Low back pain - Doroski Chiropractic Neurology, Woodbridge, VA

Don’t ignore your ankle injury.

in Chiropractor by Doroski May 9, 2022 0 comments

Ankle injuries seem so common that they are no big deal. This could be true to some of the ankle injuries I see but they all need to be diagnosed correctly because they can cause your back to hurt. Your Woodbridge, Dale City VA Chiropractor has some tips on just how bad you hurt yourself and when you should take it seriously.

Ankle Rehabilitation Program1

As described in Human Locomotion, the following is a sample ankle sprain rehabilitation plan.

Phase 1. The patient is unable to bear weight.

A) Compressive wrap with U-shaped felt balance around fibula. Change every 4 hours.
B) Patient actively abducts/adducts toes for 5 seconds, repeat 10 times.
C) Write out alphabet with toes, 5 times per day.
D) Stationary bike, 15 minutes per day.
E) Ankle rock board performed while seated (off weight-bearing), 30 circles, performed clockwise and counterclockwise 2 times per day. Perform on uninjured ankle while standing for 3 minutes. The standing rock board performed on the uninjured ankle has been shown to increase proprioception in the contralateral limb.
F) Mild Grade 3 and 4 mobilization of the joints of the foot and ankle.

Phase 2. Patient can walk with minimal discomfort, and the sprained ankle has 90 percent full range of motion.

A) Mobilize all stiff joints in the lower extremity and pelvis.
B) Thera-Band exercises in all planes, 3 sets of 25 in each direction.
C) Double-leg and then single-leg heel raises on the involved side, 3 sets of 10 reps, performed 2 times per day.
D) Standing closed-eye balance, 30 seconds, 5 times per day.
E) Standing single-leg ankle rock board, performed for 1 minute, 5 times per day.
F) Closed kinetic chain exercises. (The sprained ankle is positioned securely on the ground while the patient pulls a resistance band forward and to the side. The patient then rotates 180° and the exercise is repeated by extending and abducting the uninvolved limb.)

Phase 3. Patient can hop on involved ankle without pain.

A) Run at 80 percent full speed, avoid forefront touch down.
B) Minitrampoline: 3 sets of 30 jumps forward, backward, and side to side. Begin on both legs, progress to single limb.
C) Plyometrics performed on a 50cm and a 25cm box, positioned one meter apart. Jump from one box to the ground and then to the other box, landing as softly as possible. Perform 3 sets of 5 repetitions.

Resource:

Michaud, T. 2011. Human Locomotion: The Conservative Management of Gait-Related Disorders. Newton Biomechanics.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

You are not alone!

in Chiropractor by Doroski April 15, 2022 0 comments

As your Chiropractor in the Woodbridge, Dale City area of course I see tons of low back pain. It seems so common I never really paid attention to just how common it was in the general public not just in my office.

I started looking at the numbers and 31 million Americans experience low-back pain at any given time.1 Even though it is so common there is a lot people don’t know about it. I must confess when my back has a problem and I call a chiropractic friend of mine I seem to forget the causes of back pain too. Naturally my back complaint is different than the rest of the worlds. Here are some pretty interesting facts about back pain and if you ever get back pain be sure to call.

A few interesting facts about back pain:

Low back pain is the single leading cause of disability worldwide, according to the Global Burden of Disease 2010.

Back pain is one of the most common reasons for missed work. In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.

One-half of all working Americans admit to having back pain symptoms each year.2

Experts estimate that as much as 80% of the population will experience a back problem at some time in their lives.3

Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.

Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.4

What Causes Back Pain?

The back is a complicated structure of bones, joints, ligaments and muscles. You can sprain ligaments, strain muscles, rupture disks, and irritate joints, all of which can lead to back pain. While sports injuries or accidents can cause back pain, sometimes the simplest of movements—for example, picking up a pencil from the floor— can have painful results. In addition, arthritis, poor posture, obesity, and psychological stress can cause or complicate back pain. Back pain can also directly result from disease of the internal organs, such as kidney stones, kidney infections, blood clots, or bone loss.

