Chiropractors in Fairfax, Va

Chiropractic is the FIRST CHOICE

2013-04-22T18:17:00.000-07:00

I just love when research backs up things that my patients and I see in the office every day.
-Dr. C

F4CP points to new study documenting chiropractic as first option for back pain relief

January 14, 2013 — The Foundation for Chiropractic Progress (F4CP) cites the results of a new study as further documentation of chiropractic care as a first option for back pain relief and surgical avoidance.

“Early Predictors of Lumbar Spine Surgery after Occupational Back Injury: Results from a Prospective Study of Workers in Washington State,” (Spine; 12.12.2012) observed reduced odds of surgery for those under age 35, women, Hispanics, and those whose first provider was a chiropractor.

“In total, 42.7 percent of workers who initially visited a surgeon underwent surgery, in contrast to only 1.5 percent of those who first consulted a chiropractor,” reports Gerard Clum, DC, spokesperson, F4CP, who indicates the important study was conducted by a collaboration of prestigious institutions, including Geisel School of Medicine at Dartmouth College, University of Washington School of Public Health, University of Washington School of Medicine, Ohio State University College of Public Health and the Washington State Department of Labor and Industries. “Back injuries are the most prevalent occupational injury in the U.S., and care is commonly associated with one of the most costly treatments — spine surgery. Chiropractic is clearly the most appropriate first treatment option for patients with back pain, and this study confirms the value.”

An additional study, “Health Maintenance Care in Work-Related Low Back Pain and Its Association with Disability Recurrence,” (Journal of Occupational and Environmental Medicine;4.1.2011) also examined chiropractic care for occupational back injuries and found similar outcomes. The study reported for work-related nonspecific low-back pain, chiropractic care was associated with a lower disability recurrence, when compared to treatment by other medical interventions. Overall, chiropractic patients illustrated consistently better outcomes, less use of opioids, and had fewer surgeries, with lower medical expenses.

“As more data continues to surface touting the benefits of chiropractic care — lower costs, less risks and higher satisfaction rates — I expect that patients and practitioners will move toward considering chiropractic first, medicine second, and surgery last,” says Clum, who closes with praise of the University of Pittsburgh Medical Center (UPMC) Health Plan for already adopting this approach.

- Dr. Louis S. Crivelli II
Chiropractor
Greenbelt, MD

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What is Osteoarthritis?

2013-04-15T18:16:00.000-07:00

Osteoarthritis (OA) is the most common form of arthritis.

An estimated 27 million Americans live with it according to the Arthritis Foundation. And because it's two major risk factors: aging and obesity, are so prevalent among the baby-boomer generation, the number of people with OA is predicted to exceed 60 million by 2020. Osteoarthritis causes cartilage and joints to degenerate over time. Recently, researchers at Chicago's Rush University Medical Center identified a specific protein that appears to play a key role in translating cartilage and joint damage into the pain that Osteoarthritis suffers feel.

Osteoarthritis can start to affect the joints before symptoms like stiffness and pain become apparent. By that time, joint damage may have already become advanced an pain may be triggered by such things as climbing stairs. Eventually, pain may even be caused by touch or pressure. and eventually even at rest.

Research Says

Researchers conducted a 16-week-long study in mice that attempted to simulated the slow, chronic progression of osteoarthritis in humans. They monitored the nerves that carry signals from the sensory organs to the brain and found that a protein known as monocyte chemoattractant protein or (MCP)-1 (CCL2) and its receptor are central to feeling OA pain. When researchers elevated the levels of this protein in one group of mice with simulated OA and the mice exhibited signs that they were experiencing pain. Another group of mice with simulated knee degeneration, but without the protein, did not exhibit the pain-avoidance behaviors.

Now instead of looking at why this process starts, the cartilage beginning to degenerate, these researchers will be looking for a drug so that you cannot feel the pain, but do nothing to help the reason behind the pain. As I stated before the two biggest factors contributing to OA are obesity and aging. Now we are all getting older, so we can't do anything about aging, but obesity we can. We all need to eat better,and exercise. Take supplements, such as glucosamine and chondrotin sulfate, be proactive, even getting adjusted by your Chiropractor can help keep you more mobile. Don't wait until you have OA to do something about it, but start now to try to minimize it, or better yet, not suffer from it at all.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Orthodontics like Chiropractic

2013-04-08T18:15:00.000-07:00

If I had to pick one other form of care for the body that is similar to Chiropractic care I would choose Orthodontics. When you get braces the idea is that you want straighten your teeth to make them healthier and work better for you.

Chiropractic Care works in a similar way to straighten and strengthen your spine to make you healthier and allow your nervous system you work optimally, so that your body may function at its best. If you have ever had braces you know that they tend to stay on for some time, even after your teeth appear to be straight! So what do you think would happen if you took your braces off too early? You teeth would start to shift back to where they originally were!

Much like with Chiropractic Care if you stop coming or reduce care too soon your spine is going to start going back to the way it was before you started coming. Stick with your care plan so you can be as healthy as possible. Remember it is always less expensive to keep something working properly than to fix it in an emergency.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Automobile Accidents

2013-04-01T18:14:00.000-07:00

Most likely at some point in your life you will be involved in a car accident.

Automobile accidents can vary from very mild injury to deadly. The latest research suggests accidents as low as 3 mph can result in injury or whiplash. The whole body is susceptible to injury, but the spine is the most at risk. The neck is the most common area to damage in a car accident. The worst part is that the effects of the automobile accident may not show up for days, weeks or even months after the accident.

Broken bones, bruising or cuts do not have to be present for significant damage to have happened.

Most people make a trip the emergency room. This trip is usually long waits, lots of x-rays and painkillers, anti-inflammatories, and muscle relaxers. The pills help manage the symptoms, but nothing actually corrects the issues. In some instances, headaches form, you experience numbness and tingling.

We all pay car insurance.

The purpose of this is to insure that our medical care is cover in accidents. You are entitled to this care in order to return to your pre-accident status. If the proper steps are not taken in a timely fashion you to correct the damage you may miss out on having the responsible party pay for your care. If the damage from the accident goes untreated in could result in permanent injury. Most people who do not take care of the problem right away regret it. Do not become one of those people. If you or someone you know has recently been injury in a car accident call us today.

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Feng Wins King of the Mountains Jersey at Taiwan

2013-03-26T20:04:00.002-07:00

Champion System Pro Cycling Team's Chun Kai Feng took home top honors in the king of the mountains classification Sunday at the Tour de Taiwan after securing and protecting the jersey since Friday's Stage 5.

Champion System Assistant Director Chris Wherry said he was proud of the team's overall effort to preserve the jersey in a race that saw Zach Bell win Stage 4 and teammate Adiq Othman earn four top five finishes, including fifth on the final stage.

