Oh my aching… Elbow

How could I have tennis elbow, I don’t play tennis!  Welcome to the world of Computer Mouse elbow!  Tennis made it famous but that computer mouse in your hand is dominating the world of elbow pain.  Your Woodbridge, Dale City VA chiropractor has some information for you about that and the ever-popular Gamers elbow.  It is all the same injury and so is the treatment.

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

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What is Sciatica?

Sciatica is a term used to describe almost every type of leg pain out there.  The problem is it is actually a specific diagnosis.  It is essentially the xerox of back/leg pain.  As your Chiropractor in the Woodbridge, Dale City VA area I want to help you understand sciatica.  Here is the information the ACA uses to define sciatica.    Your local chiropractor is a great place to start and if you are in the Woodbridge Virginia area give us a call.

Sciatica describes persistent pain felt along the sciatic nerve, which runs from the lower back, down through the buttock, and into the lower leg. The sciatic nerve is the longest and widest nerve in the body, running from the lower back through the buttocks and down the back of each leg. It controls the muscles of the lower leg and provides sensation to the thighs, legs, and the soles of the feet.

Although sciatica is a relatively common form of low-back and leg pain, the true meaning of the term is often misunderstood. Sciatica is actually a set of symptoms—not a diagnosis for what is irritating the nerve root and causing the pain.

Sciatica occurs most frequently in people between the ages of 30 and 50 years old. Most often, it tends to develop as a result of general wear and tear on the structures of the lower spine, not as a result of injury.

What are the symptoms of sciatica?

The most common symptom associated with sciatica is pain that radiates along the path of the sciatic nerve, from the lower back and down one leg; however, symptoms can vary widely depending on where the sciatic nerve is affected. Some may experience a mild tingling, a dull ache, or even a burning sensation, typically on one side of the body.

Some patients also report:

  • A pins-and-needles sensation, most often in the toes or foot
  • Numbness or muscle weakness in the affected leg or foot

Pain from sciatica often begins slowly, gradually intensifying over time. In addition, the pain can worsen after prolonged sitting, sneezing, coughing, bending, or other sudden movements.

How is sciatica diagnosed?

Your doctor of chiropractic will begin by taking a complete patient history. You’ll be asked to describe your pain and to explain when the pain began, and what activities lessen or intensify the pain. Forming a diagnosis will also require a physical and neurological exam, in which the doctor will pay special attention to your spine and legs. You may be asked to perform some basic activities that will test your sensory and muscle strength, as well as your reflexes. For example, you may be asked to lie on an examination table and lift your legs straight in the air, one at a time.

In some cases, your doctor of chiropractic may recommend diagnostic imaging, such as x-ray, MRI, or CT scan. Diagnostic imaging may be used to rule out a more serious condition, such as a tumor or infection, and can be used when patients with severe symptoms fail to respond to six to eight weeks of conservative treatment.

What are my treatment options?

For most people, sciatica responds very well to conservative care, including chiropractic. Keeping in mind that sciatica is a symptom and not a stand-alone medical condition, treatment plans will often vary depending on the underlying cause of the problem.

Chiropractic offers a non-invasive (non-surgical), drug-free treatment option. The goal of chiropractic care is to restore spinal movement, thereby improving function while decreasing pain and inflammation. Depending on the cause of the sciatica, a chiropractic treatment plan may cover several different treatment methods, including but not limited to spinal adjustments, ice/heat therapy, ultrasound, TENS, and rehabilitative exercises.

 

An Ounce of Prevention Is Worth a Pound of Cure

While it’s not always possible to prevent sciatica, consider these suggestions to help protect your back and improve your spinal health.

 

  • Maintain a healthy diet and weight
  • Exercise regularly
  • Maintain proper posture
  • Avoid prolonged inactivity or bed rest
  • If you smoke, seek help to quit
  • Use good body mechanics when lifting

 

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Doroski Chiropractic Neurology

3122 Golansky Blvd, Ste 102

Woodbridge VA 22192

703 730 9588

Map Link