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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


Neck Pain Associated With Myofascial Trigger Pain

Neck Pain Associated With Myofascial Trigger Pain

Introduction

The neck ensures that the head is upright in the body while providing mobility to rotate, bend, and tilt in various directions. The neck is part of the cervical spine and provides sensory-motor functions from the nerve pathways spread out along the shoulders and upper back. When traumatic events or injuries affect the cervical spine and cause pain to the neck over time, however, if not treated, it can lead to problematic symptoms associated with muscle pain. Neck pain can lead to muscle stiffness and cause myofascial trigger pain associated with referred pain along the rest of the upper body. Today’s article looks at the effects of neck pain, how it is associated with myofascial trigger pain, and ways to manage neck pain associated with myofascial trigger pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from neck pain associated with myofascial trigger pain. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Jimenez DC provides this information as an educational service only. Disclaimer

The Effects Of Neck Pain

 

Have you been feeling muscle stiffness around your neck and shoulders? Do you experience random headaches that affect your day? What about feeling tingling sensations along your arms and hands? These symptoms are associated with neck pain and can affect many individuals if not treated over time. Many people who suffer from neck pain will feel muscle stiffness that affects not only the sides of the neck but around the shoulders and their upper back. Studies reveal that neck pain is a multifactorial musculoskeletal disorder that affects the worldwide population and can become a chronic problem. Risk factors associated with the contributing development of neck pain include:

  • Stress
  • Poor posture
  • Anxiety
  • Sleep position
  • Neuromusculoskeletal disorders
  • Auto accidents
  • Traumatic events

Many of these risk factors associated with neck pain can cause pain symptoms and cause pain in different locations of the body, making diagnosing the pain source problematic for doctors.

 

Neck Pain Associated With Myofascial Trigger Pain

Since neck pain is common for many individuals, one of the symptoms associated with muscle stiffness and tenderness is myofascial trigger pain overlapping neck pain. Studies reveal that the formation of trigger points is caused when various physical activities begin to yield repetitive stress or cause micro-tears in the definite muscle groups that can cause tension within the muscle fibers. To that point, knots in the taut band of the muscles become hypersensitive and produce referred pain, tenderness, motor dysfunction, and autonomic phenomena. When the neck suffers from a traumatic event that affects the spine, over time can create trigger points or myofascial pain. It is difficult to diagnose where the pain is located in the body because myofascial trigger pain often mimics other pain conditions. It can confuse many individuals as they think they are suffering from one pain, but it’s a different pain that affects their body. Other studies reveal that individuals with myofascial pain syndrome associated with neck pain have a tender point within the tight muscular band, causing local discomfort. To that point, myofascial pain can cause referral pain in remote areas like cervical spine disorders like herniation can often be confused with myofascial pain when there is referral pain in the upper extremities of the body. Some of the symptoms associated with myofascial trigger pain that affects the neck include:

  • Deep, aching pain
  • Headaches
  • Muscle tenderness in the neck or shoulders
  • Tingling sensation or numbness down the arms and hands
  • Muscle stiffness

 


Neck Pain & Trigger Points- Video

Are you experiencing numbness that is running down your shoulders to your hands? What about muscle stiffness along the sides of the neck or shoulders? Or do headaches seem to pop out of nowhere and affect your day? You could risk suffering from neck pain associated with myofascial trigger pain. The video above explains how neck pain is associated with trigger points and how to trigger pain can be primary or secondary to neck pain. Studies reveal that myofascial pain syndrome is a common muscular pain disorder that is misunderstood and involves referred pain to form minor, tender trigger points within the muscles. To that point, myofascial pain associated with neck pain may be consistent with specific patterns of pain associated with each trigger point, contributing factors like emotional, postural, and behavioral factors that cause tension in the neck and frequently related symptoms from various conditions make diagnosing difficult. Since myofascial trigger points are complex and mimic other conditions that affect a different body part, many believe that different ailments affect their body than the actual ailment itself. Thankfully there are ways to manage neck pain associated with myofascial trigger pain and relieve muscle pain.


