Back Clinic Chiropractic Examination. An initial chiropractic examination for musculoskeletal disorders will typically have four parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may be performed. Our office provides additional Functional and Integrative Wellness Assessments in order to bring greater insight into a patient’s physiological presentations.
Consultation:
The patient will meet the chiropractor which will assess and question a brief synopsis of his or her lower back pain, such as:
Duration and frequency of symptoms
Description of the symptoms (e.g. burning, throbbing)
Areas of pain
What makes the pain feel better (e.g. sitting, stretching)
What makes the pain feel worse (e.g. standing, lifting).
Case history. The chiropractor identifies the area(s) of complaint and the nature of the back pain by asking questions and learning more about different areas of the patient’s history, including:
Family history
Dietary habits
Past history of other treatments (chiropractic, osteopathic, medical and other)
Occupational history
Psychosocial history
Other areas to probe, often based on responses to the above questions.
Physical examination: We will utilize a variety of methods to determine the spinal segments that require chiropractic treatments, including but not limited to static and motion palpation techniques determining spinal segments that are hypo mobile (restricted in their movement) or fixated. Depending on the results of the above examination, a chiropractor may use additional diagnostic tests, such as:
X-ray to locate subluxations (the altered position of the vertebra)
A device that detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance that requires manipulation.
Laboratory Diagnostics: If needed we also use a variety of lab diagnostic protocols in order to determine a complete clinical picture of the patient. We have teamed up with the top labs in the city in order to give our patients the optimal clinical picture and appropriate treatments.
Understanding Nerve Conditions of the Spine: Causes, Symptoms, and Treatments
The spine is a critical part of the body, serving as a highway for nerves that transmit signals between the brain and the rest of the body. When something goes wrong with these nerves—whether they’re compressed, irritated, or damaged—it can lead to a range of uncomfortable symptoms like pain, numbness, tingling, or weakness. These issues, known as nerve-related spine conditions, can affect the back, arms, or legs and stem from various causes, including injuries, degenerative conditions, or infections. In this article, we’ll explore these conditions, their symptoms, causes, and how they’re diagnosed and treated, with a special focus on integrative approaches like those used by Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas. We’ll also look at how chiropractic care, targeted exercises, massage therapy, acupuncture, and integrative medicine can promote healing and prevent long-term problems.
What Are Nerve-Related Spine Conditions?
Nerve-related spine conditions happen when the spinal nerves or spinal cord are compressed, irritated, or damaged. The spine is made up of bones called vertebrae, which protect the spinal cord—a bundle of nerves that carries messages to and from the brain. Between the vertebrae are intervertebral discs, which act as cushions, and small openings called foramina, where nerve roots exit the spinal cord to connect to other parts of the body. When these nerves or the spinal cord itself are affected, it can disrupt the signals, leading to symptoms like pain, numbness, tingling, or weakness (Mayo Clinic Health System, n.d.).
Some of the most common nerve-related spine conditions include:
Radiculopathy: Often referred to as a “pinched nerve,” this condition occurs when a nerve root is compressed or irritated as it exits the spine. It can cause pain, numbness, or weakness that radiates along the nerve’s path. For example, lumbar radiculopathy can lead to sciatica, a condition characterized by pain that shoots from the lower back down the leg (Cleveland Clinic, n.d.).
Spinal stenosis refers to the narrowing of the spinal canal, which puts pressure on the spinal cord or nerve roots. It’s often caused by aging or degenerative changes and can lead to symptoms like back pain, numbness, or difficulty walking (HSS Education, n.d.).
Herniated or Bulging Discs: Discs can bulge or herniate (when the inner gel-like material pushes out), pressing on nearby nerves. This can cause pain, tingling, or weakness in the arms or legs, depending on where the disc is located (Penn Medicine, n.d.).
Degenerative Conditions: Conditions like arthritis or bone spurs can narrow the spaces where nerves travel, causing compression and symptoms like pain or stiffness (Health Central, n.d.).
Trauma or Injury: Accidents, such as car crashes or falls, can damage the spine and compress nerves, leading to immediate or delayed symptoms (Verywell Health, n.d.).
Infections or Structural Abnormalities: Infections, tumors, or abnormal spine alignment (like scoliosis) can also press on nerves, causing similar symptoms (MSD Manuals, n.d.).
These conditions can range from mild annoyances to serious issues requiring immediate medical attention, especially if they cause severe symptoms like loss of bladder or bowel control, which may indicate cauda equina syndrome, a medical emergency (Verywell Health, n.d.).
Symptoms of Nerve-Related Spine Conditions
The symptoms of nerve-related spine conditions depend on where the nerve compression or damage occurs and the severity of the condition. Common symptoms include:
Pain: This can be sharp, burning, or aching and may stay in one spot (like the neck or lower back) or radiate to other areas, such as the arms, buttocks, or legs. For example, sciatica often causes burning pain that travels from the lower back to the legs (Penn Medicine, n.d.).
Numbness or Tingling: These sensations, often described as “pins and needles,” can occur in the hands, arms, feet, or legs, depending on the affected nerve (Cleveland Clinic, n.d.).
