Is there any evidence based rationale for using a Merrifield Chiropractor?

evidence based photo

Injuries to your Muscles or Skeleton

Soft tissue musculoskeletal injuries and pain are an epidemic. They include back and neck pain, and headache from neck injury, and are the largest and most costly type of claim for employees, workers’ compensation insurers and automobile insurers in the western world. They also account for the lion’s share of chiropractic care center in Merrifield. Despite the fact that Merrifield VA chiropractic doctors believe chiropractic care has far-reaching beneficial effects throughout the body and that it promotes wellness in addition to providing pain relief, the fact is that most patients seek chiropractic care for musculoskeletal injuries. This is not all that surprising however over the last few decades; a huge body of research has provided overwhelming evidence that chiropractic care is ideal for these injuries.

                As a result the U.S. Department of Health and Human Services and numerous government agencies abroad have issued guidelines that recommend chiropractic care for both acute and chronic back pain. In addition, recent legislation in the United States has provided coverage of chiropractic care for all active duty military personnel and will add chiropractic doctors within and throughout the military health care system. Even more recently, Congress mandated that chiropractic care be available for our veterans, and is slowly being implemented by the Department of Veterans Affairs.

                Along the same path, the worker’s compensation system in Ontario, Canada some years ago adopted guidelines for care of back pain that support all major chiropractic methods of care including spinal manipulation (also called adjustments), exercise, and return to normal activities as opposed to bed rest. In Ontario, chiropractic care has been paid for not only by the government’s general health care plan, but also under car insurance benefits under their workers’ compensation plan since the 1970’s.

                Ontario has the largest industrial base in Canada. Their Workplace Safety and Insurance Board (WSIB) covers all workers’ compensation claims there and is one of the largest workers’ compensation authorities in the world. While they already covered chiropractic care, they wanted to know what type of care was best for back injuries. They established a multidisciplinary panel of experts from various health professions to review all the literature and produce an evidenced-based program of care for acute back injuries. Then they tested the plans for six months and developed a final plan of care for both acute and sub-acute phases. They defined acute as within four weeks of injury and sub-acute as weeks 5-12. Then they did a separate but similar undertaking for chronic low back pain that persists more than 12 weeks.

                For the acute phase they recommended care consistent with the scientific evidence and chiropractic management. TO heal the injury they recommended spinal manipulation or mobilization, instruction in and supervision of exercises, encouraging the activities of daily living, and patient reassurance. For pain relief they suggest non-prescription pain medications like aspirin, but only as a temporary measure in conjunction with other pain relief methods like heat/ice and manipulation/mobilization.

                For the sub-acute phase the recommendations are similar with a greater emphasis on a program of exercise focusing on strength, flexibility, and return to job function. For either the acute or sub-acute phase a host of treatments were not recommended, including prolonged or total bed-rest, biofeedback, magnet therapy, and others.

                For the chronic phase the report on the literature review found manipulation and exercise effective, but not pain medications. In addition, because by the time pain gets chronic, there are often social or psychological issues with it, they found psychologically based techniques (cognitive-behavioral, or relaxation) typically combined with exercise to be effective.

                The chiropractic approach to back pain is clearly supported by the scientific literature and by government panels. Yet an amazing number of people still suffer with back pain, taking pain pills daily or even resorting to surgery without trying chiropractic.

Dr. Shirine Hegazi is a premier chiropractor in the Northern Virginia area, specializing in sports rehabilitation and alternative health care. Dr. Hegazi takes a scientific approach to accurately diagnose and eliminate the causes of his patients symptoms. Connect with him on Facebook, Twitter and Google+.

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Common Misconceptions about Coconut Oil, Weight Loss office Fairfax

Coconut Oil

It is a common misconception that coconut oil is bad for you. People all over the world are experiencing the healthy benefits of using coconut oil. It is actually one of the healthiest oils you can consume. Here are the top seven reasons why you should use coconut oil as an alternative to other common cooking oils.

1. Coconut oil doesn’t turn to fat in your body.

Unlike many other common oils, like soy (vegetable) and corn, coconut oil won’t make you fat. Coconut oil contains medium-chain triglycerides (MCT), which are an easy fuel for the body to burn, without turning to fat. Most other cooking oils and fats contain long-chain triglycerides (LCT). LCT’s are usually stored as fat. Since coconut oil is a MCT, it is more easily absorbed and converted to energy quicker.

