Chiropractors Woodbridge VA

Winter Hydration

Winter is here which means no on really feels like drinking water.  Plus we are surrounded with dry heated air which further dries us out.  Hydration is just as important in the winter as the summer.  As your chiropractor in the Woodbridge, Dale City VA area I want to give you some tips on staying hydrated in the winter.

  1. Drink!

Good old H2O is critical for rehydrating when the body experiences fluid loss, such as when we sweat.  Even though many gyms like to keep pricey sports drinks and protein shakes stocked on their shelves, most of the time, water will do the trick just fine. Shoot to sip seven to 10 ounces of fluid every 10 to 20 minutes during exercise to stay properly hydrated.  If you’re working out for longer than an hour or doing a particularly intense exercise (like running a marathon or participating in a tough training session), you will probably need to replace electrolytes too—this is where a sports drink or electrolyte-enhanced water comes in handy.  However it’s also important to be wary of overhydration: Too much water can lead to hyponatremia, which is when excess water in our bodies dilutes the sodium content of our blood.   “It is most often caused by long duration exercise and either drinking fluid at a rate that is more than fluid losses or only replacing fluid losses with hypotonic fluids like water,” CamelBak hydration advisor, Doug Casa, says.

  1. Sip on sports drinks and coconut water.

When we sweat, we lose electrolytes, which are minerals found in the blood that help to regulate (among other things) the amount of water in the body. Research suggests and sports drinks, such as Powerade and Gatorade, can help prolong exercise and rehydrate our bodies because they contain electrolytes, which plain old water does not.  While an ordinary workout may not require electrolyte-replenishing, those participating in longer and more intense periods of exertion, such as running a marathon or going through a particularly intense workout, will benefit from a good dose of electrolytes mid-workout.  Not in to sports drinks, or want a more natural alternative? Water-enhancing electrolyte tablets, coconut water, or a homemade sports drink could be potentially effective substitutes.

  1. Turn to fruit.

Many fruits are a great source of both electrolytes and fluids, though the dose of electrolytes can differ from fruit to fruit.  Bananas and dates are known for having high levels of the electrolyte potassium, making them a great option for refueling during an intense workout (for example, a long run).  To stay hydrated while keeping up electrolytes, it’s important to drink water while munching on fruit (fruit contains some water, but not as much as your water bottle).

  1. Weigh yourself.

Hop on the scale before and after exercise. For each pound lost during activity, drink an additional 16 ounces of fluid. If your body weight change is three percent or more, you may be experiencing significant to serious dehydration.  Losing a few pounds of body weight after exercise can put strain on the body and result in uncomfortable side effects like muscle cramps, dizziness, and fatigue.  To prevent sweating away the water that keeps us hydrated, have a water bottle at the ready.

  1. Check the toilet.

If you’re taking a mid-set break to hit the loo, check on the color of your urine to make sure you’re staying hydrated. When properly hydrated, urine should be pale yellow in color. Though it may be tricky to keep an eye on it, try to watch the urine stream, since the color of urine will dilute when it hits the toilet water. Store this handy, dandy urine color test in your phone or wallet to make sure your piddle is up to snuff—dark yellow urine may indicate dehydration.

  1. Tame thirst.

Whatever you’re drinking, be it water, juice, or sports drinks, make sure to take a sip or two whenever you feel thirsty. Even if you’re not feeling totally parched, mild thirst is still a sign of impending dehydration.

  1. Pay attention to your muscles.

Lean muscle tissue contains more than 75 percent water, so when the body is short on H2O, muscles are more easily fatigued. “Staying hydrated helps prevent the decline in performance (strength, power, aerobic capacity, anaerobic capacity) during exercise,”Casa says. When your muscles feel too tired to finish a workout, try drinking some water and resting for a bit before getting back at it.

  1. Pinch yourself. (No, really.)

Go ahead, pinch yourself! Skin turgor, which is the skin’s ability to change shape and return to normal (or more simply put, it’s elasticity), is an easy way to check your hydration (though not 100 percent reliable for everyone).    Using your pointer finger and thumb, simply pinch the skin on the back of your hand (not too hard!) and hold for a few seconds. When you let go, if the skin takes a while to return to its normal position, you may be dehydrated.

