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Sleep Apnea and Back Pain

Sleep Apnea and Back Pain

A good portion of the population deals with night back pain. But there is another group that can attribute their back pain to sleep apnea. The American Academy of Sleep Medicine says that 26% of adults between 30 and 70 have this disorder. Sleep apnea back pain can turn into a vicious cycle. Unrestful sleep caused by sleep apnea can make an individual more susceptible to pain. Back pain can cause sleep problems, and the cycle begins again.

Sleep Apnea

Sleep apnea is a chronic sleep disorder in adults in which breathing repeatedly stops and starts. Symptoms include:

  • Excessive sleepiness during the day
  • Snoring
  • Abrupt waking during sleep

Risk factors include:

  • Obesity
  • Smoking
  • Diabetes
  • Narrow airway
  • History of sleep apnea in family

There is ongoing research about risk factors for sleep apnea.

11860 Vista Del Sol, Ste. 128 Sleep Apnea and Back Pain

The Sleep Apnea and Back Pain Connection

Back pain could be a symptom of a vertebral fracture. Sleep apnea has been found to be associated with a higher risk of vertebral fractures. Research has found a connection between obstructive sleep apnea and vertebral fractures in women. The study found that women with a history of obstructive sleep apnea had an increased risk of vertebral fracture compared to individuals with no history of sleep apnea. Research is looking into how sleep apnea impacts bone health, specifically in the vertebrae. Doctors believe there are multiple ways in which sleep apnea can affect bone health like:

  • Low oxygen levels
  • Acidosis or a build-up of acid in the blood after intermittent hypoxia or a lack of oxygen in the tissues
  • Increased inflammation
  • Modulation/variation of sex hormones
11860 Vista Del Sol, Ste. 128 Sleep Apnea and Back Pain

Lifestyle Adjustments and Treatment

There are treatments that include lifestyle changes that can help to lessen the effects and alleviate back pain.

  • Around 70% of individuals with sleep apnea are obese. This is according to the Obesity Medicine Association.
  • Smoking can increase the severity by lowering the functionality of the airway causing inflammation.
  • CPAP machines or continuous positive airway pressure, have proven to be beneficial.

Treatment options need to be discussed with a healthcare provider if diagnosed with this condition. Treatment is important because if left untreated it can lead to serious health issues increasing the risk for:

  • High blood pressure
  • Heart disease
  • Type 2 diabetes
  • Metabolic syndrome
  • Post-surgery complications
11860 Vista Del Sol, Ste. 128 Sleep Apnea and Back Pain

Better Sleep

If experiencing sleep apnea neck or back pain, make an appointment to see a doctor for an accurate diagnosis. A treatment plan that works for the individual will be developed to ease symptoms, resulting in back pain alleviation and better sleep.

Body Composition

Proper Sleep and Fat Loss

Losing fat mass is strongly linked to proper sleep. For the body to lose fat the body needs to be in a caloric deficit, which means more energy gets used than the amount of energy the body takes in. This can be accomplished by restricting calories through diet and burning more calories through exercise. This can be referred to as calories in/calories out.

Losing sleep can sabotage fat loss goals significantly altering the body’s hormonal profile. This includes hormones that regulate appetite. Ghrelin is associated with hunger, and leptin is associated with feeling full. Ghrelin spikes right before a meal prompting an individual to eat. Losing sleep interferes with the body’s ghrelin/leptin balance. This results in an increase in ghrelin and a reduction in leptin levels.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Intro: Rheumatology International. (May 2013) “Prevalence and severity of insomnia in chronic low back pain patients” pubmed.ncbi.nlm.nih.gov/23124732/

How Sleep Apnea and Back Pain are Related: Journal of Bone and Mineral Research. (September 2020) “Obstructive Sleep Apnea and Risk for Incident Vertebral and Hip Fracture in Women” asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4127

Sleep Apnea Treatments: Obesity Medicine Association. (2021) “Obesity and Obstructive Sleep Apnea” obesitymedicine.org/obesity-and-sleep-apnea/

Injury Related Stress And Anxiety Addressed With Chiropractic Care

Injury Related Stress And Anxiety Addressed With Chiropractic Care

Going through traumatic accidents that result in injuries can cause injury-related stress and anxiety for individuals. It is understandable that stress and anxiety are high as individuals figure out how to navigate through the situation. Therefore, it is very important to find ways to manage stress and anxiety because if they go unchecked it could become chronic leading to poor health and quality of life.

