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Complex Injuries

Back Clinic Complex Injuries Chiropractic Team. Complex injuries happen when people experience severe or catastrophic injuries, or whose cases are more complex due to multiple trauma, psychological effects, and pre-existing medical histories. Complex injuries can be serial injuries of the upper extremity, severe soft tissue trauma, and concomitant (naturally accompanying or associated), injuries to vessels or nerves. These injuries go beyond the common sprain and strain and require a deeper level of assessment that may not be easily apparent.

El Paso, TX’s Injury specialist, chiropractor, Dr. Alexander Jimenez discusses treatment options, as well as rehabilitation, muscle/strength training, nutrition, and getting back to normal body functions. Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, unwanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.


Quadriceps Thigh Strain: Chiropractic

Quadriceps Thigh Strain: Chiropractic

The quadriceps muscle consists of four muscles in front of the thigh that connects to the knee right below the knee cap. These muscles straighten the knee for walking, running, and jumping. They also help bend the knee for squatting. They move the leg forward when running and fire/transmit electrical impulses when the foot hits the ground to absorb shock. When jumping, the muscles provide stability coming down as well as when standing on one leg.

Quadriceps Thigh Strain: Chiropractic

Quadriceps Strain

Thigh strains are common in sports. Most players are sidelined because of this injury when compared to strains in the hamstrings or groin. Factors that can increase the risk of injury include:

  • Exhaustion
  • Muscle weakness
  • The strength of the quadriceps to the hamstrings is uneven, causing one set to get overused.
  • Consistent sprinting and/or kicking
  • Previous strain and/or injury

The quadriceps is made up of four muscles.  One is the rectus femoris, which gets injured the most. It’s the only muscle that crosses two joints – the hip joint and the knee joint.

Symptoms and Injury Grades

Individuals commonly report a pulling/stretching sensation in the front of the thigh. Common symptoms include:

  • Pain
  • Swelling
  • Bruising
  • Muscle tenderness
  • For minor quadriceps strains or tears, moderate to dull pain presents along with stiff movement.

Grades categorize the severity of the strain:

  • Grade 1 presents with mild discomfort in the thigh with no loss of strength.
  • Grade 2 presents with moderate pain, swelling, and some loss of strength.
  • Grade 3 is a complete rupture of the fibers. Individuals are in severe pain and unable to walk.
  • Grade 3 is where surgery is required.

Symptoms can vary depending on the type of injury that has been sustained and the severity. There is pain and localized swelling for both strains and contusions. If a muscle rupture has happened, there could be a bump/lump within the muscle or a gap in the muscle. If rupture of the Quadriceps Tendon has occurred, individuals often report hearing a pop when the injury happens. The swelling often makes straightening the leg difficult or impossible.

Injury causes

Thigh strains usually happen when slowing down/decelerating after a sprint. This can be because the individual takes too small or too large steps causing the muscles to overstretch, much like a rubber band that, if overstretched, tears, and if under stretched, it bunches up, which can cause spasms and tears.

Treatment

In the initial stages after a quadriceps strain, it is recommended to follow the RICE Procedure for 24 hours: This includes:

  • Rest
  • Ice
  • Compression
  • Elevate
  • The leg needs to be rested every 2-3 hours in 20-minute sessions.
  • A bandage can provide added support.
  • For slight tears and strains, it is recommended to stretch the quadriceps gently.
  • This helps prevent the muscles from experiencing shortening. This happens by the formation of scar tissue that pulls the muscle/s, making them shorter.
  • Gentle stretches allow the muscles to heal with minimal shortening. This helps prevent further and/or re-injury.

Chiropractic Physical Therapy Rehabilitation

After the acute stage of the injury, receiving regular chiropractic sports adjustments, physical therapy massage, coupled with strength training exercises will speed up recovery.

  • Physical therapy massage will remove scar tissue and keep the muscle/s loose and flexible.
  • Exercises for strengthening the muscles after injury will be recommended according to the individual’s condition/case.
  • Following correct post-injury-care, exercises, and physical therapy.
  • Healing time can be 4- 6 weeks.

Body Composition


Strength Training: The Inverted Row

This workout targets the back muscles, spine and scapular stabilizers, deep abdominals, and arms. Everyday activities that require various types of pulling motion, lifting, etc., become easier. To perform:

  • Lie flat on your back.
  • Grab a stable barbell or set of straps that are above you.
  • Pull your upper body up as high as possible while keeping the back straight.
  • Squeeze the shoulder blades together at the top.
  • Complete as many reps as possible.
  • Once enough strength and endurance have been built, try a pullup.
References

Kary, Joel M. “Diagnosis and management of quadriceps strains and contusions.” Current reviews in musculoskeletal medicine vol. 3,1-4 26-31. 30 Jul. 2010, doi:10.1007/s12178-010-9064-5

Hillermann, Bernd, et al. “A pilot study comparing the effects of spinal manipulative therapy with those of extra-spinal manipulative therapy on quadriceps muscle strength.” Journal of manipulative and physiological therapeutics vol. 29,2 (2006): 145-9. doi:10.1016/j.jmpt.2005.12.003

Wenban, Adrian B. “Influence of active release technique on quadriceps inhibition and strength: a pilot study.” Journal of manipulative and physiological therapeutics vol. 28,1 (2005): 73. doi:10.1016/j.jmpt.2004.12.015

Bursitis Types

Bursitis Types

Bursitis types: This is a condition that affects the bursae, which are the small, fluid-filled sacs that provide cushion for the:

  • Muscles
  • Tendons
  • Bones near joints

The bursae make it easier for tissues to slide over each other. The body has around one hundred and sixty bursae. However, only a few become clinically affected. These include the:

  • Wrist
  • Elbow
  • Shoulder
  • Hips
  • Knees
  • The base of the big toe and heel

The condition typically presents near joints constantly being used repetitively, like a job, sports, house/yard chores, etc. What happens is one or more of the bursae sacs become inflamed, resulting in pain.

Bursitis Types

Causes

  • Inflamed or irritated bursae typically cause it from overuse or intense/vigorous activity.
  • It can also be caused by bacterial infection.
  • Arthritis and gout can also cause bursitis.
  • Another cause is age.
  • As tendons age, they can tear easily, lose their elasticity, and can’t take too much stress.

Intense physical activities can lead to bursitis. These include:

  • Gardening
  • Typing
  • Working with a computer mouse
  • Throwing
  • Golf
  • Tennis
  • Manual tasks
  • Carpentry

These types of activities can lead to incorrect posture, overuse, and injury/damage.

Symptoms

The main symptom is pain in and around the affected area that worsens with movement. Depending on the severity of the strain and the length of time it has been going on, the pain can be intense with active and passive movements. Other symptoms include:

  • Tenderness
  • Stiffness
  • For some individuals, it can present as acute, with the intensity increasing.
  • This happens when movement aggravates the condition.

Bursitis Types

Four major types include:

  • Prepatellar
  • Trochanteric
  • Olecranon
  • Retrocalcaneal

Prepatellar Bursitis

Prepatellar is an inflammation of the sac situated between the skin and the patella/kneecap. The most common causes are trauma from a fall and direct pressure/friction from repetitive kneeling. This is one of the bursitis types that can get infected. Overproduction of liquid places pressure on the other areas of the knee, causing swelling. Most individuals report swelling and knee pain just over the front of the knee.

Trochanteric Bursitis

This bursitis type goes over the lateral area of the hip. There is a distinctive tenderness and aching pain. This type is more common for individuals with arthritis conditions and fibromyalgia. This condition is also seen after surgery, mainly osteotomies. The bursa can become inflamed in case of injury or overuse. It tends to affect middle-aged or older folks. Common causes include:

  • Muscle tears
  • Hip injuries
  • Tight hip or leg muscles
  • Disc disease of the low back
  • Leg-length inequality
  • Improper walking technique from a minor injury or strain
  • Overuse of the gluteal muscles
  • Flat feet
  • Improper footwear

Olecranon Bursitis

Olecranon is a common bursitis type. It is diagnosed by the appearance of swelling over the elbow. The swelling happens just behind the olecranon process of the ulna. The bursa can become infected. This bursitis does cause blood to rupture out, and fluid could be present. Individuals are advised to avoid leaning or resting on the elbows.

