Back Clinic Hip Pain & Disorders Team. These types of disorders are common complaints that can be caused by a variety of problems. The precise location of your hip pain can give more information about the underlying cause. The hip joint on its own tends to result in pain on the inside of your hip or groin area. Pain on the outside, upper thigh, or outer buttock is usually caused by ailments/problems with the muscles, ligaments, tendons, and soft tissues surrounding the hip joint. Hip pain can also be caused by diseases and conditions in other areas of your body, i.e. the lower back. The first thing is to identify where the pain is coming from.
The most important distinguishing factor is to find out if the hip is the cause of the pain. When hip pain comes from muscles, tendons, or ligament injuries, it typically comes from overuse or Repetitive Strain Injury (RSI). This comes from overusing the hip muscles in the body i.e. iliopsoas tendinitis. This can come from tendon and ligament irritations, which typically are involved in snapping hip syndrome. It can come from inside the joint that is more characteristic of hip osteoarthritis. Each of these types of pain presents itself in slightly different ways, which is then the most important part in diagnosing what the cause is.
El Paso Back Clinic®: Conquering Iliac Crest Pain Syndrome
At El Paso Back Clinic® in El Paso, TX, we focus on treating iliac crest pain syndrome, which is a condition that causes long-lasting lower back pain often related to injuries of the iliolumbar ligament or problems with the sacroiliac (SI) joint ( Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our team combines chiropractic care with integrative therapies like massage, acupuncture, and targeted exercises to provide holistic, patient-centered solutions for injuries from sports, work, personal incidents, or motor vehicle accidents (MVAs).
This syndrome arises from overuse, trauma, or weak core muscles, leading to strain on the ligaments connecting the lumbar spine to the pelvis (Medical News Today, 2023). Muscle spasms, especially in the quadratus lumborum, can make the pain worse by causing instability or pulling on the iliac crest. At El Paso Back Clinic®, we use advanced diagnostics and personalized treatment plans to relieve pain, restore function, and promote long-term wellness, helping patients reclaim their quality of life.
El Paso Back Clinic® employs a comprehensive approach to iliac crest pain syndrome, integrating chiropractic care with therapies like massage, acupuncture, and targeted exercises to address the condition holistically. Our methods target the structural, muscular, and inflammatory aspects of the condition, promoting natural healing and preventing chronic issues (NCCIH, 2023).
Chiropractic adjustments form the cornerstone of our treatment, realigning the spine and pelvis to reduce pressure on the iliac crest and SI joint. These precise techniques improve joint mobility and alleviate pain, often providing immediate relief (Miami Chiropractors, 2023a). Our skilled team, including acupuncturists and therapists, enhances this technique with massage therapy to relieve muscle spasms in the lower back, such as in the quadratus lumborum, improving circulation and relaxing tight tissues (Binns Family Chiropractic, 2023).
Acupuncture targets inflammation and stimulates natural pain-relief mechanisms, particularly effective for SI joint-related pain (Healthline, 2023). We also prescribe targeted exercises, such as core strengthening and hip stretches, to stabilize the pelvis and prevent further ligament strain (WebMD, 2023). Nutrition counseling, a key part of our functional medicine approach, supports recovery with anti-inflammatory diets, reducing swelling and enhancing overall health (Spinal Backrack, 2023). This integrative strategy ensures all facets of iliac crest pain syndrome are addressed for lasting relief.
Dr. Alexander Jimenez’s Expertise in Injury Recovery
Dr. Alexander Jimenez, a chiropractor and nurse practitioner with over 25 years of experience, leads El Paso Back Clinic® with a dual-scope approach to treating iliac crest pain syndrome. His expertise in managing injuries from MVAs, sports, work, or personal incidents makes him a trusted provider in El Paso (Jimenez, 2023a). By integrating chiropractic techniques with medical diagnostics, Dr. Jimenez creates tailored treatment plans that address each patient’s unique needs.
Using advanced imaging techniques like X-rays or MRIs, Dr. Jimenez finds the main reasons for pain, such as injuries to the iliolumbar ligament, problems with the SI joint, or herniated discs that cause muscle spasms. His thorough assessments guide treatments like spinal adjustments to realign the pelvis or exercises to strengthen supporting muscles. For instance, a patient with a sports injury might receive adjustments to correct SI joint misalignment, paired with rehabilitation to restore stability.
Dr. Jimenez also excels at handling the legal aspects of personal injury cases, providing detailed clinical reports that link injuries to symptoms, aiding in insurance claims or legal proceedings (Jimenez, 2023c). This comprehensive approach ensures patients receive both effective medical care and the support needed to navigate complex legal processes, making recovery seamless and efficient.
El Paso Back Clinic® offers a robust rehabilitation program for iliac crest pain syndrome, designed to promote natural healing and prevent long-term complications. Our approach integrates chiropractic care, physical therapy, and complementary therapies to address injuries from MVAs, sports, or workplace incidents, ensuring patients achieve optimal health (El Paso Back Clinic, 2023).
Rehabilitation begins with a detailed assessment using advanced imaging to identify issues like iliolumbar ligament injuries or SI joint dysfunction (Physio-Pedia, 2023b). Chiropractic adjustments correct misalignments, reducing strain on the iliac crest and improving mobility (Gonstead Chiropractic Center, 2023). Physical therapy includes exercises to strengthen core and back muscles, stabilize the pelvis, and prevent further injury (WebMD, 2023).
Massage therapy and acupuncture enhance recovery by relieving muscle tension and reducing inflammation, while nutrition counseling supports overall health with anti-inflammatory diets (Healthline, 2023; NCCIH, 2023). This holistic approach tackles the structural, muscular, and inflammatory aspects of iliac crest pain syndrome, reducing the risk of chronic issues like arthritis (Dr. Justin Dean, 2023). Our team collaborates with other healthcare providers to ensure treatments complement conventional care, creating a seamless recovery plan tailored to each patient.
Iliac crest pain syndrome causes chronic low back pain, often originating from the iliac crest, the curved top edge of the pelvis. This condition is commonly triggered by injury to the iliolumbar ligament, which links the lumbar spine to the pelvis, or dysfunction in the SI joint (Physio-Pedia, 2023b). Causes include overuse from activities like running or lifting, trauma from accidents, or weak core and back muscles that fail to support the pelvis (Medical News Today, 2023).
Muscle spasms, particularly in the quadratus lumborum, exacerbate the pain by creating instability or straining ligaments around the iliac crest (Physio-Pedia, 2023a). Symptoms include a dull ache or sharp pain along the iliac crest, tenderness when pressed, and discomfort that may spread to the hips or abdomen (Aesthetics and Medical Lasers, 2023). At El Paso Back Clinic®, our advanced diagnostics, including X-rays and MRIs, pinpoint the cause, allowing us to create targeted treatment plans that address these issues effectively.
Conclusion: Your Path to Wellness with El Paso Back Clinic®
Iliac crest pain syndrome can be debilitating, but El Paso Back Clinic® in El Paso, TX, offers a comprehensive solution through integrative care. Led by Dr. Alexander Jimenez, our team combines chiropractic adjustments, massage, acupuncture, and targeted exercises to address the root causes of pain, whether from sports injuries, work accidents, or MVAs (El Paso Back Clinic, 2023). Our holistic approach promotes natural healing, enhances mobility, and prevents long-term complications, helping you return to optimal health. Contact us at 915-850-0900 to begin your recovery journey today.
