Posts by Dr. Ashkan Aazami
In our Rockville practice, we see many patients who are troubled with back pain, and some of these patients have been informed they might need surgery to recover. Thankfully, Dr. Aazami has helped many people get pain relief without the need for any type of surgical procedure. The scientific research agrees with the success we see in our office. One research study published in the academic journal Spine found that consulting with a chiropractor as your first step in dealing with your back problems may actually keep you out of the operating room.
In this research study, medical experts from Dartmouth analyzed data from about 1,900 workers from the state of Washington who first saw either an orthopedic surgeon or a chiropractor for their low back issues. They then used three years' worth of follow-up medical records to determine whether the subjects ended up having back surgery in an attempt to correct the problem.
What the authors discovered was that 42.7% of the people who first saw a surgeon for their back problems ended up in surgery in that 3-year time frame, whereas only 1.5% of those who first consulted with a chiropractor had the same fate. The authors wrote:
"Even after controlling for injury severity and other measures, workers with an initial visit for the injury to a surgeon had almost nine times the odds of receiving lumbar spine surgery compared to those seeing primary care providers, whereas workers whose first visit was to a chiropractor had significantly lower odds of surgery."
These are impressive results. Seeing a chiropractor dramatically decreases your odds of having back surgery, plus the chiropractic patients in this scientific study "had lower odds of chronic work disability" and they also had fewer expensive MRI tests.
Let's also take into account this important point: this study was conducted by orthopedic surgeons from Dartmouth College, and published in the world's most prestigious medical publication on spinal injuries.
The Risks of Surgery
Any surgery has risks, but a serious problem linked to spine surgery is that there's a very high rate of failure. In an important analysis in the European Spine Journal, researchers wrote:
"Failed back surgery is a problem that has become sufficiently widespread to even warrant its own special conferences, with recent reviews reporting failure rates ranging from 5 to 50%."
The experts in this same study concluded:
"It is extremely difficult to identify unequivocal predictor factors that can be used to accurately predict the outcome of surgery."
As a chiropractor, Dr. Aazami believes that surgery should be the absolute last choice for treating back pain. Chiropractic works to restore your spine to its normal function--without the need of high-risk surgery or drugs--and many studies have confirmed the usefulness of chiropractic for back pain.
If you live in Rockville and you need care for your back pain, give our office a call today at (240) 221-2666 for a consultation or an appointment. We'll help get you back on the road to a pain-free life!
- Keeney BJ, Fulton-Kehoe D, Turner JA, Wickizer TM, Chan KC, Franklin GM. Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State. Spine 2013;38(11):953-964.
- Mannion AF, Elfering A. Predictors of surgical outcome and their assessment. European Spine Journal 2006;15(Suppl 1):S93-S108.
Back Pain is a common condition after an auto collision, and it's something that Dr. Aazami sees frequently in our Rockville office. What causes back pain after a car crash? How can chiropractic help?
During a rear-end car crash, your car and car seat are quickly accelerated forward against your body. Since car seats don't perfectly align with the curvature of your back, the seat can put inconsistent pressure on your lower back. This can cause some of your spinal vertebrae to move in one direction while an adjacent vertebrae might move in another direction. This differential movement can sprain or strain the ligaments that hold your spine together. This kind of injury can cause chronic back pain if not treated promptly. Fortunately, chiropractic is one of the most effective ways to treat back pain.
If you've been injured in a car crash and you're experiencing back pain, Dr. Aazami is here to help. Dr. Aazami will first determine what's causing your pain and then work to restore your body to its natural functioning. Call us today at (240) 221-2666 if you have questions or would like to make an appointment.
When doing sports that require a lot of lower body movement, like football, soccer, and basketball, it's not at all uncommon to sustain some type of injury to your lower extremities. Between pulled hamstrings, sprained ankles, knee injuries, and more, many players have found themselves out of commission. Dr. Aazami has seen all of these problems in our Rockville patients. The good news is, chiropractic care can help prevent some of these injuries from occurring and research proves it.
