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Conditions Treated

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


Musculoskeletal Disorders

Musculoskeletal Disorders

Musculoskeletal Disorders, or MSDs, are injuries, conditions, and disorders that affect the body’s musculoskeletal system. It includes the muscles, tendons, ligaments, nerves, discs, blood vessels, bones, and joints. MSDs are common, and the risk of developing them increases with age. The severity of an MSD can vary. They cause discomfort, recurrent pain, stiffness, swelling, and aching that interfere with everyday activities. Early diagnosis and treatment can alleviate symptoms and improve long-term health. Common disorders include:

  • Tendonitis
  • Tendon Strain
  • Epicondylitis
  • Carpal Tunnel Syndrome
  • Trigger Finger
  • Radial Tunnel Syndrome
  • DeQuervain’s Syndrome
  • Rotator Cuff Tendonitis
  • Muscle strain
  • Ligament Sprain
  • Rheumatoid arthritis – RA
  • Osteoarthritis
  • Tension Neck Syndrome
  • Thoracic Outlet Compression
  • Mechanical Back Syndrome
  • Degenerative Disc Disease
  • Ruptured Disc
  • Herniated Disc
  • Fibromyalgia
  • Digital Neuritis
  • Bone Fractures

Musculoskeletal Disorders

Musculoskeletal Disorders Discomfort and Pain

The term musculoskeletal disorder is used as it accurately describes the injury or condition. Other terms used are repetitive motion injury, repetitive stress injury, and overuse injury. When individuals are exposed to MSD risk factors, they begin to fatigue. This can start a musculoskeletal imbalance. With time, fatigue completely overtakes recovery/healing, and the musculoskeletal imbalance continues, a musculoskeletal disorder develops. The risk factors are broken into two categories: work-related/ergonomic risk factors and individual-related risk factors.

Ergonomic Factors:

  • Force
  • Repetition
  • Posture

High Task Repetition

  • Many work tasks and cycles are repetitive and are typically controlled by hourly or daily production targets and work processes.
  • High task repetition combined with other risks factors like high force and/or awkward postures can contribute to the formation of MSD.
  • A job is considered highly repetitive if the cycle time is 30 seconds or less.

Forceful Exertions

  • Many job tasks require high force loads on the body.
  • Muscle effort increases in response to high force requirements. This increases associated fatigue.

Repetitive or Sustained Awkward Postures

  • Awkward postures place excessive force on joints, overload the muscles and tendons around affected joints.
  • The joints of the body are most efficient when they operate close to the mid-range motion of the joint.
  • The risk of MSD is increased when the joints are worked outside of this mid-range repetitively for sustained periods without a proper amount of recovery time.

Individual Factors

  • Unhealthy work practices
  • Lack of physical activity/fitness
  • Unhealthy habits
  • Poor diet

Unhealthy Work Practices

  • Individuals that engage in poor work practices, body mechanics, and lifting techniques are introducing unnecessary risk factors.
  • These poor practices create unnecessary stress on the body that increases fatigue and decreases the body’s ability to recover properly.

Poor Health Habits

  • Individuals who smoke, drink excessively, are obese, or exhibit numerous other poor health habits put themselves at risk for musculoskeletal disorders and other chronic diseases.

Insufficient Rest and Recovery

  • Individuals that do not get adequate rest and recovery put themselves at higher risk.
  • MSDs develop when fatigue outruns the individual’s recovery system, causing a musculoskeletal imbalance.

Poor Diet, Fitness, and Hydration

  • Individuals who eat unhealthily are dehydrated, at a poor level of physical fitness, and do not take care of their bodies are putting themselves at a higher risk of developing musculoskeletal and chronic health problems.

Causes

The causes of musculoskeletal disorders are varied. Muscle tissue can be damaged with the wear and tear of daily work, school, and physical activities. Trauma to the body can come from:

  • Postural strain
  • Repetitive movements
  • Overuse
  • Prolonged immobilization
  • Jerking movements
  • Sprains
  • Dislocations
  • Falling injuries
  • Auto accident injuries
  • Fractures
  • Direct trauma to the muscle/s

Poor body mechanics can cause spinal alignment problems and muscle shortening, causing other muscles to be strained, causing problems and pain.

Treatment Rehabilitation

A doctor will recommend a treatment plan based on the diagnosis and severity of the symptoms. They may recommend moderate exercise and over-the-counter medications like ibuprofen or acetaminophen to address occasional discomfort or pain. They often recommend chiropractic and physical therapy rehabilitation to learn how to manage pain and discomfort, maintain strength, range of motion, and adjust everyday activities. Different types of manual therapy, or mobilization, can treat body alignment problems. A doctor may prescribe medications like nonsteroidal anti-inflammatories NSAIDs to reduce inflammation and pain for more severe symptoms. For individuals with musculoskeletal disorders like fibromyalgia, medications to increase the body’s level of serotonin and norepinephrine may be prescribed in low doses to modulate sleep, pain, and immune system function.


Body Composition


Types of Pain

Pain can be grouped into three categories:

Early Warning Pain

  • This is most recognizable after having just touched a pan, and the hand jerks away before realizing how hot the pan is, also known as the withdrawal reflex.
  • This is a protective mechanism that helps avoid danger and is vital for survival.

Inflammatory Pain

  • This type of pain happens after an injury or surgery while the body is healing and recovering.
  • Inflammation prevents the body from performing movements to prevent and avoid re-injury.

Pathological Pain

  • This type of pain can happen after the body has healed, but the nervous system has been damaged.
  • This is often the case with individuals who sustain an injury and inform doctors that the injured area is never the same.
  • If the rehabilitation does not correctly heal the nervous system, protective pain measures can generate a false alarm causing pain signals to fire off.
References

Asada, Fuminari, and Kenichiro Takano. Nihon eiseigaku zasshi. Japanese journal of hygiene vol. 71,2 (2016): 111-8. doi:10.1265/jjh.71.111

da Costa, Bruno R, and Edgar Ramos Vieira. “Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies.” American journal of industrial medicine vol. 53,3 (2010): 285-323. doi:10.1002/ajim.20750

Malińska, Marzena. “Dolegliwości układu mięśniowo-szkieletowego u operatorów komputerowych” [Musculoskeletal disorders among computer operators]. Medycyna pracy vol. 70,4 (2019): 511-521. doi:10.13075/mp.5893.00810

Musculoskeletal system diseases. (n.d.). dmu.edu/medterms/musculoskeletal-system/musculoskeletal-system-diseases/

Roquelaure, Yves et al. “Troubles musculo-squelettiques liés au travail” [Work-related musculoskeletal disorders]. La Revue du praticien vol. 68,1 (2018): 84-90.

Villa-Forte A. (n.d.). Diagnosis of musculoskeletal disorders. merckmanuals.com/home/bone,-joint,-and-muscle-disorders/diagnosis-of-musculoskeletal-disorders/introduction

Work-related musculoskeletal disorders (WMSDs). (2014). ccohs.ca/oshanswers/diseases/rmirsi.html

Colder Weather Musculoskeletal Injuries

Colder Weather Musculoskeletal Injuries

As the weather gets colder, individuals may feel like their muscles and joints are frequently stiff and experience more aches and pains. This is even more evident for individuals that work outside in the winter or with specific ailments/conditions. Colder weather can increase the risk of suffering musculoskeletal injuries and intensify the condition.

Colder Weather Musculoskeletal Injuries

How Colder Weather Impacts The Muscles

Individuals with arthritic conditions might find that symptoms become exacerbated. This can keep individuals away from regular activities. Conditions like rheumatoid arthritis and osteoarthritis tend not to react well to weather sudden atmospheric changes, worsening symptoms. However, individuals are well aware of how their body feels and moves when colder weather is present with or without existing conditions. Movement slows down, and when trying to move, the muscles can contract involuntarily, causing tension and stiffness. This usually results in soreness and pain. Feeling warm, safe, and comfortable is essential for the body’s overall health. Overuse and overexertion can increase the risk of injury in colder temperatures.

Barometric Pressure

  • When the weather gets colder, barometric pressure drops. The Body’s tissues like the muscles, tendons, and ligaments expand. This places pressure on nerves near the joints, causing discomfort and pain.
  • In cold weather, the fluid density in the joints lessens, causing the bones to rub against each other harder because the fluid is not thick enough to allow for proper lubrication.
  • The cold makes the muscles shiver, contract, and tighten. This can compress the nerves in the joints and increase pain symptoms.

Prevent Stiffness and Musculoskeletal-Related Injuries

Maintain an active lifestyle

Dress warm

  • Wear proper clothing to keep the body warm and protected.
  • Wear proper boots that are waterproof and have good treads to prevent falls.
  • Wear a warm hat to maintain head warmth, reducing the body heat that escapes from the head.

Warm-up during breaks

  • Try not to stay out in the cold for too long. If working outside, move indoors during breaks if possible.

Eat a healthy diet

  • Good nutrition helps maintain the whole body.
  • Omega 3 fatty acids help reduce inflammation. Salmon and nuts are recommended.
  • Leafy greens like spinach and kale are rich in vitamin K, which helps soothe pain symptoms.
  • Vitamin C from citrus fruits like oranges, grapefruit, red bell peppers, and tomatoes also help stop cartilage loss reducing friction in the joints.

Proper sleep

Chiropractic


Body Composition


Exercising

Aerobic Exercise

Aerobic exercise can include:

  • Running
  • Cycling
  • Hiking
  • Dancing
  • Walking

Resistance Training

  • Research has shown that resistance training with bands or weights can supplement aerobic exercise to reduce blood pressure.
  • It is recommended to complete 2 to 4 sets of 8 to 12 repetitions for each major muscle group during workout sessions.
  • Resistance training sessions should be spaced out throughout the week to limit muscle soreness and injury.

