We see many patients in our Rockville office with ankle sprains but Dr. Aazami has had a lot of success helping them recover more quickly. Why are ankle sprains so common and how can chiropractic help?
According to the American College of Sports Medicine (ACSM), an estimated 25,000 people in the US sprain their ankles daily. As a matter of fact, these injuries make up almost half of all sports injuries, causing people to spend time away from the activities they enjoy most.
Like most any injury, there are many causes of ankle sprains. The most frequent is inversion, or when the ankle rolls inward. This injury can take place due to one forceful movement, or it can develop over time, and activities that increase the risk for this type of ankle sprain include running and jumping. You're also at risk if you have previous ankle injuries, poor posture or balance, weak muscles, and reduced range of motion. How can Dr. Aazami help?
A study printed in the Journal of Manipulative and Physiological Therapeutics set out to discover chiropractic's role when it comes to ankle sprain recovery. The authors enrolled 33 people between the ages of 18 and 45 who had a history of ankle inversion sprains, who were experiencing tenderness and/or pain, and had not re-injured the ankle in the previous six weeks.
18 of the participants were assigned to receive rehabilitation and the other 15 subjects received chiropractic adjustments in addition to rehab. Each individual had five full weeks of therapy, with the rehab group receiving treatment seven days a week and the rehabilitation plus chiropractic group receiving treatment six out of the seven days.
The study found that the people who had both rehab and chiropractic fared the best at the 4-week mark when it came to pain and joint restriction. In addition, no negative effects were reported, showing that chiropractic is safe.
If you're near our location in Rockville and you're suffering from an ankle injury, give us a call. We'll do what we can to keep you up and moving...literally!
- American College of Sports Medicine. (n.d.). Ankle sprains and the athlete. Retrieved from https://www.acsm.org/docs/current-comments/anklesprainstemp.pdf
- Lubbe, D et al. (2015, January). Manipulative therapy and rehabilitation for recurrent ankle sprain with functional instability: a short-term, assessor-blind, parallel-group randomized trial. Journal of Manipulative and Physiological Therapeutics, 38(1), 22-34, doi:10.1016/j.jmpt.2014.10.001
If you are afflicted by fibromyalgia, you are not alone, as Dr. Aazami sees many patients with this particular syndrome in our Rockville chiropractic office. As a matter of fact, the Centers for Disease Control and Prevention (CDC) estimates that roughly two percent of all adults in the United States have fibromyalgia. Fortunately, chiropractic is one treatment option that can provide positive results.
In a medical study published in mid-2015, 215 women and men with fibromyalgia were evaluated based on factors ranging from pain to quality of sleep to the levels of depression and anxiety they felt. Then they were split into two groups with one group receiving a multi-modal treatment plan for three months and the second group receiving the same program with the addition of chiropractic care (specifically, to the upper neck tissues) for the same length of time.
The subjects who received chiropractic adjustments combined with the multi-modal therapy program reported greater results in all areas (pain, sleep, depression, and anxiety) at 12 weeks post-treatment when compared to the study patients who received multi-modal therapy without chiropractic. Furthermore, those positive benefits were long-lasting as the individuals reported continued improvement one full year later.
Fibromyalgia can substantially reduce your quality of life, both psychologically and physically. If you're suffering from fibromyalgia, we might be able to help.
You don't have to suffer! To find out what Dr. Aazami can do for your fibromyalgia, call our Rockville chiropractic office today.
- Fibromyalgia. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/arthritis/basics/fibromyalgia.htm on November 2, 2015.
- Moustafa I & Diab A. (2015, July). The addition of upper cervical manipulative therapy in the treatment of patients with fibromyalgia: a randomized controlled trial. Rheumatology International;35(7):1163-74.
We see a large number of people in our Rockville, MD clinic, and Dr. Ashkan Aazami has helped many people manage a variety of health challenges. In spite of this, a frequent issue that seems to stop many people from getting care is whether or not chiropractic adjustments are safe. Luckily, according to three different studies (out of countless on the topic), the answer to this question is a resounding: "Yes! Chiropractic is safe!"
