Seeing A Chiropractor Regularly for Injury Prevention and Maintenance. A common question that comes up is how often is it necessary to visit a chiropractor? Everyone is different and the frequency of treatment depends on each individual’s specific situation/condition, health goals, and needs. Here are a few guidelines to keep in mind that can help get an idea of what to expect.
Seeing a Chiropractor
Chiropractors are the top experts in addressing underlying issues concerning the spine and musculoskeletal system. The most common reasons for seeking chiropractic treatment are musculoskeletal:
As an example, back pain is one of the top causes of disability. The workforce and medical community are seeing the effectiveness of chiropractic in reducing medical costs and loss of productivity. Spinal misalignment is an overlooked problem that can lead to a variety of health issues, including chronic pain and poor blood and nerve circulation. Restoring alignment is the first step in building sustainable health and achieving optimal quality of life.
Effective Treatment
Chiropractic treatment follows three stages. There is an emphasis on each stage and a specific focus for working toward long-lasting optimal health. Each phase is also associated with a different range of treatment protocols to achieve the best results.
Stage 1 Pain Relief
Starting treatment when the pain is at its most intense means the first step is bringing relief as quickly as possible. This is accomplished through:
Adjustments
Ultrasound
Heat and Ice
Massage
T.E.N.S
Stretching
Exercise
Other techniques to stabilize the individual
Stage 2 Restorative Care
Once the pain is relieved, the focus turns to long-term healing of affected tissues like the:
Muscles
Ligaments
Neural tissues
This helps with long-term recovery while reducing the risk of worsening or creating further injury/s.
Stage 3 Maintenance Care
This final stage is the monitoring stage. The chiropractic provider understands how important it is to regularly monitor an individual’s health and alignment to address any issues that come up and deal with them before they worsen or lead to other problems. Monitoring prevents unnecessary distress and helps the individual get back to their normal life.
Optimal Results
Achieving lasting results for symptoms cannot be done with a quick one size fits all treatment. With the guidance of a chiropractor, the individual will learn to recognize subtle changes in their body to alert them to adjusting lifestyle habits. Contact Injury Medical Chiropractic and Functional Medicine Clinic to determine what treatment and frequency offer the best results.
Body Composition
Inflammation That Can Become Permanent
When white blood cells cause inflammation, this is a sign that the body’s immune system is properly functioning. Inflammation starts, the white blood cells attack the invader, it is neutralized, and the inflammation recedes. This is how the body’s defense system works naturally. But the white blood cells are not the only type of cell that has the ability to release cytokines. A second type of cell that can release cytokines and cause inflammation are adipocytes/fat cells. The body stores excess calories as fat so that the body can use it later for energy.
Scientists have learned that fat is an active endocrine organ. It can secrete a host of proteins and chemicals, including inflammatory cytokines. When the body keeps adding more and more adipose tissue cytokines are released by the fat cells, triggering inflammation. Obesity is characterized as a state of low-grade, chronic inflammation.This means that increased fat cells put the body in a constant state of stress and immune response.This means that the body is always in a state of inflammation and the immune system is permanently switched on. Perpetual, never-ending inflammation is not healthy for the body.
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
Hadler, N M. “Chiropractic.” Rheumatic diseases clinics of North America vol. 26,1 (2000): 97-102, ix. doi:10.1016/s0889-857x(05)70123-x
Iben, Axén, et al. “Chiropractic maintenance care – what’s new? A systematic review of the literature.” Chiropractic & manual therapies vol. 27 63. 21 Nov. 2019, doi:10.1186/s12998-019-0283-6
Goertz, Christine M et al. “Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial.” JAMA network open vol. 1,1 e180105. 18 May. 2018, doi:10.1001/jamanetworkopen.2018.0105
Motorcycle accidents are a lot different from automobile accidents. Specifically is how much the riders are exposed and unprotected during the collision impact compared to individuals in a motor vehicle. A recommendation that comes from attorneys, doctors, and chiropractors is for all motorcyclists to learn about common causes of accidents to help prevent and reduce the level of risk.When on a motorcycle, there is nothing between the individual and the impact to protect the body from injury. If something hits the motorcycle, the individual is going to get hit or hit something. The strength and stamina that it takes to ride a motorcycle, takes a definite toll on the body. It’s very common for the spine to get out of alignment and sustain soft tissue damage from regular riding. Injury Medical Chiropractic and Functional Medicine Clinic can help bring pain relief and rehabilitate the body’s musculoskeletal system from regular riding or after a motorcycle accident.
