Here, you can find expert advice on coping with spine and back pain, the aftermath of a car accident, and improving your quality of life.
Contents
Introduction
People who have been in an automobile accident, even a little one, may have physical injuries to their back, spine, and upper and lower limbs. Acute or persistent pain may be the consequence of injuries brought on by the abrupt forces involved in a collision. Does stiffness affect your shoulders, back, and neck? Do you have back discomfort that radiates down? Or have you been unable to do your everyday chores due to persistent headaches? Today, we’ll examine and comprehend the reasons behind back and spine discomfort, identify its symptoms, and investigate how people may heal and reclaim their quality of life with the aid of efficient therapies like chiropractic adjustments.
Spine & Back Pain Causes After a Car Accident
The spine and back are vulnerable during a car accident due to the rapid acceleration, deceleration, and twisting motions that occur. Common causes of pain include:
Whiplash and Soft Tissue Injuries: A person in a rear-end collision will experience a common injury known as whiplash. This musculoskeletal injury occurs when the head and neck are forcefully jerked forward and backward. (Stroke, 2023) This can strain or tear muscle tissue structures in the neck and upper back, leading to the development of pain and stiffness throughout the body.
Herniated Discs: The impact of a car collision can cause the spinal segments to compress or displace the intervertebral discs, causing them to bulge or rupture. This may irritate nearby nerves, compressing them, resulting in back pain-associated numbness or weakness within the upper and lower extremities. (Ge et al., 2019)
Spinal Misalignment: The sudden jolts and movements the body experiences after a car collision can misalign the spinal vertebrae, disrupting the spine’s natural curvature. This can lead to numerous pain-like symptoms, such as muscle spasms, restricted movement, and pain.
Fractures or Dislocations: In severe accidents, the spinal vertebrae may fracture or dislocate, causing intense pain and potential nerve damage. These injuries can negatively influence an individual’s social and financial situation when being treated. (Fakharian et al., 2017)
Facet Joint Injuries: The facet joints, which connect the vertebrae, can become sprained or damaged during a collision, leading to pain.
Symptoms of Spine & Back Pain
Depending on the collision’s severity, the spine and back can develop symptoms depending on the type of injury the person is experiencing. Common signs include:
Localized or Radiating Pain
Stiffness
Muscle Spasms
Numbness or Tingling
Headaches
Fatigue or Weakness
Delayed onset of symptoms is common, with pain or discomfort appearing hours or days after the accident. Seeking prompt medical evaluation is critical to prevent complications.
From Injury to Recovery with Chiropractic Care- Video
The Role Of Chiropractic Care in Treatment
Chiropractic care is a non-surgical treatment option focusing on restoring spinal alignment, improving mobility, and reducing pain within the musculoskeletal system. It is particularly effective for managing spine and back pain caused by car accidents. Key benefits of chiropractic care include:
Spinal Adjustments: Chiropractors use controlled, manual techniques to realign the spine, relieve pressure on the compressed nerves, and restore joint function. This can reduce pain, improve mobility, and restore the normal range of spinal movement. (Choi et al., 2015)
Soft Tissue Therapy: Chiropractors can incorporate massage or myofascial release techniques to help relax the tight muscles, reduce spasms, and promote healing in strained ligaments and tendons.
Pain Management: Since chiropractic care can alleviate pain without reliance on medications, which may have side effects. Chiropractic adjustments and therapies target the root cause of discomfort.
Rehabilitation Support: Chiropractors often provide exercises and stretches as part of the individual’s customized treatment plan to strengthen muscles and prevent future injuries.
Holistic Approach: Chiropractic care emphasizes overall wellness, addressing physical symptoms and lifestyle factors that impact the person’s recovery process.
Chiropractic care is effective for conditions like whiplash, which is associated with neck and lower back pain. Compared to standard medical care, it reduces pain and improves function. (Bryans et al., 2014)
Other Treatment Options
While chiropractic care is highly effective, a comprehensive treatment plan may include:
Physical Therapy: To restore strength and flexibility back to the body while reducing low back and neck pain. (Alrwaily et al., 2019)
Pain Management: Over-the-counter or prescription medications for short-term relief.
Medical Imaging: X-rays, MRIs, or CT scans to diagnose fractures or herniated discs.
Surgery: In rare cases, for severe injuries like spinal fractures or significant disc herniations.
When to Seek Care
Individuals involved in a car accident must have a prompt evaluation by a healthcare provider, such as a chiropractor or physician. Even if symptoms are mild, this is essential because if the injuries are untreated, they can cause overlapping risk profiles or long-term complications to the body. A chiropractor can assess spinal alignment, recommend a personalized treatment plan, and coordinate with other providers.
Conclusion
Following a vehicle accident, those who have back and spine pain may find that their everyday lives are significantly impacted, but recovery may be aided by prompt action and the right treatment. A safe and efficient method for controlling pain, regaining function, and averting chronic problems is chiropractic therapy. A chiropractor may help people recover from accidents by determining the root causes of pain-like symptoms and promoting general wellbeing.
Injury Medical Chiropractic & Personal Injury Clinic
We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their spines and backs. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer
References
Alrwaily, M., Schneider, M., Sowa, G., Timko, M., Whitney, S. L., & Delitto, A. (2019). Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther, 23(6), 506-515. doi.org/10.1016/j.bjpt.2018.10.003
Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L., Watkin, R., & White, E. (2014). Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther, 37(1), 42-63. doi.org/10.1016/j.jmpt.2013.08.010
Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. J Phys Ther Sci, 27(6), 1937-1939. doi.org/10.1589/jpts.27.1937
Fakharian, E., Mohammadzadeh, M., Saberi, H. R., Fazel, M. R., Rejali, M., Akbari, H., Mirzadeh, A. S., & Mohammadzadeh, J. (2017). Spinal injury resulting from car accident: Focus to prevention. Asian J Neurosurg, 12(2), 180-184. doi.org/10.4103/1793-5482.152110
Ge, C. Y., Hao, D. J., Yan, L., Shan, L. Q., Zhao, Q. P., He, B. R., & Hui, H. (2019). Intradural Lumbar Disc Herniation: A Case Report and Literature Review. Clin Interv Aging, 14, 2295-2299. doi.org/10.2147/CIA.S228717
Can older people who exercise regularly lessen their risk of dementia and enhance their overall health?
Contents
Exercise and the Prevention of Dementia
Dementia, a term used to cover several conditions that impact memory and cognition, is currently the seventh leading cause of mortality worldwide. (World Health Organization, 2025) More than 10 million new cases of dementia are found around the world each year. (J.H. Yoon et al., 2023) Research investigating the relationship between exercise and insulin in the brain suggests that regular exercise may improve brain function and decrease the prevalence of dementia. Scientists have discovered that variables, such as.
Muscles must be exercised and mobilized. People who do not engage in physical activity have rigid muscles, which impede the effectiveness of insulin. The body’s sensitivity to insulin is improved by the contraction and relaxation of the muscles during movement. Dementia can be prevented by understanding how to decrease the body’s insulin resistance.
Physical Activity and Lower Risk
Over two weeks, researchers examined 21 older adults with prediabetes and found that exercise enhances cognitive performance by aiding the brain in insulin regulation. They conducted twelve supervised training sessions of moderate to extreme intensity. (Malin S. K. et al., 2025)
The results indicated that brain-derived extracellular vesicles containing insulin-related proteins had significantly increased.
These microscopic messengers are essential for brain maintenance and aid in neuronal communication.
Three serine/threonine-specific protein kinases known as AKT (protein kinase B, or PKB) are essential for several cellular functions, such as cell growth, survival, metabolism, and cell cycle control.
The protein affects the development and health of neuronal cells and is thought to play a significant role in insulin signaling.
