Chiropractor in Burke, VA - NOVA Chiropractic & Wellness Center

Dr. Todd P. Sullivan

back pain

What Is A Frozen Shoulder?

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Adhesive capsulitis, also known as frozen shoulder, is a condition that causes pain and stiffness in the shoulder joint. The onset of symptoms is gradual, steadily worsening over time, then resolving. The entire process occurs over a one to three-year period. The limited range of motion in the shoulder that is a primary symptom is also one of the signs that doctors use to diagnose the condition. An x-ray may be used to determine if an underlying condition such as a broken bone or arthritis may be causing the problem.

What Causes Frozen Shoulder?

The shoulder is one of the most dynamic joints in the body. It has a very wide range of motion and endures a lot of wear and tear with normal use. The joint is a network of ligaments and tendons that connect bone and muscle. It is all encased in connective tissue capsule. When that tissue thickens, it constricts to tighten around the shoulder joint. This restricts movement and causes pain.

In some cases, the cause is due to an injury or other conditions, but in other cases the cause is unknown. There is some evidence that suggests people with diabetes and other chronic diseases are more likely to develop the condition. It is also more prevalent in people who have had an arm fracture or surgery – something that causes them to keep their shoulder immobilized for an extended period of time. Women (particularly postmenopausal women) tend to be at higher risk and it most often occurs in people who are 40 to 70 years old.

Treatment for Frozen Shoulder

Most treatments for frozen shoulder focuses on preserving the joint’s range of motion and minimizing pain. Over the counter medications like ibuprofen and aspirin are usually the first line of defense. They help reduce inflammation and pain. However, in more severe cases a doctor may prescribe anti-inflammatory drugs and pain medication. Physical therapy may also be an option.

Other treatments for frozen shoulder include:

  • Shoulder manipulation – while the patient is under a general anesthetic, the doctor moves the shoulder to loosen the tightened tissue.
  • Joint distension – sterile water is injected into the joint capsule. This stretches the tissue and improves range of motion.
  • Steroid injection – corticosteroids are injected directly into the shoulder joint.
  • Surgery – this is a last resort so it’s very rare, but the doctor may go in and remove the adhesions and scar tissue from inside the shoulder joint.

Chiropractic for Frozen Shoulder

Chiropractic is an effective treatment for frozen shoulder. Many patients see their general practitioner first to get a diagnosis and to make sure that there are no underlying conditions that should be treated before chiropractic is pursued. However, most chiropractors do have the capabilities to use x-rays and other diagnostic tools to adequately assess the patient.

A 2012 study involved reviewing the case files of 20 males and 30 female patients with frozen shoulder who underwent chiropractic treatment. All subjects sought treatment between 11 and 51 days with the median being 28 days. Of the 50 cases:

  • 16 resolved completely
  • 25 were 75% to 90% improved
  • 8 were 50% to 75% improved
  • 1 was 0% to 50% improved

Chiropractic can help reduce the pain, improve the shoulder’s range of motion, and speed recovery. The treatment depends on the symptoms that are present, how progressed the condition is, and how long the patient has had the condition.

One common chiropractic technique used to treat frozen shoulder is the Niel Asher Technique. It involves the manipulation of the joints and muscle tissues. The chiropractor applies pressure and stretches key points to help reduce pain and resolve the condition. It can make a tremendous difference in the patient’s life.

How Chiropractic Helps Relieve Tension Headaches

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We live in a stressful world. Life happens; it moves so fast. There are pressures coming at you from all directions. Eventually it catches up with you and it’s your body that bears the brunt of it. Tension are your body’s way of telling you that it is under stress – probably too much stress.

It’s hard to escape stress in today’s society so if you find that you are exhibiting physical symptoms of stress, it might be time to make some changes. If tension headaches are one of those symptoms, you’re in good company – about 90% of adults in the US have headaches. Many of them are tension headaches.

Symptoms of Tension Headaches

Tension headaches are distinctive and can be very painful. The good news is, they are rarely an indication of a more serious condition – other than a stressful lifestyle. Some of the most common symptoms of tension headaches include:

  • Muscle tightness in the neck, jaw, and shoulders – may also be sore.
  • Headache that originates at the back of the head and moves forward over the top and sides.
  • Sleep problems.
  • Squeezing pain or dull pressure in the head, may also be described as a tight band or vice around the head.
  • Trouble eating.
  • Pain or pressure in both sides of the head equally.

