Optimal Spine and Back Health with PUSH as Rx Fitness & Athletic Training pushes the barriers of average gyms. We believe in committing to change your lifestyle. Blending Crossfit and Personal Training, we can tailor-make workouts that are very specific and individualized to everyone, no matter what shape they’re in.
PUSH as Rx also offers strength and conditioning programs, which improve the athletic ability of kids and teams of any sport at any age. PUSH Kids program uses a combination of skill practice, workouts, and games to build strength and condition children. Our classes include gymnastics, weight lifting, bodyweight movements, running, jump rope, and more.
We are here to support your physical transformation and are happy to steer you in the right direction. We offer nutritional coaching to help our members learn how to fuel their bodies properly. Count on us to design a program to keep you on track and to motivate you every step of the way.
Massage Before or After Workout: Timing for Better Results and Pairing with Chiropractic at El Paso Back Clinic
Staying active with workouts keeps you feeling strong and energized. But sometimes, exercise leads to tight muscles or minor aches in the back or legs. A professional massage can help fix that. Before a workout, a gentle massage increases blood flow and makes moving easier. After a workout, it cuts down soreness and helps you unwind. Just don’t do deep tissue right before exercising—it might leave muscles feeling a bit weak for a short time.
At El Paso Back Clinic®, pairing massage with chiropractic care makes everything work even better. Chiropractors adjust your spine and joints to boost movement and flexibility and ease everyday discomforts. This combo leads to longer-lasting relief and smoother recovery. This article explains how to time your massages around workouts, the benefits of each, and how to get started at a place like El Paso Back Clinic® in El Paso, TX. You’ll also learn from Dr. Alex Jimenez, who uses smart, team-based care for active people.
How Massage Supports Your Active Lifestyle
Massage therapy uses simple rubs and presses to relax muscles and improve your feeling. It’s perfect for anyone who walks, runs, or lifts weights. Exercise makes muscles work hard, which can cause tightness. Massage boosts blood flow to bring fresh oxygen and remove waste, helping you recover faster (Northwich Foot Clinic, n.d.). Research shows it can reduce soreness by up to 30% after a tough session (Verywell Fit, 2023).
Choose the right type: Swedish for gentle calm, sports for targeted help, or deep tissue for stubborn spots—but save that for non-workout days. Studies prove it improves motion and eases stiffness (PureGym, n.d.). For folks in El Paso staying fit, getting the timing right keeps you going strong without extra aches.
Pre-Workout Massage: Warm Up Smart
Starting with a massage before exercise preps your body perfectly. It ramps up blood flow so muscles get more oxygen, letting you move better and stronger (One Peloton, n.d.). This lowers the chance of strains during runs or lifts.
Plus, it boosts flexibility. Light strokes loosen up areas like your lower back or thighs for smoother steps (Marathon Handbook, n.d.). It even calms your mind, cutting stress for better focus (Northwich Foot Clinic, n.d.). Keep it to 10-15 minutes of easy work. Evidence backs this: better range and less tightness (PureGym, n.d.).
If you’re aiming to feel ready and loose, try it before gym time. Local runners or weight trainers in El Paso often use it for legs and back.
Booking a Pre-Workout Massage at El Paso Back Clinic®
At El Paso Back Clinic®, licensed therapists make it simple. Call +1-915-850-0900 or book online at www.elpasobackclinic.com. Tell them it’s for workout prep—they’ll use light techniques on key spots like the back, legs, or arms.
Sessions last 30 minutes and cost $50-$80. You’ll relax on a table with oils for smooth strokes. Drink water afterward, then hit your workout. Share any tight areas so they can focus safely. Locations like 11860 Vista Del Sol Dr make it easy to stop by.
Post-Workout Massage: Bounce Back Quick
After your session, a massage is key for recovery. It clears out muscle waste, easing that delayed soreness (Verywell Fit, 2023). Studies show less pain and quicker strength return (Marathon Handbook, n.d.).
It also relaxes your nerves for deeper sleep and less tension (One Peloton, n.d.). Go for Swedish with soothing strokes (Verywell Fit, 2023). Schedule 24-48 hours after intense workouts (Prime Massage Chairs, n.d.). It aids rehab by softening scar tissue (Thai Kosai, n.d.).
Ideal for post-run or lift recovery—get back to feeling great sooner.
Getting a Post-Workout Massage at El Paso Back Clinic
El Paso Back Clinic® pros handle recovery sessions. Book via phone or site, sharing your workout and sore spots. 45-60 minute treatments cost $60-$100 at spots like 6440 Gateway East.
Breathe easily on the table as they target tightness. Hydrate and rest after—no heavy moves right away. Their team ensures you leave refreshed.
Don’t Do Deep Tissue Before Workouts
Deep tissue massages are great for deep knots but can temporarily decrease muscle power (Delta VAC, 2025). They also slow speed and strength (Marathon Handbook, n.d.). It is advisable to reserve deep tissue massages for rest days and allow 24 hours before engaging in weightlifting (Delta VAC, 2025).
Stick to light pre-workout rubs. If drained, switch timing.
Pick Based on What You Want
Prep and flexibility? Pre-massage. Soreness relief? Post. Many do both weekly (Quora, n.d.). Runners prep legs pre-race; lifters recover post-set (Thai Kosai, n.d.). Test for your routine.
Chiropractic Care: Fix Alignment for Easy Movement
At El Paso Back Clinic®, chiropractic adjusts the spine and joints for better flow. It improves mobility and flexibility and reduces aches (Neu Life Chiropractic, n.d.). About 20% of active adults use it for back or leg issues (Islip Chiropractic, n.d.).
Boosts blood for healing (Hanson Chiropractic, n.d.). Solves root problems for smoother workouts.
Massage + Chiropractic: Team Up for Real Relief
Massage softens muscles; chiropractic aligns bones. Together, better flow, less pain, more motion (Maverick Chiropractic, n.d.). Massage first prepares the body for adjustments, which are then locked in afterward (The Joint, 2025).
Speeds healing, stops issues, and ups performance (ChiroSports USA, n.d.). Research shows faster relief and a wider range (Yoder Chiropractic Center, n.d.). Perfect for an active El Paso life.
Dr. Alex Jimenez’s Team Approach at El Paso Back Clinic®
Dr. Alex Jimenez, DC, APRN, FNP-BC, leads El Paso Back Clinic®, which has been blending chiropractic and nurse care for 30+ years (Jimenez, n.d.a). His team treats workout tweaks, daily strains, sports hits, work injuries, and auto accidents.
He links muscle, bone, and nerve issues. Dual checks—adjustments plus full health scans—find causes like stress or diet (Jimenez, n.d.b). Non-surgical fixes include decompression, acupuncture, and rehab exercises.
For back tweaks from lifts, massage loosens, and adjustments align. Team therapies cut inflammation in auto whiplash. Advanced imaging spots nerve pinches exactly.
They handle medical care and legal documents for claims. Patients gain strength and less pain via custom plans. Their focus is natural healing for all ages.
Dr. Jimenez’s Clinical Insights on Active Recovery
Dr. Jimenez sees injury ties: workouts strain the spine, causing leg aches if unchecked. Dual diagnosis uses exams, labs, and MRIs for full views—like disc issues from poor form.
Treatments: pre-massage for adjustments, post for hold. Sports cases add agility drills; work strains build core. Documentation smooths insurance.
This method shortens downtime and boosts daily ease in El Paso.
Your Routine at El Paso Back Clinic®
Start weekly massages. Add monthly chiropractic if your muscles are tight. Track energy and soreness. Clinic coaches tailor plans for nutrition and stretches.
Virtual options are available. Call 915-850-0900 to begin.
Conclusion
The timing for massages is as follows: use pre-workout massages for warm-up and post-workout massages for healing. Skip deep pre-workout massages. Chiropractic at El Paso Back Clinic® adds alignment for pain-free moves. Dr. Jimenez’s integrated care keeps you thriving. Add this to stay active and strong.
Understanding Core Overtraining Injuries: Wellness Strategies and Chiropractic Solutions at El Paso Back Clinic
A man is training in a gym to build strong and healthy muscles.
Pushing your core muscles too far without proper rest can create big issues for your overall health, especially your back. At El Paso Back Clinic® in El Paso, TX, we specialize in wellness chiropractic care that helps people recover from these problems and stay strong. Core overtraining affects the muscles around your midsection, which support your spine and daily movements. This article breaks down the injuries that can happen, why they occur, ways to stop them, and how our chiropractic methods provide relief. We focus on natural wellness to keep your back and body in balance.
The Role of Core Muscles in Back Health and Overtraining Basics
Your core is like the foundation of a house—it holds everything together. It includes muscles in your stomach, sides, lower back, and hips. These help with bending, twisting, and standing straight. When you overtrain, you repeat exercises like sit-ups or lifts too much, without breaks. This wears down tissues faster than they can heal. Wellness experts note that this leads to lasting soreness, reduced energy, and risks to your spine.
At our clinic, we treat many cases where core issues cause back pain. Overtraining disrupts the natural alignment, pulling on the back. Science shows repetitive stress changes how muscles and bones work together, leading to problems.
Everyday Muscle Strains from Pushing the Core Too Hard
Strains are pulls or small tears in muscles. They are common when the core gets overworked and can’t support the body well.
