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.
A bursa is a fluid-filled sac which functions by helping to decrease friction around the joints. However, when the fluid inside a bursa becomes infected or irritated due to excessive movement, the bursa can become swollen, causing pain and discomfort, ultimately making it difficult to move the affected joint. This health issue is commonly known as bursitis. �
Although bursitis generally occurs in the knee, called �housemaid�s knee�, or in the elbow, called �tennis elbow�, it can occur in any joint in the human body. When it occurs in the buttocks, it is known as ischiogluteal bursitis. In this instance, the bursa is found between the ischial tuberosity at the base of the pelvis and the tendon of the hamstring muscle. �
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Symptoms of Ischiogluteal Bursitis
The symptoms of ischiogluteal bursitis can be similar to those of hamstring tendonitis. Several of the most common symptoms associated with ischiogluteal bursitis include pain and discomfort as well as tenderness in the buttocks region. Painful symptoms may frequently occur when stretching the hamstring muscle or flexing the knee against resistance. �
The symptoms of ischiogluteal bursitis can also be similar to those of sciatic nerve pain. Sciatica is a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness. While the symptoms of ischiogluteal bursitis may be similar to those of sciatica, sciatic nerve pain occurs when the sciatic nerve is irritated, compressed or impinged. �
Ischiogluteal bursitis associated with a sports-related injury and/or aggravated underlying condition, such as fibromyalgia, the pain and discomfort may slowly increase after exercise or physical activity. The symptoms may also worsen when sitting for extended periods of time. Ischiogluteal bursitis caused by an infection can ultimately be followed by a fever. �
Causes of Ischiogluteal Bursitis
The three most common causes of bursitis are generally due to injury or trauma, infection, and crystal deposits. Trauma can include repetitive movements or a blow to the region. By way of instance, the injury could occur due to a fall. Occasionally, trauma or injury can cause blood to leak into the bursa, causing ischiogluteal bursitis, or any other type of bursitis. �
Infection septic bursitis, or an infection in the bursa, generally occurs in the joints which are located closer to the surface of the human body. This health issue frequently affects men, however, it does not seem to be a leading cause of ischiogluteal bursitis. Crystal deposits can also form around the joints when there is too much uric acid in the human body. People with gout can develop bursitis because it is also caused by crystal deposits and it shares many similar symptoms with bursitis.
Diagnosis of Ischiogluteal Bursitis
Bursitis can generally be easily diagnosed by a healthcare professional, however, due to the similar symptoms of ischiogluteal bursitis, hamstring tendonitis, and even sciatica, it may be difficult to diagnose. However, tendonitis can often be relieved by deep tissue massage while bursitis will not and may actually worsen after a deep tissue massage. Proper diagnosis is fundamental in order for healthcare professionals to follow-up with the correct treatment for ischiogluteal bursitis. �
Treatment of Ischiogluteal Bursitis
In most instances, bursitis can be treated by resting the affected region and treating the swelling by utilizing cold therapy. When using an ice pack or similar cold pack, it should be wrapped in a cloth to avoid skin damage. The healthcare professional may also recommend a non-steroidal anti-inflammatory medication to reduce painful symptoms and swelling. �
As for people that have bursitis caused by an infection, an antibiotic is often prescribed to ultimately help fight the infection, relieving pain and discomfort in several days. If the painful symptoms continue for over a week, the doctor may suggest additional treatment approaches, such as draining of the bursa followed by a corticosteroid injection to reduce inflammation. �
Differential Diagnosis of Hip Pain and Discomfort