Manipulation as a Treatment for Back Problems

Used primarily by DCs for the past century, spinal manipulation has been largely ignored by most others in the health care community until recently. Now, with today’s growing emphasis on treatment and cost effectiveness, spinal manipulation is receiving more widespread attention.

Spinal manipulation is a safe and effective spine pain treatment. It reduces pain (decreasing the need for medication in some cases), rapidly advances physical therapy, and requires very few passive forms of treatment, such as bed rest.5

In fact, after an extensive study of all available care for low back problems, the federal Agency for Health Care Policy and Research (now the Agency for Health Care Research and Quality) recommended that low back pain sufferers choose the most conservative care first. And it recommended spinal manipulation as the only safe and effective, drugless form of initial professional treatment for acute low back problems in adults.6

A well respected review of the evidence in the Annals of Internal Medicine pointed to chiropractic care as one of the major nonpharmacologic therapies considered effective for acute and chronic low back pain.7

More recently, research has shown that there is strong evidence that spinal manipulation for back pain is just as effective as a combination of medical care and exercise, and moderate evidence that it is just as effective as prescription NSAIDS combined with exercise.8

A patient information article published in the Journal of the American Medical Association in 2013 also suggested chiropractic care as an option for people suffering from low back pain–and noted that surgery is usually not needed and should only be tried if other therapies fail.9

The American Chiropractic Association (ACA) urges you to make an informed choice about your back care. To learn more about how the services of doctors of chiropractic may help you, review the results of recent research studies and contact a doctor of chiropractic in your area. Search ACA’s database of members to find a doctor of chiropractic near you.

Tips to Prevent Back Pain

Maintain a healthy diet and weight.

Remain active—under the supervision of your doctor of chiropractic.

Avoid prolonged inactivity or bed rest.

Warm up or stretch before exercising or physical activities, such as gardening.

Maintain proper posture.

Wear comfortable, low-heeled shoes.

Sleep on a mattress of medium firmness to minimize any curve in your spine.

Lift with your knees, keep the object close to your body, and do not twist when lifting.

Quit smoking. Smoking impairs blood flow, resulting in oxygen and nutrient deprivation to spinal tissues.

Work with your doctor of chiropractic to ensure that your computer workstation is ergonomically correct.

References:

Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.

Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.

Ibid.
In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville, MD.
Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today 2003 Feb; 23(2):14-15.

Bigos S, Bowyer O, Braen G, et al. Acute Low Back Problems in Adults. Clinical Practice Guideline No.14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services, December, 1994.
Chou R, Hoyt Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline. Ann of Internal Med 2 Oct. 2007;147(7):492-504.
Bronfort G, Haas M, Evans R, et al. Evidence-informed management of chronic low back pain with spinal manipulation and mobilization. Spine. 2008;8(1)213-225.
Goodman D, Burke A, Livingston E. Low Back Pain. JAMA. 2013; 309(16):1738.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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A real pain in the butt!

in Chiropractor by Doroski March 24, 2022 0 comments

Obviously as your chiropractor in the Woodbridge, Dale City VA area I see lots of low back pain. The interesting thing about low back pain is there are many causes. Other complaints are pretty specific. Knee pain really only has about 4 possible causes but the low back area has tons. One of the most common causes isn’t even in your low back.

Anatomy

The piriformis muscle originates from the anterior (front) part of the sacrum, the part of the spine in the gluteal region, and from the superior margin of the greater sciatic notch (as well as the sacroiliac joint capsule and the sacrotuberous ligament). It exits the pelvis through the greater sciatic foramen to insert on the greater trochanter of the femur. Its tendon often joins with the tendons of the superior gemellus, inferior gemellus, and obturator internus muscles prior to insertion.

The piriformis, pyramidal in shape, lying almost parallel with the posterior margin of the gluteus medius.

