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

Chiropractic

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

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


Sarcopenia Muscle Mass Loss With Chronic Back Pain

Sarcopenia Muscle Mass Loss With Chronic Back Pain

Sarcopenia means the loss of muscle tissue/mass from the natural aging process. Something that all of us are going through. However, when chronic back pain is involved it can speed up the natural process, which can lead to various health issues. Keeping the body fit and the spine healthy is the objective with approaches that can be utilized and employed to help maintain muscle mass. By the time an individual turns 30, the muscles are large and strong. But going into the 30s, individuals begin to lose muscle mass and function. Individuals that are physically inactive can lose up to 5% of muscle mass every ten years after 30. Even those who are regularly active, still lose some muscle. Sarcopenia typically kicks-in around age 75-80. However, it could speed up as early as 65. It becomes a factor in bone frailty and increases the risk of falls and fractures in older adults.  
11860 Vista Del Sol, Ste. 128 Sarcopenia Muscle Mass Loss With Chronic Back Pain
 

Muscle Tissue Changes and Back Pain

Loss of muscle mass causes individuals to have a lesser degree of strength and function. As the decline continues, mobility lessens, and disability increases. With less muscle strength individuals become perfect candidates for falls/injury/s and become more prone to weight pain. Body composition shifts can play a major role in issues like spinal stenosis and degenerative disc disease. Bone density also decreases with age increasing the risk of mobility issues. This means less activity which can make back pain worse and keeps the degenerative cycle going. The back pain intensifies, physical function is very limited, and low bone mineral density brings down an individual’s quality of life.

Symptoms and Causes

Symptoms include:
  • Weakness
  • Loss of stamina
With reduced activity muscle mass becomes further shrunk. Sarcopenia is seen more often in individuals that are inactive. However, it is also seen in individuals that are physically active on a regular basis. This suggests that there are other factors involved. Researchers think these could be:
  • The ability to turn protein into energy is decreased
  • There are not enough calories/protein per day to maintain muscle mass
  • A reduction in the nerve cells that are responsible for sending signals from the brain to the muscles when moving, contracting, extending, etc
  • Low concentration of certain hormones, including:
  1. Growth hormone
  2. Testosterone
  3. Insulin-like growth factor

Prevention

Because it can affect younger individuals as well, specifically those who are leading sedentary lifestyles and are overweight, prevention is the key. It is a domino effect that:
  • Starts with reduced activity
  • That leads to weight gain
  • Causing even less activity
When the body’s muscles are not being used they begin to atrophy. Fortunately, the loss can be reversible to a certain degree. Helping to build the muscle mass back up and help prevent sarcopenia is the goal.

 
11860 Vista Del Sol, Ste. 128 Sarcopenia Muscle Mass Loss With Chronic Back Pain
 

Strength training

Muscles need a degree of stress to grow, which is then followed by recovery. Low-impact training programs/exercises performed at least two to three days per week can help keep the muscles healthy and in top form.

General physical activity

Exercise does not have to only be a regimented training form. Being active means keeping the body moving and mobile on a regular basis. This can be gardening, vacuuming, taking a walk around the neighborhood, parking far away when shopping to walk more, taking the stairs instead of the elevator. Anything that involves moving the body regularly and keeps the muscles active will help in the prevention process.

Protein

There is a wasting syndrome known as Cachexia. There is a connection between protein consumption and muscle mass. Older adults are at risk of low protein intake because they do not synthesize amino acids as effectively as they used to. Whey protein is recommended specifically because it creates and maintains high concentrations of amino acids in the blood. Other protein choices include:
  • Greek yogurt
  • Peanut butter
  • Eggs
  • Nuts
  • Seeds
  • Beans
  • Lean animal proteins

Resistance Training

Sarcopenia prevention will promote better back/general health for every age group. However, it is crucial for those who are experiencing accelerated muscle loss like individuals over 50 and especially after 60. Resistance/strength training or some form of physical activity done on a regular basis can significantly slow the decline. But heavy-weights are not necessary. Older individuals might believe weight training means they have to lift heavy with fewer reps and more weight. It is actually the opposite, with more reps and lighter weight. An example could be doing 20 reps with a 5-pound weight instead of 5 reps with a 20-pound weight. The total amount of weight being lifted is the same in both cases. This approach benefits the individual because of the less load/strain on the bones and joints. It also allows older individuals to do more sessions per week, keeping the active overall. Those experiencing sarcopenia, and with lumbar stenosis, to do exercises that challenge the muscles without adding additional pressure on the joints. This could be:
  • Walking in a swimming pool
  • Cycling
  • Pilates
  • Yoga
Bodyweight/calisthenic exercises like pushups, squats, and wall slides can also be beneficial. The focus should be on regular activity that can progress slowly, and promotes tone without risk of injury. Muscle tone is maintained by activity and is essential for everyone. Get a routine, keep moving and the body will benefit greatly.
 

