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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.


Self Cracking and Self-Popping The Spine

Self Cracking and Self-Popping The Spine

Self-cracking and popping the spine can feel good but should it be done without professional/chiropractic assistance? We’ve all done it getting up from bed or the couch, lean back, and wait for the sound of the spine cracking/popping. Some even have a friend help pop the spine to get that satisfying feeling. There are proper stretching techniques to follow, but cracking the spine without professional help is not recommended as it could lead to problems or worsen any underlying spinal issues.  

11860 Vista Del Sol, Ste. 128 Self Cracking and Self-Popping The Spine

Sounds

Self cracking, popping the spine refers to the sounds the neck or back make with certain movements. The joints in the spine contain fluid and gas. When the body moves, stretches can create cracking popping sounds as different pressures are exerted. The sound is known as joint cavitation, is the normal exchange of gases like oxygen, nitrogen, and carbon dioxide around the joints.  

Spaces form in the synovial fluid that surrounds the joints. These spaces make an audible sound when the pressure changes/cavitation causing the gases to be released. The gases are naturally present in the body. A doctor of chiropractic mobilizes the joints very carefully through adjustments using their hands or specific instruments to increase the spine’s range of motion and stability. When adjustments and manipulations are not performed by a professional, problems can happen, that can include:

  • Loss of strength
  • Soft tissue swelling
  • Muscle spasms

When it’s done properly and safely injuries are prevented and any issues like swelling and tightness around the neck and spine are also avoided.

 

Self-cracking performed incorrectly can lead to excessive force bringing the joints to excessive ranges of motion that can potentially cause injury. Individuals need to be careful even when self-cracking as the spine can make sounds for other reasons.

  • Age-related arthritis can generate a crunching type of sound when moving known as crepitus
  • A ligament or tendon can rub over a bone or bone spur, creating different sounds
  • These sounds are usually not problematic, but when they are consistent with certain movements they could cause inflammation and/or pain.
11860 Vista Del Sol, Ste. 128 Self Cracking and Self-Popping The Spine

Chiropractic Professional Adjustments

The primary reasons most individuals seek chiropractic help are for problems, like pain, tightness, and weakness. Individuals can voluntarily see a chiropractor or they could be referred to one by a different doctor. Doctors routinely work with chiropractors to help patients recover from musculoskeletal injuries and conditions. A chiropractor performs manipulations in a safe, controlled manner. They are familiar with the sounds that the joints make and know they are safe. They usually have a multidisciplinary team that is involved in the management of various musculoskeletal conditions.  

Why chiropractic care is so helpful?

All doctors of chiropractic are trained to diagnose and treat neuro-musculoskeletal conditions. During the diagnosis, the chiropractor will go through the individual’s medical history and conduct a physical exam to determine what treatment plan is best for the individual and their injury or condition. Many are now flocking to chiropractic care to avoid taking pain medications. Scientific evidence supports the health benefits of adjustments for various types of musculoskeletal pain, as well as to improve function and mobility

It is also recommended to work with a chiropractor in addition to other health professionals, like orthopedic specialists and physical therapists. They can help decrease pain, provide increased mobility and stability. If there is a constant need to self crack the back, or are having other issues with pain and tightness, talk with a doctor to see if chiropractic adjustments and manipulation will help. This will ensure that the right diagnosis is made and will help to create the optimal treatment plan to develop a stronger healthier body.


Body Composition

Increasing muscle mass is a recommended way to improve body composition and increase immune system function. Research shows senior adults with a higher skeletal muscle mass have an increased number of immune cells in the blood. This indicates that the muscles and the immune system are connected. When working out myokines or hormone-type proteins are released that strengthen the immune system to help protect and fight diseases. Regular exercise with moderate intensity increases the release of T lymphocytes/T cells improving the body’s immunity. Regular exercise also helps reduce the risk of developing chronic diseases like:

  • Type 2 diabetes
  • Obesity
  • Different types of cancer
  • Cardiovascular diseases

Improved body composition with regular exercise and a well-balanced diet helps maintain a healthy proportion of muscle and fat mass. The more developed the body’s muscle mass becomes strengthens the immune system and lowers the risk of diseases and various health conditions.  

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico  

References

“The audible release associated with joint manipulation.” Journal of Manipulative and Physiological Therapeutics. MarApril 1995. pubmed.ncbi.nlm.nih.gov/7790795/#:~:text=Data%20synthesis%3A%20The%20audible%20release,released%20into%20the%20joint%20cavity.

