Back Clinic Lower Back Pain Chiropractic Team. More than 80% of the population suffers from back pain at some point in their lives. Most cases can be linked to the most common causes: muscle strain, injury, or overuse. But it can also be attributed to a specific condition of the spine: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, and Osteoarthritis. Less common conditions are sacroiliac joint dysfunction, spinal tumors, fibromyalgia, and piriformis syndrome.
Pain is caused by damage or injury to the muscles and ligaments of the back. Dr. Alex Jimenez compiled articles outline the importance of understanding the causes and effects of this uncomfortable symptom. Chiropractic focuses on restoring a person’s strength and flexibility to help improve symptoms of lower back pain.
Ever wonder what goes through your chiropractors head when treating your moderate back pain? Using a patient as an example, Dr. Jimenez shares his thought process through the treatment of a patient with moderate low back pain. All the way through the first appointment through to the recovery process.
Patient’s Background
Louis is a 47-year-old programmer who plays tennis regularly, especially tournaments.
However, low back pain has put Louis’ game on hold as he�s not able to manage the pain with the regular heating pad, ice, and over-the-counter pain reliever.
His primary physician referred him to Dr. Jimenez.
Louis’ is referred to chiropractic
Dr. Jimenez: Louis’ primary physician referred him to me instead of a spine surgeon because first, the pain is not yet serious enough for surgery. And so there was a window to treat with a non-invasive approach. Secondly, I specialize in sports medicine and so maximize conservative, non-operative techniques/methods.
The United States has 5 times the surgical rate of other countries, so going to a non-operative spine specialist/chiropractor is the best approach at the beginning before the pain becomes severe/acute/chronic.
Louis’ first appointment, medical history, and current back pain
Dr. Jimenez: Once I went through his medical history, I saw it was pretty straightforward. So I dug deeper into other areas of Louis’ lifestyle.
I asked about:
Diet
Physical activity
Emotional well-being
Smoking status
Also, a factor, his occupation was contributing to his pain. He�s a programmer, so spends a lot of time sitting at a desk. Sitting for prolonged periods and usually improperly/poor posture are two of the worst things you can do to your spine.
Sitting for a long time without moving around causes the hip muscles to get tight, and glutes and spine muscles to weaken.
Louis sits most of the day working and spends the weekend if not doing house chores, then playing tennis. Just imagine using weakened muscles during the week and then jumping into a sports activity on the weekend will definitely cause pain.
Louis said that his pain would worsen when serving, hitting a forehand and bending over to pick up a ball. The pain would ease down once he was resting and sleeping.
Louis’ physical exam
Dr. Jimenez: With the physical examination, I looked at
Alignment
Motion
Inflexibilities (not just the spine but the hips and lower extremities)
Muscular imbalances
Weaknesses
I saw that Louis had a flattened lumbar lordosis, meaning the gentle curve in his low back was now flat. Restricted motion in one direction� or a flexion. And weakness in the buttock muscles and hips, and tightness in the lower extremity muscles.
Pushing on certain areas along his spine, presented tenderness in the mid to lower lumbar spine and joint areas.
Initial treatment for Louis’ moderate low back pain
Chiropractic
Physical therapy
Exercises
Stretching
Re-education – proper sitting/standing
Diet
Foot orthotics if necessary
The best initial treatment is to work chiropractically on the muscular imbalances of the spine and lower extremities that are affecting the body’s biomechanics.
Other exams?
Dr. Jimenez: If necessary, a functional movement screening examination.
This test is used in sports medicine to check for imbalances from the feet all the way up to the neck.
After this, Louis would be tested to see if foot orthotics could help and receive specially designed exercises from a physical therapist to address the muscular imbalances.
Radiographic, CT, or MRI imaging
Dr. Jimenez: Many believe that imaging tests are essential to the diagnostic process.
My goal for Louis and all my patients is to get them pain-free, functional and back to health.
Are imaging tests important?
Dr. Jimenez: Imaging tests are important when there are neurologic discoveries/complaints, like muscle weakness, sensory loss, and immobility, as this can indicate the need for surgery.
Imaging tests are helpful for guiding targeted treatment like an epidural injection.
And if your doctor believes there is something serious, e.g., a spinal tumor, infection, then get an imaging test right away.
Louis’ diagnosis
Dr. Jimenez: Because Louis’ pain worsened while playing tennis and then ease during sleep, I diagnosed him with mechanical low back pain.
