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.
Many doctors/surgeons rely on the widely adopted lumbar spinal fusion. However, experts have asserted that lumbar total disc replacement or TDR should be made available and increased for treating degenerative disc disease and other spinal conditions. Individuals interested in total disc replacement, the ability to have it done, and if insurance will pay? What to know about TDR and fusion before deciding and moving forward.
Total Disc Replacement
Spinal fusion has been the traditional approach for relieving lower back pain. In this procedure, a bone graft is inserted between two or more vertebrae. This eliminates movement that causes pain or could be dangerous to the individual. Total disc replacement demands more on a technical level than spinal fusion. However, the worn-out, injured, or damaged disc is fully replaced, even a completely degenerated disc, with a metal and/or plastic one. Benefits from lumbar TDR surgery include:
Shown to be a safe procedure with minimal complications
Significant improvement in health and quality of life
High rates of successful outcomes
Mobility is preserved
Who Needs Disc Replacement?
Low back problems affect more than a third of the population. This can come from:
Personal
Work
Sports
Automobile injuries
Aging
All are risk factors
Fusion or Total disc replacement
Fusion reduces and eliminates motion around the affected area which also changes with the spine’s mechanics. It can also place increased stress on the surrounding segments. However, the lack of motion is to eliminate the pain. Total disc replacement does increase mobility, but it can’t fully relieve the pain. It can relieve pain generated from the disc but not from other causes. TDR has been shown to:
Provides motion preservation
Reduces staying at the hospital
Provides long-term durability
Lower reoperation rates compared to fusion
Total disc replacement issues:
The procedure is more time-consuming
A lot of time making decisions
A lot of time preparing
An example could be the patient has a narrow disc space. Looking at the X-rays of the discs above and below, the surgeon has to make sure they choose the right size. Next, the narrow space needs to be mobilized back to a normal height that cannot be too high or too short. Finally, the surgeon has to make sure that the disc is anchored and fits properly.
Why Surgeons Still Choose Fusion?
Despite the benefits, there are reasons why surgeons still choose fusion.
There are strict rules as to when TDR can be used. This means insurers are prone only to approve fusion procedures.
The surgical technique is challenging. TDR surgery is a highly demanding procedure. As a result, many doctors specializing in fusion for 20 years or more can be reluctant to perform the procedure.
Complications and revision surgeries. Reoperations are sometimes necessary, but this happens in both fusion and TDR.
Individual Needs
Fortunately, most individuals with lower back problems never need total disc replacement. And those that do have severe pain/conditions are recommended to try non-invasive/surgical treatment. This ranges from:
Chiropractic
Physical therapy
Massage
Imaging and lab tests will be required. However, if an operation is necessary, ask questions about both procedures. For example, if a surgeon insists that fusion is the only option, ask why total disc replacement is not an option?
Body Composition Testing
Protein and Weight Loss
Protein is one of three basic macronutrients found in food. Proteins are made up of smaller units called amino acids. There are 22 amino acids, with 9 of these being essential. This means the body needs them, as the body cannot produce them. These essential amino acids can be obtained by eating protein-rich foods like:
Eggs
Meat
Fish
Vegetarian/vegan options include:
Nuts
Seeds
Beans
Tofu
Generally, all the essential amino acids cannot be obtained from just one food. Therefore it is recommended to eat a variety of animal and plant-based proteins. Protein is in almost every structure and function of the body.
Antibodies
These proteins fight off any infections, bacteria, etc.
Repair, maintenance, and structural
Proteins are the building blocks of the body’s muscles, bones, skin, and hair.
Hormones
Chemical messenger proteins are how cells and organs communicate. For example, Growth Hormone affects muscle gain and fat loss.
Enzymes
Not all proteins are enzymes; however, all enzymes are proteins. These proteins are catalysts or starters for chemical reactions in the body.