It is situated partly within the pelvis against its posterior wall, and partly at the back of the hip-joint.

It arises from the front of the sacrum by three fleshy digitations, attached to the portions of bone between the first, second, third, and fourth anterior sacral foramina, and to the grooves leading from the foramina: a few fibers also arise from the margin of the greater sciatic foramen, and from the anterior surface of the sacrotuberous ligament.

The muscle passes out of the pelvis through the greater sciatic foramen, the upper part of which it fills, and is inserted by a rounded tendon into the upper border of the greater trochanter behind, but often partly blended with, the common tendon of the obturator internus and superior and inferior gemellus muscles.

The piriformis muscle crosses over top of the sciatic muscle and if the muscle spasms it will compress the sciatic nerve and cause pain in to your buttock and leg. Once you have been properly diagnosed by your chiropractor or healthcare provider it is time to start treatment.

Treatment

Now that we know what the piriformis is and how it can cause us pain by compressing the sciatic nerve stretching it is one of the first things you should try. Video

Lie on the back with the legs flat. Pull the affected leg up toward the chest, holding the knee with the hand on the same side of the body and grasping the ankle with the other hand. Trying to lead with the ankle, pull the knee towards the opposite ankle until stretch is felt. Do not force ankle or knee beyond stretch. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.

Lie on the floor with the legs flat. Raise the affected leg and place that foot on the floor outside the opposite knee. Pull the knee of the bent leg directly across the midline of the body using the opposite hand or a towel, if needed, until stretch is felt. Do not force knee beyond stretch or to the floor. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.

Lie on the floor with the affected leg crossed over the other leg at the knees and both legs bent. Gently pull the lower knee up towards the shoulder on the same side of the body until stretch is felt. Hold stretch for 30 seconds, then slowly return to starting position. Aim to complete a set of three stretches.

These stretches work great for after care and between visits but active care may be needed by your chiropractor to help eliminate any other causes of the sciatic compression.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Bedtime… Ugh

in Chiropractor by Doroski March 11, 2022 0 comments

Who would have thought sleeping was a full contact sport! But there are nights I go to sleep and wake up wondering who beat me up. Low back pain is one of the most common sleep related complaints I see as your Woodbridge, Dale City VA Chiropractor.

Sleep sounds like such a great thing, 6 hours of resting. Sadly, you wake up and everything hurts! There are a few tricks you can try to help prevent these injuries. Back pain can make it tough to get a good night’s sleep. At the same time, how you sleep may make things worse — while certain sleep positions put strain on an already aching back, others may help you find relief.

Although back pain and sleep problems are linked, the connection isn’t well understood. “There is not a lot of science behind sleep as a major cause of back pain,” says Santhosh Thomas, DO, MBA, a spine specialist with the Cleveland Clinic and associate medical director of the Richard E. Jacobs Medical Center in Avon, Ohio.

Experts do believe, however, that people with sleep problems experience more problems with back pain. “Sleep deprivation is known to affect mood and functional ability and negatively impacts perception of pain,” Dr. Thomas says. Pain in turn can affect the quality of your sleep, according to the National Sleep Foundation, leading to a lighter sleep state and more frequent waking throughout the night.

What’s more, there’s a relationship between the severity of pain, overall mood, and the ability to function — and a good night of sleep can improve all these symptoms, at least temporarily, according to a study published in the November 2016 issue of the Annals of Behavioral Medicine.

Worst Sleep Positions for Back Pain

Some sleep positions can put added pressure on your neck, shoulders, hips, lower back, knees, and even your heels, all of which can lead to pain, Thomas says. There’s no one-size-fits-all sleep position to kick back pain, but you can try a few tricks to get it under control so that you can sleep more soundly.

The most common offender? Sleeping on your stomach. “Typically, sleeping on your stomach can flatten the natural curve of your spine, putting some additional strain on your back muscles,” Thomas says.