Weakness: Muscle weakness in the arms, hands, or legs can make it hard to lift objects, walk, or maintain balance. In severe cases, it can cause issues like foot drop, where a person struggles to lift their foot while walking (Johns Hopkins Medicine, n.d.).
Loss of Coordination: Compression of the spinal cord (myelopathy) can affect fine motor skills, making tasks like buttoning a shirt or writing difficult (Verywell Health, n.d.).
Balance Issues: Spinal stenosis or myelopathy can cause trouble walking or maintaining balance, sometimes described as feeling like “walking through mud” (Spine-health, n.d.).
Loss of Bladder or Bowel Control: This is a rare but serious symptom that requires immediate medical attention, as it may signal cauda equina syndrome (HSS Education, n.d.).
Symptoms can develop suddenly, like after an injury, or gradually, as with degenerative conditions like arthritis. If you experience severe or worsening symptoms, especially loss of bladder or bowel control, seek medical care right away.
Causes of Nerve-Related Spine Conditions
Nerve-related spine conditions can have many causes, ranging from natural aging to sudden injuries. Here are some of the main culprits:
Degenerative Changes: As people age, the spine can undergo wear and tear. Osteoarthritis can cause bone spurs, and degenerative disc disease can lead to bulging or herniated discs, both of which can press on nerves (Mayo Clinic Health System, n.d.).
Herniated or Bulging Discs: When a disc’s inner material bulges or herniates, it can push against nearby nerves, causing pain or numbness. This is a common cause of radiculopathy, including sciatica (Penn Medicine, n.d.).
Spinal Stenosis: The spinal canal can narrow due to thickened ligaments, bone spurs, or other changes, putting pressure on the spinal cord or nerve roots (Cleveland Clinic, n.d.).
Trauma: Car accidents, sports injuries, or falls can fracture vertebrae, dislocate joints, or cause swelling that compresses nerves, leading to severe consequences. For example, a car crash can lead to whiplash, which may cause nerve damage in the neck (Solomon Law, n.d.).
Infections: Spinal infections, like abscesses, can press on the spinal cord or nerves, causing pain and neurological symptoms (MSD Manuals, n.d.).
Structural Abnormalities: Conditions like scoliosis (abnormal spine curvature) or tumors can compress nerves, leading to symptoms like pain or weakness (Johns Hopkins Medicine, n.d.).
Inflammatory or Autoimmune Conditions: Diseases like rheumatoid arthritis can cause inflammation that compresses nerves, contributing to symptoms (OrthoTOC, n.d.).
Each cause can lead to different symptoms and requires specific diagnostic and treatment approaches to address the root issue.
Diagnosing Nerve-Related Spine Conditions
Diagnosing nerve-related spine conditions starts with a doctor asking about your symptoms and medical history, followed by a physical exam to check for numbness, weakness, reflexes, and posture. Depending on the findings, additional tests may be needed to pinpoint the cause (Penn Medicine, n.d.). Common diagnostic tools include:
Imaging tests, such as X-rays, CT scans, or MRIs, can reveal the spine’s structure, including bones, discs, and nerves, to identify compression or damage (Spine Info, n.d.).
Nerve Conduction Studies (NCS) and Electromyography (EMG): These tests assess the function of nerves and muscles, and can help confirm nerve damage (Spine Info, n.d.).
Myelogram: A special X-ray or CT scan with contrast dye can highlight pressure on the spinal cord or nerves (Spine Info, n.d.).
Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, uses a dual-scope approach to diagnosis, combining his expertise in chiropractic care and advanced nursing. His clinic utilizes advanced neuromusculoskeletal imaging techniques, such as MRIs and CT scans, to obtain a clear picture of the spine’s condition. Dr. Jimenez correlates patient injuries—whether from work, sports, car accidents, or personal incidents—with clinical findings to create a precise diagnosis. This approach ensures that the treatment plan targets the specific cause of the nerve issue, whether it’s a herniated disc, spinal stenosis, or trauma-related damage (Jimenez, n.d.).
Treatment Options for Nerve-Related Spine Conditions
Treatment for nerve-related spine conditions depends on the cause, severity, and symptoms. Most doctors start with conservative (non-surgical) treatments, moving to surgery only if needed. Here’s an overview of common treatments:
Non-Surgical Treatments
Medications: Over-the-counter pain relievers, such as ibuprofen, or prescription medications, like gabapentin, can help manage pain and inflammation (Spine Info, n.d.).
Physical Therapy: Targeted exercises can strengthen muscles, improve posture, and reduce pressure on nerves. Physical therapy is often effective for radiculopathy and spinal stenosis (Cleveland Clinic, n.d.).
Epidural Steroid Injections: These deliver anti-inflammatory medication directly to the affected nerve root, reducing pain and swelling (Penn Medicine, n.d.).
Chiropractic Care: Adjustments and manipulations can realign the spine, relieving pressure on nerves. Dr. Jimenez’s clinic utilizes chiropractic techniques to treat conditions such as sciatica and herniated discs, with a focus on restoring spinal alignment (Jimenez, n.d.).
Massage Therapy: This can relax tight muscles, improve blood flow, and reduce nerve irritation, especially for conditions caused by muscle tension or spasms (Inova, n.d.).