Australian Study: Chiropractic is Safe
The first article(1) was published in Spine and involved 183 adults between the ages of 20 and 85. Each participant reported suffering from spine-related pain, and half of the patients received actual chiropractic care visits while the other half were given two fake chiropractic treatments. Information was gathered after each real or fake adjustment to see if any unpleasant reactions occurred as a result of the genuine chiropractic treatments.
The authors reported that no participants documented any serious undesirable adverse reactions whatsoever after getting one or two sessions of chiropractic. Some individuals did state that they got a headache (9 percent) or muscle stiffness (37%) post-treatment, but the effects were not serious.
Nationwide Survey Finds that Chiropractic is Safe
The second article(2), also published in the important medical journal, Spine, was conducted in an effort to establish the safety of chiropractic care. The study group was much larger -- 20,000 people. Each participant received chiropractic adjustments of the neck, with over 50,000 total adjustments for all patients.
Once again, the investigators discovered no serious adverse side effects. The authors computed the risk of total side effects to be approximately six out of every 10,000 consultations or every 100,000 treatment sessions. Plus, just as with the previous study, some people did report non-serious, milder, side effects such as dizziness (16 out of every 1,000 treatment consultations and 15 out of every 1,000 treatment sessions) or a headache (4%), and this prompted the researchers to determine that "the risk of a serious adverse event, immediately or up to 7 days after treatment, was low to very low."
Chiropractic Care Is Safe for Kids
This third research paper(3) is unique from the previous two reports, as it focuses on the safety of chiropractic care for kids. In this case, researchers analyzed data reported by both chiropractors and parents involving 816 children who participated in 7,173 chiropractic adjustments.
Out of 5,438 chiropractic appointments made for the young children, chiropractors responding to the survey reported only three cases where there were adverse effects. When parents were surveyed, they indicated only two adverse side effects out of 1,735 visits. Additionally, both chiropractors and parents reported "a high rate of improvement with respect to the children's presenting complaints."
Based on studies like these, chiropractic has been deemed safe and effective for everyone. To find out what chiropractic can do for you, call our Rockville, MD clinic and make an appointment today at (301) 322-7777.
- Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD. Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events. Spine 2013;38(20):1723-9.
- Thiel HW1, Bolton JE, Docherty S, Portlock JC. Safety of chiropractic manipulation of the cervical spine: a prospective national survey. Spine 2007;32(21):2375-8.
- Alcantara J, Ohm J, Kunz D. The safety and effectiveness of pediatric chiropractic: a survey of chiropractors and parents in a practice-based research network. Explore NY 2009;5(5): 290-5.
Unfortunately, many of our District Heights, MD patients are familiar with the pain caused by a herniated disc all too well. Fortunately, Dr. Ashkan Aazami has helped many people with disc pain, and a number of research studies have confirmed that chiropractic care can help people recover from this kind of problem.
Research on Herniated Discs and Chiropractic
In one study, doctors from Switzerland recruited 148 patients who were dealing with pain in their lower back and legs due to a herniated disc (which was confirmed through magnetic resonance imaging, or MRI). Each person then received chiropractic adjustments that focused on the location of his or her disc herniation.
Data was obtained after the preliminary treatment session at set intervals--namely, 2 weeks, 4 weeks, 12 weeks, 6 months, and 1 year--to find out what type of short-term and long-term effects, if any, chiropractic offers when it comes to resolving this particular problem. Among the information collected was the individual's self-reported changes in both back and leg pain.
Researchers found that, overall, the patients reported "significant improvement" for both types of pain every time the results were collected. In fact, over 90% of the individuals reported that their pain "improved" within the first three months, with 88% still citing improvement one year after their first treatment session.
Even those patients who were defined as "chronic" still claimed an improvement in pain at a rate of 89 percent one year beyond when treatment first began. This is the same positive effect that was found in the following case study.
