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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.


Patient Guide To Bone Growth Stimulation

Patient Guide To Bone Growth Stimulation

Improving spinal bone healing in at risk patients

Bone growth stimulation (BGS) is a therapy your surgeon may prescribe following a spinal fusion procedure. A bone growth stimulator is an auxiliary device worn following cervical (neck) or lumbar (low back) spine surgery. BGS may be used to assist spinal bone fuse after a fusion procedure or as a treatment for failed fusion. Naturally, you’ve questions about this technology.

 


Spinal column with implant, screw placement and fusion

 

The info provided in this patient guide can assist you to learn:

  • Bone heals
  • Risk factors for a poor or failed fusion
  • Role of bone growth stimulation in spine fusion aftercare
  • Questions to ask your back surgeon

“Bone growth stimulation to be used in both the cervical and lumbar spine has demonstrated to substantially help fusion results. Having been a study centre for this particular technology, I’ve used bone growth stimulation in most my post-operative cervical and lumbar patient instances. The patient assessment standards I use contains:
Multi-level fusions; more than one degree of the back is fused
Co-morbidities (risk factors) that could hinder bone healing and growing”

�Gerard J. Girasole, MD
Orthopaedic Surgeon
Orthopaedic & Sports Medicine Center

About Spinal Fusion

Spinal fusion is done to stop motion of neurologic deficit and the spine. During the procedure two or more vertebral bodies are joined together using instrumentation and bone graft. Spinal instrumentation includes poles, screws, plates, and interbody devices (implants). Bone graft may comprise your own bone (autograft), donor bone (allograft), or alternative forms of graft.

Bone graft helps stimulate new bone to grow through three stages:

  1. Inflammatory period: cells start to form new tissue
  2. Repair period: small blood vessel ingrowth begins
  3. Remodeling phase: bone structure becomes powerful

 

 

Spinal instrumentation creates an internal cast, allowing the inflammatory procedure to stimulate bone healing. With time, new bone grows into and about the implanted instrumentation healing into a construct that is sound.

Some patients are at risk for spinal fusion to fail. A failed fusion is called pseudarthrosis or nonunion. Pseudarthrosis and nonunion are medical terms your surgeon may utilize to identify a fusion dilemma.

Common Spinal Issues Treated Surgically With Fusion Include:

  • Degenerative disk disease
  • Fracture
  • Herniated disc
  • Spinal stenosis

Lumbar

  • Adult degenerative scoliosis
  • Spondylolisthesis

How Does A Bone Growth Stimulator Help Spinal Fusion?

A BGS sends electric signals to the fusion site. The electrical signals activate the body’s natural bone healing process, which may be impaired in at-risk patients.

Bone Growth Stimulation Has Been Put To Use For Decades To Help Bone Heal

Over 50 years ago scientists found that low-level electrical fields arouse the entire body’s bone-healing process. Other improvements included finding several types of energy that stimulate bone development, electromagnetic coil technology and only better devices � supported by clinical and scientific research�have enhanced bone healing in patients who undergo spinal fusion.

Different Types Of Bone Growth Stimulators

All bone growth stimulators are different. Certain types are designed to be surgically implanted (internal BGS) and other stimulators are worn outside the body (external BGS). Other differences include how stimulation is transmitted to the back and the kind of magnetic field or electric current created by the apparatus.

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Different Chiropractic Treatment Modalities for Back Pain

Different Chiropractic Treatment Modalities for Back Pain

Chiropractic care focuses on the diagnosis, treatment and prevention of a variety of injuries and conditions associated with the musculoskeletal and nervous system. Specializing on the spine and its surrounding structures, chiropractic treatment commonly utilizes spinal adjustments and manual manipulations to restore the proper function of the body, however, many chiropractors use other therapies to treat patients.

The following are other common therapeutic treatment methods that chiropractors can additionally offer along with a brief description of each.

Rehabilitation Stretches

After an individual has experienced an injury or aggravated a previous condition, rehabilitation stretches can be essential to prevent the formation of scar tissue. Even after the damage has healed, maintaining a regular program of stretches recommended by a healthcare professional or chiropractor can help maintain and improve flexibility and mobility as well as help protect the tissues from suffering further injury. Your chiropractor will instruct you on the best stretching techniques for you depending on your specific injury or condition and they will supervise you throughout the process.

