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Chiropractic Examination

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.


Pain Under The Shoulder Blade

Pain Under The Shoulder Blade

There are various causes for achiness or soreness under the shoulder blades. The shoulder blade is the triangular bone that forms the back of the shoulder. This pain can range from dull, sharp, burning, or a combination between the spine and shoulder blade to tender or achy across the shoulder or upper back. Pain can spread from another body part or structure, like the neck or spine. Inflammation from injury or overuse is noticeable at onset or gradually after engaging in physical activity and can limit arm movements and interfere with regular activities.

Pain Under The Shoulder Blade

Improper Posture

Improper poster combined with prolonged sitting can cause the spine to develop structural changes that cause pain under the shoulder blade. Habits that lead to poor posture include:

  • Hunching the back.
  • Tilting the head down – looking at the phone.
  • Leaning to one side while sitting, working.

Poor posture habits cause the muscles to weaken, placing added pressure on the spinal discs, muscles, and ligaments. This body imbalance can contribute to upper back and shoulder pain.

Lifting Improperly

Lifting weight above the head and not using the proper technique can leave the upper back and shoulders vulnerable to injury. Lifting an object that is too heavy or is held in an awkward way causing the spine to be misaligned creates added pressure in the upper back. This can strain the muscles, sprain ligaments, injure the shoulder joint, or spine, which can cause spreading pain under and/or near the shoulder blade.

Repetitive Overuse Injury

Painting, moving furniture, or participating in sports are activities that can overwork the upper back muscles and shoulders. Overuse can lead to muscle strains and ligament sprains. This can cause pain in the upper back between the shoulder blade and the spine. Scapulothoracic bursitis, also known as snapping scapula syndrome, is when the bursa between the shoulder blade/scapula and the thoracic spine becomes inflamed, causing pain.

Cervical Herniated Disc

A herniated disc in the cervical spine/neck happens when a disc’s outer layer/annulus fibrosus tears and the inner layer/nucleus pulposus starts to leak outward. This can cause pain and cause the nearby nerve roots to become inflamed, causing pain to run down into the shoulder, arm, and/or hand. A disc herniation in the lower part of the neck usually radiates pain into or near the shoulder blade area. Although less common, a herniation in the upper back can cause pain around or near the shoulder blade.

Dislocated Rib

An accident or fall could cause a rib to become dislocated or misaligned after repetitive/overuse strain or reaching too far overhead. Sharp pain near the shoulder blade can result from this activity and can sometimes make it challenging to take a deep breath.

Compression Fracture

A compression fracture occurs when a vertebral bone in the upper back weakens and compresses. This can lead to back pain with a heightened sensitivity across the shoulder area. The pain usually decreases with rest. Compression fractures are commonly caused by osteoporosis in older individuals. Any back or shoulder pain that persists for weeks or interferes with regular activities should be evaluated by a doctor or chiropractor. If the pain is severe or accompanied by symptoms like headache, tingling, weakness, or nausea, individuals are recommended to seek medical attention.


Body Composition


Carbohydrate/Carb Loading

Carbohydrates are macronutrients that serve a critical function in the body, as they are the body’s primary energy source. The body breaks down carbohydrates into sugar that enters the bloodstream and is stored for energy use in the muscles and liver as glycogen. The muscles only store small quantities of glycogen. And when engaging in physical activity or exercise, the energy stores get used up.

Carbohydrate loading can raise glycogen stores in the muscles from 25 to 100 percent of their average amount in men. Women have shown mixed results in studies on carbohydrate loading. Women need to take in more calories than men when carb-loading to experience the same gains in glycogen. Reasons to carb load are either to:

  • Build-up stores of glycogen so an individual can use the extra energy storage to help improve endurance.
  • Fill the muscles with glycogen to bring water into the muscles to help gain mass and tone.
References

Hanchard, Nigel C A et al. “Physical tests for shoulder impingements and local lesions of bursa, tendon or labrum that may accompany impingement.” The Cochrane database of systematic reviews vol. 2013,4 CD007427. 30 Apr. 2013, doi:10.1002/14651858.CD007427.pub2

Mizutamari M. et al. Corresponding scapular pain with the nerve root involved in cervical radiculopathy. J Orthop Surg. 2010; 18(3): 356–60.

Sergienko, Stanislav, and Leonid Kalichman. “Myofascial origin of shoulder pain: a literature review.” Journal of bodywork and movement therapies vol. 19,1 (2015): 91-101. doi:10.1016/j.jbmt.2014.05.004

Initial Chiropractic Examination

Initial Chiropractic Examination

Chiropractic treatment/care is a recommended pain relief option for musculoskeletal automobile, sports, personal – injuries, strains, sprains, pain, and rehabilitation. An initial chiropractic examination is similar to a standard examination administered by health care providers. What an individual can expect at their first consultation includes:

  • Condition or pain symptoms
  • Medical history
  • Physical examination
  • Initial exams last around 45 minutes or more.
  • Follow-up appointments are shorter.

Initial Chiropractic Examination

Online Conference or Phone Call

Some chiropractors offer individuals an initial interview over a video conference and/or phone call. It is focused on discussion with topics like the chiropractors:

  • Types of insurance taken
  • Cost
  • Types of forms to fill out
  • Philosophy
  • Expertise
  • Specialization areas
  • Approaches
  • Techniques
  • Individual’s preferences

Initial Clinic Visit

The initial in-office clinical exam generally includes:

Patient History and Symptoms

The patient will be asked to fill out forms that can also be filled out online before the visit, saving a patient time if they so choose. This provides background information about symptoms and conditions in preparation for the in-person chiropractic consultation. Questions include:

  • Did the pain start as a result of an auto, sports, personal, work injury?
  • How did the pain start – activities, sports, work, etc.?
  • When did the pain start – a few days, weeks, months, years?
  • Where is the pain located?
  • Does the pain spread out to other areas?
  • Is the pain dull, sharp, burning, or throbbing?
  • Does the pain come and go, or is it constant?
  • What activities or body positions make it better and/or worse?
  • Patients are also asked to provide information on pre-existing medical conditions, family medical history if necessary, prior injuries, and previous and current treatments provided by other medical professionals.

Physical Examination

A chiropractic examination includes:

  • Reflexes
  • Respiration
  • Blood pressure
  • Pulse

Certain orthopedic and neurological tests can also be used. These include:

  • Range of motion
  • Neurological integrity
  • Muscle strength
  • Muscle tone
  • Walking gait
  • Posture analysis

Diagnostic Studies

Based on the medical history and physical exam results, diagnostic studies could help reveal pathologies and identify structural abnormalities to diagnose more accurately. X-rays are the most commonly used during an initial chiropractic exam and are used to:

  • Diagnose recent trauma
  • Diagnose bone fractures
  • Study spinal deformities

An MRI scan is recommended for soft tissue damage like a herniated disc, torn muscle/s, or nerve compression.

Patient Diagnosis after the Chiropractic Exam

All the findings from the medical history, physical exam, and diagnostic tests help the chiropractor form a diagnosis. Once the diagnosis is established, the chiropractor will discuss personalized treatment options.


