Back Clinic For Seniors. Older individuals do not have to learn how to live with pain! Chiropractic care for the elderly can help, as it is one of the most effective and safest forms of health care to treat pain-related conditions. The elder we live, the more issues we have with our muscles and joints. Dr. Jimenez discusses the aging process and how it affects those in their prime of life.
Dr. Jimenez offers a range of treatment options. From deep tissue massage, manual therapy, and spinal manipulation. Seniors experiencing problems and or pain can benefit from chiropractic treatment. Chiropractic treatment has been shown to have multiple benefits for the elderly. Increased mobility, decreased risk of falls, and other injuries. And routine chiropractic treatment can help improve overall health and well-being and give them more sense of independence in their lives.
Strumming Without Pain: Chiropractic Solutions for Guitarists and Bassists at El Paso Back Clinic
Playing guitar or bass fills life with rhythm and joy. The thrill of strumming chords or plucking deep notes creates unforgettable moments. But for many string players in El Paso, Texas, this passion can lead to pain. Hours of practice can strain hands, wrists, forearms, elbows, and shoulders, leading to repetitive strain injuries (RSIs) such as tendonitis. These injuries bring swelling, stiffness, and aches that make playing tough. At El Paso Back Clinic, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, we offer integrative chiropractic care to tackle these issues, helping musicians heal naturally and keep the music alive.
This article explains why guitarists and bassists are prone to RSIs, how tendonitis affects key areas, and how our clinic’s holistic approach—combining chiropractic adjustments, massage, acupuncture, and nutrition—restores health. With insights from Dr. Jimenez’s 30+ years of expertise, we’ll show how El Paso Back Clinic helps local musicians recover from injuries and prevent future pain, so they can strum and pluck without worry.
Why String Players Face Repetitive Strain Injuries
Guitarists and bassists repeat the same motions for hours: fretting chords, strumming strings, or plucking heavy bass lines. These actions stress tendons—the tough bands connecting muscles to bones. Over time, small tears form, which can lead to inflammation or tendonitis. Unlike a one-time injury, RSIs develop gradually from overuse, making them common among musicians (Pianucci et al., 2021).
The fretting hand curls tightly to press strings, while the strumming or plucking arm moves fast. Bassists face extra strain from thicker strings that need more force. Poor posture, like slouching over a guitar, adds pressure to the shoulders and neck. Heavy instruments—guitars at 7-10 pounds and basses up to 12—strain the body more during gigs (Pain Free NY, n.d.). Cold El Paso nights or long jam sessions at local venues like Lowbrow Palace can worsen symptoms by stiffening muscles.
Other factors increase risks. Older players over 40 have less flexible tendons (Bend Total Body Chiropractic, n.d.). Poor habits, such as gripping picks too hard or skipping warm-ups, can speed up strain. Diet matters too—sugary or fatty foods fuel inflammation, slowing recovery (Healthline, 2022). El Paso’s active music scene, with frequent gigs and rehearsals, means local players often push their limits, increasing the risk of RSI.
Where It Hurts: Tendonitis in Musicians’ Bodies
Tendonitis hits specific spots based on how guitarists and bassists play. Here’s where pain strikes:
Hands and Fingers: Fretting chords strains finger tendons, especially at the thumb base. Thumb tendonitis (De Quervain’s) causes sharp pain when gripping the neck. Swelling or a gritty feel signals trouble (Guitar Strength Project, n.d.).
Wrists: Strumming and plucking bend wrists repeatedly, inflaming tendons on top (extensor) or below (flexor). Stiffness after waking or a weak grip are signs. Carpal tunnel syndrome may add tingling or numbness (Rawlogy, n.d.).
Forearms: Constant flexing causes the forearm muscles to burn. Redness, warmth, or lumps show tendonitis. Bassists feel it more from forceful plucks (Healthline, 2022).
Elbows: “Guitar elbow” mimics tennis elbow, with pain on the outer elbow from strained tendons. Inner elbow pain (golfer’s elbow) also hits. Both weaken grip, making it hard to hold picks or instruments (Tennis Elbow Classroom, n.d.).
Shoulders: Holding arms out for chords strains the rotator cuff tendons, causing aches that spread down the arm. Slouching worsens it (Smithsonian Folkways, n.d.).
These areas link up. Hand pain can trigger elbow issues, and shoulder misalignment can strain wrists. Catching early signs—such as soreness or fatigue—prevents more severe problems.
Symptoms That Stop the Show
Tendonitis symptoms creep in but hit hard. Pain starts as a dull ache during play, then sharpens at rest. Swelling puffs up joints, and stiffness locks fingers, especially in the morning. Numbness or tingling buzzes in cold venues, sometimes with fingers turning blue from poor blood flow (Pain Free NY, n.d.). Weakness, drops, and fatigue, as well as burning or throbbing sensations, often linger after gigs. A grating sensation hints at the presence of scar tissue.
For El Paso musicians, long practices for gigs at Tricky Falls or house shows can exacerbate symptoms. Stress from late-night sets or cold weather can cause muscles to tighten, exacerbating pain. If symptoms last for weeks, it’s time to visit El Paso Back Clinic for expert care.
Quick Relief at Home
Before professional help, try these steps to ease tendonitis:
RICE Method: Rest by avoiding play and using splints. Ice for 15 minutes, wrapped, several times daily. Compress with elastic wraps, not too tight. Elevate arms on pillows (Mayo Clinic, 2023).
Meds: Ibuprofen reduces swelling, but ask a doctor first.
Stretches: Gentle wrist circles, finger spreads, or forearm pulls, held 15-30 seconds (Healthline, 2022).
