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Chiropractor 79936 | Video

Chiropractor 79936 | Video

Chiropractor 79936: Truide Torres, office manager at Injury Medical Clinic, discusses several common questions regarding what type of insurance Dr. Alex Jimenez’s chiropractic care office accepts, what is the process that the staff must go through when patients are involved in an automobile accident or a work accident. Finally, Truide Torres describes what is the best route to take if the patient’s personal insurance is able to cover the damages and injuries to the individual. Truide Torres encourages patients to contact Dr. Alex Jimenez’s chiropractic office to discuss any matter involving their insurance and she recommends Dr. Jimenez as the non-surgical choice for neck and back pain..

Chiropractor 79936

 

It is important to comprehend the expenses involved in chiropractic care, exactly what your insurance policy covers, and also what your fiscal responsibilities may be. Insurance coverage for chiropractic care may depend on a variety of factors. Most plans cover the cost of chiropractic care for severe (short-term) conditions. But many patients frequently have a co-pay in the time of the visit. When longer-term care is required for conditions that are chronic, severe, or occur together with another health problem, make sure you talk to your insurance company to find out your benefits. Overall prices for patients receiving treatment for back pain have been reported lower for people who receive treatment from a chiropractor.

chiropractor 79936 el paso tx.

We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process.�Our areas of practice include:Wellness & Nutrition, Chronic Pain,�Personal Injury,�Auto Accident Care, Work Injuries, Back Injury, Low�Back Pain, Neck Pain, Migraine Headaches, Sport Injuries,�Severe Sciatica, Scoliosis, Complex Herniated Discs,�Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.

Dr. Alex Jimenez DC, C.C.S.T

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2

Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:

LinkedIn: https://www.linkedin.com/in/dralexjimenez

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://elpasobackclinic.com

Rehabilitation Center: https://www.pushasrx.com

Fitness & Nutrition: http://www.push4fitness.com/team/

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Doctor Of Chiropractic Near Me | Video

Doctor Of Chiropractic Near Me | Video

Doctor of Chiropractic Near Me: Mike Melgoza is an active individual who engages in a variety of strenuous physical activities on a regular basis, as a result, however, he began to experience chronic pain symptoms due to improper technique and repetitive movements. Although Mike Melgoza works out of town, he visits Dr. Alex Jimenez every time he begins to experience pain to receive chiropractic care. Mike Melgoza recommends Dr. Alex Jimenez as the non-surgical choice for chronic pain. Mike Melgoza trusts Dr. Jimenez to care for his health.

Doctor Of Chiropractic Near Me

 

Before you go to a chiropractor to deal with your chronic pain symptoms, it’s important to understand what exactly is causing your pain. Your physician will perform a physical exam as well as some tests to help them diagnose the source of the patient’s pain. As soon as you’re diagnosed with a pain illness, your chiropractor will create a treatment program. Your treatment plan may include spinal manipulation, manual therapies, and therapeutic exercises. Work with your chiropractor to develop a treatment plan. Once your pain is fully addressed, you should be able to slowly resume daily activities.

doctor of chiropractic near me el paso tx.

We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process.�Our areas of practice include:Wellness & Nutrition, Chronic Pain,�Personal Injury,�Auto Accident Care, Work Injuries, Back Injury, Low�Back Pain, Neck Pain, Migraine Headaches, Sport Injuries,�Severe Sciatica, Scoliosis, Complex Herniated Discs,�Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.

Dr. Alex Jimenez DC, C.C.S.T

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2

Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:

LinkedIn: https://www.linkedin.com/in/dralexjimenez

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://elpasobackclinic.com

Rehabilitation Center: https://www.pushasrx.com

Fitness & Nutrition: http://www.push4fitness.com/team/

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Chiropractor Near Me | Video

Chiropractor Near Me | Video

Chiropractor Near Me: Due to his previous back injury history, George Lara suffered a recent back injury which he was unfortunately unable to recover from through traditional treatment. That’s when the VA recommended him to seek chiropractic care with Dr. Alex Jimenez, ultimately changing his quality of life. George Lara had degenerative disc disease, or DDD, and sciatic nerve pain before receiving treatment with Dr. Alex Jimenez. George Lara describes how much his life has improved with chiropractic care and he’s grateful of the services and care he received. George Lara recommends Dr. Alex Jimenez as the non-surgical choice for back pain, among other spine health issues.

