ClickCease
+1-915-850-0900 spinedoctors@gmail.com
Select Page

Sciatica

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.


Ligamentous Injuries Resulting from Motor Vehicle Collisions

Ligamentous Injuries Resulting from Motor Vehicle Collisions

Comprehensive Guide to Ligamentous Injuries and Sciatica from Motor Vehicle Accidents

Ligamentous Injuries Resulting from Motor Vehicle Collisions

Introduction to Ligamentous Injuries from Motor Vehicle Accidents

Motor vehicle accidents (MVAs) are a significant cause of injuries worldwide, often resulting in damage to ligaments, the tough, fibrous tissues that connect bones and stabilize joints. These ligamentous injuries, commonly referred to as sprains, occur when ligaments are overstretched or torn due to the sudden, forceful movements experienced during a crash. Understanding these injuries is critical for victims seeking recovery and, often, legal compensation.

What Are Ligamentous Injuries?

Ligaments provide structural support to joints, ensuring stability during movement. In MVAs, the rapid acceleration and deceleration forces can strain or tear ligaments, leading to sprains. These injuries vary in severity:

  • Mild sprains: Slight stretching of the ligament, causing minor pain and swelling.
  • Moderate sprains: Partial tearing, resulting in more significant pain and reduced joint function.
  • Severe sprains: Complete ligament tears, leading to joint instability and prolonged recovery.

Common sites for ligamentous injuries in motor vehicle accidents (MVAs) include the cervical spine (neck), lumbar spine (lower back), knees, and shoulders. A well-known example is whiplash, where the ligaments in the neck are strained due to rapid back-and-forth motion (Pinder Plotkin LLC, 2019). Symptoms typically include pain, swelling, bruising, and limited range of motion, which can significantly impact daily activities.

Mechanisms of Injury in MVAs

MVAs generate immense forces that jolt the body, often causing it to collide with vehicle components, such as seatbelts, dashboards, or steering wheels. For instance:

  • Whiplash: Rear-end collisions thrust the head and neck backward and then forward, straining cervical ligaments. This can lead to chronic pain if untreated (Pinder Plotkin LLC, 2019).
  • Lower Back Injuries: The force of an impact can compress or twist the lumbar spine, damaging ligaments and potentially leading to conditions like herniated discs.
  • Knee and Shoulder Injuries: Impact with dashboards or sudden twisting can tear ligaments, such as the posterior cruciate ligament (PCL) in the knee or the rotator cuff ligaments in the shoulder (Applied Radiology, 2018).

According to HG.org (n.d.), soft tissue injuries, including ligament damage, are more common than severe injuries like fractures in MVAs due to the body’s susceptibility to being jolted or twisted. These injuries may not be immediately apparent, with symptoms sometimes appearing days or weeks later, which reinforces the importance of prompt medical evaluation.

Symptoms and Complications

Ligamentous injuries present with a range of symptoms, including:

  • Pain and Tenderness: Localized discomfort around the affected joint.
  • Swelling and Inflammation: Resulting from tissue damage and fluid accumulation.
  • Bruising: Visible discoloration from blood vessel damage.
  • Reduced Mobility: Difficulty moving the joint due to pain or instability.
  • Joint Instability: In severe cases, the joint may feel loose or unable to support weight.

If untreated, these injuries can lead to complications such as chronic pain, osteoarthritis, or long-term joint instability. For example, spinal ligament damage can contribute to disc degeneration or misalignment, thereby increasing the risk of nerve-related conditions, such as sciatica (Pinder Plotkin LLC, 2019).

References

Connection Between Ligamentous Injuries and Sciatica

Sciatica is a debilitating condition characterized by pain, numbness, or tingling that radiates along the sciatic nerve, which extends from the lower back through the hips, buttocks, and down each leg. While ligamentous injuries from MVAs may not always directly cause sciatica, they can contribute to spinal conditions that compress or irritate the sciatic nerve, which leads to this painful condition.

Understanding Sciatica

The sciatic nerve is the longest and thickest nerve in the body, originating from the lumbar and sacral nerve roots (L4-S3) and controlling leg movement and sensation. Sciatica, also known as lumbar radiculopathy, occurs when this nerve or its roots are compressed or irritated, causing symptoms such as:

  • A sharp or burning pain radiates from the lower back to the leg.
  • The leg or foot may experience numbness or tingling.
  • Weakness in the affected leg impacts mobility.
  • Sitting, coughing, or sneezing exacerbates the pain.

Sciatica is typically unilateral, affecting one side of the body, and can range from mild discomfort to severe, debilitating pain (Michigan Auto Law, 2024).

How MVA Injuries Lead to Sciatica

MVAs can cause spinal trauma that precipitates sciatica. Ligamentous injuries in the lumbar spine may destabilize the vertebral column, leading to conditions that compress the sciatic nerve roots. Common mechanisms include:

  • Herniated Discs: The force of an MVA can cause the gel-like center of a spinal disc to bulge or rupture, pressing on nearby nerve roots. This is a leading cause of sciatica following an accident (Tracey Fox & Walters, n.d.).
  • Spinal Instability: Damaged ligaments may fail to maintain proper alignment of the vertebrae, causing abnormal motion that irritates nerves (Pinder Plotkin LLC, 2019).
  • Pelvic or Lumbar Fractures: Fractures from high-impact crashes can result in bone fragments or swelling that compress the sciatic nerve (Portland Urgent Care, 2024).
  • Soft Tissue Swelling: Inflammation from ligament injuries can encroach on nerve pathways, contributing to sciatica symptoms.

For example, a case study described by Portland Urgent Care (2024) highlighted a patient who developed sciatica after an MVA due to a herniated disc at the L5-S1 level, confirmed by MRI. Another case involved pelvic fractures causing nerve compression, illustrating the diverse ways MVAs can trigger sciatica.

Prevalence and Risk Factors

While exact statistics on sciatica following MVAs are limited, research suggests that back injuries, including those affecting ligaments and discs, are common in car accidents. Individuals with pre-existing conditions like spinal stenosis or prior back injuries are at higher risk of developing sciatica post-MVA (Tracey Fox & Walters, n.d.). Prompt diagnosis and treatment are essential to prevent chronic pain and long-term disability.

References

  • Michigan Auto Law. (2024, July 1). Sciatica nerve damage from car accident: Here’s what to know. Sciatica Nerve Damage
  • Tracey Fox & Walters. (n.d.). Sciatic nerve damage & sciatica, car accidents. Sciatica from Car Accidents
  • Portland Urgent Care. (2024, April 19). Can a car accident cause sciatica pain? Causes, symptoms & treatment for sciatic nerve pain after an accident. Sciatica Pain After Accident
  • Pinder Plotkin LLC. (2019, December 20). What is ligamentous instability and how does it relate to car accidents? What is Ligamentous Instability

Dr. Alexander Jimenez: Expert in Personal Injury Cases

In El Paso, TX, Dr. Alexander Jimenez stands out as a leading provider for victims of personal injuries, particularly those from MVAs. His unique qualifications as both a chiropractor and a board-certified family nurse practitioner (FNP-BC) enable him to provide comprehensive care that addresses both immediate pain and long-term recovery needs.