Sports Injury 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*
Taking An Active Role In Personal Spinal Health

Taking An Active Role In Personal Spinal Health

Taking an active role in personal spinal health could mean the difference between having to deal/manage back pain for the rest of your life and not having to. Most of us have experienced some form of back pain, whether lifting an object, bending, reaching, twisting, etc. Fortunately, it is usually not serious and we move on with our lives. However, not paying attention to those not so serious backaches can lead to chronic backaches that can lead to serious chronic back pain. Chronic backache/s can be annoying, frustrating, and debilitating, especially when the cause is not obvious, cannot be found, or figured out. When back pain occurs from trauma or an automobile accident it’s a lot easier to diagnose. But when it is the result of a gradual build-up of activities like sitting all day at a desk, in a truck or lifting objects, loading, unloading, pushing, pulling, stocking for several years, it could be a lot more serious than the individual might think. This is because although they are barely beginning to feel the ache or pain, the damage has been ongoing/worsening and has finally reared its ugly head.  
11860 Vista Del Sol, Ste. 128 Taking An Active Role In Personal Spinal Health
 

Finding the Right Help

Getting on the right track means searching for a spinal professional that can identify and treat the source of the back pain, help with posture, diet advice, and help reach optimal health. Finding the source of the pain can be a challenge, but it is not impossible. The key is finding a knowledgeable, experienced back pain specialist and taking an active role in your spine’s health. Chiropractors, doctors, and physicians begin with at least 4-6 weeks of non-invasive treatment. These start with tests, scans, x-rays, then move on to treatment, which can consist of ice/heat, physical therapy, adjustments, re-alignment combined with exercises, stretches. Prescription medication/s or surgery is the last option for fear of worsening conditions along with medication abuse. This approach has seen an increase in relief and favorable outcomes.

Patient Active Role

Many individuals have gone down the path of being over-medicated and are exhausted with the whole experience of being constipated, constant brain fog, etc. Those same individuals are taking that active role and getting involved by dealing with their back pain in a natural non-invasive way. Preparing before meeting with a spine professional is important to give as much information as possible.

Tips

Preparation

  • Write down notes about what is being felt in and around the body, not just the back. This is because of the psychological aspect of pain, which can manifest in a variety of ways.

Try To Go Back To When The Pain Started

  • Think about when the pain first began
  • Sitting at work/home one day when there was what you thought was a little shift or tingle
  • Sports activity
  • Exercising
  • Popping, clicking, grinding sensations and sounds
  • Warming, electrical, shooting sensation/s pain
  • Tingling/numbness in the leg, foot, toes
  • Try to describe all the details with the doctor/chiropractor even what you might consider trivial
 

Emotions/Stress Triggers need to be taken into account

  • Work
  • Bills
  • Marriage
  • Divorce
  • Children
  • Major life changes and stress affects the whole body, especially the spine

Family Friend Perspective and Support

Bringing along a close family member or friend that knows your activity habits could help the doctor get a better idea of what is causing the pain. Family or friends can remember a trip, fall, dance moment that didn’t go so well, work accident, etc.

Medical History

Prior medical injuries and conditions will help provide additional information as to whether there is a pattern when back pain strikes. This can be extremely important even if it does not seem to be related to the pain symptoms. Tell the doctor about any physical therapy or other holistic/conservative treatments performed before and after the pain began. Also, inform them of any medications, supplements, vitamins, herbs, over-the-counter medications that were taken prior to the pain and currently being taken. If there has been unexplained weight loss, fever, urination/bowel changes, should also be discussed.

