ClickCease
+1-915-850-0900 spinedoctors@gmail.com
Select Page

Chiropractic

Back Clinic Chiropractic. This is a form of alternative treatment that focuses on the diagnosis and treatment of various musculoskeletal injuries and conditions, especially those associated with the spine. Dr. Alex Jimenez discusses how spinal adjustments and manual manipulations regularly can greatly help both improve and eliminate many symptoms that could be causing discomfort to the individual. Chiropractors believe among the main reasons for pain and disease are the vertebrae’s misalignment in the spinal column (this is known as a chiropractic subluxation).

Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors can alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis. From subluxations, or spinal misalignments, to sciatica, a set of symptoms along the sciatic nerve caused by nerve impingement, chiropractic care can gradually restore the individual’s natural state of being. Dr. Jimenez compiles a group of concepts on chiropractic to best educate individuals on the variety of injuries and conditions affecting the human body.


Why Choose The El Paso Back Clinic

Why Choose The El Paso Back Clinic

El Paso, TX’s Leading Spine and Back Injury Specialist: Dr. Alex Jimenez, DC, APRN, FNP-C, IFMCP

Welcome to El Paso’s premier destination for advanced spine and back injury care, led by Dr. Alex Jimenez, a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC). At www.dralexjimenez.com and www.chiromed.com, Dr. Jimenez and his team deliver cutting-edge, evidence-based treatments that integrate chiropractic care, functional medicine, and advanced rehabilitation protocols to address complex neuromusculoskeletal conditions. Our mission is to restore mobility, alleviate pain, and empower patients to live vibrant, pain-free lives through personalized, holistic care.

Specialized Spine and Back Injury Care

Dr. Jimenez’s practice is renowned for its expertise in treating intricate spine and back injuries, including herniated discs, severe sciatica, scoliosis, spinal stenosis, and chronic low back pain. By combining his chiropractic expertise with his advanced training as a Family Practice Nurse Practitioner and Institute for Functional Medicine Certified Practitioner (IFMCP), Dr. Jimenez offers a unique, integrative approach to spine care that addresses both symptoms and underlying causes.

Complex Spine Care Treatments

Dr. Jimenez utilizes cutting-edge techniques to address complex spine conditions in his chiropractic and rehabilitation clinic.

  • Chiropractic Spinal Adjustments use precise manual and instrument-assisted adjustments to restore spinal alignment, reduce nerve compression, and improve mobility. A 2020 study in Spine Journal found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020).
  • Decompression Therapy: Non-surgical spinal decompression to relieve pressure on herniated discs and pinched nerves, promoting disc healing and pain relief. Research in Journal of Physical Therapy Science (2017) supports its efficacy for lumbar disc herniation (Choi et al., 2017).
  • Regenerative Therapies: Platelet-rich plasma (PRP) and stem cell support therapies to enhance tissue repair and reduce inflammation in degenerative spine conditions. A 2019 meta-analysis in Pain Physician confirmed PRP’s effectiveness in managing lumbar pain (Sanapati et al., 2019).
  • Electro-Acupuncture: Targeted electrical stimulation of acupuncture points to reduce pain and promote healing in sciatica and chronic back pain. A 2018 study in Evidence-Based Complementary and Alternative Medicine demonstrated its benefits for neuropathic pain (Li et al., 2018).
  • Customized Rehabilitation Programs: Tailored exercises focusing on flexibility, core strength, and spinal stability to prevent re-injury and enhance long-term recovery.

Family Nurse Practitioner Services at www.chiromed.com

As a Family Practice Nurse Practitioner, Dr. Jimenez offers comprehensive medical evaluations and functional medicine protocols to complement spine care:

  • Functional Medicine Assessments: In-depth evaluations using the Living Matrix Functional Medicine Assessment to identify root causes of chronic spine pain, including inflammation, nutritional deficiencies, and hormonal imbalances. A 2021 study in Frontiers in Medicine highlighted functional medicine’s role in improving outcomes for chronic pain patients (Beidelschies et al., 2021).
  • Nutritional Therapy: Personalized nutrition plans to reduce inflammation and support spinal health, incorporating anti-inflammatory diets rich in omega-3s and antioxidants. Research in Nutrients (2020) supports dietary interventions for reducing chronic pain (Kaushik et al., 2020).
  • Hormone Optimization: Addressing hormonal imbalances that exacerbate pain and delay healing, such as cortisol dysregulation in chronic stress. A 2019 study in Journal of Clinical Endocrinology & Metabolism linked cortisol imbalances to chronic pain syndromes (Hannibal et al., 2019).
  • Lifestyle Medicine: Guidance on stress management, sleep optimization, and ergonomic adjustments to support spine health and prevent injury recurrence.

Why Choose Dr. Jimenez for Spine and Back Injury Care?

Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner, combined with his IFMCP certification, sets him apart as El Paso’s top spine care specialist. Key differentiators include:

  • Holistic, Evidence-Based Approach: Integrating chiropractic care, functional medicine, and advanced diagnostics to address the whole person, not just symptoms.
  • Non-Invasive Protocols: Natural, non-surgical solutions should be prioritized to avoid the risks and recovery time associated with invasive procedures. A 2022 study in The Lancet emphasized the efficacy of non-invasive treatments for chronic low back pain (Foster et al., 2022).
  • Collaborative Care Network: Partnerships with leading orthopedic surgeons, neurologists, and rehabilitation specialists ensure seamless referrals when advanced interventions are needed.
  • Patient-Centered Plans: Using advanced diagnostics like MRI analysis, electromyography (EMG), and functional health assessments to create targeted treatment plans tailored to each patient’s unique needs.

Conditions Treated

Our clinic specializes in a wide range of spine- and back-related conditions, including:

  • Herniated Discs: Comprehensive care to reduce disc protrusion, alleviate nerve compression, and restore spinal function.
  • Severe Sciatica: Targeted therapies to relieve radiating leg pain and improve mobility.
  • Scoliosis: Customized bracing and exercise programs to manage spinal curvature and prevent progression.
  • Spinal Stenosis: Decompression and strengthening protocols to alleviate pain and improve quality of life.
  • Chronic Low Back Pain: Multifaceted treatment plans addressing biomechanical, inflammatory, and lifestyle factors.

Transform Your Spine Health Today

Whether you’re recovering from a traumatic spine injury, managing chronic back pain, or seeking preventive care, Dr. Alex Jimenez and his team are here to guide you. Contact us today at www.dralexjimenez.com or www.chiromed.com to schedule a consultation and discover how our integrative approach can transform your health. With evidence-based protocols and a compassionate, patient-centered philosophy, we help you live pain-free and thrive in El Paso’s vibrant community.

