Common Fastpitch Softball Injuries and How El Paso Back Clinic’s Integrative Chiropractic Care Can Help
Fastpitch softball is a tough sport that asks a lot from players. Pitchers use the underhand windmill throw frequently, and everyone must move quickly and change direction quickly. This leads to pain in muscles and bones. The most common are overuse problems in the shoulder and elbow, like rotator cuff strains and UCL tears from all that pitching. Then there are sudden hurts, such as ACL tears in the knee, ankle sprains, and breaks from sliding, diving, or running into others. Players also deal with finger and hand issues, lower back pain, and concussions. At El Paso Back Clinic in El Paso, TX, they use integrative chiropractic care. This is a gentle, whole-body approach that includes spinal adjustments, muscle therapy, and rehab exercises. It addresses both acute injuries and the root causes of overuse. This care helps softball players heal faster, get stronger, and prevent re-injury. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, the clinic focuses on athletes with personalized plans.
Common Injuries in Fastpitch Softball
Fastpitch softball can cause injuries due to its speed and repeated moves. Pitchers throw hard and often, putting stress on their arms. Other players dive, slide, and run, which can twist joints or cause impacts. Research shows shoulder and elbow overuse is the top issue for pitchers because of the windmill pitch (Rothman Orthopaedics, n.d.; Andrews Sports Medicine, n.d.). Lower-body problems result from quick stops and turns (Sports Medicine Clinics, 2025). Head injuries come from hits or crashes (Children’s Health, n.d.).
Here are some main overuse injuries:
Rotator cuff strains: Repeated throwing inflames the shoulder muscles, causing pain. This hits pitchers and throwers hard (Share UPMC, 2020; HDP Chiro, n.d.).
UCL tears: The elbow ligament gets stretched or torn due to the pitching force. Young players who overdo it are at risk (UC Health, n.d.; North Central Surgical, n.d.).
Sudden, acute injuries include:
ACL tears: Knee ligament rips during fast changes in direction. It can keep players out for months (Andrews Sports Medicine, n.d.; PubMed, n.d.).
Ankle sprains: Ankles twist while running or sliding into bases (Rock Valley PT, n.d.; Children’s Hospital, 2022).
Fractures: Breaks in fingers, hands, or wrists from dives or ball hits (Summit Orthopedics, 2022; Therapy Partners Group, n.d.).
Other common problems are:
Finger and hand injuries: From catching or batting (UC Health, n.d.).
Lower back pain: Caused by twisting or bad pitching form (North Central Surgical, n.d.; Share UPMC, 2020).
Concussions: Brain injuries from collisions or head hits (Children’s Health, n.d.; YouTube, n.d.).
These often stem from excessive play without breaks (PubMed, n.d.; PMC, n.d.). Strains and sprains are frequent in arms and legs (PMC, n.d.). To prevent them, use warm-ups, good technique, rest, and pitch limits (Rothman Orthopaedics, n.d.; UC Health, n.d.; NCYS, 2022).
Integrative Chiropractic Care at El Paso Back Clinic
At El Paso Back Clinic, integrative chiropractic care treats the whole body without surgery or meds. It’s holistic, meaning it looks at everything that affects health. The clinic combines chiropractic care with functional medicine and sports rehabilitation to address injuries and their causes (El Paso Back Clinic, n.d.; Integrative Chiro Center, n.d.). Dr. Alexander Jimenez and his team use evidence-based ways to help athletes.
Key parts of their care:
Spinal adjustments: These correct spinal misalignments to reduce pain, improve mobility, and support nerve function (Injury2Wellness, n.d.; SCUHS, n.d.).
Soft tissue therapy: Techniques such as massage reduce swelling and promote muscle healing (SCUHS, n.d.; Peoria Spine and Sport, n.d.).
Functional rehabilitation: Exercises build strength, balance, and flexibility to prevent re-injury (Push as RX, n.d.; Dallas Accident and Injury Rehab, n.d.).
The clinic also offers nutrition, stress management, and lifestyle tips to support full recovery (El Paso Back Clinic, n.d.). This differs from basic care by addressing root causes of softball injuries, such as poor posture or weak muscles (Chiropractic Sports Care, n.d.; El Paso Back Clinic, n.d.).
