Back Clinic Sciatica Chiropractic Team. Dr. Alex Jimenez organized a variety of article archives associated with sciatica, a common and frequently reported series of symptoms affecting a majority of the population. Sciatica pain can vary widely. It may feel like a mild tingling, dull ache, or burning sensation. In some cases, the pain is severe enough to make a person unable to move. The pain most often occurs on one side.
Sciatica occurs when there is pressure or damage to the sciatic nerve. This nerve starts in the lower back and runs down the back of each leg as it controls the muscles of the back of the knee and lower leg. It also provides sensation to the back of the thigh, part of the lower leg, and the sole of the foot. Dr. Jimenez explains how sciatica and its symptoms can be relieved through the use of chiropractic treatment. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Sacroiliac joint dysfunction is characterized as a sharp, stabbing pain which radiates from the pelvis and hips, down into the lower back or lumbar spine and throughout the legs. Patients might experience tingling sensations or numbness. The sacroiliac joint is generally attributed to causing between 15 to 30 percent of chronic low back pain cases. Approximately 80 percent of adults will experience some type of low back pain throughout their lifetimes. Low back pain is also ultimately considered to be one of the most general causes of disability as well as the most common cause of missed workdays. �
What are the Sacroiliac Joints?
The sacroiliac joints are situated where the sacrum and ilium come together. The sacrum is the triangle-shaped bone close to the base of the spine, just over the coccyx or the tailbone. Among the three bones that make up the hip structure, the ilium is at the top of the pelvis. The sacroiliac joints support the weight of the human body, maintaining it around the pelvis. This reduces pressure and functions as a shock absorber. The bones of the sacroiliac joints are all jagged to remain in alignment. �
Gaps between the bones of the sacroiliac joints are filled with fluid for lubrication. These gaps are also filled with free nerve endings which are in charge of transmitting pain signals. It may be debilitating when the sacroiliac joints come out of alignment. All the bones at the sacroiliac joints are connected by muscles and ligaments which promote stability and permit for limited motion. This motion is essential for women to give birth and for people to stay standing vertically. �
What Causes Sacroiliac Joint Dysfunction?
Irritation, swelling, or inflammation of one or more sacroiliac joints is commonly referred to as sacroiliac joint dysfunction, sacroiliac joint disease, or sacroiliitis. Moreover, sacroiliac joint dysfunction or disease may cause sacroiliitis. This can be a health issue which encompasses a variety of other injuries and/or underlying conditions. These include: �
Walking patterns
Injury
Gout
Ankylosing spondylitis
Osteoarthritis
Pregnancy
What are the Symptoms of SI Joint Dysfunction?
Every person experiences symptoms of SI joint dysfunction differently and the signs can vary from person to person, depending on the source of the sacroiliac joint dysfunction. Common signs and symptoms of SI joint dysfunction include: �
low back pain
pain in the buttocks, hips, and pelvis
pain in the groin
painful symptoms in the SI joints
pain when standing from a sitting position
stiffness
burning sensations
weakness
numbness
pain radiating down into the thighs and legs
feeling like the legs may buckle and not support the weight of the body
How is Sacroiliac Joint Dysfunction Diagnosed?
SI joint dysfunction can be hard to diagnose. Because the joints are situated deep within the human body, it often makes it difficult for healthcare professionals to properly diagnose the health issue. Moreover, damage due to trauma or injury to the sacroiliac joints doesn’t appear on imaging tests like CT scans, MRIs, or X-rays. And the signs and symptoms are much like other health issues, such as sciatica, bulging or herniated discs and arthritis of the hip. The healthcare professional may perform a variety of tests so as to diagnose SI joint dysfunction and determine other health issues, including: �
Provocative tests are frequently utilized by healthcare professionals to determine whether the painful symptoms are originating from the SI joint. The maneuvers are utilized to isolate the SI joint as the source of pain.
Injecting a numbing drug and/or medication, such as lidocaine, to the sacroiliac joint. This can ultimately help determine if the patient has an SI joint health issue if the painful symptoms are reduced after a brief period of time.
Imaging tests, including X-rays, MRIs, and CT scans.
Diagnosing SI Joint Disorders – Provocative Testing
How is Sacroiliac Joint Dysfunction Treated?