Sometimes tension headache symptoms can occur prior to a migraine. In other words, a tension headache can turn into a migraine headache and may be considered a migraine trigger.

Causes of Tension Headaches

The actual cause of tension headaches is not known. Researchers have some idea of potential triggers, but recent advancements in medicine have debunked the belief that they are caused by the tightening of muscles in the scalp, shoulders, neck, and jaw. Scientific tests show that then a person has a tension headache, muscle tension does not increase. Newer theories indicate that a likelier cause involves changes neurotransmitters (chemicals in the brain) which includes serotonin. This is similar to a migraine.

While researchers do not know the exact levels of neurotransmitter fluctuations, they do have evidence that it activates the brain’s pain pathways. The tightness in the muscles could be part of the physiological changes that trigger the fluctuations in neurotransmitters, or the neurotransmitter fluctuations could cause muscle tightness.

Some common triggers of tension headaches include:

  • Stress
  • Clenching the jaw
  • Alcohol or drugs
  • Overexertion
  • Certain medications (even some medications for headaches which can cause rebound headaches)
  • Keeping your head in one position for too long (like using a cell phone or computer)
  • Depression
  • Fatigue
  • Grinding teeth
  • Neck or head injury (even old injuries)
  • Sleeping in a cold room or in an awkward position.
  • Arthritis
  • Anxiety
  • Hormonal changes
  • Sleeping on a worn-out mattress or the wrong pillow
  • Dehydration
  • Skipping meals
  • Eye strain

Certain foods can also be triggers for tension headaches. Additives and preservatives in prepared foods, even high sodium, can cause a headache.

Sinus and allergy problems can also accompany or lead to tension headaches.

Tension Headache Treatment

Over the counter and prescription medication may be recommended for tension headaches, but a good portion of the treatment involves lifestyle changes. Relaxation techniques, dietary changes, and exercise are all common treatments for tension headaches. Patients may be advised to stop smoking, limit alcohol consumption, or avoid certain foods.

Many patients find that keeping a headache journal is very useful in pinpointing triggers. There are several headache tracking apps that you can install on your smartphone and use them to get a better handle on your headaches.

Chiropractic for Tension Headaches

Chiropractic is a very effective, natural treatment for tension headaches. In addition to recommended lifestyle changes, the chiropractor may also make adjustments to realign the vertebrae and spine. The chiropractor may also use massage and other treatments that encourage relaxation of the muscles and relieve stress. He or she will use spinal manipulation of the neck and upper back to bring the body back into alignment, relieving not only the pain, but the tension as well.

What Is De Quervain’s Tenosynovitis?

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De Quervain’s Tenosynovitis, also called “washerwoman sprain,” is a condition of the hand that typically affects people who do continuous, fast, repetitive movements. The patient can experience a sudden onset of the condition or it can be gradual, beginning with tenderness in the thumb area and slowly progressing. It can restrict activity, but it doesn’t have to be a long-term disability. Chiropractic care can help relieve the symptoms of De Quervain’s Tenosynovitis and the hand can return to normal function.

What Is De Quervain’s Tenosynovitis?

De Quervain’s Tenosynovitis is a condition affecting the thumb side of the wrist. It is a very painful condition that makes many everyday activities difficult or impossible. Many activities like playing golf, lifting a child, garden work, and racket sports can worsen the condition.

What are the Symptoms of De Quervain’s Tenosynovitis?

There are several distinctive symptoms of De Quervain’s tenosynovitis which include:

  • Pain near or at the base of the thumb
  • Difficulty moving or controlling the thumb and wrist when doing activities that involve pinching or grasping
  • Swelling near or at the base of the thumb
  • A “catch” or “sticking” sensation when moving the thumb

If the condition is allowed to progress or goes untreated it can involve the forearm and entire thumb, causing pain and swelling in those areas. The pain and symptoms can be exacerbated by movements that involve the wrist and thumb. The symptoms can last for a long time, weeks or even months.

What causes De Quervain’s Tenosynovitis?

The exact cause of De Quervain’s Tenosynovitis is not known, but the condition is commonly associated with chronic overuse of the wrist. There are tendons that connect the wrist and lower thumb, enabling movement like grasping, gripping, pinching, and wringing. The tendons slide through a sheath as they facilitate the movement. Over time, the sheath can swell and thicken which inhibits the amount of the tendon’s movement. When the movements are repetitive, it can cause irritation of the sheath, resulting in inflammation.

