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Posture

Back Clinic Posture Team. Posture is the position in which an individual holds their body upright against gravity while standing, sitting, or lying down. A proper posture visually reflects an individual’s health, ensuring the joints and muscles, as well as other structures of the body, are working properly. Throughout a collection of articles, Dr. Alex Jimenez identifies the most common effects of improper posture as he specifies the recommended actions an individual should take to improve their stance as well as enhance their overall health and wellness. Sitting or standing incorrectly can happen unconsciously, but recognizing the issue and correcting it can ultimately help many individuals develop healthier lifestyles. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 850-0900.


Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Relieve Lower Back and Hip Pain with Squats, Core Exercises, and Chiropractic Care at El Paso Back Clinic®

Many people in El Paso suffer from lower back pain and hip discomfort due to daily activities, work demands, injuries, or long-term issues. These problems often stem from muscle strains, poor posture, tight hips or glutes, and weak supporting muscles. At El Paso Back Clinic® in El Paso, TX, we specialize in helping patients overcome these challenges through personalized chiropractic care, rehabilitation, and safe exercises.

Squats and core exercises, performed correctly, strengthen the muscles that support the spine, improve alignment, and enhance hip mobility. This reduces stress on the back during movement. They are effective for chronic low back pain, mild sciatica, and general aches from weak muscles. Proper form is essential—sharp pain, numbness, or weakness means you should seek professional evaluation first.

Dr. Alex Jimenez - Doctor of Chiropractic | El Paso, TX Back Clinic

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Why Lower Back and Hip Pain Often Occur Together

The lower back and hips are closely connected through shared muscles, joints, and nerves. Tight hips or glutes can tug on the back, leading to strain. Weak core muscles cause spinal instability and poor posture, leading to chronic pain.

  • Muscle imbalances force the back to overcompensate in everyday tasks.
  • Reduced hip mobility leads to excessive forward leaning, stressing the lower back.
  • Problems in ankle or upper back mobility contribute further.

These factors can result in lumbar instability or pain radiating from the hips to the back.

How Squats Benefit Lower Back and Hip Conditions

Squats strengthen the legs, glutes, and core. With proper technique, they relieve pressure from the lower back.

Proper squats maintain a neutral spine and engaged core, providing stability and minimizing lumbar strain. Activating core and hip muscles during squats supports the spine, preventing excessive arching or rounding.

Squats also increase hip mobility. Tight hip flexors are a common cause of back pain during deeper squats. Improved flexibility allows the hips to function better, sparing the back from overload.

  • Builds glutes and legs for stronger spinal support.
  • Enhances blood flow and reduces inflammation in the area.
  • Aids mild pain that improves with gentle activity.

Research supports that the correct form reduces risks associated with squats.

Core Exercises: A Key to Back and Hip Relief

Core exercises focus on deep muscles in the abdomen, back, and pelvis, acting as a natural spinal brace.

Strong core muscles enhance posture and balance, easing the load on spinal discs and preventing persistent pain from inadequate support. Studies show core stability exercises effectively reduce non-specific low back pain and improve function.

Core training also supports hip pain by stabilizing the pelvis, which is beneficial for conditions like arthritis or glute tightness.

  • Planks and bird-dogs develop endurance in stabilizing muscles.
  • Pelvic tilts and bridges safely activate deep muscles.
  • Standing core activities help relieve pain from prolonged sitting.

Evidence indicates that core exercises often outperform general workouts in reducing pain.

Mastering Proper Form for Safe Squats and Core Work

Incorrect squat form is a leading cause of lower back pain. Frequent mistakes include back rounding, knee collapse, or excessive weight.

Safe squat guidelines:

  • Position feet shoulder-width apart, toes slightly turned out.
  • Engage your core as if bracing for impact.
  • Hinge at the hips, keep the chest high, and descend until the thighs are parallel to the ground.
  • Drive up through heels, maintaining a neutral spine.

For core exercises, prioritize controlled movement. Hold planks straight with tight abs—avoid dipping or arching.

Begin with bodyweight versions and always warm up to boost circulation and lower injury risk.

Pain during squats typically indicates a weak core, tight hips, or mobility deficits. Address these with targeted stretches and progressive loading.

When Exercises Are Helpful and When to Get Professional Care

Squats and core exercises support:

  • Chronic low back pain from muscle weakness.
  • Mild sciatica by decreasing nerve pressure.
  • Hip tightness referring pain to the back.
  • Posture-related daily discomfort.

They foster long-term resilience and prevent compensatory back strain. Halt immediately if experiencing severe pain, numbness, weakness, or loss of balance—these may indicate serious conditions such as a disc herniation.

Consult a provider before beginning, especially if you have pre-existing injuries.

Integrative Care at El Paso Back Clinic®

At El Paso Back Clinic®, Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads a team that delivers comprehensive, integrative chiropractic and wellness care for lower back and hip pain. Our approach combines squats and core exercises with chiropractic adjustments, spinal decompression, physical therapy, functional medicine, and rehabilitation programs.

Chiropractic adjustments correct misalignments and joint dysfunctions. A reinforced core helps maintain these corrections by enhancing spinal stability.

Dr. Jimenez creates tailored plans that address root causes through evidence-based protocols, drawing on over 30 years of experience in complex injuries, sciatica, and chronic pain. This multidisciplinary method often yields superior, sustained results compared to isolated treatments.

Visit our main location at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or call (915) 850-0900 to schedule your consultation.

Beginner Exercises to Try Under Guidance

Start with these fundamentals, supervised by our team:

  • Bodyweight Squats: 3 sets of 10-15 repetitions, emphasizing technique.
  • Glute Bridges: Lie on your back, and elevate your hips by engaging your glutes.
  • Bird-Dog: On hands and knees, extend opposite arm and leg while bracing core.
  • Planks: Maintain position for 20-30 seconds, gradually increasing duration.
  • Pelvic Tilts: On the back, press the lower back into the floor via a pelvic tilt.

Incorporate 2-3 sessions weekly. Include hip mobility work and advance gradually.

Regain Comfort and Mobility Today

At El Paso Back Clinic®, squats and core exercises form integral components of our rehabilitation strategies for lower back and hip pain. They fortify stabilizing muscles, correct alignment, and promote mobility to manage strains, poor posture, instability, and tightness.

Combined with expert chiropractic and integrative care under Dr. Alexander Jimenez, they deliver lasting strength and relief.

Reach out to El Paso Back Clinic® today. Our team will assess your needs and develop a customized plan for optimal recovery.


References

Burstein, I. (n.d.). The power of core strength: How a strong core enhances chiropractic adjustments. https://www.ilanbursteindc.com/the-power-of-core-strength-how-a-strong-core-enhances-chiropractic-adjustments

Cary Orthopaedics. (n.d.). Reduce low back pain with strong core. https://caryortho.com/reduce-low-back-pain/

El Paso Back Clinic®. (n.d.). Home. https://elpasobackclinic.com/

Harvard Health Publishing. (2011). Strengthening your core: Right and wrong ways to do lunges, squats, and planks. https://www.health.harvard.edu/blog/strengthening-your-core-right-and-wrong-ways-to-do-lunges-squats-and-planks-201106292810

Healthline. (n.d.). Lower back pain when squatting: Causes and treatments. https://www.healthline.com/health/back-pain/lower-back-pain-when-squatting

Jimenez, A. (n.d.). Injury specialists. https://dralexjimenez.com/

Mauger Medical. (n.d.). A combined approach to back pain treatment. https://www.drmauger.com/blog/posts/a-combined-approach-to-back-pain-treatment

Redefine Your Pain. (n.d.). Does squatting help or hurt lower back pain?. https://redefineyourpain.com/does-squatting-help-or-hurt-lower-back-pain/

Shamsi, M., et al. (2022). A systematic review of the effectiveness of core stability exercises in patients with non-specific low back pain. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC9340836/

Squat University. (2018). Core training: Bridging rehab to performance. https://squatuniversity.com/2018/11/01/core-training-bridging-rehab-to-performance/

When You Don’t Stretch: What Happens to Your Body

When You Don’t Stretch: What Happens to Your Body

When You Don’t Stretch: Why Muscles Get Stiff, Movement Gets Harder, and Injuries Become More Likely

When You Don’t Stretch: What Happens to Your Body

A patient with chronic back pain does targeted stretches.

If you rarely stretch, your body can start to feel “tight,” which can change how you move. Many people notice they can’t bend, twist, squat, reach overhead, or turn their head as easily as they used to. Over time, this can affect your flexibility, your range of motion (how far a joint can move), and how smooth and efficient your daily movements feel.

At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, often explains this: when mobility decreases, the body starts to “compensate.” That means you move around a stiff area instead of through it, and those workarounds can build up stress in nearby joints and muscles (Jimenez, n.d.-a). This is one reason people can develop recurring back pain, neck stiffness, hip tightness, or shoulder irritation even without a single big injury.


What “Muscle Stiffness” Really Means

Muscle stiffness usually feels like tightness, soreness, or difficulty moving. It can happen after overuse, after you’ve been still for a long time, or when your muscles stay “stuck” in a more contracted state (Tarantino, 2025). Osmosis

Osmosis notes that stiffness can appear after a long period of minimal motion (such as bed rest or inactivity) or after new exercise that causes temporary muscle cell damage (Tarantino, 2025). Osmosis

Key idea: When your body doesn’t move a joint through its normal range often enough, the muscles and tissues around it can start to feel restricted. That restriction can make normal tasks think harder than they should.


Do Muscles Actually “Shorten” If You Don’t Stretch?

You’ll hear people say, “If you don’t stretch, your muscles will shorten.” That statement is partly true, but it needs context.