Transportation and storage
Some proteins carry molecules where they are needed. For example, hemoglobin or the red blood cells carry oxygen to cells, then transport carbon dioxide away.
Not getting enough protein in one’s diet can have serious consequences on the body’s health. Without enough protein, the muscles can begin to atrophy or waste away, taking Lean Body Mass, strength, and energy away as well.
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. In addition, 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.
Salzmann, Stephan N et al. “Lumbar disc replacement surgery-successes and obstacles to widespread adoption.” Current reviews in musculoskeletal medicine vol. 10,2 (2017): 153-159. doi:10.1007/s12178-017-9397-4
Hopkins overview of Lumbar TDR (for consumers) https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/lumbar-disk-replacement
“Comparison of Lumbar Total Disc Replacement With Surgical Spinal Fusion for the Treatment of Single-Level Degenerative Disc Disease: A Meta-Analysis of 5-Year Outcomes From Randomized Controlled Trials”, Zigler J, et al., Global Spine Journal, June 2018, PMC602295 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022955/
“Overview of Lumbar TDR” (for consumers); Johns Hopkins Medical Center https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/lumbar-disk-replacement
A proper diagnosis goes a long way. Treatment and recovery can happen relatively quickly or broken up into parts, phases, and sessions, as part of a treatment and rehabilitation plan. This depends on the individual, their age, underlying conditions, and the severity of their injury/s. It is not uncommon to have a treatment schedule that could be weeks/months long. This can be tough on individuals with limited abilities and/or a slow progressive rehab to get back to normal. It is arduous, but to achieve optimal healing and health, it is expected.
Chiropractic medicine is no different. It’s non-invasive compared to surgery but not as immediate as medication/s. This places it in between. Recovery timelines can vary significantly based on the nature of the condition, the patient, their injury/s, and everything attached. Most chiropractic treatment and adjustment plans are scheduled according to the individual’s injury and/or condition. Every case is different, meaning that treatment could be a couple of sessions for an individual with mild sciatica to a few weeks or months for more severe injuries/conditions. Most want to know why chiropractors execute these plans over weeks and months.
The Body Needs To Get Used To The Adjustments
One reason for an extended adjustment schedule is to prevent adjustment shock. Adjustment shock often presents through soreness and tenderness, and there could be a feeling of soreness when sitting or standing or difficulty when trying to move with a normal range of motion. This happens when trying to heal the body too much and too fast. Trying to perform massive chiropractic adjustments without preparing the body could worsen and/or create further injury/s.
For example, correcting severe lordosis requires repositioning the spine’s curvature through properly planned out adjustment sessions. If a chiropractor tries to adjust/align the spine into place over a few days, this would be extremely uncomfortable and more than likely painful for the individual. Plus, there is a lack of musculoskeletal support from the rest of the body that is needed to make sure that the adjustments/changes take hold and are maintained. A chiropractor wants to avoid these issues to focus on getting the individual back to proper health.
Preparing The Body With A Solid Foundation
Chiropractic manipulations and adjustments need time to settle in, ensuring that they take hold and not shift back to the incorrect position. Spinal problems are not solved overnight. This means that the causes of misalignment will remain for a period as the treatment/adjustment process begins. A spaced-out schedule ensures that the adjustments are made accordingly to strengthen the spine through the process. This enables adjustments and the body to develop the necessary support system and prevent any negative re-shifting. As time goes on, the adjustments achieve total realignment, restoring the positive curvature that can be maintained.
Schedule Benefits
Finally, the step-by-step nature of a chiropractic adjustment schedule enables the treatment team to check the status of an adjustment plan. If radiological imaging shows changes, setbacks, or new issues arise, the treatment plan and schedule can be changed and adapted accordingly.