Physical Tests

Unless the patient is in too much pain, the meeting with the chiropractic physician will be active, meaning the doctor may have the patient perform a series of movements like:
  • Sitting
  • Standing
  • Walking
  • Bending forward, backward, and to the side
  • Lifting the legs straight up while standing and lying down
  • Inform the doctor of any numbness or tingling pain while performing these musculoskeletal exercises/tests.
With a patient that can’t perform the exercises, the doctor will examine the patient while lying down, by carefully and slowly palpating the painful area/s, moving the leg/s, and raising the patient up, all the while taking notes of what position/s cause discomfort and pain.  
11860 Vista Del Sol, Ste. 128 Taking An Active Role In Personal Spinal Health
 

Options

Depending on the physician’s assessment, initial treatment will take time, require the individual to take an active role, and possibly recommend the individual try different treatment options. Ask the doctor all the questions you have during the visit like:
  • Could there be more than one cause for my back pain?
  • Do the treatments hurt?
  • The treatment will keep me pain-free or just tolerable?
  • Are there self-therapies to assist healing and recovery?
  • If seeing a general physician you could ask for a recommended spine specialist
The ultimate goal is for the individual to live a happy, fulfilling life that is pain-free. The doctor will do everything they can to bring an optimum level of care. If the quality of life still does not improve or when various attempts for pain relief have proven unsuccessful, then a doctor could recommend stronger medications and surgical options. Don’t wait to get professional medical help! The longer an individual waits the worse the cause of the back pain gets. Get involved and take an active role in your spinal health.

Personal Injury Chiropractic Care

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The Spinal Muscles: An Extensive Guide

The Spinal Muscles: An Extensive Guide

The spinal muscles and ligaments work in conjunction to help support the spine, maintain an upright posture, and control movements during activity and rest. The muscles are named based on shape, location, or a combination. Further categorization factors include muscle functions like flexion, extension, or rotation. Skeletal muscle is a form of striated muscle tissue that is voluntarily controlled by the somatic nervous system. Striated means it is striped in appearance. Most skeletal muscles are attached to bones by collagen fibers known as tendons.  
Vertebral Muscle Types Location
Forward flexors Anterior
Lateral flexors Lateral
Rotators Lateral
Extensors Posterior
 
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 
It has the fastest contraction rate of all muscles. Before muscle/s contract, a nerve impulse starts in the brain and runs through the spinal cord to the muscle. For the muscles to contract and work properly they need energy/fuel. Mitochondria produce Adenosine triphosphate chemical cells that are needed for energy. Adenosine triphosphate is made as the mitochondria burn glucose or sugar. The blood vessels deliver the oxygen and nutrients that the mitochondria need to maintain a steady supply of adenosine triphosphate.  

The Posterior Cervical and Upper Thoracic Spinal Muscles

  1. Semispinalis Capitus – controls the head rotation and backward pulls
  2. Iliocostalis Cervicis – extends the cervical vertebrae
  3. The Longissimus Cervicus – extends the cervical vertebrae
  4. Longissimus Capitus – controls the head’s rotation and backward pulls
  5. Longissimus Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  6. Iliocostalis Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
  7. Semispinalis Thoracis – extends and rotates the vertebral column
 

Muscles of the Spinal Column

 

Cervical muscles

Cervical Muscles Function Nerve
Sternocleidomastoid Extends and rotates the head and flexes the vertebral column C2, C3
Scalenus Flexes and rotates the neck Lower cervical
Spinalis Cervicis Extends and rotates the head Middle/lower cervical
Spinalis Capitus Extends and rotates the head Middle/lower cervical
Semispinalis Cervicis Extends and rotates the vertebral column Middle/lower cervical
Semispinalis Capitus Rotates the head and pulls backward C1-C5
Splenius Cervicis Extends the vertebral column Middle/lower cervical
Longus Colli Cervicis Flexes the cervical vertebrae C2-C7
Longus Capitus Flexes the head C1-C3
Rectus Capitus Anterior Flexes the head C2, C3
Rectus Capitus Lateralis Bends the head laterally C2, C3
Iliocostalis Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Cervicis Extends the cervical vertebrae Middle/lower cervical
Longissimus Capitus Rotates the head and pulls backward Middle/lower cervical
Rectus Capitus Posterior Major Extends and rotates the head Suboccipital
Rectus Capitus Posterior Minor Extends the head Suboccipital
Obliquus Capitus Inferior Rotates the atlas Suboccipital
Obliquus Capitus Superior Extends and bends the head laterally Suboccipital
 
CervicalMusculatureDiagram ChiropractorElPaso

Thoracic Muscles

Thoracic muscles Function Nerve
Longissimus Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Iliocostalis Thoracis Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Spinalis Thoracis Extends the vertebral column Dorsal primary divisions of the spinal nerves
Semispinalis Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Rotatores Thoracis Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
11860 Vista Del Sol, Ste. 128 The Spinal Muscles: An Extensive Guide
 

