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Athletes

Sports Spine Specialist Chiropractic Team: Athletes strive to achieve their body’s maximum performance by participating in numerous training regimens consisting of strenuous exercises and physical activity and ensuring they meet all of their body’s nutritional requirements. Through proper fitness and nutrition, many individuals can condition themselves to excel in their specific sport. Our training programs are designed for athletes that look to gain a competitive edge in their sport.

We provide sport-specific services to help increase an athlete’s performance through mobility, strength, and endurance. Occasionally, however, the excess workouts can lead many to suffer injuries or develop underlying conditions. Dr. Alex Jimenez’s chronicle of articles for athletes displays in detail the many forms of complications affecting these professionals while focusing on the possible solutions and treatments to follow to achieve overall well-being.


Dr. Jimenez Injury Rehabilitation: Effective MVA Care

Dr. Jimenez Injury Rehabilitation: Effective MVA Care

Physical Therapy After a Car Accident: Addressing Indirect Trauma, Pain, and Mobility Issues

Dr. Jimenez Injury Rehabilitation: Effective MVA Care

Motor vehicle accidents (MVAs) can leave individuals grappling with a range of physical and emotional challenges, even when injuries seem minor at first glance. The sudden forces exerted on the body during a collision—whether a rear-end crash, side impact, or head-on accident—can cause significant indirect trauma, leading to back and neck pain, nerve damage, mobility and flexibility issues, and posture problems. These injuries often manifest as musculoskeletal joint pain, which can persist or worsen without proper intervention. Physical therapy (PT) is a cornerstone of recovery for MVA victims, offering a non-invasive, customized approach to restoring function, alleviating pain, and preventing long-term complications. In El Paso, Texas, professionals such as Dr. Alexander Jimenez, a distinguished chiropractor and board-certified family nurse practitioner, combine clinical expertise with advanced diagnostic tools to effectively address these injuries. This blog post explores the role of physical therapy in MVA recovery, drawing on clinical observations, evidence-based practices, and Dr. Jimenez’s integrative approach to care.

Understanding the Impact of Motor Vehicle Accidents

Motor Vehicle Accidents (MVAs) expose the body to sudden, powerful forces beyond its capacity to absorb. Even low-speed collisions can strain or injure the spine, muscles, joints, and nerves. According to the National Highway Traffic Safety Administration, over 2.1 million people in the U.S. sustain injuries in car crashes annually, with soft tissue injuries being the most common (NHTSA, 2023). These injuries often include whiplash, back strains, herniated discs, and nerve compression, which can lead to chronic pain and mobility limitations if untreated.

Indirect Trauma and Its Consequences

Indirect trauma refers to injuries that result from the body’s reaction to the sudden forces of a collision, rather than direct impact. For example, the rapid back-and-forth motion of the neck during a rear-end collision can strain muscles, ligaments, and nerves, leading to whiplash-associated disorders (WAD). This condition often causes neck pain, stiffness, and headaches, which may not appear immediately (Apex Spine & Neurosurgery, 2024). Similarly, the spine’s natural curves can be disrupted, contributing to posture problems and increased stress on joints and muscles.

Back and neck pain are among the most commonly reported symptoms following a motor vehicle accident (MVA). The spine, a complex structure of vertebrae, discs, and nerves, is particularly vulnerable. Herniated discs, where the inner material of a spinal disc protrudes and presses on nearby nerves, can cause radiating pain, numbness, or weakness (Jimenez, 2024). Nerve damage, such as neuropraxia, can occur when nerves are stretched or compressed, resulting in tingling, muscle weakness, or loss of sensation. (Personal Injury Doctors, 2016).

Mobility and flexibility issues often arise as the body attempts to compensate for pain or stiffness. For instance, a person with lower back pain may alter their gait, resulting in uneven stress on the hips and knees. Over time, these changes can exacerbate joint pain and contribute to the development of degenerative conditions, such as arthritis. Posture problems, such as forward head posture or slouching, may also develop, particularly if pain discourages proper alignment and posture. (Jimenez, 2016).

Musculoskeletal Joint Pain Progression

Musculoskeletal joint pain often progresses due to untreated or poorly managed MVA injuries. For example, whiplash can lead to chronic neck pain if scar tissue forms in strained muscles or if spinal misalignments (subluxations) persist (Baystate Physical Therapy, 2024). Similarly, a herniated disc in the lumbar spine may cause sciatica, characterized by sharp pain radiating down the leg due to nerve compression. These conditions can limit range of motion, reduce strength, and impair daily activities, significantly affecting quality of life.

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The Role of Physical Therapy in MVA Recovery

Physical therapy is a non-invasive, evidence-based approach to treating injuries related to motor vehicle accidents (MVAs). It focuses on restoring mobility, reducing pain, and preventing long-term complications through a combination of manual therapy, therapeutic modalities, and targeted exercises. Texas Physical Therapy Specialists emphasize that PT programs are tailored to each patient’s specific injuries and needs, ensuring optimal recovery (Texas Physical Therapy Specialists, 2024).

Key Components of Physical Therapy

  1. Manual Therapy: Techniques such as joint mobilization and soft tissue massage help reduce muscle tension, improve circulation, and restore joint function. These hands-on methods are particularly effective for addressing stiffness and pain in the neck and back (Apex Orthopaedics Spine & Neurology, 2024).
  2. Pain-Relieving Modalities: Tools like electrical stimulation, ultrasound, and heat/cold therapy can alleviate pain and inflammation. For example, transcutaneous electrical nerve stimulation (TENS) uses low-voltage currents to block pain signals (Rocky Mountain Physical Therapy, 2024).
  3. Stretching and Range-of-Motion Exercises: These exercises improve flexibility and restore normal joint movement. Gentle neck stretches, for instance, can counteract whiplash-induced stiffness (OneRehab, 2024).
  4. Strengthening Exercises: Building muscle strength supports injured areas and prevents re-injury. Core exercises, such as planks, stabilize the spine, while leg exercises like squats enhance overall mobility (Breakthrough Physical Therapy, 2024).
  5. Functional Training: Multi-joint, multi-muscle movements, such as lunges or rotational exercises, mimic daily activities, improving balance and coordination (Release Physical Therapy, 2024).

