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Severe Back Pain

Back Clinic Severe Back Pain Treatment Team. Severe back pain goes beyond the pain that is above the normal sprain and strain. Severe back pain requires in-depth assessment due to the cause/s or ideology that is not easily diagnosed or apparent. This requires additional diagnostic procedures in order to determine the cause of the severity presentations. Nociceptive and neuropathic pain can be further broken down into acute and chronic pain, which differ in form and function.

With acute pain, the severity of pain depends on the level of tissue damage. Individuals have a protective reflex in avoiding this kind of pain. With this type of pain, there is a reflex to pull back quickly after moving or being in a certain position. Acute pain can be a sign of injured or diseased tissue. Once the problem is cured the pain is cured. Acute pain is a form of nociceptive pain. With chronic pain, the nerves continue to send pain messages after the earlier tissue damage has healed. Neuropathy falls into this type.


Treating Back Pain with a Rheumatologist: What You Need to Know

Treating Back Pain with a Rheumatologist: What You Need to Know

Back pain is one of the most common reasons for seeking health care. Individuals dealing with back pain but don’t know the cause may have some inflammatory joint disease or autoimmune condition. Can seeing a rheumatologist help?

Treating Back Pain with a Rheumatologist: What You Need to Know

Rheumatologist

Depending on what’s causing the back pain, individuals may need to see their primary doctor for a referral. Individuals are recommended to see a rheumatologist if they have back pain that doesn’t come from an injury that doesn’t go away after a few weeks, pain that comes back after treatment, or symptoms that suggest a rheumatic condition. Rheumatologists treat severe or persistent back pain and are experts in autoimmune diseases, including lupus, Sjogren’s syndrome, rheumatoid arthritis, ankylosing spondylitis, axial spondylitis, Psoriatic arthritis, and other forms of inflammatory or autoimmune arthritis.

What Do They Do?

A rheumatologist is an internist or pediatrician who has completed special training in treating conditions that are:

  • Inflammatory
  • Autoimmune
  • Related to painful joint disease

The doctors diagnose, treat, and manage these conditions long-term. Depending on diagnosis and care needs, they may also lead or be part of a team that includes other healthcare providers.

Symptoms

When muscles ache, pain presents, or joints hurt, and especially if there are signs of inflammation that don’t go away, seeing a healthcare provider is recommended. Symptoms of inflammation include:

  • Redness
  • Swelling
  • Pain
  • Stiffness
  • Loss of joint function

Usually, to see a rheumatologist, individuals need a referral from their primary care provider and may be referred when:

  • There is no evidence of a back injury.
  • At-home therapies like heat application, prescription medications, or physical therapy are unsuccessful.
  • There is uncertainty about what’s causing the back pain, but I suspect it’s rheumatological.
  • Blood tests for inflammatory markers or certain antibodies yield abnormal results.
  • There is a diagnosis of a rheumatic condition and recommend a specialist to manage it.
  • There is a family history of a rheumatic or autoimmune condition that may cause back pain.
  • There is a chronic pain condition that later develops back pain (Hospital for Special Surgery, 2023)

Individuals may also be referred to a rheumatologist if their back pain is accompanied by:

Some types of arthritis can cause permanent, progressive joint damage.

Conditions

Conditions that can affect the spine and cause back pain and are treated by a rheumatologist include: (Johns Hopkins Medicine, 2024)

Rheumatoid arthritis (RA)

  • This often starts in smaller joints of the hands and feet and later moves to the neck and/or back.
  • It can also affect different body organs and have systemic symptoms.

Ankylosing Spondylitis (AS)

  • Primarily a disease of the spine, it may also impact the shoulders, hips, knees, and ankles.
  • Systemic symptoms, including fever and fatigue, can manifest.

Axial Spondylitis

  • This primarily affects the spine, chest, and pelvis.
  • It may also cause problems with the connective tissue, eyes, bowel, and skin.

Psoriatic Arthritis (PsA)

  • Pain in the lower back is common, especially in severe cases.
  • It can affect other joints and cause psoriasis.

Reactive Arthritis

  • This is a reaction to infection.
  • It is more common in the limbs, hands, and feet joints but can involve the spine.

Enteropathic Arthritis

  • This mainly affects the spine but can include other joints.
  • It is associated with inflammatory bowel disease.

