El Paso, TX. Chiropractor Dr. Alex Jimenez examines patients that go through chiropractic vs. traditional medical care.
Because back pain is such a common problem, a group of Canadian researchers recently investigated the role�that the type of primary caregiver has on financial compensation.
This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada.
Patients Saw The Following Providers For Their First Visit:
85.3% saw a medical doctor
11.4% saw a chiropractor
3.2% saw a physical therapist
A Comparison Of The Duration Of Financial Compensation For Back Pain Among Patients From Each Group
The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.
In addition, chiropractic patients didn�t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.
The authors conclude:
�The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.�
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Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.
Sciatica, medically defined as a set of symptoms rather than a single disorder, is commonly characterized by pain in the lower back and buttocks. This pain can radiate down one or both legs to the thigh, calf, ankle and foot. True sciatica occurs when pain begins to travel below the knee.
Sciatic pain frequently results when the nerve roots surrounding the spinal column are compressed or when pressure has caused the impingement of the spinal roots of the sciatic nerve. The sciatic nerve systems are found in in the sacral regions of the back and the lumbar spine. Sciatic pain or sciatica could be identified as sharp, dull, burning, tingly, numb, constant, or intermittent and usually affects only one side of the body. It may radiate throughout the whole length of the nerve, in certain cases, all the way to the toes.
Sciatic pain is usually the result of a herniated disc, spinal stenosis, or in exceptionally rare instances, infection or tumour. The cause of your pain determines your treatment options to relieve sciatica.
Sciatica Treatment Options
Several of the most popular sciatica treatment options include: alternative treatments, such as acupuncture, chiropractic care, drugs, physical therapy, and surgical interventions.
Once a qualified and experienced healthcare professional has diagnosed you with symptoms of sciatica, many individuals with prevalent lower back pain are prescribed bed rest as a way to offer relief for aching bones and joints. Current research, however, has implied that bed rest alone cannot offer relief for those suffering from nerve pain due to sciatica.
Remaining active might be more beneficial for people who suffer with back pain. Not to say that you should be running marathons! Action means being mobile and active for periods of time which aren’t enough to cause additional pain and/or to aggravate other symptoms of sciatica. Specific exercises may be recommended by your healthcare professional or some may simply suggest walking.
Sciatica Pain Relief
Pain is best treated with non-steroidal anti-inflammatory drugs (NSAID) such as ibuprofen or codeine (in acute cases).
In some instances, a cortisone-like drug may be injected to the epidural space enclosing the spinal column. This process is similar to the epidural used during childbirth, and it’s called an epidural steroid injection. A class of this sort of treatment may offer temporary relief, but it does not address the source of the issue.
Surgery for Sciatica Symptoms
Some patients with sciatica may discover significant relief from surgery. In the case of herniated discs, a surgical procedure called a laminectomy may be performed. In this process, a percentage of the posterior arch is removed to relieve pressure on pinched nerve tissues.
In cases of spinal stenosis, the part of bone that is putting pressure on the sciatic nerve system may be removed.
Operation is not for everyone. Nonetheless, for people who have shown no sign of improvement in 4 to 6 weeks and who have had CT scans (computed tomography) or MRI that show a herniated disc or spinal stenosis, surgery may offer considerable relief.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Chiropractic and Sciatica
Sciatica is a common group of symptoms reported by a majority of the population alongside symptoms of back and low back pain. Sciatica, or sciatic nerve pain, is frequently the result of compression or impingement of the sciatic nerve and its nerve roots, generally from a spinal misalignment or subluxation. Chiropractic care is a safe and effective form of alternative treatment utilized to restore the natural alignment of the spine, ultimately reducing the pressure being placed against the sciatic nerve and relieving symptoms of sciatica.
El Paso, TX. Chiropractor Dr. Alex Jimenez discusses student-athletes and injuries.
Most injuries to student-athletes occur during routine practices, but only about a third of public high schools have a full-time trainer, according to the U.S.-based National Athletic Trainers’ Association (NATA).
“It’s important to have the right sports safety protocols in place to ensure the health and welfare of student athletes,” said Larry Cooper, chairman of NATA’s secondary school committee. “By properly preparing for practices and competitions, young athletes can excel on the field and stay off the sidelines with potential injuries.”