Physical therapy, chiropractic care, stretches and exercises, such as yoga, and massage can help stabilize and strengthen the SI joints and alleviate painful symptoms. Another treatment suggestion involves the utilization of cold packs for pain relief. Utilize heat with a heating pad or heat wrapping, or a soak in a warm bath after the painful symptoms are more manageable. It is also possible to put on a sacroiliac belt to help support the sacroiliac joint which might help alleviate painful symptoms. �
Medicine and Non-surgical Treatment
If sacroiliac joint dysfunction signs and symptoms can’t be managed with physical therapy, chiropractic care, stretches and exercises, and/or massage, or whether it is brought on by an underlying health issue, your healthcare professional may recommend the utilization of medicine and non-surgical treatment. These treatment approaches can include: �
anti-inflammatory medications, including nonsteroidal, anti-inflammatory drugs (NSAIDs)
muscle relaxants
oral steroids, but only for short-term utilization
tumor necrosis factor inhibitors (TNF inhibitors)
corticosteroid injections
radiofrequency ablation, which utilizes energy to deactivate the nerves which are causing pain and discomfort
Healthcare professionals consider surgery to be the last resort for sacroiliac joint dysfunction if none of the other treatment approaches mentioned above helped reduce painful symptoms. With sacroiliac joint surgery, small plates and screws are utilized to hold the SI joint together so the bones fuse or grow together. The healthcare professional may suggest this surgery if the pain and discomfort become constant and other treatment approaches haven’t been effective. Furthermore, it’s fundamental for patients to receive a diagnosis for them to follow-up with treatment for their SI joint dysfunction. �
Differential Diagnosis of Hip Pain and Discomfort
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Sacroiliac, or SI, joint dysfunction is believed to be a common cause of low back pain and hip/thigh/leg pain. Because of the painful symptoms along the lower extremities, SI joint dysfunction may feel similar to sciatica. However, sciatica is caused by the compression or impingement of the sciatic nerve. Accurately diagnosing sacroiliac joint dysfunction can be difficult. A positive diagnosis for SI joint dysfunction is generally determined through the utilization of provocative testing and/or an injection. Proper diagnosis is important for proper treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss SI joint dysfunction and sciatica. SI joint dysfunction is often confused with the symptoms of sciatica, however, diagnosis and treatment differ for this health issue. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
The facet joints are the joints which are found behind the spine to counterbalance the intervertebral discs found between the vertebrae of the spine. These are ultimately essential for restricting the movements of the spine for the vertebrae to maintain proper alignment. Over time, the natural aging process can cause the facet joints to deteriorate or wear down. Facet joint arthritis can also gradually develop over time, as it may in any other joint. This is referred to as arthropathy. �
What are the Symptoms of Facet Arthropathy?
Individuals with facet arthropathy will generally experience low back pain which can often worsen with standing, twisting, or bending backward. The painful symptoms associated with facet joint arthropathy occur in one specific region of the spine. The pain and discomfort are commonly described as a dull ache on one or both sides of the lower back or lumbar spine.� �However, unlike the well-known signs and symptoms of sciatica, caused by the compression or impingement of the sciatic nerve in the lower back, facet arthropathy signs and symptoms generally don’t radiate down the buttocks or into the legs. �
However, the facet joint, in the same way as any other joint which has arthritis, can become enlarged and add pressure on nerve roots, causing pain and discomfort to radiate down the lower extremities. Facet arthropathy symptoms are generally relieved by bending forward. Bending your body forward into a spinal flexion position can help reduce painful symptoms. �
What Causes Facet Arthropathy?
The natural aging process is frequently considered to be one of the most common indirect sources of facet arthropathy. Other health issues which can affect the facet joints and ultimately cause facet arthropathy include: �
Osteoarthritis: Degeneration of joint cartilage and underlying bone, generally during middle age
Facet joint degeneration: Wear and tear on the facet joint brought on over time due to aging
Facet joint injury: Trauma to the facet joints caused by an impact, such as a fall or automobile accident
Synovial cyst: A fluid-filled sac which develops in the spine, generally as a result of aging
How is Facet Arthropathy Diagnosed?
If you’re experiencing chronic low back pain, make an appointment with a healthcare professional to determine a diagnosis and follow-up with the proper treatment. By performing a physical evaluation, your healthcare professional will then be able to analyze the source of your painful symptoms. The doctor will also ask you questions regarding your medical history and your symptoms as well as order several of the following tests to help diagnose facet arthropathy, including: �
CT scan or MRI scan: These imaging tests can show evidence of facet joint degeneration, even mild to moderate cases.
Bone scan: This test shows bone density to demonstrate any source of inflammation on the spine.
Anti-inflammatory steroid injection: An injection into your facet joint can determine facet arthropathy.
X-rays: These will help the healthcare professional evaluate the overall health and wellness of your spine.
Can Facet Arthropathy Cause Other Health Issues?
Facet arthropathy may cause bone spurs, tiny bone outgrowths. Bone spurs can decrease the distance available between nerve roots, causing a health issue known as spinal stenosis. Spinal stenosis may cause pain, weakness, and numbness on the buttocks, hips, and thighs. It’s frequently associated with other health issues which could lead to facet arthropathy. �
Arthritis caused by a variety of other health issues, such as degenerative disc disease, can occur due to the human body’s natural aging process, causing the discs between the vertebrae of the spine to lose their flexibility, elasticity, and capacity to absorb shock from walking and other physical activities. This may ultimately cause painful symptoms to develop. �
How is Facet Arthropathy Treated?
