neck pain - Doroski Chiropractic Neurology, Woodbridge, VA

Back pain facts

in Chiropractor by Doroski February 16, 2018 0 comments

There are many reasons people come to my Woodbridge, Dale City VA chiropractic office. One of the biggest reasons they come is back pain. In fact, 31 million Americans experience low-back pain at any given time.1 As common as back pain is there are many things people don’t know about it. 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.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Neck Stretching

in Chiropractor by Doroski November 17, 2017 0 comments

As your Chiropractor in the Woodbridge, Dale City VA area I see lots of neck problems. Some can be trauma related like a whiplash from an automobile accident but others just seem to come out of nowhere. The ones that seem to just happen don’t really just happen. Lots of time it is a forward head posture that sets you up for this mysterious and very painful complaint. Correcting this posture can help prevent the neck pain in the future.

Stiff Neck Treatment Options

With over 70 percent of Americans experiencing significant neck pain at some point in their lives, more and more Kansas City residents are looking for stiff neck treatment options. A study in the Annals of Internal Medicine recently found that 6 neck exercises done on a regular basis brought neck pain relief.

The Culprit: Forward Head Posture

Most neck problems are caused by improper posture – both at home and in the office. An average head weighs 10 pounds when it’s positioned directly above your body, but for every inch the head moves forward, it gains 10 pounds in weight. This puts an enormous amount of pressure on the neck and upper back and can result in stiff neck, neck pain and headaches.

Stiff Neck Treatment Through Chiropractic Care

Stiff neck is often treated by chiropractic care. Chiropractors examine the joints in the neck to determine what areas are locked up or stiff. They then restore motion to those joints – freeing up the joint so that your bones can bend and move as your body bends and moves.

Simple stretching exercises can provide relief for people who are experiencing mild or moderate discomfort.

These movements use neck retraction which helps the joints and muscles work together. The scientists who tested the movements at the Center for Clinical Studies at Northwestern Health Sciences University in Bloomington, MN found that a series of 6-8 times a day may prevent stiff neck from ever occurring.

The Six Movements are Listed Below:

Neck Retraction – Bring the head straight back, keeping your eyes forward then return to a neutral position.

Head Drop – Tip your head back as far as it can comfortably go pointing your chin toward the ceiling. Return to a neutral position.

Side Bend – Reach over the top of your head with your left hand and gently pull your left ear to your left shoulder. Repeat for the right side.

Rotation – Turn your head to the left so that your nose is over your shoulder. Return to a neutral position. Repeat on the right side.

Flexion – Clasp your hands behind your head and guide the head down – bringing your chin toward your the chest.

Shoulder Blade Pull – Bend raised arms at 90 degree angles. Relax your shoulders and squeeze the muscles between the shoulder blades.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Neck inuries

in Chiropractor by Doroski July 20, 2016 0 comments

Neck pain is becoming the biggest complaint I see in my Woodbridge, Dale City VA Chiropractic office. The biggest cause seems to be posture and work related injuries from using the computer. I am also seeing it in kids more than likely do to long periods on the computer or playing video games. Chiropractic care can usually help with the neck complaints but making the posture and activity changes will help in the long run. Here is some information on neck pain that you may find helpful.

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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Winter neck pain

in Chiropractor by Doroski February 12, 2016 0 comments

With this cold snap we are having and people needing to be active I am seeing a lot of stiff necks in my Woodbridge, Dale City Virginia area Chiropractic office. The problem comes from the muscle being cold and the blood supply to it being decreased from the cold. Than you do some activity and the muscle isn’t ready for it. Leading to pulling of the muscle and the spasm to follow. The levator scapulae muscle is the most common one for those of you who want to google it!

The muscle runs from the top medial part of your shoulder blade up in to your neck. So the way to stretch it is to separate those two structures. You can do the stretch standing or sitting.

Lengthen the muscle by raising the elbow above the shoulder on the side to stretch.
In this position, first rest the elbow against a door jamb. This rotates the outside of shoulder blade up and the inside of it down, which lengthens the levator scapula muscle.
Second, turn the head away from the side that is stretching and bring the chin down, stretching the back of the neck .
Third, place the fingers of the other hand on the top of the head and gently pull the head forward increasing the stretch slightly.

Hold this for about 30 seconds to a minute.

If this helps great you got some relief before going to your chiropractor. If they didn’t call for an appointment because it won’t usually improve on its own.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Neck pain as the cause of your headaches

in Chiropractor by Doroski August 21, 2015 0 comments

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

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

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

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

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

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

Relaxation

Heat or cool the head and neck

Mobilizing

Postural exercise

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

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

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Preventing Neck Pain

in Chiropractor by Doroski June 19, 2015 0 comments

These tips are given by Doroski Chiropractic Neurology in the Woodbridge, Dale City VA area. Dr Doroski is the only Chiropractor in Woodbridge, Dale City Virginia with a diplomate in Chiropractic Neurology.