"I am very pleased for the team," Wherry said. "Especially for Zach's stage win and Kai's KOM jersey."

With no categorized climbs on the final stage, a 58-kilometer circuit race through Taipei City, as Feng needed only to finish the race to secure the jersey. When a breakaway failed to materialize, the intermediate sprints turned into field sprints. Othman took third in the first and was runner-up on the second.

Rain started to fall as the peloton hit the final lap, and what looked to be a perfect lead out by Champion System for Fabian Schnaidt was ruined in a crash with two corners to go.

"I'm very bummed at the lost opportunity," Schnaidt said. "I thought I was going to have a great finish."

Hayato Yoshida (Shimano Racing Team) took the win ahead of Benjamin Giraud (Team La Pomme Marsielle). Othman's fifth place added to his fourth on Stage 3, fifth on Stage 5 and third on Stage 6. He finished the race as Champion System's best-placed rider overall in 11th, 47 seconds behind winner Bernard Sulzberger (DRAPAC Cycling).

View original story here: http://www.teamchampionsystem.com/news_detail.php?id=175#.UVC4KBfqnbN

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

RecoveryDoc Athlete Tony Thompson Defeats David Price in Astonishing One-Punch Victory

2013-03-13T06:52:00.002-07:00

RecoveryDoc Athlete Tony Thompson Defeats David Price in Astonishing One-Punch Victory

Recently back from the World Heavyweight Championship, RecoveryDoc athlete, Tony Thompson defeats David Price in an astonishing one-punch victory.

Thompson won in an astonishing one-punch knockout to Price, who entered the rink unbeaten with 15 starts, with 13 stoppages.

Thompson, a RecoveryDoc athlete has worked with Dr. Rick Rosa for quite some time. In fact, Dr. Rosa has served as Thompson’s official team recovery specialist and cutman in the recent World Heavyweight boxing championship.

Dr. Rosa’s recovery approach is unique and comprehensive. He works with professional athletes— decreasing projected healing time by up to 50 percent.

After recovery, RecoveryDoc athletes undergo an ongoing preventative program to thwart further injuries. Dr. Rosa will make sure Thompson not only recovers, but he is able to perform better and train harder in preparation for the upcoming fight.

Dr. Rosa’s Six Pillars of Recovery encompass all aspects of recovery for injuries and training. The Six Pillars include; awareness of state, rest, play, nutrition, physical and psychological – ensuring professional athletes like Thompson, recovers faster and train harder. Under the RecoveryDoc treatment program, athletes receive a personalized, all encompassing treatment plan based on specific needs.

To learn more about Dr. Rosa and The Patented Six Pillars of Recovery treatment program visit RecoveryDoc.

P.S. You can check out the entire article about the fight on ESPN.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

The Most Aggressive Jersey Goes to RecoveryDoc Athlete Bobbie Traksel

2013-02-25T13:53:00.003-08:00

Bobbie Traksel of Team Champion Systems Pro Cycling has taken hold of the most aggressive jersey title in Oman.

This is a great success for Team Champion Systems which aims to hold onto the jersey, “we are all focused on helping Bobbie keep the combative jersey,” Friedemann said. We are certainly happy after this great victory which occurred following the training camp, where Dr. Rick Rosa worked with the team on their sports recovery, strength and endurance. “This is a great start for the season for me,” Traksel said. “These races were great preparation for me and I’m feeling very good about my new position on the Champion System team.” Dr. Rick Rosa works with a number of athletes in his sports recovery program, RecoveryDoc, these athletes include Team Jamis Sutterfield, Tony Thompson boxer, Keystone Boxing, Team Lloyd Irvin, high school, college leagues and more.

To achieve success, Dr. Rosa utilizes his signature Six Pillars of Recovery program for athletes which encompass all aspects of healing. The Six Pillars include:

Awareness of State
Rest
Play
Nutrition
Physical
Psychological

This comprehensive approach enables a more complete healing process that will prevent further injuries as well as speed up recovery between workouts. Athletes respond better when a coach is able to map out a specific workout. Similarly, doctors are able to map out and monitor specific plans that the athlete can follow. In addition, the athlete will become more aware of his/her recovery state and when he/she has fully recovered. The athlete can put that much more into his/her workouts which will ultimately improve the performance. Would you like to see Dr. Rosa in action with the team? Here is a video you’ll love taken in China, where he worked as the Champion Systems Recovery Specialist and Sports Chiropractor. Dr. Rosa treats Champion Systems Pro Cyclist Clinton Avery with the Graston Technique --> http://youtu.be/EIUSz7CvjWg .

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

The Benefit of Thoracic Spine Treatment for Mechanical Neck Pain

2013-01-27T19:49:00.000-08:00

Great study demonstrating the benefit of mid back or thoracic spine treatment for mechanical neck pain. Potentially an argument for having the entire spine treated even though only one area is affected. You don't go to the dentist to get one tooth cleaned, do you?

Examination of a Clinical Prediction Rule to Identify Patients With Neck Pain Likely to Benefit From Thoracic Spine Thrust Manipulation and a General Cervical Range of Motion Exercise: Multi-Center Randomized Clinical Trial

from Physical Therapy current issue by Cleland, J. A., Mintken, P. E., Carpenter, K., Fritz, J. M., Glynn, P., Whitman, J., Childs, J. D.

Background

A clinical prediction rule (CPR) purported to identify patients with neck pain who are likely to respond to thoracic spine thrust manipulation has recently been developed, but has yet to be validated.

Objective

The purpose of this study was to examine the validity of this CPR.

Design

This was a multi-center randomized clinical trial.

Methods

One hundred forty patients with a primary report of neck pain were randomly assigned to receive either 5 sessions of stretching and strengthening exercise (exercise-only group) or 2 sessions of thoracic spinemanipulation and cervical range of motion exercise followed by 3 sessions of stretching and strengthening exercise (manipulation + exercise group). Data on disability and pain were collected at baseline, 1 week, 4 weeks, and 6 months. The primary aim (treatment group x time x status on the prediction rule) was examined using a linear mixed model with repeated measures. Time, treatment group, and status on the rule, as well as all possible 2-way and 3-way interactions, were modeled as fixed effects, with disability (and pain) as the dependent variable. Effect sizes were calculated for both pain and disability at each follow-up period.

Results

There was no 3-way interaction for either disability or pain. A 2-way (group x time) interaction existed for both disability and pain. Pair-wise comparisons of disability demonstrated that significant differences existed at each follow-up period between the manipulation + exercise group and the exercise-only group. The patients who received manipulation exhibited lower pain scores at the 1-week follow-up period. The effect sizes were moderate for disability at each follow-up period and were moderate for pain at the 1-week follow-up.

Limitations

Different exercise approaches may have resulted in a different outcome.

