Back Clinic Spinal Hygiene. The spine is the protective housing for the nervous system, a system so powerful that it controls every function in the human body. The nervous system tells your body to breath, tells your heart to beat, tells your arms and legs to move, tells your body when and how to produce new cells and it even has the power to control healing. A damaged or misaligned spine can dramatically interfere with the signals constantly being sent through the nervous system, eventually resulting in bodily pain, internal deterioration and loss of many of the everyday functions we take for granted.
Spinal hygiene is extremely important, yet 89 percent of the world’s population does not realize the importance of maintaining proper alignment of the vertebrae through chiropractic adjustment, as well as protecting the spine from injury through healthy living practices. Instead we neglect our spines. As children we start our lives with tumbles and trips that jar our spines, we grow into adults with poor posture, we lift things that are too heavy, carry overloaded back packs, and we suffer injury through car accidents, sports impacts and stress.
Get in on the health trend of the future-today. Join the growing percentage of the population that enjoys greater health and wellness through regular care of their spines. Talk to your chiropractor today about ways you can improve your spinal hygiene.
Learn how chiropractic care can alleviate discomfort and enhance your quality of life through joint and biomechanical restoration.
Chiropractic Care for Joint and Biomechanical Restoration: A Comprehensive Guide
Introduction
Picture this: you’re trying to open a stubborn jar, but your wrist won’t cooperate—it’s stiff, achy, and feels like it’s staging a protest. Now imagine your whole body acting like that jar, with joints creaking and muscles grumbling. That’s where chiropractic care comes in, like a skilled mechanic for your body’s framework. Chiropractic care focuses on diagnosing and treating mechanical disorders of the musculoskeletal system, particularly the spine, to restore joint function and improve overall biomechanics. This blog post delves into why chiropractic care can be a game-changer for joint health, explores the role of environmental factors in joint pain, and highlights why Dr. Alexander Jimenez stands out in El Paso for treating personal injury cases. We’ll sprinkle in a bit of humor to keep things light, but rest assured, the science and clinical insights are serious business.
This post draws on the expertise of Dr. Brandon Brock, a chiropractor and educator who teaches advanced techniques for joint restoration, and Dr. Alexander Jimenez, a leading practitioner in El Paso known for his work with accident victims. We’ll also incorporate scientific studies that examine the gut-brain axis and brain plasticity, illustrating how chiropractic care may impact more than just your aching back. By the end, you’ll have a clear picture of how chiropractic care works, why it matters, and when to seek professional help.
Section 1: The Science Behind Chiropractic Care
Chiropractic care is like giving your body a tune-up, focusing on the spine and joints to keep everything running smoothly. The core idea is that misalignments in the spine—called subluxations—can disrupt nerve signals, leading to pain, stiffness, or even problems in other parts of the body. Chiropractors use hands-on techniques, such as spinal manipulations, to correct these misalignments, aiming to restore proper function and alleviate discomfort.
Biomechanics of Spinal Manipulation
Let’s get a bit technical (but not too much—promise!). When a chiropractor performs an adjustment, they apply a quick, controlled force to a specific joint. This can cause a tiny “pop” (the satisfying sound you hear) due to gas bubbles collapsing in the synovial fluid within the joint, a process known as cavitation. Research shows that these adjustments can move vertebral bodies into a “para-physiological” zone, meaning they move just beyond their normal range without causing harm, thereby helping to restore mobility (Peterson & Bergmann, 2012). This movement can also trigger reflex responses in muscles far from the adjustment site, like a domino effect that eases tension throughout the body.
For example, if your lower back feels like a cranky old door hinge, an adjustment might loosen it up, reducing pain and improving your mobility. Studies suggest these changes can enhance joint function and even influence how your nervous system processes signals, potentially improving coordination (Haavik & Murphy, 2011). However, not every adjustment works miracles, and results depend on the patient’s condition and the chiropractor’s skill.
Mitochondria and Joint Health
Here’s where things get a bit sci-fi: your joints rely on tiny powerhouses called mitochondria to keep cells healthy. In conditions like osteoarthritis, where cartilage breaks down, mitochondrial dysfunction can exacerbate the condition by reducing energy production and increasing inflammation. Chiropractic care might help by reducing mechanical stress on joints, which could support mitochondrial health and slow joint degeneration (Blanco et al., 2011). Think of it like giving your joints a break from carrying a heavy backpack all day—less stress, better function.
References
Blanco, F. J., Rego, I., & Ruiz-Romero, C. (2011). The role of mitochondria in osteoarthritis. Nature Reviews Rheumatology, 7(3), 161-169. https://pubmed.ncbi.nlm.nih.gov/21173794/
Haavik, H., & Murphy, B. (2011). The role of spinal manipulation in addressing disordered sensorimotor integration and altered motor control. Journal of Electromyography and Kinesiology, 21(6), 961-976. https://pubmed.ncbi.nlm.nih.gov/20889343/
Peterson, D. H., & Bergmann, T. F. (2012). Chiropractic Technique: Principles and Procedures. Mosby.
Section 2: Environmental Factors and Joint Pain
Ever wonder why your knees complain after a long day at work or why your neck feels like it’s auditioning for a role as a rusty gate? Environmental factors—such as repetitive motions, poor posture, or even an uncomfortable chair—can put significant stress on your joints. Let’s break down how these factors contribute to joint pain and how chiropractic care can help.
Physical Stress and Repetitive Motions
If you’re lifting heavy boxes all day or typing like you’re racing to set a world record, your joints are taking a beating. Repetitive motions can strain muscles, ligaments, and tendons, leading to inflammation and pain. Athletes, construction workers, or even desk jockeys are all at risk. Chiropractic care can step in like a superhero, using adjustments to realign joints and reduce inflammation. For instance, a study found that spinal manipulative therapy can help ease low back pain caused by repetitive stress, improving mobility and reducing discomfort (Globe et al., 2009).
Poor Ergonomics and Lifestyle Factors
Your office chair might be your joints’ worst enemy. Slouching at a desk or craning your neck to stare at a phone can misalign your spine, putting pressure on joints. Add in environmental toxins—like pollutants that might increase inflammation—or a diet lacking key nutrients, and your joints are in for a rough ride. Chiropractors often pair adjustments with advice on ergonomics and nutrition to tackle these issues. Imagine your chiropractor as a coach, guiding you to sit up straight and eat foods that support your joints’ health (Seaman & Cleveland, 1997).
Table: Common Environmental Factors Affecting Joint Health
Factor
Impact on Joints
Chiropractic Solution
Repetitive Motions
Strains muscles and joints, causing inflammation
Adjustments to realign joints, reduce stress
Poor Posture
Misaligns spine, increases joint pressure
Spinal manipulations, posture advice
Environmental Toxins
May increase systemic inflammation
Nutritional counseling, lifestyle changes
Sedentary Lifestyle
Weakens muscles, stiffens joints
Exercise recommendations, mobility therapy
References
Globe, G., Morris, C., Whalen, W., Cashore, C., & Hinrichs, R. (2009). Biomechanical modeling assessment for spinal manipulative therapy: application to treating the low back using a flexion-distraction technique on an instrument-adjusting table. Chiropractic & Osteopathy, 17, 12. https://pubmed.ncbi.nlm.nih.gov/19954569/
Seaman, D. R., & Cleveland, C. (1997). Spinal pain syndromes: nociceptive, neuropathic, and psychologic mechanisms. Journal of Manipulative and Physiological Therapeutics, 20(2), 108-119. https://pubmed.ncbi.nlm.nih.gov/9046451/
Section 3: Personal Injury Cases and Dr. Alexander Jimenez
Car accidents can turn your body into a jigsaw puzzle with pieces scattered everywhere—muscles strained, ligaments sprained, and joints out of whack. In El Paso, Texas, Dr. Alexander Jimenez is like the master puzzle-solver for personal injury cases, helping accident victims put their bodies back together.