Customization of Treatment Plans

A physical therapist begins with a thorough evaluation, assessing the patient’s range of motion, strength, posture, and pain levels. Based on this assessment, they develop a personalized treatment plan. For example, a patient with whiplash may start with gentle stretches and progress to strengthening exercises as pain subsides. The duration of PT varies, typically ranging from a few weeks to several months, depending on the severity of the injury and the patient’s progress. (Georgia Spine & Orthopaedics, 2024).

Citations:

Dr. Alexander Jimenez’s Integrative Approach

In El Paso, Dr. Alexander Jimenez stands out as a leader in treating injuries related to motor vehicle accidents (MVAs). With over 25 years of experience as a chiropractor and board-certified family nurse practitioner, Dr. Jimenez integrates chiropractic care, functional medicine, and advanced diagnostics to address the complex needs of personal injury patients (Jimenez, 2024). His dual licensure enables him to bridge the gap between biomechanical and systemic health, providing a holistic approach to recovery.

Clinical Rationale and Diagnostic Assessments

Dr. Jimenez emphasizes the importance of correlating patient injuries with objective diagnostic findings. He employs advanced imaging techniques, such as X-rays and MRIs, to identify spinal misalignments, disc herniations, and soft tissue injuries. These tools are crucial for detecting subtle injuries, such as ligament tears or nerve compression, that may not be apparent in initial examinations (Jimenez, 2024). Dual-scope procedures, combining chiropractic and medical evaluations, provide a comprehensive view of the patient’s condition, enabling precise treatment planning.

For example, a patient with neck pain post-MVA may undergo motion and static palpation to assess spinal joint mobility, followed by an MRI to confirm a suspected herniated disc. Dr. Jimenez’s diagnostic assessments also include neurological evaluations to detect nerve damage, such as radiculopathy or peripheral neuropathy, which can cause symptoms like numbness or muscle weakness (Jimenez, 2018).

Balancing Medical and Legal Needs

In personal injury cases, Dr. Jimenez’s expertise extends beyond clinical care to legal documentation. He meticulously documents examination findings and treatment plans to support insurance claims and legal proceedings, ensuring patients receive fair compensation (Jimenez, 2017). His ability to translate complex medical findings into clear, legally admissible reports is particularly valuable in El Paso, where personal injury cases are common due to the high volume of traffic.

Treatment Protocols

Dr. Jimenez’s treatment protocols often include chiropractic adjustments to correct spinal misalignments, reduce nerve compression, and restore mobility. He complements these with physical therapy modalities, such as ultrasound and electrical stimulation, to manage pain and inflammation. Functional strength training, tailored to the patient’s needs, enhances recovery by improving stability and preventing re-injury (Jimenez, 2024).

Citations:

Specific Physical Therapy Exercises for MVA Recovery

The type and severity of MVA injuries dictate the exercises prescribed in physical therapy. Below are examples of exercises commonly used to address back and neck pain, nerve damage, mobility issues, and posture problems.

Stretching Exercises

  • Neck Stretches: Gently tilting the head side to side or forward and backward can help relieve tension in the cervical spine. These are ideal for whiplash patients. (OneRehab, 2024).
  • Hamstring Stretches: Lying on the back and lifting one leg while keeping it straight stretches the lower back and hamstrings, improving flexibility (Sports Physical Therapy, 2024).

Range-of-Motion Exercises

Strengthening Exercises

Functional Training

Timing and Progression

It’s recommended to start physical therapy (PT) exercises within days of the accident, once acute pain subsides, to prevent stiffness and promote healing. Patients typically begin with low-impact stretches and progress to strengthening and functional exercises over the course of weeks or months. (Sports Physical Therapy, 2024).

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Preventing Long-Term Complications

Untreated MVA injuries can lead to chronic pain, reduced mobility, and degenerative conditions. Physical therapy helps prevent these outcomes by addressing inflammation, restoring function, and strengthening supportive muscles. For example, regular PT can reduce the risk of post-traumatic arthritis by maintaining joint mobility (Synergy Rehab, 2024). Dr. Jimenez’s combined method enhances prevention by integrating physical therapy (PT) with guidance on nutrition and overall health to address issues such as inflammation and metabolic imbalances. (Jimenez, 2024).

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Conclusion

Motor vehicle accidents can cause a cascade of physical challenges, from indirect trauma and pain to mobility, flexibility, and posture issues. Physical therapy, with its focus on manual therapy, pain relief, and targeted exercises, is a vital tool for recovery. In El Paso, Dr. Alexander Jimenez’s expertise in chiropractic care, functional medicine, and diagnostic assessments ensures that MVA victims receive comprehensive, personalized treatment. By addressing both the medical and legal aspects of personal injury cases, Dr. Jimenez helps patients recover their health and regain their quality of life. If you’ve been in a car accident, consult a physical therapist or specialist like Dr. Jimenez to start your journey to recovery.

