Back and Spine Health Exercise: Exercise is one of the most significant ways to increase longevity, improve health, and decrease pain and suffering. A proper exercise program can improve flexibility, mobility, increase strength, and reduce back pain. Knowledge of the best exercises to improve health or decrease pain is essential to a workout plan or pain management program. Regular exercise is one of the best things you can do for overall health. The many benefits include improved health and fitness and reduced risk of chronic diseases.
There are many different types of exercise; it is important to pick the right types. Most benefits from a combination of exercises: Endurance or aerobic activities increase your breathing and heart rate. They keep your heart, lungs, and circulatory system healthy and improve your overall fitness. Examples include brisk walking, jogging, swimming, and biking.
Strength or resistance training, exercises make your muscles stronger. Some examples are lifting weights and using a resistance band. Balance exercises can make it easier to walk on uneven surfaces and help prevent falls. To improve your balance, try tai chi or exercises like standing on one leg. Flexibility exercises stretch your muscles and can help your body stay limber. Yoga and doing various stretches can make you more flexible.
Gain insights into the benefits of combining physical activity with chiropractic care for inflammation for improved health.
The Power of Chiropractic Care and Physical Activity in Reducing Musculoskeletal Inflammation
Introduction
Hey there, folks! Imagine if you could pop a pill that makes you feel like you’ve just won the monster mash, but instead, it’s something you can do yourself—exercise! And just like our pal Herman Munster, who might’ve lumbered a bit but always got the job done, combining chiropractic care with physical activity can be your quirky yet effective way to tackle musculoskeletal inflammation. Musculoskeletal disorders are a leading cause of pain and disability worldwide, affecting millions and making everyday tasks feel like a Frankenstein-sized challenge. Inflammation in muscles, joints, and bones can lead to chronic pain, stiffness, and a reduced quality of life, but there’s hope!
This comprehensive guide explores why combining chiropractic care with regular physical activity is a powerful strategy for managing musculoskeletal inflammation. We’ll explore how these conditions disrupt daily life, share insights from Dr. Alexander Jimenez, a renowned chiropractor in El Paso, Texas, and provide practical exercises to help you combat inflammation. We’ll also highlight the significance of personal injury cases in El Paso and Dr. Jimenez’s unique role in supporting victims. With a sprinkle of Herman Munster’s charm to keep things lively, we’ll wrap up with a serious note and a disclaimer to ensure you approach your health with care. Let’s get moving and grooving to better health!
Understanding Musculoskeletal Inflammation
Musculoskeletal inflammation is like an uninvited guest at your body’s party, causing swelling and irritation in muscles, bones, joints, ligaments, or tendons. It can manifest as acute inflammation, triggered by injuries such as a sprained ankle, or chronic inflammation, associated with conditions like osteoarthritis, rheumatoid arthritis, tendinitis, or discogenic low back pain. Chronic inflammation is the real troublemaker, leading to persistent pain, stiffness, and limited mobility that can turn simple tasks—such as tying your shoes or chasing after your pet—into a monumental ordeal.
Inflammation is the body’s natural response to injury or infection, which sends immune cells to repair the damage. However, when it lingers, it can break down tissues, increase pain sensitivity, and even contribute to systemic issues like cardiovascular disease or diabetes (Vina et al., 2012). For example, chronic low back pain, which affects 26-42% of chronic pain sufferers, often stems from intervertebral disc degeneration, where inflammation and nerve growth in the disc cause significant discomfort (Peng, 2013). This can make sitting, bending, or lifting feel like you’re trying to lift Grandpa Munster’s coffin.
The impact on daily life is profound. Chronic pain can limit your ability to work, socialize, or enjoy hobbies, leading to frustration, depression, or isolation. Iron overload diseases, such as hemochromatosis, can also contribute to musculoskeletal inflammation, leading to joint pain in up to 72.4% of patients (Fleming & Ponka, 2012). Understanding these effects sets the stage for exploring how chiropractic care and physical activity can help you reclaim your inner Munster vitality.
Peng, B. G. (2013). Pathophysiology, diagnosis, and treatment of discogenic low back pain. World Journal of Orthopedics, 4(2), 42-52. https://pubmed.ncbi.nlm.nih.gov/23610750/
Vina, J., Sanchis-Gomar, F., Martinez-Bello, V., & Gomez-Cabrera, M. C. (2012). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 167(1), 1-12. https://pubmed.ncbi.nlm.nih.gov/22486393/
Clinical Rationale for Chiropractic Care and Physical Activity
Chiropractic care is like giving your spine a friendly nudge to get back in line, much like Herman Munster straightening up his tie before a big night out. It focuses on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine, using manual adjustments to improve alignment and function. These adjustments can reduce nerve pressure, which may decrease inflammation by alleviating stress on affected tissues. Improved blood flow and lymphatic drainage from adjustments also help clear out inflammatory substances, promoting healing (Cleveland Clinic, 2023).
Physical activity, on the other hand, is your body’s natural anti-inflammatory potion. Regular exercise strengthens muscles, enhances joint mobility, and triggers the release of anti-inflammatory cytokines, reducing swelling and pain. A study found that just 20 minutes of moderate walking can lower immune cell activity linked to inflammation by about 5% (El Paso Back Clinic, n.d.). Exercise also boosts endorphins, your body’s feel-good chemicals, which can ease pain and reduce stress—a known inflammation trigger.
Combining these two is like teaming up Herman and Lily Munster for a dynamic duo effect. Chiropractic care prepares your body by improving mobility and reducing pain, making exercise more feasible. Meanwhile, physical activity maintains these benefits by supporting muscle strength and joint health. Research supports this finding: a systematic review in the Cochrane Database of Systematic Reviews found moderate-certainty evidence that exercise therapy reduces pain in chronic low back pain by approximately 15 points on a 0-100 scale compared to no treatment or usual care (Hayden et al., 2021). Another study highlighted the pharmacological benefits of exercise, which act like a drug to prevent and treat inflammation-related conditions (Vina et al., 2012).
However, the chiropractic field isn’t without debate. Some medical professionals argue that certain chiropractic practices, like needle electromyography, overstep their scope, potentially risking patient safety (Texas Medical Association, 2006). Despite this, evidence supports the effectiveness of chiropractic care for musculoskeletal issues, particularly when combined with exercise, making it a promising approach for many.
Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, (9), CD009790. https://pubmed.ncbi.nlm.nih.gov/34580864/
Vina, J., Sanchis-Gomar, F., Martinez-Bello, V., & Gomez-Cabrera, M. C. (2012). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 167(1), 1-12. https://pubmed.ncbi.nlm.nih.gov/22486393/
Roles of Musculoskeletal Issues in Chronic Inflammation
Musculoskeletal issues are like the creaky floorboards in the Munster mansion—annoying and hard to ignore. Conditions like osteoarthritis, rheumatoid arthritis, tendinitis, bursitis, and discogenic low back pain are major culprits of chronic inflammation. These disorders cause persistent pain, swelling, and stiffness, making everyday tasks like walking to the mailbox or lifting a cauldron feel daunting. For example, discogenic low back pain, linked to intervertebral disc degeneration, affects 26-42% of chronic low back pain sufferers, with inflammation and nerve growth in the disc amplifying discomfort (Peng, 2013).
