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.
Osteonecrosis is a condition that causes the death of bone tissue from temporary or permanent loss of blood supply to the affected area. It is commonly known asAvascular necrosis and can lead to miniature/tiny breaks in the bone and the bone/s eventually collapsing. Specifically, it affects the upper part of the femur or femoral head and surrounding joints.
It can occur in any bone however, osteonecrosis typically affects the hip/s. Pain associated with osteonecrosis of the hip can be localized to the center of the groin, thigh, or buttock. Because of the hip joint’s close proximity to the sciatic nerve, misdiagnosis for sciatica is common.
Mimicking Sciatica Symptoms
Unfortunately, many health care providers can misdiagnose osteonecrosis hip pain as sciatica. Whatever the cause of the hip injury, most individuals with hip pathology report pain in the groin, upper thigh, and buttocks.
That is why a trained medical professional that knows the differences in the symptoms of each condition can make all the difference in making a proper diagnosis. And a proper diagnosis leads to proper and complete treatment of whichever condition it may be. With osteonecrosis, misdiagnosis often delays the proper treatment and continues to progress. Common symptoms of sciatica:
Leg pain is the primary symptom can be mild to severe
Low back pain is secondary can be mild to severe
Nerve-related symptoms
Numbness
Tingling
Shooting pain
Pins-and-needles sensation
Muscle weakness
Hip pain especially flexion and internal rotation of the hip.
Leg or foot weakness
Osteonecrosis Symptoms and Similarities
For many, there are no symptoms in the early stages of osteonecrosis. As the condition worsens, the affected joint could present pain symptoms only when weight is placed on it. Eventually, individuals begin to feel the pain even when lying down. Pain can be mild to severe with a gradual development. Other symptoms that mimick sciatica:
Walking Inability
Walking gait is complicated with both conditions which is a major cause behind the misdiagnosis.
Limping
Individuals often limp with osteonecrosis of the hip and spinal disc problems. This is another reason that the condition is misdiagnosed as a spinal disc problem or nerve root compression of the sciatic nerve.
Hip Pain
The tributaries/veins of the sciatic nerve also supply the hip area and often cause confusion between the two conditions.
Differences
Despite all of the similarities. There are differences in both conditions.
Nature of The Pain
With sciatica, the pain is related to the nervous system. Movement can complicate the pain. While rest helps to reduce the pain.
With Osteonecrosis the pain is geared toward the muscular. Rest does not help reduce the pain. In fact, the pain increases at night.
Location
Sciatica pain can radiate through the whole leg from the low back to the toe.
Osteonecrosis pain is confined to the hip joint, groin, and radiates to the knee joint only. Osteonecrosis pain does not radiate below the knee joint.
Restricted Movement
Osteonecrosis of the hip joint, means the movements involving the hip joint are restricted. Individuals cannot rotate the leg to the right and left. Individuals cannot bend or fold from the hip.
With sciatica, the rotation of the leg is not affected. Movements involving stretching the sciatic nerve can cause relief or pain.
Walking Gait Differences
Gait is the way an individual stands and walks.
Osteonecrosis of the hip joint causes individuals to not be able to open the hip joint properly or to step properly.
With sciatica, an individual tends to lean on their side to relax the compression on the nerve.
Risk Factors
More than 20,000 people enter hospitals for the treatment of osteonecrosis of the hip yearly. Other than the hip, areas of the body likely to be affected are the shoulder, knee, hand, and foot. The condition can occur for a variety of reasons. A few of these include:
Fracture – a broken bone can interrupt the blood flow to other sections of the bone.
Dislocation of bone or joint/s
Alcoholism
Trauma
Radiation damage
Steroid use
Some individuals can have more than one condition or injury that contributes to hip flexor pain. An example is that it is possible to have both hip osteoarthritis and hip impingement. Without proper treatment, the condition can worsen, causing joint or hip pain from the degradation of the bone.
Anyone can be affected, but osteonecrosis is most common in individuals aged 30 to 50. Treatment options include a total replacement of the hip known as arthroplasty. And if it is sciatica then chiropractic treatment is a first-line treatment protocol. However, a chiropractor can make the distinction between the two and treat sciatica or refer the patient to the proper specialist.