Body Composition


Heart Disease

Many factors can contribute to heart disease, and research has pointed to inflammation caused by obesity as one of the most significant factors to its development. The main contributor is cytokines produced by excess body fat. Cytokines cause inflammation in the walls of the arteries causing damage and increasing pressure. Blood pressure is the force of blood pushing against the walls of the vessels. High blood pressure means that the heart is not pumping blood effectively, and the heart begins to enlarge. An enlarged heart is a significant risk factor that can lead to heart failure if interventions are not taken to repair the damage.

References

Jenkins HJ, Downie AS, French SD. Current evidence for spinal x-ray use in the chiropractic profession. Chiropr Man Therap. 2018; 26:48.

Wang, Zhaoxia, and Tomohiro Nakayama. “Inflammation, a link between obesity and cardiovascular disease.” Mediators of inflammation vol. 2010 (2010): 535918. doi:10.1155/2010/535918

Weeks, William B et al. “Public Perceptions of Doctors of Chiropractic: Results of a National Survey and Examination of Variation According to Respondents’ Likelihood to Use Chiropractic, Experience With Chiropractic, and Chiropractic Supply in Local Health Care Markets.” Journal of manipulative and physiological therapeutics vol. 38,8 (2015): 533-44. doi:10.1016/j.jmpt.2015.08.001

Nervous System Health and Chiropractic Assistance

Nervous System Health and Chiropractic Assistance

According to chiropractic physiological concepts, the body is in a state of relaxation when the body’s natural intelligence can properly function. With regular movement, work, school, chores, tasks, the body takes a beating getting pushed, pulled, and twisted. This results in loss of function, disharmony, chronic conditions, and disease. Chiropractic assistance restores the communication flow with various types of adjustments.

Nervous System Health and Chiropractic Assistance

Like a vehicle that has something loose or is out of place, but can still move, so do individuals continue to work despite their body telling them that something is wrong or out of place. As they continue the body can start to break down. Even with a minor vertebral subluxation. A subluxation is when a vertebra/spine’s bones interfere with the transmission of information along the spine and throughout the central nervous system. The messages/transmissions to and from the brain disrupt the body’s ability to function properly resulting in health issues. A chiropractor adjusts the body to correct the subluxation. This facilitates the body’s natural ability to:

  • Adapt
  • Regulate
  • Heal itself through its own natural intelligence.

Chiropractic is based on principles of physiology. These principles have a significant impact on individuals:

  • Overall health
  • Vitality
  • Well-being

Self-healing and Regulating

When individuals cut themselves, or when a bone gets broken, the body will heal itself. No thought or practice is needed. The body breathes, digests food, the heart continues to beat and the kidneys filter out waste products.

Brain, Nervous System, and Body Health

The brain and nervous system are what controls and coordinate the body’s ability to heal and self-regulate. The brain sends out information through the nervous system to the organs of the body. The information tells the organs what to do and when to do it. The organs reply to the brain through the nervous system letting the brain know everything is operating correctly.

To function properly and maintain optimal function, the body depends on the proper circulation of nerve transmissions/information traveling through the nervous system.

Spinal State

The condition or state of the spine if out of place even just a little could interfere with the transmission of information via the nerve pathways. Misalignments and subluxations don’t always hurt so individuals don’t know this is happening. The nervous system is protected by the skull and spinal bones, known as the vertebrae. The spinal bones allow for free movement. Subluxations and misalignments:

  • Stretch
  • Pinch
  • Irritate
  • Choke
  • Rub the nerve fibers.

This alters the information/messages traveling and interferes with the body’s ability to function as it should.

Chiropractic Assistance

Chiropractic assistance will diagnose and correct misalignments and subluxations, restoring proper nerve circulation. These spinal adjustments unlock and realign the bones allowing for optimal movement and the communication pathways are fixed. A healthy spine and nervous system are vital to healthy body function. This is the body’s natural state. How to know if you have a subluxation, have your spine checked by a chiropractor.


Body Health Assistance


Body Composition Goals

For individuals that fall within the extremely overweight and obese body fat percentage category, an effective strategy is to lose fat while preserving the existing Lean Body Mass. Individuals with high body fat percentages often have existing muscle developed from carrying the added weight when moving. Preserving this muscle is important. Having more muscle means increased metabolism and more strength.

  • To start losing body fat it is recommended to cut down/cut out processed foods and reduce caloric intake.
  • Consult with a health coach and nutritionist to find out about different types of diets and types of physical activity.

One study showed that obese individuals could quickly improve body composition by:

References

Maltese, Paolo Enrico et al. “Molecular foundations of chiropractic therapy.” Acta bio-medica : Atenei Parmensis vol. 90,10-S 93-102. 30 Sep. 2019, doi:10.23750/abm.v90i10-S.8768

Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal: official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x

Rosner, Anthony L. “Chiropractic Identity: A Neurological, Professional, and Political Assessment.” Journal of chiropractic humanities vol. 23,1 35-45. 20 Jul. 2016, doi:10.1016/j.echu.2016.05.001

Vining, Robert et al. “Assessment of chiropractic care on strength, balance, and endurance in active-duty U.S. military personnel with low back pain: a protocol for a randomized controlled trial.” Trials vol. 19,1 671. 5 Dec. 2018, doi:10.1186/s13063-018-3041-5

Chiropractic Treatment and Adjustment Schedule

Chiropractic Treatment and Adjustment Schedule

A proper diagnosis goes a long way. Treatment and recovery can happen relatively quickly or broken up into parts, phases, and sessions, as part of a treatment and rehabilitation plan. This depends on the individual, their age, underlying conditions, and the severity of their injury/s. It is not uncommon to have a treatment schedule that could be weeks/months long. This can be tough on individuals with limited abilities and/or a slow progressive rehab to get back to normal. It is arduous, but to achieve optimal healing and health, it is expected.

Chiropractic medicine is no different.  It’s non-invasive compared to surgery but not as immediate as medication/s. This places it in between. Recovery timelines can vary significantly based on the nature of the condition, the patient, their injury/s, and everything attached. Most chiropractic treatment and adjustment plans are scheduled according to the individual’s injury and/or condition. Every case is different, meaning that treatment could be a couple of sessions for an individual with mild sciatica to a few weeks or months for more severe injuries/conditions. Most want to know why chiropractors execute these plans over weeks and months.

Chiropractic Treatment and Adjustment Schedule

The Body Needs To Get Used To The Adjustments

One reason for an extended adjustment schedule is to prevent adjustment shock. Adjustment shock often presents through soreness and tenderness, and there could be a feeling of soreness when sitting or standing or difficulty when trying to move with a normal range of motion. This happens when trying to heal the body too much and too fast. Trying to perform massive chiropractic adjustments without preparing the body could worsen and/or create further injury/s.

For example, correcting severe lordosis requires repositioning the spine’s curvature through properly planned out adjustment sessions. If a chiropractor tries to adjust/align the spine into place over a few days, this would be extremely uncomfortable and more than likely painful for the individual. Plus, there is a lack of musculoskeletal support from the rest of the body that is needed to make sure that the adjustments/changes take hold and are maintained. A chiropractor wants to avoid these issues to focus on getting the individual back to proper health.

Preparing The Body With A Solid Foundation

Chiropractic manipulations and adjustments need time to settle in, ensuring that they take hold and not shift back to the incorrect position. Spinal problems are not solved overnight. This means that the causes of misalignment will remain for a period as the treatment/adjustment process begins. A spaced-out schedule ensures that the adjustments are made accordingly to strengthen the spine through the process. This enables adjustments and the body to develop the necessary support system and prevent any negative re-shifting. As time goes on, the adjustments achieve total realignment, restoring the positive curvature that can be maintained.