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Ischiogluteal bursitis is a well-known health issue characterized by pain and discomfort in the buttocks which is commonly caused by sitting for extended periods of time. In a variety of instances, ischiogluteal bursitis may also be caused due to an injury or aggravated underlying condition, such as fibromyalgia. Because ischiogluteal bursitis may occur due to inflammation, the widespread painful symptoms of fibromyalgia may also trigger other health issues. Furthermore, ischiogluteal bursitis may share similar symptoms to sciatica, due to the location of the health issue. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
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Fibromyalgia Magazine
The purpose of the article was to compare ischiogluteal bursitis and sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Gluteus Tendinopathy and Sciatica Symptoms in Fibromyalgia
Gluteus medius tendinopathy (GMT), also known as dead butt syndrome (DBS), is a painful health issue caused by the inflammation of the tendons in the gluteus medius muscle. The gluteus medius (GM) is one of the smallest, less-known muscles of the buttocks which ultimately functions by providing stability and support to the structures of the hip and pelvis, especially throughout weight-bearing physical activities. Although GMT most commonly affects athletes, it can also affect people starting a new exercise program, during an intense workout routine or due to an underlying health issue. �
Healthcare professionals have reported an increased number of GMT cases over the past several years. While many doctors and functional medicine practitioners believe that this may perhaps be due to how many people participate and engage in exercise or physical activities after sitting down for extended periods of time, many GMT cases may actually be due to a well-known health issue called fibromyalgia. In the following article, we will discuss gluteus medius tendinopathy (GMT), or dead butt syndrome (DBS), fibromyalgia and how these two conditions can also be associated with sciatica symptoms. �
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Sciatica and Gluteus Medius Tendinopathy Causes in Fibromyalgia
The common symptoms associated with gluteus medius tendinopathy, or GMT, include pain and discomfort, stiffness, and weakness in the hip or buttocks region. The painful symptoms can generally worsen throughout weight-bearing exercises, such as walking, running, and/or climbing. For many people, the pain and discomfort associated with dead butt syndrome, or DBS, can radiate down the hips, buttocks, and legs or thighs, similar to sciatica and hamstring tendinopathy. Sciatica is a collection of symptoms characterized by pain and discomfort, tingling sensations, and numbness along the sciatic nerve. �
Many patients diagnosed with GMT also report experiencing painful symptoms when lying in bed on the affected hip or buttocks region as well as pain, discomfort, stiffness, and weakness throughout the night and upon rising in the morning. Moreover, if DBS progresses past the initial stage, the hip bursa may become inflamed, another health issue known as trochanteric bursitis, which may also cause swelling, tenderness, redness or warmth in the hip. In people with fibromyalgia, the widespread pain and discomfort caused by the inflammation of the condition may also ultimately cause GMT symptoms. �
The role of the gluteus medius muscle is to contract the weight-bearing hip throughout walking and running. When this small, lesser-known muscle triggers, the hip flexors release and vice versa. However, when the tendon becomes inflamed due to an injury or an aggravated underlying condition, such as fibromyalgia, the gluteus medius can fail to trigger appropriately, hence why the “dead butt” term is utilized as an alternate name for this health issue. People sitting down for extended periods of time may cause their hip flexors to become tight and failure to stretch before physical activities can cause DBS. �
Furthermore, poor gluteal or buttocks and hip muscle control cause excess stress on the gluteal medius tendon and/or muscle. Several athletes, especially runners, generally avoid utilizing cross-training and weight-lifting in order to help strengthen the larger muscles which support the pelvis when running, however, the hip’s and buttock’s smaller tendons and muscles may take on the excess pressure. If left untreated, gluteus medius tendinopathy (GMT), or dead butt syndrome (DBS) may lead to complications,�including trochanteric bursitis, IT band syndrome, and plantar fasciitis, among other health issues.
