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Mobility & Flexibility

Back Clinic Mobility & Flexibility: The human body retains a natural level to ensure all its structures are functioning properly. The bones, muscles, ligaments, tendons, and other tissues work together to allow a range of movement and maintaining proper fitness and balanced nutrition can help keep the body functioning properly. Great mobility means executing functional movements with no restrictions in the range of motion (ROM).

Remember that flexibility is a mobility component, but extreme flexibility really is not required to perform functional movements. A flexible person can have core strength, balance, or coordination but cannot perform the same functional movements as a person with great mobility. According to Dr. Alex Jimenez’s compilation of articles on mobility and flexibility, individuals who don’t stretch their body often can experience shortened or stiffened muscles, decreasing their ability to move effectively.


Back Extension Machine Training for Pain Relief Tips

Back Extension Machine Training for Pain Relief Tips

Back Extension Machine (Roman Chair) Training for a Stronger Back

Back Extension Machine Training for Pain Relief Tips

A woman engages in back extension exercises to strengthen back muscles, improve core stability, and relieve chronic back pain.

A practical, El Paso Back Clinic–style guide to core stability, safer form, and pain prevention

If you’ve ever used a back extension machine—also called a hyperextension bench or Roman chair—you already know it looks simple. You lock your feet, rest your hips on the pad, and hinge forward and back up.

But the best results come from how you do it.

At El Paso Back Clinic, the goal is not just “stronger muscles.” It’s a smarter plan that supports spine stability, hip power, and better movement habits—especially for people who deal with recurring low back tightness, desk-related stiffness, or training-related flare-ups. Dr. Alexander Jimenez, DC, APRN, FNP-BC, often emphasizes that many back problems improve when you combine movement quality, targeted strengthening, and a whole-person plan (Jimenez, n.d.-a; Jimenez, n.d.-b).

This article explains:

  • what the back extension machine actually trains,

  • how to set it up correctly,

  • how to avoid the common mistakes that irritate backs,

  • and how integrative care (chiropractic + NP-style whole-body support) fits into a complete plan.


What the Back Extension Machine Trains (and Why It Matters)

Back extensions are a posterior chain exercise. That means they train the muscles on the back side of your body, including:

  • Erector spinae (spinal extensor muscles that help you stay upright) (MasterClass, 2021).

  • Glutes (hip extension power and pelvic support) (MasterClass, 2021).

  • Hamstrings (help control the lowering phase and assist hip extension) (MasterClass, 2021).

  • Deep core stabilizers (the “bracing” muscles that keep the spine steady while the hips move) (WebMD, 2024).

This is important because many people think “core” means only the abs. In real life, core stability is about the ability to resist unwanted motion and control the spine while the hips move.

A back extension machine helps train that pattern if you do it as a hip hinge, not as a “low back bend.” (More on that below.)


Roman Chair vs. Back Extension Machine: Same Goal, Different Feel

You’ll see a few styles:

  • 45-degree hyperextension bench (most common “Roman chair” style)

  • 90-degree Roman chair (more upright)

  • Seated back extension machine (you sit and extend backward against resistance)

Verywell Fit notes that these machines are often grouped together because they train similar movement patterns and posterior chain muscles, even though the setup and feel can differ (Verywell Fit, 2025).

If you’re choosing equipment for home or clinic use, adjustability matters. Many benches are built to adjust pad position and angle so different body types can hinge correctly (Valor Fitness, n.d.).


Step 1: Set Up the Machine Correctly (This Is Where Most People Go Wrong)

Before you do a single rep, take 30 seconds to set it up.

The best setup checkpoints

  • Hip pad position: The pad should sit around your hip crease (where your hips fold). If it’s too high, you can’t hinge well. If it’s too low, you may feel unstable (WebMD, 2024).

  • Feet locked in: Your heels and feet should feel secure in the restraints (WebMD, 2024).

  • Top position posture: At the top, you want a straight line from head to hips—not a “lean back” pose (MasterClass, 2021).

Quick self-test

If you feel the movement mostly in your low back joints (pinchy or compressed) rather than in your glutes/hamstrings, your setup or technique needs adjustment.


Step 2: Use the Right Form (Neutral Spine + Hip Hinge)

A safer back extension is controlled and clean. The spine stays neutral, and the movement comes mostly from the hips.

How to do it (simple steps)

  1. Brace first: Take a breath and tighten your midsection like you’re preparing to be lightly bumped.

  2. Hinge down: Push your hips back and lower your chest slowly. Keep your neck neutral.

  3. Drive up: Squeeze glutes and hamstrings to lift your torso back up.

  4. Stop at neutral: Finish tall and braced. Do not crank into hyperextension (MasterClass, 2021; WebMD, 2024).

Good cues that help

  • “Hips back, not ribs up.”

  • “Move like a hinge, not a bendy straw.”

  • “Glutes finish the rep.”

Chuze Fitness also describes back extensions as a way to work against gravity and build strength in a simple, repeatable pattern, with the option to progress by adding load later (Chuze Fitness, n.d.-a).


The #1 Mistake: Hyperextending at the Top

One of the biggest errors is leaning back too far at the top. People do it to “feel” the lower back more, but it often adds compression where you don’t want it.

What you want instead: a neutral, stacked finish.

  • Ribs down

  • Glutes tight

  • Spine tall

  • No “backward bend” finish (MasterClass, 2021).

If you can’t stop at neutral, reduce the range of motion and slow the tempo.


Another Common Mistake: Turning It Into a Low-Back Exercise Only

Back extensions are often taught as if they only train the lower back. In reality, they work best when the hips do the job and the trunk stays braced.

A helpful way to think:

  • The hips create motion

  • The spine controls motion

That is a big reason back extensions can be useful for stability—when done correctly (WebMD, 2024).


Reps and Sets: Simple Programming That Works

The “right” plan depends on your goal and your history.

Beginner (control first)

  • 2–3 sets of 8–12 reps

  • Bodyweight only

  • Slow lowering (2–3 seconds down)

General strength and pain prevention

  • 3 sets of 10–15 reps

  • Add light load only if form stays clean (Chuze Fitness, n.d.-a).

Stronger posterior chain (experienced lifters)

  • 3–5 sets of 6–10 reps

  • More rest

  • Still stop at neutral (no hyperextension)

Rule: load is earned by control.

Verywell Fit’s equipment review also highlights that comfort, stability, and fit matter for consistent training—especially for people using these tools as part of a back-strengthening routine (Verywell Fit, 2025).


Safer Progressions (If Your Back Is Sensitive)

If your back flares easily, you can still train the posterior chain—you just need smarter progressions.

Options that tend to be more back-friendly:

  • Shorter-range back extensions (only move where you can stay neutral)

  • Isometric holds at neutral (hold 10–20 seconds)

  • Lower load, slower tempo

  • Add glute-focused assistance work (like bridges) alongside back extensions

At El Paso Back Clinic, Dr. Jimenez often frames strengthening as part of a bigger plan: improve mechanics, build tolerance, and progress gradually based on the person’s symptoms and daily demands (Jimenez, n.d.-a; Jimenez, n.d.-c).


When to Pause and Get Checked (Red Flags)

Back extension training should feel like muscular effort, not nerve pain.

Stop and seek professional guidance if you have:

  • Pain shooting down the leg

  • Numbness or tingling

  • Weakness in the foot/leg

  • Pain that worsens over time with extension-based movements

WebMD also encourages careful form and smart choices when using back extensions, especially when they’re used for “back health” rather than just bodybuilding (WebMD, 2024).


How This Fits the El Paso Back Clinic Approach: Strength + Mobility + Whole-Person Support

Many people try one thing:

  • “I’ll just strengthen my back.”
    Or:

  • “I’ll just stretch more.”
    Or:

  • “I’ll just get adjusted.”

But most lasting results come from combining the right tools in the right order.

Chiropractic care to improve mechanics

Chiropractic-focused care often aims to:

  • improve joint motion where stiffness limits your hinge,

  • reduce irritation that changes how you move,

  • and help you restore better spinal and pelvic mechanics.

El Paso Back Clinic content emphasizes a whole-body view of pain and function, including movement habits and multi-step plans (Jimenez, n.d.-c).

Exercise to build stability and strength

Once movement is cleaner, exercises like the Roman chair can help you:

  • reinforce a strong hinge,

  • strengthen posterior chain muscles,

  • and build stability that carries into work, lifting, and sports (MasterClass, 2021).