Head-On Collisions
Accidents and crashes that involve motorcycles and other vehicles account for over half of motorcycle accident deaths. In a majority of these accidents, the vehicle hits the motorcycle from the front more than 70% of the time. Automobiles hit motorcycles from behind only 5% of the time.
Vehicles Making Left-Hand Turns
When an automobile is making a left-hand turn is one of the most dangerous situations for motorcyclists. These collisions account for almost half of all accidents involving a motorcycle and car. The turning car usually hits the motorcycle when the motorcycle:
Goes straight through an intersection
Is passing the automobile
Trying to overtake the automobile
These types of accidents are common with cars and trucks as well. However, the motorcycle’s smaller size makes it even less visible to turning vehicles.
Lane Splitting
Motorcycles that pass cars within the same lane are at an increased risk of getting hit. Car and truck drivers don’t expect the motorcyclist to pass and are often taken by surprise. Lane splitting is when a motorcycle drives between two lanes of stopped or slowly moving cars, typically during high traffic time. It is a common cause of motorcycle accidents because:
The close proximity of the automobiles to the motorcycle
Reduced space that the motorcyclist has to maneuver around the other vehicles
Most drivers don’t see or anticipate a motorcycle passing them in slowed or stopped traffic
Road Hazards
Motorcyclists are at an increased risk from road hazards. Because of the smaller size and unstable nature of the motorcycle:
Potholes
Roadkill
Slick road conditions
Uneven height between lanes
Other unexpected objects in the road pose a serious threat.
Common Injuries
Hip/Pelvic Misalignment
The pelvis has three major joints:
The pubic joint on the front of the body
Two sacroiliac joints on each side of the back, that connect the pelvis to the spine.
It also connects to different muscles, including the hip and pelvic floor. When the body falls on the hip or sustains various forms of crash-related impact, the hip or pelvis can get shifted out of place. This type of misalignment is a leading cause of back pain and can be agonizing. It can keep an individual off the road, and unable to work. A chiropractor can adjust any pelvic misalignment using manipulative therapy. Physical therapy rehabilitation and home exercises/stretches will also be recommended.
Whiplash
This is a type of neck injury that happens from a forceful, back-and-forth motion, during the impact of a crash, or with a sudden stop. It is a soft tissue injury where the tendons and muscles of the neck are stretched and/or torn. Common symptoms include:
Pain
Tingling
Stiffness
Limited range of motion
A chiropractor can help with gentle adjustments to realign the neck, and muscle stretching to loosen the tense muscles.
Other Neck Injuries
Other injuries can include misalignment or fractures of the vertebrae in the neck from a different impact like a side hit. Chiropractic can help an individual recover from these types of injuries and restoring the range of motion. Gentle chiropractic manipulative, mobilization treatment, and intersegmental traction can help realign the neck.
Back Injury
The spine and its muscles are highly prone to injury. Common injuries include:
Fractures
Herniated/slipped discs
Spinal misalignment
Soft tissue injuries
A chiropractor can rehabilitate musculoskeletal and soft tissue injuries through therapeutic massage.
Leg/Foot Injury
Injuries to the legs and feet are common in motorcycle accidents. Common injuries include:
Sprains
Strains
Road rash
Fractures
Biker’s Arm
Biker’s arm also known as rider’s arm, is specific to motorcyclists and sometimes bicyclists. It happens when a motorcyclist instinctively pulls in their arm/hand in front of them to try and lessen the impact when falling. This can lead to shoulder, arm, wrist, and hand injuries. The bones, tendons, ligaments, muscles, and nerves can suffer damage and can be severe.
Treatment
Treatment of these injuries can range from a soft collar, chiropractic, anti-inflammatory medications, corticosteroid injections, nerve blocks, and physical therapy. Surgery could be necessary and combined with the aforementioned treatments. Motorcycle riders can increase their safety by being aware of the common causes of accidents, staying alert, and taking steps to reduce and avoid the risk.
