Back Clinic Nerve Injury Team. Nerves are fragile and can be damaged by pressure, stretching, or cutting. Injury to a nerve can stop signals to and from the brain, causing muscles not to work properly and losing feeling in the injured area. The nervous system manages a great majority of the body’s functions, from regulating an individual’s breathing to controlling their muscles as well as sensing heat and cold. But, when trauma from an injury or an underlying condition causes nerve injury, an individual’s quality of life may be greatly affected. Dr. Alex Jimenez explains various concepts through his collection of archives revolving around the types of injuries and condition which can cause nerve complications as well as discuss the different form of treatments and solutions to ease nerve pain and restore the individual’s quality of life.
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Weakness, pain, and numbness can find their root in the spine. It is known as radiculopathy. If left untreated, health problems will only continue to get worse, with the potential to become a chronic condition. When it comes to degenerative pain conditions they usually start small. There is occasional discomfort that gradually develops into pain, then weakness and numbness.
Usually, by the time an individual seeks help, the original condition has devolved into radiating pain. This is why it is important to address the issue right away.Chiropractic works with individuals to help them understand the degenerative nature of pain and how to address and prevent it. Early intervention will prevent minor discomfort from turning into debilitating, chronic pain.
Radiculopathy
Radiating pain root cause is a compressed or inflamed nerve. It happens at the site of compression and spreads outward growing larger with time. It can be a catalyst for different pain conditions and syndromes like sciaticaor complex regional pain syndrome. There are a variety of terms for nerve pain, they are typically a form of radiculopathy.
Stages
The pain can spiral as fast as the underlying condition/s that is causing it. A compressed nerve that generates pain but does not become worse in severity is usually because the compression stays the same. Conversely, minimal discomfort brought on from shifted vertebrae can rapidly progress into weakness, numbness, and reduced mobility as a nerve is continually and severely getting compressed. Radiculopathy pain usually follows a pattern. Understanding the signs and symptoms will help determine to what extent the condition has progressed, and how it can develop into a worsening nerve injury:
Discomfort is the first stage. Subluxation, rotation, or a spinal shift is what is occurring, with the nerve not yet affected.
The pain signals that come from nerve compression along with the severity can help determine the cause of the condition.
Weakness usually follows pain. The nerve that is affected begins to take on permanent damage and cannot function properly.
Numbness follows the weakness reaching the most severe level. Mobility is limited along with a high increase for permanent nerve pain.
Being aware of these radiculopathy symptoms will help an individual stay ahead of nerve injury. Acting on discomfort can prevent progression into pain, addressing pain can stave off weakness, and acting upon weakness may prevent permanent nerve damage. The sooner an individual seeks help for any type of pain, the better chance they have to prevent degeneration.
Long-Term Prevention
It is crucial to consult with a chiropractor at the first sign of discomfort in the spine or if there is radiating/spreading back pain. A chiropractor will be able to provide decisive treatment that will bring relief and prevent the pain from worsening. The pain, weakness, and numbness can be avoided, along with long-term damage to the nerves.
Sciatica Pain Therapy
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Stochkendahl, Mette Jensen et al. �National Clinical Guidelines for non-surgical treatment of patients with recent-onset low back pain or lumbar radiculopathy.� The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society�vol. 27,1 (2018): 60-75. doi:10.1007/s00586-017-5099-2
Back or disc pain is becoming increasingly common for individuals of all ages. The spinal discs are prone to injury because of the extreme amount of pressure/stress placed on the lower back and neck. Fortunately, most cases of back pain heal on their own, while others can cause long-term chronic pain that can be difficult to manage, without proper treatment.
Different types of pain can be caused by problems with the spinal discs. The spinal discs are elastic sections of the spine that sit between the vertebrae. They are made up of materials called annulus fibrosus on the outside and a gel-like material called nucleus pulposus on the inside.
These discs are flexible, which allows for a range of motion to the spine and body shock absorption to increase comfort when in motion. When an individual visits a chiropractor, the practitioner will not know the exact cause of the pain, but only that it hurts around a certain area. Our spinal experts will help individuals understand the different types of ailments or conditions that could be affecting the spine. Then a customized treatment plan can be developed.
Disc problems
Spinal disc pain has two major sources of pain related to spinal discs: They are disc degeneration and nerve root pain. They are most common in the neck and the lower back. Individuals need to be informed of the difference to understand what is happening with the spine and potential treatment options to alleviate the pain and heal the problem.