Differential Diagnosis of Hip Pain and Discomfort
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Fibromyalgia is widespread pain and discomfort throughout the human body. People with this painful condition can experience a variety of symptoms, including sciatica or sciatic nerve pain. Doctors and functional medicine practitioners believe that fibromyalgia can aggravate how the human body feels painful sensations by affecting how the human brain processes pain signals. Fibromyalgia and sciatica are two well-known conditions which can commonly coexist together. However, many fibromyalgia sufferers have also reported experiencing gluteal medius tendinopathy (GMT), or dead butt syndrome (DBS), a painful health issue caused by the inflammation of the tendons in the gluteus medius muscle. Because fibromyalgia is often associated with increased inflammation and painful symptoms, GMT or DBS and sciatica can commonly develop together. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
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Fibromyalgia Magazine
People with fibromyalgia experience widespread pain and discomfort as a result of their medical condition, however, healthcare professionals have demonstrated that fibromyalgia may also cause other symptoms and health issues to manifest, such as sciatica, or sciatic nerve pain, and gluteal tendinopathy. The purpose of the article above was to demonstrate and compare fibromyalgia, sciatica and gluteal tendinopathy symptoms. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Carpal tunnel syndrome, or CTS, is a condition where the nerve that runs from the forearm into the hand gets compressed. Carpal tunnel can cause significant pain and result in numbness that makes using your hand practically impossible.
Carpal tunnel affects�approximately 3% of the population. Carpal tunnel sufferers, fortunately, there are effective treatments that do not require surgery. Chiropractic care can help relieve the pain of carpal tunnel, and can often improve mobility and range of motion in the process.
What is it?
The term �carpal tunnel� refers to an actual tunnel created by ligaments and bones in the wrist. Tendons and median nerves travel from the forearm through the carpal tunnel in the wrist and into the hand. When the median nerve becomes compressed inside the carpal tunnel�usually due to injury or inflammation�it can lead to the symptoms associated with CTS.
The Causes
The exact cause of CTS is not always easy to identify, but there are many factors that can play a role. A family history of CTS makes it more likely that you will develop the condition. Repetitive work, such as a job on an assembly line, is known to increase the risk of CTS. Wrist injuries can also cause carpal tunnel. There are other contributing factors that are not as obvious, such as pregnancy, menopause, and dialysis.
Symptoms
The first signs of carpal tunnel often include a feeling of pins and needles in the wrist, hands, and fingers. You may notice some numbness from time to time, especially after using the wrist in a way that causes compression�like performing a task over and over at work.
Over time, the symptoms can become more severe. Eventually, carpal tunnel can lead to a loss of coordination with the thumb, then other digits. Pain may not be significant at first, but tends to get worse and the condition progresses.
Chiropractic Can Help
Standard medical treatments for carpal tunnel include using anti-inflammatory drugs, refraining from using the wrist/hand, wearing a splint and eventually surgery. While these treatments can sometimes be effective, the risks associated with surgery are significant. Carpal tunnel surgery may or may not fix the problem, and as with any surgery, can sometimes cause more issues than it helps.
Learning to Protect Yourself
Chiropractic care offers a safe alternative to standard medical care, one that is non-invasive and minimizes the need for medications and their potential side effects. Chiropractic treatments for carpal tunnel can help to reduce inflammation and minimize pain. But chiropractic goes further than just treating the symptoms�it can also help you avoid aggravating the condition so that it can heal.
Chiropractors are trained in proper movement and ergonomics. Your chiropractor can help you understand what you are doing that is causing the carpal tunnel to begin with. He or she can also advise you on ways to adjust your movements to protect your wrists moving forward. You may be able to learn new ways of doing things that will allow you to achieve your goals without risking injury.
Getting Stronger
One of the fundamentals of chiropractic care is improving strength and mobility to aid in healing and protect from further injury. Your chiropractor can guide you through exercises to make you stronger. Once you know how to do the exercises, you can do them at home to continue to gain strength.
Schedule An Appointment
Carpal tunnel sufferers, don’t wait any longer and contact us to schedule an appointment. We will get you the relief you need!