Expertise in Personal Injury
Dr. Jimenez, a chiropractor with advanced credentials, specializes in treating injuries from motor vehicle accidents (MVAs). His clinic, El Paso Back Clinic, offers a range of services to address musculoskeletal injuries, from whiplash to rotator cuff damage. He likely uses advanced imaging techniques, such as MRI or CT scans, to obtain a clear picture of the damage, ensuring that treatments are tailored to each patient’s specific needs. His role doesn’t stop at treatment—he also helps patients navigate the legal aspects, providing detailed documentation for insurance claims or court cases (El Paso Back Clinic, n.d.).
Advanced Diagnostics and Dual-Scope Procedures
While specific details on “dual-scope procedures” are scarce, Dr. Jimenez’s approach likely involves combining diagnostic tools—like imaging and physical exams—with chiropractic techniques to create a comprehensive treatment plan. For example, after a car accident, he might use an MRI to spot a herniated disc, then apply spinal adjustments to relieve pressure on nerves. This blend of high-tech diagnostics and hands-on care makes him a standout in El Paso, where personal injury cases are common due to the high volume of traffic on busy roads and highways.
Why El Paso Needs Experts Like Dr. Jimenez
El Paso’s bustling traffic means accidents happen, and injuries like whiplash or spinal misalignments are all too common. Dr. Jimenez’s ability to connect medical care with legal needs is akin to having a translator who speaks both the languages of “doctor” and “lawyer.” His work ensures patients get the care they need while building a strong compensation case, making him a vital resource for the community.
Section 4: The Gut-Brain Axis and Chiropractic Care
Now, let’s take a wild ride into the world of your gut—yes, that squishy, food-processing center might have more to do with your joints than you think! The gut-brain axis is the communication network between your digestive system and your brain, and it’s a hot topic in health research. Let’s explore how it might tie into chiropractic care.
Gut Health and Inflammation
Your gut is home to trillions of microbes that help regulate inflammation throughout your body. If those microbes get out of balance—say, due to a poor diet or stress—it can lead to systemic inflammation, which may cause your joints to feel like they’re in pain. Research suggests that a healthy gut microbiome can reduce inflammation, potentially easing joint pain (Cryan & Dinan, 2012). Chiropractic care might help by improving nervous system function, which could support better gut health through the vagus nerve, a key player in the gut-brain axis.
The Gut-Liver-Brain Connection
There’s also a broader gut-liver-brain axis, where imbalances can contribute to diseases affecting multiple systems. For example, a sluggish liver or an unhealthy gut may increase inflammation, placing additional stress on joints. While chiropractic care isn’t a direct treatment for liver or gut issues, adjustments may improve nerve signaling, potentially supporting overall health (Wang & Wang, 2016). It’s like giving your body’s communication system a better Wi-Fi signal—everything works a bit smoother.
References
Cryan, J. F., & Dinan, T. G. (2012). Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nature Reviews Neuroscience, 13(10), 701-712. https://pubmed.ncbi.nlm.nih.gov/22968181/
Your brain is like a super-smart Play-Doh, constantly reshaping itself to adapt to new challenges. This ability, known as brain plasticity, is crucial for recovery from injuries, and chiropractic care may play a role in supporting it.
Brain Plasticity in Injury Recovery
When you injure your spine or joints, your brain has to rewire itself to cope with the changes. For example, after a spinal cord injury, the brain may reorganize to restore certain functions, such as movement or sensation. Studies show that therapies, including chiropractic adjustments, can support this process by improving nerve signaling and reducing pain, helping the brain adapt more effectively (Kalron et al., 2015).
Chiropractic’s Role in Neural Communication
Chiropractic adjustments might act like a reset button for your nervous system. By correcting spinal misalignments, they can reduce nerve irritation, potentially improving how your brain communicates with your body. Research suggests that spinal manipulations can activate sensory pathways, enhancing coordination and motor control (Pickar & Bolton, 2012). It’s like clearing static from a phone line so your brain and body can have a clearer conversation.
References
Kalron, A., Baransi, H., Magalashvili, D., & Gabai, A. (2015). Brain Plasticity and Functional Rehabilitation in Multiple Sclerosis. Neural Plasticity, 2015, 312941. https://pubmed.ncbi.nlm.nih.gov/26221186/
Pickar, J. G., & Bolton, P. S. (2012). Spinal manipulative therapy and somatosensory activation. Journal of Electromyography and Kinesiology, 22(5), 785-794. https://pubmed.ncbi.nlm.nih.gov/22483611/
The Role of Chiropractic Care in Improving Your Health- Video
Section 6: Dr. Brandon Brock’s Contributions
Dr. Brandon Brock is like the rock star of chiropractic education, blending his expertise as a chiropractor and nurse practitioner to teach others how to help patients. Based in Dallas, Texas, he holds a Doctorate in Family Nursing Practice from Duke University and a Doctorate in Chiropractic, with additional credentials in functional neurology and nutrition (Brock, n.d.).
Teaching Joint and Biomechanical Restoration
Through his seminars, Dr. Brock shares advanced techniques for examining and treating joint issues. He covers everything from orthopedic testing to soft tissue manipulation and even low-level laser therapy for neurological rehab. His approach is like a master chef’s recipe—combining science, hands-on skills, and a dash of creativity to help patients move better and feel better. His teachings emphasize understanding the “why, where, when, and how” of interventions, ensuring chiropractors can tailor treatments to each patient’s needs (NWHSU Continuing Education, n.d.).
Why His Work Matters
Dr. Brock’s focus on integrating neurology, nutrition, and chiropractic care underscores the holistic approach to joint restoration. By teaching chiropractors to consider the whole body—not just the sore spot—he’s helping to advance the field, making treatments more effective and personalized.
Chiropractic care doesn’t exist in a vacuum—it’s part of a broader health picture. Let’s explore some additional research that sheds light on why it works and how it connects to other aspects of health.
Low-Level Light Therapy
Low-level light therapy (LLLT) is like giving your cells a gentle pep talk with light. It’s been studied for its effects on the brain and eyes, potentially reducing inflammation and supporting healing. Some chiropractors, such as Dr. Brock, use LLLT in conjunction with adjustments to enhance joint and neurological recovery (Hamblin, 2016). It’s not a magic wand, but it might give your joints an extra boost.
Sex Hormones and Brain Function
Your hormones can influence how your brain and joints work together. For example, estrogen and testosterone influence brain function and inflammation, which may play a role in joint pain, particularly in conditions such as arthritis. Chiropractic care, by improving nervous system function, might indirectly help balance these effects, though more research is needed (Craft et al., 2015).
Posture and Neural Substrates
Good posture isn’t just about looking confident—it’s about keeping your brain and body in sync. Research shows that the brain’s neural substrates control posture, and spinal misalignments can disrupt this system. Chiropractic adjustments may help by restoring proper alignment and improving how your brain manages posture and movement (Kawasaki et al., 2017).