Adidas explains that the word “shorten” can be misleading: for most people, it feels like shortening because mobility and flexibility decrease when stretching is skipped, even if the muscle is not literally shrinking in everyday life (Adidas, 2025). adidas

Harvard Health adds an important clarification: without regular stretching, muscles can become tight, and when you need them for activity, they may not extend fully, increasing the risk of joint pain, strains, and muscle damage (Harvard Health Publishing, 2024). Harvard Health

So the practical takeaway is simple:

  • Skipping stretching often leads to less mobility and flexibility

  • Tight muscles can reduce how far joints can move

  • Tight muscles can make injuries more likely when you suddenly “ask more” of your body


How Tight Muscles Reduce Range of Motion

Range of motion (ROM) is the movement around a joint or body part. When ROM is limited, you can’t move that body part through its usual, healthy motion (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic explains how tightness—especially in areas like the hips and ankles—can reduce ROM and limit potential for form and strength. When posture and form are compromised, pain and injury risk can rise (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

What limited ROM can look like in real life

You might notice:

  • You can’t turn your head fully when driving

  • You bend from your lower back instead of your hips

  • You can’t squat without your heels lifting

  • Your shoulders feel “pinched” when reaching into a cabinet

  • Your hamstrings feel tight when you try to walk fast

And here’s the tricky part: your body still gets the job done—just with more strain.


Why Stiffness Can Raise Injury Risk

Harvard Health explains that tight muscles may be more easily damaged when they are suddenly stretched during strenuous activity (Harvard Health Publishing, 2024). Harvard Health

That’s why injuries often show up in moments like:

  • A weekend game after sitting all week

  • A sudden sprint to catch something

  • Lifting a heavy box with “cold” hips and hamstrings

  • A long drive followed by quick unloading or bending

Mayo Clinic also notes that better flexibility can help joints move through full ROM and may decrease injury risk, while emphasizing that stretching must be done correctly (Mayo Clinic Staff, n.d.). Mayo Clinic


Common Reasons People Stop Stretching (And How to Fix Them)

Most people don’t skip stretching because they don’t care. They skip it because it feels confusing, time-consuming, or uncomfortable.

Common barriers

  • “I don’t have time.”

  • “Stretching hurts.”

  • “I’m not flexible, so it doesn’t work for me.”

  • “I only need stretching if I work out.”

Better, more realistic reframes

  • You only need 5–10 minutes a few times a week to start seeing benefits (Mayo Clinic Staff, n.d.). Mayo Clinic

  • Stretching should create tension, not pain (Mayo Clinic Staff, n.d.). Mayo Clinic

  • Flexibility improves over weeks to months, not days (Harvard Health Publishing, 2024). Harvard Health

  • Stretching supports everyday movement, not just workouts (Harvard Health Publishing, 2024). Harvard Health


Safe Stretching Basics (So You Don’t Make Things Worse)

This matters: stretching done poorly can backfire.

Mayo Clinic recommends:

  • Don’t stretch cold muscles—warm up 5–10 minutes first

  • Don’t bounce

  • Hold stretches about 30 seconds (longer for problem areas)

  • Don’t stretch into pain (Mayo Clinic Staff, n.d.). Mayo Clinic

The American Heart Association adds:

  • Stretch when muscles are warm

  • Hold 10–30 seconds and repeat 3–5 times

  • Stretch slowly and smoothly (American Heart Association, 2024). www.heart.org

Quick safety checklist

  • Warm up first (easy walk, gentle movement)

  • Move slowly

  • Breathe

  • No bouncing

  • Stop if you feel sharp pain, numbness, or joint pain


A Simple 10-Minute Daily Stretch Routine for Real Life

This is designed for normal adults: busy schedules, stiff hips, tight neck, and lots of sitting.

Step 1: Warm up (1–2 minutes)

  • Walk around the house

  • March in place

  • Gentle arm circles

Step 2: Do these 6 stretches (about 8 minutes total)

1) Hip flexor stretch (1 minute each side)
Helps if you sit a lot and feel tight in the front of your hips.

2) Hamstring stretch (1 minute each side)
Harvard points out that tight hamstrings from sitting can limit how well you extend your leg and support walking mechanics (Harvard Health Publishing, 2024). Harvard Health

3) Calf stretch (45 seconds each side)
Helpful for ankle mobility, walking, and squatting mechanics.

4) Chest opener (45 seconds)
Stand in a doorway and gently open the chest to reduce rounded-shoulder posture.

5) Upper back reach (45 seconds)
Hug yourself and gently pull your shoulder blades apart.

6) Neck side stretch (30 seconds each side)
Gentle only—never crank your neck.

Step 3: Add “micro-mobility” during your day (optional but powerful)

  • Stand up every hour for 30–60 seconds

  • Do 5 bodyweight squats to a chair

  • Do 10 shoulder rolls

  • Take a 3-minute walk after meals

These small habits often matter as much as one long stretch session.


Stretching After Workouts: What You Should Know

Adidas explains the difference clearly:

  • Dynamic movement is best before workouts (prepares your body)

  • Static stretching is typically better after workouts, when you’re warm (Adidas, 2025). adidas

Mayo Clinic also cautions that stretching cold muscles can increase injury risk and notes that some intense activities may not benefit from heavy stretching right before performance (Mayo Clinic Staff, n.d.). Mayo Clinic

A balanced approach

  • Before exercise: warm up + dynamic mobility

  • After exercise: gentle static stretching + breathing

  • On rest days: short, consistent flexibility routine


When Stiffness Is a Sign You Need More Than Stretching

Sometimes the problem is not just “tight muscles.” You may have:

  • Joint restrictions that block movement

  • Spine or pelvis alignment issues affecting mechanics

  • Inflammation around a joint

  • Pain patterns that keep muscles “guarded”

  • A nerve-related problem (numbness, tingling, weakness)

El Paso Back Clinic notes that limited ROM in areas like the back, neck, or shoulders can be linked to the body being out of natural alignment, repetitive motions, or wear and tear (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

If stretching doesn’t help—or makes symptoms worse—it’s smart to get assessed.


The El Paso Back Clinic Approach: Integrative Chiropractic + Nurse Practitioner Support

This is where integrative care can be a game-changer: you’re not only “stretching more,” you’re also finding out why you’re tight and building a plan that fits your body.

What chiropractic care can add

El Paso Back Clinic describes a “restoration” approach that may include:

  • Soft tissue work (to reduce tightness and improve circulation)

  • Adjustments (to address misalignments and support mobility)

  • Targeted exercises and stretches to help maintain improvements (Jimenez, n.d.-b). El Paso Back Clinic® • 915-850-0900

What an NP can add

Nurse practitioners are advanced practice clinicians who assess, diagnose, and treat illnesses and injuries and support chronic condition management (American Nurses Association, n.d.). ANA
Healthgrades also describes NPs performing screenings and physical exams, ordering lab work, documenting care, and diagnosing certain conditions (Prosser, 2025). Healthgrades Resources

Why the combo helps stiffness and pain

Together, a chiropractor + NP team can:

  • Screen for red flags (nerve symptoms, systemic issues)

  • Decide when imaging or labs are appropriate

  • Build a movement plan that matches your pain level

  • Address sleep, stress, inflammation, and recovery habits

  • Track progress using measurable goals (like ROM improvements)

Dr. Jimenez’s Mobility & Flexibility materials emphasize that “great mobility” supports functional movement without ROM restrictions and that people who don’t stretch often may experience stiffened muscles that reduce effective movement (Jimenez, n.d.-a). El Paso Back Clinic® • 915-850-0900


Red Flags: When to Stop Stretching and Get Checked

Call a clinician promptly if you have:

  • Numbness, tingling, or weakness in an arm/leg

  • Loss of balance, clumsiness, or trouble walking

  • Severe pain that doesn’t improve

  • Pain after trauma (car accident, fall, sports collision)

  • Fever, unexplained swelling, or sudden intense stiffness

Muscle stiffness can sometimes be related to underlying medical issues, and diagnosis may require an exam and follow-up testing, depending on the cause (Tarantino, 2025). Osmosis


The Bottom Line

If you don’t stretch regularly, it’s common to feel tighter and less mobile over time. That stiffness can reduce range of motion, make daily tasks harder, and increase your risk of injury when you suddenly push your body. The good news is that you don’t need extreme flexibility. You need consistent, safe mobility work—and when required, professional support to restore movement and reduce pain.

A practical plan usually includes:

  • Small daily stretching habits

  • Better warm-ups and recovery routines

  • Strength + mobility (not stretching alone)

  • Integrative evaluation when pain, ROM loss, or repeated flare-ups keep returning


References

Real-Life Posture Rehab for a Stronger Spine

Real-Life Posture Rehab for a Stronger Spine

Real-Life Posture Rehab: How El Paso Back Clinic Helps You Move Better Every Day

Real-Life Posture Rehab for a Stronger Spine

Move around and change posture positions throughout the day.

Improving posture is one of the fastest ways to feel stronger, breathe easier, and protect your spine—especially if you live with long commutes, heavy work, or hours at a desk, like many people in El Paso. At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, and his team see every day how targeted physical activity, along with integrative chiropractic and nurse practitioner (NP) care, can turn slouching and stiffness into confident, upright movement. El Paso, TX Doctor Of Chiropractic+1

This article explains, in simple language:

  • What good posture really is

  • Recommended physical activities and exercises to enhance posture

  • How yoga, Pilates, and mind-body practices improve alignment

  • Easy desk and “tech neck” fixes

  • How integrative chiropractic care supports posture

  • How nurse practitioners help with medical, ergonomic, and lifestyle support

  • How the El Paso Back Clinic combines all of this in real-world care


What “Good Posture” Means (and Why It Matters in Daily Life)

Good posture means your body is stacked in a natural, balanced way:

  • Ears over shoulders

  • Shoulders over hips

  • Hips over knees and ankles

  • Spine holding its natural curves (neck, mid-back, low back)

When posture is poor—like slouching over a phone or leaning forward at a desk—stress builds up in your neck, shoulders, and back. Over time, this can lead to:

  • Chronic neck and back pain

  • Tension headaches

  • Fatigue and shallow breathing

  • Tight hip flexors and weak glutes

  • Early joint wear and tear

Research and clinical guides show that specific exercises and posture-friendly habits can reduce pain and improve alignment by strengthening postural muscles and keeping you moving throughout the day. Healthline+2Harvard Health+2

At El Paso Back Clinic, Dr. Jimenez often reminds patients that posture is not about “standing stiff.” It is about a strong, relaxed, and mobile spine that can handle work, sports, and life in the desert heat. El Paso, TX Doctor Of Chiropractic+1


Core Principles of Posture-Focused Exercise

Most effective posture plans share the same core goals:

  • Strengthen the core and back—so your spine has solid support

  • Activate glutes and shoulders—to counter slumping and hip stress

  • Improve flexibility—especially in chest, hip flexors, and hamstrings

  • Train body awareness—so you notice and correct slouching

  • Add low-impact cardio—to boost circulation and recovery

Think of Your Program in Simple Pieces

Try to include each week:

  • 2–3 days of core and back strengthening

  • 2–3 days of mobility and stretching

  • 2–4 days of low-impact cardio like walking or swimming

  • Daily micro-breaks from sitting or driving

That may sound like a lot, but many of these can be done in 10–20 minute blocks and woven into your normal day.