  1. Keep dry mouth at bay.

One of the first signs of dehydration is dry mouth. If your mouth starts feeling like the Sahara, head to the water fountain (or take a sip from your reusable water bottle!). A short water break between sets or during quick breaks from cardio can help stave off exercise-induced dehydration.

  1. Stop if you get the dizzies.

Feeling lightheaded during a workout is a sign of dehydration and a signal to tone it down a notch.  Though willpower sometimes makes us want to push ourselves through a few more reps or another mile, feeling dizzy is an indicator that it’s time to hydrate.” Due to the decreased plasma volume with dehydration during exercise,” Casa says, “the heart must work harder to get blood to the working muscles.” When there’s not enough water in blood, both blood volume and blood pressure drop, resulting in dizziness.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Cold seems to get worse at the end of the day

Sitting in my Woodbridge, Dale City VA chiropractic battling what ever the hell this bug is I realized at 11 AM I shook the cold.  Texting home bragging on my amazing immune system and sending pictures of me walking outside with no jacket laughing.   By 4 PM I am laying on the floor clutching the phone trying to muster the strength to dial 911.  I noticed when I got home there was very little compassion and I think I heard the word Idiot…  By the third day of this routine I had to investigate.  There are many reasons but this one made the most sense.

 

Blame It on Hormones

Research shows that our bodies are on a 24-hour clock called a circadian rhythm. Hormone levels fluctuate, increasing and decreasing within this daily cycle. Cortisol, a hormone made by the adrenal glands, helps regulate blood sugar levels, metabolism, and blood pressure. It also helps the body manage stress.

In addition, cortisol helps your immune system function properly and reduce inflammation. In other words, it helps you fight off infection and sickness.

More cortisol circulates in your blood during the day, which suppresses your immune system. This means that your white blood cells, which are responsible for fighting infections, are less active during the day.

At night, there is less cortisol in your blood. As a result, your white blood cells readily detect and fight infections in your body at this time, provoking the symptoms of the infection to surface, such as fever, congestion, chills, or sweating. Therefore, you feel sicker during the night.

 

Day versus Night

A couple of other things to consider are the natural differences we experience during the day and at night:

Position of Your Body: Pressure in your body is continually changing. Gravity has a lot to do with how your body adapts and feels. Laying down will always cause your cold or flu symptoms to become worse.

Keeping your body upright can make a world of difference for your congestion and breathing, by helping to drain mucous from your airway. During the day you are naturally more upright, as you go about your routine, while at night you eventually lay down to sleep.  Try adding an extra pillow to raise your head higher and promote sinus drainage.

Distractions: Your daily life can be extremely hectic, with little time for yourself. Going from one task to the next doesn’t leave much time to dwell upon your symptoms. At night, however, you tend to wind down and relax, which is when your immune system kicks into gear.

As you have heard many times, the best thing to do when you are sick is to rest. Otherwise, you will be stressing out and elevating your cortisol levels.

 

Tips to Help You Fight Illness:

 

  • Stay hydrated: Drinking fluids is the best thing you can do, along with getting plenty of sleep. Flushing out the infection or bacteria attacking your immune system will help you recover faster.

 

  • Be prepared: Having all your essentials near you at night, such as tissues, medicine, and water on your bedside table, will be a lifesaver. Saving your energy and getting the most rest possible will do wonders.

 

  • Support your immune system: For your immune system to fight off infection from colds and flu, it needs to be strong. Taking vitamin C, drinking hot tea, and getting plenty of sleep are all things that can help strengthen your immune system.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Winter Weather Alert

This recent run of bad weather has even prompted the ACA to issue a back weather alert!  As your Chiropractor in the Woodbridge, Dale City VA area I feel the need to forward it.

 


When snow, ice and frigid weather blast into town, watch out for injuries, advises the American Chiropractic Association (ACA). Winter recreational activities and chores can pose problems for the outdoor enthusiast whose body is not in condition. Winter sports like skating, skiing and sledding can cause painful muscle spasms, strains or tears if you’re out of shape. Even shoveling snow the wrong way, clambering awkwardly over snow banks, slipping on sidewalks and wearing the wrong kinds of clothing can lead to spasms, strains and sprains.

