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.
Self-cracking and popping the spine can feel good but should it be done without professional/chiropractic assistance? We’ve all done it getting up from bed or the couch, lean back, and wait for the sound of the spine cracking/popping. Some even have a friend help pop the spine to get that satisfying feeling. There are proper stretching techniques to follow, but cracking the spine without professional help is not recommended as it could lead to problems or worsen any underlying spinal issues.
Sounds
Self cracking, popping the spine refers to the sounds the neck or back make with certain movements. The joints in the spine contain fluid and gas. When the body moves, stretches can create cracking popping sounds as different pressures are exerted. The sound is known as joint cavitation, is the normal exchange of gases like oxygen, nitrogen, and carbon dioxide around the joints.
Spaces form in the synovial fluid that surrounds the joints. These spaces make an audible sound when the pressure changes/cavitation causing the gases to be released. The gases are naturally present in the body. A doctor of chiropractic mobilizes the joints very carefully through adjustments using their hands or specific instruments to increase the spine’s range of motion and stability. When adjustments and manipulations are not performed by a professional, problems can happen, that can include:
Loss of strength
Soft tissue swelling
Muscle spasms
When it’s done properly and safely injuries are prevented and any issues like swelling and tightness around the neck and spine are also avoided.
Self-cracking performed incorrectlycan lead to excessive force bringing the joints to excessive ranges of motion that can potentially cause injury. Individuals need to be careful even when self-cracking as the spine can make sounds for other reasons.
Age-related arthritis can generate a crunching type of sound when moving known as crepitus
A ligament or tendon can rub over a bone or bone spur, creating different sounds
These sounds are usually not problematic, but when they are consistent with certain movements they could cause inflammation and/or pain.
Chiropractic Professional Adjustments
The primary reasons most individuals seek chiropractic help are for problems, like pain, tightness, and weakness. Individuals can voluntarily see a chiropractor or they could be referred to one by a different doctor. Doctors routinely work with chiropractors to help patients recover from musculoskeletal injuries and conditions. A chiropractor performs manipulations in a safe, controlled manner. They are familiar with the sounds that the joints make and know they are safe. They usually have a multidisciplinary team that is involved in the management of various musculoskeletal conditions.
Why chiropractic care is so helpful?
All doctors of chiropractic are trained to diagnose and treat neuro-musculoskeletal conditions. During the diagnosis, the chiropractor will go through the individual’s medical history and conduct a physical exam to determine what treatment plan is best for the individual and their injury or condition. Many are now flocking to chiropractic care to avoid taking pain medications. Scientific evidence supports the health benefits of adjustments for various types of musculoskeletal pain, as well as to improve function and mobility
It is also recommended to work with a chiropractor in addition to other health professionals, like orthopedic specialists and physical therapists. They can help decrease pain, provide increased mobility and stability. If there is a constant need to self crack the back, or are having other issues with pain and tightness, talk with a doctor to see if chiropractic adjustments and manipulation will help. This will ensure that the right diagnosis is made and will help to create the optimal treatment plan to develop a stronger healthier body.
Body Composition
Increasing muscle mass is a recommended way to improve body composition and increase immune system function. Research shows senior adults with a higher skeletal muscle mass have an increased number of immune cellsin the blood. This indicates that the muscles and the immune system are connected. When working out myokines or hormone-type proteins are released that strengthen the immune system to help protect and fight diseases. Regular exercise with moderate intensity increases the release of T lymphocytes/T cells improving the body’s immunity. Regular exercise also helps reduce the risk of developing chronic diseases like:
Type 2 diabetes
Obesity
Different types of cancer
Cardiovascular diseases
Improved body composition with regular exercise and a well-balanced diet helps maintain a healthy proportion of muscle and fat mass. The more developed the body’s muscle mass becomes strengthens the immune system and lowers the risk of diseases and various health conditions.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
“The Prevalence, Patterns, and Predictors of Chiropractic Use Among US Adults: Results From the 2012 National Health Interview Survey.” Spine. Dec 2017. pubmed.ncbi.nlm.nih.gov/28459779/
“Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations With 1-Year Changes in Health and Satisfaction With Care.” Journal of Manipulative and Physiological Therapeutics. Oct 2014. www.sciencedirect.com/science/article/pii/S0161475414001444
For individuals getting up with pain and stiffness in the back, neck, shoulders practically every morning becomes frustrating and depressing. For most, the pain wears off throughout the day but having to deal with it at the start of the day. Dr. Jimenez of Injury Medical Chiropractic and Functional Medicine Clinic offers some suggestions for pain reduction and prevention.