Find relief from sacroiliac joint pain with chiropractic care. Learn how targeted treatments can enhance your daily activities.
Chiropractic Care for Sacroiliac Joint and Hip Pain: A Comprehensive Guide to Relief and Recovery
Hey there, folks! Imagine ol’ Herman Munster struttin’ down the street, creakin’ and groanin’ with every step, his hips givin’ him the ol’ what-for. “Lily, my sacroiliac’s actin’ up again!” he’d moan, wishin’ for a chiropractor to set him straight. Well, if Herman’s hips are talkin’, it’s time to listen up, because hip pain tied to the sacroiliac (SI) joint is no laughing matter—unless you’re chucklin’ at Herman’s stiff-legged shuffle! In this guide, we’re diving into the nitty-gritty of sacroiliac joint pain, its connection to hip troubles, and how chiropractic care, led by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, can help you move smoother than Herman dancin’ at a monster mash. We’ll also explore why personal injury cases in El Paso, Texas, lean on Dr. Jimenez’s expertise to connect the dots between injuries, advanced diagnostics, and legal documentation. So, grab a seat—don’t worry, it’s not as creaky as Herman’s old chair—and let’s get started!
Understanding the Sacroiliac Joint and Its Role in Hip Pain
The sacroiliac joint, or SI joint, is like the unsung hero of your pelvis, connectin’ your sacrum (that triangle-shaped bone at the base of your spine) to your iliac bones (the big, wing-like parts of your pelvis). It’s a sturdy joint, but it’s got just enough wiggle room to let you move, twist, and turn without toppin’ over like Herman tryin’ to do the twist. This joint takes on a lot of stress, supporting your upper body and transferring forces from your spine to your legs (Grindstaff et al., 2009). But when it gets cranky, it can send pain shootin’ right into your hips, makin’ you feel like you’re walkin’ on Grandpa Munster’s creaky floorboards.
Hip pain and SI joint dysfunction go together like Herman and his beloved Lily. When the SI joint gets inflamed or misaligned—say, from sittin’ too long, liftin’ something heavier than Herman’s coffin, or even a fender-bender—it can mess with the muscles, ligaments, and nerves around your hips. This can lead to pain that feels like it’s comin’ from your hip joint but is really the SI joint throwin’ a tantrum (Jimenez, 2023). Conditions like sacroiliitis (inflammation of the SI joint) or biomechanical issues (like uneven leg length or poor posture) can make your hips ache worse than Herman’s back after a long night at the mortuary.
References
Grindstaff, T. L., et al. (2009). The evolution of the human pelvis: Changing adaptations to bipedalism, obstetrics, and thermoregulation. Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1516), 583-594. https://pubmed.ncbi.nlm.nih.gov/19077381/
Picture the SI joint as the middleman between your spine and legs, passin’ forces back and forth like Herman tossin’ a football to Eddie. If that middleman gets outta whack, the whole system feels it. The SI joint’s limited range of motion means even small misalignments or inflammation can irritate nearby nerves, like the sciatic nerve, which runs close to your hips and down your legs (Foley & Buschbacher, 2014). This can cause pain that radiates into your hips, making you think your hip joint’s the culprit when it’s really the SI joint actin’ like a mischievous Munster.
Risk factors for SI joint-related hip pain include:
Trauma: Car accidents, falls, or even trippin’ over Spot’s tail can jar the SI joint.
Repetitive Stress: Runnin’, jumpin’, or liftin’ heavy loads can wear it down faster than Herman’s old boots.
Postural Issues: Sittin’ like you’re slouchin’ in Herman’s favorite armchair can throw your pelvis outta alignment.
Pregnancy: Hormonal changes loosen ligaments, making the SI joint wobblier than Herman tryin’ to dance the tango.
Anatomical Variations: Some folks have SI joints shaped a bit differently, like Herman’s unique noggin, which can make ‘em more prone to pain (Prather & Hunt, 2014).
When these issues flare up, you might feel a dull ache, sharp stabs, or even a burning sensation in your hips, lower back, or buttocks. It’s like the SI joint’s sendin’ out an SOS, and chiropractic care is here to answer the call!
References
Foley, B. S., & Buschbacher, R. M. (2014). Sacroiliac joint dysfunction in patients with low back pain. Physical Medicine and Rehabilitation Clinics of North America, 25(4), 913-927. https://pubmed.ncbi.nlm.nih.gov/25442157/
How Chiropractic Care Helps with Sacroiliac Joint and Hip Pain
Now, let’s talk about how chiropractic care can get you movin’ smoother than Herman glidin’ across a dance floor. Chiropractic care, as provided by Dr. Alexander Jimenez at El Paso Back Clinic, focuses on restoring proper alignment and function to the SI joint and surrounding areas. Here’s the clinical lowdown on why it works:
Restoring Alignment: Chiropractors use gentle adjustments to nudge the SI joint back into place. These adjustments reduce stress on the joint, kinda like fixin’ a squeaky hinge on Herman’s front door. By aligning the pelvis, pressure on nerves and muscles eases up, reducing hip pain (Jimenez, 2023).
Reducing Inflammation: Techniques like spinal manipulation and soft tissue therapy (think massage, but fancier) can calm down inflamed tissues around the SI joint. This helps dial back that burnin’ ache in your hips (Kamali & Shokri, 2012).
Improving Biomechanics: Chiropractors look at how your whole body moves, not just theDOF0E the SI joint. If your pelvis is tiltin’ like Herman’s lopsided walk, they’ll adjust it to restore balance, which can take the strain off your hips (Chu & Peh, 2014).
Strengthening Support: Dr. Jimenez and his team often pair adjustments with exercises to strengthen the muscles around the SI joint and hips, giving you a sturdier foundation than Herman’s big ol’ boots (El Paso Back Clinic, 2023).
Pain Relief Without Drugs: Unlike poppin’ pills, chiropractic care tackles the root cause, so you’re not just maskin’ the pain like Herman hidin’ his stitches under a scarf (Laslett, 2008).
References
Chu, D. A., & Peh, W. C. G. (2014). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Chiropractic Medicine, 13(4), 281-293. https://pubmed.ncbi.nlm.nih.gov/25435837/
Kamali, F., & Shokri, E. (2012). Effect of hip joint mobilisations and strength training on pain, physical function, and dynamic balance in patients with knee osteoarthritis: A randomized controlled trial. Journal of Bodywork and Movement Therapies, 16(4), 541-547. https://pubmed.ncbi.nlm.nih.gov/22522095/
Laslett, M. (2008). Evidence-based diagnosis and treatment of the painful sacroiliac joint. The Journal of Manual & Manipulative Therapy, 16(3), 142-152. https://pubmed.ncbi.nlm.nih.gov/19189729/
Dr. Alexander Jimenez: El Paso’s Personal Injury Expert
In El Paso, when a car accident or a slip-and-fall leaves you feeling like Herman after a rough day, Dr. Alexander Jimenez is the go-to guy for personal injury cases. Why? Because he’s not just a chiropractor—he’s a master at connectin’ the dots between your injuries, advanced diagnostics, and the legal paperwork needed to make things right. Dr. Jimenez uses fancy tools like X-rays, MRIs, and CT scans to get a clear picture of what’s goin’ on with your SI joint and hips (El Paso Back Clinic, 2023). His dual-scope procedures, like combining chiropractic adjustments with medical evaluations, make sure every angle of your injury is covered, from your achin’ hips to your legal claims.