Lower Back Pain Relief
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Li, Wen-Long et al. �Exploring the Risk Factors for the Misdiagnosis of Osteonecrosis of Femoral Head: A Case-Control Study.��Orthopaedic surgery, 10.1111/os.12821. 16 Oct. 2020, doi:10.1111/os.12821
Young adults don’t think about disc deterioration/degeneration until it’s time for the golden years. The disorder is known as Scheuermann’s disease,�Scheuermann’s Kyphosis, and juvenile disc disorder. It affects young adults usually in the late teens to early thirties. Spinal injuries can be the cause but many doctors believe genetics that leads to disc degeneration is a major factor. And still, others believe it is the wear and tear on the spine as the main cause.
The disorder is characterized by disc degeneration throughout the spine. The discs are weakened and cannot withstand the pressure of everyday spinal support. Then the spine is open to all kinds of spinal health issues. These include:
If left untreated, the condition shifts into full-blown degenerative disc disease combined with various health problems like numbness, muscle weakness, and nerve damage. Juvenile disc disorder is rare but is a condition that requires immediate ongoing medical attention to make sure young adults and juveniles protect long-term spinal health. Adolescents with consistent back pain need to be thoroughly examined by a chiropractor. The value of an accurate diagnosis when it comes to developing and administering advanced treatment could be vital.
Cause For Concern
The disorder occurs when parts of the vertebrae known as endplates become too weak to withstand the spinal pressure inside the disc. The endplates are the top and bottom areas of the vertebrae that attach to the cartilage disc between each vertebra.
When the endplates become weak, segments of the tough cartilage can protrude into the endplate, and into the vertebra. These protrusions are called Schmorl�s nodes and can contribute to the pain.
Age-related wear and tear spinal conditions should not be present in kids and young adults. If there are persistent spinal issues and back pain there could be undiagnosed problem/s. Potential symptoms can include:
Continued pain throughout the spine/back
Sitting, standing, or laying down causes an aching back
Transitioning from walking to running or vice versa causes pain
Bending, lifting non-heavy objects causes aching and pain
Stretching the arms over the head causes aches and pain
Posture problems to compensate for the back discomfort and pain
Sleep problems
Disc Disorder Management
Because the disorder primarily affects the vertebral discs, chiropractic pain management is focused on reducing the pressure and strain on the discs. However, it does not mean that activity is to be restricted. Managing the condition focuses on improving strength and flexibility.
Foundation strengthening/support is where a chiropractor could begin. This strengthens the hips, thighs, and hamstrings promoting stabilization of the posterior chain. This leads to body core stability and less spinal concussion during activity/s. Stretching exercises help maintain flexibility for dynamic movements like twisting and bending.
Aerobic activity is also recommended to keep the condition in check. The heart-pumping circulates more blood throughout the body ensuring that the inflamed or injured areas get plenty of oxygenated blood, specifically the spine. Body mechanics also play a role as a proper heel striking when walking or running.
Proper body mechanics lessens the impact of the aerobics on the spine and promotes overall wellness. Chiropractic spinal adjustments and realignment could also be part of a management treatment plan. High-velocity low amplitude adjustments help to reset the vertebrae and takes the stress off of discs.
Prevention
Addressing any disc disorder early is the first step to prevent a lifetime of back pain problems. Seeking a chiropractic assessment as soon as possible will help identify any spinal misalignments or underlying conditions that mimick back pain symptoms/conditions. A chiropractor will develop a customized treatment/management plan to fit an individual’s needs.
Lower Back Pain Chiropractic Care
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Heithoff, K B et al. �Juvenile discogenic disease.��Spine�vol. 19,3 (1994): 335-40. doi:10.1097/00007632-199402000-00014
There is a multitude of chiropractic techniques for spinal alignment. They are used by chiropractors all over the world. All chiropractors have their favorite and specific techniques that they utilize. Depending on how long they have been practicing they can have five to ten different approaches or more refined techniques from years of experience.
The focus of these chiropractic techniques is to get the body back to optimal health and allow the body to heal itself naturally. As the body gets restored joint function is enhanced, muscle tension is released, and inflammation and pain are alleviated.
Various approaches use a form of force, hence the manipulation of the spine. The chiropractic adjustment technique that is the most common is spinal manipulation. It can also be called the diversified technique or HVLA – high-velocity, low-amplitude thrust.