This type of back pain comes on through mechanical activities or applying a load to the spine.
Non-mechanical low back pain is pain that exists all the time.
Thought process while developing Louis’ treatment plan
Dr. Jimenez: The treatment plan is focused on controlling pain and inflammation.
I first recommended chiropractic treatment, physical therapy/massage, and heat/ice compress.
After completing the course of treatment I suggested Louis take naturally derived supplements:
Turmeric
Bromelain
High-dose omega 3’s
This would help reduce inflammation.
They have been proven to be effective without the serious side effects of both over-the-counter and prescription medications.
Louis and I also discussed his diet
I recommended cutting back on carbohydrate and processed sugar intake thus curbing inflammation and upped healthy fat consumption of and natural sugars that are found in nuts and berries.
I taught Louis proper basic movement techniques, including positioning himself at work and stretches to do throughout the day.
I suggested that Louis work with a fitness physical therapist to build strength and flexibility, that would take shape in 4 to 6 weeks.
After a few sessions, the goal is to be able to do the exercises without help.
Return to tennis
Dr. Jimenez: Very soon, as long as, he uses his natural anti-inflammatory supplements and follows through with regular chiropractic/physical therapy.
Slow and steady is the key to pain relief. Jumping into a tennis set before finishing treatment would set him back and possibly cause new injuries.
I recommended he start by playing non-competitive tennis and just rally after completing the treatment and then take a day or 2 to see how it feels.
Taking it slow should bring back full strength within 2 months after the initial visit.
Preventive tips:
A proper tennis swing should put minimal force on the spine.
Tennis professionals start and stop, jump, slide, dive and run, run, run. That is where a significant overload of the lower back occurs and all the energy goes right into the spine.
The key to a proper swing is to rotate the hips, take the proper arm swing, and hit through the ball.
If you don�t have proper hip rotation, your body will pay for it through the spine.
Bending at the hips and knees when picking up balls will greatly reduce stress on your low back.
Work with a tennis pro that can teach you proper swing and specific tennis training especially movement.
This will help you play well, alleviate/avoid back pain and enjoy the game.
Low Back Pain Treatment | El Paso, Tx
Low back pain which gradually influenced his quality of life was developed. David Garcia was unable to walk as his symptoms worsened and his back pain became excruciating. He first visited Dr. Alex Jimenez, a chiropractor in El Paso, TX, following a recommendation from his sister. Dr. Jimenez managed to supply David Garcia with all the aid he deserved for his low back pain, restoring his well-being. David Garcia clarifies the wonderful service Dr. Alex Jimenez and his team have given him to offer him relief from his painful symptoms and he highly recommends chiropractic care as the non-surgical pick for low back pain, among other health problems.
NCBI Resources
A chiropractor is the ideal medical professional to consult with for any unexplained pain in the musculoskeletal system. They are highly qualified professionals that their specialty is treating conditions like moderate lower back pain and they are very affordable. 31 million Americans experience moderate low back pain at any given time. This condition affects many, but finding the exact cause can be a challenge. Chiropractors are spinal specialists that are trained to not only alleviate pain but also find and help correct the cause of the problem.
At least 80% of the U.S. population will experience back pain at some point in their life, which accounts for more than 3 million reported cases of lower back pain each year. Lower back pain is also one of the biggest reasons why people miss work.
There is a solution that doesn�t include trips to the doctor, insurance agency, or prescription medication.
Understand Low Back Pain
The symptoms of low back pain can be different for everyone, ranging from dull aches to sharp /stabbing pain.
Low back pain can inhibit our ability to stand up straight, move around, lift everyday items, and do our household chores e.g. laundry and garbage.
When the pain comes quick such as, after lifting something heavy or from an injury, it is considered acute.
If the pain lasts for more than three months, it is considered chronic.
Common Causes
Heavy lifting, exercise or sudden jerking movements and injury can cause acute pain.
Injury can also lead to more chronic issues like sciatica
Those of us with desk jobs are at risk for chronic low back pain.
When carrying a bag, be careful
Purses, backpacks, and briefcases carried over the shoulder put a greater risk of developing chronic back pain because it is the lower back that takes all the weight.
Instead, get a rolling bag/case or a backpack that distributes the weight evenly over the body, across both shoulders.
