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The Metabolic Connections Between Chronic Diseases (Part 1)

The Metabolic Connections Between Chronic Diseases (Part 1)


Introduction

Dr. Alex Jimenez, D.C., presents how metabolic connections are causing a chain reaction to major chronic diseases in this 2-part series. Many factors often play a role in our health and wellness. It can lead to overlapping risk factors associated with pain-like symptoms in the muscles, joints, and vital organs. Part 2 will continue the presentation on metabolic connections with major chronic diseases. We mention our patients to certified medical providers that provide available therapy treatments for individuals suffering from chronic conditions associated with metabolic connections. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers’ crucial questions at the patient’s request and acknowledgment. Dr. Jimenez, D.C., makes use of this information as an educational service. Disclaimer

 

How Inflammation Affects The Body

Dr. Alex Jimenez, D.C., presents: So here you have a lean set of adipocytes on the left, and then as they start to plump up with more cellular weight, you can see those macrophages, the green boogies come around looking, saying, “Hey, what’s going on here? It doesn’t look right.” So they are investigating, and this causes local cell death; it’s just a part of the inflammatory cascade. So there is also another mechanism happening here. Those adipocytes are not just getting plumper by accident; it’s often related to a calorie surfette. So this nutrient overload damages the endoplasmic reticulum, leading to more inflammation. What these cells and the adipocytes are trying to do is protect themselves from glucose and lipo toxicity.

 

And the whole cell, the adipocyte cell, is creating these caps that are trying to say, “Please stop, we can’t take any more glucose, we can’t take any more lipids.” It’s a protection mechanism known as insulin resistance. It’s not just some random thing happening. It is the body’s way of trying to prevent glucose and lipotoxicity. Now that the inflammation alarm is occurring more than just in the adipocytes, it’s getting systemic. Other tissues and organs are starting to feel the same burden of the calorie surfette, causing inflammation and cell death. So glucose and lipotoxicity look like fatty liver when dealing with the liver. And you can also have it just like fatty liver progresses to cirrhosis with hepatocyte death. The same mechanism that’s happening in muscle cells. So our skeletal muscle cells specifically see cell death after inflammation and see fatty deposition.

 

The best way to think about it is, for example, the cows raised for food consumption and how they have marbled. So that’s the fatty deposition. And in humans, you can think about how people become sarcopenic as they become more and more insulin resistant. It’s the same phenomenon when body tissue tries to protect itself from glucolipotoxicity, causing a local inflammatory response. It becomes an endocrine response when it starts targeting other tissues in the periphery, whether the liver, muscle, bone, or brain; it’s just whatever is happening; they’re in the visceral adipocytes that can occur in other tissues. So that’s your paracrine effect. And then it can go viral, if you will.

 

Inflammation Associated With Insulin Resistance

Dr. Alex Jimenez, D.C., presents: You’re getting this local and systemic pro-inflammatory response coupled with insulin resistance, returning to this protection mechanism against glucose and lipotoxicity. Here you see how the blood vessels in our arteries get caught in the loop of fatty deposition and cell death. So you’ll see leaky blood vessels and fatty deposits, and you’ll see damage and pro-atherogenesis. Now, this is something we explained in AFMCP for the cardiometabolic module. And that is the physiology behind the insulin receptor. This is known as the lock and jiggle technique. So you have to have insulin lock into the insulin receptor up at the top., which is known as the lock.

 

And then there’s a phosphorylation cascade called the jiggle that then creates this cascade that ultimately causes the glucose-4 channels to open up the glucose-4 receptors to go into the cell so that it can be then the glucose, which is then utilized for energy production by the mitochondria. Of course, insulin resistance is where that receptor isn’t sticky or as responsive. And so not only do you fail to get glucose into the cell for energy production, but you are also rendering a hyper insulin state in the periphery. So you get hyperinsulinemia as well as hyperglycemia in this mechanism. So what can we do about that? Well, many nutrients have been shown to improve the lock and jiggle things that can improve the glucose-4 transporters coming up towards the periphery.

 

Anti-Inflammatory Supplements Reduce Inflammation

Dr. Alex Jimenez, D.C., presents: You see these listed here: vanadium, chromium, cinnamon alpha lipoic acid, biotin, and another relatively new player, berberine. Berberine is a botanical that can dampen all primary pro-inflammatory signals. So what precedes these comorbidities often and it’s insulin dysfunction. Well, what precedes insulin dysfunction many times? Inflammation or toxicity. So if berberine is helping the primary inflammation issue, it will address the downstream insulin resistance and all the comorbidities that can happen. So consider berberine as your option. So again, this shows you that if you can reduce inflammation up here at the top, you can minimize many cascade effects downstream. Berberine specifically seems to act in the microbiome layer. It modulates the gut microbiota. It may create some immune tolerance, therefore not rendering as much inflammation.

 

So consider berberine as one of the tools you can use to support insulin dysfunction and insulin resistance-related comorbidities. Berberine seems to increase insulin receptor expression, so the lock and jiggle work more effectively and improve the cascade with the glucose-4 transporters. That’s one mechanism by which you can start to find the root cause of many of the conditions we discussed when you see paracrine and endocrine glucose toxicity, lipotoxicity organ damage. Now another mechanism for you to consider is leveraging NF kappa B. So the goal is to keep NF kappa B grounded because as long as they don’t translocate, a host of inflammation signals do not get triggered.

 

So our goal is to keep NF kappa B grounded. How can we do that? Well, we can use NF kappa B inhibitors. So in this presentation of treatment options for any comorbidities related to insulin dysfunction, there are many ways to reduce these overlapping conditions affecting our bodies. So you can directly affect insulin resistance through anti-inflammatory supplements or indirectly help insulin resistance or insulin dysfunction by leveraging things against inflammation. Cause if you remember, insulin dysfunction is what then causes all those comorbidities. But what causes insulin dysfunction is generally inflammation or toxins. So our goal is to address pro-inflammatory things. Because if we can address pro-inflammatory things and nip the insulin dysfunction in the bud, we can prevent all the downstream organ damage or organ dysfunction.

 

Reducing Inflammation In The Body

Dr. Alex Jimenez, D.C., presents: Let’s move on to the next section that you can leverage or reduce the inflammation and insulin soup damage if you will, that the genes bathe in the body. This is the one you’ll often hear in our presentation, and that’s because, actually, in functional medicine, we help fix the gut. That’s usually where you need to go. And this is the pathophysiology for why we do that in cardiometabolic medicine. So if you have that poor or sad diet, that modern western diet with bad fats, it will directly damage your microbiome. That change in the microbiome can render increased intestinal permeability. And now lipopolysaccharides can translocate or leak into the bloodstream. To that point, the immune system says, “Oh no way, buddy. You’re not supposed to be in here.” You’ve got these endotoxins in there, and now there is a local and systemic inflammatory response that inflammation will drive the insulin dysfunction, which will cause the metabolic disorders that come after that.

 

Whatever the person’s genetically prone to, it gets clicked on epigenetically. So remember, if you can quell the inflammation in the microbiome, meaning create this tolerant and strong microbiome, you can reduce the inflammatory tone of the entire body. And when you reduce that, it’s been shown that it sets the insulin sensitivity. So the lower the inflammation, the higher the insulin sensitivity related to the microbiome. So surprise, it’s been shown that probiotics are associated with improved insulin sensitivity. So the right probiotics will create immune tolerance. Microbiome strength and modulation occur with probiotics. And so insulin sensitivity is preserved or regained based on where you are. So please consider that as another indirect mechanism or treatment option for leveraging cardiometabolic health for patients.

 

Probiotics

Dr. Alex Jimenez, D.C., presents: So when it comes to probiotics, we will use them in someone who might also concurrently have irritable bowel syndrome or food allergies. We might pick probiotics over NF kappa B inhibitors if they also have insulin resistance issues. But if they have many neurocognitive problems, we might start with the NF kappa B. So, that’s the way you can decide which ones to pick. Now, remember, when talking with patients, it is important to discuss how their eating habits are causing inflammation in their bodies. It is also important to note that it’s not just a quality conversation; it’s a quantity conversation and an immune conversation.