Foundational Strength Exercises for Better Posture

Many posture programs start with bodyweight moves you can do at home—no machines, no fancy equipment. Sources on physical therapy and spine health support these exercises. Healthline+2Primal Physical Therapy+2

Planks (Front and Side Planks)

Why they help:
Planks strengthen your deep core, shoulders, and glutes. A strong core keeps your spine from sagging or arching too much.

Basic front plank:

  • Start on your forearms and toes

  • Keep your body in a straight line from head to heels

  • Gently pull your belly toward your spine

  • Hold 20–30 seconds, rest, repeat 2–3 times

Side planks add extra stability for your sides and hips, which support upright posture. Woodlands Sports Medicine

Bird-Dog

Why it helps:
Bird-dog builds core and back strength while training balance and control.

How to do it:

  • Start on hands and knees

  • Extend your right arm forward and left leg back

  • Keep your hips level; don’t twist

  • Hold 3–5 seconds, then switch sides

  • Do 8–10 reps per side

Physical therapists often use this exercise to improve posture and relieve back pain. Primal Physical Therapy+1

Glute Bridges

Why they help:
Bridges work the glutes and hamstrings and relieve stress on the lower back.

  • Lie on your back, knees bent, feet flat

  • Press through your heels and lift your hips

  • Squeeze your glutes at the top

  • Hold 3–5 seconds, then lower

  • Repeat 10–15 times

Strong glutes help balance tight hip flexors from long periods of sitting, which is very common among drivers and office workers in El Paso. Primal Physical Therapy+1

Superman Exercise

Why it helps:
The Superman move targets the “posterior chain,” the muscles along the back of your body that help prevent slouching. Woman & Home

  • Lie face down

  • Lift your chest, arms, and legs slightly off the floor

  • Hold briefly and lower with control

  • Start with 5–8 reps

This move is especially useful if you sit a lot or look down at screens, as it helps your back muscles stay active.

Rowing Movements (Bands or Dumbbells)

Why they help:
Rowing exercises strengthen the upper back and shoulder stabilizers that pull your shoulders back.

  • Use a resistance band or light dumbbells

  • Pull your elbows back and squeeze your shoulder blades together

  • Avoid shrugging your shoulders toward your ears

  • Do 2–3 sets of 10–15 reps

Row-type motions are commonly recommended in posture rehab plans. Primal Physical Therapy+1


Mobility and Stretching: Releasing the “Posture Brakes”

If strength is the “engine,” tight muscles are the “brakes.” You need both to work well. Stretching and mobility exercises help open areas that tend to tighten up, such as the chest, neck, hips, and upper back. Illinois Back Institute+1

Key Posture Stretches

  • Chest Opens / Doorway Stretch

    • Stand in a doorway with your forearms on the frame

    • Gently lean forward until you feel a stretch across your chest

    • Hold 20–30 seconds

  • Chin Tucks barringtonortho.com+1

    • Sit or stand tall

    • Gently slide your chin straight back (like a mini “double chin”)

    • Hold 3–5 seconds

    • Repeat 10 times

  • Cat-Cow

    • On hands and knees

    • Slowly round your back toward the ceiling, then gently arch it

    • Move with your breath for 8–10 cycles

  • Hip Flexor Stretch

    • In a half-kneeling position, gently shift your hips forward

    • Keep your torso upright; avoid over-arching your back

    • Hold 20–30 seconds on each side

These stretches are simple but powerful when done daily—especially if you spend long hours driving I-10 or sitting at a workstation in El Paso. Illinois Back Institute+1


Mind-Body Practices: Yoga, Pilates, and Tai Chi

Mind-body exercises are excellent for posture because they combine strength, flexibility, and body awareness.

Yoga for Alignment and Awareness

Yoga routines often include:

  • Mountain Pose (Tadasana)—teaches what upright alignment feels like

  • Child’s Pose and Cat-Cow – gently move and decompress the spine

  • Bridge Pose – strengthens glutes and back

  • Chest opener poses—counter phone and computer hunching

Research-based guides show yoga can improve postural muscle endurance and help people become more aware of how they carry themselves. Healthline+1

Pilates for Core Control

Pilates focuses on:

  • Deep core strength

  • Controlled breathing

  • Smooth, precise movements

Many physical therapy and rehab programs use Pilates-style exercises to support spinal alignment and postural stability. Primal Physical Therapy+1

Tai Chi for Balance and Relaxed Upright Posture

Tai chi uses slow, flowing movements with calm breathing. It helps:

  • Improve balance and coordination

  • Encourage relaxed, upright posture

  • Reduce stress and muscle guarding

Chiropractic resources often recommend swimming, walking, yoga, and tai chi as ideal companions to chiropractic care. Muscle and Joint Chiropractic+1


Everyday Physical Activities That Support Posture

You don’t have to become a gym athlete to help your posture. Many everyday activities, done with good form, support a healthier spine.

Helpful posture-friendly options include:

  • Walking:

    • Encourages natural spinal motion

    • Easy to fit into breaks or evenings

  • Swimming:

    • Full-body, low-impact workout

    • Strengthens back and shoulder muscles with less joint stress

  • Dancing:

    • Builds coordination and body awareness

    • Helps you practice an upright chest and an active core

  • Cycling (with proper bike fit):

    • Strengthens hips and legs

    • Supports overall fitness and endurance

Clinics that treat back pain often highlight walking and swimming as key activities for long-term spinal health. Illinois Pain & Spine Institute+1


Desk, Phone, and “Tech Neck”: Quick Fixes You Can Actually Use

Long hours on a computer or phone are a major reason posture has become such a problem. Harvard Health and orthopedic clinics stress the importance of frequent movement breaks and simple desk exercises. Harvard Health+2barringtonortho.com+2

Desk-Friendly Posture Break Routine

Try this mini-routine a few times each day:

  • Chin tucks – 10 reps

  • Shoulder blade squeezes – hold 5 seconds × 10 reps

  • Seated Cat-Cow – 5–10 slow breaths

  • Forward fold stretch next to your desk—hold 20–30 seconds

Simple Ergonomic Tips

  • Keep feet flat on the floor

  • Hips and knees are near 90 degrees

  • Screen at or just below eye level

  • Use a small lumbar support or rolled towel behind your low back

  • Stand and walk at least every 30–60 minutes

Recent expert tips also support using standing desks, wireless headphones for “walking meetings,” and light resistance bands at your station to keep postural muscles awake. Harvard Health+1


How Integrative Chiropractic Care at El Paso Back Clinic Supports Posture

Chiropractic care focuses on the spine, joints, and nervous system. Integrative chiropractic care goes further, combining adjustments with corrective exercises, lifestyle coaching, and medical input from NPs. Advanced Spine & Posture+1

What a Posture-Focused Chiropractic Visit Often Includes

At El Paso Back Clinic, a posture evaluation usually involves: El Paso Back Clinic® • 915-850-0900+1

  • Posture and movement exam

    • Checking head position, shoulder level, spinal curves, and gait

  • Spinal and extremity adjustments

    • Gentle, specific forces to restore joint motion and alignment

  • Soft-tissue work

    • Releasing tight muscles and fascia that pull you out of alignment

  • Corrective exercises

    • Planks, bridges, bird-dogs, rows, and targeted stretches

  • Ergonomic and lifestyle coaching

    • Coaching for desk work, lifting, driving, and sleep positions

Studies and clinical reports note that regular chiropractic adjustments can:


The Nurse Practitioner’s Role in Supporting Posture

At El Paso Back Clinic, Dr. Jimenez works not only as a chiropractor but also as a board-certified family nurse practitioner, which provides a broader, medically informed perspective on posture-related problems. El Paso, TX Doctor Of Chiropractic+1

A nurse practitioner can:

  • Review your full medical history

    • Identify arthritis, osteoporosis, nerve issues, or autoimmune conditions that affect posture.

  • Order and interpret imaging and labs

    • X-rays, MRIs, and blood work when appropriate

  • Prescribe or adjust medications

    • Short-term pain or muscle-relaxant use when necessary

  • Coordinate referrals

    • Physical therapy, pain management, and surgical consults if needed

  • Give lifestyle and ergonomic counseling

    • Weight management, sleep, stress, and work setup

  • Use telemedicine for follow-up

    • To keep you on track with your exercise and pain management plan

This integrative model makes it easier to catch red flags early, adjust plans safely, and provide each patient with a personalized path rather than a one-size-fits-all list of exercises.


How Dr. Alexander Jimenez Combines Physical Activity, Chiropractic Care, and NP Expertise

With decades of experience in personal injury, sports, and functional medicine, Dr. Jimenez has seen the same pattern again and again: posture improves the most when hands-on care, smart exercise, and patient education are combined. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

In his clinical observations at El Paso Back Clinic:

  • Patients with neck and back pain do best when:

    • They receive specific spinal adjustments

    • PLUS core and hip strengthening

    • PLUS stretching and mobility work

  • Low-impact activities like walking, swimming, yoga, and tai chi speed up recovery and help keep adjustments holding longer. Muscle and Joint Chiropractic+2Illinois Pain & Spine Institute+2

  • Agility and functional training (such as controlled squats, lunges, and balance drills) help patients return to sports, warehouse work, or family life with greater resilience.