Nurse practitioner support to address barriers to recovery

NP-style integrative support often helps by addressing factors that keep people “stuck,” such as:

  • sleep quality,

  • stress load,

  • inflammation drivers,

  • safe pain management planning (when appropriate),

  • and screening for problems that need further testing or referral.

In short: your back isn’t separate from the rest of you.


A Simple 3-Phase Plan You Can Follow

Here is a practical approach that matches how many integrative clinics structure back-pain recovery and performance.

Phase 1: Calm things down and restore motion (1–2 weeks)

  • Gentle mobility (hips + mid-back)

  • Light back extensions with short range

  • Walk daily if tolerated

  • Focus on bracing and hinge control

Phase 2: Build capacity (3–6 weeks)

  • Back extensions: 2–3 days/week

  • Add glute and hamstring work

  • Add core stability work

  • Slowly add reps before adding load

Phase 3: Build real-world resilience (ongoing)

  • Add load gradually (only if neutral form is automatic)

  • Transfer strength into squats, hinges, and carries

  • Keep a weekly routine of mobility + stability work

This kind of integrated plan—adjustments plus exercise and habit change—is also described in chiropractic-focused integration articles discussing the value of combining care approaches to improve outcomes (OPTMZ State, 2026).


Key Takeaways

  • The back extension machine is best used as a hip-hinge strength tool, not a “bend your spine” tool (MasterClass, 2021).

  • Proper setup (hip pad alignment + stable feet) helps you move safely (WebMD, 2024).

  • Avoid the big mistake: hyperextending at the top. Stop at neutral.

  • Strong results often come from a full plan: chiropractic mechanics + targeted exercise + whole-person support, a theme repeated across El Paso Back Clinic education from Dr. Jimenez (Jimenez, n.d.-a; Jimenez, n.d.-c).


References

Mobility Challenges in Mexican and Mexican Americans Explained

Mobility Challenges in Mexican and Mexican Americans Explained

Mobility Challenges in Mexican and Mexican American Communities: Insights from El Paso Back Clinic®

Mobility Challenges in Mexican and Mexican Americans Explained

Mexican-American with back pain at a construction site.

At El Paso Back Clinic® in El Paso, TX, we see many patients from Mexican and Mexican American backgrounds facing mobility issues. These problems often stem from tough jobs, health factors like obesity, and aging. Our wellness chiropractic care focuses on pain relief and improved movement. This article discusses common issues such as arthritis and back pain, supported by studies. We’ll explain how our team, including Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses integrative approaches to help. If you’re in El Paso dealing with these, our clinic is here for you.

Common Musculoskeletal Mobility Issues We Treat

Musculoskeletal problems affect your bones, muscles, and joints, making it difficult to move freely. At our clinic, we see these issues often in our community, where many work in demanding fields like farming or construction.

Arthritis, especially in the knees, is a top concern. It causes joint wear-related swelling and pain. In Mexico, about 20-25% of adults aged 40+ have it, with higher rates among women (Villarreal Rizzo et al., 2025). Mexican Americans in the U.S. also face risks, like osteoporosis weakening bones in 16% of women (Wright et al., n.d.). At El Paso Back Clinic®, we help ease this with gentle adjustments and exercises.

Chronic low back pain hits hard, too. It comes from prolonged lifting or standing. In Mexico, it’s the leading cause of disability, with 840.6 cases per 100,000 in 2021 (Clark et al., 2023). Among farmworkers here in Texas, 46.9% report back issues affecting daily life (Weigel et al., 2013). Our chiropractic care targets this to get you moving again.

Work injuries often involve the shoulders, wrists, and legs. Repetitive tasks in jobs cause rotator cuff problems in 19.1% and elbow pain in 20.2% of Latino workers (Mora et al., 2014). Older adults in our area are at risk of frailty due to ongoing pain, leading to reduced mobility (National Institutes of Health, n.d.). Women face more disability in tasks like walking, with arthritis raising risks by 35% over time (Rodriguez et al., 2021).

Here are key facts we see in our patients:

  • Arthritis rates: 19.6% for knee issues in Mexicans over 40, up to 24.2% in women (Ciampi de Andrade et al., 2022).
  • Back pain: Affects 16.9% of farmworkers from repetitive strain (Mora et al., 2014).
  • Craft-related injuries: Neck and knee pain from activities like weaving (Jeanson et al., 2025).
  • Disability trends: Physical function declines by 0.18 points per year with arthritis (Rodriguez et al., 2021).

Jobs in agriculture and construction drive these, plus obesity adds joint stress. In our Mexican American patients, higher BMI initially slows strength loss but worsens it later (Davis & Al Snih, 2025). About 83% of Hispanic men are overweight, linked to less activity (Valdez et al., 2019). At El Paso Back Clinic®, we address this with personalized plans.

Neuromusculoskeletal Issues Addressed at Our Clinic

These issues combine nerve problems with muscle and bone pain, leading to numbness or weakness. Our wellness approach helps restore nerve function and reduce discomfort.

Chronic low back pain is common, often due to nerve compression. It’s the main cause of disability in Mexico (Alva Staufert et al., 2021). Knee and foot arthritis affects movement, with 25.5% showing joint changes (Ciampi de Andrade et al., 2022). We treat foot pain from standing jobs, seen in 4.8% of workers (Mora et al., 2014).

Shoulder injuries, such as rotator cuff tears, are associated with overhead work and affect 19.1% (Mora et al., 2014). Elbow issues, or epicondylitis, affected 20.2% due to tool use (Mora et al., 2014). MSDs in Mexico rose 57.3% over 30 years (Clark et al., 2023). Obesity plays a role, with 40% of Hispanic men affected (Valdez et al., 2019).

In border areas like El Paso, women report 29.8% low back and 38.3% upper back pain from factory jobs (Harlow et al., 1999). Older patients walk more slowly due to leg pain (Quiben & Hazuda, 2015).

Common issues we handle:

  • Low back pain: Top disability driver, tied to work and weight (Alva Staufert et al., 2021).
  • Knee/foot arthritis: More in women, causing stiffness (Ciampi de Andrade et al., 2022).
  • Rotator cuff: From arm overuse in construction (Mora et al., 2014).
  • Epicondylitis: Elbow strain, common in 20% (Mora et al., 2014).

How El Paso Back Clinic® Helps with Integrative Care

Our clinic combines nurse practitioners (NPs) and chiropractic methods for culturally sensitive help. We focus on pain management and rehab to fit our community’s needs.

NPs at our clinic offer full check-ups that consider culture and history. They suggest diets rich in veggies and yoga for detox and pain relief (Jimenez, 2026a). We team up for whole-body care (Jimenez, 2026b).

Chiropractic adjustments realign the spine to ease nerve compression. For sitting-related back pain, we restore curves and strengthen the core (El Paso Back Pain Clinic, n.d.). Access to this care is key, though Hispanics use it less (Roseen, 2023).

Dr. Alexander Jimenez shares from his experience: Chronic back pain worsens with poor posture, but adjustments and exercises help (Jimenez, n.d.). For sciatica, decompression relieves pressure on nerves, which is common in laborers. Neuropathy gets therapy for tingling (Jimenez, n.d.). He uses functional medicine to tackle stress, diet, and job factors in our Mexican American patients.

We include mindfulness and natural remedies. Cultural factors, such as family support, help recovery, but delays worsen pain (Arthritis Foundation, n.d.). Our NPs create home plans (Pérez-Stable et al., 2003).

Rehab strengthens areas such as the legs and shoulders (Mora et al., 2014). It cuts frailty risks (National Institutes of Health, n.d.). For farmworkers, it reduces disability (Weigel et al., 2013).

Our care benefits:

  • Cultural match: Understanding barriers like work migration (Harlow et al., 1999).
  • Pain control: Non-surgical adjustments (Jimenez, 2026c).
  • Strength building: Targeted exercises (Mora et al., 2014).
  • Prevention: Nutrition against obesity (Valdez et al., 2019).

Why Choose El Paso Back Clinic® for Your Mobility Needs

In El Paso, with our diverse community, these issues are common but treatable. Our clinic specializes in wellness chiropractic to help you stay active. Contact us for a consultation with Dr. Jimenez and our team.


