Most individuals go about their lives without thinking about poor posture and spinal misalignment, not to mention the spinal health problems/conditions that are associated with misaligned vertebrae. Most spinal misalignments come on as a result of:
Poor posture habits
Unhealthy diet
Destructive lifestyle choices
Sudden misalignments caused by accident/s or injury/s
Sudden misalignments can be associated with a direct cause that an individual can recognize increased symptoms and injury. It�s the long-term spinal misalignment that can become dangerous if left untreated and out of alignment. This is when it is time to see a chiropractor for an immediate spinal realignment.
Contents
Body Posture Mechanics
Poor posture along with poor body mechanics contributes to spinal misalignment. This creates unnecessary and consistent pressure on the:
Muscles
Ligaments
Joints
Discs
The pressure also causes a stretching of the nerves in the neck and low back. These nerves are responsible for transmitting, muscle expansion/contraction signals, vital information, and energy to the body’s organs. Any nerve interference will diminish the energy/blood flow to the limbs and organs. This can lead to disease and other major health complications like:
Chronic pain
Decreased mobility
Joint stiffness
Slouched posture
Reduced range of motion
Discomfort when sitting, standing, and lying down
Permanent joint/bone deformity/s
Broken bones, specifically in the spine
Most individuals do not recognize the gradual or long-term health problems linked to the spinal misalignment. Often the signs and symptoms are very subtle, so do not raise a cause for concern. The most direct symptoms of poor posture and spinal misalignment include:
Sore/stiff neck or back
Low energy
Tiredness/fatigue
Headaches
Back muscle spasms
Joint pain
Numbness
Tingling
Altered sensations
In addition to the symptoms, individuals should realize that underlying health conditions could also be linked to poor posture and spinal misalignment. If any of these symptoms are presenting see a chiropractor for an examination and proper diagnosis. These symptoms can be masked with pain killers, mattresses, or caffeinated drinks. However, these will not realign the spine to its proper form.
Chiropractic Lower Back Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Veintemillas Ar�iz, M T et al. �Changes in spinal alignment.� �Alteraciones de la alineaci�n vertebral.��Radiologia�vol. 58 Suppl 1 (2016): 115-27. doi:10.1016/j.rx.2016.01.007
Back or disc pain is becoming increasingly common for individuals of all ages. The spinal discs are prone to injury because of the extreme amount of pressure/stress placed on the lower back and neck. Fortunately, most cases of back pain heal on their own, while others can cause long-term chronic pain that can be difficult to manage, without proper treatment.
Different types of pain can be caused by problems with the spinal discs. The spinal discs are elastic sections of the spine that sit between the vertebrae. They are made up of materials called annulus fibrosus on the outside and a gel-like material called nucleus pulposus on the inside.
These discs are flexible, which allows for a range of motion to the spine and body shock absorption to increase comfort when in motion. When an individual visits a chiropractor, the practitioner will not know the exact cause of the pain, but only that it hurts around a certain area. Our spinal experts will help individuals understand the different types of ailments or conditions that could be affecting the spine. Then a customized treatment plan can be developed.
Contents
Disc problems
Spinal disc pain has two major sources of pain related to spinal discs: They are disc degeneration and nerve root pain. They are most common in the neck and the lower back. Individuals need to be informed of the difference to understand what is happening with the spine and potential treatment options to alleviate the pain and heal the problem.
Degenerative disc disease
Degenerative disc disease is when the spinal discs begin to dry out and deteriorate. The discs start to shrink and can tear, which leaves that segment with little or no cushioning. This can cause pain, as well as inflammation of the surrounding muscles and joints. Disc degeneration usually presents with low levels of consistent pain and occasional severe flare-ups.
A chiropractor can utilize spinal manipulation to restore alignment, function, and mobility of the affected joint. Massages stretches and exercises will help alleviate the tension in the surrounding muscles along with strengthening them for better support.