Retrocalcaneal Bursitis

This is characterized by pain in the Achilles tendon. Chronic inflammation of the bursa is brought on by friction, supination, and overpronation.  The flexibility of the calf muscles can be significantly reduced. Severe pain and swelling of the posterior soft tissue in front of the Achilles tendon are common symptoms. This bursitis type is often accompanied by mid-portion insertional tendinosis.

Risk Of Getting Bursitis

Anybody at any age can develop bursitis, but older individuals, specifically those in their forties and beyond, are more susceptible. This comes from all the wear and tear of the muscles and bones.

Risk Factors

  • Overpronation of the foot
  • Leg length deviation
  • Osteoarthritis
  • Obesity
  • Tight hamstring muscles
  • Incorrect physical training
  • Not stretching properly

Body Composition


When Inflammation Becomes Permanent

When white blood cells cause inflammation, it’s signaling that the body’s immune system works properly. The process works like this:

  • Inflammation activates
  • White blood cells attack the foreign invader
  • The invader is neutralized
  • The inflammation deactivates

This is how the body’s defense system naturally works. But, white blood cells are not the only type of cell that emit cytokines. Adipocytes or fat cells are another type of cell that can emit cytokines and cause inflammation. Scientists have learned that fat is an active endocrine organ that secretes various proteins and chemicals, including inflammatory cytokines. The body stores excess calories as fat to be used later for energy. When the body keeps adding more adipose tissue, cytokines are released by the fat cells, triggering inflammation. Obesity is characterized as a state of low-grade, chronic inflammation. Increased fat cells place the body in a constant state of stress activating immune responses. This means the body is in a constant state of inflammation with the immune system switch permanently on.

References

Aaron, Daniel L et al. “Four common types of bursitis: diagnosis and management.” The Journal of the American Academy of Orthopaedic Surgeons vol. 19,6 (2011): 359-67. doi:10.5435/00124635-201106000-00006

Coelho, Marisa et al. “Biochemistry of adipose tissue: an endocrine organ.” Archives of medical science: AMS vol. 9,2 (2013): 191-200. doi:10.5114/aoms.2013.33181

Khodaee, Morteza. “Common Superficial Bursitis.” American family physician vol. 95,4 (2017): 224-231.

Summer Heat Can Affect Joints and Movement

Summer Heat Can Affect Joints and Movement

Although it is not officially summer, the past few weeks sure feels like it. Especially for those with joint discomfort and pain. As the body ages, individuals may notice their joints have some mobility/flexibility issues in the summer heat. Again, the heat and humidity are the culprits. The hotter it is, the more the body is susceptible to inflammation and swelling. The more prone an individual’s body is to swelling, the more pain can present. Barometric pressure can also have some form of impact on joint health. The pressure changes can cause the joints to become more sensitive. When the pressure changes, individuals often speak of their joints feeling tighter combined with stiffness, leading to a cycle of swelling and pain.

Summer Heat Can Affect Joints and Movement

Joint Anatomy

Whether it’s the hip, knee, elbow, or hand, all of the body’s joints have fluid in them. It is a gel-like substance known as synovial fluid. This is what lubricates the joints and keeps them functioning smoothly. However, the temperature and humidity levels can change the thickness of the fluid in the joints. This means that the synovial fluid can become inflamed with the weather changes. This is a symptom when the joints begin to feel like they cannot move and/or are becoming stiff. Joint inflammation can become more common and chronic as the body gets older.

Weather and the joints

The summer heat and humidity can affect the joint because:

  • The tendons, ligaments, and muscles expand in this type of weather
  • The heat can restrict individuals from moving around. Non-use stiffens the joints
  • Joints that have worn down cartilage could have exposed nerves that are reacting to the temperature changes
  • Humidity causes the body to lose water by sweating. This can reduce the fluid around the joints leading to stiffness, immobility, and pain.

 

However, not everyone has joint problems in the summer heat. Many have joint issues when it’s cold, damp, or raining. Other’s are at their best in cool, dry weather. It depends on an individual’s body and how their joints react when the temperature changes.

Maintaining joint health for the summer heat

When joint discomfort or pain presents in the summer, there are a few easy ways to gain relief.

Properly Hydrate the Body

Water and sports drinks maintain the fluid levels in the body, specifically, it keeps the joints moving. One way to hydrate the body can be achieved by eating healthy fruits and vegetables. Water-rich fruits and vegetables include:

  • Watermelon
  • Oranges
  • Strawberries
  • Tomatoes
  • Cucumbers
  • Spinach
  • Celery

Over-The-Counter pain ointments and creams

Arthritis and anti-inflammatory creams/ointments can ease joint pain by allowing more blood circulation in the affected areas.

Dressing for the heat

Wear loose, natural fiber, breathable clothing that allows the body to move freely while maintaining a cool temperature.

Relax in the air conditioning

Get into the air conditioning. The cool air can help reduce joint inflammation.

Get in the Water

Swimming or just wading through doing some light exercise in the water cools the body’s core. In addition, the buoyancy of the water relieves pressure on the joints.


Body Composition Testing


Body Water

The body is made up of as much as 2/3’s water. Even though much of the body is made up of water, the percentage of body composition changes based on functional needs. Essential functions of water include:

  • Water is the building block to almost every cell in the body
  • It regulates the body’s temperature through sweating and respiration
  • Carbohydrates and proteins for energy are transported via the water in the blood
  • Water assists in the removal of metabolic waste through urination
  • It is part of the shock-absorbing system that protects the brain and spinal cord
  • Water is part of the saliva and fluid that lubricates the joints

The amount of water in the body depends on various factors. This includes:

  • Age
  • Gender
  • Physical activity
  • It is referred to as Total Body Water or TBW.

TBW is constantly changing with gains and losses of fluid in healthy adults. The body can detect irregularities and compensate for losses and/or gains to make sure that the systems are balanced.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or 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 injuries or disorders of the musculoskeletal system. 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. In addition, 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*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Morton, Darren, and Robin Callister. “Exercise-related transient abdominal pain (ETAP).” Sports medicine (Auckland, N.Z.) vol. 45,1 (2015): 23-35. doi:10.1007/s40279-014-0245-z

Peeler, Jason et al. “Managing Knee Osteoarthritis: The Effects of Body Weight Supported Physical Activity on Joint Pain, Function, and Thigh Muscle Strength.” Clinical journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 25,6 (2015): 518-23. doi:10.1097/JSM.0000000000000173

Quick, D C. “Joint pain and weather. A critical review of the literature.” Minnesota medicine vol. 80,3 (1997): 25-9.

Timmermans, Erik J et al. “The Influence of Weather Conditions on Joint Pain in Older People with Osteoarthritis: Results from the European Project on OSteoArthritis.” The Journal of rheumatology vol. 42,10 (2015): 1885-92. doi:10.3899/jrheum.141594

Knee Injuries, Surgeries, and Vitamin D Status

Knee Injuries, Surgeries, and Vitamin D Status

Knee Injuries, Surgeries, and Vitamin D Status. The knee joint is one of the largest and complex joints. It connects the thigh bone to the shinbone, which has a very important role in:

  • Supporting the body’s weight
  • Facilitating movement
  • Allowing the ability to bend the knee

Because of the complexity of the knee joint, it is highly susceptible to injuries. The most common injuries include tears in the:

  • Ligaments
  • Tendons
  • Cartilage
  • The kneecap itself can be fractured and/or dislocated.