Chiropractor Near Me

 

Chiropractic care is a means to diagnose and treat health problems that affect the nerves, muscles, bones, and joints of the body. A healthcare provider who supplies chiropractic care is known as a chiropractor. Adjustment of the spine, known as manipulation, is the basis of care. Chiropractors also use other kinds of treatments. Your physician will ask about your goals for your health history and therapy. It’s important to inform your physician about any physical problems you may have which make it difficult for you to do particular things.

chiropractor near me el paso tx.

We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.

Our services are specialized and focused on injuries and the complete recovery process.�Our areas of practice include:Wellness & Nutrition, Chronic Pain,�Personal Injury,�Auto Accident Care, Work Injuries, Back Injury, Low�Back Pain, Neck Pain, Migraine Headaches, Sport Injuries,�Severe Sciatica, Scoliosis, Complex Herniated Discs,�Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.

As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.

If you have enjoyed this video and/or we have helped you in any way please feel free to subscribe and share us.

Thank You & God Bless.

Dr. Alex Jimenez DC, C.C.S.T

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/

Facebook Sports Page: https://www.facebook.com/pushasrx/

Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/

Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/

Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2

Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:

LinkedIn: https://www.linkedin.com/in/dralexjimenez

Clinical Site: https://www.dralexjimenez.com

Injury Site: https://personalinjurydoctorgroup.com

Sports Injury Site: https://chiropracticscientist.com

Back Injury Site: https://elpasobackclinic.com

Rehabilitation Center: https://www.pushasrx.com

Fitness & Nutrition: http://www.push4fitness.com/team/

Pinterest: https://www.pinterest.com/dralexjimenez/

Twitter: https://twitter.com/dralexjimenez

Twitter: https://twitter.com/crossfitdoctor

Mattress Shopping? What To Know

Mattress Shopping? What To Know

Getting a good night�s sleep is absolutely integral to good spinal health. Sometimes, though that isn�t possible. According to the National Sleep Foundation, 92 percent of people believe that a�comfortable mattress is important for good, restful sleep. A bad mattress, or one that is old, or one that is simply wrong for your body can contribute to sleep deprivation, lower back pain, headaches, stiff neck, and anxiety and depression. With so much at stake, it�s easy to see just how important it is to select a good mattress.

Ask About How The Mattress Is Made

Learn about the construction� and what the different components mean for your comfort. Different mattresses have different coils and they are arranged differently. The padding can vary in thickness. The depth can range from 7 inches to 18 inches on the average. Understanding the various components can make it easier for you to find the one that is right for you.

Look For Comfort, As Well As, Support

A good mattress is comfortable and has good support. Support is good but if you don�t have comfort then it won�t be effective.

If it is too firm (too much support) it will cause pain on your body�s pressure points. You want your hips and shoulders to slightly sink into the mattress. However, if you prefer a mattress that is firmer to support your back, you can get one with padding on top.

Don�t Let Price Be The Determining Factor

You naturally want to get the most for your dollar, but remember that you get what you pay for. A cheap mattress can translate to a poor quality one.

Look for quality and value rather than price. If money is an issue, do some comparison shopping to find the mattress you want for the best price.

Sales are another way to save money on a purchase, but look out for advertising gimmicks. Know the meaning of the terms that are used and know what you are looking for before you go for that so-called great deal.

mattress el paso tx.

Educate Yourself On The Different Mattress Types

Do you want a memory foam or would latex work better for you? What exactly is an innerspring mattress? Are adjustable beds really all they are cracked up to be? Do some research and brush up on the different�types of mattresses�so that you can approach your shopping trip with confidence and as an educated consumer. It will definitely work in your favor.

In The End, It�s All About Personal Preference

There is no mattress that is a one size (or type) fits all. Different people will respond differently to mattresses. The best thing to do is try them out. Spend at least 20 minutes laying down before you make the decision to purchase or not.

Finally, if you find that your�quality of sleep�has recently gotten worse, that you are tossing and turning or wake up with pain in your back, neck, or head, it could be time to change your mattress � or pillow. If you can see your mattress sagging, that could be another indication that it is time to get a new one.

Mattresses are designed to withstand a certain degree of wear and tear, but they don�t last forever. The quality, the weight and other factors contribute to how quickly it wears out. So if you notice any of the warning signs it may be time to get a new mattress so that you can get back to peaceful, restful sleep.