However, chiropractic techniques are continually evolving. This comes from creating variations on existing techniques, a combination of techniques, or the chiropractor needs to adjust/tweak their own specific technique/s because they begin to suffer overuse injury/s from the constant adjusting, pushing, thrusting motions. Most techniques are named after the chiropractor that developed the method. These are the most common spinal manipulation techniques currently in use.
Manipulation Techniques
Chiropractic adapts to the condition/s and specific needs of each individual. Treatment plans can involve a forceful approach and a gentler force technique. This could happen during the same visit or the treatment plan could be half forceful adjustments, that could range from 6 to 10 visits, with the final visits using the gentle approach.
Spinal Manipulation
This is the High-Velocity Low-Amplitude Thrust technique. The most frequently used chiropractic technique. This is the manipulation that most are familiar with because of the audible pop that results. This is from the chiropractor’s hands applying a controlled quick forceful thrust to the spine while the body is positioned in a specific way.
Spinal Mobilization
This is the Low-Force/Gentle Chiropractic Technique. These techniques are for individuals that require a gentler approach. The technique is known as spinal mobilization. This approach could be utilized due to:
Underlying conditions like Osteoporosis for example
Some chiropractors prefer and/or specialize in mild spinal mobilization techniques. These are techniques that do not involve twisting the body or using forceful thrusts. Along with spinal mobilization, chiropractors often employ complementary therapy, as part of an overall treatment plan. This could be:
Ice
Heat
Physical therapy
Electric stimulation
Ultrasound
Individuals need to discuss symptoms and preferences with the chiropractor. It is their role to perform a thorough examination to determine the most optimal treatment plan satisfactory to the patient. Chiropractors are not the only health care providers who utilize spinal manipulation for back pain. Osteopathic physicians can also provide types of spinal adjustments. Physical and massage therapists often work with chiropractors with continued treatment. They are fully trained in providing spinal therapy as well.
Pregnancy Lower Back Pain Chiropractic Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Thelumbosacral joint is the first place chiropractors start their investigation with individuals presenting with low back pain and possible sciatica. Because of the importance of the sciatic nerve, almost any lumbar condition has the potential to disturb the nerve that can lead to chronic nerve pain. For many low back conditions, the best way to start is from the bottom and work up.
Starting at the lumbosacral joint L5-S1, the chiropractor will palpate and massage the area. This is because the lumbosacral joint is a central nerve center with all kinds of possible sciatic nerve interference because of the proximity to the various nerve bundles and vertebral discs.
When sciatic nerve issues begin to develop, often the problem will be in this region of the spine. Beginning at the lumbosacral joint can generate vast insight into the root cause of radiating pain in the lower back and legs.
The Lumbosacral Joint
This pain typically presents when the nerve is inflamed, compressed, or irritated. Numbness or chronic weakness can also happen in the lower extremities and can cause unbearable discomfort. Some of the reasons that make the joint a prime suspect for sciatic pain include:
The L5 vertebrae are vulnerable to slipping forward over the connecting S1 vertebrae. The sciatic nerve goes through this area, leaving it open to compression.
A disc herniation and/or inflammation can also stress the sciatic nerves.
Deterioration of the lumbosacral facet joints is common with older individuals. This can lead to nerve compression and sciatic nerve irritation.
Piriformis syndrome can affect the area around the lumbosacral joint, causing nerve compression and inflammation.
The lumbosacral joint is frequently used making it a consistently stressed joint. Overuse, poor posture, and improper body mechanics affect this region of the lumbar spine. And, because of the closeness to the sciatic nerve, it is commonly affected.
Other Spinal Conditions
The lumbosacral joint also experiences problems that stem from chronic conditions, which can involve some form of sciatic pain as a symptom. They include:
Degenerative disc disease
Lumbar stenosis
Sacroiliac joint dysfunction
Spondylolisthesis
Sciatica is a condition that represents a series of symptoms. But it is often a symptom of other condition/s that affect the sciatic nerve. If spinal conditions progress, it can bring undue stress and strain to the lumbosacral joint and the sciatic nerve.
Knowing Where To Begin
The key to a proper and successful treatment plan is an accurate diagnosis. Knowing and understanding the symptoms, spinal conditions, and having an idea of the origin of these types of pain promotes a rapid diagnosis. Our chiropractic and physical therapy team thoroughly investigate the pain source using imaging, palpation, observation, and other diagnostic tools to help get individuals back on track and healthy.