Schedule Benefits

Finally, the step-by-step nature of a chiropractic adjustment schedule enables the treatment team to check the status of an adjustment plan. If radiological imaging shows changes, setbacks, or new issues arise, the treatment plan and schedule can be changed and adapted accordingly.


Body Composition Testing


Too Much Alcohol Can Slow Recovery From Tissue Injuries

Alcohol is often associated with celebrations, anniversaries, etc. But drinking too much can damage the immune system. Too much alcohol contributes to organ damage, specifically the liver. However, it is known to slow down recovery from tissue injuries, as well. Moderate drinking is defined as drinking up to 1 drink a day for women and up to 2 a day. Exceeding the recommended intake disrupts the immune pathways and impairs the body’s ability to fight off infections. Alcohol-related immune system damage has been associated with the development of certain types of cancer, including head and neck cancers among alcohol users. Before thinking that this is a problem that only affects chronic alcohol users, acute binge drinking can also severely impair the body’s immune system.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Holt, Kelly, et al. “The effects of a single session of chiropractic care on strength, cortical drive, and spinal excitability in stroke patients.” Scientific Reports vol. 9,1 2673. 25 Feb. 2019, doi:10.1038/s41598-019-39577-5

Iben, Axén, et al. “Chiropractic maintenance care – what’s new? A systematic review of the literature.” Chiropractic & manual therapies vol. 27 63. 21 Nov. 2019, doi:10.1186/s12998-019-0283-6

Mior, Silvano et al. “Chiropractic services in the active-duty military setting: a scoping review.” Chiropractic & manual therapies vol. 27 45. 15 Jul. 2019, doi:10.1186/s12998-019-0259-6

Pasala, Sumana et al. “Impact of Alcohol Abuse on the Adaptive Immune System.” Alcohol research: current reviews vol. 37,2 (2015): 185-97.

Lifestyle Adjustments and Chiropractic Enhancements

Lifestyle Adjustments and Chiropractic Enhancements

Individuals are realizing the enhancements that chiropractic produces along with lifestyle adjustments. Chiropractic is about total body health. This includes:

  • Alleviating pain from injuries and musculoskeletal conditions
  • Reversing low energy levels
  • Healthy lifestyle adjustment support
  • Neck Pain
  • Back Pain
  • Chronic Pain
  • Herniated Disc/s
  • Headaches
  • Migraines
  • Sciatica
  • Sports Injuries

Healthy living and regular chiropractic adjustments will elevate the body’s health to new levels.

Chiropractic unlocks the body’s potential

Getting to the root cause of any symptoms that are presenting and addressing them is essential before the body can be at its optimum. A common root cause of pain, low energy, and various general health complaints is spinal misalignment. Poor spinal alignment leads to poor nerve energy flow and poor blood circulation. When the body and nervous system function incorrectly, there is interference with the body’s ability to process normal functions that leads to various forms of dysfunction. A chiropractor can recognize the smallest of changes in the spine that could be affecting the body’s health.

11860 Vista Del Sol, Ste. 128 Lifestyle Adjustments and Chiropractic Enhancements

Good Health to Optimal Health

Restoring spinal alignment is the first step in improving body health. If condition/s are present, first the pain will need to be reduced and under management, then the energy can be increased. A chiropractor will recommend lifestyle adjustments to start building a routine to take good health to optimal health. Recommendations include:

Physical Activity/Exercise

Regular physical activity/exercise for weight management, building muscle and maintaining balance. Specific exercises could be recommended for spinal alignment and core strength reinforcement.

Health Coaching/Diet

The nutrients consumed can have positive and negative effects on the body’s ability to function and heal. A health coach and nutritionist can recommend a nutrition plan that will elevate the body’s health to new levels, increasing energy and helping with weight loss if it is necessary.

11860 Vista Del Sol, Ste. 128 Lifestyle Adjustments and Chiropractic Enhancements

Stress management techniques

Stress is a major player when it comes to poor health. Chiropractic can help develop techniques and strategies to manage stress and reduce the strain on the body’s systems. This could include sleep hygiene, mindfulness, and more.

Neutral spine training

Healthy posture is highly neglected during daily activities, especially when sitting or lying down. A chiropractor will educate the individual on how to hold the spine and posture optimally to reduce awkward positions and unnecessary strain.

Consult a Chiropractic Provider

When making lifestyle changes, a vital component is learning how to incorporate the new adjustments consistently. This encourages the adjustment into becoming a healthy habit that can maintain optimal body health.

Body Composition

Reducing stress levels

There are various techniques that support relaxation, and help turn off the stress response. Here are a few science-backed options:

  1. Free-range eggs
  2. Nuts
  3. Seeds
  4. Shellfish
  5. Parsley
  6. Garlic

Stress-related eating is associated with an increased craving for calorie-dense and highly palatable/tasty usually unhealthy foods. When stress rises, food cravings rise triggering fat gain.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Hawk, Cheryl et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Walsh, Roger. “Lifestyle and mental health.” The American psychologist vol. 66,7 (2011): 579-92. doi:10.1037/a0021769

Stonerock, Gregory L, and James A Blumenthal. “Role of Counseling to Promote Adherence in Healthy Lifestyle Medicine: Strategies to Improve Exercise Adherence and Enhance Physical Activity.” Progress in cardiovascular diseases vol. 59,5 (2017): 455-462. doi:10.1016/j.pcad.2016.09.003

Chiropractic Examination Fibromyalgia Diagnosis

Chiropractic Examination Fibromyalgia Diagnosis

A fibromyalgia diagnosis involves the process of eliminating other disorders and conditions with similar symptoms. It can be difficult to diagnose fibromyalgia. There is no common exam or test that a doctor can use to definitively diagnose fibromyalgia. The elimination process is utilized because of several other conditions with similar symptoms. These include:
  • Rheumatoid arthritis
  • Chronic fatigue syndrome
  • Lupus
11860 Vista Del Sol, Ste. 128 Chiropractic Examination Fibromyalgia Diagnosis
 
It can take some time when an individual first notices symptoms and actually being diagnosed with fibromyalgia, which can be frustrating. Doctors have to become detectives, working hard to find the right cause of pain and other symptoms. Developing the right diagnosis is necessary to create an optimal treatment plan.  

Fibromyalgia Diagnosis Criteria

  • Pain and symptoms based on the total number of painful areas
  • Fatigue
  • Poor sleep
  • Thinking problems
  • Memory problems
In 2010, a study was published that updated fibromyalgia diagnosis criteria for fibromyalgia. The new criteria remove the emphasis on tender point examination. The 2010 criteria’s focus is more on the widespread pain index or WPI. There is an item checklist about where and when an individual experiences pain. This index is combined with a symptom severity scale, and the end result is a new way to classify and develop a fibromyalgia diagnosis.  
 

Diagnostic Process

Medical History

A doctor will look at an individual’s complete medical history, asking about any other conditions present and family condition/disease history.

Symptoms Discussion

The most common questions asked by a doctor are where it hurts, how it hurts, how long it hurts, etc. However, an individual should offer as much or added details of their symptoms. Diagnosing fibromyalgia is very dependent on the report of the symptoms, so it is important to be as specific and accurate as possible. A pain diary, which is a record of all symptoms that present will make it easier to remember and share information with the doctor. An example is giving information on trouble sleeping, with a feeling of tiredness a majority of the time, and headache presentation.

