Sciatica Self-Massage at Home (The El Paso Back Clinic Approach to Safer Relief)
Sciatica is a nerve irritation pattern, not just a tight muscle. It often feels like burning, aching, tingling, or “electric” pain that can start in the low back or buttock and travel into the thigh, calf, and foot. Many people in El Paso experience sciatica after long hours of sitting, driving, or heavy lifting, or after an old injury that never fully healed. At El Paso Back Clinic, sciatica care is commonly described as integrative—meaning hands-on chiropractic care plus soft-tissue work, rehab, and (when appropriate) decompression strategies to reduce nerve pressure and help the body heal instead of just “chasing symptoms.”
Self-massage can be an effective home tool when done correctly. The goal is to relax the tissues around the irritated nerve pathway—especially the glutes, piriformis, low back muscles, hamstrings, and sometimes the calf—without smashing the nerve itself.
The safety rule that matters most: don’t “dig into” the sciatic nerve
If you press directly on the most “zappy” spot, you can flare symptoms. Instead, aim for gentle, targeted pressure that feels like a controlled release.
Use the “hurts good” rule:
Keep pressure 0–3 out of 10 (mild to moderate discomfort)
Avoid 4–10 out of 10 (too aggressive)
If symptoms worsen, stop right away and reduce pressure next time
Tools that work well at home
You do not need expensive equipment. These basic tools are enough for most people:
Tennis ball (beginner-friendly pressure)
Foam roller (great for slow myofascial release)
Two tennis balls taped together or in a sock (to work beside the spine more safely)
Heat pack (before or after)
Many sciatica massage guides recommend simple tools like tennis balls and foam rollers because they help you reach deep glute and hip muscles without overworking your hands.
Step-by-step: a simple self-massage routine for sciatica relief
Start with heat (optional, but helpful)
Apply heat to the lower back or glutes for 10–15 minutes. Heat can help muscles relax, so you do not need to apply as much pressure during a massage.
Tip: Heat should feel soothing, not scorching.
Trigger point release for the glutes and piriformis (tennis ball)
This is one of the most helpful self-massage steps because the piriformis and nearby glute muscles can tighten and irritate the sciatic nerve pathway.
How to do it:
Sit on the floor (or a firm bed) and place a tennis ball under one buttock.
Lean your weight into the ball until you find a tender “knot.”
Hold steady pressure for 20–45 seconds while breathing slowly.
Move the ball 1–2 inches and repeat on 2–4 spots.
Keep it safe:
If pain becomes sharp, numbness increases, or symptoms travel farther down the leg, stop immediately.
Low back muscle release (two tennis balls—NOT on the spine)
At El Paso Back Clinic, massage and soft-tissue work are considered a key part of sciatica treatment because relaxing tight tissues can reduce pressure on irritated structures. A safe home approach is to use two tennis balls so that pressure is applied beside the spine.
How to do it:
Tape two tennis balls together (or place them in a sock).
Lie on your back with knees bent.
Place the balls on either side of the spine, not on the bone.
Make tiny shifts and pauses—no fast rolling.
Work for 1–2 minutes, then rest.
Myofascial release for hamstrings (foam roller)
If your hamstrings are tight, they can “pull” on the pelvis and keep the low back and hip region tense. Slow foam rolling is often described as a form of self-myofascial release that warms and loosens tissue over time.
How to do it:
Sit with the roller under the back of your thigh.
Roll slowly and pause on tight spots for 20–30 seconds.
Don’t chase pain—stay in the 0–3/10 range.
Calf massage for referred pain (hands or roller)
Some sciatica patterns show up strongly in the calf or foot. Gentle calf work may help reduce guarding and improve comfort.
How to do it:
Use your hands to squeeze and glide from ankle toward knee.
Pause on a tender spot and breathe.
Keep pressure light to moderate.
What to avoid (so you don’t flare symptoms)
Heavy pressure on the “electric” pain spot
Fast rolling over the lower back or buttocks
Long sessions that leave you sore for 1–2 days
Pressing on the bone (spine, sacrum ridge, hip bone)
If you feel worse after self-massage, your body is telling you the dose was too high. Reduce pressure and shorten the next session.
Why chiropractic + massage often works better than either alone
Self-massage can help relieve muscle tension, but some cases of sciatica also involve spinal joint restriction, disc irritation, or nerve root pressure. That is why integrative chiropractic care is often paired with soft-tissue work.