Nerve root pain
Nerve root pain does not take place within the disc but is usually caused by a bulging or herniated disc. This condition can be called a slipped disc or pinched nerve, affect the nerves that are in close proximity to the neck and lower vertebrae.
The pain can lead to numbness, tingling, and weakness along the path of the nerve, and radiate out to the arms and legs. A bulging disc is when the spinal disc progressively protrudes through a narrow opening.
This can irritate any nearby nerve roots causing inflammation and pain. If the disc herniates or breaks through then the outer protective material tears, letting the cushion/gel leak out and come in contact with the nerve root/s, which could also cause pinching and inflammation. Treatment for a bulging or herniated disc includes:
Spinal manipulation
Corrective exercises
Physical therapy
Massage
Diet adjustments
These treatments can help realign the disc/s, moving them away from any nerves, and minimizing inflammation.
Proper Identification and Diagnosis
Spinal disc problems can be similar in their pain and symptoms. For example, degenerative disc disease can weaken the spinal discs to such a degree that nerve root pain follows creating a dual combination of pain. The conditions require various approaches and treatment methods often done in combination. However, they require a proper diagnosis to create a proper and custom treatment program for every individual. This will ensure the root cause of the disc pain is properly identified and handled. Call us to learn more.
Skateboarding Injury Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Browning, J E. �Chiropractic distractive decompression in the treatment of pelvic pain and organic dysfunction in patients with evidence of lower sacral nerve root compression.��Journal of manipulative and physiological therapeutics�vol. 11,5 (1988): 426-32.
Chiropractic spinal mobilization techniques involve the slow and steady movements of the spine’s joints reestablishing their range of motion. Because it is a slower treatment style the techniques are done with the hands. However, a chiropractor can use various instruments/tools as well.
Spinal mobilization treatment has the same focus as spinal manipulation. To get the body back to optimal health and allow the body to heal itself naturally. However, there can be a variety of reasons for utilizing spinal stabilization, with treatment depending on the patient’s needs, if there are underlying conditions, or previous injury/s, and individual preference.
Some prefer mobilization because it is gentler and does not generate the pops or cracking sounds. And the chiropractor’s style/specialization comes into play. Some work in the firm manipulation high-velocity style, while others utilize the softer mobilization style and others work in combination.
This adjustment re-alignment utilizes the necessary force to release the joint out of its restricted motion to improve mobility and reduce pain. There are various types of high-velocity low-amplitude manipulation approaches. These are the more common manipulation techniques:
Diversified Technique
This high-velocity low-amplitude technique is the one that is commonly associated with chiropractic manual adjustments. The chiropractor applies a short – low-amplitude, quick high-velocity thrust of the restricted joints. This is done one at a time with the objective to restore the normal range of motion. The patient is positioned in various positions to optimize the adjustment/alignment.
Gonstead Adjustment
The Gonstead technique is another high-velocity low amplitude adjustment. It is similar to the diversified technique. The difference is the evaluation performed to specifically locate the painful joint and positioning of the body as the treatment is performed. Chiropractic or physical therapy chairs and tables can be used to position the patient for optimal treatment, like a cervical chair or a chest-knee table.
Thompson Terminal Point Drop Technique
Here specialized treatment tables with sections that drop down during a high-velocity low-amplitude thrust. The idea is that as the table drops the piece dropped allows for easier movement of the joint. A cracking sound can sometimes be heard. It depends on the patient and their condition. This type of manipulation can also be done in a gentle fashion making it a form of spinal mobilization.
Spinal mobilization
Slow steady motion/movements are performed to mobilize the joint. Spinal mobilization can be recommended for certain individuals for different reasons like:
Individual preference for spinal mobilization over spinal manipulation
Individuals with a sensitive nervous system can benefit from the gentle technique. This can keep the body from experiencing a negative reaction that can cause muscle spasms or other issues.
Individuals with certain conditions could be given a recommendation for spinal mobilization. This could be:
Individuals in the acute stage of their condition and experiencing severe pain
Obesity can be a factor as the positioning and the manipulation procedures can be a challenge for the provider and the patient requiring a low force approach.