Who is at Risk for De Quervain’s Tenosynovitis?

Research has identified several groups that are at risk for developing De Quervain’s Tenosynovitis:

  • 30 to 50 years of age with a higher concentration statistically around 40
  • Female
  • African ethnicity or descent
  • Pregnant
  • Caring for a child or baby
  • Works at a job that involves repetitive wrist and hand motions
  • Excessive text messaging on a smartphone or cell phone (can include younger

This condition has typically been considered to be one that affects people who are middle-aged. However, with the popularity of texting, many young people experience symptoms of De Quervain’s. In one study, more than half of students who texted extensively were labeled positive for De Quervain’s.

What are the Treatments for De Quervain’s Tenosynovitis?

Treatment for De Quervain’s Tenosynovitis include:

  • Resting the affected thumb and wrist
  • Bracing or immobilization
  • Ice to the affected area
  • Anti-inflammatory medications like ibuprofen and naproxen

If standard treatment is not effective it may be necessary to seek medical attention. If the condition is severe or chronic, the doctor may inject corticosteroid directly into the tendon sheath. Surgery for De Quervain’s is not common, but it may be deemed necessary in order to release the thumb. The speed of healing and degree of normal use of the thumb depends on the treatment chosen and if the activity that exacerbates the condition is stopped.

Can Chiropractic Help De Quervain’s Tenosynovitis?

A chiropractor may recommend rest, ice, and bracing for a patient with De Quervain’s Tenosynovitis. Upon reviewing the patient’s lifestyle and habits, he or she may also advise ergonomic changes, modification of activity, and reduce exposure to positions that exacerbate the symptoms. Soft tissue therapies may be used to quickly bring relief to the soft tissue, minimizing the inflammation and pain. As the pain decreases, the chiropractor will recommend specific strengthening and stretching exercises that involve the wrist, thumb, and forearm.

With regular care and modification to activities, the condition can be healed and full mobility of the thumb and wrist can be restored.

Baker’s Cyst: How Chiropractic Can Help Alleviate Its Pain

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A baker’s cyst can cause pain, swelling, and limit the mobility in the affected knee. In some cases, complications can develop, causing serious problems with the leg. The problem with this type of cyst is that even if it is drained, if the underlying cause isn’t address, the cyst can return. Chiropractic can be used to treat baker’s cyst and help relieve the pain that it causes.

What is a Baker’s Cyst?

A Baker’s cyst, also known as a popliteal cyst, is a fluid filled lump behind the knee. Synovial fluid builds up to form the benign cyst. It starts inside the knee but eventually extruded through the back part of the knee and forms a lump. Many times there is no discomfort of pain from the cyst, although there may be some pressure on the back side of the knee. The pain that is often associated with a Baker’s cyst is usually caused by the underlying problem that causes it. In some cases, a Baker’s cyst can become large enough to inhibit movement which can impact mobility.

What Causes a Baker’s Cyst?

A Baker’s cyst is caused by overproduction of synovial fluid in the knee that leads to the fluid building up and forming a lump. There are several reasons that this can happen, including knee joint inflammation and injury to the knee. A meniscal cartilage tear or other cartilage injury of the knee can cause a cyst to develop. Certain types of arthritis in the knee, such as osteoarthritis and rheumatoid arthritis can cause the excess fluid to accumulate. Knee arthritis, a common condition among older adults, can also cause the development of a Baker’s cyst.

What are the Potential Complications of Baker’s Cyst?

Sometimes the location or size of a Baker’s cyst can cause swelling in the back of the knee. The cyst itself can be as large as a golf ball. This can put pressure on the joint, making it difficult to bend the knee. This pressure can extend through the calf muscle. The patient may experience tenderness and pain after exercising.

In rare cases, a Baker’s cyst can burst, causing the synovial fluid to leak into the calf. This can cause swelling and knee pain that is sharp and can be intense. The patient may notice redness in the calf or experience the sensation of water running down the back of the calf area. Because symptoms of a burst Baker’s cyst can closely resemble a blood clot in the leg, the patient should seek immediate medical attention to rule out a more serious condition.

How is a Baker’s Cyst Treated?