References
Craft, R. M., Mogil, J. S., & Aloisi, A. M. (2015). Understanding the broad influence of sex hormones and sex differences in the brain. Journal of Neuroscience Research, 93(1), 1-13. https://pubmed.ncbi.nlm.nih.gov/25257702/
Chiropractic care offers a promising approach to restoring joint function and improving biomechanics, backed by a growing body of research. From the biomechanical effects of spinal manipulations to the potential influence on the gut-brain axis and brain plasticity, chiropractors like Dr. Brandon Brock and Dr. Alexander Jimenez are pushing the boundaries of what this field can achieve. In El Paso, Dr. Jimenez’s expertise in personal injury cases underscores the real-world impact of chiropractic care, enabling accident victims to recover while navigating complex legal processes.
While we’ve added a touch of humor to make this journey through joints and spines more enjoyable, the information here is rooted in serious science and clinical practice. Chiropractic care isn’t a one-size-fits-all solution, and results can vary. Always consult a qualified healthcare professional to determine if it’s right for you.
Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a licensed healthcare provider before starting any new therapy.
Understand the key aspects of spinal prevention from auto injuries and protect your spine while you travel.
Buckle Up for Safety: Reducing Auto Injuries with Seatbelts and Expert Care
Imagine cruising down the highway, the wind in your hair (or at least through the air vents), feeling as invincible as Herman Munster behind the wheel of the Munster Koach. But even a big, strong guy like Herman knows that one simple click of a seatbelt can make all the difference when the unexpected happens. Motor vehicle accidents (MVAs) are a leading cause of injuries worldwide, and in the United States, millions of people face the consequences of car crashes each year. From minor bumps to life-changing spinal injuries, the impact of these accidents can be profound. Fortunately, seatbelts and expert medical care, like that provided by Dr. Alexander Jimenez in El Paso, can help reduce the toll of these injuries.
In this blog post, we’ll delve into the clinical reasons why seatbelts are essential for preventing auto injuries, examine how these injuries can lead to cervical pain (that pesky neck ache), and highlight the role of chiropractic care in recovery. We’ll also shine a spotlight on Dr. Jimenez, a local hero for personal injury victims, who combines medical expertise with legal know-how to help patients get back on their feet. So, buckle up—let’s take a ride through the world of auto injury prevention and healing, with a touch of humor to keep things light!
The Impact of Auto Injuries
Car accidents happen every day—over 36,000 daily in the U.S., according to the National Safety Council. While many are minor fender-benders, more than 25% result in injuries serious enough to send someone to the emergency room. That’s nearly 3.5 million ER visits annually! Among the most common and troublesome injuries are those to the spine, which includes the cervical (neck), thoracic (mid-back), and lumbar (lower back) regions.
Spinal injuries can range from annoying to life-altering. Here’s a quick rundown of the main culprits:
Whiplash: Picture your head snapping back and forth like a bobblehead doll in a rear-end crash. That’s whiplash, a soft tissue injury that strains neck muscles and ligaments, causing pain and stiffness.
Herniated Discs: The force of a crash can displace the cushiony discs between your vertebrae, leading to pain, numbness, or weakness.
Fractures: High-impact collisions can cause vertebrae to crack or shatter, sometimes requiring surgical intervention.
Spinal Cord Injuries: The most severe injuries can cause partial or complete paralysis, depending on where and how badly the spinal cord is damaged.
These injuries don’t just hurt—they can disrupt your daily life, from missing work to struggling with simple tasks like turning your head. That’s why preventing them, or at least minimizing their severity, is so important.
Seatbelts: Your First Line of Defense
Seatbelts are like the unsung heroes of car safety, quietly saving lives every day. From 1975 to 2017, they’re estimated to have saved 374,276 lives, according to Injury Facts. In 2017 alone, seatbelts saved nearly 15,000 lives in the U.S. (The Zebra). The NHTSA reports that lap and shoulder belts cut the risk of fatal injury for front-seat passengers by 45% and moderate to critical injuries by 50%. That’s a pretty big deal for a simple strap!
But seatbelts aren’t perfect. A study by Rao et al. (2014) found that while three-point seatbelts (the kind with both lap and shoulder straps) reduce overall injury severity and death rates, they’re linked to a higher chance of thoracic and lumbar spine fractures, particularly burst fractures (Spine Journal). In their analysis of 4,572 crash victims from 1996 to 2011, 35.3% of belted occupants had thoracic or lumbar injuries compared to 11.6% of unbelted ones. However, belted folks had lower injury severity scores (25 vs. 29.7) and fatality rates (9% vs. 16.5%).
So, what’s the deal? Seatbelts work by spreading the crash force across your chest and pelvis—strong parts of your body—keeping you from flying out of the car or smashing into the dashboard. This restraint is a lifesaver, but it can put extra pressure on your spine, especially in high-speed crashes. Even so, the trade-off is clear: a possible fracture is far better than a fatal injury or severe brain trauma.
Table 1: Seatbelt Impact on Thoracic and Lumbar Spine Injuries (Rao et al., 2014)
Group
T&L Injury Incidence
Major Injuries
Minor Injuries
Mean ISS
Fatality Rate
Three-Point Belted
35.3% (365/1033)
18.4% (190/1033)
16.9% (175/1033)
25
9% (33/365)
Unbelted
11.6% (158/1360)
5.6% (76/1360)
6% (82/1360)
29.7
16.5% (26/158)
Despite the fracture risk, seatbelts protect against neurologic injuries, which can leave you paralyzed or worse. They also reduce the chance of being ejected from the vehicle, a major cause of death in crashes. So, even if Herman Munster’s neck is as sturdy as a steel beam, he’d still buckle up to avoid a bumpy ride to the hospital!
Why Seatbelts Matter: The Clinical Rationale
Why do doctors and safety experts keep harping on about seatbelts? Because the science backs them up. Seatbelts are the single most effective way to reduce the risk of death and serious injury in a car crash. Here’s why:
Lives Saved
The numbers don’t lie. Seatbelts have been saving lives for decades, with nearly 15,000 people spared in 2018 alone (The Zebra). They prevent nearly 50% of all automobile deaths, and only 1% of belted passengers are ejected during a crash, compared to 75% of those who die after being thrown from the vehicle.
How They Work
Seatbelts are like a trusty sidekick, holding you in place when chaos strikes. During a crash, they lock tight, distributing the force across your chest and hips, which are built to handle it. This keeps your head and neck from slamming into the steering wheel or windshield. Airbags help, too, but they’re designed to work with seatbelts, not replace them. Belted occupants with airbag deployment had even lower injury severity scores (22.9) and fatality rates (5.3%) in the Rao study.
Reducing Severity
Even when injuries occur, seatbelts make them less severe. A BMC Public Health study found that seatbelt use cuts the risk of spinal injuries by 44% (RR = 0.56, 95% CI = 0.37 to 0.84), along with facial and abdominal injuries. While the study noted no significant difference for neck or thoracic injuries, the overall harm reduction is undeniable.
The Catch
Seatbelts aren’t a magic shield. They can cause injuries like bruises, rib fractures, or sternal fractures, especially in high-speed crashes. The Rao study highlighted that three-point belts are linked to burst fractures in the spine, and older or heavier individuals may face extension injuries. But these risks pale in comparison to the alternative—unbelted crashes often lead to catastrophic outcomes like fracture-dislocations or severe organ damage.
So, the clinical takeaway? Seatbelts are your best bet for staying safe, even if they carry a small risk of specific injuries. It’s like choosing a helmet for a bike ride—sure, it might mess up your hair, but it’s better than a trip to the ER!
