by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

Car accidents can occur in high levels of traffic and anyone involved may suffer an injury. Various forms and degrees of injury can result from these types of incidents, however, one of the most difficult to detect includes shoulder injuries. Automobile accidents can damage an individual�s body to the point where it may not be immediately noticeable. Collisions are fast-paced actions that leave the involved individuals in shock and denial until they receive the medical attention they need and require at the time of the incident. Often times, the people who�ve experienced an auto accident may not feel any symptoms until the adrenaline begins to wear off and the pain and discomfort develops into lingering pain suggesting the presence of an underlying injury.
Whether the victim of an automobile accident find their bodies sore and aching for days after or whether they simply do not feel any pain and symptoms until several days, even weeks after, delaying a visit to a healthcare professional to receive a diagnosis of any possible injuries to follow through with treatment can be detrimental to both the overall health of the body and to a legal case. After all, lingering pain is usually a symptom of an injury which may require immediate medical treatment.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Automobile accidents can result in numerous types of injuries. Aside from whiplash, one of the most common types of injuries caused after a rear-end collision, shoulder injuries can also occur during an auto accident and these particular injuries can have some serious complications if left untreated. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

The subscapularis begins on the anterior scapular, or subscapular fossa, and introduces onto the minor tuberosity of the humerus. It is the largest of the rotator cuff muscles and its cross-sectional area is larger than the other three rotator cuff muscles combined; the infraspinatus, the teres minor and the supraspinatus. The most essential functions of the glenohumeral joint are: depressor of the humeral head; anterior stabilizer of the humeral head, which means it glides the humeral head posteriorly relative to the glenoid fossa; and internal rotator of the shoulder together with the powerful pectoralis major and latissimus dorsi.
The tendon fibres combine with the anterior capsule of the shoulder, which serve to reinforce the anterior shoulder capsule. The muscle is considered to be less substantial as a shoulder internal rotator, as the pectoralis major and latissimus dorsi are powerful internal rotators, and it�s therefore more essential as a dynamic anterior stabilizer of the glenohumeral joint due to its action in preventing an anterior shear of the humeral head.
The subscapularis has a deep connection with the long head of the biceps. This is known as a capsuloligamentous complex that functions to stabilize the long head of the biceps tendon in the bicipital groove. The pulley complex is made up of the superior glenohumeral ligament, the coracohumeral ligament, and the distal attachment of the subscapularis tendon, where it is located within the rotator interval between the anterior edge of the supraspinatus tendon and the superior edge of the subscapularis tendon. Subscapularis tendon injuries may weaken the stability of the bicep. In order to maintain the biceps tendon stabilized and in place, support of the most superior insertion point of the subscapularis from behind the ligament and tension in the superior glenohumeral ligament is needed. Issues with a biceps sling is a common cause and effect of disease in many athletes, requiring the constant and effective rotation of the shoulder, just like the cocking position during baseball pitching.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Shoulder pain is common among many athletes, however, subscapularis muscle injuries, although infrequent, can occasionally occur, causing complications. Direct trauma from an injury to this specific muscle-tendon structure can commonly affect overhead athletes, such as tennis players and swimmers. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

Due to the nature of lateral ankle sprains, once an individual has experienced an injury, there�s a high probability that another injury can occur. This is because damage or injury to the ligaments and joint capsules within the ankle can impair the structures ability to function appropriately. Along with any deficits in proprioception, this can often result in a high re-injury rate. Indeed, research has demonstrated that 73 percent of individuals who sprain their ankles are most likely to experience recurrent ankle injuries in the future.
The most frequent factor behind a majority of ankle sprains is when a single extremity lands on an uneven surface. During this case, a quick and joined ankle plantar flexion and inversion motion can often result in an extreme lateral movement which can lead to ankle sprains. Another factor that can influence the chance of lateral ankle sprains is proprioception, or an individual�s own neuromuscular control. With the necessary proprioception, an athlete may be able to accurately determine the speed and force of a disturbance of motion in order to be able to subsequently react with an appropriate joint and muscle motion to avoid injury. However, because there�s always a chance the athlete may be surrounded by uneven terrain, even an individual with excellent proprioceptive skills can suffer harm. Moreover, the evidence for the role of proprioceptive factors in preventing ankle sprains is still unclear.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Among the large variety of athletes, ankle sprains are one of the most common musculoskeletal injuries. According to research, a considerable amount of sports-related injuries may be caused due to ankle instability, also known as ankle ligament laxity. There can be various major factors behind the cause of ankle injuries but most frequently, landing on an uneven surface on a single extremity can cause complications. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