Massage: Use massage balls to roll out knots gently (Rawlogy, n.d.).
Diet: Eat berries, fish, and leafy greens to help combat inflammation. Avoid sugary snacks common at El Paso food trucks.
These help, but don’t address the root cause. For lasting relief, see the experts at El Paso Back Clinic.
Chiropractic Care at El Paso Back Clinic
At El Paso Back Clinic, Dr. Alexander Jimenez and his team utilize chiropractic care to effectively treat RSIs. Adjustments realign joints in the wrist, elbow, or shoulder, freeing nerves and boosting blood flow. For elbow tendonitis, specific adjustments reduce pain and swelling, with patients often regaining full motion in weeks (Stamford Spine, n.d.).
Our clinic checks the whole body. A misaligned shoulder can strain wrists, so we adjust the entire chain. Soft tissue work, such as Graston therapy, breaks down scar tissue in the wrists. Laser therapy reduces inflammation, and taping supports joints during physical activity (Pinnacle Hill Chiropractic, 2024). Regular visits help keep the body aligned, reducing the risk of re-injury by up to 50% (Chiro One, n.d.).
Dr. Jimenez’s dual training as a chiropractor and nurse practitioner ensures precise diagnosis and treatment. Using advanced imaging like MRIs, we pinpoint tendon tears or nerve issues. Treatments are safe, with only mild soreness possible, and tailored to each musician’s needs (Bend Total Body Chiropractic, n.d.).
Integrative Healing for El Paso Musicians
Our integrative approach goes beyond adjustments. We combine:
Massage Therapy: Kneads forearm knots, easing tension from long sets (Beech Street Health, n.d.).
Acupuncture: Calms nerves, reducing wrist tingling for smoother playing.
Exercises: Wrist curls with light weights or finger bands build strength (Chiro One, n.d.).
Nutrition: Collagen supplements and omega-3 fatty acids accelerate tendon repair. We guide patients to local El Paso markets for healthy foods.
Ergonomics: Adjust guitar straps or use lighter picks. Take breaks every 20 minutes during practice (Smithsonian Folkways, n.d.).
This mix helps heal faster and prevents future pain, allowing musicians to stay on stage.
Dr. Jimenez’s Expertise at El Paso Back Clinic
Dr. Alexander Jimenez brings over 30 years of experience to El Paso Back Clinic. His dual-scope approach—combining chiropractic and functional medicine—targets the root causes of injuries. We provide personalized plans for musicians, workers, athletes, and individuals who have experienced accidents. Advanced tools, such as neuromusculoskeletal imaging, can reveal hidden damage, while assessments also consider lifestyle and genetics (Jimenez, n.d.a).
For a local guitarist who was injured in a car accident, we utilized adjustments, massage, and nutrition to restore their fretting ability. Our clinic also handles legal documentation for injury claims, ensuring smooth insurance processes (Jimenez, n.d.b). From whiplash to wrist strain, we help El Paso’s music community heal naturally.
Preventing Pain for Lifelong Playing
Prevention keeps musicians playing. Try these:
Exercises: Wrist stretches, towel twists, or 1-pound weight curls, 10 reps, three times weekly (Healthline, 2022).
Warm-Ups: 10-minute finger flexes and arm circles before gigs.
Technique: Use loose grips and neutral wrists. Alternate hands for songs (No Treble, 2011).
Gear: Ergonomic straps and lighter instruments ease shoulder strain.
Breaks: Rest every 20 minutes. Relax with meditation to cut stress.
El Paso Back Clinic offers tailored plans to keep your body gig-ready.
Keep the Music Playing
Tendonitis doesn’t have to silence your strings. At El Paso Back Clinic, Dr. Jimenez and our team use chiropractic and integrative care to heal RSIs and prevent pain. From hands to shoulders, we address the root causes so you can play without fear. Visit us in El Paso to get back to strumming and plucking with ease.
Contact El Paso Back Clinic at 915-850-0900 or dralexjimenez.com to schedule your consultation today.
Enhancing Body Detox Through Exercise and Chiropractic Care at El Paso Back Clinic
Maintaining a healthy body in today’s busy world goes beyond just eating well. Your body naturally removes toxins through various organs, including the liver, kidneys, lungs, skin, and lymphatic system. Stress, poor posture, or injuries from accidents can slow these processes, leading to fatigue or discomfort. At El Paso Back Clinic®, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, we combine targeted exercise, chiropractic care, and integrative therapies to support your body’s natural detox systems. This 5,000-word guide explores sports and activities that boost circulation, stimulate lymph flow, and promote healthy sweating, paired with our clinic’s expertise in injury recovery and wellness to enhance overall health.
Your Body’s Natural Detox Systems
Your body is designed to eliminate waste daily. The liver filters blood, kidneys flush out liquids, lungs exhale waste gases, skin releases toxins through sweat, and the lymphatic system drains excess fluid and fights infection (Fontana Candle Company, n.d.). When these systems are sluggish—due to inactivity, poor alignment, or injury—toxins can accumulate, leading to fatigue, joint pain, or skin issues.
At El Paso Back Clinic®, we understand how spinal misalignments or injuries from motor vehicle accidents (MVAs), work, or sports can disrupt these pathways. Exercise gets blood and lymph moving, sweating clears the skin, and chiropractic adjustments align the spine to optimize nerve signals to detox organs. Integrative therapies, such as massage and acupuncture, further enhance flow by working together to support your body without replacing its natural processes.
Sports and Activities to Boost Circulation
Good blood flow is vital for detox, delivering oxygen and nutrients while removing waste. At El Paso Back Clinic®, we recommend cardio-based activities tailored to your needs, especially for patients recovering from injuries like whiplash or joint strains.