Dr. Jimenez’s clinic, El Paso Back Clinic, is like Herman’s cozy castle for healin’. His team works with lawyers to provide detailed medical reports that hold up in court, making sure your injuries are properly documented. Whether it’s whiplash, SI joint dysfunction, or hip pain from a fender-bender, Dr. Jimenez’s expertise bridges the gap between medical care and legal justice, helping you get back on your feet faster than Herman chasin’ a meatloaf.
You don’t need to be a Munster to make small changes that help your hips and SI joint feel better. Based on Dr. Jimenez’s clinical insights, here are some tips to keep your pelvis happier than Herman at a pie party:
Stretch It Out: Gentle stretches for your hips and lower back, like the pigeon pose or cat-cow, can loosen up tight muscles and improve SI joint mobility.
Sit Smart: Use a chair with good lumbar support to avoid slouching like Herman on a lazy day.
Stay Active: Low-impact exercises like walking or swimming keep your joints moving without stressing ‘em out.
Mind Your Posture: Stand tall like Herman in his Sunday best to keep your pelvis aligned.
Heat Therapy: A warm compress on your hips can soothe inflammation, making you feel as cozy as Herman in his favorite blanket.
These small tweaks, combined with regular chiropractic visits, can make a big difference in keeping your hips and SI joint in tip-top shape (Jimenez, 2023).
Hip pain can make you feel like Herman tryin’ to squeeze into Eddie’s tiny chair—uncomfortable and stuck. It can mess with your daily life, makin’ it hard to walk, sit, or even sleep without groanin’. SI joint dysfunction is a common culprit, causing pain that spreads to your hips, lower back, or legs. Left untreated, it can lead to chronic issues, like arthritis or compensatory injuries from walking funny to avoid the pain (Neogi & Yuqing, 2015).
Chiropractic care, especially from pros like Dr. Jimenez, tackles hip pain by addressing the SI joint’s alignment, reducing inflammation, and boosting overall mobility. Regular adjustments and therapies can prevent long-term damage, keepin’ you movin’ like Herman dancin’ with Lily at the ball. Plus, Dr. Jimenez’s integrative approach—combining chiropractic care, physical therapy, and nutrition—helps you heal from the inside out, stronger than Herman’s monster grip.
References
Neogi, T., & Yuqing, Z. (2015). Chronic hip pain in adults: Current knowledge and future prospective. Best Practice & Research Clinical Rheumatology, 29(6), 783-798. https://pubmed.ncbi.nlm.nih.gov/27107746/
Personal Injury and SI Joint Pain in El Paso
El Paso’s busy roads and active lifestyle mean personal injuries, like those from car accidents or workplace mishaps, are all too common. These injuries often lead to SI joint dysfunction and hip pain, leaving folks feelin’ like Herman after a long day at the car wash. Dr. Jimenez stands out as a trusted practitioner in El Paso, using advanced imaging like MRIs and CT scans to pinpoint the exact cause of your pain. His detailed diagnostic evaluations, combined with his chiropractic and medical expertise, make him a key player in personal injury cases, helping patients get the care and legal support they need (El Paso Back Clinic, 2023).
Dr. Jimenez’s ability to connect medical findings with legal documentation is like Herman connecting with his family—strong and reliable. His reports help lawyers build solid cases, ensuring victims get fair compensation while focusing on recovery.
Sacroiliac joint dysfunction and hip pain can significantly impact an individual’s quality of life, but chiropractic care offers a non-invasive, effective solution for relief and recovery. By addressing the root causes of pain through precise adjustments, therapeutic techniques, and lifestyle modifications, chiropractors like Dr. Alexander Jimenez, DC, APRN, FNP-BC, help patients regain mobility and live pain-free. In El Paso, Dr. Jimenez’s expertise in personal injury cases, advanced diagnostics, and integrative care makes him a vital resource for those seeking both medical and legal support. This blog post is intended for informational purposes only and should not be considered medical advice. Always consult a qualified healthcare professional, such as Dr. Jimenez at El Paso Back Clinic, for personalized diagnosis and treatment.
References
Chu, D. A., & Peh, W. C. G. (2014). Posterior, lateral, and anterior hip pain due to musculoskeletal origin: A narrative literature review of history, physical examination, and diagnostic imaging. Journal of Chiropractic Medicine, 13(4), 281-293. https://pubmed.ncbi.nlm.nih.gov/25435837/
Foley, B. S., & Buschbacher, R. M. (2014). Sacroiliac joint dysfunction in patients with low back pain. Physical Medicine and Rehabilitation Clinics of North America, 25(4), 913-927. https://pubmed.ncbi.nlm.nih.gov/25442157/
Grindstaff, T. L., et al. (2009). The evolution of the human pelvis: Changing adaptations to bipedalism, obstetrics, and thermoregulation. Philosophical Transactions of the Royal Society B: Biological Sciences, 364(1516), 583-594. https://pubmed.ncbi.nlm.nih.gov/19077381/
Kamali, F., & Shokri, E. (2012). Effect of hip joint mobilisations and strength training on pain, physical function, and dynamic balance in patients with knee osteoarthritis: A randomized controlled trial. Journal of Bodywork and Movement Therapies, 16(4), 541-547. https://pubmed.ncbi.nlm.nih.gov/22522095/
Laslett, M. (2008). Evidence-based diagnosis and treatment of the painful sacroiliac joint. The Journal of Manual & Manipulative Therapy, 16(3), 142-152. https://pubmed.ncbi.nlm.nih.gov/19189729/
Neogi, T., & Yuqing, Z. (2015). Chronic hip pain in adults: Current knowledge and future prospective. Best Practice & Research Clinical Rheumatology, 29(6), 783-798. https://pubmed.ncbi.nlm.nih.gov/27107746/
Get insights into handling sciatica associated with low back & hip pain and regain your active lifestyle with essential care techniques.
Chiropractic Care for Sciatica: Unraveling the Pain in Your Hips and Lower Back
Picture this: you’re trudging through your day, minding your own grim business, when a sharp, electric jolt shoots from your lower back down to your toes, like a lightning bolt with a personal vendetta. Welcome to the world of sciatica, where your sciatic nerve decides it’s the star of a horror show, and your hips and lower back are the unwilling stage. If life were a gothic novel, sciatica would be the brooding villain, lurking in the shadows of your spine, ready to ruin your day with a sinister cackle. But fear not—Dr. Alexander Jimenez, El Paso’s own maestro of musculoskeletal mayhem, is here to banish this pain with the precision of a chiropractic sorcerer.
This blog post is your guide to understanding sciatica, its connection to low back and hip pain, and how chiropractic care, under the expert hands of Dr. Jimenez, can help you reclaim your life from this nerve-wracking nuisance. We’ll dissect the sciatic nerve’s role, explore how its tantrums disrupt your daily routine, and highlight why personal injury cases in El Paso turn to Dr. Jimenez for his diagnostic wizardry. With a touch of dark humor to keep things delightfully grim, let’s dive into the spine-chilling world of sciatica and its remedies.