Stress/Anxiety Affects Health

Injury related stress and anxiety can be exacerbated through different factors. These can include:

  • Medical bills
  • Employment
  • Relationships
  • Independence

The causes/reasons can vary however, the physical response the body goes through is the same. A stress-inducing situation can leave an individual feeling threatened and generate a physical stress response. The body responds to stress by releasing hormones that shift the body into survival mode. This requires a lot of energy placing massive strain on the body. This is an important mechanism for healthy living. However, if it begins to present on a regular basis it can lead to negative health issues that include:

  • Depression
  • Chronic anxiety
  • Heart disease
  • High blood pressure
  • Abnormal heart rhythm
  • Heart attack
  • Stroke
  • Personality disorder
11860 Vista Del Sol, Ste. 128 Injury Related Stress And Anxiety Addressed With Chiropractic Care

The body needs time every day to recover and rejuvenate. This is not possible when the body is constantly entering a heightened state of stress. Traditional treatment can lead to the over-prescription of medications that come with their own side effects. Effective injury-related stress treatment addresses issues like:

Health problems

Injury-related stress and anxiety affect mental health and can lead to physical symptoms and disease. These include:

  • Chronic pain
  • Sleep problems
  • Gastrointestinal issues
  • Obesity
  • Asthma and breathing problems
  • Alzheimer’s, dementia, and memory loss
11860 Vista Del Sol, Ste. 128 Injury Related Stress And Anxiety Addressed With Chiropractic Care

Chiropractic Treatment and Care

A healthy brain and spinal cord are vital to the body’s optimal health. When nerve energy and blood flow get blocked it can worsen injury-related stress and anxiety. Chiropractic delivers results helping to better manage mental health by addressing underlying issues with spinal misalignment. When the spine is properly aligned neural health is optimized for everyday functions. This increases vitality and an overall sense of well-being. With brain function improved adjusting to the injury and its effects no longer cause intense stress. Individuals cannot remove all the stressors and anxiety-inducing events from their lives, but proper spinal alignment can help build resilience for whatever situations life throws.

Body Composition

Recovery and Swelling

Recovery is an essential part of maintaining optimal body health. This goes for regular work, working out, athlete’s training, and just participating in physical activity. A significant sign that the body has gone through intense physical exertion and needs recovery time is swelling. Swelling presents for different reasons. It is the body’s response to tiny, microscopic tears in the muscle that happens from constant and intense use. Running or lifting heavy objects are two examples that cause swelling. Swelling can be seen in body composition analysis results. An increase in Lean Body Mass reflects an increase in water. Recovery is about giving the body a chance to:

  • Relax
  • Recuperate
  • Recover from the swelling with the end goal of resuming physical activities

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal : official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x

Coleman, Brian C et al. “Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.” Journal of manipulative and physiological therapeutics vol. 43,8 (2020): 753-759. doi:10.1016/j.jmpt.2019.10.016

Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8

Recovering From A Deadlift Lower Back Injury

Recovering From A Deadlift Lower Back Injury

The deadlift is a weight training exercise that helps build muscle, strength, and stamina. It works legs, core, buttocks, and the back when performed correctly. Using an improper form or overdoing it can cause injury to the lower back. Recovering from a deadlifting injury usually takes a couple of days or a week. However, this depends on the severity of the injury. Recovery can be helped through:

  • Home remedies
  • Chiropractic treatment
  • Massage
  • Natural back pain relief tips

Back Injury After Deadlifting

Most individuals will feel sore after a strenuous workout. But there is a difference between soreness and injury. Most of the time injuries from deadlifts are caused by not using proper form. Getting the form right is not easy, it does take practice, so do not feel bad if an injury presents.

Soreness vs Injury

Most of the time telling the difference between natural soreness from a workout and pain from an injury is pretty straightforward. But sometimes it is not as easy to tell the difference. Soreness is typically characterized by:

  • Stiffness
  • Tightness
  • Muscle ache
  • Fades after two or three days

Muscle soreness tends to be shallow and spread out over a muscle group. Pain from an injury causes sharp and persistent pain, especially with certain movements. Injury pain is deeper and can be described as stabbing or sharp.