Chronic inflammation doesn’t stay local; it’s like a spooky fog that spreads, contributing to systemic issues like cardiovascular disease, diabetes, and mental health disorders. Inflammatory mediators from affected joints or muscles can enter the bloodstream, impacting other organs (Vina et al., 2012). Iron overload diseases, such as hemochromatosis, can worsen musculoskeletal inflammation, with joint pain reported in up to 72.4% of cases (Fleming & Ponka, 2012). This systemic effect can lead to fatigue, reduced mobility, and emotional strain, with many patients reporting depression or isolation due to limited activity.
Daily routines suffer significantly. Chronic pain can hinder work productivity, social interactions, and hobbies, turning life into a bit of a haunted house. Effective management, similar to chiropractic care and exercise, is crucial for breaking this cycle and restoring function.
Peng, B. G. (2013). Pathophysiology, diagnosis, and treatment of discogenic low back pain. World Journal of Orthopedics, 4(2), 42-52. https://pubmed.ncbi.nlm.nih.gov/23610750/
Vina, J., Sanchis-Gomar, F., Martinez-Bello, V., & Gomez-Cabrera, M. C. (2012). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 167(1), 1-12. https://pubmed.ncbi.nlm.nih.gov/22486393/
Transform Your Body- Video
Insights from Dr. Alexander Jimenez
Dr. Alexander Jimenez is the chiropractic equivalent of Herman Munster’s heart of gold—dedicated and impactful. Based in El Paso, Texas, Dr. Jimenez specializes in musculoskeletal health and personal injury cases, using a holistic approach that combines chiropractic adjustments, physical therapy, and lifestyle changes. His philosophy centers on addressing the root causes of inflammation, rather than just masking symptoms, to ensure patients receive lasting relief.
Using advanced imaging like MRI and CT scans, Dr. Jimenez accurately diagnoses conditions, tailoring treatments to individual needs. His expertise extends to personal injury cases, where he assists victims in recovering from musculoskeletal trauma while providing critical medical documentation for legal claims. By linking injuries to diagnostic findings, he ensures patients receive proper care and fair compensation.
Dr. Jimenez strongly advocates combining chiropractic care with physical activity. He believes that adjustments set the stage for effective exercise, which helps maintain alignment and reduces inflammation. His work in El Paso highlights the power of this integrated approach, helping patients move better and feel like they’re dancing at a family reunion in Munster.
Exercise is like Herman Munster’s secret weapon—simple but powerful. Here are five workouts to help reduce musculoskeletal inflammation, backed by research:
Workout
Description
Benefits
Frequency
Brisk Walking
A low-impact activity requiring no special equipment, ideal for all ages.
Reduces inflammation by 5% with 20 minutes of daily exercise, and improves mood (CDC, 2024).
30 minutes, 5 days/week
Swimming
Full-body workout in water, gentle on joints.
Enhances circulation, reduces joint stress, and lowers inflammation.
2-3 sessions/week, 20-30 minutes
Yoga
Combines postures, breathing exercises, and meditation to enhance flexibility and reduce stress.
Decreases pain and inflammation, improves mental health (Williams, 2009).
2-3 sessions/week, 45-60 minutes
Strength Training
Uses resistance bands or light weights to build muscle.
Slow, flowing movements to improve balance and flexibility.
Reduces pain and fall risk, especially in older adults (Weifen, 2013).
2-3 sessions/week, 30-45 minutes
Start slowly and consult a healthcare provider to ensure these exercises are suitable for your condition. Like Herman learning a new dance, take it one step at a time to avoid overdoing it.
Vincent, H. K. (2014). Resistance exercise reduces disability in obese adults with chronic low back pain. Journal of Physical Activity and Health, 11(5), 897-905. [[invalid url, do not cite])
The Importance of Personal Injury Cases in El Paso
El Paso, Texas, sees a high number of personal injury cases, often from car accidents or workplace incidents, many involving musculoskeletal injuries like whiplash or fractures. These injuries can lead to chronic inflammation, making recovery a challenge. Dr. Alexander Jimenez is a cornerstone in El Paso’s recovery landscape, using his chiropractic expertise to treat these injuries and support legal claims.
His use of advanced diagnostics, such as MRI and CT scans, enables the precise identification of injury-related inflammation, which is crucial for both treatment and legal documentation. Dr. Jimenez acts as a bridge between medical care and legal proceedings, ensuring victims receive comprehensive treatment and fair compensation. His work highlights the critical role of specialized care in addressing the physical and legal complexities of personal injuries.
In conclusion, combining chiropractic care with physical activity is a promising strategy for reducing musculoskeletal inflammation, much like Herman Munster finding harmony in his quirky world. Dr. Alexander Jimenez’s expertise in El Paso highlights the importance of personalized care, particularly for individuals with personal injury claims. By incorporating exercises like walking or yoga, you can take proactive steps toward better health, but always consult a healthcare professional to ensure safety.
Disclaimer: This blog post is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician or other qualified healthcare provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read here.
Hayden, J. A., Ellis, J., Ogilvie, R., Malmivaara, A., & van Tulder, M. W. (2021). Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews, (9), CD009790. https://pubmed.ncbi.nlm.nih.gov/34580864/
Peng, B. G. (2013). Pathophysiology, diagnosis, and treatment of discogenic low back pain. World Journal of Orthopedics, 4(2), 42-52. https://pubmed.ncbi.nlm.nih.gov/23610750/
Vina, J., Sanchis-Gomar, F., Martinez-Bello, V., & Gomez-Cabrera, M. C. (2012). Exercise acts as a drug; the pharmacological benefits of exercise. British Journal of Pharmacology, 167(1), 1-12. https://pubmed.ncbi.nlm.nih.gov/22486393/
Vincent, H. K. (2014). Resistance exercise reduces disability in obese adults with chronic low back pain. Journal of Physical Activity and Health, 11(5), 897-905. [[invalid url, do not cite])
Recovering from Car Accidents: A Holistic Approach at El Paso Back Clinic
Motor vehicle accidents (MVAs) can leave lasting physical and emotional impacts, often causing injuries like whiplash, chronic back and neck pain, or nerve damage. At El Paso Back Clinic, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, we specialize in helping accident victims recover through personalized physical therapy, chiropractic care, nurse practitioner expertise, acupuncture, and integrative medicine. This post explores how these treatments address common MVA injuries and promote long-term health. Discover how our clinic’s comprehensive approach, backed by advanced diagnostics and dual-scope expertise, can guide you toward full recovery.
Common Injuries from Motor Vehicle Accidents
MVAs can result in a range of injuries, from minor sprains to severe musculoskeletal and nerve conditions. The sudden force of a collision stresses the body, leading to issues that may not appear immediately but can become chronic if untreated. Common injuries include:
Whiplash: A rapid back-and-forth head motion that strains neck muscles and ligaments, causing pain and stiffness.
Back and Neck Pain: Spinal injuries like herniated discs or strains can lead to persistent discomfort.
Soft Tissue Damage: Torn or stretched muscles, tendons, and ligaments cause swelling and limited mobility.
Nerve Irritation: Compressed nerves may result in numbness, tingling, or sharp pain, as seen in sciatica.
Fractures: High-impact crashes can break bones, requiring careful rehabilitation.
Prompt treatment is essential to prevent these injuries from worsening. At El Paso Back Clinic, we use advanced diagnostics to identify issues early and create tailored recovery plans.