The notion that exercise might help prevent dementia by potentially enhancing insulin signaling is important since poor insulin response can result in dementia.
Even while further research is needed, these findings prove that physical activity could be a cost-effective and easily accessible way to improve long-term brain health. To better understand how insulin affects brain activity, researchers will use MRIs and an insulin spray in the study’s next phase. To learn more about the effects of the insulin spray, they will compare the blood flow in the brain before and after it is administered.
Insulin and Exercise Are Essential for Brain Health
Insulin is a hormone that the pancreas makes. It controls blood sugar levels. But it’s just as vital for the health of the brain. Insulin binds to many receptors in the brain, which makes synaptic connections stronger and makes it easier for neurons to talk to each other. Both of these things help with memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)
Type 2 diabetes, which impairs insulin transmission, increases the risk of cognitive impairment. (Yoon J.H. et al., 2023) Research has demonstrated that insulin resistance exacerbates tau tangles and amyloid-beta plaques, which are two critical characteristics of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Increasing insulin sensitivity may slow down or even stop these changes in the brain. Working out, especially aerobic exercise, is good for the brain. According to earlier research, exercise can help people maintain or enhance their memory and brain function. (Rosenberg A. et al., 2020) Other ways to increase brain health include:
Maintaining social interaction
Challenging the mind
Getting a good night’s sleep
Controlling stress
A nutritious diet
Maintaining an active lifestyle
Controlling diabetes
Controlling blood pressure
To achieve the greatest possible effect, dementia prevention in the future will likely involve integrating lifestyle modifications, such as exercise, with medications. In individuals with diabetes or prediabetes, the risk of dementia is significantly reduced, and frequent exercise can assist in the preservation of optimal brain function.
Chiropractic and Functional Medicine Clinic
As a family nurse practitioner, Dr. Jimenez uses the latest medical expertise and chiropractic therapy to address many problems. Our clinic uses functional medicine, acupuncture, electro-acupuncture, and sports medicine to create individualized care plans that improve movement, encourage long-term health, and speed up the body’s natural healing process. We focus on strength, agility, and flexibility to help our patients thrive, regardless of age or health problems. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we want to help people with chronic pain syndromes and injuries. We focus on improving flexibility, mobility, and agility through programs suitable for people of all ages and abilities. We ensure that each patient gets personalized care and reaches their health objectives through detailed care plans and health coaching in person and online.
Is Movement Essential to Recovery?
References
World Health Organization. (2025). “Dementia.” World Health Organization. from www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.
Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. doi.org/10.3390/ijms24043506
Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. doi.org/10.1111/acel.14369
Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. doi.org/10.2337/db14-0340
Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. doi.org/10.1186/s13195-020-00758-4
Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. doi.org/10.14283/jpad.2019.41
Optimizing Recovery from Work-Related Back Injuries: The Interdisciplinary Approach of Dr. Alexander Jimenez, DC, APRN, FNP-BC
Introduction
Back injuries sustained at work are a leading cause of disability and lost productivity, affecting diverse professions such as truck drivers, construction workers, healthcare providers, and office employees. These injuries often result from improper lifting, repetitive motions, or prolonged sitting, leading to conditions like herniated discs, muscle strains, or chronic pain. For those injured, securing workers’ compensation benefits and accessing effective treatment are critical steps toward recovery. Dr. Alexander Jimenez, a dual-licensed chiropractor and nurse practitioner with over three decades of experience, specializes in treating work-related back injuries, particularly those from personal injury cases and auto accidents. His integrative approach, detailed on www.dralexjimenez.com and www.chiromed.com, combines chiropractic care, advanced medical interventions, and collaboration with trusted medical and legal professionals to deliver comprehensive care.
This article outlines the benefits of chiropractic care in managing work-related back injuries, the expanded treatment options enabled by Dr. Jimenez’s nurse practitioner licensure, and the interdisciplinary strategies that optimize recovery. It also highlights how Dr. Jimenez collaborates with legal providers to ensure patients receive the support needed to navigate workers’ compensation claims effectively.
The Burden of Work-Related Back Injuries
Work-related back injuries are prevalent across industries, with the Bureau of Labor Statistics reporting over 900,000 cases of nonfatal occupational injuries involving the back in 2020. High-risk occupations include:
Truck Drivers: Prolonged sitting and unloading heavy cargo increase spinal stress.
Construction Workers: Lifting, twisting, and repetitive motions contribute to injury.
Healthcare Workers: Patient handling and prolonged standing elevate risk.
Manual Laborers: Heavy lifting and improper techniques lead to strains.
Office Workers: Poor posture and sedentary behavior cause chronic pain.
These injuries often result from improper lifting, repetitive turning, twisting while lifting, or holding heavy objects overhead. Symptoms may include acute pain, limited mobility, or chronic conditions requiring long-term management. Workers’ compensation programs exist to cover medical expenses and lost wages, but the process can be complex, necessitating expert medical and legal guidance.
Benefits of Chiropractic Care for Work-Related Back Injuries
Chiropractic care is a cornerstone of non-invasive treatment for back injuries, focusing on restoring spinal alignment, reducing pain, and improving function. Dr. Jimenez leverages evidence-based chiropractic techniques to address work-related injuries, supported by randomized controlled trials (RCTs) and cohort studies.
Pain Reduction and Functional Improvement
Chiropractic adjustments, or spinal manipulations, realign the spine to alleviate pressure on nerves and muscles. A 2018 RCT published in The Spine Journal (Goertz et al.) found that chiropractic care combined with usual medical care significantly reduced pain and disability in patients with low back pain compared to medical care alone. Dr. Jimenez employs manual adjustments, flexion-distraction techniques, and soft tissue therapies to target specific injury sites, promoting natural healing.
Non-Invasive and Drug-Free Approach
Chiropractic care offers a drug-free alternative to pain management, reducing reliance on opioids, which is critical given the opioid crisis. A 2020 cohort study in Pain Medicine (Whedon et al.) demonstrated that patients receiving chiropractic care for low back pain had a lower likelihood of opioid prescriptions compared to those receiving only medical care. Dr. Jimenez integrates therapies like myofascial release and therapeutic exercises to manage pain without pharmacological interventions.
Prevention of Chronic Conditions
Early chiropractic intervention can prevent acute injuries from becoming chronic. A 2019 study in Journal of Manipulative and Physiological Therapeutics (Eklund et al.) showed that maintenance chiropractic care reduced the recurrence of low back pain episodes. Dr. Jimenez designs personalized treatment plans that include corrective exercises and ergonomic counseling to minimize re-injury risk.
Support for Workers’ Compensation Claims
Chiropractors play a vital role in documenting injuries for workers’ compensation claims. Dr. Jimenez provides detailed clinical notes and treatment plans, ensuring compliance with workers’ compensation requirements. His expertise in occupational health allows him to assess whether injuries are work-related, facilitating accurate reporting to employers and insurance carriers.
Expanded Scope of Practice: Nurse Practitioner Expertise
As a board-certified Family Nurse Practitioner (FNP-BC), Dr. Jimenez’s dual licensure enhances his ability to provide comprehensive care, particularly in personal injury and auto accident cases. Nurse practitioners (NPs) have an expanded scope of practice, allowing them to diagnose, treat, and prescribe medications, which complements chiropractic interventions.
Advanced Diagnostics and Treatment
NPs can order and interpret diagnostic imaging, such as X-rays, MRIs, and CT scans, to assess the extent of spinal injuries. A 2021 study in Journal of General Internal Medicine (Mafi et al.) highlighted the accuracy of NPs in managing musculoskeletal conditions through diagnostics and treatment planning. Dr. Jimenez uses these tools to develop precise treatment strategies, ensuring timely interventions for conditions like herniated discs or vertebral fractures.