Benefits for Softball Players at El Paso Back Clinic
El Paso Back Clinic helps softball players recover quickly, play better, and avoid injuries. Their care corrects alignment and reduces inflammation to promote faster healing (SCUHS, n.d.). Players gain more power from balanced bodies, leading to stronger pitches and quicker moves (Dallas Accident and Injury Rehab, n.d.). Prevention is key—they spot problems early (Push as RX, n.d.; El Paso Back Clinic, n.d.).
Dr. Alexander Jimenez shares from his work: Overuse in softball causes inflammation and nerve issues. His methods, such as adjustments and nutrition, can help without surgery (Dr. Alexander Jimenez, n.d.; Dr. Alexander Jimenez LinkedIn, n.d.). He treats shoulders, knees, and backs with movement checks to stop repeats. This fits softball, where arm strain is common.
Benefits include:
Quicker recovery: Adjustments reduce pain and swelling so players return soon (Injury2Wellness, n.d.; SCUHS, n.d.).
Better performance: Stronger muscles and joints mean harder throws and faster runs (Dallas Accident and Injury Rehab, n.d.).
Injury prevention: Regular visits address imbalances, reducing overuse risk (El Paso Back Clinic, n.d.; Push as RX, n.d.).
Studies and videos support this. One shows that therapy for softball injuries is beneficial (YouTube, n.d.). At the clinic, athletes receive custom plans that include rehabilitation and education (El Paso Back Clinic, n.d.).
If you’re in El Paso or nearby, like Horizon City, contact El Paso Back Clinic today. Call +1-915-850-0900 or schedule an appointment. Locations include 11860 Vista Del Sol, Ste 128. Discover how Dr. Jimenez can help your game.
In the end, fastpitch softball risks injuries, but El Paso Back Clinic’s integrative care offers real help. It heals holistically and builds strength. Players stay on the field longer and stronger.
Optimal Joint Movement: Enhancing Mobility and Stability at El Paso Back Clinic
A chiropractor or Nurse Practitioner works with a patient in a rehabilitation center to improve joint mobility.
Optimal joint movement is essential for an active, pain-free life. At El Paso Back Clinic in El Paso, TX, we specialize in helping people achieve this through personalized chiropractic care. This article explains what optimal joint movement means, why it’s important, and how our clinic’s integrative approaches can restore it. Whether you’re dealing with back pain, sports injuries, or daily stiffness, our team, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, uses spinal adjustments, rehabilitation, and functional medicine to get you moving better. Discover how we support joint health to improve function in everyday tasks and athletic pursuits.
Understanding Optimal Joint Movement
Optimal joint movement is the ability to move your joints through their full natural range of motion (ROM) smoothly, without pain, and with good control. It’s often referred to as high-quality mobility, blending flexibility with strength for daily activities and sports (University of Colorado Anschutz Medical Campus, n.d.).
At El Paso Back Clinic, we define it as moving joints efficiently while maintaining balance between mobility (active movement) and stability (joint control). This ensures muscles, ligaments, and tendons work together properly (National Academy of Sports Medicine, n.d.; Mainstay Medical, n.d.). For instance, a healthy shoulder should lift overhead to 180 degrees without strain, allowing you to reach shelves or throw a ball (Verywell Health, 2023a).
When injury or prolonged sitting disrupts this, mobility declines, leading to awkward movements elsewhere in the body (University of Colorado Anschutz Medical Campus, n.d.). Our clinic addresses this through holistic care, combining adjustments, soft-tissue therapy, and exercises to reduce inflammation and improve coordination.
Key Elements of Optimal Movement:
Full ROM: Joints reach their natural limits, like knee flexion to 140 degrees for squatting (The GO KNEE, n.d.).
Smooth Control: No jerking or pain, thanks to strong muscles and clear nerve signals.
Balance: Mobility for range, stability to prevent wobbles or injuries (ACE Fitness, n.d.a).
The Importance of Mobility and Stability Balance
At El Paso Back Clinic, we emphasize the balance between mobility and stability for peak performance. Mobility allows free movement, while stability keeps joints secure during activities (ACE Fitness, n.d.b). This synergy is key in our treatments.