Degenerative disc disease
Degenerative disc disease is when the spinal discs begin to dry out and deteriorate. The discs start to shrink and can tear, which leaves that segment with little or no cushioning. This can cause pain, as well as inflammation of the surrounding muscles and joints. Disc degeneration usually presents with low levels of consistent pain and occasional severe flare-ups.
A chiropractor can utilize spinal manipulation to restore alignment, function, and mobility of the affected joint. Massages stretches and exercises will help alleviate the tension in the surrounding muscles along with strengthening them for better support.
Nerve root pain
Nerve root pain does not take place within the disc but is usually caused by a bulging or herniated disc. This condition can be called a slipped disc or pinched nerve, affect the nerves that are in close proximity to the neck and lower vertebrae.
The pain can lead to numbness, tingling, and weakness along the path of the nerve, and radiate out to the arms and legs. A bulging disc is when the spinal disc progressively protrudes through a narrow opening.
This can irritate any nearby nerve roots causing inflammation and pain. If the disc herniates or breaks through then the outer protective material tears, letting the cushion/gel leak out and come in contact with the nerve root/s, which could also cause pinching and inflammation. Treatment for a bulging or herniated disc includes:
Spinal manipulation
Corrective exercises
Physical therapy
Massage
Diet adjustments
These treatments can help realign the disc/s, moving them away from any nerves, and minimizing inflammation.
Proper Identification and Diagnosis
Spinal disc problems can be similar in their pain and symptoms. For example, degenerative disc disease can weaken the spinal discs to such a degree that nerve root pain follows creating a dual combination of pain. The conditions require various approaches and treatment methods often done in combination. However, they require a proper diagnosis to create a proper and custom treatment program for every individual. This will ensure the root cause of the disc pain is properly identified and handled. Call us to learn more.
Skateboarding Injury Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Browning, J E. �Chiropractic distractive decompression in the treatment of pelvic pain and organic dysfunction in patients with evidence of lower sacral nerve root compression.��Journal of manipulative and physiological therapeutics�vol. 11,5 (1988): 426-32.
Spinal disorders and injuries could cause a nerve injury through compression or damage causing Neurogenic Bladder Dysfunction also known as Bladder Dysfunction. Neurogenic bladder disorder means an individual is having problems with urination.
Neurogenic involves the nervous system and the nerve tissues that supply and stimulate the organs and muscles to function and operate correctly. Neurogenic bladder dysfunction causes the nerves that control the bladder and muscles in urination to be overactive or underactive. �
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Symptoms
Constant bathroom visits
Control in urination is limited
Complete involuntary urination
Sudden urge/s to urinate
The bladder is unable to hold urine
The bladder fails to empty completely
Overfilling of the bladder creates intense pressure causing accidental leakage
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Nerves of the Bladder
The brain and spinal cord function as the headquarters with the spine as the body’s highway that transmits and relays signals/messages to and from the bladder. In the low back, the spinal cord splits apart into a bundle of nerves called the cauda equina. �
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At the end of the lumbar spine is the sacrum this area is known as the sacral spine. The sacrum is the backside of the pelvis between the hip bones. The nerves in the sacral spine branch out and become part of the peripheral nervous system. �
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These nerves provide and stimulate bladder sensation and function. When these nerves become compressed, inflamed, injured, or damaged in some way, organ dysfunction can present. This is when any of the symptoms listed above can develop and progress. �
Potential Causes of Neurogenic Bladder Dysfunction
Spinal Cord Injury/s are a common cause of neurogenic bladder dysfunction. The spinal cord does not have to be severed to cause paralysis below the injured part of the spine. If the spinal cord gets bruised or there is improper blood flow, the spinal cord’s ability to send nerve signals can become inhibited. Cauda Equina Syndrome happens when the nerves spinal roots become pinched or compressed. It is rare, but it is a serious medical condition that requires immediate medical attention. Causes of cauda equina syndrome include:
Trauma like an auto accident, personal/work/sports injury
Spinal condition from injury or present from birth
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Treatment
The treatment depends on the cause or causes of neurogenic bladder dysfunction. A primary physician could call upon a bladder specialist like a urologist, nephrologist, or urogynecologist to collaborate and coordinate the treatment plan. If the dysfunction is caused by a nerve root compression, a spinal procedure (discectomy) is performed to decompress and relieve the pressure on the nerves.