Body Composition Testing
Too Much Alcohol Can Slow Recovery From Tissue Injuries
Alcohol is often associated with celebrations, anniversaries, etc. But drinking too much can damage the immune system. Too much alcohol contributes to organ damage, specifically the liver. However, it is known to slow down recovery from tissue injuries, as well. Moderate drinking is defined as drinking up to 1 drink a day for women and up to 2 a day. Exceeding the recommended intake disrupts the immune pathways and impairs the body’s ability to fight off infections. Alcohol-related immune system damage has been associated with the development of certain types of cancer, including head and neck cancers among alcohol users. Before thinking that this is a problem that only affects chronic alcohol users, acute binge drinking can also severely impair the body’s immune system.
The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Holt, Kelly, et al. “The effects of a single session of chiropractic care on strength, cortical drive, and spinal excitability in stroke patients.” Scientific Reports vol. 9,1 2673. 25 Feb. 2019, doi:10.1038/s41598-019-39577-5
Iben, Axén, et al. “Chiropractic maintenance care – what’s new? A systematic review of the literature.” Chiropractic & manual therapies vol. 27 63. 21 Nov. 2019, doi:10.1186/s12998-019-0283-6
Mior, Silvano et al. “Chiropractic services in the active-duty military setting: a scoping review.” Chiropractic & manual therapies vol. 27 45. 15 Jul. 2019, doi:10.1186/s12998-019-0259-6
Pasala, Sumana et al. “Impact of Alcohol Abuse on the Adaptive Immune System.” Alcohol research: current reviews vol. 37,2 (2015): 185-97.
Individuals typically don’t think about their spine as they go through their everyday lives, bending, reaching, twisting, lifting, etc. However, it is through all of these movements/motions that spinal misalignments can occur causing discomfort, pain, and health problems. This happens gradually, with individuals learning how to live with the misalignment, accepting it as a normal part of life. Spinal misalignments, known as subluxations, are common but can be resolved through chiropractic treatment.
Spinal Misalignment
The spine needs to stay strong, stable, and able to support the musculoskeletal system to keep the body upright and protect the central nervous system. When the spine is properly aligned the body stays strong and mobile. When the spine is misaligned, it can cause dysfunction of the central nervous system. Chiropractic is highly effective and a non-invasive way to improve the body’s health. An individual will want to know if their spine is out of alignment to know what to do and what to avoid when back pain presents. Symptoms that the spine is out of alignment includes:
Headaches, Back, and/or Joint Pain
Headaches, joint pain, and backaches can be misalignment symptoms and are the most common. Many individuals learn to live with chronic headaches and migraines but do not realize that chiropractic treatment can help to reduce, or in a case like this, can eliminate them. Back pain, especially low back pain is another symptom of misalignment. However, there can be a variety of causes, like a herniated disc, degenerative disc disease, a chiropractor will alleviate the pain without medication or surgery. A chiropractor will find the root cause and correct any misalignments.
The Heels of Shoes Wear Out Unevenly
This is a symptom that can come from cheap shoes, but often it is from a misaligned pelvis/pelvic tilt. What happens is the hips are shifted out of their proper position, which causes the feet to land on the ground unevenly.
Stiffness and/or Inability To Turn The Head or Hips
If the neck is stiff or there is difficultness, pain when turning, or you can hear the neck crack when turning, this is a sure symptom of cervical misalignment. The same is true with the hips. A subluxation can also cause muscles to tighten or damage the connective tissues, like the ligaments or tendons. Individuals can get used to feeling this way, but it can lead to losing the full range of motion along with pain, stiffness, and inability to perform certain tasks.
Joint Stiffness, Aches, and Pains
Trying to push through back stiffness, along with aches and pains is not healthy. Improper ergonomics and postures could be caused by spinal misalignment or could worsen a subluxation causing further injury. A chiropractor will:
Educate on proper ergonomics
Show how to improve posture
Perform adjustments
Recommend anti-inflammatory supplements
Perform physical therapeutic massage to eliminate stiffness, alleviate pain, and relieve stress.