  • Posture work is often integrated with nutrition, sleep, and stress management, because tired, inflamed bodies struggle to maintain good alignment. El Paso, TX Doctor Of Chiropractic+1

This dual license (DC + APRN, FNP-BC) allows Dr. Jimenez to move comfortably between spine mechanics and whole-person health, which is ideal for complex posture and pain cases.


Sample Weekly Posture-Boosting Plan (General Example)

This is a general example for educational purposes, not a personal prescription. Always consult your provider—especially if you have pain, injuries, or medical conditions.

Weekly Outline

Day 1 – Core and Glutes

  • Front plank: 3 × 20–30 seconds

  • Glute bridges: 3 × 12–15

  • Bird-dog: 2 × 10 per side

  • 10 minutes of chest and hip flexor stretches

Day 2 – Yoga and Mobility

  • 20–30 minutes of yoga (Mountain, Child’s Pose, Cat-Cow, gentle twists) Healthline+1

  • Chin tucks: 2 × 10

  • Shoulder blade squeezes: 2 × 10

Day 3 – Upper Back and Cardio

  • Resistance band or dumbbell rows: 3 × 12

  • Wall angels: 2 × 10 Outside Online

  • 20–30 minutes of brisk walking

Day 4 – Pilates-Style Core

  • 20 minutes of Pilates or core routine (e.g., dead bugs, “hundreds,” side-lying leg lifts) Primal Physical Therapy+1

  • 10 minutes of hamstring and hip stretches

Day 5 – Mind-Body and Balance

  • 20–30 minutes of tai chi or a gentle balance practice

  • Single-leg stands: 3 × 20 seconds per leg

Day 6 – Whole-Body Low-Impact

Day 7 – Recovery and Reset

  • Gentle stretching or yoga flow

  • Posture check around your home and car: adjust chairs, pillows, and monitor height

Patients at El Paso Back Clinic often have a plan customized to their injury type (auto accident, work injury, or sports strain) and their job or sport. El Paso Back Clinic® • 915-850-0900+1


Safety Tips: When to Get Help

Stop and get professional care if posture exercises cause:

  • Sharp or stabbing pain

  • Numbness or tingling in arms or legs

  • New weakness or loss of coordination

  • Trouble walking or standing

  • Loss of bladder or bowel control (emergency—seek urgent care)

A chiropractor can evaluate your spine and joints; a nurse practitioner can check for underlying medical causes. At El Paso Back Clinic, the team works together to decide whether you need imaging, medication, rehab, or a referral to another specialist. El Paso, TX Doctor Of Chiropractic+1


Bringing It All Together

To enhance posture and protect your spine:

  • Strengthen your core, back, and glutes with planks, bridges, bird-dogs, rows, and Supermans

  • Stretch your chest, neck, and hips to release tight, “slouching” muscles

  • Use mind-body practices like yoga, Pilates, and tai chi to build body awareness

  • Add low-impact activities like walking and swimming to support overall spine health

  • Fix your desk and phone habits with regular movement breaks and better ergonomics

At El Paso Back Clinic, integrative chiropractic care and nurse practitioner support bring all of these pieces together. With Dr. Alexander Jimenez’s dual training, patients receive:

  • Spinal and joint adjustments

  • Corrective exercise and posture coaching

  • Medical evaluation, imaging, and medication management when needed

  • Telemedicine and follow-up plans that fit real life in El Paso

The goal is simple: help you stand taller, move with less pain, and feel stronger in everything you do—from lifting kids or boxes at work to walking the trails of the Franklin Mountains.


References

Advanced Medical Group. (2025, March 5). Can a chiropractor help with posture? Advanced Medical Group.
https://advancedmedicalgroupnj.com/can-a-chiropractor-help-with-posture/ Advanced Medical Group

Advanced Spine & Posture. (2024). Poor posture and chiropractic adjustments. Advanced Spine & Posture.
https://advancedspineandposture.com/blog/poor-posture-and-chiropractic-adjustments/ Advanced Spine & Posture

Alter Chiropractic. (n.d.-a). 7 ways to improve posture naturally. Alter Chiropractic.
https://alterchiropractic.com/7-ways-to-improve-posture-naturally/

Alter Chiropractic. (n.d.-b). Enhance your posture with professional care. Alter Chiropractic.
https://alterchiropractic.com/enhance-your-posture-with-professional-care/

Artisan Chiropractic Clinic. (n.d.). Improve your posture with chiropractic adjustments: The benefits and techniques. Artisan Chiropractic Clinic.
https://www.artisanchiroclinic.com/improve-your-posture-with-chiropractic-adjustments-the-benefits-and-techniques/

Barrington Orthopedic Specialists. (2020, June 9). Three simple exercises you can do at work to improve your posture. Barrington Ortho.
https://www.barringtonortho.com/blog/three-simple-exercises-you-can-do-at-work-to-improve-your-posture barringtonortho.com

Cronkleton, E. (2025, April 14). Posture exercises: 12 exercises to improve your posture. Healthline.
https://www.healthline.com/health/posture-exercises Healthline

Fitness Education. (n.d.). Exercises to improve posture. Fitness Education.
https://www.fitnesseducation.edu.au/blog/health/exercises-to-improve-posture/

Fitness Stack Exchange. (n.d.). How to retain a proper posture when sitting, standing, walking? Fitness Stack Exchange.
https://fitness.stackexchange.com/questions/22489/how-to-retain-a-proper-posture-when-sitting-standing-walking

Harvard Health Publishing. (n.d.-a). In a slump? Fix your posture. Harvard Medical School.
https://www.health.harvard.edu/staying-healthy/in-a-slump-fix-your-posture Harvard Health

Harvard Health Publishing. (n.d.-b). Is it too late to save your posture? Harvard Medical School.
https://www.health.harvard.edu/exercise-and-fitness/is-it-too-late-to-save-your-posture

Illinois Back & Pain Center. (2024, July 22). Activities that can improve your posture. Illinois Back & Pain Center.
https://illinoisbackpain.com/activities-that-can-improve-your-posture/ Illinois Back Institute

Jimenez, A. (n.d.-a). El Paso, TX doctor of chiropractic. DrAlexJimenez.com.
https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.-b). Dr. Alex Jimenez DC, Injury Medical & Chiropractic Clinic | Chiropractors El Paso TX. ElPasoBackClinic.com.
https://elpasobackclinic.com/dr-alex-jimenez-dc-injury-medical/ El Paso Back Clinic® • 915-850-0900

Jimenez, A. (n.d.-c). Why choose Dr. Jimenez and clinical team? DrAlexJimenez.com.
https://dralexjimenez.com/why-choose-dr-jimenez-and-clinical-team/ El Paso, TX Doctor Of Chiropractic

Outside Online. (2025, November 16). 3 exercises for better posture, approved by a physical therapist. Outside.
https://www.outsideonline.com/health/training-performance/exercises-for-better-posture/ Outside Online

Outside Online. (2023, August 26). 3 thoracic mobility exercises to improve your posture and form. Outside.
https://www.outsideonline.com/health/training-performance/thoracic-mobility-exercises/ Outside Online

Primal Physical Therapy. (2025, September 2). 6 best physical therapy posture exercises to reduce pain. Primal Physical Therapy.
https://primalphysicaltherapy.com/best-physical-therapy-posture-exercises/ Primal Physical Therapy+1

Primal Physical Therapy. (2024, July 25). Physical therapy techniques for chronic back pain relief. Primal Physical Therapy.
https://primalphysicaltherapy.com/physical-therapy-techniques-for-chronic-back-pain-relief/ Primal Physical Therapy

Sanctuary Wellness Institute. (2024, May 27). What are the best stretches for posture? Sanctuary Wellness Institute.
https://sanctuarywellnessinstitute.com/blog/what-are-the-best-stretches-for-posture/ sanctuarywellnessinstitute.com

Texas Spine & Sports Therapy Center. (n.d.). 5 muscle strengthening exercises to do at home for posture. Texas Spine & Sports Therapy Center.
https://texasspineandsportstherapy.com/5-muscle-strengthening-exercises-to-do-at-home-for-posture/

Thrive Chiropractic Cedar Falls. (2024, March 5). 7 exercises that complement quality chiropractic care. Thrive Chiropractic Cedar Falls.
https://www.thrivecedarfalls.com/lowbackpain/quality-chiropractic-care-exercises/

Tooele Muscle & Joint Chiropractic. (2024, August 29). 6 physical activities that complement your chiropractic treatments. Muscle & Joint Chiropractic.
https://tooelechiropractor.com/physical-activities-complement-chiropractic/ Muscle and Joint Chiropractic

Woodlands Sports Medicine. (n.d.). 10 exercises to improve posture and relieve lower back pain. Woodlands Sports Medicine.
https://www.woodlandssportsmedicine.com/blog/10-exercises-to-improve-posture-and-relieve-lower-back-pain Woodlands Sports Medicine

Woman & Home. (2025, August). The Superman exercise is so simple, yet improves posture and back strength “like nothing else.” Woman & Home.
https://www.womanandhome.com/health-wellbeing/fitness/superman-exercise/ Woman & Home

Posture Recovery Exercises After TBI: A Guide

Posture Recovery Exercises After TBI: A Guide

Gentle Recovery Strategies After Traumatic Brain Injury: Exercises, Chiropractic Care, and Holistic Support for Lasting Healing

Posture Recovery Exercises After TBI: A Guide

Electromagnetic therapy of the back: a physiotherapist doctor works with a patient with a traumatic brain injury from an occupational accident.