References

A Complete Guide on Auto Accidents’ Flexibility and Mobility Effects

A Complete Guide on Auto Accidents’ Flexibility and Mobility Effects

How Motor Vehicle Accidents Impact Mobility and Flexibility: A Comprehensive Guide

A Complete Guide on Auto Accidents' Flexibility and Mobility Effects

Introduction to Motor Vehicle Accidents and Their Impact

Motor vehicle accidents (MVAs) are a leading cause of injuries that can significantly affect a person’s ability to move freely and comfortably. Whether it’s a minor fender-bender or a severe collision, these accidents often result in physical injuries that limit mobility and flexibility, as well as emotional challenges that impact overall well-being. According to the National Center for Biotechnology Information, traffic accidents are the primary cause of spinal cord injuries in the United States, underscoring their serious consequences. This post examines the types of injuries caused by motor vehicle accidents (MVAs), their impact on daily life, and the crucial role of treatment and rehabilitation, offering special insights from Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas, who specializes in treating victims of MVAs.

MVAs can lead to a range of injuries, from soft tissue damage like whiplash to severe spine and joint issues. These injuries often cause pain, stiffness, and reduced range of motion, making everyday tasks challenging. Beyond physical harm, victims may experience emotional distress, such as anxiety or post-traumatic stress disorder (PTSD), which can further hinder recovery. Understanding these impacts is crucial for seeking timely medical care and legal support, especially in personal injury cases where accurate documentation is essential.

References

Common Injuries from MVAs That Affect Mobility and Flexibility

MVAs can cause various injuries that impair mobility and flexibility. Below, we discuss three main categories: soft tissue injuries, spine injuries, and joint injuries, each with significant effects on movement and function.

Soft Tissue Injuries: Whiplash and Beyond

Whiplash is one of the most common injuries resulting from MVAs, affecting nearly 2 million Americans each year (Metairie Spine and Rehab). A sudden jerk of the head forward and backward strains the neck’s muscles and ligaments, causing whiplash. Symptoms include neck pain, stiffness, and a reduced range of motion, which can make it difficult to turn the head or perform tasks like driving or working at a computer. Other soft tissue injuries, such as sprains or strains, can cause swelling and pain, further limiting movement (Wall Family Chiropractic).

References

Spine Injuries: Herniated Discs and Spinal Cord Damage

Spine injuries are among the most severe outcomes of MVAs. Damage to the soft tissue between vertebrae, known as herniated discs, can result in pain, numbness, and weakness in the limbs, thereby limiting mobility. More severe cases, such as spinal cord damage, may lead to partial or complete paralysis, drastically altering a person’s ability to move. The National Center for Biotechnology Information notes that traffic accidents are the leading cause of spinal cord injuries in the U.S., highlighting their prevalence. These injuries often result in chronic pain and significant mobility loss (Cox & Cox Filo).

References

Joint Injuries: Osteoarthritis and Long-Term Effects

Joint injuries, such as those to the knees, shoulders, or hips, are common in MVAs and can lead to long-term complications like osteoarthritis. This condition causes chronic pain and stiffness, which limits movement and affects daily activities. Research suggests that joint damage from MVAs may require ongoing medical treatment and rehabilitation to manage symptoms and prevent further deterioration (Kitchel Law).

References

How These Injuries Affect Daily Activities and Quality of Life

The injuries caused by motor vehicle accidents (MVAs) can profoundly impact a person’s ability to perform daily tasks and maintain a high quality of life. Physical limitations, such as difficulty walking, lifting, or bending, can make routine activities like household chores, work, or hobbies challenging. For example, whiplash-related neck stiffness may hinder driving or desk work, while a herniated disc could prevent lifting heavy objects (Simply PT).

Emotionally, MVA victims may experience frustration, depression, or anxiety due to their reduced independence and persistent pain. Indirect trauma, such as PTSD or adjustment disorder, affects over 30% of crash survivors, leading to symptoms like flashbacks, avoidance of driving, or emotional numbness (Michigan Auto Law). These psychological effects can exacerbate physical challenges, creating a cycle of pain and disability that lowers overall well-being.

Impact Area Physical Effects Emotional Effects
Daily Activities Limited mobility, difficulty with tasks like lifting or walking Frustration, reduced independence
Work Inability to perform job duties, reduced productivity Anxiety about job security
Social Life Restricted participation in hobbies or social events Isolation and depression due to limited engagement
Mental Health Chronic pain contributes to stress PTSD, adjustment disorder, emotional distress

References

The Role of Physical Therapy and Rehabilitation in Recovery

Physical therapy and rehabilitation are crucial for regaining mobility and flexibility after a motor vehicle accident (MVA). Physical therapists utilize targeted exercises, manual therapy, and education to alleviate pain and enhance function. For instance, therapeutic exercises can help strengthen muscles weakened by whiplash, while manual therapy can improve joint mobility. (Sage Hill Physio).

Chiropractic care, often combined with physical therapy, focuses on spinal alignment and musculoskeletal health. Spinal adjustments and soft tissue therapy can alleviate pain and restore normal movement patterns. Studies, such as those published in the Journal of Chiropractic Medicine, suggest that combining these approaches leads to better outcomes in terms of mobility and pain reduction. (Wall Family Chiropractic).

Treatment Type Techniques Benefits
Physical Therapy Manual therapy, therapeutic exercises, and education Improved joint mobility, reduced pain
Chiropractic Care Spinal adjustments, soft tissue therapy Restored spinal alignment, enhanced movement

References

Insights from Dr. Alexander Jimenez: Clinical Observations and Treatment Approaches

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leading expert in treating motor vehicle accident (MVA)-related injuries in El Paso, Texas. At the El Paso Back Clinic, he specializes in personal injury and auto accident care, addressing conditions like whiplash, ligamentous injuries, and sciatica. His approach integrates chiropractic adjustments, physical therapy, and functional medicine to promote natural recovery without the need for unnecessary surgeries or medications (Dr. Alex Jimenez).

