pain

CTS can happen to anyone!

in Chiropractor  by June 10, 2022 0 comments

With all the home computer work going on it is not wonder I am seeing more complaints of CTS.  Sadly, even if you aren’t working on a computer all day CTS is a possibility.  Even your Woodbridge, Dale City VA Chiropractor has had a few cases of CTS.

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 nerve conduction 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.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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My aching head!

in Chiropractor  by February 11, 2022 0 comments

With all the stress that people are under at this time it is no wonder your Woodbridge, Dale City VA chiropractor has seen an uptick in headaches as a complaint.  Headaches can come from your head but they can also be caused by your upper neck.  This seems to be a high percentage of the headaches we are seeing at this time.

 

Occipital neuralgia can be debilitating but there are treatments, including chiropractic, that are very effective. Understanding occipital neuralgia can help patients better manage it so they can minimize the pain and symptoms of the condition.

 

What is occipital neuralgia?

Occipital neuralgia is a neurological condition that affects the occipital nerves which run from the top portion of the spinal cord, through the scalp, transmitting messages to and from the brain. There are two greater occipital nerves, one on each side of the head, from between the vertebrae located in the upper neck through the muscles that are located at the base of the skull and back of the head.

While they do not cover the areas on or near the ears or over the face, they can extend over the scalp as far as the forehead. When those nerves are injured or become inflamed, occipital neuralgia is the result. A person with this condition may experience pain at the base of their skull or the back of their head.

 

What are the symptoms of occipital neuralgia?

Pain is the prevalent symptom of occipital neuralgia. It often mimics the pain of migraine headaches or cluster headaches and is described as throbbing, burning, and aching.

There may also be intermittent shooting or shocking pain. Typically, the pain begins at the base of the skull but may radiate along the side of the scalp or in the back of the head. Other symptoms include:

Pain is experienced on one side (but sometimes both sides)

Pain behind the eye of the side that is affected

Tenderness in the scalp

Sensitivity to light

Pain triggered by neck movement

 

What causes occipital neuralgia?

Irritation or pressure to the occipital nerves are what actually cause the pain. This may be due to tight muscles in the neck that squeeze or trap the nerves, injury, or inflammation.

However, much of the time doctors are unable to determine the cause. There are several medical conditions linked to occipital neuralgia:

 

Tight neck muscles

Diabetes

Trauma or injury to the back of the head

Gout

Tension in the neck muscles

Whiplash

Inflammation of the blood vessels in and around the neck

Infection

Neck tumors

Cervical disc disease

Osteoarthritis

 

What are the treatments for occipital neuralgia?

Occipital neuralgia treatment focuses on pain relief. It often begins with conservative treatments that include:

Chiropractic

Rest

Heat

Physical therapy

Anti-inflammatory over the counter medication

Massage

In more severe cases the patient may be prescribed a stronger anti-inflammatory medication, muscle relaxants or in some cases an anticonvulsant medication.

If these therapies are not effective or do not bring about the desired level of pain relief, then doctors may recommend percutaneous nerve blocks and steroids. Sometimes surgery is recommended in cases where the pain is severe, chronic, and is unresponsive to more conservative treatments.

 

Chiropractic for occipital neuralgia

Chiropractic was once considered an “alternative” treatment for occipital neuralgia, but now it is often a regular part of recommended patient care. The advantage of chiropractic over medication or surgery is that chiropractic does not come with the side effects of drugs or the risks of surgery.

 

Another advantage is that chiropractic seeks to correct the root of the problem, not just manage the pain like other treatments.

Chiropractic treatment for occipital neuralgia may include lift adjustments, heat, massage, and traction. This will bring the body back into proper alignment and take the pressure off of the nerves as it loosens the neck muscles.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

 

Shovel Time!

in Chiropractor  by January 14, 2022 0 comments

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

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

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

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

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

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

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

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

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

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

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

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

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Time to put your back on ice!

in Chiropractor  by January 7, 2022 0 comments

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

General comments

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

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

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

 

Basically 2 water to 1 rubbing alcohol!

Use of ice

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

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

Risks of ice: Prolonged use can cause frostbite.