Body Composition Overall Health
Phase Angle Inflammation Injury Tracking
Phase angle determines the status of an individual’s overall health. If an individual gets hurt and has a low phase angle then their ability to heal can be delayed. The extracellular water and water mass of the body are measured to assess how swollen an individual is after an accident. The individual is reassessed every two weeks to show water loss or inflammation loss. Body composition is important for understanding an individual’s fluid status and physiological makeup. This is used for guiding and developing treatments aimed at improving status, and decreasing the length of staying at a hospital. InBody is non-invasive and convenient, making it the ideal tool for patient assessments. In less than 60 seconds, the InBody test provides easy-to-understand, accurate, and objective measurements to evaluate a patient’s health and monitor progress throughout their treatment. Doctors use InBody to:
Identify fluid imbalances related to medical conditions, trauma, and/or organ failure
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.comphone: 915-850-0900Licensed in Texas & New Mexico
References
Cherta Ballester, Oscar et al. “Analysis of trunk impact conditions in motorcycle road accidents based on epidemiological, accidentological data and multibody simulations.” Accident; analysis and prevention vol. 127 (2019): 223-230. doi:10.1016/j.aap.2019.03.006
Halbersberg, Dan, and Boaz Lerner. “Young driver fatal motorcycle accident analysis by jointly maximizing accuracy and information.” Accident; analysis and prevention vol. 129 (2019): 350-361. doi:10.1016/j.aap.2019.04.016
Spinal cord injury: Causes. Mayo Clinic Web site. www.mayoclinic.org/diseases-conditions/spinal-cord-injury/basics/causes/con-20023837. Published October 8, 2014. Accessed August 30, 2017.
The shoulder joint consists of different muscles for moving, protection, and a wide range of motion. When one or more of these muscles is pulled or strained, it can affect the smallest movements. A pulled shoulder muscle can make simple activities difficult, painful, and impossible. Minor shoulder injuries can heal on their own with home remedies. A serious shoulder muscle injury should be addressed by a medical professional. The shoulder is a ball-and-socket joint. Pulling a muscle in the shoulder can be caused by:
Injury
Overuse
General wear and tear
Pulled Shoulder Muscle Causes
Pulling a shoulder muscle can happen quickly, like falling on the shoulder or from a car accident. It can also develop from months or years of working a job where individuals perform repetitive motions with the shoulders and overuse the muscles to the point of strain. No matter the cause, rehabilitation and recovery depend on the type and severity of the injury.
Common Shoulder Muscle Injuries
Several muscles and tendons surround the shoulder joint, and because the shoulder can move so freely, it is a common area for a pull or strain. Different shoulder muscle injuries fall under being pulled or strained.
Rotator Cuff Tear
Shoulder Tear
Shoulder Sprain
Shoulder Strain
Pulled Muscle in the shoulder blade
A Pulled Muscle or Something Else
Unless an individual is a medical professional or has experienced this type of pain before, it can be hard to tell exactly its cause. Shoulder pain can have other or combined causes like inflammation of the tendons and joints, or the joint itself could be causing the injury. Here are a few ways to investigate what is causing shoulder pain.
Pulled Shoulder Muscle Symptoms
Pain in the shoulder blade area is characterized by dull, sore, or aching pain.
Sometimes shooting pain in the area between the shoulder blades will present, causing pain in the front or back of the shoulder.
Shoulder instability of the muscles or tendons.
The shoulder feels fragile.
Movement causes pain
A bump can develop at the top of the shoulder near the end of the collarbone.
General symptoms include:
Pain when the shoulder is at rest
Pain when the specific muscle is used
Tenderness
Possible swelling of the area
Inability to use the muscle at all
The Seriousness of a Pulled Shoulder Muscle
The majority of the time, a pulled shoulder muscle is not serious. If the pain is not severe and is not the result of an accident, it is okay to utilize home remedies to reduce pain and help the shoulder heal. However, some symptoms could indicate a serious injury or medical problem. If you experience shoulder pain and any of the following, seek immediate medical attention.
Severe and intense pain
Severe, abrupt pain that has no obvious cause
Shortness of breath
Chest numbness or pain
Seeing clearly
Difficulty speaking
Sudden swelling, pain, or redness
Individuals who experience shoulder pain that does not get better over time seek professional help, even if the pain is mild. A professional will develop the right treatment plan, reduce pain, and generate a healthy recovery, getting the individual back to normal and optimal health.
Treatment and Recovery Options
Treatment and recovery plans are different for everyone. This is because it depends on the severity of the pull and the individual’s overall health. Many find that the pain is reduced with home remedies in two or three weeks. Chiropractic treatment for a pulled shoulder muscle can provide relief within one or two weeks.
Home Remedies for Pulled Shoulder Muscles
Depending on the severity and how much pain is presenting, NSAIDs like Ibuprofen can help reduce pain and swelling. Individuals can also incorporate the following:
Rest
The shoulder should rest for 2 or 3 days. This gets the healing process started and prevents further injuring the area.