Acupuncture: By stimulating specific points, acupuncture can reduce pain and promote natural healing, often used alongside other treatments (Total Spine Ortho, n.d.).
Activity Modification: Avoiding activities that worsen symptoms, like heavy lifting, can help the spine heal (Penn Medicine, n.d.).
Surgical Treatments
If conservative treatments are not effective, surgery may be necessary. Common procedures include:
Laminectomy: Removes part of a vertebra to create more space for nerves, often used for spinal stenosis (Spine Info, n.d.).
Microdiscectomy: Removes part of a herniated disc that’s pressing on a nerve, commonly used for radiculopathy (Spine Info, n.d.).
Spinal Fusion: Fuses vertebrae together to stabilize the spine, used for severe degenerative conditions or trauma (Inova, n.d.).
Dr. Jimenez’s clinic takes an integrative approach, combining chiropractic care with targeted exercises, massage therapy, and acupuncture to treat nerve-related spine conditions. For example, a patient with sciatica resulting from a herniated disc may receive spinal adjustments to realign the spine, exercises to strengthen core muscles, and acupuncture to alleviate pain. This holistic approach addresses the root cause while promoting long-term healing and preventing future problems (Jimenez, n.d.).
Dr. Alexander Jimenez’s Integrative Approach in El Paso
Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, has extensive experience treating nerve-related spine conditions caused by work, sports, personal, or motor vehicle accident injuries. His clinic uses a dual-scope approach, blending chiropractic expertise with advanced medical knowledge to provide comprehensive care. Here’s how his clinic handles these cases:
Treating Different Types of Injuries
Work Injuries: Repetitive motions or heavy lifting at work can lead to conditions like herniated discs or radiculopathy. Dr. Jimenez uses spinal adjustments, targeted exercises, and ergonomic advice to relieve nerve compression and prevent recurrence (Jimenez, n.d.).
Sports Injuries: Athletes may suffer nerve compression from trauma or overuse. The clinic employs chiropractic care, physical therapy, and massage to restore function and reduce pain, helping athletes return to their activities (Jimenez, n.d.).
Personal Injuries: Falls or other accidents can cause nerve damage. Dr. Jimenez’s team uses advanced imaging to assess the injury and creates personalized treatment plans, often including acupuncture and exercise (Jimenez, n.d.).
Motor Vehicle Accident (MVA) Injuries: Car crashes can cause whiplash or other trauma that compresses nerves. The clinic provides detailed diagnostic assessments, including MRIs, to identify nerve damage and offers treatments like spinal adjustments and massage to promote healing (Solomon Law, n.d.; Jimenez, n.d.).
Medical Care and Legal Documentation
Dr. Jimenez’s clinic is skilled in handling the medical and legal aspects of injury cases, especially for MVAs. They provide thorough documentation of injuries, diagnoses, and treatments, which is critical for insurance claims or legal cases. For example, if a patient has radiculopathy from a car accident, the clinic documents the injury’s impact on their daily life, the diagnostic findings (like MRI results), and the treatment plan. This detailed paperwork supports patients in legal proceedings while ensuring they receive proper medical care (Jimenez, n.d.).
Integrative Medicine for Healing and Prevention
Dr. Jimenez’s approach emphasizes integrative medicine, combining chiropractic care with other therapies to address the cause of nerve issues and enhance overall health. For instance:
Chiropractic Adjustments: Realign the spine to relieve nerve pressure, effective for conditions like sciatica or herniated discs.
Targeted Exercises: Strengthen muscles around the spine to improve stability and prevent future injuries.
Massage Therapy: Reduces muscle tension and improves circulation, aiding in nerve healing.
Acupuncture: Stimulates natural pain relief and promotes recovery, especially for chronic pain.
Lifestyle Changes: Advice on posture, ergonomics, and nutrition helps prevent long-term problems (Jimenez, n.d.).
This integrative approach not only treats the immediate symptoms but also focuses on long-term health, reducing the risk of chronic pain or recurring issues.
How Integrative Medicine Promotes Healing
Integrative medicine, as practiced by Dr. Jimenez, combines conventional medical treatments with complementary therapies to address the whole person, not just the symptoms. For nerve-related spine conditions, this approach offers several benefits:
Natural Healing: Chiropractic care and acupuncture stimulate the body’s natural healing processes, reducing reliance on medications (Total Spine Ortho, n.d.).
Pain Reduction: Therapies such as massage and acupuncture can help reduce pain levels, thereby improving quality of life (Inova, n.d.).
Improved Function: Exercises and adjustments restore mobility and strength, helping patients return to normal activities (Cleveland Clinic, n.d.).
Prevention: By addressing underlying causes, like poor posture or weak muscles, integrative medicine reduces the risk of future nerve problems (Jimenez, n.d.).
For example, a patient with spinal stenosis might receive adjustments to improve spinal alignment, exercises to strengthen their core, and massage to relax tight muscles. Over time, these treatments can reduce nerve compression, improve mobility, and prevent the condition from worsening.
Preventing Long-Term Problems
Preventing long-term nerve-related spine issues involves addressing the root causes and maintaining spinal health. Here are some strategies:
Maintain Good Posture: Proper posture reduces strain on the spine and nerves (Mayo Clinic Health System, n.d.).