Nutrition and Fitness During These Times
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Burning, numbness, tingling, and pain can be felt in the back, lower back, legs, and feet. A lot of times these symptoms spread out/radiate from one part of the body into another area. Sciatica is an example of pain that radiates into an extremity, in this case, the back of the leg. Nerves originate from the spine and are divided/separated into sensory and motor nerves. The sensory nerve/s give the sensation to the skin known as dermatomes. Dermatomal patterns act as a map on the body.
Example: Dermatomes on the torso of the body react to the thoracic spinal nerve roots, the arms react to the cervical spine nerve roots, and the legs react to the lumbar spinal nerve roots.
Dermatome Location – Corresponding Spine Level
Shoulders – C4, C5
Inner/Outer Forearms – C6, and T1
Thumbs and Little Fingers – C6, C7, C8
Front of Thighs – L2
Middle, Sides of Both Calves – L4, L5
Little Toes – S1
A physician might use a piece of cotton, a swab, pin, or paperclip to test the symmetrical feelings in the arms and legs. Abnormal responses could be a sign of a nerve root problem.
Tendon Reflexes
Most individuals have experienced a physician tapping the knees with a rubber hammer. The normal response is a kick. This is a reflex, which is an involuntary muscular response generated by the hammer tapping the tendon. When the reflex responses do not present, this could mean that the spinal cord, nerve root, peripheral nerve, or muscle has been injured/damaged in some way. Absent reflexes are also clues to other conditions/injuries. An abnormal reflex response could also be caused by a disruption of the sensory (feeling) or motor (movement) nerves and sometimes both. Determining where the neural problem might be, a physician will test reflexes in various parts of the body.
Reflex Tested Areas – Corresponding Spine Level
Upper Arm Biceps – C5-C6 Cervical Spine
Forearm Distal Radius – C6-C7
Elbow Triceps – C7
Abdominal – T8, T9, T10, T11, T12, Thoracic
Knees/Thighs Patellar, Quadriceps – L3, L4 Lumbar
Ankles – S1 Sacral
Neurological Exams for Neck/Back Pain
Muscle Strength/Tone
Muscle strength and tone measurements are another way to diagnose nerve deficits. Depending on the symptoms/condition/injury/s there are different ways to evaluate muscle strength:
Stepping on a stool
Standing on the heels
Standing on the toes
Hopping in place
Performing knee bends
Gripping an item in each hand
Muscle strength is graded and recorded in the patient’s chart.
A physician will test the body’s muscle tone by passively flexing and extending the arms and legs. Normal muscle tone will respond with a slight resistance to passive motion. Other movements test for proximal (trunk/torso) and distal (distant) weakness. Muscle symmetry is also taken into account.
Neurological Tests
If necessary a spine specialist might order neurological studies like a Nerve Conduction Study (NCS) or Electromyogram (EMG), to measure nerve performance.
Imaging Studies
MRI and/or CT scans of the spine can be ordered to help the spine specialist/chiropractor make a correct diagnosis, as well as help in creating a plan of treatment.
Conclusion
A neurological exam, along with a mechanical examination consisting of movement of the arms, legs, and torso, can significantly help doctors in making the correct diagnosis. Examination results are then correlated with the patient�s history, illness, and diagnostic studies. Once the diagnosis is made an appropriate treatment plan is discussed. This will begin with non-surgical strategies but if those fail, then surgical intervention could be considered.
Dopamine is a well-known neurotransmitter that plays a fundamental role in sending information between brain cells or neurons. As many of you may already know, neurons are the basic units that make up the nervous system, including the brain, spinal cord, nerves, and sensory organs, such as the eyes and ears. Dopamine also plays a role in motivation and movement, as it is most commonly associated with the pleasure and reward center of the brain. This chemical messenger can ultimately help us strive and find things interesting but, too much or too little of it can cause a variety of brain health issues. �
What is Dopamine?