There are numerous treatment approaches to help treat facet arthropathy symptoms. Treatments include: �
Anti-inflammatory drugs and/or medications
Avoidance of movements which cause pain and discomfort, such as repetitive twisting or lifting
Physical therapy
Chiropractic care
Epidural steroid injections
Facet joint ablation or the destruction of the facet nerves with electrical shocks
Spinal surgery when there is nerve-root compression
Differential Diagnosis of Hip Pain and Discomfort
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Facet joint arthropathy is a well-known health issue which can commonly occur due to the human body’s natural aging process, however, injury or underlying conditions may also cause facet joint arthropathy. Although facet joint arthropathy may cause pain, discomfort, and numbness in the lower back, the symptoms are different from sciatica in which these don’t radiate down the buttocks, legs, and/or feet. Diagnosis is essential for facet joint arthropathy to follow-up with treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Degenerative disc disease is a health issue which occurs when one or more of the discs found between the vertebrae of the spine break down, causing painful symptoms and other problems. Common symptoms may include pain, tingling sensations, weakness, and numbness. Despite its name, degenerative disc disease is actually not a disease, but rather, a natural process which occurs with aging. The rubbery discs found between the vertebrae function like shock absorbers, allowing the back to flex and bend accordingly.� When they wear out, however, they no longer provide as much protection as before. �
Causes
The intervertebral discs also referred to as spinal discs or intervertebral fibrocartilage, provide the padding required between the vertebrae of the spine. The intervertebral discs are an elastic structure made from fibrocartilage tissue. The outer part of the disc is referred to as the annulus fibrosus. The annulus fibrosus is tough and it’s made up of many overlapping layers. The inner part of the disc is referred to as the nucleus pulposus. The nucleus pulposus is soft and gelatinous. The intervertebral discs cushion the stress of the spine, bears weight, and also helps the spine bend and flex. �
As people age, repeated daily stresses on the backbone and occasional trauma and/or injuries, including minor, undetected health issues, may ultimately damage the intervertebral discs in the back. Changes caused by damage may include: �
Decreased fluid: The intervertebral disks of a healthy young adult are made up of around 90 percent fluid. With age, the fluid material decreases, causing the disc to become thinner. The distance between each vertebra, in turn, becomes smaller and it makes them even less effective to function as a cushion or shock-absorber.
Disc structure: Small tears or cracks can become larger in the outer layer of the disc. The soft and gelatinous material from the inner part may push through the disc, causing a bulging or ruptured disc. The disc may break into fragments.
If the vertebrae have less padding between them, the backbone also becomes less stable. To compensate, the human body builds osteophytes, or bone spurs, small bony structures which develop along the edge of bones. These structures can compress or impinge the spinal cord or nerve roots. Other health issues caused by degenerative disc disease includes the breakdown of cartilage or the tissue which cushions the joints, a bulging disc, known as a herniated disc, and a narrowing of the spinal cord, also referred to as spinal stenosis. These changes can cause painful symptoms and lead to fatigue. �
Symptoms
Degenerative disc disease can either cause no symptoms or the pain and discomfort may be so severe, it can tremendously affect an individual’s quality of life. This health issue generally aggravates due to injury or trauma to the backbone, however, symptoms can also affect other parts of the human body, depending on the direct location of the degenerative disc disease. The pain and discomfort can range from mild to severe and it may often be debilitating. It may ultimately result in osteoarthritis, with pain and discomfort along with stiffness in the back. Fatigue can generally accompany other symptoms. �
If degenerative disc disease affects the low back or the lumbar spine, the pain and discomfort may radiate down the buttocks, hips, and thighs, into the knees and feet. There might also be tingling sensations and numbness, a collection of symptoms known as sciatica, caused due to the compression or impingement of the sciatic nerve. If degenerative disc disease affects the neck or the cervical spine, the pain and discomfort may radiate into the shoulders, arms, and hands. The painful symptoms may worsen when sitting, bending, twisting or lifting. Rest may help provide some pain relief. �
Diagnosis
A healthcare professional will ask the patient about their symptoms, including where and when the pain developed as well as whether there are tingling sensations or numbness. The doctor may also need to know which circumstances cause the most painful symptoms and if the patient suffered any injuries and/or aggravated conditions. A physical evaluation may examine pain and discomfort in response to touch or movement, muscle strength, flexibility, and performance, as well as nerve structure and function. The healthcare professional may also order diagnostic tests, such as MRI or CT scans. �
Treatment
Treatment for degenerative disc disease might include occupational therapy, physical therapy, chiropractic care, exercise or physical activity, drugs and/or medications, weight loss, and surgery. Medical options include injecting the joints next to the broken disc with steroids and a local anesthetic. Medicines include pain relief medicine, such as Tylenol, and non-steroidal anti-inflammatory medications, or NSAIDs, including ibuprofen. Muscle relaxers and steroids may also be prescribed. �
A corset or brace may also offer back support. Patients who don’t respond well to conservative treatment options might require surgery. Furthermore, a patient who develops osteoarthritis, a herniated disc, or spinal stenosis may require a combination of different types of treatment approaches to achieve pain relief. It’s fundamental for a healthcare professional to provide a patient with the proper diagnosis of their symptoms to follow-up with the most appropriate treatment. �
Differential Diagnosis of Hip Pain and Discomfort
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Degenerative disc disease is characterized as the normal, gradual deterioration of the intervertebral discs with age, which may occasionally cause a variety of painful symptoms. Common symptoms associated with degenerative disc disease can include pain and discomfort, tingling sensations, and numbness, similar to sciatica. Painful symptoms may also cause fatigue and other health issues. Nearly everyone’s intervertebral discs will break down over time, however, not everyone will develop painful symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
The spine consists of 33 bones, best known as vertebrae, which shield the spinal cord from experiencing injury or trauma. The bones of the spine permit an individual to remain upright, bend, and twist. The vertebrae are held in place by a collection of muscles, tendons, and ligaments. Nerves also extend from the spine to the upper and lower extremities, such as the arms and legs. The spine curves in an S-shape, which is essential for spinal health. These curves are accountable for equilibrium, shock absorption, and a range of movements.� Each section of the backbone has a specific name and function. They are the: �
Cervical spine or neck
Thoracic spine or middle back
Lumbar spine or lower back
Sacrum, which links the backbone to the hips
Coccyx or tail bone
Each vertebra is cushioned from each other with an intervertebral disk. This shields the vertebrae from rubbing over each other. When trauma or injuries occur, these intervertebral discs can become damaged and cause the compression or impingement of a nerve. Depending on which nerve is compressed, an individual can experience a variety of painful symptoms, including sciatica or sciatic nerve pain. Individuals can develop radiculopathy as a result of an injury, or it may occur seemingly without a cause. People within 30 to 50 years old are most likely to experience radiculopathy. �
Causes and Risk Factors
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Radiculopathy can ultimately develop due to a variety of injuries and/or aggravated conditions, including: �
Herniated discs, or when a disc protrudes, irritating the nerve root
Sciatica
Degenerative disc disease
Bone spurs
Tumors in the spine
Osteoarthritis or spinal arthritis
Spinal stenosis, or the narrowing of the spinal canal
Compression fractures
Spondylolisthesis, or when a vertebra slides over the vertebra beneath it
Scoliosis brought on by an abnormal curve in the backbone
Diabetes, caused by altered nerve blood flow
Cauda equine syndrome, or a condition where nerve root compression affects the pelvic organs and lower extremities
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Additional risk factors for developing radiculopathy include: � �
Aging
Being overweight or obese
Poor posture
Improper lifting methods and techniques
Repetitive movements
A family history of degenerative bone health issues
Signs and Symptoms
Since the nerve roots extending from the spinal cord travel throughout various areas of the human body, many individuals will experience different symptoms depending on the location where the nerve compression or impingement occurs. We will discuss the different symptoms an individual may experience depending on where the irritation occurs along the spine. �
Cervical Radiculopathy
Cervical radiculopathy develops when a nerve in the neck, or cervical spine, becomes compressed or impinged due to an injury and/or aggravated underlying condition. The symptoms associated with cervical radiculopathy include: �
Pain in the neck, shoulder, upper back, or arm
Weakness or numbness is generally experienced on a single side of the human body
Thoracic Radiculopathy
Individuals may commonly experience painful symptoms in their chest and torso when nerve compression or impingement occurs in the thoracic spine or middle back region of the spine. Thoracic radiculopathy may be frequently misdiagnosed as shingles, heart, abdominal, or gallbladder problems. The symptoms associated with thoracic radiculopathy include: �
Burning or shooting pain in the ribs, side, or abdomen
Tingling sensations and numbness
Lumbar Radiculopathy
Individuals may experience painful symptoms in the low back, hips, and legs when nerve compression or impingement occurs in the lumbar spine or low back region of the spine. Lumbar radiculopathy is also commonly referred to as sciatica or sciatic nerve pain. Sciatica symptoms include pain, tingling sensations, and numbness along the length of the sciatic nerve. Occasionally, the nerve roots in charge of controlling the bowel and bladder may become irritated, resulting in bowel or bladder incontinence as well as loss of control. Other generalized symptoms associated with lumbar radiculopathy include: �
Sharp pain extending from the low back to the foot
Sharp pain with sitting or coughing
Weakness or numbness in the lower extremities
Tingling sensations and numbness in the lower extremities
Hypersensitivity, or sensitivity and reflex alterations
Sharp pain radiating into the upper extremities
Intense pain and discomfort with movements of the head and/or neck
Diagnosis
Together with a physical evaluation and review of symptoms, healthcare professionals may diagnose radiculopathy utilizing: � �
Radiologic imaging with X-ray, MRI, and CT scans
Electrical impulse testing, referred to as electromyography or EMG, to examine and test nerve function
Treatment
Normally, any type of radiculopathy can ultimately be treated without the need for surgical interventions or surgery. Based on the severity of the radiculopathy, healthcare professionals may recommend a variety of treatment approaches, including: �
Non-steroidal drugs and/or medications, such as ibuprofen, aspirin, or naproxen
Oral corticosteroids or injectable steroids
Narcotic pain medicines
Physical therapy and chiropractic care
A soft cervical collar
Ice and heat therapy applications