 

Simply walking outside in the freezing weather without layers of warm clothing can intensify older joint problems and cause a pain. As muscles and blood vessels  contract to conserve the body’s heat, the blood supply to extremities is reduced. This lowers the functional capacity of many muscles, particularly among the physically unfit.  Preparation for an outdoor winter activity, including conditioning the areas of the body that are most vulnerable, can help you avoid injury and costly health care bills.

 

Warm Up

Simply put, warming up is essential. When pressed for time, it’s better to shorten the length of your work­out and maintain a good warm-up than to skip it and dive right into the workout. You can complete a good warm-up in 15-20 minutes, and it will make your workout more pleasant and safe. ACA suggests that:

 

Skiing: Do 10 to 15 squats. Stand with your legs shoulder width apart, knees aligned over your feet. Slowly lower your buttocks as you bend your knees over your feet. Stand up straight again. It’s a good idea to wear layers because you may be going from a cold environment (outdoors) to a warm environment (indoors).

Skating: Do several lunges. Take a moderately advanced step with one foot. Let your back knee come down to the floor while keeping your shoulders in position over your hips. Repeat the process with your other foot.

Sledding/tobogganing: Do knee-to-chest stretches to fight compression injuries caused by repetitive bouncing over the snow. While either sitting or lying on your back, pull your knees to your chest and hold for up to 30 seconds.

Don’t forget cool-down stretching for all of these sports. At the bottom of the sledding hill, for instance, before trudging back up, do some more knees-to-chest stretches or repetitive squatting movements to restore flexibility.

 


Shoveling Snow

Shoveling snow can also wreak havoc on the musculoskeletal system. ACA suggests the following tips for exercise of the snow shoveling variety:

 

If you must shovel snow, be careful. Listen to weather forecasts so you can rise early and have time to shovel before work.

Layer clothing to keep your muscles warm and flexible.Shoveling can strain “de-conditioned” muscles between your shoulders, in your upper back, lower back,

buttocks and legs. So do some warm-up stretching before you grab that shovel.

When you do shovel, push the snow straight ahead (don’t try to throw it). Walk it to the snow bank. Avoid sudden twisting and turning motions.

Bend your knees to lift when shoveling. Let the muscles of your legs and arms do the work, not your back.

Take frequent rest breaks to take the strain off your muscles. A fatigued body asks for injury.

Stop if you feel chest pain, or get really tired or have shortness of breath. You may need emergency assistance.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Managing Low Back Pain

Low back pain is one of the most common things for people to see a Doctor.  As your Chiropractor in the Woodbridge, Dale City VA area this works out pretty good for me.  Just kidding…  But there are some tings you can do to prevent the low back pain.  One of the best things you can do is stretch.  And stay hydrated.

Here are some daily stretches you can do to keep your back stretched and relaxed so the muscles function correctly.

  1. The Deep Squat

Stand up straight with your arms folded across your chest. Place your feet shoulder-width apart and toes pointing out slightly.  Squat down as far as you can, keeping your heels on the floor. As you squat ensure your weight goes into your heels and not your toes. For a full range of movement, your bum should sit down by your heels and your head should be tall and looking forward. Perform the exercise slowly when lowering down, giving yourself time to keep control and lower all the way – or as far as your range of movement will allow.  Pause for a count of two at the bottom of the squat, allowing your groin area to relax. Your knees should be directed slightly outwards in alignment with your feet. Keeping your knees out, squeeze your gluteals and stand up out of the squat.  Only go as far as you can without any pain. As you perform the exercise regularly you will slowly but surely be able to achieve greater flexibility.  Do this for 2 sets of 10.