The body spends around a third of each night sleeping because it is a vital part of life. Sleeping means it is time to relax and prepare for the next day. For many, sleeping can be uncomfortable and can be a cause of back and neck pain when getting up. There are steps an individual can take to ensure that correct sleep is achieved while preventing neck and back pain.
Sleep Position Is Important
Sleeping in a position that maintains the natural curves of the spine is essential. It is recommended not to sleep on the stomach, as this places the spine in an unnatural position and allows the pelvis and lower back to sink into the mattress with no support. This position can also cause neck pain and headaches when getting up. If this is a position that can’t be changed from years of practice, place a pillow under the stomach and or pelvis to keep the lower back and pelvis straight.
Sleeping on the side or back is highly recommended.
Side sleepers should also place a pillow between the knees.
Back sleepers should place a pillow underneath the knees.
Placing a pillow between and underneath the knees gives the spine proper support to maintain the natural curves.
Check How The Bed Is Set Up
Make sure the bed/sleeping equipment is set up correctly. For example, most pillows do not provide the proper amount of neck support. This can cause neck soreness even if sleeping in the recommended side and back positions. If getting up with neck pain or headaches a cervical pillow can bring relief. A cervical pillow is designed to support the natural curves of the neck while sleeping and places the neck in the proper position. Cervical pillows are designed for side and back sleepers, but make it difficult to sleep on your stomach, which is an added perk to using them.
Using the proper mattress is equally important. The type of mattress being slept on can be a significant contributor to back and neck pain. Individuals that use a medium-firm mattress have less back pain compared to individuals that use too firm or too soft mattresses. Research has shown that mattresses should be replaced every 10 years. Mattresses that are 10 years old and beyond are shown to be a possible cause of back pain while you sleep.
Getting Up and Out of Bed In A Way That Doesn’t Cause Pain
Getting up and out of bed properly will help as well. Most individuals sit up, twist their back to get into a standing position and use the back to stand. This is like lifting with the back and not the legs, which will cause back pain and a possible spinal injury like a herniated disc.
The recommended way to get up and out of bed after waking is to roll onto the side and use the arm to push up and off from the side-lying position.
From this position, scoot to the very edge of the bed and get up using the legs, and not the back.
Implementing these suggestions into your routine can be a great way to decrease pain while sleeping and increase getting up without experiencing stiffness, soreness, and feeling refreshed.
The Body’s Composition
Muscle Mass and Workout Recovery
Looking at muscle mass and the intake of certain nutrients into the evening can be beneficial. Protein intake is essential in muscle formation and muscle recovery after working out or engaged in physical activity. Research has shown that a little protein before sleep helps stimulate muscle protein synthesis.
In a study, ingested proteins were shown to cause a rise in circulating amino acid levels, increased whole-body protein rates, and improved net protein balance. Following exercise, the muscles need to be able to recover properly and protein intake is essential. To achieve weight management goals, an individual must achieve a healthy amount of Lean Body Mass. Lean Body Mass is based on Skeletal Muscle Mass, and protein intake is essential.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Chiropractic prevention for degenerative disc disease. In between the bones of the spine or the vertebrae are the protective shock-absorbing intervertebral discs. These protective cushions naturally begin wearing down or degenerating as the body ages. The common term for this is degenerative disc disease or DDD. It is not a disease, but the body’s natural aging process. The reason it is called degenerative disc disease is that it is a condition of the spine with deteriorating effects.
One of the things seen in degenerative disc disease and aging of the spine is that the soft disc, made up of a vast amount of water, slowly begins to dry out and dehydrate. The protein/sugar that is within the disc begins to dry out and that starts a degenerative domino effect along with tearing of the outside rings of the disc.
Causes and Risk Factors
The most common cause of disc degeneration is aging. With age comes the loss of fluids/water. This means the discs get thinner and provide less protection. The shock absorbers don�t absorb weight, impact, pressure like they used to. However, disc degeneration does not always occur later in life. Genetics can be a catalyst for development when young.
Individual environment vs. genetics
Stresses
Strains
Wear
Tear
Discs dry out
Rings crack or tear
If involved in an occupation that requires heavy lifting, twisting, and bending, this can generate disc damage, but physical stressors do not automatically enhance disc erosion. An individual can do this type of work their entire life and not experience problems. It depends on the environment and the overall health of the individual that can be assessed through chiropractic prevention and body composition analysis.