Autoimmune diseases that don’t specifically target the spine but can also cause back pain include:

  • Lupus
  • Sjögren’s syndrome
  • Hashimoto’s thyroiditis

Finding a Doctor

Individuals may be fine with their primary healthcare provider’s choice regarding which rheumatologist to see. However, they may want to research other options to ensure the right rheumatologist is chosen. Things to look at include:

  • Search online medical directories.
  • Visit the websites of the doctors being considered to learn more about their training, approach, and specialties.
  • Check online reviews.
  • Check on health insurance coverage.
  • Ask members of the healthcare team, friends, and family for recommendations.
  • Contact rheumatologists’ offices to see if they are accepting new patients.
  • Once decided, pass along the information to the primary care doctor so they can make the referral.

Preparing For The Initial Visit

Before seeing a new rheumatologist, take a few minutes to prepare so you can make the most of the appointment. Individuals will want to have:

  • A list of back-related symptoms, including frequency and severity.
  • A list of what makes symptoms better or worse.
  • A copy of recent test results and records from other doctors.
  • Individuals can ask their provider/s to send their medical information to the rheumatologist’s office in advance.
  • A list of treatments that have been tried and how well they worked.
  • A list of all medications, over-the-counter and prescription, supplements, and herbal products taken.
  • A list of medication allergies.
  • Complete medical history and family history of potentially related diseases.
  • A list of any questions regarding conditions, treatment, etc.
  • If possible, fill out any paperwork for the new office beforehand to save time on the appointment day.

Injury Medical Chiropractic and Functional Medicine Clinic

Talking with a healthcare provider is important. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop personalized treatment programs. Using an integrated approach to treating injuries and chronic pain syndromes to improve flexibility, mobility, and agility and help individuals return to normal activities. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers.


Quick Patient Initiation Process


References

Hospital for Special Surgery. (2023). What Is a Rheumatologist and What Conditions Do They Treat? www.hss.edu/conditions_what-is-a-rheumatologist.asp#when

Yale University School of Medicine. Dee, J. E. (2021). 5 reasons why a patient should see a rheumatologist. medicine.yale.edu/news-article/5-reasons-to-see-a-rheumatologist/

National Institute of Arthritis and Musculoskeletal and Skin Diseases. (2023). Autoimmune diseases. Retrieved from www.niams.nih.gov/health-topics/autoimmune-diseases

Johns Hopkins Medicine. (2024). Spinal arthritis (arthritis in the back or neck). www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-arthritis

Understanding Electrical Muscle Stimulation: A Guide

Understanding Electrical Muscle Stimulation: A Guide

Can incorporating electrical muscle stimulation help control pain, strengthen muscles, increase physical function, retrain lost movements, and/or manage inflammation for individuals experiencing neck and back pain?

Understanding Electrical Muscle Stimulation: A Guide

Female doctor placing myostimulation physical therapy equipment on patient’s back

Electric Muscle Stimulation

Electrical muscle stimulation or E-stim is a physical therapy used to reactivate the muscles’ ability to contract. E-stim uses devices that transmit electrical impulses through the skin to target nerves and/or muscles. The most common forms include

  • Transcutaneous electric nerve stimulation, or TENS, is the most well-known type of electrical stimulation that offers devices that can be used at home or on the go.
  • Electrical muscle stimulation or EMS.
  • In physical therapy, E-stim stimulates muscles to contract, strengthening them and encouraging blood circulation.
  • Blood circulation can directly affect the condition of muscle tissue.
  • Electrical muscle stimulation is also used in spinal cord injury and other neuromuscular conditions. (Ho, C. H. et al., 2014)

E-stim

During treatment, electrodes are hooked to an electric stimulation machine and placed around the affected neck or back area.

  • The electrodes will be placed on the skin for most neck or back injuries.
  • The placement of the electrodes depends on the reason for treatment and the depth or superficiality of the electrical stimulation.
  • The electrodes are often placed near a motor point of a muscle to ensure the correct contraction.
  • The therapist will adjust the controls of the stimulation machine to achieve thorough muscle contraction with minimal discomfort.
  • Stimulation can last 5 – 15 minutes, depending on the treatment plan and injury severity.