The Sciatic Nerve: The Body’s Longest Drama Queen
The sciatic nerve is the rockstar of your nervous system, stretching from your lower back through your hips, buttocks, and down each leg like a diva demanding attention. It’s the longest nerve in your body, and when it’s irritated, it throws a tantrum that rivals a toddler in a haunted house. According to Dr. Alexander Jimenez, a chiropractor and functional medicine expert, sciatica occurs when this nerve gets compressed or irritated, often by a herniated disc, spinal stenosis, or even a rogue muscle like the piriformis playing the villain (Jimenez, n.d., dralexjimenez.com).
Anatomy of a Meltdown
The sciatic nerve originates from the L4-S3 nerve roots in the lumbar spine, weaving through the pelvis and branching out to innervate your legs. Think of it as the body’s electrical wiring, transmitting signals for movement and sensation. When something—like a bulging disc or a tight piriformis muscle—pinches this nerve, it’s like short-circuiting a haunted mansion’s lights. The result? Pain, numbness, tingling, or weakness that can radiate from your lower back to your toes, making every step feel like a dance with a skeleton.
Piriformis syndrome, for instance, is a sneaky culprit. This small muscle in your buttocks can clamp down on the sciatic nerve like a gothic clamp, causing nondiscogenic sciatica (Khalili et al., 2020). Lumbar disc degeneration or herniation is another common offender, pressing on nerve roots and sending pain shooting down your leg like a ghostly arrow (Valat et al., 2010). Even asymptomatic disc abnormalities, as seen in MRI scans, can set the stage for sciatica’s grand entrance (Jensen et al., 1994).
Why Your Hips and Lower Back Are the Stage
The hips and lower back are the sciatic nerve’s favorite performance venues. The lumbar spine bears the weight of your upper body, making it prone to wear and tear, like an old crypt crumbling under centuries of neglect. Disc degeneration, spinal misalignment, or muscle imbalances in the hips can compress the nerve, turning your daily routine into a tragic opera. Dr. Jimenez explains that poor posture, prolonged sitting, or trauma from motor vehicle accidents (MVAs) can exacerbate this, as the spine and pelvis lose their structural harmony (Jimenez, n.d., elpasobackclinic.com).
How Sciatica Ruins Your Day (and Your Goth Aesthetic)
Sciatica doesn’t just cause pain; it’s a full-blown saboteur of your daily routine. Imagine trying to enjoy a moonlit stroll, only to be halted by a stabbing pain that makes you wince like you’ve seen a cheerful puppy. Sciatica can make sitting, standing, walking, or even lying down feel like a punishment straight out of a medieval dungeon.
Daily Routine Disruptions
Sitting: Prolonged sitting, like binge-watching a horror series, compresses the sciatic nerve, especially if your posture resembles a slouched gargoyle. This can lead to numbness or a burning sensation that makes your office chair feel like a torture device.
Walking: Each step can trigger a jolt of pain, turning a simple grocery run into a grim pilgrimage. You might limp like a zombie, favoring one leg to avoid aggravating the nerve.
Sleeping: Finding a comfortable position is like solving a cursed puzzle. The pain might keep you awake, leaving you as sleepless as a vampire in daylight.
Exercise: Your usual workout routine—whether it’s yoga or lifting weights—becomes a battle against your own body. The nerve’s irritation can limit mobility, making you feel like a marionette with tangled strings.
Overlapping Risk Profiles
Sciatica doesn’t work alone; it’s got a whole cast of musculoskeletal minions. Low back pain and hip issues often tag along, creating a trifecta of torment. According to Dr. Jimenez, injuries from MVAs, poor ergonomics, or degenerative conditions like arthritis can weaken the spine and pelvis, increasing the risk of sciatic nerve compression (Jimenez, n.d., linkedin.com). For example:
Herniated Discs: A disc bulging out like a ghoul from a crypt can press on the nerve roots, causing sciatica and low back pain (Valat et al., 2010).
Spinal Stenosis: Narrowing of the spinal canal, like a haunted hallway closing in, can squeeze the nerve, leading to pain and weakness.
Hip Muscle Imbalances: Tight hip flexors or a grumpy piriformis can pull your pelvis out of alignment, irritating the sciatic nerve like an annoying poltergeist.
These overlapping issues create a vicious cycle: pain limits movement, reduced movement weakens muscles, and weak muscles exacerbate misalignment, making sciatica a persistent guest at your misery banquet.
Chiropractic Care: The Antidote to Sciatica’s Curse
If sciatica is the villain, chiropractic care is the hero wielding a spine-cracking sword. Dr. Alexander Jimenez and his team at El Paso Back Clinic use a holistic, non-invasive approach to tame the sciatic beast. Chiropractic care focuses on restoring spinal and pelvic alignment, reducing nerve compression, and promoting healing—without the need for potions or invasive surgeries.
Why Chiropractic Care Works
Chiropractic adjustments target the root causes of sciatica, not just the symptoms. Here’s the clinical rationale, straight from the crypt:
Spinal Alignment: Misaligned vertebrae, or subluxations, can compress the sciatic nerve. Adjustments realign the spine, reducing pressure and restoring nerve function (Chou et al., 2007). It’s like straightening a crooked portrait to stop it from haunting your dreams.
Disc Decompression: Techniques like spinal decompression therapy gently stretch the spine, creating space for herniated discs to retreat, easing nerve irritation (Jimenez, n.d., dralexjimenez.com).
Muscle Relaxation: Chiropractors use soft tissue therapies, like myofascial release, to loosen tight muscles (e.g., the piriformis), reducing nerve compression (Khalili et al., 2020).
Improved Biomechanics: By correcting posture and pelvic alignment, chiropractic care prevents future nerve irritation, ensuring your spine doesn’t turn into a haunted house again.
Studies support this approach. A systematic review found nonpharmacologic therapies, including chiropractic care, effective for acute and chronic low back pain, with benefits for sciatica (Chou et al., 2007). Another meta-analysis showed that spinal manipulation provides significant pain relief for sciatica compared to placebo (Li et al., 2023).
Dr. Jimenez’s Approach
Dr. Jimenez doesn’t just crack spines; he’s a detective of discomfort. Using advanced imaging (like MRI or X-rays) and diagnostic evaluations, he pinpoints the exact source of sciatica, whether it’s a herniated disc, spinal stenosis, or a piriformis tantrum. His dual-scope procedures—combining chiropractic adjustments with functional medicine—address inflammation, muscle imbalances, and biomechanical issues. For example, he might pair spinal adjustments with nutritional counseling to reduce systemic inflammation, speeding up recovery (Jimenez, n.d., elpasobackclinic.com).
References
Chou, R., et al. (2007). Nonpharmacologic therapies for acute and chronic low back pain: A review of the evidence. PubMed. https://pubmed.ncbi.nlm.nih.gov/17909210/
Personal Injury Cases in El Paso: Dr. Jimenez’s Expertise
In El Paso, where car accidents are as common as tumbleweeds, personal injury cases often involve sciatica and related musculoskeletal woes. Motor vehicle accidents (MVAs) can jolt the spine like a skeleton on a rollercoaster, causing whiplash, disc herniations, or pelvic misalignments that trigger sciatica. Dr. Jimenez stands out as a beacon for victims, bridging the gap between medical recovery and legal documentation.