Benefits of Chiropractic and Nurse Practitioners in MVC Treatment

Benefits of Chiropractic and Nurse Practitioners in MVC Treatment

What are the advantages of having a team of nurse practitioners and chiropractors help maintain the health of your spine after a car accident?

Benefits of Chiropractic and Nurse Practitioners in MVC Treatment

Benefits of Chiropractic and Nurse Practitioners for Motor Vehicle Collisions

One of the main causes of spinal injuries, such as whiplash, herniated discs, and soft tissue injury, which can cause severe pain and impair movement, is motor vehicle collisions (MVCs). For both short-term symptoms and long-term rehabilitation, these injuries frequently necessitate a multimodal therapy strategy. While nurse practitioners, as advanced practice registered nurses, conduct medical evaluations, write prescriptions, and oversee overall health management, chiropractors focus on musculoskeletal care, including spine adjustments and manual therapies. These professionals’ collaboration aims to provide a comprehensive, patient-centered strategy for spine health following MVC. (Kent, R., et al., 2023)

For those recuperating from auto accident injuries, a chiropractic and nurse practitioner team can offer thorough spinal health care with an emphasis on pain management and increased mobility.

  1. A chiropractic and nurse practitioner team can offer a comprehensive approach to spinal health after a car accident by addressing pain, improving mobility, and facilitating faster recovery.
  2. Chiropractors focus on spinal alignment and joint mobility.
  3. Nurse practitioners provide broader medical oversight and patient education.
  4. The team approach can lead to more effective and personalized care for individuals recovering from car accident injuries. (Riva, J. J., et al., 2010)

Key advantages of this collaborative approach

A chiropractor and nurse practitioner (NP) therapy team can combine their skills to provide comprehensive care for spine health following a motor vehicle collision (MVC) and address acute and long-term requirements.

Care that is multidisciplinary and holistic

  • Collaboration between chiropractors and NPs to address structural and systemic issues enhances treatment outcomes, particularly for spine injuries related to motor vehicle collisions (MVC), as well as for chronic headaches and neck discomfort. (Riva, J. J., et al., 2010)

Plans for Treatment That Are Unique to You

  • Chiropractors and NPs create personalized patient treatment plans, focusing on their specific injuries and overall health, including pre-existing conditions and medication needs. This approach enhances outcomes by tailoring care to the patient’s unique circumstances.

Managing Pain Without Relying Too Much on Drugs

  • By using non-invasive methods to alleviate pain, chiropractic therapy may help reduce the use of opioids. NPs can prescribe short-term pain relief and monitor side effects, ensuring safe use and reducing dependency risks. Natural pain management combined with medical supervision lessens dependence and side effects. (Prater, C., Tepe, M., & Battaglia, P. 2020)

Quicker Recuperation and Rehabilitation

  • As demonstrated in the treatment of auto accidents, chiropractic adjustments can lessen muscle spasms and restore joint function. By referring patients to physical therapy and tracking their progress, NPs can hasten recovery and reduce the likelihood of developing persistent back pain. This integrated therapy not only reduces chronic back pain and other long-term problems, but it also accelerates healing.

Help with Insurance and the Law

  • Chiropractic and medical providers must carefully record injuries and treatments for insurance claims or legal cases after an MVC to ensure just reimbursement and coverage for care.

Why It Works After MVC

Following a motor vehicle collision (MVC), a chiropractor and nurse practitioner team offers a patient-centered approach to spine health. This team enhances recovery, lowers chronic risks, and improves patient outcomes by fusing NP’s medical management with chiropractic knowledge. This method ensures rapid alleviation and long-term health, especially helpful for complex spine injuries due to MVC.

Injury, Chiropractic, and Functional Medicine Clinic

Dr. Jimenez, a nurse practitioner, uses medical knowledge and chiropractic care to treat various conditions. The clinic provides tailored care programs incorporating functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic focuses on strength, agility, and flexibility for treating chronic pain syndromes and injuries. Patients of all ages and abilities benefit from comprehensive care plans and in-person and virtual health coaching, ensuring tailored treatment and wellness outcomes.


Personal Injury Rehabilitation


References

Kent, R., Cormier, J., McMurry, T. L., Johan Ivarsson, B., Funk, J., Hartka, T., & Sochor, M. (2023). Spinal injury rates and specific causation in motor vehicle collisions. Accident; analysis and prevention, 186, 107047. https://doi.org/10.1016/j.aap.2023.107047

Riva, J. J., Muller, G. D., Hornich, A. A., Mior, S. A., Gupta, A., & Burnie, S. J. (2010). Chiropractors and collaborative care: An overview illustrated with a case report. The Journal of the Canadian Chiropractic Association, 54(3), 147–154.

Prater, C., Tepe, M., & Battaglia, P. (2020). Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center: An Observational Study of Managing Chronic Spinal Pain. Journal of primary care & community health, 11, 2150132720953680. https://doi.org/10.1177/2150132720953680

Pain Management: A Comprehensive Guide After An Auto Accident

Pain Management: A Comprehensive Guide After An Auto Accident

Explore effective pain management strategies after a car accident. Learn how to recover and manage your discomfort.

Introduction

Numerous bodily injuries are often the outcome of auto accidents. Among the most frequent, soft tissue injuries sustained in vehicle accidents may cause severe pain and suffering in many different parts of the body, making everyday living difficult and necessitating a methodical approach to pain treatment. Do you have any headaches that make you want to be in a dark, quiet place? Do you think your shoulders have a limited range of motion? Or if you have lower back and shoulder ache that radiates? With an emphasis on soft tissue injuries, their symptoms, and both surgical and non-surgical treatment options, this article provides suggestions for managing pain after an accident..

 

Understanding Soft Tissue Injuries

Soft tissue injuries damage muscles, tendons, ligaments, and fascia. Common examples include whiplash, sprains, strains, and contusions. These injuries frequently occur during automobile accidents due to sudden forces exerted on the body, such as rapid deceleration or impact. The mechanisms of soft tissue injuries can become an issue as they can affect a person’s functionality, especially if the area has overlapping risk profiles. (Arosarena & Eid, 2021)

 

Symptoms of Soft Tissue Injuries

Various symptoms of soft tissue injuries depend on where the injury is located and how severe it is, but often include:

  • Pain and Tenderness: Localized or diffuse pain that worsens with movement or pressure.
  • Swelling: Inflammation due to fluid buildup in the affected area.
  • Stiffness: Reduced range of motion in joints or muscles.
  • Bruising: Discoloration from damaged blood vessels beneath the skin.
  • Muscle Spasms: Involuntary contractions causing discomfort.
  • Weakness: Reduced strength in the injured area, often noticeable in sprains or strains.
  • Neck or Back Pain: Common musculoskeletal pain associated with whiplash, where pain may radiate to the shoulders or arms due to a cracking sound within the cervical spine, causing pain to appear either hours or days. (Bannister et al., 2009)

 



Guidelines for Pain Management

Effective pain management after an automobile accident requires a comprehensive approach tailored to the individual’s injury severity, medical history, and response to treatment. The following guidelines provide a framework for managing pain associated with soft tissue injuries.