Injury Medical Clinic: Back Pain Care & Treatments

Rest Helps Restore Spinal Health

Rest Helps Restore Spinal Health

You try to do all the right things when it comes to taking care of your spine. You lift the right way, exercise, practice good posture, stretch, drink plenty of water, and take frequent breaks to walk around if you are seated for an extended period of time. Those are all excellent habits to keep, but there is something else that you should be doing � and it is one of the most overlooked and undervalued health practices. Rest!

Running On Empty: The Silent Epidemic

Stress can do severe damage to your emotional and mental health, but it can also hurt your body as well. Many people carry stress in their lower backs which means that when stress goes up it can result in lower back pain. It can also make you more sensitive to pain.

It is estimated that 66 percent of all doctor visits have a stress related component. What�s more, 50 percent of people who suffer from stress rate it as moderate to high. We live in a culture that makes it commonplace to run on empty. The problem with that is sooner or later you are going to crash and your body will bear the brunt.

Rest is important for helping you alleviate and manage stress, but recent studies show that 1 in 3 adults don�t get enough sleep. There is another reason to get your seven to nine hours in, though, that is directly related to spinal health.

rest spine health el paso tx.

What Rest Can Do For Your Spinal Health

When you rest you give your body time to replenish depleted stores of energy. Adequate sleep improves your immune function, memory, metabolism, learning, and healing. You will be more alert, happier, and have more energy. It is also very beneficial is you are trying to lose weight.

Excess weight can put pressure on your spine and cause it to curve, causing back pain. This is especially true if you carry your weight in your abdomen. That extra weight in the front pulls your spine into a sway back curve making it painful to stand for long periods of time.

When you lay down and rest you allow your entire spine, associated muscles, and other parts of your body to rejuvenate and relax. You probably don�t realize it, but your muscles in your back and abdomen work all day to keep your body properly supported. Even when sitting there are muscles engaged. Laying down allows all of those muscles to finally relax.

Rest also allows your spinal discs to rehydrate. The spine is made up of fluid filled discs that sit between the vertebrae, acting as a cushion. As you go about your day, thanks to gravity, your discs become compressed. This compression causes the disc to lose fluid (which is about 88 percent water). This can cause pain if the discs are not properly rehydrated � and that is a two-step process of drinking adequate water and getting enough rest.

Drinking water will put the fluids into your body, but as long as you are upright, the compression will continue. Laying down to go to sleep takes that pressure off of your spine so there is no compression and the body can naturally rehydrate the discs. A few hours here and there is not really effective because it does not give the body enough time to do its job. This means that you need to get the recommended seven to nine hours of sleep each night.

Along with all the other great, healthy reasons to get a good night�s sleep, you not have one more to add to the list. A healthy spine will keep you standing tall and help keep you mobile, It is important to do all you can to take care of it.

Injury Medical Clinic: Neck Pain Care & Treatments

Organic Food Vs. Conventional Food

Organic Food Vs. Conventional Food

Many supermarkets have started offering their shoppers a choice in produce: organic or conventionally farmed. This can leave many wondering just what the difference is.

The truth is, both foods taste the same � or very close. Both have the same vitamins, minerals, and other nutrients, so what is the big difference?

It comes down to two major areas: safety and nutrition. That is what consumers need to understand when they are trying to make a decision on whether to purchase foods that have been conventionally farmed, or foods that are natural.

What Is �Organic�?

This is a misused word but the true meaning is that the term refers to how food is grown and processed. Organic farming is intended to encourage water and soil conservation as well as reduce pollution.

This type of farming does not use chemicals for controlling weeds, eliminating insects, or fertilizing. Most of the methods are completely natural. For instance, a farmer may use natural fertilizers to enrich the soil, strategically placed plants to control insects, and mulch or crop rotation to control weeds.

Organic Vs. Conventional Foods

Conventionally farmed products will often use chemicals for insect control and weed control. They often use some type of processing on their foods.

The fertilizer used in planting often has chemicals. The foods may even be genetically modified. Animals may be injected with steroids and hormones which can cause unpleasant or even harmful side effects.

These types of foods do not use any chemicals, they are not genetically modified, and they are not injected with antibiotics or steroids. The food has been very minimally processed � if at all.