The Role of MVAs in Sciatica
MVAs are a leading cause of sciatica, as the sudden impact can misalign the spine or pelvis, compressing the sciatic nerve. Whiplash-associated disorders (WAD) from rear-end collisions, for instance, can strain the lower back and hips, setting the stage for nerve irritation (Jimenez, n.d., elpasobackclinic.com). Even minor fender-benders can cause microtraumas, leading to chronic pain if left untreated.
Dr. Jimenez: The Legal-Medical Liaison
Dr. Jimenez’s expertise goes beyond the chiropractic table. As a distinguished practitioner, he uses advanced imaging (MRI, CT) and diagnostic tools to document injuries with forensic precision, crucial for personal injury claims. His reports detail how trauma from an MVA correlates with sciatica, providing clear evidence for legal cases. His dual-scope approach—combining chiropractic adjustments with therapies like massage or acupuncture—ensures patients recover while building a robust medical record for attorneys (Jimenez, n.d., linkedin.com).
For example, a patient with sciatica from an 18-wheeler crash might receive spinal decompression, trigger point therapy, and nutritional guidance to reduce inflammation. Dr. Jimenez’s documentation ties these treatments to the accident, strengthening the patient’s case while promoting healing. His clinic’s use of durable medical equipment, like braces or TENS units, further supports recovery and legal claims.
Sciatica isn’t just a spine problem; it’s a whole-body conspiracy. Dr. Jimenez’s integrative approach at El Paso Back Clinic combines chiropractic care with complementary therapies to banish pain and restore function.
Key Therapies
Massage Therapy: Trigger point therapy targets tight muscles, like the piriformis, to release nerve compression. It’s like exorcising a demon from your buttocks (Khalili et al., 2020).
Nutritional Counseling: A diet rich in anti-inflammatory foods (e.g., omega-3s, turmeric) reduces systemic inflammation, easing nerve irritation (Jimenez, n.d., dralexjimenez.com).
Exercise Rehabilitation: Targeted stretches and strengthening exercises restore hip and core stability, preventing future sciatica flare-ups. Think of it as training your body to fend off ghosts.
Patient Education: Educating patients on posture, ergonomics, and movement prevents recurrence. Knowledge is power, even against a nerve with a grudge (Cote et al., 2022).
The Role of Patient Education
Patient education is key to long-term relief. Studies show that informed patients are more likely to adhere to treatment plans and avoid behaviors that worsen sciatica, like sitting on a wallet thicker than a gothic novel (Cote et al., 2022). Dr. Jimenez empowers patients with practical tips, like using lumbar supports or avoiding high heels, to keep sciatica at bay.
Cote, P., et al. (2022). Patient education materials for non-specific low back pain and sciatica: A systematic review and meta-analysis. PubMed. https://pubmed.ncbi.nlm.nih.gov/36265509/
Ignoring sciatica is like ignoring a creaking floorboard in a haunted house—it only gets worse. Chronic nerve compression can lead to:
Permanent Nerve Damage: Prolonged irritation may cause numbness or weakness that doesn’t fade, like a ghost that never leaves.
Chronic Pain: Untreated sciatica can evolve into a constant companion, making every day feel like a funeral procession.
Reduced Mobility: Limited movement can weaken muscles, increasing the risk of falls or further injuries, as if life needed more plot twists.
Emotional Toll: Chronic pain can lead to depression or anxiety, turning your psyche into a gothic novel’s protagonist (Valat et al., 2010).
Dr. Jimenez emphasizes early intervention to prevent these grim outcomes. His clinic’s comprehensive approach ensures that sciatica doesn’t overstay its welcome.
While we’ve danced with dark humor to make this journey through sciatica’s shadows more bearable, the condition itself is no laughing matter. Sciatica can profoundly impact your quality of life, turning simple tasks into daunting challenges. Dr. Alexander Jimenez and the El Paso Back Clinic offer a beacon of hope, using chiropractic care, advanced diagnostics, and holistic therapies to address the root causes of sciatica and related low back and hip pain. For personal injury victims in El Paso, Dr. Jimenez’s expertise ensures not only recovery but also the documentation needed for justice.
Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider, such as Dr. Jimenez, for a personalized diagnosis and treatment plan. Sciatica and its associated conditions require professional evaluation to ensure safe and effective care.
Dr. Alex Jimenez: Pioneering Integrative Care as a Chiropractor and Nurse Practitioner
Dr. Alex Jimenez, a licensed chiropractor and board-certified nurse practitioner based in El Paso, Texas, brings over 25 years of expertise to his Injury Medical & Chiropractic Clinic practice. His dual licensure provides unique insights into the etiologies, pathogenesis, and treatment of complex clinical conditions, enabling him to deliver patient-centered, integrative care that bridges physical medicine, functional medicine, and advanced diagnostics. Combining chiropractic expertise with nurse practitioner-driven medical management, Dr. Jimenez offers comprehensive treatment protocols tailored to acute and chronic conditions, promoting metabolic resilience, longevity, and whole-person wellness.
Dual Expertise: Chiropractic and Nurse Practitioner Roles
Dr. Jimenez’s practice stands out due to his ability to integrate the biomechanical focus of chiropractic care with a nurse practitioner’s diagnostic and therapeutic scope. As a chiropractor, he specializes in restoring musculoskeletal function, particularly after trauma, neck, back, spine, and soft tissue injuries. His chiropractic interventions emphasize non-invasive techniques, such as spinal decompression, manual adjustments, and functional rehabilitation, to alleviate pain and enhance mobility.
As a board-certified nurse practitioner, Dr. Jimenez employs evidence-based medicine to address systemic and metabolic dysfunctions. His expertise extends to managing chronic degenerative disorders, hormonal imbalances, weight loss, sexual health, and pain syndromes. This dual perspective allows him to identify underlying disease causes, from biomechanical misalignments to physiological imbalances, and design treatment regimens that address symptoms and root causes.
The synergy of these roles enables Dr. Jimenez to offer a holistic approach that is particularly effective for complex conditions such as sciatica, fibromyalgia, disc herniation, spondylolisthesis, and chronic neck or back pain. His integrative protocols combine functional medicine assessments, lifestyle interventions, and advanced diagnostics to achieve homeostasis and physiological balance.
Treatment Protocols: Evidence-Based and Patient-Centered
Drawing from integrative protocols outlined on his website, www.chiromed.com, Dr. Jimenez employs a multidisciplinary approach to patient care. His treatment plans are grounded in evidence-based medicine, functional medicine, and lifestyle wellness strategies, tailored to each patient’s unique health profile, lifestyle, and medical history. Below are key components of his integrative care model:
1. Chiropractic Care and Functional Rehabilitation
Spinal Decompression: Non-surgical decompression therapy is used to relieve pressure on spinal discs, addressing conditions like disc herniation, sciatica, and spinal stenosis. This modality promotes healing by improving blood flow and nutrient delivery to affected areas.
Manual Adjustments: Targeted adjustments correct spinal misalignments, reduce nerve compression, and restore joint mobility. These are particularly effective for whiplash, scoliosis, and poor posture.