“The Prevalence, Patterns, and Predictors of Chiropractic Use Among US Adults: Results From the 2012 National Health Interview Survey.” Spine. Dec 2017. pubmed.ncbi.nlm.nih.gov/28459779/

“Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations With 1-Year Changes in Health and Satisfaction With Care.” Journal of Manipulative and Physiological Therapeutics. Oct 2014. www.sciencedirect.com/science/article/pii/S0161475414001444

Avoiding Back Injuries At Work

Avoiding Back Injuries At Work

High-impact labor jobs can cause back pain, as well as jobs that require sitting all day. Nowadays, everyone is at risk of developing some form of back pain at their place of work. Here are a few tips for avoiding back injuries at work. It does not matter what an individual does for a living, or how it is done. Sitting, standing, lifting, bending, twisting, reaching, pulling, and pushing, all can have a negative impact on the spine’s health and the muscles in the back.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work
 
According to the Occupational Safety and Health Administration or OSHA, work-related musculoskeletal disorders are a common reason for missing work or restricting work time. Back pain and injury prevention/avoiding is the goal along with seeking the proper treatment as soon as possible.  

The Risk for Back Pain

Work-related musculoskeletal disorders that affect the spine are a worldwide problem. The World Health Organization has stated in the United States that there is an estimated 149 million workdays lost every year because of back pain, with total costs estimated to be around 100-200 billion a year. And the World Health Organization identified low back pain as the leading cause of disability in the world. The National Institute for Occupations Safety and Health, which is a division of the CDC, listed five primary risk conditions for work-related musculoskeletal disorders:
  • Regularly lifting of objects
  • Regular exposure to whole-body vibration like using a jackhammer or driving a forklift
  • Regular reaching overhead work
  • Working with the spine in a chronic flexion position
  • Repetitive work/tasks
 

Office Back Pain

Individuals that stare at screens most of the day means their spines are at risk for cervical spinal flexion. This can lead to neck, shoulder, and upper back pain. And sitting for long bouts of time with poor posture adds tremendous pressure and weight on the low back. When the body is seated for a long time, the body is not utilizing its core abdominal muscles and back muscles that keep the body and foundation strong and flexible. The more these muscles are under-utilized the more the body begins to fall into the vicious cycle of slouching, slumping, poor posture, and increased stress on the back muscles.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work
 

Avoiding Back Injury

With advancements in medicine, there are solutions for relieving pain and getting an individual back to regular work activity. Basic ways for avoiding injuries and keeping the spine healthy.
  • Lifting with the legs and not the back
  • Maintaining healthy weight
  • Healthy diet
  • Stretching before physical activity and also during work will keep the muscles active and optimal circulation
  • Overall physical fitness like taking a walk
  • Knowing when to rest giving the body a break
  • Focus on recovery during off-hours

Working with Spine Specialists

If the pain is constant or there is a high possibility of an injury, see a medical professional. The correct diagnosis leads to the right treatment, which can include:
  • Rest
  • Physical therapy
  • Chiropractic
  • Pain management
  • Medication
  • Injections
  • Surgery
 
There is no one-size-fits-all approach. Every individual will have a personalized treatment plan. A multi-approach is recommended, and the most therapeutic for long-term benefits. One treatment option to be very cautious about is opioids. A review in BMJ suggests opioids do not help individuals get back to work faster, and pain control is only short-term. Back pain inflammation is better addressed through anti-inflammatory medication, physical therapy, and exercise. If pain or a back problem currently exists, see a doctor, chiropractor, or spine specialist and find out about treatment options and avoiding back problems.

Body Composition


 

How Aging Affects the Body

The body’s muscles are constantly being broken down and repaired. When the muscles are used, microscopic tears happen from the regular wear and tear. This means rebuilding those tears with protein. However, as the body gets older, it stops rebuilding the muscles as efficiently. With time, there is a reduction in overall muscle mass and strength. That loss can come from a combination of factors including:
  • Hormone changes – for example, testosterone gradually decreases
  • Physical inactivity
  • Comorbid conditions like cardiovascular disease, diabetes, and cancer
But this reduction in muscle mass doesn�t just happen to the elderly. Research has shown that strength and development in an individual’s 20s peaks and begins to plateau in their 30s. For many, decreased strength translates to being less active, and routine activities become more difficult to execute. Inactivity means fewer calories burned, muscle development decrease, and negative changes to body composition including muscle loss, and percent body fat increase.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
�Work-Related Musculoskeletal Disorders & Ergonomics.� Centers for Disease Control and Prevention, Atlanta, GA.�www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html OSHA Technical Manual,�Section VII, Chapter 1: Back Disorders and Injuries. Occupational Safety and Health Administration, Washington, DC.�www.osha.gov/dts/osta/otm/otm_vii/otm_vii_1.html#3 �Cervical spine joint loading with neck flexion.��Ergonomics. January 2020.�pubmed.ncbi.nlm.nih.gov/31594480/ �Back to Health.��Safety & Health.�The National Safety Council, Itasca, IL.�www.safetyandhealthmagazine.com/articles/18897-back-to-health
Gentle Chiropractic Therapy After Spine Surgery Or Spinal Fusion

