During your initial visit, you will be provided with a few registration and medical history forms by the office staff. Then the chiropractor will typically ask further questions about your health history and about your current problem or condition, such as:

• If you are experiencing pain, where is it located and when did you first notice it?
• Does the pain or discomfort seem to be the result of a recent injury or activity, or has it existed for some time?
• Are there activities or circumstances that make it better?
• Are there activities or circumstances that make it worse?

You may also be asked about any pre-existing medical conditions or prior injuries, your family’s medical history, and other treatments you have received from health care providers. Once completed, your chiropractor then will carry out a thorough chiropractic examination, with a special emphasis on the spine. In addition to general tests such as blood pressure, respiration, reflexes, and pulse, the examination may include certain tests to assess the range of motion of the injured or painful body part, muscle tone and strength, and neurological integrity. Additional diagnostic studies such as X-rays or laboratory tests may be performed or recommended.

The medical history, physical examination and diagnostic tests all help to determine a specific diagnosis. The chiropractor will explain the diagnosed condition to you and determine if it is likely respond well to chiropractic care. If so, the chiropractor will explain the proposed chiropractic treatment plan or other treatments to you and the anticipated length that the treatment should take. Both short- and long-term goals for your treatment will be discussed, and additional therapies may be recommended for future visits, such as:

• Application of heat or cold to affected areas.
• Massage and stretching.
• Modalities to speed healing of soft tissues and improve pain control, such as electrical stimulation and traction.
• Rehabilitative and general exercise to improve muscle balance, strength, and coordination.
• Lifestyle counseling about healthy eating and weight loss.

Many chiropractors begin treatment during your first visit, although some may wait until the next appointment to perform the first adjustment. During a typical adjustment, you will be placed in various specific positions while your chiropractor treats the affected areas. For example, you may be asked to lie face down on a padded table specifically designed for chiropractic adjustments. Chiropractors then use their hands to apply a controlled, quick force to a joint, which extends it beyond its usual range of motion. The goal of this maneuver is to increase the range and quality of motion in the area being treated and to aid in restoring health. You may hear cracking or popping sounds as your chiropractor manipulates your joints during the treatment session. This is similar to cracking one’s knuckles, that noise that you hear is just a gas bubble releasing in the joint fluid.  It’s completely normal and does not hurt. 

As your course of treatment continues, your chiropractor will evaluate your progress, to see how much your treatments are helping, and may adjust the recommended treatment regimen accordingly.

Chiropractic adjustments, also known as spinal manipulations, are a procedure in which a quick light thrust is applied to restore the normal motion of the joint. The purpose of chiropractic adjustment is to improve your body’s functioning and alleviate pain.

Adjustments are most commonly made to joints in your back, but also to joints of the neck or other parts of the body, such as the shoulders. You may be treated by a chiropractor in order to correct such conditions as:

• Neck, back, shoulder, arm, hand, chest, leg, or foot pain and stiffness
• Headaches
• Sciatica
• Arthritis
• Trauma, such as whiplash
• Scoliosis
• Sports injuries
• Repetitive strain disorders such as carpal tunnel syndrome
• Fibromyalgia

Adjusting the joint and restoring its normal range of motion sounds painful, doesn’t it? You may feel pressure or mild discomfort, and the discomfort may be greater if there is significant inflammation or tension around the joint being treated. However, chiropractic adjustments should not be painful.

If you are new to chiropractic care, you may have a harder time relaxing during the procedure than more experienced patients. If you stiffen or resist the adjustment, you may feel some discomfort. However as you get used to the procedures you should find not only that the discomfort decreases, but that you may feel relief and a sense of well-being after the adjustment I completed.

During the adjustment, you will be placed in a certain position to treat the affected areas. Usually you will be lying face down on a padded table. There may be popping or cracking noises during the adjustment, as the joint is moved. These noises are the result of the release of tiny pockets of gas during the procedure, which is completely normal. In fact, it’s the same thing that occurs when someone cracks their knuckles.