Rehabilitation Exercises

Together with the recommended set of stretches, a healthcare specialist or chiropractor can follow up by recommending specific exercises to strengthen the structures surrounding the spine of patients with neck and back complications. Strengthening exercises can help eliminate symptoms of pain as well as help prevent the degeneration of the muscles, promotes joint health and can increase strength, stability and range of motion to protect the body from suffering further injuries or aggravating conditions.

Your chiropractor will demonstrate how to do the exercises and supervise you until you are comfortable doing them on your own. It’s fundamental to keep up with your exercises as recommended by your healthcare provides. Research studies have demonstrated that individuals who follow their specific exercise instructions carefully heal faster than those who do not.

Traction

Many chiropractors utilize traction devices to apply traction to different areas of the body in order to distract different regions of the spine. This treatment helps separate the vertebrae, decompressing the discs to reduce and eliminate nerve root pressure.

Soft-Tissue Manual Therapy

Many chiropractors will utilize a variety of hands-on soft tissue therapies to help improve the function of the soft tissues, including muscles, ligaments, tendons and joint capsules. Soft-tissue manual therapies such as the pin and stretch, best known as the active release technique, or ART, and instrument-assisted soft tissue mobilization, best known as the Graston technique, are some of the most common soft-tissue manual therapies used.

Muscular Stimulation

Muscle stimulation is performed by transmitting light electrical pulses to specific areas of the body through electrodes placed against the skin. There’s a variety of electrical stimulation therapies available. Several types can be more beneficial towards eliminating pain, reducing inflammation and for treating muscle spasms while others may actually cause muscles to contract in order to reduce muscle atrophy. Some forms of electrical muscular stimulation can have a combination of benefits and effects.

TENS

A transcutaneous electric nerve stimulation or TENS unit is a small, battery-powered, portable muscle stimulation machine which can be utilized at home to help control pain. Variable intensities of electric current can be utilized by healthcare professionals to control the symptoms of pain. This treatment is recommended to help patients get through periods of severe or acute pain caused by their specific type of injury or condition. TENS units are generally not recommended for chronic pain, however. As a matter of fact, a 2009 report from the American Academy of Neurology determined that transcutaneous electric nerve stimulation units may not be effective for treating chronic low back pain.

Ultrasound

Therapeutic ultrasound is a form of deep heat therapy created by sound waves. When applied to soft tissues and joints, the sound waves function as a form of micro-massage which helps decrease pain, reduce swelling, stiffness and spasms as well as increase blood flow.

Ice and Heat Therapy

The application of ice and heat have been used for many years to treat many painful injuries and conditions. Ice therapy is often recommended to reduce swelling and help control pain immediately after an injury. Heat therapy is often recommended to relax the muscles, increase circulation, and can provide relief to patients with chronic pain. According to the patient’s condition, a combination of ice and heat can be used.

Nutritional Counseling

Research studies have concluded that following an improper diet and nutrition can provide imbalances in the body which may contribute to a variety of serious illnesses, such as heart disease, stroke, diabetes, and even cancer. Many chiropractors are especially trained in diet and nutritional counseling. Your chiropractor can design a nutritional program depending on your needs in order to help you maintain overall health and wellness as well as to minimize the risk of developing these serious health conditions.

Lifestyle Modification Counseling

Good health is much more than the absence of pain or disease. The lifestyle choices you make on a daily basis can greatly affect your entire well-being. Over time, a lifestyle of unhealthy lifestyle choices can ultimately lead to a wide array of health complications. Examples of lifestyle choices and behaviors that can have negative effects on your health include:

  • lack of regular exercise
  • smoking
  • poor diet
  • excessive mental stress
  • over-reliance on medication
  • excessive consumption of alcohol
  • poor posture
  • improper lifting

A healthcare specialist or chiropractor will discuss a patient’s lifestyle choices and habits in order to help them identify which of them could be considered an unhealthy health habit. These can then be altered and modified using practical strategies.

Chiropractic care focuses on using much more than spinal adjustments and manual manipulations to ensure the patient achieves their health goals. Doctors of chiropractic use a variety of treatment modalities to help the body naturally heal itself and return the patient to healthier life.

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900

By Dr. Alex Jimenez

Additional Topics: What is Chiropractic?

Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.

 

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The McKenzie System

The McKenzie System

The McKenzie system is a way of evaluating and treating spinal disorders. It’s practiced commonly throughout the entire world. Physical therapists contain the bulk of McKenzie practitioners but physicians and chiropractors practice the process additionally.