References

Alva Staufert, M. F., et al. (2021). A look into the challenges and complexities of managing low back pain in Mexico. PubMed.

Arthritis Foundation. (n.d.). Arthritis in the Hispanic community. Arthritis.org.

Ciampi de Andrade, D., et al. (2022). Assessing the burden of osteoarthritis in Latin America: A rapid evidence assessment. PMC.

Clark, P., et al. (2023). Analysis of musculoskeletal disorders-associated disability in Mexico from 1990 to 2021. PubMed.

Davis, A. R., & Al Snih, S. (2025). Body mass index and trajectories of muscle strength and physical function over time in Mexican American older adults: Sex differences. ScienceDirect.

El Paso Back Pain Clinic. (n.d.). El Paso back pain clinic. ElPasoChiropractorBlog.com.

Harlow, S. D., et al. (1999). The prevalence of musculoskeletal complaints among women in Tijuana, Mexico: Sociodemographic and occupational risk factors. PubMed.

Jeanson, A. L., et al. (2025). Assessing musculoskeletal injury risk and skeletal changes from backstrap loom weaving and traditional embroidery in Chiapas, Mexico. PLOS Global Public Health.

Jimenez, A. (n.d.). Injury specialists. DrAlexJimenez.com.

Jimenez, A. (2026a). Nurse practitioners and integrative chiropractic detox. ChiroMed.com.

Jimenez, A. (2026b). Relieving back pain from prolonged sitting. ChiroMed.com.

Jimenez, A. (2026c). Advancements in sciatica treatment in 2026. ChiroMed.com.

Mora, D. C., et al. (2014). Prevalence of musculoskeletal disorders among immigrant Latino farmworkers and non-farmworkers in North Carolina. PMC.

National Institutes of Health. (n.d.). Older Mexican American adults experiencing pain are at risk of developing frailty. NIH.gov.

Pérez-Stable, E. J., et al. (2003). Pain in Hispanic/Latino patients. PubMed.

Quiben, M. U., & Hazuda, H. P. (2015). Factors contributing to 50-ft walking speed and observed ethnic differences in older community-dwelling Mexican Americans and European Americans. PMC.

Rodriguez, M. A., et al. (2021). Arthritis, physical function, and disability among older Mexican Americans over 23 years of follow-up. PMC.

Roseen, E. J. (2023). New study finds racial and ethnic disparities persist in access to chiropractic care and physical rehabilitation for adults with low back pain. BMC.org.

Valdez, L. A., et al. (2019). Mexican origin Hispanic men’s perspectives of physical activity–related health behaviors. PMC.

Villarreal Rizzo, A., et al. (2025). Hospitalization and mortality among Mexican adults with arthritis: Findings from the Mexican Health and Aging Study. UTMB.edu.

Weigel, M. M., et al. (2013). Musculoskeletal injury, functional disability, and health-related quality of life in aging Mexican immigrant farmworkers. HIA.Berkeley.edu.

Wright, N. C., et al. (n.d.). Prevalence. BMUS-ORS.org.

Alternatives to Boring Workouts to Enjoy Exercise

Alternatives to Boring Workouts to Enjoy Exercise

Fun Ways to Stay Active: Alternatives to Boring Workouts for Better Health

Alternatives to Boring Workouts to Enjoy Exercise

Friends play table tennis as a way to start making fitness fun and as a doable health goal.

Many people start the new year with big fitness goals. They promise to hit the gym every day or run miles each week. But often, these plans fall apart quickly. Life gets busy, motivation fades, and suddenly, exercise feels like a chore. If this sounds like you, don’t worry. Giving up on strict resolutions doesn’t mean giving up on health. Instead, shift to activities that feel more like play than work. Fun sports and easy movements can keep you moving without the dread of traditional workouts. This approach makes staying active sustainable and enjoyable, leading to better long-term habits (Bayou Bend Health System, n.d.).

Research shows that making physical activity fun boosts your chances of sticking with it. For example, choosing things you enjoy turns exercise into a hobby. This can improve your mood, reduce stress, and even help with weight management. Health experts recommend at least 150 minutes of moderate activity per week for adults, but it doesn’t have to be in a gym (NHS, n.d.). Simple swaps like walking in nature or dancing to music can meet these goals while feeling effortless.

In this article, we’ll explore ways to restart your fitness journey with joy. We’ll cover fun sports, social options, and relaxing practices. We’ll also discuss low-impact choices for those who struggle with standard routines. Plus, learn how professionals like integrative chiropractors and nurse practitioners can guide you. Drawing from expert insights, including clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, this guide offers practical tips to get back on track.

Restarting After a Failed New Year’s Resolution

If your resolution crashed early, it’s time for a fresh start. The key is picking activities that excite you. Fun, easy sports like hiking, dancing, swimming, or biking can make movement feel rewarding. These options build fitness without the pressure of sets and reps.

  • Hiking: Head to a trail for fresh air and views. It’s a great way to explore while getting your heart rate up. Start with short paths and build up. Hiking strengthens legs and improves balance, all while enjoying nature (MultiCare Clinic, n.d.).
  • Dancing: Put on your favorite tunes and move freely. Whether alone or in a class, dancing boosts cardio and coordination. It’s low-pressure and can burn calories without feeling like exercise (Whispering Oaks Senior Living, n.d.).
  • Swimming: Water supports your body, making it gentle on joints. Swim laps or just splash around for fun. It’s ideal for all ages and helps with endurance (Vista Springs Living, n.d.).
  • Biking: Ride a bike around your neighborhood or on paths. It’s easy to adjust speed and distance. Biking tones muscles and can be a social outing (Blue Cross NC, n.d.).

These activities trick your brain into thinking you’re playing, not working out. Studies support this: enjoyable exercise leads to better adherence and health outcomes (Exercise is Medicine, n.d.).

Beyond solo sports, join social activities to add fun. Pickleball, tennis, or team sports bring people together, making commitment easier.

  • Pickleball: A mix of tennis and ping-pong, it’s easy to learn and play. Courts are popping up everywhere, and it’s great for quick games with friends (Nerd Fitness, n.d.).
  • Tennis: Hit the court for rallies that improve agility. Doubles makes it less intense and more chatty (Athlean-X, n.d.).
  • Team Sports: Join a recreational league for soccer, basketball, or volleyball. The group vibe keeps you motivated, and games feel like events, not drills (Quora, n.d.).

Social exercise can reduce feelings of isolation while building strength. One study notes that group activities enhance mental health alongside physical benefits (Reddit, n.d.).

For a calmer approach, try mind-body practices like yoga or Tai Chi. These are low-impact and focus on relaxation.

  • Yoga: Gentle poses improve flexibility and reduce stress. Start with beginner videos at home. It helps with breathing and mindfulness (Piedmont Wellness Center, n.d.).
  • Tai Chi: Slow, flowing movements build balance and calm the mind. It’s perfect for easing into activity without strain (Care Insurance, n.d.).

These practices are adaptable for any fitness level. They promote relaxation, which can lower blood pressure and improve sleep (NHLBI, n.d.).

To build habits, start small. Aim for 10–15 minute sessions a few times a week. Gradually increase as you gain confidence. This prevents burnout and lets your body adjust (Bayou Bend Health System, n.d.). Track progress in a journal to see improvements, like feeling more energetic.

Options for Those Who Dislike Traditional Workouts

Not everyone loves the gym or running. If weights and treadmills bore you, low-impact or sociable sports offer alternatives. These keep you active without the monotony, focusing on enjoyment and variety.

Swimming and biking stand out as low-impact favorites. Swimming provides a full-body workout in a supportive environment, reducing joint stress (Seniors Helping Seniors, n.d.). Biking lets you control the pace, making it accessible for beginners (MultiCare Clinic, n.d.).

Hiking and dancing add adventure. Hiking varies with terrain, keeping things interesting, while dancing lets you express yourself creatively (Blue Cross NC, n.d.; Whispering Oaks Senior Living, n.d.).

For a challenge, try rock climbing. It’s low-impact but builds strength and problem-solving skills. You can start indoors at a gym with easy walls (The Telegraph, n.d.).

Joining a recreational sports league brings community. Options like softball or ultimate frisbee emphasize fun over competition (Nerd Fitness, n.d.).

  • Benefits of These Activities:
    • More engaging than repetitive workouts.
    • Build social connections.
    • Adaptable to your energy level.
    • Improve mood through endorphins (Sanguina, n.d.).