Spinal Joint Stabilization

Activation of the muscles may help increase spinal joint stability, improving problems with spinal instability. (Ho, C. H. et al., 2014) Electric muscle stimulation is thought to enhance the exercise program a therapist prescribes to help maintain joint stability. Electrical stimulation may also help build muscle strength and endurance. (Veldman, M. P. et al., 2016) Muscle endurance is the repetitions a muscle can contract before it fatigues.

Healing and Pain Management

Electric muscle stimulation therapy can enhance tissue healing and help manage inflammation by reducing swelling and increasing circulation. It can reduce pain sensations by blocking nerve transmission at the spinal cord. (Johnson, M. I. et al., 2019) A healthcare professional may suggest a TENS or take-home electric stimulation unit to manage symptoms. (Johnson, M. I. et al., 2019)

Treatment

Interdisciplinary therapies tailored to an individual’s specific back or neck pain have been found to provide positive results. Exercise, yoga, short-term cognitive behavioral therapy, biofeedback, progressive relaxation, massage, manual therapy, and acupuncture are recommended for neck or back pain. (Chou, R. et al., 2018) Taking non-steroidal anti-inflammatory medications may also help. Electrical muscle stimulation could be an effective neck or back treatment.

Individuals unsure whether they need or would benefit from electrical should discuss symptoms and conditions with a primary physician, healthcare provider, or specialist to guide them in the right direction and determine the best treatment. Injury Medical Chiropractic and Functional Medicine Clinic focuses on what works for the patient and strives to better the body through researched methods and total wellness programs. Using an integrated approach, we treat injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs personalized to the individual to relieve pain. If other treatment is needed, Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, and premier rehabilitation providers to provide the most effective treatments.


Thoracic Spine Pain


References

Ho, C. H., Triolo, R. J., Elias, A. L., Kilgore, K. L., DiMarco, A. F., Bogie, K., Vette, A. H., Audu, M. L., Kobetic, R., Chang, S. R., Chan, K. M., Dukelow, S., Bourbeau, D. J., Brose, S. W., Gustafson, K. J., Kiss, Z. H., & Mushahwar, V. K. (2014). Functional electrical stimulation and spinal cord injury. Physical medicine and rehabilitation clinics of North America, 25(3), 631–ix. doi.org/10.1016/j.pmr.2014.05.001

Veldman, M. P., Gondin, J., Place, N., & Maffiuletti, N. A. (2016). Effects of Neuromuscular Electrical Stimulation Training on Endurance Performance. Frontiers in physiology, 7, 544. doi.org/10.3389/fphys.2016.00544

Johnson, M. I., Jones, G., Paley, C. A., & Wittkopf, P. G. (2019). The clinical efficacy of transcutaneous electrical nerve stimulation (TENS) for acute and chronic pain: a protocol for a meta-analysis of randomised controlled trials (RCTs). BMJ open, 9(10), e029999. doi.org/10.1136/bmjopen-2019-029999

Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M., Hurwitz, E. L., Haldeman, S., & Cedraschi, C. (2018). The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low- and middle-income communities. European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 27(Suppl 6), 851–860. doi.org/10.1007/s00586-017-5433-8

A Modern Epidemic Known As Back Pain

A Modern Epidemic Known As Back Pain

Introduction

Back pain is a common issue experienced by people all over the world. The human body’s main structure is the back, divided into three sections: cervical, thoracic, and lumbar. These sections help in body movement, including twisting and turning, moving the extremities, and have a relationship with the gut and central nervous system. The surrounding muscles in the back also provide support and protect the spine. However, normal activities like bending down to pick up a heavy object, sitting down for an extended period, or falling can cause changes that lead to back pain, misalignment, and risk profiles in the upper and lower extremities. Today’s article focuses on the causes of back pain and the treatments available to relieve its effects. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments to reduce the impact of back pain. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer

 

An Overview Of Back Pain

 

Do you have pain in your upper, middle, or lower back? Do you experience aches and pains in the morning? Did lifting something heavy cause you pain? These symptoms could be signs of back pain, a common and costly reason for emergency room visits. Research studies reveal that back pain can have various causes and affect the entire body, either mechanically or non-specifically. The three sections of the back – cervical, thoracic, and lumbar – can all be impacted, causing referred pain in different parts of the body. For instance, cervical (upper) back pain can cause stiffness in the neck, while thoracic (middle) back pain can lead to shoulder and posture issues. Lumbar (low) back pain, the most common type, can cause hip and sciatic problems. Additional research studies reveal that back pain is a complex issue that can severely affect body function, and environmental factors can also influence it.