Stay Active: Regular exercise, especially core-strengthening workouts, supports the spine and prevents injuries (Cleveland Clinic, n.d.).
Utilize ergonomics: Adjust workstations or lifting techniques to prevent repetitive strain (Jimenez, n.d.).
Manage Weight: Excess weight can put pressure on the spine, worsening nerve conditions (Health Central, n.d.).
Seek Early Treatment: Addressing symptoms early with chiropractic care or physical therapy can prevent conditions like radiculopathy from becoming chronic (Spine Info, n.d.).
Dr. Jimenez’s clinic emphasizes these preventive measures, educating patients on lifestyle changes to keep their spines healthy and reduce the risk of future nerve issues.
Conclusion
Nerve-related spine conditions, like radiculopathy, spinal stenosis, and herniated discs, can cause significant discomfort and disrupt daily life. These conditions stem from various causes, including degenerative changes, trauma, infections, or structural issues, and lead to symptoms like pain, numbness, tingling, and weakness. Through proper diagnosis using imaging and clinical assessments, doctors can pinpoint the cause and recommend treatments, ranging from medications and physical therapy to surgery in severe cases. Integrative approaches, like those used by Dr. Alexander Jimenez in El Paso, combine chiropractic care, targeted exercises, massage therapy, and acupuncture to treat injuries from work, sports, or accidents while promoting natural healing. By addressing the root cause and focusing on prevention, these methods can help patients recover and avoid long-term problems. If you’re experiencing symptoms of a nerve-related spine condition, consult a healthcare provider to explore your treatment options and start your journey to recovery.
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.
Holistic Wellness at El Paso Back Clinic: Premier Chiropractic Care
Welcome to El Paso Back Clinic, your trusted destination for injury rehabilitation and functional medicine in El Paso, TX. Led by Dr. Alex Jimenez, D.C., APRN, FNP-BC, our clinic specializes in treating sciatica, neck and back pain, whiplash, headaches, joint injuries, sports injuries, and degenerative arthritis. Our team of chiropractors, nurse practitioners, nutritionists, and acupuncturists uses advanced therapies to restore mobility, flexibility, and overall health. We focus on holistic sciatic nerve care, addressing root causes through chiropractic care, nutrition, and integrative medicine to help you achieve optimal wellness.
Comprehensive Chiropractic Care for Musculoskeletal Health
At El Paso Back Clinic, we provide a holistic approach to managing musculoskeletal issues, including sciatica, back pain, and joint injuries. Our treatments focus on restoring biomechanical function and promoting natural healing, helping patients regain their quality of life.
Chiropractic Techniques for Joint and Biomechanical Restoration
Chiropractic care is central to our approach, using gentle spinal adjustments to correct misalignments that cause nerve compression, such as sciatica. These adjustments relieve pressure on the sciatic nerve, improve mobility, and reduce pain (Dr. Leitman, 2023). By restoring proper alignment, we help the body heal naturally, whether the issue stems from a car accident, sports injury, or chronic condition.
Managing Musculoskeletal Inflammation
Inflammation often contributes to sciatica and other musculoskeletal pain. Our clinic utilizes functional medicine to address inflammation through dietary modifications, such as incorporating anti-inflammatory foods like omega-3 fatty acids, and targeted supplements like vitamin B12 (Therapy Organics, 2023). This approach reduces nerve irritation and supports long-term health.
Trigger Point and Massage Therapy
Massage therapy, including trigger point techniques, enhances circulation and relaxes tense muscles, which is crucial for sciatica relief. Improved blood flow delivers nutrients to the sciatic nerve, aiding recovery (Zama Massage, 2018). Our therapists tailor sessions to address specific injuries, from whiplash to sports-related strains.
Recovery and Rehabilitation After Motor Vehicle Accidents
Motor vehicle accidents (MVAs) can cause a range of injuries, from whiplash to gastrointestinal issues, impacting overall health. At El Paso Back Clinic, we offer comprehensive recovery plans tailored to each patient’s needs.
Whiplash and Spinal Injury Recovery
Whiplash-associated disorders (WAD) are common after MVAs, causing neck pain and stiffness. Our chiropractic care and durable medical equipment, such as cervical collars, support recovery by stabilizing the spine and reducing strain (Jimenez, 2023a). We also incorporate regenerative medicine, like platelet-rich plasma (PRP), to promote tissue repair (Family Integrative Medicine, 2023).
Gastrointestinal Injuries Post-Accident
MVAs can lead to gastrointestinal issues due to trauma or stress. Our integrative approach includes nutritional guidance to support gut health, emphasizing foods that reduce inflammation and promote healing (Asuta Health, 2023). This holistic care helps patients recover fully from internal injuries.
Nutrition for Injury Recovery
A tailored diet is vital for healing after an MVA. We recommend nutrient-dense foods and supplements to support tissue repair and reduce inflammation, aiding recovery from musculoskeletal and spinal injuries (Therapy Organics, 2023). Our nutritionists work with patients to create personalized plans.
Sciatica, characterized by pain radiating from the lower back through the buttocks and legs, is often caused by compression of the sciatic nerve. At El Paso Back Clinic, we address sciatica and other injuries with a focus on prevention and long-term wellness.
