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.
Acetaminophen, best known as Tylenol, is one of the most common medications for headaches and general pain. More than likely the most common back, neck, and overall pain medication around. However, it is only a pain reducer, and will not reduce inflammation.
Doctors often recommend this medicine before moving on to prescription medication. A member of the analgesic pain reliever class of medications. These can vary in strength along with side effects, but their purpose is to reduce pain. Acetaminophen can be found in over 600 prescriptions and over-the-counter medicines, including certain opioids. Other acetaminophen brand names include:
Tylophen
Tempra
FeverAll
Mapap
Pharbetol
Panadol
Strength and Weakness
When neck or back pain presents, over-the-counter medicines fall into two categories. These are acetaminophen or non-steroid anti-inflammatory drugs also known as NSAIDs. Acetaminophen and NSAIDs like Advil, aspirin both relieve pain. However, non-steroid anti-inflammatories also help in reducing inflammation. Although non-steroid anti-inflammatories have this added benefit, they can also present potential side effects like stomach and gastrointestinal problems.A spinal sprain or strain can cause acute back pain. Acetaminophen is typically recommended for acute back or neck pain and for pain that comes and goes quickly. Individuals that experience periodic pain usually take acetaminophen when the pain flares up. Individuals with chronic spinal pain report acetaminophen help to alleviate/reduce the pain. Many with chronic pain use acetaminophen regularly and not only when the pain presents. This helps manage before pain strikes.
Safety
Acetaminophen is gentle on the stomach, making some individuals preferring it over the non-steroid anti-inflammatories. But just like any other medication acetaminophen has its risks and can cause severe damage if used improperly.
Taking acetaminophen in large doses can cause severe liver damage. The Food and Drug Administration reports that acetaminophen overdoses send over fifty-thousand individuals to the emergency room every year. And over one-hundred Americans die yearly from accidental overdoses.
Using acetaminophen safely means taking no more than 3,000 milligrams a day and no more than 1,000 milligrams at a time. Take extra precautions when taking extra-strength. These can include as much as 650 mg per pill/capsule.Before taking acetaminophen for back and neck pain, talk to a doctor or pharmacist about the proper dosage. And tell the doctor about all the medications being taken including natural herbs and holistic. Another reason for telling the doctor is that many other medications have acetaminophen included without you knowing it. Part of the discussion should include alcohol consumption. This can elevate the risk of negative reactions.
Resources
If non-pharmacological treatments/therapies done for at least 4 months prove ineffective then an acetaminophen regimen could be a safe and effective part of a back and neck pain treatment plan. While this medicine is one of the most common treatments, it is not without risks and side effects. Talk to a doctor or pharmacist about all the medications and supplements to ensure the regimen supports health for the long-term. To learn more along with safety information go to Acetaminophen Patient Guide.
Severe 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*
Weightlifting and chiropractic go hand in hand as a perfect team. Everyone in some way can utilize weightlifting, whether it’s for general exercise, strength training, rehabilitation, bodybuilding, looking and feeling good, spinal health matters. When the spine and the body’s central nervous system work in harmony, muscle function is at its optimum.
Many individuals consider health care to be a reactionary function. The proverb if it’s not broken, then don’t fix it, is an approach currently being applied to various health conditions. Only after an individual exhibits or feels ailment symptoms is when they’ll see a medical professional. Weightlifters are thought to be generally more in tune with their bodies. But they are no different in that many do not seek medical attention until symptoms present.
Bodybuilding involves lifting heavy weights while maintaining proper posture and balance. Weightlifters, athletes, and fitness enthusiasts know that balance includes a healthy diet and combining fitness training with a positive mindset. Individuals involved in exercise/fitness regimens know that the muscles need time to recover and build new tissue.
Weightlifters, athletes, and overall fitness enthusiasts are discovering chiropractic medicine and its benefits. Fear of the unknown is usually the biggest reason for people not seeing a chiropractor. But for athletes, weightlifters, etc., not seeing a chiropractor, they’re usually worried they will have to stop training/competing for a while. Whatever the reason/s for not seeing a chiropractor, here are five for seeing one that everybody and every bodybuilder should know.
Chiropractic Mind and Muscle
Distractions in weightlifting will almost always result in an injury. The mind and body need to be balanced when working out. Just adding more weight or doing more repetitions will not create the best bodybuilder. Professional weightlifters know that it’s not about working harder but working smarter. This is where chiropractic enters the picture.