Dr. Jimenez utilizes advanced diagnostic tools, including X-rays, MRIs, and CT scans, to accurately assess the extent of injuries. These tools allow him to develop tailored treatment plans that address each patient’s unique needs. His comprehensive evaluations, which include posture assessments and neurological exams, ensure precise diagnoses. This precision is critical not only for effective treatment but also for providing detailed medical documentation required in personal injury cases, where he collaborates with legal teams to support claims (El Paso Back Clinic).

References

Personal Injury Cases in El Paso: Dr. Jimenez’s Expertise

In El Paso, Dr. Jimenez has established a reputation for treating a wide range of injuries related to motor vehicle accidents (MVAs), from soft tissue damage to complex musculoskeletal conditions. His clinic handles cases involving whiplash, compression injuries, thoracic outlet syndrome, and delayed symptoms from auto accidents. By working with a multidisciplinary team, including chiropractors, nutritionists, and nurse practitioners, he provides comprehensive care that addresses both physical and functional recovery (El Paso Back Clinic).

Dr. Jimenez’s ability to provide detailed medical records and testify in court makes him a valuable asset in personal injury cases. His documentation supports claims for compensation by clearly linking injuries to the accident, ensuring victims receive the support they need for recovery and financial relief.

References

  • El Paso Back Clinic. (n.d.). Home.

The Importance of Advanced Imaging and Diagnostic Assessments

Advanced imaging and diagnostic assessments are crucial for both treating motor vehicle accident (MVA) injuries and supporting legal claims. Tools like X-rays, MRIs, and CT scans provide detailed views of internal damage, such as fractures, herniated discs, or soft tissue injuries. Dr. Jimenez collaborates with top diagnostic imaging clinics to ensure accurate diagnoses, which inform his treatment plans and enhance patient outcomes (El Paso Back Clinic).

In personal injury cases, these diagnostics are equally important for legal documentation. Precise medical records, supported by imaging results, strengthen claims for compensation by demonstrating the extent of injuries and their impact on the victim’s life. Dr. Jimenez’s expertise in correlating clinical findings with diagnostic results bridges the gap between medical treatment and legal requirements, benefiting his patients both in recovery and in court.

References

  • El Paso Back Clinic. (n.d.). Home.

Addressing Indirect Trauma: Psychological Impacts of MVAs

Beyond physical injuries, MVAs can cause indirect trauma, such as emotional and psychological distress. Conditions like PTSD and adjustment disorders can cause symptoms such as flashbacks, avoidance behaviors, and anxiety, affecting over 30% of crash survivors. These issues can significantly impair daily functioning and quality of life, often requiring professional mental health support alongside physical treatment (Michigan Auto Law).

While Dr. Jimenez’s primary focus is on physical injuries, his holistic approach, which includes functional medicine, may address overall well-being, and he may refer patients to mental health specialists when needed. Recognizing and treating these psychological impacts is essential for comprehensive recovery.

References

Conclusion

Motor vehicle accidents can have a profound impact on mobility and flexibility, causing injuries like whiplash, herniated discs, and joint damage that limit movement and disrupt daily life. These physical challenges, combined with emotional distress like PTSD, can significantly reduce quality of life. However, with timely intervention through physical therapy, chiropractic care, and advanced diagnostics, recovery is possible. Dr. Jimenez’s expertise in El Paso exemplifies how comprehensive care, supported by precise diagnostics, can restore mobility and support legal claims in personal injury cases. BBy addressing both the physical and psychological impacts, victims can work toward achieving a full recovery and improved well-being.

Key Citations

Why Choose The El Paso Back Clinic

Why Choose The El Paso Back Clinic

El Paso, TX’s Leading Spine and Back Injury Specialist: Dr. Alex Jimenez, DC, APRN, FNP-C, IFMCP

Welcome to El Paso’s premier destination for advanced spine and back injury care, led by Dr. Alex Jimenez, a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC). At www.dralexjimenez.com and www.chiromed.com, Dr. Jimenez and his team deliver cutting-edge, evidence-based treatments that integrate chiropractic care, functional medicine, and advanced rehabilitation protocols to address complex neuromusculoskeletal conditions. Our mission is to restore mobility, alleviate pain, and empower patients to live vibrant, pain-free lives through personalized, holistic care.

Specialized Spine and Back Injury Care

Dr. Jimenez’s practice is renowned for its expertise in treating intricate spine and back injuries, including herniated discs, severe sciatica, scoliosis, spinal stenosis, and chronic low back pain. By combining his chiropractic expertise with his advanced training as a Family Practice Nurse Practitioner and Institute for Functional Medicine Certified Practitioner (IFMCP), Dr. Jimenez offers a unique, integrative approach to spine care that addresses both symptoms and underlying causes.

Complex Spine Care Treatments

Dr. Jimenez utilizes cutting-edge techniques to address complex spine conditions in his chiropractic and rehabilitation clinic.

  • Chiropractic Spinal Adjustments use precise manual and instrument-assisted adjustments to restore spinal alignment, reduce nerve compression, and improve mobility. A 2020 study in Spine Journal found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020).
  • Decompression Therapy: Non-surgical spinal decompression to relieve pressure on herniated discs and pinched nerves, promoting disc healing and pain relief. Research in Journal of Physical Therapy Science (2017) supports its efficacy for lumbar disc herniation (Choi et al., 2017).
  • Regenerative Therapies: Platelet-rich plasma (PRP) and stem cell support therapies to enhance tissue repair and reduce inflammation in degenerative spine conditions. A 2019 meta-analysis in Pain Physician confirmed PRP’s effectiveness in managing lumbar pain (Sanapati et al., 2019).
  • Electro-Acupuncture: Targeted electrical stimulation of acupuncture points to reduce pain and promote healing in sciatica and chronic back pain. A 2018 study in Evidence-Based Complementary and Alternative Medicine demonstrated its benefits for neuropathic pain (Li et al., 2018).
  • Customized Rehabilitation Programs: Tailored exercises focusing on flexibility, core strength, and spinal stability to prevent re-injury and enhance long-term recovery.