These choices make the activity feel natural. For instance, walking briskly counts as exercise and can be done anywhere (Quora, n.d.). Or jump rope for short bursts—it’s simple and effective for cardio (MCU, n.d.).

If mobility is an issue, modify exercises. Chair-based routines or water aerobics allow movement without strain (ParentGiving, n.d.; Care.com, n.d.). The goal is consistency over intensity.

Experts agree: low-impact options like these support heart health and flexibility, especially for those with limits (Gaddis Premier, n.d.; Prairie Hills at Independence, n.d.).

How Integrative Professionals Can Help

When starting or restarting activity, professional guidance ensures safety. Integrative chiropractors and nurse practitioners offer tailored care, especially if you have physical limits.

Integrative chiropractors focus on the whole body. They use adjustments to align the spine, reducing pain and improving movement. This holistic approach addresses root causes rather than just symptoms (Integral Chiropractic, n.d.; Impastato Chiropractic, n.d.).

For example, if joint pain stops you from hiking, a chiropractor can ease stiffness through manipulations and exercises (Elysian Wellness Centre, n.d.; De Integrative Healthcare, n.d.). They often include nutrition and lifestyle advice for better results (AFP Fitness, n.d.; Together4Health Wellness, n.d.).

Nurse practitioners add medical expertise. They assess your health and create plans that address limits, such as suggesting low-impact swimming for arthritis (Buckner Parkway Place, n.d.; Cor Health Ontario, n.d.).

Together, these pros provide personalized care. They work with your abilities to help you enjoy activities again (Wellness Center FW, n.d.; Fortitude Health, n.d.).

Dr. Alexander Jimenez, DC, APRN, FNP-BC, embodies this integrated approach. With over 30 years in practice, he combines chiropractic and nursing for comprehensive care. His clinical observations highlight non-invasive methods for pain management and mobility.

In his work, Dr. Jimenez notes that tailored programs, like resistance band exercises, strengthen muscles without high impact. This helps people with injuries return to fun activities like biking or dancing. He emphasizes flexibility for joint health, noting that restricted movement can lead to pain, but gentle practices like yoga can restore it.

On LinkedIn, Dr. Jimenez shares insights on sciatica and back pain, recommending core exercises like modified squats for those with limitations. He advocates stretching to prevent stiffness, noting, “If you don’t stretch, your body ‘pays interest'” in reduced mobility.

His practice includes functional medicine, addressing nutrition and the environment for wellness. For example, he uses assessments to create plans that fit patients’ lifestyles, helping them stay active despite chronic conditions (All Injury Rehab, n.d.; Motus Integrative Health, n.d.).

  • How They Help:
    • Assess limits and set realistic goals.
    • Provide exercises like water aerobics for joint relief (Activ Therapy, n.d.).
    • Offer advice on enjoyable activities to build habits (Nepute Wellness Center, n.d.).
    • Monitor progress to adjust plans.

This support makes returning to movement less daunting. Integrative care focuses on harmony in physical, mental, and emotional health (Wellness Center FW, n.d.).

Wrapping Up: Make Movement Joyful

Staying active doesn’t require grueling workouts. By choosing fun options like hiking or yoga and seeking professional help when needed, you can rebuild habits. Remember Dr. Jimenez’s observation: personalized, holistic care unlocks better mobility. Start small, stay consistent, and enjoy the process. Your health will thank you.


References

Activ Therapy. (n.d.). 10 joint pain relief tips for seniors

AFP Fitness. (n.d.). What does a holistic or integrative approach to health and wellness really look like?

All Injury Rehab. (n.d.). Chiropractor help for sport injuries

Athlean-X. (n.d.). Working out with friends

Bayou Bend Health System. (n.d.). How to make achievable fitness resolutions for the new year

Blue Cross NC. (n.d.). Exercises for people who hate to work out

Buckner Parkway Place. (n.d.). Senior fitness exercise programs tailored for older adults

Care Insurance. (n.d.). Best heart exercises for seniors to stay heart healthy

Care.com. (n.d.). Water exercises for seniors

Cor Health Ontario. (2016). OSN post-stroke community-based exercise guidelines brochure

De Integrative Healthcare. (n.d.). How chiropractic care can help alleviate joint pain

Elysian Wellness Centre. (n.d.). Unexpected benefits of chiropractic treatment

Exercise is Medicine. (n.d.). Apparently healthy inactive

Fortitude Health. (n.d.). How do chiropractic adjustments work?

Gaddis Premier. (n.d.). Stay fit and fabulous retirement: 10 exercises strength and flexibility

Impastato Chiropractic. (n.d.). Integrative chiropractor

Integral Chiropractic. (n.d.). Blog

MCU. (n.d.). Best workout exercises to lose weight for beginners: Simple steps to start

Motus Integrative Health. (n.d.). How can chiropractors treat pain from musculoskeletal issues?

MultiCare Clinic. (n.d.). Fun activities you can try to stay active and healthy

Nepute Wellness Center. (n.d.). Blog

Nerd Fitness. (n.d.). 25 ways to exercise without realizing it

NHLBI. (n.d.). Types of physical activity

NHS. (n.d.). Physical activity guidelines for adults aged 19 to 64

ParentGiving. (n.d.). Exercise for seniors with limited mobility

Piedmont Wellness Center. (n.d.). Workouts for when you don’t want to work out

Prairie Hills at Independence. (n.d.). Physical activities for seniors: Secrets to long-term health

Quora. (n.d.). I don’t enjoy going to the gym or running. What can I do to stay active?

Reddit. (n.d.). What are everyone’s new year resolutions revolving?

Sanguina. (n.d.). Exercises of low impact

Seniors Helping Seniors. (n.d.). Gentle exercise ideas for seniors to get moving on national senior health fitness day

The Telegraph. (n.d.). Best exercises workouts that burn most calories fast

Together4Health Wellness. (n.d.). What is an integrative health practitioner? Exploring a holistic path to wellness

Vista Springs Living. (n.d.). Fun alternative exercises for seniors

Wellness Center FW. (n.d.). Why do people choose integrative medicine?

Whispering Oaks Senior Living. (n.d.). 6 low-impact exercises for seniors to stay active in Hermitage

Common Questions About Neuropathy in El Paso, TX Solutions

Common Questions About Neuropathy in El Paso, TX Solutions

Common Questions About Neuropathy in El Paso, TX

Common Questions About Neuropathy in El Paso TX Solutions

A physiotherapist works on a patient’s foot as part of their neuropathy treatment in the clinic

A Local, Integrative Approach from El Paso Back Clinic

Peripheral neuropathy is a common concern for many people in El Paso. Questions usually center on why symptoms are happening, how diabetes and spine health are connected, and what can be done beyond medication. At El Paso Back Clinic, care focuses on non-invasive, whole-person strategies that improve nerve function, movement, and daily quality of life.

This article answers the most common local questions in clear language and explains how integrative chiropractic care—coordinated with nurse practitioner (NP) oversight—addresses neuropathy by treating both symptoms and root causes. Clinical insights reflect the experience of Dr. Alexander Jimenez, DC, APRN, FNP-BC.


What Is Peripheral Neuropathy?

Peripheral neuropathy happens when nerves outside the brain and spinal cord are damaged or irritated. These nerves help you feel sensation, move muscles, and regulate automatic body functions like sweating and digestion. When nerve signals are disrupted, symptoms can feel burning, sharp, numb, or electric (West Texas Pain Institute, n.d.; Frontier Neurology, n.d.).


Most Common Neuropathy Symptoms We See in El Paso

People in El Paso often describe similar patterns:

  • Burning or throbbing pain (especially at night)

  • Tingling or “pins and needles”

  • Numbness in the feet or hands

  • Electric or shooting pain

  • Muscle weakness or cramping

  • Balance problems or frequent trips

  • Sensitivity to touch

In more advanced cases, symptoms can involve digestion, bladder control, or sweating (Frontier Neurology, n.d.).


Why Neuropathy Is So Common in This Region

A major driver locally is diabetes and prediabetes. High blood sugar can injure small blood vessels that feed nerves, leading to poor nerve signaling over time.