Background and Qualifications

Dr. Jimenez has over 25 years of experience, having graduated from the National University of Health Sciences in 1991. He holds additional certifications in functional medicine (IFMCP, CFMP) and is affiliated with The Hospitals of Providence-Memorial Campus. His dual licensure enables him to integrate chiropractic expertise with medical diagnostics and treatments, making him uniquely qualified to manage complex injuries related to motor vehicle accidents (Medical News Today, n.d.). Patient reviews consistently rate him 5.0 out of 5, praising his ability to explain conditions clearly and provide trustworthy care (Healthgrades, n.d.).

Services at El Paso Back Clinic

At his Injury Medical & Chiropractic Clinic, Dr. Jimenez specializes in treating conditions such as:

  • Sciatica
  • Neck and back pain
  • Whiplash
  • Joint injuries
  • Sports injuries
  • Degenerative arthritis

His clinic utilizes advanced therapies, including chiropractic adjustments, functional medicine assessments, acupuncture, and electroacupuncture, to restore mobility and promote overall health. The clinic’s integrative approach focuses on addressing the root causes of pain, rather than just its symptoms, to ensure optimal recovery (El Paso Back Clinic, n.d.).

Approach to MVA Injuries and Sciatica

Dr. Jimenez’s treatment protocols are tailored to each patient’s needs, combining non-invasive chiropractic techniques with medical interventions. For MVA victims, he focuses on:

  • Restoring Mobility: Through chiropractic adjustments and mobility training.
  • Reducing Inflammation: Using functional medicine and acupuncture to address soft tissue damage.
  • Preventing Chronic Pain: By addressing injuries early to avoid complications like sciatica.

His ability to order and interpret diagnostic tests, such as MRIs, enhances his capacity to develop evidence-based treatment plans, which are critical for both recovery and legal documentation (A4M, n.d.).

References

  • Medical News Today. (n.d.). Dr. Alexander Jimenez, DC: Chiropractor – El Paso, TX. Dr. Jimenez Profile
  • Healthgrades. (n.d.). Dr. Alexander Jimenez, DC – Chiropractor in El Paso, TX. Dr. Jimenez Healthgrades
  • El Paso Back Clinic. (n.d.). Dr. Alex Jimenez – Doctor of Chiropractic | El Paso, TX Back Clinic. About Dr. Jimenez
  • A4M. (n.d.). Injury Medical & Chiropractic Clinic – Alex, Jimenez DC, APRN, FNP-BC, CFMP, IFMCP. Integrative Care by Dr. Jimenez

Advanced Diagnostic and Treatment Methods

Dr. Jimenez’s approach to treating MVA-related injuries, including those that cause sciatica, relies on advanced diagnostic tools and a dual-scope intervention strategy that leverages his expertise in both chiropractic and medical care.

Enhanced Imaging and Diagnostic Assessments

Accurate diagnosis is critical for effective treatment and legal documentation in personal injury cases. Dr. Jimenez employs:

  • X-rays: To identify fractures or misalignments in the spine or joints.
  • Magnetic Resonance Imaging (MRI): To detect soft tissue injuries, such as herniated discs or ligament tears, that may contribute to sciatica (Michigan Auto Law, 2024).
  • Computed Tomography (CT) Scans: For detailed imaging of complex injuries.
  • Physical Examinations: Comprehensive assessments to evaluate range of motion, pain levels, and neurological function.

These tools enable Dr. Jimenez to accurately assess the extent of ligamentous damage and nerve involvement, ensuring the development of precise treatment plans. For example, an MRI can confirm a herniated disc causing sciatica, guiding targeted interventions (Portland Urgent Care, 2024).

Dual-Scope Interventions

Dr. Jimenez’s dual licensure enables a unique treatment approach:

  • Chiropractic Care: Adjustments to correct spinal misalignments, reduce nerve pressure, and restore mobility. The procedure is particularly effective for whiplash and sciatica caused by spinal issues.
  • Medical Interventions: As an FNP-BC, he can prescribe medications, administer corticosteroid injections, or recommend surgical consultations if necessary.
  • Functional Medicine Addresses underlying factors, such as inflammation or nutritional deficiencies, to support long-term healing.
  • Rehabilitation Programs: Include physical therapy, acupuncture, and mobility training to enhance recovery and prevent chronic pain.

This integrative approach ensures comprehensive care, addressing both immediate symptoms and underlying causes. For instance, a patient with sciatica resulting from a motor vehicle accident (MVA) might receive chiropractic adjustments to relieve nerve pressure, alongside injections to reduce inflammation (A4M, n.d.).

Importance in Personal Injury Cases

The detailed diagnostic reports generated from these assessments are invaluable for personal injury claims. They provide objective evidence of injury severity, which is crucial for securing fair compensation. Dr. Jimenez’s ability to interpret and document findings bridges the gap between medical care and legal proceedings (Personal Injury Doctor Group, 2017).

References

  • Michigan Auto Law. (2024, July 1). Sciatica nerve damage from car accident: Here’s what to know. Sciatica Nerve Damage
  • Portland Urgent Care. (2024, April 19). Can a car accident cause sciatica pain? Causes, symptoms & treatment for sciatic nerve pain after an accident. Sciatica Pain After Accident
  • A4M. (n.d.). Injury Medical & Chiropractic Clinic – Alex, Jimenez DC, APRN, FNP-BC, CFMP, IFMCP. Integrative Care by Dr. Jimenez
  • Personal Injury Doctor Group. (2017, May 22). Personal injury doctor | El Paso, TX | Dr. Alex Jimenez D.C. Personal Injury Doctor

Role in Personal Injury Cases

Dr. Jimenez’s expertise is particularly valuable in the context of personal injury cases, where accurate medical documentation and effective treatment are essential for both recovery and legal outcomes.

Medical Documentation for Legal Purposes

In personal injury cases, detailed medical reports are critical for proving the extent of injuries and securing compensation. Dr. Jimenez’s dual qualifications allow him to produce comprehensive documentation that includes:

  • Diagnostic Findings: Results from X-rays, MRIs, or CT scans that confirm injuries like ligament tears or herniated discs.
  • Treatment Plans: Detailed descriptions of interventions, from chiropractic adjustments to medical therapies, demonstrating the care required.
  • Prognosis and Impact: Assessments of long-term effects, such as chronic pain or disability, influence the amounts of compensation.

These reports are often used by attorneys and insurance companies to evaluate claims, making Dr. Jimenez an essential intermediary between medical care and legal proceedings (Personal Injury Doctor Group, 2017).