Family Nurse Practitioner Services at www.chiromed.com

As a Family Practice Nurse Practitioner, Dr. Jimenez offers comprehensive medical evaluations and functional medicine protocols to complement spine care:

  • Functional Medicine Assessments: In-depth evaluations using the Living Matrix Functional Medicine Assessment to identify root causes of chronic spine pain, including inflammation, nutritional deficiencies, and hormonal imbalances. A 2021 study in Frontiers in Medicine highlighted functional medicine’s role in improving outcomes for chronic pain patients (Beidelschies et al., 2021).
  • Nutritional Therapy: Personalized nutrition plans to reduce inflammation and support spinal health, incorporating anti-inflammatory diets rich in omega-3s and antioxidants. Research in Nutrients (2020) supports dietary interventions for reducing chronic pain (Kaushik et al., 2020).
  • Hormone Optimization: Addressing hormonal imbalances that exacerbate pain and delay healing, such as cortisol dysregulation in chronic stress. A 2019 study in Journal of Clinical Endocrinology & Metabolism linked cortisol imbalances to chronic pain syndromes (Hannibal et al., 2019).
  • Lifestyle Medicine: Guidance on stress management, sleep optimization, and ergonomic adjustments to support spine health and prevent injury recurrence.

Why Choose Dr. Jimenez for Spine and Back Injury Care?

Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner, combined with his IFMCP certification, sets him apart as El Paso’s top spine care specialist. Key differentiators include:

  • Holistic, Evidence-Based Approach: Integrating chiropractic care, functional medicine, and advanced diagnostics to address the whole person, not just symptoms.
  • Non-Invasive Protocols: Natural, non-surgical solutions should be prioritized to avoid the risks and recovery time associated with invasive procedures. A 2022 study in The Lancet emphasized the efficacy of non-invasive treatments for chronic low back pain (Foster et al., 2022).
  • Collaborative Care Network: Partnerships with leading orthopedic surgeons, neurologists, and rehabilitation specialists ensure seamless referrals when advanced interventions are needed.
  • Patient-Centered Plans: Using advanced diagnostics like MRI analysis, electromyography (EMG), and functional health assessments to create targeted treatment plans tailored to each patient’s unique needs.

Conditions Treated

Our clinic specializes in a wide range of spine- and back-related conditions, including:

  • Herniated Discs: Comprehensive care to reduce disc protrusion, alleviate nerve compression, and restore spinal function.
  • Severe Sciatica: Targeted therapies to relieve radiating leg pain and improve mobility.
  • Scoliosis: Customized bracing and exercise programs to manage spinal curvature and prevent progression.
  • Spinal Stenosis: Decompression and strengthening protocols to alleviate pain and improve quality of life.
  • Chronic Low Back Pain: Multifaceted treatment plans addressing biomechanical, inflammatory, and lifestyle factors.

Transform Your Spine Health Today

Whether you’re recovering from a traumatic spine injury, managing chronic back pain, or seeking preventive care, Dr. Alex Jimenez and his team are here to guide you. Contact us today at www.dralexjimenez.com or www.chiromed.com to schedule a consultation and discover how our integrative approach can transform your health. With evidence-based protocols and a compassionate, patient-centered philosophy, we help you live pain-free and thrive in El Paso’s vibrant community.

Exercise and Dementia: How Movement Helps Brain Health

Exercise and Dementia: How Movement Helps Brain Health

Can older people who exercise regularly lessen their risk of dementia and enhance their overall health?

Exercise and Dementia: How Movement Helps Brain Health

Exercise and the Prevention of Dementia

Dementia, a term used to cover several conditions that impact memory and cognition, is currently the seventh leading cause of mortality worldwide. (World Health Organization, 2025) More than 10 million new cases of dementia are found around the world each year. (J.H. Yoon et al., 2023) Research investigating the relationship between exercise and insulin in the brain suggests that regular exercise may improve brain function and decrease the prevalence of dementia. Scientists have discovered that variables, such as.

Muscles must be exercised and mobilized. People who do not engage in physical activity have rigid muscles, which impede the effectiveness of insulin. The body’s sensitivity to insulin is improved by the contraction and relaxation of the muscles during movement. Dementia can be prevented by understanding how to decrease the body’s insulin resistance.

Physical Activity and Lower Risk

Over two weeks, researchers examined 21 older adults with prediabetes and found that exercise enhances cognitive performance by aiding the brain in insulin regulation. They conducted twelve supervised training sessions of moderate to extreme intensity. (Malin S. K. et al., 2025)

  • The results indicated that brain-derived extracellular vesicles containing insulin-related proteins had significantly increased.
  • These microscopic messengers are essential for brain maintenance and aid in neuronal communication.
  • Three serine/threonine-specific protein kinases known as AKT (protein kinase B, or PKB) are essential for several cellular functions, such as cell growth, survival, metabolism, and cell cycle control.
  • The protein affects the development and health of neuronal cells and is thought to play a significant role in insulin signaling.
  • The notion that exercise might help prevent dementia by potentially enhancing insulin signaling is important since poor insulin response can result in dementia.