Physical Examination

A doctor will palpate or apply light pressure with the hands around the tender points.  
11860 Vista Del Sol, Ste. 128 Chiropractic Examination Fibromyalgia Diagnosis
 

Other Tests

As previously stated symptoms can be very similar to other conditions like: A doctor wants to rule out any other conditions, so they will order various tests. These tests are not to diagnose fibromyalgia but to eliminate other possible conditions. A doctor could order:

Anti-nuclear antibody – ANA test

Anti-nuclear antibodies are abnormal proteins that can present in the blood if an individual has lupus. The doctor will want to see if the blood has these proteins to rule out lupus.

Blood count

By looking at an individual’s blood count, a doctor will be able to develop other possible causes for extreme fatigue like anemia.

Erythrocyte sedimentation rate – ESR

An erythrocyte sedimentation rate test measures how quickly red blood cells fall to the bottom of a test tube. In individuals with a rheumatic disease like rheumatoid arthritis, the sedimentation rate is higher. The red blood cells fall quickly to the bottom. This suggests that there is inflammation in the body.  
 

Rheumatoid factor – RF test

For individuals with an inflammatory condition like rheumatoid arthritis, a higher level of the rheumatoid factor can be identified in the blood. A higher level of RF does not guarantee that the pain is caused by rheumatoid arthritis, but doing an RF test will help the doctor explore a possible RA diagnosis.

Thyroid tests

Thyroid tests will help a doctor rule out thyroid problems.

Final Note Fibromyalgia Diagnosis

Again, diagnosing fibromyalgia can take awhile. A patient’s job is to be proactive in the diagnostic process. Be sure you understand what the results will tell and how that specific test will help figure out the cause of the pain. If you don’t understand the results, keep asking questions until it makes sense.

InBody


 

Body composition and Diabetes Connection

The body needs a balance of lean body mass and fat mass to function properly/optimally and maintain overall health. The balance can be disrupted in overweight and obese individuals because of excess fat. Individuals that are overweight should focus on improving body composition by reducing fat mass while maintaining or increasing lean body mass. Balanced body composition can reduce the risk of diabetes, other obesity-related disorders, and a positive effect on metabolism. Metabolism is the breaking down of foods for energy, the maintenance, and repair of body structures. The body breaks down the food nutrients/minerals into elemental components and directs them to where they need to go. Diabetes is a metabolic disorder meaning it changes the way the body makes use of the nutrients, in such a way that the cells are unable to utilize digested glucose for energy. Without insulin, the glucose cannot get into the cells, so it ends up lingering in the blood. When the glucose can�t make its way out of the blood, it builds up. All the excess blood sugar can potentially be converted to triglycerides and stored as fat. With an increase in fat mass, hormone imbalances or systemic inflammation can happen or progress. This increases the risk for other diseases or conditions. A buildup of fat and diabetes are associated with increased risk for:
  • Heart attacks
  • Nerve damage
  • Eye problems
  • Kidney disease
  • Skin infections
  • Stroke
Diabetes can even cause the immune system to become impaired. When combined with poor circulation to the extremities, the risk of wounds, infections, can lead to amputation of the toes, foot/feet, or leg/s.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
American College of Rheumatology. Fibromyalgia. 2013.�http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Fibromyalgia/. Accessed December 5, 2014. Living with Fibromyalgia:�Mayo Clinic Proceedings.�(June 2006) �Improvement in Fibromyalgia Symptoms With Acupuncture: Results of a Randomized Controlled Trial��https://www.sciencedirect.com/science/article/abs/pii/S0025619611617291 What Are Common Fibromyalgia Symptoms and How Does It Cause Back Pain?:�Clinical Biomechanics.�(July 2012) �Functional capacity, muscle strength and falls in women with fibromyalgia��https://www.sciencedirect.com/science/article/abs/pii/S0268003311003226
Cauda Equina Syndrome Nerve Compression

Cauda Equina Syndrome Nerve Compression

Cauda equina syndrome is an emergency that needs to be treated as soon as possible. It is a form of spinal nerve compression, but if left untreated, it can lead to permanent paralysis of one or both legs and permanent loss of bowel/bladder control. Lower back pain after sitting for too long or improperly lifting something heavy happens to most if not all of us.
However, sometimes pain in the lower back can be an indicator of something more serious. Especially, for individuals that are dealing with or managing back pain. One condition is cauda equina syndrome. It�s not like sciatica or arthritis, but it does have specific symptoms that individuals should be aware of.

Cauda Equina Syndrome

The term comes from Latin that means horse�s tail. The cauda equina forms the group of nerves that run through the lumbar spinal canal. Generally, the condition means two things:
  • There is nerve compression of most of the lumbar spinal canal
  • Compression symptoms like numbness or weakness in the leg/s
How cauda equina syndrome differs from typical compression of the lumbar spinal canal is that it can be caused by different issues, from fractures, tumors, and infections. More commonly, it is disc herniations that cause the problems. The key difference is the degree of nerve compression, and the number of nerves compressed. For example, compression of a single nerve will not cause loss of bladder function. But compression of multiple nerves, especially the sacral nerves can cause loss of function. Nerve compression that leads to pain or numbness can be treated differently. Surgery is reserved for severe cases and for individuals that are not improving with non-invasive treatment.
11860 Vista Del Sol, Ste. 128 Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis

Sneaky Presentation

One of the major factors is long-term compression that individuals do not realize they have. Individuals are more likely to be aware of symptoms from another spinal condition before cauda equina syndrome presents. However, the condition presents quickly but often other overlapping back problems mask cauda equina syndrome.

Causes

The syndrome can be brought on from anything that compresses the nerves. Most commonly, it is a root compression from degenerative processes, specifically lumbar disc herniations. Other causes include:
  • Bleeding like an epidural hematoma
  • Trauma like fractures or penetrating trauma
  • Tumors growing in the canal or the collapse of a tumor-affected bone
  • Disc herniations can progressively grow in size, which leads to a slowly-evolving cauda equina syndrome.
  • An enlarging disc herniation or synovial cyst can further compromise the already compressed nerves.
  • Overgrowth of arthritic joints or bone spurs into the spinal canal can lead to long-term compression.