 

1. Initial Assessment & Diagnosis

  • Medical Evaluation: Individuals should seek immediate medical attention to assess the extent of injuries. A healthcare provider may use physical exams, imaging (e.g., X-rays, MRIs), or diagnostic tests to identify soft tissue damage.
  • Pain Assessment: Document pain levels using tools like the Visual Analog Scale (VAS) to guide treatment planning.
  • Monitor Symptoms: Track symptoms over time, as some injuries, like whiplash, may have delayed onset.

 

2. Non-Surgical Treatment Options

Non-surgical treatments are typically the first line of management for soft tissue injuries, aiming to reduce pain and inflammation and promote healing.

 

RICE

  • Rest: Limit activities that exacerbate pain to allow tissues to heal.
  • Ice: Apply cold packs every fifteen to twenty minutes every hour to reduce swelling and numbness in the affected area. (Hubbard & Denegar, 2004)
  • Compression: Use elastic bandages to minimize swelling, ensuring not to wrap too tightly.
  • Elevation: Elevating the injured area above the heart level can help reduce fluid buildup.
  • Evidence: RICE is widely recommended for acute soft tissue injuries to manage initial symptoms affecting the musculoskeletal system.

 

Medications

  • Over-the-Counter Pain Relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or acetaminophen can temporarily help relieve pain and inflammation in soft tissues.
  • Muscle Relaxants: Prescribed for muscle spasms, particularly in whiplash cases.
  • Topical Analgesics: Creams or patches for localized pain relief.
  • Considerations: Long-term NSAID use should be monitored to avoid gastrointestinal or cardiovascular side effects.

 

Physical Therapy

  • Stretching and Strengthening: Guided exercises to restore mobility and strength.
  • Manual Therapy: Massage or myofascial release incorporates various techniques to reduce tension.
  • Modalities: Ultrasound, electrical stimulation, or heat therapy to enhance healing. (Papadopoulos & Mani, 2020)
  • Evidence: Physical therapy is effective for chronic whiplash and other soft tissue injuries, improving function and reducing pain.

 

Alternative Therapies

  • Acupuncture: May reduce pain by stimulating specific points in the body.
  • Chiropractic Care: Spinal adjustments to alleviate pain, particularly for neck and back injuries.
  • Massage Therapy: Helps promote relaxation and reduces muscle tension where the affected area needs attention.

Acupuncture and chiropractic care show promise for pain relief in soft tissue injuries through various results. Chiropractic care can incorporate soft tissue mobilization to increase internal rotation and improve range of motion by reducing musculoskeletal pain. (Jusdado-García & Cuesta-Barriuso, 2021)

 

Psychological Support

  • Cognitive Behavioral Therapy (CBT): Helps manage chronic pain by addressing emotional and psychological factors.
  • Mindfulness and Relaxation Techniques: Reduces stress-related pain amplification.

 

3. Surgical Treatment Options

Surgery is rarely required for soft tissue injuries; however, they are considered during severe cases or when conservative treatments fail.

 

Arthroscopic Surgery

They are used to repair or remove damaged tissue from torn ligaments or tendons (e.g., rotator cuff tears). They are minimally invasive, utilizing smaller incisions to reduce persistent pain or instability, creating a faster recovery.

 

Tendon or Ligament Repair

  • Open surgery to reattach or reconstruct severely torn tendons or ligaments is often followed by extensive rehabilitation to restore function.
  • Indication: Complete tears causing significant functional impairment.

 

Fasciotomy

  • Rarely used for severe contusions causing compartment syndrome, where pressure buildup threatens tissue viability.
  • Involves cutting the fascia to relieve pressure.
  • Risks: Infection, scarring, and prolonged recovery.

 

4. Rehabilitation & Long-Term Management

  • Gradual Return to Activity: Follow a structured rehabilitation plan to prevent re-injury.
  • Pain Monitoring: Regularly assess pain levels to adjust treatments as needed.
  • Lifestyle Modifications: Maintain a healthy weight, practice good posture, and avoid activities that strain the injured area.

Structured rehabilitation programs improve outcomes for soft tissue injuries by providing multimodal treatments that are customized for the individual. (Bussières et al., 2016)

 

Considerations & Precautions

  • Individualized Care: Treatment plans should account for age, overall health, and injury severity.
  • Avoid Overtreatment: Overuse of medications or unnecessary surgeries can lead to complications.
  • Follow-Up: Regular check-ups to monitor recovery and address persistent pain.
  • Legal and Insurance Aspects: Documents of injuries and treatments for insurance claims or legal proceedings should be related to the accident.

 

Conclusion

Following a car accident, pain treatment calls for a multimodal approach, especially for soft tissue injuries such sprains, strains, and whiplash. The combination of early medical examination, non-surgical therapies such as RICE, medication, physical therapy, and, in rare instances, surgical intervention may help people achieve successful pain relief and rehabilitation. The best results are ensured by seeking advice from medical experts and following evidence-based recommendations.


Injury Medical Chiropractic & Functional Medicine Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their musculoskeletal system. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues after being involved in an auto accident. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer


References

Arosarena, O. A., & Eid, I. N. (2021). Mechanisms of Soft Tissue Injury. Facial Plast Surg, 37(4), 424-431. https://doi.org/10.1055/s-0041-1727247

Bannister, G., Amirfeyz, R., Kelley, S., & Gargan, M. (2009). Whiplash injury. The Journal of Bone and Joint Surgery. British volume, 91-B(7), 845-850. https://doi.org/10.1302/0301-620x.91b7.22639

Bussières, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Hayden, J., Hendrickson, B., Hincapié, C., Pagé, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2016). The Treatment of Neck Pain–Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. Journal of Manipulative and Physiological Therapeutics, 39(8), 523-564.e527. https://doi.org/10.1016/j.jmpt.2016.08.007

Hubbard, T. J., & Denegar, C. R. (2004). Does Cryotherapy Improve Outcomes With Soft Tissue Injury? J Athl Train, 39(3), 278-279. https://www.ncbi.nlm.nih.gov/pubmed/15496998

https://pmc.ncbi.nlm.nih.gov/articles/PMC522152/

Jusdado-García, M., & Cuesta-Barriuso, R. (2021). Soft Tissue Mobilization and Stretching for Shoulder in CrossFitters: A Randomized Pilot Study. International Journal of Environmental Research and Public Health, 18(2), 575. https://doi.org/10.3390/ijerph18020575

Papadopoulos, E. S., & Mani, R. (2020). The Role of Ultrasound Therapy in the Management of Musculoskeletal Soft Tissue Pain. Int J Low Extrem Wounds, 19(4), 350-358. https://doi.org/10.1177/1534734620948343

Disclaimer

Spine and Back Pain: What to Expect After A Car Accident

Spine and Back Pain: What to Expect After A Car Accident

Here, you can find expert advice on coping with spine and back pain, the aftermath of a car accident, and improving your quality of life.