Plus, stomach sleeping means that your neck is rotated, which can actually result in neck pain or back pain between your shoulders, says Paul Grous, a physical therapist and spine specialist with Penn Therapy & Fitness in Woodbury Heights, New Jersey.

Don’t worry about keeping your body in the same position all night. It’s normal for you to move around a bit while you sleep, and that’s a good thing because a little movement can help ease pressure on your back. “Any sleeping position has the potential to amplify back pain if you maintain it for too long,” Thomas says.

Grous adds that the real culprit may not be sleep position but your daily activity — or a lack of it.

“My opinion of the biggest causative factor for back pain in our population is the amount of time we spend sitting during waking hours,” he says. “We sit too long and we don’t sit properly — we sit slouched with our backs rounded.”

During daylight hours, try to vary your posture as much as possible, and practice good posture when standing and sitting to help ease back pain at night.

Sleep Positions That Help Relieve Back Pain

First, you’ve got to be comfortable to get a good night’s sleep. Thomas suggests making a few simple modifications to your regular sleep position to help take a load off your back:

If you’re a back sleeper: Put a pillow under your knees to allow your spine to maintain its natural curve.

If you’re a stomach sleeper: Put a pillow under your lower abdomen and pelvis to ease back strain.

If you’re a side sleeper: Draw your legs up slightly toward your chest and sleep with a pillow (a full body pillow can be comfortable) between your knees.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Get to sleep!

in Chiropractor by Doroski February 25, 2022 0 comments

Who would have thought as you get older sleep gets harder? Sleeping seems so passive, just lay there and close your eyes. Your Woodbridge, Dale City VA Chiropractor has some tips that will hopefully make sleeping easier and more restful.

Back pain can make it tough to get a good night’s sleep. At the same time, how you sleep may make things worse — while certain sleep positions put strain on an already aching back, others may help you find relief.

Although back pain and sleep problems are linked, the connection isn’t well understood. “There is not a lot of science behind sleep as a major cause of back pain,” says Santhosh Thomas, DO, MBA, a spine specialist with the Cleveland Clinic and associate medical director of the Richard E. Jacobs Medical Center in Avon, Ohio.

Experts do believe, however, that people with sleep problems experience more problems with back pain. “Sleep deprivation is known to affect mood and functional ability and negatively impacts perception of pain,” Dr. Thomas says. Pain in turn can affect the quality of your sleep, according to the National Sleep Foundation, leading to a lighter sleep state and more frequent waking throughout the night.

What’s more, there’s a relationship between the severity of pain, overall mood, and the ability to function — and a good night of sleep can improve all these symptoms, at least temporarily, according to a study published in the November 2016 issue of the Annals of Behavioral Medicine.

Worst Sleep Positions for Back Pain

Some sleep positions can put added pressure on your neck, shoulders, hips, lower back, knees, and even your heels, all of which can lead to pain, Thomas says. There’s no one-size-fits-all sleep position to kick back pain, but you can try a few tricks to get it under control so that you can sleep more soundly.

The most common offender? Sleeping on your stomach. “Typically, sleeping on your stomach can flatten the natural curve of your spine, putting some additional strain on your back muscles,” Thomas says.

Plus, stomach sleeping means that your neck is rotated, which can actually result in neck pain or back pain between your shoulders, says Paul Grous, a physical therapist and spine specialist with Penn Therapy & Fitness in Woodbury Heights, New Jersey.

Don’t worry about keeping your body in the same position all night. It’s normal for you to move around a bit while you sleep, and that’s a good thing because a little movement can help ease pressure on your back. “Any sleeping position has the potential to amplify back pain if you maintain it for too long,” Thomas says.

Grous adds that the real culprit may not be sleep position but your daily activity — or a lack of it.

“My opinion of the biggest causative factor for back pain in our population is the amount of time we spend sitting during waking hours,” he says. “We sit too long and we don’t sit properly — we sit slouched with our backs rounded.”

