is a sign that the body needs more time to heal.

  1. How Is Your Pelvic Floor?

Also, if the pelvic floor is weak, putting intra-abdominal pressure (like crunches, pilates or general ab work) can put too much pressure on the pelvic floor and inhibit healing or even lead to a chance of organ prolapse. One of the first forms of exercise you can start to incorporate daily can be a kegel routine, restrengthening or even re-familiarizing yourself with your pelvic floor muscles.

  1. Repairing Diastasis

It is very common that women experience a separation of the abdominal muscles, specifically the rectus abdominals — aka the six-pack muscles. Your care provider can check this for you when you return for your six week check up. If it is severe enough, you may need to work with a physical therapist to help draw the muscles back together. So, when easing back to an abdominal workout, be mindful not to overdo it. In postnatal and mommy and me yoga, we focus more on plank pose and variations of plank instead of old fashion crunches. It is also advised not to do extremely deep twisting poses which can also inhibit the muscles from repair.

  1. Wiggly, Wobbly Joints

Relaxin, the hormone that is responsible for softening the ligaments and joints during pregnancy and childbirth, can stay in the body for up to six months postpartum. This can lead to wobbly, unstable joints and a loose pelvis. Again, just be mindful that the activity your choose is not too jerky in movement.

  1. Find All Sorts of Exercise!

You do not need to attend a scheduled class to start to return to a general fitness routine. As I mentioned earlier, walking is a great place to start: don’t discount walking as a gentle cardiovascular exercise! At one point, I was told to avoid higher impact cardio since I was healing from some pretty severe pelvic floor issues and was instructed to try swimming. Fortunately, I have been an avid swimmer for years, so it felt like a nice welcome back to exercise and rediscovering my body. The nice thing about swimming is that it is gentle on the joints and pelvic floor, and is great for strengthening the core and back muscles.

  1. Hydrate

Once you do start to ease back into your routine, please remember to hydrate well, especially if you are breastfeeding. If you are out for a stroll with your baby, put your water bottle in the cup holder as a reminder to drink often.

  1. Rest

At the end of every postnatal or mommy and me yoga class we incorporate a few restorative yoga poses and then savasana (corpse pose). Even though many new moms hear the old saying, sleep when your baby sleeps, very few (I believe) adhere to these wise words. So, including a few moments to simply relax post-workout can really help replenish you. If you are feeling rested and restored, you will have so much more to offer to those that need you.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Chiropractic and Dizziness

As your chiropractor in the Woodbridge, Dale City VA area I see lots of patients coming in with dizziness or vertigo like symptoms.  First of course it is good practice to rule out the big things.  So after an exam I may order an MRI to rule out space occupying problems or vascular problems.  Once those are ruled out we can start with the chiropractic care.

When someone experiences dizziness, also called vertigo, the whole world seems to spin out of control with the nearest solid object becoming a lifesaver.  Vertigo is a common complaint, especially after head and neck trauma. It may come from problems in the inner ear, or from disturbances in pathways in the nervous system.  The experience can be impact your whole world, causing nausea, vomiting, and sweating.

If you are having trouble with vertigo, your chiropractor may be able to help. In a recent report in Livestrong, chiropractic solutions are outlined.  Chiropractic manipulation can help solve vertigo:  “Your chiropractor will use manipulation targeting joints that are not moving properly. In the upper neck, faulty motion patterns create misinformation about body position and movement going from the joints to the brain. This type of vertigo, called cervicogenic vertigo, can be helped by chiropractic manipulation.”

Positioning Maneuvers: The inner ear houses the body’s true balance center, the vestibulocochlear system. This complex system of fluid-filled tubes lined with hair-like sensors provides information to the central nervous system about position and movement. In some individuals, debris may accumulate in there. If this debris settles on sensitive areas within the tubes, it may result in vertigo.

If the patient’s vertigo appears to be coming from the inner ear, a chiropractor may use the Epley Maneuver to reposition the debris to a more innocuous position.

Your chiropractor will have exercises to help too.  Exercises like the Brandt-Daroff technique have the person sit on the edge of a bed and flop first to one side, back upright, then to the other side at one-minute intervals. Tai chi exercise may also help as slow, controlled movements provide a safe way to focus on your body movements and balance.

Your chiropractor will discuss your diet and daily habits to pinpoint other reasons for vertigo. Tobacco, alcohol, caffeine, and other substances that stimulate or depress the nervous system may become triggers. And non-prescription sleeping pills or antihistamines can spark dizziness. Your chiropractor may also suggest meditation, relaxation, or breathing techniques to regain control.