As Spring Season Approaches NATA Recommends Parents & Students Review Their Schools Policies On Sports Injuries
Here’s what to consider:
Who handles sports-related injuries? Know who will care for athletes who are hurt during practice. Consider that person’s experience and credentials, including first aid and medical training. Determine who makes medical decisions. Coaches and athletes may not make objective decisions about injuries and safety if they are concerned about winning.
What’s the emergency action plan? Every team should have a written plan detailing what to do if a serious injury occurs. An athletic trainer or first responder should review this plan.
Is all equipment in good working condition? Sports equipment such as field goals, turf, basketball flooring and gymnastics apparatus should be examined to make sure it’s safe. Medical equipment such as splints and spine boards should be checked routinely. Schools should have an automated external defibrillator (AED) and staff trained in its use.
Are high school coaches qualified? All coaches, assistant coaches and team volunteers should undergo a background check. They should have knowledge in the sport they are coaching and all credentials required by the state and athletic conference or league. Coaches should be trained to administer CPR, use an AED and provide first aid.
Are locker rooms and gyms sanitary? These areas should be cleaned routinely to prevent the spread of bacterial, viral and fungal skin infections. Athletes should never share towels, athletic gear, water bottles, razors and hair clippers.
NATA says parents should also help ensure their teens are both mentally and physically prepared to play sports. This includes a preseason physical to identify any health conditions that could limit their participation. Young athletes shouldn’t be pushed or forced to participate. Parents should make sure their child’s school, coaches and other staff have a copy of his or her medical history as well as a completed emergency medical authorization form.
NATA recommends parents, student-athletes and coaches keep these safety tips in mind when spring training begins:
Acclimate gradually. Athletes playing in hot weather should build up their endurance over one to two weeks. During this time, they should stay well hydrated and adjust their exercises according to weather. Athletes who must wear heavy protective equipment should gradually get used to playing in their gear. For example: wear only helmets on days one and two; then helmets and shoulder pads on days three and four, then full gear by day five.
Be aware of concussions. Student-athletes, coaches and school medical staff must be well educated on concussion prevention and management. Students with head injuries should speak up if they experience symptoms such as dizziness, loss of memory, lightheadedness, fatigue or trouble with balance.
Screen for sickle cell. All newborns are tested for this inherited trait that can lead to blockage of blood vessels during intense exertion. Athletes with sickle cell trait should take precautions. Warning signs include fatigue or shortness of breath.
Allow for recovery time. The body needs to rest between seasons. Incorporating recovery time into the year can help prevent injuries. Repetitive motions can put excessive stress on joints, muscles or ligaments, resulting in injuries from overuse.
“It’s critical that all members of a school’s sports medicine team (athletic trainers, physicians and school nurses) work together to help prevent, manage and treat injuries or illnesses should one occur,” Cooper said in a NATA news release. “With a team approach we can reduce acute, chronic or catastrophic injury and ensure a successful season all around.”
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
El Paso, TX. Chiropractor Dr. Alex Jimenez investigates if garlic works for back pain.
Test�It Out yourself! Spaghetti, Oil & Garlic.
In my never-ending quest to learn everything I can about the best way to reduce back pain, I conduct research online frequently. Everything from tried and true remedies�like yoga, the latest scientific studies about nutrition as well as foods that promise to possess anti-inflammatory properties � are all on my radar. My intention is always to leave no stone unturned in the event the advice I uncover can reduce someone�s suffering.
So, the other day, when several pages of results turned up, I Googled �natural remedies for back pain� and wasn�t surprised. Granted, not everything you read on the Internet is accurate�in fact, finding information that is credible needs some sophistication. Briefly, it makes sense appraise the purpose of the source, to find out the source and look at the domain name when making a judgement call about it.
All of us know that pain can be alone triggered by inflammation, so minimizing or controlling it may be effective. If it�s accurate that in addition to truly being a vampire repellant, garlic is also an antiinflammatory power food (as some are promising), I�m game to start adding more to my diet.