Supporting Recovery and Compensation

Dr. Jimenez’s treatment plans not only aid physical recovery but also strengthen legal cases by demonstrating the need for ongoing care. For example, a patient with sciatica resulting from a motor vehicle accident (MVA) may require months of rehabilitation, which Dr. Jimenez can document to support claims for medical expenses and lost wages. His clinic collaborates with legal professionals to ensure patients receive fair compensation (El Paso Back Clinic, n.d.).

Testimonials and Community Impact

Patients consistently praise Dr. Jimenez for his compassionate and effective care. On LinkedIn, he is described as a “true blessing to the El Paso community” for his dedication to patient recovery (LinkedIn, 2025). His clinic’s focus on integrative care has helped numerous MVA victims regain their health and navigate the complexities of personal injury claims.

References

  • Personal Injury Doctor Group. (2017, May 22). Personal injury doctor | El Paso, TX | Dr. Alex Jimenez D.C. Personal Injury Doctor
  • El Paso Back Clinic. (n.d.). Dr. Alex Jimenez – Doctor of Chiropractic | El Paso, TX Back Clinic. About Dr. Jimenez
  • LinkedIn. (2025, February 26). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. Dr. Jimenez LinkedIn

Conclusion

Ligamentous injuries from MVAs, such as whiplash or lumbar sprains, can have significant consequences, including the potential to cause sciatica through nerve compression or spinal instability. Dr. Alexander Jimenez, with his extensive experience and dual qualifications, offers a lifeline for El Paso residents affected by these injuries. His use of advanced imaging, comprehensive diagnostics, and integrative treatment approaches ensures effective recovery while providing critical documentation for personal injury claims. For anyone involved in a motor vehicle accident (MVA), seeking prompt care from a provider like Dr. Jimenez is essential to address injuries, prevent complications, and secure fair compensation. Contact his clinic at (915) 850-0900 or visit El Paso Back Clinic to start your recovery journey.

Key Citations

Paraspinal Effects on Lower Back Pain Explained

Paraspinal Effects on Lower Back Pain Explained

Can a paraspinal muscle spasm in the lower back create a chain reaction leading to hamstring spasms and potential sciatic nerve entrapment?

Paraspinal Effects on Lower Back Pain Explained

Paraspinal Muscle Spasm Chain Reaction

A paraspinal muscle spasm in the lower back can cause a cascade of events, including: (Cedars-Sinai, 2025)

  • Spasms in other lower back muscles
  • Hamstring spasms
  • Potential entrapment of the sciatic nerve

Leading to symptoms similar to sciatica:

  • Pain
  • Sore, achy muscles
  • Weak muscles
  • Numbness
  • Tingling along the back of the leg

Possible Mechanisms

Triggering Muscle Spasms in the Lower Back

  • Paraspinal muscles are located along the spine and help to stabilize and support the lower back.
  • When these muscles spasm, they can become tense and painful, causing a chain reaction.
  • This tension can radiate down and affect other muscles in the lower back. (Noonan A. M., & Brown S. H. M., 2021)

Can Affect Lower Back Muscles and Cause Hamstring Spasms

  • Lower back muscles, including those like the quadratus lumborum, can be affected by paraspinal spasms. (Hospital for Special Surgery, 2024)
  • The spasms can cause these muscles to tighten or spasm, potentially pulling on the hamstring muscles.
  • This can lead to hamstring spasms and tightness, further contributing to pain and potential nerve irritation.

Entrapment of the Sciatic Nerve

  • Piriformis syndrome is a common condition where the piriformis muscle (located in the buttock) spasms and compresses the sciatic nerve. (Cedars-Sinai, 2025)
  • The sciatic nerve runs from the lower back down the back of the thigh and into the leg, making it vulnerable to compression by surrounding muscles.
  • If the paraspinal and hamstring spasms create enough tension on the piriformis muscle or surrounding tissues, it can lead to sciatic nerve entrapment. (Hospital for Special Surgery, 2024)

How acupuncture helps relieve sciatica

Acupuncture can help relieve sciatica pain by stimulating specific points on the body, which can trigger the release of endorphins, reduce inflammation, improve blood flow, and relax tight muscles that could be compressing the sciatic nerve. By modulating the nervous system and promoting the body’s natural healing processes, acupuncture can help alleviate pain and improve overall function. (Qin, Z. et al., 2015)

Releases endorphins

  • Acupuncture stimulates the nervous system, triggering the release of endorphins, the body’s natural painkillers.

Reduces inflammation

  • Acupuncture can help reduce inflammation in the area surrounding the sciatic nerve, which can contribute to pain and nerve irritation. (Natural Care Chiropractic, 2022)

Improves circulation

  • By increasing blood flow to the affected area, acupuncture can help deliver nutrients and oxygen to the sciatic nerve and surrounding tissues, promoting faster healing.

Relaxes tight muscles

  • Sciatica pain can be exacerbated by tight muscles compressing the nerve. Acupuncture can help relax these muscles, reducing pressure on the sciatic nerve and alleviating pain.

Regulates the nervous system

  • Acupuncture can help regulate the nervous system, positively impacting pain perception and overall well-being. (Qin, Z. et al., 2015)

Promotes regeneration

  • Some evidence suggests that acupuncture can promote sciatic nerve regeneration, potentially leading to long-term pain relief. (Natural Care Chiropractic, 2022)

Needling Types

Distal needling

  • Acupuncture can also involve using points that are further away from the site of pain, which can also help to reduce pain and inflammation.

Local needling

  • Points are also selected on or near the sciatic nerve’s path, which can help directly address the source of pain and inflammation. (Qin, Z. et al., 2015)

Holistic approach

  • Acupuncture is often viewed as a holistic approach to pain management, addressing the symptoms of sciatica and the underlying causes and imbalances in the body.

Injury Medical Chiropractic and Functional Medicine Clinic

As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional MedicineAcupunctureElectro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.


Chiropractic and Integrative Healthcare


References

Cedars Sinai. (2025). Piriformis Syndrome. https://www.cedars-sinai.org/health-library/diseases-and-conditions/p/piriformis-syndrome.html#:~:text=Overview,can%20run%20through%20the%20muscle)

Noonan, A. M., & Brown, S. H. M. (2021). Paraspinal muscle pathophysiology associated with low back pain and spine degenerative disorders. JOR spine, 4(3), e1171. https://doi.org/10.1002/jsp2.1171

Hospital for Special Surgery. (2024). Sciatica. https://www.hss.edu/condition-list_sciatica.asp

Qin, Z., Liu, X., Wu, J., Zhai, Y., & Liu, Z. (2015). Effectiveness of Acupuncture for Treating Sciatica: A Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine: eCAM, 2015, 425108. https://doi.org/10.1155/2015/425108

Natural Care Chiropractic, D. M. F. (2022). Acupuncture for Sciatica Pain Relief. https://www.naturalcarechiropractic.com/post/acupuncture-for-sciatica-pain-relief

Pioneering Integrative Care as a Chiropractor and Nurse Practitioner

Pioneering Integrative Care as a Chiropractor and Nurse Practitioner

Dr. Alex Jimenez: Pioneering Integrative Care as a Chiropractor and Nurse Practitioner

Dr. Alex Jimenez, a licensed chiropractor and board-certified nurse practitioner based in El Paso, Texas, brings over 25 years of expertise to his Injury Medical & Chiropractic Clinic practice. His dual licensure provides unique insights into the etiologies, pathogenesis, and treatment of complex clinical conditions, enabling him to deliver patient-centered, integrative care that bridges physical medicine, functional medicine, and advanced diagnostics. Combining chiropractic expertise with nurse practitioner-driven medical management, Dr. Jimenez offers comprehensive treatment protocols tailored to acute and chronic conditions, promoting metabolic resilience, longevity, and whole-person wellness.