On El Paso Back Clinic, sciatica care is described as focusing on addressing sources of pain (not only masking it), and the clinic also highlights combining chiropractic adjustments with therapeutic massage and non-surgical decompression options.
Common integrative components include:
Targeted chiropractic adjustments to improve motion and reduce irritation
Myofascial release/therapeutic massage to reduce spasms and improve circulation
Non-surgical spinal decompression (when appropriate) to reduce pressure on discs/nerve roots
Clinical observations from Dr. Alexander Jimenez
Across sciatica-focused education on the clinic’s site, the recurring theme is that lasting relief often improves when care addresses both sides of the problem:
tissue tension (glutes/piriformis/low back tightness), and
spinal mechanics (how joints/discs and nerve pathways are loading under stress).
When to stop home care and get evaluated quickly
Get urgent medical evaluation if you have:
New or worsening leg weakness
Loss of bowel or bladder control
Numbness in the saddle area
Severe pain with fever, unexplained weight loss, or major trauma
These may indicate a condition requiring immediate care beyond self-massage.
Anterior Hip and Leg Muscles: What They Are, What They Do, and Why They Hurt
A woman holds her aching anterior hip.
Pain in the front of the hip (often felt in the hip crease or groin area) and the front of the thigh is very common. It can show up when you stand up from a chair, climb stairs, run, kick, or even after sitting for a long time. The tricky part is this: front-hip pain is not always “just a tight hip flexor.” Sometimes it’s a muscle or tendon problem, but it can also be related to the hip joint, the pelvis, or the lower back.
This guide is written for everyday people in El Paso who want clear answers, plus a practical explanation of how an integrative chiropractic approach can help reduce pain and prevent flare-ups.
At El Paso Back Clinic, Dr. Alexander Jimenez and the team often observe a pattern: tight, overworked hip flexors, underactive glutes, and poor pelvic control—especially in people who sit a lot, train hard, or are recovering after an accident.
What “anterior hip and leg muscles” means
“Anterior” means the front side. The anterior hip and leg muscles are basically your “go-forward” and “stand-tall” muscles. They help you:
Lift your knee (hip flexion)
Step forward when walking or running
Stabilize your pelvis so your lower back doesn’t overwork
Straighten your knee (knee extension)
Control your leg when you climb stairs or squat
When these muscles get overloaded, they can feel tight, sore, weak, or sharp—depending on the cause.
The main anterior hip muscles (your hip flexors)
Hip flexors are not one muscle. They’re a group that works together.
Key hip flexor muscles
Iliopsoas (iliacus + psoas): the classic “deep hip flexor”
Rectus femoris: part of the quadriceps, crosses the hip and the knee
Sartorius: a long, strap-like muscle across the front of the thigh
Tensor fasciae latae (TFL): supports hip flexion and pelvic control
Pectineus (often grouped with hip flexors in clinical discussions)
Why iliopsoas matters so much
The iliopsoas helps:
Lift the thigh toward the trunk
Support the hip joint and pelvis
Add stability near the lumbar spine/pelvis connection
At El Paso Back Clinic, iliopsoas overuse is commonly discussed among athletes and active individuals who engage in sprinting, jumping, kicking, or repeated hip flexion.
The anterior thigh muscles (front of the thigh)
The main anterior thigh group is the quadriceps. They’re designed to extend the knee and help control motion during walking, stairs, squats, and landing.
Quadriceps muscles
Rectus femoris
Vastus medialis
Vastus lateralis
Vastus intermedius
The anterior thigh compartment is also supplied and controlled by key anatomical structures, such as the femoral nerve (often described as the L2–L4 roots) and the femoral artery system. That’s one reason pain patterns can sometimes feel confusing—muscles, nerves, and joints all influence the sensation you feel.
Why the anterior hip and leg muscles sometimes hurt sometimes
There are a few “big buckets” that explain most front-hip and front-thigh pain.