Strains Around the Groin
These happen in the inner thigh muscles tied to the core. Quick stops and starts in activities like hiking or playing kickball can trigger them. If the core is weak from too much training, it adds extra pull. You feel a sudden sharp pain, maybe see bruising, and have trouble moving your legs inward. In the back, this strain can tug on the lower spine, causing aches there too.
Strains in the Stomach Area
Abdominal strains come from forceful turns, like swinging a racket or carrying heavy bags. Overdoing core workouts builds up damage over time. Pain hits when you tense up or laugh, and the area feels sore to the touch. This connects to back health because weak abs force the back muscles to overcompensate, leading to stiffness.
Problems with Hip Flexors
These muscles help raise your legs and link directly to the core. Running uphill or doing too many leg raises without rest inflames them. Symptoms include a tight feeling in the front of the hip and pain when stepping up. Poor core balance makes the back arch unnatural, adding pressure.
Our wellness approach at El Paso Back Clinic uses gentle checks to find these strains early and guide healing without harsh methods.
Deeper Issues: Fractures and Bone Stress from Core Overuse
When overtraining goes on, it can harm bones, which support the core and back.
Fractures in the Ribs
Rib stress fractures are tiny breaks from constant tugging by core muscles. This shows up in paddling sports or even heavy coughing fits from overuse. The muscles contract hard, stressing the bone until it cracks. Pain sharpens with deep breaths or twists, and it can feel tender. Since ribs protect the upper back area, this injury often leads to posture problems and back discomfort.
Other Stress Fractures
These small cracks appear in weight-bearing bones like the pelvis or lower spine from ongoing impact. Walkers or dancers who ignore rest will experience issues when bone repair lags behind damage. Early signs are dull aches that worsen with activity. In young active people, it might involve cartilage issues, too. Back clinic patients often report these symptoms linked to core weakness, causing spinal instability.
Healing takes rest, but our chiropractic wellness plans speed it up safely.
Extra Effects Like Ongoing Pain, Loss of Power, and Stiffness
Overtraining doesn’t stop at big injuries—it brings smaller but nagging problems.
Lasting Pain and Rigid Muscles
You might wake up stiff or feel constant soreness in the core. This spreads to the back, making sitting or standing tough. It’s a sign the body is inflamed and needs recovery time.
Weaker Muscles Overall
Tired core muscles can’t hold strong, leading to drops in power. One side might become too tight while the other weakens, throwing off balance. This imbalance pulls on the back, increasing the risk of slips or strains during daily tasks.
Tight Spots in the Legs and Sides
Muscles like the back of the thighs (hamstrings) or the outer thigh band (IT band) tighten to make up for a worn-out core. This causes knee or hip issues that refer pain to the lower back. Wellness care addresses these chains of problems.
Signs also include getting sick more or feeling down, as the body fights overload.
How These Injuries Develop and What Increases the Risk
Injuries build from too much activity without balance. Body mechanics play a part—bad posture during exercises adds uneven stress. Muscles need time to fix small wear, but skipping rest lets damage grow.
In jobs with lifting or sports with jumps, core pulls transfer to bones. Poor shoes or low nutrients weaken things further. At our back clinic, we look at the whole picture, including how back alignment affects core strain.
Smart Ways to Avoid Core Overtraining Problems
Wellness starts with prevention. Ramp up workouts slowly, adding just a bit more each week. Switch activities to give muscles variety. Take full rest days and stretch gently.
Eat foods rich in vitamins for strong bones, and use supportive gear. Pay attention to body signals like unusual tiredness. Our clinic offers wellness checks to catch risks early.
Chiropractic Wellness Care for Healing Core Injuries
At El Paso Back Clinic, we use integrated chiropractic to resolve core issues and boost back health.
Adjustments to the Spine
These hands-on moves realign the back, easing nerve pressure and helping muscles relax. It improves how the core and back communicate, reducing pain fast.
Therapies for Soft Tissues
Massage-like techniques release tight spots, increase blood flow, and calm inflammation. This works well for strains and stiffness.
Our methods treat current pain while building wellness to avoid repeats. They enhance flexibility, strength, and nerve health for long-term back care.
Expertise from Dr. Alexander Jimenez at El Paso Back Clinic
Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads our wellness efforts with deep knowledge in chiropractic science.
Linking Injuries to Patient Histories
He connects core overtraining to back pain through detailed stories, exams, and imaging. For instance, work lifts or sports twists can lead to patterns in muscle and nerve issues.
Diagnosis with Dual Expertise
Using his skills as a nurse practitioner and chiropractor, he does thorough assessments. Advanced scans reveal hidden bone or tissue problems in core areas.
Step-by-Step Treatments
Procedures include spine adjustments, tissue work, and guided exercises. For sports or personal injuries, he adds strength training. In car accidents, focus is on impact-related core and back strains.
Care for Medical and Legal Needs
The clinic manages full treatment plans, including reports for insurance or court in injury cases. This covers work, auto, or everyday accidents with clear documentation.
Dr. Jimenez promotes education on wellness to empower patients.
Bringing It All Together for Better Health
Core overtraining brings strains, fractures, pain, and imbalances that hit the back hard. Prevention through smart habits and chiropractic care keeps you moving well. At El Paso Back Clinic®, our wellness focus helps restore balance naturally.
Sport-Specific Training & Chiropractic in Back Injury Recovery
Introduction
Back injuries—whether from sports, auto accidents, work accidents, or daily strain—present a unique challenge. The spine supports nearly every movement, and when it’s compromised, strength, mobility, and balance suffer. For patients at a clinic offering advanced back care (like El Paso Back Clinic), the integration of sport-specific training with chiropractic and integrative modalities offers a powerful path toward recovery and long-term resilience.
Sport-specific training—customized drills that focus on strength, agility, and coordination—can rebuild function in a way that general rehabilitation often cannot. Paired with structural alignment, nerve health, soft tissue healing, and holistic support, this combination helps patients achieve more than just pain relief. They regain strength, flexibility, and control.
In this article, we will:
Define sport-specific training and its essential components
Show how it applies in a back-injury or spinal-rehab setting
Explain how chiropractic and integrative care complement and enhance outcomes
Illustrate how a multidisciplinary spinal/rehab clinic (such as El Paso Back Clinic) can deploy these strategies for complex cases
What Is Sport-Specific Training?
Sport-specific training consists of exercises and drills designed to mimic or approximate the demands of a particular sport or movement pattern. Rather than simply engaging in general strength training or cardio, the athlete (or rehab patient) practices movements that simulate the activities they actually perform in their sport (or daily life). (Simplifaster, 2023)
For example:
A soccer player might do cone drills, direction changes, and sprint cuts.
A basketball player might do jump-rebound drills, lateral slides, and shot motion under fatigue.
A person recovering from a back injury who intends to return to recreational tennis may benefit from training rotational core stability, hip control, and deceleration drills.
The principle is to condition not just muscles, but neuromuscular coordination, timing, balance, and movement patterns under stress. (Island Sports PT, 2024)
Core Elements of Sport-Specific Training
Strength & Conditioning Focused strength work for sports-relevant muscles. For instance, rotational core strength, hip extensors, and glutes are often critical, especially when the spine is recovering from injury. (Kinetics Performance, 2024)
Power/Explosive Work Plyometric movements, medicine-ball throws, jump training. These train fast-twitch fibers and increase force production. (Keiser, 2024; Physio Jersey, 2024)
Speed, Agility & Quickness Drills with cones, agility ladders, reaction tasks, shuttle runs—all aimed at improving the ability to change direction and speed efficiently. (Sensory Stepping Stones, 2024; Rockstar Academy, 2024)
Endurance/Conditioning Many sports or daily activities require sustained effort. Interval training, circuits, or sport-like conditioning help build stamina. (Adrenaline SPT, 2024)
Skill/Technical Drills Repetition of sport-specific moves—shooting in basketball, footwork in soccer, and throwing motion in baseball. (Island Sports PT, 2024)
Balance, Coordination & Core Stability Single-leg work, balance boards, unstable surfaces, control drills—all to enhance proprioception and stability (TRX Training, 2024).
Adapting Sport-Specific Training in Back Injury/Spinal Rehab
When someone has a back injury, it is not advisable to immediately engage in high-intensity sports drills. The approach must be staged, cautious, and progress gradually. Sport-specific training in this context helps by:
Rebuilding movement patterns in a safe, graduated way
Restoring control under load so that the spine can handle complex tasks
Bridging rehabilitation and performance so patients return stronger
Preventing reinjury by conditioning neuromuscular systems for the true demands of sport
Direction change, agility, weighted movement pattern mimicry
Maintain spinal control, avoid jerky motion
Performance/Return
Full sport drills, high intensity
Cutting, jumping, sprinting, full-range sport tasks
Ensure readiness, maintain recovery support
By layering work progressively, the spine adapts, and the patient regains confidence in movement.
Why Combine Chiropractic & Integrative Care?
Sport-specific training alone is powerful—but when combined with structural and holistic care, the results are far more robust. Particularly for back injuries, the spine, nerves, musculature, and soft tissues must all work in harmony.
1. Structural & Joint Alignment
Spinal misalignments or restricted joints (“subluxations” or hypomobilities) can alter loading patterns, leading to compensations that result in pain or injury. Chiropractic adjustments and mobilizations restore joint mechanics, which help patterns in training translate cleanly into movement (El Paso Back Clinic focus) (ElPasoBackClinic.com, 2024).