All the body’s muscles connect to joints or the spine. The joints and spine must be properly aligned for the muscles to work in proper balance. In today�s world, it’s all about the quick fix. Whether it’s a pill for whatever or fast food, however, some things need time and proper care to flourish. Chiropractic and bodybuilding are two of those things.
A Spinal Shift Makes WeightLifting Harder
When the spine is not aligned, the muscles on one side of the body are forced to work harder than the other side. This is a perfect injury set-up. An example is doing bench presses with one foot firmly on the ground, with the other using only the toes. That is the picture when the spine is out of alignment. Working out with an uneven foundation opens the doors to injury/s.
A chiropractor can discuss the best bodybuilding routine that will get results, give diet/supplement recommendations, and advice on proper lifting techniques, as well as stretches and flexibility exercises. They see the changes in the body before any pain is felt. Based on this, they can decrease the potential for injury.
Minor Injuries Lead to Severe Injuries
Many weightlifters believe if they feel pain after a workout, it means it was a good workout and is considered a sign that the muscles worked to the maximum. However, this is not always true. Microtrauma injuries are not always detected because they can hide behind minor muscle pain after a heavy workout.
Microtrauma injuries are small tears in the connective tissue and the fibers of the muscle itself. These micro-tears can cause swelling that is not seen but can be felt. This type of trauma needs proper recovery time to heal. And if treatment is not sought out, it can increase the risk for severe injuries later. These include:
Ruptured ligaments
Joint function loss
Fractures
Bodybuilders who receive regular chiropractic adjustments also benefit from having one-on-one discussions about strength, diet, power, or pain they’re experiencing and get sound advice/recommendations. The chiropractor will know the difference and will know how to prevent further injury.
Weightlifting and Maximum Potential
Professional weightlifters understand that a combination of natural approaches and utilizing these resources will bring optimal results. Bodybuilders, athletes, and fitness lovers are utilizing chiropractic to stay healthy, fit, and aligned. It is a perfect team, fitness, and chiropractic.
Weightlifting makes the body stronger. This comes from the added stress on the bones, muscles, and joints, which causes them to adapt. However, there is also an added strain that can misalign the spine and pinch the nerves. Pinched nerves cause lower levels of muscle strength and the development of scar tissue. Individuals might not be aware as this condition does not always cause pain.
Chiropractic involves adjusting the spine back into its natural, proper position. This allows the muscles to achieve maximum potential. Protein supplements and powders can also help. Chiropractic relieves the stress that occurs from weightlifting and releases the subluxations. Regular chiropractic prevents injuries, helps injuries heal quickly, and allows for continued training with modifications depending on the patient’s case.
Alleviating Pain and Preventing Injury
The muscles function and perform based on the signals sent and received through the central nervous system. When an injury occurs to the muscles, ligaments, tendons, or other body areas, inflammation and swelling occur. Inflammation is not all bad and is a good sign that the body has been injured, needs attention, and deals with the injury.
But communication needs to be relayed for this to happen. When the joints in the spine are out of place or are not moving properly, the information can be scrambled or cut off. This can make it feel as if everything is fine, when there should be pain or when something hurts in one area when the pain is located in another area. Chiropractic restores function to joints, re-aligns the spine, and improves range of motion. This opens up the communication lines completely and allows the body to heal on its own.
Frequently Asked Questions
How soon can I go back to lifting? It depends on the individual case, but most go back to training the following day if there are no injuries. However, discuss the matter with a doctor.
Can a chiropractor adjust a big muscular individual? A chiropractor knows how to manipulate the body to don’t have to be stronger than the individual, no matter their size.
Can I adjust myself? Chiropractors are trained doctors that know where to apply specific movement and pressure to a joint that is causing problems.
Do I need chiropractic because my back doesn’t hurt? An individual does not have to be hurt to benefit from chiropractic. Chiropractic can be utilized to improve performance and as a preventative treatment.
Can chiropractic help with difficulty sleeping after workouts?Tension and stress, as well as tight muscles, are irritating to the central nervous system. Hot baths can help relax the muscles. Chiropractic helps release tension, relieve stress, leading to a better night’s sleep.