You’re asking the muscles to do too much, too often (overuse)
Overuse happens when the workload increases faster than your tissues can adapt. Common triggers include:
Sudden jump in running miles
More hills or speed work than usual
Lots of kicking (soccer, martial arts)
Heavy squats/lunges with poor control
Repetitive direction changes (basketball, football)
Overuse can irritate:
The muscle belly (soreness, tightness)
The tendon (tendinopathy-like pain)
The hip flexor attachment area near the front of the hip
Prolonged sitting keeps hip flexors in a “shortened” position
Sitting puts the hips into flexion. Over time, many people notice:
Hip tightness when standing up after sitting
A “pinchy” feeling in the front of the hip
Low back stiffness that shows up with hip tightness
Dr. Jimenez has emphasized in his recent writing that prolonged sitting can contribute to tight hip flexors and poor movement patterns, and that short movement breaks, along with targeted mobility work, can help many people feel better.
The hip flexors can be tight because other muscles are not doing their job
This is one of the most common “root causes” in stubborn cases:
Weak or underactive glutes
Weak deep core stabilizers
Limited hip mobility (the hip joint doesn’t move well)
Pelvic control issues (pelvis tips forward, rotates, or drops during gait)
El Paso Back Clinic explains that when the glutes weaken from inactivity and prolonged sitting, the hips and pelvis can become less stable and shift out of alignment, thereby increasing stress on surrounding tissues.
Sometimes the pain is not in the hip flexor at all
A major clinical point from family medicine guidelines is that hip pain often groups into:
Anterior (front)
Lateral (side)
Posterior (back)
…and the cause changes based on that pattern. Anterior hip pain may result from hip flexor injury, but it can also result from intra-articular hip joint problems (such as femoroacetabular impingement or labral pathology) or from referred pain.
A helpful “body map” concept is presented in educational videos that discuss what different hip pain locations can indicate, but a hands-on evaluation remains important when symptoms persist.
What the pain feels like: common patterns that guide the next step
These are not perfect rules, but they help you decide whether you’re dealing with a likely muscle/tendon issue or something deeper.
More likely muscle/tendon irritation (common hip flexor pattern)
Pain in the front hip crease
Worse with lifting the knee (stairs, marching)
Worse with running sprints, kicking, or hills
Tenderness in the front hip region
Feels tight after sitting
More likely hip joint involvement
Deep groin pain with hip rotation
Catching, clicking, locking, or “pinching”
Pain that persists despite basic stretching/rest
Range of motion feels blocked (especially flexion + rotation)
More likely low back/nerve referral
Front thigh pain plus low back symptoms
Numbness, tingling, and burning sensations
Symptoms that change with spine position
Why “stretching only” often fails
Stretching can feel good short-term, but it may not solve the real driver if the problem is:
Weak glutes and weak core control
A stiff hip joint or pelvic restriction
Poor movement strategy (how you squat, run, or stand)
A training load problem (too much too soon)
In other words, the hip flexors may be tight because they’re protecting you or compensating for something else.
How El Paso Back Clinic approaches anterior hip and leg pain
El Paso Back Clinic describes an integrative model that blends chiropractic care, rehabilitation concepts, and movement-based strategies, with a focus on mobility, flexibility, and the restoration of balanced function.
Here’s how that “integrative” approach commonly helps front-hip and front-thigh problems.
Identify the true driver (not just the sore spot)
A good evaluation typically includes:
History (training, sitting, injury, accident history)
Differentiation between hip joint vs. lumbar referral patterns
Dr. Jimenez has written about the importance of a structured hip evaluation to sort out the likely source of pain and match care to the pattern.
Restore joint motion and reduce protective “guarding”
When the pelvis/hip/lumbar spine isn’t moving well, the body often shifts load to the hip flexors and quads. Chiropractic-style care may focus on restoring smoother motion so the muscles stop overworking.
El Paso Back Clinic also discusses how muscle imbalance and chronic guarding can make it harder for muscles to “relax on their own,” especially after injuries.
Use soft tissue + targeted techniques to normalize muscle function
A common strategy is pairing hands-on care with neuromuscular techniques. El Paso Back Clinic specifically discusses assessing hip flexors with MET therapy (muscle energy technique) as part of reducing tightness and improving hip mobility.
Rebuild strength where it matters (glutes + core + hip control)
To prevent recurrence, the plan usually includes strengthening and control, especially:
Glute bridges and progressions
Hip abduction strength (side-lying or banded work)
Gradual reloading of hip flexors (instead of only stretching)
El Paso Back Clinic’s content repeatedly emphasizes that restoring balanced muscle function around the pelvis and hips supports daily movement and performance.