Think of the body as a chain: Ankles and hips need mobility for steps, while knees and lower back provide stability (Motus Physiotherapy, n.d.; NASM, n.d.). If an ankle stiffens due to injury, the knee compensates, increasing the risk of pain (Physical Therapy at MJC, n.d.). Our chiropractic adjustments and rehab programs restore this chain, enhancing joint function.
Integrative care at our clinic—including spinal decompression and strength training—supports this balance, reducing the risk of injury and improving mobility (Peninsula Wellness Partners, n.d.).
Common Disruptions to Joint Mobility
Life factors can hinder optimal joint movement. Injuries cause swelling and tightness, limiting ROM (Frozen Shoulder Clinic, n.d.; Musculoskeletal Key, n.d.). A sedentary lifestyle, common in desk jobs, tightens muscles and stiffens joints (Dr. Ong Kee Leong, n.d.).
At El Paso Back Clinic, we see this in patients with back pain or sciatica, where poor posture leads to compensation and strain in other areas (OMassageT, n.d.). Aging, arthritis, or repetitive motions worsen it (Arthritis Foundation, n.d.; Chesapeake Regional, n.d.).
Typical Causes:
Trauma: Sprains create hard end-feels, stopping movement early (Physiopedia, n.d.c).
Inactivity: Shortens tissues, reducing flexibility (Dr Ong Kee Leong, n.d.).
Health Conditions: Arthritis limits ROM, causing bony sensations (Physiopedia, n.d.c).
Habits: Bad ergonomics unbalance the kinetic chain (OMassageT, n.d.).
Without correction, this increases fall risk and reduces quality of life. Our clinic’s diagnostic tools, such as digital X-rays, identify issues early.
Why Prioritize Optimal Joint Movement?
Good joint movement enhances everything from walking to sports. It prevents pain and boosts efficiency (OneStep, n.d.). At El Paso Back Clinic, we help athletes improve power and reduce injuries through better ROM (Activ Therapy, n.d.).
For daily life, it means easier tasks without fatigue (Baliston, n.d.). In walking, ankle flexion aids balance; poor ROM shortens strides (Baliston, n.d.). Our programs keep joints lubricated and muscles strong (Arthritis Foundation, n.d.).
At El Paso Back Clinic, maintenance starts with assessment. We measure ROM against norms using tools like goniometers (Physical Therapy at MJC, n.d.; Trainerize, n.d.). Then, we recommend exercises.
Regular activity, such as stretching, helps keep joints flexible (Arthritis Foundation, n.d.; Royal City Physiotherapy, n.d.). Our mobility drills focus on control for real-world use (Royal City Physiotherapy, n.d.).
Practical Tips:
Warm-Ups: Shoulder circles or ankle rolls (Chesapeake Regional, n.d.).
Stretching: Hold for 30 seconds on tight spots (Verywell Health, 2023a).
Strength Work: Squats for knee stability (ACE Fitness, n.d.b).
Activity: Low-impact, like swimming (Arthritis Foundation, n.d.).
Tools: Foam rollers for self-care (Muscle and Motion, n.d.).
Visit our East Side location for personalized plans.
Integrative Chiropractic Care at El Paso Back Clinic
Our clinic offers holistic chiropractic care to restore joint movement. Led by Dr. Alex Jimenez, we combine adjustments, therapy, and guidance (Peninsula Wellness Partners, n.d.; Evolved Health Chiropractic, n.d.).
Adjustments realign joints, easing inflammation and nerves (Rodgers Stein Chiropractic, n.d.a; Rodgers Stein Chiropractic, n.d.b). Soft tissue work and rehab build muscle support (Evolved Health Chiropractic, n.d.).
This approach enhances mobility, strengthens areas, and reduces risks (Core Integrative Health, n.d.; Duca Chiropractic, n.d.). Joint mobilization gently increases ROM (Smart Sports Medicine, n.d.).
Our Services:
Spinal Adjustments: Restore alignment for better ROM (Chiropractic Omaha, n.d.).
Functional Medicine: Addresses root causes, such as nutrition (TXMAC, n.d.).
Rehab: Exercises for long-term health (Duca Chiropractic, n.d.).
