Back Clinic Neuropathy Treatment Team. Peripheral neuropathy is a result of damage to peripheral nerves. This often causes weakness, numbness, and pain, usually in the hands and feet. It can also affect other areas of your body. The peripheral nervous system sends information from the brain and spinal cord (central nervous system) to the body. It can result from traumatic injuries, infections, metabolic problems, inherited causes, and exposure to toxins. One of the most common causes is diabetes mellitus.
People generally describe the pain as stabbing, burning, or tingling. Symptoms can improve, especially if caused by a treatable condition. Medications can reduce the pain of peripheral neuropathy. It can affect one nerve (mononeuropathy), two or more nerves in different areas (multiple mononeuropathies), or many nerves (polyneuropathy). Carpal tunnel syndrome is an example of mononeuropathy. Most people with peripheral neuropathy have polyneuropathy. Seek medical attention right away if there is unusual tingling, weakness, or pain in your hands or feet. Early diagnosis and treatment offer the best chance for controlling your symptoms and preventing further damage to the peripheral nerves. Testimonies http://bit.ly/elpasoneuropathy
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.
Discover effective treatments for peripheral neuropathy with chiropractic care to manage symptoms and enhance mobility.
Chiropractic Care for Peripheral Neuropathy: A Comprehensive Guide to Reducing Nerve Pain
Peripheral neuropathy is like that one friend who shows up uninvited and overstays their welcome, causing all sorts of chaos. It’s a condition where the peripheral nerves—the ones that carry messages between your brain, spinal cord, and the rest of your body—decide to throw a tantrum, leading to symptoms like tingling, numbness, or burning pain. If you’ve ever felt like your hands or feet are throwing a pins-and-needles party without your permission, you might be dealing with peripheral neuropathy. But don’t worry—there’s hope! Chiropractic care, particularly through the expertise of practitioners like Dr. Alexander Jimenez, DC, APRN, FNP-BC, in El Paso, Texas, can help manage this nerve-racking condition (pun intended). In this blog post, we’ll dive into the clinical rationale for why chiropractic care can reduce nerve pain associated with peripheral neuropathy, explore the musculoskeletal system’s role, and highlight how Dr. Jimenez’s unique approach makes him a go-to for personal injury cases in El Paso. Let’s get started!
What Is Peripheral Neuropathy? The Nerve of It All!
Imagine your body as a massive communication network, with your brain and spinal cord as the control center and your peripheral nerves as the Wi-Fi signals carrying messages to your limbs, organs, and muscles. Peripheral neuropathy happens when these signals get scrambled, damaged, or completely cut off. It’s like trying to stream your favorite show with a spotty internet connection—frustrating and disruptive.
Peripheral neuropathy refers to damage to the peripheral nervous system, which sends signals between the central nervous system (brain and spinal cord) and the rest of the body. This damage can cause symptoms like numbness, tingling, burning sensations, muscle weakness, or even loss of balance. It’s not just one condition but a group of disorders caused by various factors, including diabetes, chemotherapy, infections, autoimmune diseases, or physical trauma like motor vehicle accidents (MVAs) (National Institute of Neurological Disorders and Stroke, n.d.).
The prevalence of peripheral neuropathy is no small matter. It affects millions of people worldwide, with diabetic peripheral neuropathy being one of the most common forms, impacting up to 50% of people with diabetes (Hicks & Selvin, 2019). Chemotherapy-induced peripheral neuropathy (CIPN) is another major player, affecting 19-85% of cancer patients undergoing treatment (Seretny et al., 2014). These numbers show just how widespread this condition is, and for those dealing with it, the impact on daily life can be profound.
References
Hicks, C. W., & Selvin, E. (2019). Epidemiology of peripheral neuropathy and lower extremity disease in diabetes. Current Diabetes Reports, 19(10), 86. https://doi.org/10.1007/s11892-019-1212-8
Seretny, M., et al. (2014). Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: A systematic review and meta-analysis. Pain, 155(12), 2461-2470. https://doi.org/10.1016/j.pain.2014.09.020
The Musculoskeletal System’s Role in Peripheral Neuropathy
Your musculoskeletal system—your bones, muscles, ligaments, tendons, and connective tissues—is like the scaffolding that keeps your body upright and moving. But when peripheral neuropathy enters the scene, it’s like someone’s shaking that scaffolding, causing all sorts of problems. The peripheral nerves are responsible for sending sensory and motor signals to your muscles and joints. When these nerves are damaged, the musculoskeletal system can take a hit, leading to symptoms that mess with your daily routine.
How Peripheral Neuropathy Affects the Musculoskeletal System
Peripheral neuropathy can disrupt the communication between your nerves and muscles, leading to:
Muscle Weakness: Damaged nerves may fail to send proper signals to muscles, causing weakness or difficulty moving. For example, you might struggle to grip a coffee mug or climb stairs without feeling like you’re auditioning for a slow-motion scene.
Loss of Coordination: Nerves help with balance and proprioception (knowing where your body is in space). Neuropathy can make you feel like you’re walking on a tightrope after a few too many spins.
Muscle Cramps and Spasms: Irritated or damaged nerves can cause muscles to contract involuntarily, leading to painful cramps or twitches.
Joint Instability: Weak muscles can’t support joints properly, increasing the risk of falls or injuries, especially in the ankles or knees.
Pain and Discomfort: Neuropathic pain, often described as burning, stabbing, or electric shocks, can radiate to muscles and joints, causing significant discomfort (personalinjurydoctorgroup.com, 2020).
These issues can turn simple tasks—like walking to the mailbox or tying your shoes—into a Herculean effort. For instance, someone with peripheral neuropathy might find their morning jog feels more like trudging through molasses, or they might drop their phone because their fingers have lost coordination.
Impact on Daily Routine
The musculoskeletal fallout from peripheral neuropathy can significantly disrupt daily life. Imagine trying to cook dinner when your hands feel like they’re wearing oven mitts, or attempting to drive when your feet can’t tell the difference between the gas and brake pedals. These symptoms can lead to:
Reduced Mobility: Difficulty walking or standing for long periods, limiting activities like shopping or socializing.
Decreased Independence: Tasks like dressing or bathing may require assistance, which can be a blow to self-esteem.
Increased Risk of Falls: Loss of sensation or balance can make falls more likely, especially for older adults.
Chronic Pain: Persistent nerve pain can sap energy, disrupt sleep, and even lead to mood changes like anxiety or depression.
Peripheral Neuropathy: A Successful Recovery Story- Video
Why Chiropractic Care? The Clinical Rationale
Now, let’s talk about the superhero of this story: chiropractic care. It’s not just about cracking backs and making you feel like a human pretzel—it’s a science-backed approach to improving nerve function and reducing pain. Chiropractic care focuses on the spine and musculoskeletal system to remove nerve interference, which is particularly relevant for peripheral neuropathy.
