Chiropractor in Burke, VA - NOVA Chiropractic & Wellness Center

Dr. Todd P. Sullivan

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Growing Up with Good Posture

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Bottom Line:

“Sit up straight!” We’ve all heard it (or said it) a million times, but many people aren’t aware that poor posture as a kid can create health challenges later in life. Rounded shoulders (scapular protrusion), swayback (lumbar hyperlordosis) and a hunched upper back (thoracic hyperkyphosis) are all postural imbalances that place a tremendous amount of stress on the spine. The muscles supporting your spine consequently must work harder to support your body weight which can result in pain. These types of abnormal postures have been linked to everything from depression to decreases in energy and headaches to carpal tunnel syndrome.

Why it Matters:

Poor posture is usually caused by what kids aren’t doing instead of what they are doing. If your child is on their phone or playing a game on their tablet, they probably may not be moving and stretching very often. One of the most important things you can do to encourage good posture is to set a timer and have them stretch and change positions every 15 minutes. This will allow their spine, muscles and joints to decompress and reset. By breaking the pattern of poor posture, you can help reduce the likelihood of your child experiencing pain.

  • Over 50% of children display the clinical signs of abnormal posture.
  • Excessive weight and decreased physical activity are risk factors for postural issues.
  • Setting aside daily times for physical play can help support stronger muscles and improved posture.

Next Steps:

If your child is suffering from back pain, neck pain or headaches, postural issues may likely be part of the cause. Next time you’re in the office, ask us for a quick posture screen for your child. We would be happy to let you know how they can improve their posture and reduce the risk of future aches and pains!

 

Science Source:

Prevalence of postural deviations and associated factors in children and adolescents: a cross-sectional study. Fisioterapia em Movimento 2016

How Smartphones Are Killing Our Spines & What To Do About It

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It’s no secret that almost everyone has a smartphone. In fact, a series of surveys by The Pew Institute in 2015 showed that 64% of American adults now own a smartphone of some kind. They keep us connected, offer us flexibility, and provide us with access to endless information.

They have their drawbacks. Smartphones also do a number on your spine.

Frequently hunching over your phone, texting, surfing, or reading takes a toll on your spine in numerous ways.

Pressure

According to spine surgeon Kenneth Hansraj, looking down at your smartphone exerts up to 60 pounds of pressure on your head. This is serious wear and tear, and can set you up to be a prime candidate for degenerative issues.

Pain

The motion of texting or surfing the net on your smartphone can cause tightness in your shoulders, and pain radiating down your arms into your wrists and hands. Too many hours spent on your device can also cause upper and lower back pain.

Muscle spasms

Over time, your smartphone usage may damage your upper back to the point you begin dealing with muscle spasms, often attributed to “text neck.”

Instead of woefully shutting you beloved smartphone in a drawer, vowing to never use it again, realize there are ways to keep your phone and a healthy spine intact. You just need to take a few simple precautions. Here are four ways to prevent spinal issues from smartphone usage, and handle the ones you may already have.

#1: Be aware of your posture.

A few small changes to the way you use your smartphone can be the difference in ensuring your spine, neck, and back don’t end up suffering. Bring your phone up in front of your face, instead of leaning your head over and bending your neck to see your screen. This will keep the pressure off your neck, and minimize issues that could result.

#2: Take breaks.

Get off that phone, there’s a whole world out there! Avoid the temptation of keeping your nose stuck in your phone for an hour or more. Keep your surfing and texting to a few minutes at a time. Lay down your phone, stand up, or simply look around at your surroundings every few minutes. Frequent breaks give your spine a chance to relax, and relieve the pressure of bending your neck for a long period.

#3: Practice stretching.

Get in the habit of stretching your neck, raising your arms, rolling your shoulders, and twisting your back at the waste. These easy stretches are a quick way to loosen up body parts that can tighten up and cause injury over time.

#4: Visit a chiropractor.

If you begin noticing pain, spasms, or irritation in your neck, shoulders, or back that lingers, make an appointment with a professional chiropractor. Explain when the pain occurred, the severity, and the activity that started it. You may only require a simple adjustment to get re-aligned and gain relief from pain caused by overuse of your smartphone. A good chiropractor can also help decrease the chances of the injury worsening over time.

Nary a one of us are going to swear off our smartphones because of pain. However, by following these tips, improving our posture, and taking frequent breaks to stretch, we will be able to minimize the impact our phone obsession has on our spine. If you overdo it, make sure you get to an experienced chiropractor for an adjustment, so the issue is kept to a minimum.