There are no additives that don�t belong and could be potentially harmful. These foods are safer for human consumption and they are typically more nutritious.

organic food el paso tx.

How To Identify Organic Foods

In the United States, a food or product that is labeled as organic is required to be certified by the U.S. Department of Agriculture (USDA). The USDA has a certification program for natural growers and it has a set of very stringent standards that the product or food must meet.

There are some exemptions. For instance, a producer who does not sell more than $5,000 annually just in organic foods is not required to get the certification although they do have to adhere to the USDA�s stringent requirements for organic foods.

When a food carries the USDA Organic label, it means that it meets the requirements. While natural producers are not required to put the label on their products, many do.

The labeling varies, depending on the type of food. Single ingredient foods like eggs, vegetables, and fruits are considered to be 100 percent natural and are allowed to carry the USDA seal.

Foods that contain two or more ingredients, like breakfast cereal, are still allowed to use the USDA seal, but also must include the following information:

  • Organic � The product must be 95 percent organic or greater in order to be able to use this term
  • 100 percent organic � The product must be completely organic or all of its ingredients must be natural
  • Made with organic ingredients � The product contains no less than 70 percent natural ingredients

If the product has less than 70 percent natural ingredients, they are not allowed to use the word �organic� anywhere on their product labels.

Health Benefits Of Natural Foods

The greatest health benefit of natural foods is what it does not provide. Organic growers do not use synthetic pesticides to protect their crops from disease, insects, and molds. This means that the food itself has never been touched by these chemicals.

Natural foods also do not have the food additives that conventional foods often do. They are free from artificial sweeteners, flavorings, and colorings as well as preservatives and monosodium glutamate. This means eating natural means that you aren�t putting those chemicals into your body. Plus, many people say that organic foods simply taste better.

If you have further questions or concerns about your particular diet, please ask us! Our Doctor of Chiropractic can help guide you toward a more healthy life, including the foods you consume.

Injury Medical Clinic: Accident Treatment & Recovery

Cerebrovascular Disorders

Cerebrovascular Disorders

Cerebrovascular disease is a designated group of conditions that can lead to cerebrovascular event/s, i.e. stroke. These events affect the blood supply and vessels to the brain. With a�blockage, malformation, or hemorrhage�happens,�this�prevents brain cells from getting enough oxygen, which can cause brain damage. Cerebrovascular diseases can develop in different ways. These include deep vein thrombosis (DVT) and atherosclerosis.

Types of cerebrovascular disease: Stroke, transient ischemic attack, aneurysms, and vascular malformations

In the U.S. cerebrovascular disease is the fifth most common cause of death.

Cerebrovascular Disorders

The Brain

  • Makes up ~2% of the body weight
  • Accounts for ~10% of the body�s oxygen use
  • Accounts for ~20% of the body�s glucose use
  • Receives ~20% of the cardiac output
  • Per minute, requires ~50-80cc of blood per 100g of grey matter brain tissue and ~17-40cc of blood per 100g of white matter
  • If blood supply to the brain is <15cc per 100g of tissue, per minute, neurologic dysfunction occurs
  • As with all tissues, the longer there is ischemia, the more likely there is to be cell death and necrosis
  • The brain depends on a constant, uninterrupted supply of oxygen and glucose
  • 3-8 minutes of cardiac arrest can result in irreversible brain damage!

cerebrovascular el paso tx.

Autoregulation In The Brain

  • Systemic hypotension causes reactive cerebral vasodilation to allow more blood flow to the brain
  • The brain can extract enough oxygen from the brain if systolic pressure is 50 mmHg
  • Atherosclerotic narrowing can produce reactive vasodilation to attempt to reduce excess pressure
  • Increased blood pressure can result in vasoconstriction, reducing likelihood of hemorrhage
  • If systolic pressure averages >150 mmHg for prolonged periods, this compensation may fail
  • Labelled hypertensive encephalopathy

Blood Supply To The Head

cerebrovascular el paso tx.http://madeinkibera.com/lingual-arterie-anatomie

Collateral Circulation

  • In slowly developing occlusion such as atherosclerotic thrombosis, collateral circulation has time to develop
  • Circle of Willis connects the carotid and basilar systems
  • Anterior and posterior communicating arteries provide collateral supply
  • Anastomoses between main cerebral and cerebellar arteries in some people
  • Internal and external carotid artery connection via the ophthalmic & maxillary arteries

Circle Of Willis

  • Connects the vertebrobasilar system with the internal carotid system
  • While providing helpful collateral circulation, is also the most susceptible area to Berry Aneurysms which can lead to hemorrhagic stroke

cerebrovascular el paso tx.https://en.wikipedia.org/wiki/Circle_of_Willis

Blood Supply To The Brain

cerebrovascular el paso tx.http://teachmeanatomy.info/neuro/vessels/arterial-supply/

Maxillary & Ophthalmic aa.

cerebrovascular el paso tx.

cerebrovascular el paso tx.