Medication Management
In cases where pain or inflammation requires pharmacological support, Dr. Jimenez can prescribe medications like non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants. His NP training ensures judicious use of medications, aligning with evidence-based guidelines to avoid over-reliance. This is particularly beneficial in auto accident cases, where soft tissue injuries often require short-term pharmacological support alongside chiropractic care.
Coordination of Multidisciplinary Care
NPs are trained to coordinate care across specialties, making Dr. Jimenez uniquely positioned to oversee interdisciplinary treatment plans. For complex injuries, he collaborates with orthopedic surgeons, neurologists, and physical therapists to ensure holistic care. A 2020 RCT in BMJ Open (Côté et al.) demonstrated improved outcomes when NPs coordinated multidisciplinary care for back pain, reducing recovery time and costs.
Enhanced Patient Education
NPs emphasize patient education, empowering individuals to manage their recovery. Dr. Jimenez provides guidance on posture, lifting techniques, and lifestyle modifications, drawing on his NP training to address comorbidities like obesity or diabetes that may complicate recovery. This integrative approach aligns with the philosophies outlined on www.chiromed.com, emphasizing patient-centered care.
Interdisciplinary Treatment Strategies
Dr. Jimenez’s practices integrate chiropractic and NP services with interdisciplinary treatments tailored to work injury trauma and auto accident cases. These strategies address the physical, emotional, and legal challenges of recovery.
Comprehensive Treatment Modalities
Chiropractic Adjustments: Correct spinal misalignments to reduce pain and restore mobility.
Physical Therapy: Strengthen core muscles and improve flexibility through targeted exercises.
Hydrotherapy: Use water-based therapies to reduce inflammation and enhance circulation.
Spinal Injections: Administer corticosteroid injections for severe inflammation, guided by diagnostic imaging.
Rehabilitation Programs: Design long-term plans to restore function and prevent re-injury.
A 2017 cohort study in Spine (Blanchette et al.) found that multidisciplinary care combining chiropractic, physical therapy, and medical interventions resulted in faster return-to-work rates for back injury patients. Dr. Jimenez’s integrative approach mirrors these findings, ensuring patients receive tailored care.
Focus on Personal Injury and Auto Accidents
Personal injury cases, including auto accidents, often involve whiplash, soft tissue injuries, and spinal trauma. Dr. Jimenez’s dual expertise allows him to address these conditions comprehensively. For example, whiplash may require chiropractic adjustments to restore cervical alignment, physical therapy to strengthen neck muscles, and short-term NSAIDs to manage pain. His ability to order MRIs ensures accurate diagnosis of soft tissue damage, which is critical for workers’ compensation and insurance claims.
Collaboration with Medical Specialists
Dr. Jimenez collaborates with a network of trusted medical providers, including:
Orthopedic Surgeons: For surgical interventions like discectomy or spinal fusion.
Neurologists: To address nerve-related symptoms like radiculopathy.
Pain Management Specialists: For advanced pain relief techniques, such as epidural injections.
This collaborative model ensures seamless care, with Dr. Jimenez overseeing the treatment plan to maintain continuity. His practice websites emphasize this integrative philosophy, highlighting partnerships with specialists who share a commitment to patient outcomes.
Collaboration with Trusted Legal Providers
Navigating workers’ compensation and personal injury claims requires legal expertise, particularly when employers or insurance carriers dispute claims. Dr. Jimenez partners with trusted legal providers specializing in workers’ compensation and personal injury law to support his patients.
Role of Legal Providers
Legal providers assist with:
Claim Filing: Ensuring timely and accurate submission of workers’ compensation claims, adhering to state-specific statutes of limitations (e.g., one year in many states).
Dispute Resolution: Representing patients in disputes over injury causation or benefit denials.
Maximizing Benefits: Advocating for coverage of all necessary treatments, including chiropractic care, diagnostics, and rehabilitation.
Auto Accident Claims: Handling insurance negotiations and litigation for injuries sustained in work-related auto accidents.
Dr. Jimenez refers patients to attorneys who understand the medical complexities of back injuries, ensuring alignment between clinical documentation and legal arguments. This collaboration is critical in gray-area cases, such as injuries sustained at work-related events or while working from home.
Streamlined Communication
Dr. Jimenez maintains active communication with legal providers, sharing clinical notes and treatment plans to substantiate claims. Workers’ compensation is exempt from HIPAA privacy regulations for injury-related records, allowing seamless information exchange. This ensures legal providers have the evidence needed to advocate effectively, reducing delays in treatment or compensation.
Patient Advocacy
By connecting patients with reputable attorneys, Dr. Jimenez empowers them to focus on recovery without the stress of legal battles. His websites, www.dralexjimenez.com and www.chiromed.com, emphasize this patient-centered approach, highlighting resources for legal support alongside medical care.
Workers’ Compensation: Coverage and Process
Workers’ compensation is an employer-funded insurance program that covers medical expenses and lost wages for work-related injuries. Coverage typically includes:
Emergency department visits
Diagnostic testing (e.g., X-rays, MRIs)
Follow-up care with specialists
Surgical interventions
Rehabilitation and physical therapy
Dr. Jimenez ensures patients understand their rights under workers’ compensation, advising them to report injuries immediately to their employer’s human resources department. Prompt reporting strengthens claims and prevents disputes over injury causation.
Challenges and Solutions
Challenges in securing workers’ compensation include:
Gray-Area Injuries: Injuries at work-related events or while working remotely may be contested. Dr. Jimenez provides detailed documentation to clarify work-related causation.
Employer Pressure: Some employers may pressure workers to return before medical clearance. Dr. Jimenez collaborates with legal providers to protect patients’ rights.
Wage Replacement Issues: Workers reliant on overtime may face reduced compensation. Dr. Jimenez advises patients to consult attorneys to maximize benefits.
A 2019 study in Journal of Occupational and Environmental Medicine (Mueller et al.) found that early legal intervention improved outcomes in contested workers’ compensation cases, underscoring the value of Dr. Jimenez’s legal partnerships.
Maximizing Recovery: Patient-Centered Strategies
Dr. Jimenez’s integrative approach prioritizes patient compliance and transparency to optimize recovery. Key strategies include:
Adherence to Treatment Plans: Keeping appointments and following recommendations ensures consistent progress.
Open Communication: Patients are encouraged to report symptoms accurately, enabling adjustments to treatment plans.
Ergonomic Training: Guidance on posture, lifting, and workplace modifications reduces re-injury risk.
Holistic Care: Addressing comorbidities and mental health to support overall well-being.
His websites provide resources like exercise guides and ergonomic tips, reinforcing these strategies and empowering patients to take an active role in their recovery.
Conclusion
Work-related back injuries and auto accident trauma require a comprehensive, interdisciplinary approach to achieve optimal recovery. Dr. Alexander Jimenez, DC, APRN, FNP-BC, combines his expertise as a chiropractor and nurse practitioner to deliver evidence-based treatments, from spinal adjustments to advanced diagnostics and medication management. His collaboration with trusted medical and legal providers ensures patients receive holistic care and robust support through the workers’ compensation process. By integrating chiropractic care, medical interventions, and legal advocacy, Dr. Jimenez empowers patients to recover fully and return to work with confidence. Visit www.dralexjimenez.com and www.chiromed.com to learn more about his integrative approach and commitment to patient-centered care.
References
Goertz, C. M., et al. (2018). 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. The Spine Journal, 18(8), 1391–1399.
Whedon, J. M., et al. (2020). Association between chiropractic care and use of prescription opioids among patients with low back pain. Pain Medicine, 21(6), 1087–1095.
Eklund, A., et al. (2019). The Nordic maintenance care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain. Journal of Manipulative and Physiological Therapeutics, 42(7), 477–487.
