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Spine Care

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.

Whiplash Trauma and Chiropractic Treatment El Paso, TX.

Whiplash Trauma and Chiropractic Treatment El Paso, TX.

After a car accident, you may notice neck pain. It could be a slight soreness you think is nothing but take care of. More than likely, you have whiplash. And that little soreness can turn into a lifetime of chronic neck pain if only treated with pain meds and not treated at the source.

Whiplash trauma, aka neck sprain or neck strain, is an injury to the soft tissues around the neck.

Whiplash can be described as a sudden extension or backward movement of the neck and flexion or forward movement of the neck.

This injury usually comes from a rear-end car accident.

Severe whiplash can also include injury to the following:

  • Intervertebral joints
  • Discs
  • Ligaments
  • Cervical muscles
  • Nerve roots

11860 Vista Del Sol Ste. 128 Whiplash Trauma and Chiropractic Treatment El Paso, TX.


Symptoms of Whiplash

Most people experience neck pain either immediately after the injury or several days later.

Other symptoms of whiplash trauma can include:

  • Neck stiffness
  • Injuries to the muscles and ligaments around the neck
  • Headache and dizziness
  • Symptoms & possible concussion
  • Difficulty swallowing and chewing
  • Hoarseness (possible injury to the esophagus and larynx)
  • The sensation of burning or prickling
  • Shoulder pain
  • Back pain


Diagnosis of Whiplash Trauma

Whiplash trauma usually causes damage to the soft tissues; a doctor will take x-rays of the cervical spine in case of delayed symptoms and rule out other problems or injuries.



Fortunately, whiplash is treatable, and most symptoms resolve completely.

Most often, whiplash is treated with a soft cervical collar.

This collar may need to be worn for 2 to 3 weeks.

Other treatments for individuals with whiplash may include the following:

  • Heat treatment for relaxing muscle tension and pain
  • Pain meds such as analgesics and non-steroidal anti-inflammatory
  • Muscle relaxants
  • Motion exercises
  • Physical therapy
  • Chiropractic


11860 Vista Del Sol Ste. 128 Whiplash Trauma and Chiropractic Treatment El Paso, TX.


The symptoms of whiplash typically begin to decline in 2 to 4 weeks.

Those with symptoms during treatment may need to keep the neck immobilized with a halter at work or home.

This is called cervical traction.

Local anesthetic injections can help when necessary.

Continuing or worsening symptoms after 6 to 8 weeks may require more x-rays and diagnostic testing to see if there is a more severe injury.

Severe extension injuries like whiplash can damage the intervertebral discs. If this happens, then surgery may be necessary.


Whiplash Massage Therapy El Paso, TX Chiropractor



Some people will tell you that whiplash is a made-up injury that people use to get more money in a settlement stemming from an accident. They do not believe it is possible in a low-speed rear-end accident and see it as a legitimate injury claim, mainly because there are no visible marks.

Some insurance experts claim that about a third of whiplash cases are fraudulent, leaving two-thirds of the cases legitimate. Much research also supports the claim that low-speed accidents can indeed cause whiplash, which is very real. Some patients suffer from pain and immobility for the rest of their lives.


NCBI Resources

Chiropractors will use different techniques to relieve the pain of whiplash and help with healing.

  • Chiropractic Adjustment The chiropractor performs spinal manipulation to move the joints into alignment gently. This will help to align the body to relieve pain and encourage healing.
  • Muscle Stimulation and Relaxation This involves stretching the affected muscles, relieving tension, and helping them relax. Finger pressure techniques may also be combined with trying to alleviate pain.
  • McKenzie Exercises These exercises help with disc derangement that whiplash causes. They are first performed in the chiropractor’s office, but the patient can be taught how to do them at home. This helps the patient have some degree of control over their healing.

Each whiplash case is different. A chiropractor will evaluate the patient and determine the appropriate treatment case-by-case basis. The chiropractor will determine the best course of treatment that will relieve your pain and restore your mobility and flexibility.

Lateral Recess Stenosis: El Paso Back Clinic

Lateral Recess Stenosis: El Paso Back Clinic

The spine is the body’s central highway, with the spinal canal as the main lane that handles all the traffic. There are entrances and exits, or spinal cavities, that allow the nerves to branch off the spinal cord and run throughout the body. A traffic jam develops during lane closures, accidents, or construction at an entrance or exit. Lateral recess stenosis causes the narrowing of the spine’s lateral recess/Lee’s entrance, which can compress nerves, impede nerve circulation, and cause painful symptoms.Lateral Recess Stenosis: Injury Medical Chiropractic

Lateral Recess Stenosis

The spinal column provides a strong and flexible structure for the spinal cord. The nerves travel from the spinal cord through various openings and passageways to the rest of the body. One of the openings is known as the lateral recess. Stenosis means narrowing. When a lateral recess in a vertebra develops stenosis, the nerve in that area can get jammed/pinched with no room to move, causing varying symptoms and sensations.


Depending on where the stenosis is taking place (neck, middle or low back), common symptoms of lateral recess stenosis can include:

  • Back pain that can spread out to other areas.
  • Cramping that can spread out to other sites.
  • Radiating pain that worsens with movement and eases with rest.
  • Numbness or weakness of the legs or arms.
  • Electrical tingling sensations down the leg or arm.


The National Institute of Health lists the major causes:

Natural Wear and Tear

  • Natural aging with gradual degeneration remains the most common cause of stenosis.

Congenital – Born With Stenosis


Natural Aging Process

Traumatic Injury

  • Automobile crashes and accidents
  • Work Injuries
  • Sports injuries


Lateral recess stenosis has no current cure, but there are options to treat stenosis symptoms.

Chiropractic and Physical Therapy

  • A chiropractic physical therapy team can relieve symptoms, restore function, and strengthen the muscles.
  • Muscle groups around the stenosis area are built up to take the pressure off of the area, alleviating symptoms.


  • A doctor or spine specialist may recommend or prescribe medication to ease symptoms. These include:
  • Tylenol – acetaminophen.
  • NSAIDS – Advil/ibuprofen or Aleve/naproxen.
  • Muscle relaxers

Steroid Injections

  • According to a study, neurogenic claudication is the main reason for disability and loss of independence in the elderly.
  • Neurogenic claudication describes pain and weakness in the buttocks and legs during physical activity that originates from the nerves, not the vessels.
  • This can happen from inflammation and swelling around a compressed nerve.
  • A steroid injection can decrease inflammation for several months.


If activity modification, NSAIDs, bracing, and physical therapy don’t work or provide adequate relief, a doctor or specialist could recommend surgery.

Back Problems Chiropractor


American College of Rheumatology (n.d.) “Spinal Stenosis”

Arthritis Foundation (n.d.) “Corticosteroids”

Drug Design, Development and Therapy (2014) “Steroid for epidural injection in spinal stenosis: a systematic review and meta-analysis”

Lee, Seung Yeop, et al. “Lumbar Stenosis: A Recent Update by Review of Literature.” Asian spine journal vol. 9,5 (2015): 818-28. doi:10.4184/asj.2015.9.5.818

Liu, Kuan, et al. “Steroid for epidural injection in spinal stenosis: a systematic review and meta-analysis.” Drug design, development, and therapy vol. 9 707-16. Jan 30, 2015, doi:10.2147/DDDT.S78070

Medline Plus (n.d.) “Achondroplasia”

Microspine (n.d.) “Endoscopic Decompression”

National Institutes of Health (n.d.) “Spinal Stenosis”

Northwest Medical Center (2022) “Lateral Recess/Foraminal Stenosis”

NSPC Brain and Spine Surgery (n.d.) Lateral Recess Stenosis

Raja A, Hoang S, Patel P, et al. Spinal Stenosis. [Updated 2022 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Subluxation Chiropractor: El Paso Back Clinic

Subluxation Chiropractor: El Paso Back Clinic

Subluxation is when a joint shifts out of alignment, which can happen to any joint in the body. Spinal subluxation indicates a misalignment of one or more portions of the spinal vertebrae. It is common in the spine from all the reaching, bending, twisting, and flexing the body goes through. Spinal subluxations, if left untreated, can cause disc degeneration, permanent nerve damage, neurological conditions, and chronic pain symptoms. A subluxation chiropractor will realign and decompress the spine combined with massage therapy to relax the muscles and restore mobility and function.

Subluxation Chiropractor

Subluxation Chiropractor

Some subluxations don’t cause any problems or pain, but that doesn’t mean they aren’t affecting the back and body. A spinal subluxation can cause long-term problems by:

  • Advancing the disc degeneration process.
  • Gradually pushing, pulling, and/or compressing nerves.
  • Causing the body to compensate through unhealthy postures.
  • Delaying nervous system responses and signal transmissions.