 

Causes Of Back Pain

Various factors can be the cause of back pain, thus resulting in spine misalignment. In their book, “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explain that the back muscles play a significant role in protecting the spine. Environmental factors can also impact the spine, leading to potential back pain. The book further notes that wear and tear and disc protrusion on the spine can result in disc herniation and degeneration, also associated with back pain. Some common causes of back pain include:

  • Disc degeneration
  • Muscle sprains and strains
  • Slipped spinal disc
  • Herniations
  • Musculoskeletal disorders (arthritis, osteoporosis, sciatica, & fibromyalgia)
  • Visceral-somatic/Somato-visceral pain (Affected organ or muscle causes referred pain to different body parts)
  • Pregnancy

Further research indicates that various environmental factors, such as physical activity, lifestyle, stress, and work conditions, are associated with back pain and can overlap as risk factors. If left untreated, these environmental factors can lead to chronic conditions and significantly impact a person’s quality of life.

 


Chiropractic Secrets Exposed- Video

Have you been feeling numbness or tingling in your arms or legs? Do you experience back muscle pain when you stretch? Or do you feel pain in your low back or other parts of your body? These issues are often associated with back pain and, if left untreated, can lead to disability and loss of function. Fortunately, there are many ways to reduce back pain and its associated symptoms and promote natural healing. The video above explains how non-surgical treatments like chiropractic care can help alleviate back pain through manual manipulation. This treatment can realign the spine, stretch out tight muscles, and restore the body’s range of motion.


Treatments For Back Pain

 

If you are experiencing back pain, various treatments can help ease your symptoms and improve your mobility. You have two options for treating back pain: surgical and non-surgical. Surgical treatment may be necessary if you are experiencing nerve compression or have sustained an injury that requires spinal fusion. Non-surgical treatments can help relieve pressure on your spine, reduce back pain, and even alleviate pain in other areas of your body. Some non-surgical treatments for back pain include:

  • Physical therapy
  • Exercise
  • Chiropractic care
  • Acupuncture
  • Spinal Decompression

According to research, non-surgical treatments can alleviate pressure on spinal discs, loosen tight muscles, improve joint mobility, and promote natural healing. Many people supplement these treatments with healthy lifestyle choices, making small adjustments to their routine and paying closer attention to their physical well-being.

 

Conclusion

Since back pain is a widespread problem affecting people globally, it can be caused by various environmental factors that impact the cervical, thoracic, and lumbar back sections, leading to overlapping risk profiles and affecting different body parts. Tight and strained muscles and a compressed spine are common symptoms of this issue. However, treatments available can effectively reduce pain, stretch tight muscles, and relieve pressure off the spinal disc. By incorporating these treatments, individuals can alleviate back pain and allow their bodies to heal naturally.

 

References

Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.

Casiano, Vincent E, et al. “Back Pain.” In: StatPearls [Internet]. Treasure Island (FL), 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.

Choi, Jioun, et al. “Influences of Spinal Decompression Therapy and General Traction Therapy on the Pain, Disability, and Straight Leg Raising of Patients with Intervertebral Disc Herniation.” Journal of Physical Therapy Science, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.

Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.

See, Qin Yong, et al. “Acute Low Back Pain: Diagnosis and Management.” Singapore Medical Journal, June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.

Disclaimer

Exercises For Upper Back Pain

Exercises For Upper Back Pain

Introduction

The various muscles and ligaments that encompass the back help protect the spine’s thoracic region. The spine has three sections: cervical, thoracic, and lumbar, which assist the body with bending, turning, and twisting. For the thoracic spine, various muscles like the rhomboid, trapezoid, and other superficial muscles provide functionality to the scapula or shoulder blades to stabilize the ribcage. When the body succumbs to injuries or traumatic forces, it can develop myofascial pain syndrome associated with upper back pain. Upper back pain can lead to unwanted symptoms affecting their quality of life. Fortunately, various exercises target the upper portion of the back and can strengthen multiple muscles from injuries. Today’s article looks at the effects of upper back pain in the body and shows a few stretches and exercises that can support the various muscle groups in the upper back region. We refer our patients to certified providers that incorporate techniques and multiple therapies for many individuals suffering from upper back pain and its correlating symptoms that can affect the musculoskeletal system in the neck, shoulders, and thoracic region of the spine. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