Other contributors include:

  • Spine and posture problems that stress nerve roots

  • Vitamin deficiencies (especially B vitamins)

  • Circulation issues

  • Prior injuries or repetitive strain

  • Certain medications or alcohol overuse

  • Inflammatory or autoimmune conditions

Many patients have multiple contributing factors, which is why a full evaluation is important (Medicos Family Clinic, n.d.; West Texas Pain Institute, 2023).


How Diabetic Neuropathy Affects Daily Life

Diabetic neuropathy often begins in the feet and slowly progresses upward. Common concerns include:

  • Burning feet at night

  • Loss of protective sensation

  • Higher risk of cuts, sores, and ulcers

  • Changes in walking or posture

  • Increased fall risk

Early integrative care can slow progression and reduce complications (El Paso Feet, n.d.; iVascular Center, n.d.).


How Neuropathy Is Evaluated at El Paso Back Clinic

Diagnosis is not based solely on symptoms. A complete assessment looks at the whole person.

Evaluation commonly includes:

  • Detailed health and symptom history

  • Review of blood sugar control and medications

  • Neurological and sensory testing

  • Posture and movement analysis

  • Spinal and joint evaluation

  • Imaging when nerve compression is suspected

Dr. Jimenez emphasizes that neuropathy symptoms often overlap with spinal nerve irritation or biomechanical stress, making dual-scope evaluation especially valuable (Jimenez, n.d.-a; Nonsurgical Spine Center, n.d.).


Can Neuropathy Improve Without Surgery?

For many people, yes. Most patients want conservative options before considering surgery or long-term medication use.

Non-surgical strategies may include:

  • Chiropractic care

  • Targeted exercise and physical therapy

  • Lifestyle and nutrition guidance

  • Laser therapy

  • Nerve stimulation techniques

  • Footwear and balance support

  • Stress and sleep optimization

Combining approaches is often more effective than relying on just one method (P3 Physical Therapy, n.d.; El Paso Feet, n.d.).


How Chiropractic Care Supports Nerve Health

Chiropractic care focuses on restoring healthy movement in the spine and joints, thereby reducing stress on nerves.

At El Paso Back Clinic, care may include:

  • Gentle spinal adjustments

  • Joint mobilization

  • Postural correction

  • Nerve decompression strategies

  • Soft tissue techniques

  • Guided movement and mobility work

Clinical observations show that improving spinal mechanics can enhance nerve signaling and reduce irritation—especially when neuropathy overlaps with back or neck problems (Jimenez, n.d.-b; El Paso Back Clinic, n.d.).


The Role of Nurse Practitioners in Neuropathy Care

Nurse practitioners (NPs) are essential for addressing medical and metabolic contributors to nerve damage.

NP-guided support may involve:

  • Lab testing and result interpretation

  • Diabetes and metabolic management

  • Identifying vitamin or nutrient deficiencies

  • Reviewing medication side effects

  • Monitoring nerve-related complications

Dr. Jimenez’s dual licensure allows structural findings and medical factors to be evaluated together, helping patients understand why symptoms are happening—not just where they hurt (Jimenez, n.d.-c).


Why an Integrative Approach Works Best

Neuropathy rarely has a single cause. Integrative care addresses multiple systems at once.

Benefits include:

  • More accurate diagnosis

  • Personalized care plans

  • Reduced dependence on pain medications

  • Improved balance, strength, and confidence

  • Better long-term nerve health

This approach is especially helpful for people with diabetes, chronic back pain, or long-standing symptoms (HealthCoach Clinic, n.d.; Pain and Wellness Institute, n.d.).


Physical Therapy and Movement for Nerve Recovery

Physical therapy complements chiropractic care by retraining safe movement and improving circulation.

Physical therapy may help by:

  • Strengthening supportive muscles

  • Improving balance and coordination

  • Reducing fall risk

  • Teaching nerve-friendly movement patterns

When coordinated with chiropractic and NP care, recovery is often faster and more sustainable (P3 Physical Therapy, n.d.).


Lifestyle Habits That Matter for Neuropathy

Daily habits can either protect or irritate nerves.

Helpful habits include:

  • Keeping blood sugar stable

  • Wearing supportive footwear

  • Limiting alcohol and avoiding smoking

  • Staying physically active

  • Managing stress

  • Prioritizing sleep

Small, consistent changes can reduce flare-ups and improve comfort over time (Modern Pain Houston, n.d.; Dr. Dennis Harris, n.d.).


Emotional and Community Support

Living with nerve pain can affect mood and sleep. Support makes a difference.

  • Education and coaching

  • Stress-management strategies

  • Peer or virtual support groups

  • Family involvement in care plans

Support resources help patients feel informed and empowered (Foundation for Peripheral Neuropathy, n.d.).


When to Seek Professional Help

Consider an evaluation if you notice:

  • Persistent tingling or numbness

  • Burning or electric pain

  • Muscle weakness

  • Balance problems or frequent falls

  • Foot wounds that heal slowly

Early care can help prevent progression and complications (West Texas Pain Institute, n.d.; Frontier Neurology, n.d.).


The El Paso Back Clinic Difference

At El Paso Back Clinic, neuropathy care is centered on conservative, patient-focused solutions. By combining chiropractic care with nurse practitioner oversight and lifestyle strategies, patients receive practical, non-invasive options designed to improve nerve function and daily life.


References

Sports Injuries and How El Paso Back Clinic Heals Athletes

Sports Injuries and How El Paso Back Clinic Heals Athletes

Common Sports Injuries in El Paso and How El Paso Back Clinic Supports Full Recovery

Sports Injuries and How El Paso Back Clinic Heals Athletes
https://www.nwhealth.edu/wp-content/smush-webp/2022/05/NWHSU_JUNE_6208.jpg.webp
https://www.orthoinfo.org/globalassets/pdfs/thumbs/knee_resize.jpg

Sports and physical activity are part of everyday life in El Paso. From running and weight training to football, soccer, and basketball, people of all ages stay active year-round. While this active lifestyle is healthy, it also leads to a high number of sports-related musculoskeletal injuries—especially when combined with the region’s heat, rough ground, and uneven terrain.

At El Paso Back Clinic, sports injury care focuses on restoring spinal alignment, joint mobility, muscle balance, and overall movement quality. When chiropractic care is combined with nurse practitioner (NP) support, athletes receive complete, coordinated care that promotes healing, performance, and long-term injury prevention.

Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, show that athletes recover more efficiently when spine health, joint mechanics, muscle function, and medical oversight are addressed together rather than separately.


Why Sports Injuries Are So Common in El Paso

El Paso presents unique physical challenges for athletes and active individuals. The environment itself can increase stress on the musculoskeletal system.

Common contributing factors include:

  • High temperatures, which increase fatigue and dehydration

  • Hard and uneven surfaces, stressing feet, ankles, knees, and hips

  • Year-round activity, limiting rest and recovery

  • High-impact sports, such as football and basketball

  • Repetitive movement patterns, common in running and training

When the spine and joints are not moving properly, the body compensates. Over time, these compensations increase injury risk and slow healing (NIAMS, n.d.).


Common Sports-Related Musculoskeletal Injuries Seen in El Paso

Sprains and Strains

Sprains and strains are among the most frequently treated injuries at El Paso Back Clinic.

  • Sprains affect ligaments

  • Strains affect muscles or tendons

Common areas include:

  • Ankles

  • Knees

  • Hamstrings

  • Lower back

These injuries often occur during quick movements, twisting, jumping, or improper warm-ups (Orthospine Centers, n.d.).


Knee Injuries (ACL, Meniscus, Runner’s and Jumper’s Knee)

Knee injuries are especially common in sports that involve cutting, jumping, or sudden stops.

Typical knee problems include:

  • ACL tears

  • Meniscus tears

  • Patellar tendonitis (jumper’s knee)

  • Runner’s knee

Misalignment in the spine, hips, or feet can increase stress on the knee joint, making chiropractic care an important part of recovery (Spectrum Therapy Consultants, n.d.).


Tendonitis and Overuse Injuries

Tendonitis develops when tendons are repeatedly stressed without enough recovery.

Common forms include:

  • Tennis elbow

  • Golfer’s elbow

  • Achilles tendonitis

  • Patellar tendonitis

These injuries often worsen slowly and are common in athletes who push through pain (Woodlands Sports Medicine, n.d.).


Shin Splints and Stress Fractures

Lower-leg injuries are common in runners and field athletes.