Even while further research is needed, these findings prove that physical activity could be a cost-effective and easily accessible way to improve long-term brain health. To better understand how insulin affects brain activity, researchers will use MRIs and an insulin spray in the study’s next phase. To learn more about the effects of the insulin spray, they will compare the blood flow in the brain before and after it is administered.

Insulin and Exercise Are Essential for Brain Health

Insulin is a hormone that the pancreas makes. It controls blood sugar levels. But it’s just as vital for the health of the brain. Insulin binds to many receptors in the brain, which makes synaptic connections stronger and makes it easier for neurons to talk to each other. Both of these things help with memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)

Type 2 diabetes, which impairs insulin transmission, increases the risk of cognitive impairment. (Yoon J.H. et al., 2023) Research has demonstrated that insulin resistance exacerbates tau tangles and amyloid-beta plaques, which are two critical characteristics of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Increasing insulin sensitivity may slow down or even stop these changes in the brain. Working out, especially aerobic exercise, is good for the brain. According to earlier research, exercise can help people maintain or enhance their memory and brain function. (Rosenberg A. et al., 2020) Other ways to increase brain health include:

  • Maintaining social interaction
  • Challenging the mind
  • Getting a good night’s sleep
  • Controlling stress
  • A nutritious diet
  • Maintaining an active lifestyle
  • Controlling diabetes
  • Controlling blood pressure

To achieve the greatest possible effect, dementia prevention in the future will likely involve integrating lifestyle modifications, such as exercise, with medications. In individuals with diabetes or prediabetes, the risk of dementia is significantly reduced, and frequent exercise can assist in the preservation of optimal brain function.

Chiropractic and Functional Medicine Clinic

As a family nurse practitioner, Dr. Jimenez uses the latest medical expertise and chiropractic therapy to address many problems. Our clinic uses functional medicine, acupuncture, electro-acupuncture, and sports medicine to create individualized care plans that improve movement, encourage long-term health, and speed up the body’s natural healing process. We focus on strength, agility, and flexibility to help our patients thrive, regardless of age or health problems. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we want to help people with chronic pain syndromes and injuries. We focus on improving flexibility, mobility, and agility through programs suitable for people of all ages and abilities. We ensure that each patient gets personalized care and reaches their health objectives through detailed care plans and health coaching in person and online.


Is Movement Essential to Recovery?


References

World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.

Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506

Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369

Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340

Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4

Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41

Pace Running Techniques for Better Performance

Pace Running Techniques for Better Performance

Can pace running help runners concentrate on other things, like breathing, form, or mental toughness?

Pace Running Techniques for Better Performance

Pace Running

Running is a sport many participate in and doesn’t require any equipment—only quality running shoes. Running in races comes with various physical and mental challenges. Some runners enjoy running in races and marathons but want to perfect their abilities and techniques, become more consistent, finish in a certain time, or pass a personal record. This is where pace running or working with a pace runner can help achieve those goals.

What is a Pace Runner?

A pace runner, or pacer, is an experienced runner who can run at a set pace for a long time. The pacer sets the speed so the runner can focus on running. Pacers run in races or marathons to help set the pace for a runner or runners. There are different reasons why professional and amateur runners work with a pace runner. Professional runners often use pace runners to work on techniques and help reach new levels in their running, while amateur runners can work on improving their overall running abilities. There are three typical types of pacers.

Race Pacer

  • Pacers wear or carry signs to make it easier for the runners and can often run split times.
  • A split time is the time it takes to run a certain distance.
  • Typically, these pacers will run at an even pace.
  • Many marathons will have pace groups that run at a specific speed or pace throughout the race.
  • The pace groups will have runners running a set time so other runners can key off these runners.
  • There are typically set paces for a 3-hour marathon time up to a 6-hour marathon time.
  • Runners can use pacers to help them reach their goals without relying on technology, such as a smartwatch or GPS, to determine if they maintain the correct speed throughout the race.

Distance Pacer

  • Professional and non-professional runners who run long distances or ultramarathons may also use a pace runner to set a specific tempo.
  • Ultramarathons are any race with a distance longer than the standard marathon of 26.2 miles.
  • Because some ultramarathons can be as long as 50 to 100 miles, runners who choose to have a pacer often have several pacers at different sections to motivate them and help set the rhythm.

Record Pacer or Rabbit

  • A record pacer, also known as a rabbit, is a pacer who helps a professional runner set a new record.
  • A rabbit often leads the race for a predetermined distance at a predetermined pace.
  • Some races have multiple pacers at various distances.

How Are Pacers Used?

There are different reasons for having a pacer, but they are based on the runner’s goals.

  • A runner being paced runs directly behind a pacer or pacers.
  • A pacer can run any pace requested, but typically, the pace groups run at an even pace or with a slight negative split.
  • A negative split is when a runner runs the race’s second half faster than the first half.

How Do They Help?

  • A pacer can be helpful because it takes more energy to lead a race than to sit back and follow another runner.
  • The pacer is responsible for timing and establishing the tempo so runners only have to focus on running.
  • A pacer does more work setting the pace, which allows the runner being paced to relax and not stress about hitting the pace.

A study focused on elite athletes who used pacers. It found that running together at a realistic speed helped optimize and achieve finishing time goals. (Casado A. et al., 2021) However, not all elite events allow pacers to participate. Some championship events, like the Olympics and NCAA Championships, do not allow pacer runners.

Benefits

Benefits of running with a pacer.

Prevent Running Too Fast

  • When a race begins, runners can take off and start too fast.
  • Starting too quickly can negatively impact the runners, like losing energy and stamina.
  • A pacer can help start the race with a steady pace, keeping them from going out too fast or expending too much energy.