The Effects Of Upper Back Pain In The Body

 

Have you been experiencing stiffness around or near your shoulder blades? Do you feel muscle strain when you are rotating your shoulders? Or does it hurt when you stretch your upper back in the morning? Many of these issues are signs and symptoms of upper back pain. Studies reveal that back pain is one of the most common complaints many individuals would go for emergency care. Back pain can affect the different regions in the back and cause unwanted symptoms in various areas in the upper back. Additional studies mentioned that persistent pain in the thoracic region could cause hyper-sensitization of the intercoastal nerves that mimic other conditions affecting the back. Some of the causes and effects that can lead to the development of upper back pain include:

  • Poor posture
  • Improper lifting
  • Traumatic events or injuries
  • Chronic diseases (Osteoporosis, Scoliosis, Kyphosis)

When this happens, it can lead to overlapping conditions that mimic other issues and, if not treated right away, leave individuals with chronic disabling symptoms that correlate with upper back pain.

 


Upper Back Pain Relief-Video

Have you been experiencing stiffness in your shoulders or neck? Do you feel aches and pains when stretching your arms? Or what about feeling muscle strain when lifting a heavy object? Many of these factors correlate with upper back pain affecting the thoracic spine region. When this happens, it can lead to overlapping risk profiles that can develop into different issues that can cause even more pain to the body. There are various ways to prevent upper back pain from causing further issues to the individual and can relieve the pain associated with it. Many people would go to chiropractic therapy to have their spine re-aligned to bring adequate relief or incorporate upper back exercises and stretches to relieve tension accumulated in the neck and shoulder regions. The video above explains how stretches work for different muscle regions in the upper back and provide relief to the thoracic spine.


Exercises For Upper Back Pain

Regarding the upper back, it is important to understand that incorporating various exercises that target the thoracic region can cause prolonged injuries. Studies reveal that different back exercises focus not only on the back but the shoulders, arms, chest, core, and hips providing stability, balance, and coordination to the individual. This allows the muscles in the back region to improve strength and endurance over time when a person continues to work out. More studies reveal that protocols like the McKenzie back exercise are effective programs to treat various musculoskeletal conditions that can cause pain in the back. Many physical therapists use this protocol on their patients to relieve back pain and help improve their muscular structure to have better posture.

 

Warm Up

Just like any individual that is starting to get back to their health and wellness through exercise, the most important step that anyone has to do is warming up their muscles before getting into a workout. Warming up each muscle group can prevent future injuries and increase blood flow before starting the exercise. Many individuals would incorporate stretches and foam rolling for 5-10 minutes to ensure that each muscle is ready to perform with maximum effort.

Exercises

After the body is warmed up, it is time to begin the exercise regime. Many different exercise movements target each muscle group and help build muscle mass and improve functionality. It is important to build up momentum when it comes to working out. Starting slowly with minimum reps and sets is important to ensure the exercise is done correctly. Afterward, the individual can increase the workout reps and go with a heavier weight. Below are some of the exercise routines that are suited for the upper back.

Superman

 

  • Lie on your stomach and extend your arms above the head
  • Keep neck in a neutral position and lift legs and arms off the floor at the same time
  • Make sure to use the back and glutes to lift
  • Briefly pause at the top, then return to starting position
  • Complete three sets of 10 reps

This exercise helps strengthen the spine and surrounding muscles to support the spine and reduce any future injuries from upper back pain.

 

Reverse Dumbbell Flies

 

  • Grab light weighted dumbbells
  • Hinge at the waist at 45 degrees while standing
  • Make sure the arms are hanging down with the weights
  • Keep the neck in a neutral position while gazing down
  • Lift the arms (with the dumbbells) out to the side and upwards
  • Squeeze the shoulders together at the top during this movement
  • Complete three sets of 8-12 reps

This exercise is excellent for strengthening the muscles that surround the shoulder and upper back.