In a variety of instances, healthcare professionals may recommend surgery to help treat the source of the nerve root compression or impingement. Several surgical interventions include repair of a herniated disc, widening of the spinal canal, eliminating a bone spur, or fusing the bones. Because each patient’s case is unique, healthcare professionals will discuss surgical recommendations in detail before following-up with the procedures. The options for surgery will depend on the cause of the radiculopathy and the overall health of the individual as well as other essential factors. �
Prevention
Several strategies may ultimately help prevent and protect against nerve compression or impingement. These include: �
Maintaining good posture, even if driving
Proper lifting methods and techniques
Participating in exercises or physical activities like weight-bearing exercises
Developing core strength
Maintaining a healthy weight
Taking frequent breaks and incorporating stretching
Avoiding tilting the head to hold the phone to the shoulder
Differential Diagnosis of Hip Pain and Discomfort
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Radiculopathy is characterized as the compression or impingement of a nerve root in the spine. The irritation of this well-known health issue can cause a wide variety of uncomfortable and painful symptoms, including pain and discomfort, tingling sensations, weakness, and numbness. Lumbar radiculopathy can also sometimes be referred to as sciatica. Sciatica is characterized as a collection of symptoms, similar to those previously described, due to the compression or impingement of the sciatic nerve in the low back. Proper diagnosis is essential for treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss radiculopathy and sciatica. Radiculopathy is often associated with common symptoms, including pain, tingling sensations, and numbness, similar to sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
An adductor muscle strain is characterized as an acute injury to the muscles of the groin. Although a variety of muscles in the human body can be injured, the adductor longus, medius, magnus, and the gracilis are some of the most well-known muscle groups to be affected by an injury.� Strains are muscle tears which generally occur due to the powerful contraction of the muscles against resistance, often during what is referred to as an eccentric load. � �
An eccentric load describes some muscle contraction while the muscle is lengthening, versus concentric, where the muscle is shortening during some muscle contraction. Most weight-lifting exercises and physical activities involve concentric contraction. By way of instance, bench press involves eccentric contraction. Moreover, tears can occur at the origin of the muscle, at the muscle-tendon junction, or inside the belly of the muscle(s). Tears most frequently happen at the muscle-tendon junction. The least common tendon injury occurs at the region of its bony attachment. �
Adductor muscle strains may be graded I-III depending upon their seriousness. A grade I injury involves a moderate strain with some pain and discomfort, tenderness, and bleeding, but no fiber disruption. The adductor muscle’s overall integrity is maintained although a Grade II injury involves further damage. A grade III injury involves disruption resulting in a loss of tendon integrity. Most adductor muscle strains are considered to be grade I or II injuries. �
Causes and Symptoms of an Adductor Strain
As previously mentioned above, an adductor muscle strain occurs during acute muscle contraction, such as during kicking, pivoting or skating. Factors which can predispose a person to injury include failure to properly stretch or warm up and fatigue from overuse. The risk of experiencing an adductor strain increases with sports involving strides like sprinting, soccer, and hockey. Sports with repeated movements like football, martial arts, and gymnastics can also substantially increase the risk of experiencing an adductor strain. Struggling to warm up, stretch or be properly conditioned can also cause injury. �
The symptoms associated with an adductor muscle strain most commonly involve a variety of painful symptoms which are most frequently related to other types of muscle strain. Common symptoms of an adductor muscle strain include a sudden onset of pain and discomfort, occasionally accompanied by the feeling of a pop in the inner section of the thigh as well as the inability to maintain action after the first onset of painful symptoms. Because an adductor strain may cause groin or hip pain, many patients and healthcare professionals may confuse this type of injury with sciatica or sciatic nerve pain. �
Diagnosis and Treatment for an Adductor Strain
A healthcare professional can diagnose an adductor muscle strain through the patient’s medical history and a physical evaluation. Clinical findings include tenderness to palpation or touch, bruising through the inner thigh, as well as swelling and heat within the region of the injury. With acute tears, there might be a palpable defect over the area of the injury. Motion testing of the hip is normal, however, pain generally occurs while the patient is asked to contract the muscles. In these cases, asking the patient to bring their leg towards midline can ultimately cause pain and is generally accompanied by weakness. �
X-rays are often not utilized to diagnose an adductor muscle strain, however, they are appropriate in instances in which there are tenderness at the site of bony insertion or in young patients and/or athletes. In children, the attachment sites of a muscle and/or tendon are weaker and vulnerable to fracture. MRI can provide the precise location of an injury and the extent might help estimate return to play, or in rare cases, help identify any other cases which may require surgical interventions. �
Many adductor muscle strains respond positively to conservative treatment. The utilization of ice therapy and anti-inflammatory medicine are appropriate for acute muscle strains. As symptoms improve, stretching and exercises are generally not recommended. The healthcare professional may suggest a physical therapy program. Surgery may be required for adductor muscle tendon tears. Repair entails an open incision within the site of injury and reattachment of the tendon. Surgery is also essential in patients who have chronic pain whose symptoms don’t respond to conservative therapy. �
What is Adductor Tendinopathy?