Resistance training can include: 

  • Resistance bands with freehand movements, squats, push-ups, bicep curls
  • Free weights dumbbells, barbells
  • Gym weight machines like the chest press and shoulder press
References

https://www.cdc.gov/niosh/topics/coldstress/

Heil, Kieran et al. “Freezing and non-freezing cold-weather injuries: a systematic review.” British medical bulletin vol. 117,1 (2016): 79-93. doi:10.1093/bmb/ldw001

Kowtoniuk, Robert A et al. “Cutaneous Cold Weather Injuries in the US Military.” Cutis vol. 108,4 (2021): 181-184. doi:10.12788/cutis.0363

Long, William B 3rd et al. “Cold injuries.” Journal of long-term effects of medical implants vol. 15,1 (2005): 67-78. doi:10.1615/jlongtermeffmedimplants.v15.i1.80

Leg Spasms and Cramping

Leg Spasms and Cramping

Leg spasms and cramps are common conditions where the muscles in the leg suddenly become tight and painful. They present with no warning and can cause excruciating and debilitating pain. They usually occur in the calf muscles but can affect any area of the leg, including the feet and thighs. After the cramping has passed, pain and tenderness can remain in the leg for several hours. Although many leg spasm episodes go away by themselves, they can disrupt normal activities, exercise regimens, and sleep if they continue and are left untreated.

Leg Spasms and Cramping

 

Leg Spasms and Symptoms

A leg spasm is a sudden, sharp contraction or tightening of a muscle in the leg. This can last a few seconds to a few minutes. Muscle cramps anywhere in the body cause sudden contraction of the muscle. This is an involuntary function and can include the following symptoms:

  • Soreness and discomfort can be mild to extreme.
  • Muscle tightening.
  • Hardening of the muscle.
  • Twitching of the muscle.
  • Pain.

Leg spasms are typically brief and go away on their own, but individuals are recommended to seek treatment if they are frequently experienced or last for extended periods.

Causes

Dehydration

  • Dehydration is a common cause of leg spasms and pain.
  • Lack of fluids can cause the nerve endings to become sensitized, triggering muscle contractions.

Peripheral Artery Disease

Mineral Deficiency

  • When the body sweats, it loses water and electrolytes.
  • When the body is low on electrolytes
  • Imbalances in:
  • Sodium
  • Calcium
  • Magnesium
  • Potassium
  • It can affect nerve transduction and lead to muscle spasms.

Hypothyroidism

  • If the body does not produce sufficient thyroid hormone, this is known as hypothyroidism.
  • Over time, this deficiency can damage the nerves that send signals from the brain and spine to the legs.
  • Tingling, numbness, and frequent cramping can result.

Spinal Misalignment

  • Spinal misalignment can compress nerve roots that run down the leg.
  • This can cause radiating leg pain and spasms, specifically in the back of the thigh.

Muscle and Connective Tissue Injuries

  • Injuries like tears, strains, and sprains can lead to leg spasms and frequent cramping.

Pregnancy

  • In the second and third trimesters of pregnancy, calcium and magnesium deficiency are common and can lead to leg spasms and cramps.

Treatment

The proper course of treatment for leg spasms depends on the severity and underlying cause/s. A chiropractor can identify the cause and develop a personalized treatment plan to relieve and eliminate leg cramps.

Chiropractic

  • Misalignments can compress the nerve roots radiating from the spine to the legs.
  • This can lead to radiating leg pain and/or leg spasms.
  • Realignment through chiropractic can relieve the pressure on compressed nerve roots, alleviating leg discomfort and pain.
  • A chiropractor will also recommend exercises and stretches to strengthen the legs and core muscles.

Physical Therapeutic Massage

  • A physical therapist will use various massage techniques to relax the leg muscles to prevent and reduce the severity of spasms.
  • Massage therapy will relieve any inflammation that accompanies leg spasms, decreasing pain and swelling in the area.

Health Coaching

  • Leg spasms can be caused by nutritional deficiency.
  • As a part of the treatment plan, a health coach will evaluate the individual’s diet and suggest changes that will help address any nutritional deficiencies contributing to leg spasms and cramps.

Body Composition


Track Inflammation and Fluid Imbalances From Injury or Surgery

Inflammation can occur with little to no visible symptoms following surgery or injury. Precision measurement of body water can detect water retention and inflammation to aid rehabilitation treatment. InBody effectively distinguishes water in the following compartments that comprise total body water.

  • Intracellular-ICW-within the tissues.
  • Extracellular-ECW-within the blood and interstitial fluids.
  • The Edema Index can be used to detect fluid imbalances resulting from inflammation from injury or recovery after surgery.

Assessing fluid balance in the body and specific segments can help identify inflammation and guide treatment to reduce the risk of re-injury or post-surgery complications. These measurements are provided for the whole body and can determine where fluid imbalances may be occurring for more precise analysis.

References

Araújo, Carla Adriane Leal de et al. “Oral magnesium supplementation for leg cramps in pregnancy. An observational controlled trial.” PloS one vol. 15,1 e0227497. 10 Jan. 2020, doi:10.1371/journal.pone.0227497

Garrison, Scott R et al. “Magnesium for skeletal muscle cramps.” The Cochrane database of systematic reviews vol. 2012,9 CD009402. 12 Sep. 2012, doi:10.1002/14651858.CD009402.pub2

Kang, Seok Hui et al. “Clinical Significance of the Edema Index in Incident Peritoneal Dialysis Patients.” PloS one vol. 11,1 e0147070. 19 Jan. 2016, doi:10.1371/journal.pone.0147070

Luo, Li et al. “Interventions for leg cramps in pregnancy.” The Cochrane database of systematic reviews vol. 12,12 CD010655. 4 Dec. 2020, doi:10.1002/14651858.CD010655.pub3

Mekhail, Nagy et al. “Long-term safety and efficacy of closed-loop spinal cord stimulation to treat chronic back and leg pain (Evoke): a double-blind, randomized, controlled trial.” The Lancet. Neurology vol. 19,2 (2020): 123-134. doi:10.1016/S1474-4422(19)30414-4

Young, Gavin. “Leg cramps.” BMJ clinical evidence vol. 2015 1113. 13 May. 2015

Trendelenburg Gait

Trendelenburg Gait

A Trendelenburg gait is an abnormal walking gait resulting from a defective or weakened hip abductor. The gluteal musculature is the primary musculature that includes the gluteus medius and gluteus minimus muscles. Weakness in these muscles causes sagging/dropping of the pelvis on the opposite side while walking. There will be a noticeable side-to-side motion if the glutes are too weak to support the body’s weight when walking. It can look as though the individual is limping or missing a step. Individuals can minimize the effects with foot orthotics, core strengthening, chiropractic, and physical therapy.

Trendelenburg Gait

Trendelenburg Gait Causes

This gait often results from straining the hip abductor muscles during physical activity. Exercises specifically for the glutes done improperly are a common cause. When improper exercise form is the cause, the abnormal gait usually goes away as muscle inflammation fades. The gait can also present after total hip replacement surgery, as the procedure requires incisions in the gluteus medius muscle. This can weaken the muscle causing an abnormal gait. Weakness in these muscles can also be caused by:

  • Nerve damage or dysfunction in the nerves that run through the gluteal minimus and medius muscles.
  • Osteoarthritis is a type of arthritis that occurs when joint cartilage starts to wear down.
  • Muscular dystrophy is a condition that causes the muscles and bones to become weak over time.
  • Poliomyelitis is a condition associated with polio that weakens the muscles.
  • Cleidocranial dysostosis is a condition present from birth that can cause your bones to develop improperly.

Symptoms

The walking gait is made up of two phases:

  • Swing – When one leg moves forward.
  • Stance – The other leg stays still and maintains balance.

The main symptom of Trendelenburg gait can be seen when one leg swings forward and the hip drops down and move outward. This is because the hip abductor of the other leg is too weak to support the weight. Individuals may lean back or to the side slightly when walking to maintain balance, or they may lift the foot higher off the ground with each step to avoid losing balance or tripping as the pelvis shifts unevenly.

Diagnosis

Abnormal hip movement during a swing of one or both legs can give a doctor enough evidence to diagnose a Trendelenburg gait. A doctor will observe the individual’s walk in front and behind to get a detailed view. A doctor will also use the Trendelenburg test to diagnose the condition. The doctor will instruct the individual to lift one leg for 30 seconds. If the individual cannot keep the hips parallel with the ground while lifting, it could indicate Trendelenburg gait. X-rays of the hip will be used to identify any causes of weakness in the gluteus minimus or medius.

Treatment Options

Treatment options will depend on the severity and cause of the gait.

Medication

  • If the gait is causing pain, over-the-counter nonsteroidal anti-inflammatory NSAIDs, like ibuprofen or acetaminophen, will help ease symptoms.
  • In severe cases, a doctor may prescribe cortisone injections to help reduce pain.

Foot Orthotics

  • A doctor could also recommend using a foot orthotic in one or both shoes to compensate the hip abductor muscle weakness.

Chiropractic, Physical Therapy, and Exercise

Chiropractic and physical therapy can help adjust, realign, and strengthen the muscles to regain control of the Trendelenburg gait. The chiropractor or physical therapist will move the legs in various directions to help the joints become more accustomed to moving in certain directions and increase muscle strength and resistance. Exercises that can strengthen the hip abductor muscles include:

  • Lie on the side and extend the leg straight out.
  • Lie on the floor and move one leg up, over the other, and back in the opposite direction.
  • Step sideways and onto an elevated surface, then back down again.

Talk with a doctor or chiropractor before beginning any new exercise routine so they can recommend specific exercises and educate on proper form.

Complications

If left untreated, moderate-to-severe cases of Trendelenburg gait can become debilitating, leading to severe complications. These include:

  • Pinched nerves.
  • Sciatica.
  • Pain, stiffness, or grinding in the hips.
  • Loss of range of motion in the hips and gait.
  • Losing the ability to walk, which could require the use of a walker or wheelchair.
  • Paralysis of the lower body.
  • Osteonecrosis or death of bone tissue.

Trendelenburg gait is treatable with special shoes, orthotics, and exercises designed to strengthen the hip abductor muscles. Chiropractic and physical therapy can help limit the condition’s impact on the body’s health, the ability to walk, and reduce the risk of complications.