Mobilization Approaches
The more common spinal mobilization approaches include:
Activator Technique
The Activator is a hand-held, spring-loaded tool that generates a low-force impulse. A patient lies face down on the adjustment table, while the chiropractor:
Examines leg length
Performs muscle testing
Adjusts the spine and/or extremity joints
Cox Flexion-Distraction Technique
Here a gentle adjustment is designed to adjust the vertebrae by gently stretching the lower spine. This is usually performed in a series of repetitive slow movements like a steady rocking motion.
Toggle Drop
Here gravity is utilized to apply the adjustment. The chiropractors’ hands are crossed and on top of each other. Then the chiropractor presses down quickly and firmly on the area of the spine while a section of the table drops. The table sections can be raised and dropped according to the localization of the spinal adjustment.
McKenzie Technique
This technique incorporates active patient involvement, empowerment, and self-care as part of the treatment.
Spinal Release
The chiropractor separates the misaligned vertebrae by applying gentle pressure using the fingertips, with the objective to restore the spine back to a natural position.
Sacro-Occipital Technique – SOT
This technique utilizes wedges/blocks under the pelvis. This allows gravity with added low-force to assist the chiropractor to realign the pelvis.
Sciatica Alleviation
All of these techniques can be utilized by a chiropractor for sciatic nerve pain alleviation or can discover other conditions that could be mimicking sciatica.
Nerve mobilization techniques have been recently used as a method to adjust radiating pain related to disc disease, and in particular, mobilization techniques for the sciatic nerves improve mobility of the sciatic nerves, decrease mechanosensitivity of the nervous system, and heighten compliance of nerve tissues, relieving low back pain. Jeong, Ui-Cheol et al. �The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain.��Journal of physical therapy science�vol. 28,1 (2016): 46-50. doi:10.1589/jpts.28.46
Sciatica Rehabilitation Causes and Symptoms
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Shoulder and arm pain can be debilitating, especially when there is no obvious cause or injury that needs to be treated. A rare condition known as brachial neuritiscan cause spasms along with pain down the arm, followed by numbness, tingling, and weakness. If not diagnosed and treated early, the symptoms can worsen with time. The pain experienced can be described as sharp, searing, and shooting. Brachial neuritis can be intense and disabling when it presents for hours and even days.
Utilizing a chiropractic approach, shoulder and spinal adjustments can provide relief and a faster healing/recovery from the inflammatory condition. Individuals experiencing shoulder, arm, and possible hand pain should consult with a chiropractor about a potential home and clinic treatment plan to improve their condition.
Contents
Medical History and Examination
The process of diagnosing brachial neuritis involves an individual’s medical history and physical exam. More complicated cases could require imaging studies and electrodiagnostic tests. The first steps in diagnosing the cause of shoulder and/or arm pain include:
Medical history
Information will be collected on an individual’s:
Medical history
Family history
Underlying conditions
Recent illnesses or injuries
Lifestyle habits
How and when symptoms began
Current symptoms
Physical examination
A chiropractor will palpate or inspect by feeling the neck, shoulder, and arm for irregularities. Then they will examine the range of motion, strength, and reflexes. If the individual’s history and physical exam suggest that the cause could be brachial neuritis or other condition involving the nerves, imaging studies, and diagnostic tests could be required to evaluate further.
Symptoms of Brachial Neuritis
The condition is also known as Parsonage-Turner Syndrome. It affects the brachial plexus, a set of nerves that run from the neck and upper back to the shoulders. The condition usually affects only one side of the body and presents randomly.
What happens is the nerves become inflamed.
Inflammation can be triggered through an autoimmune response. This is often the result of an infection, surgical procedure, or other internal stressors. The inflammation can lead to severe debilitating shoulder pain over a few days.
This also leads to long-term numbness, weakness in the shoulder and arm.
The pain becomes worse with movement.
