Back Clinic Chiropractic Spine Care Team. The spine is designed with three natural curves; the neck curvature or cervical spine, the upper back curvature or thoracic spine, and the lower back curvature or lumbar spine, all of which come together to form a slight shape when viewed from the side. The spine is an essential structure as it helps support the upright posture of humans, it provides the body with the flexibility to move and it plays the crucial role of protecting the spinal cord. Spinal health is important in order to ensure the body is functioning to its fullest capacity. Dr. Alex Jimenez strongly indicates across his collection of articles on spine care, how to properly support a healthy spine. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
El Paso, TX’s Leading Spine and Back Injury Specialist: Dr. Alex Jimenez, DC, APRN, FNP-C, IFMCP
Welcome to El Paso’s premier destination for advanced spine and back injury care, led by Dr. Alex Jimenez, a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC). At www.dralexjimenez.com and www.chiromed.com, Dr. Jimenez and his team deliver cutting-edge, evidence-based treatments that integrate chiropractic care, functional medicine, and advanced rehabilitation protocols to address complex neuromusculoskeletal conditions. Our mission is to restore mobility, alleviate pain, and empower patients to live vibrant, pain-free lives through personalized, holistic care.
Specialized Spine and Back Injury Care
Dr. Jimenez’s practice is renowned for its expertise in treating intricate spine and back injuries, including herniated discs, severe sciatica, scoliosis, spinal stenosis, and chronic low back pain. By combining his chiropractic expertise with his advanced training as a Family Practice Nurse Practitioner and Institute for Functional Medicine Certified Practitioner (IFMCP), Dr. Jimenez offers a unique, integrative approach to spine care that addresses both symptoms and underlying causes.
Complex Spine Care Treatments
Dr. Jimenez utilizes cutting-edge techniques to address complex spine conditions in his chiropractic and rehabilitation clinic.
Chiropractic Spinal Adjustments use precise manual and instrument-assisted adjustments to restore spinal alignment, reduce nerve compression, and improve mobility. A 2020 study in Spine Journal found that spinal manipulative therapy significantly reduces pain and disability in patients with chronic low back pain (Rubinstein et al., 2020).
Decompression Therapy: Non-surgical spinal decompression to relieve pressure on herniated discs and pinched nerves, promoting disc healing and pain relief. Research in Journal of Physical Therapy Science (2017) supports its efficacy for lumbar disc herniation (Choi et al., 2017).
Regenerative Therapies: Platelet-rich plasma (PRP) and stem cell support therapies to enhance tissue repair and reduce inflammation in degenerative spine conditions. A 2019 meta-analysis in Pain Physician confirmed PRP’s effectiveness in managing lumbar pain (Sanapati et al., 2019).
Electro-Acupuncture: Targeted electrical stimulation of acupuncture points to reduce pain and promote healing in sciatica and chronic back pain. A 2018 study in Evidence-Based Complementary and Alternative Medicine demonstrated its benefits for neuropathic pain (Li et al., 2018).
Customized Rehabilitation Programs: Tailored exercises focusing on flexibility, core strength, and spinal stability to prevent re-injury and enhance long-term recovery.
As a Family Practice Nurse Practitioner, Dr. Jimenez offers comprehensive medical evaluations and functional medicine protocols to complement spine care:
Functional Medicine Assessments: In-depth evaluations using the Living Matrix Functional Medicine Assessment to identify root causes of chronic spine pain, including inflammation, nutritional deficiencies, and hormonal imbalances. A 2021 study in Frontiers in Medicine highlighted functional medicine’s role in improving outcomes for chronic pain patients (Beidelschies et al., 2021).
Nutritional Therapy: Personalized nutrition plans to reduce inflammation and support spinal health, incorporating anti-inflammatory diets rich in omega-3s and antioxidants. Research in Nutrients (2020) supports dietary interventions for reducing chronic pain (Kaushik et al., 2020).
Hormone Optimization: Addressing hormonal imbalances that exacerbate pain and delay healing, such as cortisol dysregulation in chronic stress. A 2019 study in Journal of Clinical Endocrinology & Metabolism linked cortisol imbalances to chronic pain syndromes (Hannibal et al., 2019).