Physical therapy (PT) is a cornerstone of MVA recovery, helping restore movement, reduce pain, and prevent chronic issues. At El Paso Back Clinic, our physical therapists work closely with patients to design individualized programs that address specific injuries.
Our Physical Therapy Techniques
Manual Therapy: Hands-on techniques like joint mobilization and soft tissue massage relieve tension and improve mobility, especially for whiplash (Head2Toe Care, 2023).
Range-of-Motion Exercises: Gentle stretches, such as shoulder circles, enhance flexibility in the neck and shoulders (Results Physiotherapy, 2023).
Stretching Routines: Targeted stretches promote blood flow and reduce stiffness, ideal for early recovery (Cordisco & Saile, 2024).
Strengthening Exercises: Core-focused exercises like pelvic tilts strengthen muscles to support the spine and prevent re-injury (B Physical Therapy, 2024).
Specialized Modalities: Cryotherapy reduces inflammation, while aquatic therapy supports low-impact movement for severe injuries (JJ Legal, 2024).
Why Choose Our PT Program?
Our therapists at El Paso Back Clinic use evidence-based methods to ensure optimal outcomes. By correcting posture, improving strength, and teaching home exercises, we empower patients to take control of their recovery and avoid long-term pain (Synergy Rehab, 2024).
Exercise is vital for rebuilding strength and flexibility after an MVA. At El Paso Back Clinic, we guide patients through safe, effective exercises tailored to their injuries, ensuring proper form and gradual progression.
Neck and Shoulder Exercises
Neck Tilts: Sit upright and tilt your head toward one shoulder, hold briefly, then switch sides. This reduces neck stiffness (One Rehab, 2024).
Shoulder Circles: Roll your shoulders forward and backward in slow circles to improve mobility and ease tension (Results Physiotherapy, 2023).
Back and Core Exercises
Pelvic Tilts: Lie on your back, knees bent, and press your lower back into the floor by tightening your abs. This strengthens core muscles (PTSMc, 2024).
Bridges: Lift your hips while lying on your back with knees bent, engaging your glutes to support the lower back (B Physical Therapy, 2024).
Lower Body Exercises
Seated Leg Extensions: Extend one leg while seated, hold, then lower. This builds leg strength without spinal stress (One Rehab, 2024).
Safety Guidelines
Always consult our team before starting exercises. Begin with low-impact movements, avoid pain, and follow our therapists’ instructions to ensure safe recovery (Sports PT Centers, 2023).
Chiropractic care is a cornerstone of our holistic approach, focusing on spinal alignment and musculoskeletal health. Dr. Alexander Jimenez and our chiropractic team use advanced techniques to treat MVA injuries effectively.
Chiropractic Techniques
Spinal Adjustments: Precise corrections of spinal misalignments reduce nerve pressure and improve mobility, ideal for whiplash and back pain (Jimenez, 2024).
Soft Tissue Therapy: Massage and myofascial release relieve muscle tension and promote healing (Healthwest Therapy, 2024).
Rehabilitative Exercises: We prescribe exercises to strengthen muscles, complementing adjustments and preventing re-injury.
Benefits of Our Chiropractic Care
Our chiropractic treatments target the root causes of pain, reducing inflammation and enhancing joint function. Combined with integrative medicine, such as nutritional support, our care promotes lasting recovery (Jimenez, 2024).
Nurse practitioners (NPs) at El Paso Back Clinic, led by Dr. Jimenez, provide comprehensive medical care, integrating conventional and holistic treatments to support MVA recovery.
NP Roles
Thorough Assessments: NPs order MRIs, X-rays, and lab tests to diagnose nerve damage or systemic issues (Jimenez, 2023).
Care Coordination: They collaborate with chiropractors and therapists to create cohesive treatment plans.
Medical Oversight: NPs manage medications and evidence-based therapies when needed.
Our NP Advantage
Our NPs, with their medical and holistic expertise, address both physical injuries and underlying conditions like inflammation, ensuring a well-rounded recovery (Jimenez, 2023).
Acupuncture and integrative medicine are powerful tools for managing chronic pain at El Paso Back Clinic. These therapies complement our chiropractic and physical therapy services.
Acupuncture Benefits
Acupuncture involves inserting fine needles to stimulate pain relief and reduce inflammation. It’s effective for soft tissue injuries and nerve pain, enhancing other treatments (PushAsRx, 2024).
Integrative Medicine Approach
Our integrative protocols include acupuncture, nutritional counseling, and stress management to address pain, inflammation, and overall health, promoting long-term wellness (Jimenez, 2024).
Why It Works
These therapies reduce medication dependency, improve mobility, and support conditions like sciatica or fibromyalgia, offering a holistic path to recovery (PushAsRx, 2024).
References
Jimenez, A. (2024). Integrative MVA recovery strategies for lasting health. https://dralexjimenez.com/
PushAsRx. (2024). Car crash wellness protocol: A guide to recovery. https://pushasrx.com/
Dr. Alexander Jimenez: Leading Recovery at El Paso Back Clinic
Dr. Alexander Jimenez, a chiropractor and board-certified family nurse practitioner, brings over 25 years of experience to El Paso Back Clinic. His dual licensure and integrative approach make him a trusted expert in MVA recovery.
Dual-Scope Clinical Expertise
Dr. Jimenez combines chiropractic and medical perspectives:
Musculoskeletal Analysis: He uses motion tests and palpation to diagnose spinal and soft tissue injuries.
Systemic Health: As an NP, he evaluates metabolic and hormonal factors to address inflammation or fatigue (Jimenez, 2023).
Advanced Diagnostics
Our clinic employs state-of-the-art tools:
Imaging: X-rays, MRIs, and CT scans identify spinal and ligament issues, guiding treatment and legal documentation (Jimenez, 2024).
Functional Testing: EMG and movement screens assess nerve and mobility issues.
Legal Documentation
Dr. Jimenez’s expertise ensures detailed injury reports for personal injury cases, using imaging and assessments to validate claims, supporting both recovery and legal needs (Jimenez, 2024).
Why Choose Dr. Jimenez?
His integrative protocols—blending chiropractic, PT, acupuncture, and nutrition—address the whole person, promoting resilience and health (LinkedIn, 2025).
Conclusion: Your Path to Recovery with El Paso Back Clinic
At El Paso Back Clinic, we believe in a holistic approach to MVA recovery, addressing musculoskeletal injuries, nerve issues, and chronic pain through a combination of physical therapy, chiropractic care, nurse practitioner expertise, acupuncture, and integrative medicine. Led by Dr. Alexander Jimenez, our team uses advanced diagnostics and personalized plans to guide you toward full health. Early intervention, consistent treatment, and home exercises are key to preventing long-term issues. Contact El Paso Back Clinic at https://elpasobackclinic.com/ to start your recovery journey today.
Understand the benefits of physical therapy for managing auto injuries, whiplash, and improving your overall health.
Introduction
Motor vehicle accidents (MVAs) are a significant cause of injury worldwide, with millions of people experiencing collisions each year that lead to conditions like whiplash. Whiplash, a neck injury caused by rapid head movement, is particularly common and can result in persistent pain and disability if not addressed properly. This comprehensive guide explores why physical therapy is essential for individuals recovering from MVAs, focusing on whiplash, its symptoms, and the clinical rationale behind effective treatments. Drawing on insights from reputable sources and the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, a distinguished chiropractor and nurse practitioner in El Paso, Texas, we’ll highlight how physical therapy can transform recovery. We’ll also emphasize the importance of personal injury care in El Paso, where Dr. Jimenez stands out as a trusted practitioner. With a touch of humor to lighten the mood, this post aims to inform and engage readers while concluding with a serious note on the importance of professional care.