Typically, the pain goes away on its own within a few days.
Numbness, weakness, or tingling in the shoulder or arm continues.
Over time the symptoms begin to worsen and, if left untreated, could lead to muscular atrophy of the arm.
The pain and weakness can make it difficult to move the arm, leading to decreased strength.
Symptoms can last up to a year or more.
This is why individuals have to find ways to strengthen their shoulder/arm despite the condition.
Chiropractic Relief
Treatment requires a pain management program until the pain subsides. Once the pain is manageable, chiropractic, physical therapy, exercises, and stretches could improve mobility and strength. Chiropractic can provide relief and tools necessary to prevent the worsening of symptoms. Chiropractic helps to:
Reduces pain
Improves mobility
Restores strength
Chiropractic manipulation will ensure that the nerves near the brachial plexus do not become compressed, but if they are, then chiropractic can be utilized to decompress/release them. In addition, trigger point release and massage can help alleviate the tension in the surrounding tissues of the arm and shoulder.
A chiropractor will educate the individuals on effective pain management techniques for home, including ice/heat therapy and stretching exercises. These techniques will help restore the proper alignment and flow of the spinal vertebrae, nerves, and muscle tissues, allowing the body to heal quickly, naturally, and more effectively.
Chiropractic Shoulder Pain Treatment
References
Feinberg, Joseph H, and Jeffrey Radecki. Parsonage-turner syndrome. HSS journal: the musculoskeletal journal of Hospital for Special Surgery vol. 6,2 (2010): 199-205. doi:10.1007/s11420-010-9176-x
Seasonal Affective Disorder is a form of depression that has to do with the changing of the seasons, specifically when fall begins. It affects around 10 million Americans during the fall and winter seasons. Back pain can be a symptom of the disorder. For most individuals, the condition follows a pattern:
These are typical symptoms for many dealing with the condition. The individual can experience aches and pains throughout the body, but especially the back. Recent studies have shown how various forms of depression, like Seasonal Affective Disorder, can present with pain, specifically back/spinal pain. Many individuals play it off as the blues, but research has found, depression can have a much more significant impact on an individual’s quality of life. The exact cause is still unknown. But research is finding a connection related to the level of sunlight an individual receives throughout the day.
Research has shown there could be a biochemical imbalance in the brain when there is less daylight during fall and winter. As the seasons change from summer to fall individuals can experience a shift in circadian rhythms that can cause them to disrupt their regular daily routine. However, Seasonal Affective Disorder is more common for individuals living where the daylight lessens and has been shown to affect women more than men and young adults.
Contents
Depression and Back Pain Connection
Depression can present with pain symptoms and the pain can enhance the depression. Headaches, Body aches, and especially backaches are common symptoms of depression. Research has shown that individuals with severe depression can actually feel a more intense level of pain.
Physical symptomslike back pain or headaches can be the only or the beginning symptom/s of seasonal affective depression. As research continues to grow as to how the nervous system interacts with the body, pain symptoms have been found to be connected to biological mechanisms connected with stress, anxiety, and depression.
Living a sedentary lifestyle, with little or no physical activity and regular exercise can be another cause for Seasonal Affective Disorder. Depression itself can cause fatigue that restrains individuals from exercising and working the core muscles for optimal spinal strength and health.
This added stress on the spine’s discs, joints, and ligaments, makes the body more susceptible to low back pain, muscle strains, illness, and injuries. Pain can wear an individual down impacting mood and overall health.
Symptoms
The difference between Seasonal Affective Disorder and chronic depression is that Seasonal Affective Disorder is limited to the same time of the year during the time of less light, and winter months. Symptoms of Seasonal Affective Disorder can be the same as those associated with depression. They are:
Feeling Low/Depressed
Weight gain
Increased appetite
Craving sugar and carbohydrates
Sleeping all-day
Consistent drowsiness
Hopelessness
Loss of interest in enjoyed activities
Symptoms can also be related to low levels of Vitamin D, which is associated with anxiety and depression for individuals with fibromyalgia. Seasonal Affective Disorder can be related to chronic pain conditions the way depression can. Some individuals with chronic fatigue syndrome can also present with symptoms of Seasonal Affective Disorder.