Facet Syndrome Chiropractic Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Grgi?, Vjekoslav. �Lumbosakralni fasetni sindrom: funkcijski i organski poreme?aji lumbosakralnih fasetnih zglobova� [Lumbosacral facet syndrome: functional and organic disorders of lumbosacral facet joints].�Lijecnicki vjesnik�vol. 133,9-10 (2011): 330-6.
Finding the right sciatica chiropractic specialist to diagnose the cause especially, when it is an abdominal aortic aneurysm can be a challenge. There can cause diagnostic confusion with the root cause never being discovered or identified. Fortunately, Dr. Jimenez is a sciatica specialist with over 30 years of experience in differential sciatica diagnosis, and treatment.
Sciatica Chiropractic Specialist Diagnosis
Diagnostic Tools
Abdominal aneurysms are usually discovered for another ailment like a hernia or for routine tests like an ultrasound of the heart or stomach.Diagnosis of an abdominal aneurysm depends on the condition, medical and family history, and the physical examination. If a doctor or sciatica chiropractic specialist suspects an aortic aneurysm, then specialized tests will help with a confirmation.
Ultrasonography
The simplest and most used diagnostic test is ultrasonography. It utilizes sound waves for diagnostic purposes that send the recorded images to a monitor. It gives an accurate assessment of the size and location of the aneurysm. The patient will lie on a table while a technician moves a wand around the abdomen.
Computed tomography CT scan
This test is often used in conjunction with ultrasonography if more data/info is needed. Usually, this is to determine the exact location of the aneurysm in relation to the visceral or renal arteries. It provides cross-sectional detail with clear images of the aorta and can detect the size and shape. The patient lies on a table inside a machine. A contrast dye could be injected into the blood vessels to make the arteries more visible on the images known as CT angiography.
Magnetic Resonance Imaging
Magnetic resonance imaging or MRI uses a magnetic field and radio wave energy pulses to record images of the body. The patient lies on a table that slides into the imaging compartment. Contrast dye can also be injected into the blood vessels to make the images more visible known as magnetic resonance angiography.
Emergency Symptoms
Certain symptoms can indicate an emergency. The conditions are rare, but it is very important to seek medical attention should any of these symptoms present with back pain:
Severe abdominal pain
Fever out of nowhere
Bowel and/or bladder incontinence
Loss of or an unusual sensation in the groin, as well as the legs and possibly into the foot
If back pain presents after an injury medical care is recommended to check for damage/injury to the spine.
Abdominal Aneurysm Symptoms
Abdominal aneurysms often don�t present any symptoms, which is why individuals go through their days unaware, and when back pain does present a doctor may only focus on the back pain symptoms and not the cause, leaving the aneurysm to continue to develop and worsen. Aneurysms do occur in women but are more common in men and those ages 65 and older. The main cause is atherosclerosis which is a hardening of the arteries. But injury and infection can also cause an aneurysm. Those with symptoms can include:
Throbbing pain around the back or side
Deep pain in the back or side
Pain in the buttocks, groin, or legs
Sciatica symptoms
The Sciatic Connection
A diagnosis of the root cause of the sciatica is crucial for developing an effective treatment plan to alleviate the sciatic pain. If an aneurysm is present then referring the individual to the proper aortic aneurysm repair specialist is a top priority. If sciatica is suspected, a doctor or chiropractor will review medical history and perform a physical examination. Medical imaging tests and diagnostic nerve blocks could be used if necessary. Sciatica pain usually follows the dermatome or areas of the skin that is supplied by the sciatic nerve. The pain can also include deeper tissues called dynatomes.
Physical examination
During a physical examination, the sciatica chiropractic specialist will look for various responses when:
Straightening the leg with movements that elongate the nerve
Gently pressing the toes or calf area
Seeing if there is any type of pain associated with these movements in the low back, buttock, thigh, leg, and foot
Sciatica Clinical Tests
Two examples of clinical tests for sciatica include:
Straight leg raise – SLR
The patient lies on their back and the chiropractor lifts one leg at a time with the other leg remaining flat or bent at the knee. If pain presents while lifting the affected leg this is usually an indication of sciatica.