After the procedure, you may feel some soreness or aching in the muscles or spinal joints. If it occurs, this kind of discomfort usually happens within the first few hours of treatment. It should not last longer than 24 hours (and if it does, be sure to contact your chiropractor for assistance). If you like, you can place an ice pack on the affected area which should help reduce the symptoms and help you recover more quickly.

In order to be sure you have as pain-free a treatment as possible, be sure you choose a board-certified chiropractor with good patient references. An experienced, competent practitioner will be able to give you the most effective treatment possible with the least amount of discomfort.

Chiropractic adjustments are the foundation of chiropractic treatment. Chiropractors use adjustments to correct vertebral subluxations and misalignments of the bones of the spine (vertebrae). The word “subluxation” has its origins in the Latin words “luxare” (to dislocate) and “sub” (mild). Subluxations may put pressure on or irritate nerves and blood vessels in the spine, and cause musculoskeletal pain and dysfunction.

Adjustments, also known as “spinal manipulation”, involve the use of a certain amount of controlled force, applied in a specific direction, to a joint that is not moving properly. Adjustments are usually carried out manually by the doctor, or by using an instrument. Chiropractic adjustments help return your vertebrae to their natural position and range of motion, with the goal of restoring health and normal functioning. In addition to restoring joint mobility, adjustments can also allow healing of tissue injuries involving inflammation and pain.

Before carrying out an adjustment, your chiropractic doctors will thoroughly evaluate your case through collection of a health history, physical examinations, laboratory tests, imaging (such as X-rays) and other procedures. During the adjustment procedure itself, you may be lying down on a specially designed chiropractic table. Your chiropractor will apply the adjustment in a controlled, sudden manner, pushing your joint beyond its normal range of motion.

There are over 96 individual chiropractic maneuvers your doctor may choose from for your adjustment. Factors in this decision include how much force is needed, where in the body the adjustment is needed, the position of both the chiropractor and the patient also contribute to the selection of the best type of adjustment for your particular condition.

Adjustments may be used to treat back pain, neck pain, or pain in other areas of the body such ass arms, legs, and shoulders. The procedure rarely causes pain; however if there is recent trauma or if you are new to chiropractic medicine there may be some discomfort. The popping and cracking noises that occur during adjustments are due to the release of gas bubbles between the joints, and these sounds are perfectly normal. It is a similar phenomenon as when knuckles are cracked.

In many cases, chiropractic care is all that is needed to treat a certain kind of problem, such as lower back pain. However, adjustments may be complemented by other medical treatment if concurrent conditions are present.

Resources

http://www.acatoday.org/

http://www.chiro.org/acc/What_is_Subluxation.shtml

http://www.mayoclinic.com/health/chiropractic-adjustment/MY01107

http://www.mdguidelines.com/chiropractic-adjustments-and-manipulations

Fibromyalgia is a condition with no known medical cure. It is characterized by chronic and debilitating pain all over the body, and heightened pain under pressure.  Its symptoms can cause patients to suffer from widespread pain, poor sleep, chronic tiredness and even depression. The causes of fibromyalgia are unknown. Some theories cite that the patient’s low pain threshold may be attributed to increased sensitivity in the brain to pain signals. [1] Other possible causes could be a genetic predisposition [2]; stress; the disruption of normal dopamine related neurotransmission [3]; abnormal serotonin levels [4] and deficient growth hormone secretion [5]. While there is currently no cure for the condition, its symptoms can be alleviated by chiropractic treatment.

Chiropractic treatment uses chiropractic adjustments, which involve short and quick thrusts to the vertebrae in the spine to shift vertebrae back into their correct position.  The treatment found in chiropractic care is based on the idea that illnesses and pain in the body arise from misalignments in the body’s skeletal structure. In order for the body to function healthily, the spine and the skeletal structure need to be set in the correct position – otherwise problems like chronic pain can arise.