Other causes of lower back pain can be hormones, weight, lifestyle, and environmental factors.
The Solution to Low Back Pain
Many chiropractors encourage the use of custom orthotics to help treat a variety of problems, ranging from joint pain, foot discomfort, and posture issues.
Custom orthotics are insoles that are slipped into shoes and made especially for your body.
Wearing custom orthotics provides nearly immediate relief from lower back pain, and also helps prevent it from returning.
Custom orthotics are created by scanning and assessing your feet in less than five minutes.
By simply standing barefoot on a kiosk inside your chiropractor�s office, a one-of-a-kind solution is created.
No X-rays, MRI�s, or further testing is required.
The foot scan assesses the three arches in both of your feet, as well as how you distribute your weight on the foundation of your body.
Although many people try to treat their low back pain on their own first, one of the fastest and best ways to treat it is through custom orthotics, which actually optimize the performance of your entire body, not just your feet and lower back.
Over-the-counter orthotics do not provide proper support and can even cause more damage to the body.
Chronic lower back pain is not a normal thing that has to do with age or lifestyle.
If you are experiencing lower back pain, call a chiropractor and ask about how custom orthotics can help you.
Low Back Pain? Fix it with *FOOT ORTHOTICS* | El Paso, Tx
We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.
After a quick scan, your feet will be assessed and your custom orthotics will be designed and made especially for you.
El Paso Back Clinic Foot Orthotic Kiosk
The Kiosk helps guide patients in selecting the best custom-made orthotics for their condition and lifestyle. It’s�
Fast:�Push the Start button and the scanner begins.
Easy to use:�User-friendly easy touch screen.
Engaging:�Videos explain the importance of healthy feet and the benefits of custom-made orthotics.
Cloud-based:�Results can be securely accessed from anywhere.
Comprehensive:�Easily retrieve previous scans to compare them to new scans and see the difference.
The Foot Levelers Kiosk saves time so you can spend more time living your life.
Orthotics
When there are problems with the feet, it can cause problems through the legs and all the way to the spine. This can cause the ankle to pronate, meaning it rolls inward. This alters the way the�bones of the foot line up which extends through the tibia, or shin bone. Ankle pain�and injury are not issues reserved solely for athletes. In the United States, more than 25,000 people deal with�ankle sprains�or pain every day. Studies show that somewhere around 40 percent of ankle sprains are not treated correctly or are misdiagnosed, which leads to disability or chronic ankle pain.
Ankle Manipulation
The typical treatment for pain, such as with a sprain, is R.I.C.E., which is rest, ice, compression and elevation. A somewhat newer treatment approach replaces the R with an M, meaning that instead of rest, movement is required instead. However, it is important that the movement is done safely and carefully. Certain types of�ankle injuries can be exacerbated by movement so it should be approached with care. Chiropractic can help reduce pain without prescription medication and the associated side effects. This alone is often a great draw for many patients. However, there are other benefits that chiropractic can provide for ankle pain.
31 million Americans experience low back pain at any given time. This condition affects many, but finding the exact cause can be a challenge. Chiropractors are spinal specialists that are trained to not only alleviate pain but also find and help correct the cause of the problem. A�chiropractor�is the ideal�medical professional to consult with for any unexplained pain in the musculoskeletal system. They are highly qualified professionals that their specialty is treating conditions like lower back pain and they are very affordable.
Sitting for long periods is associated with early death � upsetting news for the millions of Americans who spend extensive time sitting as they work and as they relax after work. A recent study conducted at Columbia� University has found that prolonged sitting destroys your health. Regular exercise, although great for you, failed to significantly reduce the risks associated with prolonged sitting.
Fortunately, there are things you can do to minimize the time you spend sitting. Experts recommend taking a movement break every 30 minutes to protect your health.
The Sitting Study
The study used hip-mounted accelerometers to measure how much time study participants � nearly 8,000 individuals � spent in sedentary positions. Over four years researchers tracked participants and recorded the number of deaths among participants. The study found that increased sedentary time leads to an increased risk of death from any cause. The risk of death went up regardless of how old the participants were or how often they exercised.
The study found that participants who sat less than 30 minutes had a 55% lower risk of death in comparison to participants who sat for longer periods of time.
Why Does Sitting Ruin Your Health?