Mafi, J. N., et al. (2021). Nurse practitioners and physician assistants in primary care: A systematic review of scope of practice and patient outcomes. Journal of General Internal Medicine, 36(5), 1423–1432.
Côté, P., et al. (2020). Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. BMJ Open, 10(3), e035366.
Blanchette, M. A., et al. (2017). Effectiveness of multidisciplinary rehabilitation programs for work-related low back pain: A systematic review. Spine, 42(13), 1007–1016.
Mueller, K. L., et al. (2019). Impact of early legal representation on workers’ compensation claim outcomes. Journal of Occupational and Environmental Medicine, 61(4), 312–318.
What are the benefits of both a chiropractor and a nurse practitioner in cases of personal injury and car accidents?
Contents
Chiropractic and Nurse Practitioner On Auto Accidents
Following a car accident, both nurse practitioners and chiropractors are essential in treating injuries and accelerating healing. To treat musculoskeletal problems and restore mobility, chiropractors concentrate on manual therapies like adjustments and manipulations. In contrast, nurse practitioners offer comprehensive care that includes evaluations, diagnoses, treatment plans, and education, frequently working with specialists to maximize patient outcomes. (Physicians Group, LLC. 2024)
Chiropractors
Musculoskeletal injuries, such as neck and back discomfort, are frequently sustained in traffic accidents and are treated by chiropractors. Frequently, without the use of drugs, they employ manual methods to reduce pain and increase mobility. Their thorough documentation and professional opinions can also bolster personal injury lawsuits by demonstrating the severity of injuries. (Dies, S., & Strapp, J. W., 1992)
Identification and Management of Musculoskeletal Conditions
After an accident, chiropractors can detect and treat soft tissue injuries, muscle spasms, and spinal misalignments. (The Neck and Back Clinics, 2025)
Pain Management
Soft tissue mobilization and spinal adjustments are examples of manual therapies that can help lower inflammation and relieve pain.
Enhanced Mobility
Chiropractors can assist in restoring range of motion and enhancing general function by addressing joint and muscle limitations.
Holistic Medical Treatment
In order to prevent further injuries, chiropractors can offer advice on maintaining proper posture, ergonomics, and general well-being.
Cooperation with Other Medical Experts
To develop a thorough treatment plan for a patient, chiropractors might collaborate closely with doctors, physical therapists, and other professionals. (Physicians Group, LLC, 2024)
Nurse Practitioners
For injuries sustained in auto accidents, nurse practitioners can offer comprehensive care, including: (Integrity Spine & Orthopedics, 2024)
Evaluation and Diagnosis
Nurse practitioners are qualified to perform physical examinations, interpret test results, and diagnose illnesses such as concussions, soft tissue injuries, and whiplash.
Plans for Treatment
To meet the patient’s unique needs, they can create individualized treatment programs that include prescription drugs, physical therapy, and other therapies.
Education of Patients
To encourage healing and avoid problems, nurse practitioners can instruct patients on their injuries, the healing process, and self-care techniques.
Care Coordination
To guarantee a comprehensive approach to treatment, they can coordinate care with other professionals like neurologists, physical therapists, and surgeons.
Aftercare
Throughout the healing process, nurse practitioners can keep an eye on the patient’s progress, modify treatment plans as necessary, and offer continuous support.
Complex medical and legal requirements are frequently present in personal injury cases, especially those resulting from traffic accidents. With their different areas of expertise, chiropractors and nurse practitioners are essential to diagnosis, care, and record-keeping.
When it comes to personal injury claims, NPs and chiropractors both have special advantages. While NPs handle more general medical needs, such as writing prescriptions and organizing care, chiropractors concentrate on musculoskeletal problems and provide non-invasive treatments. As seen in places like the Accident Care and Treatment Center, where NPs and doctors oversee care in addition to chiropractic interventions, their cooperation can improve patient results. (Accident Care, 2025)
According to legal resources, the documentation of both experts is essential for insurance settlements and claims. Together, the thorough medical records of NPs regarding general health and the detailed reports of chiropractors on spinal injuries can make a strong case for compensation. In situations involving auto accidents, when patients would need both medical supervision and physical adaptations for a proper recovery, this synergy is especially noticeable. (Chiropractic Economics, 2023)
Injury Medical Chiropractic and Functional Medicine Clinic
Dr. Jimenez, a family practice nurse practitioner, combines advanced medical skills with chiropractic care to treat a variety of problems. Our clinic combines functional medicine, acupuncture, electro-acupuncture, and sports medicine to provide personalized care regimens for natural healing, mobility, and long-term wellness. By emphasizing flexibility, agility, and strength, we enable patients to thrive regardless of age or health challenges. El Paso Chiropractic Rehabilitation Clinic & Integrated Medicine Center specializes in treating injuries and chronic pain conditions. We focus on enhancing your ability through flexibility, mobility, and agility training that is adapted to all age groups and disabilities. We offer personalized care through in-person and virtual health coaching, as well as comprehensive care plans.
Find essential information on whiplash, including signs, prevention tips, and recovery strategies for optimal health.
Contents
Introduction
An abrupt impact, whether from a vehicle accident, sports injury, or fall, may cause symptoms that start off as a small shock and progress to crippling pain and functional impairment. Whiplash is one such ailment that often lacks recognition due to its intricacy. Although it is often linked to rear-end crashes, whiplash is a complex injury that, if ignored, may have long-term consequences for the musculoskeletal system and cervical spine. Have you had shoulder and neck stiffness before? Do you have persistent, chronic headaches? Or does it seem like your neck’s range of motion is limited? We’ll talk about whiplash’s frequent origins, symptoms, effects on the cervical spine and musculoskeletal system, and evidence-based therapy options to lessen the pain-like symptoms in today’s post.
What Is Whiplash?
Whiplash is a type of neck injury associated with a rapid back-and-forth head-and-neck motion, mimicking the crack of a whip, hence the name. This causes persistent physical complaints and disability, and complaints when left untreated. (Mayou & Radanov, 1996) Medically, it is categorized under cervical acceleration-deceleration (CAD) injuries. This abrupt motion can damage muscles, ligaments, intervertebral discs, and even the neural structures of the cervical spine.
Common Causes Of Whiplash
While motor vehicle accidents are the most recognized cause, many mechanisms can precipitate a whiplash injury:
Even minor collisions at speeds as low as 5–10 mph can produce enough force to cause whiplash symptoms in vulnerable individuals.
Symptoms of Whiplash
When individuals are experiencing whiplash, the symptoms can appear immediately or may be delayed for 24–72 hours post-injury. Additionally, whiplash injuries are considered soft tissue injuries to the neck with various clinical symptoms that vary in severity and may include: (Chen et al., 2009)
Neck pain and stiffness
Reduced range of motion
Shoulder and upper back pain
Headaches, especially originating at the base of the skull
Jaw pain or temporomandibular joint (TMJ) dysfunction
Dizziness or visual disturbances
Tingling or numbness sensations in the arms (cervical radiculopathy)
Fatigue and cognitive issues (“whiplash-associated disorders” or WAD)
How Whiplash Affects the Cervical Spine and Musculoskeletal System
Whiplash is more than just a soft tissue injury, as it impacts several interconnected systems:
1. Cervical Spine
The rapid motion during a whiplash injury can lead to:
Cervical facet joint irritation
Intervertebral disc compression or herniation
Muscle strain or ligamentous sprain
Altered cervical lordosis, leading to chronic postural imbalances
This causes pain, stiffness, and tenderness in the neck area due to injuries within the bony, muscular, and ligamentous regions. (Alektoroff & Papanagiotou, 2021)
2. Musculoskeletal Dysfunction
Whiplash often initiates a cascade of biomechanical issues:
Myofascial pain syndromes, especially in the trapezius, levator scapulae, and sternocleidomastoid muscles
Compensatory thoracic or lumbar strain
Poor proprioception and neuromuscular control
Chronic trigger points and fibrotic tissue development
The longer these musculoskeletal imbalances persist, the more likely they will evolve into chronic pain syndromes and central sensitization.