Numerous exercise regimens have been recommended for treating spinal pain. Although the dependability of McKenzie’s classification and evaluation system was challenged in the literature, this method of spinal rehabilitation has provided considerable relief of pain for patients that were innumerable. Like all spinal exercise plans, the precise prescription of exercise should be customized to the individual ‘s physical examination findings.

Training

Training includes a sequence of four courses over a specific amount of time culminating in a certification assessment. For many who pursue additional training, a diploma program (consisting of a 3 month residency) is offered. The McKenzie Institute is a not-for-profit organization that oversees the education and training of clinicians that are interested.

Spinal TechniqueIn the McKenzie system, clinicians perform a thorough history and evaluation. This consists of finding the patient’s response to duplicated, end-range spinal movements. The patient is then given a “mechanical analysis.” Most patients are diagnosed with derangement, dysfunction or postural syndromes. Patients are treated by a composite of postural alterations, specific exercises, and in a few instances, spinal mobilization or manipulation.

Common Analysis

The most common diagnosis is the derangement syndrome. It is believed to result from an alteration in the structure and mechanics of the intervertebral disc. In the derangement syndrome, positions and exercises that “centralize” the pain (move it closer to the back) are highlighted. Those movements and positions that peripheralize the pain (move it away from the back) are averted.

Patients Take An Active Role In Recovery

The patient must take an active part in their own healing. The process was created to accomplish favorable results in as few treatments as possible. It is hoped that continuance of appropriate positions of maintenance as well as exercises will prevent recurrence. Patients will probably have the capacity to treat themselves, without intervention, if pain does recur.

The process was examined extensively and is supported by research. For more information, get in touch with a certified professional. Patients are counseled to seek treatment from a certified or a diplomaed clinician although McKenzie techniques are used by many professionals. Credentialed practicioners will have the initials Cert. MDT, or Dip.

 

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Massage Therapy Center

Massage Therapy Center

Massage is a popular therapy used to relieve fluid retention, spasms, inflammation, muscle tension, pains and stiffness. Other benefits include improved circulation (blood and lymph), general flexibility, range of movement, and increased tissue elasticity (eg, scar tissue).

Another kind of massage contains full-body massage, which often leaves the patient feeling relaxed and free of anxiety.

How Can Massage Function to Relax Muscles?

As the therapist uses their hands or specialized tools to rhythmically knead, wipe, and stroke (effluerage) muscles, circulation is stimulated. Blood flow is essential to helping muscles eliminate waste products, such as lactic acid, that may accumulate in muscles from spasms and delivers oxygen and nutrients.

Following trauma, muscles may act as mini-splints like a cast on a broken arm to safeguard and limit motion. An average example is somebody who uses a computer for a prolonged time period without taking a break to stretch the neck. The result: a stiff, aching neck and occasionally pain. Taking regular breaks to rub (mini-massage) and stretch the neck will boost circulation to the muscles.

 

What’s Swedish Massage?

This really is one of the most famous types of massage in America. Often, a lotion or oil is used to lessen skin friction. The therapist combines light stroking in one way with deep pressure in another to loosen muscles. The treatment expedites blood flow to flush uric acid, lactic acid, and other waste products from the muscles. Ligaments and tendons are stretched, increasing their suppleness. Nerves are excited and relaxed, and anxiety is relieved. The general goal is to loosen muscles.

What Is Deep Tissue Massage?

Long-term muscle tension is targeted by this technique. The therapist’s strokes are slower, using more direct pressure and friction. Determined by the texture of the deeper layers of tissue and muscle felt, the therapist occasionally adjusts intensity, strokes, and their hand positions to work the tissues to release tension.

What Is Myofascial Release?

Myofascial release, or soft tissue mobilization, is a therapy used to release tension in the fascia. Fascia are sheets of fibrous tissue that encase and support muscles. Following injury, the fascia and muscles may shorten limiting the flow of blood. The techniques used in myofascial release loosen muscle tension and break up fascial adhesions.

What’s Trigger Point and Myotherapy?

The treatment goals include alleviating muscle spasms, enhancing circulation, and releasing trigger points.

The therapist extends the muscle using a technique called Stretch and Spray as trigger points are released. This technique incorporates a superficial cooling agent such as Fluori-Methane, a local anesthetic that depresses nerve reaction. The anesthetic is sprayed over muscles as they may be softly stretched, soothing tight muscles.

Are There Other Kinds of Massage?