 

This reminds you that when you fix the gut by feeding it well and reducing its inflammatory tone, you get a host of other preventative benefits; you stop or at least reduce the strength of the dysfunction. And you can see that, ultimately can reduce the overlapping risk of obesity, diabetes, and metabolic syndrome. We are trying to drive home that metabolic endotoxemia, or just managing the microbiome, is a powerful tool to help your insulin-resistant or cardiometabolic patients. So much data tells us that we cannot just make the conversation about eating right and exercising.

 

It’s so much beyond that. So the more we can improve the gut microbiota, we can change inflammation signals through proper diet, exercise, stress management, sleep, all the other things we’ve been talking about, and fixing the gums and the teeth. The less the inflammation, the less the insulin dysfunction and, therefore, the less all those downstream disease effects. So what we want to make sure you know is to go to the gut and make sure that the gut microbiome is happy and tolerant. It’s one of the most potent ways to influence a healthy cardiometabolic phenotype. And aside, although it was a bigger thing a decade ago, non-caloric artificial sweeteners do as they might be non-caloric. And so people may be tricked into thinking it’s zero sugar.

 

But here’s the problem. These artificial sweeteners can interfere with healthy microbiome compositions and induce more type two phenotypes. So, even though you think you’re getting the benefit with no calories, you’re going to increase your risk for diabetes more through its effect on the gut microbiome. All right, We’ve made it through objective one. Hopefully, you’ve learned that insulin, inflammation, adipokines, and all the other things that happen in the endocrine response affect many organs. So let’s now start to look at emerging risk markers. Okay, we’ve talked a bit about TMAO. Again, that’s still a relevant concept here with gut and insulin resistance. So we want to make sure that you look at TMAO not as the end all be all but as another emerging biomarker that could give you a clue about microbiome health in general.

 

Looking For The Inflammatory Markers

Dr. Alex Jimenez, D.C., presents: We look at elevated TMAO to help the patient recognize that they have changed their eating habits. Most of the time, we help patients reduce unhealthy animal proteins and increase their plant-based nutrients. It’s generally how many doctors use it in standard medical practice. Alright, now another emerging biomarker, okay, and it sounds funny to call it emerging because it seems so obvious, and that is insulin. Our standard of care is centralized around glucose, fasting glucose, to our postprandial glucose A1C as a measure of glucose. We are glucose so centric and need insulin as an emerging biomarker if we try to be preventative and proactive.

 

And as you remember, we talked yesterday that fasting insulin in the bottom of the first quartile of your reference range for fasting insulin might be where you want to go. And for us in the US, that tends to be between five and seven as a unit. So notice that this is the pathophysiology of type two diabetes. So type two diabetes can happen from insulin resistance; it can also occur from mitochondrial problems. So pathophysiology of type two diabetes could be because your pancreas is not secreting enough insulin. So again, this is that little 20% that we talk about the majority of the people who are getting type two diabetes; it’s from insulin resistance, as we would suspect, from a hyper insulin problem. But there is this group of people who have damaged mitochondria, and they are not outputting insulin.

 

So their blood sugar rises, and they get type two diabetes. Okay, then the question is, if there is a problem with pancreatic beta cells, why is there a problem? Is the glucose going up because the muscles have insulin resistance, so they cannot capture and bring in glucose? So is it the liver that’s hepatic insulin resistant that cannot take in glucose for energy? Why is this glucose running around in the bloodstream? That’s what this is paraphrasing. So contributing role, you have to look at the adipocytes; you have to look for visceral adiposity. You must see if this person is just a big belly fat inflammatory-like catalyst. What can we do to reduce that? Is the inflammation coming from the microbiome?

 

Conclusion

Dr. Alex Jimenez, D.C., presents: Even the kidney can play a role in this, right? Like perhaps the kidney has increased glucose reabsorption. Why? Could it be because of an oxidative stress hit to the kidney, or could it be in the HPA axis, the hypothalamus pituitary adrenal axis where you’re getting this cortisol response and this sympathetic nervous system response that’s generating inflammation and driving the blood insulin and blood sugar disturbances? In Part 2, we will talk here about the liver. It’s a common player for many people, even if they don’t have fulminant fatty liver disease; it’s generally a subtle and common player for people with cardiometabolic dysfunction. So remember, we’ve got the visceral adiposity causing inflammation and insulin resistance with atherogenesis, and the liver is like this innocent bystander caught up in the drama. It’s happening before sometimes the atherogenesis starts.

 

Disclaimer

Bicycle Riding Injuries: El Paso Back Clinic

Bicycle Riding Injuries: El Paso Back Clinic

Bicycle riding is a form of transportation and a popular leisure and exercise activity. It helps with brain, heart, and whole body health. Whether recreational or pro cyclist, road or mountain biking, injuries are most often caused by overuse, repetitive strain, or a traumatic fall. If not treated properly by a medical professional, bicycle riding injuries can develop into long-term problems. Chiropractic care, sports massage, and decompression therapy combined with functional medicine can alleviate symptoms, rehabilitate the muscles, release compressed nerves, and restore mobility and function.

Bicycle Riding Injuries: EP's Chiropractic Functional Team

Bicycle Riding Injuries

Long-term cycling can cause muscle fatigue, leading to various injuries.

  • Overuse injuries occur when performing the same motion over and over again.
  • Musculoskeletal injuries range from sprains, torn ligaments, and tendons to fractures from crashes and falls.

Bicycle Setup

  • Not having the correct bike setup for the individual affects posture.
  • A seat that is too high causes the hips to rotate, leading to hip, back, and knee pain.
  • A seat that is too low causes over-flexion of the knees and pain.
  • Improper footwear not set in the right position can lead to pain in the calves and feet.
  • Handlebars that are too far forward can cause neck, shoulder, and back problems.

If any discomfort symptoms result from cycling, it’s recommended to get checked by a medical professional as soon as possible. After a correct diagnosis, resolving the issue/s could involve altering the bike setup to reduce the strain on certain body parts. Conversely, a condition could be developing that needs a personalized treatment program consisting of chiropractic care, physical therapy, steroid injections, or, if necessary, surgery.

Injuries

Hips

  • Tightness develops at the front of the hip/hip flexors from prolonged sitting and can lead to decreased flexibility and cause irritation of the bursa (fluid-filled sacs between the muscle and bone to reduce friction) at the front of the hip.
  • Known as Greater Trochanteric Pain Syndrome.
  • Symptoms at the front and outer side of the hip can travel down the thigh toward the knees.

Checking that the saddle height is correct can help.

Knees

The knee is the most common site for overuse injuries. Common knee overuse injuries include:

  • Patellofemoral syndrome
  • Patella and quadriceps tendinitis
  • Medial plica syndrome
  • Iliotibial band friction syndrome

The first four involve discomfort and pain around the kneecap. The last condition results in outer knee pain. Shoe insoles, wedges, and positioning can help prevent some of these injuries.

Feet

  • Foot tingling, numbness, burning sensations, or pain on the underside of the foot are common.
  • This occurs from pressure on the nerves that travel through the ball of the foot and toward the toes.
  • Shoes that are poorly fitted, too tight, or narrow are often the cause.
  • Foot numbness can be due to exertional compartment syndrome.
  • This comes from increased pressure in the lower leg and results in compressed nerves.

Neck and Back

  • Discomfort and pain in the neck result from staying in one riding position for too long.
  • Usually, if the handlebars are too low, the rider has to round their back, adding strain to the neck and back.
  • Tight hamstrings and/or hip flexor muscles can also cause riders to round/arch the back, causing the neck to be hyperextended.

Doing shoulder shrugs and neck stretches will help relieve neck tension. Regular stretching will create flexibility and make it easier to maintain proper form.