On my way down the research rabbit hole, I came across some amazing facts from the Journal of Immunology (1), Journal of Immunology Research (2) and the University of Maryland Medical Center (3).
Plants of the genus Allium are known for his or her creation. Among these, garlic (Allium sativum) is one of the very broadly used.
Isolated and when expressed, these compounds display a broad spectrum of effects that are beneficial against microbial diseases and therefore are employed to safeguard against cardiovascular disease.
Garlic is now being analyzed because of its ability to boost the immune system and potentially fight with cancer.
Garlic contains allicin, a strong, sulfur-based compound that is in charge of the distinctive smell, but may also be the basis for �s antibacterial properties that are garlic.
Don�t Rush�The Rose
Garlic, frequently known as the �stinking rose does seem to have a full bouquet of health benefits. But preparation questions. Research supports that heating garlic soon interferes with the health-boosting benefits of allicin.
Cooks Take Note:
Be sure to let minced, chopped or crushed garlic to sit down for 5 to 10 minutes before warming. If you throw it into boiling water or that hot olive oil too soon and are inpatient, you’ll deactivate the valuable enzyme. Patience is definitely a virtue as it pertains to preparing this gold nugget!
Another Advantage Of Garlic, It’s Affordable!
At my last trip to the grocery store, a great-size bulb of garlic was priced at 99 cents. Paradise for under a dollar! All this adds up to what looks just like a total no-brainer to me. Add garlic to my diet. Obtain numerous health benefits. It couldn�t be more or considerably simpler cost-effective than that.
Over summer time, I made a decision to create a concerted effort to consume more garlic, and you also know what? I�ve found I have significantly more energy and feel better. Now it might be pure coincidence, but I�m going to continue my regime of taking one clove in the morning (I just chop the garlic, wait for allicin to activate, then consume the little sections with water). I�ve also been incorporating it to the main meal of the day. All things considered, except for ice cream, what doesn�t taste better using a tiny garlic?
Therefore I encourage you to give it a try and, as the famous, Greek philosopher Hippocrates once said: �Let food be thy medicine and medicine be thy food.�
I�d love to hear your experiences with garlic are going. Please fill me in on how it helped you, or if it didn�t. Share your comments on our Facebook page. Recipes additionally welcomed!
Meanwhile, enjoy this healthful and simple meal that is deliciously. And contemplate giving garlic a standing invitation to your own dinner table!
Spaghetti, Oil and Garlic. Buon Apetito!
Cook spaghetti according to directions
Save 1 cup of starchy pasta water when you drain it.
Chop 4 gloves of garlic�allow to breathe 5 to 10 minutes and then brown in olive oil
Add pasta water to help produce a sauce that may stick to the pasta.
Transfer pasta noodles to garlic and oil
Mix and top using a sprinkling of parsley and lemon zest
Add freshly -grated Parmesan cheese to taste. Enjoy!
El Paso, TX. Chiropractor Dr. Alex Jimenez looks at yoga for back pain.
Yoga increases strength and flexibility, but some find it to be a spiritual experience that brings serenity and delight.
I attended my first yoga class after I was 21 years old. At the time the goal was purely to appease my self so that I really could tell my family, buddies and coworkers that “I do yoga”. In my experience, yogis were “cool” and I enjoyed being linked with that healthy lifestyle. My twenty-something year old mind was in a self absorbed place and that I totally enjoyed the freedom of dedicating myself to yoga and other enjoyable ways to fill my time.
Yoga in its purest form is intended to help the individual’s head and body and is likely to be practiced without ego.
My First Yoga Course
I loved her gentle encouragement. As I visited my weekly yoga classes, bending and twisting and telling myself “I can perform this,” I began to reap the benefits. I was sleeping better. My body felt less angry and I noticed a calmness come over me. I felt more patient coping with the irritations of life, too.
Here is The�Irony
Yoga is not something you do. It’s a thing that you encounter. Because over time, it gets engrained in you it’s called a practice. The teachings of Maureen were put in me like little seeds which didn’t actually completely thrive until much later in my life. To jogging, though I did not intentionally give up my usual yoga practice, around along the way it took a back seat. Those little seeds were there but lay dormant for now.