2. Soft Tissue Healing & Function
After injury, muscles, ligaments, and fascia often stiffen, scar, or become restricted. Therapies such as myofascial release, instrument-assisted soft tissue techniques, or therapeutic massage break up adhesions, improve circulation, and restore elasticity. This allows better movement and reduces the risk of overuse.
3. Nervous System & Proprioception
The spine is intimately linked to the nervous system. When spinal alignment and joint function are optimal, nerve signals travel more freely, which improves balance, reaction time, coordination, and fine motor control. Chiropractic care supports this neural integrity.
4. Pain Modulation & Inflammation
Manual therapies, acupuncture, electrotherapy, or low-level laser may reduce local inflammation, modulate pain, and speed recovery—allowing patients to train more consistently.
5. Systemic & Functional Health
Recovery is not just local—nutrition, hormonal balance, sleep, metabolic health, and inflammation status all impact tissue healing. Integrative methods (functional medicine, nutritional support, lifestyle modification) optimize these systemic factors, enabling better regeneration.
How El Paso Back Clinic Can Implement This Model
El Paso Back Clinic, as stated in its mission, provides care for back injuries, sports wellness, rehabilitative protocols, chiropractic services, functional medicine, acupuncture, and sports rehabilitation (ElPasoBackClinic.com, 2024). This makes it well-positioned to deploy a combined training and integrative care approach.
Here is how a clinic like this can operationalize the model:
Diagnostic & Assessment Phase
Use advanced imaging, postural and movement analysis, orthopedic tests, and functional assessments
Identify spinal misalignments, joint restrictions, muscular imbalances, and neuromuscular deficits
Use lab panels or metabolic analysis to pick up systemic inhibitors of healing (e.g., inflammation, nutritional deficiencies)
Treatment & Structural Rehabilitation
Begin with chiropractic adjustments and soft tissue work to restore alignment
Address compensatory tight muscles and weak stabilizers
Start with gentle neuromuscular re-education, core work, and movement foundations
Integrative Support
Provide nutritional counseling, anti-inflammatory protocols, and supplementation as needed
Use adjunctive therapies (acupuncture, electrotherapy, cold laser) to accelerate tissue healing
When foundational stability is sufficient, introduce sport-specific drills adapted to the patient’s goals
Progress through staged phases (as shown above)
Monitor compensation, form, pain response, and neuromuscular control
Maintenance & Prevention
Even after returning to activity, periodic check-ups, structural tuning sessions, and movement refreshers help prevent recurrence
Continued integrative support helps sustain joint health, muscular balance, and systemic resilience
Case Example (Hypothetical)
Patient Profile: A 28-year-old recreational soccer player suffered a lumbar disc strain while pivoting mid-game. After several weeks of pain control and basic rehab, she presents to the clinic wanting to return stronger than before.
Protocol:
Assessment: MRI, posture/gait/movement analysis. Detect slight rotational asymmetry in the pelvis and tight hamstrings.
Structural phase: Chiropractic adjustments to lumbar and pelvis, soft tissue work along paraspinals and hamstrings, nerve glides.
Intermediate loading: Hip bridges, split squats, controlled rotational medicine-ball passes
Sport transfer drills: Side shuffles, agility ladder, simple cuts, controlled acceleration
Full application: Simulated soccer drills, jumping, multi-directional change, in-field practice
Maintenance: Structural “tune-up” visits, integrative support, movement habit education
Over months, the patient regains performance while minimizing flare-ups.
Benefits & Outcomes
By integrating sport-specific training and chiropractic/integrative care in a back-focused clinic, patients can expect:
Faster, more complete recovery
Better movement control under stress
Reduced recurrence of back pain or injury
Enhanced performance in sport or daily tasks
A more holistic, systemic healing process
In El Paso Back Clinic’s model, this approach strengthens the spine and the entire neuromuscular system, rather than just patching symptoms.
Conclusion
Back injuries challenge the body’s core systems. Recovery is not just about stopping pain—it’s about restoring function, control, and resilience. Sport-specific training gives patients a roadmap to rebuild movement in a meaningful way. Chiropractic and integrative care corrects structure, optimizes nerve function, treats soft tissue, and supports systemic healing.
At a clinic like El Paso Back Clinic, which already embraces chiropractic, functional medicine, rehabilitative services, and sports wellness, the synergy of these approaches is a natural fit. By walking patients through assessment, structural restoration, staged sport-specific training, and integrative support, the clinic can help them not only return from injury—but come back stronger, more balanced, and more resilient.
Preventing Sports & Back Injuries: The El Paso Back Clinic Approach
Athletes, weekend warriors, and active individuals often push their bodies to the limit. Without smart preparation and care, minor misalignments or imbalances can lead to back pain, sprains, or more serious injuries. At El Paso Back Clinic, our mission is to prevent injuries before they occur, maintain spine health, and support long-term performance and wellness.
In this article, you’ll learn how a multifaceted strategy—involving movement, conditioning, chiropractic, integrative therapies, and recovery—can reduce injury risk. We’ll also show how El Paso Back Clinic applies these principles in real-world care.
Why Back & Sports Injuries Occur
Biomechanical Stress & Misalignment
Even small spinal misalignments or joint restrictions can change movement mechanics. Over time, stresses that should spread evenly across tissues become concentrated on certain discs, muscles, or ligaments, making them vulnerable (Mount Sinai, n.d.; Emery & Meeuwisse, 2008).
Overuse and Repetition
Playing the same sport repeatedly without variation often leads to overuse injuries—microtears that accumulate faster than the body can heal. Many youth and amateur athletes suffer from this because they skip rest phases (Nationwide Children’s, n.d.; CHOP, n.d.).
Fatigue, Poor Technique, and Weakness
When muscles fatigue, the muscle fibers break down. A runner might collapse inward at the knee, or a basketball player might land with improper form. These movement faults under fatigue cause injury (Walker Physical Therapy, n.d.; PWR Physio, n.d.).
Insufficient Recovery
Without proper rest, nutrition, and tissue repair, microdamage lingers. Eventually, the body’s threshold is crossed, and a dramatic injury occurs.
Core Prevention Pillars
At El Paso Back Clinic, we emphasize these foundational pillars:
1. Dynamic Warm-Up & Mobility Routines
Warm-ups aren’t just stretching—they’re activation drills, joint movements, and controlled progressions that prepare muscles and joints. Cooling down, stretching, and mobility work afterward help flush byproducts and reduce stiffness (First Physio Plus, n.d.; Garden State Pain, n.d.).
2. Technique Monitoring and Movement Quality
We routinely analyze movement—such as running gait, jumping, squatting, and twisting—to identify harmful patterns. By coaching technique and correcting faults, we reduce stress on the back and joints (GPOA, n.d.; Walker Physical Therapy, n.d.).
3. Balanced Strength, Stability & Flexibility
Having a strong core, glutes, and stabilizers protects the lumbar spine. We design programs that incorporate strength, balance, flexibility, and endurance to create a well-rounded system (PWR Physio, n.d.; Walker Physical Therapy, n.d.).
4. Strategic Rest and Load Management
We guide patients and athletes in periodization, which involves alternating high and low loads, scheduling rest days, and monitoring fatigue to prevent overtraining (Bayfront Health, n.d.; Fick PT & Performance, n.d.).
5. Nutrition, Hydration & Recovery Support
Good hydration and nutrients (protein, vitamins, minerals) are essential for tissue repair. A poor diet hinders recovery and increases the risk of injury (LI Spine Med, 2024).
The Role of Chiropractic & Back Clinic Services
El Paso Back Clinic (under Dr. Jimenez) stands out by combining back/spine care with integrative therapies. Here’s how chiropractic and back-clinic services help prevent injuries:
Spinal Alignment & Joint Function
Chiropractic adjustments and spinal mobilizations help maintain vertebral alignment, ease restrictions, and ensure joints move properly. This reduces compensatory stress on surrounding tissues (Dallas Accident & Injury Rehab, n.d.; Evolved Health Chiropractic, n.d.).
Posture, Movement Pattern Correction & Neuromuscular Feedback
We assess posture and movement patterns across the kinetic chain. Correcting compensations (e.g., pelvic tilt, scoliosis curves) helps protect the spine during sport demands (Dallas Accident & Injury Rehab, n.d.; Evolved Health Chiropractic, n.d.).
Proper nerve input from spinal segments supports muscle activation and timing. By improving the communication between the spine and joints and the surrounding muscles, we help the body respond more effectively under stress (Fremont Chiropractic, n.d.; Young Chiropractic, n.d.).
Versatile Soft-Tissue & Myofascial Work
Muscles, fascia, and connective tissues often tighten, pulling on the spine. Techniques, such as soft-tissue work, instrument-assisted release, and myofascial release, help reduce tension and restore balance (Garmon Chiropractic, n.d.).
Monitoring & Maintenance Care
We often schedule preventive “maintenance” visits. Even when patients feel fine, small dysfunctions can arise. Regular check-ins allow us to catch them early—before they develop into problems.
Integrative Therapies & Supportive Methods
To maximize prevention, El Paso Back Clinic layers on integrative and complementary care:
Physical Therapy & Exercise Therapy
Sometimes muscles need retraining. Our clinic can collaborate with or provide therapeutic exercise programs that focus on weakness, imbalance, mobility deficits, and sport-specific drills (Current Physical Therapy, 2025).