As you pursue diet, new daily habits, and relaxation techniques, be sure to discuss changes with your doctor to complete your health picture.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Natural Electrolytes

If you are at the gym busting your butt or at home doing yard work your body is going to lose electrolytes.  We all know about Gatorade or any of the other Gatorade type drinks that are out there.  But there are other ways to keep your body full of electrolytes without the artificial color and sugar that most of those drinks contain.  Your Chiropractor in the Dale City, Woodbridge VA area has a few ideas for you.

These types of drinks contain a lot of sugar, which slows down the rate at which water enters the blood. Sports drinks typically contain genetically modified organism, or GMO, ingredients as well as artificial food coloring dyes derived from petroleum and coal tar and linked to serious health problems like cancer and hyperactivity, according to the Center for Science in the Public Interest.

So what are electrolytes? Electrolytes are made of essential minerals sodium, potassium, chloride, calcium, magnesium, bicarbonate, phosphate and sulfate. During intense exercise, sodium and potassium are sweated out the most.

The best way to replace electrolytes is through real food. Instead of reaching for a sports drink, try one of these four electrolyte options that are good for your health and the earth.

Chia Seeds

Chia seeds contain nutrients such as calcium, magnesium, omega-3s, iron, fiber, protein and vitamin C to name a few. In liquid they expand around 9 to 12 times their size, leaving you feeling full and with sustained energy.

To make your own electrolyte drink add a tablespoon of organic chia seeds, 1 teaspoon of raw honey and a little fresh squeezed organic lemon or lime juice to your reusable water bottle. (You can also add a heavy dash of Celtic sea salt.)

Kale

Yes, kale contains electrolytes. (Just another reason why kale is so amazing). Kale is a super food meaning that it’s loaded with essential nutrients and minerals that are needed for the body to function—and run, bike, swim, and workout—well. After your training routine, make a kale smoothie. You won’t even taste the kale.

To make: Combine a hearty handful of organic kale, fresh organic fruits, ice, organic coconut water, organic maca powder and Manitoba Hemp Hearts in a blender. Mix until creamy.

Coconut

Coconut water is a natural way to replenish what you lost during your workout. Coconut water is high in potassium, an essential electrolyte. Try the Harmless Harvest or Whole Foods Market 365 brand coconut water.

Fruits and Veggies

Celery, apple, beet, banana, oranges and sweet potatoes all have electrolytes. Eat these natural sources of electrolytes daily (make sure they’re organic) and your body will thank you for giving it essential minerals and vitamins the healthy way.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

What is a chiropractic neurologist?

What is functional neurology?  I here that question a couple times a week and it is a valid question.   A Chiropractic Neurologist treats many non-surgical and non-pharmacological complaints a patient can have.  Your Woodbridge, Dale City VA Chiropractor received additional training from the Carrick Institute which specializes in brain-based rehabilitation.  That training also helps me identify issues I am unable to treat and need to refer out for further testing.

Traditionally, neurology tends to look at disease of the nervous system as black-and-white with one side being optimal neurologic function and the other being neurological disease such as tumors, strokes etc. Functional Neurology looks at dysfunction of the nervous system as different shades of gray looking for subtle changes in the nervous system before they become distinct pathologies.  You will often hear it said by functional neurologist that neurons need fuel and activation in order to thrive and survive. Fuel can be defined as oxygen, glucose and essential nutrients. Activation refers to stimulation of the nervous system which causes changes in the structure and metabolism of the nerve cell. More recently, Functional Neurology Practitioners are also involved with eliminating possible negative effects on neurons such as toxins, infectious agents and immune responses.

 

Four factors that are of high importance in functional neurology care are:

  1. Determining where the failure in the nervous system and/or body lies.

 

  1. What would be the right stimulation to activate that area?

 

  1. What is the health and condition of the failing area, so as to determine how much stimulation would be too much.

 

  1. Adapting this vital information in order to apply that precise amount of stimulation to the patient in our office.

 

It is important to note that the stimulations used, must be specific to the particular patient who is being treated. There is bio- individuality to the nervous system, just as individual as a fingerprint, and such that even those with similar symptoms may require different stimulations at different frequencies and intensities in order to achieve the best success. This cannot be done in a generalized or cookbook type program. For example, you cannot treat every patient with a balance disorder or ADHD with the same treatment protocols. Generalized treatments run the risk of exciting an area of the nervous system that is already overexcited, or stimulating an area that should be inhibited. Results are maximized due to the fact that the program of stimulations is tailored to the individual patient’s problem and capacity, and not a one-size-fits-all program where results may be limited or the program may actually be inappropriate.  In other words:  Different people, different brains, and therefore, different treatments.