During daylight hours, try to vary your posture as much as possible, and practice good posture when standing and sitting to help ease back pain at night.

Sleep Positions That Help Relieve Back Pain

First, you’ve got to be comfortable to get a good night’s sleep. Thomas suggests making a few simple modifications to your regular sleep position to help take a load off your back:

If you’re a back sleeper: Put a pillow under your knees to allow your spine to maintain its natural curve.

If you’re a stomach sleeper: Put a pillow under your lower abdomen and pelvis to ease back strain.

If you’re a side sleeper: Draw your legs up slightly toward your chest and sleep with a pillow (a full body pillow can be comfortable) between your knees.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Make sure your back is healthy too!

in Chiropractor by Doroski January 28, 2022 0 comments

People generally assume being healthy means you don’t have a cold. For the most part that is a sound way of thinking but you can’t overlook back health. Your back does require a little maintenance and most people who have had back pain understand. Your Woodbridge, Dale City VA Chiropractor has a few tips to help you have a healthy back.

A healthy spine is an often overlooked and essential part of a healthy lifestyle. People who suffer from back pain, particularly if it is long-term, are generally less healthy than those who do not. In fact, back pain costs are staggering not only financially, but also in terms of lost time from work and because of psychosocial problems that arise during the healing process associated with long-term back pain.

Unfortunately, approximately 80-90% of the population suffers from spinal pain at some point. People who are overweight or obese, and who smoke, lift heavy objects, or had a previous episode of back pain, are more likely to experience back pain.

Because so many people suffer from spine pain, it’s important for you to try to keep your spine as healthy as possible. Following simple posture, lifting, and healthy lifestyle guidelines can help you keep your back in good shape.

The American Chiropractic Association recommends the following spinal health tips:

Standing

When standing, keep one foot slightly in front of the other, with your knees slightly bent. This position helps to take the pressure off your low back.

Do not stand bent forward at the waist for prolonged periods of time. The muscles in your low back become deconditioned in this position, which may lead to pain.

Lifting

At all times, avoid twisting while lifting. Twisting is one of the most dangerous movements for your spine, especially while lifting.

If the item is too heavy to lift, pushing it is easier on your back than pulling it. Whenever possible, use your legs, not your back or upper body, to push the item.

If you must lift a heavy item, get someone to help you.

Sitting

Keep your knees slightly higher than your hips, with your head up and back straight.

Avoid rolling your shoulders forward (slouching).

Try to maintain the natural curve in your low back.

Reaching and Bending

When reaching for something above shoulder level, stand on a stool. Straining to reach such objects may not only hurt your mid-back and neck, but it can also bring on shoulder problems.

Do NOT bend over at the waist to pick up items from the floor or a table.

Instead, kneel down on one knee, as close as possible to the item you are lifting, with the other foot flat on the floor and pick the item up.

Or bend at the knees, keep the item close to your body, and lift with your legs, not your back.

Carrying

When carrying objects, particularly if they are heavy, keep them as close to your body as possible.

Carrying two small objects—one in each hand—is often easier to handle than one large one.

Healthy Diet and Exercise

While the proverbial jury is still out, we suspect that extra weight puts undue strain on your spine. Keep within 10 lbs. of your ideal weight for a healthier back.

“Beer belly” is likely the worst culprit, as it puts unwanted pressure on the muscles, ligaments and tendons in your low back.

The most efficient and effective way to reduce weight is by eating a sensible diet and exercising regularly.

Consult with your doctor before beginning any exercise program, particularly if you have a health condition.

Sleeping

Sleeping on your back puts approximately 50 pounds of pressure on your spine. Other positions may be better.

Placing a pillow under your knees while lying on your back cuts the pressure on your spine roughly in half.

Lying on your side with a pillow between your knees may also reduce the pressure on your back.

Never sleep in a position that causes a portion of your spine to hurt. Most often, your body will tell you what position is best.