Easy preventive measures

Proper neck posture, a simple matter of good body mechanics, can offer you protection from neck pain. Here are suggestions from the American Academy of Physical Medicine and Rehabilitation and other experts that can help prevent the misuse or overuse of your neck:

Don’t sit in 1 place for a long time. If you’re stuck at your desk, place items around your office so that you are forced to get up or stretch to retrieve them.

Maintain good posture for your neck. Adjust your desk chair so your hips are slightly higher than your knees. Your head and neck will then naturally assume the correct position. When traveling, place a small pillow or rolled up towel between your neck and the headrest.

Don’t sleep with too many pillows or with a pillow that’s too thick.

When talking on the phone, don’t cradle the phone between head and shoulder. If you’re on the phone often, switch to a headset or speakerphone.

If you are reading or typing from other materials, raise the pages to eye level.

If you have corrected vision, keep your prescription current so you don’t have to crane your neck forward to see clearly.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Neck pain prevention with stretching

in Chiropractor by Doroski July 10, 2014 0 comments

Neck stretching in most cases is more important than strengthening. Most patients we see in our Woodbridge Virginia Chiropractic office ask about strengthening. The misconception is that if I make it stronger it will hurt less. The problem with that theory is if you take something tight and painful and make it stronger it won’t become more relaxed and it can spam while strengthening it. We usually preach hydration to helps make the muscle less likely to spasm. Think football game or marathons, most of the participants are cramping in the last few miles or the fourth quarter, the reason is the muscle dehydrates. The next thing is stretching! Once the muscle has good range of motion and flexibility you can do some low tech strengthening but it is still not as important as the stretching. We give two good exercises in our Woodbridge VA chiropractic office. One is for stretching and the other for overall strength.

The following neck exercises can help relieve neck pain:

Chin Tuck

One of the most effective postural exercises for combating neck pain is the chin tuck exercise. This exercise not only helps strengthen the muscles that pull the head back into alignment over the shoulders (upper thoracic extensors) but it also stretches the scalene and suboccipital muscles.

The chin tuck exercise can be done numerous times throughout the day, such as while sitting in the car or at the desk at work. The repetition of this exercise throughout the day also helps develop good postural habits. It is especially important to perform this exercise when the neck and shoulder blades first begin to hurt.

To perform the exercise for the first time it is often recommended that patients stand with the spine up against a door jam and the feet out about 3 inches from the bottom of the door jam.

Keeping the spine against the door jam, pull the upper back and head back until the back of the head touches the door jam. It is important to make sure that the chin is down so that the head is pulled straight back and is not looking up.

Hold the head against the door jam for 5 seconds.

Repeat this ten times.

After performing this exercise in a door jam about ten times, start doing the exercise in standing or sitting without a door jam.

The exercise can be done 5 to 7 times per day.

When in the car, use the headrest as a point to aim for when pulling the head back.

Patients may feel some stretching of the muscles on the side of the neck that go down to the collarbone. These are the scalene muscles. These muscles along with the muscles at the top of the neck at the base of the skull are generally the tight muscles. The muscles in the front of the neck and muscles of the upper back are generally the weak muscles that need to be strengthened.

In cases of extreme forward head posture, patients may not be able to pull their head all the way back to the door jam when they first start. In these cases it is advisable to pull the head back as far as possible without pain.

Prone Cobra

A more advanced exercise that strengthens the muscles of the shoulder girdle as well as the neck and upper back is the prone cobra exercise. This is done lying on the floor face down. The face down position uses gravity as resistance in the strengthening process.

Lying face down, place the forehead on a rolled up hand towel for comfort.

Place the arms at the side, palms down on the floor.

Place the tongue on the roof of the mouth (this helps stabilize the muscles in the front of the neck to assist in strengthening).

Pinch the shoulder blades together and lift the hands off the floor.

Roll the elbows in, palms out and thumbs up.

Gently lift the forehead about an inch off the towel keeping the eyes looking straight at the floor (do not tip the head back and look forward).

Hold the position for 10 seconds.

Perform 10 repetitions.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Neck pain and headaches

in Chiropractor by Doroski June 3, 2014 0 comments

Neck pain and headache tips are given by Doroski Chiropractic Neurology in Woodbridge VA. Dr Doroski has 18 year experience treating neck pain and other chiropractic complaints. .

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

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

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

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

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

Relaxation

Heat or cool the head and neck

Mobilizing

Postural exercise

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

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

+scottdoroski3122/posts

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map link