Shoulders

  • Shoulder overuse injuries cause muscle weakness, stiffness, swelling, tingling or numbness in the fingers, and pain. Treatments depend on the severity of the condition.
  • Shoulder impingement/pinching
  • Swelling of soft tissues
  • Rotator cuff tears
  • Injuries to the ball-and-socket joint tend to be labral tears of the socket lining cartilage or damage to other structures. Damage to the cartilage can lead to arthritis if not treated effectively.
  • Falls can cause:
  • Minor fractures or dislocation.
  • Fractured collarbone/clavicle – must be immobilized for four to six weeks before rehabilitation exercises are started.
  • Damage to the joint on the top of the shoulder/acromioclavicular joint or ACJ.

Many of these impact-related injuries can be treated with chiropractic and targeted physical therapy to strengthen the muscles and improve mobility. However, some cases, like severely displaced fractures, require surgical reconstruction or repair.

Wrists and Forearms

Common wrist overuse injuries include:

  • Cyclist’s Palsy
  • Carpal Tunnel Syndrome
  • Intense aching in the forearm can make gripping and ungripping the hands difficult and painful.
  • These can be prevented by changing hand positions and alternating the pressure from the inside to the outsides of the palms ensuring the wrists don’t drop below the handlebars.
  • Cyclists are recommended to ride with their elbows slightly bent, not with their arms locked or straight. Bent elbows act as shock absorbers when riding over bumps or rough terrain.

Using padded gloves and stretching the hands and wrists before riding can help. Changing the grip on the handlebars takes the stress off of over-used muscles and redistributes pressure to different nerves.

Head Injuries

  • Head injuries can range from scrapes, contusions, concussions, or traumatic brain injury.
  • Wearing a helmet can reduce the risk of head injury by 85 percent.

Chiropractic Treatment

Chiropractic for cyclists can relieve symptoms, rehabilitate and strengthen muscles, improve posture, and prevent future injuries. Cyclists have also reported enhanced:

  • Respiration
  • Range of motion
  • Heart rate variability
  • Muscle strength
  • Athletic ability
  • Neurocognitive functions such as reaction time and information processing.

Common Bicycle Riding Injuries


References

Mellion, M B. “Common cycling injuries. Management and prevention.” Sports medicine (Auckland, N.Z.) vol. 11,1 (1991): 52-70. doi:10.2165/00007256-199111010-00004

Olivier, Jake, and Prudence Creighton. “Bicycle injuries and helmet use: a systematic review and meta-analysis.” International journal of epidemiology vol. 46,1 (2017): 278-292. doi:10.1093/ije/dyw153

Silberman, Marc R. “Bicycling injuries.” Current sports medicine reports vol. 12,5 (2013): 337-45. doi:10.1249/JSR.0b013e3182a4bab7

Virtanen, Kaisa. “Cyclist injuries.” Duodecim; laaketieteellinen aikakauskirja vol. 132,15 (2016): 1352-6.

Various Hyperextension Exercises For Back Pain (Part 2)

Various Hyperextension Exercises For Back Pain (Part 2)


Introduction

When everyday factors affect how many of us function, our back muscles begin to suffer. The back muscles in the cervical, thoracic, and lumbar section surround the spine and spinal cord, which helps the body stay upright and promotes good posture. The muscles allow the upper portions of the body to bend down and twist without pain while providing stability to the lower parts of the body. However, when the body ages or everyday activities cause issues, it can develop low back pain associated with weak back muscles. There are many ways to prevent these issues from escalating with various hyperextension exercises for low back pain. This 2-part series examines how low back pain affects the body and how different hyperextension exercises can help strengthen the back. Part 1 examines how hyperextension affects the body and how it is associated with low back pain. We mention our patients to certified medical providers that provide available therapy treatments for individuals suffering from chronic low back pain. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers’ crucial questions at the patient’s request and acknowledgment. Dr. Jimenez, D.C., makes use of this information as an educational service. Disclaimer

 

Low Back Pain Affecting The Body

 

Have you been dealing with aches and pains when bending down? Do you feel stiffness in your torso when twisting? Or have you experienced limited mobility in your hips? Many of these symptoms correlate with low back pain. Studies reveal that back pain is one of the most common issues in the emergency room. Low back pain is associated with many factors that put pressure on the various muscles in the back and can lead to underlying conditions that can cause symptoms to make the body dysfunctional. Additional studies have revealed that chronic low back pain can have influenced overlapping risk profiles, which include:

  • Stress
  • Dietary habits
  • Lifting heavy objects
  • Musculoskeletal disorders

When these factors affect the back, many individuals will be in constant pain and take medication to relieve their pain. However, medicine can only go so far as it only masks the pain, but there are other ways to reduce low back pain and help strengthen the various muscles surrounding the low back. 


An Overview Of Hyperextension (Part 2)

Biomedical physiologist Alex Jimenez explains how there are a couple of different variations that you can do to prevent low back pain. The first one is the elbows in front. The second one is the elbows in front while pointing them forward and keeping them pointed forward throughout the entire movement. The third one is the hands behind the head. And then the fourth variation is putting weight behind your back once you work up to this level. And then using that weight to put more stress on a pivot point. You can also hold the weight to your chest, but putting it behind your head gives you a further pivot point or a further point on the fulcrum, which are your hips putting more stress on your spinal rectors. The repetitions and frequency should be performed at the beginning of most workouts, before or after your abdominal exercises on leg days. You can use this exercise as a warmup before deadlifting or squatting. I’ll remember you don’t have to go as much weight or as many reps when you’re doing this on leg days. So we recommend starting with four sets of 20 reps and slowly working up to four sets of 40 reps. This seems like a lot, but it will be beneficial in the end.


Various Hyperextension Exercises For The Back

When it comes to low back pain, the various muscles are weak, which can lead to multiple symptoms affecting a person’s mobility. Luckily making small changes in a daily structure, like incorporating exercises that target the back, can be beneficial. Studies reveal that exercises targeting the back muscles can help strengthen the targeted muscles to have mobility and stability in the back. As a bonus, exercises combined with chiropractic treatments can help restore the body and allow the spine to be realigned. When it comes to back exercises, hyperextension exercises can help prevent low back symptoms from reoccurring and strengthen weak back muscles. Here are some of the various hyperextension exercises that benefit the back.

 

Reverse Flys

There are different variations of how to do reverse flys. You can pick a moderate or lightweight dumbbell or a resistance band. This exercise is great for the upper back muscles and rear deltoids.

  • Sit in a chair where the dumbbells are in front of you. *For resistance bands, make sure the bands are under your feet.
  • Pick up the dumbbells/resistance bands with the palms of your hands and bend forward. 
  • Squeeze the shoulder blades together, lift the arms to shoulder level with slightly bent elbows, and lower them.
  • Repeat for three sets of 12 reps and rest in between.

 

Hip Thrust

Different variations to this exercise can help with the posterior muscles in the lower back. You can use barbells, dumbbells, resistance bands, or your body weight to strengthen your core back muscles. 

  • Lean against a bench with the knees bent and the feet flat on the floor.
  • Rest the shoulder blades on the bench for support and have the weight placed near your core.
  • Raise your body slightly by pushing your heels down to the floor and walking out slowly beyond your knees.
  • Push through your heels to have your hips at shoulder level, hold for a second, and lower your hips back down.
  • Repeat for three sets of 12 reps and rest in between.

 

Supermans

This exercise has two different variations and makes you aware of your back muscles. This exercise helps improve muscle mobility in all three sections of the back.

  • Lay on the mat face down with your arms in front and your legs straight.
  • Keep the head in a neutral position and raise both the arms and legs off the mat. This allows the body to be in a banana shape in a comfortable position. *If you want more challenge, lift the opposite arms and legs simultaneously.
  • Hold for a couple of seconds for the upper and lower back and hamstrings to maintain their positions.
  • Lower down with control.
  • Repeat for three sets of 12 reps and rest in between. 

 

Fire Hydrants

 

This exercise helps the lower back and glute muscles reduce the effects of low back pain and make it more challenging to use a resistance band.