Dual Expertise: Chiropractic and Nurse Practitioner Roles

Dr. Jimenez’s practice stands out due to his ability to integrate the biomechanical focus of chiropractic care with a nurse practitioner’s diagnostic and therapeutic scope. As a chiropractor, he specializes in restoring musculoskeletal function, particularly after trauma, neck, back, spine, and soft tissue injuries. His chiropractic interventions emphasize non-invasive techniques, such as spinal decompression, manual adjustments, and functional rehabilitation, to alleviate pain and enhance mobility.

As a board-certified nurse practitioner, Dr. Jimenez employs evidence-based medicine to address systemic and metabolic dysfunctions. His expertise extends to managing chronic degenerative disorders, hormonal imbalances, weight loss, sexual health, and pain syndromes. This dual perspective allows him to identify underlying disease causes, from biomechanical misalignments to physiological imbalances, and design treatment regimens that address symptoms and root causes.

The synergy of these roles enables Dr. Jimenez to offer a holistic approach that is particularly effective for complex conditions such as sciatica, fibromyalgia, disc herniation, spondylolisthesis, and chronic neck or back pain. His integrative protocols combine functional medicine assessments, lifestyle interventions, and advanced diagnostics to achieve homeostasis and physiological balance.

Treatment Protocols: Evidence-Based and Patient-Centered

Drawing from integrative protocols outlined on his website, www.chiromed.com, Dr. Jimenez employs a multidisciplinary approach to patient care. His treatment plans are grounded in evidence-based medicine, functional medicine, and lifestyle wellness strategies, tailored to each patient’s unique health profile, lifestyle, and medical history. Below are key components of his integrative care model:

1. Chiropractic Care and Functional Rehabilitation

  • Spinal Decompression: Non-surgical decompression therapy is used to relieve pressure on spinal discs, addressing conditions like disc herniation, sciatica, and spinal stenosis. This modality promotes healing by improving blood flow and nutrient delivery to affected areas.
  • Manual Adjustments: Targeted adjustments correct spinal misalignments, reduce nerve compression, and restore joint mobility. These are particularly effective for whiplash, scoliosis, and poor posture.
  • Functional Strength Training: Dr. Jimenez designs conditioning programs to enhance recovery and prevent re-injury. These programs are tailored for athletes and individuals seeking optimal performance and incorporate mobility, flexibility, and agility training.

2. Functional Medicine Assessments

  • Functional medicine tools evaluate metabolic, hormonal, and nutritional status. These assessments identify the root causes of conditions such as fatigue, weight gain, or chronic pain, enabling precise interventions.
  • Advanced diagnostic protocols, including blood panels and imaging, provide data-driven insights into etiologies and pathogenesis. This allows Dr. Jimenez to address underlying dysfunctions rather than merely masking symptoms.

3. Lifestyle and Nutritional Interventions

  • Weight Loss and Metabolic Resilience: Dr. Jimenez integrates nutritional counseling and metabolic optimization strategies to support sustainable weight loss and prevent chronic diseases like diabetes or cardiovascular disorders.
  • Hormone and Sexual Health: Personalized regimens address hormonal imbalances and sexual dysfunction, improving quality of life and overall wellness.
  • Pain Management: Nutritional and lifestyle modifications complement physical therapies to manage chronic pain syndromes, reducing reliance on pharmaceuticals.

4. Specialized Care for Complex Conditions

  • Sciatica and Disc Injuries: Dr. Jimenez employs targeted decompression and rehabilitation protocols to alleviate nerve compression and restore function.
  • Chronic Degenerative Disorders: Conditions like fibromyalgia, arthritis, and spondylolisthesis are managed through integrative plans that combine physical therapy, nutritional support, and metabolic optimization.
  • Sports and Auto Accident Injuries: Tailored rehabilitation programs address soft tissue damage, shoulder injuries, and whiplash, ensuring rapid recovery and long-term resilience.

5. Advanced Wellness Programs

  • Dr. Jimenez’s clinic offers comprehensive wellness programs on longevity, skin care, and hair loss. These programs integrate nutritional supplementation, lifestyle coaching, and cutting-edge therapies to promote vitality and aesthetic health.
  • High-level conditioning programs optimize performance for athletes, incorporating functional strength training and recovery-focused interventions.

Integrative Team and Clinic Highlights

Injury Medical & Chiropractic Clinic is El Paso’s largest mobility, flexibility, and agility center, integrating chiropractors, nurse practitioners, registered nurses, nutritionists, and physical performance trainers. The clinic’s multidisciplinary team collaborates to deliver personalized care, ensuring patients achieve measurable health outcomes. Key services include:

  • Acupuncture: A Complementary therapy to reduce pain and promote relaxation.
  • Advanced Nutritional Programs: Evidence-based dietary plans to support metabolic health and recovery.
  • Physical Performance Training: Programs to enhance fitness, prevent injuries, and optimize athletic performance.

The clinic accepts major insurances, including Aetna, Blue Cross Blue Shield, Cigna, and First Health, making care accessible to a broad patient base.

Insights from Dual Licensure

Dr. Jimenez’s licensure as both a chiropractor and nurse practitioner provides him with a comprehensive understanding of disease processes and treatment modalities. His chiropractic training equips him to address biomechanical dysfunctions, while his nurse practitioner expertise allows him to manage systemic conditions with a medical lens. This dual perspective enhances his ability to:

  • Clarify Etiologies: By combining musculoskeletal assessments with metabolic and hormonal evaluations, Dr. Jimenez identifies multifactorial causes of conditions, ensuring targeted interventions.
  • Understand Pathogenesis: His knowledge of disease progression informs proactive treatment plans that halt or reverse degenerative processes.
  • Design Appropriate Regimens: Integrating physical, nutritional, and medical therapies, Dr. Jimenez creates synergistic treatment plans that address both symptoms and underlying dysfunctions.

This integrative approach is particularly valuable for patients with chronic or multifactorial conditions, as it addresses the interplay between physical, metabolic, and lifestyle factors.

