Back Clinic Chronic Back Pain Team. Chronic back pain has a far-reaching effect on many physiological processes. Dr. Jimenez reveals topics and issues affecting his patients. Understanding the pain is critical to its treatment. So here we begin the process for our patients in the journey of recovery.
Just about everyone feels pain from time to time. When you cut your finger or pull a muscle, pain is your body’s way of telling you something is wrong. Once the injury heals, you stop hurting.
Chronic pain is different. Your body keeps hurting weeks, months, or even years after the injury. Doctors often define chronic pain as any pain that lasts for 3 to 6 months or more.
Chronic back pain can have real effects on your day-to-day life and your mental health. But you and your doctor can work together to treat it.
Do call upon us to help you. We do understand the problem that should never be taken lightly.
In the following podcast video article, Dr. Alex Jimenez, a chiropractor in El Paso, TX, and Daniel (Danny) Alvarado, owner of PUSH Fitness Center in El Paso, TX, discuss the three points of weight loss. Excess weight and obesity are associated with metabolic syndrome and a variety of other health issues. Metabolic syndrome is a cluster of risk factors that can ultimately increase the risk of developing diabetes, stroke, and diabetes, among other complications. Dr. Alex Jimenez and Daniel Alvarado discuss how weight loss can be a safe and effective way to improve metabolic syndrome as well as overall health and wellness. Decreasing or eliminating sugar and carbohydrate consumption, increasing the consumption of proteins, �good� fats, and vegetables, as well as engaging and participating in exercise and physical activity can ultimately help promote weight loss to improve metabolic syndrome and a variety of other health issues. Furthermore, Dr. Alex Jimenez and Daniel Alvarado discuss how they can help people with excess weight and obesity achieve their weight loss goals by encouraging and motivating them through every step of the way. Weight loss is essential for people with metabolic syndrome to achieve overall health and wellness. � Podcast Insight
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Daniel Alvarado & Dr. Alex Jimenez
Understanding chronic pain and its alleviation requires an understanding of the anatomy of the nervous system. The nerves of the body are the carriers for the nervous system, as it sends messages to and from the brain. It is quite a complex system. The central nervous system consists of the spinal cord and the brain. The peripheral nervous system branches off the spinal cord.� Both the central and peripheral nervous systems can be affected by neuropathic pain, a type of chronic pain caused by nerve malfunction.
The peripheral nervous system contains 31 pairs of nerve roots that extend from the spinal cord to the rest of the body. There are the feeling nerves/sensory nerves and moving nerves/motor nerves. The chart shows how many pairs of spinal nerves are at each level of the spine.
Peripheral nervous system
The somatic nervous system is comprised of nerves that connect to the musculoskeletal system’s:
Bones
Ligaments
Tendons
Muscles
Skin
It’s what helps generate feeling and what generates the feeling of pain.
It makes sure the heart keeps pumping and the digestive system breaks down food correctly without thinking. Damage to any nerves can lead to the development of chronic pain. The nerves are responsible for sending pain messages, and if they get damaged, they can continually send a steady stream of pain messages.
Nociceptorsare another important part of the nerve body. Nociceptors are receptors at the nerve endings, which are activated when something happens and triggers a pain message.
Example: Nociceptors�in the finger turn on and send a pain message through the peripheral nerve to the spinal cord, on to the brain when a finger gets smashed in the car door. Before the finger was smashed, the nociceptors were not on because there was nothing to make them respond.
One possible cause of chronic pain could be malfunctioning nociceptors. Even if there is not a direct or root cause, they could be continually sending pain messages. Using the same example of the finger smashed in the car door. The finger heals after the smashing but pain signals are still being sent. The�finger’s�nociceptor’s nerves could be malfunctioning, which is why they are still sending pain messages. The result is chronic pain.
Chronic pain symptoms
Chronic pain is pain that does not stop for more than 6 months. Pain is a subjective experience, it is different for everyone and takes on many forms. The pain could be:
Aching
Burning
Constant Soreness
Constant Stiffness
Electric
Sharp
Shooting
Throbbing
Tight
Chronic pain can lead to other problems, specifically social, psychological and emotional. It can:
Cause sleeplessness
Drain the body’s energy
Cause depression
Withdraw from activities/friends/family
Weaken the immune system because so much energy is spent dealing with the pain
These added conditions feed off each other. Example: Sleeping is impossible when the pain is active, the next day nothing gets done because of the tiredness. As a result of the inactiveness, a loss of self-esteem begins to set in causing withdrawal from family and social life.