Wrap or Sling
During the days of rest, keeping the shoulder from moving can be difficult. To avoid this, wrap the shoulder or utilize a sling to support the arm. Remember that these should not be used for more than 2 or 3 days.
Ice for Swelling
If there is swelling, applying ice to the area can help reduce the inflammation. Apply for 20 minutes every hour. The swelling should begin reducing in a day or two.
Gentle Stretching
Working out the muscles after 2 or 3 days of rest is important. Stretches will help the muscle group strengthen and heal. Not stretching the muscles and not using them for an extended time could worsen the injury and increase further injury.
Stretching the Shoulder
As aforementioned, not moving/stretching can cause more problems in the long run. Not using the muscle can cause it toatrophy, which means that it will take longer to heal with the surrounding muscles weakening. Gentle stretches for a pulled shoulder muscle include:
Cross-Body Shoulder Stretch
Bring the affected arm across the body at an angle
Cup the elbow of the affected arm with the other hand
Use that hand to pull the arm toward the body gently
Bend slightly forward, support the body by placing the non-injured arm on a table or chair
Allow the injured arm to hang straight down.
Start swinging the arm in small circles clockwise that gradually grow wider
Do for 1 minute, then switch counterclockwise for another minute
Repeat 4 to 8 times throughout the day
Chiropractic
If home remedies are not enough, then chiropractic can help. Chiropractors use a variety of treatment modalities for pulled shoulder muscles. These include:
Chiropractic adjustments
Electrical stimulation
Manual stretching
Ultrasound
Cold laser therapy to reduce pain and swelling
Health coaching
Posture exercises
Physical rehabilitative therapy
If the pain is persistent, it could indicate more than a pulled muscle is causing the pain. This could be a pinched nerve or a joint issue. A doctor of chiropractic can develop the best recovery option to get to the root cause.
Body Composition
Women and muscle distribution
Research reveals that women could have a higher distribution of type 1 muscle fibers and lower distribution of type 2 muscle fibers which are more prevalent in men. Type 1 muscle fibers are slow-twitch muscles and are extremely useful in long-endurance activities like long-distance running. Type 1 muscle fibers are also the first ones that activate during any exercise. Type 2 are the fast-twitch muscle fibers and get activated when performing powerful or explosive bursts of movements like sprinting.
Because of these muscle-fiber differences, men are likely to excel in training that involves explosive, powerful routines. However, a study found that women can gain more muscle mass using a total body strength training program than men. For optimal results, mix up the workout with a variety of resistance and strength training routines. This will allow for greater muscle mass growth.
References
Kim, Jun-hee et al. Comparison of the Shoulder External Rotator Strength and Asymmetry Ratio Between Workers With and Without Shoulder Impingement Syndrome. Journal of strength and conditioning research, 10.1519/JSC.0000000000003343. 17 Sep. 2019, doi:10.1519/JSC.0000000000003343
Verniba, Dmitry, and William H Gage. Stepping threshold with platform-translation and shoulder-pull postural perturbation methods.Journal of biomechanics vol. 94 (2019): 224-229. doi:10.1016/j.jbiomech.2019.07.027
One area to consider is driving. When it comes to carpal tunnel syndrome pain most individuals think about keyboard typing, as the source of arm, wrist, and hand pain. This is true, but carpal tunnel can develop from:
Any repetitive motion
Gripping
Bending at the wrist
Vibrations going through the wrist
Long-distance truckers, those who drive for business or regular long pleasure trips on winding mountain roads can take a toll on the muscles, tendons, ligaments of the arms and hands. Combining a regular job, stacking, scanning, lifting, and typing away most of the day, then long commutes, and weekends driving around, an individual can begin to present with arm, hand, and finger pain.
Signs and Symptoms
Carpal tunnel can sneak up when least expected. Most individuals begin to feel a burning, tingling, or numbness in the thumb and first two fingers, and for some, the palm, as well. Discomfort or pain usually presents at night and in the morning. If the condition becomes worse, individuals often feel the need to shake out the hand or wrists, trying to bring relief from the pain and tightness. It can affect one hand or both hands. The pain can continue to increase and climb up the arm. Then normal tasks like pumping gas or writing with a pen become unbearable.
Carpal Tunnel Syndrome
The median nerve controls the sensations to the palm, the thumb, and the four fingers of the hand. The nerve runs through a small passageway in the wrist called the carpal tunnel. Swelling or thickening of the tendons narrow the tight space and irritate the nerve.