Numbness or Tingling in Hands or Feet
This is a sure symptom that of a misaligned spine. Numbness and/or tingling sensations often indicate pinched/compressed nerves. The compression or irritation can result in pain or the aforementioned sensations. A chiropractor will ease the pressure on the nerves, allowing for proper circulation, bringing back the full sensation to the affected area/s.
Body Composition
Fiber Health Benefits
Fiber health benefits include lowering the risk of developing diseases like diabetes, obesity, hypertension, and more. It is also beneficial for those who have diabetes to improve insulin sensitivity. Adding more fiber to your diet can enhance weight loss goals. Fruits and vegetables are the highest-fiber foods available.
Fiber and Gut Health
The beneficial bacteria that live in the gut thrive from fruit and vegetable fiber. Because the body does not absorb fiber, the bacteria ferment the fiber. Anti-inflammatory fatty acids are released as a by-product of this process and help to protect the health of the gut. They can also help with appetite regulation.
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 musculoskeletal system’s injuries or disorders. 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Czaprowski, Dariusz et al. “Non-structural misalignments of body posture in the sagittal plane.” Scoliosis and spinal disorders vol. 13 6. 5 Mar. 2018, doi:10.1186/s13013-018-0151-5
Formica, M et al. “ALIF in the correction of spinal sagittal misalignment. A systematic review of the literature.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 30,1 (2021): 50-62. doi:10.1007/s00586-020-06598-y
Granacher, Urs et al. “Effects of core instability strength training on trunk muscle strength, spinal mobility, dynamic balance and functional mobility in older adults.” Gerontology vol. 59,2 (2013): 105-13. doi:10.1159/000343152
Muscle knots are common and can occur anywhere on the body. They can cause aching and pain in the muscles and joints. When examining a muscle knot also known as myofascial trigger points, it can feel swollen, tense, or like a bump. A particular area where these knots present is in the low back. This happens from excessive wear-and-tear on the lower spine from work, school, daily tasks, and chores. This causes the muscle fibers to tear, and with restricted or no time to rest the area and let it heal properly leads to the fibers bunching/clumping together forming a painful knot.
Muscle Knots In The Lower Back
A muscle knot in the lower back causes aching, soreness, and full-on pain. They tighten and contract even when the muscle is resting. The affected area often becomes inflamed or swollen causing pain and aches to radiate/spread to the gluteal muscles, as well.
Development
These knots develop when the tissue fibers pull apart and bunch up together. They start to stick together and with time the area becomes thicker. This results in the muscle knot. They can be caused by:
Stress
Tension
Poor posture
Muscle overuse
Muscle strain
Sedentary habits
Body dehydration and an unhealthy diet can also contribute to muscle knots. They look like a small bump under the skin. The bump can be red and is usually tender/sore when touched. However, not all muscle knots are visible, but when touched there is soreness and/or pain.
Do They Go Away?
They can go away on their own, but this comes from proper rest and recovery time. However, muscle knots should not be ignored, as even the smallest knot can compress surrounding nerves and muscle tissues. This can cause irritation and weakness. Larger muscle knots could cause movement/mobility issues.
Therapies
Stretching
Stretching will help stretch out and release tight muscle knots. Stretching loosens the muscle fibers and prevents them from becoming attached. Stretches to release a muscle knot include:
Start with these simple stretches/exercises and slowly work up to more vigorous ones.
Chiropractic Care
Chiropractic care can break down muscle knots through various adjustments. They are experts on the musculoskeletal system and understand where the problem is occurring along with the connected muscles.
A chiropractor will palpate the spot where the most pain presents and the surrounding area.
They will begin with a soft massage. This warms up the area getting the blood circulating. The blood circulation helps prevent pain making the adjustment/s far more effective.
Then pressing on nearby joints that the muscle knot is connected to breaks up the tight fibers.
Then the section/area is stretched out. This extends the fibers and prevents them from winding back into a knot.