 

  1. Knee to Chest

Lie on your back, flex your knees up and do a pelvic tilt so you press your lower back flat to the floor.  Slowly and gently pull your right knee to your chest at a slight angle towards your left shoulder.  Hold for 5 seconds and release back to the bent position.  Then repeat with the opposite leg.  Do this 10 times in alternating fashion

  1. Downward Dog

Place your hands and feet on the floor, shoulder-width apart, knees bent and hips high.  Your heels should be off the floor at this point. Relax your head and neck so you are looking towards your knees.  Do a pelvic tilt so your lower back is arched and your spine is straight.  Now straighten your arms and pull your shoulder blades together. Straighten your knees as well.    You may lose the arch in your low back but don’t allow your lumbar spine to flex.  This will require a good abdominal squeeze to maintain the lumbar arch.  Hold for 30 seconds and relax.  Repeat 5 times.

  1. Spine twists

Sit down with your legs loosely crossed. Pull your back up tall and stick your chest out so that you are sitting upright with perfect posture. Fold your arms across your chest.  Tighten your abs so that your pelvis is stable. Then slowly turn your head and shoulders to one side. Turn as far as you can and you will feel the stretch in the rib area. Hold the end position for a count of two and then turn across to the other side and repeat.  Perform two sets of 10 repetitions each side.

Do not force any of these exercises and if you feel any discomfort stop.  Keeping your low back stretched will help you prevent some low back injuries but routine chiropractic visits with these stretches can help prevent the big injuries.  Of course injuries are inevitable but if your try to prevent the preventable ones you can eliminate a lot of pain from your life.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Maplink

Mouse/Tennis Elbow

Elbow pain is commonly called tennis elbow.  But in recent years MOUSE ELBOW has taken it to a new level.  It is the same injury and affects people who have never held a tennis racket.  It is lateral epicondylitis and you get mainly from over use.  Your Woodbridge, Dale City VA chiropractor has some information for you that may explain why your elbow hurts while you are scrolling through this blog.

 

Causes

The part of the muscle that attaches to a bone is called a tendon. Some of the muscles in your forearm attach to the bone on the outside of your elbow.

When you use these muscles over and over again, small tears develop in the tendon. Over time, this leads to irritation and pain where the tendon is attached to the bone.

This injury is common in people who play a lot of tennis or other racket sports, hence the name “tennis elbow.” Backhand is the most common stroke to cause symptoms.

But any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition. Painters, plumbers, construction workers, cooks, and butchers are all more likely to develop tennis elbow.

This condition may also be due to constant computer keyboard and mouse use.

People between 35 to 54 years old are commonly affected.

Sometimes, there is no known cause of tennis elbow.

 

Symptoms

Symptoms can include any of the following:

Elbow pain that gets worse over time

Pain that radiates from the outside of the elbow to the forearm and back of the hand when grasping or twisting

Weak grasp

 

Exams and Tests

Your health care provider will examine you and ask about your symptoms. The exam may show:

Pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow

Pain near the elbow when the wrist is bent backward against resistance

An MRI may be done to confirm the diagnosis.

 

Treatment

The first step is to rest your arm for 2 or 3 weeks and avoid or modify the activity that causes your symptoms. You may also want to:

Put ice on the outside of your elbow 2 to 3 times a day.

Take NSAIDs, such as ibuprofen, naproxen, or aspirin.

If your tennis elbow is due to sports activity, you may want to:

Ask your provider about any changes you can make to your technique.

Check the sports equipment you are using to see if any changes may help. If you play tennis, changing the grip size of the racket may help.

Think about how often you play, and whether you should cut back.

If your symptoms are related to working on a computer, ask your manager about changing your workstation or your chair, desk, and computer setup. For example, a wrist support or a roller mouse may help.

A chiropractor can show you exercises to stretch and strengthen the muscles of your forearm.

You can buy a special brace (night splint) for tennis elbow at most drugstores. It wraps around the upper part of your forearm and takes some of the pressure off the muscles.

Your provider may also inject cortisone and a numbing medicine around the area where the tendon attaches to the bone. This may help decrease the swelling and pain.

If the pain continues after 6 months of rest and treatment, surgery may be recommended. Talk with your orthopedic surgeon about the risks and whether surgery might help.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Break out the shovel!

Well here we go again!  The DC/Nova area has the most unpredictable weather I have ever seen.  You never know when winter starts.  I have golfed in shorts around New Years and also frozen my butt off around New Years.  One thing we all know is there is at least one snow storm.  We also know that no matter how much it is predicted it catches VDOT by complete surprise.  That doesn’t change the fact we still have to shovel!!   As your Woodbridge, Dale City VA Chiropractor I have some tips to help prevent injury while shoveling.