Traumatic brain injury (TBI) affects millions of people every year. A sudden blow or jolt to the head can cause headaches, dizziness, memory problems, neck pain, and poor balance. While the brain needs time and rest to heal, the body also needs gentle movement to recover fully. Early, safe exercises for the neck, core, and balance can speed healing, reduce pain, and lower the risk of falls. Integrative chiropractic care helps restore nerve signals and alignment. Nurse practitioners guide the whole recovery process. When these approaches work together, many people feel stronger and clearer months faster than with rest alone.

This 3,000-word guide uses simple language and proven steps. Every exercise and idea comes from military health guides, rehab centers, and clinical experts. Always get a doctor’s okay before starting. Stop any move that causes sharp pain or new dizziness.

Why Neck Pain Is So Common After TBI

When the head snaps forward and back—like in a car crash or sports hit—the neck takes a huge force. Doctors call this whiplash-associated disorder. Muscles tighten, joints get stiff, and nerves can become irritated. Many people also develop forward head posture, where the head sits inches in front of the shoulders. Each inch forward adds about 10 pounds of stress to the neck muscles (Healthline, 2023a).

Left alone, tight neck muscles pull on the skull base, worsening headaches. They also make balance harder because the brain receives mixed signals from the upper neck. Gentle stretches and posture exercises can effectively address this issue early on.

Common Neck Problems After TBI

  • Muscle spasms and knots
  • Stiffness that limits turning the head
  • Headaches that start at the base of the skull
  • Forward head posture from pain guarding
  • Dizziness when moving the head quickly

Safe Neck Stretches to Start in the First Weeks

These four stretches appear on official military and rehab fact sheets. Have them sit in a firm chair with feet flat on the floor. Breathe slowly. Hold each stretch 15–30 seconds and repeat 3–5 times, 2–3 times a day.

  • Chin Tuck – Slide your chin straight back (like making a double chin) until you feel a stretch behind the neck. Do not tilt down. This is the single best move to fight forward head posture (U.S. Department of Defense, 2020; Healthline, 2023a).
  • Side Bend – Sit tall. Slowly drop one ear toward the same shoulder until you feel a stretch on the opposite side. Keep your nose pointing forward. Use the hand on top of the head for a gentle extra pull if comfortable (Achieve Brain & Spine, n.d.).
  • Neck Rotation – Turn your head to look over one shoulder as far as comfortable. Hold, then switch sides. Move only the neck, not the shoulders (U.S. Department of Defense, 2020).
  • Upper Trapezius Stretch – Sit and place one hand under your thigh to anchor the shoulder. With the other hand, gently pull the head away and slightly forward. You will feel the stretch along the side and back of the neck (Healix Therapy, n.d.).

Tip: Warm the neck first with a warm shower or heating pad for 10 minutes.

Core and Trunk Exercises That Protect the Neck and Brain

A weak core forces the neck muscles to work overtime to keep the head steady. Simple seated core moves wake up the deep stomach and back muscles without jarring the brain.

Do these 3–4 times a week. Start with 8–10 repetitions and build to 15–20.

  • Sitting Marching – Sit tall with hands on thighs. Lift one knee toward the chest while keeping the back straight, then lower slowly. Alternate legs. This exercise turns on the lower abs and hip flexors (Flint Rehab, 2023a).
  • Lateral Trunk Flexion (Side Bends) – Sit tall. Slowly slide one hand down the side of the thigh as you bend to that side. Use the opposite core muscles to pull yourself back upright. Works the obliques and reduces side-to-side sway (Illinois Department of Central Management Services, n.d.).
  • Seated Trunk Extension – Cross arms over chest. Lean forward 10–15 degrees, then slowly sit back tall using the back muscles. Keep the chin tucked to protect the neck (Flint Rehab, 2023a).
  • Seated Weight Shifts – Scoot forward on the chair so feet are flat and knees are at 90 degrees. Shift weight side to side or front to back while keeping the trunk tall. This exercise is particularly beneficial for promoting early balance (Flint Rehab, 2023a).

Balance Exercises That Are Safe After TBI

Poor balance is one of the biggest fall risks after brain injury. Start every balance exercise seated or holding onto a sturdy surface.

Beginner Level (Weeks 1–4)

  • Reach in different directions while seated
  • Heel raises and toe raises while holding a counter
  • March in place, holding onto a chair

Intermediate Level (Weeks 4–8)

  • Stand with feet together, eyes open, then eyes closed for 10–20 seconds
  • Single-leg stance holding a chair (5–10 seconds each leg)
  • Stand on a firm cushion or folded towel (Neofect, n.d.)

Advanced Level

  • Tandem stance (heel-to-toe) with arms out
  • Walk heel-to-toe in a straight line
  • Step over small objects while watching your feet

Do balance work for 5–10 minutes daily. Progress only when the easier level feels straightforward.

Gentle Yoga and Breathing for Brain and Body Recovery

Modified yoga poses calm the nervous system and safely stretch the entire spine.

  • Seated Cat-Cow – Hands on knees. Inhale and arch the back while lifting the chest and chin slightly. Exhale and round the back while tucking the chin. Move slowly with the breath (Flint Rehab, 2023b).
  • Seated Side Stretch – Inhale arms overhead. Exhale and lean to one side, keeping both sit bones on the chair. Hold 3–5 breaths on each side.
  • Chair Warrior II – Sit sideways on the chair. Extend one leg back and bend the front knee. Reach arms out for a gentle chest and hip opener.

Yoga improves balance by 36% and reduces anxiety in brain-injury patients (Flint Rehab, 2023b).

How Integrative Chiropractic Care Helps TBI Recovery

Chiropractic care is not just about “cracking” the back. Doctors of chiropractic trained in brain-injury care use gentle techniques to:

  • Remove pressure on nerves, leaving the spine
  • Restore normal motion to stiff neck joints
  • Reduce muscle spasms with soft-tissue therapy
  • Improve blood flow and oxygen to the brain
  • Correct forward head posture that slows healing

Studies and clinical reports show that spinal adjustments can reduce headache frequency, improve sleep, and speed return to work after concussion (Calibration Mansfield, n.d.; Northwest Florida Physicians Group, n.d.; Pinnacle Health Chiropractic, n.d.).

Dr. Alexander Jimenez, DC, APRN, FNP-BC, a dual-credentialed chiropractor and family nurse practitioner in El Paso, Texas, has treated thousands of patients with TBI, including veterans. He combines precise cervical adjustments, soft-tissue work, and functional neurology exercises. “The upper neck houses sensors that tell the brain where the head is in space. When those joints are stuck, the brain gets fuzzy signals, and balance suffers,” Dr. Jimenez explains in his clinical teaching (Jimenez, 2025). His patients often report clearer thinking and less dizziness within weeks of starting care.

The Important Role of Nurse Practitioners in TBI Care

Nurse practitioners (NPs) are trained to manage complex patients from head to toe. In TBI recovery, they:

  • Watch for worsening symptoms (increased swelling, seizures, mood changes)
  • Coordinate physical therapy, chiropractic, counseling, and medications
  • Teach patients and families what is normal and what needs quick attention
  • Adjust care plans as healing progresses
  • Provide follow-up visits to catch problems early (Ackerman, 2012; Mayo Clinic, 2024; Nursing Center, 2023)

Because NPs spend more time with patients than many doctors, they often spot small improvements or setbacks first. Dr. Jimenez, who also holds APRN and FNP-BC credentials, uses this whole-person view in his clinic every day.

Sample 6-Week Gentle Recovery Plan

Week 1–2 (Very Gentle Phase)

  • 5–10 minutes of chin tucks and side bends twice daily
  • Sitting, marching 2 sets of 10 each leg
  • Deep breathing for  3 minutes
  • Short walks with a partner

Week 3–4 (Add Core and Balance)

  • Add lateral trunk flexion and seated trunk extension
  • Begin seated weight shifts and reaching
  • One chiropractic visit for evaluation and gentle adjustment

Week 5–6 (Build Strength and Confidence)

  • Add standing balance drills with support
  • Try modified cat-cow and seated yoga stretches
  • Increase reps to 15–20
  • Weekly chiropractic care and NP follow-up

Rest for at least one full day between harder sessions. Keep a simple journal: note pain level (0–10), dizziness, and energy. Share it with your team.

Extra Self-Care Tips That Speed Healing

  • Sleep 8–9 hours in a dark, quiet room
  • Drink water all day (half your body weight in ounces)
  • Eat protein and colorful vegetables at every meal
  • Limit screen time in the first weeks—use blue-light glasses if needed
  • Join an online TBI support group for encouragement
  • Walk outside in nature when symptoms allow

When to Call the Doctor Right Away

Stop exercising and seek help if you have:

  • Sudden severe headache
  • Vomiting or vision changes
  • Worsening confusion or slurred speech
  • Seizure or loss of consciousness

Final Thoughts: Healing Is Possible and Often Faster Than You Think

A traumatic brain injury feels overwhelming at first, but the brain and body are built to heal. Gentle neck stretches, core work, balance drills, chiropractic adjustments, and strong nurse practitioner guidance give your recovery the best chance. Start small, stay consistent, and celebrate every tiny win.

Thousands of people—including veterans treated by Dr. Alexander Jimenez—return to work, sports, and family life after TBI by using exactly these safe, evidence-based steps. You can too.