Lifestyle Medicine: Guidance on stress management, sleep optimization, and ergonomic adjustments to support spine health and prevent injury recurrence.
Why Choose Dr. Jimenez for Spine and Back Injury Care?
Dr. Jimenez’s dual expertise as a chiropractor and nurse practitioner, combined with his IFMCP certification, sets him apart as El Paso’s top spine care specialist. Key differentiators include:
Holistic, Evidence-Based Approach: Integrating chiropractic care, functional medicine, and advanced diagnostics to address the whole person, not just symptoms.
Non-Invasive Protocols: Natural, non-surgical solutions should be prioritized to avoid the risks and recovery time associated with invasive procedures. A 2022 study in The Lancet emphasized the efficacy of non-invasive treatments for chronic low back pain (Foster et al., 2022).
Collaborative Care Network: Partnerships with leading orthopedic surgeons, neurologists, and rehabilitation specialists ensure seamless referrals when advanced interventions are needed.
Patient-Centered Plans: Using advanced diagnostics like MRI analysis, electromyography (EMG), and functional health assessments to create targeted treatment plans tailored to each patient’s unique needs.
Conditions Treated
Our clinic specializes in a wide range of spine- and back-related conditions, including:
Herniated Discs: Comprehensive care to reduce disc protrusion, alleviate nerve compression, and restore spinal function.
Severe Sciatica: Targeted therapies to relieve radiating leg pain and improve mobility.
Scoliosis: Customized bracing and exercise programs to manage spinal curvature and prevent progression.
Spinal Stenosis: Decompression and strengthening protocols to alleviate pain and improve quality of life.
Chronic Low Back Pain: Multifaceted treatment plans addressing biomechanical, inflammatory, and lifestyle factors.
Transform Your Spine Health Today
Whether you’re recovering from a traumatic spine injury, managing chronic back pain, or seeking preventive care, Dr. Alex Jimenez and his team are here to guide you. Contact us today at www.dralexjimenez.com or www.chiromed.com to schedule a consultation and discover how our integrative approach can transform your health. With evidence-based protocols and a compassionate, patient-centered philosophy, we help you live pain-free and thrive in El Paso’s vibrant community.
What are the advantages of having a team of nurse practitioners and chiropractors help maintain the health of your spine after a car accident?
Benefits of Chiropractic and Nurse Practitioners for Motor Vehicle Collisions
One of the main causes of spinal injuries, such as whiplash, herniated discs, and soft tissue injury, which can cause severe pain and impair movement, is motor vehicle collisions (MVCs). For both short-term symptoms and long-term rehabilitation, these injuries frequently necessitate a multimodal therapy strategy. While nurse practitioners, as advanced practice registered nurses, conduct medical evaluations, write prescriptions, and oversee overall health management, chiropractors focus on musculoskeletal care, including spine adjustments and manual therapies. These professionals’ collaboration aims to provide a comprehensive, patient-centered strategy for spine health following MVC. (Kent, R., et al., 2023)
For those recuperating from auto accident injuries, a chiropractic and nurse practitioner team can offer thorough spinal health care with an emphasis on pain management and increased mobility.
A chiropractic and nurse practitioner team can offer a comprehensive approach to spinal health after a car accident by addressing pain, improving mobility, and facilitating faster recovery.
Chiropractors focus on spinal alignment and joint mobility.
Nurse practitioners provide broader medical oversight and patient education.
The team approach can lead to more effective and personalized care for individuals recovering from car accident injuries. (Riva, J. J., et al., 2010)
Key advantages of this collaborative approach
A chiropractor and nurse practitioner (NP) therapy team can combine their skills to provide comprehensive care for spine health following a motor vehicle collision (MVC) and address acute and long-term requirements.
Care that is multidisciplinary and holistic
Collaboration between chiropractors and NPs to address structural and systemic issues enhances treatment outcomes, particularly for spine injuries related to motor vehicle collisions (MVC), as well as for chronic headaches and neck discomfort. (Riva, J. J., et al., 2010)
Plans for Treatment That Are Unique to You
Chiropractors and NPs create personalized patient treatment plans, focusing on their specific injuries and overall health, including pre-existing conditions and medication needs. This approach enhances outcomes by tailoring care to the patient’s unique circumstances.