Lumbar muscles

Lumbar muscles Function Nerve
Psoas Major Flexes the thigh at the hip joint and the vertebral column L2, L3, sometimes L1 or L4
Intertransversarii Lateralis Lateral flexion of the vertebral column The ventral primary division of the spinal nerves
Quadratus Lumborum Lateral flexion of the vertebral column T12, L1
Interspinales Extends the vertebral column Dorsal primary divisions of the spinal nerves
Intertransversarii Mediales Lateral flexion of the vertebral column Dorsal primary divisions of the spinal nerves
Multifidus Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Longissimus Lumborum Extends and rotates the vertebral column Dorsal primary divisions of the spinal nerves
Iliocostalis Lumborum Extension, lateral flexion of the vertebral column, and rib rotation Dorsal primary divisions of the spinal nerves
Blog Image  Psoas Muscle
 

Muscle Fascia Fibrous Tissue

  • Fascia is the thickened connective tissue that surrounds a muscle or muscle group. Superficial fascia is directly under the skin.
  • Epimysium surrounds the skeletal muscle.
  • Perimysium is the sheath that groups the muscle fibers into bundles.
  • Endomysium is another type of connective tissue that sheaths each muscle fiber.
  The cause of back pain and spinal muscle spasm/s can be caused by overuse, automobile accident, personal, work, or sports injury. The root cause of muscle spasm/s is usually a consequence of an injury to a structure within the lumbar spine. If there have been one or more episodes of muscle spasm in the low back, chances are it will re-occur. The muscles in the low back work together with the abdominal muscles. The spinal muscles add stability by maintaining an erect spine and maintain balance.

Back Pain Specialist

 

 

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*
Hip Issues Could Be Source of Lower Back Pain

Hip Issues Could Be Source of Lower Back Pain

Back discomfort and pain could be caused by hip issues and could be resolved with hip replacement. According to a recent study, a total hip replacement solved back pain in four out of five individuals dealing with spinal discomfort and pain. When the hip/s are stiff or cannot move normally, this places added pressure on the spine. Studies show that low back pain was resolved in 82% of individuals after a total hip replacement known as total hip arthroplasty or THA. The body is designed as a fluid chain with fluid motion connecting the neck all the way down to the toes. When a region like the hip tightens/stiffens, it generates added stress/pressure on the other areas of the body, which in this case happens to be the lower spine. Individuals with mild arthritis of the spine are able to experience increased pain reduction than individuals with severe arthritis. An insight into the relationship between the hips and low back that can lead to accurate diagnoses and optimal treatment plans.  
11860 Vista Del Sol, Ste. 128 Hip Issues Could Be Source of Lower Back Pain
 

Hip Issues

The hip/s move with the lower back during activities like walking, sitting, bending, etc. Tight muscles, normal wear-and-tear, and osteoarthritis can reduce hip movement, forcing the lower back to make awkward and poor posture causing adjustments. Individuals usually relieve the painful position by increasing the curve of their lower back. If an individual has severe arthritis of the hip, they put a lot of stress and pressure on the low back that often results in low back pain. Advanced hip osteoarthritis is the breakdown of joint cartilage and the most common type of arthritis. Individuals with this type experience low back pain 50% of the time, and even higher depending on the individual’s condition. 80% to 90% of individuals with hip or knee arthritis, unfortunately, develop low back arthritis. There is not yet a clear reason as to why this occurs. It is theorized that some osteoarthritis risk factors like obesity and high-impact/force activities can be modified with lifestyle adjustments. Other risk factors that include injury, trauma, age, and congenital conditions like hip dysplasia, cannot be avoided. Hip osteoarthritis isn�t the only hip issue that can also cause lower back pain. Other hip issues.