Body Composition


Heart-Healthy Foods

Citrus

  • The bright and tangy fruits are packed with vitamins and unique plant compounds known as polyphenols that can help lower blood pressure naturally.
  • However, it’s important to note that grapefruit and grapefruit juice could interact with certain prescription medications.

Beans and Lentils

  • Foods high in magnesium, potassium, and fiber can help maintain healthy blood pressure.
  • This is where beans and legumes come in, as they are high in fiber, potassium, and magnesium.
  • Individuals that swapped beans and lentils noticed a lower blood pressure, whether or not they had been diagnosed with hypertension.

Pumpkin Seeds

  • These seeds are packed with potassium, magnesium, and arginine.
  • Arginine is an amino acid used to make nitric oxide, which helps the blood vessels relax and dilate, allowing lower blood pressure.
  • A study found that postmenopausal women who took 3 grams of pumpkin seed oil daily for six weeks saw a significant decrease in their systolic blood pressure.

Garlic

  • Garlic contains nitric oxide, which has been shown to relax blood vessels.
  • Kyolic garlic, in particular, has been shown to help with arterial stiffness and can improve cholesterol levels.
References

Feyh, Andrew et al. “Role of Dietary Components in Modulating Hypertension.” Journal of Clinical & experimental cardiology vol. 7,4 (2016): 433. doi:10.4172/2155-9880.1000433

Gait abnormalities. (n.d.).stanfordmedicine25.stanford.edu/the25/gait.html

Gandbhir, Viraj N., et al. “Trendelenburg Gait.” StatPearls, StatPearls Publishing, 19 August 2021.

Giangarra CE, et al. (2018). Clinical orthopedic rehabilitation: A team approach.sciencedirect.com/science/book/9780323393706

Gilliss AC, et al. (2010). Use of osteopathic manipulative treatment to manage compensated Trendelenburg gait caused by sacroiliac somatic dysfunction.
jaoa.org/article.aspx?articleid=2093879

Maricelli JW, et al. (2016). Trendelenburg-like gait, instability and altered step patterns in a mouse model for limb-girdle muscular dystrophy 2i. DOI:
10.1371/journal.pone.0161984

Mayo Clinic Staff. (2017). Osteoarthritis.mayoclinic.org/diseases-conditions/osteoarthritis/home/ovc-20198248

Michalopolous N, et al. (2016). A personalized monitoring and recommendation framework for kinetic dysfunctions: The Trendelenburg gait. DOI: 10.1145/3003733.3003786

Pulled Shoulder Muscle

Pulled Shoulder Muscle

The shoulder is a ball-and-socket joint. The shoulder has several muscles that help it move and allow a wide range of motion. A strain or pulled shoulder muscle can affect the slightest movements, making simple activities difficult and painful. Pulling a muscle in the shoulder can be caused by an injury, overuse, and general wear and tear. Minor shoulder injuries usually heal on their own with rest and self-care. Severe shoulder muscle injuries should be addressed by a medical professional.

Pulled Shoulder Muscle

Pulled Shoulder Muscle Causes

Pulling a muscle in the shoulder can happen quickly. This could be from falling on the shoulder, an auto accident, or a work accident. It can develop after weeks, months, and years of repetitive motion and overuse. It is common among individuals that play certain sports or jobs that require repetitive activities with the shoulders. They can also happen with no apparent cause. Treatment and recovery depend on the type and severity of the injury.

How to Tell If It’s a Pulled Muscle

It can be hard to tell the cause unless the individual has experienced the specific type of pain before. Otherwise, it is recommended to consult a medical professional like a physical therapist or chiropractor. This is because shoulder pain can be caused by inflammation of the tendons and joints and/or the joint itself.

Pulled Muscle Shoulder Symptoms

A pulled muscle is characterized by:

  • Tenderness
  • Dull, sore, or aching pain.
  • Sometimes it can cause shooting pain between the shoulder blades in the front or back.
  • Pain when the shoulder is at rest.
  • Pain when the specific muscle is used.
  • Swelling of the area.
  • Shoulder instability.
  • The shoulder feels fragile.
  • Movement causes pain.
  • A bump may develop at the top of the shoulder near the end of the collarbone.
  • Inability to use the muscle at all.
  • If the pain is persistent, it could signify that there is something other than a pulled muscle like a pinched nerve or a joint issue.

Treatment and Recovery Options

Treatment and recovery vary and depend on the severity of the pull and the individual’s overall health. Many find that their pain is reduced with self-care in 2 or 3 weeks. Chiropractic treatment for a pulled shoulder muscle can provide relief within 1 or 2 weeks.

Self Care

Depending on the severity of the pull and how much pain is being experienced, individuals could be recommended to take an NSAID like Ibuprofen to reduce pain and swelling. Self-care can include:

Ice To Reduce Swelling

  • Applying ice or a cold pack to the area can help reduce swelling.
  • Place a cloth or towel between the skin and the cold pack.
  • Apply it for 20 minutes an hour.
  • The swelling should reduce in a day or two.

Rest

  • It is recommended to rest the shoulder for no more than 2 or 3 days.
  • This begins the healing process and prevents worsening the injury.

Wrap or Sling

  • During rest days, it can be hard to keep the shoulder from moving.
  • To avoid this, use a shoulder wrap or a sling to support the arm.
  • However, they should not be used for more than 2 or 3 days.

Gentle Stretching

  • It is essential to get the muscle working again after 2 or 3 days of rest.
  • Stretches will help the muscle group heal and gain strength.
  • Not stretching the muscle could prolong recovery and worsen the injury, and possibly cause new injuries.

Stretches For a Pulled Shoulder

Stretching a pulled shoulder muscle after a few days of rest is recommended because not working out the injured muscle can cause more problems. Not using the muscle can cause it to atrophy, which will take longer to heal, and the surrounding muscles become weak.

Pendulum Stretch

  • Slightly bent support the body by placing the unaffected arm on a table or chair.
  • Let the injured arm hang straight down.
  • Swing the arm in small circles clockwise as far as the pain or discomfort allows.
  • Perform for 1 minute.
  • Go counterclockwise for one minute.
  • Repeat 4 to 8 times throughout the day.

Chiropractic

If self-care is not providing sufficient relief, then chiropractic treatment is recommended. A doctor of chiropractic can advise on the best treatment options and get to the root of the issue. Chiropractors have a treatment arsenal of modalities and approaches to help treat pulled muscles. These include:

  • Chiropractic adjustments
  • Physical therapy
  • Cold laser therapy
  • Electrical stimulation
  • Manual stretching
  • Correction exercises
  • Ultrasound
  • Health coaching

Body Composition


Three Somatotypes – Body Shapes

A somatotype is the overall shape and composition of the human body. Body types based on physique have three generalized divisions:

  • Endomorph
  • Mesomorph
  • Ectomorph

However, it is rare for someone to fall entirely into one somatotype. Individuals can have a combination of qualities from two somatotypes, like an ectomorph-endomorph hybrid or an endomorph-ectomorph, for example.

Ectomorphs

  • Naturally lean with long limbs, ectomorphs typically possess a slender look no matter what type of diet.
  • A lot of endurance runners and swimmers are ectomorphs.
  • Ectomorphs may have a decent amount of muscle but may appear to have less muscle development because of their long limb length.
  • Body fat also seems to get hidden by the long, slender figure, which means they can get away with a few extra pounds of fat.
  • However, if ectomorphs do not watch their health, they can become skinny fat.

Mesomorphs

  • Mesomorphs have a natural athletic look.
  • They can achieve a muscular physique without really trying.
  • The physiology tends to include:
  • Narrow hips
  • Wide back
  • A large frame contributes to a muscular appearance.
  • Many professional fighters, football, and basketball players are mesomorphs.

Endomorphs

  • Endomorphs have a larger structure with wide hips and shoulders.
  • Shorter arms and legs.
  • This type of body shape is excellent for activities that require a lot of strength.
  • Rugby players, strength athletes, and powerlifters are endomorphs.
  • This body type is considered to be a contributing performance factor in Ironman athletes.
References

Blache, Y et al. “Superficial shoulder muscle co-activations during lifting tasks: Influence of lifting height, weight, and phase.” Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 25,2 (2015): 355-62. doi:10.1016/j.jelekin.2014.11.004

Brantingham, James W et al. “Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 314-46. doi:10.1016/j.jmpt.2011.04.002

Kandel, Michel et al. “Somatotype, training and performance in Ironman athletes.” European journal of sports science vol. 14,4 (2014): 301-8. doi:10.1080/17461391.2013.813971

McFarland, Daniel C et al. “Spatial dependency of shoulder muscle demand during dynamic unimanual and bimanual pushing and pulling.” Applied ergonomics vol. 73 (2018): 199-205. doi:10.1016/j.apergo.2018.07.011

Compartment Syndrome Leg Pain

Compartment Syndrome Leg Pain

Compartment syndrome is a condition that causes pressure within a group of muscles to build up to dangerous levels. This pressure build-up begins to decrease blood flow, not allowing proper circulation, nutrients, and oxygen from getting to the nerves and muscle cells. The syndrome can be acute or chronic, and surgery can be required. Acute compartment syndrome is considered a medical emergency, usually caused by a severe injury and requires immediate treatment; otherwise, it can lead to permanent muscle damage. Chronic compartment syndrome or exertional compartment syndrome is usually not a medical emergency and is often caused by physical exertion.

Compartment Syndrome Leg Pain

Muscle Compartment

A compartment comprises a group of:

The fascia does not stretch or expand because its job is to keep the tissues in place. If compartmental pressure builds up, swelling and bleeding may occur. When the tissues don’t have enough blood to provide the proper amount of oxygen and nutrients, the tissues begin to die, leading to permanent damage. Because the fascia does not stretch if there is swelling or bleeding within a compartment, this increases pressure on the:

  • Capillaries
  • Nerves
  • Muscles in that compartment.
  • Blood circulation does not reach the compartment to supply oxygen and nutrients.
  • Nerve and muscle cells get damaged.
  • Compartment syndrome most often takes place in the lower leg’s anterior/front calf compartment.

However, it can also develop in other areas like the:

  • Legs
  • Arms
  • Hands
  • Feet
  • Buttocks

Acute

The typical symptom is pain, specifically when the muscle in the compartment is stretched.