Why Choose Chiropractic?-Video
Diagnosing Whiplash
Diagnosis is largely clinical, supported by a thorough history and physical exam. Imaging may be required to rule out more severe pathology:
X-rays: To rule out fractures or malalignment
MRI: For soft tissue or disc pathology
CT scans: If fracture or serious trauma is suspected
Functional assessments: Range of motion, palpation, neurologic evaluation
Evidence-Based Treatments for Whiplash
Treatment for whiplash should be multimodal and individualized, focusing on restoring function, reducing inflammation, and promoting healing. (Bussieres et al., 2016)
1. Chiropractic Care
Chiropractic adjustments can offer significant benefits in managing whiplash-associated disorders:
Myofascial release and soft tissue mobilization: Target muscle tension, trigger points, and fascial restrictions.
Postural retraining and ergonomic correction: Essential for long-term resolution.
Additionally, chiropractic patients experienced significant improvements in neck pain and function.
2. Physical Therapy
Individuals dealing with neck pain associated with whiplash can benefit from physical therapy to improve neck pain and disability. (Chrcanovic et al., 2022) Rehabilitative exercises are fundamental:
Neck range-of-motion drills
Isometric strengthening
Scapular stabilization and postural correction
Proprioceptive neuromuscular facilitation (PNF)
3. Functional Medicine Approach
From a functional medicine standpoint, addressing systemic inflammation, nutritional deficiencies, and stress response can enhance recovery:
Magnesium and B-complex supplementation for nerve healing
Sleep optimization and cortisol balance
4. Other Complementary Treatments
Acupuncture: Improves blood flow and pain modulation while alleviating pain and promoting relaxation. (Moon et al., 2014)
Gua Sha or cupping therapy: Relieves muscular tension
Dry needling: Effective for persistent trigger points
Manual lymphatic drainage: For patients experiencing edema or prolonged inflammation
Recovery and Prognosis
With consistent and proper treatment, many individuals recover within a few weeks. However, approximately 30–50% of individuals may develop chronic symptoms if not properly managed early on. Factors predicting prolonged recovery include:
High initial pain intensity
Poor coping mechanisms
History of prior neck injury
Psychosocial stressors
Early intervention using a holistic, integrative care model offers the best outcomes in preventing chronic whiplash-associated disorders.
Final Thoughts
Beyond the common “neck strain” classification, whiplash is a complicated neuromusculoskeletal injury that requires careful consideration by both patients and medical experts. Accurate diagnosis and successful treatment depend on an understanding of the complex effects on the cervical spine, neurology, and musculoskeletal function. Reducing symptoms and improving quality of life may be achieved by combining non-surgical treatments as part of a personalized treatment strategy.
Injury Medical & Personal Injury Clinic
We associate certified medical providers who understand the importance of assessing individuals with whiplash associated with their necks. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain associated with whiplash. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer
References
Alektoroff, K., & Papanagiotou, P. (2021). [Whiplash injury of the cervical spine]. Radiologe, 61(8), 710-713. doi.org/10.1007/s00117-021-00877-5 (Schleudertrauma der Halswirbelsaule.)
Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Hayden, J., Hendrickson, B., Hincapie, C., Page, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2016). The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. J Manipulative Physiol Ther, 39(8), 523-564 e527. doi.org/10.1016/j.jmpt.2016.08.007
Chen, H. B., Yang, K. H., & Wang, Z. G. (2009). Biomechanics of whiplash injury. Chin J Traumatol, 12(5), 305-314. www.ncbi.nlm.nih.gov/pubmed/19788851
Chrcanovic, B., Larsson, J., Malmstrom, E. M., Westergren, H., & Haggman-Henrikson, B. (2022). Exercise therapy for whiplash-associated disorders: a systematic review and meta-analysis. Scand J Pain, 22(2), 232-261. doi.org/10.1515/sjpain-2021-0064
Moon, T. W., Posadzki, P., Choi, T. Y., Park, T. Y., Kim, H. J., Lee, M. S., & Ernst, E. (2014). Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evid Based Complement Alternat Med, 2014, 870271. doi.org/10.1155/2014/870271
Learn everything about histamine intolerance and its effects on your health. Discover symptoms and dietary tips to manage it.
Contents
Introduction
How often does eating cause discomfort or a burning feeling in your stomach? After consuming a certain dish, does your skin get heated and irritated? Or have you seen that your upper muscles begin to hurt as a result of your frequent sneezing? A histamine assault that affects the body and immune system may be the cause of these circumstances for many people. The function of histamine in the body, its symptoms, the reasons of histamine intolerance, and potential dietary strategies to lessen histamine-related bodily responses will all be covered in today’s article.
What Is Histamine?
The immune system serves as the body’s first line of defense against any external invaders found within the human body. The human body needs histamine to function. As a chemical messenger, it functions as a neurotransmitter in the brain and aids in controlling inflammatory and immunological responses as well as the production of stomach acid. In addition to being present in many foods, it is naturally created by mast cells, basophils, and certain neurons. Throughout the body, histamine attaches itself to histamine receptors (H1, H2, H3, and H4). (Patel & Mohiuddin, 2025) These receptors mediate the following processes:
Vasodilation, or blood vessel widening
Secretion of gastric acid
Contraction of smooth muscles
Signaling in the nervous system
Activation of the immune system
To put it briefly, histamine is necessary for preserving homeostasis and protecting the body from infections. But balance is essential. Excess histamine causes symptoms that are frequently confused with allergies, gastrointestinal issues, or hormone imbalances, particularly when the body is unable to effectively break it down.
What Is Histamine Intolerance
An actual allergy is not histamine intolerance. Rather, it describes a diminished capacity of the body to metabolize histamine, frequently as a result of low levels of the enzymes histamine-N-methyltransferase (HNMT) and diamine oxidase (DAO), which are both involved in this process. (Comas-Baste et al., 2020) Histamine builds up when these enzymes are compromised or overloaded, leading to a series of symptoms that can be transient, sporadic, or chronic, contingent on hormone levels, gut health, food consumption, and environmental circumstances.
Symptoms of Histamine Intolerance
Since histamine intolerance impacts several systems, it is frequently challenging to identify when a patient is receiving treatment. This is because histamine is a strong inflammatory mediator linked to allergic reactions that alters the body’s tissues and arteries. (Branco et al., 2018) The following symptoms can range in severity from mild to severe:
Dermatological:
Flushing or redness of the skin
Hives (urticaria)
Eczema or unexplained itching
Gastrointestinal:
Bloating, gas, or abdominal pain
Diarrhea or constipation
Nausea or vomiting
Heartburn (due to increased stomach acid)
Respiratory:
Nasal congestion or a runny nose
Asthma-like symptoms
Difficulty breathing (in severe cases)
Cardiovascular:
Low blood pressure
Dizziness or lightheadedness
Rapid or irregular heartbeat
Neurological:
Headaches or migraines
Anxiety
Insomnia or sleep disturbances
Brain fog or difficulty concentrating
Reproductive:
Menstrual irregularities
Worsened symptoms during estrogen surges (e.g., ovulation, PMS)
If symptoms improve with a low-histamine diet or DAO supplementation, this may point toward histamine intolerance.
Causes and Risk Factors of Histamine Intolerance
1. Enzyme Deficiency
The most direct cause is a deficiency or dysfunction in the enzymes DAO (in the gut) or HNMT (in tissues), which are responsible for breaking down histamine.