Symptoms

The symptoms vary based on the degree that the spinal canal has been affected:
  • Back pain
  • Leg pain
  • Sciatica
  • Saddle numbness that extends into other areas of the legs
  • Neurogenic bladder dysfunction. This can range from difficulty starting to urinate or limited and/or non-voluntary control urinating.
  • Bowel dysfunction
  • Sexual dysfunction

Diagnosis

A doctor will examine any significant changes in bladder, bowel, or leg function that are considered red flags prompting an early and complete assessment. A physician will ask for a complete/detailed history of the onset and progression of symptoms. The second is a close physical examination which includes testing sensation and strength along with a rectal exam to assess voluntary contraction. Also checking the body’s reflexes, assess walking gait and alignment. If most or all of the symptoms are presenting this will set in motion spinal imaging or an MRI. If the symptoms, exam, and imaging match, it will lead to an emergency admission to the hospital.
11860 Vista Del Sol, Ste. 128 Cauda Equina Syndrome Nerve Compression Chiropractic Diagnosis

Body Composition Spotlight


 

Obesity and Osteoarthritis Connection

A variety of factors contribute to the development of osteoarthritis, including genetic factors and lifestyle choices. Research supports obesity is a significant risk factor in the development of osteoarthritis. It is pretty straightforward as body weight increases this equals increased load on the spine, and joints, especially the weight-bearing ones like the hips and knees. Increased pressure leads to early wearing, tearing, and eventual development of osteoarthritis. Added weight affects the body’s biomechanics and gait patterns. However, obesity has also been shown to be a risk factor even on the non-weight-bearing joints. This is based on adipose tissue, which is more than just insulation. Adipose tissue is metabolically active and is involved in the secreting adipokines and cytokines which promote an inflammatory response. Pro-inflammatory adipokines and cytokines can have detrimental effects on joint tissue including damage to cartilage, synovial joints, and subchondral bone. The effect of inflammation on the joints in the body can contribute to the development of osteoarthritis.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Causes of Cauda Equina:�Neurosurgical Focus.�(June 2004) �Spinal epidural hematoma causing acute cauda equina syndrome��https://pubmed.ncbi.nlm.nih.gov/15202871/ Arriving at a Diagnosis:�British Journal of Neurosurgery. (August 2010) �Reliability of clinical assessment in diagnosing cauda equina syndrome��https://www.tandfonline.com/doi/abs/10.3109/02688697.2010.505987
Achieve Health Goals With Chiropractic, and Nutritional Coaching

Achieve Health Goals With Chiropractic, and Nutritional Coaching

The new year offers a blank slate to better our lives and try new things that will help us achieve our life goals. Health goals can be achieved through chiropractic treatment and nutritional coaching. Improving one’s health is one of the quickest ways to boost the body and mind’s quality of life.  
11860 Vista Del Sol, Ste. 128 Achieve Health Goals With Chiropractic, and Nutritional Coaching
 

Health Goals and A New Year

Individuals set health goals only to forget about them after a few weeks or months. When setting goals that don�t stick, the biggest issue is the focus is on the wrong process to achieve these goals. Individuals tend to aim for goals that are doable but too advanced to jump right into. Much like someone that has never worked on home renovation, but decides they can knock out a kitchen, or bathroom remodel in two weeks. This is where training comes in to learn how to go about achieving these goals properly and in a healthy fashion. Common goals include:
  • Weight loss
  • Maintaining a healthy diet
  • Regular exercise
  • Increased energy
  • Stress management skills improvement
  • More time with the family
  • Quitting smoking
 

Chiropractic Motivation

If there are health goals that have been a struggle to maintain then it is time to get expert professional help. Chiropractic and health coaching could be a practical option. Chiropractic addresses whole-body health with sustainable changes/adjustments to achieve optimal health. Chiropractic is a specialized branch of medicine dedicated to addressing body dysfunction through non-invasive spinal realignment. A misaligned spine leads to poor nerve and blood circulation that affects the body’s functional health at every level. Treatment with a chiropractic provider can help achieve health goals from the ground up. Once spinal alignment has been achieved and the body is ready, then guidance and recommendations with lifestyle changes, like exercise and stress management can be addressed to reach full health potential.  
11860 Vista Del Sol, Ste. 128 Achieve Health Goals With Chiropractic, and Nutritional Coaching
 

Stop Waiting

There is no better time than now to start working toward health goals that can actually be controlled. We can control how we perceive our lives, treat our bodies and minds. A chiropractor and health coach will help set small attainable goals that can be kept, contact Injury Medical and Chiropractic Clinic today.

The Body’s Composition


 

Invest In Your Body

It is easy to think of your body as healthy and invincible. This is true when young, but age will catch up. The muscles will begin to plateau in strength in an individual’s 30s, which can lead to less physical activity. Being aware of the body’s fat percentage and keeping track is a great way to determine if body composition is declining. If weight has not changed over a couple of years but body fat percentage seems to have increased, this is a red flag that could indicate age-related muscle loss is taking place.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Maiers, Michele et al. �Chiropractic in Global Health and wellbeing: a white paper describing the public health agenda of the World Federation of Chiropractic.��Chiropractic & manual therapies�vol. 26 26. 17 Jul. 2018, doi:10.1186/s12998-018-0194-y
Post-Injury Chiropractic Health and Wellness

Post-Injury Chiropractic Health and Wellness

Post-Injury: We push ourselves throughout our lives, and accidents that result in injuries are just part of the process. The top causes of injury include:
  • Falls
  • Automobile accidents
  • Sports injuries
  • Work injuries
Many of them lead to prolonged injury to the spine, knees, hands, and feet. The objective after an injury is to make sure the body heals properly. Without proper treatment, disability, chronic pain, and the development of other health issues are increased.  
11860 Vista Del Sol, Ste. 128 Post-Injury Chiropractic Health and Wellness
 

Post-Injury Care

Injuries cause pain that can result in spinal misalignment, range of motion problems, and a poor quality of life. Seeking care from a spinal expert in alignment and movement will help recover quicker and sustainably. Chiropractic is a research-oriented, top-quality approach that provides natural whole-body care. A chiropractic practitioner will promote proper recovery and decrease the risk of disability and chronic suffering.  

Proper spinal alignment

Chiropractic providers are experts in spinal alignment. Here are a few of the amazing benefits that chiropractic provides. Even the most subtle misalignments affect blood and nerve circulation/energy leading to decreased overall body function, slow down the healing process, increases pain, and other health issues. Misalignment is associated frequently as a root cause for symptoms. This allows the body to restore its normal function and heal the recovery process.  

Tissue restoration and flexibility

Once alignment has been restored, the continued chiropractic adjustments will maximize the effectiveness of the treatment plan. A personalized treatment plan focuses on the most effective, optimal, non-invasive techniques. The objective is to maintain body balance/alignment allowing the body to recover and rehabilitate properly. Treatment can include:
  • Pain management with modalities
  • Soft tissue massage
  • Exercises
  • Stretching
  • Health coaching
11860 Vista Del Sol, Ste. 128 Post-Injury Chiropractic Health and Wellness
 

Maximize the benefits

Initial symptoms can become chronic and worsen with time if left untreated/ignored and are not medically addressed. Properly maintained recovery will minimize this risk of exacerbating or developing new injuries. Long-term issues typically stem from:
  • Improper mechanics
  • Misunderstanding of the injury
  • Scar tissue
  • Spinal misalignments
Chiropractic experts are trained to recognize subtle changes that can make differences in the long run and will help minimize all issues right from the start.

Chiropractic for injuries

After an injury has been sustained chiropractic post-injury will increase recovery potential and get the body back on track. Chiropractic post-injury will reduce pain, and get the body back at its best. Find a chiropractor to maximize the recovery process today.