Sciatica Symptoms and Causes
Symptoms: Pain ranging from mild to severe, numbness, tingling, or muscle weakness in the leg or foot. Pain may worsen with activities such as sitting, coughing, or sneezing (WebMD, 2023a).
Causes: Herniated discs, bone spurs, or spinal misalignments (subluxations) due to poor posture, trauma, or pregnancy. Rarely, tumors or diabetes may contribute (Wilmington Chiropractic, 2023).
Risk Factors: Age-related spinal changes, obesity, sedentary lifestyles, occupations involving heavy lifting or prolonged driving, and diabetes increase the risk of sciatica.
Bicycle and 18-Wheeler Accident Risks
Bicycle collisions and 18-wheeler accidents pose significant risks for musculoskeletal injuries. Wet roads or heavy vehicles can exacerbate these risks, leading to spinal trauma or sciatica (National Center for Biotechnology Information, 2016). Our clinic uses chiropractic care and integrative medicine to address these injuries, promoting recovery and preventing recurrence.
Dr. Alex Jimenez’s Expertise in Diagnosis and Treatment
Dr. Alex Jimenez brings a unique dual perspective as a chiropractor and nurse practitioner, specializing in work, sports, personal, and motor vehicle injuries. His expertise ensures precise diagnoses and effective treatment plans.
Diagnostic Approach
Dr. Jimenez conducts thorough medical exams, using advanced imaging like X-rays and MRIs to identify issues such as herniated discs or nerve compression. Functional health assessments further reveal lifestyle factors that contribute to sciatica or other injuries (Jimenez, 2023b). This comprehensive approach ensures targeted treatments.
Medical and Legal Support
For personal injury cases, Dr. Jimenez provides detailed medical reports that support insurance claims or legal proceedings, easing the burden on patients. His dual qualifications allow him to seamlessly integrate medical care with legal documentation, particularly for MVA-related injuries (Jimenez, 2023c).
Preventing sciatica and other injuries requires proactive measures. Our clinic emphasizes sustainable strategies to maintain spinal health and overall wellness.
Prevention Strategies
Core Strengthening: Exercises targeting the abdomen and lower back support proper posture and spinal alignment (Thrive Cedar Falls, 2023).
Proper Posture: Use ergonomic chairs with lumbar support and maintain a level position with your knees and hips when sitting. A rolled towel can support the spine’s natural curve.
Body Mechanics: Lift with your legs, keep your back straight, and avoid twisting while lifting heavy objects.
An Active Lifestyle: Regular physical activity, such as walking or yoga, reduces the risk of sciatica compared to a sedentary lifestyle.
When to Seek Care
Seek immediate medical attention if you experience:
Severe pain with numbness or weakness in the leg.
Loss of bowel or bladder control.
Pain following a significant injury, such as an MVA.
Mild sciatica may resolve with self-care, but persistent or worsening pain requires professional intervention.
Our clinic combines advanced technology, proven therapies, and a patient-centered approach to deliver exceptional care. Dr. Jimenez’s expertise in chiropractic and integrative medicine ensures comprehensive treatment for sciatica, sports injuries, and MVA-related conditions. We prioritize natural healing and long-term wellness, helping patients return to their active lives.
Dr. Alex Jimenez: Pioneering Integrative Care as a Chiropractor and Nurse Practitioner
Dr. Alex Jimenez, a licensed chiropractor and board-certified nurse practitioner based in El Paso, Texas, brings over 25 years of expertise to his Injury Medical & Chiropractic Clinic practice. His dual licensure provides unique insights into the etiologies, pathogenesis, and treatment of complex clinical conditions, enabling him to deliver patient-centered, integrative care that bridges physical medicine, functional medicine, and advanced diagnostics. Combining chiropractic expertise with nurse practitioner-driven medical management, Dr. Jimenez offers comprehensive treatment protocols tailored to acute and chronic conditions, promoting metabolic resilience, longevity, and whole-person wellness.
Dual Expertise: Chiropractic and Nurse Practitioner Roles
Dr. Jimenez’s practice stands out due to his ability to integrate the biomechanical focus of chiropractic care with a nurse practitioner’s diagnostic and therapeutic scope. As a chiropractor, he specializes in restoring musculoskeletal function, particularly after trauma, neck, back, spine, and soft tissue injuries. His chiropractic interventions emphasize non-invasive techniques, such as spinal decompression, manual adjustments, and functional rehabilitation, to alleviate pain and enhance mobility.
As a board-certified nurse practitioner, Dr. Jimenez employs evidence-based medicine to address systemic and metabolic dysfunctions. His expertise extends to managing chronic degenerative disorders, hormonal imbalances, weight loss, sexual health, and pain syndromes. This dual perspective allows him to identify underlying disease causes, from biomechanical misalignments to physiological imbalances, and design treatment regimens that address symptoms and root causes.
The synergy of these roles enables Dr. Jimenez to offer a holistic approach that is particularly effective for complex conditions such as sciatica, fibromyalgia, disc herniation, spondylolisthesis, and chronic neck or back pain. His integrative protocols combine functional medicine assessments, lifestyle interventions, and advanced diagnostics to achieve homeostasis and physiological balance.