Dopamine is the “feel-good” neurotransmitter or chemical messenger that is released by the pleasure and reward center of the brain. Dopamine is found in several different regions of the brain. The first area is the substantia nigra, which plays a role in both rewards and movement. Dopamine can first be found in the substantia nigra, another area of the brain that plays an important role in motivation and movement. The substantia nigra is made up of the brain cells that die off in people with Parkinson’s disease (PD) which then results in tremors and various other symptoms associated with the movement disorder. �
Most dopamine in the brain is released in the ventral tegmental area (VTA) of the brain, which plays the most fundamental role in the pleasure and reward center of the brain. Dopamine is produced in the VTA and then released into various other regions of the brain when a person engages or participates in a mental or physical activity that starts a pleasure and reward response, even when a person simply anticipates this reaction. Although most people associate the pleasure and reward response with behaviors like sex or drug/medication use, dopamine also responds to behaviors like eating or drinking water. �
The human brain requires us to experience some type of pleasure and reward response by releasing dopamine in order to support the motivation and movement we require to keep us doing these survival behaviors. When dopamine is released, the pleasure and reward center of the brain ensures that we continue to engage and participate in the necessary mental and physical activities to promote overall health and wellness. The main purpose of dopamine is motivation and movement. However, dopamine also plays a fundamental role in other cognitive functions, such as memory, focus, and mood. �
Dopamine is a neurotransmitter that also plays a fundamental role in a variety of mental, physical, and behavioral functions, including:
Attention
Learning
Mood
Motivation
Movement
Heart rate
Blood vessel function
Kidney function
Pain processing
Control of nausea and vomiting
Lactation
Sleep
When dopamine is released in the brain, it can produce temporary feelings of euphoria. Dopamine can also cause various other feelings, including:
alertness
motivation
focus
happiness
Low dopamine is one reason why you may not be in the best mood. Dopamine deficiencies may also cause various feelings, including:
reduced alertness
decreased motivation
difficulty concentrating
poor coordination
movement difficulties
Excess levels of dopamine can ultimately cause the brain to go into serious overdrive. Excess dopamine may be a contributing factor in:
hallucinations
delusions
mania
According to research studies, scientists believe that too much dopamine released in the brain may play a role in various health issues, including:
schizophrenia
ADHD
Parkinson’s disease
obesity
drug/medication misuse and addiction
Dopamine and Brain Health Issues
It’s difficult to determine a single cause of brain health issues. But, many of these have been associated with dopamine levels in the brain, including:
Schizophrenia. Scientists believed that symptoms were caused by a hyperactive dopamine system. Now we understand that excess dopamine levels in several regions of the brain can cause hallucinations and delusions. Dopamine deficiencies cause other symptoms, such as lack of motivation.
ADHD. No one knows for sure what causes attention deficit hyperactivity disorder (ADHD). Several research studies have shown that it may be due to a dopamine deficiency. ADHD may also occur due to your genes. The ADHD drug/medication methylphenidate (Ritalin) helps boost dopamine.
Parkinson�s disease. Dopamine allows brain cells or neurons to communicate and control movement. In Parkinson�s disease, however, one type of neuron will gradually start to deteriorate. Because the brain doesn�t have to send a signal to that neuron anymore, the brain will make less dopamine. This chemical imbalance can ultimately cause mental and physical symptoms. These can include tremors, slowed movement, stiffness as well as poor balance and coordination. Healthcare professionals can treat PD symptoms with medicines that can help increase dopamine levels in the brain.
Dopamine and Other Health Issues
Just like in the brain health issues previously mentioned above, abnormal dopamine levels can also play a role in various other health issues, including:
Obesity. According to scientists, people with obesity may have problems with the pleasure and reward center of the brain. This can affect the amount of food they eat before they feel satisfied. Research studies suggest that the brain may not release enough dopamine in people with obesity.
Drug/medication misuse and addiction. Drugs, such as cocaine, can cause a tremendous increase in dopamine levels which can also greatly satisfy a person’s pleasure and reward center in the brain. But, repeated drug use also raises the threshold for this type of satisfaction. This can cause people to need to take more to get the same satisfaction. Meanwhile, medications can make the brain less capable to naturally produce dopamine in the brain.
Dopamine is a well-known, “feel good” neurotransmitter that plays a fundamental role in sending information between neurons or brain cells. Dopamine ultimately plays a fundamental role in motivation and movement, as it is most commonly associated with the pleasure and reward center of the brain, as well as in a variety of other mental, physical, and behavioral functions. Moreover, scientists believe that too much dopamine released in the brain may also play a fundamental role in the development of a variety of health issues, including schizophrenia and Parkinson’s disease. Understanding how dopamine can affect brain health is important to determine the best treatment for a variety of brain health issues and other health issues. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Dopamine is a well-known neurotransmitter which plays a fundamental role in sending information between neurons or brain cells. As many of you may have already learned, neurons are the basic units that make up the nervous system, including the brain, spinal cord, nerves, and sensory organs, such as the eyes and ears. Dopamine also plays a role in motivation and movement, as it is most commonly associated with the pleasure and reward center of the brain. This chemical messenger can ultimately help us strive and find things interesting but, too much or too little of it can result in various brain health issues. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez � References:
Jaehnig, Jon. �What Is Dopamine And How Does It Affect The Brain And The Body?� Betterhelp, BetterHelp, 24 July 2018, www.betterhelp.com/advice/medication/what-does-dopamine-do-in-the-brain-and-what-is-its-function/.
