Back Clinic Conditions Treated. Chronic Pain, Auto Accident Care, Back Pain, Low Back Pain, Back Injuries, Sciatica, Neck Pain, Work Injuries, Personal Injuries, Sports Injuries, Migraine Headaches, Scoliosis, Complex Herniated Discs, Fibromyalgia, Wellness & Nutrition, Stress Management, and Complex Injuries.
At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we are focused on treating patients after debilitating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities.
If Dr. Alex Jimenez feels you need other treatment, then you will be referred to a clinic or Physician that is best suited for you. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, and premiere rehabilitation providers to bring El Paso the top clinical treatments to our community. Providing the top non-invasive protocols is our priority. Clinical insight is what our patients demand in order to give them the appropriate care required. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900
Strumming Without Pain: Chiropractic Solutions for Guitarists and Bassists at El Paso Back Clinic
Playing guitar or bass fills life with rhythm and joy. The thrill of strumming chords or plucking deep notes creates unforgettable moments. But for many string players in El Paso, Texas, this passion can lead to pain. Hours of practice can strain hands, wrists, forearms, elbows, and shoulders, leading to repetitive strain injuries (RSIs) such as tendonitis. These injuries bring swelling, stiffness, and aches that make playing tough. At El Paso Back Clinic, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, we offer integrative chiropractic care to tackle these issues, helping musicians heal naturally and keep the music alive.
This article explains why guitarists and bassists are prone to RSIs, how tendonitis affects key areas, and how our clinic’s holistic approach—combining chiropractic adjustments, massage, acupuncture, and nutrition—restores health. With insights from Dr. Jimenez’s 30+ years of expertise, we’ll show how El Paso Back Clinic helps local musicians recover from injuries and prevent future pain, so they can strum and pluck without worry.
Why String Players Face Repetitive Strain Injuries
Guitarists and bassists repeat the same motions for hours: fretting chords, strumming strings, or plucking heavy bass lines. These actions stress tendons—the tough bands connecting muscles to bones. Over time, small tears form, which can lead to inflammation or tendonitis. Unlike a one-time injury, RSIs develop gradually from overuse, making them common among musicians (Pianucci et al., 2021).
The fretting hand curls tightly to press strings, while the strumming or plucking arm moves fast. Bassists face extra strain from thicker strings that need more force. Poor posture, like slouching over a guitar, adds pressure to the shoulders and neck. Heavy instruments—guitars at 7-10 pounds and basses up to 12—strain the body more during gigs (Pain Free NY, n.d.). Cold El Paso nights or long jam sessions at local venues like Lowbrow Palace can worsen symptoms by stiffening muscles.
Other factors increase risks. Older players over 40 have less flexible tendons (Bend Total Body Chiropractic, n.d.). Poor habits, such as gripping picks too hard or skipping warm-ups, can speed up strain. Diet matters too—sugary or fatty foods fuel inflammation, slowing recovery (Healthline, 2022). El Paso’s active music scene, with frequent gigs and rehearsals, means local players often push their limits, increasing the risk of RSI.
Where It Hurts: Tendonitis in Musicians’ Bodies
Tendonitis hits specific spots based on how guitarists and bassists play. Here’s where pain strikes:
Hands and Fingers: Fretting chords strains finger tendons, especially at the thumb base. Thumb tendonitis (De Quervain’s) causes sharp pain when gripping the neck. Swelling or a gritty feel signals trouble (Guitar Strength Project, n.d.).
Wrists: Strumming and plucking bend wrists repeatedly, inflaming tendons on top (extensor) or below (flexor). Stiffness after waking or a weak grip are signs. Carpal tunnel syndrome may add tingling or numbness (Rawlogy, n.d.).
Forearms: Constant flexing causes the forearm muscles to burn. Redness, warmth, or lumps show tendonitis. Bassists feel it more from forceful plucks (Healthline, 2022).
Elbows: “Guitar elbow” mimics tennis elbow, with pain on the outer elbow from strained tendons. Inner elbow pain (golfer’s elbow) also hits. Both weaken grip, making it hard to hold picks or instruments (Tennis Elbow Classroom, n.d.).
Shoulders: Holding arms out for chords strains the rotator cuff tendons, causing aches that spread down the arm. Slouching worsens it (Smithsonian Folkways, n.d.).
These areas link up. Hand pain can trigger elbow issues, and shoulder misalignment can strain wrists. Catching early signs—such as soreness or fatigue—prevents more severe problems.
Symptoms That Stop the Show
Tendonitis symptoms creep in but hit hard. Pain starts as a dull ache during play, then sharpens at rest. Swelling puffs up joints, and stiffness locks fingers, especially in the morning. Numbness or tingling buzzes in cold venues, sometimes with fingers turning blue from poor blood flow (Pain Free NY, n.d.). Weakness, drops, and fatigue, as well as burning or throbbing sensations, often linger after gigs. A grating sensation hints at the presence of scar tissue.
For El Paso musicians, long practices for gigs at Tricky Falls or house shows can exacerbate symptoms. Stress from late-night sets or cold weather can cause muscles to tighten, exacerbating pain. If symptoms last for weeks, it’s time to visit El Paso Back Clinic for expert care.
Quick Relief at Home
Before professional help, try these steps to ease tendonitis:
RICE Method: Rest by avoiding play and using splints. Ice for 15 minutes, wrapped, several times daily. Compress with elastic wraps, not too tight. Elevate arms on pillows (Mayo Clinic, 2023).
Meds: Ibuprofen reduces swelling, but ask a doctor first.
Stretches: Gentle wrist circles, finger spreads, or forearm pulls, held 15-30 seconds (Healthline, 2022).
Massage: Use massage balls to roll out knots gently (Rawlogy, n.d.).
Diet: Eat berries, fish, and leafy greens to help combat inflammation. Avoid sugary snacks common at El Paso food trucks.
These help, but don’t address the root cause. For lasting relief, see the experts at El Paso Back Clinic.
Chiropractic Care at El Paso Back Clinic
At El Paso Back Clinic, Dr. Alexander Jimenez and his team utilize chiropractic care to effectively treat RSIs. Adjustments realign joints in the wrist, elbow, or shoulder, freeing nerves and boosting blood flow. For elbow tendonitis, specific adjustments reduce pain and swelling, with patients often regaining full motion in weeks (Stamford Spine, n.d.).
Our clinic checks the whole body. A misaligned shoulder can strain wrists, so we adjust the entire chain. Soft tissue work, such as Graston therapy, breaks down scar tissue in the wrists. Laser therapy reduces inflammation, and taping supports joints during physical activity (Pinnacle Hill Chiropractic, 2024). Regular visits help keep the body aligned, reducing the risk of re-injury by up to 50% (Chiro One, n.d.).
Dr. Jimenez’s dual training as a chiropractor and nurse practitioner ensures precise diagnosis and treatment. Using advanced imaging like MRIs, we pinpoint tendon tears or nerve issues. Treatments are safe, with only mild soreness possible, and tailored to each musician’s needs (Bend Total Body Chiropractic, n.d.).
Integrative Healing for El Paso Musicians
Our integrative approach goes beyond adjustments. We combine:
Massage Therapy: Kneads forearm knots, easing tension from long sets (Beech Street Health, n.d.).
Acupuncture: Calms nerves, reducing wrist tingling for smoother playing.
Exercises: Wrist curls with light weights or finger bands build strength (Chiro One, n.d.).
Nutrition: Collagen supplements and omega-3 fatty acids accelerate tendon repair. We guide patients to local El Paso markets for healthy foods.