Knee Injuries, Surgeries, and Vitamin D Status

Tears

Meniscal Tears

The meniscus is the cartilage between the knee joint that absorbs the impact/shock when running, playing sports, yard work, hiking, bicycling, etc. It cushions the joint and maintains stability.

Meniscus tears are common in sports that have a lot of jumping, starting/stopping quickly, changing direction suddenly, like volleyball, basketball, tennis, soccer, football. This is when the meniscus tears. Surgery can be required, depending on the severity/extent of the injury and tear.

Tendon Tears

The patellar tendon works with the knee muscles in the front of the thigh to straighten the leg. Tears in the patellar tendon are common among middle-aged individuals and those that participate in running or jumping sports.

  • A complete tear is considered a disabling injury that requires surgery for full functional recovery.
  • Fortunately, most tears are partial and require rest and chiropractic/physical therapy to heal.

Dislocation

Knee dislocations happen when the knee bones shift out of position. This can happen after a fall, car crash, or high-speed impact. It can also be caused by twisting the knee while the foot stays planted. Dislocations require relocation. However, sometimes a dislocated kneecap corrects itself and returns to the proper position. Other cases can require a mild sedative to allow a doctor to relocate the knee. Dislocations generally take around six weeks to fully heal.

Anterior Cruciate Ligament – ACL Injury

The anterior cruciate ligament or ACL is knee tissue that joins the upper and lower leg bones and maintains the knees’ stability. The ACL can be torn if the lower leg over-extends forward or if the leg gets twisted. ACL injuries are common knee injuries and account for around 40% of sports-related injuries. These injuries can range from a small tear in the ligament to a severe injury where the ligament tears completely or gets separated from the bone. Treatment depends on the severity of the injury. Depending on various factors including the severity of the tear, surgery could be required.

Knee Surgery

For most cases, surgery is done using arthroscopy technology. This procedure uses small incisions to insert a camera and surgical instruments into the joint. Usually, two or three incisions are needed with recovery time being quicker than large incision surgery where the whole knee is opened. Minimally invasive arthroscopic surgery is preferred by sports medicine experts. With this procedure:

  • There is no need to cut the tendons or muscles
  • Bleeding is reduced
  • Small incisions decrease scarring
  • Recovery time is shorter

However, sometimes a large incision is required for complex surgical techniques. Common knee surgery procedures include:

Arthroscopy Surgery

This method allows the ability to see inside the knee joint. The procedure is often recommended for:

  • Diagnosis
  • Minor repairs to ligaments and/or tendons
  • Cartilage or bone that needs to be removed

Total Knee Replacement

A full knee replacement is known as arthroplasty. When the joint is damaged beyond repair from injury or disease, an implant is placed in the knee joint restoring function. A small amount of cartilage and bone from the shinbone and thigh bone gets removed for perfect placement of the new knee joint.

Revision Knee Replacement

Most knee replacements last around 15 – 20 years. For individuals that have knee replacement early, then a new operation for new implants could be required. Here, the surgeon removes the original prosthesis and replaces it with a new one.

Partial Knee Replacement

Some knee injuries do not require complete replacement. Here, only the worn-out portion of the joint is replaced. As an example, the cartilage that has been lost in an area of the knee can be repaired with a partial replacement.

Vitamin D Status

A study on athletes that underwent ACL surgery looked at their vitamin d status and how it affected their recovery.

  • The research concluded that vitamin D status had no effect on surgery outcomes.
  • However, those with the lowest vitamin D status had three times the failure rate than those with higher vitamin D
  • The average age of the individuals was around twenty-four and were healthy athletes.

Each of the patients in this study had their vitamin levels measured  before the operation and were grouped based on their vitamin D status:

  • Group 1 vitamin D below 20 ng/mL – considered deficient
  • Group 2 vitamin D between 20-30 ng/mL – considered low but in a technical range
  • Group 3 vitamin D above 30 ng/mL – considered sufficient, but not optimal

All were followed for two years with their surgery recovery being measured with two systems.

The Lysholm score, which is a 100 point scoring system that looks at an individual’s knee functions that include:

  • Mechanical locking
  • Instability
  • Pain
  • Swelling
  • Stair climbing
  • Squatting

The WOMAC score is a scoring system that measures:

  • Physical function
  • Pain
  • Stiffness
  • This can be for knee and hip replacement

After 2 years, the Lysholm score and the WOMAC scores were similar.

However, there was a difference in the graft failure rate which was about 6% in group 1 with the lowest vitamin D and around 2% in groups 2 and 3. This shows that the lowest vitamin D status has three times the failure rate compared with those that had increased vitamin D levels. Vitamin D is a known anti-inflammatory with metabolic functions that are documented. Therefore, vitamin D does improve surgical success and recovery in healthy athletes.


Body Composition


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

Brambilla, Lorenzo, et al. “Outcome of total hip and total knee arthroplasty and vitamin D homeostasis.” British medical bulletin vol. 135,1 (2020): 50-61. doi:10.1093/bmb/ldaa018

European Journal of Orthopedic Surgery and Traumatology, January 2021

Zhang, Hao et al. “Vitamin D Status and Patient Outcomes after Knee or Hip Surgery: A Meta-Analysis.” Annals of nutrition & metabolism vol. 73,2 (2018): 121-130. doi:10.1159/000490670

Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic treatment and physical therapy are treatment methods/approaches that are conservative, non-invasive, and are both practical options. Both address health concerns, like various types of pain, automobile, work, sports, and personal injuries. Both are focused on helping individuals achieve long-term results and maintain health.

11860 Vista Del Sol, Ste. 128 Chiropractic Treatment or Physical Therapy: What Are My Options?

Chiropractic and physical therapy are usually done in combination, as they complement one another. There are benefits and similarities between the two treatment options. Here are some general guidelines to decide which treatment option is best for your needs.

Primary symptoms

Chiropractors are known for the ability to provide quick relief to individuals dealing with pain and stiffness in the joints, particularly the spine. They are experts in spinal realignment and proper posture. If flexibility is limited or the joints are locking up, a chiropractor is the recommended choice.

Physical therapists or PTs are the experts in body biomechanics and soft tissue injuries. If an individual finds themselves moving differently because of pain or injury, training and exercise will help movement and maximum recovery.

11860 Vista Del Sol, Ste. 128 Chiropractic Treatment or Physical Therapy: What Are My Options?

Treatment style

Chiropractors follow a meticulous expert-based protocol for achieving the best results. They provide a hands-on approach to treatment that requires regular follow-ups and maintenance. This is an approach that some individuals prefer. Physical therapy treatment/rehabilitation programs are typically short-term. The average treatment usually lasts only 12 weeks. A physical therapist’s primary objective is to provide a fundamental understanding of how to move properly and self-manage symptoms for the long term. This usually includes a balanced exercise program.

Insurance coverage

Insurance plans vary in what is covered. The first step is to see what an individual’s insurance will cover. Benefits can be found online or by calling a representative to see how to get the care/treatment needed. Most plans cover some form of physical therapy. Chiropractic is also usually covered by insurance providers. Skipping the insurance can also be done with chiropractic clinics providing affordable options.

Options

There is no clear-cut answer as to which to see. A physical therapist or chiropractor. Individuals should follow a doctor’s recommendations as to which treatment type would benefit them. If no recommendations have been given then take a look at a clinic’s website to see what they are about. Fortunately, many chiropractic clinics include physical therapists as part of their medical team. Both chiropractic and physical therapists provide dynamic benefits for increasing and maintaining overall health.

Body Composition

Hydration Guidelines

Drink according to thirst

The body knows when it needs water. Therefore drink when you are thirsty, not before. An adequate fluid intake should be timed according to feelings of thirst.