  • The pain is more intense than the injury itself.
  • Flexing, contracting, or stretching the muscles increases the pain.
  • Tingling or burning sensations may present.
  • Muscle tightness or fullness sensation like bloating.
  • Numbness or paralysis are late symptoms that usually indicate severe to permanent tissue injury.

The acute syndrome develops after a severe injury, like an automobile accident or from a broken bone. Injuries and conditions that can cause acute compartment syndrome include:

  • Fractures
  • Muscle contusion/bruise that goes beyond just a bump. Two examples include a motorcycle falling on the rider’s leg or a football player getting hit in the leg intensely.
  • Crush injuries.
  • Constricting bandages – Casts and bandages that are too tight can cause the blockage of blood. If symptoms develop, remove or loosen any constricting bandages. If it is from a cast, contact the doctor immediately.
  • Anabolic steroids – Taking steroids is a possible factor in compartment syndrome.

Blood circulation restoration after a blockage.

  • When sleeping, a blood vessel can get blocked. Lying for a long time in a position that causes a limb to go to sleep, then shifting, moving, or getting up can contribute to the condition. This type of development can happen in individuals with neurological damage or who do not realize what is occurring. This can happen after intense intoxication with alcohol and/or drugs.
  • Surgical repair of a damaged blood vessel that was blocked can result in compartment swelling.
  • Permanent disability and tissue death can result unless the pressure is relieved.

Chronic Physical Exertion

The pain and swelling from the chronic condition are caused by vigorous physical activity/exercise. It most often occurs in the leg. Individuals that participate in activities with repetitive motions have an increased risk. Physical activities/sports include:

  • Running
  • Biking
  • Swimming

This is usually not dangerous and is often relieved by discontinuing the specific exercise/s or physical activity for a while. Symptoms include:

  • Pain during exercise.
  • Cramping during exercise.
  • Numbness
  • Moving the foot is difficult.
  • Muscle bulge can be seen.

Chiropractic Treatment

Leg pain should not be ignored for long as the problems could escalate into severe/dangerous territory. Chiropractic treatment is highly effective in the detection and treatment of leg pain. Chiropractors are experts in the neuromusculoskeletal system. Their expertise in promoting physical function applies to the whole body’s systems, including the:

  • Muscles
  • Bones
  • Ligaments
  • Nerves
  • Tendons

They are trained to diagnose and treat developing and chronic musculoskeletal problems and know when to seek specialized medical care when necessary.


Body Composition


Can’t Individuals Just Exercise More and Eat Whatever They Want?

No individuals cannot just exercise/move more and eat whatever they want if they are serious about losing excess weight. A healthy diet and exercise are essential parts of the formula for effective weight loss. One study shows that being aware of diet in quality and quantity overtakes just exercising when achieving and maintaining healthy body composition changes as a vital part of maintaining a healthy lifestyle. Evaluating the effects of diet, exercise, or a combination of both revealed that long-term success was most significant in the mix of diet and exercise. Individuals can exercise vigorously, but losing weight can be very difficult if they have unhealthy eating habits or cannot stick to a healthy diet. The individual can develop other health problems from an unhealthy diet.

References

Braver, Richard T. “Chronic Exertional Compartment Syndrome.” Clinics in podiatric medicine and surgery vol. 33,2 (2016): 219-33. doi:10.1016/j.cpm.2015.12.002

Joubert, Sonia V, and Manuel A Duarte. “Chronic Exertional Compartment Syndrome in a Healthy Young Man.” Journal of chiropractic medicine vol. 15,2 (2016): 139-44. doi:10.1016/j.jcm.2016.04.007

Schmidt, Andrew H. “Acute compartment syndrome.” Injury vol. 48 Suppl 1 (2017): S22-S25. doi:10.1016/j.injury.2017.04.024

Vajapey, Sravya, and Timothy L Miller. “Evaluation, diagnosis, and treatment of chronic exertional compartment syndrome: a review of current literature.” The Physician and sportsmedicine vol. 45,4 (2017): 391-398. doi:10.1080/00913847.2017.1384289

Tight, Sore, Painful Gluteal Muscles and Chiropractic Release

Tight, Sore, Painful Gluteal Muscles and Chiropractic Release

The Gluteus Maximus Muscle is the largest and the outermost of the gluteal muscles. It stretches from the sacrum and coccyx, parts of the spinal column, down to the femur. The other gluteal muscles include the gluteus minimus and medius. They each have a role in the normal function of the hips and legs. They are prone to tightness resulting in soreness, aches, and pain around the hips and in and around the buttocks.

Tight, Sore, Painful Gluteal Muscles and Chiropractic Release

The Gluteal/Rear End Muscles

There are three rear-end muscles:

  • The Gluteus Maximus extends the hip and rotates the thigh outwards, straightens the legs when moving, and provides strength.
  • Gluteus Minimus
  • Gluteus Medius
  • The minimus and medius are underneath the Maximus and stabilize the hip when:
  • Walking
  • Jumping
  • Other physical activities

There is another group of diagonal muscles under the gluteus minimus that attaches to the femur. The uppermost is the piriformis that is attached to the sacrum. The sciatic nerve and major arteries run below it.

Tightness and Irritation

The primary function of the muscles is to open the hips and push the legs out. Sitting for long periods shortens the gluteal muscles causing them to become tight, limiting normal hip function. The gluteal muscles are susceptible to tightness brought on from overuse and lack of development/strength. This can develop into tender/tight muscle bands that interfere with the normal function of the muscles. To get an example of what is happening imagine flexing and contracting one of the bicep muscles 6-10 hours a day. It would be extremely sore, tight, and tender.

Sports and Physically Active

Athletes and individuals that are physically active can also have tight gluteal muscles. This can cause post-game/exercise muscle soreness. Intense activities force the gluteal muscles to work overtime to support the back and knees. Sports that require a lot of leg muscle activation include:

  • Running
  • Soccer
  • Football
  • Crossfit
  • Dancing
  • Weight training

Awkward Walking Gait

Individuals that move with an unusual gait are vulnerable to straining the muscles. What happens is the muscles become stiff from the awkward positions/postures. This places additional strain on the back and hip muscles and worsens their overall posture. The hip muscles are also attached to the pelvis, and when the muscles begin to tighten they can pull on the gluteal muscles. Irritation of the sacroiliac joint can also place pressure on the piriformis, causing spasms that affect the gluteal muscles. Piriformis muscle spasms can also place pressure on the sciatic nerve, causing sciatica.

Diagnosis and Treatment

An examination will be necessary to diagnose whether the soreness or pain is due to muscle inflammation or other cause. Sciatica symptoms and problems at the hip level that involves the gluteus minimus and medius can be felt in the leg. The examination includes seeing and feeling muscle reactions, responses, contractions through a series of motion exercises and movements that involve different muscles. Common treatment includes:

  • Range of motion exercises
  • Strengthening exercises like bridging and resistance bands
  • Deep tissue massages
  • Heat and cold packs
  • Physical therapy
  • Electric muscle stimulation

Tightness in the glutes can be managed with chiropractic treatment. This includes:

  • Soft tissue work
  • Spinal joint manipulation
  • Lifestyle adjustments
  • Stretching
  • Diet
  • Health coaching

Simple exercises can help engage and strengthen the muscles. These include:


Body Composition


Insulin Resistance

Individuals that sit for long periods of time, don’t get enough physical activity, and have an unhealthy diet can experience insulin resistance. This happens when insulin is not able to transport excess blood sugar out of the blood and into the muscles. A study found that women who sat for eight hours a day had an increased chance of developing diabetes. Diabetics can be inclined to have more fat within the body, specifically visceral fat. This further encourages insulin resistance. Diabetics also experience rapid loss of muscle mass as they age, intensifying symptoms and further affecting body composition.

References

Cochrane, Darryl J et al. “Does short-term gluteal activation enhance muscle performance?.” Research in sports medicine (Print) vol. 25,2 (2017): 156-165. doi:10.1080/15438627.2017.1282358

Coratella, Giuseppe et al. “The Activation of Gluteal, Thigh, and Lower Back Muscles in Different Squat Variations Performed by Competitive Bodybuilders: Implications for Resistance Training.” International journal of environmental research and public health vol. 18,2 772. 18 Jan. 2021, doi:10.3390/ijerph18020772

Distefano, Lindsay J et al. “Gluteal muscle activation during common therapeutic exercises.” The Journal of orthopedic and sports physical therapy vol. 39,7 (2009): 532-40. doi:10.2519/jospt.2009.2796

Kalyani, Rita Rastogi et al. “Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases.” The lancet. Diabetes & endocrinology vol. 2,10 (2014): 819-29. doi:10.1016/S2213-8587(14)70034-8

Selkowitz, David M et al. “Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes.” The Journal of orthopedic and sports physical therapy vol. 43,2 (2013): 54-64. doi:10.2519/jospt.2013.4116

Vitamin B12 and Shoulder Injuries

Vitamin B12 and Shoulder Injuries

Vitamin B12 and Shoulder Injuries. Most shoulder injuries involve the muscles, ligaments, and tendons. Individuals that perform repetitive arm motions/movements, constantly lift objects as part of their job, and athletes that use their arms repetitively have an increase in developing/experiencing shoulder injuries and problems. Shoulder injuries are commonly caused by physical activities that involve:

  • Excessive motions
  • Repetitive motions
  • Overhead motions
  • Sports like swimming, tennis, pitching, and weightlifting involve these repetitive arm/shoulder motions that contribute to shoulder injuries.
  • Injuries can also be brought on from everyday activities like washing/painting walls, hanging curtains/plants, and gardening.

Vitamin B12 and Shoulder Injuries

 

Shoulder Injury Symptoms

If there is discomfort and/or pain in and around the shoulder here are a few ways to analyze the situation.

  1. Is there stiffness in or around the shoulder?
  2. Can you rotate the arm through the normal range of active movement?
  3. Does the shoulder feel like it could pop out or slide out of its socket?
  4. Is there a lack of strength in the shoulder for normal daily activities?