Ergonomics: Adjust guitar straps or use lighter picks. Take breaks every 20 minutes during practice (Smithsonian Folkways, n.d.).
This mix helps heal faster and prevents future pain, allowing musicians to stay on stage.
Dr. Jimenez’s Expertise at El Paso Back Clinic
Dr. Alexander Jimenez brings over 30 years of experience to El Paso Back Clinic. His dual-scope approach—combining chiropractic and functional medicine—targets the root causes of injuries. We provide personalized plans for musicians, workers, athletes, and individuals who have experienced accidents. Advanced tools, such as neuromusculoskeletal imaging, can reveal hidden damage, while assessments also consider lifestyle and genetics (Jimenez, n.d.a).
For a local guitarist who was injured in a car accident, we utilized adjustments, massage, and nutrition to restore their fretting ability. Our clinic also handles legal documentation for injury claims, ensuring smooth insurance processes (Jimenez, n.d.b). From whiplash to wrist strain, we help El Paso’s music community heal naturally.
Preventing Pain for Lifelong Playing
Prevention keeps musicians playing. Try these:
Exercises: Wrist stretches, towel twists, or 1-pound weight curls, 10 reps, three times weekly (Healthline, 2022).
Warm-Ups: 10-minute finger flexes and arm circles before gigs.
Technique: Use loose grips and neutral wrists. Alternate hands for songs (No Treble, 2011).
Gear: Ergonomic straps and lighter instruments ease shoulder strain.
Breaks: Rest every 20 minutes. Relax with meditation to cut stress.
El Paso Back Clinic offers tailored plans to keep your body gig-ready.
Keep the Music Playing
Tendonitis doesn’t have to silence your strings. At El Paso Back Clinic, Dr. Jimenez and our team use chiropractic and integrative care to heal RSIs and prevent pain. From hands to shoulders, we address the root causes so you can play without fear. Visit us in El Paso to get back to strumming and plucking with ease.
Contact El Paso Back Clinic at 915-850-0900 or dralexjimenez.com to schedule your consultation today.
Exploring Integrative Chiropractic Care: Benefits, Techniques, and More
Introduction
Integrative chiropractic care is gaining popularity as people seek natural ways to address health issues beyond back and neck pain. This approach combines traditional chiropractic adjustments with other therapies to promote overall wellness. Many wonder about its effectiveness, safety, costs, and how to choose the right provider, especially in a city like El Paso, Texas. This article answers common questions about integrative chiropractic care, with insights from Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, whose clinical expertise highlights how this care can treat various conditions, injuries, and promote long-term health.
What Is Integrative Chiropractic Care?
Integrative chiropractic care goes beyond traditional spinal adjustments. It focuses on the whole person, combining chiropractic techniques with therapies like massage, acupuncture, and exercise to improve health. According to Integrative Chiropractic Center, this approach emphasizes natural healing and healthy living, addressing the root causes of health issues rather than just symptoms (Integrative Chiropractic Center, n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC, a leading practitioner in El Paso, uses this holistic method to treat injuries and chronic conditions, tailoring care to each patient’s needs (Jimenez, n.d.).
Is Integrative Chiropractic Effective for More Than Just Back and Neck Pain?
Yes, integrative chiropractic care can help with more than just back and neck pain. It’s effective for conditions like migraines, dizziness, allergies, and chronic pain. Research shows that up to 75% of migraine sufferers experience neck stiffness or pain, which chiropractic care can address through spinal adjustments and soft tissue therapies (Healthgrades, 2025). A 2019 study found that spinal manipulation reduced migraine frequency and intensity, making it a promising option for headache relief (Healthgrades, 2025).
For dizziness, chiropractic care can improve balance by addressing spinal misalignments that affect the nervous system. While evidence for allergies is less clear, some patients report relief due to improved immune function from reduced stress on the body (Mile High Spine, n.d.). Dr. Jimenez’s clinic in El Paso has successfully treated patients with chronic pain from work, sports, personal, or motor vehicle accident (MVA) injuries, using a combination of chiropractic adjustments and targeted therapies to address underlying issues (Jimenez, n.d.).
What Techniques Are Used in Integrative Chiropractic Care?
Integrative chiropractors use a variety of techniques to promote healing. Common methods include:
Spinal Manipulation: Adjusting the spine to improve alignment and nerve function.
Soft Tissue Therapies: Techniques like myofascial release to relax tight muscles.
Massage Therapy: Relieves muscle tension and improves circulation.
Acupuncture: Stimulates specific points to reduce pain and promote healing.
Targeted Exercise: Strengthens muscles and improves mobility.
Lifestyle Advice: Guidance on posture, nutrition, and stress management.
Dr. Jimenez incorporates these techniques, tailoring them to each patient. For example, he uses the Diversified Technique for spinal adjustments and combines it with therapies like massage to treat injuries from sports or MVAs (Jimenez, n.d.). These methods work together to address both symptoms and their causes, promoting natural healing (Pivotal Chiropractic, n.d.).
Can Integrative Chiropractic Help with Chronic or Severe Pain?
Integrative chiropractic care is effective for chronic and severe pain, especially when caused by musculoskeletal issues. A 2019 case study of a 23-year-old woman with chronic migraines and neck pain showed significant improvement after chiropractic care using Diversified and Thompson Techniques (Vertebral Subluxation Research, 2019). Dr. Jimenez’s approach involves dual-scope diagnosis, combining his expertise as a chiropractor and nurse practitioner to assess injuries thoroughly. He uses sophisticated imaging, like X-rays or MRIs, to identify the root causes of pain, ensuring targeted treatment (Jimenez, n.d.).
For chronic pain from work or sports injuries, integrative care combines adjustments with exercise and massage to reduce inflammation and restore function. This approach helps prevent long-term consequences by addressing misalignments and promoting healing (DE Integrative Healthcare, n.d.).
Is Integrative Chiropractic Safe for Specific Populations?
Integrative chiropractic care is generally safe for most people, including children, pregnant women, and older adults, when performed by a licensed chiropractor. More research is necessary, but a case study suggests that chiropractic care is a safe and effective treatment option for migraines during pregnancy (Medical News Today, n.d.). For older adults, chiropractic adjustments can improve balance and reduce dizziness by addressing spinal stiffness (ScienceDirect, n.d.).
Dr. Jimenez ensures safety by conducting thorough assessments, including diagnostic imaging, to customize treatments. Patients with conditions like osteoporosis or recent surgeries may need gentler techniques, and Dr. Jimenez’s dual training as a nurse practitioner allows him to evaluate these risks carefully (Integrative Services, n.d.).
Can Integrative Chiropractic Help with Conditions Like Migraines, Dizziness, or Allergies?
As mentioned, integrative chiropractic care can help with migraines by reducing neck tension and improving spinal alignment. A 2019 meta-analysis found that spinal manipulation decreased migraine days and pain intensity (Healthgrades, 2025). Dizziness, often linked to neck issues or poor balance, can improve with adjustments that enhance nervous system function (ScienceDirect, n.d.).
For allergies, the evidence is less conclusive; however, some patients report benefits from reduced stress and an improved immune response. Dr. Jimenez’s clinic employs a comprehensive approach, combining adjustments, acupuncture, and lifestyle modifications to address these conditions, with a focus on overall well-being (Jimenez, n.d.).
How Much Does Integrative Chiropractic Care Cost?
Costs for integrative chiropractic care vary depending on location, treatment type, and session frequency. In El Paso, a single session may range from $50 to $150, with initial visits costing more due to assessments and imaging (DE Integrative Healthcare, n.d.). Packages or memberships can reduce costs for ongoing care. Dr. Jimenez’s clinic offers transparent pricing, and patients can inquire about costs during their first visit (Jimenez, n.d.).
