Chiropractic Care

Chiropractic

Chiropractic care focuses on the alignment, mobility, and function of the musculoskeletal system. Misalignments of the joints in the spine can also cause dysfunction of the nervous system by putting direct or indirect pressure on the actual nerves. Slight misalignments of the spine can be caused by previous accidents, injuries, or posture imbalances. Chiropractic adjustments aim to correct these misalignments and restore proper function of the body.

Spinal manipulations/ mobilizations are used to increase motion to the joints and decrease pain. A manipulation is normally but not always applied to the spine. It utilizes a quick but gentle maneuver to enable movement in joints with decreased range of motion, thereby decreasing pain.

Kinesio Taping Method

Kinesio® Taping Method involves utilizing a special elastic-like tape over and around muscles and/or joints in order to assist and give support to affected tissues as well as to prevent over-contraction. Basically, there are times when the muscles are in spasm (too tight) or too weak and applying the tape to these areas can make patients feel immediately better. It can also be applied to support a joint, tendon, or ligament. In this way rehabilitative Kinesio Tape reduces pain, swelling, and inflammation.

While most people think of tape as a restrictor of motion, this type is designed to support and facilitate normal motion. With this method the patient can still be a full participant in the activities which he or she desires, just with a bit of aid.

Myofascial Release

Myofascial Release is a whole body, hands on approach to treatment, producing a profound healing effect upon the body tissues, eliminating pain and restoring motion.
There are two types of myofascial release: direct and indirect.

• Direct myofascial release (or deep tissue work) method works on the restricted fascia (it is the bag that surrounds each of our muscles). Practitioners use knuckles, elbows, or other instruments (like Graston Technique) to slowly stretch the tight fascia by applying a moderate force. Direct myofascial release looks to stretch, lengthen, or mobilize adhesive tissues. The practitioner moves slowly through the layers of the fascia until the deep tissues are reached.

• The indirect method involves a gentle stretch, with only minimal pressure, which allows the fascia to “unwind” itself. The gentle traction applied to the restricted fascia will result in heat and increased blood flow in the area. This allows the body’s inherent ability for self correction to return, thus eliminating pain and restoring the optimum performance.

Electric Stimulation

We use many different types of electrical muscle stimulation that are designed to increase circulation and decrease muscle spasm. This stimulation relaxes the patient and allows healing to occur more rapidly.

Ultrasound

Ultrasound is a deep heat that does not redden the tissue like hot backs. The ultrasound waves create a deep heat within the tissue by using high frequency sound waves that vibrate rapidly. These sound waves alleviate muscle spasm and relax the muscles.

Cryotherapy

We at Capital Sports Injury Center uses a couple of types of cryotherapy including cold packs and Biofreeze®, a topical pain reliever. Both of these modalities help to decrease pain, inflammation, and enhance the effects of the treatment. They are also key components of our home exercise programs.

Cervical Traction

Why do I recommend the Cervico 2000 spine traction unit? RESULTS – I know it works!

Take a look at this MRI of my cervical spine taken in the spring of 2010:

cervical MRI

Unfortunately for me, this MRI shows several disc herniations and disc bulges, spinal stenosis, and foraminal stenosis. In other words, my neck is a mess! Most spinal surgeons would recommend surgery upon seeing this MRI. As a chiropractor I knew that spinal adjustments to my neck would not be safe. No way would I have surgery. So I looked for a non-invasive treatment and I was fortunate to find the Cervico 2000 by Meditrac.

Here is my personal story….In March 2010, I was carrying my son (almost 3 years old and 40 lbs) on my shoulders when I noticed left arm pain and paresthesias. These symptoms worsened over the next 10 days. I went to Next Generation MRI and my MRI showed disc bulges at C2 – C7, a disc herniation at C6-7, foraminal stenosis and canal stenosis. I have been a competitive powerlifter all my adult life and never once had any neck symptoms!

I purchased the Cervico 2000 the next day. I began using it daily for 10 minutes and gradually increased to 20 minutes over the next two weeks. At the end of the two weeks, MY PAIN WAS GONE! Was I happy…..you bet!

Results That Count

Cervical spine traction is a successful component of conservative pain management for patients exhibiting soft tissue disorders. The major goals of spinal traction include: pain relief, decreased pressure on cervical nerve roots, improved soft tissue extensibility (as indicated in pain-free range of motion), and reduction in painful, protective muscle activity.

With other cervical traction devices, patients often fail to comply with home traction regimens, or they find their self-treatment efforts to be counterproductive or uncomfortable. However, the Cervico 2000 is very user-friendly and enables patients to successfully manage their chronic condition from anywhere and at anytime, including at work, during leisure activities, and even on the go.

Indications for use of the Cervico 2000:

• Neck pain as a result of discogenic disorders, osteoarthritis, or degenerative changes in the cervical spine.
• Whiplash injuries, usually as a result of a traffic accident (injuries which do not involve breakage or dislocation of the bones).
• Torticollis as a result of rheumatic or muscular pain or spastic corticollis with a neurological basis.
• Job-related neck pain (i.e. clerks, secretaries), prolonged computer use, sewing, etc.
• Sports injuries (without breakage or dislocation).