11860 Vista Del Sol, Ste. 128 Recovering From A Deadlift Lower Back Injury

Common Deadlifting Injuries

The deadlift has a wide range of motion and incorporates several different joints. Most injuries sustained during a deadlift are low-back injuries. Usually a sprain or a strain. But it is possible to sustain a more serious injury like a herniated disc.

Sprains vs Strains

Sprains and strains are different although many use the terms interchangeably.

  • A sprain happens when the ligaments that hold a joint together tear.
  • A strain happens when the muscles tear or are overworked to the point of injury.

Herniated Disc

A herniated disc happens when the gel-like fluid cushion between the vertebrae begins to protrude out. This can cause pain from the disc pressing on surrounding nerves or go unnoticed. Fortunately, sprains, strains, and herniated discs can all be treated conservatively. Seeing a medical professional is recommended to rule out serious conditions.

Injury Lower Back Pop

Some individuals experience an audible pop in the spine during a deadlift. For those that experience a pop but no pain accompanying it, it is likely gas escaping from a joint in the back. Those that experience discomfort or pain with the popping are encouraged to seek out medical attention.

11860 Vista Del Sol, Ste. 128 Recovering From A Deadlift Lower Back Injury

Healing a Back Injury

Healing a back injury depends on the severity. The more severe, the longer it will take to heal. Most injuries can be addressed at home. Individuals that cannot stand up straight or there is debilitating pain with normal movements should see a medical professional like a:

  • Physical therapist
  • Chiropractor
  • Physician

Rest and let the body recover

It can be tempting to get back to the gym as soon as possible, but this is not recommended until the back truly feels normal. It is recommended to rest for a few days, allowing any swelling, inflammation to go down.

Ice and heat

Applying ice to the back every few hours for 15 to 20 minutes is recommended for the first three days, then heat can be incorporated. After three days if there is still pain, incorporate heat to get more blood flowing in and around the area. Use the ice for 15 to 20 minutes, wait 30 minutes, then apply the heat for 15 minutes.

Chiropractor

Seeing a chiropractor during any stage of recovery can be beneficial. As chiropractors are musculoskeletal specialists that can realign the body back to its proper form. If four days or more have passed and the pain is not going away, make an appointment with a certified chiropractor or spine specialist.

Time of Recovery

Most individuals recover within a week or two. For more severe injuries, like a herniated disc can take 6 to 8 weeks. Seeing a medical professional can help speed the process and promote healing. Additional tips include:

Safety

Deadlifting can be done safely and properly without sustaining an injury. A personal trainer or a sports chiropractor can analyze an individual’s lifting form and offer recommendations to prevent injury.

Body Composition

Foods Good for Collagen Production

Healthy nutrition can facilitate optimal collagen synthesis without supplementation. Protein sources that work with non-essential amino acids contribute to increased collagen production. High-quality protein sources support this process. Vegetarian protein sources include legumes or tofu are good alternatives. Collagen synthesis requires vitamin C, copper, and zinc.

  • Vitamin C regulates the synthesis pathway
  • Zinc stimulates the body to produce more collagen
  • Copper activates an enzyme that helps mature/strengthen the collagen
  • Sources of copper include nuts, seeds, whole grains, and chocolate

Most importantly is plenty of vitamin C-rich foods like:

  • Bell peppers
  • Broccoli
  • Citrus fruits
  • Leafy greens
  • Tomatoes

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Bengtsson, Victor et al. “Narrative review of injuries in powerlifting with special reference to their association to the squat, bench press and deadlift.” BMJ open sport & exercise medicine vol. 4,1 e000382. 17 Jul. 2018, doi:10.1136/bmjsem-2018-000382

Core strength training helps manage back painJournal of Physical Therapy Science (March 2015) “Core strength training for patients with chronic low back pain.” www.jstage.jst.go.jp/article/jpts/27/3/27_jpts-2014-564/_article/-char/ja/

Millions of Americans experience back pain each day: Centers for Disease Control and Prevention (2020) “Acute Low Back Pain.” www.cdc.gov/acute-pain/low-back-pain/