Cerebrovascular Disorders

  • ~700,000 adults in the US have a stroke each year
  • Third most common cause of death in the US
  • ~2 million people are disabled due to stroke
  • By far more common in persons of advanced age
  • Occlusive/Ischemic Disease
  • 80% of all strokes
  • Most common site of occlusion is at the internal carotid artery just above the bifurcation of the common carotid a.
  • Atherothrombotic
  • Embolic
  • Small vessel
  • Hemorrhagic Disease

Occlusive/Ischemic Stroke

  • Can be due to artery OR vein occlusion
  • Artery occlusion is much more common
  • Due to lack of blood & oxygen supply reaching a particular area of the brain
  • Sudden onset of neurologic deficits, correlating to the distribution of a specific artery
  • Deficits will differ depend on which artery�s distribution has been disrupted

Venous Occlusion

  • Hyperviscocity
  • Dehydration
  • Thombocytosis
  • Elevated red or white blood cells counts
  • Polycythemia
  • Hypercoagulability
  • Elevated homocysteine
  • Prolonged immobility or airplane travel
  • Genetic clotting factor disorders
  • Pregnancy
  • Cancer
  • Hormone replacement & OCP use

Atherothrombotic

  • Neurologic deficits may be transient or develop slowly over time
  • Possible causes/types:
  • Dissection of the tunica intima and tunica adventitia
  • Can occur in younger patients with connective tissue disorders
  • Inflammatory materials deposit & build up in the vessel walls
  • Oxidized LDLs deposit in vessel walls

Embolic

  • Neurologic deficits likely to have sudden onset
  • Dislodged tissue from dissection of the tunica intima and tunica adventitia
  • Any dislodged thrombus can become an embolus blocking/closing the lumen of smaller vessels

Small Vessel

  • Lipohyalinosis
  • Vessel wall micro-trauma & ballooning
  • Amyloid Angiopathy
  • Accumulation of amyloid proteins in vessel walls
  • More common in patients >65 years old
  • Causes narrowing (leading to ischemia) but can also cause vessel fragility (leading to hemorrhage)
  • Associated with Alzheimer�s disease
  • Inflammatory
  • Spasmotic

Risk Factors For Occlusive Stroke

  • Hypertension
  • Diabetes Mellitus
  • Cardiac abnormalities
  • Right-left shunts (Patent foramen ovale, VSD, tetralogy of fallot, etc)
  • Atrial fibrillation
  • Valve disease/artificial heart valves
  • Advanced age
  • Obesity
  • Hyperlipidemia
  • Especially high LDL and low HDL
  • Sedentary lifestyle
  • Cigarette/Tobacco smoking
  • High oxidation status
  • Elevated homocysteine
  • Contributed to by low folic acid, B6 & B12 statuses
  • Interacts with LDL cholesterol
  • Hyperviscocity and hypercoagulability states as shown on previous slide

Transient Ischemic Attack (TIA)

  • Fully reversible episodes of neurologic deficit due to vascular insufficiency generally lasting no more than 30 minutes at a time
  • Occasionally can last 24 hours or more
  • Half of patients who suffer from a complete occlusive stroke previously had transient ischemic attack(s)
  • 20-40% of patients with TIA go on to have complete stroke
  • In is important to identify patients with TIAs to that they can be appropriately managed and modifiable risk factors reduced

History of Transient Neurologic Deficit In Patient > 45 y/o

  • DDx
  • TIA most likely dx
  • Migraine
  • Focal seizures
  • BPPV
  • Meniere�s
  • Demyelinating diseases
  • Temporal arteritis
  • Hypoglycemia
  • Tumor
  • Arteriovenous malformations