 

Rows

 

  • Use a resistance band or a light weighted dumbbell.
  • For the resistance band, affix the band to a stable surface above eye level. For the light weighted dumbbells, extend the arms in front of the body above eye level.
  • Use an overhead grip when holding the resistance band handles and the light weighted dumbbells.
  • Pull resistance bands or dumbbells toward the face.
  • Flare out the upper arms to the sides
  • Squeeze the shoulders together
  • Pause for a bit and then return to starting position
  • Complete three sets of 12 reps

This exercise helps strengthen the shoulder muscles and prevent future injuries from occurring in the upper back.

 

Conclusion

Some various muscles and ligaments encompass the back and help protect the spine’s thoracic region. These muscles help with the stabilization of the ribcage and help provide the functionality to the upper back. When multiple factors cause traumatic injuries to the upper back, it can lead to pain-like symptoms that can cause overlapping features and affect a person’s quality of life. Luckily, various exercises target the upper back and surrounding muscle groups. Each activity targets all the muscles in the upper back and allows a person to regain health and wellness without constant pain.

 

References

Atalay, Erdem, et al. “Effect of Upper-Extremity Strengthening Exercises on the Lumbar Strength, Disability and Pain of Patients with Chronic Low Back Pain: A Randomized Controlled Study.” Journal of Sports Science & Medicine, U.S. National Library of Medicine, 1 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5721192/.

Casiano, Vincent E, et al. “Back Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.

Louw, Adriaan, and Stephen G Schmidt. “Chronic Pain and the Thoracic Spine.” The Journal of Manual & Manipulative Therapy, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4534852/.

Mann, Steven J, et al. “McKenzie Back Exercises – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK539720/.

Disclaimer

Whiplash Trauma and Chiropractic Treatment El Paso, TX.

Whiplash Trauma and Chiropractic Treatment El Paso, TX.

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

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

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

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

Severe whiplash can also include injury to the following:

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

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

 

Symptoms of Whiplash

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

Other symptoms of whiplash trauma can include:

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

 

Diagnosis of Whiplash Trauma

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

 

Treatment

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

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

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

Other treatments for individuals with whiplash may include the following:

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

 

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

 

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

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

This is called cervical traction.

Local anesthetic injections can help when necessary.

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

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


 

Whiplash Massage Therapy El Paso, TX Chiropractor

 

 

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

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


 

NCBI Resources

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

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

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

An Overview Of Lumbago

An Overview Of Lumbago

Introduction

Many individuals don’t realize that the various muscles in their back help provide functionality to the body. The back muscles help move, bend, rotate, and help the individual stand up straight when they are out and about. The back muscles also help protect the cervical, thoracic, and lumbar sections of the spine and work together with the head, neck, shoulders, arms, and legs to provide mobility. When the body begins to wear down with age naturally, it can lead to back issues that can limit a person’s mobility, or normal activities can cause the back muscles to be overused and develop trigger points to invoke back pain or lumbago. Today’s article looks at the thoracolumbar paraspinal muscles in the back, how the lumbago is associated with trigger points, and treatments to relieve the lumbago in the thoracolumbar muscles. We refer patients to certified providers who provide different techniques in thoracic lumbar back pain therapies associated with trigger points to aid many suffering from pain-like symptoms along the thoracolumbar paraspinal muscles along the back, causing lumbago. We encourage patients by referring them to our associated medical providers based on their examination when it is appropriate. We designate that education is a great solution to asking our providers profound and complex questions at the patient’s request. Dr. Alex Jimenez, D.C., notes this information as an educational service only. Disclaimer

The Thoracolumbar Paraspinal Muscles In The Back

 

Have you been finding it difficult to walk even for a short period? Do you feel aches and soreness when getting out of bed? Are you constantly in pain when bending over to pick up items from the ground? These various actions that you are doing incorporate the thoracolumbar paraspinal muscle in the back, and when issues affect these muscles, it can lead to lumbago associated with trigger points. The thoracolumbar paraspinal in the back is a group of muscles closely surrounded by the thoracolumbar spine, where the thoracic region ends, and the lumbar region begins. The thoracolumbar paraspinal muscles in the back have a casual relationship with the body as it requires contribution from the systems requiring movement. Studies reveal that the thoracolumbar paraspinal muscles are modulated through communication with the three sub-systems, which include:

  • The passive system: vertebrae, discs, and ligaments
  • The active system: muscles and tendons
  • The control system: central nervous system and nerves

Each system provides muscular activities when a person is bending down to pick up an object or doing simple movements. However, when the muscles become overused, it can lead to various issues affecting the back and surrounding muscles.