If yes was an answer to any of these questions, individuals should consult an orthopedic surgeon and/or chiropractor for assistance in determining the problem and its severity.

Injury Categories

Individuals often underestimate the extent of an injury and usually just push/play through the discomfort and pain. This is how powerful the brain is as it ignores steady pain, weakness, or limitation of joint motion. Shoulder injuries and problems are grouped in the following categories.

Instability

This is when a shoulder joint moves/shifts or is forced out of its normal position. This is called instability and can result in dislocation of the joints in the shoulder. Individuals will experience pain when raising their arms. It can feel as if the shoulder is slipping out.

Impingement

Impingement is caused by excessive rubbing/friction of the muscles against the top part of the shoulder blade, known as the acromion. Impingement can happen during physical activities that require excessive overhead arm motion. Medical examination and care are recommended for inflammation, as it could eventually lead to a more serious injury.

Injuries

Bursitis

The bursa is the fluid-filled sacs that cushions the joints. These can become swollen and irritated from repetitive motions, falls, or other injuries. Individuals will notice the pain most when moving/rotating the shoulder.

Cartilage tear

The cartilage – the rubbery padding that goes around the rim of the shoulder joint can get damaged from repetitive motions, overextending, falls, or from intense force to the shoulder. With this type of injury individuals feel pain when reaching overhead, weakness, and/or catching, locking, and grinding feelings.

Rotator cuff tear

The rotator cuff consists of a group of muscles and tendons that hold the arm in place and allow for lifting the arm up and overhead. It can get damaged through overuse, falls, and regular wear and tear with age. Pain often presents at night, when lifting objects, and there could be a cracking sound when trying to move or rotate.

Frozen shoulder

This condition limits the joint’s movement. What happens is abnormal bands of tissue called adhesions build up in the joint and restrict movement. The shoulder can freeze up from not using it. This could be because pain or surgery causes an individual to use it less. This is when adhesions begin to build up.

Separation

This injury affects the joint where the collarbone and shoulder blade join. It is known as the acromioclavicular or AC joint. A fall or hard impact can tear the ligaments that hold it together. If the collarbone gets pushed out of place a bump forms/develops on top of the shoulder.

Fracture

A bone can break or crack from a vehicle accident, fall, or takes a hard hit. The most common fractures are to the clavicle – collarbone and the humerus – arm bone closest to the shoulder. This type of injury causes a great deal of pain and bruising. If the collarbone is broken, the shoulder can sag with the inability to lift the arm.

Vitamin B12

Rotator cuff injuries involve dysfunctional and/or damaged connective tissue. This could be from impaired collagen synthesis Vitamin B12 helps combat inflammation and plays a significant role in collagen formation. Low vitamin B12 status can be directly linked to pro-inflammatory cytokines. This means that a lack of vitamin B12 increases inflammation.

Researchers followed a group of individuals to determine if their individual vitamin B12 levels correlated with an increased risk of a rotator cuff tear. To begin the study, levels of vitamin B12 were measured along with other nutrients that included:

  • Vitamin D
  • Zinc
  • Calcium
  • Magnesium
  • Folate

Homocysteine and blood sugar biomarkers, which are both associated with B12 metabolism were also measured. Homocysteine is a metabolite that builds up in the blood when specific nutrients, like B12, folate, or B6 become deficient. Elevated levels of homocysteine can be harmful and cause damage to blood vessels and brain tissue when not detoxified properly. In the study, the homocysteine levels did not differ between the groups, but vitamin B12 levels were significantly different.

  • The patients that were included were a healthy group that did not have any rotator cuff injury during the study.
  • The second group all experienced a rotator cuff tear that required surgery during the study.
  • With the various nutrients measured, only vitamin B12 and vitamin D showed differences. With the B12 and D being lower in the group that had the shoulder injury.
  • Specifically, the B12 levels in the healthy group were 627 pg/mL compared to 528 pg/mL in the injured group. This was a 16% decrease.

These subclinical deficiencies are usually missed with traditional serum testing which is why functional nutritional testing is clinically recommended.


Body Compositional Testing


Disclaimer

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

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

References

American Society for Surgery of the Hand: Shoulder Pain.

American Academy of Family Physicians: Shoulder Pain.

BMC Musculoskeletal Disorders, April 2021

Cleveland Clinic: Rotator Cuff Tendonitis Shoulder Tendinitis.

Monica, James et al. Acute Shoulder Injuries in Adults. American family physician vol. 94,2 (2016): 119-27.

OrthoInfo: Shoulder Pain and Common Shoulder Problems, Rotator Cuff and Shoulder Conditioning Program.

Improper Posture Can Cause All Types Of Body Pain

Improper Posture Can Cause All Types Of Body Pain

Improper posture affects the whole body and can lead to various pain issues throughout the body. Correcting posture is recommended before trying to correct it when pain begins to present. If pain is presenting, chiropractic treatment will bring relief, stabilize the spine, realign/balance the body, and educate the individual on maintaining proper posture through stretches, exercises, physical therapy, and lifestyle adjustments.  

Improper posture symptoms

Neck Pain

Discomfort, stiffness, tightness, and pain are common when sitting at a workstation. This comes from a forward head/head jutting position. The head pushes forward and is not aligned with the shoulders. This means that the neck takes on a compromised position. The head forward position places significant strain on the neck muscles. Because of this neck discomfort and pain often occur later in the afternoon and evening. If not sure whether head jutting is taking place, try placing the chin to the chest. If not able or if there is discomfort/pain in the upper back, there is some forward head jutting.

Shoulder Discomfort and Pain

When we sit for extended periods, the body relaxes muscles that would normally be used if standing. One set of muscles is in the upper back. This causes slouching with a rounded upper back/shoulders. The more time the body stays in any one position, the more it begins to conform to the unhealthy position. This also causes pain in the upper, front part of the shoulders. The pain is noticeable when trying to bring the arm/s overhead or when trying to perform exercises like pushups or pullups.

Regular Headaches

Regular headaches are another symptom of improper posture. Forward head posture is usually a contributor combined with the long hours sitting or standing. However, headaches can be caused by a variety of causes that include:

  • Stress
  • Tension
  • Dehydration

Low Back, Tailbone Discomfort, and Pain

Lower back pain is a very common symptom of improper posture. For individuals under 40, pain and discomfort present because of improper posture while sitting or standing and a lack of stretching and exercise. Sitting for a long time causes the muscles that bring the thighs towards the chest, known as the hip flexors to be consistently flexed, with no relief. This causes the hip flexors to shorten and tighten. This pulls the pelvis out towards the front of the body, creating an exaggerated spinal curve.

11860 Vista Del Sol, Ste. 128 Improper Posture Can Cause All Types Of Body Pain

Buttocks or Stomach Pushes Outward

Take a look at the body’s profile, does the butt and/or stomach stick out? If so this could be hyperlordosis also known as Donald duck posture. This can come from wearing high heels too much, the body having to carry extra weight in the stomach area, and sometimes this comes from pregnancy. Sometimes, this happens when individuals stand with their knees locked. This causes the rear end and/or belly to push out.

Correcting Improper Posture

The main problem with correcting posture is the ability to maintain proper posture. Many individuals go back to the unhealthy positioning without recognizing that they are doing it. There are devices to help correct poor posture habits. This could be a brace or harness that detects when the body is slouching and vibrates to let the individual return to a proper position.

Chiropractic Care and Physical Therapy

The most effective and thorough way to correct years of improper posture is to see a professional chiropractor. A complete diagnosis, inspection, and analysis of an individual’s posture when sitting, standing, walking, and running will be done. They will educate the individual on correct posture, how to achieve and maintain it. If pain is presenting, the chiropractor will take steps to correct any subluxations, misalignments, and develop a personalized treatment plan, to heal the body first. Treatment modalities can include:

  • Chiropractic adjustments
  • Physical therapy
  • Massage
  • Heat therapy
  • Infrared
  • Ultrasound
  • TENS device
  • Health coaching
  • Nutritional advice

Once the body has healed and is moving freely, the doctor will recommend exercises and stretching programs to do at home. This will improve and help maintain proper posture. An experienced musculoskeletal professional will keep the body balanced and prevent further injuries.


Body Composition


Hydrating the body with water or a sports drink

Many individuals prefer drinking sports drinks during and after physical activities, sports, and exercise. Many are opposed to water because of the lack of taste, while sports drinks have taste and added electrolytes. But many sports drinks have added ingredients and sugars. This makes them not the best choice for individuals trying to lose calories. Take a look at some of the additional ingredients:

Electrolytes

Minerals, like potassium, sodium, and magnesium, have an electric charge that helps maintain the body’s ionic balance. The body loses electrolytes when sweating. A sports drink can help replace the lost electrolytes.

Carbohydrates

Most of the carbohydrates come from sugars. Carbohydrates are one of the body’s energy sources and sports drinks are designed to refuel the body after hard physical activity.

Amino acids

These are protein building blocks. Drinking a sports drink after an intense workout can help the body recover quicker. Therefore, some of the additional ingredients in sports drinks offer hydration extras that water on its own cannot. However, water should always be the first drink of choice. But there are certain times when a sports drink is what the body needs.

  • When participating in high-intensity physical activities, workouts, sports that last longer than 45 minutes to an hour. Here a sports drinks can help replenish the body’s electrolytes better than water.
  • Individuals that sweat high levels of sodium (look for sweat stains/rings on skin or clothing) can benefit from re-hydrating with a sports drink.
  • Endurance athletes, triathletes, marathon runners, long-distance athletes, etc can also benefit from a sports drink, from the increased fluid loss.
  • In these activities, athletes should make sure the sports drink they are consuming contains carbohydrates and electrolytes.

Disclaimer

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

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

References

Hao, Ning et al. “Enhancing creativity: Proper body posture meets proper emotion.” Acta Psychologica vol. 173 (2017): 32-40. doi:10.1016/j.actpsy.2016.12.005

Jaromi, Melinda et al. “Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.” Journal of clinical nursing vol. 21,11-12 (2012): 1776-84. doi:10.1111/j.1365-2702.2012.04089.x

O’Connor B. Sitting Disease: The New Health Epidemic. The Chopra Center Web site. http://www.chopra.com/articles/sitting-disease-the-new-health-epidemic. Accessed January 7, 2017.