Quit Smoking

Smokers have more spine pain than nonsmokers, and they also heal more slowly when they have an episode of back pain because the chemicals in tobacco smoke restrict the flow of blood to the tissues in and around your spine.

While following these instructions is no guarantee that you’ll be free from back pain for your entire life, it can certainly reduce your risk of developing it. These simple steps will help you keep your spine in good shape, making you a healthier, happier person.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Shovel Time!

in Chiropractor by Doroski January 14, 2022 0 comments

Last weekend should have been a good warm up for this weekend. Looks like winter is finally here. Make sure you get some salt out there (unlike VDOT) and have the shovel ready. Your Woodbridge, Dale City VA Chiropractor has some tips to keep your back healthy

Typically, the arms, shoulders and back get sore and may occasionally feel pain. The cold air invigorates most people into action; however, the same cold air can numb the sensations of pain and fatigue. Unfortunately, pain is a sign that an injury has already occurred or that mechanically you are doing something incorrect in shoveling the snow. In short, there is a right way and a wrong way to shovel snow, and paying attention to your technique can make a big difference in how you feel the next day. As with any project, the prep work is the most important. The following are some quick tips on how to shovel snow smarter:

Spray your shovel with Teflon so the snow won’t stick to it. The more snow that stays on the shovel, the heavier it gets and the more chance for injury – and frustration.

Do a warm-up first. A tight, stiff body is asking for injury. A few minutes of stretching can save you a lot of pain later. When you are shoveling, don’t forget to breathe. Holding your breath makes you tight and stiff.

Layer your clothing. Layered clothing will keep your muscles warm and flexible. You can shed a layer if you get too hot. Make sure you wear gloves that cover your wrists; if your wrists get cold, your fingers, hands and arms will be cold, too.

Wear the right shoes. Choose shoes with plenty of cushioning in the soles to absorb the impact of walking on hard, frozen ground.

Use the right size shovel. Your shovel should be about chest high on you, allowing you to keep your back straight when lifting. A shovel with a short staff forces you to bend more to lift the load; a too-tall shovel makes the weight heavier at the end. (Note: Save your money – don’t buy a fancy ergonomic shovel; studies have shown that in some models, the hook end is too deep. Twisting to unload a shovelful of snow with this tool may hurt your wrists.) Also keep one hand close to the base of the shovel to balance weight and lessen the strain on your back.

Timing is everything. Listen to weather forecasts so you can shovel in ideal conditions. If possible, wait until the afternoon to shovel. Many spinal disc injuries occur in the morning when there is increased fluid pressure in the disc because your body has been at rest all night.

Drink lots of water. Drinking water frequently throughout the day helps to keep muscles and body hydrated. Be careful with hot drinks like coffee or hot chocolate. Coffee contains caffeine, which has a dehydrating effect and adds even more stress to the body.

Use proper posture. When you do shovel, bend your knees and keep your back straight while lifting with your legs. Push the snow straight ahead; don’t try to throw it. Walk it to the snow bank. Try to shovel forward to avoid sudden twists of the torso and reduce strain on the back. The American Chiropractic Association recommends using the “scissors stance,” in which you work with your right foot forward for a few minutes and then shift to the front foot.

Take your time. Working too hard, too fast is an easy way to strain muscles. Take frequent breaks. Shovel for about five minutes at a time and then rest for two minutes.

See your chiropractor. Gentle spinal manipulation will help keep your back flexible and minimize the chance for injury. If you do overdo it, your chiropractor can help you feel better and prevent more injury.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Time to put your back on ice!

in Chiropractor by Doroski January 7, 2022 0 comments

This seems fitting to say with all the snow shoveling and back pain I am seeing… ICE the lower back along the pant line! Your Woodbridge, Dale City VA Chiropractor has seen a big uptick in low back complaints lately. I wonder what it could be from? Ice is a pretty good idea especially if the pain is along your waist.