They will recommend stretches and exercises
Therapeutic Massage
A massage helps to release tension and encourages muscle knots to loosen up and break down. A massage therapist will perform a deep tissue massage or a Swedish massage. Massage helps to release endorphins, which are the body’s natural painkiller. These calm the body and reduce pain. They will also recommend simple massages at home. These can include:
Rolling a massage ball/roller on the muscle knot
Self-massage using the fingers in circular motions on the affected area
Heat and Ice
Hot and cold therapy can calm and prevent inflammation. Heating pads are best if the area has stiffness or is painful. The heat relaxes tight muscles and increases blood flow. Cold therapy stops the swelling. If the muscle knot gets bigger or begins turning red, icing the area is recommended. Alternating between the two can eliminate symptoms and assist with quicker healing.
Body Composition
Building Functional Strength
There are exercises to improve functional strength. Functional training targets specific areas:
Then lift the outside leg up as high as possible and hold for 10 seconds
Repeat on the other side
Do 6-10 repetitions on each side
This exercise builds shoulder, arm, and hip strength. It engages the core and abdominal muscles and improves flexibility in the shoulders, back, and hips.
Disclaimer
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 musculoskeletal system’s injuries or disorders. 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Cramer, Holger et al. “Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain.” BMC musculoskeletal disorders vol. 19,1 109. 6 Apr. 2018, doi:10.1186/s12891-018-2031-9
Malanga, Gerard A et al. “Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury.” Postgraduate medicine vol. 127,1 (2015): 57-65. doi:10.1080/00325481.2015.992719
Women are familiar with abdominal cramps, Pre Menstrual Syndrome, and headaches that accompany their menstrual cycle. However not as many are aware of backache to throbbing back pain sometimes before and/or after a monthly cycle. Many women go to over-the-counter pain medication like ibuprofen. In a study, the regular use of NSAIDs found that it can lead to:
Stomach problems
Bleeding ulcers
Fluid retention
High blood pressure
Kidney
Heart problems
Why Back Pain Presents During Menstrual Cycle
When the uterus is in a contracting state, the nerves around the pelvis feel the sensations. The uterus only contracts for a few seconds, but repeatedly for hours. Sometimes, the uterus compresses blood vessels in the region. This can limit or completely block the blood vessels supplying the muscles around the pelvis. This is a major contributor to back pain during a period. This is known as referred pain, which means the body feels the pain in one area, in this case, the lower back. But the pain is caused by another area of the body, the uterus. This can cause cramping and low back pain before, during, and after a period. If cramps and back pain become debilitating or worsen over time, it could indicate:
If fever is present along with back pain seek professional help as soon as possible.
Here are a few ways that can help bring relief from back pain during the monthly cycle.
Heat Therapy
Heat generates increased blood circulation, specifically where it is applied. Therefore any blood vessels that are blocked by the uterus will have improved circulation to the muscles surrounding the uterus, allowing them to relax. This could be the use of:
Heating pads
Hot water bottle
Warm bath or shower
If at work, many pharmacy stores and regular stores sell heat patches that are applied with adhesive tape. These can be used on the lower abdomen or lower back, providing soothing heat.
Light Exercises
Most doctors refer to exercise throughout the month, just not during the period. As staying in shape will maintain the body’s proper circulation and keep the muscles strong. However, some women can perform light exercises like yoga or swimming. This helps decrease back pain even on the first or second day of a menstrual cycle which for many women is the heaviest and most painful.
Meditate
Meditation can help gain control and insight from feelings about life situations. It takes practice, but once an individual gets the hang of it they are amazed at how much pain can be reduced with a 15-minute meditation session.