What is Whiplash and How Does It Occur?
Whiplash is a neck injury resulting from a sudden, forceful back-and-forth movement of the head, often compared to the cracking of a whip. This motion, common in rear-end car collisions, strains or tears the neck’s muscles, ligaments, and tendons. According to research on ligament injuries, such trauma can lead to partial or complete tears in structures like the medial collateral ligament (MCL) or anterior cruciate ligament (ACL), though in whiplash, the cervical ligaments are primarily affected (Smith, n.d.). These injuries disrupt normal joint stability, leading to a cascade of symptoms.
Symptoms of Whiplash
Whiplash symptoms can vary widely in intensity and timing, making it a complex condition to manage. Common symptoms include:
Neck Pain and Stiffness: The most frequent complaint, often worsening with movement.
Headaches: Typically starting at the base of the skull.
Dizziness and Fatigue: Affecting balance and energy levels.
Shoulder or Arm Pain: Sometimes radiating from the neck.
Tinnitus and Blurred Vision: Less common but disruptive.
Cognitive Issues: Difficulty concentrating or remembering.
Sleep Disturbances and Irritability: Affecting Overall Well-being.
These symptoms may appear immediately or develop over days to weeks, complicating diagnosis. Chronic whiplash, if untreated, can lead to long-term pain and reduced quality of life, as noted in a blog post on whiplash and exercise (El Paso Chiropractor Blog, 2016).
Key Citations
El Paso Chiropractor Blog. (2016, May). Whiplash and Exercise. Retrieved from Whiplash and Exercise
Discovering the Benefits of Chiropractic Care- Video
The Clinical Rationale for Physical Therapy
Physical therapy is a cornerstone of whiplash recovery, offering evidence-based methods to alleviate symptoms and restore function. The clinical rationale for its use stems from its ability to address both the immediate and long-term effects of MVA-related injuries. Here’s why physical therapy is effective, supported by clinical insights:
Pain Management
Physical therapy employs techniques like manual therapy, heat or ice application, and electrical stimulation to reduce pain and inflammation. These methods target the inflamed tissues and muscles affected by whiplash, providing relief without relying solely on medication.
Restoring Range of Motion
Gentle stretching and range-of-motion exercises help loosen stiff neck muscles and ligaments. Patients who began physical therapy within a month of injury experienced significantly better outcomes, with 39-44% reporting reduced pain after six months (El Paso Chiropractor Blog, 2016).
Strengthening and Stabilization
Strengthening exercises rebuild the neck and upper back muscles, which are crucial for supporting the spine. Ligament injuries from motor vehicle accidents (MVAs) can lead to disorganized scar tissue and reduced strength, resulting in 50% of normal failure loads, which increases the risk of further injury (Smith, n.d.). Physical therapy promotes controlled joint motion to enhance stability and reduce laxity.
Preventing Chronic Issues
Early intervention can prevent chronic whiplash-associated disorders. The El Paso Chiropractor Blog (2016) notes that neck exercises, when guided by a trained therapist, significantly increase the chances of recovery, particularly for individuals with chronic pain.
Patient Education
Therapists educate patients on posture, ergonomics, and self-care to prevent symptom recurrence. This empowers individuals to manage their recovery actively, reducing their reliance on long-term medical interventions.
Therapy Goal
Techniques Used
Expected Outcome
Pain Management
Manual therapy, heat/ice, electrical stimulation
Reduced pain and inflammation
Restore Range of Motion
Stretching, range-of-motion exercises
Improved neck mobility
Strengthening
Targeted neck and upper back exercises
Enhanced spinal support, reduced injury risk
Prevent Chronic Issues
Early intervention, guided exercises
Lower likelihood of long-term pain
Patient Education
Posture training, ergonomic advice
Empowered self-management
Key Citations
El Paso Chiropractor Blog. (2016, May). Whiplash and Exercise. Retrieved from Whiplash and Exercise
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a renowned healthcare provider in El Paso, Texas, with over 30 years of experience in chiropractic care and functional medicine. His clinic, Injury Medical & Chiropractic Clinic, is a beacon for MVA victims seeking comprehensive recovery. Dr. Jimenez’s dual licensure as a chiropractor and nurse practitioner allows him to offer integrative care that bridges traditional and alternative medicine.
Advanced Diagnostics
Dr. Jimenez utilizes advanced imaging techniques, including MRI and CT scans, in conjunction with laboratory tests and functional assessments to pinpoint the cause of injuries. This precision ensures accurate diagnoses, critical for tailoring effective treatment plans (El Paso Back Clinic, n.d.).
Integrative Treatment Approaches
His practice combines chiropractic adjustments, physical therapy, and functional medicine, addressing not only symptoms but also underlying issues such as inflammation and nutritional deficiencies. This holistic approach promotes long-term wellness and resilience.
Liaison for Legal Documentation
In personal injury cases, Dr. Jimenez acts as a vital link between the medical and legal realms. He provides detailed medical reports and expert testimony, ensuring patients’ injuries are well-documented for legal claims, which is essential in El Paso’s busy personal injury landscape.
Collaborative Care
Dr. Jimenez collaborates with surgeons, rehabilitation specialists, and other healthcare professionals to ensure comprehensive care. His clinic’s focus on non-invasive protocols minimizes the need for surgery, prioritizing natural recovery (Jimenez, n.d.).
Key Citations
El Paso Back Clinic. (n.d.). Physical Therapy Exercises After Motor Vehicle Accidents. Retrieved from Physical Therapy Exercises
Jimenez, A. (n.d.). Injury Medical & Chiropractic Clinic. Retrieved from Injury Medical Clinic
Personal Injury Cases in El Paso
El Paso, Texas, sees a high volume of personal injury cases due to MVAs, with victims facing physical, emotional, and financial challenges. The city’s busy roads and proximity to major highways contribute to a high frequency of accidents, making specialized care essential. Dr. Jimenez stands out as a trusted practitioner, offering:
Comprehensive Diagnostics: Using advanced imaging and functional assessments to document injuries for medical and legal purposes.
Dual-Scope Procedures: Referring patients to specialists for complex cases, ensuring all aspects of injury are addressed.
Legal Support: Providing detailed medical documentation to support personal injury claims, helping victims secure fair compensation.
His clinic’s patient-centered approach, backed by a 5.0/5 rating from 89 patient reviews, underscores his reputation as a top provider in El Paso (Sharecare, n.d.).
Key Citations
Jimenez, A. (n.d.). Auto Accident Doctor: Finding the Best Medical. Retrieved from Auto Accident Doctor
Sharecare. (n.d.). Dr. Alexander Jimenez, DC, Chiropractor – El Paso, TX. Retrieved from Dr. Jimenez Profile
A Light Touch of Humor
Recovering from whiplash can feel like a rollercoaster—minus the fun. Imagine celebrating every neck turn like it’s a gold medal moment at the Olympics! Or picture yourself mastering the art of nodding without wincing, earning you the unofficial title of “Neck Ninja.” These lighthearted moments remind us that recovery, while challenging, can include small victories that bring a smile. However, the seriousness of whiplash underscores the need for professional care to turn these humorous milestones into lasting recovery.