Fibromyalgia causes numerous, tender points to occur all over the body, including back and neck pain and leg cramps. As a result of these symptoms, sufferers of fibromyalgia have sought treatment from chiropractors. Because the adjustments made during treatment help to restore the posture of the skeletal system, many sufferers find that treatment can help to reduce a significant amount of pain. Some fibromyalgia sufferers experience a condition known as cervical spinal stenosis, which results in compression of the spine’s meninges, which are the coverings of the upper spine. This can result in debilitating pain all over the body. A chiropractor may be able to help with cervical spinal stenosis by adjusting the spine around the head and neck, releasing this compression and eliminating the symptoms attributed to it.[6]

The effectiveness of chiropractic care has been studied in sufferers of fibromyalgia [6], where patients were asked which method of treatment, medical or alternative, helped the best with their condition. The majority voted for chiropractic treatment. In addition, the effectiveness was tested by using spinal manipulation to relieve fibromyalgia symptoms, and after 15 treatments, results concluded that patients had reduced fatigue and pain as well as improved sleep quality.

While fibromyalgia sufferers continue to look for a cure, it is great to know that there are ways to alleviate the symptoms and live a more normal life. If you or someone you know suffers from undiagnosed chronic pain or fibromyalgia, please give us a call at (703) 912-7822 or visit us at Chiropractor in Springfield, VA.

References Used:

[1] http://edition.cnn.com/HEALTH/library/fibromyalgia/DS00079.html Accessed September 2011

[2]  Buskila D, Sarzi-Puttini P (2006). “Biology and therapy of fibromyalgia. Genetic aspects of fibromyalgia syndrome”. Arthritis Res Ther. 8 (5): 218. doi:10.1186/ar2005. PMC 1779444. PMID 16887010.

[3] Cervenka S, Pålhagen SE, Comley RA et al. (August 2006). “Support for dopaminergic hypoactivity in restless legs syndrome: a PET study on D2-receptor binding”. Brain 129 (Pt 8): 2017–28.doi:10.1093/brain/awl163. PMID 16816393. Retrieved 2008-05-21.

[4] Moldofsky H, Scarisbrick P, England R, Smythe H (1975).”Musculoskeletal symptoms and non-REM sleep disturbance in patients with “fibrositis syndrome” and healthy subjects”. Psychosom Med 37(4): 341–51. PMID 169541. Retrieved 2008-05-21.

[5] Anderberg UM, Liu Z, Berglund L, Nyberg F (1999). “Elevated plasma levels of neuropeptide Y in female fibromyalgia patients”. Eur J Pain 3 (1): 19–30.

[6] http://www.fibromyalgia-symptoms.org/fibromyalgia_chiropractic.html Accessed September 2011

A growing number of families in the U.S.—both parents and children—are discovering the benefits of complementary and alternative medicine (CAM), including chiropractic care.  The good news is that you’re never too young or too old to benefit from the types of therapies a skilled chiropractic physician can provide.  Today’s state-licensed chiropractors generally have the training and experience to work with patients from early childhood through to advanced age.  However, some practitioners also choose to focus on the unique needs of specific types of patients.

Many chiropractors who specialize in pediatrics are members of the International Chiropractic Pediatric Association (ICPA) and have attended postgraduate courses that focus on the care of pregnant mothers, infants and children.  The ICPA is a non-profit organization that was founded in 1986 by Larry Webster, DC.  The association offers advanced training workshops and seminars for healthcare professionals, in addition to its chiropractic certification.  It also has a referral service for parents and publishes a wide variety of materials designed to educate the general public about chiropractic medicine for children and adults.

How Children May Benefit From Chiropractic Care

As children enter school and begin interacting more with other kids in a different setting, they become susceptible to having their spine and nervous system compromised.  From poor sitting posture in the classroom to heavy backpacks in the hallways and rough-housing on the playground, there are a variety of new health risks.  Chiropractic care can help address these sorts of risks as well as others that may seem less obvious.