While some spinal subluxations may not be symptomatic, the majority of them are and include:

  • Muscle tightness, weakness, or spasms around the back.
  • Back aching and pain.
  • Neck aching and discomfort.
  • Headaches.
  • Limited mobility.
  • Digestive issues.
  • Tingling or pain in the arms or legs.


Common causes include:

  • Unhealthy postures.
  • Sleeping in awkward positions.
  • Sitting or standing for long periods.
  • Lifting objects improperly.
  • Wearing a heavy bag on one shoulder for an extended
  • Heightened stress levels can cause the back muscles to tighten, which can cause subluxations.
  • Automobile accidents, falls, or other traumas.
  • Playing contact sports.
  • Edema
  • Hyperemia – lack of blood circulation.
  • Atrophy
  • Fibrosis


Research shows that spinal subluxations can affect many facets of the body. Long-term effects may include:

  • Sleep problems
  • Low energy
  • Brain fog
  • Mood swings
  • Anxiety and depression
  • Digestive issues
  • Respiratory problems
  • Bone spurs
  • Spinal arthritis

Chiropractic Care

When the spine is out of alignment, it can cause issues throughout the body. Changes in one area affect the rest of the body. A subluxation chiropractor looks at the spine’s neurological and mechanical components and aims to reset everything back into its proper position. Similar to the way a massage helps the mind and body relax and de-stress, a spinal adjustment helps by:

  • Increasing circulation
  • Relieving discomfort and pain
  • Releasing tension
  • Improving mood
  • Reducing stress levels
  • Improving sleep function
  • Increasing energy levels

When the spine is properly aligned, the body can operate at its full potential.

Adrenal Dysfunction


Brian S. Budgell, Reflex effects of subluxation: the autonomic nervous system, Journal of Manipulative and Physiological Therapeutics, Volume 23, Issue 2,
2000, Pages 104-106, ISSN 0161-4754, (

Green, J D et al. “Anterior subluxation of the cervical spine: hyperflexion sprain.” AJNR. American journal of neuroradiology vol. 2,3 (1981): 243-50.

Meyer, S. “Thoracic spine trauma.” Seminars in roentgenology vol. 27,4 (1992): 254-61. doi:10.1016/0037-198x(92)90004-l

Neva MH, Häkkinen A, Mäkinen H, et al. High prevalence of asymptomatic cervical spine subluxation in patients with rheumatoid arthritis waiting for orthopedic surgeryAnnals of the Rheumatic Diseases 2006;65:884-888.

Nourollahi, Maryam, et al. “Awkward trunk postures and their relationship with low back pain in hospital nurses.” Work (Reading, Mass.) vol. 59,3 (2018): 317-323. doi:10.3233/WOR-182683

Vernon, Howard. “Historical overview and update on subluxation theories().” Journal of chiropractic humanities vol. 17,1 (2010): 22-32. doi:10.1016/j.echu.2010.07.001

Herniated Disc Signs It Is Returning To Normal: Back Clinic

Herniated Disc Signs It Is Returning To Normal: Back Clinic

Herniated disc injuries and the time it takes to heal depend on the injury’s cause, the severity, and where it occurred along the spine. Symptoms can last a few days to months. Chiropractic treatment, massage therapy, and decompression realign the spine and return the disc to its correct position. Still, the herniated disc signs it is returning to normal can take time as the rest of the spine and body adjust to the realignment.Herniated Disc Signs It Is Returning To Normal

Herniated Disc Signs It Is Returning To Normal

Most cases take a few weeks with healing time depending on health conditions, physical activity level, and age. However, in severe cases, a herniated disc can take up to several months to fully heal, but discomfort symptoms usually resolve sooner.

Expectations From a Healing Disc

  • Resting the spine and taking it easy after the injury is recommended.
  • Too much rest is not recommended as it can cause muscle stiffness.
  • While the herniated disc is healing, a primary doctor may prescribe anti-inflammatories or muscle relaxants to help ease discomfort.
  • A chiropractor and/or physical therapist can teach exercises and stretches to relieve pressure on nerves, loosen tight muscles, and improve circulation.

Signs The Herniated Disc Is Healing

  • Most herniated discs cause significant pain in the back and neck from the nervous system, causing some of the muscles of the low back or neck to spasm to protect the area from further damage.
  • Usually, the muscle spasms relax within the first days of the injury.
  • After spinal decompression, neurological symptoms like the sharp, shooting pain down a nerve in the arm or leg are the first symptoms to go away.
  • Then muscle weakness along the path of the nerve goes away.
  • Numbness in the extremities can linger around longer.

Length of Time

  • The wear and tear of adult spinal discs, combined with unhealthy posture habits, job occupation, previous injuries, etc., decrease blood circulation.
  • This is why it can take some time to heal completely, as the entire blood supply needs to reset to optimal circulation.
  • Nerve compression causing aches and pain sensations down the nerves can also take time.

Regular Activity

Returning to regular activities depends on the individual’s case and condition. It is essential not to overdo things that can cause excessive loading of the spine before the disc has fully healed, which increases the risk of re-herniation and other injuries.

  • Inactivity can slow the healing process and cause inflammation.
  • Patients are encouraged to return to activities that generate gentle motion to stimulate the stabilizing muscles to function properly and increase blood circulation to the injured area.
  • Individuals are recommended to:
  • Learn posture improvement when walking, sitting, standing, and sleeping.
  • Adjust sleep patterns.
  • Incorporate anti-inflammatory nutrition during the healing process.
  • Engage in light, gentle exercises.
  • Keep the body hydrated.
  • Avoid alcohol during the healing process.
  • This provides a mechanical and biological environment that eventually becomes a personalized exercise physical therapy program.

DOC Spinal Decompression


Díez Ulloa, Máximo Alberto. “Role of Microangiogenensis in Disc Herniation Healing.” Journal of investigative surgery: the official journal of the Academy of Surgical Research vol. 34,6 (2021): 685. doi:10.1080/08941939.2019.1682725

Factors that influence recovery: Mayo Clinic. February 8, 2022. “Herniated disk.”

Factors that influence recovery: NHS. March 22, 2021. “Slipped Disc.”

How to speed up healing time: American Academy of Orthopaedic Surgeons. January 2022. “Herniated Disk in the Lower Back”–conditions/herniated-disk-in-the-lower-back/

Keramat, Keramat Ullah, and Aisling Gaughran. “Safe physiotherapy interventions in large cervical disc herniations.” BMJ case reports vol. 2012 bcr2012006864. 18 Aug. 2012, doi:10.1136/bcr-2012-006864

Stoll, T et al. “Physiotherapie bei lumbaler Diskushernie” [Physiotherapy in lumbar disc herniation ]. Therapeutische Umschau. Revue therapeutique vol. 58,8 (2001): 487-92. doi:10.1024/0040-5930.58.8.487

Swartz, Karin R, and Gregory R Trost. “Recurrent lumbar disc herniation.” Neurosurgical focus vol. 15,3 E10. 15 Sep. 2003, doi:10.3171/foc.2003.15.3.10

Blood Test Diagnosis Ankylosing Spondylitis Back Clinic

Blood Test Diagnosis Ankylosing Spondylitis Back Clinic

Diagnosing ankylosing spondylitis usually involves multiple tests. When doctors order blood tests to diagnose ankylosing spondylitis, an individual is experiencing worsening symptoms in their back and joints. Often, a blood test diagnosis means the doctor is looking for evidence of anything else that could be causing the symptoms. However, blood tests by themselves cannot definitively diagnose ankylosing spondylitis, but when combined with imaging and assessment, they can provide important clues that point to the answers.Blood Test Diagnosis Ankylosing Spondylitis

Ankylosing Spondylitis Blood Test Diagnosis

Ankylosing spondylitis is arthritis that primarily affects the spine and hips. It can be difficult to diagnose as no single test can provide thorough information for a definitive diagnosis. A combination of diagnostic tests are utilized, including a physical exam, imaging, and blood tests. Doctors are not only looking for results that will point to ankylosing spondylitis, but they are looking for any results that might point away from the spondylitis results that might provide a different explanation for symptoms.

Physical Exam

The diagnostic process will begin with the individual’s medical history, family history, and physical exam. During the exam, the doctor will ask questions to help rule out other conditions:

  • How long have symptoms been presenting?
  • Do symptoms get better with rest or exercise?
  • Are the symptoms getting worse or staying the same?
  • Are the symptoms worse at a particular time of day?

The doctor will check for limitations in mobility and palpate tender areas. Many conditions can cause similar symptoms, so the doctor will check to see if the pain or lack of mobility is consistent with ankylosing spondylitis. The feature sign of ankylosing spondylitis is pain and stiffness in the sacroiliac joints. The sacroiliac joints are located in the lower back, where the base of the spine and pelvis meet. The doctor will look at other spinal conditions and symptoms:

  • Back pain symptoms caused by – injuries, posture patterns, and/or sleeping positions.
  • Lumbar spinal stenosis
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Diffuse idiopathic skeletal hyperostosis

Family History

  • Family history plays a part in diagnosis because of the genetic element of ankylosing spondylitis.
  • The HLA-B27 gene corresponds with ankylosing spondylitis; if an individual has it, one of their parents has it.