Free weights come with a greater risk of injury, compared to machines: National Strength and Conditioning Association (December 2000) “Roundtable Discussion: Machines Versus Free Weights.” citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.451.9285&rep=rep1&type=pdf

Avoiding and Preventing Spinal Compression Fractures

Avoiding and Preventing Spinal Compression Fractures

Spinal vertebral compression fractures are a common injury in older individuals brought on from a lowered bone density. Hip and wrist fractures get most of the attention when it comes to osteoporosis. However, spinal fractures happen almost twice as often and affect around 700,000 individuals yearly. This is according to the American Academy of Orthopaedic Surgeons or the AAOS. These types of fractures are also known as:

  • Fragility fractures
  • Vertebral compression fractures
  • Osteoporotic compression fractures. These usually happen as a result of thinning and weakening bones caused by osteoporosis.

The Academy of Orthopedic Surgeons notes that changes in the body’s musculoskeletal bone structure can go unnoticed for years. This leads to the vertebrae narrowing and flattening, rounding the spine as a result, creating compression. Because of the weakened bone, the pressure, even from everyday low-impact movements like reaching, bending or twisting. There are strategies that can help prevent osteoporosis and osteoporotic compression fractures.

11860 Vista Del Sol, Ste. 128 Avoiding and Preventing Spinal Compression Fractures

More Movement and Physical Activity

One prevention strategy that is highly recommended is more movement and physical activity. This does not include occasional gentle movements like taking a break from sitting. Improving the spine’s health means using the full range of motion and loading the bones so they can get build strength. This could be walking more, which creates spinal resistance. Also using light weights with high repetitions with five to ten pounds of a load is enough to challenge the spine without generating muscle stress.

Individuals think they need to rest more as they get older, but to build and maintain bone density to prevent osteoporotic compression fractures more physical activity is needed. Moving around for 10 to 15 minutes every hour is a good way to start. Incorporating more activity, and focusing on healthy diet changes will help shed excess weight. This will decrease pressure on the spine, reducing the risk of fractures. For individuals with osteoporosis of the spine, it is important to review any exercise plans with a physician or doctor of chiropractic to ensure that they are safe. The wrong types of movement or too much stress on a fragile spine can definitely cause a fracture.

Medications and Other Conditions

There are medications that can help build bone density, but there are also medications for conditions that can actually cause faster bone density loss. Individuals could be taking a medication that’s good for one issue/condition, but not realize it may be associated with a reduction in bone density. This is why it is important to review prescriptions with a doctor with bone density loss side effects in mind. Medications that can cause bone loss include:

  • Glucocorticoids
  • Aromatase inhibitors for breast cancer
  • Androgen deprivation therapy for prostate cancer
  • Proton pump inhibitors
  • Depo-Provera for contraception
  • Anti-seizure drugs like carbamazepine and phenytoin
  • Diuretics like furosemide

Also, review any underlying conditions that could affect osteoporosis. As an example, the National Institutes of Health or NIH note that individuals with diabetes, specifically type 1, can have poor bone quality increasing their risk of fractures.

11860 Vista Del Sol, Ste. 128 Avoiding and Preventing Spinal Compression Fractures

Adding Calcium To The Diet

An adequate intake of calcium is essential for osteoporosis prevention and helps lower the risk of fragility fractures. A low calcium intake contributes significantly to lower bone density and faster bone loss with age. Vitamin D also helps in bone injury prevention.

Treatment

Compression fracture/s diagnosis are confirmed through imaging tests like:

  • X-rays
  • Magnetic resonance imaging MRI scan
  • Bone scan
  • Computed tomography CT scan

Bone density testing with dual-energy x-ray absorptiometry DEXA will determine bone mineral density. If a scan reveals there is a vertebral compression fracture, the most common approach is no treatment. According to the Academy of Orthopedic Surgeons, most individuals with this type of injury improve within three months with a combined rest period and limited pain medication use.

11860 Vista Del Sol, Ste. 128 Avoiding and Preventing Spinal Compression Fractures

Some individuals are recommended to wear braces to restrict movement so the fracture can heal without any added compression or stress. For those that do not respond to non-surgical treatment, minimally invasive surgery could become an option. In both cases, a doctor will suggest similar aforementioned strategies to help strengthen the bones and prevent worsening or creating new issues.