Ways To Manage Neck Pain Associated With Myofascial Trigger Pain

 

Since myofascial trigger pain associated with the neck can be a bit complex and challenging to diagnose, many doctors will refer patients to a physical therapist, a chiropractor, or another spine specialist to examine the trigger points causing neck pain. Various treatments can range from home remedies to severe muscle injections, depending on how severe the injuries are since everyone’s pain is different. Some of the available treatments that can reduce and manage myofascial neck pain include:

  • Exercising (helps stretch and strengthen neck and upper back muscles)
  • Massage (helps loosen stiff muscles in the neck and shoulders)
  • Heat therapy (helps relax and increase blood flow to the affected area)
  • Chiropractic care (uses spinal manipulation to prevent further pain issues from happening)
  • Acupuncture (helps to relax the trigger point and relieve pain)

Incorporating these various treatments can provide beneficial relief to those suffering from myofascial neck pain and help manage the symptoms associated with the body.

 

Conclusion

The neck provides mobility to the head as it can rotate, bend, and tilt in various directions while providing sensory-motor functions to the shoulders and upper back from the nerve roots in the cervical spine. When traumatic forces impact the neck, myofascial trigger pain can lead to neck pain. Myofascial trigger pain associated with neck pain is where tiny knots in the affected neck muscles become tender and stiff, which causes referred pain to different locations in the body. Myofascial neck pain is challenging to diagnose but manageable to treat with various treatments and techniques that can release the knots from the affected muscle and prevent future symptoms from happening. This allows many individuals to feel relief from their neck pain and continue their wellness journey.

 

References

Alghadir, Ahmad H, et al. “Efficacy of Combination Therapies on Neck Pain and Muscle Tenderness in Male Patients with Upper Trapezius Active Myofascial Trigger Points.” BioMed Research International, Hindawi, 10 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833/.

Ezzati, Kamran, et al. “Prevalence of Cervical Myofascial Pain Syndrome and Its Correlation with the Severity of Pain and Disability in Patients with Chronic Non-Specific Neck Pain.” The Archives of Bone and Joint Surgery, Mashhad University of Medical Sciences, Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8121028/.

Fricton, J R, et al. “Myofascial Pain Syndrome of the Head and Neck: A Review of Clinical Characteristics of 164 Patients.” Oral Surgery, Oral Medicine, and Oral Pathology, U.S. National Library of Medicine, Dec. 1985, pubmed.ncbi.nlm.nih.gov/3865133/.

Kazeminasab, Somaye, et al. “Neck Pain: Global Epidemiology, Trends and Risk Factors.” BMC Musculoskeletal Disorders, BioMed Central, 3 Jan. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8725362/.

Disclaimer

How Trigger Points Affect The Musculoskeletal System

How Trigger Points Affect The Musculoskeletal System

Introduction

The body is a functional machine that consists of muscles, organs, and skeletal joints that play different parts in making the body healthy as possible. Each section has a casual relationship as they work together and do their jobs separately. The muscles provide protection and movement from daily activities. The organs supply hormones, oxygen, and nutrients, so the body’s internal functions work correctly. And finally, the skeletal joints help with mobility and stabilization for the body to stay upright. When environmental factors or traumatic injuries affect the body, many issues over time may cause damage, and the body may develop pain-related symptoms. Today’s article examines how the musculoskeletal system works in the body, how trigger points affect the musculoskeletal system, and how chiropractic care can help alleviate trigger point pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from muscle pain associated with trigger points. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

How Does The Musculoskeletal System Works?