Slump
The patient sits upright with their hands behind their back. The patient then bends/slumps forward at the hips. The neck bends down with the chin touching the chest and one knee is extended as far as possible. If pain occurs in this position, sciatica could be present.
These tests could possibly be positive only when the nerve is mechanically compressed. Other causes like inflammation or chemical irritation of the nerve might not cause pain when performing these tests. This test could also help reveal a possible abdominal aneurysm as abdominal pain could present.
Chiropractic Sciatica Treatment
Manual manipulation improves the alignment of the spine. This technique helps address the underlying condition/s that can cause sciatic nerve pain, like herniated discs or spinal stenosis. Manual manipulation also creates an optimal healing environment. An aortic aneurysm specialist could work with a sciatica chiropractic specialist to help with spinal realignment if the aneurysm caused any kind of shifting or slipping of the discs along with releasing the sciatic nerve if it is compressed.
Massage Therapy
Massage therapy like deep tissue massage can also have benefits. Massage:
Improves blood circulation, which also creates an optimal healing response in the body
Releases toxins in the low back muscles that spasmed or knotted up
Relaxes tight muscles that could be contributing to the pain
Releases endorphins or the hormones that function as the body’s natural pain relievers
Sciatica Pain Chiropractor
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
An abdominal aortic aneurysm refers to an enlargement of the abdominal aorta. If the blood vessel is enlarged and starts to leak blood or rupture, it will cause severe abdominal and lower back pain. This is a serious medical emergency that necessitates emergency surgery. Unfortunately, there is no way to reverse the damage. A prominent symptom from a rupture is severe, persistent low back pain, and pain in and around the abdomen. Treatment for an abdominal aortic aneurysmdepends on the possible complications that could develop. Approaches for treatment:
Nonsurgical treatments like anti-biotics calcium channel blockers and exercise along with monitoring are used for individuals that have a low risk of rupture.
If an aneurysm is not found until it becomes an emergency, then surgery to repair the ruptured artery is absolutely necessary. If ruptured or there is a high risk of rupturing is considered an emergency.
If a rupturing aneurysm has been diagnosed, some treatment/management will be implemented to prevent severe/fatal bleeding.
Cardiac
For low-risk cases, lifestyle changes and possible medication/s may be recommended to slow the development. Small aneurysms are monitored using ultrasound. This can be every 6 to 12 months depending on the size and growth rate of the artery.Medications for lowering blood pressure and cholesterol could be prescribed. This is to limit the amount of plaque buildup in the aorta and reduce any pressure on the arterial walls. Quitting smoking and removing tobacco altogether whether dip, chew, vape is a significant action an individual can do to minimize the risk of aortic rupture. Other lifestyle changes involve maintaining a healthy diet and regular exercise will help lower blood pressure and cholesterol levels decreasing the chance of rupture.
Surgery
Surgical treatment when necessary is to stop a rupture if leaking blood or to prevent a rupture. Surgery requires replacing the damaged portion of the aorta with a stent-graft. This is an artificial artery made from a high-tech mesh/fabric. There are two standard surgical treatments:
Open Repair
Open repair is the most common surgical treatment. It takes the enlarged portion of the aorta removes it and replaces it with a stent-graft. Open surgery repair consists of the following:
The incision is made in the abdomen at the site of the aneurysm.
The aorta gets clamped with the blood temporarily blocked from flowing through the damaged portion.
The damaged part is removed.
A tube graft is placed where the damaged portion was.
If the damage was not severe and does not require the removal and complete replacement, then less invasive options will be offered.
Endovascular Aortic Aneurysm Repair
EVAR endovascular aneurysm repair surgery is a minimally invasive procedure. There is no need for a large abdominal incision or removal of the damaged portion of the artery. This procedure does not require blood flow stoppage, which places less stress on the heart. Endovascular surgery involves:
A fluoroscopy or live X-ray is used. This is so the surgeon can look at the repair, and guide the stent into place.
2 small incisions are made in the groin.
A catheter is inserted into the femoral artery in the groin and guided to the abdominal aorta.
Through the catheter, the stent is guided to the aneurysm.
Once it reaches the aneurysm, it is compressed and closed.
The stent is placed in position, and the wireframe is expanded to fit the artery.
