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Seniors

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.


Massage Therapy Injury Recovery Techniques

Massage Therapy Injury Recovery Techniques

How Massage Therapy Supports El Paso Back Clinic’s Integrative Back & Injury Care

Massage Therapy Injury Recovery Techniques

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.


References

Chiropractic Adjustments for Stiffness Management

Chiropractic Adjustments for Stiffness Management

Genetics, Stiffness, and Flexibility: Understanding the Back’s Natural Limits

Chiropractic Adjustments for Stiffness Management


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.


References

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

Bone Density Test: What You Need to Know

Bone Density Test: What You Need to Know

What is a bone density test, how is it performed, and what do the results mean?

Bone Density Test: What You Need to Know

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.

Procedure

The most common bone density test is a dual-energy X-ray absorptiometry, or DEXA, scan. A DEXA scan is similar to getting an X-ray taken, but it uses two beams to produce a more detailed and sensitive reading. (National Institute of Arthritis and Musculoskeletal and Skin Diseases, 2025)

  • 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.

For postmenopausal women and men aged 50 and older, bone density values are given a T score. The T-scores are then compared to a standardized bone density level of a healthy 30-year-old adult with peak bone density levels. (Kling J. M., Clarke B. L., & Sandhu N. P. 2014) Scores indicate the following: (Kling J. M., Clarke B. L., & Sandhu N. P., 2014)

  • Equal to minus 1.0 or above: Normal bone density
  • Between minus 1.0 and minus 2.5: Low bone density (osteopenia)
  • Equal to minus 2.5 or below: Osteoporosis
  1. Bone density values are reported as a Z score for women who have not undergone menopause and men under 50 years old.
  2. Z scores are compared to bone density levels of individuals of the same age and sex.
  3. 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

Kettlebell Training at Any Age: Improving Strength and Balance

Kettlebell Training at Any Age: Improving Strength and Balance

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: Improving Strength and Balance

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

Maintaining Adequate Sleep: Why It’s Crucial as You Get Older

Maintaining Adequate Sleep: Why It’s Crucial as You Get Older

Sleep is vital at all ages, but what is the amount of sleep for older individuals?

Maintaining Adequate Sleep: Why It's Crucial as You Get Older

Amount of Sleep For Older Individuals

Individuals 65 and older are still recommended to get the same amount of sleep as younger adults. (National Council on Aging, 2023) As the body ages, it still needs around 7–9 hours of sleep, but how an individual sleeps is what changes. Older individuals begin to sleep lighter, and their sleep is broken up, causing them to wake up more at night. This can be due to natural changes in the internal body clock, medications, health conditions like arthritis or sleep apnea, or a combination. Older adults often face sleep barriers that are less common in younger individuals, like disabilities and chronic illnesses, and nearly half of adults aged 75 and above have a disability. Aging also shifts the circadian rhythm, causing older individuals to fall asleep and wake up earlier. Melatonin begins to decline with age, starting in the 30s, which can affect body temperature regulation and disrupt the sleep-wake cycle. (Hood S. & Amir S. 2017)

Healthy Sleep and Healthy Aging

Research found that older individuals who sleep poorly have an increased risk of:

As the body ages, a consistent, healthy amount of sleep prepares you for all the ups and downs. Healthy sleep maintains:

  • Overall health
  • Mental health
  • Mood
  • Memory
  • Improves cognitive function
  • Enhances emotional resilience
  • Supports heart health
  • Increases immune system function
  • Keeps energy levels steady.

Well-rested individuals are less likely to have falls or accidents because their focus and coordination are optimal.

Sleeping Healthier as You Age

Maintaining healthy sleep hygiene and being more mindful of routines will improve sleep patterns. This includes:

  • Going to bed and waking up at the same time every day.
  • Avoiding long naps during the day.
  • Monitoring nutrition and physical activity levels.
  • Creating a calming bedtime routine like meditation and reading.
  • Keeping the bedroom dark, cool, and quiet.
  • Reducing caffeine or alcohol, especially in the evening, can affect sleep patterns.

Sleep aids can help for short periods and should be combined with cognitive behavioral therapy and used with caution in the long term to prevent possible dependency. Medications can help by addressing health issues that impact sleep, like pain, depression, or anxiety. However, some medicines can have side effects that alter or worsen sleep patterns.

Injury Medical Chiropractic and Functional Medicine Clinic

Therefore, older individuals still need 7–9 hours of sleep every night to maintain and enhance mental, physical, and emotional well-being, reducing risks associated with aging. 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.


Enhancing Health


References

National Council on Aging. (2023). How Sleep Impacts the Top Age-Related Health Concerns. https://www.ncoa.org/adviser/sleep/chronic-conditions-and-sleep/

Hood, S., & Amir, S. (2017). The aging clock: circadian rhythms and later life. The Journal of clinical investigation, 127(2), 437–446. https://doi.org/10.1172/JCI90328

Stone, K. L., & Xiao, Q. (2018). Impact of Poor Sleep on Physical and Mental Health in Older Women. Sleep medicine clinics, 13(3), 457–465. https://doi.org/10.1016/j.jsmc.2018.04.012

Improve Posture and Flexibility with Chair Abdominal Exercises

Improve Posture and Flexibility with Chair Abdominal Exercises

For many individuals, getting on the floor to do crunches or other exercises can be difficult due to medical conditions, age, and injuries. Can engaging in chair abdominal exercises at home, work, or anywhere a chair is available help strengthen the upper, lower, and oblique abdominal muscles?