Sacroiliac joint dysfunction

The sacroiliac joint connects the sacrum to the pelvis. It is a shock absorber between the upper body, the pelvis and can stiffen with time. Sacroiliac joint pain affects around 15% to 25% of individuals with low back pain. It worsens when climbing stairs, getting up from a seated position or running. Symptoms include:
  • Low back pain
  • Pain in buttock/s
  • Groin pain
  • Stiffness
  • Instability

Piriformis syndrome

About 200,000 individuals each year are affected with piriformis syndrome and is often misdiagnosed as symptoms resemble sciatica. What happens is the piriformis muscle, which connects the sacrum to the top of the femur, tightens/irritates the sciatic nerve. Symptoms are often mistaken for sciatica with pain in the buttocks, numbness, and tingling that travels down the back of the leg and into the feet.  
11860 Vista Del Sol, Ste. 128 Hip Issues Could Be Source of Lower Back Pain
 

Diagnosis

A doctor or chiropractor will use a combination of diagnostic tools. This typically includes a physical exam, X-rays with other specific tests to help identify the source of pain. What typically happens is a patient will undergo a hip and lumbar spine X-ray, but the thoracic spine, pelvis, and hip areas are missed. Getting the middle segment is critical to see how the spine and hips are working together. It is critical to understand the hip-spine connection. All spine patients should have X-rays of the hips to make sure any problems don’t go undetected. The overlap of symptoms with these two areas could be overlooked. If necessary a diagnostic injection into the hip joint can help precisely locate the pain source. This can be done at the clinic or doctor’s office using ultrasound or X-ray to guide the needle. If no pain relief results from the injection, hip replacement is still not considered because the pain could be coming from the spine. A critical part of the diagnosis is not just imaging. One of the most important parts is getting a thorough history of symptoms. X-rays and MRI show what the problem could be, however, the symptoms could coming from another area.

Treatment Options

Before total hip replacement is considered there are nonsurgical approaches to be considered. All diagnoses should start with conservative treatment. Physical therapy, chiropractic, gait training, and core strengthening can optimize the spine to better manage hip issues and arthritis. Conservative therapies could also include:
  • Weight loss
  • Activity modification like walking instead of running
  • Anti-inflammatory medication
  • Cortisone injections
Total hip replacement is the last option for individuals experiencing pain, difficulty walking, and limited mobility. The procedure removes the damaged cartilage and bone from the hip joint. This includes the head of the thighbone along with the socket where it fits and replaces it with artificial parts.  
 

Conclusion

Get a second opinion. Individuals are encouraged to educate themselves as much as possible on the condition. The hip and spine is a complex relationship. The most important information for patients is that they understand along with their doctor where the pain is coming from, the hip, spine, or both.

Reduce Plantar Fasciitis Foot Pain

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Sacrum and Coccyx Vertebrae Possible Cause of Low Back Pain

Sacrum and Coccyx Vertebrae Possible Cause of Low Back Pain

The sacrum and coccyx are part of the vertebral spinal column and could contribute to low back pain. They are not like the other bones in the spinal column. The sacrum, also known as the sacral vertebra, sacral spine, and S1 is a large, flat triangular-shaped bone that is between the hip bones and below the last lumbar vertebra known as L5. The coccyx, known as the tailbone, is positioned below the sacrum. The sacrum and coccyx are made up of smaller bones that fuse and grow into a solid bone mass by the age of 30. The sacrum is composed of 5 fused vertebrae known as S1-S5 and 3 to 5 smaller bones that fuse creating the coccyx. Both are weight-bearing bones and are integral to walking, standing, and sitting functions.  
 
StructureoftheSacrumDiagram ElPasoChiropractor
 

Sacrum and the Lumbosacral Spine

The sacrum forms the back of the pelvis. Along with the coccyx and the two sacroiliac joints make up the pelvic girdle. S1 is at the top of the sacrum and connects to the last lumbar vertebrae L5. Together they create the lumbosacral spine. Where they join forms the lumbosacral curves known as lumbar lordosis and lumbar kyphosis. The curvature works to support the upper body, weight/force distribution maintains spinal balance and flexibility. Lordosis is the inward curve of the spine, but too much can cause swayback that can be associated with spondylolisthesis. Loss of this curve can cause spinal imbalance and can lead to Flatback syndrome.  
11860 Vista Del Sol, Ste. 128 Sacrum and Coccyx Vertebrae Possible Cause of Low Back Pain
 
Kyphosis is the outward curve of the spine. The location of the sacrum at the intersection of the spine and pelvis means it has an important role in the movement of the low back and hips. The sacrum�s joints help to bear weight and help stabilize the spinal column along with the ligaments, tendons, and muscles help support/stabilize joint movement.

Lumbosacral joint

Joint L5 and S1 connect the lumbar spine to the sacrum. The pressure at this meeting point can be massive as the curve of the spine shifts from the lordotic forward curve to a kyphotic backward curve. The L5-S1 region bears weight, absorbs, and distributes the upper body�s weight when moving and resting. Disc herniation and spondylolisthesis are more common at L5-S1 for this reason.