Practical tips you can start today (safe, simple, and realistic)
If your symptoms are mild and you’re not dealing with red flags, these are common first steps.
For desk workers and drivers (very common in El Paso)
Take 1–2 minute movement breaks every 30–60 minutes
Do a gentle hip flexor stretch (no sharp pinching)
Add a glute activation move (bridges or mini-band walks)
Keep your daily steps consistent (don’t go from 2,000 to 12,000 overnight)
For runners and athletes
Reduce aggravating volume for 1–2 weeks (not “stop forever,” just calm it down)
Avoid sprinting/kicking if it spikes sharp pain
Strengthen glutes and hip stabilizers 2–3x/week
Return to speed and hills gradually, not all at once
Quick self-check idea (mobility clue)
The Thomas Test is commonly used to screen for hip flexor tightness and may help distinguish whether the “tight feeling” is more iliopsoas- or quadriceps-based (rectus femoris). It’s not a diagnosis, but it can be a clue.
When you should get evaluated sooner rather than later
Don’t try to “stretch through it” if you have:
Severe pain after a fall or accident
Inability to bear weight
Fever or feeling unwell with hip pain
Worsening numbness/tingling or leg weakness
Persistent catching/locking and deep groin pain
A structured clinical examination is particularly important when hip pain may involve the hip joint or referral patterns.
The main takeaway
Your anterior hip and leg muscles—especially the hip flexors and quadriceps—are essential for walking, running, stairs, and posture. They often hurt because of:
Too much repeated load (overuse)
Too much sitting (hip flexors stay shortened)
Muscle imbalance (weak glutes/core causing hip flexors to overwork)
Hip joint or low back referral (pain “shows up” in the front)
An integrative chiropractic model—such as the one described in El Paso Back Clinic’s educational resources—focuses on identifying the underlying cause, restoring motion, improving muscle balance, and developing a plan to reduce the likelihood of recurrence.
Innovations in Sciatica Treatment in 2026: A Shift Toward Targeted, Minimally Invasive, and Integrative Care
Sciatica is one of the most common causes of chronic lower back and leg pain. It occurs when the sciatic nerve—the longest nerve in the body—is irritated or compressed, often due to disc herniation, spinal degeneration, inflammation, or biomechanical imbalance. For years, treatment options focused mainly on pain medications, steroid injections, or surgery when symptoms became severe.
In 2026, sciatica care has entered a new phase. Treatment is no longer just about “blocking pain.” Instead, the focus is on precision diagnosis, nerve healing, inflammation reduction, and functional recovery, with fewer complications and faster healing times. These advances also emphasize integrated, interdisciplinary care, combining chiropractic treatment with the diagnostic and clinical oversight of nurse practitioners (NPs).
This article explains the most important innovations shaping sciatica treatment in 2026, using easy-to-understand language while staying grounded in current clinical research and real-world outcomes.
Understanding Sciatica: Why Better Solutions Were Needed
Sciatica is not a single disease. It is a symptom caused by pressure or irritation along the sciatic nerve, usually beginning in the lower spine and traveling into the buttock and leg. Pain can feel sharp, burning, electric, or aching and may include numbness or weakness.
Common contributors include:
Herniated or bulging lumbar discs
Spinal stenosis
Degenerative disc disease
Muscle imbalance or pelvic instability
Inflammation around nerve roots
Traditional treatments often relied on:
Long-term anti-inflammatory or pain medications
Opioids for severe cases
Epidural steroid injections
Surgery as a last resort
While these approaches helped some patients, they did not always address the underlying cause, and many carried risks such as dependency, complications, or prolonged recovery (Stanford Health Care, n.d.).
What Has Changed in 2026?
By 2026, sciatica treatment emphasizes early, targeted, and minimally invasive care. Research and clinical experience now show that addressing nerve irritation early and restoring healthy movement patterns can prevent chronic pain and disability (BioSpace, 2025).
Key changes include:
Improved imaging and diagnostics
Precision-guided nerve procedures
Regenerative medicine options
Advanced neuromodulation technologies
Integrated chiropractic and NP-led care models
Advanced Diagnostic Imaging: Seeing the True Source of Pain
One of the biggest improvements in sciatica care is high-resolution MRI technology. Modern imaging allows clinicians to:
Identify the exact nerve root involvement
Distinguish disc-related pain from muscular or inflammatory causes
Detect subtle nerve inflammation missed in earlier imaging methods
Enhanced MRI protocols now guide treatment decisions more accurately, reducing unnecessary procedures and improving outcomes (Stanford Health Care, n.d.).