 

Have you been experiencing muscle stiffness in specific areas located in your body? Do you feel tenderness in your neck, shoulders, or back? Or do you feel knots along your muscles that are causing you pain? Some of these symptoms are associated with muscle pain in the musculoskeletal system. The musculoskeletal system in the body has muscles, ligaments, and connective tissues surrounding the skeletal joints. Studies reveal that the structure of the musculoskeletal system shows how the surrounding muscles protect the joints and help provide the body functionality. The various muscles in the body offer a range of motion, sensory-motor functions, reflexes, and strength when functioning normally. However, when environmental factors begin to affect the body over time, it can lead to musculoskeletal disorders associated with pain. Studies reveal that when the body succumbs to pain related to musculoskeletal disorders. Musculoskeletal disorders are a common issue that has affected many individuals worldwide and causes various disabilities and symptoms that affect the body. Some of the musculoskeletal disorder symptoms that affect the body include:

  • Burning sensations
  • Muscle twitches
  • Fatigue 
  • Stiffness and aching
  • Myofascial trigger pain

 

How Do Trigger Points Affect The Body?

One of the musculoskeletal symptoms associated with muscle pain is trigger points or myofascial pain. Myofascial pain is a common condition involving the muscles and surrounding connective tissues that may be acute or chronic depending on where the pain is located. While trigger points refer to hard palpable nodules in the taut bands of the skeletal muscle that can be active (causes spontaneous pain or abnormal sensory symptoms) or latent (causes no spontaneous pain but shows operational myofascial trigger points characteristics). Studies reveal that myofascial pain can be associated with muscle dysfunction, weakness, and limited range of motion that affects the body. A knot in the muscle in certain body areas can make the muscle hyperirritable, causing painful compression while invoking characteristic referred pain and autonomic phenomena in the body. To that point, it can be difficult for doctors to diagnose since trigger points are caused by traumatic events in the body and can occur in different spots in different people. Trigger points can form all over the body, including:

  • Neck 
  • Mid-back
  • Low back

One common characteristic when trigger points affect the body is that they can travel or even spread to the surrounding muscles.

 


Myofascial Pain Syndrome & Trigger Points- Video

Have you been feeling pain located in your neck, back, or particular areas in your body? What about feeling pain in a different location of your body? Or have you experienced muscle stiffness or tenderness in certain areas of your body? If you have been experiencing these symptoms associated with muscle pain, you could be dealing with trigger point pain or myofascial pain in your musculoskeletal system. The video above explains myofascial pain and trigger points and how they affect the body. Studies reveal that myofascial pain is caused by myofascial trigger points that produce exquisitely tender spots in the taut bands of hardened muscles. To that point, it stimulates local and referred pain amongst other sensory, motor, and autonomic symptoms. Myofascial trigger points can cause stiffness and weakness in the involved muscle, making it difficult to diagnose since it can cause pain in different body areas. Fortunately, there are ways to alleviate trigger point pain associated with myofascial pain syndrome from the body.


How Chiropractic Care Alleviates Trigger Point Pain

 

Since myofascial trigger point pain can be challenging to diagnose, it can range from neck to low back pain in different locations and mimic other pain conditions that affect the body. It can affect the body to become hypersensitive and hyperirritable while decreasing a person’s overall sense of well-being. Luckily, treatments like chiropractic care can help alleviate trigger point pain and help manage myofascial pain syndrome. Chiropractic care is not just for the skeletal system but can help relieve muscle pain associated with myofascial pain. Since the muscles are layered and interwoven around the joints, they play an integral part in supporting the body. Studies reveal that chiropractors are great at finding trigger points and utilize specific exercises and physical modalities to treat myofascial pain syndrome symptoms. Some of the benefits chiropractic care use include:

  • Breaking up scar tissue
  • Applying pressure on the trigger point
  • Aligning the spine to reduce the spinal subluxation
  • Ease muscle pain

 

Conclusion

The body consists of muscles, organs, and joints in a casual relationship that helps function and stabilizes the host. The musculoskeletal system has muscles, tissues, and ligaments that are interwoven and layered, surrounding the skeletal joints to prevent injuries or traumatic events from affecting the body. When the body does suffer from damages caused by traumatic events, it can lead to a musculoskeletal disorder known as myofascial pain or trigger pain. Trigger pain is when the muscles have knots along taut bands of the muscle that can cause muscle stiffness and pain. Trigger point pain can be challenging to diagnose since the pain can travel from one location to another section of the body. This is referred pain, and myofascial trigger pain can mimic other chronic musculoskeletal symptoms. Treatments like chiropractic care can help alleviate myofascial trigger pain through spinal manipulation and trigger point therapy, thus relieving the stiff muscle causing pain. Incorporating treatments like chiropractic care can help loosen stiff muscles, increase joint range of motion and bring a person’s wellness back.

