Woodbridge VA

Frozen Shoulder

in Chiropractor  by July 29, 2016 0 comments

It seems the older we get the worse our shoulders become.  Common thinking would be the knees after all they do the bulk of our moving around.  Outside of back problems the next biggest complaint I see in my Woodbridge, Dale City VA chiropractic office is shoulder pain.  It ranges from a patient moving their arm in a circle to show me how it crunches and pops to a patient who can’t comb the back of their head.  The usual diagnosis is frozen shoulder or the start of frozen shoulder.  Here is some information that may help you understand the diagnosis.

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

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Carpal Tunnel injuries

in Chiropractor  by May 26, 2016 0 comments

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

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


What Is CTS?

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

What Are the Symptoms?

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

Why Does CTS Develop?

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

How Is It Diagnosed?

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

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

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

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

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

What Is the CTS Treatment?

Initial therapy includes:

Resting the affected hand and wrist

Avoiding activities that may worsen symptoms

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

Applying cool packs to help reduce swelling from inflammations

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

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

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

How Can CTS Be Prevented?

The American Chiropractic Association recommends the following tips:

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

Take frequent rest breaks.

Wear splints to help keep the wrists straight.

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

Use correct posture and wrist position.

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

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Stay Hydrated

in Chiropractor  by May 13, 2016 0 comments

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

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


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

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

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

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

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

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

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

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

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

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

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

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

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

 

6 Hydration Tips

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

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Runners knee

in Chiropractor  by April 1, 2016 0 comments

At my Chiropractic office in the Woodbridge, Dale City VA area I see runners with all sorts of overuse or repetitive stress injuries.  One very common complaint is leg/hip pain.  The patients first thought is sciatica which is the most well-known type of leg pain.  I am never sure if the patient is relieved or confused when after the exam I tell them it isn’t sciatica, but it’s the IT band.  Since very few people know what it is they are probably confused.  This injury isn’t just for runners but it is more common for them.

Symptoms

Symptoms of ITB syndrome consist of pain on the outside of the knee, more specifically at or around the lateral epicondyle of the femur or bony bit on the outside of the knee.

It comes on at a certain time into a run and gradually gets worse until often the runner has to stop. After a period of rest the pain may go only to return when running starts again. The pain is normally aggravated by running, particularly downhill.

Pain may be felt when bending and straightening the knee which may be made worse by pressing in at the side of the knee over the sore part. There might be tightness in the iliotibial band which runs down the outside of the thigh. A therapist or trainer may use Ober’s test to assess this. Weakness in hip abduction or moving the leg out sideways is another common sign. Tender trigger points in the gluteal muscles or buttocks area may also be present.

Causes

TFL muscle certain factors may make you more susceptible to developing runners knee or iliotibial band syndrome. A naturally tight or wide IT band may make someone more susceptible to this injury. Weak hip muscles, particularly the gluteus medius are also thought to be a significant factor.

Over pronation or poor foot biomechanics may increase the risk of injury. If the foot rolls in or flattens, the lower leg rotates and so does the knee increasing the chance of friction on the band. Other factors include leg length difference, running on hills or on cambered roads.

Treatment

Below are outlined a number of treatment options for ITB friction syndrome. See rehabilitation for more details on how the various forms of treatment might be included in a full rehabilitation program.

Rest

Rest is important to allow the inflamed tendon to heal. Continuing to run with ITB syndrome will most likely make it worse. Initially complete rest is a good idea but later activities other than running which do not make the pain worse such as swimming or cycling should be done to maintain fitness.

Cryotherapy

Apply cold therapy or ice to reduce pain and inflammation. Ice should be applied for 10 to 15 minutes every hour until initial pain has gone then later 2 or 3 times a day and / or after exercise is a good idea to ensure the pain does not return. Once the inflammation has gone then potential causes must be addressed such as a tight ITB or the pain will most likely return.

Medication

A doctor may prescribe anti-inflammatory medication such as NSAID’s e.g. Ibuprofen. This is useful in the early acute stage to reduce pain and inflammation. Long term it is not likely to be of benefit, particularly if it is just being used to mask in injury and not as part of the treatment. Always check with a doctor before taking medication in case you have contraindications which mean they could cause harm, for example asthmatics should not take Ibuprofen.

Stretching exercises

Stretching exercises for the muscles on the outside of the hip in particular are important. The tensor fascia latae muscle is the muscle at the top of the IT band and if this is tight then it can cause the band to be tight increasing the friction on the side of the knee.

Foam roller exercises

Using a foam roller on the IT band and gluteal muscles can help stretch the iliotibial band and remove any tight knots or lumps in the tendon. therefore friction on the side of the knee.

Strengthening exercises

Improving the strength of the muscles on the outside of the hip which abduct the leg will help prevent the knee turning inwards when running or walking and therefore help reduce the friction on the ITB tendon at the knee. In particular strengthening exercises for the tensor fascia latae muscle and gluteus medius such as heel drops, clam exercise and hip abduction are important.