Body Composition

Changes in an individual’s 30’s

As an individual enters their 30’s and up, new challenges begin to emerge with greater demands at work and home. A few things that can begin to present:

  • More flab on the middle that gets harder to burn off
  • Performance at work, the gym, or on the road slows down or begins to reverse
  • Workouts, sporting events, physical activity that the body was able to bounce back from quite easily now take twice as long to recover from

Things start to change when the body enters its 30’s. Whether light exercise, playing weekend games, local sports, etc, the key is to just stay active. By paying close attention to nutrition and making minor adjustments, individuals can maintain and improve body composition, stay strong and healthy in their 30s and be ready for the future.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

OrthoInfo/spine fracture prevalence: orthoinfo.aaos.org/en/diseases–conditions/osteoporosis-and-spinal-fractures

Medications that affect bone density: osteoporosis.ca/about-the-disease/what-is-osteoporosis/secondary-osteoporosis/medications-that-can-cause-bone-loss-falls-andor-fractures/#:~:text=The%20anti%2Dseizure%20drugs%20carbamazepine,decreased%20intestinal%20absorption%20of%20calcium.

NIH: osteoarthritis and diabetes: www.bones.nih.gov/health-info/bone/osteoporosis/conditions-behaviors/diabetes

Nerve Flossing Exercises for Sciatica

Nerve Flossing Exercises for Sciatica

Traditional medical treatment for sciatica can sometimes be not as effective or ineffective for individuals, but nerve flossing is an option that could help. Flossing is not something individuals expect to hear from a medical professional treating their sciatica. However, when sciatica does not respond to common treatment methods like light physical activity or medications, a physician, chiropractor, or physical therapist might suggest combining traditional treatment with nerve flossing to alleviate sciatic nerve pain.

11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Nerve Flossing

The nerves can get jammed/stuck between the tissues and are not able to move, flex as they should. Nerve flossing involves performing gentle exercises to mobilize and stretch the nerves that help reduce irritation, inflammation, and improve mobility, especially in the hips. Nerve flossing is also known as:

The exercises can be done at home with no equipment and simple instructions. When used in combination with other treatments, like chiropractic and physical therapy the effectiveness is increased. Consult with a doctor or doctor of chiropractic for an accurate diagnosis, because what is causing sciatica helps significantly to determine the best treatment plan.

Guidelines

These are simple exercises but they are still exercises that require following safety guidelines to prevent injury or pain. These include:

  • The body will need time to adjust to new exercises so individuals should start slow
  • Only a few repetitions should be done at a time
  • Gradually increase
  • Stop if pain presents with any of the exercises and report the pain to a doctor or chiropractic physical therapist to see if there is a problem with how the exercises are being performed or if the exercises should be done later on after further treatment.
  • Focus on staying relaxed, as tensing up the muscles decreases the effectiveness
  • Breathing properly is key. Individuals unknowingly stop breathing when doing exercises, which is not healthy. Breathe deep in and out.

Nerve Exercises

True nerve flossing is an active movement with motion otherwise, it is just stretching.

Mobilizing floss

  • Lie on the floor with both knees bent, feet flat on the floor, and with space at hip-width
  • A flat pillow can be used for the head if it makes it more comfortable
  • Tuck the chin in and be sure to keep the upper body relaxed throughout the exercise
  • Pull the right leg in towards the chest
  • Keep holding behind the right knee
  • Slowly straighten the leg until there is a comfortable stretch
  • Slowly return the knee to the starting position
  • Breathe deeply, slowly, and try not to press the lower back into the floor
  • Lower the leg back towards the chest then lower it back to the starting position
  • Perform with the left leg
  • Complete five repetitions on each side
11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Seated nerve floss

  • Sitting upright in a chair, knees spaced hip-width, feet flat on the floor, and face forward
  • Extend the left leg
  • Flex the foot toward the body
  • Extend the head up and back looking up at the ceiling
  • Gently lower head and leg down, tucking the chin into the chest while bending the leg slightly backward
  • Extend and lower head at the same time when extending and lowering the leg
  • Perform 10 repetitions
  • Switch legs and repeat the exercise
  • Perform exercise 2–3 times every day