Managing Pain Without Relying Too Much on Drugs
By using non-invasive methods to alleviate pain, chiropractic therapy may help reduce the use of opioids. NPs can prescribe short-term pain relief and monitor side effects, ensuring safe use and reducing dependency risks. Natural pain management combined with medical supervision lessens dependence and side effects. (Prater, C., Tepe, M., & Battaglia, P. 2020)
Quicker Recuperation and Rehabilitation
As demonstrated in the treatment of auto accidents, chiropractic adjustments can lessen muscle spasms and restore joint function. By referring patients to physical therapy and tracking their progress, NPs can hasten recovery and reduce the likelihood of developing persistent back pain. This integrated therapy not only reduces chronic back pain and other long-term problems, but it also accelerates healing.
Help with Insurance and the Law
Chiropractic and medical providers must carefully record injuries and treatments for insurance claims or legal cases after an MVC to ensure just reimbursement and coverage for care.
Why It Works After MVC
Following a motor vehicle collision (MVC), a chiropractor and nurse practitioner team offers a patient-centered approach to spine health. This team enhances recovery, lowers chronic risks, and improves patient outcomes by fusing NP’s medical management with chiropractic knowledge. This method ensures rapid alleviation and long-term health, especially helpful for complex spine injuries due to MVC.
Injury, Chiropractic, and Functional Medicine Clinic
Dr. Jimenez, a nurse practitioner, uses medical knowledge and chiropractic care to treat various conditions. The clinic provides tailored care programs incorporating functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic focuses on strength, agility, and flexibility for treating chronic pain syndromes and injuries. Patients of all ages and abilities benefit from comprehensive care plans and in-person and virtual health coaching, ensuring tailored treatment and wellness outcomes.
Personal Injury Rehabilitation
References
Kent, R., Cormier, J., McMurry, T. L., Johan Ivarsson, B., Funk, J., Hartka, T., & Sochor, M. (2023). Spinal injury rates and specific causation in motor vehicle collisions. Accident; analysis and prevention, 186, 107047. doi.org/10.1016/j.aap.2023.107047
Riva, J. J., Muller, G. D., Hornich, A. A., Mior, S. A., Gupta, A., & Burnie, S. J. (2010). Chiropractors and collaborative care: An overview illustrated with a case report. The Journal of the Canadian Chiropractic Association, 54(3), 147–154.
Prater, C., Tepe, M., & Battaglia, P. (2020). Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center: An Observational Study of Managing Chronic Spinal Pain. Journal of primary care & community health, 11, 2150132720953680. doi.org/10.1177/2150132720953680
What is pseudoarthrosis of the cervical and lumbar spine?
Pseudoarthrosis of the cervical and lumbar spine
Individuals may need a spinal fusion to treat a fractured vertebra, scoliosis, or conditions like spinal stenosis, degenerative disc disease, and spondylolisthesis/slipped vertebrae. A spinal fusion reduces pain and stabilizes the spine by limiting movement between vertebrae. Pseudoarthrosis happens when the bones don’t heal after a fracture or bone surgery. When pseudoarthrosis affects the cervical or lumbar spine, it means that two vertebrae did not heal and grow together after spinal surgery to fuse them (spinal fusion). Reasons for a failed spinal fusion include:
Issues with the instruments used to stabilize the bone
Lack of bone growth
The number of vertebrae being fused.
The patient’s health and lifestyle play a role in failed fusions, which can include
Diabetes
Inflammatory health conditions increase the risk
Smoking
Long-term steroid use
In many cases, revision surgery is needed.
Surgery-Related
During a spinal fusion, surgeons insert a bone graft between two vertebrae and then apply spinal fixation hardware (instrumented spinal fusion) that includes:
Plates
Rods
Screws
The bone graft promotes growth between the two bones.
The hardware stabilizes the vertebrae and prevents movement while they fuse and grow together.
The hardware goes inside, or internal fixation.
Although rare, a severe spinal fracture or deformity may need external fixation.