Gentle Chiropractic Therapy After Spine Surgery Or Spinal Fusion

Individuals that have undergone spine surgery or spinal fusion for extreme low back pain caused by degeneration, herniated disks, sciatica, and other injuries could benefit from gentle chiropractic therapy post-surgery. Spinal fusion surgery is one of the last options after non-invasive treatment/s aren’t providing relief like:
  • Massage
  • Physical therapy
  • Chiropractic
  • Medications
However, many patients still experience pain/discomfort after the surgery and wonder which rehabilitation treatment options are available to them. Is chiropractic care still an option after major spinal surgery? Doctors will warn patients about the risks of receiving chiropractic treatment after surgery. This is true with high-velocity low-amplitude spinal adjustments/manipulation.  
11860 Vista Del Sol, Ste. 128 Gentle Chiropractic Therapy After Spine Surgery Or Spinal Fusion
 
But incorporating gentle chiropractic therapy could benefit individuals still experiencing back pain after surgery. However, an individual needs to be adequately healed prior to beginning treatment. At Injury Medical Chiropractic and Functional Wellness Clinic, we regularly consult with patients post-surgery about the effectiveness of spinal rehabilitation therapy.  

After the surgery wait time

Spinal fusion surgery removes the discs between two or more vertebrae and fuses the bones together with screws and plates. The objective is to correct conditions like herniated discs and degenerative disc disease by immobilizing the spine in that area. It can take three months for the vertebrae to fuse together and create a complete immobilized graft. Once the graft is complete, physical therapy is brought in to strengthen the muscles around the graft. Patients are told to avoid any twisting and bending motions, or the graft could break.  
 

How gentle chiropractic therapy can help

Spinal fusion surgery is not guaranteed to cure the problem causing an individual’s back pain. Gentle chiropractic therapy can help by therapeutically massaging the area/s keeping the muscles loose and flexible. Gentle manipulations are utilized to adjust or realign bones in the spine and other areas of the body. Because chiropractic treatment can involve intricate spinal manipulations, many individuals that have undergone back surgery can be hesitant to consider chiropractic treatment.  
11860 Vista Del Sol, Ste. 128 Gentle Chiropractic Therapy After Spine Surgery Or Spinal Fusion
 
Discuss the possibility of receiving chiropractic therapy with a physician to determine whether the surgical graft is strong enough to withstand gentle spinal manipulations. A patient post-surgery is at greater risk of injury if they are not healed correctly before receiving chiropractic treatment. If the graft is adequately healed and a physician feels that the body is strong enough to endure mild spinal manipulations, reach out to a chiropractor to discuss treatment options.

Body Composition Clinic


 

Benefits of a cheat day

Cheat days can be a highly useful tool to help motivate sticking to a diet plan. Cheat days can help build a positive relationship with food. The goal is to see one’s favorite dessert/comfort food as a reward and not a coping mechanism. However, cheat days not a license to binge eat. Binge eating can lead to eating-related issues and hurt an individual’s ability to self-regulate. Binge eating does not boost the body’s metabolism, but it can have the opposite effect. After a binge, the body’s system is overloaded with a rush of calories, sugar, and fat. In addition to causing hormone and energy levels to fluctuate, the excess of calories promotes:
  • Fat storage
  • Inflammation
  • Digestive discomfort
  • Bloating
  • Constipation

Cheat day frequency

Ultimately, cheat days depend on how well an individual self-regulates and what their short and long-term goals are. However, it can become very easy for a cheat day to become a cheat weekend, to a cheat week, and so on. Next thing an individual is back to old unhealthy eating habits. The objective is to understand what helps maintain motivation and develop a sustainable, long-term plan.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Perrucci, Rachel M, and Christopher M Coulis. �Chiropractic management of post-spinal cord stimulator spine pain: a case report.� Chiropractic & manual therapies�vol. 25 5. 6 Feb. 2017, doi:10.1186/s12998-017-0136-0 Fernandez, Matthew et al. �Surgery or physical activity in the management of sciatica: a systematic review and meta-analysis.� The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society�vol. 25,11 (2016): 3495-3512. doi:10.1007/s00586-015-4148-y O’Shaughnessy, Julie et al. �Chiropractic management of patients post-disc arthroplasty: eight case reports.��Chiropractic & osteopathy�vol. 18 7. 21 Apr. 2010, doi:10.1186/1746-1340-18-7
Spinal Decompression Surgery: Laminotomy and Laminectomy

Spinal Decompression Surgery: Laminotomy and Laminectomy

Spinal decompression surgery could be a treatment option discussion with a doctor to relieve nerve pain brought on by a spinal condition or disorder. Everything to know about the procedures straight from the experts.  
11860 Vista Del Sol, Ste. 128 Spinal Decompression Surgery: Laminotomy and Laminectomy
 

Spinal Decompression Surgery Types: Laminectomy or Laminotomy

Both procedures involve the vertebrae�s lamina, which is an arch of bone that protects the spinal canal.
  • In a laminectomy, the lamina is removed almost entirely.
  • In a laminotomy, it is a partial removal.
Despite the removal, the large muscles of the back provide sustained protection for the nerves below. Therefore, the spinal nerves are still safe and secure following the procedures. Which one is right depends on the situation.  
 