Estimate hourly sweat loss

Those that exercise or engage in regular physical activities for prolonged periods should weigh themselves before engaging in the exercise/activity. Then drink according to thirst as the event goes on, then weigh yourself after the activity. The goal is to maintain the same weight or be slightly less. If an individual weighs more than what they drank, then they drank too much.

Excess water consumption

If an individual is not thirsty, the recommendation is to not drink water in excess. Nausea and even vomiting could ensue. A simple indicator to determine if enough water is being consumed is to check urine color. If it is colorless or slightly yellow then an individual is drinking enough water.

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

American Association of Physical Therapists. www.apta.org

Cherkin, D C et al. “A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain.” The New England journal of medicine vol. 339,15 (1998): 1021-9. doi:10.1056/NEJM199810083391502

Fritz, Julie M. “Physical therapy in a value-based healthcare world.” The Journal of orthopaedic and sports physical therapy vol. 42,1 (2012): 1-2. doi:10.2519/jospt.2012.0101

Shrier I. Does stretching help prevent injuries? Evidence-based Sports Medicine. Williston, VT: BMJ Books; 2002.

Recovering From A Deadlift Lower Back Injury

Recovering From A Deadlift Lower Back Injury

The deadlift is a weight training exercise that helps build muscle, strength, and stamina. It works legs, core, buttocks, and the back when performed correctly. Using an improper form or overdoing it can cause injury to the lower back. Recovering from a deadlifting injury usually takes a couple of days or a week. However, this depends on the severity of the injury. Recovery can be helped through:

  • Home remedies
  • Chiropractic treatment
  • Massage
  • Natural back pain relief tips

Back Injury After Deadlifting

Most individuals will feel sore after a strenuous workout. But there is a difference between soreness and injury. Most of the time injuries from deadlifts are caused by not using proper form. Getting the form right is not easy, it does take practice, so do not feel bad if an injury presents.

Soreness vs Injury

Most of the time telling the difference between natural soreness from a workout and pain from an injury is pretty straightforward. But sometimes it is not as easy to tell the difference. Soreness is typically characterized by:

  • Stiffness
  • Tightness
  • Muscle ache
  • Fades after two or three days

Muscle soreness tends to be shallow and spread out over a muscle group. Pain from an injury causes sharp and persistent pain, especially with certain movements. Injury pain is deeper and can be described as stabbing or sharp.

11860 Vista Del Sol, Ste. 128 Recovering From A Deadlift Lower Back Injury

Common Deadlifting Injuries

The deadlift has a wide range of motion and incorporates several different joints. Most injuries sustained during a deadlift are low-back injuries. Usually a sprain or a strain. But it is possible to sustain a more serious injury like a herniated disc.

Sprains vs Strains

Sprains and strains are different although many use the terms interchangeably.

  • A sprain happens when the ligaments that hold a joint together tear.
  • A strain happens when the muscles tear or are overworked to the point of injury.

Herniated Disc

A herniated disc happens when the gel-like fluid cushion between the vertebrae begins to protrude out. This can cause pain from the disc pressing on surrounding nerves or go unnoticed. Fortunately, sprains, strains, and herniated discs can all be treated conservatively. Seeing a medical professional is recommended to rule out serious conditions.

Injury Lower Back Pop

Some individuals experience an audible pop in the spine during a deadlift. For those that experience a pop but no pain accompanying it, it is likely gas escaping from a joint in the back. Those that experience discomfort or pain with the popping are encouraged to seek out medical attention.

11860 Vista Del Sol, Ste. 128 Recovering From A Deadlift Lower Back Injury

Healing a Back Injury

Healing a back injury depends on the severity. The more severe, the longer it will take to heal. Most injuries can be addressed at home. Individuals that cannot stand up straight or there is debilitating pain with normal movements should see a medical professional like a:

  • Physical therapist
  • Chiropractor
  • Physician

Rest and let the body recover

It can be tempting to get back to the gym as soon as possible, but this is not recommended until the back truly feels normal. It is recommended to rest for a few days, allowing any swelling, inflammation to go down.

Ice and heat

Applying ice to the back every few hours for 15 to 20 minutes is recommended for the first three days, then heat can be incorporated. After three days if there is still pain, incorporate heat to get more blood flowing in and around the area. Use the ice for 15 to 20 minutes, wait 30 minutes, then apply the heat for 15 minutes.

Chiropractor

Seeing a chiropractor during any stage of recovery can be beneficial. As chiropractors are musculoskeletal specialists that can realign the body back to its proper form. If four days or more have passed and the pain is not going away, make an appointment with a certified chiropractor or spine specialist.

Time of Recovery

Most individuals recover within a week or two. For more severe injuries, like a herniated disc can take 6 to 8 weeks. Seeing a medical professional can help speed the process and promote healing. Additional tips include:

Safety

Deadlifting can be done safely and properly without sustaining an injury. A personal trainer or a sports chiropractor can analyze an individual’s lifting form and offer recommendations to prevent injury.

Body Composition

Foods Good for Collagen Production

Healthy nutrition can facilitate optimal collagen synthesis without supplementation. Protein sources that work with non-essential amino acids contribute to increased collagen production. High-quality protein sources support this process. Vegetarian protein sources include legumes or tofu are good alternatives. Collagen synthesis requires vitamin C, copper, and zinc.

  • Vitamin C regulates the synthesis pathway
  • Zinc stimulates the body to produce more collagen
  • Copper activates an enzyme that helps mature/strengthen the collagen
  • Sources of copper include nuts, seeds, whole grains, and chocolate

Most importantly is plenty of vitamin C-rich foods like:

  • Bell peppers
  • Broccoli
  • Citrus fruits
  • Leafy greens
  • Tomatoes

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

Bengtsson, Victor et al. “Narrative review of injuries in powerlifting with special reference to their association to the squat, bench press and deadlift.” BMJ open sport & exercise medicine vol. 4,1 e000382. 17 Jul. 2018, doi:10.1136/bmjsem-2018-000382

Core strength training helps manage back painJournal of Physical Therapy Science (March 2015) “Core strength training for patients with chronic low back pain.” https://www.jstage.jst.go.jp/article/jpts/27/3/27_jpts-2014-564/_article/-char/ja/

Millions of Americans experience back pain each day: Centers for Disease Control and Prevention (2020) “Acute Low Back Pain.” https://www.cdc.gov/acute-pain/low-back-pain/

Free weights come with a greater risk of injury, compared to machines: National Strength and Conditioning Association (December 2000) “Roundtable Discussion: Machines Versus Free Weights.” http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.451.9285&rep=rep1&type=pdf

Seeing A Chiropractor Regularly for Injury Prevention

Seeing A Chiropractor Regularly for Injury Prevention

Seeing A Chiropractor Regularly for Injury Prevention and Maintenance. A common question that comes up is how often is it necessary to visit a chiropractor? Everyone is different and the frequency of treatment depends on each individual’s specific situation/condition, health goals, and needs. Here are a few guidelines to keep in mind that can help get an idea of what to expect.
11860 Vista Del Sol, Ste. 128 Seeing A Chiropractor Regularly for Injury Prevention and Maintenance

Seeing a Chiropractor

Chiropractors are the top experts in addressing underlying issues concerning the spine and musculoskeletal system. The most common reasons for seeking chiropractic treatment are musculoskeletal:
  • Conditions
  • Injuries – work, sports, automobile, personal
  • Rehabilitation
  • Pain relief
  • Fitness
  • Chronic fatigue
  • Brain fog
  • Sleep problems
As an example, back pain is one of the top causes of disability. The workforce and medical community are seeing the effectiveness of chiropractic in reducing medical costs and loss of productivity. Spinal misalignment is an overlooked problem that can lead to a variety of health issues, including chronic pain and poor blood and nerve circulation. Restoring alignment is the first step in building sustainable health and achieving optimal quality of life.