  • X-rays often serve as the first step to a diagnosis.
  • As the disease progresses, new small bones form between the vertebrae, eventually fusing them.
  • X-rays work best at mapping the disease progression than the initial diagnosis.
  • An MRI provides clearer images in the early stages as smaller details are visible.

Blood Tests

Blood tests can help rule out other conditions and check for signs of inflammation, providing supportive evidence along with the results of imaging tests. It typically only takes about a day or two to get the results. The doctor may order one of the following blood tests:


HLA-B27 test.

  • The HLA-B27 gene reveals a red flag that ankylosing spondylitis could be present.
  • Individuals with this gene have a much higher risk of developing the condition.
  • Combined with symptoms, other labs, and tests, it can help confirm a diagnosis.


Erythrocyte sedimentation rate or ESR test.

  • An ESR test measures inflammation in the body by calculating the rate or how fast red blood cells settle to the bottom of a blood sample.
  • If they settle faster than normal, the result is elevated ESR.
  • That means the body is experiencing inflammation.
  • ESR results may come back high, but these alone do not diagnose AS.


C-reactive proteinCRP test.

  • A CRP test checks CRP levels, a protein associated with inflammation in the body.
  • Elevated CRP levels signal inflammation or infection in the body.
  • It is a useful tool for measuring disease progression after diagnosis.
  • It often corresponds with changes in the spine shown on X-ray or MRI.
  • Only 40-50% of individuals with ankylosing spondylitis experience an increased CRP.


ANA test

  • Antinuclear antibodies, or ANA, go after the proteins in the cell’s nucleus, telling the body its cells are the enemy.
  • This activates an immune response that the body fights to eliminate.
  • A study determined that ANA is found in 19% of individuals suffering from ankylosing spondylitis and is higher in women than men.
  • Combined with other tests, the presence of ANA provides another clue to a diagnosis.

Gut Health

  • The gut microbiome plays an important role in triggering the development of ankylosing spondylitis and its treatment.
  • Tests to determine the gut’s health can give a doctor a complete picture of what is happening inside the body.
  • Blood test diagnoses for ankylosing spondylitis and other inflammatory conditions rely heavily on piecing together different tests alongside clinical exams and imaging.

Causes, Symptoms, Diagnosis, and Treatment


Cardoneanu, Anca, et al. “Characteristics of the intestinal microbiome in ankylosing spondylitis.” Experimental and therapeutic medicine vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108

Prohaska, E et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Antinuclear antibodies in ankylosing spondylitis (author’s transl)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.

Sheehan, Nicholas J. “The ramifications of HLA-B27.” Journal of the Royal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102

Wenker KJ, Quint JM. Ankylosing Spondylitis. [Updated 2022 Apr 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Xu, Yong-Yue, et al. “Role of the gut microbiome in ankylosing spondylitis: an analysis of studies in the literature.” Discovery medicine vol. 22,123 (2016): 361-370.

Thoracic Herniated Disc Chiropractic Back Clinic

Thoracic Herniated Disc Chiropractic Back Clinic

Middle back pain is usually caused by unhealthy posture, improper lifting or twisting, and minor injuries like muscle strains, sprains, and herniated discs. Thoracic herniated discs are less common than neck or low back herniations because of the thoracic vertebrae’s size and rigidity, but they do happen. Chiropractic care can treat thoracic herniated discs and prevent future episodes.Thoracic Herniated Disc Chiropractor

Thoracic Herniated Disc

The 12 thoracic vertebrae between the neck and the lumbar spine make up the largest and least flexible area. The rib cage adds:

  • Protection
  • Support
  • Stabilization of the spine


Herniated discs happen when the soft, gel-like layer of the shock-absorbing intervertebral disc bulges into or leaks through the disc’s tough outer layer. Due to the location, a herniated disc can cause various issues to the middle back, chest wall, and/or abdominal areas around the injured vertebrae. This displacement can cause:

  • Inflammation
  • Compression to the spinal nerves or spinal cord
  • Tingling
  • Numbness
  • Pain
  • Weakness
  • If the lower thoracic region is herniated, symptoms can radiate to one or both lower extremities.


If the herniation compresses a thoracic spinal nerve, it can cause radiculopathy or pain that radiates down the nerve and out from the spine into the surrounding muscles. The symptoms can present around the rib cage or upper abdominal area. A large disc herniation can compress the spinal cord inside the spinal canal. This is a condition called myelopathy which can cause:

  • Numbness
  • Tingling
  • Weakness in one or both lower extremities
  • Sometimes bowel and bladder dysfunction
  • In severe cases, paralysis


Degenerative disc disease and trauma like vehicle collisions or falls are the most common causes of thoracic herniation.

  • Individuals between 30 and 50 are more likely to be affected.
  • As the body ages, the disc’s soft inner layer loses hydration, making it less effective as a shock absorber.
  • The tough outer layer loses elasticity, increasing the risk of disc tears.

Chiropractic Care

  • A chiropractor or neurologic physical therapist can personalize a herniated disc exercise treatment plan to reduce pain, improve strength and posture, and increase mobility.
  • Therapeutic massage can be useful in managing pain and decreasing inflammation.
  • Traction therapy
  • Spinal epidural injections can be used with physical therapy to help manage pain and allow the body to heal independently.


  • Avoid bending, lifting, reaching, and twisting.
  • Apply an ice pack or cold compress for 15- to 20-minute intervals every two hours.
  • Sit in chairs with a firm back to support the spine.
  • When sleeping, place a small pillow under the head and knees to keep the spine in a neutral position to prevent pressure on the herniated region.
  • Avoid too much rest, which can worsen the injury.
  • Gentle physical activity will maintain circulation and keep the muscles strong.


Most cases of thoracic herniation do not require surgery. Surgery could be recommended if there is intolerable pain, neurological issues, and conservative treatments are not working. A spine specialist can determine if surgery is necessary based on the injury’s size, type, and location. Spinal surgery will remove all or part of the herniated disc compressing a nerve root. Common surgical procedures include:

Herniated Disc Rehabilitation


Barrow Neurological Institute. “Herniated Thoracic Disc.” Barrow Neurological Institute, August 3, 2022.

Court, C., E. Mansour, and C. Bouthors. “Thoracic Disc Herniation: Surgical Treatment.” Orthopaedics & Traumatology: Surgery & Research 104, no. 1 (2018).

Dydyk, Alexander M, Ruben Ngnitewe Massa, and Fassil B Mesfin. “Disc Herniation – Statpearls – NCBI Bookshelf.” National Library of Medicine, January 18, 2022.

Yoon, Wai Weng, and Jonathan Koch. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6, no. 6 (2021): 526–30.

Spondylitis Types Injury Medical Chiropractic Back Clinic

Spondylitis Types Injury Medical Chiropractic Back Clinic

Spondyloarthritis is a group of inflammatory, immune-mediated diseases that cause chronic low back pain, inflammation, irritating aches, and pains. The conditions mostly affect the spine but can affect joints in the arms, legs, hips, skin, eyes, and intestines. Spondylitis types can significantly affect daily function, physical activity and compromise bone health.Spondylitis Types

Spondylitis Types

The main types include:

  • Ankylosing spondylitis
  • Psoriatic arthritis
  • Enteropathic arthritis
  • Reactive arthritis
  • Juvenile spondylitis
  • Undifferentiated spondylitis

Axial Spondylitis vs. Peripheral Spondylitis Types

Spondylitis conditions are classified as axial – axSpA or peripheral – pSpA.

  • Axial means relating to the body’s central region, as in the trunk and head.
  • Axial spondyloarthritis is arthritis and inflammation in the hips and spine.
  • The condition starts before age 45.
  • The pain typically starts in the low back but can begin in the neck or other regions.
  • Characterized by back pain, usually in the lower back and/or buttocks.
  • Morning back stiffness lasting 30 minutes or longer.
  • Sacroiliac joint inflammation can also present.
  • The back pain gradually progresses.
  • Lasts longer than three months.
  • Improves with physical movement, not with rest.
  • Peripheral spondyloarthritis is arthritis and inflammatory pain in the peripheral joints and tendons and does not include the spine.
  • Individuals can have peripheral and axial spondylitis symptoms simultaneously.
  • Diagnosis depends on whether symptoms are primarily peripheral or axial.

Spondylitis and Spondylosis

Spondylosis and spondylitis are similar in they cause pain and inflammation in the back and hips. The difference is in each condition’s triggers.