  • A laminectomy is usually performed to treat an arthritic condition of the spinal canal like spinal stenosis.
  • Laminotomy is used almost exclusively to remove a herniated disc.
  • A laminectomy removes more bone and sometimes the inner edge of the facet joint.
  • Ultimately, a surgeon will determine which of the two procedures is best for the individual’s needs and condition.

Decompression Surgery

Spinal stenosis or the narrowing of the spinal canal is usually caused by arthritis and overgrowth of the discs and joints. Similar compression issues respond well to non-surgical treatment. But sometimes surgery is necessary to treat uncommon but potentially severe cases. These include patients with:
  • Bowel or bladder problems caused by the pressure on the spinal nerves
  • Leg weakness that gets worse
  • Inability to walk or move for long periods and distance
The objective of spinal decompression surgery is to create space around the spinal cord and surrounding nerves by removing the compressing structure/s. When the cord and/or nerve/s are compressed, physical and neurological symptoms are experienced down the nerve�s pathway. This includes:
  • Tingling
  • Numbness
  • Electric shock sensations
  • Radiating/spreading pain
  • Weakness
Once the compressed nerves have space to relax and move around symptoms subside.  
11860 Vista Del Sol, Ste. 128 Spinal Decompression Surgery: Laminotomy and Laminectomy
 

Laminectomy process

  • Lumbar laminectomy is the most common procedure to treat spinal stenosis in the low back.
  • It also helps treat herniated discs by allowing the surgeon to easily access the discs to repair any damage.
  • The surgeon removes the lamina and ligaments that have thickened and are causing problems to create more space in the canal.
  • The surgery enlarges the spinal canal so that pressure is relieved.
  • By removing the source of the pressure, the pain caused by the compressed nerves is alleviated.
  • An open laminectomy creates an incision of a couple of inches and exposes the spine.
  • The muscles of the spine and back are cut through to expose the bone.
  • Another technique that surgeons utilize is operating through a tube.
  • They’ve adapted these techniques to be able to decompress both the right and the left sides although they are only operating on one side.
  • Both procedures, minimal and traditional accomplish the same goals.
  • The difference is the minimally invasive approach involves one or more tiny incisions also known as skin punctures and small instruments designed to separate muscles and soft tissues instead of cutting through them.
  • The traditional approach requires a larger incision and instruments that retract, separate and cut tissues.
 

Laminectomy surgery

  • Laminectomies are performed under general anesthesia using a posterior approach/lying face down during the procedure.
  • It can be open or minimally invasive sometimes called a microlaminectomy.
  • In an open laminectomy, the surgeon makes an incision near the affected spinal area.
  • Once the incision is made, a retractor will move the skin, fat, and muscles to the side so the surgeon can access the spine.
  • Next, they remove or trim the lamina and thickened ligaments to enlarge the space surrounding the compressed nerves.
  • Once done, the retractor is removed and the incision is closed with sutures.
  • Minimally invasive surgery or MIS is performed using special instruments like endoscopes and tubular retractors.
  • These instruments allow for smaller incisions and less cutting.
  • They will also use special eyewear to have a detailed view of the surgical field.
  • Sometimes, the surgeon uses an endoscope or a microscope focused down the tube to perform the surgery.
  • The portion of the lamina is removed, along with any bone overgrowths/osteophytes and ligament tissue.
  • The tubular retractors are taken out so the soft tissue moves back into place, and the incision is closed with dissolving sutures.

Other spinal procedures performed alongside

Laminectomies and laminotomies are typically not performed together. However, a surgeon could perform both if the surgery affects multiple levels of the spine. They can also be combined with other spinal surgeries, that include:

Foraminotomy

  • A foraminotomy is also a decompression procedure. But instead of removing part or all the lamina, the surgeon accesses the nerves through the spine�s foramen or the passageway that nerves pass through on both sides.

Discectomy

  • This decompression surgery involves the removal of all or part of the damaged intervertebral disc and is utilized for herniated discs.

Spinal fusion

  • Fusion is often performed after spinal decompression surgery, as the space that was created by removing spinal structure/s can cause instability to the spine.