 

Temporomandibular Joint, Jaw Pain, Chiropractic Lasting Relief

Temporomandibular Joint, Jaw Pain, Chiropractic Lasting Relief

Jaw pain can make chewing, yawning, and talking a painful experience. This is a syndrome known as Temporomandibular Joint syndrome or disorder or TMJ and TMD. What happens is the temporomandibular joint that connects the jaw to the skull becomes inflamed. It is part of the musculoskeletal system, which means that chiropractors can treat the syndrome with various chiropractic techniques that include soft tissue work and temporomandibular joint adjustments. Chiropractic can bring lasting relief from Temporomandibular Joint Syndrome/Disorder.
11860 Vista Del Sol, Ste. 128 Temporomandibular Joint, Jaw Pain, Chiropractic Lasting Relief

How to Tell if TMJ Is Present

Jaw pain is the most common symptom but there are other factors that can cause pain. To help determine if it is TMJ, here is a list of additional symptoms:
  • Difficulty or pain moving the mouth such as when chewing
  • Popping sensation sound when opening/closing the jaw
  • Cracking sensation sound when opening or closing the jaw
  • Headaches that radiate to the facial muscles
  • Tooth pain
  • Pain in the neck and shoulders
  • Tightness in the jaw
  • Facial muscles become fatigued
  • Dizziness or ringing in the ears

Chiropractic and Dental

If it is TMJ should an individual see a dentist or a chiropractor? This depends on the situation and individual.
  • If TMJ is caused by teeth grinding while sleeping, or there is pain/problems with the teeth then seeing a dentist is recommended.
  • If TMJ pain is accompanied by joint or muscle pain, or there is neck and/or back pain, then chiropractic is recommended.
  • Certain cases could require dental treatment and a chiropractor for the joint issues.

Chiropractic TMJ Treatment

Jaw Adjustment

One way chiropractic treats TMJ is through jaw adjustment/s. This varies from patient to patient. An example assessment and adjustment for TMJ.
  • The chiropractor will utilize the most beneficial technique/s for each individual.
  • The chiropractor will have the individual open and close their jaw while feeling each side.
  • They will determine which side opens first and widest, and which opens last and not as wide.
  • Then they will perform a jaw adjustment through gentle pressure applied to both sides of the jaw.

Soft Tissue Treatment

A contributor to jaw pain can be attributed to the muscles that are used to open and close. In this case, the chiropractor will perform soft tissue manipulation to loosen them up. This releases the jaw so it evens out. This also helps with headaches associated with TMJ. The focus is on three muscles:
  • Masseter
  • Pterygoid
  • Temporalis
11860 Vista Del Sol, Ste. 128 Temporomandibular Joint, Jaw Pain, Chiropractic Lasting Relief
A chiropractor will mobilize these muscles applying pressure repeatedly as the individual opens and closes their mouth.

Jaw Exercise Therapy

The chiropractor will recommend exercises to help quicken the healing process and strengthen the muscles. These are simple exercises that can be done at home or work to help relieve any discomfort or pain and for prevention.

Mouth Opening

  • Place one thumb under the chin
  • Open the mouth and gently push against it with the thumb
  • Hold for 5 to 8 seconds then close mouth
  • Repeat a few times every day

Mouth Closing

  • Open the mouth holding the chin with the index finger and thumb from both hands
  • Close jaw with gentle resistance with the fingers
  • Hold for 5 to 8 seconds
  • Repeat a few times every day
A chiropractor may collaborate with a dentist to provide the best treatment plan.

Body Composition


 

Body Dehydration

Dehydration happens when the body loses more water than it can replace. This can come from frequent:
  • Diarrhea episodes
  • Vomiting episodes
  • Too much alcohol the night before
  • Excessive sweating
  • Excessive urination
When dehydration sets in a wide range of symptoms can present. Early signs/symptoms include:
  • Dizziness
  • Headaches
  • Dry mouth
  • Cool skin
If dehydration is not addressed in the early stages, it can lead to not having the urge/need to urinate. There is potential for long-term health issues like high blood pressure. High blood pressure is common for individuals that are chronically dehydrated. When the body’s cells lack water, the brain sends a signal to secrete vasopressin, which is a chemical that constricts the blood vessels. This causes blood pressure to rise. This could eventually lead to heart failure. If the blood vessels continue to progressively narrow, oxygen, and blood circulation to the brain decreases. This results in migraine headaches and decreased ability to concentrate.  

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Ibi, Miho. “Inflammation and Temporomandibular Joint Derangement.” Biological & pharmaceutical bulletin vol. 42,4 (2019): 538-542. doi:10.1248/bpb.b18-00442 Blum, Charles L. “Chiropractic and dentistry in the 21st Century.” Cranio: the journal of craniomandibular practice vol. 22,1 (2004): 1-3. doi:10.1179/crn.2004.001 Brantingham, James W et al. “Manipulative and multimodal therapy for upper extremity and temporomandibular disorders: a systematic review.” Journal of manipulative and physiological therapeutics vol. 36,3 (2013): 143-201. doi:10.1016/j.jmpt.2013.04.001 https://www.nidcr.nih.gov/health-info/tmj
Trapezius Muscle Spasms: Chiropractic Treatment and Relief

Trapezius Muscle Spasms: Chiropractic Treatment and Relief

The body’s muscles function to produce force and motion. The trapezius muscle is one of the largest, which makes it highly susceptible to injury/s and spasms. A trapezius muscle spasm is when the muscle starts to contract. This muscle group is based around the neck and shoulders and is used to move the scapula shoulder bone.  
 

Causes of Trapezius Muscle Spasms

A few causes for this muscle to become inflamed/irritated include:
  • Poor posture
  • Injury
  • Stress
  • Tension
  • Improper lifting

Symptoms

The effects feel similar to a pulled shoulder muscle. Common symptoms include:
  • Upper body stiffness
  • Shoulder pain
  • Neck pain
  • Arm numbness/tingling
  • Lack of shoulder flexibility

Spasm and Pinched Nerve Difference

A muscle spasm and pinched nerve might seem or feel similar, but they are different. A muscle spasm makes the area tight and can cause muscle twitching. They vary in intensity with some spasms being mild and others excruciating. In some cases, a spasm can cause a nerve to get pinched if the knot contorts tightly around a nerve and if it is big enough. Conversely, a pinched nerve can also cause twitching, but it typically results in severe pain. Pinched nerves can also cause tingling sensations and numbness depending on the severity it could cause muscle spasms.  
11860 Vista Del Sol, Ste. 128 Trapezius Muscle Spasms: Chiropractic Treatment and Relief
 

Treating The Spasms

There are a few ways to treat this naturally.

Heat and Ice Therapy

One way to calm a muscle spasm is using heat and ice. The heat will increase nerve and blood circulation keeping the muscles flexible, and the warmth will soothe the injury. This helps prevent the muscles from spazzing and generating pain. Ice therapy also increases blood circulation but the focus is on reducing inflammation. The nerves become slightly frozen which stops the tingling, significantly reducing the pain. If pain presents around the trapezius, immediately put an ice pack on. It should be applied every few hours in 15-minute sessions. Once the pain subsides, heat therapy can be applied. A heating pad placed around the area, a warm/hot bath, or standing in the shower if possible with a massage setting letting the warm/hot water hit the muscle. But it must be consistent, doing it for about 20-minute sessions three times a day.

Stretches and Exercises

Stretches and exercises can help keep the muscle flexible and prevent any tightening.

Upper Trapezius Stretch

This stretch will move the upper trapezius area, promoting flexibility and preventing the muscle from becoming stiff.
  • Sit in a chair with proper posture
  • Holding onto the chair with the left hand, wrap the right arm over the top of the head so that the hand touches the left ear.
  • Gently pull the head toward the right and hold.
  • Slowly move the head back and repeat with the other hand.

Shoulder Shrugs

  • Moving the shoulders up and down throughout the day stretches the trapezius.
  • It releases tension and strengthens the muscle to protect it.
  • This exercise should be done every few hours for about a minute or two.
  • Also occasionally rolling the shoulders will help stretch the smaller components of the trapezius.

Cobra Pose

This yoga pose is for relieving tension.
  • It can be very helpful for those suffering from severe spasms or from a pinched nerve.
  • The first thing is to lie face-down on the floor.
  • Keeping the feet straight behind, use the hands to gently push the upper body up so that the spine slightly curves.
  • Make sure that the hands are situated in front of the body and firm on the ground.
  • Hold for a few seconds and then release.
  • Repeat the process three more times.
11860 Vista Del Sol, Ste. 128 Trapezius Muscle Spasms: Chiropractic Treatment and Relief
 

Therapeutic Massage

  • The soothing motions from a massage will calm irritated areas and encourage them to heal quicker.
  • At first, because of the tenderness around the area, a massage could present with pain.
  • The massage therapist needs to press on the area to increase blood circulation so that toxins get flushed out.
  • While it might hurt the individual soon notices that the swelling and pain are reducing.
Some massage techniques include:

Chiropractor

Chiropractors specialize in the musculoskeletal system and understand how the muscles, bones, and joints all work together. For muscle spasms, they investigate the problem and look at other areas of the body that could be contributing to or worsening the condition. For some, muscle spasms could be brought on by a misplaced joint pressing on the area. A chiropractor will palpate the areas to ensure this is not the case. And if there is a problem, they will perform a joint manipulation. This realigns the joint back in place and reduces muscle spasm symptoms. Over time the muscles become healthier because chiropractic releases toxins and improves the range of motion.