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Women experiencing low back pain will find there are a variety of possible causes. Lower back pain can stem from the reproductive system or the spine itself. Finding the possible cause of low back pain can be difficult to diagnose. As well as, pinpointing the pain can be a very challenging task. Women wonder how it’s possible to mistake menstrual cramps for back pain and then it happens to them. There are certain conditions that make the low back and core region a central location of continual pain. And unfortunately, women could be more susceptible.
Most individuals will experience low back pain at some point during their life. However, there is a slight prevalence and is more common in females than males across all ages. Low back pain in women increases with age. A research comparison studying middle-aged individuals reported an increase of low back pain in females versus males post-menopause. Some possible low back pain causes include.
Menopause and Hormone Issues
Chronic lower back pain is one of the most reported musculoskeletal issues women face during menopause. About sixty-seventy percent of perimenopausal women present symptoms associated with estrogen deficiency. And over half in perimenopause report chronic musculoskeletal pain. Many of these studies show increasing menopausal symptoms and the correlation to chronic low back pain symptoms.
Menstruation and Uterine Dysfunction
Dysmenorrhea is a uterine dysfunction that involves frequent and severe cramping during menstruation, which often leads to low back pain. The condition is classified as primary or secondary. Both types include low back pain as a common symptom.Primary dysmenorrhea starts when a woman begins menstruation and continues throughout their life. Intense contractions can cause continual and severe menstrual cramping. Secondary dysmenorrhea usually starts later and is caused by another condition like endometriosis or pelvic inflammatory disease.
Endometriosis
Endometriosis is a condition that can contribute to back pain in women. Tissue that behaves like endometrial tissue begins to grow outside of the uterus, in the pelvic cavity or other areas. The new tissue responds to the body’s hormonal changes and can cause swelling, pain, spotting, and bleeding. Endometriosis growths bleed monthly as well. Without a place for the blood to go, the excess irritates and inflames the surrounding tissue.
The condition can cause heavy periods, chronic pain, and scar tissue build-up. Symptoms can present at any menstrual cycle stage. Pelvic pain that runs down the legs is common. Some women have also reported throbbing, shooting pain that can be mild to severe. Symptoms include:
Abdominal pain
Low back pain
Pain when walking or standing
Pain during ovulation
Pain when urinating
Urinary urgency
Pelvic inflammation
Constipation
Pain during intercourse
Bowel movement pain
Rectal pain that radiates
Pain caused by scar tissue build-up within the bladder, fallopian tubes, bowels, and ovaries
Chronic fatigue
Endometriosis can be diagnosed by a doctor during an initial pelvic exam. Further imaging tests to assist in the identification could be requested.
Spinal Issues
The reproductive organs can sometimes contribute to back pain. However, women can also be susceptible to degenerative conditions that affect the spine’s structure. Low back pain is common with an average patient experiencing one to two episodes a year. Low back pain can start in early adulthood and become a chronic problem that can be triggered by various events or activities. Most back pain issues are resolved within six weeks. This is known as acute low back pain. When the pain doesn’t stop for more than 12 weeks it is considered chronic lower back pain.
Postmenopausal Compression Fractures
Around twenty-five percent of women will go through a vertebral compression fracture of the middle or lower spine. The risks increase with age, with around a 40 percent chance at 80 years of age. Small cracks in the vertebrae can cause severe disability and limit function. Osteoporosis is the most common cause of vertebral compression fracture/s. Postmenopausal women are at an increase of developing osteoporosis. This comes from hormonal changes that decrease bone mineral density, leaving the bones open to fracture.
Spondylolisthesis
This is when one vertebral body, or the thick oval bone segment in front of the vertebra, slips against an adjacent body. The result is pain or mechanical symptoms. The pain can spread throughout the spine to the hip, buttocks, into the legs, and possibly the foot. The condition can be congenital, from an unknown cause, or acquired. There is some research on childbirth and hysterectomies putting women at risk for spondylolisthesis.
It is common in the lumbar spine/lower back, but can also present in the cervical spine/neck region. The thoracic/middle spine is extremely rare except in trauma cases. The thoracic spine is the longest region of the spine. It is between the cervical and lumbar regions. One cause of the increased pain is longer times spent sitting in chairs that are not ergonomic. A second is being confined to smaller workspaces. The key is to get up and move around or use a sit-stand desk to alternate sitting and standing. Irregular and localized low back pain is typical for low back spondylolisthesis. The pain usually worsens when the area/region is flexed or directly touched.