Nurse practitioners play a critical role here by:
Ordering and interpreting imaging
Correlating findings with physical symptoms
Coordinating referrals and follow-up care
Minimally Invasive Pain Procedures: Precision Without Surgery
Improved Nerve Blocks
Modern nerve blocks are no longer “blind injections.” In 2026, they are image-guided and highly targeted, delivering medication exactly where inflammation and irritation occur.
Benefits include:
Faster pain relief
Reduced medication dosage
Improved diagnostic clarity
Lower complication risk
Nerve blocks are now often used as diagnostic tools to help clinicians determine whether pain is mechanical, inflammatory, or neuropathic in origin (Apollo Spine & Pain, 2026a).
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses controlled heat to disrupt pain signals traveling through irritated nerves. Newer RFA systems are more precise and selective than earlier versions.
Key advantages:
Long-lasting pain relief
Minimal tissue damage
Short recovery time
Reduced reliance on medications
RFA is especially helpful for chronic sciatica that does not respond to conservative care (Apollo Spine & Pain, 2026b).
Spinal Cord Stimulation: Rewiring Pain Perception
Spinal cord stimulation (SCS) has evolved significantly. New devices are smaller, smarter, and more adaptive. They deliver gentle electrical signals that change how the brain interprets pain signals from the sciatic nerve.
Modern SCS systems offer:
Personalized stimulation patterns
Adjustable settings via external controllers
Reduced side effects compared to older models
SCS is now used earlier in care for select patients, helping many avoid surgery altogether (Pain and Spine Specialists, n.d.).
Regenerative Medicine: Supporting Nerve Healing
Platelet-Rich Plasma (PRP)
PRP therapy uses a patient’s own blood components to promote healing and reduce inflammation. In sciatica care, PRP is increasingly used around:
Inflamed nerve roots
Degenerative disc structures
Surrounding soft tissues
Research suggests PRP may:
Reduce inflammation
Support tissue repair
Improve long-term outcomes
While still evolving, regenerative therapies are driving growth in the global sciatica treatment market (Grand View Research, n.d.; PMC, 2024).
Therapeutic Exercise Innovations: Movement as Medicine
Nerve Flossing and Targeted Rehab
Exercise therapy in 2026 is more specific and personalized. One standout approach is nerve flossing, which involves controlled movements designed to improve nerve mobility and reduce irritation.
Benefits include:
Improved nerve glide
Reduced stiffness
Decreased pain during daily activities
Programs are now customized using imaging findings and functional testing, ensuring exercises match the patient’s specific condition (Goodman Campbell, 2026).
Chiropractic Care: A Drug-Free Foundation
Chiropractic care remains central to non-surgical sciatica treatment. Modern chiropractic approaches focus on restoring spinal alignment, reducing nerve compression, and improving movement patterns.
Common techniques include:
Spinal adjustments
Flexion-distraction therapy
Soft tissue mobilization
Low-level laser therapy
Research continues to associate chiropractic care with reduced opioid use and improved pain outcomes (ReachMD, 2024; UH Hospitals, 2025).
Integrated Care: Chiropractors and Nurse Practitioners Working Together
One of the most important shifts in 2026 is the collaborative care model. Instead of isolated treatment, patients benefit from coordinated care involving chiropractors and nurse practitioners.
This model allows for:
Accurate diagnosis and imaging oversight
Conservative, drug-free pain management
Monitoring of neurological symptoms
Reduced opioid exposure
Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, highlight that patients receiving coordinated chiropractic and NP care often experience:
Faster recovery
Better functional improvement
Fewer invasive interventions
Greater long-term pain control
His integrative approach emphasizes treating the cause of nerve irritation, not just the symptoms (Jimenez, n.d.).
Why These Innovations Matter
Together, these advances represent a major shift in sciatica care:
From surgery-first to conservative-first
From symptom masking to root-cause resolution
From isolated care to interdisciplinary teamwork
Patients now have more options, fewer risks, and better long-term outcomes.
Conclusion: The Future of Sciatica Care Is Personalized and Precise
By 2026, sciatica treatment has become more effective, safer, and patient-centered. Innovations in diagnostics, minimally invasive procedures, regenerative medicine, and integrative chiropractic-NP–NP care are reducing the need for surgery and long-term medication use.