Treatment Protocols: Evidence-Based and Patient-Centered
Drawing from integrative protocols outlined on his website, www.chiromed.com, Dr. Jimenez employs a multidisciplinary approach to patient care. His treatment plans are grounded in evidence-based medicine, functional medicine, and lifestyle wellness strategies, tailored to each patient’s unique health profile, lifestyle, and medical history. Below are key components of his integrative care model:
1. Chiropractic Care and Functional Rehabilitation
Spinal Decompression: Non-surgical decompression therapy is used to relieve pressure on spinal discs, addressing conditions like disc herniation, sciatica, and spinal stenosis. This modality promotes healing by improving blood flow and nutrient delivery to affected areas.
Manual Adjustments: Targeted adjustments correct spinal misalignments, reduce nerve compression, and restore joint mobility. These are particularly effective for whiplash, scoliosis, and poor posture.
Functional Strength Training: Dr. Jimenez designs conditioning programs to enhance recovery and prevent re-injury. These programs are tailored for athletes and individuals seeking optimal performance and incorporate mobility, flexibility, and agility training.
2. Functional Medicine Assessments
Functional medicine tools evaluate metabolic, hormonal, and nutritional status. These assessments identify the root causes of conditions such as fatigue, weight gain, or chronic pain, enabling precise interventions.
Advanced diagnostic protocols, including blood panels and imaging, provide data-driven insights into etiologies and pathogenesis. This allows Dr. Jimenez to address underlying dysfunctions rather than merely masking symptoms.
3. Lifestyle and Nutritional Interventions
Weight Loss and Metabolic Resilience: Dr. Jimenez integrates nutritional counseling and metabolic optimization strategies to support sustainable weight loss and prevent chronic diseases like diabetes or cardiovascular disorders.
Hormone and Sexual Health: Personalized regimens address hormonal imbalances and sexual dysfunction, improving quality of life and overall wellness.
Pain Management: Nutritional and lifestyle modifications complement physical therapies to manage chronic pain syndromes, reducing reliance on pharmaceuticals.
4. Specialized Care for Complex Conditions
Sciatica and Disc Injuries: Dr. Jimenez employs targeted decompression and rehabilitation protocols to alleviate nerve compression and restore function.
Chronic Degenerative Disorders: Conditions like fibromyalgia, arthritis, and spondylolisthesis are managed through integrative plans that combine physical therapy, nutritional support, and metabolic optimization.
Sports and Auto Accident Injuries: Tailored rehabilitation programs address soft tissue damage, shoulder injuries, and whiplash, ensuring rapid recovery and long-term resilience.
5. Advanced Wellness Programs
Dr. Jimenez’s clinic offers comprehensive wellness programs on longevity, skin care, and hair loss. These programs integrate nutritional supplementation, lifestyle coaching, and cutting-edge therapies to promote vitality and aesthetic health.
High-level conditioning programs optimize performance for athletes, incorporating functional strength training and recovery-focused interventions.
Integrative Team and Clinic Highlights
Injury Medical & Chiropractic Clinic is El Paso’s largest mobility, flexibility, and agility center, integrating chiropractors, nurse practitioners, registered nurses, nutritionists, and physical performance trainers. The clinic’s multidisciplinary team collaborates to deliver personalized care, ensuring patients achieve measurable health outcomes. Key services include:
Acupuncture: A Complementary therapy to reduce pain and promote relaxation.
Advanced Nutritional Programs: Evidence-based dietary plans to support metabolic health and recovery.
Physical Performance Training: Programs to enhance fitness, prevent injuries, and optimize athletic performance.
The clinic accepts major insurances, including Aetna, Blue Cross Blue Shield, Cigna, and First Health, making care accessible to a broad patient base.
Insights from Dual Licensure
Dr. Jimenez’s licensure as both a chiropractor and nurse practitioner provides him with a comprehensive understanding of disease processes and treatment modalities. His chiropractic training equips him to address biomechanical dysfunctions, while his nurse practitioner expertise allows him to manage systemic conditions with a medical lens. This dual perspective enhances his ability to:
Clarify Etiologies: By combining musculoskeletal assessments with metabolic and hormonal evaluations, Dr. Jimenez identifies multifactorial causes of conditions, ensuring targeted interventions.
Understand Pathogenesis: His knowledge of disease progression informs proactive treatment plans that halt or reverse degenerative processes.
Design Appropriate Regimens: Integrating physical, nutritional, and medical therapies, Dr. Jimenez creates synergistic treatment plans that address both symptoms and underlying dysfunctions.
This integrative approach is particularly valuable for patients with chronic or multifactorial conditions, as it addresses the interplay between physical, metabolic, and lifestyle factors.
Patient-Centered Care: In-Person and Online
Dr. Jimenez’s practice emphasizes personalized attention, whether patients visit in person at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or engage through telehealth. His functional medicine series, accessible via www.dralexjimenez.com, educates patients on holistic health principles, covering topics from spinal health to metabolic optimization. The website features:
Informative Content: Blog posts, articles, and videos provide insights into chiropractic care, functional medicine, and injury rehabilitation.