The Science Behind Chiropractic Care for Nerve Pain
The spine is like the central highway of your nervous system. If there’s a traffic jam—say, a misaligned vertebra or a compressed nerve—it can disrupt the signals traveling to and from your peripheral nerves. Chiropractic adjustments aim to clear these jams by realigning the spine and reducing pressure on nerves. Here’s why this matters for peripheral neuropathy:
Reducing Nerve Compression: Misalignments (subluxations) in the spine can compress nerve roots, exacerbating neuropathic symptoms like tingling or numbness. Adjustments restore alignment, relieving pressure on these nerves (elpasobackclinic.com, 2023).
Improving Blood Flow: Proper spinal alignment enhances blood circulation, which is crucial for nerve health. Damaged nerves need oxygen and nutrients to heal, and chiropractic care can help ensure they get it.
Modulating Pain Signals: Chiropractic adjustments can influence the central nervous system, reducing the perception of pain. Think of it like turning down the volume on a screaming nerve (Woolf & Salter, 2000).
Enhancing Autonomic Function: The autonomic nervous system, which controls involuntary functions like heart rate and digestion, can be affected by neuropathy. Chiropractic care may help regulate these functions by improving spinal health (Vagal, 2020).
Research supports these benefits. A study on spinal canal compression suggests that nerve root insults, whether chemical (from inflammation) or mechanical (from compression), can contribute to polyneuropathy-like symptoms. Chiropractic care addresses these insults by correcting spinal misalignments and reducing inflammation (Kulikov et al., 2016). Another study found that nonpharmacologic interventions, including manual therapies like chiropractic care, can reduce symptoms of chemotherapy-induced peripheral neuropathy (CIPN) by improving nerve function and reducing pain (Oh et al., 2023).
Dr. Alexander Jimenez’s Approach
Enter Dr. Alexander Jimenez, El Paso’s nerve-whisperer. With over 25 years of experience as a chiropractor and board-certified Family Nurse Practitioner (FNP-BC), Dr. Jimenez brings a unique, dual-scope approach to treating peripheral neuropathy. His practice at El Paso’s Premier Wellness and Injury Care Clinic combines chiropractic expertise with advanced medical diagnostics, making him a standout in managing nerve pain (Jimenez, 2025a).
Dr. Jimenez uses a holistic, evidence-based approach inspired by functional medicine. He doesn’t just slap a Band-Aid on symptoms—he digs deep to find the root cause. For example, suppose your neuropathy stems from a car accident. In that case, he might identify a spinal misalignment pinching a nerve while also checking for inflammation or metabolic imbalances that could slow healing (Jimenez, 2023b). His methods include:
Advanced Imaging: Using X-rays, MRIs, or CT scans to pinpoint issues like herniated discs or nerve compression (Jimenez, 2023c).
Diagnostic Evaluations: Neurological tests and motion studies to assess nerve function and biomechanical dysfunction.
Dual-Scope Procedures: Combining chiropractic adjustments with medical interventions like nutritional counseling or physical therapy to address both musculoskeletal and systemic factors.
Manual Therapies: Techniques like spinal decompression, joint mobilization, and myofascial release to relieve nerve pressure and improve mobility.
Kulikov, A. V., et al. (2016). Could spinal canal compression be a cause of polyneuropathy? Frontiers in Surgery, 3, 14. https://doi.org/10.3389/fsurg.2016.00014
Oh, P. J., et al. (2023). Prevention and treatment of chemotherapy-induced peripheral neuropathy (CIPN) with non-pharmacological interventions. Frontiers in Pain Research, 4, 1002967. https://doi.org/10.3389/fpain.2023.1002967
Vagal, V. (2020). Editorial: Understanding the role of the autonomic nervous system in health and disease. Frontiers in Neuroscience, 14, 615. https://doi.org/10.3389/fnins.2020.00615
Peripheral Neuropathy and Personal Injury Cases in El Paso
El Paso, Texas, is a bustling city with heavy traffic, which unfortunately means motor vehicle accidents (MVAs) are all too common. These accidents can cause nerve injuries, including peripheral neuropathy, especially when whiplash or spinal trauma is involved. If you’ve ever been rear-ended and felt like your nerves were playing a game of telephone with the wrong number, you know what I mean. This is where chiropractic care, and specifically Dr. Alexander Jimenez, shines.
The Link Between MVAs and Peripheral Neuropathy
MVAs can cause nerve damage through:
Mechanical Insults: The force of a collision can compress or stretch nerves, leading to symptoms like numbness or tingling. For example, whiplash can pinch nerves in the cervical spine, radiating pain to the arms or hands (Jimenez, 2025b).
Chemical Insults: Inflammation from soft tissue injuries can irritate nerves, contributing to neuropathic pain (Woolf & Thompson, 1991).
Spinal Canal Compression: Trauma can narrow the spinal canal, pressing on nerve roots and mimicking polyneuropathy symptoms (Kulikov et al., 2016).
These injuries don’t just hurt—they can disrupt your life, making it hard to work, drive, or even enjoy a Netflix binge without pain. In personal injury cases, proving the link between the accident and your symptoms is crucial for fair compensation, and that’s where Dr. Jimenez’s expertise comes in.
Dr. Jimenez: The Legal-Medical Liaison
Dr. Jimenez isn’t just a chiropractor—he’s a board-certified nurse practitioner with a knack for bridging medical care and legal documentation. His dual licensure allows him to:
Diagnose with Precision: Using advanced imaging (like MRIs) and neurological tests, he identifies the exact cause of nerve pain, whether it’s a herniated disc or a pinched nerve (Jimenez, 2023c).
Document for Legal Cases: He provides detailed reports that connect your injuries to the accident, strengthening your insurance or legal claims. Think of him as a translator who speaks both “doctor” and “lawyer” fluently (Jimenez, 2025a).
Deliver Holistic Care: His treatments combine spinal adjustments, physical therapy, and functional medicine to address both symptoms and underlying causes, helping you recover faster.
For example, if you’re dealing with post-accident neuropathy, Dr. Jimenez might use an MRI to spot a herniated disc, then apply spinal decompression to relieve nerve pressure. He’ll also check for metabolic issues (like vitamin deficiencies) that could worsen neuropathy, ensuring a comprehensive recovery plan (Jimenez, 2025b). His patients rave about his ability to get them back on their feet, as seen in testimonials on his social media (Jimenez, 2023f).
Kulikov, A. V., et al. (2016). Could spinal canal compression be a cause of polyneuropathy? Frontiers in Surgery, 3, 14. https://doi.org/10.3389/fsurg.2016.00014
Woolf, C. J., & Thompson, S. W. (1991). The induction and maintenance of central sensitization is dependent on N-methyl-D-aspartic acid receptor activation; implications for the treatment of post-injury pain hypersensitivity states. Pain, 44(3), 293-299. https://doi.org/10.1016/0304-3959(91)90100-C
Addressing Overlapping Risk Profiles
Peripheral neuropathy often comes with a side of extra baggage—overlapping risk factors that make symptoms worse. These include diabetes, chemotherapy, poor nutrition, or even stress from an injury. Chiropractic care, especially Dr. Jimenez’s integrative approach, can help manage these risks.