Alleviation
To get the best treatment possible, take note of activities, diet, accidents, injuries, etc before the pain began. Depending on the diagnosis, chiropractic care could help. Research studies have shown that two weeks of regular adjustments/manipulation can bring significant improvement.
Physical therapy combined with stretching and strengthening exercises is part of the treatment for chronic pain. Physical therapy could consist of ice, heat, transcutaneous electrical nerve stimulation, ultrasound, and myofascial release. A chiropractor and other pain professionals can help bring alleviation, so you can fully live your life.
Individuals can develop a herniated, slipped or bulging disc in the neck or back.�Too much stress on the disc/s whether from poor posture, being overweight, injury, aging, and an unhealthy lifestyle can increase the risk for disc problems. Herniation can be caused by a combination of factors or physical injury. Several common questions about disc problems are answered.
Can Discs Slip
A slipped disc can mean a ruptured or herniated disc. We use the term slipped disc, however, the discs do not slip. Each disc is sandwiched between two vertebrae that are supported by a system of ligaments that hold the spine together. A bulging or herniated disc is the proper term.
Difference Between a Bulging and Herniated Disc
Disc disorders are categorized as contained or non-contained. Bulging disc is an example of a contained disc disorder.
Bulging
A bulging disc has not broken open meaning the nucleus is still contained inside the annulus fibrosus. The disc could protrude into the spinal canal without breaking open. The gel, the jelly interior does not leak out. The disc stays intact except a small bubble pops out.
Herniated/Ruptured
A non-contained disc has either partially or completely broken open, and that is a herniated/ruptured disc. Imagine a closed tube�being squeezed placed under pressure, which causes the contents to move wherever they can. If a portion of the tube is weak or there is too much pressure, the contents could leak or burst out. When a disc herniates the gel-like contents could spread out to the spinal cord and nerves.
Herniation Can Cause Pain
The disc’s gel-like nucleus has a chemical that irritates the nerves and causes them to become inflamed and swell. The chemical stays and continues to press on the irritated nerves. Sometimes fragments from the disc wall or the tube break off from the disc and drift into the spinal canal causing other nerves to inflame and swell. Based on the type of injury and condition of the discs, more than one disc could herniate, rupture, or bulge. Sometimes injury causes a combination of disc disorders.
Symptoms
Symptoms of a herniated disc can include:
Dull
Shooting pain
Muscle spasms
Cramping
Weakness
Tingling
Referred or radiating/traveling pain
Sometimes, however, a herniated disc does not cause any symptoms at all. When this happens it is called an asymptomatic herniated disc. Disc/s could be bulging or herniated, but if it or they are not applying pressure on the spinal nerve/sor the cord, symptoms like pain may not present. This makes a point about herniated disc symptoms that they are dependent on where you have a herniated disc.
Cervical Herniation Symptoms
With a herniated or bulging disc in the neck, then you could experience:
Neck soreness/pain
Muscle tightness
Cramping in the neck
Pain that travels down the arm/s
Tingling in the arm/s or hand/s
Weakness in the arm/s or hand/s
Lumbar Herniation Symptoms
With a herniated disc in the low back the following symptoms could happen:
Low back pain
Muscle tightness
Cramping in and around the low back
Radiating pain that travels down the leg/s
Tingling in your leg/s or foot/feet
Weakness in the leg/s or foot/feet
Referred Pain
Referred pain means that you have pain in another part of the body from the disc problem. An individual could have a bulging or herniated slipped disc in the low back and have pain in the leg. This is lumbar radiculopathy or sciatica. Usually, just one leg is affected. If you have a herniated disc in the neck, there could be referred pain going down the arm and into the hand.
Chiropractic Cares
A chiropractor can help relieve back pain and other herniated disc symptoms. A chiropractor will go through your medical history, do a physical exam, and perform orthopedic and neurological tests. They are looking at several things. Orthopedic and neurological exams can help the chiropractor figure out what’s going on.
Are reflexes functioning properly?�Meaning are your nerves sending messages correctly. An example is a reflex test is when a doctor taps the knee with a hammer and the leg kicks.
Is there a loss of muscle strength?
Signs of muscle/s wasting away?
Is there a loss of sensation, tingling or numbness along the nerve/s path?
They will carefully look at posture, and will probably order an X-ray or MRI to help with the diagnosis.
Chiropractors evaluate the entire spine. Even if you only have lower back pain, your chiropractor will examine your neck, too. They want to see how well your spine is functioning overall. Remember what happens to one area of your spine can influence another part of the spine and/or body.