 

References

Bron, Carel, and Jan D Dommerholt. “Etiology of Myofascial Trigger Points.” Current Pain and Headache Reports, Current Science Inc., Oct. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3440564/.

Morgan, William. “Chiropractic Treatment for Myofascial Pain Syndrome.” Spine, Spine-Health, 24 Sept. 2014, www.spine-health.com/treatment/chiropractic/chiropractic-treatment-myofascial-pain-syndrome.

Murphy, Andrew C, et al. “Structure, Function, and Control of the Human Musculoskeletal Network.” PLoS Biology, Public Library of Science, 18 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5773011/.

Shah, Jay P, et al. “Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective.” PM & R : the Journal of Injury, Function, and Rehabilitation, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Vilella, Renato C, and Anil Kumar Reddy Reddivari. “Musculoskeletal Examination.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK551505.

Disclaimer

Skin Disorders Ankylosing Spondylitis Back Clinic

Skin Disorders Ankylosing Spondylitis Back Clinic

Ankylosing spondylitis/AS is a common type of arthritis that can cause damage to spinal structures, body parts, and organs. Ankylosing spondylitis causes inflammation in the spine’s ligaments and joints which can cause affected vertebrae to fuse, but other symptoms/complications are skin disorders. Ankylosing spondylitis flare-ups can present with skin disorders like rashes and the possible development of skin diseases like psoriasis.

Skin Disorders From Ankylosing Spondylitis

Ankylosing Spondylitis

The inflammation causes back stiffness and pain that causes the spine to become inflexible and rigid. The vertebrae can fuse in extreme cases.

  • It is typically seen in the early adult population as back pain and hip pain.
  • Symptoms are more common in individuals between 17 and 45.
  • Men are more likely to be affected than women.
  • Genetics can play a role in this condition.

Doctors utilize multiple approaches to relieve symptoms and manage the condition through combined exercise, chiropractic, physical therapy, diet, and stress management to help improve quality of life.

Skin Disorders

A flare-up can present as a skin rash but can also affect the skin in other ways that include:

  • Rashes brought on by medication treatments.
  • Trouble healing from incisions after surgery.

Psoriasis

  • Psoriasis presents as red skin patches appearing anywhere on the body.
  • The most common areas are the scalp, palms, elbows, and knees.
  • The affected skin can itch, become tender, and can also sting and burn.
  • Some psoriasis outbreaks result in lesions or blisters.

Ankylosing Spondylitis vs. Psoriatic Arthritis

  • Ankylosing spondylitis and psoriatic arthritis are related and come under spondyloarthritis/SpA rheumatic disease.
  • Ankylosing spondylitis is typically localized to the spine, whereas psoriatic arthritis can affect almost any joint in the body and presents with tendinopathy.
  • Some individuals with AS can begin to develop psoriasis.

Management

Doctors are currently treating psoriasis with multiple treatment options that can include:

Ankylosing spondylitis skin disorders present ongoing challenges. However, increasing treatment options are helping to minimize the condition’s impact on a better quality of life.


AS Causes, Symptoms, Diagnosis, Treatment


References

Meier, Katharina, et al. “Skin manifestations in spondyloarthritis.” Therapeutic advances in musculoskeletal disease vol. 12 1759720X20975915. 8 Dec. 2020, doi:10.1177/1759720X20975915

Myers, Elisha et al. “An Update on Narrowband Ultraviolet B Therapy for the Treatment of Skin Diseases.” Cureus vol. 13,11 e19182. 1 Nov. 2021, doi:10.7759/cureus.19182

National Institutes of Health. (n.d.) “Ankylosing spondylitis.” www.niams.nih.gov/health-topics/ankylosing-spondylitis