For instance, there is evidence that chiropractic care may help prevent or relieve many common cold and allergy symptoms, including sneezing, coughing and itching or watery eyes.  This is not to say that a visit to the chiropractor will “cure” the common cold or that the underlying illness will be eliminated, even temporarily.  However, the research suggests that spinal manipulation and other therapies frequently used by the chiropractor may help to strengthen a child’s immune system over time.

Treating Infants

Chiropractic treatments are tailored to every child according to their specific circumstances, including their height and weight.  There is no minimum age and even newborns may safely benefit.  In fact, chiropractic care is encouraged for babies as a chiropractic physician may be able to detect spinal problems that could lead to colic, ear infection or asthma.  Early detection may help prevent the development of these conditions and other complications while improving a young patient’s quality of life.

Communicating with Members of Your Child’s Healthcare Team

As both adults and children are turning to alternative medicine as a way to prevent or treat common ailments, there is an increasing need for patients (or their parents) to communicate effectively with members of an expanded healthcare team.   In most cases, your child’s  primary care doctor (usually a pediatrician, general practitioner or chiropractic physician) will play a key role in coordinating care.  Remember that a good chiropractor will always tell you when a particular condition may be outside his or her scope of practice and will refer you to other specialists as appropriate.

Studies have shown that children who visit the chiropractor on a regular basis are likely to grow up with better posture and have fewer illnesses than their classmates.  If you’d like to find out more about children and chiropractic care, please call our office today to make an appointment.

Fysh, Peter DC (December 16, 1994) Upper Respiratory Infections [Electronic version] Dynamic Chiropractic, Vol. 12 No. 26; Retrieved August 30, 2011

International Chiropractic Pediatric Association (ICPA) homepage (2010) Retrieved August 30, 2011: from http://icpa4kids.com/about

Palevsky, Lawrence M.D. (October 8, 2008) Holistic Approaches to Asthma, Retrieved August 30, 2011; from http://icpa4kids.org/Wellness-Articles/holistic-approaches-to-asthma.html

PGA golfers Tiger Woods and Padraig Harrington have used chiropractic services for years in order to improve and maintain their golfing performance.  Their successes suggest a benefit of chiropractic care, but it’s hard to know if it’s because of the care or because they are world-class athletes. Can chiropractic care help the average golfer improve their performance as well?

The very nature of the game of golf suggests a good match for players with chiropractic care. Golfing can involve considerable strain on the spine. Golfers need to move from a standing position quickly to club head speeds, requiring good posture, balance, and the ability to rotate the spine properly. Poor posture can create exaggerated or flattened spinal curves that can seriously affect swing performance. In fact, Tom Ward, PGA Golf Instructor, says, “Over 50% of all golfers will experience some sort of pain due to poor posture and the problems that arise from loss of proper curves in the spine.”[1]

By working with your spinal range of motion, chiropractic care can help correct golf injuries, maintain performance, and improve the posture needed to perform a good golf swing. When the chiropractor aligns all the vertebrae, the spine can move better. An individualized treatment plan including chiropractic adjustments, specific rehabilitation exercises and muscle techniques may make a significant difference in your overall performance and enjoyment of the sport.

Recent research confirms that chiropractic care can indeed lead to improved golf performance. A recent study published in the Journal of Chiropractic Medicine demonstrated that the combination of chiropractic care and stretching are associated with greater improvements in golfers swing when compared to stretching alone.[2]

Two groups of golfers participated in the study. One group received a program of stretching only, and the second received both stretching and spinal manipulation. The stretching program was the same for both groups, and both groups had similar average ages, handicaps, and initial swings. All 43 participants initially performed three full swing maneuvers, and the average distances were recorded. Over a 4-week period, all participants hit 3 balls before and after treatment.