2. Gut Dysbiosis
When the gut microbiome becomes imbalanced with environmental factors, it can lead to increased histamine production by certain bacteria and reduced DAO activity, especially in cases of:
Small Intestinal Bacterial Overgrowth (SIBO)
Inflammatory bowel disease (IBD)
Leaky gut syndrome
This is because gut bacteria play a crucial role in the body, providing food digestion and immune activation, and regulating the entero-endocrine signaling pathways to ensure the body works properly. (Dicks, 2022)
3. Genetic Polymorphisms
Variants in genes encoding DAO or HNMT enzymes may reduce their function, increasing susceptibility to histamine intolerance.
4. Nutritional Deficiencies
Vitamin B6, copper, and vitamin C deficiency—all cofactors for DAO activity—can impair histamine metabolism.
5. Medications
Several medications are known to block DAO or trigger histamine release, such as:
NSAIDs (ibuprofen, aspirin)
Antidepressants (SSRIs, MAO inhibitors)
Muscle relaxants
Diuretics
Certain antibiotics
6. Hormonal Fluctuations
Estrogen can inhibit DAO, which explains why many women experience worsened histamine symptoms during PMS, pregnancy, or estrogen-dominant conditions like PCOS or endometriosis.
Fighting Inflammation Naturally-Video
High-Histamine Foods to Avoid
To manage histamine intolerance, a low-histamine diet is often a first-line approach. Common high-histamine or histamine-liberating foods include:
This is because environmental factors like eating various foods can lead to food intolerances, thus causing histamine accumulation. (Jochum, 2024)
Foods That May Help Reduce Histamine Reactions
A well-structured anti-histamine diet should include foods that are low in histamine and support DAO activity and gut health. A low histamine diet can reduce the chances of histamine reactions by eliminating foods that contain histamine and cause responses in the body. (Sanchez-Perez et al., 2021) Here are some food categories that may help minimize histamine burden:
1. DAO-Supportive Nutrients
Vitamin C: Bell peppers, broccoli, kiwi, strawberries
These help stabilize mast cells and reduce histamine release:
Quercetin-rich foods: Apples (peeled), onions, kale, green tea
Turmeric: Contains curcumin, which has mast-cell-stabilizing properties
Ginger: Helps with nausea and inflammation
Holy basil (tulsi): Adaptogen and natural antihistamine
3. Gut-Healing Foods
Bone broth (if tolerated; avoid long cooking times to reduce histamine)
Fresh meats and poultry (cooked and eaten immediately)
Non-citrus fruits like pears, blueberries, and watermelon
Gluten-free whole grains (quinoa, rice, millet)
Functional Medicine Approach to Histamine Intolerance
When finding a holistic approach for reducing histamine intolerance, many healthcare professionals can devise a customized treatment plan to assess the individual. Histamine intolerance often exists alongside broader systemic dysfunctions such as:
Chronic stress
Heavy metal toxicity
Hormonal imbalance
Environmental triggers
Autoimmune conditions
In addressing histamine intolerance, it’s important to:
Identify underlying triggers using functional lab testing (e.g., gut microbiome panels, food sensitivity testing, genetic SNP analysis).
Rebuild DAO capacity with nutrient repletion and, if necessary, temporary DAO supplementation.
Support detoxification pathways, especially the liver and gut.
Heal the gut barrier through probiotics (non-histamine producing), prebiotics, and anti-inflammatory foods.
Final Thoughts: Empowering Healing Through Nutrition and Insight
Histamine intolerance may have a significant impact on many people’s quality of life, although it is often misdiagnosed or ignored. Many people find great comfort by comprehending the symptoms, identifying the underlying causes, and implementing thoughtful food and lifestyle adjustments. Like any chronic illness, bio-individuality is important. One person’s triggers could be quite harmless to another. Trial and error, close observation, and sometimes expert advice are all common steps on the road to recovery. A personalized holistic treatment plan may help people with histamine intolerance regain equilibrium and enhance their overall health.
Injury Medical & Functional Medicine Clinic
We associate with certified medical providers who understand the importance of assessing individuals with histamine intolerances affecting their bodies. When asking important questions to our associated medical providers, we advise patients to incorporate small changes in their routine to reduce the chances of aggravating histamine symptoms from affecting the body. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.
References
Branco, A. C. C. C., Yoshikawa, F. S. Y., Pietrobon, A. J., & Sato, M. N. (2018). Role of Histamine in Modulating the Immune Response and Inflammation. Mediators of Inflammation, 2018, 1-10. doi.org/10.1155/2018/9524075
Comas-Baste, O., Sanchez-Perez, S., Veciana-Nogues, M. T., Latorre-Moratalla, M., & Vidal-Carou, M. D. C. (2020). Histamine Intolerance: The Current State of the Art. Biomolecules, 10(8). doi.org/10.3390/biom10081181
Sanchez-Perez, S., Comas-Baste, O., Veciana-Nogues, M. T., Latorre-Moratalla, M. L., & Vidal-Carou, M. C. (2021). Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? Nutrients, 13(5). doi.org/10.3390/nu13051395
Can bone growth stimulators help promote bone healing in cases where fractures or fusions fail to heal properly?
Contents
Bone Growth Stimulator
Individuals who sustain broken bones typically heal the fracture with appropriate treatment, which may include casts, realignment, and surgery. This type of surgery is performed on the spine and joints throughout the body; typically, the bone heals without a problem. Bone healing is a natural process, as bones are constantly replaced with new ones, and after an injury, the body can heal the damage to the bone. However, bone healing sometimes does not happen correctly and/or completely. Bone healing can take a long time, which is known as a delayed union, or it may not occur at all, or a nonunion. This is when a healthcare provider could recommend bone growth stimulation.
How They Work
Bone growth stimulators apply external or implanted electrical or ultrasonic energy to the fracture or fusion site, stimulating bone growth. These devices are often used when a fracture doesn’t heal within the expected timeframe (a nonunion fracture) or when a spinal fusion has not successfully fused. (FDA, 2022)
They come in various shapes, sizes, and technologies depending on the location of the fracture.
The most commonly used bone stimulators in orthopedics are electrical and ultrasound stimulators.
The stimulator emits a pulsed electromagnetic or ultrasonic impulse to the area where bone healing should occur.
Most modern bone stimulators are attached near the fracture site or fused with a small battery pack and worn for a period each day that may last minutes or hours.
Electrical Stimulation
Devices deliver low-level electrical pulses to the fracture site, which can stimulate bone cells to create new bone tissue.
Ultrasound Stimulation
They emit low-intensity pulsed ultrasound waves, which are absorbed by the bone and can promote bone healing.
Implantable vs. External
Some stimulators are surgically implanted, providing constant stimulation directly at the fracture site, while others are external and worn over the skin or cast.
The goal is to activate a series of receptors in the body to encourage a healing response. (Childs, S. G. 2003) The stimulator activates a pathway that releases chemicals within the body to promote fracture healing. This type of process in the body is called a cascade, and it happens when one signal stimulates another method, and so on until healing is complete. The bone stimulator ensures this cascade continues until the healing process is complete.
Effectiveness
Studies of bone stimulator effectiveness suggest two benefits:
Less pain is associated with the bone healing process.
Faster fracture healing.
However, these studies haven’t shown that these differences lead to improved patient functional outcomes. It would seem that if there is less pain and faster healing, then the patient should recover without complications. However, some researchers have suggested this is probably because the differences in pain and healing times are small and not necessarily noticeable. (Aleem, I. S. et al., 2016)
While bone growth stimulators can be effective, the results can vary, and their effectiveness is still under investigation.
Some studies have shown that stimulators can reduce pain and speed up healing time, while others have shown mixed results.