Cervical Pain: The Whiplash Woes
Now, let’s zoom in on the neck, or cervical spine, which often bears the brunt of auto injuries. If you’ve ever felt like your neck was auditioning for a horror movie after a fender-bender, you might have experienced whiplash. This injury is the poster child for MVAs, especially rear-end collisions, and it’s a major cause of cervical pain.
What Is Whiplash?
Whiplash happens when your head whips back and forth faster than a Munster family dance party. The sudden motion stretches and tears the muscles, ligaments, and tendons in your neck, leading to pain and stiffness. It’s most common in rear-end crashes, where the seat pushes your body forward, but your head lags, snapping backward before jerking forward again (Johns Hopkins Medicine).
A 2005 study cited by Grigory Goldberg, MD, found that 83% of individuals involved in collisions experience whiplash. That’s a lot of sore necks! Even low-speed crashes, as slow as five mph, can cause it, especially if you have a pre-existing neck issue or poor posture in the car (Thompsons Scotland).
Symptoms of Whiplash
Whiplash symptoms can sneak up on you, sometimes not showing up until hours or days after the crash. Common signs include:
Neck pain and stiffness
Headaches, often at the base of the skull
Dizziness or vertigo
Blurred vision
Fatigue
Trouble concentrating or remembering
Sleep problems
Tinnitus (ringing in the ears)
In severe cases, you might feel weakness in your arms or legs, indicating nerve damage. These symptoms can last a few days or, for some unlucky folks, turn into chronic pain known as whiplash-associated disorders (WAD) (Healthline).
Why Seatbelts Don’t Fully Prevent Whiplash
Here’s the tricky part: seatbelts are great at keeping your body in place, but your head is still free to move. In a rear-end crash, the seatbelt holds your torso, but your neck and head can whip around, causing that classic whiplash motion. Some sources, such as Kaizo Health, suggest that seatbelts can even increase the risk of whiplash in mild to moderate crashes by amplifying the force on the neck and chest.
However, this doesn’t mean you should skip the seatbelt. Without one, you’re far more likely to suffer severe injuries, like head trauma or ejection. The key is to pair seatbelt use with other precautions, such as a properly adjusted headrest, which can help catch your head and reduce the risk of whiplash (Consumer Reports).
Other Cervical Injuries
Whiplash isn’t the only neck injury from MVAs. More severe crashes can cause:
Cervical Fractures: Breaks in the cervical vertebrae, often from high-impact collisions, which can pinch nerves and cause pain or tingling (Spine Diagnostic).
Spinal Stenosis: Trauma can narrow the spinal canal, pressing on nerves and causing radiating pain.
Disc Herniations: The force can push cervical discs out of place, leading to arm pain or numbness.
These injuries can have long-term effects, making early diagnosis and treatment critical.
The Road To Recovery- Video
Preventing Auto Injuries: More Than Just Seatbelts
While seatbelts are the MVP of car safety, they’re not the only player on the team. Here are some practical tips to keep you safer on the road:
Wear Your Seatbelt Right
It’s not enough to just buckle up—you’ve got to do it correctly. Here’s how:
Place the lap belt low across your hips, not your stomach.
Position the shoulder belt across your chest, not under your arm or behind your back.
Make sure the belt is snug and not twisted.
For children, use car seats or booster seats until they’re big enough for adult seatbelts, typically around 8 to 12 years old (NHTSA).
A properly worn seatbelt is like Herman Munster’s favorite tie—secure, stylish, and ready for action!
Adjust Your Headrest
Your headrest isn’t just for napping on long drives—it’s a key whiplash preventer. Set it so the top is level with the top of your head and as close as possible to the back of your head (no more than 4 inches away). Newer cars may have “active” headrests that move forward in a crash to catch your head (Chiropractor at Castlebury).
Drive Smart
Safe driving habits can prevent crashes altogether:
Stick to speed limits and traffic rules.
Keep your eyes on the road—no texting or scrolling!
Maintain a safe distance from other cars.
Adjust for weather or road conditions.
Think of it like navigating the Munster mansion—slow and steady avoids the creaky traps!
Choose a Safe Vehicle
Check crash safety ratings from the Insurance Institute for Highway Safety (IIHS). Cars with well-designed headrests and advanced safety features, such as automatic emergency braking, can help lower your risk of injury.
The Role of Immediate Medical Care
Even if you feel fine after a crash, don’t skip the doctor’s visit. Injuries like whiplash or internal damage can hide for days, only to cause trouble later. A StatPearls article notes that post-crash soreness often appears 24 to 72 hours after the accident, and many patients don’t realize their injury severity until the next day.
Seeing a healthcare provider right away can:
Catch hidden injuries with exams or imaging.
Start treatment early to prevent chronic pain.
Document your injuries for insurance or legal claims.
In El Paso, Dr. Alexander Jimenez is a go-to expert for this kind of care, offering a one-stop shop for diagnosis, treatment, and recovery.
Dr. Alexander Jimenez: El Paso’s Injury Expert
When it comes to auto injuries, Dr. Alexander Jimenez is like the Herman Munster of healing—big on expertise and always ready to help. With over 30 years of experience, he’s a dual-licensed Doctor of Chiropractic (DC) and an Advanced Practice Registered Nurse (APRN), specifically a Family Nurse Practitioner-Board Certified (FNP-BC). His practice at El Paso’s Chiropractic Rehabilitation Clinic focuses on treating complex injuries, including those from MVAs.
Who Is Dr. Jimenez?
Dr. Jimenez isn’t just a chiropractor—he’s a functional medicine pioneer, certified by the Institute for Functional Medicine. His dual licensure lets him approach injuries from both a structural (bones and joints) and systemic (overall health) perspective. He’s also a community leader, working with veterans through the Tri-West Program and bringing neuropathy treatments to El Paso via the El Paso Neuropathy Center.
His accolades include being named a Top Rated El Paso Chiropractor from 2015 to 2024 by Three Best Rated® and memberships in the American and Texas Chiropractic Associations. He’s even a former bodybuilding champ, so he knows a thing or two about physical resilience!
How He Helps Auto Injury Patients
Dr. Jimenez employs a holistic, evidence-based approach to treating auto injuries, tailored to each patient’s specific needs. His methods include:
Chiropractic Adjustments: Realigning the spine to relieve pain and improve mobility.
Spinal Decompression Therapy: Gently stretching the spine to ease disc pressure.
Acupuncture and Electro-Acupuncture: Reducing pain and inflammation with targeted needle or electrical stimulation.
Nutritional Counseling: Supporting healing with diet and supplements.
Mind-Body Techniques: Managing stress to aid recovery.
He also utilizes advanced imaging techniques, such as X-rays or MRIs, and diagnostic evaluations to pinpoint injuries. For example, the Objective Spinal Motion Imaging Assessment (OSMIA) system, which measures spinal motion with low-dose fluoroscopy, can help assess damage with high accuracy (RMS error as low as 0.32° for side-bending).
Table 2: OSMIA Calibration Model 1 RMS Errors (degrees)
Condition
Side-bending Optimal
Side-bending Degraded
Flexion-extension Optimal
Flexion-extension Degraded
RMS Error (°)
0.32
0.40
0.52
1.03
This precision ensures patients get the right treatment, whether it’s for whiplash or a spinal fracture.
Personal Injury Cases in El Paso
El Paso sees its share of MVAs, and personal injury cases are common as victims seek compensation for medical bills, lost wages, and pain. Dr. Jimenez stands out in this regard, acting as a bridge between medical care and legal needs. He meticulously documents injuries using advanced diagnostics, which is crucial for insurance claims or lawsuits. His reports align clinical findings with legal standards, helping patients navigate the complex world of personal injury law.