Best Sports Chiropractor

 
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Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Piper, Steven et al. �The effectiveness of soft-tissue therapy for the management of musculoskeletal disorders and injuries of the upper and lower extremities: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) collaboration.� Manual therapy�vol. 21 (2016): 18-34. doi:10.1016/j.math.2015.08.011
Patient Medical History Importance for Optimal Treatment

Patient Medical History Importance for Optimal Treatment

The first step in chiropractic care is getting the individual’s medical history. Many visit a chiropractor with certain expectations of how things will go. They will lay down on a table while the chiropractor adjusts the spine. There will be pops and cracks, and the tension will go away. And afterward, they�ll feel better. However, without an individual’s medical history, the treatment will not be as effective because of the lack of information. This means that a chiropractor is only able to perform general adjustments but is not able to get to the root cause and maximize the full potential of the adjustments. Patient education starts the moment someone walks into the clinic.  
11860 Vista Del Sol, Ste. 128 Patient Medical History Importance for Optimal Treatment
 

The nature of holistic medicine

Some questions a chiropractor might ask include:
  • What type of pain is presenting – shooting, burning, aching, throbbing, etc?
  • Have you had any recent surgeries?
  • Is there a history of chronic pain?
  • What medications are being taken?
Each will be explained in further detail and what they mean for the development of a treatment plan. An individual needs to understand how important their medical histories are for treatment progress. Patient history prevents executing the wrong treatment plan by having an informed understanding of the individual’s body. For example, a chiropractor can�t perform the same adjustments on a senior with osteoporosis that they do on a middle-aged athlete. And someone recovering from surgery will not have the range of motion when healthy. An adjustment can result in X, Y, or Z, depending on the factors at work. Medical history is vital as it eliminates any unknowns, so a chiropractor can solve for X, Y, or Z by being able to provide the best outcome for the individual.  
 

The more information, the better the treatment plan

When an individual has neck pain, a doctor is not going to prescribe immediate surgery, unless it is an emergency. Rather, they will perform a full examination, ask questions, try to find the cause, and analyze the intensity of the pain. A chiropractor is no different, and individual medical history is vital. Obtaining as much information as possible can help a chiropractor reach a proper diagnosis and ensures the right course of action is taken. Individuals often do not realize but for example,
  • An automobile accident that happened last year could be manifesting symptoms now.
  • Shoulder surgery five years ago could be limiting the range of motion, affecting the musculature around the cervical spine.
  • Chronic plantar fasciitis and self-medicating for a while can cause instability in the lumbar spine affecting the cervical spine.
Every little bit of information can help put the puzzle together to get a clear picture of what is going on. The biggest contributor of information is patient medical history, formally documented and informally spoken.  
11860 Vista Del Sol, Ste. 128 Patient Medical History Importance for Optimal Treatment
 

Informed care

A visit to Injury Medical Chiropractic Clinic is a collaboration between patient and chiropractor that leads to informed and the best treatment possible. Medical history informs optimal care. For more information or for more tips on chiropractic care, contact us today.

New Patient Chiropractic Care

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Hunter, J. �Medical history and chronic pain.��The Clinical journal of pain�vol. 17,4 Suppl (2001): S20-5. doi:10.1097/00002508-200112001-00007
Consistent Chiropractic Care, How Many Follow-Ups Are Necessary?

Consistent Chiropractic Care, How Many Follow-Ups Are Necessary?

Consistency is what makes chiropractic care work. A common misunderstanding about chiropractic medicine is the number of follow-up treatments necessary after the initial adjustment. Every individual requires a unique customized treatment plan. There are a few general guidelines chiropractors use to determine how they schedule follow-ups. Here is some insight into the nature of corrective chiropractic adjustments.  
11860 Vista Del Sol, Ste. 128 Consistent Chiropractic Care, How Many Follow-Ups Are Necessary?
 

Consistent Chiropractic

The critical nature of follow-up visits is that a single chiropractic adjustment is not an instant cure. It is an ongoing corrective process. Follow-up appointments are to ensure that the adjustments are on the right track and that whole-body wellness is maintained. Consistent chiropractic treatments maximize effectiveness and ensure proper functionality.  

Types of Care

The need for consistent care can be placed in types or phases. Types of care are:
  • Urgent
  • Reparative
  • Preventive
  • Rehabilitative

Urgent

Individuals go to a medical clinic because they are experiencing discomforting symptoms, pain, etc. A chiropractor’s responsibility is to alleviate those symptoms and address the root cause. Until the symptoms stop and no longer present an individual is in the urgent phase. During this phase, because the injury/condition is new to the chiropractor, they need to get it stabilized first, which consists of several adjustments that focus on various areas. In order to bring proper balance, each of those areas is worked on at follow-up treatment sessions.  
 

Reparative/Rehabilitative

Reparative care does not require the need to see the individual as often. Instead, the treatment is now focused on the root cause of the symptoms, and getting back range of motion. Regular appointments are still important, but they are not as frequent as initial treatment.

Preventive

The preventive care phase is when the main issues have been addressed and can now work on strengthening the immune system through regular adjustments along with stretches, exercises, and diet recommendations that will optimize overall health. This phase includes regularly scheduled but more infrequent adjustment appointments.  

Chiropractic Supplementation

 
11860 Vista Del Sol, Ste. 128 Consistent Chiropractic Care, How Many Follow-Ups Are Necessary?
 
A properly maintained regimen of treatment is going beyond the physical manipulation of the spine. Chiropractic clinics offer many other benefits that include: Consistent chiropractic treatment approaches require time, patience, and energy. All of these help to deliver superior care that leads to optimal health.

Power and Rehab Chiropractic Care


Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Liebenson, C. �Rehabilitation and chiropractic practice.��Journal of manipulative and physiological therapeutics�vol. 19,2 (1996): 134-40.
Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19

Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19

Covid-19 has impacted everyone in so many ways. There is a possible connection between Covid-19 and a rare spinal disorder known as transverse myelitis. There have been three known cases of acute transverse myelitis brought on from covid-19. Although these case reports are not enough to prove that covid is the cause for transverse myelitis, researchers are delving into the possibility of a connection between the virus and this spinal condition.  
11860 Vista Del Sol, Ste. 128 Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19
 

Transverse Myelitis

Transverse myelitis causes inflammation of the spinal cord. It can be caused by
  • Infections
  • Immune system disorders
  • Disorders that damage/destroy myelin
Myelin is the layer that forms around nerve cell axons or the wiring of the nervous system and insulates them. It consists of protein, fatty substances, and acts as a defensive sheath that allows electrical impulses to transmit properly. The insulation properties are essential for:
  • Proper motor function
  • Sensory function
  • Cognition
 
Without the insulation, the electrical impulses traveling through the spinal cord dissipate or weaken. The messages don’t reach the nerves and can lead to:
  • Muscle spasms
  • Twitching
  • Numbness
The most common disorder that destroys the myelin known as demyelination is multiple sclerosis. Transverse myelitis can affect individuals of:
  • Any race
  • Gender
  • Age
There are treatments, but there is no cure. Treatments consist of corticosteroids and other therapies to suppress the immune system. However, their focus is on preventing and minimizing permanent neurological damage.  
11860 Vista Del Sol, Ste. 128 Transverse Myelitis Rare Spinal Cord Disorder Possible Cause Covid-19
 

Recognizing and Identifying

Symptoms of transverse myelitis can include:
  • Pain that usually starts in the lower back and causes shooting pain/sensations down the legs, arm, and torso
  • Leg/s and arm/s weakness
  • Sensory changes in the legs, torso, and genital area
  • Bladder and Bowel dysfunction
  • Muscle spasms
  • General discomfort
  • Headaches
  • Fever
  • Loss of appetite
Depending on the segment of the spine where the damage is occurring will determine which parts of the body are affected. Diagnosis begins with a thorough medical evaluation. A doctor will utilize various methods. A thorough neurological exam will be performed to rule out any issues that require emergency intervention. If a doctor suspects transverse myelitis they will order diagnostic tests like:
  • Magnetic resonance imaging or an MRI
  • Blood tests
  • Lumbar puncture

Treatment

As previously stated, there is no cure for transverse myelitis, and treatment focuses on managing complications. Treatments can include:
  • Pain medication
  • Antiviral medications
  • Intravenous corticosteroids
  • Immunomodulating agents
  • Plasma exchange therapy
  • Intravenous immunoglobin treatment
The hard facts are that while most people with transverse myelitis have at least a partial recovery, for some, however, recovery can continue for up to two years and longer. A combination of medications, chiropractic, and physical therapy can help improve physical symptoms. The National Institute of Neurological Disorders and Stroke is working to understand the process, as to how the immune system destroys or attacks myelin. Hopefully, this will lead to answers, improved treatment, and prevention. It is well-documented that Multiple sclerosis, bacterial infections, and other viruses can cause transverse myelitis, research must continue to see if there is a connection to covid-19.