Treatment
Diagnosis for Seasonal Affective Disorder requires an individual to experience at least two years of symptoms that become worse at a specific time of the year. And the depressive episodes have to significantly be worse than the non-seasonal episodes of depression. There are four types of treatments, that can be used individually or in combination. They are:
Cognitive-behavioral therapy/CBT is a form of psychotherapy that is effective for the disorder, as well as other conditions. It relies on techniques that identify negative thoughts and work on ways to not dwell on the negative and focus more on positive things and thoughts.
Lightbox Therapy
Diminished sunlight when fall and winter arrive can be replaced with regular exposure to a bright, artificial lightbox. Individuals sit or stand in front of the lightbox when they get up on a daily basis. This is done when fall begins and goes on until spring. The lightbox filters out ultraviolet rays and requires around 20 to 60 minutes of exposure to 10,000 lux of cool-white fluorescent light.
Vitamin D
Low levels of vitamin D were found in individuals with Seasonal Affective Disorder. Talk to a doctor about the proper level of vitamin D that should be taken through supplements.
The Pain and Backaches
Understanding how pain and depression are interconnected treating both conditions as part of an integrative treatment plan can include:
A light aerobic exercise program that stimulates serotonin levels and releases endorphins to relieve depression and pain.
Low-dose antidepressants can reduce depression symptoms and back pain. They work to inhibit the reuptake of neurotransmitters like serotonin and norepinephrine that is associated with a person�s mood and the way they perceive pain.
What Works
Everyone is unique, which means that different treatment plans and combinations of treatment plans may have to be tried out before finding the optimal one. A significant factor is not settling with the pain and just accepting it. Healing can be a unique and complex experience. The objective is for the individual and doctor to work collaboratively.
Depression and Chronic Pain
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Robertson, David et al. �Associations between low back pain and depression and somatization in a Canadian emerging adult population.��The Journal of the Canadian Chiropractic Association�vol. 61,2 (2017): 96-105.
Few individuals realize they have problems with their feet. Flat feet can cause anterior or posterior pelvic tilt. This is a condition where the pelvis tilts too far forward or too far backward. Individuals can go through their entire life without realizing they have some type of foot issue. This can cause poor support in the lumbar spine generating back problems and chronic illness. The problem with foot issues is that it can set-up a chain of physiological deficiencies. This can include:
Many accept these health issues as part of their normal physiology. However, flat-feet and other related musculoskeletal issues can be identified and corrected with proper support. Custom FootOrthotics for the foot issue/s and chiropractic alignment for the whole-body. Based on the assessment of the spinal curvature and posture of the individual, a chiropractor will be able to determine to what degree the pelvic tilt and foot problem/s need to be corrected.
Contents
Foot Orthotic Support
How orthotics function to promote proper posture and alleviate back pain works like this.
First, immediate support to the feet that are weakened, unbalanced, and lack physiological strength is provided. This generates proper posture and balance all the way up the spine.
Second, the feet are able to remodel themselves over time as they become accustomed to the new support.
Pelvic Tilt Identification
Chiropractors utilize orthotics when correcting anterior or posterior pelvic tilt. This is because the conditions are the direct result of a poor/weakened foundation. When there is little or no natural arch of the foot there is no support for the:
The lower body needs this support from these various muscle groups with many in the lower back. This causes strain on these muscles and causes pelvic and potential spinal misalignment. Depending on the progress of the tilt/misalignment and posture, will aid a chiropractor to determine the best treatment approach.
Rebuilding
Chiropractic adjustments will be able to restore the lumbar support that was weakened or lost from foot issues. A chiropractor will go to the source or root of the problem. Foot orthotics can be a primary tool for re-training the feet for proper support. These orthotics are custom modeled to an individual�s feet.