Common Risk Factors for Peripheral Neuropathy
Diabetic Peripheral Neuropathy: High blood sugar damages nerves over time, leading to numbness or pain, especially in the feet. Up to 50% of diabetic patients develop neuropathy (Hicks & Selvin, 2019).
Chemotherapy-Induced Peripheral Neuropathy (CIPN): Cancer treatments like platinum-based drugs can damage nerves, causing tingling or burning sensations (Seretny et al., 2014).
Trauma from MVAs: Physical injuries can compress or inflame nerves, contributing to neuropathic symptoms (Jimenez, 2025b).
Nutritional Deficiencies: Lack of B vitamins or other nutrients can impair nerve health, worsening symptoms (Oh et al., 2023).
How Chiropractic Care Helps
Dr. Jimenez’s approach tackles these risk factors head-on:
Diabetic Neuropathy: He combines spinal adjustments with nutritional counseling to stabilize blood sugar and support nerve repair. For example, he might recommend a diet rich in B vitamins to nourish nerves (Jimenez, 2025a).
CIPN: Chiropractic adjustments and therapies like acupuncture can reduce pain and improve nerve function, complementing nonpharmacologic interventions (Oh et al., 2023).
Post-Trauma Neuropathy: By addressing spinal misalignments and inflammation, Dr. Jimenez reduces nerve irritation from MVAs, helping patients regain mobility (Jimenez, 2025b).
Autonomic Nervous System Support: Chiropractic care can regulate the autonomic nervous system, which is often disrupted in neuropathy, improving symptoms like dizziness or digestive issues (Vagal, 2020).
His functional medicine approach also includes tools like the Neural Zoomer Plus, a blood test that analyzes neurological autoantibodies to pinpoint the causes of nerve damage (Jimenez, 2019). This allows for tailored treatments that address both symptoms and underlying risk factors.
References
Hicks, C. W., & Selvin, E. (2019). Epidemiology of peripheral neuropathy and lower extremity disease in diabetes. Current Diabetes Reports, 19(10), 86. https://doi.org/10.1007/s11892-019-1212-8
Oh, P. J., et al. (2023). Prevention and treatment of chemotherapy-induced peripheral neuropathy (CIPN) with non-pharmacological interventions. Frontiers in Pain Research, 4, 1002967. https://doi.org/10.3389/fpain.2023.1002967
Seretny, M., et al. (2014). Incidence, prevalence, and predictors of chemotherapy-induced peripheral neuropathy: A systematic review and meta-analysis. Pain, 155(12), 2461-2470. https://doi.org/10.1016/j.pain.2014.09.020
Vagal, V. (2020). Editorial: Understanding the role of the autonomic nervous system in health and disease. Frontiers in Neuroscience, 14, 615. https://doi.org/10.3389/fnins.2020.00615
The Chiropractic Process: What to Expect
So, what’s it like to visit a chiropractor like Dr. Jimenez for peripheral neuropathy? It’s not like walking into a magic show where someone waves a wand and poof—your pain’s gone. It’s a structured, evidence-based process that’s more like a well-choreographed dance between science and care.
Initial Consultation
Your first visit is like a detective mission. Dr. Jimenez will:
Take a detailed health history to understand your symptoms, lifestyle, and any trauma (like that fender-bender you thought was no big deal).
Perform a physical exam to assess nerve function, reflexes, and muscle strength.
Order advanced imaging (X-rays, MRIs) or tests like the Neural Zoomer Plus to get a clear picture of what’s going on (Jimenez, 2019).
Treatment Plan
Once the culprit is identified, Dr. Jimenez crafts a personalized plan, which might include:
Spinal Adjustments: Gentle manipulations to realign the spine and relieve nerve pressure.
Manual Therapies: Techniques like myofascial release or trigger point therapy to relax muscles and improve circulation.
Rehabilitation Exercises: Stretches and strength training to support muscles and joints affected by neuropathy.
Functional Medicine: Nutritional advice or supplements to address deficiencies that worsen nerve damage.
Legal Documentation: For personal injury cases, detailed reports linking your symptoms to the accident, ensuring you have the evidence needed for claims (Jimenez, 2025a).
Ongoing Care
Recovery isn’t a one-and-done deal. Dr. Jimenez monitors progress with regular check-ins, adjusting the plan as needed. You might start with weekly adjustments, then taper off as symptoms improve. It’s like training for a marathon—steady progress wins the race.
Benefits of Chiropractic Care for Peripheral Neuropathy
Chiropractic care isn’t just about feeling better—it’s about getting your life back. Here are some key benefits for neuropathy patients:
Pain Reduction: Adjustments and therapies can lower pain levels, making daily tasks more manageable (Oh et al., 2023).
Improved Mobility: By addressing musculoskeletal issues, chiropractic care helps you move more freely, whether it’s walking or picking up your grandkids.
Non-Invasive Approach: Unlike medications or surgery, chiropractic care is gentle and low-risk, avoiding side effects like those seen with intravenous lidocaine (Schwenk et al., 2023).
Holistic Healing: Dr. Jimenez’s integrative approach tackles both symptoms and causes, from spinal misalignments to nutritional deficiencies.
Legal Support: For MVA-related neuropathy, Dr. Jimenez’s documentation ensures your injuries are properly represented in legal claims, helping you secure fair compensation (Jimenez, 2025a).
Oh, P. J., et al. (2023). Prevention and treatment of chemotherapy-induced peripheral neuropathy (CIPN) with non-pharmacological interventions. Frontiers in Pain Research, 4, 1002967. https://doi.org/10.3389/fpain.2023.1002967
Schwenk, E. S., et al. (2023). Intravenous lidocaine for treatment of chronic pain: A retrospective cohort study. Pain Medicine, 24(6), 664-670. https://doi.org/10.1093/pm/pnac174
Real-Life Impact: Patient Stories
Let’s take a moment to hear from patients who’ve walked this path. One patient, after a car accident, described feeling like their feet were “on fire” from neuropathy. After working with Dr. Jimenez, they reported less pain and better balance, allowing them to return to their job as a delivery driver (Jimenez, 2023f). Another patient with CIPN said chiropractic care, combined with nutritional changes, helped them reduce tingling enough to enjoy gardening again. These stories highlight how Dr. Jimenez’s care can transform lives, one adjustment at a time.
In El Paso, Dr. Jimenez is a household name for personal injury and neuropathy care. His clinic, Injury Medical & Chiropractic Clinic, is a hub for holistic healing, equipped with advanced tools and a compassionate team. Voted a top chiropractor and wellness provider, Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner sets him apart (Jimenez, 2025a). His ability to integrate medical diagnostics with chiropractic care ensures patients get the best of both worlds—effective treatment and solid legal support for personal injury cases.