  • Spondylitis is a disease in which the body’s immune system degrades joints, causes inflammation, overproduces bone formation, and causes bone fusion.
  • Spondylosis is a category of arthritis that presents as the spine ages from normal wear and tear.
  • It happens during the degeneration of the spine’s discs and joints.
  • It also presents when bone spurs develop on the spine’s vertebrae.

Ankylosing Spondylitis

Ankylosing spondylitis is the most common form of arthritis affecting the spine, other joints, and body regions. The condition causes spinal joint inflammation causing extreme discomfort and chronic pain. In some cases, the inflammation progresses to ankylosis, where spine sections fuse and become immobile. Other body areas that can trigger inflammation include:

  • The ribs
  • Heels
  • Shoulders
  • Hips
  • Small joints of the feet and hands.

Ankylosing spondylitis symptoms vary from person to person. Common early symptoms include:

  • There is general discomfort, appetite loss, and mild fever early in the condition.
  • Persistent stiffness and pain in the buttocks and low back, gradually progressing over a couple of weeks or months.
  • The pain and stiffness can travel into the neck and spine within months or years.
  • The pain is usually spread out and dull.
  • The stiffness and pain are worse in the morning and night and improve with light exercise or a warm shower.
  • The pain typically becomes chronic, lasts for a minimum of 3 months, and can be felt on both sides.
  • Tenderness and pain in the hips, thighs, shoulder blades, heels, and ribs may also occur.

Treatment approaches include applications of ice and heat to reduce swelling, increase circulation, and decrease joint pain, posture exercises, stretches, physical therapy, and medication.

Psoriatic Arthritis

Psoriatic arthritis causes swelling, pain, and inflammation in the small joints of the hands and feet; however, the joints of the knees, ankles, and wrists can also be affected. Psoriasis is a rash that causes scaly skin patches.

  • Individuals can develop dactylitis when a finger or toe swells between the surrounding joints.
  • Spinal stiffness and pain can present.
  • Typically the ends of the finger joints are most affected and experience pain and inflammation.
  • The condition also includes fingernail and toenail symptoms.
  • Medications frequently utilized to treat ankylosing spondylitis can be used.
  • Exercise helps preserve the range of motion and maintain strength.
  • Isometric exercises work muscles without joint motion reducing the risk of further injury to inflamed joints.
  • Occupational and physical therapy can significantly assist in optimizing arthritic joint function.

Enteropathic Spondylitis

Enteropathic Arthritis is chronic inflammatory arthritis linked to inflammatory bowel disease. The most recognized are Crohn’s and ulcerative colitis.

  • The peripheral limb joints and sometimes the whole spine are the most prevalent body areas afflicted with enteropathic spondylitis.
  • The main symptom is intestine inflammation, including bowel and joint pain and/or inflammatory back pain.
  • Other symptoms can include weight loss, blood in the stool, abdominal pain, and/or chronic diarrhea.
  • Managing enteropathic arthritis typically means managing the underlying bowel disease.

Juvenile Spondyloarthritis

Juvenile spondyloarthritis is a group of childhood rheumatic diseases that cause arthritis before age 16 and can continue through adulthood. Juvenile spondyloarthritis encompasses:

  • Enteropathic arthritis
  • Enthesitis-related arthritis
  • Undifferentiated spondyloarthritis
  • Psoriatic arthritis
  • Reactive arthritis
  • Juvenile ankylosing spondylitis

Juvenile spondyloarthritis causes inflammation and pain in joints in the lower body, like the ankles, hips, knees, and pelvis. Other body areas that could be affected include:

  • The bowels
  • Eyes
  • Skin
  • Spine

Lethargy and fatigue can also present. The symptoms can be unpredictable and episodic, appearing and disappearing without a specific cause. The condition cycles between flare-ups and remission. Common treatment approaches include:

  • Medication
  • Exercise
  • Posture training
  • Physical therapy, medication
  • Ice and heat to decrease joint pain and relax muscles.
  • In severe cases, surgery could be recommended.

Reactive Arthritis or Reiter’s Syndrome

Reactive arthritis is arthritis that causes pain and inflammation in the mucous membranes, bladder, skin, joints, eyes, and genitals.

  • Reactive arthritis is believed to be a reaction to an infection, usually in the gastrointestinal or urinary tract.
  • Reactive arthritis does not affect the sacroiliac joints and spine in most cases.
  • Reactive arthritis is typically treated with nonsteroidal anti-inflammatory medications, steroids, and rheumatoid arthritis medications.
  • A physician could prescribe antibiotics if a bacterial infection brought on reactive arthritis.

Undifferentiated Spondyloarthritis

Undifferentiated spondyloarthritis is where the signs and symptoms of spondylitis don’t meet the criteria for a specific rheumatoid disorder. Individuals diagnosed with undifferentiated spondyloarthritis will have one or more of the symptoms that include:

  • Fatigue
  • Back inflammation
  • Back pain
  • Buttock pain that alternates or presents on both sides.
  • Swollen toes or fingers
  • Heel pain
  • Arthritis in the small joints.
  • Arthritis in the large limb joints.
  • Enthesitis or inflammation where the ligament or tendon connects to the bone.
  • Eye inflammation
  • Individuals can also present symptoms of other spondylitis types, like psoriatic or ankylosing.

Treatment approaches include:

  • Exercise
  • Physical therapy
  • Posture training
  • Ice and heat to decrease joint pain and loosen up muscles.

Spondylitis Types Diagnosis of Spondyloarthritis


Carron, Philippe, et al. “Peripheral spondyloarthritis: a neglected entity-state of the art.” RMD open vol. 6,1 (2020): e001136. doi:10.1136/rmdopen-2019-001136

Dougados, Maxime, and Dominique Baeten. “Spondyloarthritis.” Lancet (London, England) vol. 377,9783 (2011): 2127-37. doi:10.1016/S0140-6736(11)60071-8

Gill, Tejpal, et al. “The intestinal microbiome in spondyloarthritis.” Current opinion in rheumatology vol. 27,4 (2015): 319-25. doi:10.1097/BOR.0000000000000187

Rosenbaum, James T. “The eye in spondyloarthritis✰.” Seminars in arthritis and rheumatism vol. 49,3S (2019): S29-S31. doi:10.1016/j.semarthrit.2019.09.014

Seo, Mi Ryoung et al. “Delayed diagnosis is linked to worse outcomes and unfavorable treatment responses in patients with axial spondyloarthritis.” Clinical rheumatology vol. 34,8 (2015): 1397-405. doi:10.1007/s10067-014-2768-y

Sharip, Aigul, and Jeannette Kunz. “Understanding the Pathogenesis of Spondyloarthritis.” Biomolecules vol. 10,10 1461. 20 Oct. 2020, doi:10.3390/biom10101461

Spinal Stenosis MRI: Back Clinic Chiropractor

Spinal Stenosis MRI: Back Clinic Chiropractor

Spinal stenosis is when space somewhere along or within the spine begins to narrow, closing off the ability of normal/comfortable movement and nerve circulation. It can affect different areas, including the cervical/neck, lumbar/low back, and, less commonly, the thoracic/upper or mid-back regions causing tingling, numbness, cramping, pain, muscle weakness, or a combination in the back, leg/s, thighs, and buttocks. There can be various factors causing the stenosis; correct diagnosing is the first step, and where a spinal stenosis MRI comes in.

Spinal Stenosis MRI: Injury Medical Chiropractor

Spinal Stenosis MRI

Stenosis can be challenging to diagnose as it is more of a symptom/complication than a condition, often caused by herniated discs, bone spurs, a congenital condition, post-surgery, or after an infection. Magnetic resonance imaging/MRI is a common test used in diagnosis.


  • A healthcare professional, like a chiropractor, physical therapist, spine specialist, or physician, will begin with understanding symptoms and medical history.
  • A physical exam will be conducted to learn more about the location, duration, positions, or activities that decrease or worsen the symptoms.
  • Additional tests include muscle strength, gain analysis, and balance testing to help better understand where the pain is coming from.
  • To confirm a diagnosis, imaging will be required to see what is going on.
  • An MRI uses computer-generated imaging to produce images that show bone and soft tissues, like muscles, nerves, and tendons, and if they are compressed or irritated.
  • A healthcare professional and MRI technician will go over the safety requirements before the imaging.
  • Because the machine uses powerful magnets, there can be no metal on or in the body, like implanted prostheses or devices that include:
  • Pacemakers
  • Cochlear implants
  • Medication infusion pumps
  • Intrauterine contraceptives
  • Neurostimulators
  • Intracranial aneurysm clips
  • Bone-growth stimulators
  • A different imaging test may be used if an individual cannot have an MRI like a CT scan.

An MRI can range from several minutes to an hour or longer, depending on how many positions are necessary to isolate the injured area and get a clear image. The test is painless, but sometimes individuals are asked to maintain a specific position that could be uncomfortable. The technician/s will ask if there is discomfort and offer any help to make the experience as easy as possible.