Running Was Different
I felt free moving swiftly across the road. Being goal oriented, I found monitoring my mileage to be a pleasing achievement. Running was pleasing for another reason, too. My best friend Linda was also a runner, and we’d meet most Sundays for long runs. We’d participated in occasional half marathons and put in 15 to 20 miles each week. Running that distance took time � two hours or even more.
Those small seeds were there all along. Like I mentioned, yoga has a way of becoming engrained in you.
My Back Pain & Yoga
If you’ve been following my site, you understand that I’ve had back pain through most of my entire life. Then, seemingly out of nowhere, my little friend “yoga” softly arrived back on the scene. My pain riddled body seemed to intuitively understand it needed yoga again. I began feeling the requirement to roll over on my back and pull my legs towards my chest, before getting out of bed in the early hours. (The knees-to-chest pose extends your lower back muscles and is a gentle, soothing approach to begin your day.) The reach that was straightforward felt energizing and really good.
There are quite a lot of advantages of yoga, especially for maintaining well-being and managing low back pain. A follow up experiment was conducted after 26 weeks, and those same yoga participants were experiencing increased function and less pain. For me, the continual practice of yoga has relieved my pain to the point that I no more need pain medication to get me.
Other Ways�Yoga Relieves Back Pain
Yoga strengthens abdominal muscles both of which help support the spinal column and builds flexibility in the rear, when practiced regularly.
Holding yoga models, for up to a minute, helps stretch the muscles over time.
Properly stretching�the muscles in the low back reduces stress over the area.
Yoga offers relief from pain, stress and anxiety. All low back pain suffers know this is a vicious cycle. You start with pain that doesn’t go away. You find out there is an anatomical reason for the pain. But, you still have the anxiety, and stress of worrying about how long this may last. Yoga can counter that triple threat.
Yoga improves posture. To maintain a strong, fit, flexible backbone great posture is vital. Seated and standing yoga poses help improve the alignment of the spine and also posture. Proper bearing reduces back pain and removes some of the pressure from your spinal column.
Yoga For Beginners
Thus, let’s get started with a couple of poses which are a cinch to do and great for preserving flexibility in your spine.Try these three poses daily for increased flexibility and your spine will thank you!
Knees to Chest Pose (Picture below)
Lie on your back with legs and arms stretched
Bring both knees to chest as you exhale. Clasp your hands around legs
Back is flat on the floor (mat)
If it’s comfortable for you, gently rock back and forth, which gives you a little massage
Cat/Cow Pose (Images below)
Begin on all fours in a tabletop�position
Place your hands under your shoulders along with your knees under your hips
Like a cat, round your back up to arch on the exhale
Bring your chin to chest
On the inhale, drop your abdomen and raise your head, extending your sitting bones (sits) back up
Cat Pose
Cow Pose
Child’s�Pose (Picture below)
Move from table top to a kneeling position. Rest your arms by your side, press your shoulders down and simultaneously reach your head tall
Slowly lower�your buttocks towards your heels feeling a nice stretch in your lower back/hips.
Let your forehead�rest on the floor
Place arms resting alongside your body
Or you can place�arms above head, gently stretching as they are placed on the floor
If it is easier too, you can widen knees as you stretch out
Those small yoga seeds�put by my first teacher long past � have continued to grow/flourish. I’m a fully certified yoga teacher and revel in sharing my practice with students every week now. May you find peace on your own journey and pain relief too, one pose at a time. Namaste.
El Paso, TX. Chiropractor Dr. Alex Jimenez takes a look at sciatica.
The pain shoots down your leg�burning, tingling, almost electric. Anyone who�s felt it knows that this is the hallmark symptom of sciatica. But did you know that there�s more to sciatica than just leg pain? And what about the best treatment�should you get plenty of rest or join boot camp? Get the answers with this slideshow. It�s your quick reference for all things sciatica�from what causes it to how to get rid of it.
Get the Answers to All Your Sciatica Questions
So What Exactly Is Sciatica?
