by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Healthcare Providers, Spine Care
According to the National Institute of Occupational Safety and Health, or NIOSH, more than 24 percent of all injuries associated with the workplace and illnesses requiring individuals to miss days from work are due to back complications. As a matter of fact, healthcare workers have 4.5 times as many back injuries caused by overexertion than any other type of worker.
In addition, a performance improvement alliance consisting of more than 2,600 U.S. hospitals and more than 84,000 other healthcare sites known as Premier, national statistics demonstrated that six of the top ten professions with the highest chance for back injuries are nurse�s aides, licensed practical nurses, registered nurses, health aides, radiology technicians, and physical therapists. Among nurses, more than one one third of back complications are associated with the handling of patients and the frequency in which they are required to manually move patients. From a worldwide perspective, back injuries to nurses have a point prevalence of approximately 17 percent, an annual prevalence of 40-50 percent, and a lifetime prevalence of 35-80 percent.
These are only the accounted rates for reported incidents as many individuals working under healthcare jobs can experience back pain and other symptoms and never receive medical attention. Back complications are a world-wide issue as other studies from Greece, China, and Denmark have recently showed the relation between nurses and back injuries, to name a few.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Nurses provide a valuable service to many individuals but, at the end of the day, healthcare workers most often experience work-related injuries and symptoms that can affect the lifestyles of many nurses. In fact, healthcare workers have 4.5 times as many back injuries caused by overexertion than any other type of worker. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Fibromyalgia is one of the most common chronic pain conditions presently affecting many individuals. According to the American College of Rheumatology, approximately 1 in 50 Americans currently suffer from fibromyalgia. The condition can be challenging to properly diagnose and it can cause chronic symptoms which can last up to several months and even years. Fibromyalgia is commonly characterized by widespread body pain which may usually develop tenderness that can cause pain with the slightest amount of applied pressure.
Individuals who�ve been diagnosed with the condition have a variety of traditional and alternative treatment options available. Managing the symptoms of fibromyalgia through traditional approaches include anti-inflammatory prescriptions, sleep medications, and muscle relaxers. Many individuals generally prefer to use natural remedies instead of or in addition to traditional medications, such as vitamin therapy, acupuncture, and meditation. But, one of the most common treatments that people with fibromyalgia seek is chiropractic care. Chiropractic treatment offers many benefits towards relieving the condition and its painful symptoms.
The most challenging complication pertaining to individuals who suffer from fibromyalgia involves the constant and persistent pain, which can often affect the entire body for weeks or months. Despite initially seeking care for their symptoms, many individuals receiving chiropractic care for their fibromyalgia pain may experience overall health benefits as well.
Through chiropractic treatment, a chiropractor will focus on adjusting the spine and improving the body�s natural alignment by also providing a variety of soft tissue manual manipulations. Chiropractors can help individuals with the condition in order to reduce the painful pressure points usually associated with fibromyalgia. A variety of people diagnosed with fibromyalgia look for relief through chiropractic treatment options and find a decrease in the tender spots.
Chiropractors are also able to restore an individual�s natural range of motion by adjusting the body�s joints and helping them reduce their body�s stiffness as a result of the condition.�By working with a chiropractor to loosen the joints and manage the tender areas, individuals suffering from the condition can gradually begin to enjoy deeper sleep and stay asleep longer.�A treatment regimen should be built on a case-by-case basis designed to the specific needs of an individual.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
It�s important for individuals who are diagnosed with fibromyalgia to learn that there are many treatment options available to them for pain management. Chiropractic care is a valuable tool for treating the symptoms of fibromyalgia. For individuals who commit to their treatments, they will be able to experience the benefits of less pain, greater mobility, and better sleep. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Pain, stiffness, tenderness, and swelling in joints. Osteoarthritis most often affects the knees, hips, hands, and spine. Rheumatoid arthritis usually begins in small joints in the hands and feet, then spread to larger joints. In addition to pain and swelling, rheumatoid arthritis can cause fever, tiredness, and weight loss. If you have a type of knee arthritis in which the wear and tear is harming the middle of your joint � called medial-knee arthritis � special insoles could help. Lateral-wedge insoles are thinnest at your instep and yours widest at the outer edge of your foot, realigning your feet and your lower legs in a way that can reduce some of the twisting that wears down knee joints. Your doctor can tell you which type you have. Everything from genetics to joint injuries to age-related changes in cartilage-protecting enzymes plays a role. But there�s plenty of evidence that you can cut your risk significantly with the simple, proven strategies here.