Not all cases of stenosis cause symptoms, but there are treatment options that a healthcare professional can recommend.

  • Conservative care is the first recommendation that includes chiropractic, decompression, traction, and physical therapy.
  • Treatment increases muscle strength, improves range of motion, improves posture and balance, decreases discomfort symptoms, and incorporates strategies to prevent and manage symptoms.
  • Prescription medications could be part of a larger treatment plan.
  • Surgery could become an option in more severe cases where conservative care is not working.

Spinal Stenosis


Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests. 2013. Available from:

Ghadimi M, Sapra A. Magnetic Resonance Imaging Contraindications. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Gofur EM, Singh P. Anatomy, Back, Vertebral Canal Blood Supply. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

Stuber, Kent, et al. “Chiropractic treatment of lumbar spinal stenosis: a review of the literature.” Journal of chiropractic medicine vol. 8,2 (2009): 77-85. doi:10.1016/j.jcm.2009.02.001

The Beneficial Properties Of Yoga For The Body

The Beneficial Properties Of Yoga For The Body


When many individuals look for ways to relax after a stressful event in their daily lives, many people have an exercise regime that allows them to take their minds off of their hectic lives. When finding the proper exercise, it is best to consider that everybody is different and has different fitness levels. Many individuals could be dealing with chronic issues that affect them drastically and with so much pain in their bodies. When these chronic issues overlap with muscle and joint pain, it can make the body dysfunctional while potentially being involved in environmental factors. Yoga is a low-impact exercise that helps tone muscles, relax tension in the body, and focus on deep breathing. Today’s article looks at the benefits of yoga for the body, how chiropractic care works together with yoga, and different yoga poses can help manage various chronic issues. We refer patients to certified providers specializing in musculoskeletal treatments to help many individuals with musculoskeletal problems affecting their bodies. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer


The Benefits of Yoga For The Body

Have you been dealing with chronic stress affecting your quality of life? Have you been dealing with bladder or gut issues constantly? What about feeling muscle stiffness in your back, neck, shoulders, or pelvic regions? Some of these symptoms are signs that you could risk developing musculoskeletal problems associated with pain. Dealing with musculoskeletal issues related to pain can make a person feel miserable and have stress affecting their bodies. Yoga is a low-impact exercise that doesn’t put pressure on the joints and will provide a full-body workout through strengthening and stretching weak muscles. Yoga has many benefits for many individuals that are dealing with the following:

  • Muscle weakness
  • Back pain
  • Neck pain
  • Pelvic Pain
  • Arthritic symptoms
  • Cardiovascular issues
  • Chronic stress

Studies reveal that environmental factors are involved in non-specified chronic pain in the spine, overlapping musculoskeletal disorders causing many individuals to try to find relief. Many individuals incorporate yoga because it is a safe and effective way to alleviate various forms of back, neck, or pelvic pain causing issues to the body. Yoga utilizes gentle stretching and strengthening of weak, injured muscles while increasing blood circulation to promote healing in the body. 


Chiropractic Care & Yoga

When people are dealing with health conditions or injuries that have affected their bodies, it can make them feel frustrated and think their injuries are taking forever to heal. Many individuals don’t realize that incorporating yoga practices provides impressive health benefits while mirroring the similar foundations of chiropractic care. Both chiropractic care and yoga provide many beneficial results to an aching body that needs a good stretch and ready the body to heal itself naturally. Chiropractic care includes spinal manipulation to the spinal joints while reducing inflammation and strengthening weak muscles. Yoga allows the body to increase its flexibility and stamina, reduces stress and blood pressure, and provides a better sense of breathing and balance.

Yoga For Chronic Pain-Video

Have you felt muscle stiffness in your neck, back, or body? Have you felt sluggish or overly stressed from your day-to-day lives? Do you want to improve your balance? If you have been experiencing these issues affecting your quality of life, why not incorporate yoga as part of your exercise regime? The video above shows that yoga poses for chronic pain affect the body, including the neck, back, and pelvic regions. Studies reveal that yoga can help relieve intense neck pain while improving pain-related function disability. Yoga allows the muscles to not only relax but strengthen them as well. Yoga can also help improve the body’s range of motion through deep breathing and give more awareness of how the body holds tension in places a person hasn’t realized they were holding onto.

Yoga Poses For Different Issues

When a person does yoga, they will go through various poses and repeat them constantly as their body begins to get used to the movements. This allows the body to challenge itself and helps the individual focus more on deep breathing. A good example would be an individual taking a yoga class due to experiencing pelvic pain. By going through each yoga pose, many individuals suffering from pelvic pain will reduce the pain intensity while improving their quality of life. Below are some yoga poses that anyone can do to reduce pain associated with their back, neck, or pelvis.

Bridge Pose

  • Lie on your back
  • Bend both knees while placing the feet on the floor at hip-width apart
  • Arm on the sides with palms facing down
  • Press feet to the floor and lift the hips as you inhale
  • Engage the legs and buttock 
  • Hold 4-8 breaths and exhale to lower the hips back to the ground slowly


Cobra Pose

  • Lie on your stomach with hands near the chest just under the shoulders and fingers facing forward
  • Keep elbows close to sides
  • Press hands on the floor and slowly lift your head, chest, and shoulders while slightly bending the elbows by inhaling
  • Exhale to go back down slow and rest your head



  • Be on all fours, hands under the shoulders and knees under hips (Think like a table)
  • Inhale to lower your core to the floor as your head looks up to the sky
  • Exhale slowly to lower your chin to the chest as you round your back
  • Continue fluid motion for a minute


Forward Bend

  • Be in a standing position, and feet are at a hip distance apart
  • Lengthen the body as you lean forward while keeping the knees slightly bended
  • Place hands on either legs, yoga block, or the floor (Whichever makes you comfortable)
  • Tuck the chin into the chest, letting the neck and head relax
  • Gently rock your head side to side to relieve tension in the neck and shoulders
  • Slowly roll up to a standing position allowing the arms and head to be the last to rise


Supine Spinal Twist

  • Lie on your back while your knees bent and feet flat on the floor
  • Extend arms out of the side and place palms down on the floor
  • As you inhale, breathe into the gut and lower limbs
  • Exhale to lower knees on the left side (Look at the opposite way to slowly stretch the neck and shoulder muscles)
  • Pay attention to the stretches for 5 breathes as well as the lengthening sensations on the ribs
  • Return the knees to the middle and repeat on the right side


Child’s Pose

  • Sit back on the heels with the knees together (For added support, you can use a rolled-up blanket under your knees)
  • Bend forward and walk hands in front of you
  • Gently rest your forehead on the floor
  • Keep arms extended in the front while focusing on relieving tension in the back as the upper body falls to the knees
  • Stay in that pose for 5 minutes



Incorporating yoga as part of an exercise regime allows the individual to focus on deep breathing while calming the mind. Yoga is a low-impact exercise that helps strengthen weak muscles associated with pain and inflammation. Yoga provides a full-body workout that benefits many people dealing with chronic pain. Utilizing yoga as part of a daily practice might help individuals learn to be calm and practice mindfulness.



Busch, Fred. “Healing Benefits of Yoga.” Spine, Spine-Health, 27 Jan. 2004,

Crow, Edith Meszaros, et al. “Effectiveness of Iyengar Yoga in Treating Spinal (Back and Neck) Pain: A Systematic Review.” International Journal of Yoga, Medknow Publications & Media Pvt Ltd, Jan. 2015,

Li, Yunxia, et al. “Effects of Yoga on Patients with Chronic Nonspecific Neck Pain: A Prisma Systematic Review and Meta-Analysis.” Medicine, Wolters Kluwer Health, Feb. 2019,

Saxena, Rahul, et al. “Effects of Yogic Intervention on Pain Scores and Quality of Life in Females with Chronic Pelvic Pain.” International Journal of Yoga, Medknow Publications & Media Pvt Ltd, 2017,


Fatigue Ankylosing Spondylitis Back Clinic

Fatigue Ankylosing Spondylitis Back Clinic

Fatigue Ankylosing Spondylitis: Fatigue is a significant complaint for individuals dealing with ankylosing spondylitis. Ankylosing spondylitis is chronic inflammation of the spine’s joints that can cause them to become fused or locked up. The process can cause the spine to stiffen, limiting movement, reducing flexibility, and generating a severe hunched posture. Symptoms can include back pain, stiffness, and the inability to take a deep breath if the ribs are involved. Fatigue can have a variety of causes, but in ankylosing spondylitis, inflammation and cytokines play a significant role. The underlying cause of ankylosing spondylitis is still being researched, but it currently affects around 300,000 Americans.

Fatigue Ankylosing Spondylitis

Fatigue Ankylosing Spondylitis

Most individuals with ankylosing spondylitis experience pain in the lower back but can also feel pain in their hips and neck, have abdominal pain, or experience problems with vision. Inflammatory back pain is usually strongest in the morning but can also come from inactivity.