Ye, Chao, and Wenyuan Li. “Cutaneous vasculitis in a patient with ankylosing spondylitis: A case report.” Medicine vol. 98,3 (2019): e14121. doi:10.1097/MD.0000000000014121

Connective Tissue Tightness, Pain Chiropractor

Connective Tissue Tightness, Pain Chiropractor

Muscle tension happens when the muscles stay contracted after working, sports, exercise, and stress, presenting with stiffness and achiness that progresses to chronic myofascial pain. Myofascial is used to describe the connective tissues throughout the body. Myo refers to the muscles, and fascia refers to the body tissues. Myofascial pain syndrome describes muscle pain in various forms. Most individuals have experienced chronic muscle tension in muscle pain or tension headaches. Myofascial pain can vary, ranging from mild to severe. Chiropractic can provide treatment and post-prevention plans to eliminate the pain and strengthen the body.

Body Connective Tissue/Fascia: Tightness, Pain, and Chiropractic

Connective Tissue

Myofascial pain syndrome is a complex condition that could be repetitive stress injuries on the muscles or nervous system malfunction and is often characterized by symptoms like:

  • Muscle tenderness, soreness, and aches.
  • Sensitive areas all over the body – trigger points.
  • Fatigue
  • Sleep problems

Each symptom is not a sign of the condition, but it could be myofascial pain syndrome when combined and does not resolve with some time. This chronic pain disorder is associated with referred pain that appears in one part of the body but the root cause in another region.

Chiropractic Care

Chiropractic medicine will get to the root of the problem with a thorough diagnosis. This will be done through physical examination, medical history, and symptom review. The chiropractor will perform a detailed exam of the affected muscles, including a range of motion test, strength test, and palpations of suspected trigger points to see how the muscles respond, twitch, and/or cause pain in a specific pattern or region. Sometimes blood tests are ordered to look for other causes, like vitamin D deficiency or hypothyroidism. Chiropractic can combine treatment therapies that include:

Massage therapy

  • Therapeutic massage will loosen the tight, knotted muscles and relieve cramping and/or spasms.

Physical Therapy

  • Includes stretching, postural, and strengthening exercises.

Medication

Injections

  • Pain medications are directly injected into the trigger points.

Chiropractic physicians work on the whole body and not just the hurting areas. Chiropractors are trained to incorporate treatment with primary care and specialists. Patients receive education in exercise programs, corrective exercises, nutritional recommendations, and health coaching.


Spine Decompression


References

American Chronic Pain Association. Resource Guide to Chronic Pain Management. (www.theacpa.org/wp-content/uploads/2018/05/ACPA_Resource_Guide_2018-Final_Feb.pdf) Accessed 4/17/2019.

Lavelle, Elizabeth Demers, et al. “Myofascial trigger points.” Anesthesiology clinics vol. 25,4 (2007): 841-51, vii-iii. doi:10.1016/j.anclin.2007.07.003

Stults-Kolehmainen, Matthew A et al. “Chronic psychological stress impairs recovery of muscular function and somatic sensations over a 96-hour period.” Journal of strength and conditioning research vol. 28,7 (2014): 2007-17. doi:10.1519/JSC.0000000000000335

Tantanatip A, Chang KV. Myofascial Pain Syndrome. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK499882/

Vernon, Howard, and Michael Schneider. “Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature.” Journal of manipulative and physiological therapeutics vol. 32,1 (2009): 14-24. doi:10.1016/j.jmpt.2008.06.012

Ear Problems: Back Connection Chiropractor

Ear Problems: Back Connection Chiropractor

Ear problems like blockages or congestion can cause irritation and pain, as well as symptoms such as dizziness, ear discomfort, headaches, and sinus pain that can lead to infection. This condition can happen to anyone but is prevalent in children, individuals that live in high altitudes, and individuals who suffer from allergies. Spinal misalignments can cause interference to the nervous system that can create problems elsewhere in the body, like the ears.