  • Be in a cat/cow position on your mat, allowing the wrist to be aligned under the shoulders and the knees to be aligned under the hips. 
  • Maintain a neutral spine while engaging the core.
  • Squeeze the glutes and lift your right leg off the mat, keeping the knee at 90 degrees. *The hips should be the only ones moving to keep the core and pelvis stable.
  • Lower the right leg down with control.
  • Repeat for three sets of 12 reps and rest before repeating the motion on the left leg.

 

Conclusion

All in all, having low back pain doesn’t mean your life is over. Incorporating hyperextension exercises as part of your daily routine can help strengthen your back muscles and ensure that you won’t have reoccurring symptoms from low back pain. Making these small changes can lead to beneficial results in the long run for your health and wellness journey.

 

References

Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, U.S. National Library of Medicine, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.

Casiano, Vincent E, et al. “Back Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.

Koes, B W, et al. “Diagnosis and Treatment of Low Back Pain.” BMJ (Clinical Research Ed.), U.S. National Library of Medicine, 17 June 2006, www.ncbi.nlm.nih.gov/pmc/articles/PMC1479671/.

Disclaimer

Rear End Collision Injuries: El Paso Back Clinic

Rear End Collision Injuries: El Paso Back Clinic

The NHTSA records show that rear-end collisions are the most common and make up 30% of all traffic accidents, crashes, and collisions. Rear-end collisions can come out of nowhere. One moment a driver is waiting at a stop or light, and suddenly they are catapulted forward by the intense force of another vehicle/s resulting in serious and sustaining injuries that can impact an individual’s physical capabilities. Rear-end collision injuries most commonly affect the neck and back. This is because of the excessive force and intense shifting and whipping the body goes through. Chiropractic care, massage, and decompression therapy can realign the body, relax the muscles, release compressed nerves, expedite recovery, and restore mobility and function.

Rear End Collision Injuries: EP's Chiropractic Team

Rear-End Collision Injuries

Rear-end collision injuries can range from mild to serious, and what seems like a minor pull can result in a severe injury. The most common injuries include:

  • Contusions
  • Neck and spinal injuries
  • Whiplash
  • Concussion
  • Traumatic brain and other head injuries.
  • Facial injuries
  • Dental injuries
  • Lacerations
  • Broken bones
  • Crushed or fractured ribs
  • Punctured lungs
  • Internal bleeding
  • Paralysis
  • Pre-existing conditions such as degenerative disc disease can worsen.

Collision Types

A rear-end collision can occur in several ways. The most common types include:

Tailgating

  • When drivers in the rear follow another motorist too closely, and the lead motorist slows down or has to stop quickly, the rear driver hits the vehicle because there was not enough adequate time and distance to stop.

Slow Speed Collisions

  • Slow-speed/low-impact collisions or fender benders can result in spinal injuries and concussions.
  • They can also lead to facial and head injuries from sudden airbag deployment.

Vehicle Pile-Ups

  • A single rear-end collision on a busy street or interstate highway can cause a chain reaction of multiple-vehicle collisions.
  • These accidents can cause devastating injuries.

Causes

Causes that can take attention away from the road include:

  • Speeding
  • Distracted driving – Talking or texting.
  • Tailgating
  • Looking at something like an accident while driving by.
  • Unsafe lane changes
  • Drowsy or fatigued driving
  • Construction site hazards
  • Poor weather conditions
  • Parking lot accidents

Chiropractic Care

Symptoms of rear-end collision injuries may not immediately present following an accident. It can take 24 to 48 hours for discomfort symptoms to come on and sometimes longer. The adrenaline rush allows the individual not to experience the physical symptoms, which is why individuals think they’re fine when they are not.  Ignoring signs increases the risk of permanent injury. A herniated disc, for example, left untreated, can lead to permanent nerve damage. Chiropractic treatment for rear-end collisions is one of the most effective options available. A chiropractor manipulates the spine to realign the spinal cord, allowing the body to decrease inflammatory cytokine production, which reduces the inflammatory response. Specific techniques and various tools can realign individual vertebrae, restore joint flexibility, and break up the scar tissue so the areas can heal faster.


The Spine In A Rear-End Auto Accident


References

Chen, Feng, et al. “Investigation on the Injury Severity of Drivers in Rear-End Collisions Between Cars Using a Random Parameters Bivariate Ordered Probit Model.” International journal of environmental research and public health vol. 16,14 2632. 23 Jul. 2019, doi:10.3390/ijerph16142632

Davis, C G. “Rear-end impacts: vehicle and occupant response.” Journal of manipulative and physiological therapeutics vol. 21,9 (1998): 629-39.

Dies, Stephen, and J Walter Strapp. “Chiropractic treatment of patients in motor vehicle accidents: a statistical analysis.” The Journal of the Canadian Chiropractic Association vol. 36,3 (1992): 139–145.

Garmoe, W. “Rear-end collisions.” Archives of physical medicine and rehabilitation vol. 79,8 (1998): 1024-5. doi:10.1016/s0003-9993(98)90106-x

An Overview Of Hyperextension On The Body (Part 1)

An Overview Of Hyperextension On The Body (Part 1)


Introduction

The body is an amazingly complex machine as it allows the individual to move each section, like the back, arms, legs, torso, neck, and head, without feeling any pain. Each section has various muscles, ligaments, and tissues that surround the skeletal joint and allow mobility, stability, and range of motion when the host is active. However, when underlying conditions start to affect the body, each section can be affected and cause pain-like symptoms associated with the muscles, ligaments, and tissues. Sometimes it can even cause referred pain in the vital organs, leading to more problems when not treated immediately. To that point, various exercises combined with therapy can help prevent pain-like symptoms from affecting the body and restore mobility to the upper and lower portions. This 2-part series will look at an exercise called hyperextension, which can help strengthen these muscles in the upper and lower portions. Part 1 will examine how hyperextension affects the body and how it is associated with low back pain. Part 2 will look at the various hyperextension exercises that can help strengthen each muscle group. We refer our patients to certified medical providers that provide available therapy treatments for individuals suffering from chronic pain-like conditions associated with low back pain. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers’ crucial questions at the patient’s request and acknowledgment. Dr. Jimenez, D.C., makes use of this information as an educational service. Disclaimer

 

What Is Hyperextension?

Have you been experiencing pain-like symptoms in different areas of your body? Does it hurt when twisting and turning? Or do you constantly ache when bending over? Many of these symptoms are associated with muscle and joint pain that can affect the body and lead to hyperextension. Hyperextension is when a skeletal joint has a greater range of motion without feeling pain.

 

When a person suffers from a traumatic injury or has a chronic condition, it can cause the various muscles in the body to extend their range of motion and cause more pain that can affect their quality of life. A perfect example would be a person who is double-jointed in their hands, knee, elbows, and back. Even though many double-jointed people can further extend their joints, it can lead to various issues that can impact the body and lead to pain-like symptoms. For example, studies reveal that if a person has been in an auto accident and suffers from whiplash, the hyper-extended muscles can cause pain-like symptoms in the soft tissues, leading to neck pain. When this happens, it can cause symptoms of limited mobility and affect the individual. 

 

 

Now if it is chronic conditions like EDS (Ehlers-Danlos syndrome) or chronic back conditions, it can affect the lower extremity muscles while affecting the mobility and stability of the body. Studies reveal that low back pain associated with hyperextension is developed when various factors can cause the spine to be in subluxation and compress the different vertebrate discs, muscles, ligaments, and tissues, which can cause pain over time. Additional studies have also found that when there are injuries in the thoracolumbar and lumbar spine, it is often combined with various forces that can cause mobility issues which leads to spinal subluxation and spinal compression. 

 


An Overview Of Hyperextension

Biomedical physiologist Alex Jimenez will be explaining a specific exercise called Hyperextensions. Hyperextensions are an exercise that is designed to strengthen the erectors of the spine. They usually involve an extension type of maneuver for the concentric portion and AF flexion for the eccentric portion. Hyperextension relies on a pivot point, usually at the hips, which stresses the lower back muscles. It also allows you to work on the lower back muscles, which we said, the glutes, hamstrings, and even the mid back, depending on the arc of the movement. So why are hyperextensions important? They strengthen the lower back muscles, also known as the spinal rectors, and are responsible for stabilizing the spine. It can help decrease the chances of lower back pain or injuries, and it also helps strengthen your deadlift and squats. And it does this by allowing you to have better stabilization throughout these dynamic movements. So what muscles are involved? Numerous muscles are involved in the upper and lower body extremities, allowing hyperextension exercises to provide more range of motion without pain. The next part will show different variations of hyperextension exercises that can help each muscle.