Lumbar Spinal Decompression

FOR THE FIRST TIME, AMBULATORY SPINAL DECOMPRESSION IS AVAILABLE IN THE MARYLAND, VIRGINIA, AND DISTRICT OF COLUMBIA AREA!

Developed to aid the sufferers of herniated discs and low back and sciatic pain (LBP), the Vertetrac is a patented, state-of-the-art ambulatory traction system for the treatment of lumbar spine injuries and disorders. Chiropractor Dr. Casha Smith now provides an ambulatory treatment method to patients as an alternative to surgery, body braces, or traction bed treatments.

Are treatments with the Vertetrac a better option than surgery?

In most cases, using the Vertetrac is better than surgery. This is due to the fact that surgery physically alters the spine by removing all or part of the problematic disc. Although this can reduce the pressure on the nerve, and relieve the back pain, the surgery tends to place more stress on the healthy discs above and below

As with any operation, there are risks involved with spine surgery and complications can be severe. Possible complications include injury to your spinal cord, nerves, esophagus, carotid artery or vocal cords; non-healing of the bony fusion; failure to improve; instrumentation breakage and/or failure; infection; bone graft site pain.

Other complications may include phlebitis in your legs, blood clots in the lungs or urinary problems.

Surgery to relieve chronic lower back pain is usually no better than intensive rehabilitation and nearly twice as expensive.

At Capital Sports Injury Center, we do not ignore the fact that there are a small percentage of cases that indeed require surgery or medication. Indeed, in certain cases, surgery can significantly help back pain sufferers. But surgery should always be a last resort, offered when conservative treatments have failed.

We recommend that you exhaust all other avenues before surgery, Try our non-surgical innovative devices!

Custom Orthotics

Answering the following questions can help determine if you need orthotics?

• Do you have foot problems like bunions, corns, flat feet, hammer toes, painful feet, achilles tendonitis, shin splints, knee pain, hip pain, or back pain?
• Have you had any prior injuries (sprains, fractures) or surgeries to your feet?
• Do you stand or walk on a hard surface more than 4-6 hours per day?
• Do your shoes wear unevenly?
• Do you walk in a “toe-out” manner?
• Do you have bowed legs or knock knees?
• Do you have one leg shorter than the other?
• Do you run and/or play sports regularly?

Wear Patterns

• Take a look at the heels of a pair of shoes. Is the wear pattern even? Is one heel more worn than the other?
• Take a look at the forefoot portion of the sole of the shoe. Is the wear pattern even? Is the upper portion of the forefoot worn more on either the big toe side or the little toe side?
• Is the toe box excessively worn out or worn unevenly?
• Is the heel area excessively worn out or worn unevenly?

Observe your shoes for uneven wear patterns, which may indicate improper gait or other biomechanical problems. Is the wear pattern even between shoes? Major causes of asymmetrical wear are limb-length discrepancies and excessive pronation. The wrong shoe type can cause abnormal wear patterns. Look at different types of shoes you wear. If the abnormal wear pattern is consistent, then it is usually a biomechanical flaw. If only one style of shoes has abnormal wear, then look at the shoe with the abnormal wear for differences from all the other shoes. For running shoes, does the wear match the mileage? If the mileage appears to be low and the wear great, look for problems in the shoe.

If the upper looks like it is hanging over the outside of the shoe, it may indicate that the last (shape) of the shoe is too curved for the shape of the foot. If the upper looks like it is hanging over the inside of the shoe, it may be that the foot pronates too much or the foot may be too curved for the shoe. Abnormal wear through at the toe box means the shoe is sized too small. If the heel counter is tipped to the inside it usually means pronation. If there is excessive wear on the inside of the heel counter, it is frequently due to excessive heel motion within the counter indicating that the counter is too big for the heel.
See Footwear: Shoe wear patterns offer clues to injury and prevention.

Sports and Orthotics

Orthotics can make a significant difference for any athlete who needs them. They will control pronation, support the arches of the foot and prevent excessive ankle and heel movement. They will also help improve gait, knee alignment and function and overall balance.

• Runners and joggers wear orthotics to absorb shock at heel contact, provide control and set up the forefoot for pushoff.
• Sprinters wear orthotics to control the movement of the forefoot.
• Cyclists have a limited need for orthotics and wear them primarily to control the internal and external rotation of the lower leg.
• Skiers wear orthotics to stabilize their foot in neutral and inhibit motion within the ski boot.
• Tennis players wear orthotics to provide lateral support, to decrease shear factors, to absorb shock (especially in the forefoot) and to allow subtalar motion.
• Basketball players wear orthotics to control the forefoot during jumping, to control the rearfoot during running and to control excessive inversion (protect against ankle sprains).


Chiropractic Care

We provide chiropractic care to help our patients get rid of pain and improve their sports performance.

Sports Injuries

We help our patients recover from and prevent sports injuries. Find out how we can help you!

Sports Performance

Therapeutic exercise and neuromuscular education will help you gain strength and improve your sports performance.