Brisk Walking or Jogging: These low-impact exercises increase heart rate and improve blood vessel health, reducing inflammation (Avicenna Cardiology, n.d.). For MVA patients, walking is a safe start to rebuild mobility.
Swimming: Ideal for those with joint pain, swimming works the whole body while supporting circulation. Dr. Jimenez often prescribes it for sports injury recovery due to its gentle nature (Jimenez, n.d.a).
Cycling: Stationary or outdoor biking strengthens legs and boosts lower-body circulation. It’s great for work-related injury patients, as it avoids high impact (One Leisure, n.d.).
Team Sports: Activities like soccer or basketball involve bursts of running and jumping, enhancing overall flow. These are excellent for younger patients or those in sports wellness programs at our clinic.
Start with 30 minutes, five days a week, adjusting based on your recovery plan. Our team assesses your condition—using advanced neuromusculoskeletal imaging—to ensure activities match your health goals (Jimenez, n.d.b).
Activating the Lymphatic System Through Movement
The lymphatic system, your body’s drainage network, relies on muscle movement to function. Without a pump like the heart, it needs activities to keep fluid flowing. At El Paso Back Clinic®, we integrate lymph-stimulating exercises into treatment plans for patients with swelling or pain from injuries.
Rebounding: Bouncing on a mini-trampoline creates a pumping action, moving lymph up to 15 times more effectively than walking (Cancer Schmancer, n.d.). It’s ideal for post-MVA recovery to reduce swelling.
Yoga: Poses like downward dog or cat-cow use gravity and muscle engagement to drain lymph nodes. Yoga also reduces stress, which can clog lymph flow. We offer guided sessions for patients with back pain or sciatica.
Pilates: Controlled movements strengthen the core, massage organs, and boost lymph circulation. It’s part of our rehabilitation for degenerative arthritis.
Hiking: El Paso’s trails provide uneven terrain that engages muscles, promoting lymph flow. It’s recommended for patients transitioning back to active lifestyles post-injury.
Dr. Jimenez’s dual-scope diagnosis—combining chiropractic and nurse practitioner expertise—identifies lymph blockages from injuries like sprains or MVAs. Using imaging, we create personalized plans to restore flow and prevent chronic issues (Jimenez, n.d.a).
Sweating for Effective Detox
Sweating is a powerful way to eliminate toxins through the skin, your largest organ. Research shows sweat can remove heavy metals and chemicals like BPA more effectively than urine (Samahita Retreat, n.d.). At El Paso Back Clinic®, we encourage healthy sweating as part of recovery and wellness.
Hot Yoga: Combining heat and movement, hot yoga opens pores and boosts circulation. It’s ideal for patients with musculoskeletal inflammation, as it reduces stiffness (HCMedSpa, n.d.).
Running: Moderate runs in El Paso’s climate induce clean sweat, flushing impurities. We recommend it for patients recovering from sports injuries to maintain their fitness.
Infrared Saunas: These use light to heat the body, promoting deep detox without excessive heat. They’re part of our integrative approach for patients with chronic pain (Pause Studio, n.d.).
Hydration is key—drink water before and after sweating. Dr. Jimenez often pairs sauna sessions with adjustments for MVA patients, as inflammation from injuries can trap toxins (Jimenez, n.d.b). Dry brushing before sweating further enhances lymph and skin detox.
Chiropractic Care at El Paso Back Clinic
Chiropractic adjustments realign the spine, relieving nerve pressure to optimize organ function, including the detoxification system. Misalignments from MVAs, work injuries, or poor posture can disrupt nerve signals to the liver or kidneys (Recovery Chiropractic, n.d.). At El Paso Back Clinic®, we use techniques like the Thompson Drop-Table to gently correct these issues, improving immune and detox function.
Dr. Jimenez’s clinic specializes in treating severe pain, sciatica, neck/back issues, whiplash, and sports injuries. Using advanced imaging, we diagnose misalignments or nerve impingements, then tailor adjustments to each patient. For example, a worker with a back strain from lifting might receive adjustments and therapeutic exercises to restore alignment and mobility (Jimenez, n.d.a). We also provide legal documentation for injury cases, ensuring proper care coordination with insurance or legal teams.
Integrative Therapies for Holistic Healing
At El Paso Back Clinic®, we combine chiropractic with integrative therapies to enhance detox and recovery:
Massage Therapy: Deep tissue massage releases toxins from muscles and improves lymph drainage. It’s used for MVA patients with whiplash or joint pain to speed healing (Bend Total Body Chiropractic, n.d.).
Acupuncture: Thin needles are inserted into specific energy points to reduce pain and enhance circulation. It’s effective for personal injuries or chronic conditions, such as arthritis, by balancing the body’s qi (Jimenez, n.d.b).
Nutritional Guidance: Our nutritionists design anti-inflammatory diets to support detox during recovery, especially for MVA or sports injury patients (El Paso Back Clinic, n.d.).
These therapies work synergistically with adjustments. For instance, a patient with a bicycle accident injury might receive spinal adjustments, massage to reduce muscle tension, and acupuncture to ease inflammation, preventing long-term complications.
How These Practices Work Together
Imagine visiting El Paso Back Clinic for an adjustment to align your spine, which improves nerve signals and helps detoxify organs. You follow with a yoga class to stimulate lymph and sweat, then a massage to release muscle toxins. Weekly walks keep circulation steady. This combination maximizes each method’s benefits: adjustments clear nerve pathways, exercise pumps blood and lymph, and integrative care reduces inflammation.