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Pain, stiffness, tenderness, and swelling in joints. Osteoarthritis most often affects the knees, hips, hands, and spine. Rheumatoid arthritis usually begins in small joints in the hands and feet, then spread to larger joints. In addition to pain and swelling, rheumatoid arthritis can cause fever, tiredness, and weight loss.��If you have a type of knee arthritis in which the wear and tear is harming the middle of your joint � called medial-knee arthritis � special insoles could help. Lateral-wedge insoles are thinnest at your instep and yours widest at the outer edge of your foot, realigning your feet and your lower legs in a way that can reduce some of the twisting that wears down knee joints. Your doctor can tell you which type you have. Everything from genetics to joint injuries to age-related changes in cartilage-protecting enzymes plays a role. But there�s plenty of evidence that you can cut your risk significantly with the simple, proven strategies here.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Integrative Functional Wellness, Integrative Medicine
Lt. Col. Scott Griffith, MD, and Army�s pain management consultant, quoted in a recent interview, �Chronic pain can be very challenging so we focus a lot on their functionality, being able to restore their function as well as bringing their pain down to the extent that we can. Even for people who cannot have their pain eliminated, many of them can have an improvement in the quality of their life.�
For military healthcare providers, managing acute and chronic pain has become a tremendous problem than ever before. In a June 2014 report in JAMA Internal Medicine, of 2,597 evaluated individuals, researchers found that 44 percent of troops experienced chronic pain symptoms after being deployed for combat while 15.1% of those individuals reported regularly using opioids. Furthermore, Veterans Affairs administrators gave a testimony before a Congress hearing that chronic pain was among the most common medical complication in veterans returning from the last decade of conflict. The frequent cause for chronic pain is due to musculoskeletal injury, which is usually unrelated to battlefield wounds. Causes for musculoskeletal injury include training and job performance with the use of increasingly heavy protective equipment as well as sports and recreation.
The challenge for federal medicine providers still lies on relieving chronic pain symptoms among active duty military members and veterans while also decreasing the chance of opioid addiction and abuse among individuals. In 2003, the Defense & Veterans Center for Integrative Pain Management (DVCIPM) was established to support and regulate pain research and education as well as improving pain management methods. Six years later, the Army surgeon general organized a pain task force membership that included representatives from military services, TRICARE and VHA, to give guidance and approval for a comprehensive pain management strategy. That same task force distributed a report in May 2010 recommending the military to use a holistic, multimodal and multidisciplinary approach to pain management, including complementary and alternative medicine.
Through the project, the VA will analyze the extent and cost-effectiveness of complementary and alternative medicine utilization among veterans being treated at the Veterans Affairs Medical Clinics for musculoskeletal disorder-related pain and other related conditions. On a wider spectrum, changes in drug development are giving clinicians other means to helping active-duty service members and veterans as well as others avoid opioid addiction.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Both acute and chronic pain relating to trauma from an injury, have constantly been a common complication among troops. Fortunately, in recent years, efforts by the United States Department of Defense and Veterans Affairs officials to solve the issue of pain among active duty service members and veterans have started offering a larger variety of non-drug alternative methods. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Fibromyalgia symptoms are presumed to occur subsequently from physical or emotional trauma where there�s been considerable psychological stress, after surgery, or as a result of an infection. In several cases, the symptoms can also progressively accumulate over time without a single event to trigger them. The widespread pain that most frequently accompanies fibromyalgia sufferers can be described as a continuous, dull ache which has lasted for a minimum of three months.
Other symptoms for fibromyalgia include fatigue, where the individual awakes feeling tired despite sleeping for long periods of time, restless leg syndrome or sleep apnea as a result of an interrupted sleep, cognitive difficulties, and other complications, such as depression, headaches and pain or cramping in the lower abdomen.