Fibromyalgia and sciatica are two well-known health issues which can commonly occur at seemingly the same time in people, however, these may also frequently require different treatment approaches to help manage their painful symptoms. Fibromyalgia is characterized by widespread pain throughout numerous regions of the human body. As complex as the diagnosis and treatment for fibromyalgia might be, it’s ultimately fundamental for patients to be aware of any other conditions which may subsequently develop due to the painful symptoms of these well-known health issues. �
Sciatica, also known as sciatic nerve pain, is a collection of symptoms rather than a single condition and it is one of the most common health issues to coexist together with fibromyalgia. In this instance, one condition doesn’t necessarily cause the other, however, they can basically be present together. Fibromyalgia�patients should understand how sciatica and its characteristic symptoms can affect their overall health and wellness. Many people with fibromyalgia may subsequently develop other health issues when these painful symptoms overlap with other conditions, such as piriformis syndrome. �
Piriformis Syndrome vs Sciatica and Fibromyalgia
People with sciatic nerve pain, or sciatica, will often report experiencing pain and discomfort, tingling sensations, and numbness anywhere along the length of the sciatic nerve. The sciatic nerve is the longest and largest nerve in the human body, which travels from the lower back into the hip and buttocks, down into the thighs, knees, legs, and feet. Healthcare professionals may perform a variety of evaluations and tests to determine the source of a patient’s symptoms. People with fibromyalgia and sciatica may also experience another common health issue known as piriformis syndrome. �
Sciatica is caused by the compression or impingement of the sciatic nerve, frequently due to a herniated disc. Piriformis syndrome can cause sciatica when a piriformis muscle spasm irritates the sciatic nerve. The piriformis is a muscle which extends from the front of the sacrum, or the triangle-shaped bone between the two hipbones in the pelvis, across the sciatic nerve and into the top of the femur, or the large bone in the upper leg.� The piriformis muscle is fundamental because it allows the thighs to move from side to side. When an injury or underlying condition causes the piriformis muscle to compress or impinge the sciatic nerve due to irritation and/or inflammation, the end result is typically piriformis syndrome. �
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Sciatica is the most common symptom associated with piriformis syndrome. Other common symptoms associated with piriformis syndrome include tingling sensations and numbness, muscle tenderness, pain and discomfort while sitting or engaging in physical activities, and difficulty sitting comfortably. Because fibromyalgia causes widespread pain and inflammation, it’s also fundamental for people with fibromyalgia to seek immediate medical attention to diagnose all of their symptoms and rule out the possibility of their sciatica symptoms being due to piriformis syndrome or any other health issue. �
As previously mentioned above, sciatica, or sciatic nerve pain, is a medical condition or rather a collection of symptoms which causes pain and discomfort anywhere along the entire length of the sciatic nerve. For both fibromyalgia sufferers and people with the health issue alone, the pain and discomfort will generally manifest on one or both sides of the hips, buttocks, and thighs, where it will then radiate down the back of the leg, knees, and feet. In some instances, other common symptoms may manifest along the lower extremities, including tingling sensations, burning sensations, numbness, and weakness.
Sciatic nerve pain is most frequently caused by a slipped disc, a bulging disc, a herniated disc, or any other health issue which ultimately causes nerve pain and discomfort, such as fibromyalgia. When sciatica due to piriformis syndrome and/or another medical condition is experienced by fibromyalgia sufferers, it may be difficult for healthcare professionals to find the true source of their painful symptoms. Also, the symptoms associated with sciatic nerve pain and piriformis syndrome are generally the same for fibromyalgia sufferers, however, the most common causes may not be responsible for the symptoms.
Differential Diagnosis in Hip Pain
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Fibromyalgia is characterized as widespread pain and discomfort throughout the human body. People with this painful health issue can experience a variety of symptoms, including sciatic nerve pain, or sciatica. Healthcare professionals believe that fibromyalgia can increase the way the human body experiences painful sensations by affecting the way the brain processes pain signals. Fibromyalgia and sciatica are two well-known conditions which can commonly coexist together. However, many fibromyalgia sufferers have reported piriformis syndrome, a condition caused when the piriformis muscle irritates the sciatic nerve. Because fibromyalgia can often be associated with increased pain and inflammation, these painful symptoms and health issues can ultimately occur. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
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Fibromyalgia Magazine
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People with fibromyalgia experience widespread pain and discomfort as a result of their medical condition, however, healthcare professionals have demonstrated that fibromyalgia may also cause other symptoms and health issues to manifest, such as sciatica, or sciatic nerve pain, and piriformis syndrome. The purpose of the article above was to demonstrate and compare fibromyalgia and sciatica symptoms versus piriformis syndrome. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
*All of the above XYMOGEN policies remain strictly in force. �
A variety of health issues can cause common symptoms which may make it difficult for people to determine the source of their pain and discomfort. Because sciatica is a collection of symptoms rather than a single condition, sciatic nerve pain can often be a frequent symptom for many health issues. The purpose of the following article is to demonstrate the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement. �
What is Sciatica?