The focus is no longer just pain relief—it is nerve health, mobility restoration, and sustainable recovery. As research and technology continue to evolve, patients suffering from sciatica can expect even more targeted, evidence-based solutions in the years ahead.
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.
Strong Core + Chiropractic for Lower Back and Hip Pain Relief
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.
When You Don’t Stretch: Why Muscles Get Stiff, Movement Gets Harder, and Injuries Become More Likely
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)
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
Holistic Wellness at El Paso Back Clinic: Premier Chiropractic Care
Welcome to El Paso Back Clinic, your trusted destination for injury rehabilitation and functional medicine in El Paso, TX. Led by Dr. Alex Jimenez, D.C., APRN, FNP-BC, our clinic specializes in treating sciatica, neck and back pain, whiplash, headaches, joint injuries, sports injuries, and degenerative arthritis. Our team of chiropractors, nurse practitioners, nutritionists, and acupuncturists uses advanced therapies to restore mobility, flexibility, and overall health. We focus on holistic sciatic nerve care, addressing root causes through chiropractic care, nutrition, and integrative medicine to help you achieve optimal wellness.
Comprehensive Chiropractic Care for Musculoskeletal Health
At El Paso Back Clinic, we provide a holistic approach to managing musculoskeletal issues, including sciatica, back pain, and joint injuries. Our treatments focus on restoring biomechanical function and promoting natural healing, helping patients regain their quality of life.
Chiropractic Techniques for Joint and Biomechanical Restoration
Chiropractic care is central to our approach, using gentle spinal adjustments to correct misalignments that cause nerve compression, such as sciatica. These adjustments relieve pressure on the sciatic nerve, improve mobility, and reduce pain (Dr. Leitman, 2023). By restoring proper alignment, we help the body heal naturally, whether the issue stems from a car accident, sports injury, or chronic condition.
Managing Musculoskeletal Inflammation
Inflammation often contributes to sciatica and other musculoskeletal pain. Our clinic utilizes functional medicine to address inflammation through dietary modifications, such as incorporating anti-inflammatory foods like omega-3 fatty acids, and targeted supplements like vitamin B12 (Therapy Organics, 2023). This approach reduces nerve irritation and supports long-term health.
Trigger Point and Massage Therapy
Massage therapy, including trigger point techniques, enhances circulation and relaxes tense muscles, which is crucial for sciatica relief. Improved blood flow delivers nutrients to the sciatic nerve, aiding recovery (Zama Massage, 2018). Our therapists tailor sessions to address specific injuries, from whiplash to sports-related strains.
Recovery and Rehabilitation After Motor Vehicle Accidents
Motor vehicle accidents (MVAs) can cause a range of injuries, from whiplash to gastrointestinal issues, impacting overall health. At El Paso Back Clinic, we offer comprehensive recovery plans tailored to each patient’s needs.
Whiplash and Spinal Injury Recovery
Whiplash-associated disorders (WAD) are common after MVAs, causing neck pain and stiffness. Our chiropractic care and durable medical equipment, such as cervical collars, support recovery by stabilizing the spine and reducing strain (Jimenez, 2023a). We also incorporate regenerative medicine, like platelet-rich plasma (PRP), to promote tissue repair (Family Integrative Medicine, 2023).
Gastrointestinal Injuries Post-Accident
MVAs can lead to gastrointestinal issues due to trauma or stress. Our integrative approach includes nutritional guidance to support gut health, emphasizing foods that reduce inflammation and promote healing (Asuta Health, 2023). This holistic care helps patients recover fully from internal injuries.
Nutrition for Injury Recovery
A tailored diet is vital for healing after an MVA. We recommend nutrient-dense foods and supplements to support tissue repair and reduce inflammation, aiding recovery from musculoskeletal and spinal injuries (Therapy Organics, 2023). Our nutritionists work with patients to create personalized plans.
Sciatica, characterized by pain radiating from the lower back through the buttocks and legs, is often caused by compression of the sciatic nerve. At El Paso Back Clinic, we address sciatica and other injuries with a focus on prevention and long-term wellness.
Sciatica Symptoms and Causes
Symptoms: Pain ranging from mild to severe, numbness, tingling, or muscle weakness in the leg or foot. Pain may worsen with activities such as sitting, coughing, or sneezing (WebMD, 2023a).