Some no treatment for popliteal cysts and they go away on their own. If a form of arthritis is causing the cyst, treating that problem may resolve the cyst. The same goes for a cyst caused by an injury to the knee. Once the injury is resolved, the cyst typically resolves as well.

If the cyst does not go away or if it is problematic, causing intense pain or limits mobility, the patient may talk to their doctor about getting it drained. The doctor will use a needle, insert it directly into the cyst and drain the fluid. Steroid medications may also be prescribed to reduce inflammation and swelling. In very rare cases, surgery may be required to remove the cyst.

Chiropractic for Baker’s Cyst

Many patients choose to seek chiropractic care to treat a Baker’s cyst because it is noninvasive and does not use medications that can have unpleasant or harmful side effects. The chiropractor will assess the cyst and conduct diagnostic tests to determine the cause. This will help them decide the best course of treatment. Dr. Sullivan uses a combination of Laser Therapy, Acupuncture and Active Release Techniques to treat the bakers cyst. This will help reduce the pain, inflammation, and swelling. Chiropractic is also an effective treatment for arthritis so if that is the cause of the cyst, regular chiropractic care can help considerable. Often, once the underlying condition is corrected, the cyst goes away on its own.

Low Back & Leg Pain: How Chiropractic Helps Radiculopathy

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Low back pain affects millions of people each year and is the number one cause of disability worldwide. In the US, it is estimated that 31 million people experience pain in their lower back. It is prevalent and can be debilitating. As patients search for relief, they soon find that not all lumbar pain is created equal. There are many causes and treatments vary widely depending on the issue. Radiculopathy is a condition that can contribute to lower back pain, but chiropractic care can help patients better manage it.

What is Lumbar Radiculopathy?

Radiculopathy is associated with some of the most significant causes of chronic or acute low back pain. However, it is important to note that the condition itself does not cause the pain. Instead, elements of radiculopathy, such as disc herniation, nerve root impingement, and facet arthropathy are actually what cause the pain.

Radiculopathy is a condition of the spine that occurs when a nerve is compressed, causing pain, weakness, tingling, or numbness along the nerve’s course. In the lower back, that course is in the leg. While it is most common in the lower back, radiculopathy can occur in the cervical or thoracic regions of the spine as well.

Symptoms of Lumbar Radiculopathy

The symptoms of lumbar radiculopathy include pain, tingling, and numbness in the legs. Some patients experience extreme, painful sensitivity to light touch.

The nerves in the lumbar region of the spine supply sensations to the buttocks and legs as well as control muscles. So, when a nerve is compressed in the lumbar spine, those are the areas that are affected. The condition is often called a “pinched nerve” or sciatica because of the way that the pain radiates through the buttock and into the leg.

Causes of Radiculopathy

Irritation or compression of certain nerves are what causes radiculopathy, but it is worth looking at the causes of this irritation or compression to see the deeper cause of radiculopathy. These may include mechanical nerve compression due to:

  • Bone spur
  • Disc herniation from osteoarthritis
  • Thickening of surrounding ligaments
  • Infection
  • Tumor
  • Scoliosis

Degeneration or trauma can cause inflammation in the spinal nerves which can lead to pain.

Who is at Risk for Radiculopathy?

Certain people are more prone to radiculopathy based on the activities they engage in and their genetics. Patients who regularly engage in contact sports, heavy labor, or any activity that puts a repetitive or excessive load on the back are more likely to have the condition. Patients who have a family history of spine disorders, including radiculopathy are also more at risk of developing it.

Chiropractic for Lumbar Radiculopathy

A review published in the Journal of Chiropractic Medicine examined 162 patients with radiculopathy who were treated with chiropractic care. Of those patients, more than 85% not only experienced pain relief, but their conditions were resolved. This was done over 9 treatment sessions. Most of the patients saw improvement of their symptoms within 4 days of their first treatment.

There are a number of treatments for lumbar radiculopathy, including pain medication, epidural steroid injection, and surgery. However, chiropractic care is non-invasive and does not have the unpleasant, sometimes harmful of many pain medications. It is safe and effective, treating the entire body instead of just the part that hurts.

When treating lumbar radiculopathy, the chiropractor may use several techniques such as spinal adjustments as well as stabilization exercise and neuromobilization. They will also work with the patient to determine if there are engaging in any activities that increase their risk factor for the condition. In some cases, the chiropractor may recommend certain lifestyle and dietary changes to increase whole body wellness and a stronger, healthier spine.