References

Ackerman, L. L. (2012). Neurotrauma—The role of the nurse practitioner in traumatic brain injury. The Journal for Nurse Practitioners, 8(2), 104–109. https://www.npjournal.org/article/S1555-4155(11)00482-X/abstract

Achieve Brain & Spine. (n.d.). Patient exercises. https://www.achievebrainandspine.com/resources/patient-exercises/

Calibration Mansfield. (n.d.). How can integrative chiropractic care help with traumatic brain injuries? https://calibrationmansfield.com/how-can-integrative-chiropractic-care-help-with-traumatic-brain-injuries/

Flint Rehab. (2023a). Exercises for brain injury recovery. https://www.flintrehab.com/exercises-for-brain-injury-recovery/

Flint Rehab. (2023b). Yoga poses for brain injury. https://www.flintrehab.com/yoga-poses-for-brain-injury/

Healthline. (2023a). Forward head posture: Exercises and stretches to try. https://www.healthline.com/health/bone-health/forward-head-posture

Healix Therapy. (n.d.). Neck exercises for TMJ pain relief. https://healixtherapy.com/neck-exercises-tmj-pain-relief/

Illinois Department of Central Management Services. (n.d.). Traumatic brain injury recovery. https://cms.illinois.gov/benefits/stateemployee/bewell/getmoving/traumatic-brain-injury-recovery.html

Jimenez, A. (2025). Functional medicine and injury care clinical observations. https://dralexjimenez.com/

Mayo Clinic. (2024). Traumatic brain injury – Diagnosis & treatment. https://www.mayoclinic.org/diseases-conditions/traumatic-brain-injury/diagnosis-treatment/drc-20378561

Neofect. (n.d.). Balance exercise after brain injury. https://www.neofect.com/blog/balance-exercise-after-brain-injury

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

Nursing Center. (2023). Neurotrauma—The role of the nurse practitioner in traumatic brain injury. https://www.nursingcenter.com/journalarticle?Article_ID=527301&Journal_ID=420955&Issue_ID=527288

Pinnacle Health Chiropractic. (n.d.). Six ways chiropractic care supports healing after TBI. https://www.pinnaclehealthchiro.com/blog/six-ways-chiropractic-care-supports-healing-after-tbi

U.S. Department of Defense. (2020, July 30). Neck pain following concussion/mTBI fact sheet. https://health.mil/Reference-Center/Fact-Sheets/2020/07/30/Neck-Pain-Following-ConcussionmTBI-Fact-Sheet

Traumatic Brain Injuries and Posture Impact Explained

Traumatic Brain Injuries and Posture Impact Explained

How Traumatic Brain Injuries Affect Posture: From Balance Issues to Abnormal Stiffening and How Chiropractic Care Can Help

Traumatic Brain Injuries and Posture Impact Explained

The doctor consults with the patient using the medical traumatic brain injury symptom questionnaire.

Traumatic brain injuries, or TBIs, happen when a sudden bump or blow to the head damages the brain. These injuries can range from mild, like a concussion, to severe, where the brain suffers major harm. One key way TBIs impact the body is through changes in posture—the way we hold and balance ourselves. In mild cases, individuals may experience persistent balance issues that make standing or walking difficult. In severe cases, the body can lock into stiff, unnatural positions known as abnormal posturing. TBIs can also cause the spine to shift out of place, especially in the neck and upper back areas, leading to more issues like headaches and dizziness.

This article explores these effects in detail. It examines how damage to specific brain areas, such as those involved in sensory processing, vision, or inner ear balance, can disrupt postural control. We will also discuss how chiropractic care, which focuses on fixing spine alignments, can help by improving nerve signals, blood flow, and body coordination. Drawing from medical sources and experts, such as Dr. Alexander Jimenez, a chiropractor with over 30 years of experience, we see how integrated treatments support recovery without the need for drugs or surgery.

Understanding Traumatic Brain Injuries and Their Range

TBIs affect millions each year, from sports accidents to falls or car crashes. Mild TBIs, often called concussions, might seem minor at first but can have a lasting effect on how the body maintains balance. Severe TBIs, on the other hand, can cause immediate and life-threatening changes, including rigid body positions that signal deep brain damage. Balance relies on the brain working with muscles, eyes, and the inner ear systems to keep us steady. When a TBI affects these areas, posture suffers, making everyday tasks more challenging.

Research shows that even after mild TBIs heal, people can have subtle shifts in how they control their posture. For example, studies using special tests found that those with past concussions show different patterns in body sway compared to healthy people. These changes may not be apparent in basic balance checks but become visible in more detailed analyses. This means that the brain’s ability to adapt and remain stable can weaken over time, increasing the risk of falls.

In severe TBIs, the damage often hits deeper brain parts, leading to reflexive stiffening. This is the body’s way of reacting without conscious control, and it requires prompt medical attention to prevent worse outcomes.

Symptom Questionnaire:

Subtle and Long-Lasting Balance Problems from Mild TBIs

Mild TBIs don’t always cause obvious symptoms right away, but they can quietly change postural control for months or years. Postural control refers to the brain’s ability to maintain the body’s upright and balanced position during movement or rest. It involves integrating signals from the eyes (visual system), inner ear (vestibular system), and body sensors (sensory system). A TBI can disrupt any of these, leading to dizziness, unsteadiness, or trouble walking straight.

For instance, about 30% to 65% of people with brain injuries report balance issues. These problems stem from weakened muscle strength, poor coordination, or faulty signals from the central nervous system. In one study of over 900 adults with TBIs, only 16% had normal standing balance soon after injury, showing how common these issues are. Factors like age play a role—younger people under 50 tend to recover balance more quickly—but severe injuries or complications, such as infections, can worsen the condition.

These balance changes can be subtle. People might lean to one side without noticing or feel dizzy in crowded places. Over time, this affects daily life, from climbing stairs to playing sports. The brain’s vestibular system, which regulates head position and motion, is often the most severely affected, leading to ongoing instability. Visual problems, such as blurry vision, add to the mix, making it harder for the brain to process where the body is in space.

Dr. Alexander Jimenez, a chiropractor and family nurse practitioner in El Paso, Texas, notes in his clinical work that hidden TBI symptoms, such as these balance shifts, are often overlooked. He emphasizes the importance of early checks and integrative care to identify and address issues before they worsen. His approach combines chiropractic adjustments with nutrition to support long-term healing.

Severe TBIs and Abnormal Posturing: Decorticate and Decerebrate Types

In severe TBIs, the body can exhibit abnormal posturing—stiff, reflexive poses that indicate serious brain damage. These aren’t voluntary; they’re automatic responses from damaged areas of the brain. Two main types are decorticate and decerebrate posturing, both of which require urgent care.

Decorticate posturing happens when damage affects the brain’s outer layers or midbrain pathways. The arms bend inward toward the chest, with clenched fists and curled wrists. Legs stay straight and extended, toes pointing down. The flexed upper body and rigid lower body give the person a stiff and unbalanced appearance. It’s often a sign of a head injury and can happen on one or both sides. The survival rate is about 37%, which is better than the other type, but it still means coma or deep unconsciousness.

Decerebrate posturing is more severe and often associated with deeper brain damage, such as in the brainstem. Here, arms and legs extend straight out, toes point down, and the head arches back with the neck stiff. Muscles tighten rigidly, sometimes with severe spasms called opisthotonos. This extended pose signals life-threatening issues and has only a 10% survival rate. Both types respond to pain or stimuli in unconscious people and require immediate help, like breathing support or ICU care.

These postures render balance impossible, as the body becomes rigid and inflexible. They result from disrupted nerve paths that control movement. Quick treatment focuses on stabilizing the brain to stop more damage.

Spinal Misalignments from TBIs: Adding to Posture Problems

TBIs not only damage the brain, but they can also cause spinal misalignment, particularly in the cervical and thoracic regions of the neck. This occurs due to the force of the injury, such as in whiplash resulting from a car accident. Misalignments, or subluxations, mess up posture by causing uneven weight distribution and muscle strain.

Poor spinal alignment worsens TBI symptoms. Headaches intensify from pinched nerves, and dizziness increases because blood and fluid flow to the brain gets blocked. Studies show TBIs often lead to ongoing musculoskeletal pain, like in the back or shoulders, from these shifts. In one hospital study, 85% of brain injury patients had pain, often from spine issues.

Dr. Jimenez notes a connection between TBIs and spinal issues such as disc herniations, which lead to inflammation and pain. He uses chiropractic to realign the spine and reduce these effects, promoting better posture and less dizziness.

Chiropractic Integrated Care: A Path to Recovery

Chiropractic care provides a natural approach to addressing TBI-related posture issues. It begins with spinal adjustments—gentle movements to correct misalignments. This optimizes the nervous system, as the spine protects the nerves that link the brain to the body. Better alignment means clearer signals, helping with balance and coordination.

For TBIs, chiropractic care can enhance blood and cerebrospinal fluid flow to the brain, facilitating healing and reducing inflammation. This reduces headaches, dizziness, and fatigue. Integrated care incorporates sensory and motor therapies, such as balance exercises or eye movement drills, to retrain the brain. These help rebuild postural control by strengthening muscles and improving proprioception—the sense of body position.

One approach includes soft tissue massage to ease tension and rehab exercises for strength. Lifestyle tips, such as eating anti-inflammatory foods and managing stress, support overall recovery.

Dr. Jimenez’s work highlights this integration. At his clinic, he combines chiropractic with functional medicine for TBIs, focusing on root causes like spinal shifts. His insights demonstrate how adjustments can restore mobility and reduce pain, often in conjunction with a balanced diet to combat inflammation. Patients experience improved posture and reduced symptoms through personalized plans.

Chiropractic care isn’t a cure-all, but it works well in conjunction with medical care. For mild TBIs, it alleviates ongoing balance issues; for severe cases, it supports recovery after acute treatment. The costs of TBIs run high—over $13 billion annually—so non-invasive options like this can be beneficial.

Wrapping Up: Hope Through Awareness and Care

TBIs change posture in ways big and small, from wobbly balance in mild cases to rigid posturing in severe ones. Spinal misalignments add layers of trouble, worsening headaches and instability. But chiropractic integrated care provides tools to fight back—adjustments for alignment, therapies for coordination, and holistic steps for healing.

Experts like Dr. Jimenez remind us that early action and combined treatments make a difference. If you or someone you know has a TBI, talk to a doctor about these options. With the right support, achieving better posture and an improved quality of life is possible.