Disc Herniation and Chiropractic: A Case Study
In this study, a 26-year-old male had presented with disc herniation symptoms such as pain in the lower back, left leg, and left groin area, along with left foot drop and muscle weakness. He had endured these symptoms for more than two years after sustaining an athletic injury, and his disc herniation was confirmed via MRI.
After receiving chiropractic, "The patient responded favorably and his multi-symptom complex resolved within 90 days of treatment." Furthermore, the patient was still enjoying relief one year after the chiropractic intervention.
Studies like these show how beneficial chiropractic can be when it comes to alleviating herniated disc pain and relieving the symptoms they cause. So, if you are suffering from back pain caused by a herniated disc and want to find some relief, chiropractic might be an effective solution.
Don't suffer from chronic herniated disc pain. Give our District Heights, MD office a call today at (301) 322-7777 for a consultation or appointment.
- Leemann S, Peterson CK, Schmid C, Anklin B, Humphreys BK. Outcomes of acute and chronic patients with magnetic resonance imaging-confirmed symptomatic lumbar disc herniations receiving high-velocity, low-amplitude, spinal manipulative therapy: a prospective observational cohort study with one-year follow-up. Journal of Manipulative and Physiological Therapeutics 2014;37(3):155-163.
- Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics 1998;21(3):187-196.
Dr. Ashkan Aazami sees a lot of people troubled with carpal tunnel syndrome in our busy District Heights, MD chiropractic office. While some people think that the source of this wrist-related pain is muscular, it's actually a condition that stems from the nerves--and not just the nerves in your hands.
Recent research published in the Journal of Orthopaedic & Sports Physical Therapy assessed 71 women between the ages of 35 and 59 who were diagnosed with carpal tunnel syndrome. Upon investigating the subjects' neck range of motion, the researchers discovered that the women had reduced cervical flexibility when compared to a healthy control group.
In addition, it was also found that the level of the women's reported carpal tunnel pain was connected to the lateral flexion of the cervical spine. In other words, the less mobility in the neck, the greater the level of pain.
This research is very important, as you cannot effectively resolve a condition until you fully understand its source. By realizing that the root of carpal tunnel issues is in the neck, this means that all-natural approaches like chiropractic can often restore normal function, reducing the need for risky surgery.
If you are suffering from carpal tunnel pain, call our District Heights, MD location and ask how Dr. Ashkan Aazami can help you get relief!
De-la-Llave-Rincon A et al. (2011, May). Women with carpal tunnel syndrome show restricted cervical range of motion. Journal of Orthopaedic & Sports Physical Therapy;41(5):305-10.
Simon H. Carpal Tunnel Syndrome. University of Maryland Medical Center. Updated May 6, 2012. Retrieved from https://umm.edu/health/medical/reports/articles/carpal-tunnel-syndrome on November 2, 2015.
We see quite a few people with back pain in our District Heights, MD practice, and Dr. Ashkan Aazami has helped many of them find relief through various chiropractic techniques. At the same time, recovering from back pain doesn't necessarily mean having to make a choice between chiropractic care and medical treatment, as many people use both types of care with great success.
Research Confirms Chiropractic and Medical Treatment Work Well with One Another
In a study published by the medical journal Spine investigators1 looked at a group of active-duty military personnel between the ages of 18 and 35 who claimed both acute discomfort and limited function due to back pain. Some of the study participants received treatment via standard medical therapy, while the remainder received chiropractic adjustments as well as regular medical care, as researchers wanted to determine which patients fared better.
The authors found that the group that got standard medical care in combination with chiropractic scored "significantly better" than the patients who received medical care alone; 73 percent reported positive benefits in comparison to just 17% of the medical care only group who reported the same amount of improvement. This was true regarding both pain and level of function at two and four weeks.
Thus, combining these two forms of care can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic care and medicine can work together, chiropractic offers some unique advantages over medical treatment.