Pietrangelo, Ann. �Dopamine Effects on the Body, Plus Drug and Hormone Interactions.� Healthline, Healthline Media, 5 Nov. 2019, www.healthline.com/health/dopamine-effects#hormones-dopamine.
Bhandari, Smitha. �Dopamine: What It Is & What It Does.� WebMD, WebMD, 19 June 2019, www.webmd.com/mental-health/what-is-dopamine#1.
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance. �
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with a variety of food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
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For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
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Modern Integrated Medicine
The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparalleled experience at the National University of Health Sciences to help restore the natural integrity of the patient and define the future of modern integrated medicine. �
Approximately 1 million people in the United States have Parkinson’s disease (PD) and about 60,000 more people are diagnosed with the movement disorder every year. Common PD symptoms can include, muscle soreness, spasms, and tremors, however, symptoms may be different for each person. Although further research studies are still required to determine the causes of PD, scientists have found that the movement disorder is associated with a lack of dopamine in the human body. Healthcare professionals are starting to look for ways to naturally increase dopamine through a patient’s diet. �
Other Parkinson’s disease symptoms, such as confusion and dementia, may also improve through diet and lifestyle modifications like exercise. Moreover, while drugs and/or medications, such as levodopa (Sinemet) and bromocriptine (Parlodel), are used to help control PD symptoms, there are currently no treatments that will help completely stop Parkinson’s disease symptoms and these can often have severe side effects. That’s why more people are starting to look for more natural treatments for Parkinson’s disease. In the following article, we will discuss the role of nutrition in Parkinson’s disease. �
The Role of Nutrition in Parkinson’s Disease
Proper nutrition can help promote the body’s ability to control symptoms associated with Parkinson’s disease as well as support overall health and wellness. Patients with PD should eat plenty of fruits, vegetables, protein-rich foods, including legumes and beans, and whole grains as well as drink enough water for overall well-being. Patients with PD should also consider eating “good” fats, such as nuts, olive oil, eggs, and fish as well as foods that are high in antioxidants to ultimately help reduce oxidative stress and inflammation in the brain. Patients with PD should be aware of several special considerations. �
Dehydration: The use of drugs and/or medications to help control PD symptoms can also cause dehydration. Dehydration can cause fatigue that may also cause weakness, confusion, balance problems, and kidney health issues. PD patients should drink plenty of water and other fluids.
Constipation: Parkinson�s disease can slow down the digestive system and cause constipation. Constipation is often a mild to moderate problem, however, severe constipation may cause the large intestine to become impacted. Eating plenty of fiber-rich foods, such as fruits, vegetables, and whole grains, drinking enough water and other fluids, and exercise can also help patients with PD avoid constipation problems.
Drug and/or medication interaction: One of the most well-known drugs and/or medications commonly utilized to control PD symptoms, carbidopa-levodopa, is absorbed in the small intestine, however, that absorption can be interrupted if it’s taken immediately after eating a high-protein meal. Make sure to eat protein-rich foods at other times of the day in order to help maximize the effects of the drugs and/or medications.
Although there is no specific diet for Parkinson’s disease, the nutritional guidelines below may ultimately help regulate and manage PD symptoms, including:
Avoiding �fad� diets. PD patients should eat a variety of different foods, following the guidelines of the U.S. Department of Agriculture MyPlate program.
Eating a balanced diet. Eating fruits, vegetables, protein-rich foods, and whole grains can provide nutrients necessary for overall well-being.
Restricting sugar consumption. Eating too much sugar has many calories and few nutrients. It can also cause a variety of other health issues.
Decreasing salt and sodium consumption. Eating less salt and sodium can ultimately help decrease the risk of developing high blood pressure.