This promotes spinal and pelvic wellness combined with the right amount of support required for each foot. Over time, and as the feet remodel themselves the custom orthotics can also be remodeled allowing for continuous improvement. With time it�s possible for many to accomplish the restoration of the body’s musculoskeletal health. These include:
Strengthened foot arches
Stress and muscle tension alleviation
A re-trained proper lower back support
Restoration of proper spinal curvature
Correct and retrain anterior/posterior pelvic tilting habits
Custom Foot Orthotics
Foot orthotics require no effort. An individual just puts them in their footwear and done. The orthotics do the work for the individual when standing, walking, or running. If diagnosed with a pelvic tilt condition or are unsure if there is a tilt, contact a chiropractor about the benefits of foot orthotics.
Benefits of Functional Foot Orthotics
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Betsch, Marcel, et al. �Influence of foot positions on the spine and pelvis.� Arthritis care & research�vol. 63,12 (2011): 1758-65. doi:10.1002/acr.20601
Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known asAvascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.
It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint’s close proximity to the sciatic nerve, misdiagnosis for sciatica is common.
Contents
Mimicking Sciatica Symptoms
Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks.
That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:
Leg pain is the primary symptom can be mild to severe
Low back pain is secondary can be mild to severe
Nerve-related symptoms
Numbness
Tingling
Shooting pain
Pins-and-needles sensation
Muscle weakness
Hip pain especially flexion and internal rotation of the hip.
Leg or foot weakness
Osteonecrosis Symptoms and Similarities
For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:
Walking Inability
Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.
Limping
Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.
Hip Pain
The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.
Differences
Despite all of the similarities. There are differences in both conditions.
Nature of The Pain
With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.
With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.
Location
Sciatica pain can radiate through the whole leg from the low back to the toe.
Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.
Restricted Movement
Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.
With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.
Walking Gait Differences
Gait is the way an individual stands and walks.
Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.
With sciatica, an individual tends to lean on their side to relax the compression on the nerve.
Risk Factors
More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:
Fracture – a broken bone can interrupt the blood flow to other sections of the bone.
Dislocation of bone or joint/s
Alcoholism
Trauma
Radiation damage
Steroid use
Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.
Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat sciatica or refer the patient to the proper specialist.
Lower Back Pain Relief
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Li, Wen-Long et al. �Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.��Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821
Young adults don’t think about disc deterioration/degeneration until it’s time for the golden years. The disorder is known as Scheuermann’s disease,�Scheuermann’s Kyphosis, and juvenile disc disorder. It affects young adults usually in the late teens to early thirties. Spinal injuries can be the cause but many doctors believe genetics that leads to disc degeneration is a major factor. And still, others believe it is the wear and tear on the spine as the main cause.
The disorder is characterized by disc degeneration throughout the spine. The discs are weakened and cannot withstand the pressure of everyday spinal support. Then the spine is open to all kinds of spinal health issues. These include:
If left untreated, the condition shifts into full-blown degenerative disc disease combined with various health problems like numbness, muscle weakness, and nerve damage. Juvenile disc disorder is rare but is a condition that requires immediate ongoing medical attention to make sure young adults and juveniles protect long-term spinal health. Adolescents with consistent back pain need to be thoroughly examined by a chiropractor. The value of an accurate diagnosis when it comes to developing and administering advanced treatment could be vital.
Contents
Cause For Concern
The disorder occurs when parts of the vertebrae known as endplates become too weak to withstand the spinal pressure inside the disc. The endplates are the top and bottom areas of the vertebrae that attach to the cartilage disc between each vertebra.
When the endplates become weak, segments of the tough cartilage can protrude into the endplate, and into the vertebra. These protrusions are called Schmorl�s nodes and can contribute to the pain.