These include:

  • Shin splints

  • Foot stress fractures

  • Tibial stress injuries

Hard surfaces, worn footwear, and poor biomechanics increase the risk of these injuries (CTX Foot & Ankle, n.d.).


Hip Labral Tears

Hip labral tears affect the cartilage that stabilizes the hip joint.

Common symptoms include:

  • Deep hip or groin pain

  • Clicking or locking sensations

  • Reduced range of motion

These injuries are common among athletes who frequently twist, pivot, or sprint (Texas Spine Clinic, n.d.).


Rotator Cuff and Shoulder Injuries

Shoulder injuries often occur in athletes who lift, throw, or absorb contact.

Common issues include:

  • Rotator cuff strains or tears

  • Shoulder impingement

  • Joint instability

Shoulder pain is often linked to spinal and postural imbalances that chiropractic care addresses (Marque Medical, n.d.).


Lower Back Pain and Sciatica

Lower back pain is one of the most common complaints among athletes.

Contributing factors include:

  • Muscle strain

  • Core weakness

  • Poor posture

  • Spinal joint restrictions

When spinal alignment is compromised, nerve irritation such as sciatica may occur (Marque Medical, n.d.).


How Chiropractic Care at El Paso Back Clinic Helps Sports Injuries

Chiropractic care at El Paso Back Clinic focuses on restoring proper motion to the spine and joints. This allows the nervous system, muscles, and joints to work together efficiently.

Chiropractic treatment may include:

  • Spinal adjustments

  • Extremity joint adjustments (knees, hips, ankles, shoulders)

  • Soft-tissue therapy

  • Mobility and flexibility work

  • Postural correction

Improving alignment reduces stress on injured tissues and supports natural healing (Vista Hills Chiropractic, n.d.).


Benefits of Chiropractic Care for Athletes

Athletes receiving chiropractic care often experience:

  • Reduced pain and stiffness

  • Improved joint mobility

  • Better balance and coordination

  • Faster recovery times

  • Lower risk of repeat injuries

Clinical experience shows that addressing spinal alignment early improves outcomes across many sports injuries (Jimenez, n.d.).


The Role of Nurse Practitioners in Integrated Sports Injury Care

Nurse practitioners (NPs) play an important role in sports injury management by providing medical oversight and coordination of care.

NPs may assist by:

  • Performing initial evaluations

  • Ordering diagnostic imaging (X-ray, MRI)

  • Managing pain and inflammation

  • Coordinating physical therapy

  • Monitoring healing progress

This medical support ensures injuries are accurately diagnosed and treated safely (NIAMS, n.d.).


Functional and Preventive Approach to Recovery

NPs often use a functional approach that looks beyond the injured area.

This includes evaluating:

  • Movement patterns

  • Training load

  • Nutrition and hydration

  • Sleep and recovery habits

  • Inflammation levels

Addressing these factors helps athletes heal fully and return stronger.


Coordinated Care: Chiropractic, NP, and Rehabilitation

One of the strengths of El Paso Back Clinic is coordinated care. Chiropractic care and NP oversight work together with rehabilitation to create a clear recovery plan.

A coordinated plan may include:

  • Chiropractic adjustments for alignment

  • Rehabilitation exercises for strength and stability

  • Medical monitoring for healing progress

  • Gradual return-to-sport planning

This team-based approach improves outcomes and reduces setbacks (Southwest Chiropractors, n.d.).


PRP Therapy and Advanced Recovery Options

For certain injuries, platelet-rich plasma (PRP) therapy may be recommended.

PRP may support healing for:

  • Tendon injuries

  • Ligament sprains

  • Knee injuries

  • Early osteoarthritis

NPs evaluate whether PRP is appropriate and coordinate care alongside chiropractic treatment and rehabilitation (Desert Institute of Sports Medicine, n.d.).


Clinical Example: Knee Injury Recovery at El Paso Back Clinic

Based on clinical observations from Dr. Jimenez, a typical knee injury recovery plan may include:

  1. NP evaluation to diagnose the injury

  2. Imaging to assess ligament or cartilage damage

  3. Chiropractic care to improve spinal, hip, and knee alignment

  4. Rehabilitation exercises to restore strength and stability

  5. PRP therapy, when appropriate

  6. Performance monitoring to prevent re-injury

This integrated approach supports long-term joint health and athletic performance.


Preventing Future Sports Injuries

Prevention is a major focus at El Paso Back Clinic.

Key strategies include:

  • Proper warm-ups and mobility work

  • Strengthening core and stabilizing muscles

  • Maintaining hydration in hot conditions

  • Correcting posture and movement patterns

  • Allowing adequate recovery time

Chiropractic and NP care help identify small problems before they become serious injuries (Texas Children’s Hospital, n.d.).


Long-Term Benefits of Integrated Sports Injury Care

Athletes who receive integrated care often experience:

  • Faster recovery

  • Fewer recurring injuries

  • Improved flexibility and strength

  • Better overall performance

  • Greater confidence in movement

Treating the spine, joints, muscles, and nervous system together leads to a more complete recovery.


Conclusion

Sports injuries are common in El Paso due to the climate, terrain, and high levels of physical activity. Injuries such as sprains, strains, knee injuries, tendonitis, back pain, and stress fractures can limit performance if not treated properly.

At El Paso Back Clinic, chiropractic care restores alignment and mobility, while nurse practitioners provide diagnostics, medical oversight, and coordinated treatment options. Together, this approach supports full recovery, injury prevention, and long-term performance.

Clinical experience from Dr. Alexander Jimenez shows that athletes recover best when care focuses on the whole musculoskeletal system—not just the painful area.


References

El Paso Center Family & Sports Medicine. (n.d.). Musculoskeletal injuries. https://www.elpasocenterfamilyandsportsmed.com/services/musculoskeletal-injuries

Orthospine Centers. (n.d.). Understanding common sports injuries. https://orthospinecenters.com/understanding-common-spring-sports-injuries-prevention-techniques-and-the-role-of-the-musculoskeletal-system/

Spectrum Therapy Consultants. (n.d.). Sports injuries and physical therapy. https://spectrumtherapyconsultants.com/physical-therapy-services/sports-injuries/

Texas Spine Clinic. (n.d.). Sports injuries. https://www.texasspineclinic.com/sports-injuries/

Gonzalez, C. (n.d.). Sports medicine in El Paso. https://www.carlosgonzalezmd.com/sports-medicine-el-paso.html

Texas Children’s Hospital. (n.d.). Most common sports injuries. https://www.texaschildrens.org/content/wellness/most-common-sports-injuries

NIAMS. (n.d.). Sports injuries. https://www.niams.nih.gov/health-topics/sports-injuries

Marque Medical. (n.d.). Most common sports injuries. https://marquemedical.com/most-common-sports-injuries-by-vanessa-fitzgerald/

Woodlands Sports Medicine. (n.d.). Common sports injuries. https://www.woodlandssportsmedicine.com/blog/6-common-sports-injuries

CTX Foot & Ankle. (n.d.). Top sports injury diagnoses. https://www.ctxfootankle.com/top-sport-injury-diagnoses/

Vista Hills Chiropractic. (n.d.). Sports injury chiropractic care. https://www.vistahillschiropracticelpasotx.com/sports-injury

Desert Institute of Sports Medicine. (n.d.). PRP therapy services. https://desertinstituteep.com/services-1

Jimenez, A. (n.d.). Clinical insights. https://dralexjimenez.com/

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Relieve Lower Back and Hip Pain with Squats, Core Exercises, and Chiropractic Care at El Paso Back Clinic®

Many people in El Paso suffer from lower back pain and hip discomfort due to daily activities, work demands, injuries, or long-term issues. These problems often stem from muscle strains, poor posture, tight hips or glutes, and weak supporting muscles. At El Paso Back Clinic® in El Paso, TX, we specialize in helping patients overcome these challenges through personalized chiropractic care, rehabilitation, and safe exercises.

Squats and core exercises, performed correctly, strengthen the muscles that support the spine, improve alignment, and enhance hip mobility. This reduces stress on the back during movement. They are effective for chronic low back pain, mild sciatica, and general aches from weak muscles. Proper form is essential—sharp pain, numbness, or weakness means you should seek professional evaluation first.

Dr. Alex Jimenez - Doctor of Chiropractic | El Paso, TX Back Clinic

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Why Lower Back and Hip Pain Often Occur Together

The lower back and hips are closely connected through shared muscles, joints, and nerves. Tight hips or glutes can tug on the back, leading to strain. Weak core muscles cause spinal instability and poor posture, leading to chronic pain.