Diagnosis
There are different ways to diagnose the condition. To avoid damaging the median nerve, it is important to get a diagnosis as early as possible.
They might perform a nerve conduction study, where small electrodes are placed on the wrists and fingers, then small amounts of electrical current are run through the electrodes.
The speed at which the nerves transmit the electric conduction is measured.
Treatment
The most common treatment is complete rest of the affected hand/s and wrist/s for fourteen to twenty-one days. Other treatments include:
Apply pain ointment/cream before driving and keep on hand
Chiropractic Help
A chiropractor is a highly trained specialist in the entire body’s musculoskeletal system. Chiropractic treatment can help avoid developing chronic pain and surgery in the future. Correcting subluxations and restoring optimal blood and nerve energy flow in the arms, hands, and rest of the body is the objective. Chiropractic investigates and treats the compression of nerves anywhere in the body, including the forearm and wrist. Realigning the spine, shoulder, elbow, and wrist, blood circulation and nerve impulses will flow freely once again. A chiropractor could also recommend:
The treatment plan will depend on each individual’s unique case and circumstances. At Injury Medical Chiropractic and Functional Medicine Clinic, we care about each individual’s situation and are committed to doing whatever it takes to alleviate the pain and get the individual back to optimal health.
Body Composition
Soluble and Insoluble Fiber
All plant-based foods are generally a combination of soluble and insoluble fibers. Soluble fiber dissolves in water and turns into a gel substance when it passes through the gastrointestinal tract. Foods high in soluble fiber include:
Apples
Beans
Blueberries
Lentils
Nuts
Oat products
Insoluble fiber does not dissolve in water. The term roughage generally refers to this type. Roughage speeds up transition time in the digestive system. This is the basis for eating more insoluble fiber, to prevent constipation by helping food move through the system. Foods high in insoluble fiber include:
Brown rice
Carrots
Cucumbers
Tomatoes
Wheat
Whole wheat bread
Whole-grain couscous
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate 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 also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to 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. The provider(s) Licensed in Texas& New Mexico*
References
Savage, Robert. �Re: Carpal Tunnel syndrome and work.��Journal of hand surgery (Edinburgh, Scotland)�vol. 30,3 (2005): 331; author reply 331. doi:10.1016/j.jhsb.2005.02.007
Haas, DC et al. �Carpal tunnel syndrome following automobile collisions.� Archives of physical medicine and rehabilitation�vol. 62,5 (1981): 204-6.
A fibromyalgia diagnosis involves the process of eliminating other disorders and conditions with similar symptoms. It can be difficult to diagnose fibromyalgia. There is no common exam or test that a doctor can use to definitively diagnose fibromyalgia. The elimination process is utilized because of several other conditions with similar symptoms. These include:
Rheumatoid arthritis
Chronic fatigue syndrome
Lupus
It can take some time when an individual first notices symptoms and actually being diagnosed with fibromyalgia, which can be frustrating. Doctors have to become detectives, working hard to find the right cause of pain and other symptoms. Developing the right diagnosis is necessary to create an optimal treatment plan.
Fibromyalgia Diagnosis Criteria
Pain and symptoms based on the total number of painful areas
Fatigue
Poor sleep
Thinking problems
Memory problems
In 2010, a study was published that updated fibromyalgia diagnosis criteria for fibromyalgia. The new criteria remove the emphasis on tender point examination.The 2010 criteria’s focus is more on the widespread pain index or WPI. There is an item checklist about where and when an individual experiences pain. This index is combined with a symptom severity scale, and the end result is a new way to classify and develop a fibromyalgia diagnosis.
Diagnostic Process
Medical History
A doctor will look at an individual’s complete medical history, asking about any other conditions present and family condition/disease history.
Symptoms Discussion
The most common questions asked by a doctor are where it hurts, how it hurts, how long it hurts, etc. However, an individual should offer as much or added details of their symptoms. Diagnosing fibromyalgia is very dependent on the report of the symptoms, so it is important to be as specific and accurate as possible. A pain diary, which is a record of all symptoms that present will make it easier to remember and share information with the doctor. An example is giving information on trouble sleeping, with a feeling of tiredness a majority of the time, and headache presentation.
Physical Examination
A doctor will palpate or apply light pressure with the hands around the tender points.