Patient Testimonials: Success stories highlight the transformative impact of Dr. Jimenez’s care, showcasing outcomes for conditions like sciatica, sports injuries, and chronic pain.
Appointment Booking: A user-friendly interface allows patients to schedule in-person or online consultations, with clear guidance on what to expect during their first visit.
Commitment to Education and Community Health
Dr. Jimenez is dedicated to empowering patients through education. His website is comprehensive, offering evidence-based information on health conditions, treatment options, and wellness strategies. By fostering health literacy, Dr. Jimenez enables patients to make informed decisions and take charge of their well-being.
His commitment extends to the El Paso community, where he aims to expand access to integrative care. Dr. Jimenez promotes proactive health management and preventive care through workshops, online content, and community outreach.
Conclusion
Dr. Alex Jimenez’s dual expertise as a chiropractor and nurse practitioner positions him as a leader in integrative medicine. His ability to bridge physical medicine with systemic health management allows him to address complex clinical issues with precision and compassion. Dr. Jimenez delivers personalized care that promotes healing, resilience, and longevity by leveraging evidence-based protocols, advanced diagnostics, and lifestyle interventions.
For more information or to schedule an appointment, visit www.dralexjimenez.com or contact the clinic at +1-915-412-6677.
Should individuals experiencing nerve pain or various sensations get a nerve conduction velocity study to examine nerve health and function?
Nerve Conduction Velocity
A nerve conduction velocity (NCV) is a noninvasive test that measures the speed and strength of nerve stimulation using electrical probes placed on the skin. It’s used to diagnose nerve damage or disease, often alongside an EMG (electromyogram) to differentiate between nerve and muscle problems. It can also evaluate sensory issues, pain, and weakness of the extremities.
This test involves safe electrical shocks that can be slightly uncomfortable but not painful.
Nerve conduction velocity (NCV) measures the speed at which electrical impulses travel along a nerve fiber, which measures how quickly electrical signals travel through a nerve.
This information indicates nerve health and function.
Electromyography (EMG) is a nerve test that involves placing tiny needles into the muscles.
A slower NCV can indicate nerve injury or dysfunction.
Test Uses
Generally, the test is ordered to assess peripheral nerve diseases, those that connect from the muscles, organs, and skin to the spinal cord or brain. It can help identify the type and location of nerve damage.
Peripheral nerve conditions typically cause pain, sensory loss, tingling, or burning.
Mild weakness and diminished reflexes can be detected during a neurological examination.
Conditions
Nerve conduction studies are performed to help diagnose conditions.
Nerve damage (neuropathy), such as from diabetes, chemotherapy, or autoimmune disorders
Charcot-Marie-Tooth disease
Nerve compression
Many different conditions, including trauma, inflammation, and tumors, can compress one or more nerves.
Radiculopathy
Often described as a pinched nerve, radiculopathy can affect an arm or a leg, causing pain and weakness.
Peripheral Neuropathy
This nerve damage begins in the most distal nerves, those farthest from the center of the body, such as the toes and fingers. It is often due to chronic alcohol misuse, uncontrolled diabetes, nutritional deficits, and inflammatory diseases. (Ferdousi M. et al., 2020)
Carpal Tunnel Syndrome
Commonly caused by inflammatory diseases or overuse of the wrists, such as from assembly line work, carpal tunnel syndrome causes numbness, pain, and weakness of the fingers and hands. (Tada K. et al., 2022)
Ulnar neuropathy
This common condition causes arm pain and sensory changes, usually due to repetitive movements or a prolonged position that causes pressure on the ulnar nerve.
Guillain-Barré syndrome (GBS)
This inflammatory condition causes demyelination, or loss of the insulating covering around nerves, which results in leg weakness.
It begins in the motor nerves, which send signals to muscles in the legs. (Shibuya K. et al., 2022)
The inflammation travels to nerves of the upper body, often affecting the muscles that control breathing.
Respiratory support is necessary until the condition improves.
Chronic Demyelinating Polyneuropathy (CIDP)
This condition is a chronic, recurrent form of GBS that usually affects the legs and causes episodes of weakness.
ICU neuropathy
Metabolic changes, severe illness, and not moving enough can cause nerves to develop a pattern of weakness and sensory loss.
Myasthenia gravis (MG)
This autoimmune condition affects the junction between the nerves and the muscles.
Myasthenia gravis causes drooping eyelids and weakness of the arms and shoulders.
Amyotrophic lateral sclerosis (ALS)
ALS is a serious, degenerative disease affecting the spinal cord’s motor neurons.
Amyotrophic lateral sclerosis progresses rapidly, resulting in substantial weakness of muscles throughout the body.
How it’s Done
Surface electrodes are placed on the skin over nerves, and a small electrical current is applied to stimulate the nerve.
The time it takes for the electrical signal to travel between the electrodes is measured, and this time is used to calculate the NCV.
Values
Normal NCV values are generally between 50 and 70 meters per second. However, these values can vary depending on the nerve and the individual.
NCV Factors
Various factors can influence NCV.
Age
Sex
Medical conditions like diabetes
Interpretation
A slower NCV can indicate nerve damage or demyelination (loss of the myelin sheath, which insulates nerve fibers), while an EMG can help determine if the problem is with the nerve or the muscle.