Hyperextension Associated With Low Back Pain

Spinal subluxation often leads to low back pain and can affect a person’s ability to move. So how is hyperextension associated with low back pain? Some factors leading to low back pain, like incorrect posture or excessive lifting of heavy objects, can affect the low back muscles. The low back muscles support the low back, stabilize the spine, and help maintain good posture. When these muscles have been overused, it can lead to various injuries. All is not lost, as studies reveal that hyperextension exercises for low back pain, when done slowly, can provide isometric endurance improvement to the back muscles and allow flexibility back to the spine. Hyperextension exercises can strengthen the lower back muscles and reduce pain. However, exercise combined with chiropractic care can enable the body to restore itself and reduce the pain-like symptoms associated with spinal subluxation to allow the range of motion back in the muscles. 

 

Conclusion

Hyperextension in the body allows the various muscle groups to extend their full range of motion. When multiple factors or chronic conditions begin to affect the different muscles in the body, it can lead to pain-like symptoms associated with the upper and lower extremities. Fortunately, the combination of exercises and chiropractic care can restore the body and the muscles to relax. In part 2 of this series, we will look at the various hyperextension exercises for low back pain and how they can help increase the body’s range of motion.

 

References

Johnson, G. “Hyperextension Soft Tissue Injuries of the Cervical Spine–a Review.” Journal of Accident & Emergency Medicine, U.S. National Library of Medicine, Jan. 1996, www.ncbi.nlm.nih.gov/pmc/articles/PMC1342595/.

MACNAB, I. “Low Back Pain. the Hyperextension Syndrome.” Canadian Medical Association Journal, U.S. National Library of Medicine, 15 Sept. 1955, www.ncbi.nlm.nih.gov/pmc/articles/PMC1826142/.

Manniche, C, et al. “Intensive Dynamic Back Exercises with or without Hyperextension in Chronic Back Pain after Surgery for Lumbar Disc Protrusion. A Clinical Trial.” Spine, U.S. National Library of Medicine, Apr. 1993, pubmed.ncbi.nlm.nih.gov/8484146/.

Oh, In-Soo, et al. “Pure Hyperextension Injury of the Lower Lumbar Spine with an Ureteral Impingement.” European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, U.S. National Library of Medicine, May 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3641240/.

Disclaimer

Venous Insufficiency: El Paso Back Clinic

Venous Insufficiency: El Paso Back Clinic

Arteries carry blood from the heart to the rest of the body. The veins transport blood back to the heart, and the valves in the veins stop the blood from flowing backward. When the veins have difficulties sending blood from the limbs back to the heart, this is known as venous insufficiency. With this condition, the blood does not flow back properly to the heart, causing blood to accumulate in the veins of the legs. Chiropractic care, therapeutic massage, and functional medicine can increase and improve circulation and help manage symptoms.

Venous Insufficiency: EP Chiropractic Functional Medicine Clinic

Venous Insufficiency

The circulatory system is responsible for transporting blood, oxygen, and nutrients to the cells in the body. This system consists of the heart, arteries, veins, and capillaries. When blood circulation is restricted, it can lead to a buildup of toxins and waste products, which can cause various health problems, including fatigue, muscle cramps, and dizziness. Unhealthy circulation can also contribute to other health conditions like heart disease, stroke, and diabetes. The most common causes of venous insufficiency include:

  • Blood clots
  • Varicose veins
  • A family history of venous insufficiency.
  • Deep vein thrombosis.
  • When forward flow through the veins is obstructed, such as in the case of a blood clot, blood builds up below the clot, which can lead to venous insufficiency.
  • In varicose veins, the valves can be missing or damaged, and blood leaks back through the defective valves.
  • In some cases, weakness in the leg muscles that push blood forward can also contribute to venous insufficiency.
  • Venous insufficiency is more common in women than men and is more likely in adults over 50.

Circulation Symptoms

There are different symptoms associated with unhealthy circulation, and can include:

  • Tingling or numbness in the extremities
  • Cold hands and feet
  • Pain or cramping in the muscles
  • Weakness or fatigue
  • Dizziness or lightheadedness
  • Nausea
  • Shortness of breath
  • Erectile dysfunction

Symptoms of venous insufficiency include:

  • Swelling of the legs or ankles – edema
  • Pain that gets worse when standing and improves when raising the legs.
  • Aching, throbbing, or a feeling of heaviness in the legs.
  • A sense of tightness in the calves.
  • Leg cramps
  • Weak legs
  • Itchy legs
  • Thickening of the skin on the legs or ankles.
  • Skin that is changing color, especially around the ankles
  • Varicose veins
  • Leg ulcers

Diagnosis

A doctor will perform a physical examination and take a complete medical history. They may order imaging tests to locate the source of the problem. These tests may include a venogram or a duplex ultrasound.

Venogram

  • A doctor will insert an intravenous contrast dye into the veins.
  • Contrast dye causes the blood vessels to appear opaque on the X-ray image, which helps the doctor see them on the image.
  • This dye will give the doctor a clear image of the blood vessels.

Duplex Ultrasound

  • A duplex ultrasound tests the speed and direction of blood circulation in the veins.
  • A technician will place gel on the skin and press a small hand-held instrument on and around the area.
  • The instrument uses sound waves that bounce back to a computer and produce images of blood circulation.

Treatment

Treatment will depend on various factors, including the reason for the condition and individual health status and history. Other factors a doctor will consider include:

  • Specific symptoms
  • Age
  • The severity of the condition
  • Medication and/or procedure tolerance

The most common treatment is prescription compression stockings.

  • These special stockings apply pressure on the ankle and lower leg.
  • They help improve blood circulation and reduce leg swelling.
  • Compression stockings come in a range of prescription strengths and lengths.

Strategies

Treatments can include several methods.

Improving Circulation

Chiropractic adjustments and vascular massage therapy on the legs can help improve blood circulation. Massage therapies such as vascular and lymphatic drainage massages aim to increase circulation, improve tissue nutrition, and can benefit patients with varicose veins and chronic venous insufficiency.

  • The technique for lymphatic drainage involves light strokes to move lymph fluid into lymph vessels.
  • The technique used to improve circulation involves short strokes to move blood from the valves to the veins.

However, massage therapy is not for all patients with vein diseases and conditions.

  • Massage therapy is not recommended for patients with advanced-stage vein disease, in which large and bulging veins, ulcerations, and discoloration are present.
  • Massaging the area could cause the weakened veins to burst, worsening the condition.
  • Massage therapy is also unsafe for patients with deep vein thrombosis (DVT), as it could dislodge a clot and cause it to travel.

Medications

Medications may be prescribed. These include:

  • Diuretics – medications that draw extra fluid from the body and are excreted through the kidneys.
  • Anticoagulants – medicines that thin the blood.
  • Pentoxifylline – medicine that helps improve blood circulation.

Surgery

More serious cases may require surgery. A doctor may suggest one of the following surgical procedures:

  • Surgical repair of the veins or valves.
  • Removing the damaged vein.
  • Minimally invasive endoscopic surgery – The surgeon inserts a thin tube with a camera to see and tie off damaged veins.
  • Laser surgery – A treatment that uses laser light to fade or close off damaged veins.
  • Vein bypass – A healthy vein is transplanted from a different body area. Generally used only in the upper thigh and as a last option for severe cases.

Venous Insufficiency: What You Need To Know


References

Annamaraju P, Baradhi KM. Pentoxifylline. [Updated 2022 Sep 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559096/

Chronic venous insufficiency. (n.d.). hopkinsmedicine.org/healthlibrary/conditions/cardiovascular_diseases/chronic_venous_insufficiency_85,P08250/

Evrard-Bras, M et al. “Drainage lymphatique manuel” [Manual lymphatic drainage]. La Revue du praticien vol. 50,11 (2000): 1199-203.