Introduction

People who have been in an automobile accident, even a little one, may have physical injuries to their back, spine, and upper and lower limbs. Acute or persistent pain may be the consequence of injuries brought on by the abrupt forces involved in a collision. Does stiffness affect your shoulders, back, and neck? Do you have back discomfort that radiates down? Or have you been unable to do your everyday chores due to persistent headaches? Today, we’ll examine and comprehend the reasons behind back and spine discomfort, identify its symptoms, and investigate how people may heal and reclaim their quality of life with the aid of efficient therapies like chiropractic adjustments.

 

Spine & Back Pain Causes After a Car Accident

The spine and back are vulnerable during a car accident due to the rapid acceleration, deceleration, and twisting motions that occur. Common causes of pain include:

  1. Whiplash and Soft Tissue Injuries: A person in a rear-end collision will experience a common injury known as whiplash. This musculoskeletal injury occurs when the head and neck are forcefully jerked forward and backward. (Stroke, 2023) This can strain or tear muscle tissue structures in the neck and upper back, leading to the development of pain and stiffness throughout the body.
  2. Herniated Discs: The impact of a car collision can cause the spinal segments to compress or displace the intervertebral discs, causing them to bulge or rupture. This may irritate nearby nerves, compressing them, resulting in back pain-associated numbness or weakness within the upper and lower extremities. (Ge et al., 2019)
  3. Spinal Misalignment: The sudden jolts and movements the body experiences after a car collision can misalign the spinal vertebrae, disrupting the spine’s natural curvature. This can lead to numerous pain-like symptoms, such as muscle spasms, restricted movement, and pain.
  4. Fractures or Dislocations: In severe accidents, the spinal vertebrae may fracture or dislocate, causing intense pain and potential nerve damage. These injuries can negatively influence an individual’s social and financial situation when being treated. (Fakharian et al., 2017)
  5. Facet Joint Injuries: The facet joints, which connect the vertebrae, can become sprained or damaged during a collision, leading to pain.

 

Symptoms of Spine & Back Pain

Depending on the collision’s severity, the spine and back can develop symptoms depending on the type of injury the person is experiencing. Common signs include:

  • Localized or Radiating Pain
  • Stiffness
  • Muscle Spasms
  • Numbness or Tingling
  • Headaches
  • Fatigue or Weakness

Delayed onset of symptoms is common, with pain or discomfort appearing hours or days after the accident. Seeking prompt medical evaluation is critical to prevent complications.

 



The Role Of Chiropractic Care in Treatment

Chiropractic care is a non-surgical treatment option focusing on restoring spinal alignment, improving mobility, and reducing pain within the musculoskeletal system. It is particularly effective for managing spine and back pain caused by car accidents. Key benefits of chiropractic care include:

  1. Spinal Adjustments: Chiropractors use controlled, manual techniques to realign the spine, relieve pressure on the compressed nerves, and restore joint function. This can reduce pain, improve mobility, and restore the normal range of spinal movement. (Choi et al., 2015)
  2. Soft Tissue Therapy: Chiropractors can incorporate massage or myofascial release techniques to help relax the tight muscles, reduce spasms, and promote healing in strained ligaments and tendons.
  3. Pain Management: Since chiropractic care can alleviate pain without reliance on medications, which may have side effects. Chiropractic adjustments and therapies target the root cause of discomfort.
  4. Rehabilitation Support: Chiropractors often provide exercises and stretches as part of the individual’s customized treatment plan to strengthen muscles and prevent future injuries.
  5. Holistic Approach: Chiropractic care emphasizes overall wellness, addressing physical symptoms and lifestyle factors that impact the person’s recovery process.

Chiropractic care is effective for conditions like whiplash, which is associated with neck and lower back pain. Compared to standard medical care, it reduces pain and improves function. (Bryans et al., 2014)

 

Other Treatment Options

While chiropractic care is highly effective, a comprehensive treatment plan may include:

  • Physical Therapy: To restore strength and flexibility back to the body while reducing low back and neck pain. (Alrwaily et al., 2019)
  • Pain Management: Over-the-counter or prescription medications for short-term relief.
  • Medical Imaging: X-rays, MRIs, or CT scans to diagnose fractures or herniated discs.
  • Surgery: In rare cases, for severe injuries like spinal fractures or significant disc herniations.

 

When to Seek Care

Individuals involved in a car accident must have a prompt evaluation by a healthcare provider, such as a chiropractor or physician. Even if symptoms are mild, this is essential because if the injuries are untreated, they can cause overlapping risk profiles or long-term complications to the body. A chiropractor can assess spinal alignment, recommend a personalized treatment plan, and coordinate with other providers.

 

Conclusion

Following a vehicle accident, those who have back and spine pain may find that their everyday lives are significantly impacted, but recovery may be aided by prompt action and the right treatment. A safe and efficient method for controlling pain, regaining function, and averting chronic problems is chiropractic therapy. A chiropractor may help people recover from accidents by determining the root causes of pain-like symptoms and promoting general wellbeing.

 


Injury Medical Chiropractic & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals with pain-like symptoms affecting their spines and backs. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain correlated with musculoskeletal issues. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer


References

Alrwaily, M., Schneider, M., Sowa, G., Timko, M., Whitney, S. L., & Delitto, A. (2019). Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial. Braz J Phys Ther, 23(6), 506-515. https://doi.org/10.1016/j.bjpt.2018.10.003

Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., Ruegg, R. P., Shaw, L., Watkin, R., & White, E. (2014). Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther, 37(1), 42-63. https://doi.org/10.1016/j.jmpt.2013.08.010

Choi, J., Lee, S., & Jeon, C. (2015). Effects of flexion-distraction manipulation therapy on pain and disability in patients with lumbar spinal stenosis. J Phys Ther Sci, 27(6), 1937-1939. https://doi.org/10.1589/jpts.27.1937

Fakharian, E., Mohammadzadeh, M., Saberi, H. R., Fazel, M. R., Rejali, M., Akbari, H., Mirzadeh, A. S., & Mohammadzadeh, J. (2017). Spinal injury resulting from car accident: Focus to prevention. Asian J Neurosurg, 12(2), 180-184. https://doi.org/10.4103/1793-5482.152110

Ge, C. Y., Hao, D. J., Yan, L., Shan, L. Q., Zhao, Q. P., He, B. R., & Hui, H. (2019). Intradural Lumbar Disc Herniation: A Case Report and Literature Review. Clin Interv Aging, 14, 2295-2299. https://doi.org/10.2147/CIA.S228717

Stroke., N. I. o. N. D. a. (2023). Whiplash Information Page.  Retrieved from https://www.ninds.nih.gov/health-information/disorders/whiplash

Disclaimer

Whiplash: A Comprehensive Guide for Patients

Whiplash: A Comprehensive Guide for Patients

Find essential information on whiplash, including signs, prevention tips, and recovery strategies for optimal health.