Candidates for spinal decompression surgery

Both are common procedures performed by neurosurgeons and orthopedic spine surgeons. Laminectomies are considered one of the most effective treatments for spinal stenosis and spinal canal issues like:
  • Tumors
  • Certain types of infections and abscesses
  • Spinal issues involving bowel/bladder dysfunction
  • The primary reason for laminectomy is spinal stenosis, most common in individuals over the age of 60.
Other considerations and conditions include:
  • Non-invasive treatments that don’t improve the condition that includes medication, massage, and physical therapy
  • Fusion surgery failure
  • Injection treatment failure
  • The presence of tumors in or around the spine
  • An infection like an epidural abscess
  • Neurologic issues
  • Bowel or bladder dysfunction
  • Cauda equina syndrome
Ask questions about the procedure to ensure you are comfortable with the operation. Here are some questions:
  • What are the risks associated?
  • Will the surgery relieve all symptoms?
  • Not having the surgery risks?
  • What is recovery like?
11860 Vista Del Sol, Ste. 128 Spinal Decompression Surgery: Laminotomy and Laminectomy
 

Recovery

  • Open or micro, recovery does take time. Following the doctor�s instructions carefully are essential to make a full, healthy recovery.
  • Individuals should be careful for about a month following the surgery. But does not mean laying down or being sedentary. Movement is crucial to recovery.
  • The patient should not stay in bed or lie on the sofa.
  • Wait a week or two before beginning physical therapy if necessary.
  • Most will have a weak core, poor posture, and poor body mechanics, the goal is to help develop and strengthen these areas.
Things to help with recovery include:
  • Ice/cold packs will help reduce swelling and pain.
  • Try not to sit for too long, as sitting is the least comfortable position after back surgery.
  • Body mechanic awareness means avoiding too much bending or lifting and using the right body mechanics when bending or lifting.
  • Post-operative body movement after surgery is vital and helps prevent post-surgery issues.
Things to do before surgery:

Quitting smoking

  • Especially before surgery. Quitting entirely or at least for at least six weeks before surgery will make recovery easier and healthier.

Losing weight

  • Speak with a doctor about weight. Just 5 pounds can make a significant difference during recovery.

Blood sugar

  • For individuals with diabetes, having an A1C under eight before surgery is ideal.
Every patient�s recovery is different. Recovery time depends on:
  • The complexity of the surgery
  • Personal medical history
  • Health issues
Recovery typically takes about two to four weeks after the surgery. However, it depends on the reason/s for the surgery.

Questions

Post-laminectomy syndrome

  • Post-laminectomy syndrome PLS also known as failed back surgery syndrome is a condition where an individual continues to have pain after surgery. Individuals still having symptoms after should speak with their doctor to determine the next phase of treatment.

How long before exercise?

  • Returning to the gym or getting into an exercise routine will take some time. It is important to follow the doctor�s recommendations and complete the full course of physical therapy before regular exercise activity can resume. Discuss workout plans with the doctor to determine the best timeline for the spine.

Full recovery?

  • Returning to some activity is possible around four weeks after surgery. Full recovery takes longer as each patient�s recovery is unique. Depending on the complexity of the surgery, most return to all activities within 6 to 9 months.

Body Composition Spotlight


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
American Association of Neurological Surgeons. �Minimally Invasive Spine Surgery.� (n.d.)�www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Minimally-Invasive-Spine-Surgery Foraminotomy. MedlinePlus. medlineplus.gov/ency/article/007390.htm. Reviewed November 27, 2016. Page last updated December 21, 2017. Accessed January 18, 2018. Laminectomy. medlineplus.gov/ency/article/007389.htm. MedlinePlus. Reviewed November 27, 2016. Page last updated December 21, 2017. Accessed January 18, 2018. Mayo Clinic. �Laminectomy.� (n.d.)�www.mayoclinic.org/tests-procedures/laminectomy/about/pac-20394533 Mayo Clinic. �Laminotomy.� (n.d)�www.mayoclinic.org/diseases-conditions/spinal-stenosis/multimedia/img-20149227
Best Mattress Toppers for Back Pain Chiropractic Review

Best Mattress Toppers for Back Pain Chiropractic Review

A mattress topper for back pain can help by conforming closely to the body, correctly aligning the spine, and providing relief to the pressure points. The right quality mattress topper can provide relief when sleeping and can help keep the spine in proper alignment. Chiropractor Dr. Jimenez shares some top mattress toppers for back pain including:
  • Pros
  • What to consider when buying
  • Determine if a mattress topper is the best solution
11860 Vista Del Sol, Ste. 128 Best Mattress Toppers for Back Pain Chiropractic Review
 

Layla Memory Foam

Best Temperature Neutral

The Layla Memory Foam Topper is 2-inches thick and made from memory foam infused with copper. It’s enclosed in a polyester cover and becomes denser under deep compression points, like the hips and shoulders. The Layla brand is known for coming with cooling copper-infusion technology improving airflow and blood circulation. The copper helps an individual sleep cooler than most memory foam and is available at a reasonable price. All sizes cost less than $400 and come with free shipping and returns, a 120-night trial, and a 5-year warranty.  
 