Adductor tendinopathy is generally characterized as pain on palpation of the adductor tendons, adduction of the legs and/or of the injured leg. Pain can develop gradually or cause a sudden and severe, sharp pain. A swelling or a lump may also be experienced from the adductor muscle(s), stiffness at the groin area or an inability to contract or extend the adductors. In acute cases, exercises and physical activities will be restricted because the tendon can’t sustain repeated tensile loading. �
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Causes and Symptoms of Adductor Tendinopathy
The adductors are triggered in many sports such as, running, soccer, horse riding, gymnastics, and swimming. The repetitive movements and the continuous change of direction in physical activities activate the adductor tendon, which makes athletes more prevalent to develop adductor tendinopathy and other groin injuries. Other causes of adductor tendinopathy can include over-stretching of the adductor tendons or a sudden increase in training, especially in the type of training. �
Adductor tendinopathy may occur due to considerable leg length discrepancy which affects gait pattern. Poor or abnormal movement patterns may also overly stress the adductor tendons. Muscular length gaps, strength imbalances or muscular weakness in the thoracic or the abdominals can also be powerful in developing adductor tendinopathy. Other causes include a failure to properly warm-up, inactivity, fatigue, obesity, age-related weaknesses, genetics or degeneration. �
Diagnosis and Treatment for Adductor Tendinopathy
A healthcare professional can safely and effectively develop an appropriate treatment plan following a thorough diagnosis or further investigations could be undertaken, including ultrasound, MRI or CT scans. Achieving pain relief through the utilization of NSAIDs may be ineffective due to the non-inflammatory nature of the injury. Steroid injections are also not necessarily recommended due to potential tendon rupture if these are injected directly into the tendon. �
Physical therapy is often recommended for the treatment of adductor tendinopathy, although there’s no golden standard for the proper rehabilitation of the adductor tendon. Recovery is extremely variable across individuals because the injury may be degenerative or even due to previously failed healing. Strengthening exercises and physical activities are also recommended to promote proper healing. Treatment should be customized to the patient to avoid recurrence. �
Other treatment for adductor tendinopathy generally consists of avoiding exercise or physical activity in the first 48 hours. The patient should then apply the RICE treatment three times per day for 10-20 minutes to help reduce swelling and inflammation from any sudden trauma. If the painful symptoms have decreased, blood flow stimulation therapy could be started to help promote the healing process. Active treatment is subsequently suggested to follow up with rehabilitation. �
Furthermore, the goal of rehabilitation is to restore the adductor muscle and tendon properties where strength training is beneficial to the adductor structure, muscle building, and biomechanics. Recent research studies have also demonstrated that an eccentric based exercise program is the most effective as well as heavy-slow eccentric and concentric exercises for enhancing both function and symptoms. For effective treatment identifying the stage of the tendinopathy is also essential. �
Differential Diagnosis of Hip Pain and Discomfort
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Most commonly well-known as a groin strain, an adductor muscle strain is a type of injury which affects one of a group of muscles found at the top of the thigh. Meanwhile, adductor tendinopathy can affect the tendons of the adductor muscles. Both of these type of injuries can ultimately cause a variety of painful symptoms and they generally require time to heal properly. Because of the location of the injury, many patients and healthcare professionals may confuse groin injuries with sciatica without proper diagnosis. Proper diagnosis is essential to follow-up with proper treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss adductor muscle strain, tendinopathy, and sciatica. It has also been observed that patients with adductor injuries may confuse their symptoms for sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Hamstring injuries are several of the most common types of injuries among athletes. These makeup for the most days or even weeks missed each year amongst AFL football players. The majority of partial or complete tears include either the hamstring muscle belly or the distal musculotendinous junction. However, a proximal hamstring injury is ultimately uncommon. In the total hamstring injury spectrum, it makes up for under 10 percent of hamstring injuries, among other health issues. �
Anatomy
The hamstring makes up the majority of the muscle mass of the rear of the thigh. It is fundamental for shoving off, landing and leaping, especially for volatile activity, such as Pilates. The hamstring consists of 3 muscles, each utilizing a common proximal attachment through a big tendon to the ischial tuberosity of the pelvis or the big bone found in the buttocks. This proximal attachment gives a fixed point from which muscle contraction can impact a more distal activity. The hamstring gives some extension of the hip but the primary activity is movement around the knee.� It is largely responsible for knee flexion. �
The 3 muscles, the biceps femoris, the semitendinosus, and the semimembranosus, originate in the posterior thigh and attach distally around the knee through tendons to bony landmarks, crossing the joint. The biceps femoris then attaches laterally into the head of the fibula on the exterior of the knee. The semitendinosus and the semimembranosus attach to the medial side of the upper tibia. Because the sciatic nerve travels closely along with the attachment of the proximal hamstring tendon to the ischium, it may become injured along with the hamstring and ultimately cause the well-known symptoms of sciatica. �
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Mechanism of Injury
The proximal hamstring tendon can become injured through progressive stretching or through sudden and intense contraction when the hip is forcefully flexed over an extended knee. In younger patients with an average proximal hamstring tendon, this can occur through sprinting or hurdling, however, the most common athletes affected in this instance involves waterskiiers who fall forward with an extended knee. In elderly patients, proximal hamstring injuries occur through a different type of trauma, such as slipping on a wet surface or even doing the “splits” inadvertently. �
Proximal hamstring injuries could include complete tendon ruptures or incomplete/partial tears. In young patients, the bone together with the tendon is frequently avulsed or fractured in the pelvis or the ischium. In older patients, the tendon usually avulses or tears from the bone of the ischium at its attachment point. Occasionally, the tendon may tear in its midsubstance, leaving a stump of tendon still attached to the bone. Frequently this type of injury is referred to as a partial tear. �
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Diagnosis for Proximal Hamstring Injury
A proximal hamstring injury may commonly occur due to a sports-related injury and/or accident where the patient will experience something “go” deep in their buttocks. If the incident is being observed, the sufferer may often be seen holding their buttock or upper thigh. The person is generally not able to continue with the activity and when on the ground, they may need help to get up and to walk. There is normally immediate pain and weight bearing on the affected leg while it may also be painful to sit on the affected buttock. During the next 24 to 48 hours, there is swelling and bruising which appears over the buttocks region and extends down the rear of the thigh into the lower leg. Occasionally, the patient may also experience a “pins and needles” sensation in the lower leg and/or foot, similar to sciatica. Decreased movement in the foot may be seen with a foot fall. These injuries generally require immediate medical attention to diagnose the health issue. �
X-rays are fundamental in younger patients to rule out an avulsion fracture of the ischial tuberosity. Ultrasound may be undertaken and will help determine the presence of a hematoma, or blood collection, in the buttock and upper thigh which can also detect tendon tears. MRI scans are the best choice of diagnosis and it is highly accurate at determining the site of injury, whether the tear is partial or complete and whether there has been any retraction of the tendon end to the thigh. �
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Treatment for Proximal Hamstring Injury
Initial treatment for proximal hamstring injury must be symptomatic, where measures will be taken to help decrease pain and swelling with icing, analgesia, and the utilization of crutches to help walking. As the pain begins to settle, a few gentle movements of the leg may be undertaken along with the aid of a healthcare professional. When the diagnosis of a proximal hamstring injury is made, it’s fundamental to follow-up with the proper treatment choices. �
Conservative treatment using a rehabilitation program may be appropriate in sedentary older patients or in those with partial tendon tears at which a significant percentage of this tendon is still intact. Conservative treatment is usually also undertaken in most instances of bone avulsion fracture where the bone fragment is sitting near the ischium. Surgery is generally recommended for younger, athletic patients or for elderly victims where there is a complete tendon tear. �
Surgery generally involves an overnight stay in the hospital and the process itself is performed under general anesthesia. An incision is made in the buttock/upper thigh where the torn tendon end is identified, mobilized if it’s retracted down to the thigh and repaired back down onto the bone utilizing bone anchors or transosseous sutures. The sciatic nerve is also protected during the surgery. After surgery, painkillers may be required. Healthcare professionals may recommend patients to rest lying on their back with a pillow under the knees to allow the hamstring to be in a relaxed position. �
Differential Diagnosis of Hip Pain and Discomfort
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Tendon injuries are common health issues which frequently affect the athletic population. While Achilles tendon and patella tendon injuries are some of the most well-known types of tendon injuries, proximal hamstring injuries can still affect many athletes. Proximal hamstring injuries are health issues which can cause a variety or problems for people if they’re not properly diagnosed and treated. Understanding the differences between proximal hamstring injuries and it’s symptoms, including sciatica, can help both the patient and the doctor achive recovery. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