People in the tropics have relied on coconuts as a traditional staple in their diet for centuries. They consume large amounts of coconut oil every day. Instead of getting fatter, it helps them stay healthy, lean and trim. When they switch from coconut oil to our modern oils, they develop obesity and the health problems that our modern society faces.

Some other people who have known this truth for a long time are people who are in the animal feed business. When livestock are fed vegetable oils, they put on weight and produce more fatty meat. When they are fed coconut oil, they become very lean.

2. Coconut oil increases your metabolism.

Not only does coconut oil convert to energy quicker in your body, it increases your metabolism, which promotes weight loss. Because it boosts your metabolism, it helps your body burn fat more effectively. Read here about our popular Weight Loss Clinic in Fairfax Va.

Coconut oil may triple your calorie burn. Since coconut oil is a MCT, it is converted to energy so quickly that it creates a lot of heat. In a study published in the American Journal of Clinical Nutrition, MCT’s burn three times more calories for six hours after a meal than LCT’s.

The February 15, 2005 issue of Woman’s World magazine stated that coconut oil is the “underground high-metabolism secret.”

This is great news for people who have thyroid problems, since coconut oil improves sluggish thyroids by stimulating the production of extra thyroid hormones. Most other common oils, like vegetable (soy) and corn have been shown to inhibit thyroid function.

3. Coconut oil has omega 3 fatty acids.

Most cooking oils contain omega 6 fatty acids, something we get way too much of in the United States. Our omega 6 to omega 3 ratio should be 1:1 but it is more like 50:1. We need to drastically cut back our omega 6 oils and consume much more omega 3 oils to be healthy. And coconut oil is filled with these healthy omega 3 fatty acids.

4. Coconut oil gives you energy.

Because of the healthy omega 3 fatty acids and the fact that it increases the metabolism, most people that switch to coconut oil feel a burst of added energy in their daily life.

This is because coconut oil is nature’s richest source of medium-chain triglycerides (MCT’s), which increase metabolic rates and lead to weight loss. MCT’s promote thermogenesis, which increases the body’s metabolism, producing energy.

This is because coconut oil is nature’s richest source of medium-chain triglycerides (MCT’s), which increase metabolic rates and lead to weight loss. MCT’s promote thermogenesis, which increases the body’s metabolism, producing energy. Many people with chronic fatigue syndrome and fibromyalgia have found that adding coconut and coconut oil to their diet was helpful to them.

5. One of the best things you can use on your skin and hair is coconut oil.

Coconut oil one of the best things you can apply directly on your skin and hair. It gives temporary relief to skin problems like rashes. It aids in healing and restoring skin to a younger appearance. It has also been known to help with people who suffer from yeast infections in the skin, as well as many other skin problems.

Not only does is soften and smooth your skin, coconut oil has antioxidant properties that protect the skin from free radical damage. Coconut oil makes excellent massage oil too.

6. Coconut oil has healthy benefits that most other oils do not.

Evidence is mounting that coconut oil has anti-fungal, anti-bacterial and anti-viral effects when both consumed and used topically on the skin.

Most oils oxidize and turn rancid very quickly causing free radical damage in our bodies. Coconut oil is not easily oxidized and does not cause harmful free radical damage like polyunsaturated vegetable oils. Free radical damage is thought to be responsible for many ailments in our body from arthritis to increased susceptibility to cancers.

Coconut oil also helps our bodies absorb other nutrients more effectively, such as Vitamin E.

7. Coconut oil is one of the best oils you can use for cooking.

It has a higher smoke point than olive oil, which means it can take higher temperatures better. There are several healthy omega 3 oils we can choose to consume, such as flax and olive oil, but they don’t do well under the high heat we use for cooking. Coconut oil can be used in higher cooking temperatures.

It is harder for coconut oil to go rancid, unlike other cooking oils, which are usually rancid long before you even bring them home. Rancid oils cause free radical damage in the body, which is a leading cause of cancer. Coconut oil is stable for over a year at room temperature.

Because of the misinformation we have been given for years, we have lost out on the healthy benefits that coconut oil has given the people of the tropics for centuries. But now it has been rediscovered! Coconut oil is so effective, it won’t be long before we see coconut oil supplements promoted, but you can get the jump on the popular crowd and start consuming and cooking with coconut oil today!

Dr. Shirine Hegazi is a premier chiropractor in the Northern Virginia area, specializing in sports rehabilitation and alternative health care. Dr. Hegazi takes a scientific approach to accurately diagnose and eliminate the causes of his patients symptoms. Connect with him on Facebook, Twitter and Google+.