Ear Problems: Spine Connection Chiropractor

If there is neck misalignment along with pinched, tangled nerve/s signal transmissions can misfire or cut off messages disrupting the process of draining the Eustachian tube. This creates a buildup of bacteria and fluid, which can cause pain and pressure. Chiropractic decompression treatment uses gentle manipulation of the cervical spine to release the pressure affecting the ear.

Ear Problems

Bacteria or viruses cause ear infections in the middle ear. Infection often results from another illness like cold, sore throat, flu, respiratory disease, or allergies that causes congestion and swelling of the nasal passages, throat, and eustachian tubes.

Eustachian Tubes

The tubes functions include:

  • Regulating air pressure in the middle ear
  • Resupply fresh air in the ear
  • Drain the middle ear

The eustachian tubes are two canals that connect the middle ear to the throat and nasal cavity, known as the nasopharynx. (The eustachian tubes are more narrow in children, which makes them difficult to drain and more likely to get clogged.)When the lining of these canals comes under stress, they can become inflamed/swollen, blocking or filling with fluid causing excessive pressure and pain. This fluid can become infected and cause ear infection symptoms.

If the ear problem is connected to a misalignment of the cervical spine, the following symptoms may be experienced:

  • Loss of hearing
  • Tinnitus
  • Vertigo
  • Aural fullness is the feeling of a plugged or full ear
  • Balance issues
  • Coordination issues
  • Frequent headaches
  • Nausea
  • Vomiting
  • Frequent episodes that result in vertigo and ringing in the ears could indicate Meniere’s disease, which affects balance and inner ear function.

Middle Ear Infections

Middle ear infection types include:

Acute otitis media

  • This type of infection happens suddenly.
  • It causes swelling and redness.
  • Fluid and pus become trapped under the eardrum/tympanic membrane.
  • Fever and ear pain can manifest.

Chronic otitis media

  • This type happens frequently or does not go away and can take months to years.
  • This type is usually not painful.
  • The ear canal may have liquid coming out.
  • It can be accompanied by a hole that forms in the eardrum and hearing loss.

Otitis media with effusion

  • Also called serous otitis media.
  • Fluid or effusion and mucus build up in the middle ear after an infection passes.
  • It can feel like the ear is full.
  • This can go on for months.
  • It can affect hearing.

Chronic otitis media with effusion

  • Fluid/effusion stays in the middle ear for an extended time.
  • It can build up over and over, despite no infection.
  • It can also affect hearing.

Misalignment in the upper cervical spine can cause muscles to flex awkwardly/irregularly, disrupting the opening and closing of the eustachian tubes and their positioning. This often causes inflammation along the eustachian canal, upper throat, and nasal cavity. If left untreated, the inflammation can develop into an infection, causing swelling and/or fluid buildup in the inner and middle ear. Common symptoms of middle ear infections in adults include:

  • Pain in one or both ears
  • Hearing is muffled
  • Sore throat
  • Fluid drainage from the ear

Chiropractic Realignment

Treatments are helpful for individuals who want to reduce taking antibiotics, which can minimize immunity by destroying the healthy bacteria in the gut. Chiropractic is a simple and effective way to treat ear problems. Realigning the vertebrae relieves tissue inflammation/swelling around the Eustachian tube to allow drainage, relieve pressure, and restore health.


Spinal Decompression Chiropractor


References

Collins, Rachael, et al. “Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome.” BMJ case reports vol. 14,12 e245594. 1 Dec. 2021, doi:10.1136/bcr-2021-245594

Harmes, Kathryn M et al. “Otitis media: diagnosis and treatment.” American family physician vol. 88,7 (2013): 435-40.

Laulajainen Hongisto, Anu et al. “Severe Acute Otitis Media and Acute Mastoiditis in Adults.” The journal of international advanced otology vol. 12,3 (2016): 224-230. doi:10.5152/iao.2016.2620

Murphy, D R. “Chiropractic rehabilitation of the cervical spine.” Journal of manipulative and physiological therapeutics vol. 23,6 (2000): 404-8. doi:10.1067/mmt.2000.108143

Polkinghorn, B S. “Treatment of cervical disc protrusions via instrumental chiropractic adjustment.” Journal of manipulative and physiological therapeutics vol. 21,2 (1998): 114-21.