Hamstring floss

  • Stand up straight, raise the right leg onto a step or other stable surface while keeping the leg straight and toes pointed up
  • Keeping the back straight, tilt the head and neck forward until there is a slight pull/stretch in the back
  • Point the toe and bring the chin to the chest
  • Flex the foot and return
  • Repeat five times
  • Return to starting position
  • Switch legs
  • Repeat three sets on each leg
11860 Vista Del Sol, Ste. 128 Nerve Flossing Exercises for Sciatica

Exercise for Piriformis Syndrome

The piriformis muscle joins the base of the spine to the upper leg. Because this muscle is so close to the sciatic nerve, any type of irritation or compression of the sciatic nerve can also cause piriformis syndrome. Piriformis syndrome can cause radiating pain to the:

  • Hips
  • Buttocks
  • Hamstrings
  • Pain when sitting down or walking upstairs

Nerve flossing can also help relieve the symptoms increasing flexibility and range of motion.

Mobilizing stretch

  • Lie flat on the floor on the back
  • Extend both legs
  • Bend the right leg and bring it up
  • Hold the right knee and foot
  • While holding, gently pull the leg across the right side of the body and up toward the right shoulder
  • Return to the original position
  • Repeat five times
  • Gently lower the right leg
  • Switch legs
  • Complete five repetitions on each side two to three times a day

Risks

These exercises are not about pushing the body to its limits or in a way that causes pain. They are designed to rehabilitate, stretch, and strengthen the sciatic nerve making risks for further injury minimal. If there are still concerns about the safety of nerve flossing exercises, check with a doctor, doctor of chiropractic, or physical therapist. If there is severe nerve damage or undiagnosed acute pain, nerve flossing could worsen symptoms. Nerve flossing for acute cases of nerve irritation is not recommended as this can cause nerve root aggravation with the stretching/pulling.

Flossing for Sciatica

More research is needed on how nerve flossing can best help sciatica. It is an easy, natural, medication-free treatment that can help soothe irritated and compressed nerves, improve mobility, and flexibility.

Body Composition

Tracing sources of fatigue

There is a difference between being tired after a long day working, playing, etc, and being tired on a regular daily basis. This can be referred to as Chronic Fatigue Syndrome, a clinical condition where fatigue lasts longer than 6 months. With acute, non-clinical fatigue, it is typical to experience many of the symptoms that hamper an individual’s ability to function. Symptoms can include:

With hectic schedules, sources of fatigue begin to pile up along with unhealthy diet choices that stem from:

  • No time for a well-balanced breakfast
  • No time, or forgetting to make a healthy lunch equals
  • Fast food patterns
  • Unhealthy snacks

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Anikwe EE, Tella BA, Aiyegbusi AI, Chukwu SC: Influence of Nerve Flossing Technique on acute sciatica and hip range of motion, International Journal of Medicine and Biomedical Research, 4(2) May – August 2015, www.ijmbr.com

Jeong UC, Kim CY, Park YH, Hwang-Bo G, Nam CW. The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain. J Phys Ther Sci. 2016;28(1):46-50. doi:10.1589/jpts.28.46

Self Cracking and Self-Popping The Spine

Self Cracking and Self-Popping The Spine

Self-cracking and popping the spine can feel good but should it be done without professional/chiropractic assistance? We’ve all done it getting up from bed or the couch, lean back, and wait for the sound of the spine cracking/popping. Some even have a friend help pop the spine to get that satisfying feeling. There are proper stretching techniques to follow, but cracking the spine without professional help is not recommended as it could lead to problems or worsen any underlying spinal issues.  

11860 Vista Del Sol, Ste. 128 Self Cracking and Self-Popping The Spine

Sounds

Self cracking, popping the spine refers to the sounds the neck or back make with certain movements. The joints in the spine contain fluid and gas. When the body moves, stretches can create cracking popping sounds as different pressures are exerted. The sound is known as joint cavitation, is the normal exchange of gases like oxygen, nitrogen, and carbon dioxide around the joints.  

Spaces form in the synovial fluid that surrounds the joints. These spaces make an audible sound when the pressure changes/cavitation causing the gases to be released. The gases are naturally present in the body. A doctor of chiropractic mobilizes the joints very carefully through adjustments using their hands or specific instruments to increase the spine’s range of motion and stability. When adjustments and manipulations are not performed by a professional, problems can happen, that can include:

  • Loss of strength
  • Soft tissue swelling
  • Muscle spasms

When it’s done properly and safely injuries are prevented and any issues like swelling and tightness around the neck and spine are also avoided.