A rigid frame secured outside the body helps to stabilize the bones.
If the fusion fails, it could be caused by one or more of the following surgical issues:
The surgeon must carefully plan and use the right hardware.
The type of hardware used during a spinal fusion may influence bone healing.
The instruments can come loose or break, interfering with the fusion process.
Spinal osteoporosis, having thin, weak bones, can affect fixation.
Even with the optimal surgical preparedness, weak bones significantly increase the chance of the instruments loosening and pseudoarthrosis developing.
Bone Graft
The type of bone graft used may affect the fusion.
For example, in cervical/neck spinal fusions, an autograft, which uses a small piece of bone from the patient’s body, has a higher success rate. (Verla T. et al., 2021)
Other graft options include specialized steel cages that fit between vertebrae and contain bone growth factors.
The surgeon recommends the optimal bone graft for the type of surgery, the number of vertebrae involved, and risk factors.
Risk Factors
The patient’s overall health and lifestyle impact the results of spinal fusion. Smoking increases the risk. (Berman D. et al., 2017)
Nicotine restricts blood circulation, decreases bone density, reduces new bone formation, and delays bone healing. (Hernigou J., & Schuind F., 2019)
The primary sign of pseudoarthrosis is pain in the same area as before the fusion surgery.
If the bones pinch a spinal nerve, one arm may experience pain, tingling, burning, or numbness.
Rarely does a pinched nerve affect both arms.
The pain may return shortly after the procedure.
The pain may develop gradually or not appear for many months.
However, it’s more likely to appear after several months when the individual returns to their usual activities.
Diagnosis
The healthcare provider will learn about symptoms and perform a physical exam to evaluate the back.
They’ll assess mobility and the type of movement that causes pain.
Then, they order diagnostic imaging to see the spine and identify the cause of pain.
Individuals may need a CT scan, MRI, and/or X-rays to evaluate the spinal structures and instrumentation fully.
Treatment
Treatment for pseudoarthrosis will likely start with:
Physical therapy
Pain management – especially in cases where it is important to rule out other sources of back or neck pain.
Medication
Injections
If symptoms don’t improve with conservative care or if there is severe pain, the healthcare provider may recommend revision surgery.
Revision surgery is another procedure to treat complications or correct issues that arise after the initial pseudoarthrosis surgery.
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.
Enhancing Health Together
References
Boonsirikamchai, W., Wilartratsami, S., Ruangchainikom, M., Korwutthikulrangsri, E., Tongsai, S., & Luksanapruksa, P. (2024). Pseudarthrosis risk factors in lumbar fusion: a systematic review and meta-analysis. BMC musculoskeletal disorders, 25(1), 433. doi.org/10.1186/s12891-024-07531-w
Verla, T., Xu, D. S., Davis, M. J., Reece, E. M., Kelly, M., Nunez, M., Winocour, S. J., & Ropper, A. E. (2021). Failure in Cervical Spinal Fusion and Current Management Modalities. Seminars in plastic surgery, 35(1), 10–13. doi.org/10.1055/s-0041-1722853
Berman, D., Oren, J. H., Bendo, J., & Spivak, J. (2017). The Effect of Smoking on Spinal Fusion. International journal of spine surgery, 11(4), 29. doi.org/10.14444/4029
Hernigou, J., & Schuind, F. (2019). Tobacco and bone fractures: A review of the facts and issues that every orthopaedic surgeon should know. Bone & joint research, 8(6), 255–265. doi.org/10.1302/2046-3758.86.BJR-2018-0344.R1
Torres, H. M., Arnold, K. M., Oviedo, M., Westendorf, J. J., & Weaver, S. R. (2023). Inflammatory Processes Affecting Bone Health and Repair. Current osteoporosis reports, 21(6), 842–853. doi.org/10.1007/s11914-023-00824-4
Jiao, H., Xiao, E., & Graves, D. T. (2015). Diabetes and Its Effect on Bone and Fracture Healing. Current osteoporosis reports, 13(5), 327–335. doi.org/10.1007/s11914-015-0286-8
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.
The Cobb angle is a mathematical measurement tool for assessing the curvature of the spine. Along with physical exams and other tests, how is it used to evaluate scoliosis and kyphosis of the spine?