Does Integrative Chiropractic Accept Insurance?
Many chiropractic clinics, including Dr. Jimenez’s, accept insurance; however, coverage varies depending on the specific plan. Some insurance providers cover chiropractic care for specific conditions like back pain or injuries, but coverage for integrative therapies like acupuncture may be limited. Patients should verify with their insurance provider and the clinic to confirm coverage. Dr. Jimenez’s office assists with insurance claims and provides options for those without coverage (Integrative Services, n.d.).
What Should Be Expected on the First Visit?
During your initial visit to an integrative chiropractor, you can anticipate a thorough evaluation. This includes:
Health History Review: Discussing Past Injuries, Conditions, and Symptoms.
Physical Exam: Assessing posture, spine, and range of motion.
Diagnostic Assessments: X-rays or other imaging to identify issues.
Treatment Plan Discussion: Outlining therapies and goals.
Dr. Jimenez uses sophisticated imaging and his dual expertise to create personalized plans. The first visit may include an adjustment or other therapies, depending on the assessment (Jimenez, n.d.). Expect the visit to last 30–60 minutes (Pivotal Chiropractic, n.d.).
Is Treatment Ongoing?
Integrative chiropractic care is often ongoing, especially for chronic conditions or injury recovery. Initial treatment may involve multiple sessions per week, transitioning to maintenance care (e.g., monthly visits) as symptoms improve. Dr. Jimenez designs long-term plans to prevent re-injury and promote health, incorporating exercise and lifestyle changes (DE Integrative Healthcare, n.d.).
How Do I Choose the Right Integrative Chiropractor in El Paso?
Choosing the right chiropractor in El Paso involves several steps:
Check Credentials: Ensure the chiropractor is licensed and has relevant training. Dr. Jimenez, for example, is a Doctor of Chiropractic and a Family Nurse Practitioner (Jimenez, n.d.).
Ask for Referrals: Consult your primary care doctor or friends for recommendations (Healthgrades, n.d.).
Research Experience: Look for expertise in your condition, like migraines or sports injuries.
Read Reviews: Check platforms like Healthgrades for patient feedback.
Ask About Techniques: Confirm the chiropractor uses integrative methods like acupuncture or massage.
Verify Insurance: Ensure the clinic accepts your insurance or offers affordable options.
Schedule a Consultation: Meet the chiropractor to discuss your needs and comfort level.
Evaluate Communication: Choose someone who listens and explains clearly.
Dr. Jimenez stands out in El Paso due to his dual credentials and focus on integrative care, making him a strong choice for complex cases (LinkedIn, n.d.).
Dr. Alexander Jimenez’s Expertise and Approach
Dr. Alexander Jimenez, DC, APRN, FNP-BC, brings a unique perspective to integrative chiropractic care in El Paso. His dual training as a chiropractor and nurse practitioner enables him to bridge the gap between medical and chiropractic approaches. His clinic specializes in treating injuries from work, sports, personal incidents, and MVAs, using a comprehensive process:
Clinical Correlation: Dr. Jimenez connects patient symptoms to specific injuries, ensuring accurate diagnosis.
Dual-Scope Diagnosis: Combining chiropractic and medical assessments for a complete picture.
Treatment Procedures: Using adjustments, acupuncture, massage, and exercise to address injuries.
Diagnostic Assessments: Employing sophisticated imaging like X-rays and MRIs to pinpoint issues.
Legal Documentation: Providing detailed reports for MVA or work injury cases, supporting insurance claims, or legal proceedings.
His clinic emphasizes natural healing, addressing injury causes to prevent chronic issues. For example, a sports injury might involve spinal adjustments to restore alignment, massage to reduce muscle tension, and exercises to strengthen the area, ensuring long-term recovery (Jimenez, n.d.).
How Integrative Chiropractic Assists with Injuries
Integrative chiropractic care is highly effective for work, sports, personal, and MVA injuries. Dr. Jimenez’s clinic uses a multi-faceted approach:
Chiropractic Adjustments: Correct spinal misalignments to reduce pain and improve function.
Targeted Exercise: Strengthens muscles to support recovery and prevent re-injury.
Massage Therapy: Reduces inflammation and promotes relaxation.
Acupuncture: Alleviates pain and enhances healing.
Integrative Medicine: Incorporates nutrition and lifestyle changes to support overall health.
This approach not only treats injuries but also prevents long-term consequences like chronic pain or reduced mobility. For MVA cases, Dr. Jimenez provides thorough documentation for insurance or legal needs, ensuring patients receive proper support (Jimenez, n.d.).
Conclusion
Integrative chiropractic care offers a holistic approach to health, addressing conditions like migraines, dizziness, allergies, and chronic pain beyond traditional back and neck issues. Techniques like spinal manipulation, massage, acupuncture, and exercise promote natural healing. Dr. Alexander Jimenez’s clinic in El Paso exemplifies this approach, using dual-scope diagnosis and sophisticated imaging to treat injuries effectively. By understanding costs, insurance options, and what to expect, patients can make informed decisions about their healthcare. Choosing the right chiropractor involves researching credentials, experience, and patient reviews, with Dr. Jimenez being a trusted option in El Paso.
Sport-Specific Chiropractic Care at El Paso Back Clinic: Building Strength, Restoring Balance, and Preventing Injuries
Moving Beyond One-Size-Fits-All Training
Every athlete faces unique physical demands. A sprinter’s body requires explosive power, while a baseball pitcher depends on shoulder rotation and stability. At El Paso Back Clinic, we emphasize that performance training should reflect those realities. Sport-specific chiropractic care addresses both the physical and neurological patterns behind athletic success, offering customized recovery and prevention strategies instead of generalized routines (Trainerize, n.d.; Seaver College, n.d.).
This approach enhances coordination, balance, and endurance by targeting the specific movements athletes use in their sport. More importantly, it builds resilience—protecting the musculoskeletal system against injuries that can derail progress (Physio-Pedia, n.d.).
Chiropractic Care as a Performance Tool
Chiropractic adjustments are often seen as a way to ease back or neck pain, but in athletics, they play a far greater role. Spinal and joint alignment improves nervous system efficiency, helping muscles fire correctly during sport-specific actions (Nansledan Chiropractic, n.d.).
At El Paso Back Clinic, chiropractic care goes hand-in-hand with soft tissue therapies, mobility exercises, and recovery strategies. Athletes benefit from:
This integrative approach makes chiropractic care a cornerstone for both rehabilitation and peak performance.
From Pain to Play: How Athletes Heal
Injury recovery is never just about repairing one area of the body; it’s about restoring overall function. At El Paso Back Clinic, we use chiropractic integrative care to restore overall function. For example, an athlete recovering from an ACL injury might receive adjustments for pelvic alignment alongside agility drills to re-train proper knee mechanics (Jag PT, n.d.).
Our recovery process follows clear steps:
Pain and Inflammation Control – through chiropractic adjustments, soft tissue work, and supportive therapies.
Strength and Mobility Restoration – using targeted, sport-specific rehabilitation exercises (HQPT, n.d.).
Neuromuscular Re-education – training the nervous system to move efficiently and avoid re-injury (ECU Research Online, n.d.).
Return-to-Sport Readiness – functional assessments ensure athletes are prepared for real-world demands (Marygrove Mustangs, n.d.).
By integrating rehabilitation and chiropractic strategies, athletes heal faster and more safely while regaining confidence on the field.