Effective Treatment

Chiropractic treatment follows three stages. There is an emphasis on each stage and a specific focus for working toward long-lasting optimal health. Each phase is also associated with a different range of treatment protocols to achieve the best results.

Stage 1 Pain Relief

Starting treatment when the pain is at its most intense means the first step is bringing relief as quickly as possible. This is accomplished through:
  • Adjustments
  • Ultrasound
  • Heat and Ice
  • Massage
  • T.E.N.S
  • Stretching
  • Exercise
  • Other techniques to stabilize the individual

Stage 2 Restorative Care

Once the pain is relieved, the focus turns to long-term healing of affected tissues like the:
  • Muscles
  • Ligaments
  • Neural tissues
This helps with long-term recovery while reducing the risk of worsening or creating further injury/s.
11860 Vista Del Sol, Ste. 128 Seeing A Chiropractor Regularly for Injury Prevention and Maintenance

Stage 3 Maintenance Care

This final stage is the monitoring stage. The chiropractic provider understands how important it is to regularly monitor an individual’s health and alignment to address any issues that come up and deal with them before they worsen or lead to other problems. Monitoring prevents unnecessary distress and helps the individual get back to their normal life.

Optimal Results

Achieving lasting results for symptoms cannot be done with a quick one size fits all treatment. With the guidance of a chiropractor, the individual will learn to recognize subtle changes in their body to alert them to adjusting lifestyle habits. Contact Injury Medical Chiropractic and Functional Medicine Clinic to determine what treatment and frequency offer the best results.

Body Composition


Inflammation That Can Become Permanent

When white blood cells cause inflammation, this is a sign that the body’s immune system is properly functioning. Inflammation starts, the white blood cells attack the invader, it is neutralized, and the inflammation recedes. This is how the body’s defense system works naturally. But the white blood cells are not the only type of cell that has the ability to release cytokines. A second type of cell that can release cytokines and cause inflammation are adipocytes/fat cells. The body stores excess calories as fat so that the body can use it later for energy. Scientists have learned that fat is an active endocrine organ. It can secrete a host of proteins and chemicals, including inflammatory cytokines. When the body keeps adding more and more adipose tissue cytokines are released by the fat cells, triggering inflammation. Obesity is characterized as a state of low-grade, chronic inflammation. This means that increased fat cells put the body in a constant state of stress and immune response. This means that the body is always in a state of inflammation and the immune system is permanently switched on. Perpetual, never-ending inflammation is not healthy for the body.

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
Hadler, N M. “Chiropractic.” Rheumatic diseases clinics of North America vol. 26,1 (2000): 97-102, ix. doi:10.1016/s0889-857x(05)70123-x Iben, Axén, et al. “Chiropractic maintenance care – what’s new? A systematic review of the literature.” Chiropractic & manual therapies vol. 27 63. 21 Nov. 2019, doi:10.1186/s12998-019-0283-6 Goertz, Christine M et al. “Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain: A Comparative Effectiveness Clinical Trial.” JAMA network open vol. 1,1 e180105. 18 May. 2018, doi:10.1001/jamanetworkopen.2018.0105
Janus Kinase Inhibitors For Ankylosing Spondylitis Treatment

Janus Kinase Inhibitors For Ankylosing Spondylitis Treatment

Individuals with ankylosing spondylitis have a new treatment option that was previously used for rheumatoid arthritis. It is a medication that belongs to a class known as JAK inhibitors. Ankylosing spondylitis combines joint pain with reduced mobility. Ankylosing spondylitis is different because in severe cases, the bones in the spine can fuse together, literally reducing mobility.  
11860 Vista Del Sol, Ste. 128 Janus Kinase Inhibitors For Ankylosing Spondylitis Treatment
 
The disease typically begins with pain and stiffness in the back. This is usually after some time of inactivity. Symptoms start before the age of 45 and develop gradually. There is no cure for ankylosing spondylitis but there are treatments that can improve symptoms and put the condition into remission. Ankylosing spondylitis treatment is the most successful when addressed early before irreversible damage to the joints begins.  

Janus Kinase Inhibitors

Janus kinase inhibitors have traditionally been used to treat:
  • Rheumatoid arthritis
  • Psoriatic arthritis
  • Ulcerative colitis
The medication works by decreasing the immune system�s activity. Janus kinase inhibitor drugs affect several cellular compounds that are important in the development and progression of ankylosing spondylitis. Currently, there are only three Janus kinase inhibitor medications available in the United States and FDA-approved to treat rheumatoid arthritis:
  • Xeljanz
  • Rinvoq
  • Olumiant
  • Each of the approved inhibitors targets specific enzymes
 

Current Ankylosing Spondylitis Treatments

Janus kinase inhibitors are not given to individuals right away. However, it could be an option if first and second-line treatments are not working. Treatments usually consist of:

First-Line Treatments

 

NSAIDs

Nonsteroidal anti-inflammatory medications are the most commonly used to treat ankylosing inflammation, pain, and stiffness.

Chiropractic

Chiropractic physical therapy is a major part of ankylosing spondylitis treatment keeping the spine flexible and as healthy as possible. A chiropractic/physical therapy team design and develop specific exercises to fit individual needs, which include:
  • Stretching and Range-of-motion exercises help maintain flexibility in the joints
  • Sleeping and walking posture adjustment exercises
  • Abdominal and spinal exercises to maintain a healthy posture
  • Strength training
 

Second-Line Therapies

If nonsteroidal anti-inflammatory medications do not relieve symptoms, then biological medications could be prescribed. This class of medications includes:

Tumor Necrosis Factor

Tumor necrosis factor blockers work by targeting cell protein that is part of the immune system, known as tumor necrosis alpha. This protein causes inflammation in the body, and the blockers suppress it.  

Interleukin 17 Inhibitors

Interleukin 17 in the body’s immune system defends against infection. It uses an inflammatory response to fight infections. The IL-17 inhibitors suppress the inflammatory response and help reduce symptoms.  
11860 Vista Del Sol, Ste. 128 Janus Kinase Inhibitors For Ankylosing Spondylitis Treatment
 

Other Treatment Options

 

Lifestyle Adjustments

Following a medical treatment plan is often combined with diet and lifestyle adjustments that are recommended to help with the condition, these include:
  • Being as physically active as possible will help:
  1. Improve/maintain a healthy posture
  2. Maintain flexibility
  3. Ease pain
  • Applying heat and ice will help alleviate:
  1. Pain
  2. Stiffness
  3. Swelling

Surgery

Most individuals with ankylosing spondylitis do not require surgery. However, a doctor could recommend surgery if there is joint damage, the hip-joint needs to be replaced, or if the pain is severe.  

Inhibitor Potential

Studies are ongoing in the treatment of ankylosing spondylitis. The drug is currently in Phase 3 trials for the treatment of adults. The trial results have shown patients with active ankylosing spondylitis showed improvement in:
  • Fatigue
  • Inflammation
  • Back pain
The study enrolled adults with active ankylosing spondylitis who took at least two NSAIDs that were ineffective at treating symptoms. Most of the participants were men, average age of 41, and no prior usage of biologic disease-modifying antirheumatic drugs.

Janus kinase could become a standard treatment

There is still not enough research to make a prediction, but the data is promising. The inhibitors seem to be a safe option when used in a properly screened, well-matched setting that includes regular monitoring. The inhibitors appear to be effective and have the advantages of being taken orally and working fast.

Body Composition


 

Osteoarthritis and weight loss

Being obese has shown to be a high-risk factor for the development of osteoarthritis. This is not only from the effects of extra weight on the body’s joints but also as a result of the inflammatory effects of adipose tissue. The lower back, hips, and knees, bear the majority of the body’s weight. An excess amount of adipose tissue on the body’s midsection and legs has been shown to negatively impact the weight-bearing joints. Promoting Lean Body Mass and encouraging weight loss lowers the risk of osteoarthritis and improves an individual’s quality of life. Exercise is regarded safe for individuals with osteoarthritis and should be incorporated to improve body composition, reduce Body Fat Mass, improve Lean Body Mass and maintain a healthy weight.  