Conclusions

The results of the current study did not support the validity of the previously developed CPR. However, the results demonstrated that patients with mechanical neck pain who received thoracic spine manipulation and exercise exhibited significantly greater improvements in disability at both the short- and long-term follow-up periods and in pain at the 1-week follow-up compared with patients who received exercise only.

Joshua M. Brooks, D.C.

............................................................

ABC Clinics

Rosa Family Chiropractic

2750 Prosperity Ave, Suite 550

Fairfax, VA 22031

703.876.5600

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www.RosaChiropracticFairfax.com

www.RecoveryDoc.net

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

The Benefits of Exercise with Traumatic Brain Injury

2013-01-20T19:47:00.000-08:00

Interesting study regarding the benefits of exercise with traumatic brain injury. Benefits of exercise should not be underestimated as it is key to a healthy lifestyle. Here at Rosa Family Chiropractic, we encourage all, yes all, of our patients to engage in some form of exercise.

Abstract: Wise EK, Hoffman JM, Powell JM, Bombardier CH, Bell KR. Benefits of exercise maintenance after traumatic brain injury. Objective: To examine the effect of exercise intervention on exercise maintenance, depression, quality of life, and mental health at 6 months for people with traumatic brain injury (TBI) with at least mild depression.

Design: Treatment group participants were assessed at baseline, after a 10-week exercise intervention, and 6 months after completion of the intervention. Setting: Community. Participants: Participants (N=40) with self-reported TBI from 6 months to 5 years prior to study enrollment and a score of 5 or greater on the Patient Health Questionnaire-9. Interventions: Ten-week exercise intervention program consisting of supervised weekly 60-minute sessions and unsupervised 30 minutes of aerobic exercises 4 times each week. Telephone follow-up was conducted every 2 weeks for an additional 6 months to promote exercise maintenance for individuals randomized to the intervention group.

Main Outcome Measure: Beck Depression Inventory (BDI) comparing participant outcomes over time. Post hoc analyses included comparison among those who exercised more or less than 90 minutes per week. Results: Participants reduced their scores on the BDI from baseline to 10 weeks and maintained improvement over time. Many participants (48%) demonstrated increased physical activity at 6 months compared with baseline. Those who exercised more than 90 minutes had lower scores on the BDI at the 10-week and 6-month assessments and reported higher perceived quality of life and mental health.

Conclusions: Exercise may contribute to improvement in mood and quality of life for people with TBI and should be considered as part of the approach to depression treatment.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Another Reason to Supplement Calcium

2013-01-13T19:39:00.000-08:00

Another reason to supplement calcium. In our office in Fairfax we offer one if the best supplemental farms of calcium with a very efficient absorption rate.

Check this link below:

http://www.rttnews.com/1954033/calcium-scan-best-heart-risk-diagnosis-tool-study.aspx?type=hnr&utm_source=google&utm_campaign=sitemap

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Meet the Official Team Chiropractors and Recovery Specialists of the Chesapeake Bowl '12

2013-01-10T05:48:00.000-08:00

Dr. John Rosa and Dr. Rick Rosa were the official team Chiropractors and Recovery Specialists for the recent 3rd Annual Chesapeake Bowl FootballGame. The game was held immediately after Christmas on Saturday, December 29^th. The Chesapeake Bowl brings together all of the Gateway Seniors, which are the top recruited high school athletes in the Northeast. The regions represented at this year’s Chesapeake Bowl included Washington D.C., Virginia, Maryland, New Jersey, Pennsylvania, Delaware and West Virginia. All student athlete participants are fall 2013, 2014 and 2015 prospects for collegiate league football.

In order to prepare for the game, the area’s leading high school athletes are trained by both collegiate and NFL level players at the Chesapeake Bowl Selection Camp. After camp, only the most selective athletes are invited to play in the bowl.

Peter Rosa, class of 2014 was one of those athletes. Peter who is also the son of Dr. John Rosa is featured here (below) along with his Father and Uncle Dr. Rick Rosa at the Chesapeake Bowl game, this past December. Peter is kicker at St. John’s College High School and is a highly sought out recruit for many of the country’s leading universities.

During the game both Dr. John and Dr. Rick Rosa ensure athletes maintain proper recovery, hydration and health.

But football is not the only sport where you will find the duo exhibiting sports recovery expertise, they have served as sports recovery specialist for a number of leagues including mixed martial arts, boxing, basketball, football, pro cycling and more. In fact, Dr. Rick Rosa travels the United States and the world to help athletes. Recently Dr. Rick Rosa served as the official cut-man, chiropractor and recovery specialist for the World Heavyweight Championship in Berne, Switzerland. Dr. Rick Rosa is also facilitating sports rehabilitation and recovery for the Pro Cycling team, Champion Systems, mid January 2013.

The doctors lead a 12 clinic chiropractic, physical therapy and sport rehabilitation medical group, which is comprised of 16 licensed Chiropractors with physical therapy privileges, serving the DC/MD/VA metropolitan area called Accessible Beltway Clinics. The Doctors of Chiropractic atAccessible Beltway Clinics are elite in their profession, and have been the exclusive and/or preferred chiropractors for professional and Olympic level athletes and athletic teams, including Team Colavita Cycling, Team Lloyd Irvin Mixed Martial Arts, Team Champion Systems Pro Cycling, the Washington Wizards and more.

To learn more about Accessible Beltway Clinics and RecoveryDoc, please visit:

www.abcclinics.com

www.recoverydoc.net

YouTube

Importance of Nutrition

2013-01-07T19:33:00.000-08:00

You cannot forget the importance of nutrition. at rosa family chiropractic we take a full recovery approach to injury rehabilitation including mental, physical, psychological, and of course nutrition.

The year was 1950, and The Magic 8-Ball had just arrived in stores. It looked like a toy, but it wasn't. It was a future-telling device, powered by the unknown superpowers that lived inside its cheap plastic shell. Despite a bit of an attitude—"Don't count on it," "My reply is no"—it was a huge success. Americans, apparently, want to see their futures.

A few decades later, Congress passed the Nutrition Labeling and Education Act that, among other things, turned the 45,000 food products in the average supermarket into fortune-telling devices. Americans inexplicably yawned. I'm trying to change that. Why? The nutrition label can predict the future size of your pants and health care bills.

Unfortunately, these labels aren't as clear and direct as the Magic 8-Ball. Consider the list of ingredients: The Food and Drug Administration has approved more than 3,000 additives, most of which you've never heard of. But the truth is, you don't have to know them all. You just need to be able to parse out the bad stuff. Do that and you'll have a pretty good idea how your future will shape up—whether you'll end up overweight and unhealthy or turn out to be fit, happy, and energized.

While researching the new Eat This, Not That! 2013: The No-Diet Weight Loss Solution, I identified 8 ingredients you never want to see on the nutrition label. Should you put down products that contain them? As the Magic 8-Ball would say: Signs point to yes.