Sacroiliac joints

The sacroiliac joints connect the sacrum to the left and right sides of the pelvis. The range of movement of the sacroiliac joints is minimal compared to other joints like the knees. However, the joints are essential for walking, standing, and stabilization of the hips. Sacroiliitis and sacroiliac joint dysfunction are two spinal disorders related to the joints. Other spinal disorders related to the sacral spine include:
  • Sciatica
  • Tarlov cysts
  • Spinal chordoma, a common type of spine bone cancer

The Coccyx�s Function

The coccyx commonly known as the tailbone is just below the sacrum. It is smaller than the sacrum and has an important weight-bearing function. It helps supports weight while sitting. An example is leaning back while sitting. This motion and position increase the pressure/weight on the coccyx. An injury in this area can cause tailbone pain. Inflammation of the coccyx�s connective tissue that results in tailbone pain that gets worse when sitting is a common symptom. A traumatic event like a fall or auto accident that causes a tailbone fracture can also cause this pain.

Sacral and Coccygeal Nerves

The spinal cord ends at L1-L2, which branches out into the cauda equina, which is a bundle of nerves that looks like a horse’s tail. In the sacrum, there are sacral nerves known as the sacral plexus. Plexus means a network of nerve structures. The sacral and lumbar plexus compose the lumbosacral plexus. This is where the sciatic nerve, which is the largest nerve in the sacral plexus converges into the band. Sciatic nerve compression causes a combination of symptoms known as sciatica. It is very well known for causing low back and leg pain. The coccygeal nerve serves the tailbone. There are five sacral nerves numbered S1 through S5 and are part of the spinal cord.
  • S1 supports groin and hip function
  • S2 the back of the thighs
  • S3 the middle of the buttock area
  • S4 and S5 the anus and vagina
11860 Vista Del Sol, Ste. 128 Sacrum and Coccyx Vertebrae Possible Cause of Low Back Pain
 
Injury or trauma to the sacral spine can cause mild stress fractures to severe bone fractures. These fractures can cause sacral nerve compression and intense pain. Symptoms include:
  • Low back pain
  • Leg pain
  • Bowel dysfunction
  • Bladder dysfunction
  • Unusual buttock/s or groin sensations
  • Osteoporosis or spinal inflammatory arthritis increases the risk of a sacral fracture.

Sacrum and Coccyx Injury Prevention

A doctor or chiropractor, physical therapist are excellent sources for information to help prevent sacrum and coccyx pain. These medical professionals will utilize a patient’s medical history, recommend lifestyle changes and injury prevention guidelines.
  • If at risk of developing osteoporosis then a bone mineral density test could be recommended.
  • Activities that stress the lower spine should be avoided. Extreme flexing could cause or contribute to low back/leg pain, numbness, and weakness.
  • Moderate exercising like walking, jogging, yoga, and strength training all help keep the spine strong, flexible, and healthy.
  • The core or abdominal muscles should be strengthened. Proper core muscle strength will stabilize the sacrum.
  • Proper posture must be maintained. Avoid slouching as this places added pressure on the lumbosacral spine and the sacroiliac joints.
  • Proper body mechanics when engaging in any activity needs to be observed.
  • Use leg strength to lift objects.
  • Avoid twisting while lifting or holding heavy objects, as this can cause sprain, strain, or serious injury of the lower spine.
  • Put on the seat belt. Auto accidents are a major cause of spine trauma. Exercise restraint when driving or riding in any vehicle even a golf cart.

Sciatica Pain Relief


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Acetaminophen Usually the First Choice When Back and Neck Pain Strike

Acetaminophen Usually the First Choice When Back and Neck Pain Strike

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.  
11860 Vista Del Sol, Ste. 128 Acetaminophen Usually the First Choice When Back and Neck Pain Strike

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 Fitness and Chiropractic, The Perfect Team

Weightlifting Fitness and Chiropractic, The Perfect Team

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.  

11860 Vista Del Sol, Ste. 128 Weightlifting Fitness and Chiropractic The Perfect Team
 

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.  

11860 Vista Del Sol, Ste. 128 Weightlifting Fitness and Chiropractic The Perfect Team
 

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.

 

Strong Chiropractor


 

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 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.

Dr. Alex Jimenez DC, MSACPCCSTIFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Mastodon