Cobb Angle
The Cobb angle is used to quantify the curvature of the spine, particularly in conditions like scoliosis. It measures the degree of side-to-side spinal curvature, a deformity called scoliosis. The angle’s size helps determine what kind of treatment is needed. Monitoring may be all that’s necessary for mild curvature. With severe scoliosis, treatment may require spinal fusion surgery. Named for orthopedic surgery pioneer John Robert Cobb, it describes the distance a scoliotic curve may deviate from being straight. (Botterbush K. S. et al., 2023) Generally, it takes at least 10 degrees of deviation from straight before scoliosis is confirmed.
X-Ray and Interpretation
An X-ray is taken to measure the Cobb angle. Side and back views are taken. The healthcare provider or examiner then views the X-rays and locates the most affected vertebra in the curve, the apical vertebra. In a scoliotic curve, the apical vertebra is the spinal bone with the greatest degree of rotation that takes the biggest curve away from the center of a normal spine column.
Visualizing the Angle
The apical vertebra is where two lines drawn from the X-rays meet. Two lines are drawn along the edge of the top and bottom bones of the curve. The lines extend out as follows:
On the top bone, the line starts on the high side, continues along the top edge, and then slopes down according to the angle of the vertebra. (Jin, C. et al., 2022)
On the bottom vertebra, the line starts on the low side, continues along the bottom edge, and slopes upward.
The Cobb angle is found by measuring the angle of the two intersecting lines where they meet.
Then, the top and bottom vertebrae of the side-to-side curve are identified to create a number for the Cobb angle. These bones have the most tilt but the least rotation and displacement and are located above and below the apical vertebra. Computer software is commonly used to calculate the Cobb angle. (Jin, C. et al., 2022) Treatment is based on the:
Angle size
Gender: Scoliosis is more common and likely to progress in females
Scoliosis is diagnosed when the Cobb angle reaches 10 degrees or more. However, this is not generally considered a significant curvature (American Association of Neurological Surgeons, 2024). In around 80% of cases, the scoliosis is considered idiopathic or without congenital or other underlying causes.
Less Than 25 Degrees Cobb Angle
If a scoliotic curve is less than 25 degrees, individuals may only need to visit their healthcare provider periodically so long as the scoliosis is monitored. These are mild cases, often without symptoms, but there is a chance that the curvature can progress. This usually means reassessing the Cobb angle every four to six months in a growing child or adolescent. (National Scoliosis Foundation, 2015) A 5-degree or more progression can change the diagnosis and treatment. (Jin, C. et al., 2022)
Between 25 and 40 Degrees Cobb Angle
A Cobb angle of 25 to 40 degrees usually requires wearing a back brace and intensive physical therapy. The goal of these treatments is to help halt the curve’s progression. Braces are generally worn 16 to 23 hours every day. (National Scoliosis Foundation, 2015) The healthcare provider will provide a referral for physical therapy. Many report excellent results with the Schroth or other scoliosis-specific exercise methods. A study found that core stabilization exercise programs can decrease Cobb angles in adolescents with idiopathic scoliosis. (Ko K. J. & Kang S. J. 2017)
Scoliosis in Adults
Scoliosis is diagnosed in adults, usually in those who have had the condition, treated or not, that was identified in their youth. A study that followed various cases for 20 years found disease progression occurred in 40% of adults but was usually less than one degree per year. However, degenerative scoliosis can also occur in individuals aged 65 and older. (American Association of Neurological Surgeons, 2024)
40 Degrees or More Cobb Angle
Surgery may be recommended once the Cobb angle reaches 40 to 50 degrees. A spinal fusion is often used to force the curve to stop developing. In adults, surgery may be needed if the angle reaches 50 degrees and they experience complications, such as nerve damage or bowel/bladder dysfunction. Risk factors in adults include older age, a history of smoking, and a diagnosis of other conditions, including being overweight. (American Association of Neurological Surgeons, 2024)
Variations
Variations occur in measuring scoliosis, and it is important to understand the difference between a change in scoliosis and a change in the tools or measurement. Equipment errors, imaging errors, and the subjective reading of the healthcare provider can change the values. (Jin, C. et al., 2022) Scoliosis measurement software and intelligent medical devices continue to improve how scoliosis is evaluated and treated. Physical exams, symptoms, and careful monitoring of changes in posture or function are still critical to an accurate diagnosis. The healthcare provider will explain the Cobb angle and other test results.