Peripheral neuropathy can be a challenging condition, but chiropractic care offers a promising, non-invasive solution to reduce nerve pain and improve quality of life. By addressing spinal misalignments, improving blood flow, and tackling underlying risk factors, chiropractors like Dr. Alexander Jimenez in El Paso, Texas, help patients regain mobility and independence. His dual-scope approach, combining advanced imaging, diagnostic evaluations, and holistic therapies, makes him a trusted ally for those dealing with neuropathy, especially from personal injuries like motor vehicle accidents. For El Paso residents, Dr. Jimenez’s expertise as a medical-legal liaison ensures that your recovery is supported both clinically and legally, paving the way for a pain-free, active life.
Disclaimer: This blog post is for informational purposes only and is not intended to replace professional medical advice. Always consult a qualified healthcare provider, such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, for personalized diagnosis and treatment. The information provided is based on current research and clinical insights, but should not be used as a substitute for a one-on-one consultation with a licensed professional. For more information or to discuss your specific condition, contact Dr. Jimenez at 915-850-0900 or visit dralexjimenez.com.
Nerve Injuries After Motor Vehicle Accidents: Recovery with El Paso Back Clinic’s Integrative Care
Motor vehicle accidents (MVAs) can lead to a variety of nerve injuries, ranging from mild discomfort to severe, life-altering conditions that affect sensory, motor, and autonomic functions. These injuries can disrupt your ability to feel, move, and regulate essential bodily functions, such as heart rate and digestion. At El Paso Back Clinic, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, we specialize in helping patients recover from MVA-related injuries using a holistic, integrative approach that combines chiropractic care, functional medicine, and advanced diagnostics. Our evidence-based protocols, as featured on elpasobackclinic.com, focus on restoring health naturally for patients of all ages.
Understanding Nerve Injuries from Motor Vehicle Accidents
Nerve injuries from MVAs vary in severity and impact. Nerve compression occurs when nerves are pinched by swollen tissues, herniated discs, or misaligned bones, causing pain, numbness, or weakness (Alexander Orthopaedics, n.d.). Stretch injuries occur when nerves are overstretched during sudden movements, such as whiplash, resulting in temporary or prolonged discomfort (Hopkins Medicine, 2022). The most severe are nerve tears, where nerve fibers are severed, often requiring surgical intervention (Grabband Durando, n.d.).
Commonly affected nerve groups include the brachial plexus, which controls the shoulder, arm, and hand, often damaged in side-impact collisions, resulting in weakness or paralysis (Mayo Clinic, 2023a). Spinal nerves can be compressed by whiplash or herniated discs, causing radiating pain or loss of sensation (Novus Spine Center, n.d.). Peripheral nerves, connecting the spinal cord to the body, may experience trauma, leading to tingling or burning sensations (Mayo Clinic, 2023b). These injuries often manifest as whiplash, herniated discs, or pinched nerves, which can misalign the spine and affect overall health (Wallace Wins, n.d.).
At El Paso Back Clinic, we focus on identifying and treating these injuries to restore function and improve quality of life through personalized, non-invasive care plans.
Nerve injuries from MVAs disrupt three critical functions: sensory, motor, and autonomic, each presenting unique challenges that require specialized care.
Sensory functions manage sensations like touch, temperature, and pain. Damage can cause numbness, tingling, or burning, making daily tasks challenging. For example, a brachial plexus injury may impair sensation in the arm, making it difficult to perform activities such as holding objects (Mayo Clinic, 2023a). Motor functions control movement, and injuries can lead to muscle weakness or paralysis. A severe nerve tear, such as a brachial plexus avulsion, can prevent arm or hand movement (Hopkins Medicine, n.d.). Autonomic functions regulate involuntary processes, such as heart rate and sweating. Diffuse axonal injuries from high-speed crashes can disrupt these functions, causing issues like irregular heartbeats (National Institute of Neurological Disorders and Stroke, n.d.). Additionally, nerve damage can contribute to conditions such as carpal tunnel syndrome, where the median nerve is compressed, resulting in hand numbness or weakness (Palermo Law Group, n.d.).
El Paso Back Clinic utilizes advanced diagnostics, including X-rays, MRIs, and electromyography (EMG), to accurately assess nerve damage and develop tailored treatment plans that address both the injury and underlying health factors (Jimenez, 2023c).
Dr. Alex Jimenez’s Expertise at El Paso Back Clinic
At El Paso Back Clinic, Dr. Alex Jimenez, DC, APRN, FNP-BC, brings over 25 years of experience as a chiropractor and nurse practitioner to treat MVA-related nerve injuries. His dual-diagnosis approach combines chiropractic assessments with medical evaluations to establish a clear clinical correlation between injuries and symptoms. For instance, he may identify a pinched nerve from spinal misalignment while also assessing inflammation or hormonal imbalances that could delay recovery (Jimenez, 2023b).
Using advanced imaging techniques like X-rays and MRIs, Dr. Jimenez detects hidden issues, such as herniated discs or ligament tears resulting from whiplash, ensuring precise treatment plans (Jimenez, 2023c). His expertise in legal documentation is a key asset, as evidenced by his ability to provide detailed reports for insurance claims and personal injury cases, as highlighted by patient testimonials on social media (Jimenez, 2023f). Dr. Jimenez collaborates with top surgeons, therapists, and specialists to deliver comprehensive care tailored to each patient’s needs.
Our integrative approach, combining chiropractic care, functional medicine, acupuncture, and nutrition counseling, addresses the root causes of injuries, promoting long-term health and recovery (Jimenez, 2023g; Jimenez, 2023h).
Holistic Recovery with Chiropractic and Functional Medicine
El Paso Back Clinic offers a holistic approach to MVA recovery, focusing on non-invasive treatments that target the root causes of nerve injuries. Chiropractic adjustments correct spinal misalignments that compress nerves, relieving pain and restoring mobility (Jimenez, 2023g). For example, realigning the cervical spine after whiplash can alleviate nerve pressure, thereby reducing symptoms such as neck pain or numbness (Wallace Wins, n.d.).
Functional medicine enhances this by addressing underlying health issues. Nutrition counseling can reduce inflammation through dietary changes, thereby accelerating recovery from injuries such as herniated discs (Jimenez, 2023). Acupuncture and rehabilitation therapies can improve pain relief and mobility, while nurse practitioner services monitor for complications such as autonomic dysfunction (Baltimore Peripheral Nerve Pain, n.d.). This integrative approach prevents chronic issues and promotes overall wellness.
Contact El Paso Back Clinic at 915-850-0900 or coach@elpasofunctionalmedicine.com to begin your recovery with personalized, evidence-based care.