Finding out that sitting for extended periods so greatly increases your risk of death is startling for many people. The next question is, �Why?� Unfortunately, the exact reasons are far from clear. The study was not meant to uncover the reasons why, so there is limited information to explain what occurs in the body to increase the risk of death. It will take further studies to provide an answer.
Methods to Protect Your Health
Although the exact reasons why sitting increases the risk of mortality are not yet clear, the recommendation to take a break from sitting every 30 minutes does offer an actionable step to protect your health. There are several other ways you can limit your sitting, including:
Sit & Standing Desks
There are a number of different desks designed to be used from a standing position, including stationary standing desks and sit to stand desks � both manually operated and motorized. Standing desks allow you to work exactly as you would at a sitting desk, only while standing. They take some getting used to, but most people who try them out find that they are an easy way to minimize time spent sitting.
When you purchase a standing or sit to stand desk, it may take some time to build up your stamina to use the desk for extended periods of time. Try standing for short periods, then sitting, then standing again to avoid excessive fatigue.
Apps
A number of apps are available to help you track your activity and make gradual lifestyle adjustments to increase your activity levels. Apple�s Health app includes an Activity monitor and coach that collects data from your iPhone, Apple Watch and third-party apps to let you know how much you are moving and to remind you to move more. You can set reminders on your app to tell you to move � such as every 30 minutes � as a way to ensure you avoid sitting for prolonged periods of time.
Timers
The simplest way to avoid sitting for more than 30 minutes is to set a timer on your phone or use a separate timer, to go off after 30 minutes of sitting. Once the timer goes off, engage in brisk walking or some other activity to get your heart rate up for five minutes. Then you can go back to sitting � after you set your timer again.
Helping You Stay as Healthy as Possible
Our chiropractic team is dedicated to helping you enjoy a long and healthy life. Please contact us to schedule an appointment for a comprehensive exam and targeted health advice from an experienced chiropractor.
April Hermosillo has achieved overall health and wellness by following proper nutrition and engaging in exercises/physical activities. As a regular fitness participant, April Hermosillo can experience low back pain which affects even her most basic tasks. April Hermosillo struggled with spine health issues and sciatica before receiving chiropractic care.
Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.
El Paso Back Clinic
We are blessed to present to you El Paso�s Premier Wellness & Injury Care Clinic.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
I assure you, I will only accept the best for you�
If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us.
Low back pain which gradually influenced his quality of life was developed. David Garcia was unable to walk as his symptoms worsened and his back pain became excruciating. He first visited Dr. Alex Jimenez, chiropractor in El Paso, TX, following a recommendation from his sister. Dr. Jimenez managed to supply David Garcia with all the aid he deserved for his low back pain, restoring his well-being. David Garcia clarifies the wonderful service Dr. Alex Jimenez and his team have given him to offer him relief from his painful symptoms and he highly recommends chiropractic care as the non-surgical pick for low back pain, among other health problems.
Chiropractic Non-Surgical Relief
We are blessed to present to you�El Paso�s Premier Wellness & Injury Care Clinic.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
I assure you, I will only accept the best for you�
If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend�us.
If you have low back pain�or have had it, you are not alone. Experts estimate that around 80% of people will experience some type of back problem at some point in their lives. The Global Burden of Disease 2010 lists low back pain as the number one cause of disability worldwide. The good news is the majority of back pain is mechanical in origin or is not organic. This means that infection, cancer, fracture, inflammatory arthritis, and other serious conditions are not the cause. In fact, you may benefit by looking to your feet, knees,�and hips as the culprits.
The spine is the foundation for the body, supporting the spinal cord and the limbs. When there is a problem with any of the limbs it can affect the spine and vice versa. The intricate network of tendons, ligaments, and nerves work together within the incredible machine that is the human body.
How the Feet Affect the Low Back
When there are problems with the feet, it can cause problems through the legs and all the way to the spine. This can cause the ankle to pronate, meaning it rolls inward. This alters the way the bones of the foot line up which extends through the tibia, or shin bone.
This can cause a condition called knock knees and it can change the way the entire body is aligned. This puts the body out of balance, destabilizing the spine, and can even cause the pelvis to tilt to one side or the other. When you are walking or standing, the stress caused by the misalignment it can create a domino effect, causing or contributing to low back pain.
How the Knees Affect the Low Back
One thing to remember when assessing pain in the body is that where it hurts may not be the source of the problem. It could be a symptom. Because of this, knee pain could be caused by a problem with your back and back pain could be caused by a problem with your knees.