Patient-Centered Care: In-Person and Online

Dr. Jimenez’s practice emphasizes personalized attention, whether patients visit in person at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or engage through telehealth. His functional medicine series, accessible via www.dralexjimenez.com, educates patients on holistic health principles, covering topics from spinal health to metabolic optimization. The website features:

  • Informative Content: Blog posts, articles, and videos provide insights into chiropractic care, functional medicine, and injury rehabilitation.
  • Patient Testimonials: Success stories highlight the transformative impact of Dr. Jimenez’s care, showcasing outcomes for conditions like sciatica, sports injuries, and chronic pain.
  • Appointment Booking: A user-friendly interface allows patients to schedule in-person or online consultations, with clear guidance on what to expect during their first visit.

Commitment to Education and Community Health

Dr. Jimenez is dedicated to empowering patients through education. His website is comprehensive, offering evidence-based information on health conditions, treatment options, and wellness strategies. By fostering health literacy, Dr. Jimenez enables patients to make informed decisions and take charge of their well-being.

His commitment extends to the El Paso community, where he aims to expand access to integrative care. Dr. Jimenez promotes proactive health management and preventive care through workshops, online content, and community outreach.

Conclusion

Dr. Alex Jimenez’s dual expertise as a chiropractor and nurse practitioner positions him as a leader in integrative medicine. His ability to bridge physical medicine with systemic health management allows him to address complex clinical issues with precision and compassion. Dr. Jimenez delivers personalized care that promotes healing, resilience, and longevity by leveraging evidence-based protocols, advanced diagnostics, and lifestyle interventions.

For more information or to schedule an appointment, visit www.dralexjimenez.com or contact the clinic at +1-915-412-6677.

Email inquiries can be sent to coach@elpasofunctionalmedicine.com.

Hamstring Syndrome Relief: Effective Strategies

Hamstring Syndrome Relief: Effective Strategies

Individuals dealing with pain in the buttocks and in the back of the thigh, along with numbness and tingling down to the bottom of the foot, may be experiencing hamstring syndrome, a condition caused by pressure on the sciatic nerve. What is the recommended treatment?

Hamstring Syndrome Relief: Effective Strategies

Hamstring-Syndrome Relief

The hamstrings are three muscles in the back of the thigh, extending from the pelvis or upper thigh across the back of the knee to the leg. This muscle group is important for bending the knee, straightening the hip, and stabilizing the knee. The sciatic nerve is a large nerve that runs from the lower back down the legs. It usually passes near or through these muscles, and the pelvis then runs under these muscles in the thigh. Hamstring syndrome refers to pain in the buttock and back of the thigh, often radiating down the leg, caused by compression or irritation of the sciatic nerve at the hamstring-insertion point on the ischial tuberosity, typically due to tight or scarred tissue. (Sakari Orava, 1997)

Pain Location

The pain is primarily felt in the buttock and back of the thigh, sometimes extending down the leg. It’s characterized by pressure on the sciatic nerve, which runs through the buttock and into the back of the thigh, where it supplies the hamstring muscles. (Kaiser Permanente, 2024)

Mechanism

This pressure can occur due to: (Sakari Orava, 1997) (Kaiser Permanente, 2024)

Fibrotic Bands

  • Tight, tendon-like, or scarred bands of tissue at the hamstring’s insertion point/ischial tuberosity can irritate the sciatic nerve.

Compression

  • These bands can compress the nerve, especially when sitting or during activities that involve hip flexion and knee extension.

Traction

  • The sciatic nerve can also be stretched or irritated by the hamstring tendons.

Symptoms

  • Pain in the buttock and back of the thigh may radiate down the leg.
  • Pain that is worse when sitting, stretching the hamstrings, or during activities like running. (Puranen J. & Orava S. 1988)
  • Numbness or tingling in the back of the leg

Differential Diagnosis

It’s important to differentiate hamstring syndrome from other conditions that could be causing similar symptoms, including:

  • Piriformis syndrome
  • Ischiogluteal bursitis
  • Hamstring muscle strains

Treatment

Hamstring syndrome relief may consist of the following:

Conservative

  • Initial treatment focuses on rest, ice, stretching, and over-the-counter pain relievers.

Physical Therapy

Injections

  • In some cases, injections with cortisone and numbing medicine may be used to reduce nerve inflammation and pain. (Lower Limb Surgery, 2024)

Surgery

  • In severe cases, surgery may be necessary to release the compressing bands and free the sciatic nerve. (Lower Limb Surgery, 2024)

Injury Medical Chiropractic & Functional Medicine Clinic

Talk to a healthcare provider about what interventions would help the most. 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.


Sciatica: Causes, Symptoms and Tips


References

Orava, Sakari. (1997). Hamstring syndrome. Operative Techniques in Sports Medicine, 5(3). https://doi.org/https://doi.org/10.1016/S1060-1872(97)80035-4.

Kaiser Permanente. (2024). Hamstring Syndrome: Care Instructions. https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hamstring-syndrome-care-instructions.abr3618

Puranen, J., & Orava, S. (1988). The hamstring syndrome. A new diagnosis of gluteal sciatic pain. The American Journal of Sports Medicine, 16(5), 517–521. https://doi.org/10.1177/036354658801600515

Zion Physical Therapy. (2023). Hamstring Tendinitis Vs. Hamstring Syndrome. https://www.zionpt.com/post/hamstring-tendinitis-vs-hamstring-syndrome

Lower Limb Surgery. (2024). Hamstring Syndrome. https://www.lowerlimbsurgery.com/hamstring syndrome#:~:text=General%20Treatment%20Considerations,%E2%80%8B

Lidocaine Patch: Effective Pain Relief Options

Lidocaine Patch: Effective Pain Relief Options

For individuals experiencing lower back pain and sciatica symptoms, can using a lidocaine patch help?

Lidocaine Patch: Effective Pain Relief Options

Lidocaine Patch

Lidocaine patches are in a drug class called local anesthetics (MedlinePlus, 2025) (Food and Drug Administration, 2022). They relieve pain in small body areas by blocking the nerves from sending pain signals. The Food and Drug Administration approved lidocaine 5% or 1.8% patches for relieving postherpetic neuralgia (PHN) pain. These lidocaine patches are prescription-only (Food and Drug Administration, 2022). They are available either by prescription or over the counter and are commonly used for back pain and other areas. Over-the-counter lidocaine, 4% patches, can be used to relieve minor aches and pains, including back pain. However, further research is needed to recommend the use of lidocaine patches as an effective method of pain relief. (Department of Veterans Affairs/Department of Defense, 2022) (North American Spine Society, 2020)

The Patch

They are available in prescription and over-the-counter forms. Over-the-counter forms come as a 4% patch in various brands, such as (MedlinePlus, 2025)