Chiropractic Prevention and Preserving The Discs
Individuals need training on proper body posture and body mechanics. A major contributing factor that increases the risk of nerve, spine/back pain due to disc damage. The back/spine should be moved like a crane. This means not bending over at the waist, but squatting down with the hips and knees when lifting an object. Not everything can be done this way, but if an individual can eliminate too much bending at the waist, it will definitely help.
Do not neglect the core muscles. Core exercises will maintain the muscles around the waist, which also strengthens the rest of the body. All the muscles front, back, around the trunk, hips, and knees to the chest are all the core muscles.
Healthy Weight Less Spinal Stress
Beyond physical stressors, another important factor in preventing degenerative disc disease is maintaining a proper weight. Society has adapted more and more to a sedentary lifestyle. And home quarantine means being more sedentary. Emotional factors like:
Boredom
Anxiety
Depression
Fatigue
This can cause excessive junk food consumption and rapid weight gain.
Lifestyle Adjustments Health Coaching
Implementing a preventive lifestyle to prevent degenerative damage is challenging. Everyone really should try to live as healthy a lifestyle they can.
Smoking accelerates the aging process by drying out the tissue, especially the spinal discs. It is known as desiccation and is why smoking is a major risk factor for degenerative disc disease.
Disc stress
Anything that stresses the discs for any amount of time can generate pain. For example, standing too long even carefully standing straight can induce discomfort and pain. Sitting can help, but caution needs to be observed. Sitting too long places more pressure on the low back than when standing. There must be a balance between sitting and standing. Experts suggest getting up and moving every 20 to 30 minutes. This is a perfect time to get up and do in-home walking exercises, physical chores, anything that gets the body up and moving around.
Stretching
Regular bending and stretching need to become a natural reflex. When the body begins to feel sore, stretch out the area.
The good news is that everyone, even those with a genetic predisposition to greater disc loss or fusion, there are options for slowing down and minimizing disc damage. Maintaining a healthy weight, strengthening the core, and learning proper techniques for lifting for work, exercise, or sports will all help. If diagnosed with disc degeneration, talk to a doctor, physical therapist about developing a chiropractic prevention treatment plan. They�ll be able to develop a program specifically designed to help.
Bodily Composition
Human Immune System
The immune system is highly complex and essential in maintaining optimal health. The main function of this system is to neutralize pathogenic microorganisms like bacteria that get into the body and affect the body’s homeostasis, eliminate any harmful substances from the environment, and fight the body�s own cells that can cause illnesses like cancer. The defense system consists of innate and adaptive immune processes. The innate system includes exterior defenses like the:
Any organisms that get past the first line of defense, have to face the adaptive system, which is made up of T and B cells. The adaptive immune system is a learning defense that constantly adapts and evolves to be able to identify changes in pathogens that mutate over time. Together, these systems provide a fortified resistance to any long-term survival of infectious agents in the body. Healthy lifestyle adjustments can help strengthen and boost these systems working to keep the body safe.
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The immune system is made up of a network of cells and proteins that defend the body against infection/s. It is made up of specialized organs, and chemicals that fight microorganisms, specifically that are bacterial and can cause infection/disease. The system keeps a record of every germ so it can recognize and destroy any microbes if they enter the body again.
Immune system abnormalities can lead to:
Protection from viruses and bacterias requires a long term solution/s for building and strengthening immunity. Chiropractic adjustments along with health coaching can help. The main organs of the immune system are:
The health and variety of bacteria in the gastrointestinal tract have been shown to have significant effects on overall health, including immunity. When gut health is optimized, it helps thebody�s natural processes for detecting and fighting microorganisms. Simple ways to strengthen gut health include:
Diet
A healthy diet rich in a variety of whole foods and vegetables will promote diversity in the gut.
Supplements
Probiotics can significantly help strengthen gastrointestinal health.
Get Out In the Sun
Being outside provides the microbiome vitamin D which helps fight inflammation and strengthens the sense of well-being.
Nerve Signal Optimization
The central nervous system has a primary role in gastrointestinal motility and overall balance. Proper spinal alignment will help blood and nerve synapse circulation.
Maintaining Body Balance
A strengthened immune system is about maintaining whole-body balance. The body is a complicated system that operates/functions in top form when tuned up and in proper alignment.
Spinal Alignment
Chiropractic can provide expert treatment to restore spinal misalignment/s. This keeps the body functioning at an optimal level.
Exercise
A moving body is a healthy body. Regular exercise will benefit the immune system and keep it strong.