Conclusion
Physical therapy is a critical tool for recovering from whiplash and other MVA-related injuries, offering pain relief, improved mobility, and long-term health benefits. In El Paso, Dr. Alexander Jimenez provides exceptional care, combining advanced diagnostics, integrative treatments, and legal support to help personal injury victims reclaim their lives. His expertise ensures that patients receive not only medical care but also the documentation needed for legal recourse. For those navigating the aftermath of a motor vehicle accident (MVA), seeking care from a qualified professional like Dr. Jimenez can pave the way for a smoother recovery.
Disclaimer: This blog post is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for diagnosis and treatment. Individual results may vary, and the information provided may not apply to every situation. Contact Dr. Alexander Jimenez or another licensed provider for personalized care.
Physical Therapy After a Car Accident: Addressing Indirect Trauma, Pain, and Mobility Issues
Motor vehicle accidents (MVAs) can leave individuals grappling with a range of physical and emotional challenges, even when injuries seem minor at first glance. The sudden forces exerted on the body during a collision—whether a rear-end crash, side impact, or head-on accident—can cause significant indirect trauma, leading to back and neck pain, nerve damage, mobility and flexibility issues, and posture problems. These injuries often manifest as musculoskeletal joint pain, which can persist or worsen without proper intervention. Physical therapy (PT) is a cornerstone of recovery for MVA victims, offering a non-invasive, customized approach to restoring function, alleviating pain, and preventing long-term complications. In El Paso, Texas, professionals such as Dr. Alexander Jimenez, a distinguished chiropractor and board-certified family nurse practitioner, combine clinical expertise with advanced diagnostic tools to effectively address these injuries. This blog post explores the role of physical therapy in MVA recovery, drawing on clinical observations, evidence-based practices, and Dr. Jimenez’s integrative approach to care.
Understanding the Impact of Motor Vehicle Accidents
Motor Vehicle Accidents (MVAs) expose the body to sudden, powerful forces beyond its capacity to absorb. Even low-speed collisions can strain or injure the spine, muscles, joints, and nerves. According to the National Highway Traffic Safety Administration, over 2.1 million people in the U.S. sustain injuries in car crashes annually, with soft tissue injuries being the most common (NHTSA, 2023). These injuries often include whiplash, back strains, herniated discs, and nerve compression, which can lead to chronic pain and mobility limitations if untreated.
Indirect Trauma and Its Consequences
Indirect trauma refers to injuries that result from the body’s reaction to the sudden forces of a collision, rather than direct impact. For example, the rapid back-and-forth motion of the neck during a rear-end collision can strain muscles, ligaments, and nerves, leading to whiplash-associated disorders (WAD). This condition often causes neck pain, stiffness, and headaches, which may not appear immediately (Apex Spine & Neurosurgery, 2024). Similarly, the spine’s natural curves can be disrupted, contributing to posture problems and increased stress on joints and muscles.
Back and neck pain are among the most commonly reported symptoms following a motor vehicle accident (MVA). The spine, a complex structure of vertebrae, discs, and nerves, is particularly vulnerable. Herniated discs, where the inner material of a spinal disc protrudes and presses on nearby nerves, can cause radiating pain, numbness, or weakness (Jimenez, 2024). Nerve damage, such as neuropraxia, can occur when nerves are stretched or compressed, resulting in tingling, muscle weakness, or loss of sensation. (Personal Injury Doctors, 2016).
Mobility and flexibility issues often arise as the body attempts to compensate for pain or stiffness. For instance, a person with lower back pain may alter their gait, resulting in uneven stress on the hips and knees. Over time, these changes can exacerbate joint pain and contribute to the development of degenerative conditions, such as arthritis. Posture problems, such as forward head posture or slouching, may also develop, particularly if pain discourages proper alignment and posture. (Jimenez, 2016).
Musculoskeletal Joint Pain Progression
Musculoskeletal joint pain often progresses due to untreated or poorly managed MVA injuries. For example, whiplash can lead to chronic neck pain if scar tissue forms in strained muscles or if spinal misalignments (subluxations) persist (Baystate Physical Therapy, 2024). Similarly, a herniated disc in the lumbar spine may cause sciatica, characterized by sharp pain radiating down the leg due to nerve compression. These conditions can limit range of motion, reduce strength, and impair daily activities, significantly affecting quality of life.
Citations:
National Highway Traffic Safety Administration. (2023). Traffic safety facts. https://www.nhtsa.gov/
Physical therapy is a non-invasive, evidence-based approach to treating injuries related to motor vehicle accidents (MVAs). It focuses on restoring mobility, reducing pain, and preventing long-term complications through a combination of manual therapy, therapeutic modalities, and targeted exercises. Texas Physical Therapy Specialists emphasize that PT programs are tailored to each patient’s specific injuries and needs, ensuring optimal recovery (Texas Physical Therapy Specialists, 2024).
Key Components of Physical Therapy
Manual Therapy: Techniques such as joint mobilization and soft tissue massage help reduce muscle tension, improve circulation, and restore joint function. These hands-on methods are particularly effective for addressing stiffness and pain in the neck and back (Apex Orthopaedics Spine & Neurology, 2024).
Pain-Relieving Modalities: Tools like electrical stimulation, ultrasound, and heat/cold therapy can alleviate pain and inflammation. For example, transcutaneous electrical nerve stimulation (TENS) uses low-voltage currents to block pain signals (Rocky Mountain Physical Therapy, 2024).
Stretching and Range-of-Motion Exercises: These exercises improve flexibility and restore normal joint movement. Gentle neck stretches, for instance, can counteract whiplash-induced stiffness (OneRehab, 2024).
Strengthening Exercises: Building muscle strength supports injured areas and prevents re-injury. Core exercises, such as planks, stabilize the spine, while leg exercises like squats enhance overall mobility (Breakthrough Physical Therapy, 2024).
Functional Training: Multi-joint, multi-muscle movements, such as lunges or rotational exercises, mimic daily activities, improving balance and coordination (Release Physical Therapy, 2024).
Customization of Treatment Plans
A physical therapist begins with a thorough evaluation, assessing the patient’s range of motion, strength, posture, and pain levels. Based on this assessment, they develop a personalized treatment plan. For example, a patient with whiplash may start with gentle stretches and progress to strengthening exercises as pain subsides. The duration of PT varies, typically ranging from a few weeks to several months, depending on the severity of the injury and the patient’s progress. (Georgia Spine & Orthopaedics, 2024).
In El Paso, Dr. Alexander Jimenez stands out as a leader in treating injuries related to motor vehicle accidents (MVAs). With over 25 years of experience as a chiropractor and board-certified family nurse practitioner, Dr. Jimenez integrates chiropractic care, functional medicine, and advanced diagnostics to address the complex needs of personal injury patients (Jimenez, 2024). His dual licensure enables him to bridge the gap between biomechanical and systemic health, providing a holistic approach to recovery.
Clinical Rationale and Diagnostic Assessments
Dr. Jimenez emphasizes the importance of correlating patient injuries with objective diagnostic findings. He employs advanced imaging techniques, such as X-rays and MRIs, to identify spinal misalignments, disc herniations, and soft tissue injuries. These tools are crucial for detecting subtle injuries, such as ligament tears or nerve compression, that may not be apparent in initial examinations (Jimenez, 2024). Dual-scope procedures, combining chiropractic and medical evaluations, provide a comprehensive view of the patient’s condition, enabling precise treatment planning.