General comments

Icing may be used along with compression, elevation, bracing, and/or support when treating acute injuries.

Nonsteroidal anti-inflammatory drugs (NSAIDs) can produce a similar effect to icing. However, they may delay healing with acute injuries (like sprains, strains, and fractures). If your doctor recommends medicine, make sure you are aware of the right dosage and when to take it, and if there are any side effects.

The use of ice and heat is just one part of a treatment program. Even if symptoms are relieved, there is usually a need for exercises to restore flexibility and joint motion, strength, general fitness, and sport-specific skills.

Basically 2 water to 1 rubbing alcohol!

Use of ice

Effects of ice: Decreases circulation, metabolic activity, and inflammation and numbs the skin.

Benefits of ice: Decreases pain, swelling, inflammation, and muscle spasm/cramping. Best used after exercise or after pain-producing activity.

Risks of ice: Prolonged use can cause frostbite.

Methods for applying cold therapy: Ice packs, ice bath/ice whirlpool, ice massage.

When not to use ice

Immediately before physical activity

If area of icing is numb

When the pain or swelling involves a nerve (such as the ulnar nerve or “funny bone”)

If the athlete has sympathetic dysfunction (an abnormality of nerves that control blood flow and sweat gland activity)

If the athlete has vascular disease (such as poor circulation due to blood loss, blood vessel injury, compartment syndrome, vasculitis, blood clots, or Raynaud disease)

If there is skin compromise (such as an open wound; a wound that has not healed; skin that is stretched, blistered, burned, or thin)

If the athlete has cold hypersensitivity, including cold-induced urticaria (hives from cold)

How long to use ice

Two to 3 times per day (minimum); up to once per hour.

Duration varies with technique; usually 20 to 30 minutes per session. (See “Options for applying ice.”)

Ice may continue to be useful in treatment as long as there is pain, swelling, inflammation, or spasm. There is no need to switch to heat after 48 hours or alternate between ice and heat.

3 options for applying ice

Ice packs are best for icing larger areas of pain, swelling, or spasm (like a swollen knee, deep thigh bruise, muscle strain, shoulder tendonitis, or neck or back spasm).

Materials

Small cubes or crushed ice in plastic bag.

Bag of frozen vegetables (such as frozen peas).

Reusable commercial ice pack or circulating “cryocuff” (made specifically for therapeutic icing). Do not use blue ice packs directly on the skin; they are colder than frozen water and can cause frostbite

Method

Place on the affected area for at least 20 minutes per session. Hold in place with a towel, elastic wrap, or shrink-wrap.

Ice bath/ice whirlpool is used to reduce swelling in peripheral joints (such as with ankle sprain, wrist sprain, or severe shin splints).

Materials

Bucket or tub with mixture of ice and water

Method

Immerse affected area for 20 to 30 minutes per session. Do not use an ice bath if there is an open wound, bleeding, or a skin infection.

Ice massage is used to reduce superficial, well-localized inflammation (for example, tendonitis of the hand, wrist, or elbow; heel or elbow bursitis; ganglion cyst; apophysitis; or irritation of a growth plate).

Materials

Ice cube or frozen ice cup (made by freezing water in a paper or Styrofoam cup)

Method

Rub ice in a circular pattern over the affected region for 8 to 10 minutes per session.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Don’t just sit there!

in Chiropractor by Doroski November 18, 2021 0 comments

Your Woodbridge, Dale City VA Chiropractor has some tips to help you keep your back pain under control. The stability ball is a good alternative to a chair. It helps keep you in a fairly good posture and helps you burn calories and strengthen your core while sitting at your desk.

1.) Burn Extra Calories

As a personal trainer, you may not spend a large portion of your day sitting. However, many of your clients may sit for eight or more hours a day. That’s where you come in. While you probably focus on form and stance during each session, part of being a successful personal trainer is integrating your knowledge and expertise beyond the gym. You must be willing to go the extra mile and offer advice that your clients can take home with them. If your client is interested in replacing the office chair with a stability ball, remind him or her of the added bonus: extra burned calories.