  • Muscle imbalances force the back to overcompensate in everyday tasks.
  • Reduced hip mobility leads to excessive forward leaning, stressing the lower back.
  • Problems in ankle or upper back mobility contribute further.

These factors can result in lumbar instability or pain radiating from the hips to the back.

How Squats Benefit Lower Back and Hip Conditions

Squats strengthen the legs, glutes, and core. With proper technique, they relieve pressure from the lower back.

Proper squats maintain a neutral spine and engaged core, providing stability and minimizing lumbar strain. Activating core and hip muscles during squats supports the spine, preventing excessive arching or rounding.

Squats also increase hip mobility. Tight hip flexors are a common cause of back pain during deeper squats. Improved flexibility allows the hips to function better, sparing the back from overload.

  • Builds glutes and legs for stronger spinal support.
  • Enhances blood flow and reduces inflammation in the area.
  • Aids mild pain that improves with gentle activity.

Research supports that the correct form reduces risks associated with squats.

Core Exercises: A Key to Back and Hip Relief

Core exercises focus on deep muscles in the abdomen, back, and pelvis, acting as a natural spinal brace.

Strong core muscles enhance posture and balance, easing the load on spinal discs and preventing persistent pain from inadequate support. Studies show core stability exercises effectively reduce non-specific low back pain and improve function.

Core training also supports hip pain by stabilizing the pelvis, which is beneficial for conditions like arthritis or glute tightness.

  • Planks and bird-dogs develop endurance in stabilizing muscles.
  • Pelvic tilts and bridges safely activate deep muscles.
  • Standing core activities help relieve pain from prolonged sitting.

Evidence indicates that core exercises often outperform general workouts in reducing pain.

Mastering Proper Form for Safe Squats and Core Work

Incorrect squat form is a leading cause of lower back pain. Frequent mistakes include back rounding, knee collapse, or excessive weight.

Safe squat guidelines:

  • Position feet shoulder-width apart, toes slightly turned out.
  • Engage your core as if bracing for impact.
  • Hinge at the hips, keep the chest high, and descend until the thighs are parallel to the ground.
  • Drive up through heels, maintaining a neutral spine.

For core exercises, prioritize controlled movement. Hold planks straight with tight abs—avoid dipping or arching.

Begin with bodyweight versions and always warm up to boost circulation and lower injury risk.

Pain during squats typically indicates a weak core, tight hips, or mobility deficits. Address these with targeted stretches and progressive loading.

When Exercises Are Helpful and When to Get Professional Care

Squats and core exercises support:

  • Chronic low back pain from muscle weakness.
  • Mild sciatica by decreasing nerve pressure.
  • Hip tightness referring pain to the back.
  • Posture-related daily discomfort.

They foster long-term resilience and prevent compensatory back strain. Halt immediately if experiencing severe pain, numbness, weakness, or loss of balance—these may indicate serious conditions such as a disc herniation.

Consult a provider before beginning, especially if you have pre-existing injuries.

Integrative Care at El Paso Back Clinic®

At El Paso Back Clinic®, Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads a team that delivers comprehensive, integrative chiropractic and wellness care for lower back and hip pain. Our approach combines squats and core exercises with chiropractic adjustments, spinal decompression, physical therapy, functional medicine, and rehabilitation programs.

Chiropractic adjustments correct misalignments and joint dysfunctions. A reinforced core helps maintain these corrections by enhancing spinal stability.

Dr. Jimenez creates tailored plans that address root causes through evidence-based protocols, drawing on over 30 years of experience in complex injuries, sciatica, and chronic pain. This multidisciplinary method often yields superior, sustained results compared to isolated treatments.

Visit our main location at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or call (915) 850-0900 to schedule your consultation.

Beginner Exercises to Try Under Guidance

Start with these fundamentals, supervised by our team:

  • Bodyweight Squats: 3 sets of 10-15 repetitions, emphasizing technique.
  • Glute Bridges: Lie on your back, and elevate your hips by engaging your glutes.
  • Bird-Dog: On hands and knees, extend opposite arm and leg while bracing core.
  • Planks: Maintain position for 20-30 seconds, gradually increasing duration.
  • Pelvic Tilts: On the back, press the lower back into the floor via a pelvic tilt.

Incorporate 2-3 sessions weekly. Include hip mobility work and advance gradually.

Regain Comfort and Mobility Today

At El Paso Back Clinic®, squats and core exercises form integral components of our rehabilitation strategies for lower back and hip pain. They fortify stabilizing muscles, correct alignment, and promote mobility to manage strains, poor posture, instability, and tightness.

Combined with expert chiropractic and integrative care under Dr. Alexander Jimenez, they deliver lasting strength and relief.

Reach out to El Paso Back Clinic® today. Our team will assess your needs and develop a customized plan for optimal recovery.


References

Burstein, I. (n.d.). The power of core strength: How a strong core enhances chiropractic adjustments. https://www.ilanbursteindc.com/the-power-of-core-strength-how-a-strong-core-enhances-chiropractic-adjustments

Cary Orthopaedics. (n.d.). Reduce low back pain with strong core. https://caryortho.com/reduce-low-back-pain/

El Paso Back Clinic®. (n.d.). Home. https://elpasobackclinic.com/

Harvard Health Publishing. (2011). Strengthening your core: Right and wrong ways to do lunges, squats, and planks. https://www.health.harvard.edu/blog/strengthening-your-core-right-and-wrong-ways-to-do-lunges-squats-and-planks-201106292810

Healthline. (n.d.). Lower back pain when squatting: Causes and treatments. https://www.healthline.com/health/back-pain/lower-back-pain-when-squatting

Jimenez, A. (n.d.). Injury specialists. https://dralexjimenez.com/

Mauger Medical. (n.d.). A combined approach to back pain treatment. https://www.drmauger.com/blog/posts/a-combined-approach-to-back-pain-treatment

Redefine Your Pain. (n.d.). Does squatting help or hurt lower back pain?. https://redefineyourpain.com/does-squatting-help-or-hurt-lower-back-pain/

Shamsi, M., et al. (2022). A systematic review of the effectiveness of core stability exercises in patients with non-specific low back pain. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC9340836/

Squat University. (2018). Core training: Bridging rehab to performance. https://squatuniversity.com/2018/11/01/core-training-bridging-rehab-to-performance/

When You Don’t Stretch: What Happens to Your Body

When You Don’t Stretch: What Happens to Your Body

When You Don’t Stretch: Why Muscles Get Stiff, Movement Gets Harder, and Injuries Become More Likely

When You Don’t Stretch: What Happens to Your Body

A patient with chronic back pain does targeted stretches.

If you rarely stretch, your body can start to feel “tight,” which can change how you move. Many people notice they can’t bend, twist, squat, reach overhead, or turn their head as easily as they used to. Over time, this can affect your flexibility, your range of motion (how far a joint can move), and how smooth and efficient your daily movements feel.

At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, often explains this: when mobility decreases, the body starts to “compensate.” That means you move around a stiff area instead of through it, and those workarounds can build up stress in nearby joints and muscles (Jimenez, n.d.-a). This is one reason people can develop recurring back pain, neck stiffness, hip tightness, or shoulder irritation even without a single big injury.


What “Muscle Stiffness” Really Means

Muscle stiffness usually feels like tightness, soreness, or difficulty moving. It can happen after overuse, after you’ve been still for a long time, or when your muscles stay “stuck” in a more contracted state (Tarantino, 2025). Osmosis

Osmosis notes that stiffness can appear after a long period of minimal motion (such as bed rest or inactivity) or after new exercise that causes temporary muscle cell damage (Tarantino, 2025). Osmosis

Key idea: When your body doesn’t move a joint through its normal range often enough, the muscles and tissues around it can start to feel restricted. That restriction can make normal tasks think harder than they should.


Do Muscles Actually “Shorten” If You Don’t Stretch?

You’ll hear people say, “If you don’t stretch, your muscles will shorten.” That statement is partly true, but it needs context.