  • Aspercreme
  • Lidocare
  • Salonpas

Prescription-only patches come in 5% or 1.8% patches and are approved to relieve long-term nerve pain from shingles in adults. Zlido is a brand name for a 1.8% lidocaine patch. Five percent lidocaine patches are available generically. (DailyMed, 2018) (Food and Drug Administration, 2021) The safety and effectiveness in children are unknown. (Food and Drug Administration, 2022)

Other Lidocaine Forms

As a local anesthetic, it is available in several other forms, including:

  • Spray
  • Topical cream
  • Lotion
  • Liquid
  • Ear drops
  • Eye gel
  • Injection
  • It is also available as a short-term intravenous infusion for abnormal heart rhythm. (DailyMed, 2025)

Effectiveness

Clinical trials have shown that the patches effectively relieve chronic low back pain. However, these studies were nonrandomized and did not include a control group to compare against the treatment group. (Santana J. A., Klass S., & Felix E. R. 2020) The results may be subject to potential biases. For this reason, further evidence is needed to support lidocaine patches’ effectiveness in reducing low back pain. (North American Spine Society, 2020) High-quality randomized and controlled clinical trials are necessary to study the effectiveness. (North American Spine Society, 2020) (Santana J. A., Klass S., & Felix E. R. 2020)

How to Use Safely

In general, keep the following in mind (MedlinePlus, 2025)

  • Use according to the directions on the box and the healthcare provider’s recommendations.
  • Do not use on broken or inflamed, swollen skin.
  • Do not apply heat like heating pads or electric blankets over patches.
  • Avoid getting water on or around the patch.
  • Avoid letting a patch near your eyes to limit eye irritation.
  • Fold the sticky sides of the used lidocaine patches together and safely throw them away, keeping them away from children and pets.

How to use (MedlinePlus, 2025)

  • Clean and dry the affected area before placing the patch.
  • Apply to the affected body area as directed.
  • Wash your hands after touching the patch.
  • Remove the patch after what is usually recommended after eight hours.

How Quickly Does It Work?

The amount of medication absorbed into the blood depends on how long the patch is placed on the body and how much is covered with the patch. In a study, healthy participants wore three lidocaine patches on their backs for 12 hours on and 12 hours off during 24 hours. Lidocaine levels were highest at 11 hours. At the end of the 24 hours, there was still some lidocaine left in the bloodstream. (Food and Drug Administration, 2022)

Individuals with PHN may notice a difference in pain intensity after four hours of using the patch. (Rowbotham, M. C. et al., 1996) (Food and Drug Administration, 2022) Experts may suggest using patches for four weeks for those who experience pain after their shingles rash disappears. However, if there is still pain after these four weeks, it is recommended to see a pain specialist. (Gross, G. E. et al., 2020)

Side Effects

Common side effects are typically mild skin reactions where the patch is. These reactions are usually temporary and will disappear within a few minutes or hours. Examples include: (Food and Drug Administration, 2022)

  • Irritation
  • Itchiness
  • Abnormal or burning sensation
  • Redness
  • Swelling
  • Blisters
  • Bruises
  • Skin bumps
  • Skin color changes
  • Skin peeling

Potentially serious side effects include: (Food and Drug Administration, 2022)

Serious Allergic Reaction

  • Severe allergic reactions are rare, but it is possible.
  • Symptoms include breathing problems, itchiness, and rash.

Methemoglobinemia

  • Methemoglobinemia is a condition that makes it hard for red blood cells to carry oxygen.
  • Individuals may experience symptoms of blue-looking skin, headache, lightheadedness, shortness of breath, abnormal heart rhythm, or seizures.

Using too many lidocaine patches to cover large parts of the body or using the patches longer than 12 hours within 24 hours may cause side effects that may include heart-related effects, such as a slow heart rate and low blood pressure. Individuals may also experience the following side effects (Food and Drug Administration, 2022)

  • Hot or cold sensation
  • Numbness
  • Dizziness
  • Ringing ears
  • Lightheadedness
  • Mood changes
  • Drowsiness to unconsciousness
  • Vision changes
  • Seizures
  • Tremors
  • Vomiting

Injury Medical Chiropractic & Functional Medicine Clinic

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.


Sciatica Causes and Treatments


References

National Library of Medicine. MedlinePlus. (2025). Lidocaine transdermal patch. Retrieved from https://medlineplus.gov/druginfo/meds/a603026.html

Food and Drug Administration. (2022). Lidoderm label. Retrieved from https://www.accessdata.fda.gov/spl/data/eedfe43b-1019-19a0-e053-2995a90a7696/eedfe43b-1019-19a0-e053-2995a90a7696.xml

Department of Veterans Affairs/Department of Defense. (2022). VA/DoD clinical practice guideline for the diagnosis and treatment of low back pain. Retrieved from https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPGFinal508.pdf

North American Spine Society. (2020). Evidence-based clinical guidelines for multidisciplinary spine care: diagnosis and treatment of low back pain. https://www.spine.org/Portals/0/assets/downloads/ResearchClinicalCare/Guidelines/LowBackPain.pdf

National Library of Medicine. DailyMed. (2018). Label: lidocaine patch. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154

Food and Drug Administration. (2021). Ztlido label. Retrieved from https://www.ztlido.com/wp-content/uploads/2022/12/ZTlido-LABEL.pdf

National Library of Medicine. DailyMed. (2025). Lidocaine-lidocaine hydrochloride injection, solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f1b26274-a55e-4321-b96c-ce0df830f205

Santana, J. A., Klass, S., & Felix, E. R. (2020). The Efficacy, Effectiveness and Safety of 5% Transdermal Lidocaine Patch for Chronic Low Back Pain: A Narrative Review. PM & R: the journal of injury, function, and rehabilitation, 12(12), 1260–1267. https://doi.org/10.1002/pmrj.12366

Rowbotham, M. C., Davies, P. S., Verkempinck, C., & Galer, B. S. (1996). Lidocaine patch: double-blind controlled study of a new treatment method for post-herpetic neuralgia. Pain, 65(1), 39–44. https://doi.org/10.1016/0304-3959(95)00146-8

Gross, G. E., Eisert, L., Doerr, H. W., Fickenscher, H., Knuf, M., Maier, P., Maschke, M., Müller, R., Pleyer, U., Schäfer, M., Sunderkötter, C., Werner, R. N., Wutzler, P., & Nast, A. (2020). S2k guidelines for the diagnosis and treatment of herpes zoster and postherpetic neuralgia. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology: JDDG, 18(1), 55–78. https://doi.org/10.1111/ddg.14013

Cauda Equina Symptoms and Urgency for Treatment

Cauda Equina Symptoms and Urgency for Treatment

Cauda equina syndrome/CES is a rare condition in which the nerves in the lower back are compressed. It can include sciatica as one of its symptoms. Individuals presenting with symptoms that could be CES are advised to see a healthcare provider as soon as possible, as delaying treatment can lead to permanent damage.