For athletes, this synergy prevents injuries and speeds recovery. A soccer player with a knee sprain may undergo imaging to assess the damage, receive adjustments to align the pelvis, and participate in targeted exercises to rebuild strength (Phoenix Rising Wellness Center, n.d.). For everyday El Pasoans, it’s about wellness—chiropractic keeps the spine healthy, exercise maintains fitness, and therapies like acupuncture promote balance.
Real-Life Benefits and Safety Tips
Patients at El Paso Back Clinic report increased energy, reduced pain, and improved mobility after combining these approaches. Studies show exercise and chiropractic care lower inflammation, aiding detox (HCMedSpa, n.d.). Our clinic’s MVA patients often see faster recovery from whiplash or spinal injuries when pairing adjustments with movement and nutrition plans.
Safety is a priority. Dr. Jimenez uses dual-scope diagnostics to assess injuries from work, sports, or MVAs, ensuring exercises suit your condition (Jimenez, n.d.b). Consult our team before starting, especially with heart issues or severe injuries. Hydrate during sweat sessions, and stop if you feel pain.
For accident cases, we provide detailed legal documentation, ensuring treatments align with insurance or court needs, as seen in our MVA recovery programs (El Paso Back Clinic, n.d.).
Your Detox and Wellness Plan at El Paso Back Clinic
Start with a chiropractic assessment at El Paso Back Clinic®, followed by three cardio sessions (like walking or cycling), two yoga classes, and a monthly massage. Add acupuncture for pain relief. Track your energy and mobility—feeling better is a sign it’s working.
Dr. Jimenez and our team in El Paso tailor plans to your needs, whether you are recovering from an 18-wheeler crash or maintaining wellness. Our advanced diagnostics and integrative approach address injury causes, promoting natural healing and long-term health (Jimenez, n.d.a).
Conclusion
At El Paso Back Clinic®, we believe in supporting your body’s natural detox through exercise, chiropractic care, and integrative therapies. From boosting circulation with swimming to stimulating lymphatic flow with yoga and clearing toxins through sweat, these practices work together to enhance overall health. Paired with Dr. Jimenez’s expertise in injury recovery and wellness, you can thrive in El Paso’s active community. Visit us to start your journey to optimal health.
How Massage Therapy Supports El Paso Back Clinic’s Integrative Back & Injury Care
Massage therapy is far more than relaxation. In places like El Paso Back Clinic, it is a central part of healing after injury, especially when combined with advanced diagnostics, chiropractic care, and functional medicine. This article explains how therapists are trained to use proper body mechanics and a range of techniques to deliver variable pressure safely and effectively—and how that fits specifically within the services and philosophy at El Paso Back Clinic.
El Paso Back Clinic: Philosophy & Local Context
El Paso Back Clinic is led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP. The clinic offers injury care, sports wellness, functional medicine, nutritional labs, accident & trauma rehabilitation, and more. Their goal is not only to reduce pain but also to restore function, improve long-term health, and empower patients. (El Paso Back Clinic® • 915-850-0900)
Given El Paso’s climate, traffic patterns, high incidence of work and motor vehicle injuries, and populations often facing musculoskeletal stresses (from physical labor, commute, environmental heat), having a clinic that combines hands-on care (like massage and chiropractic) plus diagnostics, nutrition, and rehabilitation gives patients a more complete path to recovery.
How Massage Therapists Are Trained at El Paso Back Clinic
At El Paso Back Clinic, massage therapists (or hands-on therapists) receive training in:
Anatomy & injury types: Understanding soft tissue, fascia, muscles, ligaments, joint mechanics, nerve irritation, and the healing stages after trauma.
Techniques with varying pressure levels include Swedish massage for light pressure, myofascial release, trigger point work, deep tissue strokes, and sports massage. The therapist must know when to adjust pressure and technique based on the patient’s needs.
They also learn body mechanics, which includes:
Using stable positions (such as lunges, with aligned shoulders and hips, and a stable base) to deliver pressure using body weight instead of relying purely on arm strength.
Keeping joints aligned to avoid strain: wrists, elbows, shoulders, and hips.
Engaging core muscles and using forearms or elbows when deeper pressure is needed, rather than overusing small muscles or risking repetitive strain injuries.
These practices help ensure therapists can deliver light, medium, or very deep pressure safely and consistently.
Variable Pressure: Light, Medium, and Deep
One of the strengths of El Paso Back Clinic is tailoring the pressure to the patient’s condition. Key considerations:
Stage of injury
Immediately after injury (e.g., whiplash, auto collision, work accident), there is often swelling, sensitivity, nerve irritation, or inflammation. Therapists start with lighter pressure to ease muscle guarding and improve circulation without causing further trauma.
As healing progresses, they gradually increase to medium or deeper pressure to break down adhesions, improve tissue mobility, release trigger points, and facilitate proper alignment.
Patient feedback
Therapists continually check with the patient (pain levels, comfort, tolerance). If pressure hurts more than helps, it is adjusted.
The use of pain or discomfort scales, or sometimes comparison between sides, helps map out what level of pressure works.
Treatment goals
For relaxation, circulation, or early healing: lighter pressure;
For chronic tightness, scar tissue, longer-term dysfunction: deeper work;
For preparing for chiropractic adjustments or rehabilitation exercises, pressure is sufficient to loosen soft tissue tension without aggravation.
Tools & technique
Use of elbows, forearms, or specialized tools when deeper pressure is needed so the therapist avoids wearing out hands and joints.
Sustained pressure (holding a spot) vs. lighter strokes; slow increments rather than sudden, strong force.