Do Your Kids Have Tech Neck?

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Smartphones and tablets have quickly become a part of our everyday life. Many kids spend hours per day messaging with friends and playing the latest games. Often, it’s done with their neck bent forward, shoulders rounded, and arms holding the phone up in front of their eyes. New research has shown this type of awkward position can lead to a painful condition called “Tech Neck.”

Why it Matters:

Recently, Scientific Reports published a shocking paper which found a “horn” growing off the back of the head of kids who spent a great deal of time on their cell phones and tablets. This extreme variation of Tech Neck is suspected to be caused by constant pressure placed on the back of the head (the occiput) when the head is bent forward and chin is tucked. The excessive force can result in calcification of the soft tissue, which can start to look like a “horn” growing out of the back of the head! Did you know…

  • Kids may be spending up to 1400 hours per year in positions that cause tech neck.
  • Even 15 degrees of forward tilt can triple the weight of the head and stress on the spine.
  • Taking a break from mobile devices every 15 minutes can help reduce the likelihood of neck pain and headaches.

Next Steps:

Spending time on your favorite devices doesn’t mean that you start growing horns tomorrow. However, it does give an example of how and why we need to be smart about our posture and positioning when using our mobile devices. Encouraging your children to take a break and stretch is one of the best (and easiest) ways to break the bad habits that can lead to Tech Neck. If you have any questions, just ask!

 

Science Source:

Prominent exostosis projecting from the occipital squama more substantial and prevalent in young adult than older age groups. Scientific Reports 2018

How Heavy is that Backpack?

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Even though an iPad can store an entire library worth of books, most kids still trudge to and from school each day carrying an oversized and overweight backpack filled with heavy textbooks. While it may not seem like a big deal, recent studies have shown that carrying the weight of a typical backpack is one of the top reasons for kids to have back pain.

Why it Matters:

A vast majority of kids wear backpacks every day that weigh 15 lbs. or more. That’s a heavy backpack! Over time, the stress of the load can result in back pain, a rounding of the shoulders and postural changes. The spinal compression caused by heavy backpacks often has kids leaning forward to compensate, which begins a vicious cycle of postural issues, compensation and pain.

  • Up to 30% of kids may suffer from back pain due to carrying a heavy backpack.
  • Limiting the total weight of the backpack to less than 10% of your child’s body weight is recommended.
  • Instruct your child to wear their backpack with both shoulder straps fit snugly, so the backpack isn’t carried below the waistline.

Next Steps:

Kids typically choose their backpack based on what makes them look cool. We recommend taking a second look and making sure the straps are wide and padded, the size is appropriate (and not too big) and that it has compartments to help distribute the load. If your child has pain, numbness, or tingling, give us a call. We would be happy to help get them back on track!

 

Science Source:

Backpack weight and back pain reduction: effect of an intervention in adolescents. Pediatric Research 2018

How Chiropractic Helps Those That Suffer From Spondylolisthesis

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Chiropractic care is a drug-free, nonsurgical treatment for many types of conditions and to help manage pain. As more and more medical professionals are recognizing its effectiveness and viability for treating many issues in the body, chiropractic is gaining popularity and becoming the treatment of choice for many patients with chronic pain, back problems and other issues. In particular, it has been found to be a very effective treatment for spondylolisthesis. It can not only relieve the pain, but often return the patient’s mobility as well.

What is Spondylolisthesis?

 is a condition in which one vertebra slides forward over the vertebra that is below it. It is typically confined to the lumbosacral, or lower back area. It can become painful, causing lower back pain and weakness or numbness in one or both legs, when it causes the nerve roots or spinal cord to be squeezed. In severe cases, a patient can lose control of their bowel or bladder function, but this is fairly rare. However, any patient who begins to lose bowel or bladder control should contact their doctor immediately.

In some cases, a person’s vertebra can slip out of place without any symptoms being present. Sometimes the symptoms don’t show up until months or even years later. Symptoms of spondylolisthesis may include:

  • Low back pain
  • Pain in the buttock area
  • Pain that radiates from the lower back down one or both legs
  • Weakness in one or both legs
  • Leg muscles feel tight (one or both legs)
  • Limping or walking difficulties
  • Loss of bower or bladder control (rare)
  • Pain that increases when twisting or bending

How is Spondylolisthesis Diagnosed?

Spondylolisthesis is diagnosed by a doctor or chiropractor who may conduct several diagnostic tests. Typically, the doctor will take X-rays of the patient’s back to rule out certain conditions, especially if they suspect spondylolisthesis.