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.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Shoulder Pain

Shoulder pain becomes much more common as we get older.  One common thing I see with patients is they notice they can no longer comb the back of the head or they can’t get something off the top shelf.  Over time the shoulder capsule tightens especially if you have had an injury.  If you made it past the age of 40 the odds are very good you have had several injuries.  Your Woodbridge, Dale City VA chiropractor has some information on frozen shoulder that may help you better understand your shoulder complaint.

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

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Fibromyalgia diagnosis

Fibromyalgia used to be one of those diagnoses that was just thrown around because no one knew how to treat it.  Over the years more information has come out and better treatments have been developed.  One treatment that has always done well is chiropractic care.  As a Chiropractor in the Woodbridge, Dale City VA area I see my fair share of fibromyalgia patients.  Here is some great information to help you better understand fibromyalgia and before trying some of the new drugs on the market consult your chiropractor about it.

Fibromyalgia is typically diagnosed in patients with:

Widespread pain in all 4 quadrants of the body for a minimum of 3 months; and

Tenderness or pain in at least 11 tender points when pressure is applied. These tender points cluster around the neck, shoulder, chest, hip, knee, and elbow regions.

Some fibromyalgia experts say, however, that many people may still have fibromyalgia with fewer than 11 tender points if they have widespread pain and several other common symptoms, including:

Fatigue

Sleep disorders

Chronic headaches

Dizziness or lightheadedness

Cognitive or memory impairment

Malaise and muscle pain after exertion

Jaw pain

Morning stiffness

Menstrual cramping

Irritable bowels

Numbness and tingling sensations

Skin and chemical sensitivities

Correct Diagnosis Is Key

Correct diagnosis of fibromyalgia is very elusive, so if you are diagnosed with the disorder—or suspect that you have it—seek the opinion of more than 1 health care provider. Other conditions may create fibromyalgia—like pain, fatigue, and other symptoms. Ruling other conditions out first is very important.

 

In addition to clinical evaluation that will assess possible causes of your pain, your doctor may need to order blood work to determine if you have:

Anemia

Hypothyroidism

Lyme disease

Other rheumatic diseases

Hormonal imbalances

Allergies and nutritional deficiencies

Disorders that cause pain, fatigue, and other fibromyalgia-like symptoms.

If the tests show that you have 1 of these conditions, treatment will focus on addressing that problem first. If your pain is caused by a muscle or joint condition, chiropractic care may help relieve it more effectively than other therapies.

Treatment Alternatives

If no underlying cause for your symptoms can be identified, you may have classic fibromyalgia. The traditional allopathic approach includes a prescription of prednisone, anti-inflammatory agents, antidepressants, sleep medications, and muscle relaxants. These temporarily relieve the symptoms, but they do produce side effects. If you prefer a natural approach, the following suggestions may be helpful:

Studies have shown that a combination of 300 to 600 mg of magnesium per day, along with malic acid, may significantly reduce may significantly reduce the number of tender points and the pain felt at those that remain. B vitamins may also be helpful.

Eating more omega-3 fatty acids and fewer saturated fats has shown promise in fibromyalgia patients. Limit red meat and saturated fats and increase the amounts of omega-3 fatty acids by including fish, flax, and walnut oils in your diet. Fatty acid deficiencies can interfere with the nervous system and brain function, resulting in depression and poor memory and concentration.

Improving the quality of sleep can help reduce fatigue. Watch your caffeine intake, especially before going to bed. Reduce TV and computer time. If you watch TV in the evening, choose relaxing, funny programs instead of programs with violent or disturbing content. Ask your doctor of chiropractic for other natural ways to help you sleep better.

Stress-managing strategies can also help address anxiety or depression issues. Cognitive therapy has been shown helpful in relieving fibromyalgia patients’ negative emotions and depression by changing their perception of themselves and attitudes toward others.

A traditional gym-based or aerobic exercise program may exacerbate fibromyalgia symptoms and is not recommended. Instead, yoga, Pilates, or tai chi—which offer mild stretching, relaxation, and breathing techniques—may work better than vigorous exercise.