Sports massage

A professional therapist may perform sports massage to help relax and loosen the tissues and use myofascial release techniques which have been shown to be highly effective. Self massage techniques can also be very helpful in correcting excessive ITB tightness, especially where access to a massage therapist on a regular basis is not possible.

Electrotherapy

Use of electrotherapeutic treatment techniques such as TENS or ultrasound may help reduce pain and inflammation.

Acupunture

Dry-needling techniques or acupuncture may be beneficial also. Acupuncture is performed by inserting needles of various lengths and diameters into specific points over the body and in this case around the knee joint. The needle is usually inserted, rotated and then either removed immediately or left in place for several minutes. It is thought to be beneficial in reduce chronic or long term pain.

Training modification

Errors in training should be identified and corrected. These can include over training or increasing running mileage too quickly. As a general rule a runner should not increase mileage by more than 10% per week. Running across a slope or camber in the road for long periods or poor foot biomechanics should be considered. When training starts again avoid too much downhill running.

A rehabilitation strategy which includes stretches and exercises to strengthen the hip abductors is important. In acute or prolonged cases a corticosteroid injection into the site of irritation may provide pain relief.

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Food allergies

in Chiropractor  by March 25, 2016 0 comments

This time of year it is impossible to avoid the topic of allergies.  Blood shot eyes and runny noses are everywhere.  Just this morning I was trying to find the person who dumped a bag of sand in my eyes.  After a few weeks all this will go away for most of us.  The rest of you make sure you get in for an adjustment!  There are year round allergies that people suffer from that need to be addressed.  Your Woodbridge, Dale City VA chiropractor has some information on food allergies that may be helpful!

Food allergies and intolerances are often misunderstood. Although many people have adverse reactions to certain foods, true food allergy—a reaction triggered by the immune system—is uncommon. Talk to your patients about food allergies and intolerances.

What is a food allergy?

Food allergies occur when the patient’s immune system has an abnormal response to an otherwise harmless food or food component. Once the immune system mistakenly decides that a particular food is harmful, it creates specific antibodies to it.

The next time you eat that food, the immune system releases neutralizing chemicals, including histamine, to protect the body.

These chemicals trigger a cascade of allergic symptoms that can affect the respiratory system, gastrointestinal tract, skin and/or cardiovascular system.

Food allergy patterns in adults often differ from those in children.

The most common foods to cause allergies in adults are shrimp, lobster, crab and other shellfish; peanuts; walnuts and other tree nuts; fish; and eggs.

In children, eggs, milk, peanuts, soy and wheat are the main culprits. Children typically outgrow these allergies. Unlike children, adults usually do not lose their allergies.

According to the National Institutes of Health, you’re more likely to develop food allergies if several members of your family have allergies.

What are symptoms of food allergies?

Symptoms of a food allergy can include:

coughing

tingling in the mouth

swelling in the tongue and throat

skin reactions like hives, eczema or itching

abdominal pain, nausea, vomiting or diarrhea.

Some foods can cause severe illness and, in some cases, a life-threatening allergic reaction called anaphylaxis, which can constrict airways in the lungs, severely lower blood pressure and cause suffocation by the swelling of the tongue or throat. People with asthma are particularly at risk for anaphylactic reactions.

What is a food intolerance?

A food intolerance is a digestive system response—not an immune system response. It occurs when something in a food irritates a person’s digestive system or when a person is unable to properly digest or break down the food—often due to a lack of a specific enzyme.

Intolerance to lactose, found in milk and other dairy products, is a very common food intolerance.

If you have a food allergy, eating even the smallest amount of the food may trigger a serious allergic reaction. But if you have a food intolerance, you can often eat small amounts of the food without a reaction.

How are food allergies managed?

The best way to manage a food allergy is to avoid the foods that trigger the reaction.

Read the detailed ingredient lists on each food you consider eating.

Many allergy-producing foods, such as peanuts, eggs and milk, appear in foods one normally would not associate them with.

Peanuts and milk, for example, may be used in a variety of foods, such as candy, caramel sauces, baked goods and cereals.

Eggs are used in some salad dressings, marshmallows, mayonnaise and sauces.

Avoid restaurant-prepared foods that might contain ingredients to which you are allergic.

If you suffer from severe allergies with a high possibility of anaphylaxis, it is often advised to carry a pre-loaded syringe containing epinephrine (adrenaline) for emergency treatment.

Milder allergies can be treated with an antihistamine.

Can a chiropractor help treat my allergies?

Some doctors of chiropractic specialize in the treatment of allergies, such as those who are members of the ACA’s Council on Diagnosis and Internal Disorders or Council on Nutrition.

The doctor of chiropractic may ask the patient to maintain a food diary to record the foods eaten each day and any resulting symptoms.

Specific allergy tests may be recommended to help determine the exact allergen.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link