It is important to note that the functional neurological examination although very detailed is noninvasive and therefore can be performed on many different types of patients without patient anxiety being a factor. This is very significant especially for those practitioners treating children on the autism spectrum, because there is a tendency for these children to have higher anxiety.   The skilled Functional Neurology Practitioner realizes that everything from the patient’s posture, to tics, to faulty eye movements, and alignment are all expressions of what is going on in the patient’s nervous system.  Subtle though these expressions may be, to the highly skilled Functional Neurologist, these little things mean a lot.

Activation of the nervous system via specific exercises or stimulations to targeted areas of the brain, pathways or circuits can create powerful results in the patient, but should be carefully monitored, so that the metabolic capacity of the patients nervous system is not exceeded, and damage does not occur instead of the intended rehabilitation.

Functional neurology is on the cutting edge of health care.

Functional neurology is a field of study that achieves successful results by applying current neuroscience in an office setting. This means that the Functional Neurology Practitioner is taking current neuroscience from the research laboratory and devising ways of applying that research in the office to treat patients. The training begins with neuron theory and progresses to a level that allows the practitioner to evaluate and treat dysfunction of the nervous system without the use of, or in conjunction with medications.

The concept of functional neurology is relatively new and therefore begs the question” What exactly is functional neurology? ” This is an inquiry that I get asked when doing presentations, and by email on a regular basis. Hopefully the above helps to clarify some of the questions and misconceptions out there regarding Functional Neurology.

 

The following is a list of health conditions people have shown significant improvement with:

 

Balance disorders                                                                            low immunity

arm/shoulder pain                                                                           spinal stenosis

low back pain/sciatica                                                                    numbness

bulging/herniated discs                                                                 neck pain

carpal tunnel syndrome                                                                MS symptoms

dizziness                                                                                              tremor disorders

dystonia                                                                                               hip/knee/feet pain

early Alzheimer’s symptoms                                                       insomnia

fibromyalgia                                                                                       migraines

RLS (restless leg syndrome)

 

If you have been suffering from any of the above problems or can’t figure out what is wrong call me at 703 730 9588.  Even if it is outside of my scope of practice I may be able to help you find relief.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Lumbar Supports

To brace or not to brace!  That is the question.  Most medical opinion is to use them for short periods of time and mainly when active.  Cranking one on at 7AM and taking it off at 7PM is never a good idea.  The brace is a support and a reminder that your back hurts more than it is something you need all day.  If you use it for to long your back muscles actually weaken and you become dependent on it.   As your chiropractor in the Woodbridge, Dale City VA area I have some info on braces for you.

If you walk into any drug store, mega-box store or sporting goods store, you’ll be sure to find a variety of lumbar supports, back braces and alike. Because these devices are readily accessible, many users grab one off the self before seeking professional advice. That’s not necessarily a good idea because back braces offer a mixed bag of benefits and risks.

Now, strapping on an elastic lumbar support is tempting as a means to relieve pain and keep on going. And for the most part, these medical devices can help to accomplish that goal. The wrap-around support mimics the internal support that supposed to be provided by the abdominal muscles. Because many people have weak core muscles, the extra bracing does help sometimes. It’s probably most helpful in someone with disc degeneration as opposed to someone with lumbar stenosis. And it’s probably most helpful in average-weight individuals that don’t carry a lot of belly fat. Even if you don’t get a great deal of actual support from a brace, these medical devices when worn do provide physical cues that serve as reminders about using proper body mechanics.

The most beneficial back braces that are on the market are usually only available through an orthotist or specialty medical supply company. A basic example is a lumbar-sacral corset like the Aspen Quick Draw which has some rigid reinforcements in addition to the elastic support. Those who have a need for extra-support because of a spine fracture might be prescribed a brace like the chair-back lumbar brace or a brace that incorporates the thoracic spine called a TLSO (Thoracolumbar sacral orthosis). After surgery, some surgeons order a custom fit, hard-shelled orthosis that looks like a turtle’s shell and supports the entire thoracic and lumbar spine. No matter which brace your doctor thinks is best for you, your doctor will eventually want to you to gradually stop wearing a brace as your injury heals and as the muscle strengthen. This weaning process is best accomplished by sending you to physical therapy to strengthen your natural, built-in back brace.

Your natural back brace is your abdominal muscles, your spine muscles, and your core muscles. If you wear a lumbar support too much, you’ll weaken these muscles. Your body will become dependent on the use of the back brace to the point that the muscles will get lazy. Once that happens, your pain will get worse when you remove the back brace.