Supplemental Support
Taking omega 3’s and magnesium supplements can help with the pain. Omega 3s reduce blood clotting and improve circulation. They are natural anti-inflammatories that decrease prostaglandin, which is associated with backaches and cramps. Magnesium supplements, especially those that contain vitamin B6, can help relieve back pain before and after a period. Magnesium can also be found in:
Beans
Beets
Salmon
Shrimp
Chiropractic Care
The uterus, like every organ in the body, sends and receives nerve signals, from the brain to the uterus. The menstrual cycle has a close relationship with the spine because of its location. Regular chiropractic adjustments can maintain proper communication between the brain and uterus. Chiropractic realigns the entire spine back to its proper position. This relieves the pressure on the nerves of the reproductive organs. Seeing a chiropractor is the right step towards stopping the pain and healing the body naturally.
Positive body composition changes can be seen with higher load volume and less explosive tempo that is combined with shorter rest periods when weight or strength training.
When lifting weights or resistance training, it could be difficult to gain muscle mass if on birth control, near the perimenopausal stage, or officially on menopause.
One of the benefits of weight and strength training is that it can help an individual feel better about themselves. Weight training is associated with significant improvements in:
Body image
Quality of life
Physical activity behaviors
Overall satisfaction
Well being
Disclaimer
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 musculoskeletal system’s injuries or disorders. 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Brynhildsen, J O et al. “Does the menstrual cycle and use of oral contraceptives influence the risk of low back pain? A prospective study among female soccer players.” Scandinavian journal of medicine & science in sports vol. 7,6 (1997): 348-53. doi:10.1111/j.1600-0838.1997.tb00165.x
Forozeshfard, Mohammad et al. “Short term effects of Kinesio taping on pain and functional disability in young females with menstrual low back pain: A randomized control trial study.” Journal of back and musculoskeletal rehabilitation vol. 29,4 (2016): 709-715. doi:10.3233/BMR-160673
Seguin, Rebecca A et al. “Strength Training Improves Body Image and Physical Activity Behaviors Among Midlife and Older Rural Women.” Journal of extension vol. 51,4 (2013): 4FEA2.
Improper posture affects the whole body and can lead to various pain issues throughout the body. Correcting posture is recommended before trying to correct it when pain begins to present. If pain is presenting, chiropractic treatment will bring relief, stabilize the spine, realign/balance the body, and educate the individual on maintaining proper posture through stretches, exercises, physical therapy, and lifestyle adjustments.
Improper posture symptoms
Neck Pain
Discomfort, stiffness, tightness, and pain are common when sitting at a workstation. This comes from a forward head/head jutting position. The head pushes forward and is not aligned with the shoulders. This means that the neck takes on a compromised position. The head forward position places significant strain on the neck muscles. Because of this neck discomfort and pain often occur later in the afternoon and evening. If not sure whether head jutting is taking place, try placing the chin to the chest. If not able or if there is discomfort/pain in the upper back, there is some forward head jutting.
Shoulder Discomfort and Pain
When we sit for extended periods, the body relaxes muscles that would normally be used if standing. One set of muscles is in the upper back. This causes slouching with a rounded upper back/shoulders. The more time the body stays in any one position, the more it begins to conform to the unhealthy position. This also causes pain in the upper, front part of the shoulders. The pain is noticeable when trying to bring the arm/s overhead or when trying to perform exercises like pushups or pullups.
Regular Headaches
Regular headaches are another symptom of improper posture. Forward head posture is usually a contributor combined with the long hours sitting or standing. However, headaches can be caused by a variety of causes that include:
Stress
Tension
Dehydration
Low Back, Tailbone Discomfort, and Pain
Lower back pain is a very common symptom of improper posture. For individuals under 40, pain and discomfort present because of improper posture while sitting or standing and a lack of stretching and exercise. Sitting for a long time causes the muscles that bring the thighs towards the chest, known as the hip flexors to be consistently flexed, with no relief. This causes the hip flexors to shorten and tighten. This pulls the pelvis out towards the front of the body, creating an exaggerated spinal curve.