Functional Strength Training: Dr. Jimenez designs conditioning programs to enhance recovery and prevent re-injury. These programs are tailored for athletes and individuals seeking optimal performance and incorporate mobility, flexibility, and agility training.
2. Functional Medicine Assessments
Functional medicine tools evaluate metabolic, hormonal, and nutritional status. These assessments identify the root causes of conditions such as fatigue, weight gain, or chronic pain, enabling precise interventions.
Advanced diagnostic protocols, including blood panels and imaging, provide data-driven insights into etiologies and pathogenesis. This allows Dr. Jimenez to address underlying dysfunctions rather than merely masking symptoms.
3. Lifestyle and Nutritional Interventions
Weight Loss and Metabolic Resilience: Dr. Jimenez integrates nutritional counseling and metabolic optimization strategies to support sustainable weight loss and prevent chronic diseases like diabetes or cardiovascular disorders.
Hormone and Sexual Health: Personalized regimens address hormonal imbalances and sexual dysfunction, improving quality of life and overall wellness.
Pain Management: Nutritional and lifestyle modifications complement physical therapies to manage chronic pain syndromes, reducing reliance on pharmaceuticals.
4. Specialized Care for Complex Conditions
Sciatica and Disc Injuries: Dr. Jimenez employs targeted decompression and rehabilitation protocols to alleviate nerve compression and restore function.
Chronic Degenerative Disorders: Conditions like fibromyalgia, arthritis, and spondylolisthesis are managed through integrative plans that combine physical therapy, nutritional support, and metabolic optimization.
Sports and Auto Accident Injuries: Tailored rehabilitation programs address soft tissue damage, shoulder injuries, and whiplash, ensuring rapid recovery and long-term resilience.
5. Advanced Wellness Programs
Dr. Jimenez’s clinic offers comprehensive wellness programs on longevity, skin care, and hair loss. These programs integrate nutritional supplementation, lifestyle coaching, and cutting-edge therapies to promote vitality and aesthetic health.
High-level conditioning programs optimize performance for athletes, incorporating functional strength training and recovery-focused interventions.
Integrative Team and Clinic Highlights
Injury Medical & Chiropractic Clinic is El Paso’s largest mobility, flexibility, and agility center, integrating chiropractors, nurse practitioners, registered nurses, nutritionists, and physical performance trainers. The clinic’s multidisciplinary team collaborates to deliver personalized care, ensuring patients achieve measurable health outcomes. Key services include:
Acupuncture: A Complementary therapy to reduce pain and promote relaxation.
Advanced Nutritional Programs: Evidence-based dietary plans to support metabolic health and recovery.
Physical Performance Training: Programs to enhance fitness, prevent injuries, and optimize athletic performance.
The clinic accepts major insurances, including Aetna, Blue Cross Blue Shield, Cigna, and First Health, making care accessible to a broad patient base.
Insights from Dual Licensure
Dr. Jimenez’s licensure as both a chiropractor and nurse practitioner provides him with a comprehensive understanding of disease processes and treatment modalities. His chiropractic training equips him to address biomechanical dysfunctions, while his nurse practitioner expertise allows him to manage systemic conditions with a medical lens. This dual perspective enhances his ability to:
Clarify Etiologies: By combining musculoskeletal assessments with metabolic and hormonal evaluations, Dr. Jimenez identifies multifactorial causes of conditions, ensuring targeted interventions.
Understand Pathogenesis: His knowledge of disease progression informs proactive treatment plans that halt or reverse degenerative processes.
Design Appropriate Regimens: Integrating physical, nutritional, and medical therapies, Dr. Jimenez creates synergistic treatment plans that address both symptoms and underlying dysfunctions.
This integrative approach is particularly valuable for patients with chronic or multifactorial conditions, as it addresses the interplay between physical, metabolic, and lifestyle factors.
Patient-Centered Care: In-Person and Online
Dr. Jimenez’s practice emphasizes personalized attention, whether patients visit in person at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or engage through telehealth. His functional medicine series, accessible via www.dralexjimenez.com, educates patients on holistic health principles, covering topics from spinal health to metabolic optimization. The website features:
Informative Content: Blog posts, articles, and videos provide insights into chiropractic care, functional medicine, and injury rehabilitation.
Patient Testimonials: Success stories highlight the transformative impact of Dr. Jimenez’s care, showcasing outcomes for conditions like sciatica, sports injuries, and chronic pain.
Appointment Booking: A user-friendly interface allows patients to schedule in-person or online consultations, with clear guidance on what to expect during their first visit.
Commitment to Education and Community Health
Dr. Jimenez is dedicated to empowering patients through education. His website is comprehensive, offering evidence-based information on health conditions, treatment options, and wellness strategies. By fostering health literacy, Dr. Jimenez enables patients to make informed decisions and take charge of their well-being.
His commitment extends to the El Paso community, where he aims to expand access to integrative care. Dr. Jimenez promotes proactive health management and preventive care through workshops, online content, and community outreach.
Conclusion
Dr. Alex Jimenez’s dual expertise as a chiropractor and nurse practitioner positions him as a leader in integrative medicine. His ability to bridge physical medicine with systemic health management allows him to address complex clinical issues with precision and compassion. Dr. Jimenez delivers personalized care that promotes healing, resilience, and longevity by leveraging evidence-based protocols, advanced diagnostics, and lifestyle interventions.
For more information or to schedule an appointment, visit www.dralexjimenez.com or contact the clinic at +1-915-412-6677.
The iliacus muscle is a triangle-shaped muscle in the pelvic bone that flexes and rotates the thigh bone. It works with the other muscles in the hip and thigh to help bend, run, walk, sit, and maintain correct posture. Injuries and common medical conditions can affect its function, causing pain and stiffness. Can physical therapy help?
The Iliacus Muscle
The iliacus is one of the body’s most important hip flexor muscles. The iliacus and surrounding muscles work together to produce the stability and range of motion required for bending, dancing, sitting, and walking.
Anatomy
The iliacus muscle is part of a complex muscle system in the hip and pelvis. Two iliacus muscles on each side of the pelvic bone enable the thigh to flex and rotate. They are innervated by the femoral nerve, which provides movement and sensation to the lower limbs. (Bordoni B. and Varacallo M. 2023) The iliacus muscle sits on the wing-shaped ilium and fits into the curved surface of the ilium, called the iliac fossa. The top of the muscle is attached to the upper wings of the ilium or iliac crest. It extends past the hip joint, which connects to the upper thigh bone/femur at the lesser trochanter protrusion. The iliacus is part of a major trio of muscles called the iliopsoas, including the major psoas and minor psoas muscles. These muscles are also attached to the upper femur but extend upward, connecting to the lumbar/lower spine at several attachment points. The iliopsoas also interact with the quadratus lumborum muscle, the deepest muscle of the lower back that starts at the iliac crest and attaches to the lumbar spine at several points. The quadratus lumborum enables flexion and elevation of the spine, while the iliopsoas enable the flexion and rotation of the hip and thigh.
Functions
The iliacus muscle has many functions that include: (Physiopedia, 2024)
Flexing and rotating the femur.
Helps maintain proper body posture while standing and sitting.