FIELDS, A. “Leg cramps.” California medicine vol. 92,3 (1960): 204-6.

Felty, Cindy L, and Thom W Rooke. “Compression therapy for chronic venous insufficiency.” Seminars in vascular surgery vol. 18,1 (2005): 36-40. doi:10.1053/j.semvascsurg.2004.12.010

Mayo Clinic Staff. (2017). Varicose veins.mayoclinic.org/diseases-conditions/varicose-veins/diagnosis-treatment/drc-20350649

Patel SK, Surowiec SM. Venous Insufficiency. [Updated 2022 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK430975/

Youn, Young Jin, and Juyong Lee. “Chronic venous insufficiency and varicose veins of the lower extremities.” The Korean journal of internal medicine vol. 34,2 (2019): 269-283. doi:10.3904/kjim.2018.230

Why Magnesium Is Important For Your Health? (Part 3)

Why Magnesium Is Important For Your Health? (Part 3)


Introduction

Nowadays, many individuals are incorporating various fruits, vegetables, lean portions of meat, and healthy fats and oils into their diet to get all the vitamins and minerals that their bodies need. The body needs these nutrients biotransformed into energy for the muscles, joints, and vital organs. When normal factors like eating unhealthy foods, not getting enough exercise, and underlying conditions affect the body, it can cause somato-visceral issues that correlate with disorders that push many individuals to feel unwell and miserable. Luckily, some supplements and vitamins like magnesium help with overall health and can reduce the effects of these environmental factors that are causing pain-like symptoms in the body. In this 3-part series, we will look at the impact of magnesium helping the body and what foods contain magnesium. Part 1 looks at how magnesium correlates with heart health. Part 2 looks at how magnesium helps with blood pressure. We refer our patients to certified medical providers that provide many available therapy treatments for individuals suffering from underlying conditions associated with low magnesium levels affecting the body and correlated to many underlying conditions affecting a person’s health and wellness. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis. We accept that education is a marvelous way when asking our providers’ hard-hitting questions at the patient’s request and acknowledgment. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

 

An Overview Of Magnesium

 

Have you been experiencing muscle numbness in different locations in your body? What about muscle cramps or fatigue? Or have you been experiencing issues with your heart? Suppose you have been dealing with these overlapping issues that are affecting not only your body but your overall health. In that case, it could correlate with your body’s low magnesium levels. Studies reveal that this essential supplement is the body’s fourth most abundant cation when it comes to magnesium since it is a co-factor for multiple enzymic reactions. Magnesium helps with cellular energy metabolism, so the muscles and vital organs can function properly and helps replenish intracellular and extracellular water intake. Magnesium helps with the body’s metabolism, but it can also help reduce the effects of chronic conditions affecting the body. 

 

How Magnesium Helps The Body

 

Additional studies reveal that magnesium is important in lowering chronic conditions’ effects on the body. Magnesium could help many individuals dealing with cardiovascular issues or chronic diseases associated with the heart or the muscles surrounding the upper and lower extremities of the body. How can magnesium help with overlapping health disorders that can affect the body? Studies show that taking magnesium can help prevent and treat many common health conditions:

  • Metabolic syndrome
  • Diabetes
  • Headaches
  • Cardiac arrhythmias

Many of these conditions are associated with everyday factors that can affect the body and lead to chronic disorders that can cause pain to the muscles, joints, and vital organs. So, taking magnesium can reduce pre-existing conditions from elevating the body and causing more harm.

 


Magnesium In Food

Biomedical physiologist Alex Jimenez mentions that magnesium supplementation usually causes diarrhea and explains what foods are high in magnesium. Surprisingly, avocados and nuts have a chaulk full of magnesium. One medium avocado has about 60 milligrams of magnesium, while nuts, especially cashews, have approximately 83 milligrams of magnesium. One cup of almonds has about 383 milligrams of magnesium. It also has 1000 milligrams of potassium, which we covered in an earlier video, and around 30 grams of protein. So this is a good snack to break up the cup into about half-cup serving throughout the day and snack on as you’re going. The second one is beans or legumes; for example, one cup of black beans cooked has around 120 milligrams of magnesium. And then wild rice is also a good source of magnesium. So what are the signs of low magnesium? The symptoms of low magnesium are muscle spasms, lethargy, irregular heartbeat, pins and needles in the hands or legs, high blood pressure, and depression. This video was informative for you regarding magnesium, where to find it, and the best supplemental forms to take it in. Thank you again, and tune in next time.


Foods Containing Magnesium

When it comes to taking magnesium, there are many ways to incorporate magnesium into the body’s system. Some people take it in supplemental form, while others eat healthy, nutritious foods with a chaulk full of magnesium to get the recommended amount. Some of the foods that are riched in magnesium include:

  • Dark Chocolate=65 mg of magnesium
  • Avocados=58 mg of magnesium
  • Legumes=120 mg of magnesium
  • Tofu= 35 mg of magnesium

What is great about getting these magnesium riched foods is that they can be in any dishes we consume for breakfast, lunch, and dinner. Incorporating magnesium in a healthy diet can help boost the body’s energy levels and help support the major organs, joints, and muscles from various disorders.

 

Conclusion

Magnesium is an essential supplement that the body needs to boost energy levels and help reduce the effects of pain-like symptoms that can cause dysfunction in the body. Whether it is in supplemental form or eating it in healthy dishes, magnesium is an important supplement that the body needs to function properly.

 

References

Fiorentini, Diana, et al. “Magnesium: Biochemistry, Nutrition, Detection, and Social Impact of Diseases Linked to Its Deficiency.” Nutrients, U.S. National Library of Medicine, 30 Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8065437/.

Schwalfenberg, Gerry K, and Stephen J Genuis. “The Importance of Magnesium in Clinical Healthcare.” Scientifica, U.S. National Library of Medicine, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5637834/.

Vormann, Jürgen. “Magnesium: Nutrition and Homoeostasis.” AIMS Public Health, U.S. National Library of Medicine, 23 May 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5690358/.

Disclaimer

Foods That Help Maintain Flexibility: El Paso Back Clinic

Foods That Help Maintain Flexibility: El Paso Back Clinic

Having and maintaining flexibility in the joints depends on the connective tissues surrounding the muscles. Proper lubrication in the connective tissues enables the fibers to slide over one another easily. Naturally occurring proteins collagen and elastin are key components of connective tissue that provide strength and elasticity. The more elastic the connective tissue, the more flexibility around the joint. If it is becoming difficult to stretch out or there is chronic stiffness and tightness, there are foods that help maintain flexibility and enhance overall health.

Foods That Help Maintain Flexibility: EP Chiropractic Clinic

Foods That Help Maintain Flexibility

Joint flexibility means functioning connective tissues that join the skeleton and muscles and the ability of different body parts to extend and complete motions. Connecting tissues assists with movement and stabilization. These issues include:

Ligaments

  • Ligaments can be band-shaped or string-shaped collagen fibers that connect bones.

Tendons

  • Tendons are similar to ligaments and are band or string shaped but connect muscles to the bones.

Fascia

  • Fascia is a densely woven mesh that wraps around the blood vessels, bones, muscles, organs, and nerves.

Flexibility keeps the muscles active and mobile as they are necessary for daily physical activities. When these tissues become stiff from inactivity or an unhealthy diet, it limits the body’s range of movement and increases the risk of injury. Stretching improves flexibility, and adding foods to a nutrition plan will help maintain limberness.

Nutrition

A nutrition plan full of vitamins, minerals, and antioxidants will nourish connecting tissues and cells and increase collagen production. Foods rich in essential fatty acids/EFAs, vitamin C, sulfur, and water will promote healthy connective tissue for enhanced flexibility.