Buttocks or Stomach Pushes Outward
Take a look at the body’s profile, does the butt and/or stomach stick out? If so this could be hyperlordosis also known as Donald duck posture. This can come from wearing high heels too much, the body having to carry extra weight in the stomach area, and sometimes this comes from pregnancy. Sometimes, this happens when individuals stand with their knees locked. This causes the rear end and/or belly to push out.
Correcting Improper Posture
The main problem with correcting posture is the ability to maintain proper posture. Many individuals go back to the unhealthy positioning without recognizing that they are doing it. There are devices to help correct poor posture habits. This could be a brace or harness that detects when the body is slouching and vibrates to let the individual return to a proper position.
Chiropractic Care and Physical Therapy
The most effective and thorough way to correct years of improper posture is to see a professional chiropractor. A complete diagnosis, inspection, and analysis of an individual’s posture when sitting, standing, walking, and running will be done. They will educate the individual on correct posture, how to achieve and maintain it. If pain is presenting, the chiropractor will take steps to correct any subluxations, misalignments, and develop a personalized treatment plan, to heal the body first. Treatment modalities can include:
Chiropractic adjustments
Physical therapy
Massage
Heat therapy
Infrared
Ultrasound
TENS device
Health coaching
Nutritional advice
Once the body has healed and is moving freely, the doctor will recommend exercises and stretching programs to do at home. This will improve and help maintain proper posture. An experienced musculoskeletal professional will keep the body balanced and prevent further injuries.
Body Composition
Hydrating the body with water or a sports drink
Many individuals prefer drinking sports drinks during and after physical activities, sports, and exercise. Many are opposed to water because of the lack of taste, while sports drinks have taste and added electrolytes. But many sports drinks have added ingredients and sugars. This makes them not the best choice for individuals trying to lose calories. Take a look at some of the additional ingredients:
Electrolytes
Minerals, like potassium, sodium, and magnesium, have an electric charge that helps maintain the body’s ionic balance. The body loses electrolytes when sweating. A sports drink can help replace the lost electrolytes.
Carbohydrates
Most of the carbohydrates come from sugars. Carbohydrates are one of the body’s energy sources and sports drinks are designed to refuel the body after hard physical activity.
Amino acids
These are protein building blocks. Drinking a sports drink after an intense workout can help the body recover quicker. Therefore, some of the additional ingredients in sports drinks offer hydration extras that water on its own cannot. However, water should always be the first drink of choice. But there are certain times when a sports drink is what the body needs.
When participating in high-intensity physical activities, workouts, sports that last longer than 45 minutes to an hour. Here a sports drinks can help replenish the body’s electrolytes better than water.
Individuals that sweat high levels of sodium (look for sweat stains/rings on skin or clothing) can benefit from re-hydrating with a sports drink.
Endurance athletes, triathletes, marathon runners, long-distance athletes, etc can also benefit from a sports drink, from the increased fluid loss.
In these activities, athletes should make sure the sports drink they are consuming contains carbohydrates and electrolytes.
Disclaimer
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 musculoskeletal system’s injuries or disorders. 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Hao, Ning et al. “Enhancing creativity: Proper body posture meets proper emotion.” Acta Psychologica vol. 173 (2017): 32-40. doi:10.1016/j.actpsy.2016.12.005
Jaromi, Melinda et al. “Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.” Journal of clinical nursing vol. 21,11-12 (2012): 1776-84. doi:10.1111/j.1365-2702.2012.04089.x
O’Connor B. Sitting Disease: The New Health Epidemic. The Chopra Center Web site. http://www.chopra.com/articles/sitting-disease-the-new-health-epidemic. Accessed January 7, 2017.
The spinal cord is the information pathway that transmits signals from the brain to the rest of the body. The body’s limbs and organs cannot function properly without regular communication flowing through the spinal cord. Understanding how the sciatic nerve responds to the other parts of the body can clarify how a doctor of chiropractic heals sciatica. When severe pain presents normal communications are overridden for the sake of body and health preservation. The sciatic nerve is an important part of the spinal cord and requires a trained professional to aid in proper and effective healing.