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Chiropractic Care in Fairfax VA and Exercise

Woman exercise for harvard article

Chiropractic Care and Exercise

                Chiropractic care and exercise go hand in hand as an ideal combination for building and improving overall health as well as for speeding recovery from injury. While fairfax va chiropractic care and exercise work ideally together for injuries and rehabilitation, add a healthy diet, plenty of sleep, and lots of clean water and you have a recipe for excellent health. (Of course you simply may not smoke and should drink alcohol only moderately, if at all). While eating a healthy diet may seem hard we can help advise you. And exercise can be really tough in the beginning but it gets easier and easier. The key to it, like for fairfax chiropractic care, is to just make time for it. Once you get started you will want to continue because you will love the way you feel and the way you look. Most Americans don’t get nearly enough exercise. Let us help you get started.

Eat Your Broccoli!

                New research suggests that a compound in broccoli, called sulforaphane, is highly toxic to the bacteria helicobacter pylori, which is widely associated with stomach ulcers and stomach cancer. Although the testing was done on mice, it will be repeated soon in humans. The researchers claim reasonable amounts of the broccoli killed the bacteria.

                We have known that broccoli (and related plants like cauliflower and cabbage) seem to prevent cancers in the digestive tract and this may help explain why.

                                               

Go Nuts!

                The U.S. Physician’s Health Study, a study of over 21,000 men since 1982, reports that deaths from sudden heart attacks were cut in half in those that at  least one ounce of nuts twice per week compared to those who rarely ate nuts. Other less sudden deaths from complications of heart disease were 30% lower in those who ate nuts. We like to recommend walnuts because they contain omega 3 fatty acids that are essential yet scarce in the American diet. (Flaxseed and cold water fish like salmon, tuna, mackerel, and sardines are other rich sources). Other good choices for nuts are pecans and almonds.

Dr. Shirine Hegazi is a premier chiropractor in the Northern Virginia area, specializing in sports rehabilitation and alternative health care. Dr. Hegazi takes a scientific approach to accurately diagnose and eliminate the causes of his patients symptoms. Connect with him on Facebook, Twitter and Google+.

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Chiropractic Treatment as Good or Better for Sciatica as Injections Fairfax VA

Sciatica Picture

Chiropractic Care as Good or Better for Sciatica as Injections

                Do you have low back pain with pain down your leg? Called Sciatica, pain starts in the lower back,  then radiates from there to include buttock pain, numbness, weakness, or pain in the leg even down to the foot. It sometimes includes pins and needs or tingling and difficulty moving and controlling your leg or foot. Some people describe “shooting pain” down the leg. It is often disabling from just the severity of the pain or because it is difficult to even stand up or walk. In most all cases the problems affect one side or the other but rarely both. Many people turn to pain medications but often need strong narcotic drugs to gain relief. These medications unfortunately addict some patients leading many commentators to criticize their widespread use in this country for back pain. Other than pain medications there are a couple of good options for relief to consider but we think that a new study, discussed below, shows Fairfax chiropractic treatment of Sciatica is clearly the better choice.

So What causes Sciatica?

                The symptoms follow the path of the sciatic nerves, the huge nerve bundles in the body that serve most all the tissues and muscles of the buttock, thigh, leg, and foot. Between each pair of bones (the vertebrae) of your lower or “lumbar” spine, a nerve root exits through a small opening. Additional nerve roots exit from the sacrum immediately below the lumbar vertebrae. Each of your two sciatic nerves starts in the lower back as roughly 5 nerve roots –  leaving your spinal cord on one side of the spine that join together to form one of your sciatic nerve bundles. There is a sciatic nerve on either side of the spine, one for each leg that extends all the way to your feet. Those nerve roots can get irritated or compressed by problems with the spine that press on one of those nerve roots. The most common cause is disc herniation or bulging of the rubbery disks between the vertebrae. Other causes include growths on the bones called bone spurs that decrease the size of the opening for the nerves, referred to as Spinal Stenosis, something common with aging. Discs can also shrink and lose their height with age allowing the bones to get closer together narrowing the opening for the nerve root.

                Of the nerve roots that come together to form either sciatic nerve, the ones that cause the most problems are the L4 and L5 nerve roots (exiting below lumbar vertebrae 4 and 5) and the first sacral nerve roots, S1 directly below them. (S2 and S3 are the other main nerve roots that joint the sciatic nerves.) Since there are multiple nerve roots that can be involved, Sciatica affects a lot of people and the symptoms vary somewhat with the nerve root involved and may include pain in the leg along with numbness, tingling and weakness of the involved extremity .