After 4 weeks, the stretching only group showed no improvement in swing performance.  However the stretching and manipulation group did improve their swing performance and there was greater driving distance right after treatment each week. So it appears that yes, chiropractic care can help not only top golfers such as Woods and Harrington, but it can help you improve your golf game too.

References:

[1] Tom Ward, PGA Instructor. http://www.golflink.com/golf-tips/tips/ward032.aspx

[2] Journal of Chiropractic Medicine (2009) 8, 165-170.

The answer to this question is not a simple one as many people tend to associate any type of neck pain with having whiplash.  The first thing is to find out is whether or not you have whiplash.

Is it Whiplash or a Pain in the Neck?

Whiplash is defined as an injury to the neck, by moving the head forward and then backward in a rapid fashion that places strain on the neck muscles and ligaments.  Whiplash is most common when the victim has been rear-ended, or hit from behind by another vehicle but can result from physical abuse (such as shaken baby syndrome) or contact sports. The symptoms of whiplash vary and are not limited to –

• Restricted joint movement in spine or limbs
• Displacement of spinal discs, also known as a herniation, which causes sharp pain down one or both arms; It also can create small tears in spinal tissue and damage the nervous system, which is followed by numbness, tingling and muscle weakness
• Chronic pain in the neck area
• Cognitive dysfunction that may include difficulty concentrating

When to See a Physician

If you have unrelated neck pain that persists for a period of time or you experience the following:

• A shooting pain through one or both arms
• Tingling or numb feeling in one or both arms or hands
• Inability to touch chin to your chest

You may want to see a chiropractor or other medical professional as they can diagnose an underlying problem.  If you are not having any of the symptoms or find it goes away after changing positions, it may just be the result of poor posture.

The Severity of Whiplash

For some, neck pain resulting from an accident can be treated with ice and a light brace.  Other times, it may disappear on its own or a person may find themselves feeling:

• Pain in their jaw
• Significant damage to ligaments, discs, nerves or joints
• Difficulty swallowing
• Nausea
• Irritability or unable to concentrate

If any of these symptoms persist, they should see a chiropractor so that x-ray as well as other tests may be performed to determine if there is an underlying problem.

Seeing the Chiropractor

The primary objective of the chiropractor is to use gentle manipulations that treat the spine and discs so that they are aligned properly.  These manipulations are also designed to reduce muscle spasms and rebuild muscle strength with the aid of physical therapy.

The chiropractor will first focus on reducing inflammation and check the neck, mid and low back. From there, the range of motion, disc injuries and muscle spasms will be examined. Other factors that will be noted are walking, posture and spinal alignment.  A comprehensive exam provides an understanding of the individuals’ body mechanics. X-rays and /or magnetic resonance imaging (MRI) may be taken along with the patient medical history to determine whether they can be treated.

Some cases of whiplash may only require ice and heat therapy to reduce inflammation and relax the muscles, respectively.  Non-medicinal treatment may include acupuncture, massage or Transcutaneous electrical nerve stimulation (TENS).

If you or someone you know may have experienced any or all of symptom described, then give our office a call today at (703) 912-7822 or visit us at Chiropractor in Springfield, VA.

At my chiropractic office in Springfield, VA, we treat a wide range of running injuries.  With more and more people taking up recreational running in the US, the number of running associated injuries have also increased. Commonly reported cases include: shin splints; patellofermoral pain syndromes; Achilles tendinitis; flat feet; and compartmental syndromes and stress fractures. All these injuries are a result of cumulative stress reactions to soft tissues and bones. While running, the musculoskeletal system may absorb up to 250-300% of the runner’s weight on the heel strike [1,2,3], and this exerts stress on the body.

Chiropractors are generally contracted to help alleviate pain and non-specific symptoms associated with running, usually from the gradual onset of regular stress on the soft tissues and bones. If these symptoms are caught early, they can then be effectively managed and reduced in a short period of time [4]. Chiropractic treatment can help excessive pronation [5], the inward rolling of the hind foot and the midfoot beyond the acceptable parameters of general walking and running; prolonged internal rotation of the internal extremity [6], the inward rotation of the femur, which transmits stress to the pelvic region; and excessive supination [7], and those with very high arches who are very sensitive to stress reactions and fractures.