Basics On Sciatica
Sciatica happens when the nerves are compressed/pinched in some form. Lower back conditions can be the cause of such compression. Sciatica can be reduced and healed. Conditions that can lead to sciatic pain include:
Herniated discs
Subluxations
Disc Degeneration
Spinal Stenosis
Lower back disc bulge
Piriformis syndrome
Symptoms
Sciatica often includes:
Sharp pain
Numbness
Burning
Tingling sensation
Individuals can also experience weakness down the leg.
Normal activities can become strained as individuals experience these symptoms. Pressure on the nerve can be decreased and healed with professional chiropractic care. The human spine consists of 31 pairs of nerves. Five of these pairs are in the lumbar/lower back region and five are right below that area in the sacral region. The sciatic nerve starts in the lower back. It goes down through the hips, buttocks, thighs, knees, calves, and ends in the foot.
Causes could be something as simple as sitting on a bulging wallet or sitting for extended lengths of time can result in a decreased blood flow to the area. Also, direct trauma to the gluteal muscles from automobile accidents, sports, and work injuries can lead to sciatic nerve issues and pain.
Treatment Options
Tests and examinations will be conducted to figure out the origin of the pain to develop a personalized treatment plan to expedite the healing process. Treatment can include:
Chiropractic treatment
Decreasing muscle tension
Core stabilization
Spinal decompression
Rehabilitation therapy
Chiropractic treatment is designed to help the body activate its own healing system. It is non-invasive and drug-free providing an organic alternative. Advanced cases of sciatica can result in muscle weakness or a loss of sensation in the legs, if not properly treated. Individual treatment plans vary depending on an individual’s specific needs.
Prevention
Prevention is important once the condition is healing to not cause flare-ups. Sciatica symptoms can return, especially if proper and continued care to the spine is not maintained. Preventative care and maintenance are essential for ensuring a healthy spine and body. These tips can help avoid back injuries that can lead to sciatica and help with reoccurrences:
Practice proper posture
Regular exercise/physical activity with safe movements
Bend at the knees, especially when lifting heavy objects
Follow specific instructions given by a chiropractor
Body Composition
Healthy Snacks
Eggs
Eggs make a great snack that will keep the body full and help to eat less. They are a great source of protein and fat and have a healthy variety of vitamins and minerals. Hard-boiled eggs are easy to make ahead of time and are portable.
Cheese
Cheese is a great snack for protein and fat. But it is important to watch the serving size if watching/limiting calories. Cottage cheese is highest in protein but cream cheese and cheese sticks are also good options. Cheese can be paired with a serving of fruit or vegetables like grape tomatoes, bell peppers, celery, apples, or pears.
Jerky
Jerky is convenient and portable and is a great way to pack in extra protein throughout the day. The best option is grass-fed. Remember that some jerky is high in sodium if limiting sodium.
Greek Yogurt
Natural Greek yogurt is a great option for a high-protein snack. However, many yogurts are high in sugar. Therefore choose yogurt with less than 10 grams of sugar per serving, or opt for plain yogurt to avoid the sugar altogether. The yogurt can be sweetened with honey, fresh fruit, or mixed into a smoothie.
Hummus and Guacamole Dips
Hummus is a great source of plant-based protein and is balanced with carbohydrates, fat, and fiber. It is the olive oil in the hummus that provides a healthy dose of heart-healthy polyunsaturated fats. Guacamole is a delicious source of healthy fats.Both dips are calorie-dense, therefore it is important to be aware of portion sizes. These can be paired with carrot sticks, bell peppers, or celery.
Disclaimer
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 musculoskeletal system’s injuries or disorders. 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
References
National Institutes of Health. (2019.) “Sciatica.” medlineplus.gov/sciatica.html.
North American Spine Society. (2012.) “Clinical Guidelines for Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy.” www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LumbarDiscHerniation.pdf
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