Where Chiropractic Wins
Although it might seem as if each method plays a 50/50 role, there is one major advantage that chiropractic has over medical care and that is in patient satisfaction. In fact, a piece of research conducted at UCLA2 that was printed in the American Journal of Public Health found that, on average, chiropractic patients are generally more satisfied with their recovery than those undergoing medical care.
According to the experts, the main factors that patients favored over medical treatment were "self-care advice and explanation of treatment." This isn't unexpected, as chiropractors frequently spend much more time advising their patients as to how they can improve their health on their own, as well as outlining more thoroughly what to expect from chiropractic.
Chiropractic Is a Natural Approach to Wellness
Without a doubt, the techniques associated with chiropractic are very different than those provided with medical therapy, but a great deal of the difference is the fact that chiropractic is a holistic approach to health and well-being. Rather than focusing on only relieving the symptoms, chiropractic care involves finding the root cause of your pain, which often translates to greater improvement as you are tackling the problem at its source.
In addition, while medication is sometimes helpful for treating certain conditions, many health issues respond well to natural forms of treatment such as chiropractic care. This means fewer negative responses to drugs and lasting results.
You don't have to suffer from back pain or other health issues. Give our District Heights, MD clinic a call today at (301) 322-7777. We'll do everything we can to help you get and stay free from back pain.
- Goertz CM, Long CR, Hondras MA, Petri R, Delgado R, Lawrence DJ, Owens EF, Meeker WC. Adding chiropractic manipulative therapy to standard medical care for patients with acute low back pain: results of a pragmatic randomized comparative effectiveness study. Spine 2013;38(8):627-634.
- Hertzman-Miller RP1, Morgenstern H, Hurwitz EL, Yu F, Adams AH, Harber P, Kominski GF. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. American Journal of Public Health 2002;92(10):1628-1633.
Shoulder Pain is a common condition after an auto collision, and it's something that Dr. Ashkan Aazami sees frequently in our District Heights, MD office. What causes shoulder pain after an auto injury? How can chiropractic help?
There are at least two different ways that you can develop shoulder pain after an accident: by direct trauma to the shoulder joint or by referred pain from the neck.
Direct trauma can be caused by striking your shoulder on a hard surface in the car during the crash, or can occur if you have a tight grip on the steering wheel during a rear end crash. With this type of injury, you'll usually be aware of the pain soon after the wreck.
More frequently, Dr. Ashkan Aazami finds that shoulder or arm pain does not immediately appear after a collision, but begins a few days or weeks after the accident. This type of shoulder discomfort actually starts in the cervical spine. Injured soft tissue in your neck can squeeze nerves in your neck, causing numbness, tingling, or soreness in your shoulder, elbow, or wrist.
We've worked with both kinds of shoulder pain in our District Heights, MD office. This care involves chiropractic adjustments to restore your spine's natural flexibility and exercises that strengthen your neck and shoulder.
Dr. Ashkan Aazami is here in District Heights, MD to help you recover from shoulder pain. We've been helping patients since 1995 and we can probably help you, too. First, we'll do a careful assessment to establish the root cause of your problem, and then decide how to restore your body's natural functioning. Ready to make an appointment? Give us a call at (301) 322-7777 and we'll get you back on the road to health.
Headache and neck pain are common problems that affect millions of men and women around the world. If you suffer from this type of issue, you're not alone. The good news is that chiropractic is the best way to not only treat these common issues, but also help prevent future episodes.
For many years, people with neck and headache pain in District Heights, MD have been helped by the chiropractic care of Dr. Ashkan Aazami. Our success is supported by a recent review done in Canada that found that non-invasive, non-drug solutions are the best choice for neck and headache pain.
The study looked at 15 studies from 1990 to 2015 and found that conservative treatment comprised of chiropractic adjustments, exercises, and stretches was suggested before turning to drugs or more invasive procedures.
Past scientific studies have shown that chiropractic is effective and safe for neck pain and many other health conditions.