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
Hammitzsch A, Lorenz G, Moog P. Impact of Janus Kinase Inhibition on the Treatment of Axial Spondyloarthropathies. Frontiers in Immunology 11:2488, Oct 2020; doi 10.3389/fimmu.2020.591176.�https://www.frontiersin.org/article/10.3389/fimmu.2020.591176, accessed Jan 21, 2021. van der Heijde D, Baraliakos X, Gensler LS, et al. Efficacy and safety of filgotinib, a selective Janus kinase 1 inhibitor, in patients with active ankylosing spondylitis (TORTUGA): results from a randomized, placebo-controlled, phase 2 trial.�Lancet.�2018 Dec 1;392(10162):2378-2387. doi: 10.1016/S0140-6736(18)32463-2. Epub 2018 Oct 22. PMID: 30360970.�https://pubmed.ncbi.nlm.nih.gov/30360970/�accessed Jan 19, 2021.
Inflamed Plantar Fascia, Heel/Foot Pain, and Chiropractic

Inflamed Plantar Fascia, Heel/Foot Pain, and Chiropractic

One of the most likely causes of foot/heel pain is inflamed plantar fascia, which causes plantar fasciitis. It can be a painful and common injury from overuse of the ligaments in the foot. When this pain presents, it can make an individual not want to walk or place any type of pressure on the feet, as the pain worsens with pressure or impact on the foot. �

Chiropractic care doesn�t just treat the spine but can help with various other musculoskeletal issues throughout the body. With chiropractic adjustments, rest, icing, and exercises, the ligaments, and tissues of the feet are worked out, massaged, and stretched back to their normal range.

11860 Vista Del Sol, Ste. 128 Inflamed Plantar Fascia, Heel/Foot Pain, and Chiropractic

Plantar Fascia

There is a ligament called the plantar fascia. It runs along the bottom of the foot and connects the toes to the heel. The plantar fascia absorbs shock and helps support the feet when walking. However, ligament tension can begin to increase, specifically when standing for long periods. When the tension reaches its limit, small tears can begin to form along with inflammation causing pain.

The pain occurs when walking, standing, or immediately after waking up. The condition can happen to anyone but is more likely to become an issue for those who stand or walk as a regular part of their job, home activity, etc. Side effects from the foot pain often cause individuals to adjust their walking gait to avoid feeling discomfort, that stresses the rest of the body like the muscles, ligaments, joints that can lead to various types of injury/s. �

Chiropractic Treatment

Individuals with an inflamed plantar fascia often experience a shooting/stabbing pain that worsens in the morning or after standing or sitting for an extended time. Repetitive impact on the feet and poor arch support from shoes cause small tears to happen over time from the continued stress. If it has just started the pain can be treated with ice and rest, but they are not for solving the root cause. Chiropractic can help bring pain relief that lasts along with recurrence prevention. Here are some a few ways a chiropractor can help: �

Ankle Re-alignment

  • Ankle misalignment can contribute to plantar fasciitis at the plantar fascia has to work harder to move the foot without the ankle’s support. Manipulation and realignment of the ankle will improve foot function.

Massage

  • A chiropractor along with a physical therapy team can be utilized for soft tissue massage and trigger point therapy to release tension.

Exercises and Stretches

 

  • Various stretching and exercising techniques can be implemented to help speed up the healing process. A chiropractor will work the individual through exercises and stretches designed to relieve inflammation and stretch out the tissue. Specific exercises will also be taught to help strengthen the lower leg muscles to stabilize the heel and help prevent pain.
11860 Vista Del Sol, Ste. 128 Inflamed Plantar Fascia, Heel/Foot Pain, and Chiropractic

Posture

  • A chiropractor will correct any improper posture/s that has contributed to the foot pain or has become a way of being able to function as a result of the pain. This will return the individual to a normal gait when walking and running. Pressure on the feet and plantar fascia will be alleviated.

Spinal/Hip Re-alignment

  • Individuals learn to avoid pain by walking/moving in a different way than how the body is supposed to. This results in pain in the hips and back, as the body is being pulled in various ways. Manipulation and mobilization will be used to realign the body to its proper form.

Footwear/Orthotics

  • A chiropractor will make adjustments to the feet, ankles, and spine to reduce pain and relieve the pressure on the plantar fascia. Supportive footwear and orthotics could be recommended for extended/preventative care. Once diagnosed with a foot problem wearing proper shoes that support the feet is essential.
  • Orthotics can also help prevent injury to the back, joints, and muscles that were stretched or over-worked from an abnormal gait. When the pressure is relieved, the ligament starts to heal. This can take a few weeks. The result is a healthier heel/foot with proper function. Chiropractic can accelerate the healing process combined with home care. If pain is presenting in the heel, do not delay and focus on healing the foot.

Reduce Plantar Fasciitis

 


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

Goff, James D, and Robert Crawford. �Diagnosis and treatment of plantar fasciitis.��American family physician�vol. 84,6 (2011): 676-82.

Tight/Sore Hamstrings Benefit With Chiropractic Manipulation

Tight/Sore Hamstrings Benefit With Chiropractic Manipulation

Tight and sore hamstrings commonly occur during workout and exercise, but can just as easily result from a fall or other accident. Individuals usually experience pain located at the back of the thigh with associated weakness along with the feeling of the muscles becoming tighter and a consistent soreness. Consistent tightness in the back of the legs is not only uncomfortable but can also make movement difficult.  
11860 Vista Del Sol, Ste. 128 Tight/Sore Hamstrings Benefit With Chiropractic Manipulation
 
Many individuals stretch every day, do yoga, etc trying to relieve hamstring tension, with short-term relief only to have the tightness return. This is frustrating but more importantly, indicates that the problem might not have to do with the muscle�s length. There could be an underlying issue that needs to be identified and addressed. A chiropractic approach will diagnose and treat the root of the pain, not just the symptoms.

Hamstring/s Tightness

The hamstring is not a single string. It is a set of three muscles that run along the back of the thigh. The muscles allow for the bending of the leg at the knee. With a hamstring strain, one or more of these muscles can become overloaded and can start to tear. Strains often happen during activities that involve running, jumping, and/or sudden stopping and starting. This is where stretching doesn’t help, however, a chiropractic adjustment can help.  
 

Weak Muscle Compensation

One possible cause for the tightness has to do with various related muscles and not the hamstrings themselves. Muscles that typically stabilize and facilitate movement could be too weak or are not functioning properly. What usually happens is that the muscles that are active have to work harder to compensate for the others that are not working/functioning properly. The tension in the hamstrings can be alleviated through chiropractic exercises/stretches that activate the stabilizing muscles and get the circulation moving to promote strength and take the pressure off the hamstrings. These muscle weaknesses can be caused by spinal misalignments that pull the body in an awkward fashion, throwing the body’s balance off. Each condition feeds the other as the hamstrings have to work harder, the body leans to the side that doesn’t cause pain, causing the spine to shift out of alignment and so begins the awkward body shifting to avoid the pain cycle. A chiropractic adjustment will restore balance and stability to the entire body.  
11860 Vista Del Sol, Ste. 128 Tight/Sore Hamstrings Benefit With Chiropractic Manipulation
 

A Pelvic Tilt

Pelvic tilt could be a contributing factor for tightness and soreness. This comes from:
  • Poor posture
  • Lack of physical activity
  • Weight gain
These factors can cause the pelvis to shift forward ever so slightly. But just that slight tilting could be pulling on the hamstrings. In order to rectify the tilt, exercise is recommended, and chiropractic manipulation to realign any spinal shifting.  
 