Other Tests
As previously stated symptoms can be very similar to other conditions like:
A doctor wants to rule out any other conditions, so they will order various tests. These tests are not to diagnose fibromyalgia but to eliminate other possible conditions. A doctor could order:
Anti-nuclear antibody – ANA test
Anti-nuclear antibodies are abnormal proteins that can present in the blood if an individual has lupus. The doctor will want to see if the blood has these proteins to rule out lupus.
Blood count
By looking at an individual’s blood count, a doctor will be able to develop other possible causes for extreme fatigue like anemia.
Erythrocyte sedimentation rate – ESR
An erythrocyte sedimentation rate test measures how quickly red blood cells fall to the bottom of a test tube. In individuals with a rheumatic disease like rheumatoid arthritis, the sedimentation rate is higher. The red blood cells fall quickly to the bottom. This suggests that there is inflammation in the body.
Rheumatoid factor – RF test
For individuals with an inflammatory condition like rheumatoid arthritis, a higher level of the rheumatoid factor can be identified in the blood. A higher level of RF does not guarantee that the pain is caused by rheumatoid arthritis, but doing an RF test will help the doctor explore a possible RA diagnosis.
Thyroid tests
Thyroid tests will help a doctor rule out thyroid problems.
Final Note Fibromyalgia Diagnosis
Again, diagnosing fibromyalgia can take awhile. A patient’s job is to be proactive in the diagnostic process. Be sure you understand what the results will tell and how that specific test will help figure out the cause of the pain. If you don’t understand the results, keep asking questions until it makes sense.
InBody
Body composition and Diabetes Connection
The body needs a balance of lean body mass and fat mass to function properly/optimally and maintain overall health. The balance can be disrupted in overweight and obese individuals because of excess fat. Individuals that are overweight should focus on improving body composition by reducing fat mass while maintaining or increasing lean body mass. Balanced body composition can reduce the risk of diabetes, other obesity-related disorders, and a positive effect on metabolism. Metabolism is the breaking down of foods for energy, the maintenance, and repair of body structures.
The body breaks down the food nutrients/minerals into elemental components and directs them to where they need to go. Diabetes is a metabolic disorder meaning it changes the way the body makes use of the nutrients, in such a way that the cells are unable to utilize digested glucose for energy. Without insulin, the glucose cannot get into the cells, so it ends up lingering in the blood. When the glucose can�t make its way out of the blood, it builds up. All the excess blood sugar can potentially be converted to triglycerides and stored as fat. With an increase in fat mass, hormone imbalances or systemic inflammation can happen or progress. This increases the risk for other diseases or conditions. A buildup of fat and diabetes are associated with increased risk for:
Heart attacks
Nerve damage
Eye problems
Kidney disease
Skin infections
Stroke
Diabetes can even cause the immune system to become impaired. When combined with poor circulation to the extremities, the risk of wounds, infections, can lead to amputation of the toes, foot/feet, or leg/s.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate 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 also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to 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. The provider(s) Licensed in Texas& New Mexico*
References
American College of Rheumatology. Fibromyalgia. 2013.�http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Fibromyalgia/. Accessed December 5, 2014.
Living with Fibromyalgia:�Mayo Clinic Proceedings.�(June 2006) �Improvement in Fibromyalgia Symptoms With Acupuncture: Results of a Randomized Controlled Trial��www.sciencedirect.com/science/article/abs/pii/S0025619611617291What Are Common Fibromyalgia Symptoms and How Does It Cause Back Pain?:�Clinical Biomechanics.�(July 2012) �Functional capacity, muscle strength and falls in women with fibromyalgia��www.sciencedirect.com/science/article/abs/pii/S0268003311003226
Car accidents, even minor ones, can cause musculoskeletal problems, especially in the neck and shoulder area. Depending on the severity, it can be dangerous. When whiplash symptoms do not present immediately, this is known as delayed whiplash. Delayed symptoms can appear anywhere from twenty-four hours to months after the accident. The body is masking the symptoms to react to a traumatic event. Symptoms like:
Pain
Stiffness
Headache
Anxiety
Present within 24 hours, but this is not always the case.