Nerve injuries from motor vehicle accidents, such as brachial plexus damage, spinal nerve compression, or peripheral nerve trauma, can disrupt sensory, motor, and autonomic functions, leading to conditions like whiplash, herniated discs, or pinched nerves. These injuries often misalign the spine, which can impact overall health. At El Paso Back Clinic, Dr. Alex Jimenez and our team offer an integrative approach, combining chiropractic care, functional medicine, and advanced diagnostics to address the root causes of injuries, promoting long-term recovery and wellness. Visit elpasobackclinic.com or call 915-850-0900 to start your journey to a pain-free, vibrant life.
Understanding Compression Injuries, Nerve Damage, and Whiplash from Car Accidents: A Comprehensive Guide
Car accidents, also known as motor vehicle accidents (MVAs), are a leading cause of injuries worldwide, often resulting in conditions that can significantly impact a person’s quality of life. Among the most common injuries are compression injuries, nerve damage, and indirect trauma like whiplash. These injuries can lead to chronic pain, mobility issues, and even long-term disabilities if not properly diagnosed and treated. In El Paso, Texas, where thousands of accidents occur annually, clinicians like Dr. Alexander Jimenez, a chiropractor and nurse practitioner, specialize in helping victims recover using advanced diagnostic tools and integrative care.
This blog explores the medical causes of compression injuries, nerve damage, and whiplash from MVAs; their connection to peripheral neuropathies; and the innovative approaches used by Dr. Jimenez to diagnose and treat these conditions. We’ll also discuss the impact of these injuries in El Paso’s personal injury cases and how accurate diagnostics bridge the gap between medical care and legal documentation. This guide aims to clarify and make complex medical concepts more accessible.
What Are Compression Injuries, Nerve Damage, and Whiplash?
Compression Injuries
The force of an MVA can squeeze or press parts of the body, such as bones, muscles, or nerves, resulting in compression injuries. For example, a sudden impact can compress spinal discs or vertebrae, leading to pain and restricted movement. These injuries often affect the spine, causing issues like herniated discs or fractures that may press on nerves.
Nerve Damage
Nerve damage, also called neuropathy, occurs when nerves are stretched, compressed, or torn. Nerves act like the body’s wiring, carrying signals between the brain and other parts. When damaged, they can cause symptoms like sharp pain, numbness, tingling, or weakness. In MVAs, nerve damage often results from trauma to the spine or limbs, disrupting normal function.
Whiplash
Whiplash is a common MVA injury, especially in rear-end collisions. The sudden jerking of the head forward and then backward strains the muscles, ligaments, and nerves of the neck. This rapid motion can cause inflammation or compression of nerves, leading to neck pain, headaches, and sometimes long-term issues. Research suggests that about 50% of whiplash patients experience neck pain for at least a year after the accident (Carroll et al., 2008).
Medical Causes of Compression Injuries and Nerve Damage in MVAs
MVAs can cause various injuries due to the sudden and forceful movements involved. Below, we examine the primary causes of compression injuries and nerve damage, drawing on clinical insights.
Whiplash and Nerve Compression
Whiplash occurs when the neck undergoes rapid acceleration and deceleration, often in rear-end collisions. This motion can inflame tissues around the cervical spine (neck) or compress nerves, leading to pain, stiffness, and numbness in the arms or hands. According to Houston Pain Specialists, whiplash is a primary cause of nerve pain in MVAs due to its impact on soft tissues and nerves.
Herniated Discs
The spine’s intervertebral discs act as cushions between vertebrae. In an MVA, the force of impact can cause these discs to shift or rupture, a condition known as a herniated disc. When the disc’s inner material protrudes, it can press on nearby nerves, causing pain, numbness, or weakness. The Russo Firm notes that herniated discs are a common cause of peripheral neuropathy, disrupting nerve signals to the limbs.
Spinal Cord Injuries
Severe MVAs can directly injure the spinal cord, the bundle of nerves running through the spine. These injuries may cause partial or complete loss of sensation and movement below the injury site. Spinal cord damage is less common but can lead to permanent nerve damage, affecting functions like walking or breathing.
Pinched Nerves
A pinched nerve occurs when surrounding tissues, such as bones or swollen muscles, compress a nerve. In MVAs, displaced vertebrae or inflamed tissues can pinch nerves, causing sharp pain or tingling. This is often observed in the neck or lower back, contributing to conditions such as radiculopathy.
Inflammation and Swelling
After an MVA, the body responds to trauma with inflammation, which can cause swelling around injured areas. This swelling may press on nerves, leading to pain and potential chronic nerve damage if untreated. Inflammation is a key factor in prolonged symptoms, as noted by Houston Pain Specialists.
Scar Tissue Formation
As the body heals, scar tissue can form around injured areas. This tissue may entrap or compress nerves, worsening pain over time. Scar tissue is a significant concern in cases of chronic nerve pain, as it can create lasting pressure on nerves.
Severe Stretching or Compression
The intense forces in an MVA can stretch or compress nerves beyond their normal range, causing immediate damage. This may lead to ongoing pain or neurological symptoms if the nerves don’t heal properly, as explained by Houston Pain Specialists.
Cause
Description
Common Symptoms
Whiplash
Rapid neck movement can inflame or compress nerves.
Neck pain, numbness, headaches
Herniated Discs
Disc rupture presses on nerves.
Pain, numbness, weakness in limbs
Spinal Cord Injuries
Direct trauma to the spinal cord.
Loss of sensation, paralysis
Pinched Nerves
Compression by bones or tissues.
Sharp pain, tingling
Inflammation and Swelling
Swelling presses on nerves.
Pain, reduced mobility
Scar Tissue Formation
Scar tissue entraps nerves post-healing.
Chronic pain, nerve irritation
Severe Stretching/Compression
Direct nerve damage from impact.
Persistent pain, neurological symptoms
Peripheral Neuropathies from MVA Injuries
Peripheral neuropathy refers to damage to the peripheral nerves, which connect the brain and spinal cord to the rest of the body. These nerves control movement, sensation, and autonomic functions, such as heart rate. Motor vehicle accidents (MVAs) can cause peripheral neuropathies through mechanisms such as nerve compression or trauma.
Sciatica as a Peripheral Neuropathy
Sciatica, a common peripheral neuropathy, occurs when the sciatic nerve, running from the lower back to the legs, is compressed. This type of injury often results from herniated discs or spinal misalignment caused by MVAs. Symptoms include radiating pain, numbness, and muscle weakness in the legs. Dr. Jimenez’s website highlights that ligamentous injuries, such as tears in the annulus fibrosus, can lead to disc herniation and sciatica (Jimenez, n.d.).
Symptoms and Diagnosis
Symptoms of peripheral neuropathy include:
Sharp, burning, or shooting pain
Numbness or tingling
Sensitivity to touch
Muscle weakness or coordination issues
Autonomic issues like blood pressure changes
Diagnosis often involves imaging, such as MRI, to detect nerve compression, as well as clinical assessments to evaluate symptoms. Early diagnosis is crucial in preventing chronic conditions, as noted by The Russo Firm.