It’s important to discuss the benefits and risks of bone growth stimulation with a doctor to determine if it’s the right treatment option.
When Stimulation is Necessary
Bone stimulators are currently not used for routine fracture healing. It is certainly possible that bone healing stimulators will be used routinely in the future. They seem to show some benefit in non-healing fractures or fractures that are likely troublesome to heal. Some reasons individuals may have problems healing fractures are injuries to the blood supply to and around the fracture, injuries to specific bones, and overuse-related fractures. (Victoria, G. et al., 2009) These injuries may include (FDA, 2022)
Nonunion Fractures
When a fracture doesn’t heal within the expected timeframe.
Open fractures
Stress fractures
Scaphoid bone fractures
Talus fractures
Failed Fusions
When a spinal fusion hasn’t been successful.
High-Risk Patients
For individuals with factors that can hinder bone healing, such as smoking, diabetes, or certain medications
Bone healing typically proceeds without much problem. However, there are situations where people have issues healing after fractures or surgery. Bone stimulators are not used for routine bone healing but in situations where steps may be needed to help stimulate the body. While the improvement may be small, it may be critical if it is the difference between healing and nonhealing.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Aleem, I. S., Aleem, I., Evaniew, N., Busse, J. W., Yaszemski, M., Agarwal, A., Einhorn, T., & Bhandari, M. (2016). Efficacy of Electrical Stimulators for Bone Healing: A Meta-Analysis of Randomized Sham-Controlled Trials. Scientific Reports, 6, 31724. doi.org/10.1038/srep31724
Victoria, G., Petrisor, B., Drew, B., & Dick, D. (2009). Bone stimulation for fracture healing: What’s all the fuss?. Indian Journal of Orthopaedics, 43(2), 117–120. doi.org/10.4103/0019-5413.50844
Can incorporating sauerkraut into one’s diet help promote healthy gut bacteria?
Contents
Sauerkraut
Sauerkraut, a fermented cabbage food, is a great source of probiotics and fiber, both of which can contribute to gut health. It’s a living food containing various microbial strains and can help improve digestion, reduce inflammation, and improve overall gut health. (Shahbazi R. et al., 2021)
Fermented foods like sauerkraut have live cultures that promote the growth of beneficial probiotics, bacteria that provide powerful health benefits. Probiotics also help make foods more digestible, increasing the gut’s ability to absorb the vitamins and minerals they contain. A study found that fermented cabbage may help protect intestinal cells from inflammatory damage more than raw cabbage. (Wei L., & Marco M. L., 2025)
Homemade sauerkraut likely contains more live cultures than store-bought since processing may destroy some of the healthy bacteria. (National Institutes of Health Office of Dietary Supplements, 2023) Depending on which supplement is chosen, sauerkraut may have a greater diversity of probiotic strains. This is because an oral supplement has a known quantity and strain of probiotics. Individuals who want to add probiotics to their diet for potential gut health benefits should take a food-first approach, which is generally recommended over oral supplements. (National Institutes of Health, 2025)
Look at the Benefits
Probiotics
Sauerkraut contains lactic acid bacteria, which are beneficial bacteria that can help support the immune system and reduce inflammation. (Healthline, 2023)
Fiber
Sauerkraut is a robust source of fiber, which aids in digestion and can help you feel full longer.
Digestion
The probiotics in sauerkraut can improve digestion by promoting a healthy gut microbiome. (Medical News Today, 2023)
Consult with a doctor before adding sauerkraut to your diet if you are taking monoamine oxidase inhibitors (MAOIs).
Start small and learn how you like to eat sauerkraut, which can be as a condiment, side dish, or sandwich ingredient.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Body In Balance: Chiropractic, Fitness, and Nutrition
References
Shahbazi, R., Sharifzad, F., Bagheri, R., Alsadi, N., Yasavoli-Sharahi, H., & Matar, C. (2021). Anti-Inflammatory and Immunomodulatory Properties of Fermented Plant Foods. Nutrients, 13(5), 1516. doi.org/10.3390/nu13051516
Wei, L., & Marco, M. L. (2025). The fermented cabbage metabolome and its protection against cytokine-induced intestinal barrier disruption of Caco-2 monolayers. Applied and environmental microbiology, e0223424. Advance online publication. doi.org/10.1128/aem.02234-24
Find useful information on perimenopause, including potential symptoms and expert tips to cope effectively.
Contents
Introduction
Regarding one’s health and well-being, many people often become aware of how their bodies are naturally changing. This may include both male and female hormonal changes as well as the normal skeletal deterioration that occurs inside the joints. Andropause is the period of time when male testosterone levels begin to diminish. Menopause is the natural aging process that begins for women when their levels of the hormones progesterone and estrogen start to decline. Nevertheless, women experience perimenopause prior to menopause taking place. This article will discuss the definition and symptoms of perimenopause, its effects on the musculoskeletal system, and strategies for managing these problems.
What Is Perimenopause?
Do you experience mental fogginess, where you can’t remember what you were doing? How often do your joints ache after doing a simple errand? Or how frequently does your bladder feel full that you constantly need to go to the bathroom? Many of these issues are associated with hormonal changes within the body. For women, perimenopause is a transformative menopausal stage that usually occurs in women in their 40s and early 50s, which is widely recognized for hormonal shifts and reproductive changes in the body.
Additionally, perimenopause usually starts when a woman is dealing with a persistent difference in their menstrual cycle length after 12 months. (Lega & Jacobson, 2024) This is due to the ovarian hormone production of estrogen and progesterone fluctuating unpredictably.
Common Symptoms Of Perimenopause
When it comes to perimenopause, it can affect women differently with its symptoms. Since hormones during perimenopause fluctuate unpredictably. This is because for women, ovarian hormones like estrogen play an important role in maintaining health and homeostasis by modulating the body’s nervous, endocrine, and immune function. (Priyanka & Nair, 2020) Some of the other symptoms that are included with perimenopause are:
Menstrual irregularities: Skipped, prolonged, or heavy periods
Additionally, since perimenopausal symptoms vary from woman to woman, perimenopause can also affect the musculoskeletal system in the body.
Assessing Hormone Therapy- Video
How Perimenopause Affects The Musculoskeletal System
The musculoskeletal system’s various muscles, tissues, andligaments allow the body to be mobile and flexible without pain. However, environmental factors like physical inactivity, poor dietary habits, andchronic issues affect the musculoskeletal system, leading to overlapping risk profiles affecting the body. For perimenopausal women, their musculoskeletal system is affected by fluctuating estrogen hormone levels. When it comes to perimenopause, the musculoskeletal system will begin to develop various issues that can affect the body over time. When a woman is going through perimenopause, their bone mineral density is reduced as well as their muscle mass due to the decline of estradiol. (Wright et al., 2024) This causes the musculoskeletal system to develop:
Increased joint stiffness (especially in the morning) and muscle pain
Osteopenia and osteoporosis
Sarcopenia (loss of muscle mass)
This is due to hormones being associated with inflammation. When a woman has low or fluctuating estrogen hormone levels, it can lead to developmental changes in their pain perception in their muscles. The hormone estrogen is responsible for inhibiting the actions of inflammatory mediators in osteoblasts and stromal cells to ensure that bone mass is reabsorbed into the skeletal system. When perimenopause naturally occurs in the body, estrogen levels decline, and the development of musculoskeletal issues starts to appear.
Managing Perimenopausal Symptoms
Now, when it comes to managing perimenopausal symptoms, many women can start researching non-surgical treatments and incorporating various techniques to help manage the symptoms and reduce any pain from musculoskeletal issues associated with perimenopause. Below are some therapeutic options for perimenopausal women to manage their symptoms and restore their musculoskeletal system.