Research Proves Chiropractic Helps With Sports Injuries & Recovery
Dr. Aazami keeps current with all of the recent scientific research, and in a paper published in BMC Musculoskeletal Disorders, researchers from Macquarie University in Australia studied 59 semi-elite Australian Rules football players. Roughly half were placed in a control group and the other half were put in a treatment group that received sports chiropractic care at regular intervals. During the first six weeks, this meant getting care once every week. The following three months consisted of an adjustment every two weeks before reducing those to one visit monthly for the final three months of the study.
The authors noted that there was a "significant" decrease in the number of lower limb strains the players received in the treatment group when compared to the control. In addition, they observed that the subjects who engaged in chiropractic also had fewer weeks of missed practice and games as a result of non-contact knee injuries. This led them to determine that sports chiropractic treatment should be added to "the current best practice management."
Every major sports organization in the United States and the US Olympic Team has chiropractors on staff for their athletes, because they know that chiropractic really works. If you live near our practice in Rockville and would like to see if Dr. Aazami can help you boost your performance or reduce sports injuries, give our office a call today at (240) 221-2666 for an appointment.
Dr. Aazami Can Help Patients Find Relief From Sports Injuries and Recover Faster
If you're struggling with severe pain, Dr. Aazami and our staff are here to help you heal. Give our Rockville office a call today at (240) 221-2666 for an appointment today.
Hoskins W, Pollard H. The effect of a sports chiropractic manual therapy intervention on the prevention of back pain, hamstring and lower limb injuries in semi-elite Australian rules footballers: a randomized controlled trial. BMC Musculoskeletal Disorders 2010;11(64).
In our Rockville office, it isn't unusual for us to see people suffering with sciatica pain, and Dr. Aazami has helped many of these people improve with chiropractic. What makes chiropractic care so beneficial to those who suffer with sciatica? For starters, it shortens their time of recovery and a Norwegian research study confirms it.
Research Proves Chiropractic Helps With Sciatica Pain
In the report, which took place in a Norwegian hospital's orthopedic department, the authors looked at 44 patients who presented with abrupt low back pain that was diagnosed as acute sciatica. The participants were all treated by a chiropractor, with the mean follow-up being two years after treatment.
The researchers discovered that all but two patients went back to work after receiving chiropractic treatment, which is a 95% success rate. Moreover, the average length of time that the individuals spent off work "was reduced by two thirds as compared with that associated with conventional medical treatment."
Considering that the Bureau of Labor Statistics reports that 170,450 days of work were lost in 2013 due to employees dealing with back or spine-related issues, that is almost 112,500 work days that could potentially be recovered each and every year solely by receiving chiropractic care. Not only could that increase productivity, but it might also decrease costs to businesses and workers from lost work.
We Can Help Clients Find Relief From Sciatica
If you live in Rockville and you suffer with sciatic pain, Dr. Aazami is here to assist. Give us a call at (240) 221-2666 and we'll work with you to find the source of your sciatic pain and get you back on the road to recovery.
Orlin JR, Didriksen A. Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an orthopedic department. Journal of Manipulative and Physiological Therapeutics 2007;30(2):135-139.
Neck and headache pain are common problems that affect millions of people around the world. If you suffer from this type of condition, you're not alone. The good news is that chiropractic is an excellent way to not only treat these common problems, but also help hold off future episodes.
Research Proves Chiropractic Helps With Neck Pain and Headaches
For many years, people with neck and headache pain in Rockville have been helped by the chiropractic care of Dr. Aazami. Our success is supported by a recent review done in Canada that found that non-surgical, non-drug solutions are the best choice for neck and headache pain.
The review looked at 15 studies from 1990 to 2015 and found that conservative treatment comprised of chiropractic adjustments, exercises, and stretches was recommended before turning to drugs or more invasive treatments.
Earlier scientific studies have shown that chiropractic is effective and safe for neck pain and many other health conditions.