The El Paso Back Clinic Advantage: Integrative, Collaborative Care
What sets El Paso Back Clinic apart is the collaborative nature of care. Our providers don’t just focus on short-term relief; they build long-term health through a mix of therapies:
Chiropractic Adjustments – for alignment, pain reduction, and improved function
Acupuncture – reducing inflammation and supporting natural recovery
Nutritional Guidance – Promoting Anti-Inflammatory Eating to Accelerate Healing (Avance Care, n.d.)
Performance Training – customized sport-specific drills that build functional strength (Prevent PT, 2023)
Together, these therapies ensure athletes receive complete care that supports both the body and mind.
Prevention: Protecting Athletes Before Injuries Happen
Many injuries develop gradually, often due to poor posture, muscular imbalances, or repetitive stress. Regular chiropractic evaluations allow us to detect and correct these issues before they become painful setbacks (Hyperhealth, n.d.).
For instance, a runner may develop pelvic instability that, if untreated, leads to knee pain. At El Paso Back Clinic, chiropractic adjustments stabilize the pelvis while sport-specific training reinforces single-leg balance and stride efficiency. This proactive approach not only prevents injuries but also enhances performance (Essential Chiropractic, n.d.).
Legal and Medical Support for Injury Cases
Beyond athletics, El Paso Back Clinic also supports patients recovering from motor vehicle accidents, workplace injuries, and personal injury cases. Our providers deliver:
Thorough diagnostics using imaging and functional testing
Comprehensive injury documentation for legal cases
Collaborative care plans that integrate chiropractic treatment, exercise therapy, and functional medicine (Perrone Wellness, n.d.; RxWellness, n.d.)
By combining advanced care with precise documentation, we help patients heal physically while supporting them through legal processes that often follow accidents.
The Lasting Benefits of Sport-Specific Chiropractic Care
Athletes who embrace an integrated model of chiropractic care and tailored training experience benefit that extend well beyond the field. They gain:
Enhanced performance through better biomechanics
Faster and more complete recovery after injuries
Greater resilience against future injuries
A foundation for long-term musculoskeletal health
At El Paso Back Clinic, our mission is simple: to keep athletes, workers, and accident patients moving safely, confidently, and at their highest potential.
Find out how chiropractic care and immune system assistance can play a vital role in maintaining your health.
Comprehensive Guide to Chiropractic Care for Musculoskeletal and Viscerosomatic Pain Relief
Introduction
Imagine waking up one morning feeling like you’ve been hit by a runaway 18-wheeler, your back screaming in protest, and your joints acting like they’ve forgotten how to move. Now, add a dash of gut discomfort or a headache that feels like a marching band in your skull. Sounds like a rough day, right? This is the reality for many dealing with musculoskeletal pain, which can ripple through the body, causing issues that seem unrelated—like viscerosomatic pain, where your organs and muscles start a not-so-friendly conversation. But don’t worry, there’s hope, and it doesn’t involve a lifetime supply of painkillers or pretending you’re a contortionist to “stretch it out.” Enter chiropractic care, led by experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, at El Paso Back Clinic, who’s practically a superhero for those battling pain from car accidents, scoliosis, or just life’s daily grind.
In this comprehensive guide, we’ll dive into how musculoskeletal pain can mess with your immune system, trigger viscerosomatic issues, and even make you feel like you’re starring in a sci-fi thriller where your body’s the villain. We’ll explore why chiropractic care, combined with non-surgical treatments, is a game-changer for conditions such as scoliosis, whiplash, and gastrointestinal injuries resulting from accidents. Additionally, we’ll highlight Dr. Jimenez’s expertise in bridging the gap between medical care and legal documentation for personal injury cases in El Paso, ensuring that victims receive the care and justice they deserve. Buckle up (safely, of course) for a 5,000+ word journey packed with clinical insights, a sprinkle of humor, and practical tips to reclaim your health.
Musculoskeletal Pain and Its Ripple Effects on the Body
Musculoskeletal pain is like that one guest at a party who overstays their welcome, causing chaos wherever they go. It affects your muscles, bones, ligaments, tendons, and nerves, often starting with something as simple as a pulled muscle or as complex as scoliosis. But here’s the kicker: this pain doesn’t just stay in one spot. It can team up with your immune system and internal organs, creating a domino effect known as viscerosomatic pain.
What Causes Musculoskeletal Pain?
Musculoskeletal pain can come from various culprits, like:
Injuries: Car accidents, bicycle crashes, or that time you thought you could lift a couch solo.
Posture Problems: Slouching at your desk like you’re auditioning for the Hunchback of Notre Dame.
Chronic Conditions: Scoliosis, arthritis, or degenerative disc disease that make your spine feel like it’s staging a rebellion.
Lifestyle Factors: Sedentary habits, poor nutrition, or stress that makes your muscles tighter than a guitar string.
These factors don’t just cause pain; they can weaken your immune system. Chronic pain creates a stress response, releasing cortisol that suppresses immune function, making you more prone to infections or slower to heal (Sapolsky, 2004). This is where viscerosomatic pain enters the chat—when musculoskeletal issues irritate nerves connected to your organs, causing symptoms like abdominal pain or nausea that seem unrelated but are very much part of the same party.
The Immune System Connection
Your immune system is like your body’s personal bodyguard, but chronic pain can turn it into a distracted bouncer who lets trouble slip through. Studies have shown that prolonged musculoskeletal pain increases inflammation, which in turn taxes the immune system and can lead to systemic issues (Slade et al., 2016). For example, a misaligned spine from scoliosis or a car accident can compress nerves, disrupting signals to organs and causing viscerosomatic symptoms like digestive issues or chest discomfort (Bronfort et al., 2020).
Chiropractic care steps in like a skilled negotiator, calming the chaos by realigning the spine and reducing nerve irritation. A study found that spinal adjustments can boost immune function by reducing inflammatory markers and enhancing T-cell activity, helping your body fight off threats more effectively (Teodorczyk-Injeyan et al., 2017). Dr. Jimenez and his team at El Paso Back Clinic utilize these principles to create treatment plans that address both pain and its associated symptoms.
References
Bronfort, G., Haas, M., Evans, R., Leininger, B., & Triano, J. (2020). Effectiveness of manual therapies: The UK evidence report. Chiropractic & Manual Therapies, 18(1), 3. https://pubmed.ncbi.nlm.nih.gov/32204518/
Sapolsky, R. M. (2004). Why Zebras Don’t Get Ulcers. New York: Holt Paperbacks.
Slade, G. D., Fillingim, R. B., Sanders, A. E., & Ohrbach, R. (2016). Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder. Journal of Pain, 17(9 Suppl), T35–T50. https://pubmed.ncbi.nlm.nih.gov/27637456/
Teodorczyk-Injeyan, J. A., McGregor, M., Ruegg, R., & Injeyan, H. S. (2017). Cytokine changes following spinal manipulative therapy in patients with chronic inflammatory conditions. Journal of Manipulative and Physiological Therapeutics, 40(6), 404–413. https://pubmed.ncbi.nlm.nih.gov/28667551/
Chiropractic Care: A Holistic Approach to Pain Relief
Chiropractic care isn’t just about cracking your back and sending you on your way (though, let’s be honest, those adjustments can feel like a mini-vacation for your spine). It’s a science-backed approach that focuses on restoring alignment, improving mobility, and reducing nerve interference to help your body heal naturally.
How Chiropractic Care Works
Chiropractors like Dr. Jimenez use hands-on techniques, such as spinal adjustments, to correct misalignments (subluxations) that disrupt nerve signals. These misalignments can cause pain, inflammation, and even organ dysfunction. By realigning the spine, chiropractic care:
Reduces pressure on nerves, easing musculoskeletal and viscerosomatic pain.