Improve Posture and Flexibility with Chair Abdominal Exercises

Chair Abdominal Exercises

Chair abdominal exercises are essential for strengthening the core, maintaining healthy flexibility, mobility, posture, and injury prevention. Incorporating abdominal exercise into one’s day can be easy, regardless of schedule or fitness level.  Various exercises are designed to be performed while seated, making them accessible to everyone, including those with mobility issues or new to exercise.

Benefits

Building and maintaining a solid core is essential for overall health, posture, and daily activities, especially as the body ages. A strong core maintains body balance and stability, prevents falls, protects individuals from back pain, and makes lifting, bending, and walking easier. It allows individuals to stay independent and active. The abdominal muscles are one part of the core, which includes muscles in the back, glutes, pelvic floor, and diaphragm. These are important for keeping the body upright and stable, protecting the spine and organs, and assisting with movements between the ribcage and pelvis. Adding abdominal exercise workouts to a fitness routine is one way to improve overall core strength and stability. Chair-based exercises are convenient and accessible as individuals don’t need specialized machines or equipment, just a sturdy chair and some space. (Frizziero A. et al., 2021)

Chair Workout

Chair abdominal exercises are ideal gentle exercises for older individuals who need to increase their strength and mobility. Because chairs provide stability and safety, these exercises focus on seated movements and are intended for those with limited mobility. Chair abdominal exercises can be adapted and modified to individual preferences and needs, preparing the body for more advanced standing exercises. They improve the ability to perform daily tasks and increase joint mobility, muscle strength, and coordination. To prevent injuries, each exercise session should begin with a warm-up and end with a cool-down.

  • A warm-up could be gentle seated marches, shoulder rolls, and deep breathing exercises.
  • A cool-down can include seated stretches, focusing on the back, neck, and legs to help the body recover and prevent stiffness.

It is recommended that patients talk to a healthcare provider first if they have limited mobility or chronic health issues. Here are some sample exercises.

Sitting Knee Lifts

  • Sit on the edge of the chair with your back straight.
  • Lift your knees toward your chest, engaging the upper abs.
  • Lower them slowly back down.
  • Repeat for 10 to 15 reps.
  • Beginners lift one knee at a time.
  • Lower it and repeat with the other leg.

Sitting Crunches

  • Sit on the edge of the chair.
  • Lean back slightly.
  • Place hands behind your head.
  • Crunch forward, bringing the chest toward your knees.
  • Return to the starting position.
  • Repeat for 10 to 15 reps.
  • Beginners can sit more on the chair and hold the seat for stability.
  • Reduce the range of motion when crunching the chest toward the knees.

Sitting Leg Lifts

  • Sit on the edge of the chair with the back straight.
  • Extend your legs in front of you and lift them together, engaging the lower abdominals.
  • Lower them back down slowly.
  • Repeat for 10 to 15 repetitions.
  • Beginners sit back on the chair and grip the sides.
  • Lift one leg and hold for a count before lowering.
  • Switch legs.

Sitting Scissor Kicks

  • Sit on the edge of the chair and lean back slightly.
  • Extend your legs in front.
  • Alternate lifting each leg up and down in a scissor motion.
  • Perform for 30 seconds to one minute.
  • Beginners tap one heel on the floor between lifts to reduce abdominal tension.

Sitting Side Crunches

  • Sit on the edge of the chair with the back straight.
  • Lift one knee toward the chest while bringing the opposite elbow toward the knee, engaging the obliques.
  • Alternate for 10 to 15 reps per side.
  • Beginners, keep your feet flat on the floor with your hands behind your head.
  • Gently bend to the side, return to the center, and bend to the other side.

Sitting Bicycle Crunches

  • Sit on the edge of the chair and lean back slightly.
  • Lift the feet off the ground.
  • Alternate bringing each knee toward the opposite elbow in a pedaling motion.
  • Perform for 30 seconds to one minute.
  • For beginners, keep the heel gently on the ground while you crunch on the opposite side.
  • For a challenge, slow the motion and hold each twist a few seconds longer to create more tension. (Krzysztofik M. et al., 2019)

Progress

For beginners, start with the easier versions and perform fewer repetitions and shorter durations if needed. Focus on maintaining proper posture and form. As the body gets stronger, increase the number of repetitions or extend the duration of each exercise. Once comfortable, try more challenging chair exercises. Chair abdominal exercises are a simple, effective way to strengthen the core, improve posture, and support overall health. Regularly doing these exercises as part of a well-rounded routine can build a solid core without special equipment. Remember to listen to the body and progress at your own pace to more challenging variations over time to keep building strength.

Injury Medical Chiropractic and Functional Medicine Clinic

Achieving and maintaining fitness requires consistent work and development. Retraining the body and maintaining its optimal health requires daily efforts through exercise. 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.


Core Exercises and Back Pain


References

Frizziero, A., Pellizzon, G., Vittadini, F., Bigliardi, D., & Costantino, C. (2021). Efficacy of Core Stability in Non-Specific Chronic Low Back Pain. Journal of functional morphology and kinesiology, 6(2), 37. https://doi.org/10.3390/jfmk6020037

Krzysztofik, M., Wilk, M., Wojdała, G., & Gołaś, A. (2019). Maximizing Muscle Hypertrophy: A Systematic Review of Advanced Resistance Training Techniques and Methods. International journal of environmental research and public health, 16(24), 4897. https://doi.org/10.3390/ijerph16244897

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