BHA

This preservative is used to prevent rancidity in foods that contain oils. Unfortunately, BHA (butylated hydroxyanisole) has been shown to cause cancer in rats, mice, and hamsters. The reason the FDA hasn’t banned it is largely technical—the cancers all occurred in the rodents’ forestomachs, an organ that humans don’t have. Nevertheless, the study, published in theJapanese Journal of Cancer Research, concluded that BHA was “reasonably anticipated to be a carcinogen,” and as far as I’m concerned, that’s reason enough to eliminate it from your diet.

You’ll find it in: Fruity Pebbles, Cocoa Pebbles

Parabens

These synthetic preservatives are used to inhibit mold and yeast in food. The problem is parabens may also disrupt your body’s hormonal balance. A study in Food Chemical Toxicologyfound that daily ingestion decreased sperm and testosterone production in rats, and parabens have been found present in breast cancer tissues.

You’ll find it in: Baskin-Robbins sundaes

Partially Hydrogenated Oil

I’ve harped on this before, but it bears repeating: Don’t confuse “0 g trans fat” with being trans fat-free. The FDA allows products to claim zero grams of trans fat as long as they have less than half a gram per serving. That means they can have 0.49 grams per serving and still be labeled a no-trans-fat food. Considering that two grams is the absolute most you ought to consume in a day, those fractions can quickly add up. The telltale sign that your snack is soiled with the stuff? Look for partially hydrogenated oil on the ingredient statement. If it’s anywhere on there, then you’re ingesting artery-clogging trans fat.

You’ll find it in: Long John Silver’s Popcorn Shrimp, Celeste frozen pizzas

FIGHT FAT WITH FAT! Some fats, like trans fat, will pad you with extra pounds, but other types can help you shed unwanted weight. See for yourself—pick up these 5 Fatty Foods that Make You Skinny today!

Sodium Nitrite

Nitrites and nitrates are used to inhibit botulism-causing bacteria and to maintain processed meats’ pink hues, which is why the FDA allows their use. Unfortunately, once ingested, nitrite can fuse with amino acids (of which meat is a prime source) to form nitrosamines, powerful carcinogenic compounds. Ascorbic and erythorbic acids—essentially vitamin C—have been shown to decrease the risk, and most manufacturers now add one or both to their products, which has helped. Still, the best way to reduce risk is to limit your intake.

You’ll find it in: Oscar Mayer hot dogs, Hormel bacon

Caramel Coloring

This additive wouldn't be dangerous if you made it the old-fashioned way—with water and sugar, on top of a stove. But the food industry follows a different recipe: They treat sugar with ammonia, which can produce some nasty carcinogens. How carcinogenic are these compounds? A Center for Science in the Public Interest report asserted that the high levels of caramel color found in soda account for roughly 15,000 cancers in the U.S. annually. Another good reason to scrap soft drinks? They’re among The 20 Worst Drinks in America.

You’ll find it in: Coke/Diet Coke, Pepsi/Diet Pepsi

Castoreum

Castoreum is one of the many nebulous “natural ingredients” used to flavor food. Though it isn’t harmful, it is unsettling. Castoreum is a substance made from beavers’ castor sacs, or anal scent glands. These glands produce potent secretions that help the animals mark their territory in the wild. In the food industry, however, 1,000 pounds of the unsavory ingredient are used annually to imbue foods—usually vanilla or raspberry flavored—with a distinctive, musky flavor.

You’ll find it in: Potentially any food containing “natural ingredients”

Food Dyes

Plenty of fruit-flavored candies and sugary cereals don’t contain a single gram of produce, but instead rely on artificial dyes and flavorings to suggest a relationship with nature. Not only do these dyes allow manufacturers to mask the drab colors of heavily processed foods, but certain hues have been linked to more serious ailments. A Journal of Pediatrics study linked Yellow 5 to hyperactivity in children, Canadian researchers found Yellow 6 and Red 40 to be contaminated with known carcinogens, and Red 3 is known to cause tumors. The bottom line? Avoid artificial dyes as much as possible.

You’ll find it in: Lucky Charms, Skittles, Jell-O

THE DOMINO EFFECT: Sugar doesn’t just come in the form of cookies and candy. Discover the insidious ways it can creep into your diet with 9 Sneaky Sources of Sugar.

Hydrolyzed Vegetable Protein

Hydrolyzed vegetable protein, used as a flavor enhancer, is plant protein that has been chemically broken down into amino acids. One of these acids, glutamic acid, can release free glutamate. When this glutamate joins with free sodium in your body, they form monosodium glutamate (MSG), an additive known to cause adverse reactions—headaches, nausea, and weakness, among others—in sensitive individuals. When MSG is added to products directly, the FDA requires manufacturers to disclose its inclusion on the ingredient statement. But when it occurs as a byproduct of hydrolyzed protein, the FDA allows it to go unrecognized.

You’ll find it in: Knorr Noodle Sides, Funyuns

FIGHT FAT EVERY DAY: Knowledge is your best defense in the battle against flab. To keep up with the latest calorie-cutting research, sign up for the FREE Eat This, Not That newsletter! and be sure to follow me right here on Twitter.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

The Highly Sought After UFC Competition

2012-12-04T11:12:00.001-08:00

RecoveryDoc athlete Mike Easton and his contender Raphael Assuncao
The competition will be held, Saturday, December 8th. Dr. Rick Rosa of Accessible Beltway Clinics has worked with professional fighter Mike Easton over the years.

All of the details about the fight and the players can be viewed on the UFC's website ---> http://bit.ly/TFNym5.
Dr. Rosa, a revolutionary leader in the field of sports chiropractic therapy, has utilized his famed 6 Pillars of Recovery Program, with professional athlete Mike Easton over the years.

Watch Video of MMA Pro Mike Easton

Mike Easton lifts weight and talks about his recovery which was shortened by 50% of the estimated time after treatment by RecoveryDoc.

httpv://youtu.be/NpGWILn-80s

Dr. Rosa, a graduate of New York Chiropractic College, has devoted countless years to the study and integration of chiropractic medicine for recovery and sports. He consistently demonstrates his passion for the advancement of chiropractic medicine through continuous efforts in the education and training of both the chiropractic and athletic community on the essentials of chiropractic therapy and recovery.Video of MMA Pro Mike Easton as he lifts weight and talks about his recovery which was shortened by 50% of the estimated time after treatment by RecoveryDoc.

Dr. Rosa, the founder of RecoveryDoc, works with professional athletes— enabling them to train harder and recovery faster. He ensures athletes not only recover, but are able to perform better and train harder in preparation for the field.