Cauda Equina Symptoms and Urgency for Treatment

Cauda Equina Syndrome

A cluster of nerve roots called the cauda equina, Latin for horse’s tail, sends and receives messages to the legs, bladder, and other body parts. Cauda equina syndrome is a rare condition in which nerve roots in the lower spinal cord are compressed. This compresses the nerves and disrupts motor and sensory function in the bladder and lower extremities. The most common cause is a ruptured or herniated disc in the lumbar area. This usually occurs when a severe disc herniation compresses the nerve bundle at the base of the spinal cord, causing significant neurological dysfunction like bladder/bowel issues and numbness in the saddle area. If found early, it is treated with surgery within 24 to 48 hours of symptom onset.

 

Initial Signs

Symptoms can occur acutely, in hours, or gradually over weeks or months. One of the first signs and most common symptoms is urinary retention, where the bladder fills, but there is no normal sensation or urge to urinate. (American Association of Neurological Surgeons, 2024) Other symptoms include: (Gardner A., Gardner E., & Morley T. 2011)

  • Severe low back pain
  • Sciatica
  • Pain, numbness, or weakness in one or both legs
  • Saddle anesthesia, which is numbness or other nerve sensations around the anus and the area that sits.
  • A loss of reflexes in the extremities
  • Sexual dysfunction that comes suddenly
  • Loss of bowel control
  • Overflow urination

There are two stages based on urinary symptoms (Fairbank J., & Mallen C. 2014)

CES-Incomplete CES-I

CES-Retention CES-R

  • Bladder control is completely lost.

Causes

The most common cause is a ruptured or herniated disc in the lumbar area. Other possible causes may include: (American Association of Neurological Surgeons, 2024)

Trauma or injury to the spine

  • that leads to fractures or dislocations (gunshots, falls, auto accidents)

Tumors or Infections

  • It can compress the cauda equina nerve bundle.

Spinal Stenosis

  • Narrowing of the spinal column can be either congenital or acquired.

Bone Spurs

Tuberculosis or Pott’s Paralysis

  • Pott’s paralysis is a neurological complication of tuberculosis (TB) of the spine.
  • TB is a bacterial infection that usually affects the lungs but can spread to the spine.

Iatrogenic Side Effects

  • Injuries or illnesses that result from medical or surgical treatment

Spinal Lesions or Malignant Tumors

  • A spinal lesion refers to any abnormal growth or damage within the spine.
  • It can include benign (noncancerous) and malignant (cancerous) tumors.
  • A malignant tumor is a cancerous growth within the spine; essentially, a malignant tumor is a type of spinal lesion with the potential to spread to other parts of the body.

Spinal Infection, Inflammation, Hemorrhage, or Fracture

  • A spinal infection refers to a bacterial, fungal, or viral infection that occurs within the bones of the spine (vertebrae) or the surrounding tissues, potentially causing pain, inflammation, and, in severe cases, neurological complications like weakness or paralysis;
  • Spinal inflammation is a general term for swelling or irritation within the spinal column.
  • Spinal hemorrhage” indicates bleeding within the spinal canal.
  • A spinal fracture refers to a break in one or more of the vertebrae in the spine.

Spinal Arteriovenous Malformations (AVMs)

  • A spinal arteriovenous malformation (AVM) is a rare condition in which the arteries and veins in the spinal cord tangle abnormally.
  • This can damage the spinal cord over time.

Complications from Lumbar Surgery

  • Lumbar surgery can have several complications, including infections, blood clots, nerve damage, and spinal fluid leaks.

Spinal Anesthesia

  • Spinal anesthesia is a regional anesthesia that blocks pain and sensation in the lower body.
  • It involves injecting a local anesthetic medication into the subarachnoid space surrounding the spinal cord.
  • The exact cause is not fully understood, but it can involve direct nerve root injury from the needle, inflammation caused by the anesthetic, or a spinal hematoma compressing the nerve roots.

Spinal Birth Defects

Diagnosis

Diagnosis requires a medical history of symptoms, general health, activity level, and a physical exam to assess strength, reflexes, sensation, stability, alignment, and motion. (​American Association of Neurological Surgeons, 2024) Testing includes:

Blood Tests

  • These test for infections.

MRI

Myelography

  • X-ray or computerized tomography (CT) imaging is enhanced by the injection of contrast material into the cerebrospinal fluid spaces, which can show displacement of the spinal cord or spinal nerves.

Specialized Nerve Testing

  • This could be nerve conduction velocity tests and testing electrical activity in muscles or electromyography.

Treatment

The extent of urinary problems can determine treatment protocols. A CES diagnosis is usually followed by emergency surgery within 24 to 48 hours to relieve compression of the nerves. Moving quickly is essential to prevent permanent complications such as nerve damage, incontinence, or leg paralysis. (American Association of Neurological Surgeons, 2024)

  • Depending on the cause, corticosteroids also may be prescribed to reduce swelling.
  • Antibiotics may be needed if an infection is responsible for CES.
  • For situations in which a tumor is the cause, surgery to remove it may be necessary, followed by chemotherapy and/or radiation.
  • The outcome with CES-I during surgery is generally favorable.
  • Those whose CES has deteriorated to CES-R tend to have a less favorable prognosis.

Post Surgery Therapy

After surgery, CES can be challenging to deal with. If bladder function has been impaired, recovery of control can take time.

  • It may be necessary to use a catheter or to wear disposable underwear. (American Association of Neurological Surgeons, 2024)
  • Frequent urinary infections are also a potential complication.
  • Loss of bladder or bowel control can be psychologically distressing, impacting social life, work, and relationships.
  • Sexual dysfunction can also occur, contributing to relationship difficulties or depression.

Therapy with a mental health professional may be recommended. When damage is permanent, it will be important to include family and friends in the adjustment to living with a chronic condition. Psychological counseling and/or a support group can be helpful. Other specialists who can help include: (American Academy of Orthopaedic Surgeons, 2024)

  • Occupational therapist
  • Physical therapist
  • Physiotherapist
  • Sex therapist
  • Social worker

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.


Disc Herniation


References

American Association of Neurological Surgeons. (2024). Cauda Equina Syndrome. https://www.aans.org/patients/conditions-treatments/cauda-equina-syndrome/

Gardner, A., Gardner, E., & Morley, T. (2011). Cauda equina syndrome: a review of the current clinical and medico-legal position. European Spine Journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20(5), 690–697. https://doi.org/10.1007/s00586-010-1668-3

Fairbank, J., & Mallen, C. (2014). Cauda equina syndrome: implications for primary care. The British journal of general practice: the journal of the Royal College of General Practitioners, 64(619), 67–68. https://doi.org/10.3399/bjgp14X676988

American Academy of Orthopaedic Surgeons. (2024). Cauda equina syndrome. https://orthoinfo.aaos.org/en/diseases–conditions/cauda-equina-syndrome

Discover How to Reduce Thigh Pain Associated with Sciatica

Discover How to Reduce Thigh Pain Associated with Sciatica

Can individuals dealing with sciatica incorporate nonsurgical treatments to reduce thigh pain and restore mobility in the legs and hips?