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.
Academic Low Back Pain: Impact and Chiropractic Solutions
References
Botterbush, K. S., Zhang, J. K., Chimakurty, P. S., Mercier, P., & Mattei, T. A. (2023). The life and legacy of John Robert Cobb: the man behind the angle. Journal of neurosurgery. Spine, 39(6), 839–846. doi.org/10.3171/2023.7.SPINE23146
Jin, C., Wang, S., Yang, G., Li, E., & Liang, Z. (2022). A Review of the Methods on Cobb Angle Measurements for Spinal Curvature. Sensors (Basel, Switzerland), 22(9), 3258. doi.org/10.3390/s22093258
Ko, K. J., & Kang, S. J. (2017). Effects of 12-week core stabilization exercise on the Cobb angle and lumbar muscle strength of adolescents with idiopathic scoliosis. Journal of Exercise Rehabilitation, 13(2), 244–249. doi.org/10.12965/jer.1734952.476
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. doi.org/10.1371/journal.pone.0119470
Learn about kyphosis, its causes and symptoms, and treatment approaches to alleviate discomfort and improve posture.
What Is Kyphosis?
How frequently have you seen that after spending too much time sitting down, your posture has become more hunched? Do you have neck and shoulder strains that are momentarily relieved by stretching? Or do you experience shoulder and back discomfort and tension as a result of bad posture? Frequently, people have experienced musculoskeletal problems that may impact the neck, shoulders, and back—the three most frequent parts of the body. A spinal disorder called kyphosis may result from prolonged hunching. An increase in the forward curve of the spine that affects the thoracic location is known as kyphosis, and it may be brought on by degenerative alterations in the intervertebral discs. (Lam & Mukhdomi, 2025) The development of a hunchback or rounded upper back is a symptom of kyphosis that may impact posture and general musculoskeletal health. Depending on how severe the kyphosis is, the symptoms might vary from severe stiffness and pain to trouble breathing. Finding different treatment choices for this spinal ailment may also be made easier for many people by having a better grasp of the environmental variables that contribute to its development and the symptoms that are connected with it.
Environmental Factors Contributing to Kyphosis
Kyphosis may occur as a result of many environmental factors. This is because a lot of individuals engage in physically demanding activities that put a lot of strain on the spine. On the other hand, kyphosis may occur as a result of the spine’s gradual aging process. Among the environmental elements that cause kyphosis are:
Bad Posture
Living a Sedentary Lifestyle
Overweight Items & Inappropriate Lifting
Osteoporosis
Conditions & Injuries of the Spine
Kyphosis Symptoms & Its Effects on the Musculoskeletal System
Because it may impact both the cervical and thoracic regions of the spine, kyphosis can result in a number of musculoskeletal issues.When kyphosis begins to damage the cervical region, it may result in referred neck pain, which puts more pressure on the soft tissues in the back. This forces the head to cope with a mechanical imbalance, which puts strain on the muscles and creates weariness. (Ogura and others, 2021) At the same time, when kyphosis begins to impact the thoracic spine, other risk factors include poor bone density and dysfunction in the lower extremities in older persons, which may restrict movement. (Lorbergs and others, 2017). Other musculoskeletal problems linked to kyphosis include:
Stiffness & Pain in the Upper Back
Minimal Flexibility & Mobility
Referred pain
Weakness and Muscle Fatigue
Digestive & Breathing Problems
Understanding Long-Lasting Injuries- Video
Treatment Approaches For Kyphosis
If the spinal curvature has become much worse, many people have chosen to undergo surgery to manage the symptoms of kyphosis. Nonetheless, a lot of individuals have chosen nonsurgical treatments since they are less expensive and noninvasive. In order to improve a person’s posture and lessen the difficulties associated with kyphosis, nonsurgical therapies may take many different forms. (Jenkins et al., 2021) When individuals begin using nonsurgical methods to lessen cervical kyphosis, their mobility and postural control will significantly improve. (Oakley and others, 2024)
Chiropractic Care & More
For those with kyphosis, chiropractic adjustments are a non-invasive treatment option that may help reduce pain and realign the spine. The goal of chiropractic therapy is to stretch and strengthen weak, tense muscles while realigning the spine to its natural position. By increasing the range of motion in the neck, chiropractic therapy may alleviate overlapping risk profiles, such as headaches and kyphotic neck discomfort. (Norton and others, 2022) Additionally, in order to avoid a slouched posture, chiropractors may create a personalized treatment plan for those with kyphosis that offers substantial relief from the neck to the back. (Fortner and others, 2017). For those with kyphosis, chiropractic adjustments may provide the following advantages:
Adjustments to the spine may help realign the vertebrae, improve posture, and lessen excessive curvature.