Sciatic Irritation

Another issue is sciatic nerve irritation that could mimic tightness in the muscles. The sciatic nerve runs down the back of the leg and the irritation could make the hamstring appear to be tight. This is where stretching the hamstrings can worsen the condition by irritating the sciatic nerve, causing inflammation. The sciatic nerve could also be experiencing irritation from spinal misalignment. A vertebral disc could be bulging or herniated. This could inflame the nerve root. A bone spur or inflamed joint could be impinging/compressing on the nerve root exits. A chiropractic treatment plan will relieve the tension being placed on the nerve and allow for proper blood circulation and transmission of signals without interruptions. Talk to a chiropractor about an examination to identify the exact root causing the discomfort.

Advanced Chiropractic Treatment

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Hoskins, Wayne, and Henry Pollard. �Hamstring injury management–Part 2: Treatment.��Manual therapy�vol. 10,3 (2005): 180-90. doi:10.1016/j.math.2005.05.001
Chiari Malformation Brain Tissue and The Spinal Canal

Chiari Malformation Brain Tissue and The Spinal Canal

Chiari malformation is a condition that causes brain tissue to extend out and settle into the spinal canal. It protrudes out where the skull and neck meet. It occurs because part of the skull is too small or shaped in a unique way that allows part of the brain to settle into the foramen magnum. The foramen magnum is a large opening at the bottom of the skull. The brain’s nerves go through into the spinal canal and join the spinal cord. However, only the nerves should be present. The brain should not be able to push/press/leak through. When it does this is Chiari malformation.  
11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Causes

Chiari malformation can be caused by structural problem/s with the:
  • Brain
  • Skull
  • Spinal canal
Structural conditions/issues can be present at birth, which are congenital defects. This is also called primary Chiari malformation and is not caused by any other condition. Secondary Chiari malformations are caused by something else, most often through surgery. This is extremely rare, but it is possible to develop after having surgery to remove a tumor in the skull or neck region. A surgeon could have removed too much bone while removing the tumor. This allowed the brain to settle into the open space.

Types

There are 4 types and are categorized by how much brain tissue protrudes into the spinal canal.

Type I

This is the adult version and is also the most common. It is usually first noticed and discovered from an examination for something else. Most individuals don’t realize that they have Chiari malformation unless the symptoms are severe. With Type I a part of the brain, specifically the cerebellar tonsils settle into the foramen magnum.

Type II

Type II is also known as Arnold-Chiari malformation. This is the pediatric version. Symptoms are more severe with Type II because more brain tissue comes through. With this type, the cerebellar tonsils and some of the brainstem protrude. With Type II myelomeningocele, which is a form of spina bifida is a concern. What happens is the vertebrae and spinal canal do not close correctly before birth, so the spinal cord has no protection.

Type III

This type also affects children and is more severe than types 1 or 2. Here a significant portion of the brain, including the cerebellum and the brainstem protrude all the way through the foramen into the spinal canal.

Type IV

Type IV is the most severe form. With this type, the brain does not develop properly.

Symptoms

The symptoms vary based on the type and severity. The most common symptom is a headache. Individuals with a Chiari malformation usually have headaches in the occipital region of the brain. This is the back of the head, right where the skull joins the cervical spine/neck. The headaches can be aggravated being in certain positions and actions, tilting the head back, and coughing. Typical symptoms include:
  • Balance problems
  • Dizziness
  • Difficulty with fine motor skills
  • Trouble swallowing
  • Vision problems
  • Weakness
However, Chiari malformation can interrupt the flow of cerebrospinal fluid. Cerebrospinal fluid is necessary to protect the brain and spinal cord. If the normal flow is disrupted it becomes more difficult for the brain and spinal cord to send/receive nerve messages. The pressure built up can also cause nerve issues/problems. For some individuals, symptoms can come and go. This depends on how much cerebrospinal fluid has built up. Individuals with Type I sometimes don’t have any symptoms. It all depends on the severity.  
11860 Vista Del Sol, Ste. 128 Chiari Malformation Brain Tissue and The Spinal Canal
 

Diagnosis

Diagnosis is done with a magnetic resonance imaging test or MRI. The MRI will show the various parts of the brain, skull, spinal cord, and spinal canal. They will be able to see abnormalities that could point to Chiari malformation.

Treatment

The recommended treatment depends on the severity. If pain is presenting a doctor could recommend pain medications to help manage the pain. Non-steroidal anti-inflammatory meds could also be recommended to reduce inflammation. Analgesics or pain killers can be recommended. Often both non-steroidal anti-inflammatories and analgesics are available in over-the-counter and prescription. The doctor will figure out the best medication treatment plan. Surgery can be used to relieve symptoms and is the only way to relieve the pressure on the spinal cord and nerves. The goal is to stop the malformation from worsening. Surgeons use a posterior fossa decompression procedure. The surgeon removes part of the skull to make more room for the brain to sit in. This takes the pressure off the brain and spinal cord, and should reduce the neurological symptoms and problems. The surgeon may increase the size of the dura or the sac around the brain. Laminectomies at C1 and C2, which are the first and second levels of the neck and are utilized to make more room for the brain. The surgeon will place a patch that is made from animal or synthetic tissue that will grow into the dura. The patch makes the dura bigger, which allows more room for the brain. Not all surgeries involve the dural patch.
 

Neck Pain Chiropractic Care


 

Dr. Alex Jimenez�s Blog Post Disclaimer

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

The Functional Fitness Fellas | What is it? & Who Are They?

https://www.youtube.com/watch?v=HtsD4VRk8_Q
PODCAST: Ryan Welage and Alexander Jimenez, both medical students at the National University of Health Sciences, discuss the several new approaches that they developed in order to help people continue to engage and participate in exercise from the comfort of their own homes. Using their advanced understanding of functional medicine, biomechanics, and nutrition, they undertake explaining simple methods and techniques for complex movement protocols. Moreover, Alexander Jimenez and Ryan Welage discuss how diet can be an essential element in overall health and wellness. Dr. Alex Jimenez offers additional guidelines with the Functional Fitness Fellas, among further advice. – Podcast Insight

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please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

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Information:
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Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://elpasobackclinic.com
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Information on Popular Back Pain Products

Information on Popular Back Pain Products

There are a variety of products and gadgets that claim to provide quick fast acting back pain relief. Here is a little information about which deliver and hold up to their claims. Back pain stops us in our tracks and we want relief fast. Other than taking pain meds, most of us want a way to achieve natural relief. That’s where back pain products and gadgets come into the picture.

For the most part, a lot of the gadgets online, even expensive ones don�t necessarily provide the back pain relief that most of us are expecting. This means they don’t remove the pain completely and life goes back to normal. These are made for temporarily relieving pain when symptoms present and through consistent use to strengthen, lengthen,� and stretch out the sore muscles, ligaments, tendons, etc, in a preventative fashion.

11860 Vista Del Sol, Ste. 128 Information on Popular Back Pain Products El Paso, Texas

 

We are not knocking these products/gadgets, as we use these ourselves. But remember these are tools that are made to help out with back pain conditions, just like the tools chiropractors, physical therapists, massage therapists utilize in their practices. That being said this article is to help you make wise decisions about which back pain gadgets can help.

Posture Training/Trainers

 

 

These are wearable sensors that vibrate when you begin to slouch, sway forward, hunch over, etc. The pain-relief claims that slouching puts a strain on your spine and that improving posture will help prevent strain and pain.

While this is true what the experts thought about this product was that, while it does help maintain proper posture it is not meant to relieve immediate pain, but rather to re-train your body in maintaining good posture. Therefore pass on this product if your goal is back pain relief.

Slouching places added stress on�the lower back that leads to strains and back pain. These devices can be helpful, just be aware to not hold yourself in an abnormal position causing more problems.