The most common type of car accident that many people face is where both involved parties seem to be either not injured at all or only have minor injuries. There may not be any visible wounds, cuts or bleeding but there may indeed be an underlying injury from inside and that can be quite serious. Individuals who believe they do not have to visit a doctor because there is no injury or the injury is minor, could be making a big mistake. Injuries that are caused internally can get worse over time if left untreated. And thus, immediate treatment is ultimately essential.�
Many people experience car accidents where there are no visible cuts or wounds and they ignore the need to visit a doctor. Generally, an individual may not feel any pain just after the accident due to a heavy rush of adrenaline. After 24 hours, people can begin to feel the symptoms of the incident, from neck pain, back pain, shoulder pain, dizziness etc. Therefore, seeking immediate medical care and treatment after the car accident is important in order to diagnose the cause of the individual�s symptoms.
If a person wants to file a personal injury lawsuit, they will need medical documents from a health expert to prove the fact of an injury. Without a strong backing of medical documents to prove this, no lawyer will be ready to take your case.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Automobile accidents are unfortunate circumstances, unfortunately resulting unexpectedly in most common cases. Auto accident can be both physically and mentally troublesome. It is an overwhelming situation and can give long lasting mental and physical trauma to the people involved. Once an individual has suffered an auto collision, the first and most important step that a person needs to take should be to visit a doctor. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

Tendons are sturdy bands of connective tissue that function by connecting muscles to bones. These channel the force created by each individual muscle to move the bone. Because of this, they must be sufficiently powerful to endure the force which is conducted through them yet sufficiently flexible to act as pulleys around bony prominences.
Athletes who frequently overuse their muscles or as a result of direct trauma can develop a tendon injury. Of the 32 million musculoskeletal injuries documented in the United States annually, 45% of them are injuries to tendons, ligaments, or joint capsules. The most commonly injured tendons include the tendons of the rotator cuff of the shoulder, the Achilles tendon, patellar tendon, and the elbow extensor tendon. Several factors can place additional strain on the tendon and contribute to injuries caused by overuse, including: abnormal direction of pull due to skeletal misalignment; differences in limb lengths; muscle weakness or imbalances; hypermobile joints;?inflexible muscles;?training errors; and faulty or improperly fitted equipment and/or footwear.
Tendon injuries are believed to be difficult to treat as they were once historically thought of as an inflammatory condition, referred before to as tendonitis. Its treatment was therefore focused on reducing the inflammation through traditional anti-inflammatory medications and modalities and was extensively unsuccessful.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
For athletes and the general population who participate in physical activity, overuse and overexertion of the muscles can cause several complications, most commonly, tendon injury or tendinopathy. Several symptoms can debilitate an individual with this type of injury but sufficient rest and proper health care can help relieve tendon complications and restore normal function. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Whiplash

A headache is a symptom of pain felt in any region of the head or neck. From a mild and irritating discomfort to a severe and throbbing pain, headaches can be caused by a variety of factors and they may occur temporarily or they can last throughout the day. In a majority of cases, individuals report headaches and other similar symptoms after being involved in an automobile accident, most commonly, if they�ve been diagnosed with whiplash.
Any type of auto collision can lead to whiplash and other injuries, however, whiplash occurs most frequently during rear-end impacts in a car. Whiplash occurs when the head suddenly moves back-and-forth in any given direction as a result of a powerful force, extending the neck beyond its normal range of motion. This type of injury can also be caused by trauma from a sports injury or other type of accident. The neck is a complex structure consisting of joints, muscles, tendons, ligaments, nerves, blood vessels and other tissues. When the structures of the neck are subjected to an extreme force, such as that from a car crash, the tissues within the neck can become irritated and inflamed, causing injuries that results in pain, whiplash headaches and other symptoms.
The symptoms of whiplash generally develop immediately after the automobile accident, although occasionally, the pain and discomfort can take up to several days, weeks, or even months to manifest. The pain is often in the form of whiplash headaches.
Dr. Alex Jimenez D.C.,C.C.S.T�s insight:
In the case of an automobile accident, not many people are prepared for the�effects that follow the situation. An auto accident is an unexpected situation that often results in property damage, but most importantly, the impact from the collision can lead to numerous injuries and symptoms, affecting�an individual much more than expected. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