Postural Training: To improve support, chiropractors may provide workouts that build stronger core and back muscles.
Pain management: Spinal decompression methods and manual treatment may ease tense muscles and lessen transferred pain.
Increased Flexibility and Mobility: Mobility exercises and stretching help increase range of motion and avoid stiffness.
Additional Treatments For Kyphosis
In addition to chiropractic treatment, alternative kyphosis management techniques may enhance spinal stability and stop the progression of spine curvature. Among these extra treatments are;
Physical Therapy.
Supporting Postural Ergonomics
Final Thoughts
Although kyphosis may cause pain and suffering, quality of life can be greatly improved with early diagnosis and appropriate therapy. Proactively treating kyphosis may result in improved posture, less discomfort, and more mobility, whether via physical therapy, chiropractic adjustments, or lifestyle changes.
Injury Medical Chiropractic & Functional Medicine Clinic
We associate with certified medical providers who implement the importance of the causes and symptoms of kyphosis. While asking important questions to our associated medical providers, we advise patients to integrate small changes into their daily routine to reduce the effects of kyphosis from affecting the cervical and thoracic areas. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.
References
Fortner, M. O., Oakley, P. A., & Harrison, D. E. (2017). Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics((R)): a case report utilizing a multimodal mirror image((R)) rehabilitation program. Journal of Physical Therapy Science, 29(8), 1475-1480. doi.org/10.1589/jpts.29.1475
Jenkins, H. J., Downie, A. S., Fernandez, M., & Hancock, M. J. (2021). Decreasing thoracic hyperkyphosis – Which treatments are most effective? A systematic literature review and meta-analysis. Musculoskelet Sci Pract, 56, 102438. doi.org/10.1016/j.msksp.2021.102438
Lorbergs, A. L., Murabito, J. M., Jarraya, M., Guermazi, A., Allaire, B. T., Yang, L., Kiel, D. P., Cupples, L. A., Bouxsein, M. L., Travison, T. G., & Samelson, E. J. (2017). Thoracic Kyphosis and Physical Function: The Framingham Study. J Am Geriatr Soc, 65(10), 2257-2264. doi.org/10.1111/jgs.15038
Norton, T. C., Oakley, P. A., & Harrison, D. E. (2022). Improving the cervical lordosis relieves neck pain and chronic headaches in a pediatric: a Chiropractic Biophysics((R)) (CBP((R))) case report with a 17-month follow-up. Journal of Physical Therapy Science, 34(1), 71-75. doi.org/10.1589/jpts.34.71
Oakley, P. A., Gage, W. H., Harrison, D. E., & Mochizuki, G. (2024). Non-surgical reduction in thoracolumbar kyphosis and sagittal vertical axis corresponding with improved sensorimotor control in an older adult with spinal deformity: a Chiropractic Biophysics((R)) case report. Journal of Physical Therapy Science, 36(11), 756-764. doi.org/10.1589/jpts.36.756
Ogura, Y., Dimar, J. R., Djurasovic, M., & Carreon, L. Y. (2021). Etiology and treatment of cervical kyphosis: state of the art review-a narrative review. J Spine Surg, 7(3), 422-433. doi.org/10.21037/jss-21-54
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