For example, in a typical case, Dr. Jimenez might use OSMIA to measure spinal instability post-crash, then provide a detailed report linking the injury to the accident. This can make or break a claim, as insurance companies often require clear evidence of causation. His dual expertise as a chiropractor and nurse practitioner gives him a unique edge in this role.
Why El Paso Trusts Dr. Jimenez
Dr. Jimenez’s commitment to patient empowerment sets him apart. He educates his patients through webinars, podcasts, and daily blog posts on his website, covering topics such as injury recovery and chronic pain management. His work with the Health Voice 360 Podcast reaches a wide audience, spreading knowledge about health and wellness.
He’s also a community advocate, supporting veterans and bringing cutting-edge treatments to El Paso. Whether it’s helping a crash victim walk again or guiding a family through a legal battle, Dr. Jimenez is a trusted name in the city.
The Bigger Picture: Safety and Recovery
Auto injuries, especially to the spine, can turn your life upside down faster than a Munster family prank. However, with seatbelts and expert care, you can minimize the damage and return to your normal life. Seatbelts save lives—there’s no debate about that. They cut the risk of death and serious injury by nearly half, even if they come with a small chance of causing fractures. Whiplash and other cervical injuries are common, but proper headrests and safe driving can help keep them at bay.
If you’re in a crash, don’t wait to get checked out. Injuries can hide, and early care can prevent long-term pain. In El Paso, Dr. Alexander Jimenez offers the expertise and compassion you need to recover, from advanced diagnostics to personalized treatment plans. His role in personal injury cases ensures you’re covered medically and legally, giving you peace of mind.
So, next time you hop in the car, channel your inner Herman Munster and buckle up with a grin. It’s a small act that could save your life—and if the worst happens, know that experts like Dr. Jimenez are ready to help you bounce back.
Conclusion: A Serious Note
Motor vehicle accidents are no laughing matter. They cause millions of injuries and thousands of deaths each year, with spinal injuries like whiplash and fractures leading to significant pain and disability. Seatbelts are your best defense, reducing the risk of severe harm and saving countless lives. However, they don’t eliminate all risks, and injuries like whiplash can still occur. Taking preventive steps, such as wearing seatbelts correctly and adjusting headrests, is essential for your safety.
If you’re involved in a crash, seek medical attention immediately, even if you feel okay. Early diagnosis and treatment can make a huge difference in your recovery. In El Paso, Dr. Alexander Jimenez provides expert care for auto injury victims, combining advanced diagnostics with holistic treatments to help you heal. His role in personal injury cases ensures you get the support you need, both medically and legally.
Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider for any health concerns or injuries. Prioritize safety on the road, and don’t hesitate to seek professional help if you’re injured in an accident.
Explore the connection between musculoskeletal ligaments and automobile accidents, focusing on preventive and rehabilitative strategies.
Introduction
Motor vehicle accidents (MVAs) are usually the leading cause of musculoskeletal injuries worldwide, with ligaments in the upper body quadrant—neck, shoulders, and elbows—often bearing the brunt of the impact. These tough, fibrous bands stabilize joints, but when stretched or torn in a crash, they can trigger chronic pain, reduced mobility, and long-term disability. Imagine ligaments as the body’s bungee cords: stretchy but with limits. When an MVA snaps them, it’s less a thrill ride and more a grim tale of aches and legal battles, worthy of a Wednesday Addams smirk.
This guide examines the clinical rationale behind ligamentous injuries resulting from motor vehicle accidents (MVAs), with a focus on the upper body. We’ll break down the anatomy and physiology of ligaments, how accidents cause these injuries, and their role in neck and back pain. We’ll also spotlight Dr. Alexander Jimenez, a distinguished El Paso practitioner whose expertise in chiropractic care and personal injury cases helps victims recover and navigate the legal challenges they face. With a touch of dark humor to keep things bearable, let’s dive into this serious topic.
Understanding Ligaments: Structure, Function, and Physiology
Ligaments within the musculoskeletal system are fibrous connective tissues that link bones, ensuring joint stability and guiding movement. Composed primarily of collagen fibers, along with elastin and proteoglycans, they strike a balance between strength and flexibility. In the upper body, key ligaments include:
Cervical Spine Ligaments:
Anterior Longitudinal Ligament (ALL): Runs along the front of vertebral bodies, preventing hyperextension.
Annular Ligament: Secures the radius head against the ulna.
Ligaments function to limit excessive joint motion, guide movement, and aid proprioception (body position awareness). When injured, they cause instability, pain, and inflammation, especially in MVAs where sudden forces exceed their tensile strength.
References:
American Academy of Orthopaedic Surgeons. (2018). Repetitive Motion Disorders of the Upper Extremity. Rosemont, IL: Author.
Buckwalter, J. A. (1995). Activity vs. rest in the treatment of bone, soft tissue and joint injuries. Iowa Orthopaedic Journal, 15, 29-42.
Ligamentous Injuries from Motor Vehicle Accidents
MVAs generate high-energy impacts that can stretch or tear ligaments, particularly in the upper body. Common injuries include:
Whiplash-Associated Disorders (WAD):
Whiplash occurs in rear-end collisions when the head jerks forward and backward, straining or tearing cervical ligaments, such as the anterior longitudinal ligament (ALL) and posterior longitudinal ligament (PLL). Picture your neck as a ragdoll in a haunted carnival ride—except the aftermath is pain, not laughter.
Symptoms include neck pain, stiffness, and reduced range of motion.
Shoulder Injuries:
Shoulder ligaments, such as those in the acromioclavicular or glenohumeral joints, can sprain when arms brace against impact or from direct trauma.
These injuries cause pain, swelling, and impaired mobility in the arm.
Elbow and Wrist Injuries:
Bracing during a crash can stress elbow ligaments (UCL, RCL) or wrist ligaments, leading to sprains or instability.
Symptoms include tenderness and difficulty gripping.
Injury severity ranges from mild sprains (Grade 1) to partial tears (Grade 2) or complete tears (Grade 3), each requiring a tailored treatment approach.
Mechanism of Injury:
The biomechanics of MVAs explain these injuries:
Rear-End Collisions: Cause whiplash via rapid neck extension and flexion.
Front-End Collisions: Lead to hyperflexion, which stresses the posterior ligaments.
Factors such as vehicle speed, seatbelt use, headrest position, and occupant posture all influence injury severity.
References:
Applied Radiology. (2018, January 18). RSNA 2017: Understanding types of injuries caused by motor vehicle components (Applied Radiology).
Bryant & Peterson. (2021, October 26). Causes of Muscle Pain After Car Accidents | What to Do Next (Bryant PSC).
Clinical Rationale and Musculoskeletal Consequences
The clinical rationale for ligamentous injuries in motor vehicle accidents (MVAs) hinges on biomechanics. Rapid acceleration-deceleration forces exceed the ligaments’ tensile strength, causing micro tears or complete ruptures. The neck’s vulnerability—due to its mobility and the head’s weight—makes it prone to whiplash, while shoulder and elbow ligaments face stress from bracing or impact.
Musculoskeletal Consequences:
Neck Pain (Cervicalgia): Damaged cervical ligaments and muscles cause acute pain, which may become chronic without treatment. Whiplash can also trigger headaches or radiating pain.
Back Pain (Lumbago): Forces transmitted through the spine can strain upper back ligaments, contributing to discomfort.