RecoveryDoc’s Six Pillars of Recovery cover all aspects of recovery for injuries and training. The Six Pillars include; awareness of state, rest, play, nutrition, physical and psychological – ensuring professional athletes, recover faster and train harder.

The role of sports chiropractic care has greatly evolved over the past 20 years and Dr. Rosa plays an active role in the continual advancement.

Watch RecoveryDoc Athlete Mike Easton, Saturday, December 8th on Fox!

This is an event you don’t want to miss!

--> http://www.ufc.com/event/FOX5#/fight/Raphael-Assuncao-Mike-Easton

Stress Reactions is Tricky in Terms of Healing

2012-10-22T12:29:00.000-07:00

After an Injury the Most Important Thing to Do is to Rest

The latest on John Wall and his injury. Stress reactions can be tricky in terms of healing. The most important part is rest and treatment and allow it to heal. If the reaction isn't fully healed and the athlete is rushed back to playing, it could lead to a chronic injury. The Wizards staff is handling it appropriately and looks to be he will be healthy and on time in terms of return to the court.

Rehabilitation is the Key to Getting Well After a Sports Injury

The Wizards’ enthusiasm for the upcoming season experienced a major setback on Friday when the team announced that point guard John Wall would miss about eight weeks after being diagnosed with the early stages of a non-traumatic stress injury in his knee. Surgery isn’t required, according to a statement released by the team, but Wall will have to begin rehabilitation immediately.

After experiencing discomfort in his left knee, which Coach Randy Wittman initially thought was bursitis, Wall visited orthopedic specialist David Altchek in New York on Thursday and underwent an MRI that revealed the early stages of an injury that could eventually lead to a fractured patella.

“My teammates and I are all excited to build on the improvement we made at the end of last season, and I know they will continue to make great progress while I get through this setback,” Wall said in a statement. “I will work extremely hard to make sure I get back as soon as possible so I can re-join them and help our team continue to improve.”

Training camp is set to begin on Tuesday at George Mason but the Wizards will also be without Nene as he recovers from plantar fasciitis in his left foot for the start of two-a-day practices. Wall’s injury leaves the Wizards with A.J. Price and Shelvin Mack as the only other point guards on the roster. The Wizards will open the season on Oct. 30 in Cleveland, but Wall isn’t expected to return until close to December.

“We’re all disappointed for John after how hard he worked this summer and how excited he was to begin training camp, but we feel fortunate that we caught the injury early and that he will be able to return with the vast majority of the season still in front of us,” team President Ernie Grunfeld said in a statement. “In the meantime, we’re confident that the versatility and depth of our team will help us move forward and continue the positive momentum that we’ve seen over the past several months.”

Wall played all 66 games during the lockout-shortened campaign last season, but he missed 13 games as a rookie, dealing with problems in his left foot and a bone bruise under his right knee cap. He would miss about 14 games by sitting the first month of the regular season.

The doctor visit also kept Wall from attending a dinner in Washington on Thursday for the inaugural Nell and John Wooden Coach of the Year Leadership Award. John Calipari, Wall’s former coach at Kentucky, received the honor. Wall also had a community relations event at Simon Elementary in Southeast pushed back another day until Friday, when he led a program on being active with young kids.

Wall did not participate in the activities, watching closely as kids chased each other around in flags and did jump jacks. When asked why he wasn’t running around with the kids in the field, Wall explained, “Because it’s slippery, because I don’t want to fall out here.”

A few hours later, it was revealed that his concern was rooted in something more serious.
Wall has averaged 16.3 points, 8.2 assists and 4.6 rebounds since the Wizards selected him No. 1 overall in 2010. Before news of his injury was revealed on Friday, Wall discussed the work he put in this offseason, working with famed trainer Rob McClanaghan, and explained how he wants to make the playoffs this season.

“I think the pieces we have is great, but I think for us to take that next step, it’s going to be keyed on me,” Wall said. “Your third year is a key year. It makes or breaks you, what you’re going to be in the this league. This is a big year for me.”

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Five are Dead From Receiving a Stick Meningitis

2012-10-22T10:42:00.000-07:00

5 Dead Almost 50 Sick with Meningitis by Receiving a Bad Dosage of Epidural for Treatment of Lower Back Pain

An unfortunate incident that still has to be played out. This should serve as a reminder that though these medicines can be effective, they can be also dangerous. Some of the best physicians will always say to try rehab, chiropractic and therapy first before exercising the option of drugs, injections and surgery.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

New Test For Autism in Babies

2012-09-17T10:01:00.001-07:00

Interesting read regarding a new test for autism. From an office that preaches nutrition, especially for pregnant mom's and babies, this is an interesting study that could help with early detection and possibly even prevention.

Washington, September 13 (ANI): Australian researchers have come out with a genetic test that can predict the risk of developing Autism Spectrum Disorder, ASD.

Lead researcher Professor Stan Skafidas, Director of the Centre for Neural Engineering at the University of Melbourne said the test could be used to assess the risk for developing the disorder.

"This test could assist in the early detection of the condition in babies and children and help in the early management of those who become diagnosed," he said.

"It would be particularly relevant for families who have a history of Autism or related conditions such as Asperger's Syndrome," he noted.

Autism affects around one in 150 births and is characterized by abnormal social interaction, impaired communication and repetitive behaviors.

The test correctly predicted ASD with more than 70 per cent accuracy in people of central European descent. Ongoing validation tests are continuing including the development of accurate testing for other ethnic groups.

Clinical neuropsychologist, Dr Renee Testa from the University of Melbourne and Monash University, said the test would allow clinicians to provide early interventions that may reduce behavioural and cognitive difficulties that children and adults with ASD experience.

"Early identification of risk means we can provide interventions to improve overall functioning for those affected, including families," she said.

A genetic cause has been long sought with many genes implicated in the condition, but no single gene has been adequate for determining risk.

Using US data from 3,346 individuals with ASD and 4,165 of their relatives from Autism Genetic Resource Exchange (AGRE) and Simons Foundation Autism Research Initiative (SFARI), the researchers identified 237 genetic markers (SNPs) in 146 genes and related cellular pathways that either contribute to or protect an individual from developing ASD.

Senior author Professor Christos Pantelis of the Melbourne Neuropsychiatry Centre at the University of Melbourne and Melbourne Health said the discovery of the combination of contributing and protective gene markers and their interaction had helped to develop a very promising predictive ASD test.

The test is based on measuring both genetic markers of risk and protection for ASD. The risk markers increase the score on the genetic test, while the protective markers decrease the score. The higher the overall score, the higher the individual risk.

"This has been a multidisciplinary team effort with expertise across fields providing new ways of investigating this complex condition," Professor Pantelis said.

The study was undertaken in collaboration with Professor Ian Everall, Cato Chair in Psychiatry and Dr Gursharan Chana from the University of Melbourne and Melbourne Health, and Dr Daniela Zantomio from Austin Health.