Delayed Symptoms
With delayed whiplash, symptoms typically don’t appear until 24 hours after the accident. But there are cases of symptoms being delayed up to six months. Whether immediate or delayed, symptoms include:
Medical treatment should be sought out immediately if any of the below symptoms are experienced:
Weakness in the arms
The neck pain spreads to the shoulders and arms
Unbearable pain
Loss of vision
Causes of Delayed Whiplash
The most common cause of whiplash is automobile accidents. Even a slow-speed tap can cause delayed whiplash symptoms if the head snaps quickly, and it is not only being hit from behind in automobile accidents that cause whiplash. Rear-end, front-end, and side collisions can cause whiplash and delayed whiplash symptoms. Any time the neck snaps in a quick fashion in any direction there is potential for a neck injury. Some less common causes include:
Specific types of falls where the head quickly snaps around
Cycling accidents
Skating/skateboarding accidents
Skiing/snowboarding accidents
Symptoms Can Get Worse With Time
Determining whether to seek medical attention if there is no pain or symptoms after the event can be difficult. However, symptoms can get worse over time and cause serious problems in the neck:
Small fractures
Ruptured discs
Pinched nerves
Untreated Whiplash
Whiplash can get worse with time when they are not treated. This is why seeking medical care after the event is significant. As a doctor, a chiropractor can diagnose if any serious issues are present and develop the best plan to deal with pain and symptoms. When left untreated chronic whiplash and neck pain can develop. Chronic whiplash is rare but does happen, even with injuries considered not severe. Medical professionals will use X-Rays, MRIs, or CT scans to examine the damage’s extent and prevent the symptoms from worsening.
Treatment Options
Wearing a neck brace immediately following a neck injury can be an option but there is evidence that some movement of the neck and head should be incorporated, as it is beneficial for the healing process. If the pain is unbearable, wearing a brace could be implemented into a treatment plan.
Ice and Heat
Ice and heat will help with stiffness and pain.
Ice will help relieve pain and should be used in 15-minute intervals.
Heat packs and ointments can help soothe the area, loosen up the muscles, and promote optimal healing.
Non-Steroidal Anti-Inflammatory Meds
Advil or Ibuprofen can be taken for pain and inflammation. These meds help the symptoms, but should not be the only pain reliever.
Ginger
Ginger tea can help those suffering from nausea and dizziness.
It contains anti-inflammatory properties.
Supplements include green tea, turmeric curcumin, fish oil, and sage.
CBD Oil and Ointment
CBD oil or ointments can help relieve pain and relax muscles.
Stretching
Gentle stretches can help the healing process and keep the neck muscles loose.
Chiropractic
Chiropractic can treat whiplash utilizing several different techniques. They will perform tests to diagnose the extent of the injuries and determine what type and the best treatment plan. The plan can include the following:
Inflammation reduction and Pain relief
Heat, ice, ultrasound, and laser therapy can help reduce pain and inflammation.
Spinal Adjustments
Spinal adjustments will help relieve pain from pinched nerves, bulging discs, and strained muscles.
Massage
Massage is a common practice in whiplash cases. It helps to kickstart the healing process by:
Promoting proper blood and nerve energy circulation
Loosens the muscles
Flushes out the toxins
Stretches and Tips
A chiropractor will train the patient on specific stretches/exercises and pain-relief tips at home. These can include:
Physical therapists can help by focusing on the muscles in the affected area.
They will teach the individual stretches and exercises to stretch and strengthen the strained muscles.
They can also utilize heat and ice therapy, ultrasound, and laser therapy.
Body Composition
Hot Yoga and Metabolic Rate
Both internal and external temperatures influence the body’s metabolic rate. The body’s chemical reactions happen more quickly if the temperature is higher. This is because the body works harder to restore average temperature balance. Brief exposure to heat is not enough to increase metabolism. To raise BMR, more prolonged exposure to heat is necessary. This is where hot yoga comes in. Hot yoga involves performing a sequence in a studio that is 105 degrees Fahrenheit with a humidity rate of 40%. It is an intense workout that involves sweating. The high heat:
Increases blood flow
Warms the muscles for deep stretching
Helps the lymphatic system release toxins
Raises the body’s Basal Metabolic Rate
References
Balla, J I. The late whiplash syndrome. The Australian and New Zealand Journal of surgery vol. 50,6 (1980): 610-4. doi:10.1111/j.1445-2197.1980.tb04207.x
Fitz-Ritson D. Phasic exercises for cervical rehabilitation after “whiplash” trauma. Journal of Manipulative and Physiological Therapeutics. 1995 Jan;18(1):21-24.
Seferiadis, Aris, et al. A review of treatment interventions in whiplash-associated disorders. The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 13,5 (2004): 387-97. doi:10.1007/s00586-004-0709-1
The body’s muscles function to produce force and motion. The trapezius muscle is one of the largest, which makes it highly susceptible to injury/s and spasms. A trapezius muscle spasm is when the muscle starts to contract. This muscle group is based around the neck and shoulders and is used to move the scapula shoulder bone.