Reduced Range of Motion: Ligament instability prompts compensatory muscle tension, which limits movement and fosters further dysfunction.
Chronic Pain Syndromes: Untreated injuries can lead to persistent pain, negatively impacting quality of life.
Diagnosis:
Physical Examination: Assesses tenderness, range of motion, and joint stability.
Imaging:
X-rays rule out fractures.
MRI visualizes ligament tears.
CT scans detail bony structures.
Functional Tests: Assess the impact of daily activities.
References:
Practical Pain Management. (2012, October 31). Whiplash Injuries in Motor Vehicle Accidents (Practical Pain Management).
BMC Musculoskeletal Disorders. (2020, June 9). Prevalence of ligamentous knee injuries in pedestrian versus motor vehicle accidents (BMC Musculoskeletal Disorders).
From Injury to Recovery- Video
Dr. Alexander Jimenez: Expert in Musculoskeletal Injury Treatment
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leading practitioner in El Paso, specializing in musculoskeletal injuries related to motor vehicle accidents (MVAs). With over 30 years of experience, he employs a multidisciplinary treatment approach that combines chiropractic care, physical therapy, and functional medicine. His methods include:
Chiropractic Adjustments: Restore spinal and joint alignment.
Physical Therapy: Strengthen muscles and improve flexibility.
Acupuncture/Electro-Acupuncture: Reduce pain and inflammation.
Functional Medicine: Addressing Underlying Health Factors.
Nutritional Support: Promote tissue repair.
Advanced Diagnostics:
Dr. Jimenez likely uses MRI, CT, and other imaging to pinpoint ligament damage, ensuring accurate treatment plans. His dual licensure as a chiropractor and nurse practitioner allows a holistic perspective, integrating medical and chiropractic care.
Legal Liaison:
In personal injury cases, Dr. Jimenez provides detailed medical reports and expert testimony, linking injuries to motor vehicle accidents (MVAs) and establishing causation. This documentation is crucial for legal claims, ensuring that MVA victims receive compensation for medical expenses, lost wages, and pain and suffering.
El Paso sees frequent personal injury cases from MVAs, with ligamentous injuries impacting victims’ lives. Dr. Jimenez’s expertise is invaluable, offering:
Thorough medical evaluations to document injuries.
Treatment plans recognized by legal professionals.
Coordination between medical care and legal proceedings.
His work ensures no injury is overlooked, strengthening compensation claims while prioritizing recovery.
References:
HG.org. (n.d.). Dealing with Ligament Injuries after a Car Accident (HG.org).
Prevention and Safety Measures
Reducing MVA-related ligament injuries involves:
Seatbelts: Restrain the body, minimizing impact forces.
Headrest Adjustment: Support your head to reduce the risk of whiplash.
Avoiding Distractions: Prevent accidents by keeping your focus on driving.
Safe Speeds: Lower speeds reduce injury severity.
Vehicle Safety Features: Airbags and crumple zones mitigate harm.
Public education on these measures can lower MVA incidence and severity.
Importance of Early Intervention
Prompt treatment after an MVA:
Prevents Chronic Pain: Early care reduces long-term issues.
Reduces Inflammation: Speeds healing.
Restores Function: Prevents compensatory movement patterns.
Supports Legal Claims: Timely medical records link injuries to the accident, providing crucial evidence.
Consulting specialists, such as Dr. Jimenez, soon after a motor vehicle accident (MVA) can enhance recovery and legal outcomes.
Patient Testimonials
Patients often praise Dr. Jimenez’s care. One individual with post-MVA neck pain reported significant relief after chiropractic adjustments and therapy. Another with shoulder ligament damage regained mobility through acupuncture and exercises. These stories highlight his effective, patient-centered approach.
Injury Type
Treatment
Outcome
Whiplash (Neck)
Chiropractic, Physical Therapy
Reduced pain, restored motion
Shoulder Sprain
Acupuncture, Exercises
Full mobility regained
Conclusion
Ligamentous injuries from MVAs are a serious concern, potentially causing chronic neck and back pain. Understanding their clinical basis—biomechanical stress on ligaments—and seeking expert care is crucial for recovery. Dr. Alexander Jimenez’s multidisciplinary approach, which combines advanced diagnostics and holistic treatments, offers hope for MVA victims in El Paso. His role in personal injury cases further ensures patients receive both medical and legal support.
Disclaimer: This guide is for informational and academic purposes only and not a substitute for professional medical advice. Please consult with qualified healthcare providers for diagnosis and treatment.
What is the body’s center of gravity to understand and maintain a healthy posture and balance?
Center of Gravity
The human center of gravity, or COG, also known as the center of mass, with the two terms being interchangeable, is where the body’s weight appears to be concentrated. It’s a point in space where the entire body’s mass can be concentrated. When standing upright, the COG is generally located behind the navel and in front of the sacrum, around the level of the second vertebra. (Le Huec, J. 2011) The center of gravity is related to posture, including issues such as swayback, the design of posture exercise programs, and much more.
Gravity is a downward pull or force the Earth exerts on the body, creating weight. (NASA, 2013)
The center of gravity (COG) is where a body’s weight is equally balanced in all directions. (Physiopedia, 2025)
When the COG is defined, it is done from the reference of a static, standing position.
Because the body is in motion when we change positions, the COG is located in a new position with each new position.
The center of gravity is the point around which all the parts balance, which may be inside or outside the body.
Even slight changes in position can change where the COG is. (Physiopedia, 2025)
Key aspects of the COG
Location
When standing upright, the COG is typically found at the second vertebral level, behind the navel and in front of the sacrum. (Le Huec, J. 2011)
Shifting COG
The COG can shift depending on body position, posture, and movements like bending forward or backward. (Physiopedia, 2025)
Balance Impact
The relationship between the COG and the base of support (the area of the body in contact with the ground) is fundamental to maintaining balance.
Variations
There can be variations in the COG location based on factors like gender (men tend to have a slightly higher COG), body shape, and even conditions like obesity or chronic low back pain. (Physiopedia, 2025)
Biomechanics
Understanding the COG is crucial in biomechanics and movement analysis, as it’s an index of total body motion and how the body responds to external forces.
The Human Center
The center of gravity is the point at which the body’s mass is equally balanced. This point changes depending on one’s position:
Arms up/down
Leaning
Turning
With strength and flexibility training, the human body can change its center of gravity, as gymnasts and dancers do.
When standing, the center of gravity is normally located behind the navel and in front of the sacrum bone (made up of five vertebrae fused vertically) at about the second vertebra level. (Hasegawa K. et al., 2022)
Because the body has moving parts, its overall shape changes every time it moves. Carrying something like a suitcase or grocery bag or wearing a backpack adds weight to some areas but not others, changing the center of gravity as it does.
The center of gravity is a continually changing point inside or outside the body that represents where the weight or mass of the rest of the body is equally balanced in every direction.
This point can and does change based on what is being carried and how it is carried, as well as body position and movements.
Chronic Lower Back Pain
A study in the Journal of Back and Musculoskeletal Rehabilitation found that individuals with chronic lower back pain tend to have their center of gravity located excessively towards the back. (Kim D. H., Park J. K., & Jeong M. K. 2014)
In the study, the individuals had decreased low back strength upon extension and a reduced normal low back curve.
The researchers found that those with chronic lower back pain whose center of gravity was too far back may need physical therapy to retrain the body to overcome strength and balance challenges to re-establish and maintain a healthy posture.
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 Medicine, Acupuncture, Electro-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.