If poor posture contributes to your back pain, try these:

  • Exercise, specifically movements that strengthen the core
  • Wear comfortable shoes with low heels
  • Foot orthotics
  • Balance make sure your head is not too forward

Dr. Jimenez adds that if you exhibit constant poor posture, consult a spine doctor or chiropractor to see if it is a structural issue.

 

Transcutaneous Electrical Stimulation

 

11860 Vista Del Sol, Ste. 128 Information on Popular Back Pain Products El Paso, Texas

 

The QUELL�TENS transcutaneous electrical stimulation is a new brand unit that is worn on the calf. The pain-relief claims that it sends out safe electrical pulses that trigger the body’s natural pain relief response. The QUELL can help and is just like most other TENS units.

These units activate opioid nerve receptors, which is one of the reasons they provide pain relief. You can get them for under $50 at drug stores and online. Instead of being applied directly to the sore areas,�it’s worn on the calf and operates on the same TENS principle.� The cost currently is around $300. However, with any TENS unit, be aware that there can be a�relief tolerance that builds up and eventually might not work anymore. TENS units work well, but they�re best used in a physical therapist�s/chiropractic clinic because individuals can become habitually used to them.

 

Percussive Massager/s

This is a handheld massager that generates pulses of deep pressure along with strong vibrations to loosen and release tight areas. The pain-relief claims that it is similar to a deep tissue massage. These work and do help ease pain symptoms, but are not like a real therapeutic massage. There is limited research on these products but most state that percussive/vibrating massage tools, that can cost hundreds of dollars, could be a little better than a traditional massage for relieving muscle soreness. This has yet to be determined.

High-force massagers could exacerbate or cause further/new injury/s other than muscle soreness when used by untrained individuals. However, in a professional clinic setting research suggests that high vibration applied to the back is an effective physical therapy for low-back pain.

 

Low-Level Laser Therapy

 

Pain Management and Relief with Laser Therapy

 

Low-intensity light therapy is used in treating neuropathy pain. The principal is that it triggers biochemical changes in the cells. The pain-relief claims that it reduces inflammation alleviates pain and promotes healing. There is not a great deal of evidence that it helps back pain, but that is only because there is not enough research yet. It doesn�t mean you won�t benefit from it. Laser therapy, which is sometimes utilized in physical therapy and chiropractic clinics, can provide relief for a range of conditions, and this includes back pain.

 

Simple Massage Tools

 

 

These consist of foam rollers, lacrosse balls, wraps, massage pads, and handheld muscle rollers. The pain-relief claims that they provide mini-massages for sore muscles. These work and can help when used correctly.

These products do not have a great deal of published material on the benefits of these tools. But physical therapists have recommended using these tools along with professional chiropractic/physical therapy. These low-tech massage tools can make your back feel better. They are effective for muscle spasms, are gentle to the soft tissues and improve blood flow circulation with very little risk of tissue damage.

Exercise balls can be included in exercise programs that function in extension and flexion postures. Sitting on them to safely engage and strengthen the core muscles is an added benefit and they are great for maintaining proper posture.


 

LLT Laser Therapy for Peripheral Neuropathy


 

NCBI Resources

 

Ankle Injury, Function and Chronic Pain El Paso

Ankle Injury, Function and Chronic Pain El Paso

In the United States, ankle�injury/s likeankle sprains and strains�happen to�people every day.Around 50 percent of ankle injuries are�misdiagnosed, and not treated correctly, which can lead to disability or chronic ankle pain. An ankle that is not functioning properly affects the whole body. The muscles on either side of the leg and underneath the foot can present with soreness and pain.

This can lead to:

  • Loss of mobility
  • Uneven walking gait
  • Hip pain
  • Back pain

ankle pain in detail anatomy

 

Ankle Anatomy

Three bones are connected to the ankle joint. The lower ends of the shinbone and the lower leg small bone meet to form a socket that the ankle bone sits in. The bottom of the talus rests on the heel bone.

 

11860 Vista Del Sol, Ste. 128 Ankle Injury, Function and Chronic Pain El Paso, Texas

 

There is around an inch-thick lining of soft cartilage inside the joint. This provides shock absorption for the body’s weight. It is so tough and durable provided there is no injury, it lasts for life. The bones are held together with ligaments and the muscles are attached to the bones by the tendons.

 

Ankle Sprain Diagram

 

When there is an injury, it can impact the:

Ankle Injury

The standard treatment for ankle pain is R.I.C.E., which means rest, ice, compression, and elevation. Depending on the injury type there is an updated treatment approach that replaces the R with an M, where instead of resting, movement is the more beneficial treatment. This is done to keep the muscles, tendons, and ligaments from swelling, whereas resting would have allowed swelling to set in, thus extending recovery time.

There are certain types of ankle injuries that can be exacerbated by movement so only when it is deemed appropriate, otherwise stick with the rest. Other types of treatment include different techniques of pain control from ibuprofen to prescription meds.

When it comes to severe injuries, like a torn ligament, these could require surgical treatment. X-rays and MRIs are utilized to see if there is an injury and to determine the extent of the injury.

11860 Vista Del Sol, Ste. 128 Ankle Injury, Function and Chronic Pain El Paso, Texas

 

Physical Therapy/Chiropractic

A chiropractor will assess the individual’s source of pain and determine the cause. They will use all the tools available. This includes x-rays, MRI, CT scans, and other diagnostic tools to help them determine the best treatment protocol.

When an ankle injury is new and inflammation has set in along with tenderness, treatment can include:

This is in addition to rest, ice, compression and elevation. As the ankle heals, the inflammation reduces and becomes more stable, ankle adjustments and foot adjustments could be introduced.

Chiropractic can reduce pain without prescription medication and any associated side effects. This is one of the reasons individuals gravitate towards chiropractic. Regular chiropractic can strengthen the ankle, increase its stability and increase mobility and flexibility.

Nerves and soft tissues can also become damaged. Chiropractic therapy promotes blood flow. This speeds the healing process and reduces the chance of further injury. The whole-body approach that chiropractic embraces also deals with a proper diet and a healthy lifestyle like losing weight and exercise. Chiropractic is a very effective therapy for treating ankle pain and injury/s. It is a non-invasive, natural approach to healing that allows and trains the body to heal itself.


 

Ankle Sprain Treatment


 

 

NCBI Resources

 

Treating Inflammation Naturally | El Paso, Tx (2020)

Methods in treating inflammation are the focus of this video. Dr. Alex Jimenez presents a discussion of natural ways to treat inflammatory cascades. Knowing what are the best supplements are presented. This is a safe alternative that is well researched.

If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.

Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST

Subscribe: http://bit.ly/drjyt

Facebook Clinical Page: https://www.facebook.com/dralexjimenez/
Facebook Sports Page: https://www.facebook.com/pushasrx/
Facebook Injuries Page: https://www.facebook.com/elpasochiropractor/
Facebook Neuropathy Page: https://www.facebook.com/ElPasoNeuropathyCenter/
Facebook Fitness Center Page: https://www.facebook.com/PUSHftinessathletictraining/

Yelp: El Paso Rehabilitation Center: http://goo.gl/pwY2n2
Yelp: El Paso Clinical Center: Treatment: https://goo.gl/r2QPuZ

Clinical Testimonies: https://www.dralexjimenez.com/category/testimonies/

Information:
Clinical Site: https://www.dralexjimenez.com
Injury Site: https://personalinjurydoctorgroup.com
Sports Injury Site: https://chiropracticscientist.com
Back Injury Site: https://elpasobackclinic.com
Rehabilitation Center: https://www.pushasrx.com
Functional Medicine: https://wellnessdoctorrx.com
Fitness & Nutrition: http://www.push4fitness.com/team/

Twitter: https://twitter.com/dralexjimenez
Twitter: https://twitter.com/crossfitdoctor