 

Self-cracking performed incorrectly can lead to excessive force bringing the joints to excessive ranges of motion that can potentially cause injury. Individuals need to be careful even when self-cracking as the spine can make sounds for other reasons.

  • Age-related arthritis can generate a crunching type of sound when moving known as crepitus
  • A ligament or tendon can rub over a bone or bone spur, creating different sounds
  • These sounds are usually not problematic, but when they are consistent with certain movements they could cause inflammation and/or pain.
11860 Vista Del Sol, Ste. 128 Self Cracking and Self-Popping The Spine

Chiropractic Professional Adjustments

The primary reasons most individuals seek chiropractic help are for problems, like pain, tightness, and weakness. Individuals can voluntarily see a chiropractor or they could be referred to one by a different doctor. Doctors routinely work with chiropractors to help patients recover from musculoskeletal injuries and conditions. A chiropractor performs manipulations in a safe, controlled manner. They are familiar with the sounds that the joints make and know they are safe. They usually have a multidisciplinary team that is involved in the management of various musculoskeletal conditions.  

Why chiropractic care is so helpful?

All doctors of chiropractic are trained to diagnose and treat neuro-musculoskeletal conditions. During the diagnosis, the chiropractor will go through the individual’s medical history and conduct a physical exam to determine what treatment plan is best for the individual and their injury or condition. Many are now flocking to chiropractic care to avoid taking pain medications. Scientific evidence supports the health benefits of adjustments for various types of musculoskeletal pain, as well as to improve function and mobility

It is also recommended to work with a chiropractor in addition to other health professionals, like orthopedic specialists and physical therapists. They can help decrease pain, provide increased mobility and stability. If there is a constant need to self crack the back, or are having other issues with pain and tightness, talk with a doctor to see if chiropractic adjustments and manipulation will help. This will ensure that the right diagnosis is made and will help to create the optimal treatment plan to develop a stronger healthier body.


Body Composition

Increasing muscle mass is a recommended way to improve body composition and increase immune system function. Research shows senior adults with a higher skeletal muscle mass have an increased number of immune cells in the blood. This indicates that the muscles and the immune system are connected. When working out myokines or hormone-type proteins are released that strengthen the immune system to help protect and fight diseases. Regular exercise with moderate intensity increases the release of T lymphocytes/T cells improving the body’s immunity. Regular exercise also helps reduce the risk of developing chronic diseases like:

  • Type 2 diabetes
  • Obesity
  • Different types of cancer
  • Cardiovascular diseases

Improved body composition with regular exercise and a well-balanced diet helps maintain a healthy proportion of muscle and fat mass. The more developed the body’s muscle mass becomes strengthens the immune system and lowers the risk of diseases and various health conditions.  

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico  

References

“The audible release associated with joint manipulation.” Journal of Manipulative and Physiological Therapeutics. MarApril 1995. pubmed.ncbi.nlm.nih.gov/7790795/#:~:text=Data%20synthesis%3A%20The%20audible%20release,released%20into%20the%20joint%20cavity.

“The Prevalence, Patterns, and Predictors of Chiropractic Use Among US Adults: Results From the 2012 National Health Interview Survey.” Spine. Dec 2017. pubmed.ncbi.nlm.nih.gov/28459779/

“Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations With 1-Year Changes in Health and Satisfaction With Care.” Journal of Manipulative and Physiological Therapeutics. Oct 2014. www.sciencedirect.com/science/article/pii/S0161475414001444

Whiplash, How Long Does It Last?

Whiplash, How Long Does It Last?

Motor vehicle accidents, sports injuries, work injuries, and falls are a few causes of whiplash. It is a condition that affects over 1.5 million individuals. It can cause serious side effects that can last for months and sometimes years. If not treated, the symptoms can worsen and lead to chronic conditions and pain.  

11860 Vista Del Sol, Ste. 128 Whiplash, How Long Does It Last?

Mild Whiplash

Mild whiplash can last around three months. During this time individuals might notice other symptoms other than neck pain that includes:

  • Dizziness
  • Headaches
  • Tinnitus
  • Insomnia
  • Concentration problems

In certain cases, these symptoms happen immediately or they can be delayed.  