Chiropractic Lower Back Pain Treatment


Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Chakraborty, Uddalak et al. �COVID-19-associated acute transverse myelitis: a rare entity.��BMJ case reports�vol. 13,8 e238668. 25 Aug. 2020, doi:10.1136/bcr-2020-238668
Anterior/Posterior Pelvic Tilt Prevention with Chiropractic Foot Orthotics

Anterior/Posterior Pelvic Tilt Prevention with Chiropractic Foot Orthotics

Few individuals realize they have problems with their feet. Flat feet can cause anterior or posterior pelvic tilt. This is a condition where the pelvis tilts too far forward or too far backward. Individuals can go through their entire life without realizing they have some type of foot issue. This can cause poor support in the lumbar spine generating back problems and chronic illness. The problem with foot issues is that it can set-up a chain of physiological deficiencies. This can include:
11860 Vista Del Sol, Ste. 128 Anterior/Posterior Pelvic Tilt Prevention with Chiropractic Foot Orthotics
 
Many accept these health issues as part of their normal physiology. However, flat-feet and other related musculoskeletal issues can be identified and corrected with proper support. Custom Foot Orthotics for the foot issue/s and chiropractic alignment for the whole-body. Based on the assessment of the spinal curvature and posture of the individual, a chiropractor will be able to determine to what degree the pelvic tilt and foot problem/s need to be corrected.

Foot Orthotic Support

How orthotics function to promote proper posture and alleviate back pain works like this.
  • First, immediate support to the feet that are weakened, unbalanced, and lack physiological strength is provided. This generates proper posture and balance all the way up the spine.
  • Second, the feet are able to remodel themselves over time as they become accustomed to the new support.
11860 Vista Del Sol, Ste. 128 Anterior/Posterior Pelvic Tilt Prevention with Chiropractic Foot Orthotics
 

Pelvic Tilt Identification

Chiropractors utilize orthotics when correcting anterior or posterior pelvic tilt. This is because the conditions are the direct result of a poor/weakened foundation. When there is little or no natural arch of the foot there is no support for the: The lower body needs this support from these various muscle groups with many in the lower back. This causes strain on these muscles and causes pelvic and potential spinal misalignment. Depending on the progress of the tilt/misalignment and posture, will aid a chiropractor to determine the best treatment approach.  
 

Rebuilding

Chiropractic adjustments will be able to restore the lumbar support that was weakened or lost from foot issues. A chiropractor will go to the source or root of the problem. Foot orthotics can be a primary tool for re-training the feet for proper support. These orthotics are custom modeled to an individual�s feet. This promotes spinal and pelvic wellness combined with the right amount of support required for each foot. Over time, and as the feet remodel themselves the custom orthotics can also be remodeled allowing for continuous improvement. With time it�s possible for many to accomplish the restoration of the body’s musculoskeletal health. These include:
  • Strengthened foot arches
  • Stress and muscle tension alleviation
  • A re-trained proper lower back support
  • Restoration of proper spinal curvature
  • Correct and retrain anterior/posterior pelvic tilting habits

Custom Foot Orthotics

Foot orthotics require no effort. An individual just puts them in their footwear and done. The orthotics do the work for the individual when standing, walking, or running. If diagnosed with a pelvic tilt condition or are unsure if there is a tilt, contact a chiropractor about the benefits of foot orthotics.

Benefits of Functional Foot Orthotics

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Betsch, Marcel, et al. �Influence of foot positions on the spine and pelvis.� Arthritis care & research�vol. 63,12 (2011): 1758-65. doi:10.1002/acr.20601
Sciatica or Aneurysm, A Fatal Misdiagnosis

Sciatica or Aneurysm, A Fatal Misdiagnosis

Sciatica or Aneurysm? Knowing how a missed diagnosis could be potentially fatal if not diagnosed accurately could be a deadly mistake! Doctors must not fall for a sciatica diagnosis when a possibly fatal iliac artery aneurysm lies looming and progressing.
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Fatal Misdiagnosis

Sciatica or Aneurysm

An example is a patient who visited an emergency clinic after a few weeks for a non-painful pulsing mass on the buttock. There was no:
  • Trauma
  • Injury
  • Back pain
  • Leg pain
  • Prior presentations of pain or sciatica issues
A physical examination found a small pulsing mass on the right buttock. Palpation around the site found no issues with the sensory and motor nerves.
An ultrasound scan of the affected area revealed a developing aneurysm. This was followed by a CT scan of the abdomen along with the pelvis using a contrast dye found the aneurysm developing from the left internal iliac artery. If the mass was not present a doctor could easily diagnose sciatica or persistent sciatic artery. If the iliac artery presents with pulsating lesions is a tip-off that a vascular issue could be impinging on the sciatic nerve. Vascular surgery was discussed with the patient. Surgery was necessary, and the patient underwent sciatic aneurysm repair. The patient was discharged without any complications.

Persistent Sciatic Artery

This is a very rare congenital vascular condition. The sciatic artery runs along the sciatic nerve and functions as the major blood supply to the lower extremities. During human embryo development, the femoral artery begins to form while the sciatic arteries start to return to a less developed state. The process continues until the femoral artery takes over as the major blood supply, with only bits of the sciatic artery left. Persistent sciatic artery can happen either from the sciatic artery not returning to its original size or during normal development the femoral artery developing properly. Most cases of persistent sciatic artery go unknown and are usually detected from another examination for another ailment. Aneurysms often develop based on the arteries/vessel’s tendency for minor trauma/injury when sitting or some form of pressure is applied on the site. Complications include: A vascular surgeon should be consulted. Treatment options include:
  • Surgical exclusion of the aneurysm
  • Surgical excision of the aneurysm
  • Endovascular stenting
  • Endovascular coiling
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Fatal Misdiagnosis

Vascular Conditions In The Leg/s That Can Present As Sciatica

The legs’ blood vessels can get infected, bulged, ruptured, or blocked. This can cause sciatica symptoms, like leg pain, weakness, tingling, and numbness. Severe cases could require medical emergency surgery to save the affected limb.