For years, traditional pain relievers such as non-steroidal anti-inflammatory drugs and the opioids like Morphine, have been used as a form of treatment for fibromyalgia but due to the drug�s high probability of dependency as a source for pain and symptom relief, especially over long term use, opioids are not recommended by any current guidelines for the treatment of fibromyalgia symptoms. Fibromyalgia is not a fatal or terminal disease but its symptoms of chronic pain where the pain can recur throughout an individual�s lifetime can often be a common reason for drug abuse and addiction.�Despite the absence of recommendations and studies that prove the benefit of opioids in fibromyalgia, currently about 30% of Canadian and American patients with fibromyalgia report to using opioids for pain relief.�
Studies have shown that individuals who use and abuse opioids tend to have more severe pain, a more severe impairment in daily functioning as well as the presence of mood disorders compared to those who did not use opioids.�Several alternatives for treating the symptoms of fibromyalgia include physical therapy and chiropractic care to relieve chronic pain naturally.�
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Fibromyalgia is a well-known condition characterized by widespread musculoskeletal pain that usually follows with fatigue as well as sleep, memory and mood complications. While there are currently no known causes and no known cures for the condition, many individuals who suffer from this painful disorder can often be misunderstood. Researchers believe that fibromyalgia heightens pain sensations by altering the way the brain processes pain signals. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
The Foundation for Chiropractic Progress (F4CP) outlined the inclusion of chiropractic services by the U.S. Department of Veterans Affairs (VA) as a portion of the standard medical benefits package which has been provided to all eligible veterans for approximately 10 years. Researchers from the VA Connecticut Healthcare System published a study in the Journal of Manipulative and Physiological Therapeutics, conducted to demonstrate the substantial growth in the utilization of chiropractic services and the chiropractic workforce in the VA within a decade. According to the new study, the annual number of chiropractic visits increased by roughly 700 percent, indicating that more veterans have increased access to chiropractic care then ever before.
The lead author of the study, Anthony J. Lisi, CD, Director of the Veterans Affairs Chiropractic Program and Chiropractic Section Chief at the Veterans Affairs Connecticut Healthcare System, stated, �Our work shows that the VA has steadily and substantially increased its use of chiropractic services each year following their implementation in late 2004.� He added, �VA chiropractic care evidence-based, patient-centered treatment options that are in demand by veterans and referring providers. VA continues its efforts to ensure appropriate access to chiropractic care across the whole system, but as this study shows, the progress to date has been remarkable.�
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
For about a decade now, the U.S. Department of Veterans Affairs has included chiropractic services as a part of the standard medical benefits package for eligible veterans. Annually, there’s been a recorded increase in the number of chiropractic visits, suggesting the VA values chiropractic treatment as a portion of their treatment options available to many veterans and active duty military members alike. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Veterans
Many clinicians at the VA frequently argue whether chiropractic treatment methods, such as spinal adjustments and manual manipulations, are actually effective towards improving injuries and conditions causing chronic back pain. A new research was conducted to determine the effects chiropractic care had with chronic pain symptoms. While the study concluded that spinal adjustments and manual manipulations were similarly as effective as placebo for pain relief, the study did find that individuals demonstrated an increased improvement in disability at 12 weeks after receiving consistent chiropractic treatment, according to a report published in the journal, �Geriatric Orthopedic Surgery & Rehabilitation�.
With the contribution of Paul Dougherty, DC, a staff chiropractor at the Canandaigua VA Medical Center in upstate New York, the authors of the study described that the almost identical improvements between the individuals of the different study groups suggested the presence of a non-specific therapeutic effect from the treatments.
For the study, researchers classified 136 veterans, 65 years old or older, with lower back pain whom had never received chiropractic treatment. The individuals were then divided into two separate groups, with 69 of the veterans receiving spinal adjustments and manual manipulations.
Dougherty explained, �spinal manipulative therapy, or SMT, is where you take a joint to its end range. When you crack your knuckles and squeeze them together, you hear the pop. That pop is the joint changing pressure. SMT is basically doing that, taking a joint that isn�t moving enough and trying to maneuver it to where it moves normally again and changes pressure.�
The other 67 veterans participating in the study were enrolled in a procedure known as sham intervention, where a water-based ultrasound gel is spread across the lower back while the individuals lay face down, followed by the chiropractor rubbing a detuned ultrasound machine across the affected area for approximately 10 minutes. The ultrasound machine made noise but did not transmit any sound waves.
Additionally, the participating veterans from both groups were given an educational pamphlet from the Arthritis Foundation on different varieties of back pain and other symptoms.
After four weeks of twice-a-week treatment, the individuals were evaluated on the fifth week to rate their pain on a standardized scale. Both groups showed comparable pain improvement. Paul Dougherty explained that pain is perception-based, originating equally from the mind as it does from the body, but that disability is a better measure of effectiveness. Dougherty quoted, �Twice a week for four weeks, we met with these patients. We talked to them about their pain. They were touched in a caring and meaningful way. It comes down to this: If people believe they�re going to get better, it changes the way they thing about pain.�
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
For many veterans, since the introduction of chiropractic care as a part of their Medical Benefits Package, their disabilities caused by injuries or conditions as a result of their military service have been effectively improved through the use of spinal adjustments and manual manipulations. In a recent study, chiropractic treatment demonstrated an improvement in veterans disabilities after consistent treatment. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.�
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