Piriformis Syndrome
Back pain sometimes isn�t back pain, but piriformis syndrome. The piriformis muscle is a small muscle that extends from the lower spine to the top of the femur. It can involuntarily contract and compress or irritate the sciatic nerve. The muscle helps rotate and turn the leg and foot outward. Symptoms are consistent with sciatica. It typically presents with buttock pain that shoots, aches, or throbs along the leg�s backside, thigh, calf, and foot. Tingling along the nerve along with numbness is common. Causes include:
Buttock injury
Hip injury
Weight training specifically the gluteal/buttock, hips, and hamstrings
Sitting for a long time – Examples include truck drivers, desk job workers, etc.
Damage to the piriformis muscle
Sciatic nerve wraps around the piriformis muscle
Sacroiliac Joint Dysfunction
Sacroiliac joint dysfunction involves inflammation of the joints, located at the connection of the pelvis and lower spine. It can present as low back or buttock pain that radiates down the leg/s. The pain worsens when climbing stairs or standing for an extended amount of time. Sacroiliac joint dysfunction can be tough to diagnose, as it is often mistaken for other low back pain causes.
SI joint dysfunction causes:
Pregnancy – the increased weight and altered movement/s can cause additional stress and wear.
Joint infection – in rare cases, the joints can be subject to infection.
Arthritis – the joints can develop arthritis from normal wear and tear.
Traumatic Injury – the joints can be injured from a forceful impact from a fall or auto accident.
Most cases do not end up requiring medication or surgery. It is when the pain lasts more than six weeks that there could be something more taking place like neurologic symptoms or other conditions, spinal or otherwise.
Personalized Chiropractic Spine 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*
A spinal tumor is an uncommon cause of back pain. They rarely occur and can be either benign or malignant. Some tumors can metastasize or spread out to other parts of the body. This is done through the arteries, veins, the lymphatic system, and directly depending on the location.
A tumor of the breast, prostate, lung, and kidney can metastasize into the spine increasing the risk of spinal compression. This could lead to neurologic dysfunction and paralysis. Many individuals present with back pain as the key symptom. The pain can worsen at night and have no relation to certain activities. Other symptoms include:
Aneurysmal bone cysts or ABCs usually cause pain and swelling. They can be large and typically affect children and adolescents.
Eosinophilic Granuloma
This type of spinal tumor usually develops in the vertebral bodies of children and adolescents. If the tumor is systemic it is called histiocytosis X. However, these tumors rarely lead to vertebral collapse and paraparesis. And also rarely but on occasion, they can heal spontaneously on their own.
Giant Cell Tumor
This type of spinal tumor affects children, adolescents, and young adults. They can be found around the cervical, thoracic, or lumbar segments of the spine, but are more common in the sacrum region.
Hemangioma
Hemangiomas develop most often in the thoracic or middle back. These affect adults and are known to be vascular masses that are progressive and can cause vertebral collapse and slight paralysis.
Osteoblastoma
These tumors can be large, aggressive, and painful. They affect children and adolescents. They can sometimes cause spinal deformity and paralysis.
Osteochondroma
This a slow-growing spinal tumor that comes from cartilage and usually affects adolescents. It is uncommon and typically found in the posterior or rear of the spine.
Osteoid Osteoma
A very small bone tumor that is less than 2 cm. It typically affects adolescents. It is known to cause night pain and can result in spinal deformity.
Malignant – Cancerous
Chordoma
This is typically seen in adults. About 50% involves the sacrum, but it can affect other regions of the spine. These tumors usually require aggressive treatment.
Chondrosarcoma
This tumor affects the spinal cartilage in middle-aged adults. It grows slowly but can be dangerous. Aggressive medical treatment is required.
Ewing/Ewing’s Sarcoma
An aggressive spinal tumor that affects adolescents and young adults. In certain cases, it can metastasize.
Lymphoma
Lymphoma can present in one or more vertebral bodies. It affects middle-aged and older adults. The lymphatic system can sometimes be involved.
Osteosarcoma
This is a bone cancer that develops in adolescents and middle-aged adults. It can metastasize and require aggressive medical treatment.
Plasmacytoma
Plasmacytoma typically presents in middle-aged and older adults. They usually present in the pedicle and vertebral body and can cause paraparesis.
Back pain does not always mean that there is a tumor present. But if back pain does not resolve or if neurologic symptom/s are experienced, early medical intervention/treatment is definitely warranted. A primary spinal tumor or those that originate in the spine are uncommon. However, metastatic spinal tumors are.