How Massage Fits into El Paso Back Clinic’s Injury & Rehabilitation Protocols
El Paso Back Clinic integrates massage therapy into its broader care model, which includes:
Chiropractic adjustments: After a massage relaxes tight muscles and soft tissue, chiropractic manipulation or spinal adjustments can be more effective because tissues are less resistant and joints can move more freely.
Diagnostic imaging & functional assessments: Before and during treatment, the clinic utilizes imaging (X-ray, MRI if necessary), laboratory and blood studies, functional movement assessments, and neurological examinations. These help identify which tissues to treat, where deeper pressure might be risky, and how far to push therapy. (El Paso Back Clinic® • 915-850-0900)
Functional Medicine & Nutrition: Pain, inflammation, and healing are influenced not only by what happens at the injury site but also by systemic factors, including nutrition, inflammation, metabolic health, sleep, and stress. The clinic evaluates these and includes them in plans, so massage and chiropractic care are supported from the inside. (El Paso Back Clinic® • 915-850-0900)
Rehabilitation & Movement Training: A range of exercises, including range of motion, strength training, posture correction, flexibility, and agility work, all help maintain gains from therapy and prevent re-injury. Massage reduces muscle tightness and improves mobility, which makes rehab exercises more effective.
Auto Injury / Trauma / Legal Documentation: For patients with motor vehicle accidents, whiplash, or other collision injuries, the clinic documents condition (soft tissues, alignment, neurologic signs), imaging findings, treatment plans, responses to massage, and other modalities. This documentation is essential to support insurance or legal claims. (El Paso Back Clinic® • 915-850-0900)
Clinical Observations & Outcomes at El Paso Back Clinic
From Dr. Jimenez’s experience and the clinic’s outcomes:
Patients who start hands-on therapy (massage) early, combined with chiropractic and functional medicine, often show quicker reduction in pain and better range of motion.
Deep pressure techniques are only introduced when imaging or assessment indicates it is safe (i.e., no unresolved inflammation, no acute nerve compression).
Many patients report better sleep, less muscle soreness, improved posture, and fewer flare-ups when massage is integrated regularly rather than used only in emergency phases.
Use of body mechanics in massage therapy helps therapists avoid fatigue and maintain consistency over a full course of care, which helps patient outcomes remain steady.
Safety, Communication, & Patient Empowerment
Safety is a big priority. The clinic ensures that:
Therapists communicate: asking about pressure, pain, any aggravations, or sensitivities.
Pressure is adjusted immediately if something doesn’t feel right.
Therapists use posture, leverage, and tools properly — so patients are treated safely and therapists avoid injury.
Patients are educated on self-care, stretches, ergonomics, and posture to sustain the benefits of therapy.
Conclusion
El Paso Back Clinic uses massage therapy not as an add-on, but as a vital part of an integrative, evidence-based healing pathway. Through professional training, variable pressure techniques, good body mechanics, diagnostics, chiropractic care, functional medicine, and legal documentation, the clinic offers patients in El Paso a full spectrum of recovery—not just temporary pain relief, but restored function, strength, and long-term wellness.
If you are recovering from a back injury, auto accident, work or sports trauma, or chronic pain, El Paso Back Clinic’s model may be what helps you return to normal life safely and fully.
Genetics, Stiffness, and Flexibility: Understanding the Back’s Natural Limits
Introduction: Why Flexibility Matters for Spinal Health
Flexibility is often thought of as a skill we can train, like strength or endurance. But in reality, flexibility begins with genetics. Some people are born naturally limber, while others experience tightness in their muscles and connective tissues no matter how much they stretch. This is not always a problem—it is a normal variation in human biology.
At the El Paso Back Clinic, under the care of Dr. Alexander Jimenez, DC, APRN, FNP-BC, patients learn that stiffness has many causes: genetics, aging, lifestyle habits, and sometimes injuries. Through chiropractic adjustments, advanced imaging, and integrative care, the clinic helps individuals restore mobility, manage stiffness, and prevent long-term complications.
How Genetics Shapes Flexibility
Collagen and Connective Tissue
Ligaments, tendons, and fascia are made from collagen. Some people are genetically predisposed to tighter collagen, while others inherit looser connective tissues that allow more joint motion (Xcode Life, n.d.).
Muscle Fiber Balance
Fast-twitch fibers create power but are less flexible, while slow-twitch fibers support endurance and mobility. Genetics dictates the proportion of these fibers in each person’s body (PMC, 2020).
Genetic Syndromes and Flexibility Extremes
Ehlers-Danlos Syndrome (EDS): Causes extreme flexibility from connective tissue fragility.
Inherited Stiffness Disorders: Families can pass down congenital stiffness across generations (JAMA Pediatrics, 2000).
These differences show why two people can do the same stretching routine but achieve very different results.
Stiffness as a Normal Range of Human Variation
Not every stiff person has a medical problem. Many people naturally sit at the less flexible end of the spectrum, which is completely normal (Quora, n.d.).
Alexander Orthopaedics (2023) reports that gender, bone shape, and joint design also influence how flexible someone can be. For example, women tend to have greater flexibility in certain joints due to hormonal differences, while men often have more rigid tissue structures.
At El Paso Back Clinic, Dr. Jimenez helps patients understand that stiffness does not always mean something is wrong—but it can increase the risk of injury if not properly managed.
When Stiffness Becomes a Medical Concern
Stiff Person Syndrome (SPS)
SPS is a rare autoimmune condition that leads to severe rigidity, spasms, and difficulty walking. It is distinct from natural stiffness and requires medical treatment (Hopkins Medicine, n.d.; MSU Healthcare, 2024).
Genetic Disorders of Rigidity
Some families inherit congenital disorders that lock joints into restricted motion. These are uncommon but important to recognize in clinical settings (JAMA Pediatrics, 2000).