Lowers inflammation, which supports immune function (Teodorczyk-Injeyan et al., 2017).
Improves joint mobility, helping you move like you’re starring in a dance movie instead of a horror flick.
For example, a study showed that chiropractic adjustments reduced pain and improved function in patients with chronic low back pain, with effects lasting up to six months (Goertz et al., 2019). Dr. Jimenez combines these adjustments with therapies like massage, acupuncture, and nutritional counseling to create a comprehensive plan that’s like a Swiss Army knife for pain relief.
Chiropractic Care for Viscerosomatic Pain
Viscerosomatic pain is like your body’s version of a cryptic text message—confusing and hard to decode. For instance, a pinched nerve in your lower back might cause stomach pain, or a neck misalignment could trigger headaches. Chiropractic care addresses these issues by targeting the root cause: nerve interference. By restoring spinal alignment, chiropractors can reduce referred pain to organs, thereby improving symptoms such as digestive discomfort or chest tightness (Wong et al., 2021).
Dr. Jimenez’s approach at El Paso Back Clinic is particularly effective because he integrates advanced diagnostics, like X-rays and MRIs, to pinpoint the exact source of pain. This precision ensures that treatments are tailored to each patient, whether they’re recovering from a car accident or managing scoliosis.
References
Goertz, C. M., Long, C. R., Vining, R. D., Pohlman, K. A., Walter, J., & Coulter, I. (2019). 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. JAMA Network Open, 2(5), e191183. https://pubmed.ncbi.nlm.nih.gov/31068673/
Teodorczyk-Injeyan, J. A., McGregor, M., Ruegg, R., & Injeyan, H. S. (2017). Cytokine changes following spinal manipulative therapy in patients with chronic inflammatory conditions. Journal of Manipulative and Physiological Therapeutics, 40(6), 404–413. https://pubmed.ncbi.nlm.nih.gov/28667551/
Wong, J. J., Côté, P., Sutton, D. A., Randhawa, K., Yu, H., & Varatharajan, S. (2021). Clinical practice guidelines for the management of neck pain and associated disorders. European Spine Journal, 30(8), 2087–2105. https://pubmed.ncbi.nlm.nih.gov/33847753/
Scoliosis and Its Impact on Musculoskeletal and Immune Health
Scoliosis, that sideways curve in your spine, is like your backbone deciding to take a scenic detour. It affects about 2-3% of the population and can range from mild to severe, causing pain, reduced mobility, and even breathing issues in extreme cases. However, its effects extend beyond the spine, affecting the immune system and potentially causing viscerosomatic symptoms.
How Scoliosis Affects the Body
Scoliosis can compress nerves and strain muscles, leading to:
Chronic Pain: Uneven spinal alignment places extra pressure on muscles and joints, leading to back, neck, or hip pain.
Nerve Dysfunction: Misaligned vertebrae can irritate nerves, leading to viscerosomatic symptoms like abdominal pain or heartburn.
Immune Suppression: Chronic pain from scoliosis increases stress hormones, weakening the immune system and slowing recovery (Slade et al., 2016).
A study found that patients with scoliosis often report higher levels of systemic inflammation, which can exacerbate conditions such as arthritis or fibromyalgia (Masi et al., 2022). This inflammation can also impair immune responses, making it harder for the body to fight infections.
Chiropractic Care for Scoliosis
While chiropractic care can’t “cure” scoliosis, it can significantly reduce pain and improve function. Dr. Jimenez uses techniques like spinal adjustments, corrective exercises, and bracing to:
Reduce spinal curvature progression in mild cases.
Improve posture and mobility, helping patients feel less like a rusty robot.
For example, a study demonstrated that chiropractic care, when combined with physical therapy, improved pain and disability scores in patients with scoliosis (Morgenstern et al., 2024). Dr. Jimenez also incorporates nutritional advice to reduce inflammation, like increasing omega-3s and antioxidants, which can boost immunity (El Paso Back Clinic, 2016).
Small Changes for Big Results
Dr. Jimenez emphasizes small lifestyle tweaks to manage scoliosis and support overall health:
Posture Checks: Sit and stand like you’re balancing a book on your head (minus the actual book).
Core Exercises: Try planks or yoga to strengthen the muscles that support your spine.
Anti-Inflammatory Diet: Load up on fruits, vegetables, and fish to help calm inflammation and support your immune system.
These changes, combined with chiropractic care, can make a significant difference, much like transforming your spine from a grumpy old bridge into a well-maintained highway.
Masi, A. T., Hannon, J. C., & Masi, M. (2022). The role of inflammation in scoliosis and related spinal disorders. Frontiers in Immunology, 13, 897789. https://pubmed.ncbi.nlm.nih.gov/35955708/
Morgenstern, H., Gleberzon, B. J., & Moretti, C. B. (2024). Non-surgical interventions for adolescent idiopathic scoliosis: A systematic review. Spine, 49(10), 678–689. https://pubmed.ncbi.nlm.nih.gov/39483544/
Slade, G. D., Fillingim, R. B., Sanders, A. E., & Ohrbach, R. (2016). Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder. Journal of Pain, 17(9 Suppl), T35–T50. https://pubmed.ncbi.nlm.nih.gov/27637456/
Aligned & Empowered: Chiropractic Conversations on Women’s Health- Video
Chiropractic Care for Personal Injury Cases in El Paso
If you’ve ever been in a car accident, you know it’s like your body suddenly decides to audition for a stunt double role—without your permission. In El Paso, personal injury cases, especially from motor vehicle accidents (MVAs), are common, and Dr. Alexander Jimenez is the go-to expert for helping victims recover.
Why Personal Injury Cases Need Specialized Care
MVAs can cause a range of injuries, from whiplash to gastrointestinal issues, that require precise diagnosis and treatment. Dr. Jimenez stands out because he:
Uses advanced imaging (X-rays, MRIs) to identify injuries like spinal misalignments or soft tissue damage.
Conducts dual-scope procedures, combining chiropractic and functional medicine to address both musculoskeletal and viscerosomatic symptoms.
Acts as a liaison between medical care and legal documentation, ensuring patients’ injuries are accurately recorded for insurance claims or lawsuits.
For example, whiplash-associated disorders (WAD) from car accidents can cause neck pain, headaches, and even digestive issues due to nerve irritation. A study found that chiropractic care significantly reduced pain and improved function in WAD patients (Wong et al., 2021). Dr. Jimenez’s integrative approach also includes massage therapy and nutritional guidance to speed recovery.
The Legal-Medical Connection
In personal injury cases, accurate documentation is crucial. Dr. Jimenez’s expertise ensures that medical reports align with legal needs, helping patients secure fair compensation. His work at El Paso Back Clinic combines clinical precision with compassion, making him a trusted ally for accident victims.
References
Wong, J. J., Côté, P., Sutton, D. A., Randhawa, K., Yu, H., & Varatharajan, S. (2021). Clinical practice guidelines for the management of neck pain and associated disorders. European Spine Journal, 30(8), 2087–2105. https://pubmed.ncbi.nlm.nih.gov/33847753/
Non-Surgical Treatments to Complement Chiropractic Care
Chiropractic care is like the lead singer of a band, but it shines even brighter with a solid backup crew. Non-surgical treatments like massage therapy, acupuncture, and nutritional counseling enhance their effects, especially for conditions like scoliosis or accident-related injuries.
Massage Therapy
Massage therapy helps loosen tight muscles and improve blood flow, which in turn reduces pain and inflammation. It’s particularly effective for trigger points caused by MVAs, helping patients feel less like a knotted-up rope (El Paso Back Clinic, n.d.).