Causes: Herniated discs, bone spurs, or spinal misalignments (subluxations) due to poor posture, trauma, or pregnancy. Rarely, tumors or diabetes may contribute (Wilmington Chiropractic, 2023).
Risk Factors: Age-related spinal changes, obesity, sedentary lifestyles, occupations involving heavy lifting or prolonged driving, and diabetes increase the risk of sciatica.
Bicycle and 18-Wheeler Accident Risks
Bicycle collisions and 18-wheeler accidents pose significant risks for musculoskeletal injuries. Wet roads or heavy vehicles can exacerbate these risks, leading to spinal trauma or sciatica (National Center for Biotechnology Information, 2016). Our clinic uses chiropractic care and integrative medicine to address these injuries, promoting recovery and preventing recurrence.
Dr. Alex Jimenez’s Expertise in Diagnosis and Treatment
Dr. Alex Jimenez brings a unique dual perspective as a chiropractor and nurse practitioner, specializing in work, sports, personal, and motor vehicle injuries. His expertise ensures precise diagnoses and effective treatment plans.
Diagnostic Approach
Dr. Jimenez conducts thorough medical exams, using advanced imaging like X-rays and MRIs to identify issues such as herniated discs or nerve compression. Functional health assessments further reveal lifestyle factors that contribute to sciatica or other injuries (Jimenez, 2023b). This comprehensive approach ensures targeted treatments.
Medical and Legal Support
For personal injury cases, Dr. Jimenez provides detailed medical reports that support insurance claims or legal proceedings, easing the burden on patients. His dual qualifications allow him to seamlessly integrate medical care with legal documentation, particularly for MVA-related injuries (Jimenez, 2023c).
Preventing sciatica and other injuries requires proactive measures. Our clinic emphasizes sustainable strategies to maintain spinal health and overall wellness.
Prevention Strategies
Core Strengthening: Exercises targeting the abdomen and lower back support proper posture and spinal alignment (Thrive Cedar Falls, 2023).
Proper Posture: Use ergonomic chairs with lumbar support and maintain a level position with your knees and hips when sitting. A rolled towel can support the spine’s natural curve.
Body Mechanics: Lift with your legs, keep your back straight, and avoid twisting while lifting heavy objects.
An Active Lifestyle: Regular physical activity, such as walking or yoga, reduces the risk of sciatica compared to a sedentary lifestyle.
When to Seek Care
Seek immediate medical attention if you experience:
Severe pain with numbness or weakness in the leg.
Loss of bowel or bladder control.
Pain following a significant injury, such as an MVA.
Mild sciatica may resolve with self-care, but persistent or worsening pain requires professional intervention.
Our clinic combines advanced technology, proven therapies, and a patient-centered approach to deliver exceptional care. Dr. Jimenez’s expertise in chiropractic and integrative medicine ensures comprehensive treatment for sciatica, sports injuries, and MVA-related conditions. We prioritize natural healing and long-term wellness, helping patients return to their active lives.
The American College of Obstetricians and Gynecologists, or ACOG, advises pregnant individuals to exercise regularly during pregnancy. (The American College of Obstetricians and Gynecologists, 2024) The guidelines indicate that individuals who regularly engage in vigorous-intensity aerobic exercise before pregnancy should continue these activities during their pregnancy. (Syed H., Slayman T., & DuChene Thoma K. 2021) According to ACOG, observational studies of pregnant individuals who exercise show benefits such as:
Indoor cycling is ideal because individuals won’t have to deal with balance challenges or generate a heavy impact on their joints. There are many indoor cycling workouts to try, whether spin or on-demand classes. Indoor cycling is safer during pregnancy than outdoor cycling, which is not recommended because of the risk of falls from traffic and weather conditions. Although indoor cycling is generally considered safe during pregnancy, individuals should get clearance from their OB/GYN if they have any underlying medical conditions that might limit physical activity options.
Cycling Classes
Taking cycling classes during pregnancy is safe if a healthcare provider has no concerns. It’s important to take precautions.
It’s recommended to continue with any exercise you were doing before pregnancy rather than start a new routine.
Remember that this is an exercise for two, so the heart rate will elevate quickly and become overheated more easily.
Take it easier on the bike, and don’t push too hard.