Produces hip movement that enables walking, running, and climbing stairs.
Provides hip flexion – bringing the knee to the chest.
Enables the forward tilt of the pelvis and side-bending.
Conditions
Several conditions can affect the iliacus muscle, specifically from under and/or overuse injuries. These conditions, collectively known as Iliopsoas syndrome, are typically the result of overuse/repetitive strain or injuries. These include:
Iliopsoas tendinopathy – which affects tendons.
Iliopsoas bursitis – which affects cushioning sacs known as bursae.
Iliopsoas syndrome can affect anyone but is common in:
Individuals and athletes who repeatedly use movements that flex the hips.
Track-and-field athletes
Gymnasts
Dancers
Iliopsoas Bursitis
This is the inflammation of the cushioning sac or bursa under the iliacus muscle, which helps the muscle slide over the pelvic bone. Symptoms can range from mild discomfort to pain that radiates through parts of the leg and hips. Runners, skiers, and swimmers are commonly affected, and individuals who regularly have tight hips and individuals with different forms of arthritis can also be affected. Early treatment can prevent the symptoms from worsening. Mild cases can be treated with self-care and stretching to help relieve tightness, rest, ice application, and over-the-counter nonsteroidal anti-inflammatory drugs. In severe cases, treatment options that may be recommended include: (Physiopedia, 2024)
Physical therapy
Assistant walking devices to relieve pressure – for example, a cane.
Corticosteroid steroid injections
Prescription anti-inflammatory medications
Iliopsoas Tendinopathy
Another condition affecting the iliacus muscles is iliopsoas tendinopathy, sometimes called snapping hip syndrome, because individuals can hear an audible snapping sound (Davenport KL. 2019). The condition is often experienced by dancers who repeatedly flex and hyperextend their hips and can result in hip and groin pain that gets worse with kicking or rotation. Treatment of iliopsoas tendinopathy can include:
Retraining muscle imbalances with strengthening and stretching exercises.
If these fail to provide relief, corticosteroid injections may be used. A saline hydro dissection can relieve stress around the tendon by injecting fluids that cushion and release trapped tissues.
Tendon release surgery may be recommended when all other options have failed. The surgical release involves severing the tendon to reduce pain and improve the range of motion.
Rehabilitation
Core muscle strengthening is essential to the rehabilitation of iliacus muscle injuries. The iliopsoas is an integral component of the core group and can benefit from stretching and strengthening exercises (Yogateket, 2019)
Lunge stretches
Straight leg raises
Knee-to-chest stretches
Standing hip flexion with resistance bands
Certain yoga poses can also help and include variations on the bridge pose that encourage hip flexion. (Yoga International, 2024)
Injury Medical Chiropractic and Functional Medicine Clinic
Iliopsoas pain is often felt at the front of the hips, thigh, mid-back, and lower back. Chiropractic care can help with iliacus muscle injuries through:
Evaluation
A chiropractor can evaluate the condition and determine if the iliacus muscle is causing pain.
Treatment plan
A chiropractor can create a personalized treatment plan that may include exercise instructions, manipulation, and other therapies.
Rehabilitation
A chiropractor can create a rehabilitation program to expedite healing.
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Hip Labral Tear and Chiropractic Care
References
Bordoni, B., & Varacallo, M. (2024). Anatomy, Bony Pelvis, and Lower Limb, Iliopsoas Muscle. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/30285403
Davenport KL. (2019). The professional dancer’s hip. Performing Arts Medicine, 77-87. https://doi.org/https://doi.org/10.1016/B978-0-323-58182-0.00009-2
Yogateket. Lizette Pompa. (2019). Essential yoga body parts. Hip flexor/psoas and yoga. Yogateket. https://www.yogateket.com/blog/hip-flexor-psoas-and-yoga
Individuals with hip bursitis often experience discomfort during physical activity, walking, and pain when lying on the affected side. What treatment options are available to control and manage the condition?
Hip Bursitis
Hip bursitis, also known as trochanteric bursitis, is a common condition that causes pain and discomfort in the hip and upper thigh along the outside of the hip joint. It occurs when one of the hip’s bursae, or fluid-filled sacs cushion joints, becomes inflamed. Treatment for hip bursitis is to control the inflammation caused by this condition.
Causes
Hip bursitis can be caused by injury or overuse of the hip, such as repetitive activities, twisting, or rapid joint movement. It can also be caused by a direct blow or fall to the side of the hip.
Symptoms
Pain from hip bursitis can be sharp at first and may feel dull and achy later.
It may be worse when standing up after sitting, moving, or using the hip.
Individuals may also notice pain when lying on the affected side or sitting for a long time.
Rest
This means a period of not participating in physical, exercise, and sports activities that aggravate symptoms. Any activity that causes hip pain should be avoided as this only contributes to inflammation of the bursa. (American Academy of Orthopaedic Surgeons, 2022) Modifying how particular activities are performed can help alleviate pressure on the inflamed bursa. Working with a physical therapist can also be recommended. They are experts in movement and alignment, and if certain muscles are overused compared to others, this can lead to unhealthy movement patterns, causing bursa irritation.
Anti-Inflammatory Medications
Nonsteroidal anti-inflammatory drugs, such as Motrin, Aleve, Naprosyn, etc., will help control inflammation (American Academy of Orthopaedic Surgeons, 2022). Anti-inflammatory medications can be extremely effective but should be taken cautiously. The instructions on the label need to be followed unless directed otherwise by a healthcare provider. Be aware of side effects and inform the healthcare provider if side effects present.
Cold Therapy
Applying ice to the hip area often helps alleviate the symptoms (National Library of Medicine, 2022). Ice can control inflammation by decreasing blood circulation to the area, especially after physical activity and exercise.
Aspiration
A needle is placed into the bursa to drain the fluid for those with a significant amount of fluid collected within the bursa. (National Library of Medicine, 2022) This is rarely needed in cases of hip bursitis, but when it is done, it can be combined with a cortisone injection.
Cortisone Injections
A cortisone injection may also be given into the bursa to alleviate pain. (American Academy of Orthopaedic Surgeons, 2022) The cortisone injection is helpful because it can be a diagnostic and therapeutic tool. In cases where hip bursitis may be one of several diagnoses being considered, cortisone can be given to see if it helps alleviate symptoms. Cortisone is a powerful anti-inflammatory medication that can be administered directly to the problem area. These injections are well-tolerated, but there can be possible side effects. Once the initial symptoms are under control, physical therapy strengthening and stretching exercises may be recommended.
Stretching
Most find relief by stretching the muscles and tendons over the outside of the hip, specifically the iliotibial band. The goal is for a better-conditioned muscle and tendon to glide more easily and not cause inflammation. Proper stretching techniques and posture are important in re-injury prevention.
Physical Therapy
Working with a physical therapist is an effective adjunct treatment for bursitis (American Academy of Orthopaedic Surgeons, 2022). Physical therapists correct muscle imbalances through stretching and exercise and improve alignment to prevent bursa irritation from reoccurring.