Massage, Trigger Point Work & Soft-Tissue Modulation
Massage and trigger point therapy enhance circulation, alleviate adhesions, and promote muscular recovery. These help tissues remain supple and resilient (Primary Health & Wellness, n.d.).
Acupuncture & Electro-Acupuncture
Using needles or micro-current stimulation, we stimulate healing, reduce inflammation, and modulate pain. These methods pair well with structural work (clinic’s integrative model).
Kinesio Taping & Supportive Bracing
Taping techniques provide gentle support, reduce stress on soft tissues, and enhance proprioception during dynamic phases of sports (Premier Injury Clinics of DFW, n.d.).
Nutritional & Functional Medicine Guidance
As part of Dr. Jimenez’s broader practice, we assess systemic contributors—such as nutrition, inflammation, and hormonal balance—to optimize the body’s healing environment.
Putting It Together: How El Paso Back Clinic Builds a Preventive Protocol
Here’s how our clinic might structure a prevention plan for an athlete or active individual:
Watch performance metrics, fatigue trends, and pain signals
Adjust load or interventions accordingly
Over time, this layered approach builds resilience—spines become more stable, tissues more durable, and neuromuscular control more refined.
Why Choose El Paso Back Clinic
Dual Expertise for Spine & Whole-Body Health
At El Paso Back Clinic, Dr. Jimenez offers both advanced back-centric care and integrative medicine. The clinic’s services extend beyond symptom relief to encompass systemic wellness, functional movement, and injury prevention (El Paso Back Clinic, n.d.).
Local Focus, Tailored to El Paso Athletes
We are familiar with the terrain, climate, demands, and sports culture in El Paso. Our protocols are adapted to local conditions—heat, elevation, sports trends—and we serve individuals, teams, schools, and sports clubs.
Evidence-Informed, Patient-Centered Approach
Our protocols integrate best practices from sports medicine, chiropractic research, and functional health models. We emphasize care plans unique to each patient—not cookie-cutter templates.
Support for Injury, Recovery & Prevention
Whether someone has already been injured or is simply seeking preventive care, our clinic handles a spectrum: back pain, sports injuries, work injuries, and even personal injury/auto trauma.
Summary & Next Steps
Preventing back and sports injuries is not about a single fix. It’s about a synergistic strategy: warm-ups, monitoring technique, balanced conditioning, spinal care, integrative therapies, and smart recovery. El Paso Back Clinic weaves these together in a real-world, locally tuned model.
If you are an athlete or an active person looking to protect your spine and enhance your performance, consider a preventive evaluation. Contact us to begin your tailored, resilience-building program.
Chiropractic care can help you achieve better posture and reduce pain through targeted therapies for muscle imbalances.
Managing Muscle Imbalances with Chiropractic Care and Integrative Therapies
When opposing muscle groups, such as the quadriceps and hamstrings or the chest and upper back muscles, have different levels of strength, flexibility, or activation, it’s called a muscular imbalance. These imbalances increase the risk of injury, disrupt normal movement patterns, and lead to poor posture. If left untreated, muscular imbalances that impact both the upper and lower limbs may lead to discomfort, decreased mobility, and chronic illnesses. Effective nonsurgical methods to address these imbalances, encourage the body’s natural healing process, and avoid long-term consequences include massage therapy, acupuncture, targeted exercises, chiropractic adjustments, and integrative medicine. Drawing on professional insights and evidence-based research, this comprehensive book examines the origins of muscle imbalances, the clinical application of chiropractic therapy, and effective exercises for repair.
Understanding Muscle Imbalances
Muscle imbalances occur when one muscle group is stronger, weaker, or less flexible than its counterpart, resulting in improper alignment and movement. For instance, tight hip flexors paired with weak glutes can cause pelvic tilt, contributing to lower back pain. Similarly, overdeveloped chest muscles and weak upper back muscles may result in forward shoulder posture, a key feature of upper crossed syndrome. These imbalances can cause discomfort, limit performance, and increase the risk of injury during daily activities or exercise.
Chiropractic care, combined with integrative therapies, addresses these issues holistically. According to experts in musculoskeletal health, “Muscle imbalances often lead to compensatory patterns that strain joints and tissues, causing pain and dysfunction” (Jimenez, n.d.). By focusing on joint alignment, muscle balance, and nervous system function, chiropractic care helps restore harmony to the body, reducing pain and improving quality of life.
Causes of Muscle Imbalances
Several factors contribute to muscle imbalances, impacting both upper and lower extremities. Identifying these causes is essential for effective prevention and treatment.
1. Improper Exercise Routines
Many workout programs overemphasize certain muscle groups, such as the chest or quadriceps, while neglecting their opposites, like the upper back or hamstrings. For example, performing frequent bench presses without complementing them with rows can strengthen the chest while weakening the back, potentially leading to rounded shoulders (Jimenez, n.d.). Research on scapular stabilization exercises shows that imbalanced routines can worsen upper crossed syndrome, characterized by forward head posture and rounded shoulders (Nitayarak et al., 2021).
2. Sedentary Lifestyle and Poor Posture
Prolonged sitting, especially with poor posture, tightens some muscles while weakening others. For instance, prolonged sitting shortens the hip flexors and weakens the glutes, causing pelvic tilt and lower back pain. Similarly, slouching at a desk tightens chest muscles and weakens the upper back, contributing to forward head posture (Jimenez, n.d.).
3. Repetitive Movements
Repetitive tasks, such as typing, running, or cycling, can overwork specific muscles while underutilizing others. Athletes performing repetitive motions may develop imbalances between the quadriceps and hamstrings, increasing the risk of injuries like hamstring strains (Silvers-Granelli et al., 2021).
4. Injuries and Compensation
Injuries often lead to compensatory movement patterns that create imbalances. For example, favoring one leg after an ankle sprain can weaken the injured side and overwork the opposite, potentially leading to chronic imbalances even after the injury has healed (Jimenez, n.d.).
5. Structural and Anatomical Factors
Structural issues, such as scoliosis or glenoid retroversion, can contribute to muscle imbalances. A study in a fetal lamb model suggested that abdominal wall muscle imbalances may contribute to the development of scoliosis (Kawaguchi et al., 2021). Similarly, imbalances in the rotator cuff muscles have been linked to posterior humeral head subluxation, which increases the risk of arthritis (Mitterer et al., 2021).
6. Systemic Factors
Chronic conditions, such as chronic obstructive pulmonary disease (COPD), can cause muscle dysfunction due to deconditioning, inflammation, or oxidative stress, thereby weakening both respiratory and peripheral muscles (Gea et al., 2013).
7. Myofascial Trigger Points
Myofascial trigger points (MTrPs), or muscle “knots,” can alter muscle activation patterns, contributing to imbalances. A study found that MTrPs in the upper trapezius were associated with increased masticatory muscle activity, affecting the broader musculoskeletal system (Ginszt et al., 2022).
Can Core Exercises Help with Back Pain?-Video
Clinical Rationale for Chiropractic Care
Chiropractic care is a cornerstone of nonsurgical treatment for muscle imbalances, addressing both symptoms and underlying causes. Experts emphasize that chiropractic care focuses on restoring joint function, muscle balance, and nervous system communication, rather than just alleviating pain (Jimenez, n.d.). Here’s why it’s effective:
1. Restoring Joint Mobility
Muscle imbalances often cause restricted joint motion, or subluxations, which exacerbate compensatory patterns. Chiropractic adjustments realign joints, reducing stress on muscles and allowing balanced function. For example, spinal adjustments can correct pelvic tilt caused by tight hip flexors and weak gluteal muscles, thereby alleviating lower back pain (Wilczyński et al., 2020).
2. Enhancing Nervous System Function
The nervous system regulates muscle activation and coordination. Subluxations can disrupt nerve signals, leading to muscle weakness or overactivity. Chiropractic adjustments enhance nervous system function, ensuring proper muscle coordination and signaling. “A well-aligned spine supports optimal muscle coordination and healing,” notes a musculoskeletal specialist (Jimenez, n.d.).
3. Reducing Muscle Tension and Pain
Chiropractic techniques, such as soft tissue manipulation and myofascial release, reduce muscle tension and deactivate trigger points. These methods relax tight muscles, such as the pectoralis minor in upper crossed syndrome, thereby improving flexibility and reducing pain (Nitayarak et al., 2021).
4. Promoting Natural Healing
Chiropractic care enhances blood flow, reduces inflammation, and supports tissue repair, thereby aiding recovery from injuries such as hamstring strains and preventing long-term imbalances (Silvers-Granelli et al., 2021).
5. Integrating with Other Therapies
Chiropractic care is often combined with massage therapy, acupuncture, and targeted exercises to provide a comprehensive approach. Massage releases tight muscles, while acupuncture reduces pain and inflammation, complementing adjustments (Jimenez, n.d.).
6. Emphasizing Patient Education
Clear communication empowers patients to understand their condition and actively participate in recovery. Providing personalized exercise plans and explaining the role of therapies ensures long-term success. “Educating patients about their imbalances fosters adherence to treatment,” experts say (Jimenez, n.d.).
Exercises to Correct Muscle Imbalances
Targeted exercises strengthen weak muscles, stretch tight ones, and improve coordination. Below are evidence-based exercises for the upper and lower extremities, suitable for home or gym use, inspired by clinical approaches and research (Jimenez, n.d.; Nitayarak et al., 2021; Wilczyński et al., 2020).