Age-related wear and tear spinal conditions should not be present in kids and young adults. If there are persistent spinal issues and back pain there could be undiagnosed problem/s. Potential symptoms can include:
Continued pain throughout the spine/back
Sitting, standing, or laying down causes an aching back
Transitioning from walking to running or vice versa causes pain
Bending, lifting non-heavy objects causes aching and pain
Stretching the arms over the head causes aches and pain
Posture problems to compensate for the back discomfort and pain
Sleep problems
Disc Disorder Management
Because the disorder primarily affects the vertebral discs, chiropractic pain management is focused on reducing the pressure and strain on the discs. However, it does not mean that activity is to be restricted. Managing the condition focuses on improving strength and flexibility.
Foundation strengthening/support is where a chiropractor could begin. This strengthens the hips, thighs, and hamstrings promoting stabilization of the posterior chain. This leads to body core stability and less spinal concussion during activity/s. Stretching exercises help maintain flexibility for dynamic movements like twisting and bending.
Aerobic activity is also recommended to keep the condition in check. The heart-pumping circulates more blood throughout the body ensuring that the inflamed or injured areas get plenty of oxygenated blood, specifically the spine. Body mechanics also play a role as a proper heel striking when walking or running.
Proper body mechanics lessens the impact of the aerobics on the spine and promotes overall wellness. Chiropractic spinal adjustments and realignment could also be part of a management treatment plan. High-velocity low amplitude adjustments help to reset the vertebrae and takes the stress off of discs.
Prevention
Addressing any disc disorder early is the first step to prevent a lifetime of back pain problems. Seeking a chiropractic assessment as soon as possible will help identify any spinal misalignments or underlying conditions that mimick back pain symptoms/conditions. A chiropractor will develop a customized treatment/management plan to fit an individual’s needs.
Lower Back Pain Chiropractic Care
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Heithoff, K B et al. �Juvenile discogenic disease.��Spine�vol. 19,3 (1994): 335-40. doi:10.1097/00007632-199402000-00014
There is a multitude of chiropractic techniques for spinal alignment. They are used by chiropractors all over the world. All chiropractors have their favorite and specific techniques that they utilize. Depending on how long they have been practicing they can have five to ten different approaches or more refined techniques from years of experience.
The focus of these chiropractic techniques is to get the body back to optimal health and allow the body to heal itself naturally. As the body gets restored joint function is enhanced, muscle tension is released, and inflammation and pain are alleviated.
Various approaches use a form of force, hence the manipulation of the spine. The chiropractic adjustment technique that is the most common is spinal manipulation. It can also be called the diversified technique or HVLA – high-velocity, low-amplitude thrust.
However, chiropractic techniques are continually evolving. This comes from creating variations on existing techniques, a combination of techniques, or the chiropractor needs to adjust/tweak their own specific technique/s because they begin to suffer overuse injury/s from the constant adjusting, pushing, thrusting motions. Most techniques are named after the chiropractor that developed the method. These are the most common spinal manipulation techniques currently in use.
Contents
Manipulation Techniques
Chiropractic adapts to the condition/s and specific needs of each individual. Treatment plans can involve a forceful approach and a gentler force technique. This could happen during the same visit or the treatment plan could be half forceful adjustments, that could range from 6 to 10 visits, with the final visits using the gentle approach.
Spinal Manipulation
This is the High-Velocity Low-Amplitude Thrust technique. The most frequently used chiropractic technique. This is the manipulation that most are familiar with because of the audible pop that results. This is from the chiropractor’s hands applying a controlled quick forceful thrust to the spine while the body is positioned in a specific way.
Spinal Mobilization
This is the Low-Force/Gentle Chiropractic Technique. These techniques are for individuals that require a gentler approach. The technique is known as spinal mobilization. This approach could be utilized due to:
Underlying conditions like Osteoporosis for example
Some chiropractors prefer and/or specialize in mild spinal mobilization techniques. These are techniques that do not involve twisting the body or using forceful thrusts. Along with spinal mobilization, chiropractors often employ complementary therapy, as part of an overall treatment plan. This could be:
Ice
Heat
Physical therapy
Electric stimulation
Ultrasound
Individuals need to discuss symptoms and preferences with the chiropractor. It is their role to perform a thorough examination to determine the most optimal treatment plan satisfactory to the patient. Chiropractors are not the only health care providers who utilize spinal manipulation for back pain. Osteopathic physicians can also provide types of spinal adjustments. Physical and massage therapists often work with chiropractors with continued treatment. They are fully trained in providing spinal therapy as well.