Sciatica Isn�t A Condition, Disorder or Disease. Though the pain may certainly warrant such a title. Sciatica is actually a group of symptoms. It involves the sciatic nerve, which is the longest and largest nerve in your body. The sciatic nerve is made from several nerve roots in your spine that merge and travel through your buttocks. It then extends down to your knee, where smaller nerves branch out from it and travel to your feet. Sciatica occurs when the sciatic nerve is compressed or aggravated in some way. So what causes that? Read on to learn more.
I Have Sciatica�But How Did It Happen?
Have You Done A Lot Of Heavy Lifting Lately? Perhaps with poor posture? Heavy lifting can cause a disc in your low back to bulge or herniate, and that can pinch your sciatic nerve. Lumbar herniated discs are the most common cause of sciatica. Herniated discs aren�t caused only by heavy lifting�the effects of aging on your spine can also cause herniated discs.�Though a herniated disc is the most common sciatica cause, it isn�t the only one. Spinal stenosis, injury or trauma, and even pregnancy are other common culprits.
What Does Sciatica Feel Like?
You likely understand the pain of sciatica it can shoot from your low back down your legs, sometimes into your feet. Burning, numbness, and tingling are also common sciatica symptoms. You may find that sitting or walking can become painful chores�and even a cough or sneeze can cause your pain to flare up.
Where Does It Hurt?
Sciatica affects people in different ways depending on the root cause. Some have pain in their feet, while others have intense pain above the knee. That�s why you should not only pay special attention to what your symptoms are but also where they are. This will help your doctor understand what�s causing your sciatica and, in turn, recommend the best treatment.
Medications
In some cases, the only thing you need to reduce your sciatica pain is time and over-the-counter medication. To help reduce inflammation and pain, you�ll want to choose non-steroidal anti-inflammatory drugs (NSAIDs). Advil and Aleve are brand name examples of NSAIDs. You can also try alternating heat and cold packs.
Treating Sciatica Pain
How Do I Treat Sciatica at Home?�Stay Active
Bed rest might be best for a cold, but it won�t treat your sciatica any faster. In fact, it might slow down the healing process. Most studies support staying active with mild exercise. This doesn�t mean you should spend hours in a gym�that would only aggravate your sciatica. Think gentle stretches and soothing movements. Need a place to start? Watch our sciatica exercise video series.
What if At-home Treatments Don�t Work?
You should talk to your doctor. He or she may recommend prescription medications or epidural steroid injections to reduce pain and inflammation. Or you may want to consult with a chiropractor or physical therapist. These professionals use specific therapies and techniques to reduce your sciatica pain.
Should I Be Thinking about Surgery?
But if your pain just won�t go away�even after using a number of non-surgical treatments�then spine surgery might be the best option for you. Having surgery for sciatica is a big deal, so make sure you gather as much information as possible on your procedure and don�t be afraid to ask your doctor questions.
El Paso, TX. Chiropractor Dr. Alex Jimenez takes a look at driving and how it effects the spine.
Daily, nearly 90% of journeys and 92% of miles traveled are made in autos or ground transportation (buses, trucks). On average, guys drive 44 miles as well as girls drive 34 miles each day. For many Americans, driving a motorized road vehicle is their job: truck drivers, bus drivers, ambulance and fire trucks, police, taxis etc.
Modern car and truck layouts have come a long way in their own design over the past 20 years, with better fuel efficiency, better features, better styling and better relaxation. But is there any signs that the look of contemporary bus, car or truck seats and driving might play a part in causing a few of the back injuries that plague�Americans each year?
Exactly Why Is Driving Different To Ordinary Sitting?
In case your own car is not moving, then sitting in a driving seat probably isn’t substantially different to sitting in a chair that is cushioned, but as soon as the vehicle begins moving things change. Additionally, when driving the feet are actively being used, the right foot on the gas (accelerator) pedal, the left on the brake, and in a stick-shift also on the clutch. When the feet are active they can’t be utilized to support and stabilize the reduced body when they’re put on the floor during regular sitting in a chair, as usually occurs. There is evidence the blend of those variables, coupled with the look of the car seat itself, can increase the possibility of back problems for many people.
Is Driving Linked With Back Problems?