Severe Whiplash

Severe whiplash means symptoms last longer than three months. The side effects can progressively go away or may not disappear at all. Severe whiplash falls in the whiplash classification of three to four. This indicates that there is a:

  • Loss of motion
  • Neurological problems
  • Fracture/s

 

Taking time off work for a whiplash injury depends on how severe the condition is. For mild symptoms, individuals are recommended to take about a month off to fully recover. If the condition is extreme, it could take a few years. For some individuals, the injury prevents them from working, and they have to leave their job.  

Tinnitus

After a whiplash injury, some individuals develop tinnitus. This is a condition that results from the jolted ligaments and can irritate the surrounding nerves. This can cause an irritating ringing noise in the ears. How long tinnitus lasts depends on the severity of the injury. It can present every so often or could remain for several months even years.  

Recovery Time

For most individuals, it takes around 4-6 weeks for a full recovery. This could last longer if the injury is not healed properly.

 

Chronic whiplash can present shooting pain throughout the body and prevents individuals from living a normal life. For chronic conditions chiropractic and physical therapy are highly recommended. Treatment could be difficult at first, but improvements will follow as long as the individual stays consistent with the therapy to completely heal the injury.  

11860 Vista Del Sol, Ste. 128 Whiplash, How Long Does It Last?

Treatment Options

 

The first recommendation will be to rest the body. This gives the body time to recover and also prevents worsening the injury. Ice packs and heating pads can help reduce swelling and pain.  

Chiropractic

Chiropractors are experts in the musculoskeletal system. They inspect the whole body looking and feeling for misalignments, knotted muscles, swollen tendons, and ligaments that were stretched/pulled beyond their normal range. Various types of adjustments can be used. The most common are flexion-distraction and instrument-assisted.

  • Flexion-Distraction adjusting requires the chiropractor’s hands. They feel around the problem area and press their hands to slide the joint back in place.
  • Instrument-Assisted – utilizes a special tool, like an activator. The device helps the chiropractor delve deeper into the area than their hands. This helps them locate problems that could be hidden.
11860 Vista Del Sol, Ste. 128 Whiplash, How Long Does It Last?

Anti-Inflammatory Diet

Adding more anti-inflammatory foods to the diet will reduce and alleviate inflammation and swelling. Some of these foods include:

  • Avocados
  • Blueberries
  • Mushrooms
  • Olive oil
  • Salmon
  • Strawberries
  • Turmeric

Vitamins

A full recovery can take longer if the body lacks essential nutrients. These nutrients are what helps the body create enzymes that repair the damaged tissues, bones, tendons, etc. If the body does not have enough it will not heal properly. Essential vitamins to take for injuries include:

These can be taken in supplement form or through food sources.


Body Composition

The body loses muscle every minute of life. This is because the muscles, like the other tissues in the body they depend on cell turnover and protein synthesis. This means that the body continually breaks down the protein in the muscles and rebuilds them. This is how the body is supposed to function and part of what keeps it alive. Skeletal muscle can be grown and developed with proper nutrition. This includes eating sufficient protein to provide the necessary amino acids and regular physical activity.

The reverse is also true becoming less physically active and the individual’s diet no longer supports the development of increased muscle tissue the body enters a catabolic/tissue-reducing state known as muscle atrophy. Muscles that are partially used meaning using less than 20% of their maximum force begin to atrophy over time. Muscles that are completely unused, like when bedridden with very little movement, can degrade around 1/8th of strength per week.  

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico

 

Pastakia, Khushnum, and Saravana Kumar. “Acute whiplash-associated disorders (WAD).” Open access emergency medicine: OAEM vol. 3 29-32. 27 Apr. 2011, doi:10.2147/OAEM.S17853

Is Whiplash Serious: Open Access Emergency Medicine. (2011)“Acute whiplash Associated Disorders.” www.ncbi.nlm.nih.gov/pmc/articles/PMC4753964/

How the Neck Works: UpToDate. (2020) “Patient education: Neck pain (Beyond the Basics). www.uptodate.com/contents/neck-pain-beyond-the-basics