Pregnancy Lower Back Pain Chiropractic Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Belly dancing has been found to be an effective way to help individuals managing low back pain. It could be utilized as a part of a chiropractic treatment plan. The dancing is beneficial for improving posture and allows an individual to improve their fitness with a light form of aerobic exercise.
Regular physical activity/exercise and a healthy lifestyle go hand in hand. For individuals with spinal issues, the right stretches and exercises can make a difference in their quality of life. It increases:
Strength
Flexibility
Helps with pain management
Improves posture
Maintains spinal alignment
Belly dancing can help with injury recovery, as well as overall health. For most the trouble with exercising regularly is that it becomes routine and boring. Individuals want to live healthily, but it can be a challenge to maintain interest and motivation. An alternative form of physical activity that qualifies as exercise could be the answer.
Dancing has grown in popularity because of its fitness, flexibility, and spinal benefits. This form of belly dancing exercise does not require any special outfit or plenty of space. This utilizes the movements as a form of stretching and keeping the body moving in an aerobic fashion. They can be done at home with video instruction or an online class. Although the majority are women, men can and do belly dance.
Contents
Belly Dance
Information on the history of belly dancing. The dance has gone through various transformations since its inception. It was once considered burlesque entertainment, is now recognized as an important cultural expression, and today has been found to be a respected form of dance exercise.
Isometric exercises are contract specific muscles or groups of muscles. These types of exercise help with strength and stability enhancement. Both are vital for individuals recovering from back injuries or back pain management.
Posture
Dance posture is different than normal standing or sitting posture. Dance posture refers to the way an individual prepares/maintains their body to perform specific movements so that the motions are fluid, graceful, and with no presentation of pain. Belly dance posture maintains proper spinal alignment, which encourages reduced stress/pressure on the joints. This is beneficial for individuals managing back problems. The keys to spinal success are:
The knees should be slightly bent and not stiff so as not to pull/strain the lower back muscles
When the abdominal and back muscles maintain/support a straight spine, this alleviates stress on the low back. Lower back issues have shown a positive response to a belly dance exercise therapy program. A study looked at the effects of belly dancing on pain and function in women with chronic lower back pain. The study found that belly dancing made movements of the trunk and pelvis that are known to influence low back pain much easier.
A belly dance program in conjunction with a chiropractic or physical therapy treatment plan can help alleviate pain and improve function. A 45-minute belly dance routine/session promotes aerobic benefits, improves flexibility and core strength.
Core Strength
These are movements that train the muscles in the:
Pelvis
Abdomen
Hips
Low back
They help build strength, generate stability, protect against back pain, poor posture, and muscle injuries. Having core strength is crucial for individuals with back issues, as it increases the stabilization of the spine. Core strengthening is highly recommended and often prescribed for individuals recovering from lumbar issues.
Depression/Anxiety Improvement
Individuals with back pain also tend to experience psychological issues like depression and anxiety. Back pain can affect:
Mood
Tiredness
Sleep problems
Self-esteem problems
Belly dancing as part of a treatment/therapy program can help an individual experience benefits that improve mental health and well-being. These include:
Regaining mobility
Having a positive body image
Social interaction is enhanced
For All Ages
Belly dancing is a fantastic creative outlet and a great way to exercise. Anyone that is able can participate. Children, seniors, and everyone in between can get into belly dancing. It enhances health and strengthens the body and mind. When the body is in the proper position/posture there are no joint issues or pain. In-person classes, at home with online instruction, DVDs, or video meeting apps can benefit the body and especially the spine.
Life-Changing Orthotics
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
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