Adidas explains that the word “shorten” can be misleading: for most people, it feels like shortening because mobility and flexibility decrease when stretching is skipped, even if the muscle is not literally shrinking in everyday life (Adidas, 2025). adidas

Harvard Health adds an important clarification: without regular stretching, muscles can become tight, and when you need them for activity, they may not extend fully, increasing the risk of joint pain, strains, and muscle damage (Harvard Health Publishing, 2024). Harvard Health

So the practical takeaway is simple:

  • Skipping stretching often leads to less mobility and flexibility

  • Tight muscles can reduce how far joints can move

  • Tight muscles can make injuries more likely when you suddenly “ask more” of your body


How Tight Muscles Reduce Range of Motion

Range of motion (ROM) is the movement around a joint or body part. When ROM is limited, you can’t move that body part through its usual, healthy motion (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic explains how tightness—especially in areas like the hips and ankles—can reduce ROM and limit potential for form and strength. When posture and form are compromised, pain and injury risk can rise (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

What limited ROM can look like in real life

You might notice:

  • You can’t turn your head fully when driving

  • You bend from your lower back instead of your hips

  • You can’t squat without your heels lifting

  • Your shoulders feel “pinched” when reaching into a cabinet

  • Your hamstrings feel tight when you try to walk fast

And here’s the tricky part: your body still gets the job done—just with more strain.


Why Stiffness Can Raise Injury Risk

Harvard Health explains that tight muscles may be more easily damaged when they are suddenly stretched during strenuous activity (Harvard Health Publishing, 2024). Harvard Health

That’s why injuries often show up in moments like:

  • A weekend game after sitting all week

  • A sudden sprint to catch something

  • Lifting a heavy box with “cold” hips and hamstrings

  • A long drive followed by quick unloading or bending

Mayo Clinic also notes that better flexibility can help joints move through full ROM and may decrease injury risk, while emphasizing that stretching must be done correctly (Mayo Clinic Staff, n.d.). Mayo Clinic


Common Reasons People Stop Stretching (And How to Fix Them)

Most people don’t skip stretching because they don’t care. They skip it because it feels confusing, time-consuming, or uncomfortable.

Common barriers

  • “I don’t have time.”

  • “Stretching hurts.”

  • “I’m not flexible, so it doesn’t work for me.”

  • “I only need stretching if I work out.”

Better, more realistic reframes

  • You only need 5–10 minutes a few times a week to start seeing benefits (Mayo Clinic Staff, n.d.). Mayo Clinic

  • Stretching should create tension, not pain (Mayo Clinic Staff, n.d.). Mayo Clinic

  • Flexibility improves over weeks to months, not days (Harvard Health Publishing, 2024). Harvard Health

  • Stretching supports everyday movement, not just workouts (Harvard Health Publishing, 2024). Harvard Health


Safe Stretching Basics (So You Don’t Make Things Worse)

This matters: stretching done poorly can backfire.

Mayo Clinic recommends:

  • Don’t stretch cold muscles—warm up 5–10 minutes first

  • Don’t bounce

  • Hold stretches about 30 seconds (longer for problem areas)

  • Don’t stretch into pain (Mayo Clinic Staff, n.d.). Mayo Clinic

The American Heart Association adds:

  • Stretch when muscles are warm

  • Hold 10–30 seconds and repeat 3–5 times

  • Stretch slowly and smoothly (American Heart Association, 2024). www.heart.org

Quick safety checklist

  • Warm up first (easy walk, gentle movement)

  • Move slowly

  • Breathe

  • No bouncing

  • Stop if you feel sharp pain, numbness, or joint pain


A Simple 10-Minute Daily Stretch Routine for Real Life

This is designed for normal adults: busy schedules, stiff hips, tight neck, and lots of sitting.

Step 1: Warm up (1–2 minutes)

  • Walk around the house

  • March in place

  • Gentle arm circles

Step 2: Do these 6 stretches (about 8 minutes total)

1) Hip flexor stretch (1 minute each side)
Helps if you sit a lot and feel tight in the front of your hips.

2) Hamstring stretch (1 minute each side)
Harvard points out that tight hamstrings from sitting can limit how well you extend your leg and support walking mechanics (Harvard Health Publishing, 2024). Harvard Health

3) Calf stretch (45 seconds each side)
Helpful for ankle mobility, walking, and squatting mechanics.

4) Chest opener (45 seconds)
Stand in a doorway and gently open the chest to reduce rounded-shoulder posture.

5) Upper back reach (45 seconds)
Hug yourself and gently pull your shoulder blades apart.

6) Neck side stretch (30 seconds each side)
Gentle only—never crank your neck.

Step 3: Add “micro-mobility” during your day (optional but powerful)

  • Stand up every hour for 30–60 seconds

  • Do 5 bodyweight squats to a chair

  • Do 10 shoulder rolls

  • Take a 3-minute walk after meals

These small habits often matter as much as one long stretch session.


Stretching After Workouts: What You Should Know

Adidas explains the difference clearly:

  • Dynamic movement is best before workouts (prepares your body)

  • Static stretching is typically better after workouts, when you’re warm (Adidas, 2025). adidas

Mayo Clinic also cautions that stretching cold muscles can increase injury risk and notes that some intense activities may not benefit from heavy stretching right before performance (Mayo Clinic Staff, n.d.). Mayo Clinic

A balanced approach

  • Before exercise: warm up + dynamic mobility

  • After exercise: gentle static stretching + breathing

  • On rest days: short, consistent flexibility routine


When Stiffness Is a Sign You Need More Than Stretching

Sometimes the problem is not just “tight muscles.” You may have:

  • Joint restrictions that block movement

  • Spine or pelvis alignment issues affecting mechanics

  • Inflammation around a joint

  • Pain patterns that keep muscles “guarded”

  • A nerve-related problem (numbness, tingling, weakness)

El Paso Back Clinic notes that limited ROM in areas like the back, neck, or shoulders can be linked to the body being out of natural alignment, repetitive motions, or wear and tear (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

If stretching doesn’t help—or makes symptoms worse—it’s smart to get assessed.


The El Paso Back Clinic Approach: Integrative Chiropractic + Nurse Practitioner Support

This is where integrative care can be a game-changer: you’re not only “stretching more,” you’re also finding out why you’re tight and building a plan that fits your body.

What chiropractic care can add

El Paso Back Clinic describes a “restoration” approach that may include:

  • Soft tissue work (to reduce tightness and improve circulation)

  • Adjustments (to address misalignments and support mobility)

  • Targeted exercises and stretches to help maintain improvements (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

What an NP can add

Nurse practitioners are advanced practice clinicians who assess, diagnose, and treat illnesses and injuries and support chronic condition management (American Nurses Association, n.d.). ANA
Healthgrades also describes NPs performing screenings and physical exams, ordering lab work, documenting care, and diagnosing certain conditions (Prosser, 2025). Healthgrades Resources

Why the combo helps stiffness and pain

Together, a chiropractor + NP team can:

  • Screen for red flags (nerve symptoms, systemic issues)

  • Decide when imaging or labs are appropriate

  • Build a movement plan that matches your pain level

  • Address sleep, stress, inflammation, and recovery habits

  • Track progress using measurable goals (like ROM improvements)

Dr. Jimenez’s Mobility & Flexibility materials emphasize that “great mobility” supports functional movement without ROM restrictions and that people who don’t stretch often may experience stiffened muscles that reduce effective movement (Jimenez, n.d.-a). El Paso Back Clinic® • 915-850-0900


Red Flags: When to Stop Stretching and Get Checked

Call a clinician promptly if you have:

  • Numbness, tingling, or weakness in an arm/leg

  • Loss of balance, clumsiness, or trouble walking

  • Severe pain that doesn’t improve

  • Pain after trauma (car accident, fall, sports collision)

  • Fever, unexplained swelling, or sudden intense stiffness

Muscle stiffness can sometimes be related to underlying medical issues, and diagnosis may require an exam and follow-up testing, depending on the cause (Tarantino, 2025). Osmosis


The Bottom Line

If you don’t stretch regularly, it’s common to feel tighter and less mobile over time. That stiffness can reduce range of motion, make daily tasks harder, and increase your risk of injury when you suddenly push your body. The good news is that you don’t need extreme flexibility. You need consistent, safe mobility work—and when required, professional support to restore movement and reduce pain.

A practical plan usually includes:

  • Small daily stretching habits

  • Better warm-ups and recovery routines

  • Strength + mobility (not stretching alone)

  • Integrative evaluation when pain, ROM loss, or repeated flare-ups keep returning


References

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