Acute Limb Ischemia

This condition occurs from a decrease or loss of blood supply to the legs. If there is leg pain, it could feel similar to sciatica pain. However, symptoms can progress rapidly and become severe. That’s when it is not sciatica. Acute limb ischemia present one or more of the following symptoms:
  • Pain and/or numbness in the leg while walking and when resting
  • Severe pain at night
  • Sleep problems
  • Pain relief when sitting on a chair with the feet hanging down
  • Feet and ankles become swollen
  • A pale color and lowered skin temperature over the toes and feet when compared to the legs
Acute limb ischemia can develop from an aneurysm, blood clot, or from the thickening of the vessel walls. Treatment should be prompt in order to preserve leg function. Differentiation diagnosis between vascular and other causes like spinal problems that can cause leg pain. A doctor may perform an Ankle/Brachial Index which is a comparison of blood flow in the arms versus the legs. This can be critical in determining if there is vascular insufficiency.
11860 Vista Del Sol, Ste. 128 Sciatica or Aneurysm, A Deadly Mistake!

Acute Compartment Syndrome

This places increased pressure in the muscle tissues of the leg. It can lead to loss of blood supply in and around the affected area. The sciatic nerve can also get compressed from the increased pressure in the buttock, thigh, or leg. The condition can cause pain, numbness, and weakness in the buttock, thigh, and leg. Individuals have also reported an unusual/altered sensation in the web of the great toe. This is similar to sciatica, as well as one or both legs can be affected. Differentiating symptoms include:
  • Leg becomes swollen
  • Pain and tenderness present when touching the leg
  • A pale color and lowered skin temperature over the leg
Acute compartment syndrome is a serious condition that is considered a medical emergency. It is possible for the condition to cause complete dysfunction of the limb if not addressed in time. There are risk factors that increase the chances of developing limb ischemia or compartment syndrome. These are:
  • Diabetes
  • Heart conditions
  • High cholesterol
  • Smoking
  • History of having the condition can also cause a recurrence. This can be from an injury or poor health.
Kidney stones, renal failure, or cysts in the kidney can also cause back and leg pain. Other symptoms can include blood in the urine or difficulty urinating. Any sign of distressing symptoms that present with sciatica can indicate the need for medical attention. This is to check for the possibility of a serious underlying condition or medical emergency. Medical emergencies that are treated in time can help preserve the tissue/s, restore function, and save an individual�s life. It is essential for a chiropractor or physical therapist to be familiar with diagnosing in a way that will help identify sciatica or aneurysm in individuals presenting with musculoskeletal issues/problems. Knowledge of these risk factors, understanding how to screen for non-musculoskeletal symptoms, basic competence in palpation, and how to interpret findings will help discover sciatica or aneurysm if it is there and begin timely treatment. And if it is not there then a sciatica treatment plan can be developed before it worsens.

Sciatic Nerve Pain

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
  1. Javdanfar A, Celentano C. Sciatic artery aneurysm. West J Emerg Med. 2010;11(5):516-517.
Underlying Causes: Abdominal Aneurysm and Sciatica Misdiagnosis

Underlying Causes: Abdominal Aneurysm and Sciatica Misdiagnosis

Underlying causes for an abdominal aortic aneurysm can be challenging to diagnose and identify. Combined with sciatica symptoms, doctors could misdiagnose the ailment and prescribe the wrong treatment protocol. Then an individual has to deal with two conditions that were not properly diagnosed, continue to develop, and worsen. This is why finding the right sciatica specialist that can also identify an abdominal aneurysm is so crucial to developing the right treatment plan. There can be a variety of factors that can lead to the development of an abdominal aneurysm. They include:
11860 Vista Del Sol, Ste. 128 Underlying Causes: Abdominal Aneurysm and Sciatica Misdiagnosis

Abdominal Aneurysm Contributing Health Conditions

Health conditions associated with an increased risk for an abdominal aneurysm include:

Atherosclerosis

This condition occurs when there is a buildup of fats, cholesterol, and other substances that create plaque buildup in the bloodstream. This causes vessels to harden and narrow. Atherosclerosis can develop during the young adult stage and becomes an issue later in life.

High Cholesterol

Cholesterol is a waxy, fat-type substance that is found in all the cells in the body. The body needs some cholesterol for the production of hormones, vitamin D, and substances to help digest foods. The body makes all the cholesterol it needs. Too much can build up in the blood vessels, which narrows the bloodstream and hardens the arterial walls.
11860 Vista Del Sol, Ste. 128 Underlying Causes: Abdominal Aneurysm and Sciatica Misdiagnosis

High Blood Pressure

High blood pressure or hypertension refers to a sustained increased force of blood moving through the aorta that can weaken artery walls. It is a common condition that is widespread among individuals that are older, those that smoke, and those that are overweight. There is an estimated 60-70% of individuals over 60 that are diagnosed with high blood pressure.

Inflamed Arteries

When the arteries become inflamed, it can cause blood flow constriction and cause the arterial walls to weaken. This increases the risk of an aneurysm. Arteries can get inflamed through:
  • Genetics
  • High cholesterol
  • Trauma/injury to the abdomen
  • Arterial Disease/s like:
  1. Abdominal Aortic Aneurysm
  2. Thoracic Aortic Aneurysm
  3. Peripheral Arterial Disease
  4. Thoracic Outlet Syndrome
  5. Vasculitis
11860 Vista Del Sol, Ste. 128 Underlying Causes Of Abdominal Aortic Aneurysm and Sciatica Risks

Connective Tissue Disorders

There are hereditary conditions that can weaken the body�s connective tissues. This can lead to degeneration of the aortic walls and raise an individual�s risk for an aneurysm. Two of the most common connective tissue disorders are Ehlers-Danlos syndrome, which affects collagen production, and Marfan Syndrome. This condition increases the production of fibrillin, which is a protein that helps to build the elastic fibers in connective tissue.

Other Risk Factors

Additional health factors can strain the cardiovascular system. This increases the risk of weakening or damaging blood vessels. This significantly raises the chances of developing an abdominal aortic aneurysm. Risk factors include:

Smoking and Tobacco

All types of tobacco use can contribute to diminished cardiovascular health. Individuals that smoke or use some tobacco product pose a significantly higher risk of developing an abdominal aneurysm.

Age

Aneurysms occur most often in older adults. This is because they are more likely to have cardiovascular issues and are more likely to have higher levels of plaque buildup.

Genetics and Family History

Immediate relatives of an individual with an abdominal aneurysm often have a 12-19% chance of developing the condition.

Lack of Physical Activity

Not getting adequate physical activity puts an individual at a higher risk for heart and cardiovascular disease. Aerobic activity done on a regular basis increases the heart rate and blood flow through the body. This keeps the tissues and blood vessels strong and flowing properly.

Gender

Both men and women can develop an abdominal aortic aneurysm. However, the majority of those that do develop the condition are men. This is because men are more likely to go through the heart and cardiovascular issues.

Diagnosis

Underlying conditions that can cause sciatic pain can vary or be a combination of several conditions. The most important action to take is to consult a doctor or chiropractic sciatica specialist for a clinical diagnosis. While rare, sciatica-type pain could be caused by medical conditions like:
  • Spinal tumor
  • Spinal infection
  • Cauda equina syndrome
These factors can contribute to an increased chance of developing an abdominal aortic aneurysm. However, individuals can have unknown risk factors and still develop the condition. Treatments may range from regular monitoring, lifestyle changes, and physical therapy/chiropractic to urgent or emergency surgery. If you feel symptoms of pain in the buttocks, leg, numbness, tingling, or other neurological symptoms in the back and/or leg, it is very important to see a doctor or chiropractor for clinical diagnosis that identifies the cause of the symptoms.

Sciatic Nerve Treatment

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*