The New Study

                An interesting study just showed that Fairfax chiropractic spinal manipulations (what we usually call “adjustments”) were equally as effective as nerve root injections for sciatica patients. On both outcome measures the chiropractic patients actually did better than those getting the spinal injections but the differences were not large enough to be considered significant.

                Within the traditional health care community, nerve root injections, also called epidural injections, are a well-established treatment for patients with low back pain radiating to the leg due to compression of a nerve root from disc herniation. Within the chiropractic community, spinal adjustments are recognized as highly effective for these as well but there has not been enough well done studies supporting this to convince their health care colleagues in the traditional medical field, so this is a welcome addition to the literature.

                All the patients had disc herniation noted on magnetic resonance imaging (MRI) that matched their low back and leg pain symptoms. Before any treatment, all patients rated their pain on a 1-10 level scale. They rated their pain level again a month later and also rated their impression of their change from “much better” to “much worse” on a 7 point scale.

                The spinal injections were imaging guided (fluoroscopy) so they could see the needle was guided to the relevant nerve. The patients received injections of both a steroid and a pain killing anesthetic. The patients receiving spinal adjustments received an average number of 11.2 adjustments over the one month.

The Results

                Both groups were much improved with 76.5% of the chiropractic patients reporting being “much better” or “better” compared to 62.7% of the spinal injection patients. Pain was reduced 60% on average for the chiropractic group compared to 53% average pain reduction for the injection group. Getting worse was reported by only 2% of the chiropractic patients versus 5.9% of the injection patients and in both groups it was reported as only “slightly worse.”

                None of the adjusted patients went on to need surgery but three of the patients getting injections went on to have surgery and three others needed a second injection after the 1 month study period. Then consider the cost of the treatments in the one month time. The chiropractic care cost less but that did not include the cost of the MRI that all the patients received at the beginning. Yet an MRI would not be recommended prior to non-invasive types of care for Sciatica like chiropractic, but is normal prior to invasive procedures like these spinal injections so the cost would be even higher under normal clinical conditions for the group getting the injections.

                We think all this puts Fairfax chiropractic care as the better choice. If you get equally great results (if not better), spend less, and can have non-invasive conservative care rather than the inherent risks of invasive spinal injections, the choice would seem clear.

                Sciatica is typically not the sort of thing you can just live with. It makes it hard to function, work or even walk so if you find yourself with pain in the low back radiating down the leg, don’t turn to drugs. We can help you, and according to this study, as well or better than more conventional injections.

Concept Chiropractic and Rehab has the expertise and experience with proven results in helping people of all ages and walks of life recover from Sciatica. We have been functionally improving the pain levels and quality of life of thousands of patients in Northern Virginia and Fairfax for over 10 years with consistency and success. Please don’t let your symptoms linger or think they will improve or disappear on their own. Contact our office today to get rid of your Sciatica and start achieving immediate results. Please call 703-573-5500703-573-5500 to set up an appointment.

Dr. Shirine Hegazi is a premier chiropractor in the Northern Virginia area, specializing in sports rehabilitation and alternative health care. Dr. Hegazi takes a scientific approach to accurately diagnose and eliminate the causes of his patients symptoms. Connect with him on Facebook, Twitter and Google+.

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The Truth about Stubborn Belly Fat: Free Report

Belly Fat WomanLiving in the Washington, D.C. area including places like Fairfax, Falls Church, Vienna and other outlying cities can be stressful. Let’s be honest, everyone is busy, everyone is tired and time is a luxury these days. Let’s say you have won your own personal battle against all the above mentioned challenges and exercise frequently, maintain a clean diet and minimize stress, but still have a hard time achieving your weight loss goals- then what?

There are many roadblocks people face while trying to maintain a decent and respectable figure. Some challenges are out of control like having Hypothyroidism (under active thyroid) and are often discovered after consulting with a Fairfax weight loss clinic.

To once and for all discover the truth, read this Highly Acclaimed Free Report on the Truth about Belly Fat.

Dr. Shirine Hegazi is a premier chiropractor in the Northern Virginia area, specializing in sports rehabilitation and alternative health care. Dr. Hegazi takes a scientific approach to accurately diagnose and eliminate the causes of his patients symptoms. Connect with him on Facebook, Twitter and Google+.

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