2.) Relieve Back Pain

While you will have to focus on maintaining good posture while sitting on the stability ball, you won’t be as hunched over as you could be sitting in an office chair. But the truth is, sitting on a stability ball isn’t going to bring miracles or completely alleviate any pain you are experiencing. However, with regular exercise and stretching on a stability ball, you may be able to relieve some of the pain you are experiencing. We’ll take a closer look at those options below.

3.) Tone Core Muscles

While we already discussed the negative impacts that sitting in a chair can have on your core strength, did we mention that switching to a stability ball can also help you to sculpt and tone those stubborn abs and obliques? With a stability ball, you are no longer relying on the back of the chair to keep you propped up. Instead you must engage your core, which of course leads to an increase in your core strength. Looking for an extra challenge during the workday?

4.) Induce the Inspiration to Stretch

Maybe it’s just us, but it’s rather difficult as a trainer to sit on a stability ball without taking a break or two during the day to stretch out and relieve some tension. As we stated earlier in the post, the stability ball can relieve some strain you may experience in your back. It can also provide added support when you want to get a deeper stretch that you may not have been able to perform otherwise.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Winter is here!

in Chiropractor by Doroski November 10, 2021 0 comments

Well, we changed the clocks now it may be time to change some of our other routines. Winter seems like the time of year to sit on the couch and do nothing. Which it actually is but your Woodbridge, Dale City VA Chiropractor has some tips to help you stay fit during the winter months.

Winter is inevitable, and the cold weather that it brings allows for a countless number of both flus and sicknesses. The winter months ensure shorter days, less fresh food and a reduction in the opportunities for outdoor recreation and fitness. Getting your body prepared for the winter months involves taking note of all of the things that winter takes away, and compensating for them accordingly.

It makes perfect sense to do your very best to mentally and physically prepare yourself for the cold months of the winter. The following three tips are designed to get your body in ripe condition to combat the cold, dark days of the winter:

TAKE YOUR VITAMINS

Packing away your summer clothes while looking at a dark grey sky can bring on a serious case of the winter blues.

The winter blues are a form of seasonal defective order, this is where some people may experience depressive symptoms due to the change in seasons. Residents of the Nordic countries experience extreme cold and darkness, but the rate of seasonal affective disorder in these countries is significantly lower in comparison with other countries.

Studies have shown that this is down to the vital vitamins they obtain through the large volume of fresh fish that they consume. The fatty tissue found in fish provides a massive reserve of essential vitamins, A and D. If you’re not prepared to eat copious amounts of fresh fish, it is a good idea to stock up on some fish oil capsules in order to keep the dreaded seasonal defective disorder at bay.

As well as this, you should also consider taking a Vitamin B Complex, as well as a multivitamin which will provide you with important vitamins and minerals that the body needs to feel strong and rejuvenated. If you are in doubt as to what are the best vitamins to take during the winter months you should consult your local chemist will be able to advise you.

STAY HYDRATED

Keeping yourself hydrated in winter is a key element in maintaining a healthy mind and body.

The hot summer days force us to drink plenty of water and fluids, but this is not the case in winter and a lot of people seem to forget that the winter weather can be just as severe and dehydrating on the body. It is important that you keep yourself hydrated at all times during winter, and be watchful as to the amount of water you drink.

GET OUTSIDE AND STAY ACTIVE.

For many, the winter months symbolize hibernation as it’s not always easy to get outside and stay active when there are snow and ice on the ground. However, it is vital that you do your very best to fight the urge to stay cooped up inside beside the fire. The best way of doing this is to find suitable winter activities that are equivalent to your favorite summer ones.

Winter is a difficult time of the year, and it does require a certain amount of preparation in order to maintain a healthy mind and body. The three steps mentioned above will leave you more than ready for what the winter months will throw at you.

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link