Clinical Insights from Dr. Alex Jimenez at El Paso Back Clinic
Dr. Alex Jimenez, DC, APRN, FNP-BC, heads El Paso Back Clinic, with over 30 years of experience in integrative care. At our facilities, he blends chiropractic, functional medicine, and rehab for joint issues (Jimenez, n.d.a; Jimenez, n.d.b).
His observations: Adjustments alleviate nerve-related issues, restoring ROM in cases of back pain or sciatica (Jimenez, n.d.a). Patients from accidents or sports regain mobility through tailored plans (Jimenez, n.d.a).
Dr. Jimenez focuses on root causes with nutrition and exercises, preventing surgery (Jimenez, n.d.b). For hips or knees, agility programs balance mobility and stability (Jimenez, n.d.a). Our holistic model empowers patients and aligns with evidence supporting better function (Jimenez, n.d.b).
At El Paso Back Clinic, optimal joint movement is achievable with our expert care. Balance mobility and stability to overcome disruptions. Visit elpasobackclinic.com or our El Paso locations for help from Dr. Jimenez’s team.
Beginner Gym Workout Routine: Build Strength, Flexibility, and Avoid Injuries
Young hispanic man does a beginner gym workout with weights.
Starting a workout at a sports training gym can feel exciting but also a bit scary if you are new to it. A good beginner routine helps build strength in all parts of your body. It uses big movements that work many muscles at once. These are called compound exercises. Things like squats, lunges, push-ups, rows, and planks are key. Do this routine three times a week. Each exercise should have three sets of eight to twelve reps. This builds a strong base without too much strain (Planet Fitness, n.d.a).
The goal is to mix full-body strength training with some easy cardio. Low-impact cardio means activities that do not jar your joints too much, such as walking on a treadmill or using an elliptical. This helps you get fit without overdoing it. Adding chiropractic care can make it even better. It helps with movement, cuts injury risk, and speeds up recovery. Let’s break this down step by step.
Why Start with a Balanced Routine?
A good starting plan focuses on functional strength. This means exercises that help with everyday activities, like picking things up or climbing stairs. For beginners, full-body workouts are best. They work all major muscle groups without splitting days for arms or legs only. This way, you recover faster and see progress soon (Mikolo, 2024).
Experts say beginners should aim for consistency over intensity. Start slow to learn proper form. Bad form can lead to hurts. A routine with strength and cardio boosts heart health, muscle tone, and energy. It also helps with weight control and mood. But without good recovery, you might get sore or injured. That’s where things like stretching and chiropractic come in.
Key Exercises for Beginners
Here are some top exercises for a sports training gym. They build strength, flexibility, and stability. Most use bodyweight or simple machines. Do them in order for a full workout.
Squats: Stand with feet shoulder-width apart. Bend your knees and lower yourself as if you were sitting in a chair. Keep your chest up and knees over toes. Push back up. This works legs, glutes, and core (Refinery29, 2020).
Lunges: Step forward with one foot. Lower until both knees are bent at 90 degrees. Push back to start. Alternate legs. This exercise is beneficial for enhancing balance and building leg strength (Kong, 2024).
Push-ups: Start on your hands and toes or on your knees. Lower your chest to the ground, then push up. This hits the chest, arms, and shoulders. Modify by using a wall if needed (Magnus Method, 2023).
Rows: Use a machine or dumbbells. Pull weights toward your body, squeezing your shoulder blades. This exercise enhances back strength and improves posture (Planet Fitness, n.d.b).
Planks: Hold a push-up position on forearms. Keep your body straight. Hold for 20-30 seconds. Strengthens core for stability (Quora, n.d.).
Do three sets of 8-12 reps for each, except planks, which are timed. Rest 60 seconds between sets. Warm up with 5 minutes of light walking first.
Sample Weekly Routine
A three-day plan works well for beginners. Space days out, like Monday, Wednesday, and Friday. This gives time to rest. Each session lasts 30-45 minutes.
Day 1: Full Body Strength Focus
Warm-up: 5 min treadmill walk.
Squats: 3 sets of 10 reps.
Push-ups: 3 sets of 8 reps.
Rows: 3 sets of 10 reps.
Planks: 3 holds of 30 seconds.
Cool-down: Stretch legs and arms.
Day 2: Rest or Light Cardio
Walk or bike for 20 minutes at an easy pace.
Day 3: Lower Body Emphasis
Warm-up: 5 min elliptical.
