Wednesday, December 31, 2014

Headache prevention

With the holidays over and the in-laws out of town you have decreased your chances of a headache about 60%.  Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area would like to give you some tips on avoiding the other 40%

Headaches are more common in adults, although they can develop at any time in life. Approximately 4 out of 5 children have headaches at some point, but most are benign and self-resolving. In fact, many adults who suffer from headaches report having the first headache in childhood.
Headache symptoms usually begin gradually. In fact, the sudden onset of severe headache may signify a serious problem and requires immediate medical attention. Common headache is often described as achy, dull or throbbing pain. It typically begins at the base of the skull/upper part of the neck and may radiate into the eye(s), the temple, or other locations. Headaches may be felt on one or both sides of the head. Often loud noises or bright lights may make them worse. Some patients may become nauseated or experience odd smells, sounds, or sights before and during the headache attack.

How Is a Headache Evaluated?
Early diagnosis and treatment are important in identifying a serious underlying cause for your headache. In most cases, an in-depth history and physical examination can help determine if your symptoms are related to an easily treated problem, or if it is more serious.
Your doctor can use other tests that reproduce the symptoms of your headache to help develop a specific management plan for your condition, or refer you to another health care provider. X-rays, laboratory tests and even advanced imaging studies like magnetic resonance imaging (MRI) may be necessary. 

Your doctor may ask you to complete a headache diary, recording:
day and time of the headache
headache location
what the headache feels like
what you were doing when the headache began
how long the headache lasts
what makes it feel better or worse
anything else you notice before, during, or after the attacks

What Is the Treatment for Headaches?
Headache treatment is cause-related. Doctors of chiropractic often treat patients with tension-type headaches and headaches caused by problems with the joints and muscles in the neck, as well.

Joint manipulation and mobilization of the neck, along with stretching and strengthening exercises, have been demonstrated to be effective in the treatment of this type of headache.
Massage and other forms of soft-tissue treatment can sometimes be helpful.
Scientists are also investigating other therapies, such as acupuncture, to prevent and treat this disorder. Over-the-counter pain relievers, such as acetaminophen, can be used for an occasional headache, but not for long-term headache management.
More serious causes of headache require aggressive treatment, and your doctor of chiropractic can assist you in finding a medical headache specialist.  The majority of patients with headache recover completely after treatment. Unfortunately, the recurrence rate is relatively high, particularly with tension-type headache. If you have any questions or concerns about headache, feel free to discuss them with your doctor or chiropractic.

What Causes Headaches?
Headaches can be primary and secondary. Primary headaches do not result from some other health condition.
The most common type of primary headache is caused by problems with the neck muscles. Changes in the blood vessels inside the skull usually cause migraines. Other common types of headache include “cluster” headaches—headaches grouped together over weeks at a time; sinus headaches, associated with allergies and/or sinus infection; and headaches from poor vision.
Secondary headache results from some other cause or condition—head injury, concussion, blood vessel problems, or high blood pressure—or from side effects of some medications, infections in the head or sinuses or elsewhere in the body. Rare headache causes include tumors, aneurysms and other abnormal growths inside the skull, and toxic substances in the blood. Certain foods, such as monosodium glutamate (MSG), a food flavor enhancer, may cause headaches, as well.

 How Can Headaches Be Prevented?
Muscle-tension headaches can often be avoided by maintaining proper posture and neck movements while performing your normal activities. You should:
Avoid slouching
Avoid reading with your neck bent forward
Keep your computer monitor at eye level
Take frequent breaks from reading and working on the computer.
Try a low-fat, high-complex carbohydrate diet. A recent study demonstrated that such a diet can dramatically lower the frequency, intensity, and\duration of migraine headaches.



3122 Golansky Blvd, Ste 102
Woodbridge VA 22192
703 730 9588

Wednesday, December 24, 2014

Winter Running

As we all know runners can be a bit neurotic!  I am one of them so when winter comes around it is time to bust out the proper winter running gear.  The better the gear, the more enjoyable your run will be.  Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area has some suggests for you on what to wear.

What Should I Wear?
It's important to have the proper equipment for winter running. Everything from your head to your feet should be covered in some kind of moisture-wicking fabric. This is not the time to wear your cotton hoodie and wool gloves. You need fabrics that are going to wick away moisture from your body.
Cotton and other similar materials don't evaporate your sweat fast enough. If you wear too much cotton while running, your clothing can become cold and wet. This is a great way to get hypothermia.
Here is a comprehensive list of all the clothing you'll need to brave the weather outdoors.




1. Baselayer
Merino wool wicks moisture the best and stays the warmest. Buy several. Look into buying at least one synthetic layer with a hood.

2. Jacket
This should not be confused with a winter coat. Your jacket should be a wind and water resistant shell coat with a little bit of lining to keep you warm. When you're running—except in extremely cold temperatures—heavy winter coats are unnecessarily warm and bulky. Your core can generate more than enough warmth to keep you toasty with just a baselayer and shell in most weather.

3. Running Tights
This is winter running's greatest invention. Learn to love them. Tights are the single most versatile piece of clothing in your winter running arsenal. They are thin enough to keep you cool in the fall, but tight enough to keep you warm in the winter. This is due to the magic of compression. Compression means more blood flow in the thighs. The result is warmth.

4. Wind-Resistant Pants
There are some situations where running tights alone won't cut it. When it's really cold, or really windy, wearing tights can feel like you're wearing fish nets. You may want a pair of winter running pants to go over your tights. You can also wear them with long underwear.