Injury-Related Stiffness
Motor vehicle accidents (MVAs), workplace injuries, and sports trauma can cause scar tissue, joint misalignment, and muscle guarding that worsen stiffness. Dr. Jimenez frequently sees these cases at El Paso Back Clinic.
Aging, Lifestyle, and the Stiff Back
Age-Related Tissue Changes
Over time, collagen stiffens, cartilage thins, and joint capsules lose elasticity. Even flexible individuals in youth often report stiffness as they age (PMC, 2020).
Lifestyle Habits
Sedentary behavior shortens connective tissue.
Repetitive work tasks create uneven strain.
Lack of stretching allows muscles to tighten.
At El Paso Back Clinic, patients often present with stiffness that is a combination of genetic and lifestyle factors, requiring a tailored treatment plan.
Case Studies from El Paso Back Clinic
Case 1: Lifelong Stiffness Meets Injury
A 45-year-old man reported lifelong tightness, which worsened after an MVA. Imaging revealed whiplash compounded by rigid connective tissue. With chiropractic adjustments, massage, and guided rehab, he restored safe mobility while respecting his natural limits.
Case 2: Athletic Stiffness and Performance
A 20-year-old track athlete experienced poor hamstring flexibility, which led to recurring strains. Rather than forcing an extreme range of motion, Dr. Jimenez built a plan focusing on functional mobility, hip stability, and performance-specific conditioning.
Case 3: Sedentary Aging and Stiff Joints
A 68-year-old office worker complained of chronic back stiffness. With chiropractic care, acupuncture, and mobility training, stiffness eased enough to improve daily activities and quality of life.
Chiropractic and Integrative Solutions for Stiffness
At El Paso Back Clinic, treatment is not one-size-fits-all. Dr. Jimenez employs an integrative approach that combines chiropractic with medical and functional strategies:
Chiropractic Adjustments: Correct spinal alignment and improve motion.
Massage Therapy: Loosens tight fascia and muscles.
Acupuncture: Reduces spasms and supports nervous system balance.
Targeted Exercise: Builds mobility without overstretching joints.
Functional Medicine: Focuses on diet, inflammation, and tissue repair.
By blending these treatments, patients can improve mobility and manage stiffness effectively.
Sports, Flexibility, and Injury Prevention
Flexibility influences athletic performance—but both extremes have risks.
Too flexible: Joints may lack stability.
Too stiff: Risk of muscle strain or joint injury.
Dr. Jimenez helps athletes at El Paso Back Clinic find their optimal flexibility zone. This may mean increasing mobility in some cases or focusing on stability and strength in others.
Legal and Diagnostic Support in Personal Injury Cases
One unique aspect of Dr. Jimenez’s work is his dual-scope role in both chiropractic and medical diagnosis. For personal injury cases, this includes:
Advanced imaging (MRI, CT, X-ray)
Dual medical and chiropractic reports
Coordination with attorneys and insurers
Documentation of stiffness-related limitations
This ensures patients receive not only effective treatment but also the proper legal support for compensation and care continuity.
Lifestyle Practices to Support Mobility
While genetics can’t be changed, lifestyle makes a difference:
Daily Stretching for sustained tissue pliability.
Hydration to keep connective tissues healthy.
Balanced Nutrition to reduce inflammation and support collagen.
Regular Movement to prevent stiffness from inactivity.
Mind-Body Exercise, such as yoga or tai chi.
El Paso Back Clinic encourages patients to adopt these habits alongside clinical care.
Conclusion: Living Well with Natural Stiffness
Some people are naturally stiff. Others are naturally flexible. Both variations are normal, shaped by genetics, age, and lifestyle. What matters is managing stiffness in ways that prevent injury, restore comfort, and support long-term health.
At El Paso Back Clinic, Dr. Alexander Jimenez uses his dual expertise to evaluate stiffness, provide integrative treatment, and guide patients toward healthier mobility—whether recovering from injury, aging with stiffness, or simply working within genetic limits.
Can older people who exercise regularly lessen their risk of dementia and enhance their overall health?
Exercise and the Prevention of Dementia
Dementia, a term used to cover several conditions that impact memory and cognition, is currently the seventh leading cause of mortality worldwide. (World Health Organization, 2025) More than 10 million new cases of dementia are found around the world each year. (J.H. Yoon et al., 2023) Research investigating the relationship between exercise and insulin in the brain suggests that regular exercise may improve brain function and decrease the prevalence of dementia. Scientists have discovered that variables, such as.
Muscles must be exercised and mobilized. People who do not engage in physical activity have rigid muscles, which impede the effectiveness of insulin. The body’s sensitivity to insulin is improved by the contraction and relaxation of the muscles during movement. Dementia can be prevented by understanding how to decrease the body’s insulin resistance.
Physical Activity and Lower Risk
Over two weeks, researchers examined 21 older adults with prediabetes and found that exercise enhances cognitive performance by aiding the brain in insulin regulation. They conducted twelve supervised training sessions of moderate to extreme intensity. (Malin S. K. et al., 2025)
The results indicated that brain-derived extracellular vesicles containing insulin-related proteins had significantly increased.
These microscopic messengers are essential for brain maintenance and aid in neuronal communication.
Three serine/threonine-specific protein kinases known as AKT (protein kinase B, or PKB) are essential for several cellular functions, such as cell growth, survival, metabolism, and cell cycle control.
The protein affects the development and health of neuronal cells and is thought to play a significant role in insulin signaling.
The notion that exercise might help prevent dementia by potentially enhancing insulin signaling is important since poor insulin response can result in dementia.