There are many kinds of massage; only a few are mentioned here. Shiatsu is an old oriental treatment predicated on acupressure, as is Jin Shin Jyutsu. Reiki is a Japanese type of massage that attempts to correct the entire body’s energy.�Rolfing can be uncomfortable; the goal is to adjust the muscle fascia to its fullest extension.

A Word of Caution

Speak to your doctor, before getting a massage for back pain or neck pain. She or he may have the ability to refer you to a licensed or certified massage therapist.

 

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Sciatica: Common Factors Behind Sciatic Nerve Pain

Sciatica: Common Factors Behind Sciatic Nerve Pain

Sciatica is medically defined as a series of symptoms, particularly pain, which often extend along the sciatic nerve. The symptoms generally begin in the lower back, radiating down the buttocks and legs, through the back of the thighs and into the calf and foot.

The characteristic symptom of pain associated with sciatica can manifest abruptly or may develop gradually over time. Individuals diagnosed with sciatica describe the pain as a sharp, shooting or electric shock-like in nature. Movement of the lower extremities can aggravate the pain and it may be evenly distributed along the leg, although there can be specific spots where the pain may be more intense. Other symptoms reported by sciatica sufferers include tingling sensations and numbness in the distribution of the sciatic nerve.

Sciatica is commonly caused after an injury or condition results in the irritation and inflammation of the structures surrounding the lumbar region of the spine, which may in turn lead to the compression or impingement of the sciatic nerve and/or the surrounding nerve roots. The added pressure can be due to a variety of common injuries and conditions, including: ruptured intervertebral discs, spinal stenosis or the narrowing of the spinal canal.

Anatomy of the Sciatic Nerve

The sciatic nerve is the longest and widest nerve in the body, measuring approximately three-quarters of an inch in diameter. It originates in the sacral plexus; a network of nerves found in the lower back, along the lumbosacral region of the spine. The lumbosacral spine refers to the area where the lumbar spine and the sacrum come together. The sciatic nerve and it’s nerve root branches’ primary function is to allow movement and provide feeling in the thigh, knee, calf, ankle, foot and toes.

The sciatic nerve itself can be found running through the low back or the lumbar region of the spine. The nerve roots in this area are found along the L4 and L5 vertebrae. The sciatic nerve also travels through the pelvic region or sacrum.

In most individuals, the sciatic nerve runs under the piriformis muscle, the important muscle which is in charge of moving the thighs from side to side. The sciatic nerve then descends from the piriformis muscle, through the buttocks and the back of the thighs. By the area behind the knee, the sciatic nerve branches out into smaller nerve roots which continue traveling down and into the feet.

The sciatic nerve is part of the body’s nervous system, a complex network of nerves responsible for transmitting signals of sensation along with sensations of pain to other areas of the body. With sciatica, an injury or condition, such as a herniated disc, which causes irritation and inflammation along the tissues and other structures surrounding the sciatic nerve, can compress and apply unnecessary pressure to the nerve roots, radiating pain down the legs.

The sciatic nerve exits the sacrum in the pelvic area through a nerve passageway known as the sciatic foramen. At the upper part of the sciatic nerve, two branches form: the articular branches; and the muscular branches. The articular branch goes to the hip joint while the muscular branch serves the leg flexor muscles to enable movement. Other complex nerve structures are also involved: the peroneal nerves; and the tibial nerves. The peroneal nerves originate from the nerve roots along the L4 and L5 vertebrae of the spine and in the S1 and S2 vertebrae of the sacrum. After the peroneal nerves exit the pelvis, they travel down the front and side of the leg into the outer side of the knee and foot. The tibial nerves originate from the nerve roots at the L4 and L5 as well as the S1 through S3 vertebrae of the spine. The tibial nerves travel in front of the knee and down into the foot. When the sciatic nerve becomes compressed or impinged, it can cause painful symptoms along these pathways, characteristic of sciatica.

Should Sciatica be Treated with Surgery?

Most patients diagnosed with symptoms of sciatica can experience relief from non-surgical treatments, such as chiropractic care, and surgical interventions are generally not required to treat it. However, when the compression or impingement of the sciatic nerve manifests more serious symptoms, it may be necessary to receive further advice from a healthcare professional on the best form of treatment you should follow.

Severe symptoms such as: bowel or bladder dysfunction; advanced stages of spinal stenosis; neurological dysfunction including severe leg weakness; and intense symptoms where non-surgical treatments are no long effective; could indicate the need for surgery to treat sciatica.