Carotid Artery Disease

  • High pitched systolic bruit heard over the carotid artery may indicate carotid stenosis
  • Requires duplex ultrasound evaluation
  • Lesions narrowing the lumen >70% can possibly cause ischemia
  • Many carotid occlusions do not cause ischemia due to slow development allowing for collateral circulation to be developed as well
  • Fast forming occlusions or emboli can produce problems with <70% stenosis
  • Surgical intervention should be considered for patients with >70% stenosis and symptoms of TIA

Occlusive Stroke

  • If there is an onset of definitive substantial neurologic deficit, the patient should have a CT to rule out hemorrhage
  • If hemorrhage is ruled out, tissue plasminogen activator should be given within the first 4.5 hours
  • It should not be given later than this because it can increase risk of bleeding during reperfusion of brain tissue
  • After this initial period, focused thrombolysis or mechanical extraction of the embolus

Intracranial Hemorrhage

  • Approximately 20% of stroke cases
  • Severe HA or vomiting suggest hemorrhage over occlusion
  • Two types
  • Spontaneous intracranial hemorrhage
  • Hypertension
  • Arterial aneurysms
  • Arteriovenous malformations
  • Bleeding disorders
  • Vessel weakening due to amyloid angiopathy
  • Traumatic

Aneurysm Sites

  • Intraparenchymal hemorrhage
  • 50% – Lenticulostriate branches of the middle cerebral artery
  • Affects the putamen and external capsule
  • 10% – Penetrating branches of the posterior cerebral artery
  • Affects the thalamus
  • 10% – Penetrating branches of the superior cerebellar artery
  • Affects the cerebellum
  • 10% – Paramedian branches of the basilar artery
  • Affects the basilar pons
  • 20% – Various vessels affecting areas of white matter
  • Subarachnoid hemorrhage
  • Berry aneurysms at communicating artery junctions

Bleeding Disorders

  • Thrombocytopenia
  • Leukemia
  • Excess anticoagulant therapies

Risk Factors For Hemorrhagic Stroke

  • Hypertension
  • Arterial aneurysms
  • Arteriovenous malformations
  • Bleeding disorders
  • Vessel weakening due to amyloid angiopathy
  • Head trauma

Signs Of Stroke: Teach Patients F.A.S.T

cerebrovascular el paso tx.http://chrcsf.org/expert-tips-to-help-with-detecting-the-early-signs-of-stroke/

Common Transient Symptoms

  • Vertigo
  • Bilateral blurring or loss of vision
  • Ataxia
  • Diplopia
  • Bilateral or unilateral sensory and motor deficits
  • Syncope
  • Weakness in the distribution of a motor cranial nerve one side of the head with a contralateral hemiparesis (medial brainstem damage)
  • Damage to a sensory cranial nerve & Horner�s syndrome on one side of the head and loss of contralateral pain and temperature sensation in the body (lateral brainstem damage)

Long-Term Symptoms Depend On Area Affected

  • Monocular visual obscuration (amaurosis fugax) that is due to retinal ischemia
  • Contralateral hemiparesis
  • Hemisensory deficit
  • Visual field deficits
  • Dysphasia
  • Receptive aphasia (Wernicke�s area lesion)
  • Expressive aphasia (Broca�s areas lesion)
  • Contralateral neglect (on-dominant parietal lobe lesion)
  • Problemswithinitiationofmovement(Supplementarymotorcortex lesion)
  • Difficulty with voluntary gaze to the contralateral side (Frontal eye field lesions)
  • Short-term memory deficits(medial temporal lobes lesioned)

Brain-Stem Syndromes

cerebrovascular el paso tx.http://roho.4senses.co/stroke- syndromes/common-stroke- syndromes-chapter-9-textbook-of- stroke-medicine.html

Stroke Recovery

  • Rehab needs depend upon the area of brain tissue that was affected by the stroke
  • Speech therapy
  • Restriction of functioning limbs
  • Balance and gait exercises
  • Encourages neuroplastic restructuring
  • Symptoms may improve within the first 5 days due to reduction in edema
  • Edema may cause herniation through the foramen magnum which can cause brainstem compression and death � patients with this problem may require craniectomy (last resort)

Sources

Alexander G. Reeves, A. & Swenson, R. Disorders of the Nervous System. Dartmouth, 2004.
Swenson, R. Cerebrovascular Disorders. 2010

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