The X-ray will allow the doctor to see if any of the patient’s vertebrae have slipped out of place, or are cracked or fractured. An MRI or CT scan may also be ordered to better view the spine and see the extent of the damage.

What are the Treatments for Spondylolisthesis?

The treatment for spondylolisthesis is based on the actual damage identified by the doctor, the pain and mobility problems that the patient is experiencing, and the overall severity of the condition. Rest is the first course of treatment as well as ceasing the physical activities that may have caused the damage in the first place.

Pain may be managed by non-steroidal anti-inflammatory drugs such as naproxen and ibuprofen. Acetaminophen may also be administered for pain.

Other treatments for spondylolisthesis include:

  • Bracing
  • Weight loss (if the person is obese or overweight)
  • Physical therapy to strengthen the core
  • Epidural steroid injections
  • Surgery (in severe cases such as damage to the spinal cord or nerve root)

There are several types of surgery that may be used to treat spondylolisthesis. The surgeon may remove tissue or bone in order to relieve pressure on the nerves or spinal cord. Sometimes the doctor may opt for fusing the damaged bones into place so they can no longer slip. In some cases, both procedures are done. This type of treatment is usually a last resort because recovery can be lengthy and the patient will have to wear a back brace or cast while their back is healing.

Is Chiropractic Effective for Treating Spondylolisthesis?

Chiropractic is a drug-free, noninvasive treatment for spondylolisthesis. It is often a preferred treatment because the patient does not have to undergo painful surgery or take medication that could have undesirable side effects. There are three primary spinal manipulation techniques that may be used by the chiropractor:

  • Spinal manipulation specific to the restricted or impaired joints
  • Flexion-distraction technique which is a slow, gentle pumping action
  • Instrument assisted manipulation uses an instrument to apply gentle force to the spine

Chiropractic care has been found to be very effective in treating this condition, but prevention is always the best course of action. Regular exercise, healthy weight management, and regular chiropractic visits can help ward off many spine related conditions including spondylolisthesis.

How Upper Neck Misalignments Are Related To TMJ Dysfunction

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The temporomandibular joints, TMJ, are the lower jaw hinges that sit on either side of the head in front of each ear. They are responsible for the lower jaw opening, closing, sliding, and rotating. The TMJs are the most body’s most complex joints. The typical person uses them more than 5,000 times a day by talking, laughing, yawning, chewing, eating, smiling, and swallowing.

What is TMJ Dysfunction?

TMJ dysfunction occurs when one or both joints become inflamed or injured causing pain and immobility in the jaw area. Because these joints are used so often and tend to be far more mobile than most other joints in the body, they can be prone to pain.

It is important that both joints work together because if they don’t it could result in more pressure on one joint than the other and this could cause the pain and discomfort that is associated with TMJ dysfunction.

What are the symptoms of TMJ Dysfunction?

There are many symptoms of TMJ dysfunction and they may vary depending on the patient, the extent of inflammation or injury, and the cause of the dysfunction. The symptoms may appear suddenly when there is injury to the joint, or they can gradually develop over a period of months or even years. They may be mild and barely noticeable or they can be severe and debilitating. The most common symptoms of TMJ dysfunction include:

  • Jaw pain
  • Jaw pain when moving the joint such as chewing or talking
  • Popping or clicking of the joint
  • Pain in the face or side of the neck
  • Locking jaw
  • Headaches
  • Toothache
  • Earache
  • Clogged or “stopped up” ear
  • Ringing in the ears (tinnitus)

TMJ dysfunction can significantly impact a person’s quality of life because the pain prevents them from doing many things they normally do, and often the jaw itself simply no longer functions as it should.

What causes TMJ Dysfunction?

Damage to the joint is the primary cause of pain associated with TMJ dysfunction. This can be the result of trauma such as:

  • Dental work
  • Sports injury
  • Getting punched or hit
  • Car accident
  • Slip and fall accident

Subtle movements done repetitively can also cause TMJ dysfunction:

  • Grinding teeth
  • Holding a phone between the head and shoulder
  • Clenching teeth
  • Nail biting
  • Gum chewing (excessive)
  • Eating hard or tough foods

How can upper neck misalignment cause TMJ dysfunction?

When the upper neck sustains trauma such as whiplash it can cause a misalignment. This can also cause TMJ dysfunction in a couple of ways. It can cause one side to work harder or sustain more pressure than the other, or it can put excess pressure on the trigeminal nerve. This causes irritation and inflammation.