Dr. Alexander Jimenez’s Clinical Insights
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leading clinician in El Paso, Texas, recognized for his integrative approach to treating motor vehicle accident (MVA) injuries. With over 30 years of experience, he holds certifications in chiropractic care, functional medicine, and nursing, allowing him to address both musculoskeletal and systemic issues.
Background and Expertise
Dr. Jimenez’s practice focuses on holistic healing, combining chiropractic techniques with functional medicine. His clinic, Injury Medical Clinic, offers treatments for chronic pain, personal injury, and complex conditions like sciatica and herniated discs. Awards such as the Top Rated El Paso Chiropractor Award from 2015 to 2024 (Three Best Rated) recognize his work.
Diagnostic Approach
Dr. Jimenez uses advanced diagnostic tools to assess MVA injuries:
MRI: Detects soft tissue injuries like ligament tears and disc herniations, which may not appear on X-rays. A case study on his website describes a 49-year-old female with a 9 mm disc bulge causing radicular pain, diagnosed via 1.5 Tesla MRI (Jimenez, 2017).
Computerized Radiographic Mensuration Analysis (CRMA) assesses how the spine moves to determine if the ligaments are loose, a condition known as Alteration of Motion Segment Integrity (A.O.M.S.I.). The diagnosis is crucial for deciding impairment ratings, which can significantly influence insurance claims (Jimenez, 2017).
Treatment Strategies
Dr. Jimenez employs chiropractic adjustments, physical therapy, and functional medicine to restore mobility and reduce pain. His integrative approach addresses both immediate injuries and underlying causes, such as inflammation or biomechanical issues, to prevent the development of chronic conditions.
Impact of El Paso’s Personal Injury Cases
El Paso experiences a high number of motor vehicle accidents (MVAs), with 19,150 reported in 2021, of which 25–27% resulted in injuries (Make Roads Safe). Common injuries include whiplash, herniated discs, and nerve damage, which can lead to long-term issues like peripheral neuropathy. Dr. Jimenez’s clinic plays a vital role in treating these victims, offering personalized care plans to restore health and support legal claims.
Case Study Example
A 49-year-old female patient involved in an MVA experienced radicular pain due to a 9 mm disc bulge, detected via MRI. Dr. Jimenez’s treatment plan, combining chiropractic care and physical therapy, helped alleviate her symptoms and provided documentation for her personal injury case (Jimenez, 2017).
Linking Diagnostic Tests and Imaging to Patient Injuries
Accurate diagnosis is crucial for effective treatment and legal documentation in motor vehicle accident (MVA) cases. Dr. Jimenez’s use of advanced imaging and diagnostic tests ensures precise identification of injuries, which is crucial for both medical and legal outcomes.
Importance of Diagnostics
Standard X-rays may miss soft tissue injuries, with 12% of spinal cord injuries showing no radiographic abnormality (Jimenez, 2017). MRI and CRMA provide detailed insights:
MRI: Visualizes ligament tears, disc herniations, and nerve compression.
CRMA: Measures spinal instability, with specific criteria for A.O.M.S.I. (e.g., >3.5 mm motion in the cervical spine). Such injuries can result in a 25–28% impairment rating, which can influence insurance settlements (Jimenez, 2017).
Legal Documentation
Insurance companies reserve significant funds (e.g., $60,000) for ligament laxity diagnoses, as they indicate serious injury. Dr. Jimenez’s detailed documentation, supported by CRMA and MRI, helps patients secure fair compensation for medical bills, lost wages, and pain and suffering.
Diagnostic Tool
Purpose
Impact on Treatment and Legal Claims
MRI
Detects soft tissue and nerve damage
Guides treatment; provides evidence for legal claims
The term “dual-scope procedures” may refer to Dr. Jimenez’s use of multiple diagnostic approaches, such as combining MRI and CRMA, to assess injuries comprehensively. This dual approach ensures a thorough understanding of both structural and functional damage, which enhances treatment plans and legal documentation.
Conclusion
Motor vehicle accidents can cause severe injuries, like compression injuries, nerve damage, and whiplash, often leading to peripheral neuropathies such as sciatica. These conditions require prompt and accurate diagnosis to prevent chronic pain and disability. In El Paso, Dr. Alexander Jimenez stands out for his expertise in treating MVA victims, using advanced tools like MRI and CRMA to link injuries to effective treatment and legal outcomes. His integrative approach ensures patients receive holistic care while supporting their pursuit of fair compensation.
If you have been involved in a motor vehicle accident (MVA), please consider seeking a medical evaluation promptly to address any potential injuries. Contact specialists like Dr. Jimenez at Injury Medical Clinic (915-850-0900) for expert care and support.
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.
Should individuals experiencing nerve pain or various sensations get a nerve conduction velocity study to examine nerve health and function?
Nerve Conduction Velocity
A nerve conduction velocity (NCV) is a noninvasive test that measures the speed and strength of nerve stimulation using electrical probes placed on the skin. It’s used to diagnose nerve damage or disease, often alongside an EMG (electromyogram) to differentiate between nerve and muscle problems. It can also evaluate sensory issues, pain, and weakness of the extremities.
This test involves safe electrical shocks that can be slightly uncomfortable but not painful.
Nerve conduction velocity (NCV) measures the speed at which electrical impulses travel along a nerve fiber, which measures how quickly electrical signals travel through a nerve.
This information indicates nerve health and function.
Electromyography (EMG) is a nerve test that involves placing tiny needles into the muscles.
A slower NCV can indicate nerve injury or dysfunction.
Test Uses
Generally, the test is ordered to assess peripheral nerve diseases, those that connect from the muscles, organs, and skin to the spinal cord or brain. It can help identify the type and location of nerve damage.
Peripheral nerve conditions typically cause pain, sensory loss, tingling, or burning.
Mild weakness and diminished reflexes can be detected during a neurological examination.
Conditions
Nerve conduction studies are performed to help diagnose conditions.
Nerve damage (neuropathy), such as from diabetes, chemotherapy, or autoimmune disorders
Charcot-Marie-Tooth disease
Nerve compression
Many different conditions, including trauma, inflammation, and tumors, can compress one or more nerves.
Radiculopathy
Often described as a pinched nerve, radiculopathy can affect an arm or a leg, causing pain and weakness.
Peripheral Neuropathy
This nerve damage begins in the most distal nerves, those farthest from the center of the body, such as the toes and fingers. It is often due to chronic alcohol misuse, uncontrolled diabetes, nutritional deficits, and inflammatory diseases. (Ferdousi M. et al., 2020)
Carpal Tunnel Syndrome
Commonly caused by inflammatory diseases or overuse of the wrists, such as from assembly line work, carpal tunnel syndrome causes numbness, pain, and weakness of the fingers and hands. (Tada K. et al., 2022)
Ulnar neuropathy
This common condition causes arm pain and sensory changes, usually due to repetitive movements or a prolonged position that causes pressure on the ulnar nerve.