Fatty Acids

  • Essential fatty acids include omega-3 and omega-6, primarily found in fish, flax seeds, and liquid oils.
  • These fatty acids are essential because they cannot be made in the body.
  • Foods like fatty fish, flax seeds, walnuts, or supplements, can help achieve the proper ratio.
  • For individuals not too keen on fish, consider omega-3 supplements.

Collagen

  • Collagen is the main protein from connective tissue, and vitamin C is essential for collagen production.
  • Vitamin C-rich foods – oranges, bell peppers, broccoli, strawberries, tomatoes, leafy green vegetables, raspberries, pineapple, cruciferous vegetables, parsley, and watermelon.
  • Make various smoothie recipes for breakfast or an afternoon snack.
  • For increased protein synthesis, add branched-chain amino acids.

Sulfur

  • Sulfur helps maintain the flexible bonds in connective tissues.
  • Animal proteins that provide sulfur include fish, poultry, beef, and eggs.
  • Vegetable sources include Brussels sprouts, cabbage, broccoli, cauliflower, onions, and garlic.

Hydration

Water is not considered food as it contains no calories, but it is vital as it makes up 76 percent of the muscles. A high percentage of water content is the key to muscle elasticity. When the body is dehydrated, it holds onto water, causing fluid retention and stiffness. The more the muscles stay dehydrated, the more they have trouble recovering from physical activities, fatigue levels increase, the range of motion decreases, and the risk of injury increases. Don’t wait until you are thirsty. Stay hydrated throughout the day to keep the joints lubricated and energy levels high.

Fruits high in water include:

  • Strawberries
  • Watermelon
  • Cantaloupe
  • Peaches
  • Grapefruit
  • Pineapple
  • Apples
  • Pears

Vegetables high in water include:

  • Cucumber
  • Lettuce
  • Zucchini
  • Celery
  • Eggplant

Limit Salt and Sugar Intake

  • Processed foods tend to have a high salt content.
  • Too much salt causes the joints to swell as the body retains fluid.
  •  Keeping sugar intake low is important in enhancing flexibility.
  • This is because sugar breaks down the collagen in the skin and connective tissues.
  • This means avoiding processed foods, ready meals, and junk food.

Flexibility can be improved by eliminating foods that destroy collagen, focusing on foods that reduce insulin spikes, and maintaining hydration in the connective tissues. A nutritionist can develop a personalized nutrition plan for optimal neuromusculoskeletal health.


Foods That Help Maintain Flexibility


References

Beba, Mohammad et al. “The effect of curcumin supplementation on delayed-onset muscle soreness, inflammation, muscle strength, and joint flexibility: A systematic review and dose-response meta-analysis of randomized controlled trials.” Phytotherapy research: PTR vol. 36,7 (2022): 2767-2778. doi:10.1002/ptr.7477

Kviatkovsky, Shiloah A et al. “Collagen peptide supplementation for pain and function: is it effective?.” Current opinion in clinical nutrition and metabolic care vol. 25,6 (2022): 401-406. doi:10.1097/MCO.0000000000000870

MacKay, Douglas, and Alan L Miller. “Nutritional support for wound healing.” Alternative medicine review: a journal of clinical therapeutic vol. 8,4 (2003): 359-77.

Shaw, Gregory, et al. “Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis.” The American journal of clinical nutrition vol. 105,1 (2017): 136-143. doi:10.3945/ajcn.116.138594

Zdzieblik, Denise, et al. “Improvement of activity-related knee joint discomfort following supplementation of specific collagen peptides.” Applied physiology, nutrition, and metabolism = Physiologie applique, nutrition et metabolism vol. 42,6 (2017): 588-595. doi:10.1139/apnm-2016-0390

Rodeo Training: El Paso Back Clinic

Rodeo Training: El Paso Back Clinic

Rodeo Training: Rodeo has become a sport that is now open to anyone, and there are even programs for weekend warriors. Like all sports, it can offer a rewarding experience but can be dangerous. As the sport grows, individuals and spectators realize the importance of being strong, mobile, and durable. Individuals need to assess their health and ability and be in top shape due to the demands this sport places on the body. Here we look at the muscle groups needed in this sport.

Rodeo Training: EP Chiropractic Functional Health Clinic

Rodeo Training

Fitness has always had a place in rodeo and all equine sports, but it wasn’t paid much attention. Professional rodeo instructors recommend incorporating a strength, conditioning, and personal training regimen, to keep rodeo athletes, including bull riders, steer wrestlers, and calf ropers, in top form. Even for weekend warriors and hobbyists, increasing strength and mobility will make the hobby much more enjoyable.

Body Strength

The core strength of the abdominals and lower back is very important. The connection between the upper and lower body and groin strength has to be strong for the athletes to stay on the animal and control their bodies as the animal runs, shifts, and jumps. The focus should be on every muscle needed to move with proper form and control and learning how your body moves.

Upper Body

Scapula Stabilizers

  • These muscles help control the shoulder blade and maintain a healthy posture.
  • These muscles aid the rotator cuff and deltoid muscles to upwardly or downwardly rotate the shoulder blade/scapula while the shoulder joint/arm is moving overhead, behind the back, or reaching away from the trunk.
  • Strengthening these muscle groups prevents the rounding of the shoulders and provides strength when dealing with a strong animal.
  • Roughstock riders use these muscles to maintain pressure when lifting their rigging, reign, or rope while maintaining a square posture.

Back and Spine Muscles

  • The Erector Spinae Group and Quadratus Lumborum muscles play an intricate role in coordinating movement between the upper, core, and lower body.
  • These muscles support stabilization, rotation, and side flexion of the spine, which is very important when positioning in a saddle.
  • If the balance is shifting, these muscles help the body recover quickly.

Chest Muscles

  • This group is known as Pectoralis Major and Minor.
  • This muscle group needs strengthening, but it is equally important to ensure they’re flexible throughout the chest.
  • Many individuals have strong chest muscles, but there may be an imbalance of strength and flexibility, causing unhealthy posture.
  • The spine and stabilizer muscles cannot work to maintain proper posture or stabilize if the chest muscles are too tight.
  • The focus is maintaining balance in the chest’s mobility while ensuring they are strong enough to handle the force.

Core

Abdominal Muscles

  • Four major groups comprise the abdominal muscle group, including the rectus abdominis, internal and external oblique, and transversus abdominis.
  • These muscles work together with the spine and back muscles to help create core stability.
  • Core strength is not as important as core stability in rodeo sports.
  • The core fundamentals of riding require the hips, pelvis, and low back to move with the animal.
  • These muscles coordinate with each other to produce stability.
  • Focusing only on strength causes rigid or stiff riding.
  • Being excessively rigid through the abdominals and back muscles prevents shock absorption and can lead to lower back symptoms.

Lower Body

Hip Adductors

  • These inner thigh muscles include the gracilis, obturator externus, adductor brevis, longus, and magnus.
  • These muscles should typically be the strongest because of their natural riding use.
  • Problems with these muscles happen because the athletes generally don’t ride horses recreationally and don’t know how to strengthen them.
  • This leads to various injuries throughout the pelvic floor and hips.
  • Balance is required as the muscles can be too weak or too strong.
  • Where riders begin to depend/rely too much on them can lead to imbalances with the upper and lower body muscles.
  • Too much use/gripping with the adductors can lead to over-rotation of the hip, resulting in the toes-out walking gait and musculoskeletal issues.

Hip Abductors

  • The outer thigh/hip muscles are the gluteus medius, gluteus minimus, and tensor fasciae latae/TFL.
  • They move the leg away from the body and help rotate at the hip joint.
  • The abductors are necessary for staying stable when walking or standing on one leg.
  • They help stabilize the hip and pelvis and maintain proper leg alignment, allowing correct leg movements without excessive shifting in the saddle.
  • Sitting in the saddle with more pressure on one side or leaning to one side when jumping will cause an imbalance in the hip abductors.