If you're suffering from neck pain or headaches, Dr. Ashkan Aazami and our staff are here to help you recover. Give our District Heights, MD office a call today at (301) 322-7777 for an appointment today.
Varatharajan S, Ferguson B, Chrobak K, et al. Are non-invasive interventions effective for the management of headaches associated with neck pain? An update of the Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. European Spine Journal 2016; February 6:1-29.
Asthma is a significant issue for many people in District Heights, MD and for society as a whole, truly, since the Centers for Disease Control and Prevention (CDC) reports that this problem currently affects almost 19 million adults and 7 million children in the United States. A full-blown asthma attack likely means a hospital visit. Thankfully, Dr. Ashkan Aazami has helped many people in District Heights, MD get relief from asthma symptoms.
The medical research confirms what we see in our practice. For example, a paper published in Clinical and Experimental Allergy evaluated 31 adult asthma patients after getting four weeks of chiropractic adjustments. The researchers reported that the participants who received chiropractic adjustments had a 34% decrease in asthma symptoms.
The Journal of Manipulative and Physiological Therapeutics printed another asthma-based study, except this one involved children. In this report, the 36 kids ranged from 6 to 17 years in age and their asthma was regarded as either mild or moderate in severity.
After 12 weeks of chiropractic, as a whole, the patients reported a higher quality of life and a lower level of severity. As a bonus, they also reported that they depended less on their bronchodilator and these positive effects lasted one year after chiropractic care was finished.
So, whether you're 6 or 60, if you have symptoms of asthma, be sure to contact Dr. Ashkan Aazami in District Heights, MD and schedule an appointment today. We'll do what we can to help you breathe easier!
- Asthma. Centers for Disease Control and Prevention.
- Bronfort G et al. (2001, July-August). Chronic pediatric asthma and spinal manipulation: a prospective clinical series and randomized clinical pilot study. Journal of Manipulative and Physiological Therapeutics;24(6):369-77
- Nielsen N et al. (1995, January). Chronic asthma and chiropractic spinal manipulation: a randomized clinical trial. Clinical and Experimental Allergy;25(1):80-8
Of the approximately 2 million rear-end crashes in the US annually, a substantial number of people end up suffering from chronic pain and impairment. Some research indicates that 18% of people are still in pain 12 months after a collision.
Dr. Ashkan Aazami sees many auto injury cases in our District Heights, MD office, and we oftentimes see people who have been suffering for many years and have not been able to find relief. Dr. Ashkan Aazami has great success in helping these patients.
What Causes Chronic Pain after a Crash?
During an accident, the structures of your spinal column can be sprained or torn. The injured area becomes swollen and inflamed and transmits pain signals to the spinal cord and central nervous system.
Pain tells your nervous system that something is wrong, which tells the muscles in the damaged area to contract to protect the area from further trauma.
If the trauma isn't addressed right away, a negative cycle develops. The damaged area keeps sending pain signals and each time, your central nervous system responds. This produces a feedback loop in your nervous system that experts refer to as "central sensitization." Your nervous system actually becomes hypersensitive to any kind of stimulation, triggering chronic pain.
Dr. Ashkan Aazami is able to help this kind of issue, as chiropractic care is a proven way to restore your nervous system's healthy functioning. Research shows that chiropractic is successful at relieving pain from car accidents and shows that chiropractic actually has positive effects on the pain centers of the brain.
If you live in District Heights, MD and have been in a crash, you don't have to suffer with chronic pain. Give Dr. Ashkan Aazami a call today at (301) 322-7777 for a consultation or appointment.
- Ferrari R. A prospective study of the 1-year incidence of fibromyalgia after acute whiplash injury. Rheumatic & Musculoskeletal Disease 2015; doi:10.1136/rmdopen-2014-000007.
- Stone AM, Vicenzino B, Lim EC, Sterling M. Measures of central hyperexcitability in chronic whiplash associated disorder - A systematic review and meta-analysis. Manual Therapy 2012;18(2):111-7.