Knee pain is a common issue for people in our Rockville chiropractic practice, and Dr. Aazami has successfully provided many of these men and women relief. This is mostly because chiropractic care has been found to help with many forms of knee pain.
For example, some people encounter pain in and around the knee area due to osteoarthritis. Research has shown that this ailment responds very well to chiropractic--and rather quickly, too. In fact, one study published in The Journal of the Canadian Chiropractic Association found that individuals with osteoarthritis in their knees felt significant pain relief and improved function after just two weeks of chiropractic care.
If your knee pain is caused by a medial meniscus tear, chiropractic could likely help with that as well. One article reported that combining chiropractic with soft tissue treatment, rest, ice, and compression on the affected knee helped lower the intensity of the pain.
Clearly, sometimes a knee replacement surgery is required in order to rectify the issue, and if that's the case, chiropractic care can also help improve the outcome. How?
Research has found that patients with low back pain often have less positive outcomes after knee surgery. Therefore, dealing with your back pain through chiropractic before having a total knee arthroplasty can assist with your post-surgery recovery.
No matter what your knee issue, Dr. Aazami can likely help. Call our Rockville location today and find out what we can do for you!
- Pollard H et al. (2008, December). The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. The Journal of the Canadian Chiropractic Association;52(4):229-42
Boyle J et al. (2014, March). Influence of low back pain on total knee arthroplasty outcome. Knee;21(2):410-4
- Jarosz B & Ames R. (2010, December). Chiropractic management of a medial meniscus tear in a patient with tibiofemoral degeneration: a case report. Journal of Chiropractic Medicine;9(4):200-8
We see a lot of men and women with headaches in our Rockville office, and Dr. Aazami has been able to provide relief for many of them. Indeed, the World Health Organization (WHO) states that half of all adults deal with some manner of headache problem, so this certainly isn’t unexpected. One of the most frequent kinds of headaches that our patients deal with is cervicogenic headache which, luckily, chiropractic can usually help.
What is a Cervicogenic Headache?
A cervicogenic headache is one that stems from issues in the cervical spine. It can easily be because of an issue with either the spine itself (specifically, the vertebrae, joints, or discs), or it can be caused by a problem in the muscles and tendons of your neck. This problem in your spine contributes to compression or irritation of the spinal nerves, which can contribute to headache pain.
How do you determine if the headache you are feeling is a cervicogenic headache? Aside from obtaining a diagnosis from a healthcare professional, a typical symptom of cervicogenic headaches is tenderness or pain in your neck. This is sometimes combined with pain in the back of your head or between your shoulder blades.
How Chiropractic Helps with Cervicogenic Headaches
Considering cervicogenic headaches will not go away until whatever problem is inducing them is remedied, it is critical to receive treatment as opposed to just trying to "wait it out." Chiropractic care is an excellent approach, and one that provides a great deal of relief.
In one study circulated in Chiropractic & Osteopathy, experts looked at 80 people who had recurring cervicogenic headaches. Fifty percent received chiropractic care and the other half engaged in light massage therapy. Each participant was evaluated 12 and 24 weeks after the treatment and it was found that chiropractic provided the most beneficial effects.
Specifically, this study noted that chiropractic adjustments offered patients more significant pain relief and lowered the number of headaches that occurred. Additionally, it also diminished the disability that resulted from these painful headaches.
To find out what Dr. Aazami can do for you and your headache pain, call our office today. We'll do our best to get you the pain relief you need!
- Haas M, Schneider M, Vavrek D. Illustrating risk difference and number needed to treat from a randomized controlled trial of spinal manipulation for cervicogenic headache. Chiropractic & Osteopathy 2010 18(9).
- World Health Organization. (2012, October). Headache disorders. Retrieved from http://www.who.int/mediacentre/factsheets/fs277/en/
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.