When left untreated, the condition can become severe. The misalignment keeps the joints from working as they should because opening and closing the jaw pinches the disc. This results in painful spasms in the shoulder and neck muscles when the patient does simple, everyday activities like talking, smiling, eating, or laughing.

Chiropractic for TMJ dysfunction

Chiropractic can be a very effective treatment for TMJ dysfunction, especially if it is due to neck misalignment. A chiropractor will perform spinal adjustments in order to realign the spine and neck, bringing the body back into balance. This will allow the jaw to work as it should, minimizing rubbing or friction in the joint.

The patient may also be told to apply heat, massage, and do special exercises for TMJ dysfunction that will help the joints heal and help to minimize the pain.

TMJ dysfunction is not always easy to diagnose so it is wise to talk to your chiropractor and get a diagnosis before attempting any treatment or home remedies for TMJ. Regular chiropractic treatment can not only relieve the pain of TMJ and help to heal it, it can also help prevent it. Your chiropractor can be a great ally in this endeavor.

Headache Types: The Facts You Need to Know

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Death, taxes, and…headaches? Almost everyone will experience a headache at some point in their life, and over 50% of people will deal with the effects of headaches in a given year. Fortunately, headaches are rarely life-threatening. However, for people dealing with chronic headaches…they can dramatically impact your quality of life.

Why it Matters:

 The International Headache Society has classified over 150 different types of headaches. The most common are migraines, tension and cluster headaches. Knowing what kind of headache you’re dealing with is the first step towards finding the best plan of care to find relief.

  • Migraine: sensitivity to light and sound is common during migraine headaches, and approx. 1/3rd of people will experience an aura before the onset of a migraine.
  • Tension: almost everyone will experience a tension headache during their life. Stress, anxiety, dehydration, and even posture, can trigger a tension headache.
  • Cluster: affecting more men than women, cluster headaches causes severe pain behind or around the eye and can last anywhere between 15 minutes to 3 hours!

Next Steps:

Now that you’ve identified your headache type, we can start to unpack the root cause. Next week, we’ll cover the top 3 causes of headaches so you will be able to take your first steps towards prevention. Often a few simple changes in your daily routine have the potential to reduce or eliminate chronic headaches for good! And if you have questions in the meantime, just ask!

 

Science Source:

Mayo Clinic. Headache. 2018

What Is Occipital Neuralgia?

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Many headaches that people classify as migraines are actually not migraines at all. Two of the most common headaches confused with migraines are sinus headaches and occipital neuralgia.

The condition 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:

  • Rest
  • Heat
  • Physical therapy
  • Anti-inflammatory over the counter medication
  • Massage
  • Chiropractic

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.

The patient stands a better chance of staying pain free when taking this treatment route.

4 Easy Stretches that Alleviate Piriformis Syndrome Pain

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Root canals. Kidney stones. Piriformis syndrome.

These are all ailments that are painful and no fun! Piriformis syndrome especially is a pain, in, well, the butt.

Seriously, people suffering from Piriformis syndrome have frequent and sometimes severe pain and numbness through the buttocks and down their legs. This occurs when the Piriformis muscle spasms. When this happens, it can end up also aggravating the sciatic nerve, which compounds the pain with tingling and numbness.

The Piriformis is a short, small muscle deep inside our hips, and helps rotate our legs both outward and inward. Because of its proximity to the sciatic nerve, this little body part can cause big problems, and hinder our ability to run, or even walk, through our daily activities with ease.

Fortunately, there are a variety of exercises that help stretch and relax the Piriformis muscle, giving sufferers much-needed relief from the pain and numbness it causes. If you are dealing with Piriformis syndrome, try these stretches to get yourself back on your feet and moving, pain-free.

The “Knee Up” Stretch

Lie on the floor, use a mat or thick rug for comfort, on your back. Stretch both legs out, with your arms to your sides. Bend one of your legs at the knee and use your hand to pull it toward the opposite shoulder Hold for ten to thirty seconds. Straighten out that leg, and then do the same motion with the opposite leg and shoulder.

The “Cross Arm” Stretch

Arrange yourself in a sitting position. The bottoms of your feet should be touching each other, with your arms crossed and your hands resting on the opposite leg. Push both knees down toward the floor until you feel the stretch inside your thighs. Hold the position for a count of 30, then relax for a few seconds and repeat up to five more times.

The “Standing” Stretch

This is a handy exercise you can do in the bathroom at work, in a hotel, or anywhere that you would rather not lie on the floor.