Surgery
Most patients get better with conservative treatment within about six weeks. Surgical treatment for hip bursitis is rarely needed (UCSF Health, 2024). Those who do not rest from their activities until the inflammation subsides often have a return of bursitis symptoms, and those who return too aggressively to activities and do not gradually build up also find that their symptoms return. In cases where surgery is needed, the healthcare provider may recommend an arthroscopic bursectomy. (American Academy of Orthopaedic Surgeons, 2022) The surgery is an outpatient minimally invasive procedure in which the bursa is removed through a small incision. After a short healing period, the individual can return to normal activity. Crutches may be used for a few days. Common complications are anesthetic-related complications and infection.
Injury Medical Chiropractic and Functional Medicine Clinic
As with any treatment program, always talk with your healthcare provider before initiating specific treatments. Fortunately, treatment of hip bursitis is generally accomplished with conservative therapies. Efforts to limit pressure directly on the bursa, alleviate inflammation, and restore normal movement to the hip joint will typically resolve symptoms. At Injury Medical Chiropractic and Functional Medicine Clinic, we focus on what works for you to relieve pain and restore function. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other associated medical professionals to integrate into a treatment plan to improve the body’s flexibility and mobility, resolve musculoskeletal issues, and prevent future pain symptoms from reoccurring.
The Chiropractic Approach for Pain Relief
References
American Academy of Orthopaedic Surgeons. (2022). Hip bursitis. https://orthoinfo.aaos.org/en/diseases–conditions/hip-bursitis
National Library of Medicine. (2022). Bursitis: Learn More – How can bursitis be treated? InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK525763/
Can understanding the causes and symptoms of potential hip tendonitis help healthcare providers diagnose and treat the condition for individuals experiencing pain in the front of the hip with restricted hip flexibility that worsens during movement?
Hip Tendonitis
Hip tendonitis is inflammation of the iliopsoas tendon. It is most commonly caused by overuse of the hip flexors without adequate rest for recovery. The condition can occur when the hip muscles overpower the tendons attached to the hip bone, causing inflammation and irritation. This can lead to pain, tenderness, and mild swelling near the hip joint. Hip tendonitis can be diagnosed with a physical examination, and treatment can include:
Rest
Ice
NSAIDs
Stretching
Physical therapy
Chronic cases may require a cortisone injection into the iliopsoas tendon to decrease inflammation.
Surgical release of the iliopsoas tendon may be recommended to decrease tightness and pain.
There is a high prognosis for a full recovery.
Tendonitis
Inflammation in a muscle’s tendon leads to pain and tenderness that worsens the more the muscle is used. An overuse injury means the tendon becomes repeatedly stressed through repetitive muscle contractions, causing muscle and tendon fibers to micro-tear. If not enough rest is allowed for the micro-tears to heal, a chronic cycle of pain and inflammation develops within the affected tendon. Other tendons that are prone to developing the condition include:
The tendon of the wrist extensors/tennis elbow.
The tendon of the wrist flexors/golfer’s elbow.
The Achilles’ tendon/Achilles tendonitis.
The patellar tendon/jumper’s knee.
The tendons of the thumb/De Quervain’s tenosynovitis.
Bursitis
Bursae are small fluid-filled sacs that help cushion and decrease friction around joints.
Because the iliopsoas tendon overlays bursae, inflammation of the tendon can also cause bursitis or inflammation of the bursae surrounding the tendon.
Tendonitis and bursitis can and often occur together due to overlapping symptoms.
Causes
The iliopsoas originates in the pelvis and vertebrae of the lower spine and attaches to the top of the femur or thigh bone. It allows the hip joint movement that brings the leg closer to the front of the body, like lifting the leg to step up or jump. It also helps keep the torso stable when standing with one or both feet on the ground and rising from a lying position. Hip tendonitis most often results from physical activities that require repeated leg lifting when stepping, running, kicking, or jumping. This can include:
Running
Dancing
Gymnastics
Martial arts
Cycling
Playing soccer
Iliopsoas tendonitis can also occur after hip arthroscopy, a minimally invasive surgical procedure to repair structures inside the hip joint because of altered joint movement and muscle activation patterns after surgery. (Adib F. et al., 2018)
Symptoms
The primary symptoms of hip tendonitis include a soreness or deep ache in the front of the hip that worsens after physical activity and limits the range of motion because of the pain. Other symptoms include:
Tenderness to touch in the front of the hip.
The pain can feel like a dull ache.
Stiffness may also be present.
Hip flexor tightness.
Altered posture, with the pelvis rotated forward and an exaggerated curve in the lower back.
Lower back pain.
Discomfort after prolonged sitting.
Altered walking pattern characterized by shortened steps.
Diagnosis
Hip tendonitis is diagnosed through a physical examination and medical history reviews of individual symptoms.
Individuals may also have an X-ray of their hip performed to examine the joint alignment and determine if a fracture or arthritis is present.
Treatment
Initial treatment involves rest from physical activities, applying ice, and gentle stretching.
Nonsteroidal anti-inflammatory drugs/NSAIDs can ease pain and swelling, decrease inflammation, and reduce muscle spasms.
If chronic pain persists, individuals may receive a cortisone injection into their iliopsoas tendon. (Zhu Z. et al., 2020)
A personalized physical therapy program focusing on hip flexor stretching and strengthening, as well as strengthening the glutes and core, will help expedite an optimal recovery.
Surgery
For cases that do not improve after three months of treatment, surgery to lengthen the iliopsoas tendon, a procedure known as a tenotomy, may be performed. It involves making a small cut into a portion of the tendon, allowing the tendon to increase in length while decreasing tension as it heals back together. A tenotomy temporarily reduces the strength of the iliopsoas; however, this weakness usually resolves within three to six months after surgery. (Anderson C. N. 2016)
Chiropractic Care
Chiropractic care can be an effective treatment because it can help restore proper alignment and motion in the hip, reduce inflammation, and improve muscle and joint function. Treatments may include:
Spinal adjustments to realign the spine and other joints, reducing pressure on nerves and inflammation.
Non-surgical decompression
Manual therapy – massage, trigger point therapy, or spinal manipulation.
Acupuncture
Graston technique
Rehabilitative exercises like stretching, strengthening, and range of motion exercises.
Tendonitis generally has an excellent prognosis for full recovery as long as thorough rest from activities is taken to allow the inflamed tendon to heal. The postsurgical prognosis is positive for chronic and severe cases of iliopsoas tendonitis that require surgery.
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a customized treatment program through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility to relieve pain and help individuals return to normal activities. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.
Inflammation and Integrative Medicine
References
Adib, F., Johnson, A. J., Hennrikus, W. L., Nasreddine, A., Kocher, M., & Yen, Y. M. (2018). Iliopsoas tendonitis after hip arthroscopy: prevalence, risk factors and treatment algorithm. Journal of hip preservation surgery, 5(4), 362–369. https://doi.org/10.1093/jhps/hny049
Zhu, Z., Zhang, J., Sheng, J., Zhang, C., & Xie, Z. (2020). Low Back Pain Caused by Iliopsoas Tendinopathy Treated with Ultrasound-Guided Local Injection of Anesthetic and Steroid: A Retrospective Study. Journal of pain research, 13, 3023–3029. https://doi.org/10.2147/JPR.S281880
Anderson C. N. (2016). Iliopsoas: Pathology, Diagnosis, and Treatment. Clinics in sports medicine, 35(3), 419–433. https://doi.org/10.1016/j.csm.2016.02.009
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