Guillain-Barré syndrome (GBS)
This inflammatory condition causes demyelination, or loss of the insulating covering around nerves, which results in leg weakness.
It begins in the motor nerves, which send signals to muscles in the legs. (Shibuya K. et al., 2022)
The inflammation travels to nerves of the upper body, often affecting the muscles that control breathing.
Respiratory support is necessary until the condition improves.
Chronic Demyelinating Polyneuropathy (CIDP)
This condition is a chronic, recurrent form of GBS that usually affects the legs and causes episodes of weakness.
ICU neuropathy
Metabolic changes, severe illness, and not moving enough can cause nerves to develop a pattern of weakness and sensory loss.
Myasthenia gravis (MG)
This autoimmune condition affects the junction between the nerves and the muscles.
Myasthenia gravis causes drooping eyelids and weakness of the arms and shoulders.
Amyotrophic lateral sclerosis (ALS)
ALS is a serious, degenerative disease affecting the spinal cord’s motor neurons.
Amyotrophic lateral sclerosis progresses rapidly, resulting in substantial weakness of muscles throughout the body.
How it’s Done
Surface electrodes are placed on the skin over nerves, and a small electrical current is applied to stimulate the nerve.
The time it takes for the electrical signal to travel between the electrodes is measured, and this time is used to calculate the NCV.
Values
Normal NCV values are generally between 50 and 70 meters per second. However, these values can vary depending on the nerve and the individual.
NCV Factors
Various factors can influence NCV.
Age
Sex
Medical conditions like diabetes
Interpretation
A slower NCV can indicate nerve damage or demyelination (loss of the myelin sheath, which insulates nerve fibers), while an EMG can help determine if the problem is with the nerve or the muscle.
Results
The results of NCV testing can be used to determine the type, severity, and location of nerve damage. The results will be ready in report form about a week after the test.
The test measures velocity (how fast a nerve transmits signals) and amplitude (how many nerve fibers were activated). (Tavee J. 2019)
The measurements are transmitted to a computer and shown as waves and numerical values.
The values are compared to a standard measurement based on the tested nerve.
The distance between the electrodes.
The person’s age.
Compared to the standard, the NCV results can identify certain patterns of nerve damage. (Tada K. et al., 2022) Outcomes include: (Tavee J. 2019)
If one or more nerves are affected.
If motor nerves (control movement), sensory nerves (transmit sensory signals), or both are affected.
Whether a nerve is blocked or damaged.
The severity of the damage.
The type of nerve damage
Axonal (damage to the nerve itself)
Demyelination (damage to the protective fatty layer around the nerve)
The results can help point to certain diagnoses.
Preparation Before the Test
Individuals will not need to change their diet before having an NCV. However, patients will be asked to avoid lotions or creams on their skin before the test. Individuals who are also having an EMG at the time of their NCV might be asked to stop taking medications or supplements that increase the risk of bleeding and bruising. If a healthcare provider says not to stop taking the medicines for health reasons, the patient might be warned that they could have some bruising after the EMG test.
NCV may advise against getting the test for those with electrical device implants.
Make sure your healthcare providers are aware of your whole medical history.
Injury Medical Chiropractic & Functional Medicine Clinic
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.
Peripheral Neuropathy and Chiropractic Care
References
Ferdousi, M., Kalteniece, A., Azmi, S., Petropoulos, I. N., Worthington, A., D’Onofrio, L., Dhage, S., Ponirakis, G., Alam, U., Marshall, A., Faber, C. G., Lauria, G., Soran, H., & Malik, R. A. (2020). Corneal confocal microscopy compared with quantitative sensory testing and nerve conduction for diagnosing and stratifying the severity of diabetic peripheral neuropathy. BMJ open diabetes research & care, 8(2), e001801. https://doi.org/10.1136/bmjdrc-2020-001801
Tada, K., Murai, A., Nakamura, Y., Nakade, Y., & Tsuchiya, H. (2022). In Carpal Tunnel Syndrome, Sensory Nerve Conduction Velocities Are Worst in the Middle Finger Than in the Index Finger. Frontiers in Neurology, 13, 851108. https://doi.org/10.3389/fneur.2022.851108
Shibuya, K., Tsuneyama, A., Misawa, S., Suzuki, Y. I., Suichi, T., Kojima, Y., Nakamura, K., Kano, H., Ohtani, R., Aotsuka, Y., Morooka, M., Prado, M., & Kuwabara, S. (2022). Different patterns of sensory nerve involvement in chronic inflammatory demyelinating polyneuropathy subtypes. Muscle & Nerve, 66(2), 131–135. https://doi.org/10.1002/mus.27530
Tavee J. (2019). Nerve conduction studies: Basic concepts. Handbook of Clinical Neurology, 160, 217–224. https://doi.org/10.1016/B978-0-444-64032-1.00014-X
Individuals dealing with chronic pain following a minor injury, surgery, or trauma could be experiencing complex regional pain syndrome. What are the symptoms, diagnosis, and treatments available?
Complex Regional Pain Syndrome
Reflex sympathetic dystrophy syndrome (RSDS), more commonly known as complex regional pain syndrome (CRPS), is a chronic pain condition where a person experiences severe, persistent pain in a limb, usually following an injury, that is significantly more profound than from the initial trauma. It is considered a neuroinflammatory disorder in which the body’s response to injury is dysregulated. The condition is characterized by severe burning pain, often in an arm or leg, that can occur following a minor injury, surgery, or trauma. It is associated with abnormal changes in skin temperature, swelling, and sensitivity to touch, usually affecting the affected area’s nerves, skin, muscles, blood vessels, and bones. Other names it is known by include:
Causalgia
Shoulder-Hand Syndrome
Sudeck’s Atrophy
Causes
CRPS is a chronic pain condition believed to result from dysfunction in the central or peripheral nervous systems (National Institute of Neurological Disorders and Stroke, 2017). It involves irritation and abnormal excitation of nervous tissue, leading to abnormal impulses along nerves that affect blood vessels and skin. Animal studies indicate that norepinephrine, a catecholamine released from sympathetic nerves, acquires the ability to activate pain pathways after tissue or nerve injury, resulting in CRPS. Another theory is that CRPS, which follows an injury, is caused by triggering an immune response and continuous inflammation symptoms (swelling, redness, warmth). (Goh E. L., Chidambaram S., & Ma, D. 2017) It is believed to have multiple causes producing similar symptoms.
Extreme sensitivity to touch, often causing significant disability in the affected limb.
Stiffness and swelling in affected joints
Skin color changes – blotchy, purple, pale, red.
Skin temperature changes – warmer or cooler than the opposing extremity.
Skin texture changes – shiny, thin, sweaty.
Changes in nail and hair growth patterns.
Pain can spread, for example, from the finger to the entire arm and the opposite extremity or from the left to the right arm.
Emotional stress can cause symptoms to worsen.