Enhance Your Lifestyle Today with Chiropractic Care
References
Le Huec, J. C., Saddiki, R., Franke, J., Rigal, J., & Aunoble, S. (2011). Equilibrium of the human body and the gravity line: the basics. 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 Suppl 5(Suppl 5), 558–563. https://doi.org/10.1007/s00586-011-1939-7
NASA. Jet Propulsion Laboratory, California Institute of Technology. (2013). What is gravity? Retrieved from https://gracefo.jpl.nasa.gov/news/5/what-is-gravity/
Physiopedia. (2025). Centre of gravity. https://www.physio-pedia.com/Centre_of_Gravity
Hasegawa, K., Amabile, C., Nesme, M., & Dubousset, J. (2022). Gravity center estimation for evaluation of standing whole body compensation using virtual barycentremetry based on biplanar slot-scanning stereoradiography – validation by simultaneous force plate measurement. BMC musculoskeletal disorders, 23(1), 22. https://doi.org/10.1186/s12891-021-04948-5
Kim, D. H., Park, J. K., & Jeong, M. K. (2014). Influences of posterior-located center of gravity on lumbar extension strength, balance, and lumbar lordosis in chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation, 27(2), 231–237. https://doi.org/10.3233/BMR-130442
For individuals experiencing back pain, can lying in the supine position help bring relief?
Supine Position
The supine position describes the body’s position when lying on your back with your face up. The individual is flat on their back with no incline, arms at their sides or bent at a 90-degree angle. It’s commonly used in medical settings for examinations, surgeries, and procedures, particularly when access to the anterior/front of the body is needed. It can benefit certain conditions, like helping relieve pain, but exacerbate others, like acid reflux. The term is also used as a modifier for exercises and stretches that begin with the individual on their back. (ScienceDirect Topics, 2009)
Medical Uses
Examinations
Healthcare providers often use the supine position for physical examinations, including vital signs, palpation of the abdomen, and chest inspection. (Nurse.com, 2024)
Procedures
It’s also used for various procedures, such as lumbar punctures and injections. (Steris Healthcare, 2025)
Surgery
Due to its accessibility to the front of the body, the supine position is frequently used for surgeries such as cardiac, abdominal, thoracic, and cranial procedures.
It allows for easy access to the airway, facilitates anesthesia choices, and can be readily converted to an open procedure if necessary. ScienceDirect Topics, 2009)
Overall Health
Natural Position
Many individuals naturally fall asleep in the supine position, finding it comfortable and conducive to spinal alignment.
Back Pain Relief
Sometimes, lying supine with proper support can relieve back pain, particularly in individuals with lumbar spinal issues. (MedicalNewsToday, 2022)
Acid Reflux
However, the supine position can exacerbate acid reflux, as gravity allows stomach acid to travel up the esophagus. (MedicalNewsToday, 2022)
Sleep Apnea
The supine position can worsen sleep apnea in some individuals.
Clinical Uses
A physical therapist, trainer, or clinician may use supine to describe positions used for manual therapy or when having the patient do stretching and back exercises as part of a home exercise program.
If the therapist or personal trainer is training the individual on core stabilization exercises for the first time, the individual will most likely start in the supine position.
This is because when the body is supine, the muscles have the least work to do to maintain correct posture and position against the force of gravity.
Many bed exercises begin in this position for rehabilitation.
Back Care
Here are a few recommendations to relieve low back pain using the supine position.
First, individuals can release the tension in the back by assuming the hook-lying position, a modification of the supine position in which the knees are bent and the feet are resting flat on the floor (Aurora BayCare Medical Center, N.D.).
Start breathing and relaxing, allowing the tension to drain out of the muscles.
In a hook-lying position with the fingertips on the lower belly, inhale deeply, then exhale naturally and puff out the remaining air.
At that point, the fingertips should feel the transverse abdominal muscle engage.
Release and repeat 10 times.
After the body is warmed up, move on to actual exercise. For example, beginners may be given hip stretches to help relieve back pain. These might be done to maintain or prevent back pain. Individuals can do yoga for their back while in the supine position. As with any exercise program, not all yoga poses involve lying on the back, but many beginners and restorative ones do.
For example, the supine spinal twist involves lying on the back, bending the knees, and gently placing them to one side. The idea is to stay in that position for a few moments—and breathe—to allow the oblique abdominal and back muscles to release.
Variations
Lawn Chair Position
This variation involves slightly bending the hips and knees and elevating them above the heart, which can help relieve lower back pain.
Frog-Leg Position
The frog-leg position involves lying on the back with bent knees pushed out to the sides, providing access to the groin and perineum. (Steris Healthcare, 2025)
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.
Thoracic Spine Pain
References
ScienceDirect. (2009). Supine Position. Morrey’s The Elbow and Its Disorders (Fourth Edition), 567-577. https://doi.org/https://doi.org/10.1016/B978-1-4160-2902-1.50042-5
Nurse.com. (2024). What Is Supine Position? https://www.nurse.com/nursing-resources/definitions/what-is-supine-position/#:~:text=During%20routine%20physical%20examinations%2C%20the,easier%20to%20perform%20comprehensive%20assessments.
STERIS. (2025). The Complete Guide to Patient Positioning. https://www.steris.com/healthcare/knowledge-center/surgical-equipment/complete-guide-to-patient-positioning#:~:text=The%20most%20common%20position%20used,and%20elevating%20the%20sternal%20notch.
MedicalNewsToday. (2022). What is the supine position? https://www.medicalnewstoday.com/articles/supine-position
Aurora BayCare Medical Center. (N.D.). Lumbar stabilization hooklying position. https://ahc.aurorahealthcare.org/fywb/baycare/x06913bc.pdf
Are there benefits to back cracking, risks, and how can it be done safely?
Back Cracking
Back cracking is intentionally applying pressure or twisting movements, producing a popping or cracking sound in the spine. Back cracking involves stretching or extending the spine. In most cases, it is considered safe when done gently as it can provide temporary relief from back pain and stiffness by:
Stretching the ligaments and muscles around the spine
Releasing gas bubbles that may be causing pressure
Improving joint mobility
Mechanism of Action
Cracking your back creates small gas bubbles in the synovial fluid (the lubricating fluid in the joints).
These bubbles form when the pressure in the joints is suddenly released, causing a popping or cracking sound.
It is generally safe, but there are certain conditions under which individuals should avoid cracking their backs.
Popping Sound
Research has used a new type of magnetic resonance imaging (MRI), cine MRI, to study the noise source. Cine MRI produces moving images.
This study using this MRI found that the formation of bubbles makes a popping sound.
The popping sound does not come from the popping of bubbles in the synovial fluid, as previously believed. (Kawchuk G. N. et al., 2015)
When someone cracks their back, the force pulls the bones of the joint apart, causing the pressure within the joint to drop and form a bubble, which eventually dissipates. (Kawchuk G. N. et al., 2015)
Crepitus
Crepitus is the medical term for cracking or popping noise from joints.
It is not a condition or disease but can be a symptom of one.
Other terms include clicking or crunching.
Is It Safe To Perform Daily?