Sciatica is characterized as pain, tingling sensations, and numbness, due to compression or impingement anywhere along the length of the sciatic nerve. The sciatic nerve is the largest nerve in the human body and it stretches from the lower back through the hips and buttocks, down into the legs and feet. Sciatica can affect one or both sides of the human body. �
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Symptoms
The characteristic symptoms of sciatica can range from mild to severe where the sciatic nerve pain is described as a dull ache to pain or as a sharp, searing, or electric-like pain. Symptoms differ from one person to another. By way of instance, some people may experience shooting pain while some people may only experience tingling sensations and/or numbness. � The common symptoms of sciatica, also known as sciatic nerve pain, include: �
Radiating pain along the length of the sciatic nerve
Discomfort, tingling sensations, and numbness
Muscle weakness in the lower back, hips, legs, and feet
A combination of pain, discomfort, tingling sensations and numbness
Painful sensations on one or both sides of the human body
Causes
Sciatica commonly occurs when an underlying health issue results in the compression or impingement of the sciatic nerve in the lower back. A bulging or herniated disk is one of the most common causes of sciatica. However, a variety of other underlying health issues can cause sciatica and determining what causes sciatica is necessary for proper treatment. � The most common causes of sciatic nerve pain, or sciatica, include: �
Bulging disk
Herniated disk
Degenerative disk disease
Bone spur osteophytes, or bone spurs
Spinal stenosis
Piriformis Syndrome
Arthritis
Treatments
Sciatica will often resolve on its own over several weeks. Healthcare professionals recommend the use of over-the-counter drugs and/or medications, ice or heat packs on the affected areas, stretches, and exercise, among other alternative treatment options to help reduce sciatica. If symptoms worsen or do not resolve on their own, seek immediate medical attention. � People with mild or moderate sciatica may find relief from any of the following treatments, including: �
Ice or heat therapy
Stretches and exercises
Physical therapy
Chiropractic care
Acupuncture
Alexander technique or Feldenkrais method
Yoga
Drugs and/or medications
If these approaches do not help reduce sciatica, the patient may need to take one or more imaging tests, such as an X-ray or magnetic resonance imaging (MRI), to diagnose the source of their symptoms. It’s important to note that sciatica is a collection of symptoms rather than a single condition. Sciatica may be caused by a variety of underlying health issues. �
What is Ischiofemoral Impingement?
Ischiofemoral impingement syndrome is a condition which occurs when the ischium and the head of the femur experience excessive amounts of pressure, generally due to trauma, overuse, or surgery. The trauma, overuse, or surgery, can also cause bone spurs to grow along the ischium. This gives the bones an abnormal shape which makes them no longer fit together. �
Because these don�t fit properly together anymore, the bones may then start to rub against each other during movement causing friction which can damage the joint and cause painful symptoms. As friction worsens, the pain may also increase and restrict movements. The symptoms for ischiofemoral impingement may vary and treatment can also depend on symptoms. �
Symptoms
The main symptom of ischiofemoral impingement syndrome is hip pain. The pain from this underlying health issue may start off as mild, however, it can often worsen as the rubbing of the bones causes more damage and inflammation. Ischiofemoral impingement syndrome can feel similar to a pulled hamstring but the pain is generally closer to the buttocks. �
Causes
Ischiofemoral impingement occurs due to excess friction between the top of the thighbone, or the femur, and the hip bone, or the ischium. These two bones generally touch in a way which allows them to move without causing pain, however, trauma, overuse, and surgery can ultimately damage the bone. Moreover, if the damage causes a bone spur to grow on the hip or femur, as described above, the extra piece of bone�can cause more damage and make the condition worse. �
People who experience pain in the hips, buttocks, or groin that does not go away, should seek immediate medical attention to determine the underlying cause of their symptoms. Several of the symptoms associated with ischiofemoral impingement syndrome may be similar to other health issues, including sciatica, muscle, ligament and tendon tears, or fractures. A healthcare professional can perform a diagnosis to rule out ischiofemoral impingement as well as these other conditions. �
Diagnosis
To diagnose an ischiofemoral impingement, the healthcare professional may perform a physical exam. During the evaluation, doctor may feel specific areas in the hips to determine the presence of an ischiofemoral impingement. If the healthcare professional suspects you may have ischiofemoral impingement syndrome, they may request additional imaging tests, such as an X-ray or MRI, to confirm the diagnosis. Treatment will depend on the diagnosis of the source of the symptoms. �
Ischiofemoral Impingement Syndrome is quite an uncommon diagnosis for hip and groin pain � thus it is important that more common conditions like those listed below, are ruled out by a qualified Medical Professional, Chiropractor or� Physiotherapist before considering it as a diagnosis: �
Lumbar disc disease
Spinal stenosis
Bursitis
Osteoarthritis
Rheumatoid arthritis
Cancer
Inguinal hernias
Inguinal lymphadenopathy
Menstrual conditions
Urinary tract problems
Pelvic inflammatory diseases
Femoroacetabular impingement/piriformis syndromes
Treatments
There is no single treatment which can be utilized to help improve ischiofemoral impingement syndrome. The healthcare professional might recommend a variety of alternative conservative treatment options. By way of instance, they may restrict physical activities or they may recommend rest as well as prescribe drugs and/or medications to help ease the symptoms. There are many dynamic treatment protocols that can assist in these diagnoses. If alternative treatment options do not help improve the ischiofemoral impingement, the healthcare professional may also recommend the utilization of injections which contain pain medicine and/or steroids to help control the pain. If neither of these treatment approaches helps relieve the symptoms, the healthcare professional may also recommend surgery. Due to the rarity of Ischiofemoral Impingement, treatment for the condition has varied on a case by case basis. However, conservative treatment is broadly recommended as a first line approach to resolving the condition. Current conservative treatment strategies in the literature for Ischiofemoral Impingement Syndrome include: �
Nonsteroidal anti-inflammatory drugs and Gabapentin for pain associated with quadratus femoris muscle and sciatic nerve irritation
Heat, Ultrasound, and Interferential current therapies applied around the hip area.
Deep Specialized Myofascial protocols can be used.
An individually prescribed exercise program by a Physiotherapist or joint specialist targeting muscles like the quadriceps femoris, piriformis in order to adequately reduce pain and increase the range of motion in the hip joint.
CT-guided steroid and local anesthetic injection around the QFM may provide pain relief
Surgical intervention in order to correct/decompress anatomical pathology such as that first described by Johnson in 1977 is reserved for cases that do not respond to conservative therapy. Potential surgical interventions include excision of the lesser trochanter (in those experiencing pain post hip surgery), and more recent/popular peri-articular endoscopic decompression around the hip 2,7. Further research is required to better understand Ischiofemoral Impingement Syndrome � its causes, at-risk populations, and optimal management strategies- both conservative and surgical. As this condition is not yet widely recognized and understood. �
Differential Diagnosis In Proximal Hip Pain Syndroms
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Sciatica, or sciatic nerve pain, commonly characterized by pain and discomfort, tingling sensations, and numbness, can be a common symptom for a variety of underlying health issues, such as ischiofemoral impingement. Because sciatica is well-known as a collection of symptoms, rather than a single condition or disorder, patients with sciatic nerve pain should seek immediate medical attention to determine if their painful symptoms are caused by another underlying health issue. Treatment for both sciatica and ischiofemoral impingement will depend on the symptoms and diagnosis. There are many treatment options for these complex cases – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