Upper Body Exercises
These exercises address imbalances such as forward head posture and rounded shoulders, which are common in upper crossed syndrome.
Gently tuck chin toward chest, creating a “double chin” without tilting the head.
Hold for 5 seconds, repeat 10–12 times.
Benefits: Corrects forward head posture and strengthens deep neck flexors (Jimenez, n.d.).
Lower Body Exercises
These exercises target imbalances in the lower extremities, such as weak glute muscles or tight hip flexors, which can contribute to lower back pain or knee injuries.
Glute Bridge (Strengthens Glutes, Stretches Hip Flexors)
Equipment: None
Instructions:
Lie on your back with knees bent, feet flat on the floor, hip-width apart.
Lift hips toward the ceiling, squeezing glutes at the top.
Hold for 2 seconds, then lower slowly.
Perform 3 sets of 12–15 repetitions.
Benefits: Strengthens glutes, stabilizes pelvis, and reduces hip flexor tightness (Wilczyński et al., 2020).
Hip Flexor Stretch (Stretches Hip Flexors)
Equipment: None
Instructions:
Kneel on one knee with the other foot in front, forming a 90-degree angle.
Gently push your hips forward to feel a stretch in the front of your kneeling hip.
Hold for 20–30 seconds, then switch sides and repeat 2–3 times.
Benefits: Increases hip flexor flexibility, reducing pelvic tilt (Jimenez, n.d.).
Hamstring Curl with Resistance Band (Strengthens Hamstrings)
Equipment: Resistance band
Instructions:
Lie face down with a resistance band looped around one ankle and anchored to a stable object.
Bend your knee to pull the band toward your glutes, then slowly return to the starting position.
Core strength stabilizes the spine and pelvis, preventing compensatory imbalances.
Plank (Strengthens Core)
Equipment: None
Instructions:
Lie face down, then prop yourself up on your forearms and toes, keeping your body in a straight line.
Hold for 20–60 seconds, depending on ability, repeat 3 times.
Benefits: Strengthens transverse abdominis and core muscles, supporting spinal alignment (Wilczyński et al., 2020).
Dead Bug (Strengthens Core, Improves Coordination)
Equipment: None
Instructions:
Lie on your back with your arms extended toward the ceiling and your knees bent at a 90-degree angle.
Slowly extend one arm overhead and the opposite leg toward the floor, keeping lower back pressed into the ground.
Return to the starting position and repeat on the other side.
Perform 3 sets of 10–12 repetitions per side.
Benefits: Enhances core stability and coordination, reducing lower back strain (Jimenez, n.d.).
Integrative Therapies for Muscle Imbalances
Complementary therapies enhance chiropractic care, addressing muscle imbalances holistically.
1. Massage Therapy
Massage targets tight muscles and trigger points, improving flexibility and reducing pain. Deep tissue massage can help release tension in the upper trapezius, addressing imbalances associated with cervical myofascial pain (Ginszt et al., 2022).
2. Acupuncture
Acupuncture reduces pain and inflammation by stimulating specific points, complementing chiropractic adjustments by promoting muscle relaxation and recovery (Jimenez, n.d.).
3. Functional Medicine
Functional medicine addresses systemic factors, such as nutrition, inflammation, and hormonal imbalances, that contribute to muscle dysfunction. Assessing diet and stress levels can support muscle health and overall recovery (Jimenez, n.d.).
Preventing Long-Term Complications
Untreated muscle imbalances can lead to chronic pain, joint degeneration, and reduced mobility. For example, rotator cuff imbalances may contribute to posterior humeral head subluxation, thereby increasing the risk of arthritis (Mitterer et al., 2021). Similarly, lumbar-pelvic imbalances can exacerbate low back pain (Wilczyński et al., 2020). Early intervention with chiropractic care, exercises, and integrative therapies helps prevent these complications, thereby maintaining optimal function.
The Role of Communication
Effective communication between healthcare providers and patients is essential for achieving successful outcomes. Educating patients about their imbalances, explaining the benefits of treatment, and providing personalized plans help foster adherence. “When patients understand their condition, they’re more committed to their recovery,” notes a musculoskeletal expert (Jimenez, n.d.).
Conclusion
Muscle imbalances, caused by improper exercise, poor posture, repetitive movements, injuries, structural issues, systemic factors, or trigger points, can lead to pain and dysfunction in the upper and lower extremities. Chiropractic care, combined with targeted exercises, massage, acupuncture, and functional medicine, offers a nonsurgical solution to restore balance, reduce pain, and prevent long-term issues. Exercises such as scapular retractions, glute bridges, and planks are practical tools that can be used at home or in the gym. By prioritizing joint mobility, nervous system function, and patient education, this integrative approach promotes lasting health and mobility.
For more information or to seek care, contact a musculoskeletal specialist at 915-850-0900.
References
Ginszt, M., Zieliński, G., Szkutnik, J., Wójcicki, M., Wyszyńska, J., & Majcher, P. (2022). Cervical myofascial pain is associated with an imbalance of masticatory muscle activity. International Journal of Environmental Research and Public Health, 19(3), 1577. https://doi.org/10.3390/ijerph19031577
Gea, J., Pascual, S., Casadevall, C., Orozco-Levi, M., & Barreiro, E. (2013). Pathophysiology of muscle dysfunction in COPD. Journal of Applied Physiology, 114(9), 1222–1234. https://doi.org/10.1152/japplphysiol.00981.2012
Grace, T. G., Sweetser, E. R., Nelson, M. A., Ydens, L. R., & Skipper, B. J. (1984). Isokinetic muscle imbalance and knee-joint injuries: A prospective blind study. The Journal of Bone and Joint Surgery. American Volume, 66(5), 734–740. https://pubmed.ncbi.nlm.nih.gov/6725320/
Kawaguchi, K., Obayashi, J., Ohyama, K., Zuccollo, J., & Pringle, K. C. (2021). Muscle imbalance as a cause of scoliosis: A study in a fetal lamb abdominal wall defect model. Pediatric Surgery International, 37(12), 1755–1760. https://doi.org/10.1007/s00383-021-05000-2
Mitterer, M., Matis, N., Gassenbauer, C., Redl, I., & Svehlik, M. (2021). Muscle volume imbalance may be associated with static posterior humeral head subluxation. BMC Musculoskeletal Disorders, 22(1), 279. https://doi.org/10.1186/s12891-021-04146-3
Nitayarak, H., Charntaraviroj, P., & Bumrerraj, S. (2021). Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation, 34(6), 1031–1040. https://doi.org/10.3233/BMR-200088
Silvers-Granelli, H. J., Cohen, M., Espregueira-Mendes, J., & Mandelbaum, B. (2021). Hamstring muscle injury in the athlete: State of the art. Journal of ISAKOS, 6(3), 170–181. https://doi.org/10.1136/jisakos-2017-000145
Wilczyński, J., Nowakowska, K., & Zorena, K. (2020). Dynamics of changes in isometric strength and muscle imbalance in the treatment of women with low back pain. BioMed Research International, 2020, 6139535. https://doi.org/10.1155/2020/6139535
Live Pain-Free: Chiropractic and Integrative Care for Injury Recovery at El Paso Back Clinic
In the vibrant heart of El Paso, Texas, where desert trails beckon and hardworking days define our community, injuries can derail your active lifestyle. From car accidents to workplace strains or sports mishaps, overexertion and trauma often lead to pain, stiffness, or chronic issues that linger without proper care. These setbacks can limit your ability to work, play, or enjoy El Paso’s unique spirit. At El Paso Back Clinic, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, chiropractic and integrative care offer a path to recovery. Through spinal adjustments, soft tissue therapy, and neuromuscular re-education, the clinic accelerates healing, restores flexibility, enhances balance, and boosts heart and lung function. With holistic nutrition and stress management plans, Dr. Jimenez’s team crafts personalized strategies to prevent future injuries, empowering El Pasoans to live pain-free and thrive.
This article explores how injuries arise, the benefits of integrative care, and how El Paso Back Clinic delivers top-tier recovery solutions.
The Impact of Overuse and Accidents: Why Pain Persists
El Paso’s dynamic lifestyle—hiking the Franklin Mountains, working long shifts, or driving busy roads—can strain the body. Overexertion from repetitive tasks like lifting or intense workouts causes sprains, strains, or joint issues. Motor vehicle accidents (MVAs) bring sudden trauma, with 60% of cases leading to lingering pain if untreated (Jimenez, n.d.). Even minor falls at home can spark chronic discomfort.
Dr. Alexander Jimenez, a chiropractor and nurse practitioner with over 30 years of experience, sees these patterns daily. “Our dual-scope diagnostics, combining chiropractic and nursing insights, uncover how trauma or overuse triggers pain cycles,” he shares on his clinic’s site (Jimenez, n.d.). Using advanced neuromusculoskeletal imaging, his team pinpoints root causes, from workplace injuries to MVA trauma. Ignoring early signs, such as stiffness or fatigue, can lead to reduced mobility, increased stress, and sleep disturbances. El Paso Back Clinic’s integrative approach breaks this cycle, restoring health naturally.
Everyday Injuries: From Crashes to Chronic Strains
Injuries vary but share a common impact: they disrupt your life. MVAs cause neck and back pain, limiting movement. Work-related strains, like those from lifting or repetitive tasks, create nagging discomfort. Sports injuries, such as twisted ankles or knees, sideline active El Pasoans. Personal falls at home can lead to shoulder or hip pain, while untreated stress may cause chronic conditions like joint stiffness.