Lunges: 3 sets of 10 per leg.
Glute bridges: 3 sets of 12.
Calf raises: 3 sets of 15.
Planks: 3 holds of 30 seconds.
This builds on basics. As you get better, add weights (Under Armour, n.d.). Track your progress in a notebook.
Adding Cardio for Endurance
Cardio is key for heart health and stamina. For beginners, start low-impact. Use machines like a treadmill or a rower. Aim for 15–20 minutes after strength training. Walk at a 5-8% incline on a treadmill to build legs without running (Kong, 2024). This burns calories and boosts recovery.
Mix it in: Do cardio on off days or at the end of your workout. Things like jumping jacks or brisk walking work too. Cardio helps with overall fitness, but do not overdo it. Too much can tire you out.
The Role of Integrative Chiropractic Care
Integrative chiropractic care is more than just spinal cracks. It looks at the whole body. Dr. Alexander Jimenez, a chiropractor with over 30 years of experience, notes it helps with injury prevention and better movement (Jimenez, n.d.a). He combines adjustments with exercises and nutrition.
For beginners, it identifies hidden issues such as muscle imbalances. These can lead to injuries if ignored. Adjustments fix joint problems, improving the range of motion. This lets you do exercises with better form (Pushasrx, n.d.).
Dr. Jimenez observes that chiropractic boosts nerve function. This helps muscles adapt faster and cuts pain. In his clinic, he uses functional assessments to identify weaknesses early (Jimenez, n.d.b). For sports training, it keeps you going without breaks.
Benefits of Chiropractic for Gym Beginners
Chiropractic makes starting safer. Here are key perks:
Injury Prevention: Spots imbalances before they hurt. Fixes tight muscles or stiff joints (Atlas Total Health, 2022).
Better Mobility: Improves joint range. It helps with squats or lunges without causing strain (Elevate to Life, 2023).
Faster Recovery: Uses soft-tissue work and exercises to help you heal more quickly. It also helps reduce soreness after workouts (Team Elite Chiropractic, 2022).
Dr. Jimenez stresses holistic care. He integrates chiropractic care with fitness, such as HIIT, to build strength. This prevents chronic issues and boosts performance (Jimenez, n.d.a).
When to Get Chiropractic Adjustments
Timing matters. Get adjusted before workouts to optimize nerve and muscle function. This prevents strain. After workouts, it aids recovery by reducing inflammation (Atlas Total Health, 2022). Dr. Jimenez recommends regular visits for long-term health.
Do at-home exercises too. Things like glute bridges or cat-cow stretches support treatment (Elevate to Life, 2023). These speed healing and keep balance.
Recovery Tips to Stay Injury-Free
Recovery is as important as working out. Add these to your routine:
Stretching: Do dynamic stretches before and static stretches after. This practice enhances your flexibility, according to 10 Fitness (n.d.).
Rest Days: Allow muscles to grow. Walk lightly if active rest.
Corrective Exercises: Fix imbalances. Hip openers or spine mobilizations prevent injury (Asheville Medical Massage, 2025).
Nutrition and Sleep: Eat protein-rich foods. Sleep 7-9 hours for repair (Squatwolf, n.d.).
If injured, stay fit with low-impact activities like swimming. Balance activity to heal (RP3 Rowing, n.d.). Chiropractic helps here, too, per Dr. Jimenez.
Putting It All Together
A good beginner workout at a sports training gym mixes strength, cardio, and care. Start with compounds three times a week. Add chiropractic for safety. Dr. Jimenez’s work shows this approach builds a strong, injury-free base (Jimenez, n.d.b). Stay consistent, listen to your body, and progress slowly. This makes fitness fun and lasting.
Back Extension Machine (Roman Chair) Training for a Stronger Back
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)
Brace first: Take a breath and tighten your midsection like you’re preparing to be lightly bumped.
Hinge down: Push your hips back and lower your chest slowly. Keep your neck neutral.
Drive up: Squeeze glutes and hamstrings to lift your torso back up.
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).
Mobility Challenges in Mexican and Mexican American Communities: Insights from El Paso Back Clinic®
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).
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.
Fun Ways to Stay Active: Alternatives to Boring Workouts for Better Health
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.
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.
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