Auto accidents aren�t necessarily the only cause behind whiplash, but they do occur more frequently during these incidents. Whiplash can result from any motion in which the head is abruptly jolted forward and then backwards at an increased speed. The accelerated movement often leads to the irritation and inflammation of the ligaments and tendons found in the neck, occasionally causing a tear within these complex tissues.
A doctor who specializes in auto accident injuries can properly identify the presence of whiplash and follow up with the most appropriate treatment program to decrease and eliminate the pain and other symptoms associated with the injury as well as restore the individual�s flexibility. A medical doctor, an orthopedic, physical therapist, primary care physician and a chiropractor, are several different types of healthcare specialists who focus on different complications and can treat automobile accident injuries and conditions.
Many individuals who�ve been involved in a car accident, don�t receive the proper health care they need and deserve for their whiplash injuries. Ultimately, the type of doctor an auto accident victim receives treatment from can determine their outcome for recovery. It�s important to be well-informed of the training and expertise of a whiplash doctor before accepting treatment because not all of the above mentioned healthcare specialists will treat whiplash injuries.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Whiplash is a common type of neck injury, frequently resulting from a variety of auto accidents, the wide majority caused by rear-end auto collisions. For those individuals who�ve sustained a whiplash-related injury after being involved in an automobile accident, the kind of doctor they should seek to proceed with treatment must specialize in automobile injuries for the best recovery results. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