References

Brain Injury Association of America. (n.d.). Factors associated with sitting and standing balance. https://biausa.org/professionals/research/tbi-model-systems/factors-associated-with-sitting-and-standing-balance

Brain Injury Canada. (n.d.). Mobility. https://braininjurycanada.ca/en/effects-brain-injury/physical/mobility/

Cleveland Clinic. (n.d.). Decorticate posturing. https://my.clevelandclinic.org/health/symptoms/24969-decorticate-posturing

Flint Rehab. (n.d.). Posturing after brain injury: Types and recovery outlook. https://www.flintrehab.com/posturing-brain-injury/

HML Functional Care. (n.d.). How chiropractic neurology supports brain healing. https://hmlfunctionalcare.com/how-chiropractic-neurology-supports-brain-healing/

Impact Medical Group. (2024). Can chiropractic care help with mild traumatic brain injuries? https://www.impactmedicalgroup.com/2024/06/26/can-chiropractic-care-help-with-mild-traumatic-brain-injuries/

Jimenez, A. (n.d.). El Paso, TX, doctor of chiropractic. https://dralexjimenez.com/

Jimenez, A. (n.d.). LinkedIn profile. https://www.linkedin.com/in/dralexjimenez/

Mount Sinai. (n.d.). Decerebrate posture. https://www.mountsinai.org/health-library/symptoms/decerebrate-posture

Mount Sinai. (n.d.). Decorticate posture. https://www.mountsinai.org/health-library/symptoms/decorticate-posture

Northwest Florida Physicians Group. (n.d.). Using chiropractic care to treat traumatic brain injuries. https://northwestfloridaphysiciansgroup.com/using-chiropractic-care-to-treat-traumatic-brain-injuries/

Pinnacle Health Chiro. (n.d.). Six ways chiropractic care supports healing after TBI. https://www.pinnaclehealthchiro.com/blog/six-ways-chiropractic-care-supports-healing-after-tbi

Sosnowski, A. S., et al. (2018). Patients receiving chiropractic care in a neurorehabilitation hospital: A descriptive study. https://pmc.ncbi.nlm.nih.gov/articles/PMC5937508/

Sosnowski, D. W., et al. (2011). Previous mild traumatic brain injury and postural-control dynamics. https://pmc.ncbi.nlm.nih.gov/articles/PMC3017494/

Think Vida. (n.d.). Treating concussions with chiropractic care. https://thinkvida.com/blog/treating-concussions-with-chiropractic-care/

UF Health. (n.d.). Decerebrate posture. https://ufhealth.org/conditions-and-treatments/decerebrate-posture

Optimizing Movement: Chiropractic to Prevent Injuries

Optimizing Movement: Chiropractic to Prevent Injuries

Optimizing Movement: Chiropractic and Integrative Care for Dynamic Posture

Optimizing Movement Chiropractic to Prevent Injuries

Side view of a backpacker traveler walking against an orange wall in the city

The Importance of Dynamic Posture

Think of your body as a smoothly operating system, staying balanced and aligned whether you’re jogging, lifting, or playing a game. This ability to maintain coordination during motion is called dynamic posture, which is distinct from static posture, the way you hold yourself when still, like sitting or standing (MedlinePlus, 2023a). Good dynamic posture ensures your muscles and joints work together, distributing movement stress evenly to prevent injuries and boost performance (Cleveland Clinic, n.d.). It’s essential for safe, efficient motion in daily life or sports (Massapequa Pain Management and Rehabilitation, n.d.).

However, poor dynamic posture can lead to pain, fatigue, or injuries like strains. At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses chiropractic care and integrative therapies like exercise and massage to enhance movement, especially after injuries (Jimenez, n.d.a). This article explores why dynamic posture matters, what disrupts it, and how Dr. Jimenez’s holistic approach restores balance for pain-free living.

Dynamic Posture: The Key to Fluid Movement

Dynamic posture is how your body stays aligned and stable while active, like walking to work or playing basketball. Unlike static posture—your position when not moving, like at a desk—dynamic posture involves coordinating your spine, hips, and muscles during motion (MedlinePlus, 2023a). When done right, it reduces joint stress, improves energy efficiency, and lowers injury risks, like twisting a knee (Cleveland Clinic, n.d.). It’s vital for athletes, workers, or anyone active to ensure smooth, safe movement (NYDN Rehab, n.d.).

Poor dynamic posture can cause issues, like back pain during a run or wobbling while climbing stairs. Over time, it increases the risk of chronic pain or injuries, such as sprains, and can also affect static posture (Texas Medical Institute, n.d.). Effective dynamic posture means moving with ease, recovering quickly, and staying strong, whether hiking or carrying groceries (Harrison Integrative, n.d.a).

What Leads to Poor Dynamic Posture?

Poor dynamic posture often develops from habits or injuries. Long hours of slouching, such as when using a phone, weaken core muscles, making it hard to stay aligned when active (MedlinePlus, 2023b). Repetitive tasks, like lifting heavy items incorrectly, strain the spine and disrupt movement patterns (Massapequa Pain Management and Rehabilitation, n.d.). Injuries, such as a fall or sports mishap, can lead to compensatory movements, like limping, that throw off balance (NYDN Rehab, n.d.).

Lifestyle factors contribute too. Weak core muscles from inactivity, tight hips from sitting, or stress-induced tension can disrupt natural motion (Cleveland Clinic, n.d.). These issues cause uneven stress on joints, raising risks for back pain or leg strains (Texas Medical Institute, n.d.). For instance, running with a slouched posture can overload knees, leading to pain or injury (Start PT Now, n.d.). Recognizing these patterns early helps prevent bigger problems.

Recognizing Poor Dynamic Posture

Signs of poor dynamic posture appear during activity. You might feel lower back or hip pain while walking, indicating uneven joint stress (NYDN Rehab, n.d.). Feeling unsteady on stairs or during sports can signal weak core muscles or misalignment (Cleveland Clinic, n.d.). Fatigue during tasks like carrying bags often means muscles are overworking due to poor coordination (Massapequa Pain Management and Rehabilitation, n.d.).

In the long term, poor dynamic posture increases injury risks, such as pulled muscles, and can worsen static posture, causing slouching even when still (MedlinePlus, 2023a). This leads to chronic pain in the back, neck, or knees, making movement less efficient (Harrison Integrative, n.d.a). Noticing discomfort or clumsiness during motion allows early action to avoid lasting damage.

Chiropractic Care for Improved Movement

Chiropractic care enhances dynamic posture by correcting spinal misalignments, or subluxations, that disrupt nerve signals to muscles, causing uneven movement (Harrison Integrative, n.d.b). Gentle adjustments realign the spine, improving muscle coordination and movement flow (Jimenez, n.d.a). Patients often feel steadier and less pain during activity after a few sessions (Start PT Now, n.d.).

Adjustments also relieve muscle tension, helping maintain alignment during tasks like running or lifting (Texas Medical Institute, n.d.). Regular care strengthens posture, reduces injury risks, and boosts performance for athletes or active individuals (Cleveland Clinic, n.d.). It’s like calibrating a machine for smoother operation.

Dr. Jimenez’s Expertise at El Paso Back Clinic

At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses his dual expertise as a chiropractor and nurse practitioner to connect poor dynamic posture to injuries from work, sports, personal falls, or motor vehicle accidents (MVAs). “Injuries misalign the spine, disrupting movement patterns,” he explains (Jimenez, n.d.b).

His clinic employs advanced diagnostics, like X-rays for neuromusculoskeletal imaging and blood tests for inflammation, to pinpoint posture issues. A work injury, for instance, might misalign the pelvis, causing uneven strides (Jimenez, n.d.a). Treatments are non-surgical: adjustments restore alignment, ultrasound reduces swelling, and exercises rebuild muscle balance. For MVAs, Dr. Jimenez provides detailed medical-legal documentation, collaborating with specialists for seamless claims.

Integrative therapies boost recovery. Massage relaxes tight muscles, improving movement; acupuncture eases pain for natural motion; and core exercises strengthen posture-supporting muscles (Jimenez, n.d.b). A patient with back pain from a fall regained smooth walking after adjustments and yoga. Dr. Jimenez targets root causes, like poor habits, to prevent chronic posture issues.

Integrative Therapies for Movement Health

El Paso Back Clinic’s integrative approach uses natural methods to enhance dynamic posture. Core exercises, like planks, strengthen muscles for better stability during motion (Start PT Now, n.d.). The NHS recommends 150 minutes of weekly exercise, like walking or yoga, to improve coordination (MedlinePlus, 2023a).

Massage therapy loosens tight muscles, boosting blood flow for fluid movement (Texas Medical Institute, n.d.). Acupuncture reduces pain, improving joint mobility for natural motion (Jimenez, n.d.b). Spinal decompression relieves disc pressure, enhancing range of motion (Harrison Integrative, n.d.c). These therapies improve posture, prevent injuries, and aid recovery.

Everyday Habits for Better Posture

Simple habits support chiropractic care. Walk 30 minutes daily with shoulders back to practice alignment (Cleveland Clinic, n.d.). Stretch hips and hamstrings to prevent tightness that pulls the spine (Start PT Now, n.d.). Do core exercises like bridges to support movement (Massapequa Pain Management and Rehabilitation, n.d.).

Keep your back straight when lifting, bending at the knees, and avoid twisting (MedlinePlus, 2023b). Break up long sitting periods to prevent stiffness, and use ergonomic chairs to support static posture, aiding dynamic motion (NYDN Rehab, n.d.). These habits build strong, pain-free movement.

Preventing Long-Term Posture Issues

Ongoing care prevents chronic posture problems. Dr. Jimenez’s plans include regular exercises to maintain alignment, massage to keep muscles flexible, and posture checks to catch issues early (Jimenez, n.d.a). Monitoring pain during activities, like running, helps adjust care. This ensures lasting dynamic posture and fewer injuries.

Patient Success Stories

At El Paso Back Clinic, a soccer player with knee pain from poor running form improved after adjustments and core exercises. A driver with back pain from an MVA regained smooth movement with massage and acupuncture. These stories highlight the power of integrative care.