The next step is to further assess the accuracy of the test by monitoring children who are not yet diagnosed over an extended study. (ANI)

Multiple Factors of Low Back Pain

2012-09-06T10:03:00.000-07:00

Interesting read regarding sex, age, race, and multiple factors in lower back pain. Chiropractic is specializes in lower back pain amongst many other health related issues. Our office see's infants to elderly and everything in between for all muscle, joint, nerve related issues.

Prognostic Factors for Recovery in Chronic Nonspecific Low Back Pain: A Systematic Review

1. Karin Verkerk,

2. Pim A.J. Luijsterburg,

3. Harard S. Miedema,

4. Annelies Pool-Goudzwaard and

5. Bart W. Koes

+Author Affiliations

1. K. Verkerk, PT, MSc, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands; Spine & Joint Centre, Rotterdam, the Netherlands; Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands. Mailing address: Museumpark 40, 3015 CX Rotterdam, the Netherlands.

2. P.A.J. Luijsterburg, PhD, Department of General Practice, Erasmus MC, University Medical Center.

3. H.S. Miedema, MD, Rotterdam University of Applied Sciences.

4. A. Pool-Goudzwaard, PhD, Department of Neuroscience, Erasmus MC, University Medical Center, Rotterdam.

5. B.W. Koes, PhD, Department of General Practice, Erasmus MC, University Medical Center.

1. Address all correspondence to Ms Verkerk at: k.verkerk@hr.nl.

Abstract

Background Few data are available on predictors for a favorable outcome in patients with chronic nonspecific low back pain (CNLBP).

Purpose The aim of this study was to assess prognostic factors for pain intensity, disability, return to work, quality of life, and global perceived effect in patients with CNLBP at short-term (≤6 months) and long-term (>6 months) follow-up.

Data Sources Relevant studies evaluating the prognosis of CNLBP were searched in PubMed, CINAHL, and EMBASE (through March 2010).

Study Selection Articles with all types of study designs were included. Inclusion criteria were: participants were patients with CNLBP (≥12 weeks' duration), participants were older than 18 years of age, and the study was related to prognostic factors for recovery. Fourteen studies met the inclusion criteria.

Data Extraction Two reviewers extracted the data and details of each study.

Data Synthesis A qualitative analysis using “level of evidence” was performed for all included studies. Data were summarized in tables and critically appraised.

Limitations The results of the studies reviewed were limited by their methodological weaknesses.

Conclusions At short-term follow-up, no association was found for the factors of age and sex with the outcomes of pain intensity and disability. At long-term follow-up, smoking had the same result. At long-term follow-up, pain intensity and fear of movement had no association with disability. At short-term follow-up, conflicting evidence was found for the association between the outcomes pain intensity and disability and the factor of fear of movement. At long-term follow-up, conflicting evidence was found for the factors of age, sex, and physical job demands. At long-term follow-up, conflicting evidence also was found for the association between return to work and age, sex, and activities of daily living. At baseline, there was limited evidence of a positive influence of lower pain intensity and physical job demands on return to work. No high-quality studies were found for the outcomes of quality of life and global perceived effect.

Chiropractic Help for Football Injuries

2012-08-24T11:10:00.002-07:00

Football Season is here, and so are their injuries! A great study to read regarding management of football injuries. A sport that results in common musculoskeletal injuries managed efficiently by chiropractic

Spine and Axial Skeleton Injuries in the National Football League

from The American Journal of Sports Medicine current issue by Mall, N. A., Buchowski, J., Zebala, L., Wright, R. W., Matava, M. J.

Background:

The majority of previous literature focusing on spinal injuries in American football players is centered around catastrophic injuries; however, this may underestimate the true number of these injuries in this athletic cohort.

Purpose:

The goals of this study were to (1) report the incidence of spinal and axial skeleton injuries, both minor and severe, in the National Football League (NFL) over an 11-year period; (2) determine the incidence of spinal injury by injury type, anatomic location, player position, mechanism of injury, and type of exposure (practice vs game); and (3) determine the average number of practices and days missed because of injury for each injury type.

Study Design:

Descriptive epidemiological study.

Methods:

All documented injuries to the cervical, thoracic, and lumbar spine; pelvis; ribs; and spinal cord were retrospectively analyzed using the NFL’s injury surveillance database over a period of 11 seasons from 2000 through 2010. The data were analyzed by the number of injuries per athlete-exposure, the anatomic location and type of injury, player position, mechanism of injury, and number of days missed per injury.

Results:

A total of 2208 injuries occurred to the spine or axial skeleton over an 11-season interval in the NFL, with a mean loss of 25.7 days per injury. This represented 7% of the total injuries during this time period. Of these 2208 injuries, 987 (44.7%) occurred in the cervical spine. Time missed from play was greatest for thoracic disc herniations (189 days/injury). Other injuries that had a mean time missed greater than 30 days included (in descending order) cervical fracture (120 days/injury), cervical disc degeneration/herniation (85 days/injury), spinal cord injury (77 days/injury), lumbar disc degeneration/herniation (52 days/injury), thoracic fracture (34 days/injury), and thoracic nerve injury (30 days/injury). Offensive linemen were the most likely to suffer a spinal injury, followed by defensive backs, defensive linemen, and linebackers. Blocking and tackling were the 2 most frequent injury mechanisms reported.

Conclusion:

Spinal and axial skeleton injuries occur frequently in the NFL and can result in significant time missed from practices and games. Tackling and blocking result in the greatest number of injuries, and players performing these activities are the most likely to sustain a spinal injury. The results of this study may be used as an impetus to formulate strategies to prevent spinal injuries in American football players.

Joshua M. Brooks, D.C.

For more information and articles on chiropractic care, health tips and wellness please visit our website at www.rosachiropracticfairfax.com.

Dr. Joshua Brooks is a graduate of New York Chiropractic College, where he was an honors student throughout his career and the recipient of the Distinguished Service and Alumni Service awards. He also holds a Bachelors of Science degree in Health and Exercise Science from Syracuse University with a concentration in Pre-Medicine and Nutrition. While at Syracuse, Dr. Brooks was a non-scholarship athlete on the basketball team for three years, including the 2003 National Championship season. He is currently a member of the American Chiropractic Association Sports Council and manages a First Aid/CPR/AED Training Center through the American Safety and Health Institute. Dr. Brooks is experienced in treating a variety of neuromusculoskeletal conditions, with a particular interest in sports related injuries.

Rosa Family Chiropractic maintains an active presence on many popular search and social media websites. Select your favorite website below to stay connected or review us.

Background Patellar Taping

2012-08-17T08:12:00.000-07:00

Background Patellar taping is a common treatment modality for physical therapists managing patellofemoral pain. However, the mechanisms of action remain unclear, with much debate as to whether its efficacy is due to a change in patellar alignment or an alteration in sensory input.