Causes of Trapezius Muscle Spasms
A few causes for this muscle to become inflamed/irritated include:
Poor posture
Injury
Stress
Tension
Improper lifting
Symptoms
The effects feel similar to a pulled shoulder muscle. Common symptoms include:
Upper body stiffness
Shoulder pain
Neck pain
Arm numbness/tingling
Lack of shoulder flexibility
Spasm and Pinched Nerve Difference
A muscle spasm and pinched nerve might seem or feel similar, but they are different. A muscle spasm makes the area tight and can cause muscle twitching. They vary in intensity with some spasms being mild and others excruciating. In some cases, a spasm can cause a nerve to get pinched if the knot contorts tightly around a nerve and if it is big enough. Conversely, a pinched nerve can also cause twitching, but it typically results in severe pain. Pinched nerves can also cause tingling sensations and numbness depending on the severity it could cause muscle spasms.
Treating The Spasms
There are a few ways to treat this naturally.
Heat and Ice Therapy
One way to calm a muscle spasm is using heat and ice. The heat will increase nerve and blood circulation keeping the muscles flexible, and the warmth will soothe the injury. This helps prevent the muscles from spazzing and generating pain. Ice therapy also increases blood circulation but the focus is on reducing inflammation. The nerves become slightly frozen which stops the tingling, significantly reducing the pain.
If pain presents around the trapezius, immediately put an ice pack on.It should be applied every few hours in 15-minute sessions. Once the pain subsides, heat therapy can be applied. A heating pad placed around the area, a warm/hot bath, or standing in the shower if possible with a massage setting letting the warm/hot water hit the muscle. But it must be consistent, doing it for about 20-minute sessions three times a day.
Stretches and Exercises
Stretches and exercises can help keep the muscle flexible and prevent any tightening.
Upper Trapezius Stretch
This stretch will move the upper trapezius area, promoting flexibility and preventing the muscle from becoming stiff.
Sit in a chair with proper posture
Holding onto the chair with the left hand, wrap the right arm over the top of the head so that the hand touches the left ear.
Gently pull the head toward the right and hold.
Slowly move the head back and repeat with the other hand.
Shoulder Shrugs
Moving the shoulders up and down throughout the day stretches the trapezius.
It releases tension and strengthens the muscle to protect it.
This exercise should be done every few hours for about a minute or two.
Also occasionally rolling the shoulders will help stretch the smaller components of the trapezius.
Cobra Pose
This yoga pose is for relieving tension.
It can be very helpful for those suffering from severe spasms or from a pinched nerve.
The first thing is to lie face-down on the floor.
Keeping the feet straight behind, use the hands to gently push the upper body up so that the spine slightly curves.
Make sure that the hands are situated in front of the body and firm on the ground.
Hold for a few seconds and then release.
Repeat the process three more times.
Therapeutic Massage
The soothing motions from a massage will calm irritated areas and encourage them to heal quicker.
At first, because of the tenderness around the area, a massage could present with pain.
The massage therapist needs to press on the area to increase blood circulation so that toxins get flushed out.
While it might hurt the individual soon notices that the swelling and pain are reducing.
Chiropractors specialize in the musculoskeletal system and understand how the muscles, bones, and joints all work together. For muscle spasms, they investigate the problem and look at other areas of the body that could be contributing to or worsening the condition. For some, muscle spasms could be brought on by a misplaced joint pressing on the area. A chiropractor will palpate the areas to ensure this is not the case. And if there is a problem, they will perform a joint manipulation. This realigns the joint back in place and reduces muscle spasm symptoms. Over time the muscles become healthier because chiropractic releases toxins and improves the range of motion.
Body Composition
Anti-Inflammatory Diet
Often, muscle spasms are the result of inflammation. When a muscle swells, it can place pressure on surrounding nerves. The more intense the inflammation the more pressure/stress on the nerves. This can make moving and functioning very difficult because of the pain. To naturally reduce inflammation consider an anti-inflammatory diet. This type of diet is filled with antioxidants, vitamins, and minerals that will work to reduce swelling. Although it might not completely repair the muscle injury, it can reduce symptoms and stop oxidative stress. Foods to eat more of are:
Cherries
Tomatoes
Almonds
Blueberries
Oranges
Salmon
Kale
Turmeric
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The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
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