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

When not to use ice

Immediately before physical activity

If area of icing is numb

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

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

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

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

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

How long to use ice

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

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

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

3 options for applying ice

  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.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Pain in the elbow!

in Chiropractor  by December 10, 2021 0 comments

Tennis elbow isn’t just from tennis anymore.  It comes from an overuse of hand and forearm movement.  Typing and video gamers are the new tennis elbow patients.  Your Woodbridge, Dale City VA chiropractor has some stretches to help you with this injury.  Also taking a break helps.

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.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Stretch the neck to avoid injury!

in Chiropractor  by December 3, 2021 0 comments

The old “stiff neck” season has begun!  With cold weather comes tight muscles and the most common tight muscle injury is a stiff neck.  It is actually the opposite of stiff it is an overstretched/over tight muscle.  We tend to hold our neck muscles tight in the cold weather outside and maybe inside.  This can sit fine until that one night you sleep stretching that muscle and the entire thing explodes.  Your Woodbridge, Dale City VA chiropractor has some stretches to help you avoid this injury.


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.

  1. Lengthen the muscle by raising the elbow above the shoulder on the side to stretch.
  2. 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.
  3. Second, turn the head away from the side that is stretching and bring the chin down, stretching the back of the neck .
  4. 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.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

Your tight chest is hurting your upper back.

in Chiropractor  by September 3, 2021 0 comments

I see this all the time especially with the dining room table desk people are using now.  It was popular with regular workstations but there has been an increase lately.  It is hard to believe your tight chest muscles are making your upper back hurt but your Woodbridge, Dale City VA chiropractor will explain it.

If you’re like the millions of people who use electronic tools such as a cell phone, tablet, laptop or desk computer, you’ve probably spent hours upon hours looking at the screen with your head jutted forward. Other situations that might have you holding your head forward of your shoulders include reading books, significant time behind the steering wheel or watching TV. Whatever the cause, the migration of your head to this forward position can ultimately lead to overactive muscles and a complementing set of underactive muscles. This postural distortion pattern, known as upper crossed syndrome (UCS), can result in imbalances of muscle tone or timing, often leading to poor movement patterns, and in this tech heavy society, increased stress on the head, neck and shoulder joints.

Poor posture at any level may lead to muscle imbalances. This can have a trickle-down effect into the rest of the body, not just in the local areas of the neck and shoulders. An associated sequence of muscle imbalances in the hip region, referred to as lower crossed syndrome, can oftentimes be observed in conjunction with upper crossed syndrome. When looking for long-term success in relieving UCS, identifying and addressing postural issues that could exist elsewhere in the body will also be needed. This total-body approach will relieve tensions through the entire kinetic chain, while also enhancing desired results.

Crossed and Countercrossed

The “crossed” in upper crossed syndrome refers to the crossing pattern of the overactive muscles with the countercrossing of the underactive muscles. When viewed from the side, an X pattern can be drawn for these two sets of muscles. The overactive muscles form a diagonal pattern from the posterior neck with the upper trapezius and levators down and across to the anterior neck and shoulder with the sternocleidomastoid (SCM) and pectoralis major. The other side of the X now depicts the underactive muscles, with the deep cervical flexors down toward the mid/lower trapezius, rhomboids and serratus anterior. As we continually assume the seated, forward head postures driven by electronic devices or poor exercise selection and technique, this X pattern of muscle imbalances will increase.

Identify Imbalances

When working with clients or performing your own workout routine, attaining and maintaining ideal posture is paramount to a safe and effective program. In order to address postural or movement imbalances, the less-than-ideal posture has to be identified and a corrective exercise strategy developed. This corrective program can have two applications. First, it can serve as a stand-alone phase of training that will help the client achieve better postural control and endurance. Second, it can be applied as the movement preparation for a workout. In the first application, the client may be in a post-rehabilitation situation and need a program that incorporates flexibility with local and integrated strengthening. The second application will most likely be for the client looking to move better and improve coordination before applying speed and increased force during their workout session.

 

The first step to improving any postural distortion pattern is being able to identify the condition. Upper crossed syndrome can be observed from different vantage points with different motions. Some basic assessments that can be implemented to identify distortion patterns are gait observations, overhead squat, pushing and pulling motions, and static posture analysis. With any postural assessment—static, dynamic or transitional—UCS can be observed by watching head position relative to the shoulders, and the arms and shoulder blades relative to the ribs.

By using the landmarks of the ears, shoulders and the glenohumeral (GH) joint, a static posture assessment can identify UCS by observing if the ears are forward of the shoulder. You might even say that this person is slouching.