It�s not always safe to assume the individual was left unharmed from an auto accident simply because there were no visible wounds or injuries. It�s crucial to seek immediate medical attention following a traumatic accident to properly diagnose any possible injuries or aggravated conditions which may have developed from the unexpected automobile accident.
All too frequently, many automobile accident victims may be at risk of experiencing further injury as a result of not being alert of their surroundings. A sudden auto collision can cause confusion and disorientation, leaving those involved feeling unaware of the events happening around them. In this state, it is easy for another accident to occur. Further injury can take place from carelessly walking around the scene of the accident or during the unfortunate case where another vehicle crashes into the existing accident scene.
It�s very important to seek immediate medical care after experiencing damage or injury from an auto collision in order to begin the healing process as soon as possible. The more an individual delays treatment for their injuries, the more challenging it can be for the body to heal itself naturally.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
After an individual has been involved in a car accident, it�s absolutely essential for the driver and any passengers to determine if they experienced any injuries from the incident. Various types of injuries can result from an auto collision and�there are types of injuries which may not be noticeable immediately and other others may be necessary to take. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Crime Victims, Protective Services
One of the most troubling concerns facing our community is domestic violence. In Texas, 1 in 3 adult women has been a victim of domestic violence. Over the past year and a half, the Corpus Christi Caller-Times has done an excellent job of putting domestic violence at the forefront by covering its effects and exploring solutions to reduce the deadly trend. These stories and statistics should motivate all of us to work to better protect victims.
Since the 1980s, the prevention of domestic violence in Texas has been a top priority and much of my legislation supports programs that aim to overcome domestic violence. When I was chairman of the House Criminal Jurisprudence Committee, we held public hearings that discussed the serious problem of women serving prison time for defending themselves against a violent partner. As a result, several members carried legislation to change the laws to help protect victims of family violence.
In 2009, committee Chairman Abel Herrero and I authored Mary’s Law, which allows for GPS monitoring of domestic violence offenders. And most recently, in 2015, I sponsored House Bill 2645, which allows juries to hear more information about family violence and increases accountability for offenders monitored by GPS as part of a protective order. This bill now allows law enforcement to arrest the violator in real time for a violation of a protective order, thereby increasing victim safety and offender accountability.
Funding to help prevent family violence is critical. As vice chairman of the Senate Committee on Finance, I secured a $1 million increase in funding for the Battery Intervention Prevention Program, in which offenders are held accountable for past abusive behavior and taught the fundamentals of leading healthy, nonviolent relationships. The increase in funds allows services to expand and adds innovative approaches to current practice. Additionally, the 2016-2017 budget included $53.9 million for core services provided by family violence programs and $3 million to address unmet needs such as housing and childcare. We will continue to work with advocates to address funding shortfalls for organizations that provide assistance to victims and offenders.
While the Texas Legislature has strengthened laws against abusers to give district attorneys and our communities more tools to protect family violence victims and provide funds for family violence programs, much work remains to be done. In order to end the cycle of violence, our community needs to focus on prevention by raising public awareness while also effectively implementing and enforcing laws.
Implementation is key to protecting victims. It was alarming to learn that the family violence center in our community was closed on weekends. However, through the Coastal Bend Community Coordinated Response Coalition forums, victims and advocates called for change. As a result, Corpus Christi Police Chief Mike Markle implemented changes so that family violence detectives are rotated for weekends and after-hours duty. This is a step in the right direction so that victims of abuse do not live in fear simply because it is a weekend.
One solution to addressing domestic violence is to adopt components from the city of El Paso’s 24-Hour Contact Domestic Violence Initiative. The program takes a proactive and aggressive approach by moving domestic violence cases through the criminal justice system more effectively and focuses on victim outreach. Victim advocates seek face-to-face contact with victims of a domestic violence crimes for which an offender has been arrested within the past 24 hours. We need to collaborate among relevant agencies and discuss how we can improve and adopt El Paso’s model.
It will take more than one person, one agency, or one government entity to curb domestic violence. It will take work from legislators, law enforcement, the probation department, our local family violence shelter, public officials, parents, students and residents throughout our community to ensure we protect victims and hold their abusers accountable. Together, and only together, can we make our community a safer place.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
The crime victims program continues to help so many in need here in our very own El Paso. As a practicing Chiropractor, I have seen more than my share of domestic dispute violence drama and the physical toll on individuals and families. We touch these individuals and work on their bodies after the ordeals they undergo at the physical and emotional levels. It is this proximity to our patients that allows us to see firsthand the true effects. Logically, the impact of the unseen consequences may not always be physical in nature; the program’s outreach covers the unseen concomitant emotional damage caused by the crimes. The attorney general and district attorney have pledged continued support of this outstanding program. This continues to be great news in our growing city.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic

Chiropractic care is an effective, alternative treatment option for a variety of injuries or conditions surrounding the spine and its many structures and it can be used to relieve symptoms induced by whiplash as well as treat injuries to the extremities. When an individual has suffered an injury as a result of an automobile accident, a personal injury chiropractor can positively influence the proper progress of their rehabilitation, helping the individual obtain the fair compensation they need and deserve for their auto injuries. An experienced and well-trained personal injury chiropractor can provide quality treatment as well as support patients throughout their injury claim procedures. There are many qualified providers in the El Paso, Texas area, however, several important factors should be individually considered before choosing a personal injury chiropractor to make sure you�re choosing the most appropriate healthcare provider for your specific type of injuries and claims.
Foremost, when seeking medical care from a specialized chiropractor after suffering an auto injury, it�s crucial to verify whether the professional has had previous experience with automobile accident and personal injury claims. It may also be important if the personal injury chiropractor the individual has considered getting treatment from has attended post graduate training in accident injury evaluation and treatment which can guarantee a much more effective diagnosis and care from them.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
As an individual who�s been involved in an unexpected car accident, one of the first priorities should be to seek immediate medical treatment. The second concern includes ensuring those medical bills are paid accordingly. If the individual decides to seek chiropractic care for their injuries, choosing the right chiropractor can make a huge difference in the outcome of a personal injury claim. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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