For example, a patient with neck pain post-MVA may undergo motion and static palpation to assess spinal joint mobility, followed by an MRI to confirm a suspected herniated disc. Dr. Jimenez’s diagnostic assessments also include neurological evaluations to detect nerve damage, such as radiculopathy or peripheral neuropathy, which can cause symptoms like numbness or muscle weakness (Jimenez, 2018).
Balancing Medical and Legal Needs
In personal injury cases, Dr. Jimenez’s expertise extends beyond clinical care to legal documentation. He meticulously documents examination findings and treatment plans to support insurance claims and legal proceedings, ensuring patients receive fair compensation (Jimenez, 2017). His ability to translate complex medical findings into clear, legally admissible reports is particularly valuable in El Paso, where personal injury cases are common due to the high volume of traffic.
Treatment Protocols
Dr. Jimenez’s treatment protocols often include chiropractic adjustments to correct spinal misalignments, reduce nerve compression, and restore mobility. He complements these with physical therapy modalities, such as ultrasound and electrical stimulation, to manage pain and inflammation. Functional strength training, tailored to the patient’s needs, enhances recovery by improving stability and preventing re-injury (Jimenez, 2024).
Specific Physical Therapy Exercises for MVA Recovery
The type and severity of MVA injuries dictate the exercises prescribed in physical therapy. Below are examples of exercises commonly used to address back and neck pain, nerve damage, mobility issues, and posture problems.
Stretching Exercises
Neck Stretches: Gently tilting the head side to side or forward and backward can help relieve tension in the cervical spine. These are ideal for whiplash patients. (OneRehab, 2024).
Hamstring Stretches: Lying on the back and lifting one leg while keeping it straight stretches the lower back and hamstrings, improving flexibility (Sports Physical Therapy, 2024).
Range-of-Motion Exercises
Shoulder Rolls: Rolling the shoulders forward and backward enhances mobility in the upper back and neck, counteracting stiffness (Breakthrough Physical Therapy, 2024).
Spinal Twists: Seated or supine twists gently rotate the spine, improving lumbar mobility and reducing lower back pain (Texas Physical Therapy Specialists, 2024).
Strengthening Exercises
Core Bridges: Lying on the back with knees bent, lifting the hips strengthens the core and lower back, stabilizing the spine (Rocky Mountain Physical Therapy, 2024).
Planks: Holding a plank position builds core and shoulder strength, supporting proper posture (Release Physical Therapy, 2024).
Functional Training
Squats: Multi-joint squats improve leg and core strength, enhancing overall stability (Synergy Rehab, 2024).
Lunges: Forward or lateral lunges mimic walking and climbing, improving balance and coordination (Benchmark Physical Therapy, 2024).
Timing and Progression
It’s recommended to start physical therapy (PT) exercises within days of the accident, once acute pain subsides, to prevent stiffness and promote healing. Patients typically begin with low-impact stretches and progress to strengthening and functional exercises over the course of weeks or months. (Sports Physical Therapy, 2024).
Untreated MVA injuries can lead to chronic pain, reduced mobility, and degenerative conditions. Physical therapy helps prevent these outcomes by addressing inflammation, restoring function, and strengthening supportive muscles. For example, regular PT can reduce the risk of post-traumatic arthritis by maintaining joint mobility (Synergy Rehab, 2024). Dr. Jimenez’s combined method enhances prevention by integrating physical therapy (PT) with guidance on nutrition and overall health to address issues such as inflammation and metabolic imbalances. (Jimenez, 2024).
Motor vehicle accidents can cause a cascade of physical challenges, from indirect trauma and pain to mobility, flexibility, and posture issues. Physical therapy, with its focus on manual therapy, pain relief, and targeted exercises, is a vital tool for recovery. In El Paso, Dr. Alexander Jimenez’s expertise in chiropractic care, functional medicine, and diagnostic assessments ensures that MVA victims receive comprehensive, personalized treatment. By addressing both the medical and legal aspects of personal injury cases, Dr. Jimenez helps patients recover their health and regain their quality of life. If you’ve been in a car accident, consult a physical therapist or specialist like Dr. Jimenez to start your journey to recovery.
Can older people who exercise regularly lessen their risk of dementia and enhance their overall health?
Exercise and the Prevention of Dementia
Dementia, a term used to cover several conditions that impact memory and cognition, is currently the seventh leading cause of mortality worldwide. (World Health Organization, 2025) More than 10 million new cases of dementia are found around the world each year. (J.H. Yoon et al., 2023) Research investigating the relationship between exercise and insulin in the brain suggests that regular exercise may improve brain function and decrease the prevalence of dementia. Scientists have discovered that variables, such as.
Muscles must be exercised and mobilized. People who do not engage in physical activity have rigid muscles, which impede the effectiveness of insulin. The body’s sensitivity to insulin is improved by the contraction and relaxation of the muscles during movement. Dementia can be prevented by understanding how to decrease the body’s insulin resistance.
Physical Activity and Lower Risk
Over two weeks, researchers examined 21 older adults with prediabetes and found that exercise enhances cognitive performance by aiding the brain in insulin regulation. They conducted twelve supervised training sessions of moderate to extreme intensity. (Malin S. K. et al., 2025)
The results indicated that brain-derived extracellular vesicles containing insulin-related proteins had significantly increased.
These microscopic messengers are essential for brain maintenance and aid in neuronal communication.
Three serine/threonine-specific protein kinases known as AKT (protein kinase B, or PKB) are essential for several cellular functions, such as cell growth, survival, metabolism, and cell cycle control.
The protein affects the development and health of neuronal cells and is thought to play a significant role in insulin signaling.
The notion that exercise might help prevent dementia by potentially enhancing insulin signaling is important since poor insulin response can result in dementia.
Even while further research is needed, these findings prove that physical activity could be a cost-effective and easily accessible way to improve long-term brain health. To better understand how insulin affects brain activity, researchers will use MRIs and an insulin spray in the study’s next phase. To learn more about the effects of the insulin spray, they will compare the blood flow in the brain before and after it is administered.
Insulin and Exercise Are Essential for Brain Health
Insulin is a hormone that the pancreas makes. It controls blood sugar levels. But it’s just as vital for the health of the brain. Insulin binds to many receptors in the brain, which makes synaptic connections stronger and makes it easier for neurons to talk to each other. Both of these things help with memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)
Type 2 diabetes, which impairs insulin transmission, increases the risk of cognitive impairment. (Yoon J.H. et al., 2023) Research has demonstrated that insulin resistance exacerbates tau tangles and amyloid-beta plaques, which are two critical characteristics of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Increasing insulin sensitivity may slow down or even stop these changes in the brain. Working out, especially aerobic exercise, is good for the brain. According to earlier research, exercise can help people maintain or enhance their memory and brain function. (Rosenberg A. et al., 2020) Other ways to increase brain health include:
Maintaining social interaction
Challenging the mind
Getting a good night’s sleep
Controlling stress
A nutritious diet
Maintaining an active lifestyle
Controlling diabetes
Controlling blood pressure
To achieve the greatest possible effect, dementia prevention in the future will likely involve integrating lifestyle modifications, such as exercise, with medications. In individuals with diabetes or prediabetes, the risk of dementia is significantly reduced, and frequent exercise can assist in the preservation of optimal brain function.