Consult With the Instructor
It’s recommended to seek out an instructor with some prenatal exercise training. Individuals may benefit from sticking with the same instructor whenever possible to get to know them and familiarize themselves with their modifications and needs. Whether or not you’re showing, tell the instructor that you’re pregnant before the class starts. This way, they can monitor progress and will not push too hard. The instructor can also give important pointers on modifying the ride to suit your needs.
Modify Bike Set-Up
Individuals may need to adjust the saddle position and raise the handlebars to stay comfortable as their bodies change. Sitting more upright is recommended to relieve strain on the lower back, and increasing the handlebars and bringing them closer instead of leaning forward is another goal. Another goal is to keep the weight more evenly distributed between the hands and body. Also, avoid movable indoor bikes that mimic outdoor riding. They can lean sideways, which might cause a fall.
Dial Down Intensity
With indoor cycling, it’s best to exercise moderately during pregnancy. Consider wearing a heart rate monitor to ensure a safe intensity. It’s also helpful to pay attention to the Rating of Perceived Exertion scale/RPE. Even if the heart rate isn’t too high, slow down or stop exercising immediately if you’re gasping for breath or feeling lightheaded. ACOG guidelines indicate that 13-14 “somewhat hard” on the Borg RPE scale is a safe and acceptable level of exertion. The guidelines also state that RPE is a better gauge of exertion than heart rate and that the talk test (holding a conversation while exercising) can indicate safe workout intensity.
Stay Cool and Properly Hydrated
Wear comfortable, breathable clothing to help you stay cool and a bra with plenty of support. Drink lots of water throughout the workout, actually more than usual. Overheating and dehydration are common during pregnancy and can be dangerous for both parents and babies. Carrying an extra 20 to 30 pounds and having 40% more blood pumping through the body toward the end of pregnancy makes you likely to sweat more and can easily lead to dehydration. Using a fan for home gyms is highly recommended.
Avoid Standing and Stay In a Seated Position
During the early months, you may be able to ride in a standing position without any problems. But as the belly grows, it changes the body’s center of gravity, putting more pressure on the joints and making it difficult to ride standing. Joints are looser or more flexible during pregnancy, which makes standing while cycling more difficult and risky. It is still a healthy workout if you stay seated the whole time—and, most importantly, avoid overdoing it or injuring yourself.
Body Signs
Listen to the body while exercising. If you get winded, dizzy, or unwell while riding, take a break or reduce your effort by a few notches. If a 45-to-60-minute class is too intense, feel free to depart early; just let the instructor know you’re OK. Energy will likely ebb and flow during pregnancy, so pay attention to the body’s signals and take care of them accordingly. Stop exercising if you experience any of the following (Syed H., Slayman T., & DuChene Thoma K. 2021)
Abdominal pain
Dyspnea: shortness of breath before exertion
Headache
Dizziness
Calf pain or swelling
Muscle weakness affects balance
Chest pain
Amniotic fluid leakage
Regular painful contractions
Vaginal bleeding
Call your doctor if you experience sharp pain, contractions, a surge of fluid, a sudden severe headache, prolonged swelling, or decreased baby movement.
Injury Medical Chiropractic & Functional Medicine Clinic
It’s important to exercise wisely during the nine months to accommodate body changes, the extra weight, the increasingly relaxed ligaments, and the shift in the center of gravity. The stationary bike provides a personalized, low-impact workout. You get to control the intensity and the duration of the ride. Monitor your heart rate and/or RPE to avoid overdoing it. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Chiropractic Lower Back Pain Pregnancy Treatment
References
Hinman, S. K., Smith, K. B., Quillen, D. M., & Smith, M. S. (2015). Exercise in Pregnancy: A Clinical Review. Sports Health, 7(6), 527–531. https://doi.org/10.1177/1941738115599358
The American College of Obstetricians and Gynecologists. (2024). Exercise during pregnancy. https://www.acog.org/womens-health/faqs/exercise-during-pregnancy?utm_source=redirect&utm_medium=web&utm_campaign=int
Syed, H., Slayman, T., & DuChene Thoma, K. (2021). ACOG Committee Opinion No. 804: Physical Activity and Exercise During Pregnancy and the Postpartum Period. Obstetrics and gynecology, 137(2), 375–376. https://doi.org/10.1097/AOG.0000000000004266
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