Adding foods that are high in antioxidants. Foods that are high in antioxidants can include brightly colored and dark fruits and/or vegetables.
Following a balanced diet and participate in exercise and physical activity. This can also help promote and support overall well-being.
Maintaining a healthy weight to prevent a variety of health issues. Your doctor can help determine what a healthy weight means for you.
Reducing or eliminating alcoholic beverages. Drinking too much alcohol can also cause a variety of health issues for several PD patients.
Drinking enough water and eating fiber-rich foods. Eating fiber and drinking water can help improve constipation and digestive health issues.
Taking drugs and/or medications with plenty of water. Drinking a full glass of water may help break down the medicine much more efficiently.
Restricting caffeine, alcohol, and sugar consumption. Taking these, especially before bed, can affect sleep and cause sleep deprivation.
Talking to a doctor about increasing Vitamin D intake. Vitamin D can help regulate and maintain bone health in patients with PD.
Snacking on small quantities of cashews, walnuts, and other nuts to promote brain health. Also, try to include berries, which have antioxidants, and anti-inflammatory foods like tuna, salmon, and dark, leafy green vegetables to ultimately help decrease oxidative stress and inflammation.
Parkinson’s disease (PD) is a movement disorder that affects the central nervous system. Common PD symptoms can include, muscle soreness, spasms, and tremors, however, symptoms may be different for each person. Research studies have demonstrated that nerve cell damage in the brain can decrease dopamine, a neurotransmitter and/or hormone, that can cause Parkinson’s disease. Healthcare professionals are starting to look for ways to naturally increase dopamine through a patient’s diet. Proper nutrition can help promote the body’s ability to control symptoms associated with Parkinson’s disease as well as support overall well-being. Although there is no specific diet for Parkinson’s disease, several nutritional guidelines may ultimately help regulate and manage PD symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Approximately 1 million people in the United States have Parkinson’s disease (PD) and about 60,000 more people are diagnosed with the movement disorder every year. Common PD symptoms can include, muscle soreness, spasms, and tremors, however, symptoms may be different for each person. Although further research studies are still required to determine the causes of PD, scientists have found that the movement disorder is associated with a lack of dopamine in the human body. Healthcare professionals are starting to look for ways to naturally increase dopamine through a patient’s diet. �
Other Parkinson’s disease symptoms, such as confusion and dementia, may also improve through diet and lifestyle modifications like exercise. Moreover, while drugs and/or medications, such as levodopa (Sinemet) and bromocriptine (Parlodel), are used to help control PD symptoms, there are currently no treatments that will help completely stop Parkinson’s disease symptoms and these can often have severe side effects. That’s why more people are starting to look for more natural treatments for Parkinson’s disease. In the article above, we discussed the role of nutrition in Parkinson’s disease. �
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Watson, Kathryn. �Parkinson’s and Diet: Foods to Eat and Foods to Avoid.� Healthline, Healthline Media, 20 Sept. 2018, www.healthline.com/health/parkinsons-and-diet.
Johns Hopkins Medicine. �Fighting Parkinson’s Disease with Exercise and Diet.� Johns Hopkins Medicine, www.hopkinsmedicine.org/health/conditions-and-diseases/parkinsons-disease/fighting-parkinson-disease-with-exercise-and-diet.