Neuropathy Summer Tips Planning

Neuropathy Summer Tips Planning

Even though it is not officially summer, the heat says otherwise. Individuals with neuropathy can experience flare-ups when out in the heat for extended periods. Avoiding discomfort and having fun with family and friends can be stressful. This could be graduations, park festivals, family gatherings, weddings, etc. Here are some neuropathy summer tips/recommendations to maintain a healthy, fun, and pain-free season.​

Neuropathy Summer Tips

Neuropathy

Neuropathy results from damaged or destroyed nerve cells and is often a side effect associated with diabetes, autoimmune diseases, infections, tumors, and/or hereditary conditions. Also known as peripheral neuropathy, symptoms range from tingling sensations, burning pain, muscle spasms, difficulty moving the arms or legs, feelings of light headiness, and sometimes atrophy. The symptoms depend on the damaged nerves, ranging from autonomic, motor, and sensory nerves. As neuropathy progresses, individuals may begin to feel a loss of balance.

Neuropathy Summer Tips

Research and Prepare

Preparation and planning are highly recommended to prevent a flare-up. For long outdoor ceremonies:

  • Wear sunscreen
  • Stay fully hydrated
  • Dress in cool clothes
  • Make sure footwear has proper arch/sole support and breathing room.
  • Wear a hat and sunglasses
  • Stand periodically to ensure proper circulation if sitting for a while.
  • Shift weight back and forth during the event to pump circulation throughout the body.
  • Bring snacks like fruits, veggies, or gluten-free bars.
  • Know where cool resting areas are located.

If cooling down accommodations are not available, get there early to find a place in the shade, or in the case of bleachers, bring a more comfortable chair, umbrella, and misting fan.

​Listen to the body

  • Listen to the body when engaged in activities, don’t try to push through where you don’t feel comfortable.
  • Take breaks
  • The goal is to ensure comfort during the activity, as being uncomfortable can exacerbate symptoms. ​

Self-care

The body needs thorough rest after a long day in the sun. It is recommended to ice any areas where pain presents to decrease inflammation and neuroplasticity and help with any symptoms of itching, pressure, numbness, or pins and needles.

  • Start with icing for three minutes, take the ice off and see how it feels.
  • If the area feels better, continue icing for a full ten minutes.
  • Remove the ice if irritation occurs or do not feel a difference.

Foods

Watching what you eat can be difficult at summer events. Specific foods like bread, gluten, and high-sugar products can cause symptoms.

  • If it causes an upset stomach or swelling, it is recommended to avoid it.
  • Go with fresh seasonal fruits and vegetables.
  • A little planning can ensure you eat the food that’s best for you.
  • Call ahead to let friends/family know of any food sensitivities.
  • Gluten apps allow the ability to scan an item to see if it contains gluten.
  • Consult a nutritionist to set up an enjoyable diet.

Chiropractic Care and Prevention

Chiropractic care for neuropathy focuses on the underlying conditions causing nerve pain and inflammation.

  • Treating the inflammation alleviates the pain in the joints and extremities.
  • Each treatment plan is personalized to meet the needs of every patient.
  • Treatment will focus on massage, adjustments, decompression, exercises, therapies, and nutrition that expedite healing throughout the body.

Spinal Decompression Non-Surgical


References

Campbell, James N, and Richard A Meyer. “Mechanisms of neuropathic pain.” Neuron vol. 52,1 (2006): 77-92. doi:10.1016/j.neuron.2006.09.021

Peripheral Neuropathy Fact Sheet www.ninds.nih.gov/health-information/patient-caregiver-education/fact-sheets/peripheral-neuropathy-fact-sheet

Lumbar Hyperextension Injury and Non-Surgical Spinal Decompression

Lumbar Hyperextension Injury and Non-Surgical Spinal Decompression

Athletes and fitness enthusiasts work hard to stay in shape, but they are also at an increased risk for a lumbar hyperextension injury. Lumbar hyperextension injuries happen when the low back is bent backward repeatedly or overarches repeatedly. The repetitive stress can lead to severe complications and damage the nerves, vertebrae, and backbones. Motorized decompression therapy could be a treatment option.