Conclusion

Dynamic posture keeps you balanced and strong during movement, reducing injury risks and boosting performance. At El Paso Back Clinic, Dr. Alexander Jimenez uses chiropractic adjustments, exercise, massage, and acupuncture to enhance alignment and recovery. Start with small steps—walk tall, stretch daily, and visit the clinic. Your body will move better and feel stronger.


References

Cleveland Clinic. (n.d.). Posture. https://my.clevelandclinic.org/health/articles/posture

Harrison Integrative. (n.d.a). How do chiropractic adjustments improve posture? https://www.harrisonintegrative.com/how-do-chiropractic-adjustments-improve-posture/

Harrison Integrative. (n.d.b). How spinal decompression can improve flexibility and range of motion. https://www.harrisonintegrative.com/how-spinal-decompression-can-improve-flexibility-and-range-of-motion/

Jimenez, A. (n.d.a). Injury specialists. https://dralexjimenez.com/

Jimenez, A. (n.d.b). Dr. Alexander Jimenez, DC, APRN, FNP-BC. https://www.linkedin.com/in/dralexjimenez/

Massapequa Pain Management and Rehabilitation. (n.d.). Static posture vs. dynamic posture. https://massapequapainmanagementandrehabilitation.com/static-posture-vs-dynamic-posture/

MedlinePlus. (2023a). Guide to good posture. https://medlineplus.gov/guidetogoodposture.html

MedlinePlus. (2023b). Guide to good posture. https://medlineplus.gov/guidetogoodposture.html

NYDN Rehab. (n.d.). Static vs. dynamic posture and how to improve both. https://nydnrehab.com/blog/static-vs-dynamic-posture-and-how-to-improve-both/

Start PT Now. (n.d.). Posture perfect: Effective exercises and stretches to stand tall. https://www.startptnow.com/blog/posture-perfect-effective-exercises-and-stretches-to-stand-tall

Texas Medical Institute. (n.d.). Chiropractic and posture: Improving alignment for a pain-free life. https://www.texasmedicalinstitute.com/chiropractic-and-posture-improving-alignment-for-a-pain-free-life/

Spinal Health Integrative Care and Chronic Pain Relief

Spinal Health Integrative Care and Chronic Pain Relief

Your Spine, Your Life: An El Paso-Ready Guide to Strong, Flexible, Pain-Resistant Backs

Spinal Health Integrative Care and Chronic Pain Relief

A young woman is performing a spine checkup at a vertebra clinic.

What “spinal health” means (and why it matters here in El Paso)

Spinal health refers to the proper structure, alignment, and function of the spine, enabling it to support the body, facilitate movement, and protect the spinal cord—the pathway for nerve signals between the brain and the body. Good spinal health comes from regular exercise, posture awareness, a nutrient-dense diet, steady hydration, and a healthy weight. Poor spinal health can lead to chronic pain, nerve irritation or damage, and a lower quality of life (Raleigh Orthopaedics, 2024; Orthopedic Specialists of Southwest Florida [OSSWF], 2024; National Spine Health Foundation, 2024).


How a healthy spine supports your whole body

  • Support & alignment: Your spine acts like a central pillar that shares load with the hips and legs and keeps you upright (Premier Spine & Sports Medicine, n.d.).

  • Movement & shock absorption: Curves, discs, and joints allow for safe bending and twisting, enabling you to lift, reach, and play (Raleigh Orthopaedics, 2024).

  • Nerve protection: The spinal column shields the spinal cord and nerve roots, so signals move clearly. Irritation can cause pain, tingling, or weakness (Cary Orthopaedics, 2023).

  • Quality of life: Ongoing spine issues can lead to fatigue, poor sleep, headaches, and reduced participation in work or sports (Raleigh Orthopaedics, 2024).


Common problems we see—and why early action helps

  • Strains/sprains and facet irritation from long sitting, poor lifting form, or sudden loads

  • Disc problems that can press on nearby nerves and create radiating symptoms

  • Spinal stenosis (narrowing) that pinches nerves

  • Degenerative changes related to age, low activity, smoking, or extra weight

Most cases respond to conservative care when initiated early, including movement, postural changes, targeted exercises, and load management (OSSWF, 2024).

Red flags—don’t wait: radiating pain, numbness, weakness, headaches, or loss of function. Seek a prompt exam (Cary Orthopaedics, 2023; Suarez Physical Therapy, n.d.).


An El Paso Back Clinic–style plan: simple steps that fit your day

1) Movement you can keep

  • 20–30 minutes of low-impact cardio most days (e.g., walking, cycling, swimming).

  • Core & hip strength 2–3 days/week: planks, side planks, glute bridges, and bird-dogs.

  • Mobility after warm-ups: thoracic open-books, hip-flexor, and hamstring stretches (National Spine Health Foundation, 2024; Mobility Project PT, 2024).

2) Posture that holds up at work and home

  • Sit: feet flat, hips back in the chair, lumbar support, screen at eye level.

  • Stand: weight balanced, knees soft, ears over shoulders.

  • Micro-breaks: move every 30–45 minutes (National Spine Health Foundation, 2024).

3) Ergonomics you actually feel

  • The chair is high enough so the hips are level with or slightly above the knees.

  • Keyboard and mouse close; forearms supported; shoulders relaxed.

  • Lift with a hip hinge, keep the load close, and exhale as you stand.

4) Sleep & stress recovery

  • Neutral neck/back with a supportive mattress and the right pillow height.

  • Side sleepers: pillow between knees. Back sleepers: pillow under knees.

  • Use breathing drills, short walks, and stretch breaks to lower tension (Raleigh Orthopaedics, 2024).

5) Hydration & healthy weight

  • Steady water intake supports disc hydration and tissue recovery (Centeno-Schultz Clinic, n.d.).

  • A healthy body weight lowers compressive load on joints and discs (Raleigh Orthopaedics, 2024).


Nutrition for a stronger spine (simple and local-friendly)

  • Protein for muscle and connective-tissue repair

  • Omega-3s (salmon, trout, walnuts) to help regulate inflammation

  • Calcium & vitamin D for bone strength

  • Magnesium for nerve and muscle function

  • Colorful fruits/vegetables for antioxidants that support recovery

  • Water for disc hydration and nutrient transport
    These habits reduce inflammation and support healing (Watkins Family Chiropractic, 2023; OSSWF, 2024).


Four-week “Borderland Back Reset” (minimal gear, steady progress)

Week 1 — Start easy

  • Daily: 10-minute walk + 5 minutes mobility (open-books, hip-flexor, hamstrings).

  • Core set (3x/week): plank 20 s, side plank 15 s/side, glute bridge 10 reps.

  • Posture: Raise the screen and add a small lumbar roll.

Week 2 — Build consistency

  • Daily: 15–20 minutes walk/cycle + mobility.

  • Core set (3x/week): plank 25–30 s, side plank 20 s/side, bridge 12 reps; add bird-dog 6/side.

  • Nutrition: add one serving of leafy greens and one serving of lean protein to each meal (Watkins Family Chiropractic, 2023).

Week 3 — Strength + recovery

  • Cardio most days: 20–25 minutes.

  • Light hinge pattern (backpack or kettlebell) 1–2 days/week; focus on form.

  • Before bed, do slow breathing for 5 minutes.

Week 4 — Re-test & adjust

  • Compare flexibility, pain, and energy levels with those of Week 1.

  • Keep what helps; trim what doesn’t.

  • If numbness, weakness, or radiating pain persists, book an exam (Cary Orthopaedics, 2023; Suarez Physical Therapy, n.d.).


Real-world injuries: work, sports, and motor-vehicle accidents (MVAs)

  • Work: Desk roles need posture breaks and lumbar support; physical jobs need task rotation, hip-hinge training, and planned recovery.

  • Sports: Combine mobility, core/hip strength, and gradual return to play.

  • MVAs: Even “minor” collisions can cause whiplash or soft-tissue injury. A stepwise evaluation, along with imaging when necessary, guides safe return and documentation (OSSWF, 2024).


Inside our integrative approach in El Paso

(Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, Nurse Practitioner and Chiropractor)

Dual-scope diagnosis: We blend chiropractic and medical perspectives. Your exam includes a detailed history, movement, and neurological screens, as well as, when necessary, advanced imaging to clarify the problem and rule out potential red flags (Jimenez, n.d.; see Imaging/Diagnostics and Personal-Injury topics).

Evidence-based conservative care:

  • Chiropractic adjustments to restore motion and reduce joint irritation

  • Therapeutic exercise to build core/hip strength and mobility

  • Manual therapy/massage for tight or sensitive tissues

  • Acupuncture as part of an integrative plan when appropriate

  • Lifestyle coaching on posture, lifting, sleep, and stress
    (Prestige Health & Wellness, n.d.; Mobility Project PT, 2024; Raleigh Orthopaedics, 2024)

Documentation & advocacy: For work, sports, personal, and MVA cases, we document the mechanism of injury, exam findings, functional limits, and response to care. When claims or legal issues arise, clear records and appropriate imaging support decision-making (Jimenez, n.d.; Rangeline Chiropractic, n.d.).


Myths vs. facts (short and clear)

  • Myth: “If my back hurts, I should rest all day.”
    Fact: Gentle movement and short walks often speed recovery; long bed rest adds stiffness (National Spine Health Foundation, 2024).

  • Myth: “Only heavy lifting causes back pain.”
    Fact: Prolonged sitting, poor ergonomics, stress, and sleep problems also drive pain (National Spine Health Foundation, 2024; Raleigh Orthopaedics, 2024).


The El Paso Back Clinic checklist

  • ☐ Break up sitting every 30–45 minutes

  • Screen at eye level; use lumbar support

  • 10–15 minutes daily core + mobility

  • 20–30 minutes low-impact cardio most days

  • ☐ Hydrate across the day

  • ☐ Build meals around protein + produce + healthy fats

  • ☐ Sleep with neutral neck/back alignment

  • ☐ Seek care quickly for red flags or lasting symptoms


References

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