Studies have shown that acupuncture is another effective, conservative approach to treating fibromyalgia symptoms and many doctors of chiropractic offer this service right in their offices.

Chiropractic care has consistently ranked as one of the therapeutic approaches that offer the most relief for the fibromyalgia patient. Your doctor of chiropractic can also include massage therapy, ultrasound and electrical stimulation in the treatment program, which may help relieve stress, pain, and other symptoms.

Your doctor of chiropractic has the knowledge, training, and expertise to help you understand your problem and, in many cases, to manage it successfully. Remember, however, that the treatment program can be successful only with your active participation. If your doctor of chiropractic feels that he or she cannot help you, you will be directed to another health care provider.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Why you should ice

I know you are all tired of hearing me say it!  Put some ice on it…. Makes sure you ice….  Well as you chiropractor in the Woodbridge, Dale City VA area I am now making you read why you should.   Here is some great information on how and why you should ice.

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.

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. (See “Options for applying ice.”)

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

  1. 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.

 

  1. 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.

 

  1. 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.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Scoliosis

As a chiropractor in the Woodbridge, Dale City VA area I have tons of patients with scoliosis.  Some who knew they had it coming and wanted relief from associated problems and some who had no clue.  Both can benefit from chiropractic care.

 

Scoliosis is a condition resulting in the sideways curvature of the spine and it impacts approximately 2-3% of the population in the U.S. (6-9 million people). Scoliosis is generally diagnosed in children 10-15 years old and females are more likely to be diagnosed than males.

 

There are four main classifications of scoliosis: * Idiopathic scoliosis is the most common—it accounts for 80% of scoliosis cases—and leaves some mystery regarding the cause. While a cause is not easily identified, it may be due to hereditary and/or familial reasons.

 

Neuromuscular scoliosis is caused by disorders of the brain, spinal cord, and muscular system. Muscular dystrophy and cerebral palsy are diseases that contribute to neuromuscular scoliosis.

Congenital scoliosis occurs when birth defects impact the spine and vertebrae.

Degenerative scoliosis is typically a result of trauma, surgery, or illness such as osteoporosis or arthritis. There are several different treatment options for scoliosis and they vary based on multiple factors, including:

Age

Likelihood of future bone growth

Severity and shape of the spinal curve

Type of scoliosis (idiopathic, neuromuscular, congenital, degenerative)

With mild cases of scoliosis, the treatment program will include observation for changes in the spine curvature. In moderate to severe cases the treatment may be more invasive and generally includes spinal bracing and surgery options.

 

You may be wondering—how does chiropractic care fit into a scoliosis diagnosis and treatment plan?

 

Chiropractors may be the first line for diagnosing scoliosis. Chiropractors are alignment specialists and are likely to be first to notice any atypical spinal alignment issues in a patient. Additionally, chiropractors are specially trained to locate and correct areas of spinal subluxation.

 

Many of the symptoms associated with scoliosis, including pain in the shoulders, rib cage, spine, and hips, are readily treated by chiropractic manipulations. While chiropractors are not presently able to “cure” scoliosis, they are able to provide relief to patients suffering from many of the symptoms of scoliosis. A 2011 study found that after a thorough chiropractic rehabilitation treatment program, the patient group reported improvements in pain, even 24 months after the treatment. Numerous case studies show chiropractic adjustments can significantly reduce the angle of the scoliosis curve and a small-scale 2016 study recently confirmed that chiropractic techniques were effective at

 

reducing the curvature of the spine in idiopathic scoliosis in as little as four weeks. Chiropractic treatment methods include soft tissue massage and spinal correction techniques. While the ability for chiropractic treatment to treat the physical curvature of the spine is still undergoing research on a larger scale, the current results are promising.

 

Together with a chiropractor, a patient can develop a specific treatment plan that may include observational monitoring, chiropractic adjustments, at home exercises, and /or a physical therapy program. Treatment for scoliosis, particularly mild scoliosis, does not have to be scary, invasive, or involve extensive down time. Chiropractic care may assist with lessening painful symptoms and reduce the curvature of the spine over time.

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link