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
Neural Zoomer Plus for Neurological Disease
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with a variety of food sensitivities and intolerances. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
�
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
� �
Modern Integrated Medicine
The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparallel experience at the National University of Health Sciences to be able to help restore the natural integrity of the patient and define the future of modern integrated medicine. �
Do you experience chronic gut health issues? Research studies have found that Parkinson’s disease (PD) may be associated with the gut-brain connection. Evidence in a group of mice demonstrated that PD can actually start in the gut, which may explain why patients with PD have constipation and other gut health issues. Scientists have also found that patients with Parkinson’s disease report having gut health issues up to 10 years before experiencing tremors and other symptoms. According to other research studies, patients with PD may even have different biodiversity of gut bacteria than other healthy adults. �
Outcome measures in the group of mice showed that the “harmful” alpha-synuclein fibers that build-up in the nerve cell endings of patients with Parkinson’s disease can immediately affect neurons in the brain. Scientists found this by identifying the spread of alpha-synuclein fibers in the nerve cell endings of the affected neurons in the brain of patients with PD. Alpha-synuclein is a fat-soluble substance, generally found in healthy neurons, however, alpha-synuclein molecules can clump together and damage brain cells. Scientists also found that patients can have a build-up of alpha-synuclein fibers in their gut. �
The Gut-Brain Connection
A collection of fibers, known as the vagus nerve, which starts in the brain stem and extends to the major organs, including the gut, is believed to be the main source of PD associated with the gut-brain connection. Recent research studies of vagotomy patients demonstrated a reduced risk of developing Parkinson’s disease. Scientists have also found that alpha-synuclein fibers injected into the digestive system of a group of mice can reach the brain through the vagus nerve. If alpha-synuclein molecules can reach the brain from the gut, why does the fat-soluble substance build-up in the gut in the first place? �
Scientists believe that alpha-synuclein develops in the gastrointestinal (GI) tract to help combat pathogens and other “harmful” components. Michael Zasloff, a professor at Georgetown University, and his colleagues reported that alpha-synuclein molecules developed in healthy children after having an infection and alpha-synuclein seemed to trigger immune cells. Scientists also believe that alpha-synuclein can build-up in the GI tract due to the gut microbiome itself. Evidence in a group of mice demonstrated that bacteria can ultimately activate the development of alpha-synuclein in the gut and brain. �
Research studies have started to understand how the gut microbiome may be associated with Parkinson’s disease. Scientists have found that patients with Parkinson’s disease have a unique biodiversity of gut bacteria and scientists have also found that fecal microbe transplants from patients into a group of mice may increase alpha-synuclein in the brain and worsen symptoms in patients with PD. Other research studies have also shown that alpha-synuclein molecules seem to trigger microglial cells. This substance may send a signal through the vagus nerve or penetrate it completely through the bloodstream. �
Inflammation and Parkinson’s Disease
According to several research studies, inflammation caused by an abnormal gut microbiome may also cause the development of Parkinson’s disease. In one research study, Inga Peter, a genetic epidemiologist at the Icahn School of Medicine at Mount Sinai, and her colleagues analyzed the relationship between inflammatory bowel syndrome (IBS) and Parkinson’s disease. The analysis compared 144,018 participants with ulcerative colitis or Crohn’s disease and 720,090 healthy controls where PD was 28 percent higher in people with IBS than in those in the control group, supporting previous research study findings. �
Inflammation is believed to increase the risk of developing Parkinson’s disease because it may increase alpha-synuclein as well as increase intestinal and blood-brain barrier (BBB) permeability. Inflammation may also increase cytokines, molecules which can increase inflammation in the body. Moreover, an abnormal gut microbiome can also cause inflammation. However, because not all patients with Parkinson’s disease will have inflammatory bowel syndrome or any other gut health issues, further evidence is still required to determine how the gut-brain connection can ultimately be associated with PD. �
If this is indeed true, however, it will allow scientists to develop new interventions for the treatment of Parkinson’s disease that targets the gut instead of the brain. Several research studies have already started to analyze the effects of these new interventions. In 2015, Michael Zasloff and his colleagues started a company, known as Enterin, which is currently testing a substance that decreases the development of alpha-synuclein molecules in the gastrointestinal (GI) tract. Although the treatment is intended to reduce constipation, the scientists hope that they will be able to prevent or even restore the effects of PD. �
Although many research studies and evidence support the hypothesis that Parkinson�s disease may be much closely associated with the gut-brain axis than we thought, the question of how early the digestive system changes may occur is still unknown. Furthermore, other scientists still suggest that PD may start elsewhere in the body. �I believe that there�s possibly various sites of origin for Parkinson�s disease,� stated Viviane Labrie, a neuroscientist at the Van Andel Research Institute in Michigan. �For several people, it might be the gut while for several people, it might simply be something that occurs in the brain.�
�
Parkinson’s disease (PD) is a movement disorder that affects the central nervous system. PD can cause various, well-known symptoms, including tremors, slowed movements, stiffness, and loss of balance, among others. Research studies have demonstrated that nerve cell damage in the brain can decrease dopamine, a neurotransmitter and/or hormone, that can cause Parkinson’s disease. However, scientists have found that the gut-brain connection may ultimately be associated with PD. Inflammation caused by an abnormal gut microbiome as well as gut health issues like irritable bowel syndrome (IBS) is also believed to be one of the main factors for PD associated with the gut-brain connection.�- Dr. Alex Jimenez D.C., C.C.S.T. Insight
The scope of our information is limited to chiropractic, musculoskeletal, and nervous health issues or functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or disorders of the musculoskeletal system. Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.�
Curated by Dr. Alex Jimenez �
References:
Johns Hopkins University School of Medicine. �New Research Shows Parkinson’s Disease Origins in the Gut.� Medical Xpress – Medical Research Advances and Health News, Medical Xpress, 26 June 2019, medicalxpress.com/news/2019-06-parkinson-disease-gut.html.