Spinal Condition and Extreme Exhaustion

The inability to move along with a decreased spinal range of motion impacts body functionality, sleep quality, and respiratory function affecting energy levels and leading to mild to severe fatigue. Studies have shown that 50% – 85% of individuals with ankylosing spondylitis experience fatigue.

Fatigue is brought on by inflammation, as the body generates the same chemicals when fighting a cold or flu; an individual’s body constantly works to reduce inflammation, leaving them drained and unable to perform ordinary tasks. Inflammatory diseases take a significant toll on the whole body, leading to an increased risk of depression and increased fatigue levels.

Exercise, Massage, and Diet

Many individuals find that their symptoms flare up after long periods of inactivity, like sleeping. This can make wanting to fall and stay asleep complicated, exacerbating fatigue and vice versa, creating a vicious cycle. Even though it can be challenging to move, gentle exercise is recommended. Exercise can help slow the disease progression, build muscle, and improve sleep. It is recommended to speak with a spine specialist, doctor, chiropractor, physical therapist, or exercise trainer about a customized exercise treatment program.

Many individuals with ankylosing spondylitis find therapeutic massage helpful in temporarily relieving pain, and stiffness, reducing stress and improving flexibility from increased blood circulation. A combination of gentle chiropractic massage, exercise, ergonomic adjustments, and rheumatology treatment is recommended for many cases. An anti-inflammatory diet comprised of foods like fatty fish, fruits, nuts, and leafy green vegetables can fight inflammation and decrease fatigue.

AS Causes, Symptoms, Diagnosis, Treatment, and Pathology


Cornelson, Stacey M et al. “Chiropractic Care in the Management of Inactive Ankylosing Spondylitis: A Case Series.” Journal of chiropractic medicine vol. 16,4 (2017): 300-307. doi:10.1016/j.jcm.2017.10.002

Li, Ting, et al. “Fatigue in Ankylosing Spondylitis Is Associated With Psychological Factors and Brain Gray Matter.” Frontiers in medicine vol. 6 271. 21 Nov. 2019, doi:10.3389/fmed.2019.00271

Zhang, Jun-Ming, and Jianxiong An. “Cytokines, inflammation, and pain.” International anesthesiology clinics vol. 45,2 (2007): 27-37. doi:10.1097/AIA.0b013e318034194e

Sacroiliac Dysfunction Causes More Than Back Issues

Sacroiliac Dysfunction Causes More Than Back Issues


Maintaining healthy joints is crucial to preventing injuries from affecting the body. Incorporating physical activities, eating healthy foods, staying hydrated, and getting a routine check-up are ways to ensure that the body is functional, including the joints. The joints in the body act like shock absorbers that soften the impact of any injuries that the body has sustained. However, as the body ages, so do the joints, causing them to become hardened and cause problems in the body. In today’s article, we will look at sacroiliac dysfunction, what issues it affects besides back pain, and how chiropractic care manages sacroiliac dysfunction. We refer patients to certified providers specializing in musculoskeletal therapies to help those with sacroiliac dysfunction. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

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What Is Sacroiliac Dysfunction?


Are you experiencing pain in the pelvis? Do your hips seem tighter than usual? Do you feel muscle stiffness when you twist from side to side? Some of these issues are signs that you might be experiencing sacroiliac dysfunction. Around the pelvic region lies the sacroiliac joint, a weight-bearing solid joint connecting the pelvis to the sacrum. It is surrounded by tough ligaments that support the body as it distributes the weight from the upper body to the lower body. However, like all the other joints in the body, any injury or condition can cause this joint to be unstable and succumb to the pain, causing sacroiliac dysfunction. Sacroiliac dysfunction or sacroiliac joint pain is defined as one of the potential causes of axial low back pain. When there are issues affecting the sacroiliac joints, it’s associated with about a quarter of most low back pain cases. This is due to the problems that overlap with pain associated with the low back. Studies reveal that dysfunction in the sacroiliac joint can relate to leg or back pain, making diagnosing the problem difficult. Back pain associated with sacroiliac dysfunction causes the pelvis to be hypermobile, causing the risk of developing radiating groin pain. Leg pain associated with sacroiliac dysfunction causes muscle tension and stiffness to the low back, legs, or buttock region, mimicking sciatica-like symptoms.

What Other Issues Does It Affect?

Many individuals may not realize that when they are experiencing sacroiliac dysfunction, symptoms show that they overlap with lumbar spine pathologies. However, sacroiliac dysfunction can also affect the pelvic region of the body. Studies reveal that when the muscles around the body’s pelvic area become inflamed or irritated, it can cause stiffness in the sacroiliac joints, thus developing the risk of pelvic pain. Pelvic pain is usually defined as non-menstrual pain that causes functional disability to the lower extremities. Around the pelvic region, the lower sacral nerves provide extensive neurologic connections to the structures throughout the pelvic area that maintain normal pelvic organ function. When issues like sacroiliac dysfunction become the risk of pelvic pain, it may potentially involve pelvic symptoms like constipation. Studies reveal that constipation is significantly associated with a high prevalence of pelvic organ prolapse and low urinary tract symptoms. Other issues that sacroiliac dysfunction correlates with are:

  • Ankylosing spondylitis
  • Rheumatoid arthritis
  • Inflammatory issues
  • Hip pain
  • Pelvic pain
  • Low back pain
  • Piriformis syndrome

An Overview Of Sacroiliac Joint Pain- Video

Are you experiencing radiating from your lower back down to your leg? How about stiffness in your hips? Are you feeling constipated or have a sense of fullness in your bladder? You may suffer from sacroiliac dysfunction in your pelvic region if you notice these symptoms. The video above explains how to understand sacroiliac joint pain. The sacroiliac joint connects the pelvis and sacrum, surrounded by tough ligaments and muscles that help support the body by distributing weight from the upper body to the lower body. When issues affect the sacroiliac joints can overlap other risk profiles like low back pain, leg pain, and pelvic pain. This can make diagnosing sacroiliac dysfunction difficult because the symptoms are similar to other issues. For example, hip pain is associated with piriformis syndrome while potentially being involved with sciatica. How would hip pain be correlated with piriformis syndrome? The piriformis muscle can become overused and injured and can entrap the sciatic nerve (which runs from the lumbar spine, through the hips, and down to the leg), causing radiating, throbbing pain. Other times referred pain in the low back can affect different areas in the body due to sacroiliac dysfunction. Luckily, there are treatments available to manage sacroiliac dysfunction.

How Chiropractic Care Manages Sacroiliac Dysfunction


When issues of sacroiliac dysfunction become associated with leg or back pain, physicians often misdiagnose it as a soft tissue issue rather than a joint issue. Many doctors might rule out various medical conditions before including sacroiliac dysfunction as part of the diagnosis. Some treatments like massage therapy can help loosen up the tight muscles surrounding the joints relieving the pain and discomfort. At the same time, chiropractic care utilizes spinal manipulation and mobilization to the affected spinal area. Since the sacroiliac joint is an essential part of the musculoskeletal system, chiropractors specialize in this area. Through practical, non-invasive methods, chiropractic care has proven to not only relieve pain in the spine but can also help rehabilitate the spine. Chiropractors are specially trained to guide the individual through several phases of care that help loosen the stiff muscles and strengthen the joints. Chiropractic care will help decrease the pain from returning to the body and let the individual return to their health and wellness journey.



Maintaining healthy joints is crucial to prevent injuries from affecting the body. The sacroiliac joints are part of the musculoskeletal system that connects the pelvic bone to the sacrum. This joint is surrounded by tough ligaments and muscles that support the upper and lower half of the body through weight distribution. When the sacroiliac joint becomes unstable, it can succumb to pain, thus becoming sacroiliac dysfunction. Sacroiliac dysfunction sometimes mimics low back and leg pain, making it difficult to diagnose. Co-morbidities like pelvic pain correlate to sacroiliac dysfunction, causing somato-visceral pain in different body areas. Treatments like chiropractic care can help strengthen the stiff muscles and joints in the body through spinal manipulation and mobilization in practical, non-invasive treatment. Chiropractic care can help rehabilitate the spine while decreasing the pain from returning to the body.