Pain from a herniated disc can make it difficult to enjoy daily life. Walking, sitting, and sleeping normally/comfortably can become a nightmare. You should make an appointment with a doctor or chiropractor if your herniated slipped disc symptoms last for more than two weeks.
Herniated Disc Treatment
NCBI Resources
In the United States alone, acute cases of lower back pain are the fifth most frequent reason for doctor visits and cause 40% of missed days off work. What�s more, it is the leading cause of disability worldwide.
More and more individuals are looking to add or try out complementary, alternative or integrative treatments for their back and neck pain. To help understand the differences as well as the similarities between the terms, try to remember:
If an alternative clinic which means not mainstream is combined with a conventional clinic this is mainstream medicine, then it is known as complementary or integrative health care.
If it is used instead of or replaces conventional medical care, it is known as alternative health care.
These terms complementary, alternative and integrative tend to get used interchangeably.
The acronym C.A.M is sometimes used, which means Complementary Alternative Medicine.
Choosing the right practitioner for your spine problem whether osteoarthritis, chronic back pain, or whiplash is just as important as choosing a medical physician or chiropractor.
You want to find an alternative or complementary/ integrative professional who is
Highly trained
Licensed
Experienced in treating your particular condition
Makes you feel comfortable
Takes time to answer all your questions
Finding a Complementary Alternative Specialist
A good place to start is to ask your primary care physician, chiropractor for a referral. Others include:
Credentialing, licensing and certifying are terms you will find when learning about a particular complementary alternative medicine clinic or practitioner. Credentials can include the practitioner�s education, where and what they are allowed to practice. Certification in a particular field of practice like acupuncture, for example, is typically needed before the state issues a license and allows the professional to begin treating patients.
You can check your state�s mandatory licensure process for the type of complementary, alternative or integrative practitioner or clinic you are looking into. Most states require the practitioner to register their education, graduation, training, and continuing education credits. Your state agency can provide this information explaining what services the practitioner is allowed to provide such as the ability to provide dietary supplements.
Review the education and qualifications of all potential practitioners
Questions to think about when doing your research.
Did they graduate from a certified program/school?
Did they complete advanced training?
Are they a member of professional societies or organizations?
Do they regularly continue their training with up to date and advanced education?
How long have they been practicing?
Are the treatments covered by insurance?
Are they ready to work with your insurance provider?
What’s the cost of treatment if not covered by insurance?
Your Appointment Plan
Treatment or therapy that the complementary, alternative or integrative practitioner/clinic provides is considered non-medical.
These practitioners need your medical history, that includes over-the-counter and prescription medications, allergies, prior treatment like surgery/spinal injections along with vitamins/supplements you take. Additional information that could be needed is the contact information of your primary care physician or the doctor who referred you. Keep your primary physician/chiropractor informed about all treatments or therapies you will be receiving.
El Paso, TX Neck Pain Chiropractic Treatment
NCBI Resources
The spine is the primary support for the body. When it breaks down, the body suffers.�Regular chiropractic treatment ensures that the spinal column remains in proper alignment which, in turn, keeps the body in proper alignment. It helps with joint health as well as the health of the related muscles and ligaments.
Q: Can back pain be hereditary and run in the family? I’m 24 and have chronic low back pain. But I found out that my mother, grandmother, and brother also have back pain. None of us were diagnosed with any type of spine condition. So I’m wondering if there is a hereditary/gene link or if it’s just a coincidence? El Paso, TX.
A: Back pain is a very common problem, and it is not uncommon that you and family members have back pain. Every year, 13 million people visit a chiropractor for chronic back pain. I can’t say without further study and research of your family whether the chronic low back pain is directly associated with your genes. But there are studies that support the connection between back pain and genetics.
Research in the past was difficult to rule out environmental factors like stress, smoking, and diet as the only cause of back pain. But today, there is evidence that shows genetics do have a role in back pain.
Doctors are finding that chronic back pain does show a significant genetic hereditary link. Specifically the development of low spine degenerative disc disease, which is a disc-related condition associated with normal wear and tear.
In fact, several twin sibling studies and genetic marker studies have researched this connection. Below are a couple of studies that stand out in the correlation between back pain and genetics.
Back Pain & Hereditary Genes Studies
A spinal study, which began in 1991, was a multidisciplinary, multinational research project on the cause of disc degeneration. The most significant findings were that there was a substantial influence of genetic/hereditary influence in lumbar disc degeneration.
It identified the specific genes that are associated with disc degeneration. However, environmental factors, work, sports, injuries, etc are also part of the condition, what the study found is that there is a connection of disc degeneration through genetic influences.