Maintain an Even Pace

  • Maintaining an even pace can be difficult throughout a long race or a marathon.
  • Having a pacer can relieve some stress and pressure.
  • A pacer can keep the runners on an even pace or negative splits versus going out too fast and losing energy.

Focus on the Race

  • Pacers help the runners stay focused on the race without worrying about how they are running or maintaining the right speed.
  • A pacer can help keep runners relaxed.

Motivating

  • Pacers can help motivate runners.
  • The pace runners may encourage individuals along the way and help them stay motivated to keep working toward their goal, especially when the hard parts come.

Disadvantages

Running with a pacer can sometimes be more stressful than beneficial, especially for amateur runners. A pacer or pace group can be helpful, but it also can create more stress for some amateur runners.

  • Sometimes, individuals realize the pacer is running too quickly for what they can handle.
  • Anxiety can present as not being able to keep up.
  • Other times, runners underestimate their abilities and run more slowly than their bodies can handle.
  • However, runners don’t have to stay with a pace group just because they started with them.
  • Individuals can run ahead.
  • Or if the group is too fast, the runner can slow down and join the slower-paced group behind them.
  • The key is to listen to your body and do what feels right.

Becoming a Pacer

An experienced runner who wants to be a pacer for a race can contact a running organization about becoming a pace runner.

  • Individuals need to be able to have consistent racing times.
  • Be able to run at a set speed for a long duration.
  • Most pacers will contact the race organization to apply for a certain pace.
  • Some pacers enjoy the thrill of running in a race and helping other runners meet their goals.
  • The runner’s goals and the type of event also influence who the pacer is.

Injury Medical Chiropractic & Functional Medicine Clinic

Individuals can talk to local running experts or a running coach. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. We can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.


The Difference of Using Custom Foot Orthotics


References

Casado, A., Hanley, B., Jiménez-Reyes, P., & Renfree, A. (2021). Pacing profiles and tactical behaviors of elite runners. Journal of Sport and Health Science, 10(5), 537–549. https://doi.org/10.1016/j.jshs.2020.06.011

Pilates Nutrition: Eat Right for Better Results

Pilates Nutrition: Eat Right for Better Results

Many ask, what and when should you eat before, during, and after engaging in Pilates exercises?

Pilates Nutrition: Eat Right for Better Results

Pilates Nutrition Plan

Pilates involves a lot of core work on the mat. However, it does not require a special diet. To fully utilize Pilates nutrition, individuals should consider what foods keep their bodies feeling the most balanced. A balanced nutrition plan can enhance Pilates practice by:

  • Providing sustained energy
  • Supporting muscle recovery
  • Promoting overall well-being

Pre-Pilates

Timing

  • Eat a light meal or snack 2-3 hours before a class or a smaller snack 30 minutes before.

Food Options

  • Eat complex carbohydrates like whole grains, fruits, and vegetables for sustained energy.

Avoid

  • Heavy, greasy, or spicy foods may cause discomfort during exercise.
  • Foods that will make you gassy or cause queasiness.

During the Workout

Complex carbohydrates and lean proteins, with a little healthy fat, are good pre-Pilates meals, as they sustain energy better than simple carbs or sugary snacks. (American Heart Association, 2024) Suggestions for a pre-Pilates meal.

  • Individuals can adjust the portion size.
  • A protein shake that uses fruit can be convenient.
  • Peanut butter on whole-grain bread offers a quick source of complex carbohydrates and protein.
  • Yogurt with fruit.
  • Small portion of oatmeal.

Because Pilates emphasizes using the abdominal muscles, individuals will want to ensure that any food they’ve eaten before their session is fully digested. Try to eat light before, like snacking on a banana or sipping on a smoothie for some carbohydrates for energy. Regardless of what is eaten, nutrition experts recommend waiting two to three hours after eating before exercising.

Maintain Hydration

  • Drink water and/or eat hydrating fruits throughout the day, especially before and during the workout or class.

After Working Out

Individuals want to ensure their bodies have enough nutrients to strengthen their muscles and replenish their energy. Try a protein green smoothie afterward or a light snack with lean protein like fish or chicken and carbohydrates like whole grains. The diet between workouts will depend on weight loss goals.

Timing

  • Consume a protein-rich snack or meal within 30-60 minutes after your class to aid muscle recovery.

Food Choices

  • Focus on protein for muscle repair and carbohydrates to replenish energy stores.

Hydration

  • Continue to hydrate to replenish fluids lost through perspiration.

While Pilates can complement cardiovascular exercise as part of a fat-burning workout program, health experts advise that losing weight will not come from exercise alone. Individuals will need to work on reducing their calorie intake overall. (Centers for Disease Control and Prevention, 2023)

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions.

  • Wellness & Nutrition: Personalized plans to optimize health and prevent disease.

  • Sports Injuries & Orthopedic Care: Treatment for sprains, strains, and complex injuries.

  • Chronic Pain Management: Non-invasive solutions for fibromyalgia, sciatica, and low back pain.

  • Personal Injury & Auto Accident Care: Tailored rehabilitation for whiplash, soft tissue injuries, and more.

  • Functional Medicine: Root-cause analysis for chronic disorders, incorporating nutrition, lifestyle, and environmental factors.

  • Neuromusculoskeletal Health: Care for neck pain, migraines, herniated discs, and scoliosis.

Our clinic integrates Functional MedicineAcupunctureElectro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.


Home Exercises for Pain Relief


References

American Heart Association. (2024). Food as fuel before, during, and after workouts. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/food-as-fuel-before-during-and-after-workouts

Centers for Disease Control and Prevention. (2023). Tips for Maintaining Healthy Weight. Retrieved from https://www.cdc.gov/healthy-weight-growth/about/tips-for-balancing-food-activity.html?CDC_AAref_Val=https://www.cdc.gov/healthyweight/calories/index.html

The Throwing Motion and Shoulder Injury Prevention

The Throwing Motion and Shoulder Injury Prevention

Can understanding the mechanics of the throwing motion help to understand why it may cause shoulder pain, the symptoms of a shoulder problem, the diagnosis, and the treatment options available?