Even while further research is needed, these findings prove that physical activity could be a cost-effective and easily accessible way to improve long-term brain health. To better understand how insulin affects brain activity, researchers will use MRIs and an insulin spray in the study’s next phase. To learn more about the effects of the insulin spray, they will compare the blood flow in the brain before and after it is administered.
Insulin and Exercise Are Essential for Brain Health
Insulin is a hormone that the pancreas makes. It controls blood sugar levels. But it’s just as vital for the health of the brain. Insulin binds to many receptors in the brain, which makes synaptic connections stronger and makes it easier for neurons to talk to each other. Both of these things help with memory and learning. (Gray, S. M., Meijer, R. I., & Barrett, E. J. 2014)
Type 2 diabetes, which impairs insulin transmission, increases the risk of cognitive impairment. (Yoon J.H. et al., 2023) Research has demonstrated that insulin resistance exacerbates tau tangles and amyloid-beta plaques, which are two critical characteristics of Alzheimer’s disease. (Hong, S., Han, K., & Park, C. Y. 2021) Increasing insulin sensitivity may slow down or even stop these changes in the brain. Working out, especially aerobic exercise, is good for the brain. According to earlier research, exercise can help people maintain or enhance their memory and brain function. (Rosenberg A. et al., 2020) Other ways to increase brain health include:
Maintaining social interaction
Challenging the mind
Getting a good night’s sleep
Controlling stress
A nutritious diet
Maintaining an active lifestyle
Controlling diabetes
Controlling blood pressure
To achieve the greatest possible effect, dementia prevention in the future will likely involve integrating lifestyle modifications, such as exercise, with medications. In individuals with diabetes or prediabetes, the risk of dementia is significantly reduced, and frequent exercise can assist in the preservation of optimal brain function.
Chiropractic and Functional Medicine Clinic
As a family nurse practitioner, Dr. Jimenez uses the latest medical expertise and chiropractic therapy to address many problems. Our clinic uses functional medicine, acupuncture, electro-acupuncture, and sports medicine to create individualized care plans that improve movement, encourage long-term health, and speed up the body’s natural healing process. We focus on strength, agility, and flexibility to help our patients thrive, regardless of age or health problems. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we want to help people with chronic pain syndromes and injuries. We focus on improving flexibility, mobility, and agility through programs suitable for people of all ages and abilities. We ensure that each patient gets personalized care and reaches their health objectives through detailed care plans and health coaching in person and online.
Is Movement Essential to Recovery?
References
World Health Organization. (2025). “Dementia.” World Health Organization. from https://www.who.int/news-room/fact sheets/detail/dementia#:~:text=Alzheimer%20disease%20is%20the%20most,60%E2%80%9370%25%20of%20cases.
Yoon, J. H., Hwang, J., Son, S. U., Choi, J., You, S. W., Park, H., Cha, S. Y., & Maeng, S. (2023). How Can Insulin Resistance Cause Alzheimer’s Disease?. International Journal of Molecular Sciences, 24(4), 3506. https://doi.org/10.3390/ijms24043506
Malin, S. K., Battillo, D. J., Beeri, M. S., Mustapic, M., Delgado-Peraza, F., & Kapogiannis, D. (2025). Two weeks of exercise alters neuronal extracellular vesicle insulin signaling proteins and pro-BDNF in older adults with prediabetes. Aging cell, 24(1), e14369. https://doi.org/10.1111/acel.14369
Gray, S. M., Meijer, R. I., & Barrett, E. J. (2014). Insulin regulates brain function, but how does it get there?. Diabetes, 63(12), 3992–3997. https://doi.org/10.2337/db14-0340
Hong, S., Han, K., & Park, C. Y. (2021). The insulin resistance by triglyceride glucose index and risk for dementia: population-based study. Alzheimer’s research & therapy, 13(1), 9. https://doi.org/10.1186/s13195-020-00758-4
Rosenberg, A., Mangialasche, F., Ngandu, T., Solomon, A., & Kivipelto, M. (2020). Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. The Journal of Prevention of Alzheimer’s disease, 7(1), 29–36. https://doi.org/10.14283/jpad.2019.41
What is a bone density test, how is it performed, and what do the results mean?
Bone Density Test
A bone density test examines bone mass, which indicates overall bone strength. Assessing bone density or mass is necessary for diagnosing osteopenia or osteoporosis, conditions that increase the risk of broken bones. The scan is performed through dual-energy X-ray absorptiometry (DEXA), which examines the thickness of the bones. Results from DEXA scans are compared to standardized values to determine whether bone density is lower than normal and whether osteopenia or osteoporosis is present.
Examination
The procedure examines bone density, or bone mass. The bones’ density, or mass, is an overall indicator of bone strength. The greater the bone density, the thicker and stronger the bones are. The test is used to diagnose osteoporosis, a condition characterized by brittle bones at risk of breaking due to significantly low bone density. A bone density test can also diagnose osteopenia, a condition characterized by lower than normal bone mass that can lead to osteoporosis. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025) It is recommended that all women aged 65 and older and all men aged 70 and older have a bone density scan to screen for bone loss to help prevent fractures. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014)
Bone density scans can establish a baseline level of bone density and track changes over time.
For individuals with osteoporosis or osteopenia, a bone density scan can help track how well their bones respond to treatment.
During a DEXA scan, the patient will lie on their back on a table with their legs elevated on a padded platform.
An X-ray scanner will pass over the spine and hips while another scans beneath.
While the scan takes place, the patient will be asked to hold very still to obtain an accurate image.
The scan will obtain bone density readings from the spine and hip, the two most commonly fractured bones, and generally takes less than 30 minutes.