Lab studies have examined the effects of whole-body vibration when a person is sitting in a car seat. The lumbar spine has a natural resonant frequency of 4-5 Hz , and results show that this natural frequency can be excited by lab simulated vehicle driving, and this may result in high spinal loadings in the lower back, and also this in turn could result in greater postural distress and an increased hazard of low back pain and injury.
Quite a few research studies have investigated potential associations between back and driving problems, and usually these studies have found significant consequences.
Drivers in the USA and in Sweden found that in each country 50% of those questioned reported low back pain.�
Investigation of the potential reasons for this revealed that long term vibration exposure from driving was among the greatest risk factors for neck, back and low back problems.
Gender generally seems to play an important part in the possibility of developing driving-related back problems. A survey of over 7000 Parisians found that even though severity and the prevalence of low back pain was higher in women, driving was just connected with back problems in guys. The need for driving as a risk factor improved with driving time, and was especially important for guys who drove 4 hours or more each day.
A survey of over 1400 urban transportation system motorists showed that issues using the capacity to accurately adjust the seat that was driving have significant effects on the prevalence of low back problems.
Nevertheless, it appears that driving need not consistently raise the chance of back problems.
Is There An Ideal Car Seat Layout?
Based on a comprehensive evaluation of advice from peer-reviewed scientific journals and texts, automotive engineering reports, and also the National Library of Medicine a string of requirements for the best car seat layout have been developed. Ideally, the optimal car seat should have:
1. Adjustable seat back incline (100 degrees from horizontal is ideal)
2. Changeable seat bottom depth (from seat back to front edge)
3. Adjustable seat height
4. Flexible seat bottom incline
5. Seat bottom cushion with solid (dense) foam
6. Adjustable lumbar support (horizontally and vertically adjustable)
7. Depth pulsating lumbar support to lessen static load
8. Flexible bilateral arm rests
9. Flexible seat back incline (100-degrees from horizontal is optimal
10. Flexible head restraint with pad that is lordosis
11. Frequencies between 1- 20 Hz to dampen
12. Linear front-back seat traveling to allow otherwise sized drivers to reach the pedals
13. Seat back damped to reduce bouncing of the torso in rear end impacts
Driving Safety
What To Check For In A Great Car Seat Layout When You Buy The Next Car
It is likely that most automobiles available on the market today won’t have the features listed above that are desirable in the optimal car seat all, but some will have more than others pick wisely. Pay close focus on the subsequent 5 guidelines which should help you to protect your back when you drive.
1) Car Seat Comfort
You’ve fixed this to suit your body and when you sit in the car seat does it feel comfortable. Otherwise, you will be most likely caused by then the car seat rear discomfort issues should you drive for any length of time. Rebound up and down in the seat to find out the way that it adapts vibration. Take the automobile on a test drive.
2) Car Seat Adjustments
Can you correct each of the features of the car seat you want to adjust? At a minimum you need to have the ability to adapt:
Seat space to accommodate different leg lengths
Seat height to accommodate different leg lengths
Backrest angle to sit down in either an upright or more reclined posture
You Should�Look For Other Adjustments That Are Useful:
Seat tilt to angle the front of the seat down or up so that this does not press against the back of your knees
Look for a car seat that supplies you with great low back support that can be corrected for depth (frequently the seat has an inflatable cushion) and is height adjustable
Headrest for neck support
Arms rests which are broad, cushioned and comfortable, and preferably height flexible
3) Shift Your Position
Remember to go your position from time to time. Wait until driving conditions are right to enable you to wriggle in the seat to relieve postural fatigue.
4) Take Breaks
Driving is exhausting work and to prevent driver fatigue and minimize postural discomfort it is good move around and take to pretty frequent rest breaks that enable you to stand up.
You can select a number of car seat accessories that will enhance seat comfort for you personally, from fleece covers to soften the seat to bead backrests to provide for some type of back massage while you drive. Select anything you find adds to your driving comfort.
5) Seat Accessories
You’re able to pick a number of car seat accessories which will improve seat comfort for you personally, from fleece covers to soften the seat to bead backrests to provide for some sort of back massage while you drive. Choose anything you locate adds to your driving comfort.
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