Jonely, Holly, et al. “Chronic Sacroiliac Joint and Pelvic Girdle Dysfunction in a 35-Year-Old Nulliparous Woman Successfully Managed with Multimodal and Multidisciplinary Approach.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015,

Raj, Marc A, et al. “Sacroiliac Joint Pain.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Feb. 2022,

Singh, Prashant, et al. “Pelvic Floor Symptom Related Distress in Chronic Constipation Correlates with a Diagnosis of Irritable Bowel Syndrome with Constipation and Constipation Severity but Not Pelvic Floor Dyssynergia.” Journal of Neurogastroenterology and Motility, Korean Society of Neurogastroenterology and Motility, 31 Jan. 2019,

Yeomans, Steven. “Sacroiliac Joint Dysfunction (SI Joint Pain).” Spine, Spine-Health, 7 Feb. 2018,


Poor Breathing Quality Chiropractic Care

Poor Breathing Quality Chiropractic Care

The body is a set of complex systems, including bones, organs, nerves, muscles, and tissue. Breathing disorders are increasing, including chronic bronchitis, asthma, emphysema, and other conditions. Viscerosomatic reflexes include poor breathing quality brought on by allergies, breathing disorders like COPD that can cause intense coughing, sneezing, hunching, arching of the back, and heaving that causes back pain and referred pain.

The brain sends electronic impulses to the different areas of the body through the spine/nervous system. If the nerves get shifted, stretched, compressed, or knocked out of position, the brain could start sending messages of pain and discomfort, which can also cause other body systems to malfunction. If the body is constantly transmitting pain signals, it can disrupt sleep, dietary habits, and overall well-being. Misalignment can disrupt the information delivered by the nervous system, leading to inflammation, irritation, and imbalances in the body.

Regular chiropractic maintains the nervous system to operate the way it was designed. Proper alignment of the spine and body will improve the nervous system’s health and function, encouraging the brain to release endorphins achieving pain relief, and leading to optimal health. When the nervous system performs optimally, the other systems will follow, including better breathing quality.

Poor Breathing Quality and Chiropractic Improvement

Poor Breathing

Breathing difficulties are widespread with various causes that include:

  • Allergies
  • Environmental pollutants
  • Viral and bacterial infections that cause inflammation
  • Physical health
  • Anxiety
  • Digestive problems
  • Untreated illness or condition
  • An overactive immune response can all contribute to poor breathing quality.

Individuals might not notice that their breathing quality is poor but instead notice they are:

  • Frequent exhaustion
  • Having to stop constantly in the middle of activities.
  • Experience brain fog.
  • Memory issues/forgetfulness.
  • Physical performance – endurance, flexibility, and muscle is deteriorating.

The breathing quality impacts how well the body’s systems can carry out their essential functions and be prepared for unexpected events. The body adjusts oxygen intake capacity in line with the energy required to perform physical activity. All bodily systems, including the cardiovascular, immune, and muscular systems, depend on the respiratory system to generate energy.

Better Breathing Benefits

Achieving improved lung function can help with:

  • Digestion
  • Sleep
  • Cognitive activities
  • Heart health
  • Waste elimination
  • Immune protection against viruses, bacteria, fungi, and other diseases.


A crucial part of the respiratory system’s function is transporting nutrients and oxygen throughout the body. Chiropractic treatment releases tension by moving muscle fascia and the spine that may have become stuck, compressed, or shifted out of position, causing poor posture and injury. Chiropractic eliminates toxins and cellular waste from tight, knotted areas by breaking up stagnant tissues.

Circulation Improvement

Chiropractic increases circulation, allowing fresh blood, lymphatic fluid, nutrients, and oxygen to enter the deprived tissues. These regions include:

  • Muscles in the shoulder, neck, back
  • Bones and joints across the spine
  • Body tissues
  • Ligaments
  • Tendons

Chiropractic treatment can be manual/mechanical traction/decompression, combined with therapeutic tissue massage, exercise, and diet recommendations.

Decompression De La Espalda


McCarty, Justin C, and Berrylin J Ferguson. “Identifying asthma triggers.” Otolaryngologic clinics of North America vol. 47,1 (2014): 109-18. doi:10.1016/j.otc.2013.08.012

Purnomo, Ariana Tulus, et al. “Non-Contact Monitoring and Classification of Breathing Pattern for the Supervision of People Infected by COVID-19.” Sensors (Basel, Switzerland) vol. 21,9 3172. 3 May. 2021, doi:10.3390/s21093172

Schend, Jason, et al. “An Osteopathic Modular Approach to Asthma: A Narrative Review.” The Journal of the American Osteopathic Association vol. 120,11 (2020): 774-782. doi:10.7556/jaoa.2020.121

Viscerosomatic Pain & The Spine

Viscerosomatic Pain & The Spine


The body has many nerve roots that are intertwined and coming out from the spinal cord, which is part of the nervous system. One of the main components of the nervous system is the vagus nerve, which is part of the parasympathetic nervous system as it helps inform the brain about the state of the inner organs in the body. The vagus nerve helps maintain the body’s metabolism and homeostasis from diseases and injuries that occur either inside or outside the body. Many inner organs, muscles, or tissues get affected when a person has suffered from an injury or developed infections in their body. They can cause many symptoms that can dysfunction the body. It can affect the spine, nerve roots, internal organs, and joints, making the individual feel a sense of hopelessness. Today’s article will look at the unique connection of viscerosomatic reflexes and how it affects the body, as well as how viscerosomatic pain can affect the spine causing the individual many spinal issues. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer


Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.


What Are Viscerosomatic Reflexes?


Have you experienced pain in your arms, legs, or back? How about feeling dysfunctional in your urinary tract? Have you noticed that not only your chest has started to hurt but also your gut and lower back? Many of these are signs of you having pain due to your viscerosomatic reflexes in your body. Research studies have defined viscerosomatic as regular visceral activity in the body stimulated by the somatosensory nerves that can help recognize abnormal viscerosomatic reflexes. These nerves are connected to the central nervous system, which travels through the spinal cord and can affect the body. The best example is when a doctor is giving a reflex test and uses a rubber mallet to hit the knee to see if a person still has reflexes in their body. Since the vagus nerve is part of the parasympathetic nervous system, when it becomes damaged, it can cause numerous effects on the body research studies have found that any visceral disturbances that are affecting the human body can cause an increase in muscle tension and decrease the pain in the corresponding spinal ligament that can restrict the muscle mobility to the tissues and affecting either the motor or sympathetic nerve. This causes the body to experience pain affecting one part of the body to the corresponding affected nerve.


How Does It Affect The Body?

Since the body has so many connections like the gut-brain axis, which helps regulate the body’s metabolism and homeostasis, the endocrine system that allows the transport of hormones to the rest of the muscles, tissues, and organs through the nerve roots, and the nerve roots themselves are connected as they help with the sensory-motor function with the arms and legs, so the body can move around. When these connections are being damaged and start to affect the rest of the body, it can lead to other health problems that do affect the body. Research studies have found that when the body is suffering from visceral pain in the organs can affect different areas. A couple of examples include:

  • Bladder issues affecting the perineal area
  • Cardiovascular disorders causing arm and neck pain
  • GI disorders causing discomfort

Even though visceral pain’s effects are not life-threatening, it can dampen a person’s mood by causing a negative impact associated with distress, sleep, and work disturbances, and even causing sexual dysfunction in the body.

An Overview Of Viscerosomatic Reflexes-Video

Have you experienced cardiovascular issues that are causing arm and neck pain? Have you been feeling some discomfort in your gut or your pelvic area? Have you been experiencing pain that is negatively impacting your quality of life? This could be due to viscerosomatic pain affecting your body and causing these symptoms. The video above explains how the viscerosomatic reflexes are connected to their corresponding muscles and organs. When the body is suffering from issues that affect the related muscles, it is known as viscerosomatic pain. Research studies have shown that individuals suffering from viscerosomatic pain will have multifaceted problems in the viscerosomatic reflexes. This type of pain does affect the spinal neurons causing the visceral neurons to become overly sensitive in the body and the affected areas.

How Does Viscerosomatic Pain Affect The Spine?


Research studies have found that viscerosomatic can affect the spine by affecting the gut system. Many individuals that are suffering from IBS (irritable bowel syndrome) will often complain about being in pain in their torso areas. They don’t realize that processing the visceral and somatic stimuli can cause the gut to become hypersensitive and affect the spinal cord neurons to overlap. Another research study has mentioned that pelvic pain in an individual can cause more symptoms that involve many organ systems causing visceral symptoms combined with somatovisceral convergence. When viscerosomatic pain affects many body parts, it can be difficult for a diagnosis to be conducted. 



The body has many nerve roots that connect the body by branching out of the spine and providing sensory-motor functions to the corresponding muscles and tissues. When the body becomes injured, it can cause nerve not only damage to the body but also affect the muscles and organs. This is known as viscerosomatic pain and can be challenging to diagnose due to its being multifaceted with multiple symptoms. This pain can cause the affected organs to become hypersensitive and impact a person’s quality of life. When the body starts healing from viscerosomatic pain, the effects will become less for the individual as they heal the affected organs.