Results
A DEXA scan measures bone density in grams per centimeter squared (g/cm²). This number indicates how densely bone cells are packed together in a specific area of bone. This bone density reading is then compared to a standardized value to determine if bone density is within a normal range or lower than average.
Between minus 1.0 and minus 2.5: Low bone density (osteopenia)
Equal to minus 2.5 or below: Osteoporosis
Bone density values are reported as a Z score for women who have not undergone menopause and men under 50 years old.
Z scores are compared to bone density levels of individuals of the same age and sex.
A Z score of minus 2.0 or lower indicates low bone density, which can be caused by factors other than aging, such as medication side effects, nutritional deficiencies, or thyroid problems.
Arthritis Diagnosis
Because a DEXA scan only measures the thickness of bones, it doesn’t work to diagnose arthritis. An X-ray of the affected joint is currently the most accurate way to diagnose arthritis. The Kellgren-Lawrence classification system categorizes the extent of arthritis based on the severity of joint damage seen on an X-ray. According to this system, arthritis can be classified as: (Kohn M. D., Sassoon A. A., & Fernando N. D. 2016)
Grade 1 (minor)
Minimal or no joint space narrowing, with possible bone spur formation.
Grade 2 (mild)
Possible joint space narrowing, with definite bone spur formation.
Grade 3 (moderate)
Definite joint space narrowing, moderate bone spur formation, mild sclerosis (abnormal thickening of bone), and possible deformation of bone ends.
Grade 4 (severe)
Severe joint space narrowing, large bone spur formation, marked sclerosis, and definite deformation of bone ends.
Injury Medical Chiropractic & Functional Medicine Clinic
Exercise can be incredibly beneficial for improving bone density, joint mobility, and the strength of surrounding muscles, which support and protect joints and bones. Talk to a healthcare provider to learn what interventions and available treatment options would be the most effective. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Osteoporosis
References
National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2025). Bone mineral density tests: what the numbers mean. Retrieved from https://www.niams.nih.gov/health-topics/bone-mineral-density-tests-what-numbers-mean
Kling, J. M., Clarke, B. L., & Sandhu, N. P. (2014). Osteoporosis prevention, screening, and treatment: a review. Journal of women’s health (2002), 23(7), 563–572. https://doi.org/10.1089/jwh.2013.4611
Kohn, M. D., Sassoon, A. A., & Fernando, N. D. (2016). Classifications in Brief: Kellgren-Lawrence Classification of Osteoarthritis. Clinical orthopaedics and related research, 474(8), 1886–1893. https://doi.org/10.1007/s11999-016-4732-4
For older individuals looking for a workout that can help improve overall fitness, can kettlebell training help achieve health goals?
Kettlebell Training At Any Age
Previous research found that training with a kettlebell can improve aerobic capacity, balance, and core strength. New research suggests that kettlebell training is beneficial at any age (American Physiological Society, 2024). Compared to dumbbells or barbells, the kettlebell’s specific shape—a sphere on the bottom and a handle that can be grabbed by one or both hands—better emulates how the body moves through daily tasks and activities. When isolating a muscle, like a bicep, only that muscle is getting worked out. But in everyday life, a lot of what the body does is lifting and moving things. A kettlebell allows those muscle groups to connect in a stronger and more efficient movement.
Benefits At Any Age
A research study examined how using kettlebells impacted the health of individuals from different backgrounds without prior exposure to resistance training between the ages of 60 and 80. The participants enrolled in a twice-a-week exercise program using kettlebells to improve fitness. At the end of six months, the researchers found the participants had increased muscle mass and grip strength. At the end of the year, the participants had lower inflammation markers in their blood and had met other fitness goals, including climbing stairs faster and making multiple chair stands/standing from a seated position. The researchers say the findings show how effective kettlebells can be for all ages and demonstrate that the kettlebell training program leads to benefits even in older individuals just starting. (American Physiological Society, 2024) The kettlebell’s unique shape allows for an offset center of gravity from the handle, encouraging increased engagement of stabilizing muscles. This combination of strength and functional movement patterns helps to improve the following:
Balance
Coordination
Core stability
This makes it a versatile tool for older adults.
Getting Started
For individuals just starting kettlebell training, it is recommended that they work with a certified instructor or find a beginner’s class. Guided training ensures proper technique and form and reduces the risk of injury. To avoid common kettlebell mistakes when lifting weights for the first time, start with lighter kettlebells to master form and focus on slow, controlled movements. When lifting weight from the ground to the chest, don’t pull with the shoulder muscles. Instead, start in the legs and let the energy move up through the body, known as the kinetic chain. When exercising, spend only 20 to 30 seconds on a rep before resting for 30 seconds, and don’t spend more than five minutes on a single exercise. (American Council on Exercise, 2015)
Injury Medical Chiropractic and Functional Medicine Clinic
Individuals who want to start an exercise routine should consider kettlebell training. Following basic tips and training slowly, kettlebells can be an option for anyone looking to improve their fitness and overall health. Consider working with a personal trainer to ensure safety and get the most out of workouts. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Transform Your Body
References
American Physiological Society. (2024). Kettlebell training may help maintain muscle strength in older adults. https://www.physiology.org/detail/news/2024/11/21/kettlebell-training-may-help-maintain-muscle-strength-in-older-adults?SSO=Y
American Council on Exercise. Wall, A. J. (2015). How to get started with kettlebells. https://www.acefitness.org/resources/pros/expert-articles/5269/how-to-get-started-with-kettlebells/?srsltid=AfmBOor4x0yZwrHzGRccSA2uYMQtS3PX-vRC03eVwQoGX6_6B5wryAAi
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