A study on genetics and lumbar disc disease found evidence that back pain could run in families. Specifically, lumbar disc disease could be inherited. The severity of the disease could not be determined or a patients’ response to various treatments. But it does suggest that genetics do play a role. Other findings include:
People that have lumbar disc disease were more likely to have family members with the disease.
The risk of inheriting the disease increased in both close and distant relatives.
Research is still ongoing to identify the exact genes that influence disc degeneration and back pain.
And as you said that you or your family have not been diagnosed with a spine condition,� this could be something to talk to your doctor or chiropractor about, along with creating a back pain treatment plan. For now, you can do physical therapy, chiropractic massage, CrossFit rehabilitation, etc to reduce and prevent back pain. Hopefully, it is a coincidence, but if it is genetics, not to worry as there is a treatment plan for that as well. But do not wait to make an appointment and let the pain get any worse.
Our team has taken great pride in bringing our families and injured patients only clinically proved treatment protocols. �By teaching complete holistic wellness as a lifestyle, we also change not only our patient�s lives but their families as well.� We do this so that we may reach as many El Pasoans who need us, no matter the affordability issues.
How to eliminate Back Pain naturally | (2020) Foot Levelers |El Paso, Tx
NCBI Resources
Lumbar spine disc herniation is a well-known type of injury that often causes impairing low back pain, however, it can also compress the nerve roots in the area and generate radicular pain and other symptoms along the lower extremities, such as altered sensations and muscle weakness.
To get the best treatment for upper or mid-back back pain, you should understand what may be causing it.
A doctor or chiropractor can help you figure out what is contributing to your back pain, then determine the root cause, and set up a treatment outline. Here are some of the more common causes.
Improper posture
Poor posture is one of the leading causes of upper back pain because so many people spend their workdays sitting at some station for most if not the entire day. Sitting with a:
Rounded back
Shoulders hunched forward
Just these two positional behaviors can put massive stress on the back muscles.
Getting into bad habits and not sitting properly, and sitting for so many hours a day is a sure way to bring out some form of body pain.
Not lifting objects properly
When picking something up, you should use proper lifting body mechanics to protect the spine.
Not using proper lifting form can definitely cause injury/s.
Overloaded backpack/purse
Anyone who uses backpacks and big purses is at risk for upper back injury and consistent pain.
Over-loading backpacks and purses can be dangerous to the spine and shoulders.
Also not wearing the backpack correctly, for example just using one strap causes imbalance, which leads to soreness, and that leads to injury.
Trauma Accident
Auto accidents, slips, and falls can cause all kinds of injuries including upper back pain.
Fracturing a vertebra or a spinal bone is possible.� When this happens part of the vertebrae presses on a spinal nerve and can cause pain.
Osteoporosis
This condition affects the bones, and an individual might not know they have osteoporosis until some type of fracture like a vertebral compression fracture.
It weakens the bones, which can affect how the body supports its weight. This opens the door for fractures.
Weakened vertebrae won’t support the body’s weight correctly, so the muscles, ligaments, and tendons have to work harder.
That leads to:
Sprains
Strains
Muscle fatigue
Various injuries
Kyphosis
The spine is supposed to curve outwards in the upper back; the curve is called kyphosis or a kyphotic curve.
With problematic kyphosis, the spine begins to curve outward in an exaggerated fashion that can lead to back pain.
Scoliosis
Scoliosis causes an unusual curve or curves in the spine. It makes the spine look like the letter “S” or “C” when seen from the back.
Non-Spine Conditions
Upper back pain can develop from other medical conditions that are not related to the spine. For example:
These conditions can cause individuals to move or contort into awkward positions, and swelling of muscle tissues that radiate into the upper mid-back.
Upper Back Structure
The upper back is the more stable area of the spine compared to the neck and lower back. It does not move as much because part of its main job is to protect the organs in the chest. This works in conjunction with the ribs, that is attached to the mid-back.
Because it doesn’t move as much, joint and disc problems are not as common. But that does not mean that you can’t get a herniated disc. It’s also less common to have degenerative problems in the upper mid-back.
We want you to live a life that is fulfilled with more energy, a positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of every one of my patients.
I assure you, I will only accept the best for you.
Lower Back Pain Specialist El Paso, TX Chiropractor
Mike Melgoza is a very active person who is always engaging in physical activity, as a result, he occasionally suffers from debilitating back pain symptoms. Mr. Melgoza was struggling to sleep properly due to his symptoms of back pain before receiving chiropractic care with Dr. Jimenez.