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The article above demonstrates the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement, to help provide a diagnosis and treatment. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
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Formulas for Methylation Support
�
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
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References Singer, Adam D., Ty K. Subhawong, Jean Jose, Jonathan Tresley, and Paul D. Clifford. �Ischiofemoral impingement syndrome: a meta-analysis.� Skeletal radiology 44, no. 6 (2015): 831-837 Johnson, K. A. �Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases.� JBJS 59, no. 2 (1977): 268-269 Spencer-Gardner, Luke, Asheesh Bedi, Michael J. Stuart, Christopher M. Larson, Bryan T. Kelly, and Aaron J. Krych. �Ischiofemoral impingement and hamstring dysfunction as a potential pain generator after ischial tuberosity apophyseal fracture non-union/malunion.� Knee Surgery, Sports Traumatology, Arthroscopy 25, no. 1 (2017): 55-61 Lee, Soyoung, Inhwan Kim, Sung Moon Lee, and Jieun Lee. �Ischiofemoral impingement syndrome.� Annals of rehabilitation medicine 37, no. 1 (2013): 143
Backpacks allow us to carry everything we need wherever we go. But as great as backpacks are, the fact is they can cause real damage if they are not carried correctly. It is possible to carry more weight than you should and in ways that are not healthy. From children to the elderly, everyone should know how to properly carry a backpack.
How Not Carrying Properly Can Hurt Your Back
A recent article on NBC News discussed the health concerns that backpacks present, discussing the various studies that have shown the damage they can cause. As the article noted, most everyone uses a backpack at one time or another. They are simply too useful to do otherwise. But research has demonstrated that they can hurt the back significantly, especially in children.
The back injuries that a backpack can cause include:
Disc Injuries
The spine is made up of vertebrae separated by spinal discs. The discs provide cushioning and flexibility in the spine. But the discs in your spine are only capable of carrying so much weight. When a backpack is too heavy, it can lead to disc compression and possibly tearing of the disc.
Carrying a backpack over one shoulder day after day will eventually cause your body to alter its alignment and your muscles to become imbalanced. Muscle imbalances can cause a cascade of problems, including altering the way you walk and increasing wear on your spine.
How to Carry Properly
Backpacks can be used safely, you just need to take the proper steps. These include:
1. Do Not Carry too much weight.
The recommended percentage of your body weight when using a backpack ranges from 10% – 15%. Someone that weighs 100 lbs should carry a backpack weighing no more than 15 lbs. Ideally, you should keep it around 10%. The more you go over the recommended weight, the more risk of injury to your back.
2. Utilize both straps.
Backpacks are designed to be carried using a strap over each shoulder. Using both straps distributes the weight evenly across your shoulders, minimizing the risk of excessive wear or injury.
3. Adjust the straps.
The straps of your backpack should be pulled snug, but not too tight. If your backpack includes a belt or additional straps, use them � especially if you are carrying a lot of weight.
4. Carry only what is needed.
It is easy to accumulate items in your backpack without realizing how much you have. Try to examine what is in your pack on a regular basis to ensure you are only taking what you need.
5. Use roll bags for heavy loads.
If you really need to carry more weight, invest in a bag with wheels. Rolling backpacks or other rolling bags can allow you to carry significantly more weight in comfort and safety.
6. Apply all of the above to your child�s backpack.
If you have one or more children, it is important to train them on how to use backpacks safely � and to check them from time to time.
Enjoy Back Pain Relief
Our chiropractic team is ready to help you get relief from your back pain. If you are suffering from back pain, please contact us to schedule an appointment with an experienced chiropractor.