Introduction

An abrupt impact, whether from a vehicle accident, sports injury, or fall, may cause symptoms that start off as a small shock and progress to crippling pain and functional impairment. Whiplash is one such ailment that often lacks recognition due to its intricacy. Although it is often linked to rear-end crashes, whiplash is a complex injury that, if ignored, may have long-term consequences for the musculoskeletal system and cervical spine. Have you had shoulder and neck stiffness before? Do you have persistent, chronic headaches? Or does it seem like your neck’s range of motion is limited? We’ll talk about whiplash’s frequent origins, symptoms, effects on the cervical spine and musculoskeletal system, and evidence-based therapy options to lessen the pain-like symptoms in today’s post.

What Is Whiplash?

Whiplash is a type of neck injury associated with a rapid back-and-forth head-and-neck motion, mimicking the crack of a whip, hence the name. This causes persistent physical complaints and disability, and complaints when left untreated. (Mayou & Radanov, 1996) Medically, it is categorized under cervical acceleration-deceleration (CAD) injuries. This abrupt motion can damage muscles, ligaments, intervertebral discs, and even the neural structures of the cervical spine.

Common Causes Of Whiplash

While motor vehicle accidents are the most recognized cause, many mechanisms can precipitate a whiplash injury:

  • Rear-end car collisions
  • Contact sports (e.g., football, hockey, wrestling)
  • Physical assault or shaken trauma
  • Slips, trips, and falls
  • Roller coaster rides or sudden jolts

Even minor collisions at speeds as low as 5–10 mph can produce enough force to cause whiplash symptoms in vulnerable individuals.

 

Symptoms of Whiplash

When individuals are experiencing whiplash, the symptoms can appear immediately or may be delayed for 24–72 hours post-injury. Additionally, whiplash injuries are considered soft tissue injuries to the neck with various clinical symptoms that vary in severity and may include: (Chen et al., 2009)

  • Neck pain and stiffness
  • Reduced range of motion
  • Shoulder and upper back pain
  • Headaches, especially originating at the base of the skull
  • Jaw pain or temporomandibular joint (TMJ) dysfunction
  • Dizziness or visual disturbances
  • Tingling or numbness sensations in the arms (cervical radiculopathy)
  • Fatigue and cognitive issues (“whiplash-associated disorders” or WAD)

 

How Whiplash Affects the Cervical Spine and Musculoskeletal System

Whiplash is more than just a soft tissue injury, as it impacts several interconnected systems:

1. Cervical Spine

The rapid motion during a whiplash injury can lead to:

  • Cervical facet joint irritation
  • Intervertebral disc compression or herniation
  • Muscle strain or ligamentous sprain
  • Altered cervical lordosis, leading to chronic postural imbalances

This causes pain, stiffness, and tenderness in the neck area due to injuries within the bony, muscular, and ligamentous regions. (Alektoroff & Papanagiotou, 2021)

 

2. Musculoskeletal Dysfunction

Whiplash often initiates a cascade of biomechanical issues:

  • Myofascial pain syndromes, especially in the trapezius, levator scapulae, and sternocleidomastoid muscles
  • Compensatory thoracic or lumbar strain
  • Poor proprioception and neuromuscular control
  • Chronic trigger points and fibrotic tissue development

The longer these musculoskeletal imbalances persist, the more likely they will evolve into chronic pain syndromes and central sensitization.

 


Why Choose Chiropractic?-Video


Diagnosing Whiplash

Diagnosis is largely clinical, supported by a thorough history and physical exam. Imaging may be required to rule out more severe pathology:

  • X-rays: To rule out fractures or malalignment
  • MRI: For soft tissue or disc pathology
  • CT scans: If fracture or serious trauma is suspected
  • Functional assessments: Range of motion, palpation, neurologic evaluation

Evidence-Based Treatments for Whiplash

Treatment for whiplash should be multimodal and individualized, focusing on restoring function, reducing inflammation, and promoting healing. (Bussieres et al., 2016)

 

1. Chiropractic Care

Chiropractic adjustments can offer significant benefits in managing whiplash-associated disorders:

  • Spinal manipulation therapy (SMT): Restores joint mobility, reduces cervical stiffness, and re-establishes biomechanical balance.
  • Myofascial release and soft tissue mobilization: Target muscle tension, trigger points, and fascial restrictions.
  • Postural retraining and ergonomic correction: Essential for long-term resolution.

Additionally, chiropractic patients experienced significant improvements in neck pain and function.

 

2. Physical Therapy

Individuals dealing with neck pain associated with whiplash can benefit from physical therapy to improve neck pain and disability. (Chrcanovic et al., 2022) Rehabilitative exercises are fundamental:

  • Neck range-of-motion drills
  • Isometric strengthening
  • Scapular stabilization and postural correction
  • Proprioceptive neuromuscular facilitation (PNF)

 

3. Functional Medicine Approach

From a functional medicine standpoint, addressing systemic inflammation, nutritional deficiencies, and stress response can enhance recovery:

  • Anti-inflammatory nutrition (e.g., omega-3s, curcumin)
  • Magnesium and B-complex supplementation for nerve healing
  • Sleep optimization and cortisol balance

 

4. Other Complementary Treatments

  • Acupuncture: Improves blood flow and pain modulation while alleviating pain and promoting relaxation. (Moon et al., 2014)
  • Gua Sha or cupping therapy: Relieves muscular tension
  • Dry needling: Effective for persistent trigger points
  • Manual lymphatic drainage: For patients experiencing edema or prolonged inflammation

 

Recovery and Prognosis

With consistent and proper treatment, many individuals recover within a few weeks. However, approximately 30–50% of individuals may develop chronic symptoms if not properly managed early on. Factors predicting prolonged recovery include:

  • High initial pain intensity
  • Poor coping mechanisms
  • History of prior neck injury
  • Psychosocial stressors

Early intervention using a holistic, integrative care model offers the best outcomes in preventing chronic whiplash-associated disorders.

 

Final Thoughts

Beyond the common “neck strain” classification, whiplash is a complicated neuromusculoskeletal injury that requires careful consideration by both patients and medical experts. Accurate diagnosis and successful treatment depend on an understanding of the complex effects on the cervical spine, neurology, and musculoskeletal function. Reducing symptoms and improving quality of life may be achieved by combining non-surgical treatments as part of a personalized treatment strategy.