�
Fibromyalgia Magazine
The purpose of the article was to discuss proximal hamstring injuries and sciatica. It has also been observed that patients with proximal hamstring injuries may confuse their symptoms for sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited. � Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care. � Please call our office in order for us to assign a doctor consultation for immediate access. � If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
� * All of the above XYMOGEN policies remain strictly in force. �
A bursa is a fluid-filled sac which functions by helping to decrease friction around the joints. However, when the fluid inside a bursa becomes infected or irritated due to excessive movement, the bursa can become swollen, causing pain and discomfort, ultimately making it difficult to move the affected joint. This health issue is commonly known as bursitis. �
Although bursitis generally occurs in the knee, called �housemaid�s knee�, or in the elbow, called �tennis elbow�, it can occur in any joint in the human body. When it occurs in the buttocks, it is known as ischiogluteal bursitis. In this instance, the bursa is found between the ischial tuberosity at the base of the pelvis and the tendon of the hamstring muscle. �
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Symptoms of Ischiogluteal Bursitis
The symptoms of ischiogluteal bursitis can be similar to those of hamstring tendonitis. Several of the most common symptoms associated with ischiogluteal bursitis include pain and discomfort as well as tenderness in the buttocks region. Painful symptoms may frequently occur when stretching the hamstring muscle or flexing the knee against resistance. �
The symptoms of ischiogluteal bursitis can also be similar to those of sciatic nerve pain. Sciatica is a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness. While the symptoms of ischiogluteal bursitis may be similar to those of sciatica, sciatic nerve pain occurs when the sciatic nerve is irritated, compressed or impinged. �
Ischiogluteal bursitis associated with a sports-related injury and/or aggravated underlying condition, such as fibromyalgia, the pain and discomfort may slowly increase after exercise or physical activity. The symptoms may also worsen when sitting for extended periods of time. Ischiogluteal bursitis caused by an infection can ultimately be followed by a fever. �
Causes of Ischiogluteal Bursitis
The three most common causes of bursitis are generally due to injury or trauma, infection, and crystal deposits. Trauma can include repetitive movements or a blow to the region. By way of instance, the injury could occur due to a fall. Occasionally, trauma or injury can cause blood to leak into the bursa, causing ischiogluteal bursitis, or any other type of bursitis. �
Infection septic bursitis, or an infection in the bursa, generally occurs in the joints which are located closer to the surface of the human body. This health issue frequently affects men, however, it does not seem to be a leading cause of ischiogluteal bursitis. Crystal deposits can also form around the joints when there is too much uric acid in the human body. People with gout can develop bursitis because it is also caused by crystal deposits and it shares many similar symptoms with bursitis.
Diagnosis of Ischiogluteal Bursitis
Bursitis can generally be easily diagnosed by a healthcare professional, however, due to the similar symptoms of ischiogluteal bursitis, hamstring tendonitis, and even sciatica, it may be difficult to diagnose. However, tendonitis can often be relieved by deep tissue massage while bursitis will not and may actually worsen after a deep tissue massage. Proper diagnosis is fundamental in order for healthcare professionals to follow-up with the correct treatment for ischiogluteal bursitis. �
Treatment of Ischiogluteal Bursitis
In most instances, bursitis can be treated by resting the affected region and treating the swelling by utilizing cold therapy. When using an ice pack or similar cold pack, it should be wrapped in a cloth to avoid skin damage. The healthcare professional may also recommend a non-steroidal anti-inflammatory medication to reduce painful symptoms and swelling. �
As for people that have bursitis caused by an infection, an antibiotic is often prescribed to ultimately help fight the infection, relieving pain and discomfort in several days. If the painful symptoms continue for over a week, the doctor may suggest additional treatment approaches, such as draining of the bursa followed by a corticosteroid injection to reduce inflammation. �
Differential Diagnosis of Hip Pain and Discomfort
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Ischiogluteal bursitis is a well-known health issue characterized by pain and discomfort in the buttocks which is commonly caused by sitting for extended periods of time. In a variety of instances, ischiogluteal bursitis may also be caused due to an injury or aggravated underlying condition, such as fibromyalgia. Because ischiogluteal bursitis may occur due to inflammation, the widespread painful symptoms of fibromyalgia may also trigger other health issues. Furthermore, ischiogluteal bursitis may share similar symptoms to sciatica, due to the location of the health issue. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
�
Fibromyalgia Magazine
The purpose of the article was to compare ischiogluteal bursitis and sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
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