Spinal tumors are not a common cause of back pain, but if there is pain whose cause cannot be identified and continues with no change, it could be an indicator of something more going on. Persistent pain, specifically if it is not brought on with activity or if it worsens at night, could be a potential red flag needing further examination by x-ray, CT, or MRI. Metastatic tumors, that spread from another area such as the lung, breast, colon, and prostate are a more common type of spinal tumor. Individuals with a family history of cancer that develop back pain out of nowhere should be examined to exclude a spinal tumor.
Neck and Low Back Pain 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*
Massage therapists have come a long way in reducing pain and improving wellness. Back pain is one of the most common reasons people seek physical therapy, chiropractic care, and massage therapy. Back pain affects around three in four adults at some point in their lives. Research supports that massage is a bona fide back pain treatment option. This could be welcome news to those who prefer not to use medications or invasive approaches to managing back pain. The right massage therapists can make all the difference in achieving the benefits.
Massage goals
The first thing is to figure out what the goals are from the massage itself.
Are there acute back or neck issues that need to be addressed?
Looking for non-invasive therapy for long-term management of a chronic spinal condition?
Is the massage for performance enhancement? Could be athletic or to help perform daily activities easier.
Is it just wanting to relax?
Figuring out what it is to be achieved from the massage is essential to finding the right therapist.
Massage clinic, spa, health club, home
A massage can be performed in health clubs, spas, medical clinics, and at home. The location does not predict the massage type or specialty of the massage therapists, but it can be an indicator. Example: For athletic performance, a gym, or Crossfit center massage therapist is a good place to start. If massage is part of a back and neck pain management plan, look into the massage therapists at a medical clinic or a therapeutic massage clinic.
Ask for recommendations and ask questions
When searching, get recommendations, and ask plenty of questions to get all the information needed.
After a few prospects have been found then ask plenty of questions before making an appointment. This can help determine if this will be a long-term therapeutic relationship or a one-time visit. If looking to manage a serious spinal condition, the recommendation would be to find a therapist with more experience.
Massage education programs that are only entry-level do not provide in-depth education and practice for the many specific and complex spinal conditions. The real experience comes from years of practice along with continued education. This is how massage therapists are able to expand their clinical analysis and treatment development expertise. Get a sense of the massage therapist�s education and practice experience. This will help significantly when choosing a therapist best equipped.
Questions to ask potential therapists:
How long have you been practicing?
What�s your massage education?
Related education or practice experience? Many nurses or occupational therapists go on to become massage therapists. This means the information and knowledge from their nursing are now integrated into their massage practice.
How much-continued education have you gone through?
How many sessions do you offer?
What does the schedule look like? Think about scheduling when the therapist is more refreshed, like early in the workweek or their scheduled shift.
Do you have specialties with specific conditions or techniques?
Do you get massaged? If so, how often? Massage is a labor-intensive task. Therefore, it could be best to go to a therapist that keeps themselves healthy and balanced.
How long does it take for the initial appointment?
Do you have to book ahead?
If a therapist is booked don’t get frustrated
If a long-term therapeutic relationship for the management of a spinal condition is the goal, then it may be worth waiting for. A therapist that has a long wait time for initial appointments means they have patients that see them regularly and that�s a very good sign of quality care. One possible option for individuals waiting for their appointment is to go to a local massage school to get treated. This option is less expensive, great for body maintenance, and provides opportunities for the training therapists.
Professionalism
A quality indicator is the professionalism of the therapist. This includes the extent to which they model the values of a health care professional valued by the patient. This is different for everyone. Questions to consider:
Are they on time?
Does the therapist cancel appointments?
Are you comfortable around them?
Do they listen?
Does the patient help in the development of a treatment plan?
Are they comfortable and engaged in the work?
Are they taking their massage career seriously?
Feeling at ease during the appointment/s is very important to massage success and relief. If anything about the therapist causes hesitation, look for another.
Massage Management
Massage is an excellent back pain treatment option that has gained popularity as a complement to pain management plans and as an alternative to invasive procedures. But, massage is not a cure-all. Often the cause of the back pain does not go away entirely. This is where massage therapy comes in as a pain management tool.