The stent is sewn/secured into place at both ends.
Once in place, the blood gets redirected from the enlarged area and flows only through the stent-graft. This takes the pressure off the artery’s walls and allows for size reduction over time, and decreases the risk of rupture.
The procedure is not an option for individuals with an aorta that cannot be accessed safely through the femoral arteries. Or if the artery is severely damaged that the aneurysm portion needs to be replaced. And if the aneurysm is too big or complex where an open repair is a more favorable option.
Follow Up
Follow-up monitoring is necessary after any aortic aneurysm surgical procedure. This is to ensure the stent works and the aorta is functioning without a high risk of rupture. Individuals will be advised to maintain a healthier heart and cardiovascular system. A surgeon/doctor will suggest:
Diet adjustments
Regular exercise
Quitting smoking/tobacco intake
Taking cholesterol and blood pressure medication
Chiropractic/Physical therapy for any spinal misalignment, herniation, sciatic nerve compression back pain relief.
Lower Back Pain
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Trying to understand what is causing back pain that comes out of nowhere, whether a spinal issue or a kidney issue can be quite challenging. Doing a self-examination, retracing steps, and constantly thinking about it is exhausting. The right healthcare professional that has experience in spinal issues, as well as, understanding various health conditions that can contribute to spine pain, and making the correct diagnosis can help in developing the proper treatment plan or refer the individual to the proper specialist.
The Kidneys
The organs are located below the ribs, close to the middle/thoracic back. Healthy kidneys support and help with:
These can easily be mistaken for mid and upper back pain. However, if there is persistent soreness or irritation it could mean a more significant health issue associated with the kidneys could be present.
Spine Problem or Stone/s
If there is a feeling of kidney pain it is possible to come from one of two places and/or both. This could be distension/ballooning of the capsule called the ureter that surrounds the kidneys. The ureters are the tubes that are attached to each kidney and transport urine from the kidneys to the bladder. Urine contains salts and minerals. These minerals can clump together creating a kidney stone and block the ureters. The ureter contracts from the stone that is creating the blockage.
When there is a blockage from a stone, the urine can back up and cause the capsule to expand causing pain. The pain location is usually on one side and is categorized as a dull ache – meaning the pain is constantly present and causing discomfort. Chronic back pain caused by nerve compression is typically on one side like sciatica.
The pain from a stone can be only slight unless the stone is trying to move. Then the pain can be severe and last for several minutes before it passes. However, if the pain is excruciating and a kidney stone is suspected, go to the hospital and get an examination. Collecting the stone is crucial when it passes in order to be analyzed. A stone analysis will help in figuring the proper treatment to prevent another kidney stone/s from developing.
Spine Problem or Infection
A kidney infection could be another cause of back pain. Kidney infection/s are typically caused by bacteria. A dull throbbing could be sensed in the middle and/or upper back.
Symptoms
Signs and symptoms associated with infection often include back, side, and groin pain as well as a combination of symptoms like:
Chills
Fever
Burning sensation when urinating
Constant sensation of needing to use the bathroom
Nausea
Vomiting
Causes
Causes that can increase the chances of developing an infection.
Kidney stone/s
Nerve damage that affects the bladder
Spinal damage that does not allow the bladder to be emptied
Urinary tract infection
Older individuals can develop kidney infections without any underlying conditions. There are rare genetic diseases like polycystic kidney disease and Fabry disease that can cause kidney pain and be mistaken for back pain.
Telling the Difference
There is no quick and easy way to figure out if it is back or kidney pain. Especially, if a constant aching is present. Seeing an experienced doctor or chiropractor is the recommended option for getting a formal and accurate diagnosis. A physical exam, family, and personal medical history will be collected along with various tests. Tests can include:
Urine analysis
Culture
Abdominal X-ray
CT scan
MRI
Pain medications and specific fluids are usually prescribed along with time to pass the stone. Antibiotics can be prescribed for kidney infections, chiropractic treatment can be suggested for spinal alignment/myofascial tense muscle release, and home remedies can help treat any discomfort. These can include:
Using ice/heat on the area where there is discomfort
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Tozzi, P et al. �Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility.��Journal of bodywork and movement therapies�vol. 16,3 (2012): 381-391. doi:10.1016/j.jbmt.2012.02.001
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