Snuggle-Pedic Memory Foam

Best Memory Foam

The Snuggle-Pedic is a two-layer structure, with softer memory foam on the outer layer and a firm channeled base layer for spinal support. It is a versatile design that makes it appropriate for back, side, and stomach sleepers. Memory foam mattress toppers can be too soft, providing no support, or too firm. This topper finds the balance. One side is soft-to-the-touch, with the other providing twice the support. This double layer system is soft but supportive. It is available in all sizes for less than $300 and comes with free shipping, returns, and customizations.  
 

Saatva Latex Mattress Topper

Best Latex

The Saatva is 1.5 inches of latex and is covered in organic cotton. The latex has ventilation to aid in breathability and the cotton cover adds to the overall temperature neutrality. For individuals that prefer all-natural materials, this latex topper is recommended. The latex used is Talalay latex and is natural and breathable. It also has ventilation spots and is hypoallergenic. For individuals that sleep hot, want a natural option, or have allergies, this could be an option. It comes with a 120-night trial period, free shipping and costs less than $350 in all sizes.  
 

Zinus Memory Foam

Best For Side Sleepers

The Zinus topper measures four inches thick. It is a simple design with 2 inches of gel memory foam that is highly durable. Under the gel foam is a 2-inch-thick layer of support foam for added durability and support. This is an affordable option. The dual-layer provides cooling comfort, durable support and is designed to fit under any deep-pocket sheets. Side sleepers with hip and shoulder pain can appreciate the top layer�s softness and benefit from the durability of the bottom layer, preventing cradling and sinking.  
11860 Vista Del Sol, Ste. 128 Best Mattress Toppers for Back Pain Chiropractic Review
 

Linenspa

Fastest Relief

The Linenspa is made with three inches of memory foam that conforms to the body’s curves while sleeping. This mattress topper is infused with temperature-regulating gel beads that evaporates any heat. It is available in two-inch, three-inch profiles and the foam is made to distribute weight evenly. With every size available for less than $105, this is a comfortable and affordable way to rejuvenate a worn mattress or soften a mattress that is too hard.  
 

What to Look For

Mattress toppers can be beneficial for providing relief for aches and pains, but the best topper for back pain requires knowledge about materials, styles, and features that will provide relief. An overview of what to look for:  

Materials

  • Memory foam and latex are ideal for pressure relief because they conform to the body�s curves without sagging. Look for high-quality materials, like American Talalay latex and open-cell foam.

Body Conformity Amount

  • The ideal amount of conformity provides pressure relief for painful areas. An ideal level depends on weight and sleeping positions. Look for details about the mattress weight, type, and sleeping style.

Sleeping Position

  • Sleeping on the back is a way to naturally align the spine, but a firm topper that does not sag is needed to provide the proper support.
  • Stomach sleepers need a topper that does not sag in the midsection, which can lead to neck pain.
  • Side sleepers need a topper that conforms to the contoured areas, like the shoulders and hips.

Price

  • Prices for mattress toppers vary. There are high-quality mattress toppers available for $150. For luxury, prices will be in the $300s and above.

Durability

  • Sagging is the main issue to avoid. Optimal spinal support is the objective. Do the research, read reviews, consult a chiropractor, and take plenty of time before investing.

Thickness

  • Toppers differ in thickness and can measure from one to seven inches thick. Thicker does not mean more comfortable and thicker toppers tend to be softer. Thinner toppers are usually firmer, which is better for back and stomach sleepers. What feels right depends on an individual’s sleeping position, weight, and size, however, most toppers fall in the two to three-inch thickness range.

Back Pain Causes

Back pain can range from a dull ache to sharp sensations and can be the result of an auto accident, work injury, or personal injury that has developed over time. A sedentary lifestyle also contributes to low back pain. The following conditions are common sources of back pain:
  • Strains
  • Sprains
  • Disc degeneration
  • Herniated discs
  • Sciatica
  • Traumatic injury
  • Radiculopathy
Lifestyle-related risk factors:
  • Aging
  • Fitness level
  • Pregnancy
  • Weight gain
  • Occupation
  • Mental health
  • Genetics
Regardless of the cause or source, a mattress topper, which is more supportive than a mattress pad, can help alleviate back pain when sleeping, leading to a minimization of symptoms and improved quality of life.  