It is important to take this type of pain at more than face value and do a little investigating to find the cause. That is why chiropractic is so beneficial in these situations.
If you see a chiropractor for your knee or back pain, he or she will assess your issues, talk to you about the pain you are experiencing and help you get to the root of your problem so that you can treat it and, in turn, help correct other associated issues. Knees connect the foot and spine so problems that affect the feet and ankles,�as well as the spine, will very likely affect the knees and hips as well.
How the Hips Affect the Low Back
Muscle imbalances in the hip, such as tight hip flexors, can cause low back pain � or at least contribute to it. When the hip flexor muscles are too tight, it causes what is known as an anterior pelvic tilt.
In other words, the muscles cause an anterior pull on the pelvis. This affect posture and throws the entire lower body out of alignment. It can also affect the knees and feet if left untreated.
Hip flexors can become too tight if the person sits for extended periods of time or engages in activities like cycling and jogging. A chiropractor can guide you through exercises that will help release the tight muscles and stop the micro spams that occur as a result.
He or she will also assess your knees, feet, and ankles to ensure that the issue has not through them out of alignment as well. Correcting the cause of the problem will often correct the associated issues and resolve the pain allowing you to return to your normal activities.
Low back pain affects millions of people each year and is the number one cause of disability worldwide. In the US, it is estimated that 31 million people experience pain in their lower back. It is prevalent and can be debilitating. As patients search for relief, they soon find that not all lumbar pain is created equal. There are many causes and treatments vary widely depending on the issue. Radiculopathy is a condition that can contribute to lower back pain, but chiropractic care can help patients better manage it.
What is Lumbar Radiculopathy?
Radiculopathy is associated with some of the most significant causes of chronic or acute low back pain. However, it is important to note that the condition itself does not cause the pain. Instead, elements of radiculopathy, such as disc herniation, nerve root impingement, and facet arthropathy are actually what causes the pain.
Radiculopathy is a condition of the spine that occurs when a nerve is compressed, causing pain, weakness, tingling, or numbness along the nerve�s course. In the lower back, that course is in the leg. While it is most common in the lower back, radiculopathy can occur in the cervical or thoracic regions of the spine as well.
Symptoms of Lumbar Radiculopathy
The symptoms of lumbar radiculopathy include pain, tingling, and numbness in the legs. Some patients experience extreme, painful sensitivity to light touch.
The nerves in the lumbar region of the spine supply sensations to the buttocks and legs as well as control muscles. So, when a nerve is compressed in the lumbar spine, those are the areas that are affected. The condition is often called a �pinched nerve� or sciatica because of the way that the pain radiates through the buttock and into the leg.
Causes of Radiculopathy
Irritation or compression of certain nerves are what causes radiculopathy, but it is worth looking at the causes of this irritation or compression to see the deeper cause of radiculopathy. These may include mechanical nerve compression due to:
Degeneration or trauma can cause inflammation in the spinal nerves which can lead to pain.
Who is at Risk for Radiculopathy?
Certain people are more prone to radiculopathy based on the activities they engage in and their genetics. Patients who regularly participate in contact sports, heavy labor�or any activity that puts a repetitive or excessive load on the back are more likely to have the condition. Patients who have a family history of spine disorders, including radiculopathy, are also more at risk of developing it.
Chiropractic for Lumbar Radiculopathy
A review published in the Journal of Chiropractic Medicine examined 162 patients with radiculopathy who were treated with chiropractic care. Of those patients, more than 85% not only experienced pain relief, but their conditions were resolved. This was done over 9 treatment sessions. Most of the patients saw an�improvement of their symptoms within 4 days of their first treatment.
There are a number of treatments for lumbar radiculopathy, including pain medication, epidural steroid injection, and surgery. However, chiropractic care is non-invasive and does not have the unpleasant, sometimes harmful of many pain medications. It is safe and effective, treating the entire body instead of just the part that hurts.
When treating lumbar radiculopathy, the chiropractor may use several techniques such as spinal adjustments as well as stabilization exercise and neuromobilization. They will also work with the patient to determine if there are engaging in any activities that increase their risk factor for the condition. In some cases, the chiropractor may recommend certain lifestyle and dietary changes to increase whole body wellness and a stronger, healthier spine.
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