Injury Medical & Personal Injury Clinic

We associate certified medical providers who understand the importance of assessing individuals with whiplash associated with their necks. When asking important questions to our associated medical providers, we advise patients to incorporate customized treatment plans for their pain associated with whiplash. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer


References

Alektoroff, K., & Papanagiotou, P. (2021). [Whiplash injury of the cervical spine]. Radiologe, 61(8), 710-713. https://doi.org/10.1007/s00117-021-00877-5 (Schleudertrauma der Halswirbelsaule.)

Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Hayden, J., Hendrickson, B., Hincapie, C., Page, I., Passmore, S., Srbely, J., Stupar, M., Weisberg, J., & Ornelas, J. (2016). The Treatment of Neck Pain-Associated Disorders and Whiplash-Associated Disorders: A Clinical Practice Guideline. J Manipulative Physiol Ther, 39(8), 523-564 e527. https://doi.org/10.1016/j.jmpt.2016.08.007

Chen, H. B., Yang, K. H., & Wang, Z. G. (2009). Biomechanics of whiplash injury. Chin J Traumatol, 12(5), 305-314. https://www.ncbi.nlm.nih.gov/pubmed/19788851

https://www.sciencedirect.com/science/article/pii/S1008127509600651?via%3Dihub

Chrcanovic, B., Larsson, J., Malmstrom, E. M., Westergren, H., & Haggman-Henrikson, B. (2022). Exercise therapy for whiplash-associated disorders: a systematic review and meta-analysis. Scand J Pain, 22(2), 232-261. https://doi.org/10.1515/sjpain-2021-0064

Mayou, R., & Radanov, B. P. (1996). Whiplash neck injury. J Psychosom Res, 40(5), 461-474. https://doi.org/10.1016/0022-3999(95)00586-2

Moon, T. W., Posadzki, P., Choi, T. Y., Park, T. Y., Kim, H. J., Lee, M. S., & Ernst, E. (2014). Acupuncture for treating whiplash associated disorder: a systematic review of randomised clinical trials. Evid Based Complement Alternat Med, 2014, 870271. https://doi.org/10.1155/2014/870271

Disclaimer

Histamine Intolerance and Your Diet Explained

Histamine Intolerance and Your Diet Explained

Learn everything about histamine intolerance and its effects on your health. Discover symptoms and dietary tips to manage it.

Introduction

How often does eating cause discomfort or a burning feeling in your stomach? After consuming a certain dish, does your skin get heated and irritated? Or have you seen that your upper muscles begin to hurt as a result of your frequent sneezing? A histamine assault that affects the body and immune system may be the cause of these circumstances for many people. The function of histamine in the body, its symptoms, the reasons of histamine intolerance, and potential dietary strategies to lessen histamine-related bodily responses will all be covered in today’s article.

What Is Histamine?

The immune system serves as the body’s first line of defense against any external invaders found within the human body. The human body needs histamine to function. As a chemical messenger, it functions as a neurotransmitter in the brain and aids in controlling inflammatory and immunological responses as well as the production of stomach acid. In addition to being present in many foods, it is naturally created by mast cells, basophils, and certain neurons. Throughout the body, histamine attaches itself to histamine receptors (H1, H2, H3, and H4). (Patel & Mohiuddin, 2025) These receptors mediate the following processes:

  • Vasodilation, or blood vessel widening
  • Secretion of gastric acid
  • Contraction of smooth muscles
  • Signaling in the nervous system
  • Activation of the immune system

To put it briefly, histamine is necessary for preserving homeostasis and protecting the body from infections. But balance is essential. Excess histamine causes symptoms that are frequently confused with allergies, gastrointestinal issues, or hormone imbalances, particularly when the body is unable to effectively break it down.

 

What Is Histamine Intolerance

An actual allergy is not histamine intolerance. Rather, it describes a diminished capacity of the body to metabolize histamine, frequently as a result of low levels of the enzymes histamine-N-methyltransferase (HNMT) and diamine oxidase (DAO), which are both involved in this process. (Comas-Baste et al., 2020) Histamine builds up when these enzymes are compromised or overloaded, leading to a series of symptoms that can be transient, sporadic, or chronic, contingent on hormone levels, gut health, food consumption, and environmental circumstances.

 

Symptoms of Histamine Intolerance

Since histamine intolerance impacts several systems, it is frequently challenging to identify when a patient is receiving treatment. This is because histamine is a strong inflammatory mediator linked to allergic reactions that alters the body’s tissues and arteries. (Branco et al., 2018) The following symptoms can range in severity from mild to severe:

 

Dermatological:

  • Flushing or redness of the skin
  • Hives (urticaria)
  • Eczema or unexplained itching

Gastrointestinal:

  • Bloating, gas, or abdominal pain
  • Diarrhea or constipation
  • Nausea or vomiting
  • Heartburn (due to increased stomach acid)

Respiratory:

  • Nasal congestion or a runny nose
  • Asthma-like symptoms
  • Difficulty breathing (in severe cases)

Cardiovascular:

  • Low blood pressure
  • Dizziness or lightheadedness
  • Rapid or irregular heartbeat

Neurological:

  • Headaches or migraines
  • Anxiety
  • Insomnia or sleep disturbances
  • Brain fog or difficulty concentrating

Reproductive:

  • Menstrual irregularities
  • Worsened symptoms during estrogen surges (e.g., ovulation, PMS)

If symptoms improve with a low-histamine diet or DAO supplementation, this may point toward histamine intolerance.

Causes and Risk Factors of Histamine Intolerance

1. Enzyme Deficiency

The most direct cause is a deficiency or dysfunction in the enzymes DAO (in the gut) or HNMT (in tissues), which are responsible for breaking down histamine.

2. Gut Dysbiosis

When the gut microbiome becomes imbalanced with environmental factors, it can lead to increased histamine production by certain bacteria and reduced DAO activity, especially in cases of:

  • Small Intestinal Bacterial Overgrowth (SIBO)
  • Inflammatory bowel disease (IBD)
  • Leaky gut syndrome

This is because gut bacteria play a crucial role in the body, providing food digestion and immune activation, and regulating the entero-endocrine signaling pathways to ensure the body works properly. (Dicks, 2022)

3. Genetic Polymorphisms

Variants in genes encoding DAO or HNMT enzymes may reduce their function, increasing susceptibility to histamine intolerance.

4. Nutritional Deficiencies

Vitamin B6, copper, and vitamin C deficiency—all cofactors for DAO activity—can impair histamine metabolism.