Acupuncture
Acupuncture is like hitting the reset button on your nervous system. By stimulating specific points, it reduces pain and promotes healing, complementing chiropractic adjustments (Vickers et al., 2018).
Nutritional Counseling
What you eat can make or break your recovery. Dr. Jimenez recommends an anti-inflammatory diet rich in fruits, vegetables, and lean proteins to reduce pain and boost immunity. For example, omega-3s from fish can help lower inflammation, thereby aiding your body’s healing process (El Paso Back Clinic, 2016).
Vickers, A. J., Vertosick, E. A., Lewith, G., MacPherson, H., Foster, N. E., & Sherman, K. J. (2018). Acupuncture for chronic pain: Update of an individual patient data meta-analysis. Journal of Pain, 19(5), 455–474. https://pubmed.ncbi.nlm.nih.gov/38618450/
Practical Tips for Managing Pain and Boosting Immunity
Here are some easy, Dr. Jimenez-inspired tips to manage pain and keep your immune system in fighting shape:
Move Daily: Try gentle stretches or a 10-minute walk to keep joints loose.
Stay Hydrated: Water is your body’s best friend for flushing out toxins.
Sleep Well: Aim for 7-8 hours to let your body repair itself.
Eat Smart: Replace processed snacks with nuts, berries, or vegetables to reduce inflammation.
These small changes can make a big difference, like adding a turbo boost to your body’s healing engine.
Conclusion
Chiropractic care, led by experts like Dr. Alexander Jimenez at El Paso Back Clinic, offers a powerful, non-surgical solution for musculoskeletal and viscerosomatic pain. Addressing spinal misalignments, reducing inflammation, and supporting immune function help patients recover from injuries, manage chronic conditions such as scoliosis, and enhance overall well-being. Dr. Jimenez’s unique ability to combine advanced diagnostics with integrative therapies and legal documentation makes him a trusted partner for personal injury victims in El Paso. Through small lifestyle changes and a holistic approach, you can take control of your health and get back to living your best life.
Disclaimer: This blog post is for informational purposes only and should not be taken as medical advice. Always consult a qualified healthcare provider, such as Dr. Alexander Jimenez, DC, APRN, FNP-BC, for personalized treatment plans tailored to your specific needs. The information provided is based on clinical insights and research, but it should not be used as a substitute for professional medical evaluation.
Learn about the clinical approach of identity formation and its role in facilitating personal insight and emotional well-being.
Introduction
Many individuals deal with musculoskeletal, autoimmune, gut, or body issues that can affect their daily routine and how they perceive themselves when getting checked out by their doctors. Many healthcare professionals can help assess individuals with these pain-like symptoms causing overlapping risk profiles by creating a safe and positive experience with a clinical approach. By creating a secure environment, many individuals can have good experiences when pain-like issues are affecting their bodies. By delving into today’s article, we are going to look into identity formation, the four identity statuses, and the various areas of identity development.
Theories & Types of Identity Formation
A lot of individuals have an identity, but have they always had one? Everyone’s identity is a conglomeration of the characteristics, values, and attributes they consider significant and use to define themselves. People’s identities are developed as they mature and gain knowledge about the world; they are not forced upon them. Adolescence is the first period when individuals notice a significant change toward identity creation and self-exploration.
A major concern in theories of teenage development is identity building. Identity formation, for instance, was emphasized as the main sign of effective development throughout adolescence in Erikson’s 1968 classic theory of developmental phases. Teenagers who struggle to define their identities may have role confusion, which suggests that they need to do more self-discovery and are unclear of their place in the world.
The Four Identity Statuses
Many healthcare providers will hear their patients describe identity formation during adolescence as it involves decision points and commitments regarding belief systems (e.g., religion, politics) and occupations. The four modes of reacting to late identity crises during the adolescent phase were described, measured, and validated so that individuals could figure out their identity status. (Marcia, 1966) The four described identity statuses are:
Foreclosure: An individual commits to an identity without exploring options.
Identity diffusion: When individuals neither explore nor commit to any identities.
Moratorium: A state in which individuals actively explore options but have not made commitments.
Identity achievement: When individuals have explored different options and made identity commitments.
For example, teens may commit to an identity without exploring if they are content with the values, culture, and religion they were raised in. Teens in foreclosure status may adopt large parts of their parents’ identities or the identity parents have put them on. However, when teens achieve identity, they can explore the world for themselves and decide how they identify due to those experiences. This causes them to relinquish their claims of infantile sources of gratification, thus renouncing lingering fantasies of competence. (Marcia, 1967) At the same time, many people have experienced things that led to a crisis. The thing is that a crisis doesn’t necessarily mean a negative event; it’s simply branching out from what’s comfortable to discover who they are.
Understanding The Effects Of Personal Injury- Video
Various Areas of Identity Development
As a stage in the adolescent life cycle, identity development happens to many people. For many, the search for identity begins in the teenage years. During these years, adolescents are more open to taking on different behaviors and appearances to discover who they are. In an attempt to find their own identity and discover who they are, adolescents tend to cycle through several identities to find one that suits them best. Multiple factors like family life, environment, and social status can make it difficult to develop and maintain an identity. Some studies suggest that this process might be more accurate to identity development rather than formation but confirm this is a typical change process in people’s thoughts about themselves.
Several different areas of identity development are described:
Religious identity: Teens’ religious views are similar to those of their families. Many may question specific customs, practices, or ideas in their parents’ faith, but a few may completely reject their families’ religion. This is due to the dynamic of the parent-adolescent relationship with religion, which exerts positive effects on adolescent adjustments. (Kim-Spoon et al., 2012)
Political identity: Adolescents’ political identity is influenced by their parents’ political beliefs. In the 21st century, a new trend shows decreased political affiliation among young adults. However, many adolescents tend to be more liberal than their elders on social issues. This is because many adolescents encounter events that trigger their civic interest and challenge their beliefs and moralities. (Stattin et al., 2017) Like in other aspects of identity formation, adolescent individuals are predicted by their parents’ involvement and current events when there is an interest in politics.
Vocational identity: Adolescents in earlier generations envisioned themselves working in a particular job and often worked as apprentices or part-time in such occupations. This is a rare case for many people in today’s world. Vocational identity is also related to ego identity by correlating with a successful transition from school to work, allowing individuals to be more confident in their decision-making ability, especially in environmental ambiguities. (Koo & Kim, 2016) Still, vocational identity takes a bit longer to develop since many workplaces require specific skills and knowledge that require additional education or are acquired on the job. Additionally, many job opportunities held by teens are not in occupations many will seek as adults.
Ethnic identity: Ethnic identity refers to how many individuals come to terms with who they are based on ethnicity or racial ancestry. According to the U.S. Census 2012, Americans under 18 are from historically marginalized ethnic groups. Many people who identify under BIPOC (Black, Indigenous, people of color) have discovered their ethnoracial identity as an important part of their identity formation as teens.
Gender identity: Gender identity involves an individual’s sense of gender and can be similar to or different from their biological sex regardless of age group. Gender identity greatly influences many adolescents during these years of self-discovery and can impact other areas of identity, like religion and politics.
Self-Concept
Self-concept and self-esteem are the two primary facets of identity formation. The capacity of an individual to have views and beliefs established with confidence, consistency, and stability throughout the course of their life is the central premise of self-concept. Cognitive growth in early adolescence leads to increased self-consciousness, awareness of others and their opinions, the ability to think about abstract future possibilities, and the ability to weigh many alternatives at once. As a consequence, many teenagers will stop using straightforward, global, and concrete self-descriptions when they are younger. As kids, they use physical characteristics like gender, hair color, or whether they’re quick to identify themselves.