Body Composition


 

Anti-Inflammatory Diet

Often, muscle spasms are the result of inflammation. When a muscle swells, it can place pressure on surrounding nerves. The more intense the inflammation the more pressure/stress on the nerves. This can make moving and functioning very difficult because of the pain. To naturally reduce inflammation consider an anti-inflammatory diet. This type of diet is filled with antioxidants, vitamins, and minerals that will work to reduce swelling. Although it might not completely repair the muscle injury, it can reduce symptoms and stop oxidative stress. Foods to eat more of are:
  • Cherries
  • Tomatoes
  • Almonds
  • Blueberries
  • Oranges
  • Salmon
  • Kale
  • Turmeric

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Finley JE. Physical Medicine and Rehabilitation for Myofascial Pain.�Medscape. https://emedicine.medscape.com/article/313007-overview#showall. Updated May 21, 2017. Accessed July 16, 2018. Rodante JA, Al Hassan QA, Almeer ZS. Myofascial Pain Syndrome: Uncovering the Root Causes.�Practical Pain Manag. https://www.practicalpainmanagement.com/pain/myofascial/myofascial-pain-syndrome-uncovering-root-causes. 2012;6. Last updated on October 5, 2012. Accessed July 16, 2018. http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.656.582&rep=rep1&type=pdf
Chiropractic Physical Therapy For Knee Pain

Chiropractic Physical Therapy For Knee Pain

Chiropractors don’t only work on the spine. Doctors of chiropractic are trained to treat the entire musculoskeletal system. They could be called joint specialists. Chiropractic physical therapy can help with knee pain. They can help bring knee pain relief in several ways by treating the root cause/s. A chiropractor will perform:

  • Knee adjustments
  • Hip adjustments
  • Posture analysis
  • Gait analysis
  • Weight distribution analysis

There are also a number of chiropractic physical therapy modalities to help with pain, swelling, and arthritis. Knee pain causes can vary. A chiropractor can determine the underlying cause, relieve the pain, and help prevent future injury.

Chiropractic and The Body’s Musculoskeletal System

Many think that treating knee pain comes down to surgery or painkillers. Surgery can be the best option for some, but it is always best to exhaust conservative treatments, which chiropractic physical therapy is one of the most effective. Pain medication can be appropriate but with the addictive potential about they are best avoided unless absolutely necessary. Chiropractic offers an alternative to pain medications and even surgery for certain cases.

Causes For Common Knee Pain Issues

Here are some of the most common causes of knee pain along with the ways a chiropractor can help to relieve the pain and treat the underlying issue. Treatment plans vary depending on the specific circumstances/conditions. �

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Knee Bursitis

Bursitis is inflammation of the fluid-filled sac located in the joints between bones, tendons, and muscles. The sacs are called bursae and are essential in proper joint function. They help reduce friction during the course of regular joint movement/function. Knee bursitis is commonly caused by overuse and misalignment. It can be caused while:

  • Walking
  • Running
  • Kneeling
  • Stretching the knee
  • It can also cause swelling around the front of the kneecap

Chiropractic Treatment

The reduction of pain and swelling are the first steps of chiropractic physical therapy. This is achieved with:

  • Therapeutic massage
  • Ultrasound
  • Hot and cold therapy
  • Cold laser therapy

Once the pain and swelling are addressed then the cause of the inflamed bursa can be determined. This is done through adjustments of the knee, hips, or spine to help correct the issue and promote proper recovery and prevention.

Patellar Tendonitis

Tendonitis means there is damage or irritation to a tendon. Patellar tendonitis occurs in the tendon that connects the kneecap to the shin. This is common for individuals who run and jump regularly like athletes. Overweight individuals have an increased risk for patellar tendonitis because of the extra stress placed on the knees. This is often a result of repeated overuse and happens gradually. It can be the result of trauma to the knee as well. The pain happens just below the kneecap and increases with physical activity. �

Chiropractic Treatment

Most often rest is the first option. Chiropractic physical therapy can recommend wearing a knee brace during the treatment. They will also teach the patient proper stretching and warm-up exercises to prevent tendonitis.

Osteoarthritis

Chiropractic is effective at reducing arthritis pain and inflammation throughout the body. Osteoarthritis can make everyday activities like walking and kneeling difficult or impossible. Chiropractic is designed to help reduce pain increase blood/nerve circulation that will promote healthy joint function and movement. �

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Chiropractic Treatment

Chiropractic will help osteoarthritis through:

  • Massage
  • Ultrasound
  • Laser therapy
  • All can help reduce pain and inflammation in the knees joints
  • Hands-on stretching
  • Adjustments can also help to improve the range of motion and joint function

This is important because knee pain can lead to increased pressure on the joints in the lower back, causing discomfort/pain as well.

Knee Valgus

Knee valgus also known as knock knee, is an inward tilt of the knees. It is easy to see when squatting or kneeling, but it can also happen when walking or standing. Young children tend to develop knee valgus but grow out of it by the time they are 10 years of age. However, if the knees remain bowed into the teenage years and beyond, it can cause issues in the hips, glutes, and back. Knee valgus can also be the result of:

  • Weak muscles in the legs, hips, or glutes
  • Tight muscles in the legs, hips, or glutes
  • Determining the exact cause is essential to address it and develop a treatment plan to correct the issue.

Chiropractic Treatment

Chiropractic specializes in the musculoskeletal system and a doctor of chiropractic knows what to look for. A chiropractor can address the issue through adjustments of the spine, hips, and knees. Hands-on clinic exercises and at-home exercises will be incorporated to correct the issues. These exercises combined with chiropractic will address structural and postural issues. �

Other Knee Pain Causes

Chiropractic can also address and recommend treatments for other knee conditions. These include:

11860 Vista Del Sol, Ste. 128 Chiropractic Physical Therapy For Knee Pain

Chiropractic Adjustments for Pain Relief, Function, and Prevention

Problems with the hips and spine can contribute to knee pain, as well as issues with the foot, ankle, or pelvis. Chiropractors perform a thorough examination of all the joints, tendons, and muscles that could be contributing to the pain. They will look at a full medical history and other details like:

  • Overall health
  • Diet
  • Lifestyle habits
  • Job
  • Exercise and/or sports activities
  • Injuries
  • Posture
  • Walking gait

With this information, the chiropractor will develop a customized plan unique to the individual’s needs and situation. Waiting for the pain to go away is not the best option. Chiropractic is safe, non-invasive, and offers a thorough approach to treating knee pain.


Body Composition Testimonial


 

Difficulty Moving

Lack of adequate muscle can cause difficulty moving like taking the elevator becoming a necessity, getting tired more easily, and getting in and out of a car can become a challenge. These are all possible experiences that can come as a result of losing muscle. Around 19% of women and 10% of men aged 65 years or older are unable to kneel. With no balance to kneel and pick something up means trouble. What to do to prevent massive muscle loss.

Dr. Alex Jimenez�s Blog Post Disclaimer

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

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

References

Hott, Alexandra et al. �Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial.��The American journal of sports medicine�vol. 47,6 (2019): 1312-1322. doi:10.1177/0363546519830644

Bhagat, Madhura et al. �Immediate effects of Mulligan’s techniques on pain and functional mobility in individuals with knee osteoarthritis: A randomized control trial.��Physiotherapy research international: the journal for researchers and clinicians in physical therapy�vol. 25,1 (2020): e1812. doi:10.1002/pri.1812

Chiropractic Shoulder Impingement Mobility Treatment

Chiropractic Shoulder Impingement Mobility Treatment

The shoulder is subject to different irritations, injuries, and conditions. Shoulder impingement is a common ailment but is often confused with other shoulder problems. Properly treating impingement syndrome needs proper diagnosis first. Most shoulder impingement cases do not require surgery. Conservative treatment like chiropractic focuses on pain reduction while increasing the range of motion. This is achieved with manual manipulation, soft tissue therapy, cold laser therapy, and spinal adjustments for shoulder posture realignment.  
 

Shoulder Impingement Symptoms

Shoulder impingement often gets confused with a pinched nerve or a rotator cuff tear. The symptoms can be similar, but the treatment options differ. This is why it�s important to know the specific shoulder issue presenting. This can be done by recognizing the symptoms and performing a shoulder impingement self-exam. Symptoms include:
  • Pain when lifting the arm straight out.
  • Pain when lifting the arm overhead.
  • Pain along the outside of the shoulder, the front, back, or side.
  • Dull throbbing pain.
  • Trouble sleeping specifically individuals that sleep with their arm over their head.
 
11860 Vista Del Sol, Ste. 128 Chiropractic Shoulder Impingement Mobility Treatment
 

Shoulder Impingement Self Exams

There are self-exams at home to help determine if it is in fact shoulder impingement. These exams are just to get a better idea, but a professional chiropractic diagnosis is recommended.  

Exam 1

  • Take the hand of the affected arm and place it on the opposite shoulder, creating a V shape at the elbow.
  • Keeping the hand on the opposite shoulder, raise the elbow straight out in front bringing it up toward the face.
  • If pain presents in the shoulder while moving the elbow up, then shoulder impingement could be a possibility.

Exam 2

  • Stand up with hands down at the sides.
  • Turn the hand of the affected shoulder inward, so the thumb faces back instead of forward.
  • Keep the thumb pointing backward, raise the arm straight up in front and over the head.
  • Note if there is any discomfort or pain.
  • Bring the hand back down to the side.
  • Next, turn the hand so that the palm is facing forward.
  • Again, raise the arm in an arc, ending above the head.
  • If pain presents while raising the arm with the thumb back, but feel relief with the palm facing forward, it is likely a shoulder impingement.
 
11860 Vista Del Sol, Ste. 128 Chiropractic Shoulder Impingement Mobility Treatment
 

Chiropractic Relief

If there is some sort of impingement different treatment options exist. Many doctors treat shoulder impingement with injections and pain management. Studies show that conservative treatment, like chiropractic, have shown positive results for shoulder impingement cases. Chiropractic improves joint function and mobility while treating the underlying root cause. A chiropractor will use a multi-approach depending on the cause. A combination of adjustments, anti-inflammatory protocols, and active release techniques can be used.  

Chiropractic Adjustment

One of the first things chiropractors look at is the spine. This is because poor posture, and slumping shoulders, can be a major contributor to impingement. Chiropractors perform a posture assessment and, if necessary a spinal adjustment to achieve proper alignment is the beginning to get the body back in balance.  

Anti-Inflammation Protocols

Next, is the shoulder itself. Deep tissue massage and anti-inflammation techniques like cold laser therapy or ultrasound can relieve pain, and reduce inflammation. Once the pain has decreased, the chiropractor will move on to active release techniques.  