5. Medications

Several medications are known to block DAO or trigger histamine release, such as:

  • NSAIDs (ibuprofen, aspirin)
  • Antidepressants (SSRIs, MAO inhibitors)
  • Muscle relaxants
  • Diuretics
  • Certain antibiotics

6. Hormonal Fluctuations

Estrogen can inhibit DAO, which explains why many women experience worsened histamine symptoms during PMS, pregnancy, or estrogen-dominant conditions like PCOS or endometriosis.


Fighting Inflammation Naturally-Video


High-Histamine Foods to Avoid

To manage histamine intolerance, a low-histamine diet is often a first-line approach. Common high-histamine or histamine-liberating foods include:

  • Aged cheeses (Parmesan, blue cheese)
  • Processed meats (salami, ham, bacon)
  • Fermented foods (sauerkraut, soy sauce, kombucha, yogurt)
  • Alcohol (especially red wine and beer)
  • Vinegar and pickled products
  • Tomatoes, eggplants, and spinach
  • Citrus fruits
  • Shellfish
  • Chocolate
  • Nuts (especially walnuts, cashews, peanuts)

This is because environmental factors like eating various foods can lead to food intolerances, thus causing histamine accumulation. (Jochum, 2024)

Foods That May Help Reduce Histamine Reactions

A well-structured anti-histamine diet should include foods that are low in histamine and support DAO activity and gut health.  A low histamine diet can reduce the chances of histamine reactions by eliminating foods that contain histamine and cause responses in the body. (Sanchez-Perez et al., 2021) Here are some food categories that may help minimize histamine burden:

1. DAO-Supportive Nutrients

  • Vitamin C: Bell peppers, broccoli, kiwi, strawberries
  • Vitamin B6: Bananas, turkey, sunflower seeds
  • Copper: Shiitake mushrooms, sesame seeds, cashews (with caution)

2. Natural Antihistamine Foods

These help stabilize mast cells and reduce histamine release:

  • Quercetin-rich foods: Apples (peeled), onions, kale, green tea
  • Turmeric: Contains curcumin, which has mast-cell-stabilizing properties
  • Ginger: Helps with nausea and inflammation
  • Holy basil (tulsi): Adaptogen and natural antihistamine

3. Gut-Healing Foods

  • Bone broth (if tolerated; avoid long cooking times to reduce histamine)
  • Fresh meats and poultry (cooked and eaten immediately)
  • Non-citrus fruits like pears, blueberries, and watermelon
  • Gluten-free whole grains (quinoa, rice, millet)

Functional Medicine Approach to Histamine Intolerance

When finding a holistic approach for reducing histamine intolerance, many healthcare professionals can devise a customized treatment plan to assess the individual.  Histamine intolerance often exists alongside broader systemic dysfunctions such as:

  • Chronic stress
  • Heavy metal toxicity
  • Hormonal imbalance
  • Environmental triggers
  • Autoimmune conditions

In addressing histamine intolerance, it’s important to:

  1. Identify underlying triggers using functional lab testing (e.g., gut microbiome panels, food sensitivity testing, genetic SNP analysis).
  2. Rebuild DAO capacity with nutrient repletion and, if necessary, temporary DAO supplementation.
  3. Support detoxification pathways, especially the liver and gut.
  4. Heal the gut barrier through probiotics (non-histamine producing), prebiotics, and anti-inflammatory foods.

Final Thoughts: Empowering Healing Through Nutrition and Insight

Histamine intolerance may have a significant impact on many people’s quality of life, although it is often misdiagnosed or ignored. Many people find great comfort by comprehending the symptoms, identifying the underlying causes, and implementing thoughtful food and lifestyle adjustments. Like any chronic illness, bio-individuality is important. One person’s triggers could be quite harmless to another. Trial and error, close observation, and sometimes expert advice are all common steps on the road to recovery. A personalized holistic treatment plan may help people with histamine intolerance regain equilibrium and enhance their overall health.


Injury Medical & Functional Medicine Clinic

We associate with certified medical providers who understand the importance of assessing individuals with histamine intolerances affecting their bodies. When asking important questions to our associated medical providers, we advise patients to incorporate small changes in their routine to reduce the chances of aggravating histamine symptoms from affecting the body. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.


References

Branco, A. C. C. C., Yoshikawa, F. S. Y., Pietrobon, A. J., & Sato, M. N. (2018). Role of Histamine in Modulating the Immune Response and Inflammation. Mediators of Inflammation, 2018, 1-10. https://doi.org/10.1155/2018/9524075

Comas-Baste, O., Sanchez-Perez, S., Veciana-Nogues, M. T., Latorre-Moratalla, M., & Vidal-Carou, M. D. C. (2020). Histamine Intolerance: The Current State of the Art. Biomolecules, 10(8). https://doi.org/10.3390/biom10081181

Dicks, L. M. T. (2022). Gut Bacteria and Neurotransmitters. Microorganisms, 10(9), 1838. https://doi.org/10.3390/microorganisms10091838

Jochum, C. (2024). Histamine Intolerance: Symptoms, Diagnosis, and Beyond. Nutrients, 16(8), 1219. https://doi.org/10.3390/nu16081219

Patel, R. H., & Mohiuddin, S. S. (2025). Biochemistry, Histamine. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/32491722

Sanchez-Perez, S., Comas-Baste, O., Veciana-Nogues, M. T., Latorre-Moratalla, M. L., & Vidal-Carou, M. C. (2021). Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? Nutrients, 13(5). https://doi.org/10.3390/nu13051395

Disclaimer

Perimenopause: Managing Changes and Challenges

Perimenopause: Managing Changes and Challenges

Find useful information on perimenopause, including potential symptoms and expert tips to cope effectively.

Introduction

Regarding one’s health and well-being, many people often become aware of how their bodies are naturally changing. This may include both male and female hormonal changes as well as the normal skeletal deterioration that occurs inside the joints. Andropause is the period of time when male testosterone levels begin to diminish. Menopause is the natural aging process that begins for women when their levels of the hormones progesterone and estrogen start to decline. Nevertheless, women experience perimenopause prior to menopause taking place. This article will discuss the definition and symptoms of perimenopause, its effects on the musculoskeletal system, and strategies for managing these problems.

 

What Is Perimenopause?

Do you experience mental fogginess, where you can’t remember what you were doing? How often do your joints ache after doing a simple errand? Or how frequently does your bladder feel full that you constantly need to go to the bathroom? Many of these issues are associated with hormonal changes within the body. For women, perimenopause is a transformative menopausal stage that usually occurs in women in their 40s and early 50s, which is widely recognized for hormonal shifts and reproductive changes in the body.

Functional Medicine Doctor for Women's Hormones | El Paso, TX Chiropractor

Additionally, perimenopause usually starts when a woman is dealing with a persistent difference in their menstrual cycle length after 12 months. (Lega & Jacobson, 2024) This is due to the ovarian hormone production of estrogen and progesterone fluctuating unpredictably.