Dr. Jimenez’s clinic tackles these with precision. “We connect injury origins—crashes, work tasks, or sports—to customized treatments,” he explains. MVAs receive urgent care with legal documentation for claims. Work injuries get rehab to restore function, and sports or personal injuries benefit from targeted plans to prevent recurrence. Without care, these issues worsen, lowering the quality of life. El Paso Back Clinic’s chiropractic and integrative methods pave the way to recovery.
Realigning for Relief: The Power of Spinal Adjustments
Spinal adjustments are the foundation of chiropractic care at El Paso Back Clinic. These precise, hands-on techniques realign vertebrae, easing nerve pressure and restoring balance to the body. Injuries from accidents or overuse misalign the spine, causing pain and impaired movement. Adjustments can boost blood flow, reduce inflammation, and alleviate pain by up to 25% in as little as a few weeks (Trident Health Chiropractic, n.d.).
For MVA patients, adjustments relieve neck stiffness, restoring mobility. Work injury patients regain strength for daily tasks. Dr. Jimenez’s approach is unique: “We use imaging to guide adjustments, targeting issues from trauma or strains,” he says. Legal reports ensure MVA patients have clear records for claims. From athletes to office workers, adjustments help El Pasoans move freely and heal quickly.
Healing Muscles: Soft Tissue Therapy for Recovery
Injuries tighten muscles, creating knots that misalign joints and prolong pain. Soft tissue therapy, like massage or myofascial release, targets these areas, breaking up scar tissue and boosting circulation. This delivers nutrients to damaged tissues, speeding recovery. A single session can significantly reduce healing time, getting you back to work or play faster (Yoder Chiropractic Center, n.d.).
Picture a construction worker with shoulder pain from heavy lifting. Therapy loosens tightness, improving arm range. MVA patients find relief from neck strain. Dr. Jimenez’s team pairs therapy with imaging for precision. “We treat trauma from accidents or sports non-surgically,” he notes. Legal documentation tracks progress for claims, prioritizing natural healing. Patients feel relaxed, move more easily, and recover more quickly.
Injuries disrupt nerve-muscle communication, resulting in shaky balance or impaired movements. Neuromuscular re-education uses exercises like balance drills or resistance training to retrain these pathways, reducing fall risks and boosting confidence. A soccer player with a sprained ankle, for example, regains stability, thereby lowering the odds of re-injury (Integrative Chiropractic, n.d.).
Dr. Jimenez’s clinic excels here. “We link nerve issues to injury histories, guiding re-education for MVA, work, or sports recovery,” he says. A retail worker with back pain learns core-strengthening moves; an MVA patient rebuilds neck control. Legal reports detail progress for claims, ensuring comprehensive care. This sharpens coordination, making daily tasks and active pursuits feel natural again.
Faster Healing, Better Mobility: Recovery and Flexibility Gains
Chiropractic care at El Paso Back Clinic speeds healing by optimizing body systems. Adjustments and therapy reduce swelling, allowing tissues to mend faster—often in weeks, not months (Abundant Life Chiropractor, n.d.). Flexibility improves as tight muscles and joints stretch safely. A warehouse worker lifts without strain; an accident victim moves freely again.
Dr. Jimenez’s holistic plans amplify results. “Targeted exercises and adjustments build lasting mobility, preventing chronic issues,” he says. Nutrition tips, like anti-inflammatory foods, fuel healing. MVA and work cases get legal-grade documentation, aligning care with claims. El Pasoans recover quickly, staying active in our vibrant community.
Balance and coordination are key to preventing injuries and enhancing daily function. Re-education drills steady wobbly steps, helping MVA victims or athletes avoid falls. A delivery driver navigates uneven terrain easily post-care. Chiropractic also boosts stamina by freeing the spine for deeper breaths, improving oxygen flow and endurance (ASR Sports Medicine, n.d.).
Jimenez’s integrative approach shines: “Acupuncture and massage enhance flow, boosting stamina for work or sports.” Virtual coaching reinforces gains, and legal support ensures MVA patients have clear records. Patients work longer, play harder, and live stronger.
Whole-Person Healing: Nutrition, Stress, and Custom Plans
El Paso Back Clinic’s functional medicine approach goes beyond physical fixes. Nutrition advice—like omega-3s or antioxidant-rich fruits—fights inflammation and boosts energy. Stress management, such as mindfulness or breathing exercises, eases tension, aiding sleep and recovery. Personalized plans fit your injury, lifestyle, and goals.
Dr. Jimenez leads the way. “We uncover root causes—poor diet, stress—and craft plans with acupuncture or massage,” he says. MVA or work injuries get detailed reports for legal cases, prioritizing natural healing. Patients receive plans tailored to their El Paso lives, ensuring lasting wellness.
El Paso Back Clinic: Your Trusted Recovery Partner
At El Paso Back Clinic, Dr. Alexander Jimenez combines chiropractic and nursing expertise for exceptional care. Awarded from 2015 to 2024, his team treats MVAs, work strains, sports injuries, and personal falls with precision. “Our imaging and dual expertise catch hidden issues,” he says. A crash victim drives pain-free in weeks. A nurse lifts patients again. Legal documentation supports MVA and work cases, while virtual coaching and nutrition webinars empower long-term health.
Patients praise the results: “Dr. Jimenez restored my mobility and energy,” one shares. From veterans to families, his care transforms lives, helping El Pasoans thrive.
Preventing Future Pain: A Strategy for Lifelong Wellness
Prevention keeps you active. Regular chiropractic checkups spot misalignments early, cutting injury risks by 20% (Erie Chiro, n.d.). Holistic habits—such as balanced diets, stress relief, and smart exercise—build resilience. Dr. Jimenez’s team creates plans for workers, athletes, or retirees. “We flag risks like posture or stress early, ensuring lasting health,” he notes.
With care, education, and documentation, El Pasoans live pain-free, embracing our city’s vibrant spirit.
Discover how exercises and chiropractic care can help relieve muscle pain and enhance your physical health significantly.
Chiropractic Care and Exercise: A Winning Team for Musculoskeletal Pain Relief
Musculoskeletal pain can creep into your life like an uninvited guest who overstays their welcome, turning simple tasks like climbing stairs or carrying groceries into a battle. Whether it’s a stiff neck from a minor car accident, a sore back from too many hours at a desk, or achy joints that make you feel like you’re moving in slow motion, these issues can really put a damper on your day. The good news? Combining chiropractic care with exercises like CrossFit and weight training is like assembling a superhero squad to tackle pain, boost mobility, and get you back to living your best life. At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads the charge with a holistic approach that blends spinal adjustments, advanced diagnostics, and personalized exercise plans. In this comprehensive, SEO-optimized guide (clocking in at over 5,000 words!), we’ll explore why this dynamic duo works, how environmental factors and chronic pain-like conditions contribute to musculoskeletal issues, and how small lifestyle changes can make a big impact. We’ll also highlight Dr. Jimenez’s unique expertise in personal injury cases in El Paso, where he bridges the gap between medical care and legal support. So, grab a comfy seat (preferably not that creaky office chair), and let’s dive into the world of pain relief with a sprinkle of humor to keep things light!
The Musculoskeletal System: Your Body’s Support Structure
The musculoskeletal system is like the framework of a house—it keeps everything standing tall, supports movement, and lets you do everything from dancing at a wedding to lifting a heavy box. It includes bones, muscles, joints, ligaments, and tendons, all working together like a well-oiled machine. When something goes wrong, like a misaligned spine or a strained muscle, it’s like a squeaky door hinge—annoying at best, debilitating at worst.
What Causes Musculoskeletal Pain?
Musculoskeletal pain can come from a variety of sources, often tied to environmental factors or daily habits. Here are some common culprits:
Sedentary Lifestyles: Sitting for hours at a desk or on the couch can weaken core muscles, leading to back and neck pain. Research shows that prolonged sitting is a major risk factor for musculoskeletal issues (Dunstan et al., 2018).
Motor Vehicle Accidents (MVAs): El Paso’s busy roads, especially during rainy weather, increase the risk of accidents that cause whiplash, spinal misalignments, or soft tissue injuries (El Paso Back Clinic, 2025a).
Repetitive Motions: Jobs or hobbies involving repetitive tasks, like typing or cycling, can strain muscles and joints, leading to conditions like carpal tunnel syndrome or tendonitis.
Poor Ergonomics: A poorly set-up workstation can cause neck strain, shoulder pain, or lower back discomfort, especially for remote workers.
Chronic Pain-Like Conditions: Conditions such as fibromyalgia or arthritis can exacerbate musculoskeletal pain by increasing inflammation and altering pain perception (American Chronic Pain Association, 2023).
The Impact of Chronic Pain-Like Symptoms
Chronic pain syndromes, such as fibromyalgia, arthritis, or neuropathic pain, act like a glitch in your body’s operating system, making musculoskeletal pain harder to manage. These conditions can cause joint stiffness, muscle tension, and increased inflammation, creating a vicious cycle of discomfort. Environmental factors, like stress from a demanding job or poor sleep from pain, can make things worse. Breaking this cycle requires a multi-faceted approach, combining chiropractic care, exercise, and lifestyle tweaks.