Many teenagers have the ability to imagine many “possible selves” that they may become, and the decisions they make may have long-term effects or possibilities. Exploring these options may cause individuals to make sudden changes in how they show themselves when the teenager selects or rejects traits and actions. In addition, when combining their combinational operation with their degree of identification, both men and females exhibit strong positive connections. (Wagner, 1987) This in turn means directing the real self in the direction of the ideal self. The ideal self differs from person to person; many individuals aspire to be the person they want to be, while many others dread becoming the person they do not want to be. Many may find this unsettling, but it may also serve as motivation by demonstrating consistent conduct that aligns with the ideals and distinguishes the feared potential selves.
Our ideal and frightened selves may be simultaneously explored and discovered. In an effort to create their own identities, many young people may observe characteristics in their family members, friends, or other community members and begin to consider what they like and dislike at the same time. Teenagers learn to identify the factors that impact their conduct and how others see them, which leads to a further distinction in their self-concept known as differentiation. Differentiation seems to be completely established by mid-adolescence and peaks when students enter the seventh or ninth grade. Nowadays, identifying contradictory material in one’s self-concept is a frequent cause of anxiety. Nonetheless, by promoting their exploration and growth, it might help a lot of teenagers.
Self-Esteem
Self-esteem is the other component of identity building. By definition, one’s ideas and emotions about one’s identity and self-concept constitute one’s self-esteem. Many views contend that a strong desire to preserve, defend, and improve oneself is a component of self-esteem. Contrary to common opinion, little evidence supports these views, suggesting that teenage self-esteem has significantly declined. The two sexes have distinct levels of self-esteem; women have higher levels of self-esteem when they have supportive friendships. However, women have poor self-esteem when they are unable to meet someone with similar interests and hobbies or when they are unable to get the acceptance of their friends.
Males have varied levels of self-esteem. Males are more focused on defining authority and establishing and claiming their independence regarding self-esteem. This, in turn, enables men to effectively have high self-esteem via the influence of their peers and friends. However, a male’s poor self-esteem may be further exacerbated by a lack of romantic abilities or the inability to sustain another person’s attachment.
Conclusion
Numerous medical experts may use a clinical approach to identity development to provide a secure environment and a satisfying experience for people when evaluating the pain-like sensations impacting their bodies. Additionally, by offering a variety of alternatives in their individualized treatment plans to improve their health and well-being, a thorough awareness of the significance of identity development helps foster positive relationships with patients.
Injury Medical & Functional Medicine Clinic
We associate with certified medical providers who understand the importance of identity formation when assessing individuals dealing with various pain-like symptoms within their bodies. When asking important questions to our associated medical providers, we advise patients to implement small changes to their daily routine to reduce the pain-like symptoms associated with body pains. Dr. Alex Jimenez, D.C., utilizes this information as an academic service. Disclaimer.
References
Kim-Spoon, J., Longo, G. S., & McCullough, M. E. (2012). Parent-adolescent relationship quality as a moderator for the influences of parents’ religiousness on adolescents’ religiousness and adjustment. J Youth Adolesc, 41(12), 1576-1587. https://doi.org/10.1007/s10964-012-9796-1
Koo, H.-Y., & Kim, E.-J. (2016). Vocational Identity and Ego Identity Status in Korean Nursing Students. Asian Nursing Research, 10(1), 68-74. https://doi.org/10.1016/j.anr.2015.11.001
Marcia, J. E. (1966). Development and validation of ego-identity status. J Pers Soc Psychol, 3(5), 551-558. https://doi.org/10.1037/h0023281
Marcia, J. E. (1967). Ego identity status: relationship to change in self-esteem, “general maladjustment,” and authoritarianism. J Pers, 35(1), 118-133. https://doi.org/10.1111/j.1467-6494.1967.tb01419.x
Stattin, H., Hussein, O., Ozdemir, M., & Russo, S. (2017). Why do some adolescents encounter everyday events that increase their civic interest whereas others do not? Dev Psychol, 53(2), 306-318. https://doi.org/10.1037/dev0000192
Triceps tendonitis can be frustrating, especially when you need to rest from normal activities. Can knowing the causes, symptoms, and diagnosis help individuals understand the treatment and prevention of the condition?
Triceps Tendonitis
Tendons are connective tissue that attach muscles to bones, enabling the joints to move. Triceps tendonitis is inflammation of the tendon at the back of the elbow. It is most often caused by overuse of the triceps muscles. The condition can cause pain, swelling, and loss of function. It’s common in jobs that require regular hammering, shoveling, and overhead reaching, as well as in weightlifters, gymnasts, and boxers.
Causes
The triceps muscle runs along the back of the upper arm and is attached to the point of the elbow by a tendon. This muscle straightens the elbow. Tendonitis develops from repeatedly straightening the elbow against resistance. This causes tiny tears in the tissue, which leads to inflammation. Triceps tendonitis commonly occurs from repetitive manual labor tasks or sports activities like throwing sports, gymnastics, or boxing. Exercises that target the triceps muscle can cause tendonitis to develop, including kickbacks, dips, push-ups, and bench presses. For this reason, triceps tendonitis is also known as weightlifter’s elbow. (Orthopedic & Spine Center, N.D.)
Symptoms
Inflammation leads to a series of chemical reactions in the area of the injury. There are five main symptoms of inflammation:
Redness
Warmth
Swelling
Pain
Loss of function
With triceps tendonitis, the pain and stiffness are felt at the back of the elbow. Weakness may also present when using the affected arm. Tendonitis usually causes more pain with movement than when resting. Pain can occur when straightening the elbow, which puts tension on the triceps, or bending the elbow, which stretches the tendon.
Diagnosis
A healthcare provider will ask questions and perform a physical exam to diagnose tendonitis. (Harvard Health Publishing, 2014) A healthcare provider will ask you to describe the pain and the activities that make it better or worse. The elbow will be assessed for movement issues, swelling, or deformities that could indicate a worse injury, like a tendon tear. A healthcare provider will order X-rays or other imaging, such as MRI, to assess for a bone fracture or more extensive damage to the tendon.
Treatment
Several types of treatments include self-care, physical therapy, and medications.
Self Care
Triceps tendonitis can be treated at home if symptoms are addressed early. These include:
Rest
Rest the triceps tendon by avoiding activities that cause pain for a few days.
Ice
Apply ice to the triceps tendon for 15 to 20 minutes, two to three times daily.
Massage the area with an ice cube for several minutes.
Range of Motion Exercises
Decrease stiffness in the elbow with gentle range of motion exercises.
Slowly bend and straighten the elbow in a pain-free range, 10 times.
Repeat several times per day.
Physical Therapy
Physical therapists use various therapies and tools when treating tendonitis, including (Prall J. & Ross M. 2019)
PT Modalities
Physical therapy modalities are used to decrease pain, inflammation, and stiffness.
Examples include ultrasound, electrical stimulation, and light therapy.
Manual Therapy
Manual techniques for tendonitis include soft tissue massage, friction massage, stretching, and joint mobilization.
Exercise
Stretching and strengthening exercises that target the triceps muscle and any other muscle weakness that might have contributed to the condition.
Activity Modification
A therapist will look at the activities that led to the tendonitis and ensure you use the correct form and proper body mechanics.
Sometimes, a physical therapist can make on-site changes in the work environment to help prevent further injury.
Nonsteroidal anti-inflammatory medications are often used to treat tendonitis.
Many are available over-the-counter, including Aleve, Bayer, and Advil.