 

Common Symptoms Of Perimenopause

When it comes to perimenopause, it can affect women differently with its symptoms. Since hormones during perimenopause fluctuate unpredictably. This is because for women, ovarian hormones like estrogen play an important role in maintaining health and homeostasis by modulating the body’s nervous, endocrine, and immune function. (Priyanka & Nair, 2020) Some of the other symptoms that are included with perimenopause are:

  • Vasomotor symptoms: Hot flashes, night sweats
  • Sleep disturbances: Insomnia, early waking
  • Mood changes: Irritability, anxiety, depression
  • Cognitive difficulties: Brain fog, memory lapses
  • Urogenital symptoms: Vaginal dryness, urinary urgency
  • Menstrual irregularities: Skipped, prolonged, or heavy periods

Additionally, since perimenopausal symptoms vary from woman to woman, perimenopause can also affect the musculoskeletal system in the body.

 


Assessing Hormone Therapy- Video


How Perimenopause Affects The Musculoskeletal System

The musculoskeletal system’s various muscles, tissues, and ligaments allow the body to be mobile and flexible without pain. However, environmental factors like physical inactivity, poor dietary habits, and chronic issues affect the musculoskeletal system, leading to overlapping risk profiles affecting the body. For perimenopausal women, their musculoskeletal system is affected by fluctuating estrogen hormone levels. When it comes to perimenopause, the musculoskeletal system will begin to develop various issues that can affect the body over time. When a woman is going through perimenopause, their bone mineral density is reduced as well as their muscle mass due to the decline of estradiol. (Wright et al., 2024) This causes the musculoskeletal system to develop:

  • Increased joint stiffness (especially in the morning) and muscle pain
  • Osteopenia and osteoporosis
  • Sarcopenia (loss of muscle mass)

This is due to hormones being associated with inflammation. When a woman has low or fluctuating estrogen hormone levels, it can lead to developmental changes in their pain perception in their muscles. The hormone estrogen is responsible for inhibiting the actions of inflammatory mediators in osteoblasts and stromal cells to ensure that bone mass is reabsorbed into the skeletal system. When perimenopause naturally occurs in the body, estrogen levels decline, and the development of musculoskeletal issues starts to appear.

 

Managing Perimenopausal Symptoms

Now, when it comes to managing perimenopausal symptoms, many women can start researching non-surgical treatments and incorporating various techniques to help manage the symptoms and reduce any pain from musculoskeletal issues associated with perimenopause. Below are some therapeutic options for perimenopausal women to manage their symptoms and restore their musculoskeletal system.

 

Hormone Therapy

For many women, hormone replacement therapy remains the gold standard for treating moderate to severe vasomotor and musculoskeletal symptoms. Hormone therapy for perimenopausal women can help restore estrogen production to the body and accelerate skeletal growth. (Moustakli & Tsonis, 2023) Estrogen therapy can:

  • Reduce joint and muscle pain
  • Slow bone density loss
  • Improve overall well-being

Note: HRT is not suitable for everyone, particularly those with a history of breast cancer, thromboembolic disease, or certain cardiovascular conditions. Always conduct a thorough risk-benefit analysis.

 

Exercise & Nutrition

For perimenopausal women, proper nutrition and exercise can help manage the perimenopausal symptoms and maintain muscle tone. Incorporating nutritional foods with high protein, calcium, and vitamin D can help maintain skeletal muscle mass and regulate proper hormone functioning. (Erdélyi et al., 2023) Combined with exercises, it can help strengthen weak muscles, improve bone density, and promote flexibility while retaining the joint’s range of motion. Exercises like tai chi are excellent for perimenopausal women as they combine meditation through slow and gentle movements that can lower fracture risk, improve muscle strength, and restore balance functionality. (Li et al., 2023)

 

Manual Therapies

Many women find relief with:

  • Acupuncture: Shown to help reduce chronic pain affecting the joints and provide anti-inflammatory effects to the musculoskeletal system. (Zhao et al., 2023)
  • Mind-body therapies: Meditation, cognitive-behavioral therapy (CBT) to address mood swings and insomnia
  • Chiropractic and physical therapy: Effective in managing musculoskeletal discomfort

 

Final Thoughts

For many women, the perimenopause is a normal time of life, and it significantly affects musculoskeletal health. Women may handle this shift with fortitude and resiliency if they remain proactive with lifestyle changes, medical treatments, and routine monitoring. In order to help women feel strong and supported throughout their perimenopausal journey, a customized treatment plan that honors their individual needs might be helpful.


Injury Medical & Functional Wellness Clinic

We associate with certified medical providers who understand the importance of assessing individuals dealing with musculoskeletal issues related to perimenopause. When asking important questions to our associated medical providers, we advise patients to incorporate numerous techniques to reduce pain-like symptoms related to the musculoskeletal system. Dr. Alex Jimenez, D.C., uses this information as an academic service. Disclaimer.


References

Erdélyi, A., Pálfi, E., Tűű, L., Nas, K., Szűcs, Z., Török, M., Jakab, A., & Várbíró, S. (2023). The Importance of Nutrition in Menopause and Perimenopause—A Review. Nutrients, 16(1), 27. https://doi.org/10.3390/nu16010027

Lega, I. C., & Jacobson, M. (2024). Perimenopause. CMAJ, 196(34), E1169. https://doi.org/10.1503/cmaj.240337

Li, J., Guo, J., Wang, X., Zhang, X., Zhang, Y., Bu, M., Yao, X., & She, Y. (2023). Efficacy and safety of tai chi exercise on bone health: An umbrella review. Osteoporos Int, 34(11), 1853-1866. https://doi.org/10.1007/s00198-023-06830-7

Moustakli, E., & Tsonis, O. (2023). Exploring Hormone Therapy Effects on Reproduction and Health in Transgender Individuals. Medicina (Kaunas, Lithuania), 59(12). https://doi.org/10.3390/medicina59122094

Priyanka, H. P., & Nair, R. S. (2020). Neuroimmunomodulation by estrogen in health and disease. AIMS Neurosci, 7(4), 401-417. https://doi.org/10.3934/Neuroscience.2020025

Wright, V. J., Schwartzman, J. D., Itinoche, R., & Wittstein, J. (2024). The musculoskeletal syndrome of menopause. Climacteric, 27(5), 466-472. https://doi.org/10.1080/13697137.2024.2380363

Zhao, F.-Y., Zheng, Z., Fu, Q.-Q., Conduit, R., Xu, H., Wang, H.-R., Huang, Y.-L., Jiang, T., Zhang, W.-J., & Kennedy, G. A. (2023). Acupuncture for comorbid depression and insomnia in perimenopause: A feasibility patient-assessor-blinded, randomized, and sham-controlled clinical trial. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1120567

Disclaimer

Mastodon