We Can Help Patients Find Relief From Neck Pain and Headaches
If you're suffering with neck pain or headaches, Dr. Aazami and our staff are here to help you recover. Give our Rockville office a call today at (240) 221-2666 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.
There are many different kinds of headache, but one of the most common types is known as "cervicogenic headache," or those that originate in your neck.
Dr. Aazami sees a lot of people in our Rockville office who are struggling with frequent headaches. Fortunately, chiropractic adjustments can often help, potentially reducing these types of headaches by 50 percent, and research confirms it.
Research Supports Chiropractic Helps With Cervicogenic Headaches
A study was conducted involving 80 participants who reported experiencing at least five cervicogenic headaches during the prior three months. The objective was to see how effective chiropractic was for this type of head pain, as well as to determine the number of treatment sessions necessary to achieve a positive effect.
The subjects were split into four separate groups, so that each group was similar in age, gender, number of cervicogenic headaches, and their intensity. Of the four groups, two engaged in chiropractic treatments and two received light massage. Furthermore, one group assigned to each treatment received eight sessions and the other group received twice that amount.
Each person was assessed based on head pain, neck pain, and disability prior to the study and 12 and 24 weeks after treatment was complete. The authors found that those who received chiropractic as opposed to massage reported fewer headaches at the conclusion of the study. Furthermore, improvements were maintained when checked six months after treatment ended.
Furthermore, patients who were taking medications for their headaches were able to lower their intake after completing the study. Those who received chiropractic had lower medication usage 24 weeks post-study.
We Can Help Clients Find Comfort From Head Pain
Dr. Aazami has helped many patients who were suffering from headache pain in our Rockville office. Call us today at (240) 221-2666 for more information or for an appointment.
Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal 2010; 10: 117-128.
Dr. Aazami sees many patients weekly in our busy Rockville chiropractic office who are looking for relief from the pain and agony they feel due to herniated discs. Our experience isn't unique; the medical literature verifies that chiropractic care is a great way to treat herniated disc problems.
Don't Suffer! Dr. Aazami and Chiropractic Care Helps With Disc Herniation
One particular research project involved 27 people, 8 male and 19 female, who had magnetic resonance imaging (MRI) confirming a disc herniation in either their neck or lower back. The subjects reported that they were experiencing pain, limited range of motion, and sensory issues bad enough to keep them off work.
Over the course of the research period, the individuals were treated using one of two common chiropractic techniques: traction for herniated discs in the cervical area or flexion distraction for the men and women who had herniation issues in the lumbar area.
Each man or woman was seen four or five times per week for the first two weeks, then three times each week, and then as needed for the remainder of the study. Depending on the seriousness of the disc herniation, treatment varied anywhere from six weeks to six months, with MRIs being performed at a variety of stages to determine what effect, if any, the chiropractic care was having in regard to the disc herniation.
Research Supports Chiropractic Helps With Back Pain and Herniated Disc
The authors found that 80 percent of the participants experienced a "good clinical outcome," meaning reduced pain and a reduction in other issues, such as numbness. Furthermore, 77 percent of these subjects also showed MRI evidence that their disc herniation was either reduced or resolved completely. This resulted in 78 percent of the study participants being able to return to their place of employment and led the researchers to conclude that chiropractic care is both "safe and helpful" for disc herniations.
If you have a herniated disc and suffer from chronic back pain and are near Dr. Aazami in Rockville, contact our office today to see what chiropractic can do for you!
BenEliyahu, DJ. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. Journal of Manipulative and Physiological Therapeutics 1996;19(9):597-606.
We see quite a few people with back pain in our Rockville office, and Dr. Aazami has been able to help many of them get relief with chiropractic care. However, recovering from back problems doesn't necessarily mean having to make a choice between chiropractic care and medical treatment, as many individuals use both types of care with great outcomes.
Study Confirms Chiropractic and Medical Care Work Well with One Another
In a report published by the journal Spine experts1 looked at a group of active-duty military personnel between the ages of 18 and 35 who reported both acute discomfort and restricted function due to back symptoms. Some of the test subjects received treatment via standard medical therapy, while the rest were given chiropractic adjustments in addition to regular medical care, as researchers wanted to see which patients fared better.