The Throwing Motion and Shoulder Injury Prevention

Throwing a Ball and Shoulder Pain

The throwing motion is a complex shoulder movement that requires the mechanics of muscles, tendons, joints, ligaments, and bones. They all must move in a synchronized and stable pattern to move the shoulder joint. When these mechanics are interrupted or altered, inflammation can result in pain symptoms. (Wardell M., Creighton D., & Kovalcik C., 2022)

Throwing Motion

Distinct phases characterize the throwing motion:

  • The wind up
  • Cocking
  • Acceleration
  • Follow-through
  • Deceleration
  1. The rotator cuff and shoulder muscles sequentially guide the movements for effective throwing mechanics. (Wardell M., Creighton D., & Kovalcik C., 2022)
  2. The labrum stabilizes the ball in the socket of the shoulder.
  3. The shoulder blade rotation coordinates with the arm to ensure mobility. (Itoigawa Y. et al., 2023)

The throwing motion generates high torque and acceleration forces acting on the shoulder joint and the surrounding muscles, ligaments, and tendons.

Causes of Pain

Pain when throwing can come from the:

  • Shoulder blade
  • Shoulder joint – cartilage and labrum
  • Rotator cuff muscles and tendons
  • Nerves that control the muscles’ function

The shoulder blade is attached to the upper back by ligaments, muscles, and tendons. The various muscles and tendons that control the movement of the shoulder blade impact movements. Abnormalities of any area can lead to shoulder dysfunction and pain when throwing. (Wardell M., Creighton D., & Kovalcik C., 2022) The most common is the tightness of the posterior shoulder capsule, causing a loss of normal internal rotation of the shoulder. If this is causing pain, individuals may notice that they can’t reach up as high on the side with the painful shoulder when reaching behind their back.

Symptoms

Whether an athlete or playing catch in the backyard, shoulder function abnormalities can cause significant pain. Some symptoms include.

Aching Pain

  • Often deep in the shoulder or extending down the upper arm.

Dead Arm

  • Lack of strength in the throwing motion.

Pain at Night

  • Pain can awaken you from sleep.

Diagnosis

Finding a healthcare provider familiar with sports injuries can be helpful. They can best determine if a structural abnormality needs to be addressed. (American Academy of Orthopaedic Surgeons, 2021)

Treatment

Most can improve with nonsurgical treatments. The earliest phase of treatment is resting the joint and reducing inflammation. Treatments can include:

  • Ice
  • Anti-inflammatory medications
  • Cortisone injection

Once the inflammation has subsided, the source of the discomfort can be addressed.

Physical Therapy

Therapy can include:

  • A structured shoulder stretching and strengthening program will help.
  • The physical therapist will focus on scapular mobility when managing shoulder joint problems.

Exercises may include: (American Academy of Orthopaedic Surgeons, 2024)

  • Stretching to improve internal rotation or any other lost motion can help allow a more normal throwing motion.
  • Strength exercises are often aimed at the rotator cuff, as these muscles initiate proper shoulder movements and stabilize the shoulder joint.
  • Maintaining flexibility and strength of the periscapular muscles (muscles that attach to the scapula bone) is important to ensure that the scapular movements are coordinated with the throwing motion.

If improvements are not made within three months of therapy, or individuals can’t return to competitive sports within six months. In that case, the individual may need to return to their healthcare provider or see an orthopedic specialist who may recommend surgery. (American Academy of Orthopaedic Surgeons, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions.

  • Wellness & Nutrition: Personalized plans to optimize health and prevent disease.

  • Chronic Pain Management: Non-invasive solutions for fibromyalgia, sciatica, and low back pain.

  • Personal Injury & Auto Accident Care: Tailored rehabilitation for whiplash, soft tissue injuries, and more.

  • Sports Injuries & Orthopedic Care: Treatment for sprains, strains, and complex injuries.

  • Functional Medicine: Root-cause analysis for chronic disorders, incorporating nutrition, lifestyle, and environmental factors.

  • Neuromusculoskeletal Health: Care for neck pain, migraines, herniated discs, and scoliosis.

Our clinic integrates Functional MedicineAcupunctureElectro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges.

At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.


Lumbar Spine Injuries in Sports: Chiropractic Healing


References

Wardell, M., Creighton, D., & Kovalcik, C. (2022). Glenohumeral Instability and Arm Pain in Overhead Throwing Athletes: A Correlational Study. International journal of sports physical therapy, 17(7), 1351–1357. https://doi.org/10.26603/001c.39800

Itoigawa, Y., Koga, A., Morikawa, D., Kubota, A., Uehara, H., Maruyama, Y., Takazawa, Y., & Ishijima, M. (2023). Posterior shoulder stiffness was associated with shoulder pain during throwing in college baseball players: assessment of shear wave elastography. European journal of orthopaedic surgery & traumatology: orthopedie traumatologie, 33(4), 1237–1244. https://doi.org/10.1007/s00590-022-03286-z

American Academy of Orthopaedic Surgeons. (2021). Shoulder Injuries in the Throwing Athlete. https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-injuries-in-the-throwing-athlete/

American Academy of Orthopaedic Surgeons. (2024). Shoulder Impingement/Rotator Cuff Tendinitis. https://orthoinfo.aaos.org/en/diseases–conditions/shoulder-impingementrotator-cuff-tendinitis

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