Observations for the shoulder blade and the upper arm can be seen from the front and side views with the overhead squat, pushing (pushup) and pulling (cable row) motions. The movements to note during an overhead squat assessment for possible signs of UCS include

  • Arms falling forward or to side during the descent
  • Head migrating forward
  • Elevating or elevated shoulder blades
  • Elbows flexed or challenged in keeping arms straight

Depending on the extent of the distortion, someone may exhibit one or more of the listed movement compensations. Combining the different assessments can also confirm findings. This helps in prioritizing the corrective strategies during program design.  Call Doroski Chiropractic to have this problem evaluated and to get some possible home exercises to help it go away.

 

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

A real pain in the butt!

in Chiropractor  by August 13, 2021 0 comments

Low back pain isn’t always a disc or a muscle.  It can be your SI which is just to the side of your low back along the pant line.  As your Woodbridge, Dale City VA chiropractor I am seeing more and more of this instead of lumbar disc injuries.  Here is some information on the SI joint that will help you figure out what is causing your pain.

Chiropractic is all about expression of optimal health and living the best possible life for you. The focus, especially with doctors of chiropractic at The Joint, is about improving the overall quality of your daily life through regular spinal adjustments. An adjustment helps restore spinal movement, which allows the nervous system to function at its highest possible level. Because the nervous system controls everything we do (including breathing, blinking and swallowing), a system operating optimally is extremely valuable. One of the additional perks — the one that often brings people in — is that pain and joint dysfunction often go away. That’s like magic! Many times people are freed to return to activities they love but have struggled participating in, whether it’s skateboarding, surfing, or lifting a little one up over their head. One of the most common issues that chiropractors see is SI joint dysfunction. It’s common enough that many people know what the SI joint is, but if you don’t, don’t worry — just keep reading. I’ll go over a bit of the science and how chiropractic can play a role in resolving SI joint issues.

The Science

SI stands for sacroiliac. You have two SI joints. The joints are on either side of the sacrum and each ilium (you know this as your hip bone). They are at the bottom of the spine and connect the sacrum and ilium on each side. The main motion of the joint is a shearing motion (a sliding motion back and forth between two parallel surfaces, joint facets in this case).

Dysfunction

SI joint dysfunction means the SI joint is not moving the way it’s intended. Perhaps this means its range of motion is limited — either the sacrum or the ilium is literally mal-positioned and stuck — or there is too much motion. Each joint works to transfer weight from the upper body to the lower body; they are designed to allow minimal movement and they have strong ligaments and tendons that support them. The dysfunction can occur as a result of a variety of things. We live in a society in which the average person sits far too much and carries too much weight. This lack of movement doesn’t encourage proper SI joint health and function. Dysfunction can also be a result of stress from overcompensation after prior spinal surgeries. Too much SI joint movement commonly occurs in pregnant women due to ligament-stretching and laxity.

Symptoms and Treatment

As with most conditions, symptoms vary from person to person. It’s common for SI joint dysfunction to present with low back pain or pain in the buttocks. Pain can radiate down the leg or even into the front of the thigh, but generally not past the knee. SI joint pain can mimic many other causes of low back pain. Chiropractors are experts at determining the source of spine pain in patients — and caring for them, too!

Through an adjustment, chiropractors help restore motion in the SI joint and/or associated joints contributing to the problem. I’ve found that SI joint dysfunction typically responds well to chiropractic care and that pain relief can occur quickly after an adjustment. The exact treatment duration and intensity will depend on the person, their lifestyle and the degree of the subluxation.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link

That is what is causing my back pain?

in Chiropractor  by July 16, 2021 0 comments

This long boring looking band down the side of your leg can get very exciting.  It looks like it serves no purpose at all, until it goes haywire.  Then you get knee pain, butt pain and back pain.  There are also the times it irritates your low back and butt enough to cause sciatica.  Your Woodbridge, Dale City VA chiropractor has some information on the IT band that can help you avoid these complaints.

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 muscleCertain 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.

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

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Pain in the Wrist!

in Chiropractor  by June 4, 2021 0 comments

Carpal tunnel is a fairly common wrist/hand injury.  It is usually associated with typing but you can get it from almost any overuse of the hand and forearm.  My mom got it from knitting.  Your Woodbridge, Dale City VA Chiropractor has some information to help you avoid this common injury.

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

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

A couple things to remember:

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

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

 

Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link