Stress Management
A high level of stress can compromise the immune system’s health. Regular physical activity/exercise, chiropractic, being aware of any health issues can help manage stress. Chiropractic immune system management will help promote a healthy gastrointestinal tract, help manage stress, get in more physical activity, and stay pain-free. Chiropractic can help kick in the body’s natural immune response and keep the flow going. Call today to see how we can help build a healthy immune system.
Lower Back Pain Chiropractic Treatment
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Reference
Colombi, Andrea, and Marco Testa. �The Effects Induced by Spinal Manipulative Therapy on the Immune and Endocrine Systems.��Medicina (Kaunas, Lithuania)�vol. 55,8 448. 7 Aug. 2019, doi:10.3390/medicina55080448
Taking an active role in personal spinal healthcould mean the difference between having to deal/manage back pain for the rest of your life and not having to. Most of us have experienced some form of back pain, whether lifting an object, bending, reaching, twisting, etc. Fortunately, it is usually not serious and we move on with our lives. However, not paying attention to those not so serious backaches can lead to chronic backaches that can lead to serious chronic back pain.
Chronic backache/s can be annoying, frustrating, and debilitating, especially when the cause is not obvious, cannot be found, or figured out. When back pain occurs from trauma or an automobile accident it’s a lot easier to diagnose.
But when it is the result of a gradual build-up of activities like sitting all day at a desk, in a truck or lifting objects, loading, unloading, pushing, pulling, stocking for several years, it could be a lot more serious than the individual might think. This is because although they are barely beginning to feel the ache or pain, the damage has been ongoing/worsening and has finally reared its ugly head.
Finding the Right Help
Getting on the right track means searching for a spinal professional that can identify and treat the source of the back pain, help with posture, diet advice, and help reach optimal health. Finding the source of the pain can be a challenge, but it is not impossible. The key is finding a knowledgeable, experienced back pain specialist and taking an active role in your spine’s health.
Chiropractors, doctors, and physicians begin with at least 4-6 weeks of non-invasive treatment. These start with tests, scans, x-rays, then move on to treatment, which can consist of ice/heat, physical therapy, adjustments, re-alignment combined with exercises, stretches. Prescription medication/s or surgery is the last option for fear of worsening conditions along with medication abuse. This approach has seen an increase in relief and favorable outcomes.
Patient Active Role
Many individuals have gone down the path of being over-medicated and are exhausted with the whole experience of being constipated, constant brain fog, etc. Those same individuals are taking that active role and getting involved by dealing with their back pain in a natural non-invasive way. Preparing before meeting with a spine professional is important to give as much information as possible.
Tips
Preparation
Write down notes about what is being felt in and around the body, not just the back. This is because of the psychological aspect of pain, which can manifest in a variety of ways.
Try To Go Back To When The Pain Started
Think about when the pain first began
Sitting at work/home one day when there was what you thought was a little shift or tingle
Sports activity
Exercising
Popping, clicking, grinding sensations and sounds
Warming, electrical, shooting sensation/s pain
Tingling/numbness in the leg, foot, toes
Try to describe all the details with the doctor/chiropractor even what you might consider trivial
Emotions/Stress Triggers need to be taken into account
Work
Bills
Marriage
Divorce
Children
Major life changes and stress affects the whole body, especially the spine
Family Friend Perspective and Support
Bringing along a close family member or friend that knows your activity habits could help the doctor get a better idea of what is causing the pain. Family or friends can remember a trip, fall, dance moment that didn’t go so well, work accident, etc.
Medical History
Prior medical injuries and conditions will help provide additional information as to whether there is a pattern when back pain strikes. This can be extremely important even if it does not seem to be related to the pain symptoms. Tell the doctor about any physical therapy or other holistic/conservative treatments performed before and after the pain began. Also, inform them of any medications, supplements, vitamins, herbs, over-the-counter medications that were taken prior to the pain and currently being taken. If there has been unexplained weight loss, fever, urination/bowel changes, should also be discussed.
Physical Tests
Unless the patient is in too much pain, the meeting with the chiropractic physician will be active, meaning the doctor may have the patient perform a series of movements like:
Sitting
Standing
Walking
Bending forward, backward, and to the side
Lifting the legs straight up while standing and lying down
Inform the doctor of any numbness or tingling pain while performing these musculoskeletal exercises/tests.
With a patient that can’t perform the exercises, the doctor will examine the patient while lying down, by carefully and slowly palpating the painful area/s, moving the leg/s, and raising the patient up, all the while taking notes of what position/s cause discomfort and pain.