While chiropractic treatment can help with pain and injuries, its biggest advantage to runners and athletes is preventive care. Many runners, athletes and non-athletes may ask – why pay for chiropractic treatment when there is no pain to treat? It’s much easier to maintain good health and prevent injury than to treat somebody already in pain. The danger with running injuries is that they are likely to be caused by repetitive stress and alignment problems that take time to develop, and an even longer time for the pain to start. If our bodies were designed with perfect alignment, then we would be able to cope with the regular stress running delivers. However, very few of us do have perfect alignment, and in many cases those with flat feet or high arches are at risk to extra cumulative stress to the body. [8]

In preventive cases, a chiropractor can give a good overall evaluation, teaching the patient how to prevent injuries and maintain good alignment – thereby reducing the chance of injury. For those looking for preventive treatment, your chiropractor can help assess and evaluate your condition by offering scans of your feet, testing for strength imbalances and an analysis of your posture. In addition, the chiropractor can also suggest a program suited to your needs to prevent injury in the future.  If you or someone you know is suffering from a running related injury give us a call today at (703) 912-7822 or visit us at Chiropractor in Springfield, VA.

One of the most common condition that we treat at my chiropractic office in Springfield, VA is Migraines.  Migraine sufferers have to endure a pain that is recurring, severe and can last up to 72 hours. Warning signs such as an “aura”, which is a type of visual disturbance, and nausea, sometimes accompany migraines. Many sufferers find that conventional medicine and prescription drugs offer little relief from their condition, and many are turning to alternatives methods of treatment in order to manage the pain. One such alternative is chiropractic treatment.

A holistic approach to pain relief, chiropractic treatment focuses on aiding numerous health issues through massage, spinal manipulation and adjustment of the body’s soft tissues and joints, predominantly in the back. But is it effective against migraines?

In February 2000, a study published by Dr. Tuchin et al. [1] cited the possible benefits of chiropractic treatment in alleviating or easing both the pain and frequency of recurring migraines. The study used a sample of 127 migraine patients, all of whom suffered from at least one migraine per month; this sample was divided into two groups – one control group who received inactive treatment, while the other group received chiropractic treatment, focusing on aligning and treating specific areas of vertebral swelling and misalignment. The study concluded that those who received chiropractic treatment experienced subsequent improvement in the duration of the study, showing reduced pain and frequency of their migraines within two months of treatment. The latter group also reported a decline in the need of migraine medications. Further results from the same study found that one in five sufferers from the chiropractic treatment group had a 90% reduction of migraine frequency, while 50% found significant improvement in the severity of their migraines.

Recent studies conducted by R. Bryans et al. published in 2011 [2], concluded that chiropractic care, including spinal manipulation, were found to improve both cerviocogenic headaches as well as migraines. A systematic literature search on controlled clinical trials on the topic of migraines and headaches involving chiropractic treatment, published through August 2009, was conducted using a selection of medical and alternative therapy databases. Research found that chiropractic treatments such as spinal manipulation and massage could significantly help patients who suffer from chronic or episodic migraines, whereas sufferers of tension-type headaches did not respond to such treatment.

While using alternative methods of treatment such as chiropractic care can help sufferers to gain more control over their migraines, it should be treated as another form of support or extra help, instead of completely overlooking conventional medical care.  If you or someone you know suffers from migraines give us a call today at (703) 912-7822 or visit us at Chiropractor in Springfield, VA.

This is a great video illustrating the #1 thing that you can do to live a healthier, longer life.

The question is can you limit your sitting & sleeping to just 23 and 1/2 hours?

Movement is essential for the body and chiropractic care helps the body function optimally.