Hormone Therapy
For many women, hormone replacement therapy remains the gold standard for treating moderate to severe vasomotor and musculoskeletal symptoms. Hormone therapy for perimenopausal women can help restore estrogen production to the body and accelerate skeletal growth. (Moustakli & Tsonis, 2023) Estrogen therapy can:
Reduce joint and muscle pain
Slow bone density loss
Improve overall well-being
Note: HRT is not suitable for everyone, particularly those with a history of breast cancer, thromboembolic disease, or certain cardiovascular conditions. Always conduct a thorough risk-benefit analysis.
Exercise & Nutrition
For perimenopausal women, proper nutrition and exercise can help manage the perimenopausal symptoms and maintain muscle tone. Incorporating nutritional foods with high protein, calcium, and vitamin D can help maintain skeletal muscle mass and regulate proper hormone functioning. (Erdélyi et al., 2023) Combined with exercises, itcan help strengthen weak muscles, improve bone density, and promote flexibility while retaining the joint’s range of motion. Exercises like tai chi are excellent for perimenopausal women as they combine meditation through slow and gentle movements that can lower fracture risk, improve muscle strength, and restore balance functionality. (Li et al., 2023)
Manual Therapies
Many women find relief with:
Acupuncture: Shown to help reduce chronic pain affecting the joints and provide anti-inflammatory effects to the musculoskeletal system. (Zhao et al., 2023)
Mind-body therapies: Meditation, cognitive-behavioral therapy (CBT) to address mood swings and insomnia
Chiropractic and physical therapy: Effective in managing musculoskeletal discomfort
Final Thoughts
For many women, the perimenopause is a normal time of life, and it significantly affects musculoskeletal health. Women may handle this shift with fortitude and resiliency if they remain proactive with lifestyle changes, medical treatments, and routine monitoring. In order to help women feel strong and supported throughout their perimenopausal journey, a customized treatment plan that honors their individual needs might be helpful.
Injury Medical & Functional Wellness Clinic
We associate with certified medical providers who understand the importance of assessing individuals dealing with musculoskeletal issues related to perimenopause. When asking important questions to our associated medical providers, we advise patients to incorporate numerous techniques to reduce pain-like symptoms related to the musculoskeletal system. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.
References
Erdélyi, A., Pálfi, E., Tűű, L., Nas, K., Szűcs, Z., Török, M., Jakab, A., & Várbíró, S. (2023). The Importance of Nutrition in Menopause and Perimenopause—A Review. Nutrients, 16(1), 27. doi.org/10.3390/nu16010027
Li, J., Guo, J., Wang, X., Zhang, X., Zhang, Y., Bu, M., Yao, X., & She, Y. (2023). Efficacy and safety of tai chi exercise on bone health: An umbrella review. Osteoporos Int, 34(11), 1853-1866. doi.org/10.1007/s00198-023-06830-7
Moustakli, E., & Tsonis, O. (2023). Exploring Hormone Therapy Effects on Reproduction and Health in Transgender Individuals. Medicina (Kaunas, Lithuania), 59(12). doi.org/10.3390/medicina59122094
Priyanka, H. P., & Nair, R. S. (2020). Neuroimmunomodulation by estrogen in health and disease. AIMS Neurosci, 7(4), 401-417. doi.org/10.3934/Neuroscience.2020025
Wright, V. J., Schwartzman, J. D., Itinoche, R., & Wittstein, J. (2024). The musculoskeletal syndrome of menopause. Climacteric, 27(5), 466-472. doi.org/10.1080/13697137.2024.2380363
Zhao, F.-Y., Zheng, Z., Fu, Q.-Q., Conduit, R., Xu, H., Wang, H.-R., Huang, Y.-L., Jiang, T., Zhang, W.-J., & Kennedy, G. A. (2023). Acupuncture for comorbid depression and insomnia in perimenopause: A feasibility patient-assessor-blinded, randomized, and sham-controlled clinical trial. Frontiers in Public Health, 11. doi.org/10.3389/fpubh.2023.1120567
Why do the muscles retighten days or weeks later for individuals who have received massage or chiropractic adjustments?
Contents
Muscles Retighten
Muscles can retighten again days or weeks after chiropractic treatment and/or a massage. A few factors may cause this.
Muscle memory: The body’s natural tendency to return to its previous state of tension.
This includes all the unhealthy postures/positioning
Delayed inflammatory response.
The body’s natural healing process
How muscles respond to manipulation
The need for ongoing maintenance of muscle health
After a massage, muscles can experience a temporary increase in soreness or tightness as the body heals from any minor damage or inflammation caused by the massage. Additionally, if the underlying issue causing muscle tightness is not addressed, the muscles may revert to their original state over time. (Cleveland Clinic, 2024)
Causes
Causes for muscles to retighten.
Underlying Issues
If the root cause of the muscle tightness is not addressed, such as unhealthy posture, injuries, repetitive motions, or muscle imbalances, it can lead to further complications.
In that case, the muscles may return to their original state after a few days or weeks.
Delayed Onset Muscle Soreness (DOMS)
For example, muscles feel sore after intense exercise, and individuals can also experience DOMS after a massage, especially if they are particularly tight or if it’s been a while since their last massage. (Healthline, 2020)
Delayed Inflammatory Response
Massage can sometimes cause microscopic tears or inflammation in muscle tissue, which triggers the body’s natural healing process.
This response can cause soreness and temporary tightness, as the body repairs the damaged tissue even after the initial massage. (Essential Chiropractic, 2025)
Muscle Memory
The body tends to revert to habitual patterns of muscle tension, especially if the underlying cause of the tightness isn’t addressed.
Muscles can retain how they were manipulated during the massage and may revert to their original tightness if they haven’t been consistently relaxed.
Muscle Guarding
The individual and body can subconsciously tense muscles to avoid pain or soreness, even after the massage.
This muscle guarding can counteract the benefits of the massage and lead to a renewed cycle of tension. (Bhimani R. H., & Soomar D. 2019)
Muscle Health Maintenance
Regular Maintenance
Muscles need consistent care to maintain their optimal state of health and function.
Regular massages and other lifestyle changes, such as stretching and strengthening exercises, can help maintain muscle flexibility and reduce the likelihood of muscle tightness returning.
Individual Variation
Factors like the type of massage received, the frequency of massages, and individual body responses can all influence how long a massage’s benefits last. (Cleveland Clinic, 2024)
Massage Treatment
Muscles can retighten after a massage due to the body’s response to the pressure and manipulation during the treatment. This can include individual sensitivity to massage, the type of massage, and hydration levels, which can also play a role.
Type of Massage
Deep tissue massage, which focuses on specific muscle groups and applies deeper pressure, may cause more soreness than other types of massage.
Some individuals may be more sensitive to massage and experience soreness, even with a gentle massage. (Cleveland Clinic, 2024)
Muscle Fiber Manipulation
Deep tissue massage can break down spasms or microtears in muscle fibers, leading to soreness.
This is similar to the microscopic tears that occur during exercise, which are necessary for muscle repair and growth.
Dehydration
Individuals who are not adequately hydrated may experience increased soreness after a massage. (Cleveland Clinic, 2024)
Lactic Acid Buildup
During an intense massage, particularly deep tissue, lactic acid can build up in the muscles, leading to soreness and tightness.
If the muscles were particularly tense or knotted before the massage, the manipulation could lead to soreness as the knots get worked out.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Bhimani, R. H., & Soomar, D. (2019). Understanding Symptoms of Muscle Tightness, Weakness, and Rigidity From a Nursing Perspective. Rehabilitation Nursing: The Official Journal of the Association of Rehabilitation Nurses, 44(5), 271–281. doi.org/10.1097/rnj.0000000000000151
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
Common Causes Of Whiplash