Options
Depending on the physician’s assessment, initial treatment will take time, require the individual to take an active role, and possibly recommend the individual try different treatment options. Ask the doctor all the questions you have during the visit like:
Could there be more than one cause for my back pain?
Do the treatments hurt?
The treatment will keep me pain-free or just tolerable?
Are there self-therapies to assist healing and recovery?
If seeing a general physician you could ask for a recommended spine specialist
The ultimate goal is for the individual to live a happy, fulfilling life that is pain-free. The doctor will do everything they can to bring an optimum level of care. If the quality of life still does not improve or when various attempts for pain relief have proven unsuccessful, then a doctor could recommend stronger medications and surgical options. Don’t wait to get professional medical help! The longer an individual waits the worse the cause of the back pain gets. Get involved and take an active role in your spinal health.
Personal Injury Chiropractic Care
Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The spinal/vertebral column extends from the skull to the pelvis and consists of individual bones known as vertebrae. It is what holds the body upright, allows the body to bend, twist, and is the conduit for major nerves running from the brain to the rest of the body. The vertebrae are grouped into four regions. They are the:
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SpinalTerminology
Number of Vertebrae
Area of Body
Abbreviation
Cervical
7
Neck
C1-C7
Thoracic
12
Chest
T1-T12
Lumbar
5-6
Low back
L1-L5
Sacrum
5 fused vertebrae
Pelvis
S1-S5
Coccyx
3
Tailbone
None
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Cervical Vertebrae
The cervical spine breaks down into two parts. The upper cervical C1 and C2, and the lower cervical C3 through C7. The C1 vertebrae are known as the Atlas and the C2 the Axis. The Occipital Bone is a flat bone that forms the back of the head.
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Atlas
The Atlas is the first cervical vertebra and is abbreviated as C1. This vertebra supports the skull. It appears different from the other spinal vertebrae, as it resembles a ring and is made up of two masses joined at the front and back by the anterior and posterior arches. �
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Axis
The Axis is the second cervical vertebra and is abbreviated C2. It is a tooth-like process that projects upward. It is referred to as the odontoid process or dens, which is Latin for tooth. It provides a kind of pivot and collar that allows the head along with the atlas to rotate.
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Thoracic Vertebrae
The thoracic vertebrae become larger from T1 through T12. What makes the thoracic spine unique is that it is the only vertebrae that support the ribs and is made up of pedicles, spinous processes, and large neural passageways that help reduce nerve compression. Unfortunately, not everyone has a large intervertebral foramen, which can cause compression. �
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Vertebral Body
Spinous Process
Transverse Facet
Pedicle
Foramen
Lamina
Superior Facet
The thoracic vertebrae are attached to the ribs. However, at T11 and T12, the ribs are not attached and are called floating ribs. The region of the spine’s range of motion is limited because of the rib/vertebrae attachments and the long spinous processes. �
Lumbar Vertebrae
The lumbar vertebrae increase in size from L1 through L5. These are the vertebrae that take the body’s weight along with any loading force that can create biomechanical stress. The pedicles are longer and wider than the thoracic spine pedicles, and the spinous processes are horizontal and more square. The neural passageway is large but nerve root compression is very common due to disc herniation from poor posture, prolonged sitting, improper lifting, etc. �
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Vertebrae’s Purpose
The vertebrae range in size with the cervical region being the smallest. The lumbar low back region is the largest. The vertebral bodies of the spinal column are what bear the weight. The body’s upper weight is dispersed through the spine to the sacrum and pelvis. Thee natural curves in the spine provide resistance, flexibility by distributing the body’s weight, and axial loads/forces sustained when in motion. Vertebrae are made up of many elements critical to the overall function of the spine. This includes the intervertebral discs and facet joints. Functions of the spinal/vertebral column include: �
Protection
Spinal Cord Internal Organs
Attachment
Ligaments Muscles Tendons
Support Structure
Head Shoulders Chest Connect Upper and Lower body Balance
The sacrum is located behind the pelvis. It consists of five bones that are abbreviated S1 through S5. They are fused together in a triangular shape. The sacrum fits between the hipbones and connects the spine to the pelvis. The last vertebra L5 moves with the sacrum. Right below are five more bones that are also fused together and they form the Coccyx or tailbone.