Begin in a standing position with both feet flat on the floor, with your feet a shoulder-length apart.  Don’t lock your knees, and keep your back straight. Lift one knee up and grasp it with both hands. Make sure you keep the knee parallel to the corresponding hip. Use your hands to pull your knee toward the opposite shoulder until you feel a pull along the side of your buttocks. Hold up to one minute, or as long as you can balance. Repeat the action with the other leg. Try to do it three times for each leg.

The “Sit and Bend” Stretch

This is another convenient exercise that doesn’t require getting on the floor. Choose a solid, straight-backed chair that doesn’t roll, sit, and bring one leg across the other, resting your ankle on your other leg. Slowly lean forward until you feel a pull along the crossed leg. Hold for up to 30 seconds. Repeat with the other leg, stretching each side 3 times.

Remember that consistency is key. Perform these exercises at least once a day, every day, until your pain and numbness is gone.

These four simple exercises help you make great strides in recovering from Piriformis syndrome. However, if you perform these for several days and still have pain, or experience pain while attempting the stretches, it is a good idea to make an appointment with a professional chiropractor. He or she will be able to evaluate your condition and offer a comprehensive treatment plan to treat the Piriformis so it doesn’t get worse, or cause additional issues with your sciatic nerve.

What Chiropractic Patients Want to Know About Sacroiliac Joint Dysfunction

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You try to stand up from a seated position and feel a stab of pain in your lower back. It may even shoot through your hip, buttock, or down the back of your thigh. The pain may even get worse then you walk uphill or sit for a long period of time. While these symptoms could mean a pinched nerve, lumbar disc herniation, hip bursitis, or degenerative hip disease, it could also be sacroiliac joint dysfunction.

What is Sacroiliac Joint Dysfunction?

The sacroiliac (SI) joint is located in the pelvis. It is very strong as it is a weight bearing joint connecting the pelvis to the sacrum. It is surrounded by tough ligaments that reinforce it, providing added support.

There is an SI joint located on each side of the sacrum and they work together, moving as a single unit to act as a shock absorber for the spine and for transmitting force of the upper body. Just like any other joint in the body, the SI joint can be injured or diseased, causing it to become unstable and inflamed, causing pain and limited mobility.

What Causes SI Joint Inflammation?

While doctors have not established how the pain is generated, it is believed that it is due to a change in the normal motion of the joint. This could occur due to:

  • Hypermobility (Instability or Too Much Movement) – This can cause the pain to reside in the lower back. It can also be felt in the hip or both the hip and lower back and may even radiate into the groin.
  • Hypomobility (Fixation or Too Little Movement) – This can cause the pain to reside in the lower back or buttocks and may radiate down one leg, usually in the back of the thigh. It usually doesn’t reach the knee, but sometimes can even reach the ankle and foot. In this way, the condition mimics sciatica.

Sacroiliac joint dysfunction typically affects women who are young or middle aged. Older women and men are rarely affected although it does happen.

What are Treatment Options for Sacroiliac Joint Pain?

When SI joint pain is initially diagnosed the treatment is usually fairly conservative. Medication, physical therapy, and injections are used by doctors for pain management.

NSAIDs and other similar medications decrease inflammation and reduce pain, while physical therapy can readjust the SI joint in cases where it is dislocated or immobilized. It also includes exercises that stabilize the joint for pain management over the long term.

Steroid injections directly into the sacroiliac joint can help with the reduction of inflammation and pain while making physical therapy more effective. When steroid injections are effective but the effects are temporary there is another non-surgical treatment that is sometimes used called RFA, or radiofrequency ablation.

In cases where the conservative methods do not achieve the desired results there are surgical options that provide pain reduction and stabilization on a more permanent scale. SI fusion involves fusing the joint, providing relief.

However, there is a treatment option that is non-invasive, doesn’t involve steroids or medications that could have harmful side effects – chiropractic.

Chiropractic for Sacroiliac Joint Pain

There are two chiropractic treatments that are typically used to treat SI joint pain:

  • Spinal manipulation – This is the traditional chiropractic adjustment that is also known as high-velocity, low-amplitude (HVLA) thrust.
  • Spinal mobilization – This is a less forceful, gentle chiropractic adjustment also known as low-velocity, low-amplitude thrust.

Chiropractic is proven to be an effective, non-invasive, gentle method for relieving the pain and inflammation of SI joint dysfunction. No medication, no surgery, just relief.

So if you’ve been suffering from sacroiliac joint dysfunction, give us a call at 703-912-7822.