CureParkinsonsTrust. �New Evidence Suggests Parkinson’s Might Not Start in The Brain.� The Cure Parkinson’s Trust, 28 Nov. 2019, www.cureparkinsons.org.uk/news/parkinsons-starts-in-gut.
Kwon, Diana. �Does Parkinson’s Begin in the Gut?� Scientific American, Scientific American, 8 May 2018, www.scientificamerican.com/article/does-parkinsons-begin-in-the-gut/.
Neurotransmitter Assessment Form
The following Neurotransmitter Assessment Form can be filled out and presented to Dr. Alex Jimenez. The following symptoms listed on this form are not intended to be utilized as a diagnosis of any type of disease, condition, or any other type of health issue. �
Additional Topic Discussion: Chronic Pain
Sudden pain is a natural response of the nervous system which helps to demonstrate possible injury. By way of instance, pain signals travel from an injured region through the nerves and spinal cord to the brain. Pain is generally less severe as the injury heals, however, chronic pain is different than the average type of pain. With chronic pain, the human body will continue sending pain signals to the brain, regardless if the injury has healed. Chronic pain can last for several weeks to even several years. Chronic pain can tremendously affect a patient’s mobility and it can reduce flexibility, strength, and endurance.
Neural Zoomer Plus for Neurological Disease
Dr. Alex Jimenez utilizes a series of tests to help evaluate neurological diseases. The Neural ZoomerTM Plus is an array of neurological autoantibodies which offers specific antibody-to-antigen recognition. The Vibrant Neural ZoomerTM Plus is designed to assess an individual�s reactivity to 48 neurological antigens with connections to a variety of neurologically related diseases. The Vibrant Neural ZoomerTM Plus aims to reduce neurological conditions by empowering patients and physicians with a vital resource for early risk detection and an enhanced focus on personalized primary prevention. �
Food Sensitivity for the IgG & IgA Immune Response
Dr. Alex Jimenez utilizes a series of tests to help evaluate health issues associated with food sensitivities. The Food Sensitivity ZoomerTM is an array of 180 commonly consumed food antigens that offers very specific antibody-to-antigen recognition. This panel measures an individual�s IgG and IgA sensitivity to food antigens. Being able to test IgA antibodies provides additional information to foods that may be causing mucosal damage. Additionally, this test is ideal for patients who might be suffering from delayed reactions to certain foods. Utilizing an antibody-based food sensitivity test can help prioritize the necessary foods to eliminate and create a customized diet plan around the patient�s specific needs. �
Gut Zoomer for Small Intestinal Bacterial Overgrowth (SIBO)
Dr. Alex Jimenez utilizes a series of tests to help evaluate gut health associated with small intestinal bacterial overgrowth (SIBO). The Vibrant Gut ZoomerTM offers a report that includes dietary recommendations and other natural supplementation like prebiotics, probiotics, and polyphenols. The gut microbiome is mainly found in the large intestine and it has more than 1000 species of bacteria that play a fundamental role in the human body, from shaping the immune system and affecting the metabolism of nutrients to strengthening the intestinal mucosal barrier (gut-barrier). It is essential to understand how the number of bacteria that symbiotically live in the human gastrointestinal (GI) tract influences gut health because imbalances in the gut microbiome may ultimately lead to gastrointestinal (GI) tract symptoms, skin conditions, autoimmune disorders, immune system imbalances, and multiple inflammatory disorders. �
Formulas for Methylation Support
� XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
�
For your convenience and review of the XYMOGEN products please review the following link. *XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
�
Modern Integrated Medicine
The National University of Health Sciences is an institution that offers a variety of rewarding professions to attendees. Students can practice their passion for helping other people achieve overall health and wellness through the institution’s mission. The National University of Health Sciences prepares students to become leaders in the forefront of modern integrated medicine, including chiropractic care. Students have an opportunity to gain unparallel experience at the National University of Health Sciences to be able to help restore the natural integrity of the patient and define the future of modern integrated medicine. �
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