 

Lumbago Associated With Trigger Points

 

Studies reveal that paraspinal muscle integrity plays a very critical role when it comes to the maintenance of spinal alignment in the back. When the thoracolumbar paraspinal muscles become overused from normal activities, it can affect the back by causing back pain symptoms or lumbago associated with trigger points. In Dr. Travell, M.D.’s book “Myofascial Pain and Dysfunction,” trigger points may be activated due to sudden movements or sustained muscular contraction over time that leads to the development of lumbago. Atrophy issues in the paraspinal muscles can contribute to lumbago associated with trigger points that cause deep referred pain in the thoracolumbar regions of the back. Active trigger points in the deep muscle group of the thoracolumbar paraspinal can impair movement between the vertebrae during flexion or side bending. 

 


An Overview Of Lumbago- Video

Lumbago or back pain is one of the most common issues that many individuals, from acute to chronic, depending on how severe the pain is inflicted on the back. Have you been feeling pain in your mid-lower back? Do you feel an electric shock when you run down your leg in a weird position? Or have you felt tenderness in the middle of your back? Experiencing these symptoms could indicate that the thoracolumbar paraspinal muscles are affected by trigger points associated with lumbago. The video explains what lumbago is, the symptoms, and various treatment options to relieve the pain and manage trigger points that are causing the thoracolumbar muscles issues in the back. Many individuals who suffer from lumbago don’t often realize that various factors can affect the surrounding muscles in the thoracolumbar region and mask other previous conditions from which they could suffer. Regarding managing lumbago associated with trigger points, various treatment options can help reduce the pain affecting the thoracolumbar paraspinal muscles while managing trigger points for progressing further in the back.


Treatments To Relieve Lumbago In The Thoracolumbar Muscles

 

Since lumbago or back pain is a common issue for many people, various treatments can reduce the pain-like symptoms in the thoracolumbar muscles and manage the associated trigger points. Some of the simplest treatments that many individuals can use are to correct how they are standing. Many individuals often lean on one side of their bodies which causes the thoracolumbar paraspinal muscles on the opposite sides to be overloaded. This causes spinal subluxation or misalignment to the thoracolumbar region. Another treatment that many people can incorporate into their daily lives is by going to a chiropractor for a spinal adjustment for the thoracolumbar spine. Studies reveal that chiropractic care combined with physical therapy can relieve the thoracolumbar back while reducing the pain symptoms associated with trigger points by loosening the stiff muscles and causing relief to the back. 

 

Conclusion

The back has various muscles known as the thoracolumbar paraspinal muscles that allow movement and mobility to the body. The back muscles help protect the cervical, thoracic, and lumbar sections of the spine while working with the rest of the body’s components to keep the body stable. When natural aging or actions affect the back muscles, it can lead to various pain issues that can activate trigger points causing lumbago or back pain. Fortunately, some treatments can help alleviate back pain in the thoracolumbar paraspinal muscles while managing trigger points to bring back mobility to the back.

 

References

Bell, Daniel J. “Paraspinal Muscles: Radiology Reference Article.” Radiopaedia Blog RSS, Radiopaedia.org, 10 July 2021, radiopaedia.org/articles/paraspinal-muscles?lang=us.

du Rose, Alister, and Alan Breen. “Relationships between Paraspinal Muscle Activity and Lumbar Inter-Vertebral Range of Motion.” Healthcare (Basel, Switzerland), MDPI, 5 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4934538/.

He, Kevin, et al. “The Implications of Paraspinal Muscle Atrophy in Low Back Pain, Thoracolumbar Pathology, and Clinical Outcomes after Spine Surgery: A Review of the Literature.” Global Spine Journal, SAGE Publications, Aug. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7359686/.

Khodakarami, Nima. “Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation.” Healthcare (Basel, Switzerland), MDPI, 24 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7151187/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 1:Upper Half of Body. Williams & Wilkins, 1999.