Chiropractic and Functional Medicine Clinic
As a family nurse practitioner, Dr. Jimenez uses the latest medical expertise and chiropractic therapy to address many problems. Our clinic uses functional medicine, acupuncture, electro-acupuncture, and sports medicine to create individualized care plans that improve movement, encourage long-term health, and speed up the body’s natural healing process. We focus on strength, agility, and flexibility to help our patients thrive, regardless of age or health problems. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we want to help people with chronic pain syndromes and injuries. We focus on improving flexibility, mobility, and agility through programs suitable for people of all ages and abilities. We ensure that each patient gets personalized care and reaches their health objectives through detailed care plans and health coaching in person and online.
Is Movement Essential to Recovery?
References
World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.
Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506
Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369
Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340
Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4
Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41
Children walking with their toes pointed in may be pigeon-toed. What are the causes, conditions associated with it, and treatments?
Pigeon-toed Walking
If a child walks with their feet turned inward at the toes, it is usually described as being pigeon-toed. This pointing inward of the feet occasionally occurs as a child learns to walk and may continue through toddlerhood. It is noticed more often in children than adults, but older individuals can experience it. Pigeon-toed walking is rarely a major orthopedic problem and usually disappears without treatment. However, there are times when it may impact a child’s lower extremities and hips. Bracing or surgery may be necessary in these cases to correct the problem. (Paramanandam V. et al., 2019) This condition is common and typically is caused by abnormal birth positions in utero. Sometimes, slight issues may lead to noticeable functional characteristics. Mild changes in bone shape and positioning usually cause pigeon toes. Often, it subsides in a few years as the child continues to develop.
What Does It Mean?
There is usually no need to worry, as this condition is likely not permanent and will go away in a few years. (Paramanandam V. et al., 2019) However, it is recommended that you check in with your healthcare provider to ensure the child is developing normally. Some adults walk with their toes turned in. This may be due to a birth defect, a weakness, or a rare case of pigeon-toed walking as a youth that was left untreated or did not go away.
Causes
There are various reasons for pigeon-toed walking. To determine the cause, a healthcare provider can assess the child’s condition and make a diagnosis, including:
Metatarsus Adductus
A condition where the front part of the foot is turned inward.
The metatarsals are the long bones of the forefoot.
This is when the bones of the foot point inward, leading to pigeon-toed walking.
A clinical examination and X-ray can confirm the metatarsus adducts as a cause of pigeon-toed walking.
Tibial Torsion
A twisted shinbone (tibia) can cause the feet to turn inward in younger children.
The shinbone/tibia in some children may be slightly twisted.
The tibia can either turn outward or inward.
When it twists inward, it may manifest as a pigeon-toed gait.
Tibial torsion may accompany femoral anteversion.
It is diagnosed with an X-ray.
Children with tibial torsion typically grow out of the problem, and the pigeon-toed disappears by age 4. (Uden H., & Kumar S. 2012)
Femoral Anteversion
A common cause, especially in older children, is when the thighbone/femur is twisted inward.
If the femur turns inward and forward unnaturally, where the femoral neck meets the body of the femur, it is called femoral anteversion.
An outward and backward rotation of the femur is called femoral retroversion.
Many children with femoral anteversion appear knock-kneed with a large gap between their feet when standing with knees together, and when they walk, they appear pigeon-toed.
A clinical examination and X-ray diagnose it.
Symptoms
In most cases, the child does not complain of any pain. However, if pain is felt, it can include:
Tightness in the calf muscles
Aching on the outer edges of the feet
Knee pain
Usually, parents will notice pigeon-toes when their child is first learning to walk. Rest assured, the child most likely is not experiencing pain. They have feet and knees that turn inward when they walk and run. (Uden H., & Kumar S., 2012)
A pediatrician or primary care provider can assess the situation and make recommendations. Most pigeon-toed children begin walking and running normally after age 3 or 4, so a watch-and-wait approach is used. Parents may have to take their child to a specialist, like an orthopedic surgeon, if they complain of pain while walking. A specialist may be referred if the child cannot walk due to the inward turn of their feet.
Risk Factors
Pigeon-toed walking is not a preventable condition but rather one that develops during pregnancy. Causes may include: (Scorcelletti M. et al., 2020)
A pregnancy with twins or multiple births
Large fetus
Breech position in utero when the baby is positioned feet first.
Typically, a normal gait will appear by age 3 or 4. Other treatments may include:
Physical Therapy Exercises and Gait Training
Exercises to stretch tight lower extremity muscles and strengthen hip and leg muscles can help improve walking gait.
See a pediatric specialist before starting, as research shows that parental stretching of a newborn with metatarsus adductus offers little benefit. (Eamsobhana P. et al., 2017)
Bracing or Casting
Braces
Serial casting is a procedure that helps children improve their range of movement and may be done to place their lower extremities in an optimum position as they develop. (Uden H., & Kumar S., 2012)
Surgery
For cases in which tibial torsion is the cause, osteotomy surgery, which involves cutting and/or removing bone, may be recommended to correct the structural deformity of the shinbone.
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Foot Pronation
References
Paramanandam, V., Lizarraga, K. J., Soh, D., Algarni, M., Rohani, M., & Fasano, A. (2019). Unusual gait disorders: a phenomenological approach and classification. Expert review of neurotherapeutics, 19(2), 119–132. https://doi.org/10.1080/14737175.2019.1562337
Uden, H., & Kumar, S. (2012). Non-surgical management of a pediatric “intoed” gait pattern – a systematic review of the current best evidence. Journal of Multidisciplinary Healthcare, 5, 27–35. https://doi.org/10.2147/JMDH.S28669
Scorcelletti, M., Reeves, N. D., Rittweger, J., & Ireland, A. (2020). Femoral anteversion: significance and measurement. Journal of Anatomy, 237(5), 811–826. https://doi.org/10.1111/joa.13249
Eamsobhana, P., Rojjananukulpong, K., Ariyawatkul, T., Chotigavanichaya, C., & Kaewpornsawan, K. (2017). Does the parental stretching programs improve metatarsus adductus in newborns?. Journal of Orthopaedic Surgery (Hong Kong), 25(1), 2309499017690320. https://doi.org/10.1177/2309499017690320
Join the calisthenics movement and experience a versatile approach to fitness designed for all skill levels.
Introduction
Many people might suffer musculoskeletal ailments due to their stressful schedules and habits. Anyone at any age may be affected by it, from muscular imbalances to low back discomfort; therapy is required when people have overlapping risk profiles. Many patients begin seeking therapy for musculoskeletal diseases to lessen the pain they experience. Many would choose surgical treatment to alleviate the overlapping risk profiles depending on the degree. Others, conversely, could attempt non-surgical methods to alleviate musculoskeletal discomfort. Since musculoskeletal issues are one of the main causes of disability, non-surgical therapies may safely and affordably relieve the body’s misdirected pain. By aligning the spine and extending the afflicted muscles, non-surgical therapies such as chiropractic adjustments may help alleviate musculoskeletal problems. However, to assist patients in healing over the long term, chiropractors will create a personalized treatment plan that includes active movement exercises—where calisthenics comes in—to help rebuild muscle strength and mobility function.
What is Calisthenics?