References:
Dunstan, D. W., et al. (2018). Sedentary behavior and musculoskeletal health. Journal of Physical Activity and Health, 15(10), 767-775. https://doi.org/10.1123/jpah.2017-0403
El Paso Back Clinic. (2025a). Spinal health after MVAs and chiropractic care. Retrieved from https://elpasobackclinic.com/
American Chronic Pain Association. (2023). Understanding chronic pain syndromes. Retrieved from https://www.theacpa.org/
Chiropractic Care: The Foundation of Pain Relief
Chiropractic care is like a tune-up for your body’s framework, fixing misalignments and restoring balance. At El Paso Back Clinic, Dr. Alexander Jimenez and his team use spinal adjustments, soft tissue therapy, and advanced diagnostics to target the root causes of musculoskeletal pain. By focusing on alignment and function, chiropractic care helps reduce pain, improve mobility, and support overall wellness.
How Chiropractic Care Works
Spinal Adjustments: Misaligned vertebrae can pinch nerves or strain muscles, causing pain. Adjustments gently realign the spine, relieving pressure and improving function (El Paso Back Clinic, 2025b).
Soft Tissue Therapy: Techniques such as trigger point therapy and massage reduce muscle tension and inflammation, providing relief for conditions like sciatica or post-accident injuries (Ojeda et al., 2023).
Holistic Approach: Chiropractic care integrates nutrition, exercise, and lifestyle changes to promote long-term recovery, addressing both symptoms and underlying causes.
Dr. Jimenez’s expertise shines in personal injury cases, where he uses advanced imaging (X-rays, MRIs) and diagnostic tools like the Timed Up and Go (TUG) test to assess injuries (Podsiadlo & Richardson, 1991). His dual-scope approach—combining clinical care with legal documentation—makes him a trusted liaison for accident victims in El Paso, ensuring they receive both medical relief and support for insurance or legal claims.
References:
El Paso Back Clinic. (2025b). Chiropractic care benefits for musculoskeletal inflammation. Retrieved from https://elpasobackclinic.com/
Ojeda, B. H., et al. (2023). Cost-effectiveness and outcomes of direct access to physical therapy for musculoskeletal disorders compared to physician-first access in the United States: Systematic review and meta-analysis. Physical Therapy Journal, 103(2), pzad012. https://pubmed.ncbi.nlm.nih.gov/
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. https://pubmed.ncbi.nlm.nih.gov/
CrossFit and Weight Training: Building Strength, Banishing Pain
If chiropractic care is the architect responsible for aligning your body, CrossFit and weight training are the construction crew that builds strength and resilience. These exercises target specific muscle groups, improve joint stability, and boost overall fitness, making them perfect partners for chiropractic care. According to Muscle & Strength, both CrossFit and weight training offer unique benefits for musculoskeletal health; however, they are most effective when tailored to individual needs (Muscle & Strength, 2023).
CrossFit: Functional Fitness with a Kick
CrossFit is like the energetic friend who convinces you to try something new, like swinging a kettlebell or doing a burpee. It combines high-intensity interval training (HIIT), weightlifting, and bodyweight exercises to build strength, flexibility, and endurance. Key CrossFit exercises include:
Air Squats: Strengthen the quadriceps, hamstrings, and glutes, supporting lower back stability and reducing pain from poor posture.
Deadlifts: Engage your core, back, and legs to improve spinal alignment and alleviate lower back pain.
Kettlebell Swings: Boost hip mobility and strengthen the posterior chain (hamstrings, glutes, lower back), helping with sciatica or post-MVA recovery.
Pull-Ups: Target the upper back and shoulders to reduce neck tension and improve posture.
CrossFit’s focus on functional movements mimics real-life activities, making it an ideal choice for rehabilitating injuries sustained in accidents or sports. A study on isometric exercises found that they significantly reduce pain and improve muscle activity in patients with low back pain (Alayat et al., 2018).
Weight Training: Steady Strength for Stability
Weight training is like the reliable friend who shows up with a toolbox, ready to build something solid. It uses progressive resistance to strengthen specific muscle groups, protecting joints and reducing pain. Key exercises include:
Bench Press: Strengthens the chest, shoulders, and triceps, supporting upper body stability and reducing shoulder pain.
Leg Press: Targets the quadriceps, hamstrings, and calves, easing knee and hip discomfort.
Seated Rows: Strengthen the upper back, improving posture and reducing neck strain.
Plank Variations: Engage the core, stabilizing the spine and preventing lower back pain.
Weight training builds muscle mass, which acts like a natural brace for joints, reducing stress on areas affected by arthritis or injury (Muscle & Strength, 2023).
Alayat, M. S., et al. (2018). The Effects of Isometric Exercise Types on Pain and Muscle Activity in Patients with Low Back Pain. Journal of Physical Therapy Science, 30(8), 1081-1086. https://pubmed.ncbi.nlm.nih.gov/
The Synergy of Chiropractic Care and Exercise
Chiropractic care and exercise are like peanut butter and jelly—great on their own, but unstoppable together. Chiropractic adjustments align the spine and joints, while exercises like CrossFit and weight training strengthen muscles and improve mobility. Here’s how they team up:
Muscle Balance: CrossFit’s dynamic movements and targeted weight training exercises strengthen opposing muscle groups, preventing imbalances that can cause pain.
Improved Circulation: Exercise enhances blood flow, delivering essential nutrients to injured tissues and accelerating recovery after chiropractic adjustments.
Enhanced Flexibility: CrossFit’s functional movements and weight training’s stretching components improve joint range of motion, complementing spinal adjustments.
Dr. Jimenez emphasizes small, sustainable changes to maintain progress, like adding a 10-minute walk or core exercises to your daily routine (Jimenez, 2025). Think of it as giving your spine a daily high-five to keep it happy!
Managing Musculoskeletal Pain in Chronic Pain-Like Conditions
Chronic pain syndromes, like fibromyalgia or arthritis, are like that one friend who always complicates plans—they make musculoskeletal pain harder to manage. These conditions can cause inflammation, muscle stiffness, and nerve irritation, creating a cycle of discomfort. Chiropractic care, exercise, and nutrition can break this cycle and reduce overlapping risk profiles.
Chiropractic Strategies for Chronic Pain
Spinal Adjustments: Relieve nerve compression, reduce pain signals, and improve mobility (El Paso Back Clinic, 2025c).
Soft Tissue Therapy: Targets muscle knots and tension, easing inflammation and promoting relaxation (Ojeda et al., 2023).
Nutritional Support: Anti-inflammatory diets rich in omega-3s, leafy greens, and antioxidants reduce systemic inflammation, thereby supporting chiropractic and exercise efforts (El Paso Back Clinic, 2025d).
Exercise for Chronic Pain Management
Modified CrossFit: Low-impact movements, like resistance band exercises or bodyweight squats, build strength without overloading joints.
Weight Training: Light resistance exercises, such as dumbbell curls or leg extensions, improve muscle support and reduce pain.
Backward Walking: Research shows that retro walking reduces pain and improves function in conditions like knee osteoarthritis, which often accompanies chronic pain syndromes (Alghadir et al., 2019).
These strategies address inflammation and improve function, tackling the complex interplay of chronic pain and musculoskeletal issues.
References:
El Paso Back Clinic. (2025c). Trigger point therapy MVAs explained for patients. Retrieved from https://elpasobackclinic.com/
El Paso Back Clinic. (2025d). Nutrition for accident injuries during recovery. Retrieved from https://elpasobackclinic.com/
Alghadir, A. H., et al. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: A randomized controlled trial. Clinical Rehabilitation, 33(6), 1041-1049. https://pubmed.ncbi.nlm.nih.gov/
Personal Injury Cases in El Paso: Dr. Jimenez’s Expertise
El Paso’s bustling roads, from I-10 to Loop 375, see their fair share of accidents, from minor fender benders to serious 18-wheeler crashes. These incidents often cause musculoskeletal injuries, like whiplash-associated disorders (WAD) or soft tissue damage. Dr. Alexander Jimenez stands out as a leading practitioner for personal injury victims, offering a unique blend of clinical expertise and legal support.
Dr. Jimenez’s Approach to Personal Injury
Advanced Imaging: X-rays, MRIs, and CT scans pinpoint injuries like spinal misalignments or muscle tears with precision (El Paso Back Clinic, 2025e).
Diagnostic evaluations, such as the 6-minute walk test or TUG test, assess mobility and inform treatment plans (Nguyen et al., 2020; Podsiadlo & Richardson, 1991).
Dual-Scope Expertise: Dr. Jimenez bridges the gap between medical care and legal documentation, providing detailed reports for insurance claims and lawsuits.
Comprehensive Recovery: Combining chiropractic adjustments, massage therapy, and durable medical equipment (like braces or TENS units), he tailors plans to each patient’s needs.
His work is critical for MVA victims, whose injuries can range from mild sprains to severe spinal trauma. By addressing both physical and legal needs, Dr. Jimenez helps patients navigate recovery with confidence.
References:
El Paso Back Clinic. (2025e). Auto accident insights for safe driving and recovering from WAD. Retrieved from https://elpasobackclinic.com/
Nguyen, U. S., et al. (2020). Clinical Associations and Prognostic Implications of the 6-Minute Walk Test in Rheumatoid Arthritis. Arthritis Care & Research, 72(8), 1046-1053. https://pubmed.ncbi.nlm.nih.gov/
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. https://pubmed.ncbi.nlm.nih.gov/
Practical Tips for Integrating Chiropractic Care and Exercise
Ready to kick musculoskeletal pain to the curb? Here are some practical tips, inspired by Dr. Jimenez’s clinical insights, to blend chiropractic care and exercise into your routine:
Start Small: Begin with low-impact exercises, like a 15-minute walk or bodyweight squats, to build strength without strain.