Some experts suggest three stages during which progressive changes occur in the affected area’s skin, muscles, joints, ligaments, and bones (Harvard Health Publishing, 2023). However, further research is needed.
Injury Medical Chiropractic & Functional Medicine Clinic
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.
The Root Causes of Pain
References
National Institute of Neurological Disorders and Stroke. (2017). Complex regional pain syndrome fact sheet. Retrieved from https://www.ninds.nih.gov/sites/default/files/migrate-documents/CRPS_FactSheet-E_508C.pdf
Goh, E. L., Chidambaram, S., & Ma, D. (2017). Complex regional pain syndrome: a recent update. Burns & Trauma, 5, 2. https://doi.org/10.1186/s41038-016-0066-4
Bruehl S. (2015). Complex regional pain syndrome. BMJ (Clinical research ed.), 351, h2730. https://doi.org/10.1136/bmj.h2730
Harvard Health Publishing. (2023). Complex Regional Pain Syndrome (CRPS). https://www.health.harvard.edu/a_to_z/complex-regional-pain-syndrome-crps-a-to-z
Tajerian, M., & Clark, J. D. (2016). New Concepts in Complex Regional Pain Syndrome. Hand Clinics, 32(1), 41–49. https://doi.org/10.1016/j.hcl.2015.08.003
Excessive alcohol consumption: what is alcoholic peripheral neuropathy?
Alcoholic Peripheral Neuropathy
Alcoholic peripheral neuropathy (ALN) is a condition that damages the nerves in the body due to chronic alcohol consumption. It can cause sensory, motor, and autonomic dysfunction, which can lead to disability. This damage prevents the nerves from communicating information. Most symptoms generally start as mild but typically worsen over time as the neuropathy progresses. The most common symptoms are: (National Library of Medicine, 2023)
Numbness or tingling sensation in the extremities
Pain or a burning sensation in the extremities
Difficulty walking
Difficulty urinating
Difficulty talking or swallowing
Affected nerves include the peripheral and autonomic nerves, which help regulate internal body functions. Around 46% of chronic alcohol users will eventually develop the condition. (Julian T., Glascow N., Syeed R., & Zis P. 2019)
Causes
The exact cause of alcoholic neuropathy is unclear. But it is directly related to heavy and long-term alcohol consumption. (Julian T., Glascow N., Syeed R., & Zis P. 2019) It is believed overconsumption of alcohol can directly harm and hinder the nerves’ ability to communicate information. Unhealthy nutritional habits are often associated with it as well. Research shows that decreased thiamine/B vitamin plays a role, while others suggest an overall dietary deficiency may play a role. (Julian T., Glascow N., Syeed R., & Zis P. 2019) However, alcoholic neuropathy can also occur without the presence of malnutrition. (Julian T., Glascow N., Syeed R., & Zis P. 2019)
Neuropathy Development and Progression
Alcoholic peripheral neuropathy develops depending on many factors, including the amount of daily/nightly alcohol consumed, age and overall health, nutritional intake, and other individual factors. In most cases, the neuropathy takes several years or decades to develop, depending on the amount of alcohol consumed.
Pain or burning sensation in the arms, legs, or feet.
Symptoms that occur in the arms and legs typically affect both sides.
Cramps, aches, or weakness of the muscles.
Constipation or diarrhea.
Nausea and vomiting.
Difficulty urinating or incontinence.
Difficulty walking.
Difficulty talking or swallowing.
Heat intolerance.
Erection difficulties.
Most symptoms begin as mild and usually worsen over time as the neuropathy progresses. Alcoholic neuropathy affects individuals who consume excessive amounts of alcohol over a long time. (Julian T., Glascow N., Syeed R., & Zis P. 2019)
Healthcare providers will collect data involving past medical history and all current symptoms.
Physical Exam
This exam looks at other medical conditions contributing to symptoms, like diabetes or high blood pressure.
Neurological Exam
This is a noninvasive exam to determine the location and extent of neurological damage.
Healthcare providers may ask patients several questions and have them complete a series of small movements to check neurological function.
Blood and Urine Tests
These tests can detect diabetes, liver and kidney problems, infections, vitamin deficiencies, and other conditions that can cause neuropathic conditions.
Chronic alcohol use can also affect how the body stores and uses vitamins necessary for healthy nerve function. Vitamin levels that a healthcare provider may check include: (National Library of Medicine, 2023)
Vitamin A
Biotin
Folic acid
Niacin, or vitamin B3
Pyridoxine, or vitamin B6
Pantothenic acid
Liver Disease
Individuals with chronic liver disease often have neuropathy. The severity and stage are associated with a higher incidence of neuropathy. (Pasha MB, Ather MM, Tanveer MA, et al. 2019)
Treatment
Alcoholic neuropathy is not reversible, even when quitting drinking. However, individuals with the condition can make healthy changes to minimize symptoms and receive help for chronic alcohol use. The first step is stopping alcohol consumption. (Chopra K., & Tiwari V. 2012) Talk to a healthcare provider about what options are available. Treatment can include:
In-patient or outpatient rehab
Therapy
Medication
Social support from groups like Alcoholics Anonymous
A combination of treatments will likely be utilized. Other treatment options involve symptom management and preventing further injuries and may include:
Physical therapy
Keeping the head elevated while sleeping.
Orthopedic splints to maintain limb function and positioning.
Wearing compression stockings.
Adding vitamins and supplements.
Eating extra salt for those without hypertension
Medications to reduce pain and discomfort.
Intermittent catheterization or manual expression of urine for those with difficulty urinating.
Individuals with neuropathy may have reduced sensitivity in the arms and legs. If this occurs, additional steps need to be taken to prevent other injuries, that include (National Library of Medicine, 2023)
Wear special footwear to prevent foot injuries.
Checking feet daily for wounds.
Prevent burns by ensuring that bath and shower water is not too hot.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Peripheral Neuropathy Myths and Facts
References
National Library of Medicine. (2023). Alcoholic neuropathy. Retrieved from https://medlineplus.gov/ency/article/000714.htm
Julian, T., Glascow, N., Syeed, R., & Zis, P. (2019). Alcohol-related peripheral neuropathy: a systematic review and meta-analysis. Journal of Neurology, 266(12), 2907–2919. https://doi.org/10.1007/s00415-018-9123-1
National Institute of Neurological Disorders and Stroke. (2024). Peripheral neuropathy. Retrieved from https://www.ninds.nih.gov/health-information/disorders/peripheral-neuropathy
Pasha MB, A. M., Tanveer MA, et al. (2019). Frequency of peripheral neuropathy in chronic liver disease. Med Forum Monthly, 30(8), 23-26. https://medicalforummonthly.com/index.php/mfm/article/view/3761
Chopra, K., & Tiwari, V. (2012). Alcoholic neuropathy: possible mechanisms and future treatment possibilities. British journal of clinical pharmacology, 73(3), 348–362. https://doi.org/10.1111/j.1365-2125.2011.04111.x
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