Possible Option

Aching muscles, shooting/stabbing pain, reduced range of motion, and flexibility are detrimental to work, and home life. Whatever the case, there�s an option out there. An overview of mattress topper benefits:
  • The current mattress is old or not supportive enough, but don�t want to invest in a new mattress.
  • The current mattress is too firm, but a partner is comfortable on it. Mattress toppers are available in split sizes to soften/firm up one side.
  • A sedentary lifestyle has increased the frequency of dull low-back pain. A topper can help with back pain prevention.
  • Improve the comfort of a guest bed without spending too much. Similar to the first scenario, a mattress topper can be an upgrade for just several hundred dollars.
One of the most affordable sleep innovations today, but remember that durability, materials, and sleep factors, like weight, position, and height, should all be considered.

Composition of The Body

 
 

Sleep Stages

Sleep researchers are divided into two types of sleep: REM sleep is when dreams occur and NREM sleep which is non-REM sleep. NREM sleep is divided into stages:

Stage 1

  • Stage 1 makes up just 5-10% of a sleep cycle and is known as light sleeping. In this stage, the brain remains semi-conscious and is in between wakefulness and sleep. The brain waves start to elongate from alpha to theta waves.

Stage 2

  • Stage 2 is the bulk of the sleep cycle and makes up around 55%. In this stage, the body/brain is fully asleep and brain waves slow down even more.

Stage 3

  • Stage 3 is the deepest sleep state and is marked by elongated brain waves and slowed brain activity. It is also called short wave sleep. Slow-wave sleep makes up 15-25% of sleep but is the most important sleep state for body composition because most of the body’s restoration happens during this cycle.

REM/Rapid Eye Movement

  • This is the stage where dreams occur. It�s very distinct from the other three in that brain activity becomes more active. An individual passes through these sleep stages every 90 minutes. Getting 7-8 hours of sleep every night means going through 4-5 cycles. Going through a complete sleep cycle ensures an individual will go through Stage 3, which has a significant effect on body composition.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Bolash R, Drerup M. How to Beat Insomnia When You Have Chronic Pain. Cleveland Clinic Web site. health.clevelandclinic.org/2015/12/managing-insomnia-for-those-with-chronic-pain/. Published December 18, 2015. Accessed April 18, 2017. Improving Sleep: Special Health Report. Boston, MA: Harvard Medical School; 2015. What is Sleep? American Sleep Association Web site. www.sleepassociation.org/patients-general-public/what-is-sleep/. Accessed April 18, 2017.
Texas Supreme Court’s Decision in “Texas Board of Chiropractic Examiners et al v. Texas Medical Association” Case

Texas Supreme Court’s Decision in “Texas Board of Chiropractic Examiners et al v. Texas Medical Association” Case

After all of these years, I am happy to announce that the Texas Supreme Court has finally made a decision regarding the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. With great honor and gratitude, I’d like to continue to extend sincere thanks to everyone who worked hard on this case and whose tremendous efforts resulted in the decision. Thanks to the Supreme Court’s decision, chiropractors in Texas can now carry on their jobs accordingly. Below, I have provided a letter from Board President, Mark R. Bronson, D.C., F.I.A.N.M. on behalf of the Texas Board of Chiropractic Examiners stating the Texas Supreme Court’s decision in the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. – Dr. Alex Jimenez D.C., C.C.S.T.

 


 

February 1, 2021

 

On behalf of the Texas Board of Chiropractic Examiners, I extend our sincere thanks and appreciation to everyone whose efforts resulted in the Texas Supreme Court’s decision in Texas Board of Chiropractic Examiners et al v. Texas Medical Association on January 29, 2021. Special thanks are due to all the attorneys at the Office of the Attorney General who worked on this case over these years.

 

The decision properly affirmed the validity of the Board’s scope of practice rule, which the court clearly said does not exceed our statutory scope of chiropractic practice. The court unequivocally held that the Board�s rules do not violate Occupations Code Chapter 201 or run counter to the chapter’s objectives set by the Texas Legislature, and in fact, carefully observe the statutory boundary between the medical and chiropractic professions. This decision, which recognizes the common sense and long-standing inclusion of associated nerves in chiropractic diagnosis and treatment, preserves and strengthens the essence of chiropractic.

 

Thanks to the court’s decision, our licensees can now fulfill their duties as vital portal-of-entry healthcare providers in Texas without fear. The court’s decision reaffirms the principles of economic freedom that have made Texas the best state in the nation to be a chiropractor.

 

Sincerely,

 

Mark R. Bronson, D.C., F.I.A.N.M. Board President
Texas Board of Chiropractic Examiners

 

 


 

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

 

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas & New Mexico*

 

Chiropractic Prevention and Relief For Degenerative Disc Disease

Chiropractic Prevention and Relief For Degenerative Disc Disease

Chiropractic prevention for degenerative disc disease. In between the bones of the spine or the vertebrae are the protective shock-absorbing intervertebral discs. These protective cushions naturally begin wearing down or degenerating as the body ages. The common term for this is degenerative disc disease or DDD. It is not a disease, but the body’s natural aging process. The reason it is called degenerative disc disease is that it is a condition of the spine with deteriorating effects.  
11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease
 
One of the things seen in degenerative disc disease and aging of the spine is that the soft disc, made up of a vast amount of water, slowly begins to dry out and dehydrate. The protein/sugar that is within the disc begins to dry out and that starts a degenerative domino effect along with tearing of the outside rings of the disc.  