Schedule Adjustments: Visit El Paso Back Clinic for regular chiropractic sessions to keep your spine aligned and pain-free.
Mix and Match: Combine CrossFit’s dynamic movements with weight training’s focused exercises for a balanced workout plan.
Listen to Your Body: If an exercise causes discomfort, stop and consult Dr. Jimenez’s team for modifications.
Stay Consistent: Small changes, such as stretching before bed or incorporating anti-inflammatory foods into your diet, add up over time.
A little humor to keep you motivated: Treat your spine like a picky cat—give it regular attention, and it’ll purr with happiness!
The combination of chiropractic care and exercise isn’t just a feel-good strategy—it’s backed by science. Chiropractic adjustments reduce nerve irritation and improve joint function, while exercise strengthens muscles and boosts circulation. A single bout of exercise can reduce fatigue and improve energy levels, enhancing the effects of chiropractic care (Puglisi et al., 2013). For chronic pain patients, exercise also improves pain tolerance and reduces inflammation, addressing the root causes of musculoskeletal discomfort.
Research also supports the use of specific exercises for pain relief. For example, isometric exercises, like planks, reduce pain and improve muscle activity in patients with low back pain (Alayat et al., 2018). Similarly, backward walking has been shown to improve function and reduce pain in knee osteoarthritis, a common issue in chronic pain syndromes (Alghadir et al., 2019). By combining these exercises with chiropractic care, patients can achieve lasting relief and improved function.
References:
Puglisi, F., et al. (2013). The effect of a single bout of exercise on energy and fatigue states: A systematic review and meta-analysis. Fatigue: Biomedicine, Health & Behavior, 1(4), 223-242. https://pubmed.ncbi.nlm.nih.gov/
Alayat, M. S., et al. (2018). The Effects of Isometric Exercise Types on Pain and Muscle Activity in Patients with Low Back Pain. Journal of Physical Therapy Science, 30(8), 1081-1086. https://pubmed.ncbi.nlm.nih.gov/
Alghadir, A. H., et al. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: A randomized controlled trial. Clinical Rehabilitation, 33(6), 1041-1049. https://pubmed.ncbi.nlm.nih.gov/
Addressing Environmental Factors for Long-Term Relief
Environmental factors, like sedentary lifestyles or poor ergonomics, can exacerbate musculoskeletal pain, but they’re not unbeatable. Here are some strategies to counteract them:
Combat Sedentary Behavior: Break up long periods of sitting with short walks or standing stretches every 30 minutes. Research shows that increasing physical activity in sedentary adults can reduce musculoskeletal pain (Hildebrandt et al., 2017).
Improve Ergonomics: Set up your workspace with an ergonomic chair, monitor at eye level, and keyboard that supports neutral wrist positioning.
Stay Safe on the Road: In El Paso’s rainy weather, drive cautiously to avoid MVAs, which can cause whiplash or spinal injuries (El Paso Back Clinic, 2025a).
Manage Stress: Chronic stress can worsen muscle tension. Try practicing mindfulness or deep breathing exercises to help manage stress.
By addressing these factors, you can create a supportive environment for chiropractic care and exercise to work their magic.
References:
Hildebrandt, V. H., et al. (2017). When Adults Don’t Exercise: Behavioral Strategies to Increase Physical Activity in Sedentary Middle-Aged and Older Adults. Innovation in Aging, 1(1), igx007. https://pubmed.ncbi.nlm.nih.gov/
El Paso Back Clinic. (2025a). Spinal health after MVAs and chiropractic care. Retrieved from https://elpasobackclinic.com/
Dr. Jimenez’s Role in El Paso’s Personal Injury Landscape
El Paso’s roads, from the hustle of I-10 to the curves of Transmountain Road, see a range of accidents, from minor rear-end collisions to severe 18-wheeler crashes. These incidents often lead to musculoskeletal injuries, like whiplash, spinal misalignments, or even gastrointestinal injuries from seatbelt trauma (El Paso Back Clinic, 2025f). Dr. Alexander Jimenez is a beacon of hope for personal injury victims, offering a unique blend of clinical expertise and legal support.
Why Dr. Jimenez Stands Out
Advanced Diagnostics: Utilizing tools such as X-rays, MRIs, and CT scans, Dr. Jimenez precisely identifies injuries, ensuring accurate treatment plans (El Paso Back Clinic, 2025e).
Functional Assessments: Tests like the 6-minute walk test or TUG test evaluate mobility and recovery progress, guiding personalized care (Nguyen et al., 2020; Podsiadlo & Richardson, 1991).
Legal Liaison: Dr. Jimenez’s dual-scope expertise ensures detailed medical reports that support insurance claims or lawsuits, making him a trusted partner for accident victims.
Holistic Recovery: His team combines chiropractic adjustments, massage therapy, and durable medical equipment (such as braces or TENS units) to comprehensively address injuries.
Whether it’s a cyclist recovering from a collision or a driver dealing with whiplash, Dr. Jimenez’s approach ensures patients get back on their feet while navigating the legal complexities of personal injury cases.
References:
El Paso Back Clinic. (2025e). Auto accident insights for safe driving and recovering from WAD. Retrieved from https://elpasobackclinic.com/
El Paso Back Clinic. (2025f). Car accident GI injuries: Recovery and rehabilitation options. Retrieved from https://elpasobackclinic.com/
Nguyen, U. S., et al. (2020). Clinical Associations and Prognostic Implications of the 6-Minute Walk Test in Rheumatoid Arthritis. Arthritis Care & Research, 72(8), 1046-1053. https://pubmed.ncbi.nlm.nih.gov/
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. https://pubmed.ncbi.nlm.nih.gov/
Long-Term Benefits of the Chiropractic-Exercise Combo
The combination of chiropractic care and exercise isn’t just a quick fix—it’s a long-term investment in your health. Here’s why it’s a game-changer:
Pain Reduction: Chiropractic adjustments reduce nerve irritation, while exercise strengthens muscles, preventing pain from recurring (Ojeda et al., 2023).
Improved Mobility: Regular adjustments and exercises like CrossFit or weight training enhance joint range of motion, making daily activities easier.
Injury Prevention: Stronger muscles and better alignment reduce the risk of future injuries, whether from sports, accidents, or daily wear and tear.
Enhanced Well-Being: Exercise boosts energy and reduces fatigue, while chiropractic care promotes relaxation and stress relief (Puglisi et al., 2013).
By sticking with this approach, you’re not just treating pain—you’re building a stronger, healthier body that can handle whatever life throws at you.
References:
Ojeda, B. H., et al. (2023). Cost-effectiveness and outcomes of direct access to physical therapy for musculoskeletal disorders compared to physician-first access in the United States: Systematic review and meta-analysis. Physical Therapy Journal, 103(2), pzad012. https://pubmed.ncbi.nlm.nih.gov/
Puglisi, F., et al. (2013). The effect of a single bout of exercise on energy and fatigue states: A systematic review and meta-analysis. Fatigue: Biomedicine, Health & Behavior, 1(4), 223-242. https://pubmed.ncbi.nlm.nih.gov/
Practical Steps for a Pain-Free Future
Want to say goodbye to musculoskeletal pain and hello to a more active life? Here are some actionable steps, inspired by Dr. Jimenez’s clinical insights, to get you started:
Book a Chiropractic Session: Schedule an appointment at El Paso Back Clinic for a thorough evaluation and personalized treatment plan.
Incorporate Exercise Gradually: Start with low-impact CrossFit or weight training exercises, like air squats or light dumbbell work, to build strength safely.
Optimize Your Environment: Set up an ergonomic workspace, take breaks to stretch, and drive cautiously to avoid accidents.
Eat for Recovery: Focus on anti-inflammatory foods, like salmon, walnuts, and spinach, to support your body’s healing process (El Paso Back Clinic, 2025d).
Stay Consistent: Make small changes, like a daily 10-minute walk or a quick stretch before bed, to maintain progress.
A touch of humor to keep you going: Think of your spine as a grumpy old neighbor—it needs regular check-ins to stay friendly!
References:
El Paso Back Clinic. (2025d). Nutrition for accident injuries during recovery. Retrieved from https://elpasobackclinic.com/
Musculoskeletal pain doesn’t have to be a permanent part of your life. By combining chiropractic care with exercises like CrossFit and weight training, you can reduce pain, improve mobility, and enhance your overall well-being. At El Paso Back Clinic, Dr. Alexander Jimenez and his team offer a holistic approach, utilizing spinal adjustments, advanced diagnostics, and personalized exercise plans to address a range of conditions, from motor vehicle accident injuries to chronic pain. For personal injury victims in El Paso, Dr. Jimenez’s expertise as a clinical and legal liaison ensures comprehensive care and support, helping patients navigate both their recovery and the legal challenges that follow.
Disclaimer: This blog post is intended for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider, such as Dr. Alexander Jimenez at El Paso Back Clinic, before starting any treatment or exercise program. The information provided is based on clinical insights and research, but is not a substitute for professional medical evaluation. Your health is serious business—treat it that way.
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