Results
The results of NCV testing can be used to determine the type, severity, and location of nerve damage. The results will be ready in report form about a week after the test.
The test measures velocity (how fast a nerve transmits signals) and amplitude (how many nerve fibers were activated). (Tavee J. 2019)
The measurements are transmitted to a computer and shown as waves and numerical values.
The values are compared to a standard measurement based on the tested nerve.
The distance between the electrodes.
The person’s age.
Compared to the standard, the NCV results can identify certain patterns of nerve damage. (Tada K. et al., 2022) Outcomes include: (Tavee J. 2019)
If one or more nerves are affected.
If motor nerves (control movement), sensory nerves (transmit sensory signals), or both are affected.
Whether a nerve is blocked or damaged.
The severity of the damage.
The type of nerve damage
Axonal (damage to the nerve itself)
Demyelination (damage to the protective fatty layer around the nerve)
The results can help point to certain diagnoses.
Preparation Before the Test
Individuals will not need to change their diet before having an NCV. However, patients will be asked to avoid lotions or creams on their skin before the test. Individuals who are also having an EMG at the time of their NCV might be asked to stop taking medications or supplements that increase the risk of bleeding and bruising. If a healthcare provider says not to stop taking the medicines for health reasons, the patient might be warned that they could have some bruising after the EMG test.
NCV may advise against getting the test for those with electrical device implants.
Make sure your healthcare providers are aware of your whole medical history.
Injury Medical Chiropractic & Functional Medicine Clinic
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.
Peripheral Neuropathy and Chiropractic Care
References
Ferdousi, M., Kalteniece, A., Azmi, S., Petropoulos, I. N., Worthington, A., D’Onofrio, L., Dhage, S., Ponirakis, G., Alam, U., Marshall, A., Faber, C. G., Lauria, G., Soran, H., & Malik, R. A. (2020). Corneal confocal microscopy compared with quantitative sensory testing and nerve conduction for diagnosing and stratifying the severity of diabetic peripheral neuropathy. BMJ open diabetes research & care, 8(2), e001801. https://doi.org/10.1136/bmjdrc-2020-001801
Tada, K., Murai, A., Nakamura, Y., Nakade, Y., & Tsuchiya, H. (2022). In Carpal Tunnel Syndrome, Sensory Nerve Conduction Velocities Are Worst in the Middle Finger Than in the Index Finger. Frontiers in Neurology, 13, 851108. https://doi.org/10.3389/fneur.2022.851108
Shibuya, K., Tsuneyama, A., Misawa, S., Suzuki, Y. I., Suichi, T., Kojima, Y., Nakamura, K., Kano, H., Ohtani, R., Aotsuka, Y., Morooka, M., Prado, M., & Kuwabara, S. (2022). Different patterns of sensory nerve involvement in chronic inflammatory demyelinating polyneuropathy subtypes. Muscle & Nerve, 66(2), 131–135. https://doi.org/10.1002/mus.27530
Tavee J. (2019). Nerve conduction studies: Basic concepts. Handbook of Clinical Neurology, 160, 217–224. https://doi.org/10.1016/B978-0-444-64032-1.00014-X
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
Can postural assessments help identify problems with how a person stands or sits, which can lead to various musculoskeletal issues?
Postural Assessment
Proper posture is an exercise in which the muscles support the skeleton in a comfortable, stable, and efficient alignment. Healthy posture is present when the body is still and when moving. However, numerous factors can affect and hinder posture. These include daily wear and tear, injury, illness, or a condition. A posture assessment is a process that identifies posture issues and their root causes, often using visual and palpation techniques, and can help determine appropriate treatment or exercises. (Science Direct, 2007)
Visual Assessment
Observing the body’s alignment and symmetry from different angles (anterior, posterior, and lateral views).
Consider their daily activities, work environment, and any previous injuries. (Du, S. H. et al., 2023)
Wall Test
The patient stands against a wall with their feet shoulder-width apart and heels about 6 inches from the baseboard.
If they have good posture, their ears will be vertically aligned with their shoulders, and their head will be no more than three finger widths from the wall. (Physiopedia, 2025)
Professionals Who Can Perform a Posture Assessment
Physiotherapists
Professionals trained in assessing and treating musculoskeletal problems.
Chiropractors
Professionals who focus on the spine and nervous system.
Fitness Professionals
Personal trainers or other fitness professionals can use posture assessments to help clients improve their posture and movement.
Ergonomists
Professionals who specialize in designing workspaces and environments to promote good posture and reduce strain.
Injury Medical Chiropractic & Functional Medicine Clinic
Talk to a healthcare provider to learn what interventions would help the most. 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.
Singla, D., & Veqar, Z. (2014). Methods of postural assessment used for sports persons. Journal of clinical and diagnostic research: JCDR, 8(4), LE01–LE4. https://doi.org/10.7860/JCDR/2014/6836.4266
Du, S. H., Zhang, Y. H., Yang, Q. H., Wang, Y. C., Fang, Y., & Wang, X. Q. (2023). Spinal posture assessment and low back pain. EFORT open reviews, 8(9), 708–718. https://doi.org/10.1530/EOR-23-0025
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