The two common spinal surgeries for sciatica are:

  • Discectomy and microdiscectomy. With both of these procedures, the surgeon removes all or part of a herniated disc which may have been applying pressure against the sciatic nerve, causing your symptoms. The difference between the procedures is that a microdiscectomy is a minimally invasive surgery. The surgeon uses microscopic magnification to work through a very small incision using very small instruments. Because the surgery is minimally invasive, many patients recover quicker from this type of surgical procedure.
  • Laminectomy or laminotomy: These procedures both involve a part of the spine called the lamina, or the bony plate which functions to protect the spinal canal and spinal cord. A laminectomy involves the removal of the entire lamina; a laminotomy involves the removal of only a part of the lamina. These procedures can create more space for the nerves, reducing the risk of the nerves being compressed or impinged.

Over-the-counter medication, such as non-steroidal anti-inflammatory drugs or NSAIDs, can help reduce the irritation and inflammation of the body which may relieve the symptoms of pain. These however are only considered temporary treatments and the source of the individual’s sciatica should be addressed to promote overall health and wellness. Be sure to consult your healthcare provider on the best treatment option for your sciatica.

For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900

By Dr. Alex Jimenez

Additional Topics: What is Chiropractic?

Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.

 

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Depression Linked To Back Pain

Depression Linked To Back Pain

Living with chronic back or neck pain can lead to depression, feelings of worry, nervousness, hopelessness, as well as other mental health-associated symptoms. Your pain medicine physician or your back specialist may refer you to a psychologist or psychiatrist. Referring you doesn�t mean your physician believes your pain is all in your mind! Rather, he/she is taking an optimistic step in treating you as a whole individual � by treating both the physical and psychological pain.

Chronic Neck &�Back�Pain Is Complicated

As someone living with chronic pain caused spondylosis, degenerative disc disease, spinal cord injury or some other back problem, you understand pain is a complicated issue, and treatment requires the expertise of a spine�specialist. Perhaps your pain management plan features a blend of treatments � medication for neuropathic pain, a periodic epidural spinal shot, a muscle relaxant, or physical therapy. Treatment of stress, nervousness, and depression (there are various types) needs the same level of expertise but from somebody who focuses on managing mental health problems.

Depression & Chronic Pain

Are you aware that depression and chronic pain often go together? Depression is a critical condition, and nothing to be embarrassed of. It has been reported that as many as 50% of individuals with chronic pain are depressed.1 So, if you are depressed, you’re far from being alone.

The signs and symptoms of depression can manifest themselves differently in each individual, but tiredness, sleep disruption, changes in eating habits, listlessness, and feelings of hopelessness are all quite common. Aches and pains are a very common symptom of depression notably, depression can lead directly to neck and long-term back pain.

Treating Depression & Pain

Two classes of antidepressants often used to treat depression in those that experience chronic pain are selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). Generally prescribed SSRIs include and fluoxetine (Prozac) and sertraline (Zoloft), whereas usually prescribed SNRIs include duloxetine (Cymbalta) and venlafaxine (Effexor). These drugs have now been demonstrated to be effective and safe for handling depression in the context of continual pain, but like all medicines, they come with some risk of unwanted effects. As always, be sure to go over these drugs in detail together with your physician before beginning any treatment regimen that includes them, and inform your physician of all of the medicines (including over the counter medicines), herbal remedies, and nutritional supplements you’re currently taking so as to avoid any negative drug interactions.

Moreover, or in addition to medications, other types of treatment may include:

  • Talk therapy, more officially called cognitive behavioral therapy (CBT). The focus of CBT is to help the individual manage their situation and may include learning how to problem solve, thus engaging the individual to alter specific thought patterns to your more positive outlook, and conquering�fears.
  • Practice relaxation techniques such as meditation or breathing exercises.
  • Routine exercise might help curb feelings of worry, stress as well as depression. Exercise causes the entire body to release endorphins, which can cause you to feel much better and may reduce pain perception too.

 

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Reference
1. Tartakovsky M. Living with chronic pain and melancholy. PsychCentral.com. psychcentral.com/lib/living-with-chronic-pain-and-depression/. Got July 30, 2015.

Improper Diet, Type 2 Diabetes and Back Pain

Improper Diet, Type 2 Diabetes and Back Pain

Back pain is one of the most common complaints reported by a majority of the population. Affecting many people temporarily or for an extended period of time at least once throughout their lifetime, back pain is generally the result of trauma from an accident, injury or due to an aggravated medical condition. But, can an improper diet based on refined sugar and processed fat cause back pain?