If you are already at that point, you’ll need to wean off your back brace dependency slowly. Weaning involves removing the support for brief periods of time every day and gradually increasing that “no brace” time week by week. In order to avoid lumbar support dependency, don’t wear it all the time. Wear your brace only as prescribed by your doctor or only when you are doing some heavy activities that require extra support to do them. However, when you buy that brace at the store, you don’t get these warnings or directions for use.

So buyer beware: back braces provide mixed bag of benefits and risks. You may experience temporary pain relief but you also risk becoming dependent, too.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Shoulder Pain

Due to the fact your shoulder has an incredible range of motion it suffers in stability.  So, this decreased bony stability means the supportive soft tissue has to prevent the shoulder from dislocating.  This tissue does a pretty good job unless there is a lot of torque applied to the arm.  Throwing over hand, repetitive arm movements… are just a few that can lead to support tissue injury.  The most common result of an injury to this tissue is frozen shoulder.  Your Woodbridge, Dale City VA chiropractor has some frozen shoulder information for you.

Frozen shoulder, also known as adhesive capsulitis, is a common condition in which the articular shoulder capsule (a sac of ligaments surrounding the joint) swells and stiffens, restricting its mobility. It typically affects only one shoulder, but one in five cases affect both.

The term “frozen shoulder” is often used incorrectly for arthritis, even though the two conditions are unrelated. Frozen shoulder refers specifically to the shoulder joint, while arthritis may refer to other/multiple joints.

The shoulder has a spheroidal joint (ball – and – socket joint), in which the round part of one bone fits into the concavity of another. The proximal humerus (round head of the upper arm bone) fits into socket of the scapula (shoulder blade). Frozen shoulder is thought to cause the formation of scar tissue in the shoulder, which makes the shoulder joint’s capsule (not to be confused with the rotator cuff) thicken and tighten, leaving less room for movement. Therefore, movement may be stiff and even painful.

The modern English words “adhesive capsulitis” are derived from the Latin words adhaerens meaning “sticking to” and capsula meaning “little container” and the Greek word itis meaning “inflammation”.

Frozen shoulder is a condition that commonly occurs in people between 40 and 60 years of age. Women tend to suffer with frozen shoulder more than men.

 

Causes of frozen shoulder

The cause of frozen shoulder is not fully understood and in some cases is unidentifiable. However, most people with frozen shoulder have suffered from immobility as a result of a recent injury or fracture. The condition is common in people with diabetes.

 

Risk factors for frozen shoulder

A risk factor is something that elevates the risk of developing a disease or condition. For example, smoking is a risk factor for cancer – it elevates the risk of developing lung cancer.

 

Common risk factors for frozen shoulder are:

You’re more likely to suffer from frozen shoulder if you’re female and over 40 years of age.

Age – being over 40 years of age.

Gender – 70% of people with frozen shoulder are women.

Recent surgery or arm fracture – immobility of recovery may cause the shoulder capsule to stiffen.

Diabetes – two to four times more likely to develop frozen shoulder for unknown reasons; symptoms may be more severe.

Having suffered a stroke.

Hyperthyroidism (overactive thyroid).

Hypothyroidism (underactive thyroid).

Cardiovascular disease (heart disease).

Parkinson’s disease.

 

Symptoms of frozen shoulder

A symptom is something the patient feels and/or reports, while a sign is something others, including the doctor observe. For example, pain is usually a symptom, while a rash could be a sign.

The most pervasive sign or symptom of frozen shoulder is a persistently painful and stiff shoulder joint. Signs and symptoms of frozen shoulder develop gradually; usually in three stages in which signs and symptoms worsen gradually and resolve within a two – year period.

 

There are three stages of frozen shoulder:

Painful stage – the shoulder becomes stiff and then very painful with movement. Movement becomes limited. Pain typically worsens at night.

Frozen/adhesive stage – the shoulder becomes increasingly stiff, severely limiting range of motion. Pain may not diminish, but it does not usually worsen.

Thawing stage – movement in the shoulder begins to improve. Pain may fade, but occasionally recur.

 

You should visit your local chiropractor to have this problem evaluated and treated.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Carpal Tunnel Prevention

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

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

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

LINK TO STRETCHES

A couple things to remember:

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

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

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Neck Pain and Chiropractic

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

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

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

 

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

 

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

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

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

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

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

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

Chiropractic Care of Neck Pain

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

 

When did the pain start?

What have you done for your neck pain?

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

Does anything reduce the pain or make it worse?

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

 

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

 

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

 

Neck Adjustments

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

 

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

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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