3122 Golansky Blvd, Ste 102
Woodbridge VA 22192
703 730 9588

Friday, December 19, 2014

Better Posture for Less Pain

I often tell my patients at my Woodbridge, Dale CityVirginia Chiropractic office that their posture is part of the reason their backs and necks hurt.  The way we sit, stand and sleep all play a major role in how we feel and how our backs function.   Saying you need to do it correctly is easy but making the changes can be very difficult of the patient as well as the Doctor.  As I am sitting here typing this I noticed I had melted into my chair!  Here are some tips from the ACA on how to do it properly.



Why is good posture important?
Good posture helps us stand, walk, sit, and lie in positions that place the least strain on supporting muscles and ligaments during movement and weight-bearing activities. Correct posture:
• Helps us keep bones and joints in correct alignment so that our muscles are used correctly, decreasing the abnormal wearing of joint surfaces that could result in degenerative arthritis and joint pain.
• Reduces the stress on the ligaments holding the spinal joints together, minimizing the likelihood of injury.
• Allows muscles to work more efficiently, allowing the body to use less energy and, therefore, preventing muscle fatigue.
• Helps prevent muscle strain, overuse disorders, and even back and muscular pain.
Several factors contribute to poor posture-most commonly, stress, obesity, pregnancy, weak postural muscles, abnormally tight muscles, and high-heeled shoes. In addition, decreased flexibility, a poor work environment, incorrect working posture, and unhealthy sitting and standing habits can also contribute to poor body positioning.

How do I sit properly?
• Keep your feet on the floor or on a footrest, if they don't reach the floor.
• Don't cross your legs. Your ankles should be in front of your knees.
• Keep a small gap between the back of your knees and the front of your seat.
• Your knees should be at or below the level of your hips.
• Adjust the backrest of your chair to support your low- and mid-back or use a back support.
• Relax your shoulders and keep your forearms parallel to the ground.
• Avoid sitting in the same position for long periods of time.

How do I stand properly? 
• Bear your weight primarily on the balls of your feet.
• Keep your knees slightly bent.
• Keep your feet about shoulder-width apart.
• Let your arms hang naturally down the sides of the body.
• Stand straight and tall with your shoulders pulled backward.
• Tuck your stomach in.
• Keep your head level-your earlobes should be in line with your shoulders. Do not push your head forward, backward, or to the side.
• Shift your weight from your toes to your heels, or one foot to the other, if you have to stand for a long time.

What is the proper lying position?
• Find the mattress that is right for you. While a firm mattress is generally recommended, some people find that softer mattresses reduce their back pain. Your comfort is important.
• Sleep with a pillow. Special pillows are available to help with postural problems resulting from a poor sleeping position.
• Avoid sleeping on your stomach.
• Sleeping on your side or back is more often helpful for back pain.
• If you sleep on your side, place a pillow between your legs.
• If you sleep on your back, keep a pillow under your knees.
Your doctor of chiropractic can assist you with proper posture, including recommending exercises to strengthen your core postural muscles. He or she can also assist you with choosing proper postures during your activities, helping reduce your risk of injury.


3122 Golansky Blvd, Ste 102
Woodbridge VA 22192
703 730 9588

Friday, December 12, 2014

Winter Injury Prevention

I love my summer time weekend warriors!  You know the ones that roll right in to summer and begin running and climbing like they did when they were 18.  They usually call for appointments around week two of the softball league.  After they recover we go over that list of ideas I gave them last year to prevent these injuries.  Doroski Chiropractic Neurology in the Woodbridge, Dale City Virginia area would like to give you some tips toprevent the same injuries now that winter is here.

When snow, ice and frigid weather blast into town, watch out, says 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 not in shape. Even shoveling snow the wrong way, clambering awkwardly over snow banks, slipping on sidewalks and wearing the wrong kinds of clothing can all pose the potential for spasms, strains and sprains.

Simply walking outside in the freezing weather without layers of warm clothing can intensify older joint problems and cause a great deal of 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 avoid injury and costly health care bills.




"Simply put, warming up is essential," says Olympic speedskating gold and silver medalist Derek Parra. "In fact, when pressed for time, it's better to shorten the length of your workout and keep a good warm-up than to skip the warm-up and dive right into the workout. 

Skipping your warm-up is the best way to get hurt." Parra, who took both the gold and silver medals during the 2002 Winter Olympics in Salt Lake City, UT, adds that, "You can complete a good warm-up in 15-20 minutes. And believe me, it will make your workout more pleasant and safe."

Derek Parra and the ACA suggest that you start with some light aerobic activity (jogging, biking, fast walking) for about 7-10 minutes. Then follow these tips to help you fight back the winter weather:

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.

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. 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 can also wreak havoc on the musculoskeletal system. The 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 immediate professional help.

After any of these activities, if you are sore, apply an ice bag to the affected area for 20 minutes, then take it off for a couple of hours. Repeat a couple of times each day over the next day or two.

If you continue to feel soreness, pain or strain after following these tips, it may be time to visit a doctor of chiropractic. "I've always believed in chiropractic care," says Parra. "I've used a lot of other treatments for injuries and pain, but the problem doesn't get fixed until I go to a doctor of chiropractic."



3122 Golansky Blvd, Ste 102
Woodbridge VA 22192
703 730 9588