The Tensor Fascia Latae

Do you feel stiffness or tightness in your legs, feet, and hips? Have you experienced walking crookedly when running errands? Or have you experienced radiating pain from your gluteal region down to your feet? The hips, thighs, and legs have numerous muscles, tissues, and ligaments surrounding the skeletal bone in the body’s lower extremities. These components allow the lower half of the body to stabilize the upper body’s weight and enable the individual to be mobile throughout the day. One muscle that works together is the tensor fasciae latae (TFL) muscle. The TFL muscle is part of the proximal anterolateral thigh between the deep fibers of the iliotibial (IT) band. It works with the gluteal muscles in various hip movements and assists with the knees. (Trammell et al., 2025) This muscle is poorly misunderstood as it helps with the hips and knee joint and pelvic stability. (Iyengar et al., 2022) At the same time, it has a casual relationship with the IT band.

The Iliotibial Band (ITB)

The iliotibial (IT) band is part of the lower extremities as it is a tough, fibrous fascial tissue that works together with the TFL muscle and has various functional roles that are dependent on posture and allows the individual to be mobile via walking, sprinting, and running. (Hutchinson et al., 2022) However, this muscle’s main function is knee flexion. When environmental factors affect the body, it can cause irritation and inflammation to the IT band, causing knee pain. (Martinez-Velez et al., 2020) When dealing with issues within their lower extremities, they affect the IT band, TFL muscle, and the thighs. Environmental factors can also affect the lower extremities as the surrounding muscles can aggravate the nerve roots, thus leading to sciatica pain. We associate with certified medical providers who inform our patients of how sciatica can negatively impact the lower extremities, especially the thighs. While asking important questions to our associated medical providers, we advise patients to integrate various non-invasive treatments to reduce sciatica and help regain mobility back to the lower body. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

 


Reclaim Your Mobility: Chiropractic Care For Sciatica Recovery-Video


Sciatica & Thigh Pain

When the general population hears about sciatica, it is a frequent diagnosis associated with low back pain, which causes discomfort within the lower extremities, especially in the thighs. Sciatica is a debilitating condition where the sciatic nerve is often compressed and irritated, causing pain. (Davis et al., 2025) Many influences cause sciatica to develop, and it can cause the individual to deal with a spinal imbalance, which correlates with walking incorrectly, causing the accessory muscles to work overtime and compressing the sciatic nerve, causing thigh pain. (Wang et al., 2022) With thigh pain correlating with sciatica, many symptoms can range from muscle weakness, absence of tendon reflexes to the knees, and sensory deficit. (Fairag et al., 2022) Luckily, treatments are available to reduce thigh pain associated with sciatica and regain mobility back to the lower extremities.

 

Treatments For Sciatica-Thigh Pain

When treating the lower extremities, especially when experiencing sciatica-thigh pain, many individuals with thigh pain associated with sciatica can incorporate non-invasive treatments to reduce the pain. Many athletic and non-athletic individuals can utilize PRICE (protection, rest, ice, compression, and elevation) to the affected muscles that can minimize the injuries causing pain. (Lempainen et al., 2022) This can help reduce the inflammatory effects causing issues to the thighs and lower extremities. Many non-surgical treatments like physio-exercise therapy, massages, stretching, and spinal stabilization therapies can improve core strength and posture and help with range of motion to relieve sciatica pain affecting the lower extremities. (Aguilar-Shea et al., 2022) Other non-surgical treatments like yoga, physical therapy, and chiropractic care can help improve joint and lower extremity motions, stretch and strengthen weak muscles surrounding the thighs, and relieve sciatic nerve pain. (Kim & Yim, 2020) When people start thinking about their bodies and how pain is affecting their quality of life, many can incorporate non-surgical treatments to reduce the pain associated with sciatica. Many people can make small positive changes in their routine by becoming more physically active, stretching more, eating healthier, and being more mindful of what they are doing, which can reduce the chances of sciatica returning and affecting the lower extremities. This can help them achieve a healthier, better life.


References

Aguilar-Shea, A. L., Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Management for family physicians. J Family Med Prim Care, 11(8), 4174-4179. https://doi.org/10.4103/jfmpc.jfmpc_1061_21

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2025). Sciatica. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/29939685

Fairag, M., Kurdi, R., Alkathiry, A., Alghamdi, N., Alshehri, R., Alturkistany, F. O., Almutairi, A., Mansory, M., Alhamed, M., Alzahrani, A., & Alhazmi, A. (2022). Risk Factors, Prevention, and Primary and Secondary Management of Sciatica: An Updated Overview. Cureus, 14(11), e31405. https://doi.org/10.7759/cureus.31405

Hutchinson, L. A., Lichtwark, G. A., Willy, R. W., & Kelly, L. A. (2022). The Iliotibial Band: A Complex Structure with Versatile Functions. Sports Med, 52(5), 995-1008. https://doi.org/10.1007/s40279-021-01634-3

Iyengar, K. P., Azzopardi, C., Kiernan, G., & Botchu, R. (2022). Isolated pathologies of Tensor Fasciae Latae: Retrospective cohort analysis from a tertiary referral centre. J Clin Orthop Trauma, 29, 101870. https://doi.org/10.1016/j.jcot.2022.101870

Kim, B., & Yim, J. (2020). Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial. Tohoku J Exp Med, 251(3), 193-206. https://doi.org/10.1620/tjem.251.193

Lempainen, L., Mecho, S., Valle, X., Mazzoni, S., Villalon, J., Freschi, M., Stefanini, L., Garcia-Romero-Perez, A., Burova, M., Pleshkov, P., Pruna, R., Pasta, G., & Kosola, J. (2022). Management of anterior thigh injuries in soccer players: practical guide. BMC Sports Sci Med Rehabil, 14(1), 41. https://doi.org/10.1186/s13102-022-00428-y

Martinez-Velez, A., Suwan, P., & Dua, A. (2020). Iliotibial band syndrome in non-athletes. Minerva Anestesiol, 86(10), 1111-1112. https://doi.org/10.23736/S0375-9393.20.14194-4

Trammell, A. P., Nahian, A., & Pilson, H. (2025). Anatomy, Bony Pelvis and Lower Limb: Tensor Fasciae Latae Muscle. In StatPearls. https://www.ncbi.nlm.nih.gov/pubmed/29763045

Wang, L., Li, C., Wang, L., Qi, L., & Liu, X. (2022). Sciatica-Related Spinal Imbalance in Lumbar Disc Herniation Patients: Radiological Characteristics and Recovery Following Endoscopic Discectomy. J Pain Res, 15, 13-22. https://doi.org/10.2147/JPR.S341317

Disclaimer

Mastodon