Article Regarding Additional Benefits of Patellar Taping

Great article regarding additional benefits of tape. Worn currently by Olympic Athletes, we provide kinesiotaping here in our fairfax office for a variety of neuromusculoskeletal conditions.

Objective the purpose of this study was to investigate the sensory input hypothesis using functional magnetic resonance imaging when taping was applied to the knee joint during a proprioception task.

Design this was an observational study with patellar taping intervention.

Methods Eight male volunteers who were healthy and right-leg dominant participated in a motor block design study. Each participant performed 2 right knee extension repetitive movement tasks: one simple and one proprioceptive. These tasks were performed with and without patellar taping and were auditorally paced for 400 seconds at 72 beats/min (1.2 Hz).

Results from the Study of Patellar Taping

Results The proprioception task without patellar taping caused a positive blood oxygenation level–dependant (BOLD) response bilaterally in the medial supplementary motor area, the cingulate motor area, the basal ganglion, and the thalamus and medial primary sensory motor cortex. For the proprioception task with patellar taping, there was a decreased BOLD response in these regions. In the lateral primary sensory cortex, there was a negative BOLD response with less activity for the proprioception task with taping.

Limitations This study may have been limited by the small sample size, a possible learning effect due to a nonrandom order of tasks, and use of a single-joint knee extension task.

Conclusions This study demonstrated that patellar taping modulates brain activity in several areas of the brain during a proprioception knee movement task.

For more information and articles on chiropractic care, health tips and wellness please visit our website at www.rosachiropracticfairfax.com.

Kinesio Taping at Rosa Chiropractic Fairfax Treats a Variety of Neuromusculoskeletal Conditions!

2012-08-06T10:43:00.002-07:00

There are Many Benefits of Kinesio Taping

Great article regarding additional benefits of tape. Worn currently by Olympic Athletes, we provide kinesio taping here in our Fairfax office for a variety of neuromusculoskeletal conditions.

Study Shows Kinesio Taping Helps in Pain Managment

Background Patellar taping is a common treatment modality for physical therapists managing patellofemoral pain. However, the mechanisms of action remain unclear, with much debate as to whether its efficacy is due to a change in patellar alignment or an alteration in sensory input.

Objective The purpose of this study was to investigate the sensory input hypothesis using functional magnetic resonance imaging when taping was applied to the knee joint during a proprioception task.

Design This was an observational study with patellar taping intervention.

Methods Eight male volunteers who were healthy and right-leg dominant participated in a motor block design study. Each participant performed 2 right knee extension repetitive movement tasks: one simple and one proprioceptive. These tasks were performed with and without patellar taping and were auditorally paced for 400 seconds at 72 beats/min (1.2 Hz).

Results The proprioception task without patellar taping caused a positive blood oxygenation level–dependant (BOLD) response bilaterally in the medial supplementary motor area, the cingulate motor area, the basal ganglion, and the thalamus and medial primary sensory motor cortex. For the proprioception task with patellar taping, there was a decreased BOLD response in these regions. In the lateral primary sensory cortex, there was a negative BOLD response with less activity for the proprioception task with taping.

Limitations This study may have been limited by the small sample size, a possible learning effect due to a nonrandom order of tasks, and use of a single-joint knee extension task.

Conclusions This study demonstrated that patellar taping modulates brain activity in several areas of the brain during a proprioception knee movement task.

For more information and articles on health tips and wellness please visit our website at www.rosachiropracticfairfax.com.

Chiropractic Care for World-Class Athletes!

2012-07-30T10:43:00.002-07:00

In honor of the Opening Ceremonies for the 2012 London Olympic Games, check out this picture of the world's fastest man, Usain Bolt, getting chiropractic treatment. Chiropractic is an integral part of what makes these world-class athletes excel.

For more information on chiropractic care, please visit the Rosa Chiropractic of Fairfax website and "Like" us on Facebook.

No Slouching! New Video Games Designed for Increased Postural Stability, Core Strength and Balance

2012-07-06T11:36:00.001-07:00

New Video Games Designed with Postural Health in Mind

Interesting read regarding video games and exercise programs. With today's video game technology, many of the balance boards can be used for increased postural stability, core strength, and balance. The main thing is keeping the patient engaged and entertained. We at Rosa Family Chiropractic in Fairfax do plenty of balance training for injury recovery as well as decreasing the risk of falls for the elderly.

Abstract: Pluchino A, Lee SY, Asfour S, Roos BA, Signorile JF. Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs. Objective: To compare the impacts of Tai Chi, a standard balance exercise program, and a video game balance board program on postural control and perceived falls risk. Design: Randomized controlled trial.

Setting: Research laboratory. Participants: Independent seniors (N=40; 72.5±8.40) began the training, 27 completed. Interventions: Tai Chi, a standard balance exercise program, and a video game balance board program. Main Outcome Measures: The following were used as measures: Timed Up & Go, One-Leg Stance, functional reach, Tinetti Performance Oriented Mobility Assessment, force plate center of pressure (COP) and time to boundary, dynamic posturography (DP), Falls Risk for Older People–Community Setting, and Falls Efficacy Scale.

Results: No significant differences were seen between groups for any outcome measures at baseline, nor were significant time or group × time differences for any field test or questionnaire. No group × time differences were seen for any COP measures; however, significant time differences were seen for total COP, 3 of 4 anterior/posterior displacement and both velocity, and 1 displacement and 1 velocity medial/lateral measure across time for the entire sample. For DP, significant improvements in the overall score (dynamic movement analysis score), and in 2 of the 3 linear and angular measures were seen for the sample.

Conclusions: The video game balance board program, which can be performed at home, was as effective as Tai Chi and the standard balance exercise program in improving postural control and balance dictated by the force plate postural sway and DP measures. This finding may have implications for exercise adherence because the at-home nature of the intervention eliminates many obstacles to exercise training.

For more information and articles on health tips and wellness, please visit our website www.rosachiropracticfairfax.com.

Joshua M. Brooks, D.C.

............................................................

ABC Clinics

Rosa Family Chiropractic

2750 Prosperity Ave, Suite 550

Fairfax, VA 22031

703.876.5600

Rotator Cuff Tendon Healing

2012-06-27T08:03:00.005-07:00

Platelet Rich Fibrin Matrix used for Rotator Cuff Tendon Healing

Another interesting article regarding the use of PRFM (platelet Rich Fibrin Matrix) on rotator cuff tendon healing. This study shows that there is no effect, and possibly a negative effect, on the rate of recovery post surgery. Something to consider for those considering surgery of the rotator cuff. At our chiropractic office in Fairfax, we employ multiple techniques of Pre-reb, or rehab before the surgery, designed to reduce recovery time after the surgery is performed.