Lumbar Hyperextension Injury

Lumbar Hyperextension Injury

Injuries can be caused by overuse, improper mechanics and technique, lack of proper conditioning, insufficient stretching, or trauma. When looking for symptoms of lumbar hyperextension injuries, the first is low back pain that is severe and lasts at least a few days while becoming more intense with time. The lower back pain that worsens when extending, or arching the back, in addition to stiffness, muscle spasms, radiating buttock and thigh pain, tight hamstrings, and difficulty standing or walking, can be indicators of a lumbar hyperextension injury. However, this could be difficult to distinguish from other injuries like muscle strain, disc herniation, and stenosis; this is why a proper examination by a medical professional is recommended.

Treatment

  • Initial treatment consists of resting, sitting out from the sport, and other activities that could aggravate the back.
  • A doctor may recommend over-the-counter non-steroidal anti-inflammatory medications.
  • Heat and ice can also be used to increase circulation and relieve pain.

If hyperextension of the back continues even after rest, it could signify a stress fracture in the vertebrae. This condition is referred to as spondylolysis. Spondylolysis is an overuse injury. It occurs in individuals who participate in sports like gymnastics, diving, volleyball, football, and weight lifting. Spondylolysis and spondylolisthesis are common in adolescent athletes experiencing lower back pain.

  • A doctor may assign a back brace to prevent movement, allowing the bone to heal back together.
  • A doctor could also recommend physical therapy for 6-12 weeks after the diagnosis and once the bones have had time to heal.
  • Rehabilitation exercises focus on improving back flexibility and strength.
  • Athletes can be cleared to return to their sport within 3-6 months.
  • Surgery is rarely necessary and only looked into if the individual continues to have persistent pain after 6-12 months of treatment.

Non-Surgical Spinal Decompression

  • Spinal decompression works by gently stretching the spine.
  • This changes the spine’s position, takes the pressure off the nerves and discs, and restores the cushioning.
  • As the machine pulls the body, a vacuum effect fills the discs with oxygen and nutrients to stimulate healing.
  • Computer technology controls treatment duration, angle, intensity, and relaxation.

Prevention

Athletes and fitness enthusiasts are recommended to seek professional help to retrain how they perform repetitive and excessive high-impact activities. Specifically, those involving hyperextension movements like kicking, jumping, running, and back bending help minimize the risk of developing a back injury. They are also recommended to maintain body conditioning, back and hamstring flexibility, core muscle strength and endurance, cardiovascular fitness, and properly warming up and stretching before and after the physical activities.


DOC Decompression Table


References

Ball, J.R., Harris, C.B., Lee, J. et al. Lumbar Spine Injuries in Sports: Review of the Literature and Current Treatment Recommendations. Sports Med – Open 5, 26 (2019). doi.org/10.1186/s40798-019-0199-7

Carter, D R, and V H Frankel. “Biomechanics of hyperextension injuries to the cervical spine in football.” The American journal of sports medicine vol. 8,5 (1980): 302-9. doi:10.1177/036354658000800502

Goetzinger, Sara, et al. “Spondylolysis in Young Athletes: An Overview Emphasizing Nonoperative Management.” Journal of sports medicine (Hindawi Publishing Corporation) vol. 2020 9235958. 21 Jan. 2020, doi:10.1155/2020/9235958

Lawrence, Kevin J et al. “Lumbar spondylolysis in the adolescent athlete.” Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine vol. 20 (2016): 56-60. doi:10.1016/j.ptsp.2016.04.003

Low Back Pain: Could it be a Spondy? Nationwide Children’s Hospital. (n.d.). www.nationwidechildrens.org/specialties/sports-medicine/sports-medicine-articles/low-back-pain-could-it-be-a-spondy.