Back cracking once a day is generally considered safe. But if it causes pain or swelling, then stop and contact a healthcare provider. If someone feels the need to crack their back more throughout the day, it could be a sign that they need to see a professional chiropractic healthcare provider. (AICA Orthopedics, 2022) Individuals may crack their backs to address certain conditions or to relieve various discomfort symptoms that can include: (National Center for Complementary and Integrative Health, 2025)
Headache
Neck pain
Lower back pain
Sciatica
Individuals may often experience mild side effects like headache, stiffness, or pain. These side effects tend to resolve within a day. Though back cracking can provide temporary relief for some conditions, some serious side effects like neurological problems or strokes have been reported. (National Center for Complementary and Integrative Health, 2025)
Rotate the upper body to the right side and press against the right knee with the left elbow.
Hold the stretch for 30 seconds and come back to the center.
Repeat on the other side.
Knee to Chest
Lie flat on the ground.
Lift one leg and bring the knee to the chest, pulling the knee in with your hands.
Hold for five seconds.
Repeat with the other leg.
Several back-cracking assistive devices, such as poles and wheels, are available. Talk to a healthcare provider to determine the right type and ensure it is safe for you and your condition or injury.
Individuals Who Should Avoid Back Cracking
Back cracking can cause additional stress or damage to the joints in those with back injuries or other conditions. Individuals with these conditions should avoid back cracking (AICA Orthopedics, 2022)
Numbness or tingling of the arms or legs.
Osteoporosis
Spinal cancer
Spinal abnormalities
Individuals who have a high stroke risk.
A Professional Back Adjustment
A chiropractor is a healthcare provider who specializes in spine and spinal adjustments. They adjust the spine and other areas of the body to correct misalignment problems, reduce and relieve pain, and allow the body to recover independently. (National Library of Medicine. MedlinePlus, 2023) The chiropractor will take a health history to learn about previous injuries and conditions. Then, they will evaluate the patient and determine the best course of action. Although a chiropractor performs spinal adjustments, they may also incorporate other treatments, including: (National Library of Medicine. MedlinePlus, 2023)
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.
Chiropractic Secrets
References
Kawchuk, G. N., Fryer, J., Jaremko, J. L., Zeng, H., Rowe, L., & Thompson, R. (2015). Real-time visualization of joint cavitation. PloS one, 10(4), e0119470. https://doi.org/10.1371/journal.pone.0119470
AICA Orthopedics. (2022). Is cracking your back bad? https://aica.com/is-cracking-your-back-bad/
National Center for Complementary and Integrative Health. (2025). Spinal manipulation: what you need to know. Retrieved from https://www.nccih.nih.gov/health/spinal-manipulation-what-you-need-to-know
American Academy of Orthopedic Surgeons. (2022). Spine conditioning program. https://orthoinfo.aaos.org/en/recovery/spine-conditioning-program/
National Library of Medicine. MedlinePlus. (2023). Chiropractic. Retrieved from https://medlineplus.gov/chiropractic.html
For individuals experiencing periodic limb movements of sleep, can understanding how movements at night may relate to other sleep disorders help bring healthy sleep?
Periodic Limb Movements of Sleep
Periodic limb movements of sleep (PLMS) are involuntary, repetitive leg and sometimes arm movements during sleep. PLMS is one of the sleep disorders that may cause disruptive movement of the legs, like restless legs syndrome (RLS). It can lead to sleep disruption, insomnia, and daytime sleepiness.
Causes
The exact cause of PLMS is unknown, but it is thought to be related to:
Underlying medical conditions (e.g., restless legs syndrome, sleep apnea)
Nerve dysfunction
Neurochemical imbalances (e.g., dopamine, iron)
Symptoms
Repetitive leg and/or arm movements during sleep, typically lasting 0.5-5 seconds.
It may be accompanied by sensations of tingling, crawling, or pulling in the legs.
It can cause sleep disturbances, leading to daytime fatigue.
Type of Movements
Periodic limb movements during sleep (PLMS) consist of sudden jerking movements of the legs that occur involuntarily during sleep, which the affected individual may not realize is happening. It can be kicking, twitching, or extension of the legs.
Restless legs syndrome (RLS) symptoms are noted when awake.
The movements associated often consist of flexion or extension at the ankle.
In some cases, this can also occur at the knee.
It may occur on one side or alternate back and forth between the left and right sides. (Cleveland Clinic, 2023)
It tends to increase with age and often but is not always accompanied by restless leg symptoms.
If PLMS causes daytime impairment, such as significant sleep disruption, excessive daytime sleepiness, and insomnia, it may be diagnosed as periodic limb movement disorder (PLMD). (Sleep Foundation, 2024)
Diagnosis
PLMS is diagnosed through a sleep study (polysomnography), which records brain waves, eye movements, muscle activity, and breathing patterns during sleep. As part of the study, superficial electrodes are placed on the legs and sometimes the arms to detect muscle contractions or movements.
In individuals with PLMS, repetitive movements at least four in a row may last from 1/2 second to 5 seconds.
The movements may be more significant if they are associated with arousal or awakenings from sleep.
They also may be deemed important if they become disruptive to a bed partner.
No further treatment may be necessary when noted in isolation on a sleep study without associated symptoms or impacts.
If another disorder cannot explain the movements, PLMS may be the likely diagnosis.
Again, if the movements lead to sleep disruption, insomnia, and excessive daytime sleepiness, it is called PLMD.
Isolated PLMS noted on a sleep study, without consequence, are insignificant and do not require treatment with medication.
Restless leg syndrome is diagnosed based on clinical criteria of having an uncomfortable feeling in the legs associated with an urge to move that occurs in the evening when lying down and is relieved by movement. (Stefani, A., & Högl, B. 2019)
Treatment
Treatment for PLMS depends on the underlying cause and severity of symptoms. Options include:
Medications (e.g., dopamine agonists, iron supplements)
Lifestyle changes (e.g., exercise, avoiding caffeine before bed)
Treating the underlying medical condition
In general, it is unnecessary to treat PLMS if the individual affected has no complaints of sleep disruption. Treatment can be considered if it causes:
Partial or total arousal from sleep
Contributes to insomnia
Undermines sleep quality
Also, if the movements are disruptive to a bed partner, getting them under control may be desirable.
Prescription medications can be effective in treating PLMS. (Cleveland Clinic, 2023) Many of the meds used to treat RLS can be helpful. These may include benzodiazepines (clonazepam), Mirapex (generic name pramipexole), and ropinirole. Movements may also occur with obstructive sleep apnea events, and then the treatment would target the breathing disorder.
Injury Medical Chiropractic and Functional Medicine Clinic
Individuals who struggle with sleep or other sleep disorders that impact their ability to get restful sleep should consult with their healthcare provider about getting an assessment and treatment to restore health. Individuals can recover and regain the benefits of quality rest through healthy sleep practices and lifestyle accommodations. 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 help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Revitalize and Rebuild with Chiropractic Care
References
Walters, A. S., & Rye, D. B. (2009). Review of the relationship of restless legs syndrome and periodic limb movements in sleep to hypertension, heart disease, and stroke. Sleep, 32(5), 589–597. https://doi.org/10.1093/sleep/32.5.589
Cleveland Clinic. (2023). Periodic limb movement disorder (PLMD). https://my.clevelandclinic.org/health/diseases/14177-periodic-limb-movements-of-sleep-plms
Sleep Foundation. (2024). Periodic Limb Movement Disorder What it is, what it feels like, its possible causes, and how it’s addressed. https://www.sleepfoundation.org/periodic-limb-movement-disorder
Stefani, A., & Högl, B. (2019). Diagnostic Criteria, Differential Diagnosis, and Treatment of Minor Motor Activity and Less Well-Known Movement Disorders of Sleep. Current treatment options in neurology, 21(1), 1. https://doi.org/10.1007/s11940-019-0543-8
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