The Effect of Platelet-Rich Fibrin Matrix on Rotator Cuff Tendon Healing: A Prospective, Randomized Clinical Study

by Rodeo, S. A., Delos, D., Williams, R. J., Adler, R. S., Pearle, A., Warren, R. F.

Background: There is a strong need for methods to improve the biological potential of rotator cuff tendon healing. Platelet-rich fibrin matrix (PRFM) allows delivery of autologous cytokines to healing tissue, and limited evidence suggests a positive effect of platelet-rich plasma on tendon biology.

Purpose: To evaluate the effect of platelet-rich fibrin matrix on rotator cuff tendon healing.

Study Design: Randomized controlled trial; Level of evidence, 2.

Methods: Seventy-nine patients undergoing arthroscopic rotator cuff tendon repair were randomized intraoperatively to either receive PRFM at the tendon-bone interface (n = 40) or standard repair with no PRFM (n = 39). Standardized repair techniques were used for all patients. The postoperative rehabilitation protocol was the same in both groups. The primary outcome was tendon healing evaluated by ultrasound (intact vs defect at repair site) at 6 and 12 weeks. Power Doppler ultrasound was also used to evaluate vascularity in the peribursal, peritendinous, and musculotendinous and insertion site areas of the tendon and bone anchor site. Secondary outcomes included standardized shoulder outcome scales (American Shoulder and Elbow Surgeons [ASES] and L’Insalata) and strength measurements using a handheld dynamometer. Patients and the evaluator were blinded to treatment group. All patients were evaluated at minimum 1-year follow-up. A logistic regression model was used to predict outcome (healed vs defect) based on tear severity, repair type, treatment type (PRFM or control), and platelet count.

Results: Overall, there were no differences in tendon-to-bone healing between the PRFM and control groups. Complete tendon-to-bone healing (intact repair) was found in 24 of 36 (67%) in the PRFM group and 25 of 31 (81%) in the control group (P = .20). There were no significant differences in healing by ultrasound between 6 and 12 weeks. There were gradual increases in ASES and L’Insalata scores over time in both groups, but there were no differences in scores between the groups. We also found no difference in vascularity in the peribursal, peritendinous, and musculotendinous areas of the tendon between groups. There were no differences in strength between groups. Platelet count had no effect on healing. Logistic regression analysis demonstrated that PRFM was a significant predictor (P = .037) for a tendon defect at 12 weeks, with an odds ratio of 5.8.

Conclusion: Platelet-rich fibrin matrix applied to the tendon-bone interface at the time of rotator cuff repair had no demonstrable effect on tendon healing, tendon vascularity, manual muscle strength, or clinical rating scales. In fact, the regression analysis suggests that PRFM may have a negative effect on healing. Further study is required to evaluate the role of PRFM in rotator cuff repair.

Joshua M. Brooks, D.C.

............................................................

ABC Clinics

Rosa Family Chiropractic

2750 Prosperity Ave, Suite 550

Fairfax, VA 22031

703.876.5600

............................................................

www.RosaChiropracticFairfax.com

www.RecoveryDoc.net

Suffering from Plantar Fasciitis? Chiropractic Care Can Help!

2012-06-21T11:59:00.003-07:00

Chiropractic for Plantar Fasciitis

Do you have pain in the bottom of your foot when you take your first step out of bed in the morning? If so, you could be suffering from a very common condition called plantar fasciitis.

This is caused by repetitive stress causing strain, weakness, swelling, and irritation to the plantar fascia at bottom of the foot. It is very important to seek treatment for this condition as soon as one starts to feel any pain or discomfort. Plantar fasciitis has a tendency to become a chronic injury when it goes untreated.

Chiropractic Muscle Simulation can be used to Treat Plantar Fasciitis

As a chiropractor, there are many modalities that I can utilize to heal plantar fasciitis. Muscle stimulation, therapeutic ultrasound, Graston, soft tissue massage, and ice massage are very helpful when treating this condition. Custom orthotics can also be made to support the arch and proper biomechanical motion. Implementing regular stretching and icing at home is also crucial to the patient’s recovery.

Your Daily Metro Trip Can Cause Plantar Fasciitis

In Alexandria and the Washington, D.C. / Northern Virginia region many people use public transportation. Walking to and from the metro or up and the down stairs multiple times per day can potentially do some serious damage on one’s feet. Whether it’s plantar fasciitis, or any other musculoskeletal foot condition, your chiropractor at Rosa Family Chiropractic of Alexandria is here to help.

Dr. Nick Andolina

Chiropractor, Physiotherapist

Alexandria, VA

Suffering Pain? Study Reveals Physical Therapy is Your Best Pain Relief Option

2012-06-21T11:37:00.002-07:00

A Recent Study Suggests Physical Therapy Better than Injections
A recent study highlights the ineffectiveness of injections when used for adhesive capsulitis (frozen shoulder). In our clinic in Fairfax, we certainly do not discourage the use of injections as we work with many different orthopedists in the area. There certainly is a benefit for the procedure as it has helped with many of our patients suffering from frozen shoulder. However, we typically recommend a course of rehab in our office first, prior to any invasive procedure. Many times we can achieve your goals without injections, and should the procedure be necessary, we would co-treat and combine both rehab and medicine together. See the study below...

Abstract

Hsieh L-F, Hsu W-C, Lin Y-J, Chang H-L, Chen C-C, Huang V. Addition of intra-articular hyaluronate injection to physical therapy program produces no extra benefits in patients with adhesive capsulitis of the shoulder: a randomized controlled trial.

Objective

To compare the efficacy of intra-articular hyaluronic acid (HA) injections plus physical therapy (PT) with that of PT alone for the treatment of adhesive capsulitis (AC) of the shoulder.

Design

Prospective, randomized controlled trial.

Setting

Rehabilitation and orthopedics department of a private teaching hospital.

Participants

Patients (N=70) with AC of the shoulder were randomly placed into either of the following treatment groups: group 1, HA injections with PT (HAPT group); or group 2, PT alone (PT group).

Interventions

The patients in group 1 received intra-articular glenohumeral joint injections of HA, 20mg, once per week for 3 consecutive weeks and also participated in a PT program for 3 months. The patients in group 2 received PT alone.

Main Outcome Measures

Active and passive range of motion (ROM) of the affected shoulder, pain, disability, and quality of life.

Results

Both groups experienced improvements in terms of pain, disability, and quality of life after the treatments; furthermore, the active and passive ROM improved linearly with increasing treatment duration. When the groups were compared, no significant group effect was found for any of the outcome measurements.

Conclusions

Intra-articular HA injections did not produce added benefits for patients with AC of the shoulder who were already receiving PT. Thus, the use of intra-articular HA injections for patients with AC of the shoulder should be carefully assessed to reduce unnecessary medical expenditures.