Hip Extensors

  • These are the posterior/back and hip/thigh muscles and are made up of the gluteus maximus and the hamstrings.
  • These are the most powerful muscles in the body and are responsible for giving the horse the cues to perform what they need to.
  • Strong hamstrings and glutes allow the rider to exert appropriate pressure through the legs to move the horse from a walk, trot, lope, run, and direction change.
  • The gluteus maximus acts as a buffer between the hamstrings and the lower back muscles.
  • Weakened gluteus maximus muscles can cause tight hamstrings that shift the pelvis and begin pulling on the low back muscles.
  • Building strength and mobility throughout the hip extensors will prevent injury.

Understanding which muscles are responsible for each part of the movements needed to compete in this sport is essential. However, rodeo sports are learned by doing, and it is recommended to go to a rodeo school or rodeo clinics as there is no substitute for experience. Some schools hold numerous classes around the country. These are usually taught by championship athletes and are a great way to try rodeo in a safe and controlled learning environment.


Rodeo Training: What It Takes


References

Meyers, Michael C, and C Matthew Laurent Jr. “The rodeo athlete: injuries – Part II.” Sports medicine (Auckland, N.Z.) vol. 40,10 (2010): 817-39. doi:10.2165/11535330-000000000-00000

Sinclair Elder, Amanda J, and Rachel Tincknell. “Epidemiology of Hip Injuries in Professional Rodeo: A 4-Year Analysis.” Orthopedic journal of sports medicine vol. 8,10 2325967120959321. 27 Oct. 2020, doi:10.1177/2325967120959321

Sinclair, Amanda J, and Jack W Ransone. “Physical activity and its relationship to rodeo injury and success.” Journal of strength and conditioning research vol. 18,4 (2004): 873-7. doi:10.1519/14623.1

Watts, Melinda, et al. “Characteristics of Injury in Collegiate Rodeo.” Clinical journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 32,2 (2022): e145-e150. doi:10.1097/JSM.0000000000000904

Why Magnesium Is Important For Blood Pressure? (Part 2)

Why Magnesium Is Important For Blood Pressure? (Part 2)


Introduction

Many athletes that do an intense workout will start losing their water intake through sweat and find ways to replenish their intracellular and extracellular levels by consuming electrolytes. Many methods can be done by consuming hydrated foods that provide nutrients for the intra-and extracellular levels or incorporating vitamins and minerals to reduce excess water intake and keep the cellular levels balanced. However, everyday factors such as elevated high blood pressure or chronic stress can cause the body to develop pain-like symptoms that can affect the body’s vital organs, muscles, and joints. One of the supplements that can help reduce the effects of high blood pressure is magnesium. In this 3-part series, we will look at how magnesium helps with blood pressure, how blood pressure affects the body, and the effects magnesium has on blood pressure. Part 1 looked at how magnesium corresponds with heart health. Part 3 looks at different foods that contain magnesium and improve overall health. We refer our patients to certified providers that consolidate many available treatments for many individuals suffering from low magnesium levels affecting the body and correlated to high blood pressure that affects the cardiovascular system. We encourage each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

 

Magnesium & Blood Pressure

 

Have you been dealing with unexplainable chest pains? What about experiencing high blood pressure from everyday stress? Or have you been dealing with heart issues? Many of these issues are correlated with cardiovascular disorders associated with low magnesium levels in the body. Now studies reveal that magnesium has several functions for the body as it is a co-factor to more than 300 enzymes in the body and has an important role. Magnesium’s properties in the body are that it helps with muscle contraction and neuromuscular conditioning, regulates glycemic control, and maintains normal blood pressure. To that point, consuming foods riched in magnesium or taking it in supplement form can help the body retain healthy hormones and replenish cellular levels from affecting the human body. However, many individuals don’t often consume the recommended amount of magnesium, leading to magnesium deficiency and causing many issues. Additional studies reveal that inadequate magnesium absorption can lead to potential risk factors that can affect the muscles, joints, and vital organs and cause an increase in blood pressure maintenance.

 

How Does Blood Pressure Affect The Body?

 

When the body is in motion, the systolic valves from the heart begin to pump blood to be transported throughout the body and allow the various muscle groups to work properly. However, many factors come into play and can become unnoticeable if not found and treated immediately. Studies reveal that the body can regulate blood pressure in the host when needed. This can vary from when a person is at a resting state or active state. The body is relaxed, and the blood pressure is low at a resting state. In an active state, the blood pressure is increased, and the body allows the blood flow to go into the muscles that need more blood intake. Now, what about if an individual is experiencing health issues and is experiencing high blood pressure? It can affect the body by increasing the risk of health problems and damaging blood vessels. Additional studies mentioned that hypertension combined with correlating factors could contribute to the development of cardiovascular disorders associated with low magnesium levels. So incorporating magnesium into the body can help reduce the related symptoms caused by elevated blood pressure can help lower the effects it has on the body and help reduce the symptoms. 

 


A Look Into Magnesium

Biomedical physiologist Alex Jimenez mentions that magnesium also helps regulate our stress levels by decreasing the ex expectation of neurons. So that means that neurons aren’t going to fire as much. So when you want as jittery, you won’t be awake as much, and it helps relax you overall. Finally, it helps increase vasodilation, which can, in turn, decrease blood pressure. So how much magnesium do we need? Recommend a dietary allowance or the RDA 400 milligrams of magnesium. However, we recommend starting at a lower dose, around 200 milligrams, to figure out how sensitive you are to magnesium. The best form to get four magnesium if you’re going to be supplementing with it is magnesium, bis-glycinate, or magnesium glycinate. This form of magnesium doesn’t draw water very heavily, and it also has a high bioavailability. So that means it can absorb very, very well without giving you the side effects of magnesium supplementation, which are usually diarrhea. So what foods are high in magnesium? The first one is avocados. One medium avocado has around 60 milligrams of magnesium. Nuts, specifically cashews. So one ounce of cashews has about 83 milligrams of magnesium.


The Effects Of Taking Magnesium For Blood Pressure

 

As stated in Part 1, magnesium is the fourth most abundant cation. It is an essential supplement to help hydrate the body’s intracellular water intake. It plays a huge role in the body’s metabolism, allowing cardiac excitability for the heart to regulate blood pressure. So what are the effects of taking magnesium to control blood pressure for the cardiovascular system? Studies reveal that when dealing with high blood pressure, taking magnesium orally can help reduce the intracellular calcium and sodium levels that contribute to the effects of hypertension (high blood pressure). Taking magnesium in supplemental form can even help many individuals when combined with anti-hypertensive medications to lower high blood pressure. Additional studies also reveal that when older adults take magnesium as part of their daily supplemental intake, their intestinal tract helps biotransform magnesium to help regulate the intracellular cell cycle and ensure that hormone secretion is leveled. 

 

Conclusion

When it comes to an active body, the heart makes sure that the blood is pumping to each muscle group and that the heart is functioning. When various everyday factors pile up on the host, it can lead to hypertension associated with other cardiovascular disorders. Taking magnesium in food or supplemental form can help regulate blood pressure in the body and help lower the risk of underlying conditions caused by elevated high blood pressure. Taking magnesium alone can only go so far unless combined with exercise and available treatments that can reduce the chances of high blood pressure increase in the body. In Part 3, we will look at foods containing magnesium that improve overall health.

 

References

Al Alawi, Abdullah M, et al. “Magnesium and Human Health: Perspectives and Research Directions.” International Journal of Endocrinology, U.S. National Library of Medicine, 16 Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5926493/.

Dominguez, Ligia, et al. “Magnesium and Hypertension in Old Age.” Nutrients, U.S. National Library of Medicine, 31 Dec. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7823889/.

InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. High blood pressure: Overview. 2012 May 21 [Updated 2019 May 23]. Available from: www.ncbi.nlm.nih.gov/books/NBK279239/

Houston, Mark. “The Role of Magnesium in Hypertension and Cardiovascular Disease.” Journal of Clinical Hypertension (Greenwich, Conn.), U.S. National Library of Medicine, Nov. 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC8108907/.

Iqbal, Arshad Muhammad, and Syed F Jamal. “Essential Hypertension – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK539859/.

Razzaque, Mohammed S. “Magnesium: Are We Consuming Enough?” Nutrients, U.S. National Library of Medicine, 2 Dec. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6316205/.

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