Also known as bodyweight training, calisthenics utilizes the person’s body to build muscle strength and increase flexibility while enhancing neuromuscular control. When people start incorporating regular physical activity into their routine, they will notice their health and quality of life improved, their fitness levels will increase, and the risk of several chronic diseases associated with the musculoskeletal body will be reduced. (Bellissimo et al., 2022) The best way to think about calisthenics is to think like push-ups, planks, squats, and dynamics stretches when working out. Additionally, calisthenics can be scalable and adaptable to any person’s fitness level without heavy gym equipment or HIIT workouts. For individuals dealing with musculoskeletal conditions like low back pain or associated pain symptoms, calisthenics is a safer and more effective option. Calisthenics can even help with cognitive decline associated with musculoskeletal disorders by reducing comorbidities correlated with the muscles and cognitive function. (Osuka et al., 2020)
How It Supports Musculoskeletal Health?
Musculoskeletal pain is a multi-factorial condition that involves environmental factors that cause long-term pain and disability. (Caneiro et al., 2021) Everyday motions can cause strain and fatigue to the various muscle groups and, over time, can affect the joints in the extremities. For individuals dealing with musculoskeletal disorders, calisthenics can offer numerous benefits to reduce pain-like symptoms associated with the musculoskeletal system:
Improved Core Stability: Calisthenics can help strengthen the core muscles, providing the necessary stability to reduce low back pain. (Zemkova & Zapletalova, 2022)
Enhanced Mobility: Calisthenics can utilize gentle functional movements within the upper and lower extremities to help preserve the joint’s range of motion.
Injury Prevention: Individuals incorporating calisthenics for muscle pain will notice that their postural muscles are getting stronger, thus improving body biomechanics and reducing compensatory movements.
Neuromuscular Re-education: Calisthenic exercises help retrain muscles to fire appropriately, which is excellent for individuals with a sedentary lifestyle. Individuals with a sedentary lifestyle who start doing calisthenic exercises will notice a positive effect on energy expenditure, endothelial function, and muscle improvement. (Mear et al., 2022)
Can Core Exercises Help With Back Pain?-Video
Calisthenics Integrated With Chiropractic Care
When it comes to incorporating non-surgical treatment with calisthenics, chiropractic care can help many individuals deal with overlapping pain symptoms associated with musculoskeletal disorders. Chiropractic care incorporates mechanical and manual spinal manipulation to help realign the spine and remobilize the body while reducing muscle pain. (Coulter et al., 2018) When chiropractors address the structural misalignment of the person’s spine through adjustments, they can pinpoint the causes and start to assess the individual by coming up with a personalized treatment plan that includes calisthenics as part of their active rehabilitation to reengage their musculoskeletal system to maintain the improvements. In chiropractic and functional medicine settings, calisthenics is often prescribed as part of active rehabilitation. After addressing structural misalignments through manual adjustments, patients are encouraged to reengage their musculoskeletal system to maintain improvements.
Here’s how calisthenics fits in:
Post-Adjustment Stabilization: Exercises help “lock in” structural corrections by reinforcing proper posture and movement.
Corrective Exercise Protocols: Practitioners may prescribe targeted calisthenics to improve muscular imbalances contributing to pain.
Home Programs: These exercises are ideal for patients to perform safely at home with little to no equipment.
Calisthenic Exercises For Low Back Pain
For individuals dealing with acute or chronic low back pain, these beginner-friendly calisthenics exercises can help relieve muscle tension in the lower back while promoting postural stability. It is always important to consult a doctor before starting a new exercise routine.
Glute Bridge
Glute bridges can help decompress the lumbar spine while strengthening the glutes and hamstrings.
How to do it:
Laying down on your back with knees bent and feet flat on the floor.
By engaging the core muscles, lift the hips towards the ceiling.
Hold the position for 5 seconds, then lower slowly.
Repeat 10–15 times for three sets.
Bird-Dog
Bird-Dog can be an excellent exercise to help individuals improve their spinal stability by engaging their core and multifidus muscles to reduce back pain.
How to do it:
Be on a mat on your hands and knees to have a neutral spine alignment.
Simultaneously extend the right arm and left leg while keeping your spine neutral.
Hold the position for 5-10 seconds, then slowly switch sides.
Perform 10 reps per side for three sets.
Wall Sit
Wall sit exercises are excellent for individuals with low back pain. They help strengthen the surrounding muscles in the lumbar spine and activate the quadriceps to support neutral pelvic alignment.
How to do it:
Stand up straight with your back against a wall and slide to a seated position with the thighs parallel to the floor
Engage the core muscles and hold between 10-30 seconds. Tip: Gradually increase the time for an effective workout.
Repeat 3–5 times for three sets.
Pelvic Tilt
For individuals dealing with tension and low back pain in their lumbar spine, pelvic tilts can help provide relief while improving core muscle control.
How to do it:
Lay on your back with bent knees on a mat.
Gently lower your lower back into the mat while engaging the core muscles.
Hold the position for 10 seconds before relaxing.
Repeat the motion for 10–15 times for three sets.
Conclusion
Calisthenics is more than simply a bodyweight exercise; it’s a fantastic therapeutic technique that can be used in conjunction with chiropractic adjustments. By using exercises to reenergize the musculoskeletal system and lessen muscular soreness, calisthenics may motivate people to take charge of their health and wellbeing. Calisthenic exercises may hasten rehabilitation, avert more injuries, and enhance general functional ability since the body’s primary function is mobility. People who begin using calisthenics into their everyday practice will see that their movement improves and that their fitness objectives are met.
Injury Medical & Functional Medicine Clinic
We associate with certified medical providers who understand the importance of assessing individuals with musculoskeletal disorders affecting their daily routines. When asking important questions to our associated medical providers, we advise patients to incorporate exercises like calisthenics to help reengage the musculoskeletal system while reducing muscle pain within the lumbar region. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.
References
Bellissimo, G. F., Ducharme, J., Mang, Z., Millender, D., Smith, J., Stork, M. J., Little, J. P., Deyhle, M. R., Gibson, A. L., de Castro Magalhaes, F., & Amorim, F. (2022). The Acute Physiological and Perceptual Responses Between Bodyweight and Treadmill Running High-Intensity Interval Exercises. Front Physiol, 13, 824154. https://doi.org/10.3389/fphys.2022.824154
Caneiro, J. P., Bunzli, S., & O’Sullivan, P. (2021). Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther, 25(1), 17-29. https://doi.org/10.1016/j.bjpt.2020.06.003
Coulter, I. D., Crawford, C., Hurwitz, E. L., Vernon, H., Khorsan, R., Suttorp Booth, M., & Herman, P. M. (2018). Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis. Spine J, 18(5), 866-879. https://doi.org/10.1016/j.spinee.2018.01.013
Mear, E., Gladwell, V. F., & Pethick, J. (2022). The Effect of Breaking Up Sedentary Time with Calisthenics on Neuromuscular Function: A Preliminary Study. Int J Environ Res Public Health, 19(21). https://doi.org/10.3390/ijerph192114597
Osuka, Y., Kojima, N., Sasai, H., Ohara, Y., Watanabe, Y., Hirano, H., & Kim, H. (2020). Exercise Types and the Risk of Developing Cognitive Decline in Older Women: A Prospective Study. J Alzheimers Dis, 77(4), 1733-1742. https://doi.org/10.3233/JAD-200867
Zemkova, E., & Zapletalova, L. (2022). The Role of Neuromuscular Control of Postural and Core Stability in Functional Movement and Athlete Performance. Front Physiol, 13, 796097. https://doi.org/10.3389/fphys.2022.796097
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