Back pain is one of the most common reasons people visit the doctor or miss work and it is also a leading cause of disability globally. The majority of people have back pain at least once throughout their lifetimes. Luckily, you can take steps to prevent or relieve back pain.
NCBI Resources
Pain in the upper and/or mid-back is not as common as lower back or neck pain. Movement in the upper back is limited because of the attachments to the rib cage.
Upper back pain is generally caused by soft tissue injuries, like sprains or strains, muscle tension, bad posture, or looking downward for extended periods like texting, over phone use.
Back pain can affect every part of the body, including the:
Head
Neck
Legs
Feet
Dental complications are common for people using medications for acute and chronic back pain. Therefore, regular dental care is necessary to spot these problems before they become serious.
Pain medications can at times be the root cause of some dental decay issues.
Myofascial pain syndrome (MPS) requires the highest level of specialized dental care because of the highly sensitive nature of the condition.
I asked a local dentist that specializes in treating patients with chronic pain conditions why dental care is important?
Dental
Regular dental visits are as important as general check-ups with a primary doctor.
Any issues will have time to grow and become more complicated to treat once diagnosed.
Locate a dentist who treats patients with chronic pain issues, specifically in the upper body, and understands the special needs.
Ask about specific tools to help minimize and control pain:
Before
During
After treatment
Call your primary or pain management physician to ask if there are any specific treatment that the dentist needs to know about.
Dry Mouth
People with chronic pain usually have to use various medications.
These medications can cause dry mouth that can lead to tooth decay and gum disease.
Dry mouth condition is called xerostomia and can cause major issues like:
Normal swallowing
Taste problems
Speech problems
Oral tissue integrity
Chronic mouth irritation
Inflammation
Dental decay
Erosion
Stay hydrated by keeping water around throughout the day, and chew sugarless gum or keep sugarless hard candy around to keep saliva flow.
There is also moisturizing mouth spray, that a dentist can provide.
Periodontal Disease
Periodontal disease is when over time, gums pull away from the teeth and form pockets that can get infected.
The body�s immune system fights the bacteria as the plaque�grows and begins to spread out.
Bacterial toxins and the body�s natural fight response to the infection begin to break down bone and the connective tissue that holds the teeth in place.
If left untreated the:
Bones
Gums
Tissue
That support the teeth are destroyed,� which means that the infected tooth has to be pulled.
Tooth Extraction
People with chronic pain try there best to avoid potential pain triggers, which include dental exams.
Tooth or gum pain/sensitivity usually presents in the later stages of decay when the tooth cannot be saved.
Unfortunately, the result is tooth removal.
There are medications that are known to contribute or cause tooth decay:
Antidepressants
Anti-inflammatories
Aspirin
Methadone
Best Defense Strong Offense
So brush your teeth at least twice a day and floss. Although we’ve all heard this throughout our lives, it is true. Just remember brushing and flossing can go a long way in dealing and managing chronic pain issues.
Give the tongue a good brushing to remove bacteria that can lead to plaque and chronic bad breath.
Tooth cleanings and exams are necessary to prevent any issues before they become serious and require major surgery.
Talk with your primary caregiver before visiting the dentist to figure out any special protocol or medication requirements needed.
After dental treatment, allow plenty of time to rest and recover.
Eat soft food during recovery and avoid:
Meats
Popcorn
Hard candy
These can become lodged in the teeth.
Prevention of dental disease will definitely pay off in the end and allow your immune system to perform at its optimal level.
It is worth the effort, I want all my patients to be in top health and proper oral hygiene can prevent so many diseases and is an essential part of a healthy lifestyle.
*CHRONIC* pain Chiropractic Relief | El Paso, Tx
Living with chronic pain symptoms can tremendously affect an individual’s quality of life. Neck and back pain caused by a variety of health issues, such as herniated discs and/or automobile accident injuries, can cause persistent symptoms which may last weeks, months, even years if left untreated.
Dr. Alex Jimenez is a chiropractor in El Paso, TX, who has helped his patients with chronic neck and back pain find the treatment they deserve. Patients describe how Dr. Alex Jimenez has helped them find pain relief and achieve overall health and wellness.
NCBI Resources
Dental visits help you maintain healthy teeth and gums. Gum disease and poor dental health have been linked to a variety of health issues, including heart disease. Researchers have drawn a direct line between tooth loss and heart disease. What�s more, regular oral exams and teeth cleaning can lead to the detection of early-stage medical conditions, some of which can be life-threatening which include:
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