Researchers from Rensselaer Polytechnic Institute and the Icahn School of Medicine believe that consuming an excess amount of these foods can cause inflammation in the body which may gradually degenerate the intervertebral discs, cartilaginous joints found between each vertebrae that act as shock absorbers and ligaments for all the movements of the spine. The degeneration of these structures may lead to back pain and other spinal complications.

Furthermore, an improper nutrition is also associated with the development of type 2 diabetes, another factor which may cause changes to the spine that could also lead to back pain and other painful symptoms.

�We hope to identify reasons why diabetes and poor diet can result in age-accelerated spinal pathologies,� declared co-investigator Deepak Vashishth, PhD, Professor of Biomedical Engineering and Director of the Center for Biotechnology & Interdisciplinary Studies at Rensselaer Polytechnic Institute in Troy, NY. �If we identify specific molecules necessary in this process, we can use this information to develop future treatments to slow or prevent these degeneration processes.�

Poor Nutrition Damages Essential Molecules

The researchers developed the research study because there are several safe, effective and minimally invasive treatments available to help improve the symptoms of back pain. The purpose of the evaluation was to determine what exactly happens in the body, as a result of an improper diet, to cause the degeneration of the intervertebral discs and eventually back pain. The study was also designed to provide them with additional information on how they could prevent or avoid this process from occurring in the first place.

Investigator James Iatridis, PhD, Professor and Vice Chair for Research in the Department of Orthopaedics at the Icahn School of Medicine at Mount Sinai in New York City explained, “Basic science studies on mice suggest a possible connection between diets high in advanced glycation end products, or AGEs, type 2 diabetes and spinal degeneration but this association has never before been proven.”

Advanced glycation end products, or AGEs, are proteins or lipids which become damaged as a result of being coated in excess sugars. Evidence suggests that a diet high in processed foods, such as fried foods, plays a huge role in the development of AGEs. In addition, research has demonstrated that the formation of advanced glycation end products over a period of time can cause tissues and other structures of the body to deteriorate, increasing inflammation which could lead to the degeneration of the intervertebral discs in the spine as well as contribute to the development of other diseases, including diabetes, atherosclerosis and Alzheimer’s disease.

Type 2 Diabetes and Back Pain

Moreover, Investigator James Iatridis, PhD, and his team began investigation the relation between type 2 diabetes and spinal degeneration. The disease is commonly referred to as an age-related condition, because it is believed to accelerate the cell aging process in many humans. “Studies have also shown that individuals with diabetes experience poorer recovery outcomes after spine surgery than those without diabetes,” he added.

In the first section of the project, researchers at Mount Sinai raised a group of mice on a diet focused on foods high in AGEs, similar to a human’s fast food diet. The research study also included both regular mice and mice genetically modified to reduce their ability to get rid of AGEs in their body. This was utilized to allow researchers to see whether the mice experienced disc degeneration or developed changes in the vertebrae of the spine to prove if advanced glycation end products play a key role in these degenerative alterations.

At Rensselaer, researchers would analyze how tissue and other structures from healthy intervertebral discs compared to that of degenerated intervertebral discs. Essentially, they were to study whether a drug that blocks the effects of a diet high in AGEs could provide protection against the degeneration of the structures of the spine in mice.

In conclusion, studying the tissue of humans can be challenging because people lead very complicated lifestyles with a variation of more than simply a diabetes status. These differences make it difficult to directly identify whether an improper diet and type 2 diabetes can actually cause back complications using only human research studies. Findings in both mice and human studies would support a link between diet, diabetes and spinal degeneration.

The study is funded by the National Institutes of Health. Findings will be published periodically over 5 years with the study concluding in 2021.

Make sure to consult a healthcare professional regarding any nutritional and/or medical concerns you may have before attempting and/or following any of the techniques listed above to avoid injury and/or complications.

For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900

By Dr. Alex Jimenez

Whole Body Wellness

Overall health and wellness can be achieved by following a proper nutrition and engaging in regular exercise and/or physical activities. While these are some of the most common ways to ensure whole body health and wellness, visiting a qualified and experienced healthcare professional can also grant your body additional benefits. Chiropractic care, for instance, is a safe and effective alternative treatment option utilized by people to maintain well-being.

 

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