Active Release Technique

Usually the result of the muscles or tendons becoming inflamed and irritated, the active release technique is used to separate any scar tissue from the soft tissue. The active release technique is performed with a combination of movement and manipulation. This increases healing through proper blood flow and circulation.  
 

Healing Naturally

Here is an example of a potential treatment plan. All treatment plans are different depending on:
  • Individual health
  • Activity level
  • Medical history
  • Age
  • Injury

Rest and Pain Reduction

  • The first step in healing is rest. Individuals will be recommended to cease any overhead arm activity and any activity that causes inflammation of the shoulder.
  • Pain reduction treatment. This could be:
  1. Ultrasound
  2. Laser therapy
  3. Massage
  4. Other forms of pain relief and inflammation reduction

Adjustments/Alignment

  • Chiropractic adjustments performed on the upper cervical spine, upper back, and shoulder area will address the overall cause.
  • Posture assessments will determine if the spine needs adjusting and if it is a cause of the impingement.

Stretching Exercises

 
 

Rehab Protocol

The stretches and exercises are an essential part of the healing process. The specific exercises will depend on the individual’s specific treatment plan but are made to be gentle on the body without any special equipment. If you have any questions call our chiropractic and physical therapy clinic to talk to a trained professional.

Body Composition


 

Strength Training

Strength training is defined as a technique/method of improving the body’s muscular strength. This is achieved by gradually increasing the resistance force through the use of free weights, machines, or body weight. This means the body gets stronger and more capable of performing regular, work, and sports activities without experiencing weakness, fatigue, discomfort, and pain. Examples could include:
  • Carrying groceries or children
  • Moving furniture, household objects, etc.
  • Running
  • Jumping
  • Other physical activities
Strength training has numerous benefits, including:
  • Increased physical performance
  • Improved blood pressure
  • Improved metabolism
  • Reduced fat mass
  • Increased bone strength/density
  • Improved cognitive ability
  • Prevention and management of type 2 diabetes
  • Improved cholesterol levels
  • Reduction of pain associated with chronic conditions

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Garving, Christina et al. �Impingement Syndrome of the Shoulder.��Deutsches Arzteblatt international�vol. 114,45 (2017): 765-776. doi:10.3238/arztebl.2017.0765 https://www.healthline.com/health/active-release-technique#benefits
Brachial Neuritis: Shoulder, Arm, Hand Pain, and Chiropractic Intervention

Brachial Neuritis: Shoulder, Arm, Hand Pain, and Chiropractic Intervention

Shoulder and arm pain can be debilitating, especially when there is no obvious cause or injury that needs to be treated. A rare condition known as brachial neuritis can cause spasms along with pain down the arm, followed by numbness, tingling, and weakness. If not diagnosed and treated early, the symptoms can worsen with time. The pain experienced can be described as sharp, searing, and shooting. Brachial neuritis can be intense and disabling when it presents for hours and even days.  

11860 Vista Del Sol, Ste. 128 Brachial Neuritis: Shoulder, Arm, Hand Pain, and Chiropractic Intervention
 

Utilizing a chiropractic approach, shoulder and spinal adjustments can provide relief and a faster healing/recovery from the inflammatory condition. Individuals experiencing shoulder, arm, and possible hand pain should consult with a chiropractor about a potential home and clinic treatment plan to improve their condition.  

Medical History and Examination

The process of diagnosing brachial neuritis involves an individual’s medical history and physical exam. More complicated cases could require imaging studies and electrodiagnostic tests. The first steps in diagnosing the cause of shoulder and/or arm pain include:  

 

Medical history

Information will be collected on an individual’s:

  • Medical history
  • Family history
  • Underlying conditions
  • Recent illnesses or injuries
  • Lifestyle habits
  • How and when symptoms began
  • Current symptoms

 

Physical examination

A chiropractor will palpate or inspect by feeling the neck, shoulder, and arm for irregularities. Then they will examine the range of motion, strength, and reflexes. If the individual’s history and physical exam suggest that the cause could be brachial neuritis or other condition involving the nerves, imaging studies, and diagnostic tests could be required to evaluate further.  

Symptoms of Brachial Neuritis

The condition is also known as Parsonage-Turner Syndrome. It affects the brachial plexus, a set of nerves that run from the neck and upper back to the shoulders. The condition usually affects only one side of the body and presents randomly.  

11860 Vista Del Sol, Ste. 128 Brachial Neuritis: Shoulder, Arm, Hand Pain, and Chiropractic Intervention
 

What happens is the nerves become inflamed.

  • Inflammation can be triggered through an autoimmune response. This is often the result of an infection, surgical procedure, or other internal stressors. The inflammation can lead to severe debilitating shoulder pain over a few days.
  • This also leads to long-term numbness, weakness in the shoulder and arm.
  • The pain becomes worse with movement.
  • Typically, the pain goes away on its own within a few days.
  • Numbness, weakness, or tingling in the shoulder or arm continues.
  • Over time the symptoms begin to worsen and, if left untreated, could lead to muscular atrophy of the arm.
  • The pain and weakness can make it difficult to move the arm, leading to decreased strength.
  • Symptoms can last up to a year or more.
 

This is why individuals have to find ways to strengthen their shoulder/arm despite the condition.

 

Chiropractic Relief

Treatment requires a pain management program until the pain subsides. Once the pain is manageable, chiropractic, physical therapy, exercises, and stretches could improve mobility and strength. Chiropractic can provide relief and tools necessary to prevent the worsening of symptoms. Chiropractic helps to:

  • Reduces pain
  • Improves mobility
  • Restores strength

Chiropractic manipulation will ensure that the nerves near the brachial plexus do not become compressed, but if they are, then chiropractic can be utilized to decompress/release them. In addition, trigger point release and massage can help alleviate the tension in the surrounding tissues of the arm and shoulder.  

 

A chiropractor will educate the individuals on effective pain management techniques for home, including ice/heat therapy and stretching exercises. These techniques will help restore the proper alignment and flow of the spinal vertebrae, nerves, and muscle tissues, allowing the body to heal quickly, naturally, and more effectively.


Chiropractic Shoulder Pain Treatment

 

 

 

 

References

Feinberg, Joseph H, and Jeffrey Radecki. Parsonage-turner syndrome. HSS journal: the musculoskeletal journal of Hospital for Special Surgery vol. 6,2 (2010): 199-205. doi:10.1007/s11420-010-9176-x

Osteoporosis Prevention Plan

Osteoporosis Prevention Plan

Osteoporosis prevention can be accomplished, even with an osteoporosis diagnosis. There are steps along with your doctor’s treatment plan and recommendations to help control the disease from progressing. An osteoporosis prevention plan can be generated to improve general health and reduce the chances of a fracture in the spine or other bones. �

 

11860 Vista Del Sol, Ste. 128 Osteoporosis Prevention Plan

Doctor Discussion

Make an appointment with a specialist to talk about osteoporosis risk factors. If you are 40 years of age or older, take some time to review the list of potential risk factors to discuss. An individual’s response can help prepare for this healthcare discussion.

Risk Factors

  • The individual has had a bone fracture as an adult – wrist, hip, spine, etc.
  • History of osteoporosis in family – mother, sister, father.
  • Body Type – small, medium, large frame.
  • Body Shape – Thin, frail, overweight, obese.
  • No regular exercise.
  • Tobacco use – smoke, vaping, chewing, etc.
  • Alcohol consumption – Drinks 3 or more times a week, sometimes binge drinks.
  • Diet does not include calcium – milk, yogurt, or vitamin D – cheese, eggs.
  • Occasional crash diet.
  • Eating disorders – anorexia, purging, bulimia.
  • Corticosteroid/s use and/or anti-convulsant medication/s use.
  • Less stability on feet.
  • Experiences occasional falls.
  • Women – 45 or younger, beginning of menopause, 50 or older, post-menopause.
  • Men – Diagnosed with low testosterone levels.

Learn Your T-score

A bone mineral density test is the most dependable way to predict and detect osteoporosis. It is a painless test and can take around ten to thirty minutes to complete. The T-score is a number that lets an individual know where their bone density it and if it is good or not so good.

Build Bone Mass

Bone mass can be built up by including weight-bearing and resistance exercise into a regular workout. The difference between weight-bearing and resistance exercises is that weight-bearing uses the bone/s and muscle/s to work against gravity.

Walking, jogging, and dancing, are examples of weight-bearing exercises. Weight lifting or free weights are examples of resistance exercise. Here the body’s muscular strength is being utilized. This helps build bone mass and strengthen muscles.

Calcium/Vitamin D Rich Diet

Taking the time to nourish the body properly will help with osteoporosis prevention and achieve optimal health. Calcium and vitamin D won’t completely prevent or cure osteoporosis, but it is essential to include these minerals and vitamins in your diet daily. If an individual is lactose intolerant, there are fortified food products like orange juice and cereal/s to help meet daily mineral/vitamin requirements.

Check out the best and worst foods for bones. Supplements are another option to help boost calcium and vitamin D. Your doctor will know how much calcium and vitamin D you need. Taking too much is not being health-wise. Taking too much of a supplement can make an individual sick. Registered Dietitians and Health coaches can educate on making wise food and supplement choices. A doctor can aid in finding either in your area. �

11860 Vista Del Sol, Ste. 128 Osteoporosis Prevention Plan

Stop Smoking

Smoking increases the risk of osteoporosis. Smoking affects pretty much every organ in the body. Smoking interferes with the body’s ability to absorb calcium and lowers the hormones the body needs to build and keep the bone mass. Quitting will decrease the risk of cancer, heart, lung disease, and osteoporosis.

Reduce Alcohol

Too much alcohol consumption causes poor nutrition. Poor nutrition causes bone density to decline, which leads to osteoporosis. And alcohol increases the risk of falling. Falls are one of the leading causes of spinal/other bone fractures. So contact your doctor or chiropractor and discuss an osteoporosis prevention plan.


Personal Injury and Chiropractic

 


 

Dr. Alex Jimenez�s Blog Post Disclaimer

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

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