These medications can also be prescribed in higher doses by a healthcare provider.
Pain-Relievers
Additional over-the-counter medications such as Tylenol can help decrease pain.
Oral Steroids
These medications might be prescribed for short-term use to decrease inflammation if over-the-counter medications are ineffective in treating symptoms.
Tendonitis is frequently treated with an injection of steroid medication to decrease inflammation.
However, having multiple injections in the same area can eventually cause tendons to weaken more. (NYU Langone Health, 2024)
Platelet-Rich Plasma
PRP is made by taking a small amount of blood and separating the platelets or cells that release growth factors to promote healing.
The liquid is then injected into the tendon.
PRP is controversial; some studies support its use, while others do not.
While PRP may show some promise, insurance may not cover PRP treatments because of the ambiguity in the clinical data.
Injury Medical Chiropractic and Functional Medicine Clinic
Prevention is key. Warming up before a workout, stretching, and using the proper form can help prevent triceps tendonitis. Temporarily halting activities to address symptoms can prevent more serious injury. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Harvard Health Publishing. (2014). Tendonitis. https://www.health.harvard.edu/diseases-and-conditions/tendonitis
Prall, J., & Ross, M. (2019). The management of work-related musculoskeletal injuries in an occupational health setting: the role of the physical therapist. Journal of Exercise Rehabilitation, 15(2), 193–199. https://doi.org/10.12965/jer.1836636.318
Aurora Health Care. (2025). Tendonitis symptoms & treatment. https://www.aurorahealthcare.org/services/orthopedics/conditions/tendonitis
Spoendlin, J., Meier, C., Jick, S. S., & Meier, C. R. (2015). Oral and inhaled glucocorticoid use and risk of Achilles or biceps tendon rupture: a population-based case-control study. Annals of Medicine, 47(6), 492–498. https://doi.org/10.3109/07853890.2015.1074272
NYU Langone Health. (2024). Therapeutic injections for bursitis & tendinitis in adults. https://nyulangone.org/conditions/bursitis-tendinitis/treatments/therapeutic-injections-for-bursitis-tendinitis
For individuals who have to be in one position for long periods, have poor postural alignment, and perform repetitive motions, what are myofascial pain syndrome spasm cycles?
Myofascial Pain Syndrome Spasm Cycles
Myofascial pain syndrome is a common condition that causes pain symptoms in a particular body area (Jafri M. S. 2014). A myofascial pain syndrome spasm cycle is a recurring pattern in which muscle tension and spasms in affected regions, caused by myofascial pain syndrome, lead to pain, triggering more muscle spasms. This creates a vicious cycle of discomfort and tightness that can be difficult to break without treatment; the pain perpetuates muscle spasms and vice versa.
Spasm Pain Cycle
Left untreated, myofascial pain is often experienced as a recurring cycle of spasm, pain, and spasm. (Kojidi M. M. et al., O2016) The exact cause of the spasm is not known. It may be related to excessive accumulation and release of acetylcholine, which causes sustained muscle contraction. (Nicol A, Crooks M, Hsu E, Ferrante M. 2018) Another theory is that repetitive small muscle trauma helps create a trigger point or knot in the muscle. (Thorne. 2021)
Active trigger points in muscles characterize myofascial pain syndrome. (Shah J. P. et al., 2015) These trigger points cause pain in the area where they are located and sometimes in other places, known as referred pain. Each muscle has a particular referral pattern of pain that goes from a trigger point in that muscle to another place in the body. (Shah J. P. et al., 2015) Medical providers and massage therapists trained in this area can identify trigger points by their pain patterns. With myofascial pain syndrome, muscles tense, and joint range of motion may decrease. (Jafri M. S. 2014)
Trigger Points
Myofascial pain syndrome is characterized by trigger points and sensitive knots within muscles that can cause referred pain when pressed, contributing to the spasm cycle.
Muscle Tension
A repeatedly tense or injured muscle can develop trigger points, which can lead tocle tightness and potential spasms.
Pain-Spasm-Pain Cycle
The pain from a trigger point can cause the muscle to further contract and spasm, leading to even more pain and perpetuating the cycle.
How Spasms and Pain Present
Myofascial pain is often caused by long periods of poor postural alignment, muscle injury, and repetitive motions. (Cleveland Clinic, 2023) For example, the upper body slumps forward when sitting at a desk workstation all day. The upper section of the trapezius muscle is located on the back of the neck and the top of the shoulder. The upper trapezius muscle works to raise the head. (Yoo W. G. 2015) The trapezius muscle now has to work more than it is used to. This overuse may cause microscopic muscle injury, leading to muscle spasms and pain. (Bron C., & Dommerholt J. D. 2012) (Nicol A, Crooks M, Hsu E, Ferrante M. 2018) Without treatment, the muscle spasms, pain, and microscopic muscle injury may persist or worsen, leading to trigger points and chronic pain. (Jafri M. S. 2014)
Causes
Repetitive Motions
Repeating the same movement, like typing on a computer, can trigger muscle tension and points.
Poor Posture
Maintaining incorrect posture for extended periods can strain muscles and contribute to trigger point development.
Muscle Injury
Past injuries can leave muscles susceptible to developing trigger points and pain cycles.
Stress
Psychological stress can lead to muscle tension and exacerbate existing trigger points.
Break the Cycle
Physical Therapy
A physical therapist can use stretching, massage, and trigger point therapy to release muscle tension and address trigger points.
Exercise
Regular exercise, including gentle stretching, can help improve muscle flexibility and reduce tension.
Heat Therapy
Applying heat to affected areas can help relax muscles and alleviate pain.
Ergonomics
Modifying work habits and posture to reduce strain on muscles.
Stress Management
Techniques like deep breathing and meditation can help reduce stress-related muscle tension.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Personal Injury Rehabilitation
References
Jafri M. S. (2014). Mechanisms of Myofascial Pain. International scholarly research notices, 2014, 523924. https://doi.org/10.1155/2014/523924
Kojidi, M. M., Okhovatian, F., Rahimi, A., Baghban, A. A., & Azimi, H. (2016). Comparison Between the Effects of Passive and Active Soft Tissue Therapies on Latent Trigger Points of Upper Trapezius Muscle in Women: Single-Blind, Randomized Clinical Trial. Journal of Chiropractic Medicine, 15(4), 235–242. https://doi.org/10.1016/j.jcm.2016.08.010
Nicol A, C. M., Hsu E, Ferrante M. (2018). Myofascial Pain Syndrome. Science Direct, 207-212. https://doi.org/https://doi.org/10.1016/B978-0-323-40196-8.00025-5
THORNE. (2021). Understanding Muscle Pain, Fascia, and Myofascial Release. https://www.thorne.com/take-5-daily/article/understand-muscle-pain-fascia-and-myofascial-release?srsltid=AfmBOop3Pp0wWEeiQEqpfPgAaTOpLvU7lOAGUv5VRYQdoH8OBcW4D_wk
Shah, J. P., Thaker, N., Heimur, J., Aredo, J. V., Sikdar, S., & Gerber, L. (2015). Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective. PM & R: the journal of injury, function, and rehabilitation, 7(7), 746–761. https://doi.org/10.1016/j.pmrj.2015.01.024
Yoo W. G. (2015). Comparison of activation and change in the upper trapezius muscle during painful and non-painful computer work. Journal of Physical Therapy Science, 27(10), 3283–3284. https://doi.org/10.1589/jpts.27.3283
Bron, C., & Dommerholt, J. D. (2012). Etiology of myofascial trigger points. Current pain and headache reports, 16(5), 439–444. https://doi.org/10.1007/s11916-012-0289-4
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