Researchers discovered that the group that got standard medical care in combination with chiropractic care scored "significantly better" than the group that got medical care alone; 73% reported positive benefits compared 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 the two- and four-week marks.
Thus, incorporating these two forms of treatment can greatly benefit you--the patient--offering advantages when compared to medical care alone. However, while chiropractic care and medical approaches can work together, chiropractic offers some unique advantages over medical treatment.
Where Chiropractic Care Pulls Ahead
Although it may seem as if each approach plays a 50-50 role, there is one significant advantage that chiropractic has over medical treatment and that is in patient satisfaction. In fact, a study conducted at UCLA2 that was printed in the American Journal of Public Health reports that, on average, chiropractic patients are generally more satisfied with their recovery than people undergoing medical treatment.
According to the researchers, the main factors that patients favored over medical care were "self-care advice and explanation of treatment." This isn't unexpected, as chiropractors commonly spend much more time consulting with their patients as to how they can improve their health on their own, as well as explaining more carefully what to expect from chiropractic care.
Chiropractic Care Is a Natural Approach to Wellness
Without a doubt, the techniques associated with chiropractic are very different than those available with medical care, but a great deal of the difference is the fact that chiropractic is a holistic approach to health and wellness. Instead of focusing on simply relieving the symptoms, chiropractic care means finding the primary cause of your pain, which often results in greater improvement as you are tackling the problem at its source.
Additionally, 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 side effects from prescriptions and more permanent results.
You don't have to struggle with back pain or other health issues. Give our Rockville office a call today at (240) 221-2666. 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 symptom after a car accident, and it's something that Dr. Aazami sees often in our Rockville office. Let's take a look at why shoulder pain is commonly experienced after an auto injury and see how chiropractic care can help you heal.
There are at least two different ways that you can get shoulder problems after an accident: by direct injury to the shoulder joint or by radiating pain from the neck.
Direct injury can be caused by striking your shoulder on a hard surface in the car during the impact, 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 often be aware of the pain soon after the crash.
More commonly, Dr. Aazami finds that shoulder or arm pain doesn't immediately appear after a collision, but starts a few days or weeks after the accident. This type of shoulder pain actually starts in the cervical spine. Injured muscles or ligaments in your spine can squeeze nerves in your neck, causing numbness, tingling, or soreness in your shoulder, elbow, or wrist.
We've worked with many types of shoulder pain in our Rockville office. This care involves chiropractic adjustments to restore your spine's natural flexibility and exercises that strengthen your neck and shoulder.
You don't have to suffer from shoulder pain. Dr. Aazami is conveniently located in Rockville to help you get better, whether you've been in an auto collision or not. The first step is to get an accurate diagnosis to determine what's causing your pain and then we will determine an appropriate treatment approach. Ready to make an appointment? Give us a call at (240) 221-2666 and we'll get you back on the road to health.
Asthma is a serious worry for many people in Rockville and for a society as a whole, since the Centers for Disease Control and Prevention (CDC) reports that this problem currently affects almost 19 million adults and 7 million kids in the US. A full-blown asthma attack likely means a emergency room visit. Thankfully, Dr. Aazami has helped many folks in Rockville get relief from asthma symptoms.
Research Shows Chiropractic Helps With Asthma
The medical literature confirms what we see in our practice. For instance, a paper published in Clinical and Experimental Allergy assessed 31 adult asthma patients after receiving four weeks of chiropractic treatments. The researchers reported that the individuals 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 paper, the 36 participants 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 decreased level of severity. As a bonus, they also indicated that they relied less on their bronchodilator and these positive effects lasted one year after chiropractic care was complete.
We Can Help Patients Find Comfort From Asthma
So, whether you're 7 or 70, if you have symptoms of asthma, be sure to contact Dr. Aazami in Rockville and make 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