Bath, Megan, and Justin Owens. “Physiology, Viscerosomatic Reflexes.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 May 2022,

Hoffman, Donna. “Understanding Multisymptom Presentations in Chronic Pelvic Pain: The Inter-Relationships between the Viscera and Myofascial Pelvic Floor Dysfunction.” Current Pain and Headache Reports, U.S. National Library of Medicine, Oct. 2011,

Sengupta, Jyoti N. “Visceral Pain: The Neurophysiological Mechanism.” Handbook of Experimental Pharmacology, U.S. National Library of Medicine, 2009,

Sikandar, Shafaq, and Anthony H Dickenson. “Visceral Pain: The Ins and Outs, the Ups and Downs.” Current Opinion in Supportive and Palliative Care, U.S. National Library of Medicine, Mar. 2012,

Silva, Andréia Cristina de Oliveira, et al. “Effect of Osteopathic Visceral Manipulation on Pain, Cervical Range of Motion, and Upper Trapezius Muscle Activity in Patients with Chronic Nonspecific Neck Pain and Functional Dyspepsia: A Randomized, Double-Blind, Placebo-Controlled Pilot Study.” Evidence-Based Complementary and Alternative Medicine : ECAM, Hindawi, 11 Nov. 2018,

Verne, G Nicholas, et al. “Viscerosomatic Facilitation in a Subset of IBS Patients, an Effect Mediated by N-Methyl-D-Aspartate Receptors.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2012,


Dehydrated Discs: Rehydration and Decompression

Dehydrated Discs: Rehydration and Decompression

Dehydration affects the body physically and mentally but also affects the health of the spine’s discs. Spinal discs that lack proper hydration begin to compress, collapse between vertebrae, or cannot refill correctly, causing further compression and increasing the risk of spinal injury. Dehydrated discs can cause injuries like herniated disc/s, degenerative disc disease, and spinal stenosis. Chiropractic treatment offers spinal decompression that will restretch and realign the spine allowing the injury/s to heal and proper disc rehydration.

Dehydrated Spinal Discs: Rehydration and Decompression

Spine Support

As crucial as the spine is within daily activities, it is vital to understand its mechanics. The spinal vertebrae discs work to absorb shock when bending, twisting, or flexing to ensure the bones do not rub together. Within each disc is the nucleus pulposus, made up of 85 percent water that provides movement when the spine rotates and moves in various directions. This high water content in the discs helps the spine function. The discs naturally lose some water as the body ages, but dehydration can also occur when individuals do not intake enough water from drinking or in food. If the dehydration is severe, the risk of injury increases or can aggravate existing spine conditions. The loss of hydration in an adult spine can cause a loss of disc height daily. Without proper rehydration, other medical issues can begin to present.


Depending on which discs are affected, the pain or numbness can travel from the neck into the shoulders, arms, and hands or from the lower back down through the legs. Symptoms can include:

  • Back stiffness
  • Burning or tingling sensations
  • Reduced or painful movement
  • Back pain
  • Weakness
  • Numbness in the low back, legs, or feet
  • Changes in knee and foot reflexes
  • Sciatica

When the body is dehydrated, it can be difficult to replenish the water in the discs thoroughly, as well as nutrient levels through a consistent loss of fluid. Dehydration disrupts the balance which can lead to an increased risk of injury and increased degeneration. Causes of disc dehydration include:

  • Trauma from an auto accident, fall, work, or sports injury.
  • Repeated strain on the back from consistent lifting, reaching, bending, twisting, etc.
  • Sudden weight loss can cause the body, including the discs, to lose fluid.
  • Ankylosing spondylitis.

Spinal Rehydration

The entire body relies on proper hydration with direct water consumption to rehydrate the body but also incorporating fruits and vegetables to aid in hydration. These foods include:

  • Watermelon
  • Cantaloupe
  • Lettuce
  • Tomatoes

These foods are made of more than 90% water and contain essential nutrients and help the spine function more efficiently. Proper water consumption is based on age, body size, and activity level. However, to fully heal desiccated discs, spinal injuries, or back pain, chiropractic decompression, and manipulation adjustments are recommended. Non-surgical motorized spinal decompression treatment is gentle. The therapy lengthens and decompresses the spine reversing the pressure within the damaged disc/s creating an intradiscal vacuum that relieves the pressure off the nerve and helps reshape and rehydrate the damaged disc/s.



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Spinal Decompression Therapy Alleviates Wear & Tear Herniated Discs

Spinal Decompression Therapy Alleviates Wear & Tear Herniated Discs


For keeping the body upright and on the move, the spine plays an essential role in allowing the body to do these ordinary functions. The S-shaped curve enables the body to rotate from side to side, bend back and forth, and twist without feeling discomfort. The spine is enveloped with ligaments, nerve roots, spinal discs, and soft muscle tissues originating from the spinal column; these components protect the spinal cord from being injured. When the back suffers from unforeseen circumstances or starts to naturally age, the spinal discs in the spine will lose their structure, causing them to shrink and become herniated, depending on how severe the pain is. Fortunately, there are treatments available for herniated discs. Today’s article will focus on wear and tear herniation on the spine, how it affects the back, and how decompression therapy can help herniation. Referring patients to qualified and skilled providers who specialize in spinal decompression therapy. We guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is essential for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer


Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.


What Is Wear & Tear Herniation?

Have you been experiencing pain shooting from your lower back to your feet? Does it hurt when you are doing daily activities like walking or running? Have you been experiencing muscle stiffness in your lower back or your neck? You might be suffering from a disc herniation from wear and tear from your spine. Research studies have defined that herniation on the spine happens when the spinal discs between the spinal joint columns are damaged. Natural wear and tear on the spine when the muscles have been overworked due to heavy lifting or when the outer layer of the spinal discs starts to crack under pressure, letting the inner layers protrude out of alignment of the spine and press on the nerve roots that are connected to the spine.


Additional information has provided that disc herniation is usually associated with DDD or disc degeneration disease and contributes to low back pain. When a herniated disc starts to affect the spinal column and press on the spinal nerve roots extending all over to work with the back muscles providing motor and sensory function for the body to move, it increases the inflammatory pathways to cause radiating pain to the body. Wear and tear herniation also causes the inner walls of the spinal disc to become weak due to dehydration when the outer layer is cracked. Research studies have also mentioned that the cervical and lumbar regions of the spine are susceptible to disc herniation due to spinal pathologies that affect the spine itself. Spinal pathologies can include RA (rheumatoid arthritis), fractures, osteoporosis, and infections associated with herniated discs that can cause significant issues on the back and make a person in more pain than they already are. 


How Does It Affect The Back?

Disc herniation is associated with low back pain, but other spinal issues that cause disc herniation will affect the back even more, when it is not treated. When disc herniation starts to affect the spine, it affects the back, especially the lower back. Research studies have shown the spinal disc in the spine begins to protrude out, inflammation and nerve compression begin to affect the lower back, causing lumbar radicular pain. Other research studies have shown that lumbar disc herniation causes changes in disc height in the spine while shrinking the dural sac. This causes the spinal joints to rub against each other. At the same time, the herniated disc protrudes to compress the spinal nerve roots, thus sending sudden, throbbing pain all over the back, making the individual miserable.


Spinal Decompression Therapy For Herniated Disc-Video

Have you been experiencing aches and pains along your lower back? How about throbbing pain along your sciatic nerve? Does your neck or back feel stiff after suffering from an injury? These are all signs of low back pain associated with disc herniation, and spinal decompression can help alleviate these symptoms. Spinal decompression, as shown in the video above, helps many individuals suffering from low back herniation associated with low back pain. Many decompression machines help suffering individuals with a lumbar disc herniation through gentle pulling on the spine to restore the disc space and take pressure off the surrounding nerves. Decompression helps rehydrate the spinal disc’s outer layer and allows the substances to repair the outer layers. Spinal decompression therapy has many beneficial factors as part of a person’s wellness treatment. This link will explain how spinal decompression offers impressive comfort for many people who suffer from wear and tear herniation.

How Decompression Therapy Can Help Wear & Tear Herniation


With lumbar disc herniation affecting the lower back, many treatments are available for restoring the spine from herniated discs. Research studies have provided that non-invasive spinal decompression is very effective for many miserable individuals from herniation on their spine. Spinal decompression allows the affected herniated discs to be reabsorbed back into the spine, allowing the spinal disc height to increase. This type of therapy allows the herniated disc to be taken off the compressed roots and reduces pain signals from affecting the lower half of the body. Additional research studies have found that decompression allows the negative pressure to pull the herniated discs back to the spine and is safe for individuals suffering from lumbar pain. The main goal of decompression therapy is to provide relief to suffering individuals by alleviating spinal and low back issues from their backs. 



Overall, disc herniation is caused by natural wear and tear of the spine due to overusing the back muscles in the body. When this happens, the herniated discs are compressing the nerves causing low back pain and spinal issues, causing radiating pain to travel all over the body. Treatments like spinal decompression allow the herniated discs to be pulled back into the spine gently and take the irritating pressure off the nerve roots. When people start to take care of their spine’s health through decompression, they will feel so much better in the long run.



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