Causes and Risk Factors

The most common cause of disc degeneration is aging. With age comes the loss of fluids/water. This means the discs get thinner and provide less protection. The shock absorbers don�t absorb weight, impact, pressure like they used to. However, disc degeneration does not always occur later in life. Genetics can be a catalyst for development when young.  

Individual environment vs. genetics

  • Stresses
  • Strains
  • Wear
  • Tear
  • Discs dry out
  • Rings crack or tear
If involved in an occupation that requires heavy lifting, twisting, and bending, this can generate disc damage, but physical stressors do not automatically enhance disc erosion. An individual can do this type of work their entire life and not experience problems. It depends on the environment and the overall health of the individual that can be assessed through chiropractic prevention and body composition analysis.  
 

Chiropractic Prevention and Preserving The Discs

Individuals need training on proper body posture and body mechanics. A major contributing factor that increases the risk of nerve, spine/back pain due to disc damage. The back/spine should be moved like a crane. This means not bending over at the waist, but squatting down with the hips and knees when lifting an object. Not everything can be done this way, but if an individual can eliminate too much bending at the waist, it will definitely help. Do not neglect the core muscles. Core exercises will maintain the muscles around the waist, which also strengthens the rest of the body. All the muscles front, back, around the trunk, hips, and knees to the chest are all the core muscles.  
 

Healthy Weight Less Spinal Stress

Beyond physical stressors, another important factor in preventing degenerative disc disease is maintaining a proper weight. Society has adapted more and more to a sedentary lifestyle. And home quarantine means being more sedentary. Emotional factors like:
  • Boredom
  • Anxiety
  • Depression
  • Fatigue
This can cause excessive junk food consumption and rapid weight gain.  
11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease
 

Lifestyle Adjustments Health Coaching

Implementing a preventive lifestyle to prevent degenerative damage is challenging. Everyone really should try to live as healthy a lifestyle they can.

Education and training

Continual education on slowing disc degeneration is essential. This is what chiropractic prevention focuses on. Then an individual can begin implementing various tools for avoiding weight gain and learn proper posture and lifting.

Quitting smoking

Smoking accelerates the aging process by drying out the tissue, especially the spinal discs. It is known as desiccation and is why smoking is a major risk factor for degenerative disc disease.

Disc stress

Anything that stresses the discs for any amount of time can generate pain. For example, standing too long even carefully standing straight can induce discomfort and pain. Sitting can help, but caution needs to be observed. Sitting too long places more pressure on the low back than when standing. There must be a balance between sitting and standing. Experts suggest getting up and moving every 20 to 30 minutes. This is a perfect time to get up and do in-home walking exercises, physical chores, anything that gets the body up and moving around.

Stretching

Regular bending and stretching need to become a natural reflex. When the body begins to feel sore, stretch out the area.  
11860 Vista Del Sol, Ste. 128 Chiropractic Prevention and Relief For Degenerative Disc Disease
 
The good news is that everyone, even those with a genetic predisposition to greater disc loss or fusion, there are options for slowing down and minimizing disc damage. Maintaining a healthy weight, strengthening the core, and learning proper techniques for lifting for work, exercise, or sports will all help. If diagnosed with disc degeneration, talk to a doctor, physical therapist about developing a chiropractic prevention treatment plan. They�ll be able to develop a program specifically designed to help.

Bodily Composition


 

Human Immune System

The immune system is highly complex and essential in maintaining optimal health. The main function of this system is to neutralize pathogenic microorganisms like bacteria that get into the body and affect the body’s homeostasis, eliminate any harmful substances from the environment, and fight the body�s own cells that can cause illnesses like cancer. The defense system consists of innate and adaptive immune processes. The innate system includes exterior defenses like the: Any organisms that get past the first line of defense, have to face the adaptive system, which is made up of T and B cells. The adaptive immune system is a learning defense that constantly adapts and evolves to be able to identify changes in pathogens that mutate over time. Together, these systems provide a fortified resistance to any long-term survival of infectious agents in the body. Healthy lifestyle adjustments can help strengthen and boost these systems working to keep the body safe.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Mayo Clinic. (May 11, 2020.) �Packing on pounds during COVID-19 and how to turn it around.��newsnetwork.mayoclinic.org/discussion/packing-on-pounds-during-covid-19-and-how-to-turn-it-around/