Disclaimer

Thoracic Back Pain

Thoracic Back Pain

The thoracic spine, also known as the upper or middle back, is designed for stability to anchor the rib cage and protect the organs in the chest. It is highly resistant to injury and pain. However, when thoracic back pain does present, it is usually from long-term posture problems or an injury. Thoracic back pain is less common than lower back and neck pain, but it does affect up to 20% of the population, particularly women. Treatment options include chiropractic for quick and long-term pain relief.

Thoracic Back Pain

Thoracic Back Pain and Soreness

The thoracic area is vital for various functions related to:

Common reasons for experiencing thoracic back pain include:

  • A direct hit or high-impact injury from a fall.
  • Sports injury.
  • Automobile accident.
  • Unhealthy postures that put the spine in chronic misalignment, causing strain.
  • Repetitive overuse injury from bending, reaching, lifting, twisting.
  • Poor core or shoulder mechanics, causing muscle imbalance.
  • Muscular irritation, the large upper back muscles are prone to developing strains or tightness that can be painful and difficult to alleviate.
  • De-conditioning or lack of strength.
  • Joint dysfunction can come from a sudden injury or natural degeneration from aging. Examples include facet joint cartilage tear or joint capsule tear.

Upper back pain usually feels like a sharp, burning pain localized to one spot or a general achiness that can flare up and spread out to the shoulder, neck, and arms.

Types of Upper Back Pain

These include:

  • Myofascial pain
  • Spine degeneration
  • Joint dysfunction
  • Nerve dysfunction
  • General spinal misalignments

Depending on what specific tissues are affected, pain can occur with breathing or arm use. It is recommended to have a healthcare professional perform an examination and get an accurate diagnosis. A chiropractor understands the delicate balance and functions that the thoracic spine provides and can develop a proper treatment plan.

Chiropractic

Treatment options will depend on the symptoms, underlying dysfunctions, and individual preferences. ​Recommendations for treatment often include:

  • Spine adjustments to improve alignment and nerve integrity.
  • Posture training to maintain spinal alignment.
  • Therapeutic massage.
  • Exercise training to restore muscular balance.
  • Non-invasive pain-relieving techniques.
  • Health coaching.

Body Composition


Plant-Based Diets for Weight Loss

Individuals who follow vegan, vegetarian, and semivegetarian diets have reported and shown they are less likely to be overweight or obese. This can indicate that reducing intake of meat and animal products is beneficial for weight loss. Studies have found that individuals who follow a vegan diet may lose more weight than individuals on a more conventional weight loss diet, even with similar calories consumed, and often have significant improvements in blood sugar and inflammation markers.

Plant-Based Protein and Muscle Gain

Some plant-based proteins are just as effective as animal protein at promoting muscle gain. A study found that supplementing rice protein following resistance training had similar benefits to whey protein supplementation. Both groups had:

References

Briggs AM, Smith AJ, Straker LM, Bragge P. Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord. 2009;10:77.

Cichoń, Dorota et al. “Efficacy of Physiotherapy in Reducing Back Pain and Improve Joint Mobility in Older Women.” Ortopedia, traumatologia, rehabilitacja vol. 21,1 (2019): 45-55. doi:10.5604/01.3001.0013.1115

Fouquet N, Bodin J, Descatha A, et al. Prevalence of thoracic spine pain in a surveillance network. Occup Med (Lond). 2015;65(2):122-5.

Jäger, Ralf et al. “Comparison of rice and whey protein isolate digestion rate and amino acid absorption.” Journal of the International Society of Sports Nutrition vol. 10,Suppl 1 P12. 6 Dec. 2013, doi:10.1186/1550-2783-10-S1-P12

Joy, Jordan M et al. “The effects of 8 weeks of whey or rice protein supplementation on body composition and exercise performance.” Nutrition journal vol. 12 86. 20 Jun. 2013, doi:10.1186/1475-2891-12-86

Medawar, Evelyn et al. “The effects of plant-based diets on the body and the brain: a systematic review.” Translational psychiatry vol. 9,1 226. 12 Sep. 2019, doi:10.1038/s41398-019-0552-0

Newby, PK et al. “Risk of overweight and obesity among semivegetarian, lactovegetarian, and vegan women.” The American journal of clinical nutrition vol. 81,6 (2005): 1267-74. doi:10.1093/ajcn/81.6.1267

Pope, Malcolm H et al. “Spine ergonomics.” Annual review of biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107