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Intervertebral Discs
The intervertebral discs make up a quarter of the spinal/vertebral column’s length. There are no discs between the Atlas, Axis, and Coccyx. Discs are not connected to the body’s vascular system and so depend on the endplates to disperse essential minerals and nutrients. The cartilaginous layers keep the discs in place. They are fibrocartilaginous cushions that function as the spine/body’s shock absorbers. They protect the vertebrae, brain, nerves, etc. There is some vertebral motion that the discs allow but individual disc movement is limited. Significant motion is possible when the discs work together. �
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Annulus Fibrosus and Nucleus Pulposus
Intervertebral discs are made up of an annulus fibrosus and a nucleus pulposus. The annulus fibrosus is a strong radial structure made up of lamellae. Concentric sheets of collagen fibers connect to the endplates. These sheets are positioned at various angles. The annulus fibrosus encapsulates the nucleus pulposus. �
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Both are made up of water, collagen, and proteoglycans. However, the larger amount of water and proteoglycans are in the nucleus pulposus. Proteoglycan molecules are essential because they attract and retain water. The nucleus pulposus consists of a hydrated gel-like substance that resists compression. The amount of water in the nucleus changes throughout the day. This depends on the activity or non-activity. All in all proper care and maintenance of the spinal/vertebral column is vital to general health and overall well-being.
Car Accident Rehabilitation Chiropractor
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The thoracic spine known as the middle back starts below the cervical or neck spine at around the level of the shoulders. It continues down to the first level of the low back or lumbar spine. There are twelve vertebrae, numbered T1-T12 top to bottom, and it is these vertebrae that make up the thoracic spine. When seen from the side, a normal forward curve can be seen.
The ribs are attached to the thoracic spine�s vertebrae making this region of the spine strong and stable. However, this area has less range-of-motion than the neck region. Because of its location, the thoracic spine deals less with injury/s than other areas of the spine. But it is the most common area for fractures from osteoporosis. Scoliosis and abnormal kyphosis are also thoracic spine disorders.
Getting to know the body’s spine and how it functions can help individuals have a better and thorough understanding of possible causes to upper and middle back pain, a doctor�s diagnosis, and the reasons for how simple lifestyle changes/choices can keep the middle back, as well as, the rest of the spine healthy.
Thoracic Support
The thoracic spine gives support to the torso, chest and provides an attachment point for each of the rib bones, minus the two at the bottom. The vertebral bodies are rounded with bony arches that project from the back of each and form a hollow protective space for the spinal cord. Facet joints are paired at the back of each and allow for limited movement.
Intervertebral Discs
There is a fibrous pad called an intervertebral disc that is held in place by the endplates between each level�s upper and lower vertebral bodies. Each disc acts like a spacer creating disc height/space between the upper and lower vertebrae. This space opens nerve passageways called a foramen or neural foramina at both sides. Nerve roots branch off the spinal cord and exit the canal through the neural foramina.
Soft Support Structures Limited Movement/s
The entire spinal column consists of:
Ligaments
Tendons
Muscles
These soft tissues attach to the bones, the discs, and work together to stabilize the midback when resting and when in motion. Ligaments are the strong bands of tissue that connect/protect the vertebrae, discs, provide stability, and help with excessive movement. Muscles hold the body upright and allow spinal flexion which is bending forward, extension bending backward, and rotation twisting from side to side. And the tendons are fibrous tissues that attach the muscle/s to the bone.
Nerves Role
The twelve pairs of nerve rootlets that branch off the cord through the neural foramen are to supply and generate sensation/feeling along with function/movement to the body. These nerves provide nutrients to the midback and chest area and relay signals between the brain and major organs, including:
Lungs
Heart
Liver
Small intestine
Spinal Disorders
Osteoporosis raises the chances of a thoracic fracture. A vertebral compression fracture can cause one or more bodies of bone to flatten or become wedge-shaped creating spinal cord/nerve compression. Sudden and severe back pain can be associated with vertebral compression fractures.
Scoliosis is an abnormal side to side curvature of the spine and is well known to develop in the thoracic spine causing deformity.
Abnormal kyphosis means the forward curvature has become extreme. The appearance of a kyphotic deformity can be seen as a hump.
Metastatic cancer where it travels from the chest, or lung causing spinal tumor/s that can develop and potentially lead to structural deterioration
Thoracic disc herniations are not common because of the middle back’s strength and stability created by the ribcage.
Spine Maintenance
Talk with your doctor, chiropractor, spine specialist about stretches and exercises that will work for your specific situation to strengthen the core, and middle back musculature. This will help significantly with injury prevention during flexion, extension, and rotation.
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
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