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain which is also generally accompanied by fatigue, sleep, memory, and mood health issues. The most common symptoms associated with fibromyalgia include muscle pain and tenderness, however, many people with this painful condition also experience sciatica, a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness along the length of the sciatic nerve in the lower back. �
Because fibromyalgia can cause painful symptoms throughout several regions of the human body, many people with fibromyalgia may also be diagnosed with other health issues which may overlap with their present symptoms, such as sciatica. It’s essential for patients to seek immediate medical attention from a healthcare professional to receive a proper diagnosis of all of their symptoms as these other health issues may generally require different treatment approaches. �
Sciatica is one of the most common health issues to coexist with fibromyalgia. Fibromyalgia doesn’t necessarily cause sciatica or sciatic nerve pain, however, these can ultimately exist together. It’s also essential for people with fibromyalgia to understand what sciatica is and how these painful symptoms can affect their health and wellness. Healthcare professionals believe that fibromyalgia amplifies painful sensations by affecting the way the human brain processes pain signals. Moreover, fibromyalgia can affect a variety of other structures and functions in the human body, such as the gastrointestinal tract. �
Fibromyalgia and Digestion Problems
Along with muscle pain and tenderness, patients with this painful disorder also experience digestive health issues. About 70 percent of people with fibromyalgia suffer from irritable bowel syndrome symptoms, including gas, bloating, constipation, and diarrhea. Although the causes of digestion health issues and fibromyalgia are unknown, healthcare professionals have demonstrated that there is an undeniable connection between fibromyalgia and digestive health issues. �
The gastrointestinal, or GI, system consists of several fundamental parts including, the esophagus, the stomach, the small intestine, and the bowel. When digestion slows down or a food intolerance, described in further detail below, disrupts the natural process of digestion, a chain of events can cause pain and discomfort, among other symptoms, throughout the entire gastrointestinal, or GI, tract. Patients with fibromyalgia commonly report frustrating digestive problems, such as: �
Acid reflux. When the gastric juices are not being utilized in the stomach, they can often travel back up through the esophagus, causing heartburn or a painful sensation in the chest, known as acid reflux.
Cramping and constipation. When the process of peristalsis, or the smooth muscle contractions which move food through the gastrointestinal tract, becomes affected due to the irritation of the intestines, it can begin to cramp and prevent the movement of waste through the bowel, causing cramping and constipation.
Diarrhea. When the digestive process slows down or stops, undigested food can move from the stomach and into the intestine, where it can irritate the lining of the colon and produce IBS symptoms, such as diarrhea.
Gas. The longer food stays in your stomach and intestines, the longer the natural GI bacteria has to break down the compounds and the more methane gas is produced from bacteria metabolism, resulting in gas.
Research studies have utilized brain scans to demonstrate the physiological responses of patients with irritable bowel syndrome, or IBS, and patients with fibromyalgia. According to the research studies, both groups of patients demonstrated higher neurological responses to pain. Patients with IBS and fibromyalgia also demonstrated higher pain awareness. Due to the similar brain activity to pain stimulus, researchers suspect that the two health issues may share underlying causes. �
Many people with fibromyalgia frequently report that certain types of foods irritate their stomach or exacerbate their fibromyalgia symptoms. Dairy and gluten, among other foods, can worsen fibromyalgia. Many people have food intolerances which can be challenging to diagnose. Another common explanation for the digestion problems of patients with fibromyalgia involves the autonomic nervous system, which is in charge of regulating the structure and function of internal organs. �
This autonomic nervous system is made up of two subsystems: the sympathetic nervous system and the parasympathetic nervous system, which rarely work together simultaneously. In patients with fibromyalgia, the sympathetic nervous system, which is largely responsible for increasing blood pressure, heart rate and adrenaline, is almost always active, causes the parasympathetic system, which is largely responsible for relaxation and digestion, to become inactive. Fortunately, patients with fibromyalgia and its associated symptoms like sciatica and digestive problems, can find relief through treatment.
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Patients with fibromyalgia commonly experience widespread pain and discomfort, however, research studies have demonstrated a connection between other symptoms and health issues, such as sciatica and digestive problems. The purpose of the following article is to educate as well as discuss how fibromyalgia may be connected to other symptoms like sciatica and irritable bowel syndrome, among other digestive problems. By understanding how these symptoms and health issues are associated with fibromyalgia, patients and doctors can safely and effectively treat this painful condition and its symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
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Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by a variety of symptoms. Many people with this painful condition also experience sciatica and digestive problems. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
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