It’s important to consider the condition�s duration and severity when evaluating the success of a session. This helps in planning the massage schedule. When there is a complex and established spinal condition be patient, as a 1-hour massage is not going to solve a 10-year back pain battle. However, with perseverance massage can safely and effectively help reduce pain and promote a better quality of life.
Chiropractic Massage Rehabilitation
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*
Radiofrequency ablation, also known as RFA is a minimally invasive procedure performed in an outpatient clinic to treat neck, back, facet joints, and sacroiliac joint pain. It involves the use of radio waves pulsing at a high frequency that temporarily disable the nerves from transmitting pain signals to the brain. Relief can last three to six months. Radiofrequency ablation treatment could be an option to manage chronic back and neck pain. There are other names, but the radio frequency concept is the same. They are:
Chronic neck, back, and hip pain take a significant toll on the body. Finding the right treatment can make all the difference. However, it does not work for everyone. For those that might have tried other non-surgical treatments to manage the pain, including physical therapy and steroid injections, that did not bring relief then radiofrequency ablation could be another treatment option.
Radiofrequency Ablation Benefits
Pain relief compared to steroid injections lasts longer
Relief exceeds that of injections
It is a non-surgical procedure
Complication risks are low
Opioid or other analgesic medication is reduced
Quick recovery
Improved quality of life
Relief can last six months to a year, and longer
Pain Reduction
Before undergoing radiofrequency ablation, a doctor must pinpoint the nerves causing the neck, back, or sacroiliac joint pain. They will perform a nerve block injection to determine if there is temporary relief from the pain. If there is temporary relief it means that the origin of the pain was found. This could qualify to become a candidate for radiofrequency ablation.
A Medial branch block is performed to diagnose the facet joint/s that are causing the pain.
Asacroiliac joint block is performed to determine if and which sacroiliac joint is causing the pain.
Preparation
The doctor will give instructions on how to prepare for the procedure. Instructions can vary from those listed, as every patient’s case is unique.
Do not eat 6 hours prior to your procedure
Wear loose, comfortable clothing
Easy to put on shoes
Have a designated driver for after the procedure
Make sure the doctor knows about all medications, vitamins, supplements, and herbs being taken
Follow the doctor�s instructions when taking prescribed and over-the-counter medications. This includes vitamins, supplements, and herbs
Bring all medications on the day of the procedure to be taken with minimal interruption
Radiofrequency ablation usually takes an hour or longer depending on the extent of the treatment. One example could be the number of facet joints being treated.
The Procedure
The patient will be positioned face down on the treatment table. Pillows are offered and positioned for optimal comfort. The area where the treatment will be administered is sterilized. The areas of the body not undergoing the treatment are covered with a sterile covering. Sedation could be utilized but not heavy sedation. More than likely it will be what is known as twilight sedation.
A local anesthetic is injected into and around the area/s being treated. Because radiofrequency ablation involves electricity a grounding pad is attached to the calf of one of the legs. The treatment table is adjusted for the precise placement of the needles and electrodes. The doctor will use fluoroscopy or a real-time x-ray as a guide.
Once the needle/s and electrode/s placement is confirmed, a low electrical current is sent through the electrodes. This creates waves of pulsating energy that stimulate and change the nerve/s sensory tissue so it does not send pain signals. Some individuals report a warm or mild pulsing sensation. When finished, the electrodes and needles are removed. The treated area is cleaned up, sterilized and bandages are applied.
After the Procedure
After the procedure, the patient is sent home with a set of recovery instructions. An example could be:
Keep the bandages in place
Don’t take a bath or shower
A shower can be taken the following day and the bandages removed
Do not perform any strenuous activity for up to two days
When the anesthetic wears off, the individual will have soreness and some mild pain around the treatment area. As long as everything is fine individuals can return to work and normal routine within three days. Full recovery can take up to two weeks for the treated/ablated nerves to stop sending pain signals. Although the nerves no longer conduct pain, it is temporary and not a permanent fix. This is because the nerves grow back. If the cycle starts over, talk with the doctor about another session.
Peripheral Neuropathy Relief & 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*
The spinal/vertebral column extends from the skull to the pelvis and consists of individual bones known as vertebrae. It is what holds the body upright, allows the body to bend, twist, and is the conduit for major nerves running from the brain to the rest of the body. The vertebrae are grouped into four regions. They are the:
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SpinalTerminology
Number of Vertebrae
Area of Body
Abbreviation
Cervical
7
Neck
C1-C7
Thoracic
12
Chest
T1-T12
Lumbar
5-6
Low back
L1-L5
Sacrum
5 fused vertebrae
Pelvis
S1-S5
Coccyx
3
Tailbone
None
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Cervical Vertebrae
The cervical spine breaks down into two parts. The upper cervical C1 and C2, and the lower cervical C3 through C7. The C1 vertebrae are known as the Atlas and the C2 the Axis. The Occipital Bone is a flat bone that forms the back of the head.
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Atlas
The Atlas is the first cervical vertebra and is abbreviated as C1. This vertebra supports the skull. It appears different from the other spinal vertebrae, as it resembles a ring and is made up of two masses joined at the front and back by the anterior and posterior arches. �
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Axis
The Axis is the second cervical vertebra and is abbreviated C2. It is a tooth-like process that projects upward. It is referred to as the odontoid process or dens, which is Latin for tooth. It provides a kind of pivot and collar that allows the head along with the atlas to rotate.
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Thoracic Vertebrae
The thoracic vertebrae become larger from T1 through T12. What makes the thoracic spine unique is that it is the only vertebrae that support the ribs and is made up of pedicles, spinous processes, and large neural passageways that help reduce nerve compression. Unfortunately, not everyone has a large intervertebral foramen, which can cause compression. �
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Vertebral Body
Spinous Process
Transverse Facet
Pedicle
Foramen
Lamina
Superior Facet
The thoracic vertebrae are attached to the ribs. However, at T11 and T12, the ribs are not attached and are called floating ribs. The region of the spine’s range of motion is limited because of the rib/vertebrae attachments and the long spinous processes. �
Lumbar Vertebrae
The lumbar vertebrae increase in size from L1 through L5. These are the vertebrae that take the body’s weight along with any loading force that can create biomechanical stress. The pedicles are longer and wider than the thoracic spine pedicles, and the spinous processes are horizontal and more square. The neural passageway is large but nerve root compression is very common due to disc herniation from poor posture, prolonged sitting, improper lifting, etc. �
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Vertebrae’s Purpose
The vertebrae range in size with the cervical region being the smallest. The lumbar low back region is the largest. The vertebral bodies of the spinal column are what bear the weight. The body’s upper weight is dispersed through the spine to the sacrum and pelvis. Thee natural curves in the spine provide resistance, flexibility by distributing the body’s weight, and axial loads/forces sustained when in motion. Vertebrae are made up of many elements critical to the overall function of the spine. This includes the intervertebral discs and facet joints. Functions of the spinal/vertebral column include: �
Protection
Spinal Cord Internal Organs
Attachment
Ligaments Muscles Tendons
Support Structure
Head Shoulders Chest Connect Upper and Lower body Balance
The sacrum is located behind the pelvis. It consists of five bones that are abbreviated S1 through S5. They are fused together in a triangular shape. The sacrum fits between the hipbones and connects the spine to the pelvis. The last vertebra L5 moves with the sacrum. Right below are five more bones that are also fused together and they form the Coccyx or tailbone.
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Intervertebral Discs
The intervertebral discs make up a quarter of the spinal/vertebral column’s length. There are no discs between the Atlas, Axis, and Coccyx. Discs are not connected to the body’s vascular system and so depend on the endplates to disperse essential minerals and nutrients. The cartilaginous layers keep the discs in place. They are fibrocartilaginous cushions that function as the spine/body’s shock absorbers. They protect the vertebrae, brain, nerves, etc. There is some vertebral motion that the discs allow but individual disc movement is limited. Significant motion is possible when the discs work together. �
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Annulus Fibrosus and Nucleus Pulposus
Intervertebral discs are made up of an annulus fibrosus and a nucleus pulposus. The annulus fibrosus is a strong radial structure made up of lamellae. Concentric sheets of collagen fibers connect to the endplates. These sheets are positioned at various angles. The annulus fibrosus encapsulates the nucleus pulposus. �
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Both are made up of water, collagen, and proteoglycans. However, the larger amount of water and proteoglycans are in the nucleus pulposus. Proteoglycan molecules are essential because they attract and retain water. The nucleus pulposus consists of a hydrated gel-like substance that resists compression. The amount of water in the nucleus changes throughout the day. This depends on the activity or non-activity. All in all proper care and maintenance of the spinal/vertebral column is vital to general health and overall well-being.
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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*
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