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
The gluteal muscles/glutes comprise the buttocks. They are a powerful muscle group that consists of three muscles. The gluteus maximus, gluteus medius, and gluteus minimus. The glute muscles help power physical performance and daily movements like walking, standing, and sitting and help to prevent injuries to the core, back, abdominal muscles, and other supporting muscles and tissues. Individuals can develop a glute imbalance where one side becomes more dominant and activates more or is higher than the other. An imbalance that is not addressed can lead to further muscle imbalance, posture problems, and pain issues. Injury Medical Chiropractic and Functional Medicine Clinic can develop a personalized treatment plan to relieve symptoms and restore alignment, balance, and health.
Glute Muscle Imbalance
Strong, healthy glutes promote lumbopelvic stability and rhythm, meaning they keep the low back and pelvis in correct alignment to prevent strains and injuries. Glute imbalance occurs when one side of the glutes is larger, stronger, or more dominant. Glute imbalances are common and part of normal human anatomy, as the body is not perfectly symmetrical. Shifting and utilizing the more dominant side when taking on weight or picking up objects is normal, so the one side gets bigger. Just as an individual prefers one hand, arm, and leg over another, one glute side can work harder and become stronger.
Causes
There are several causes of glute muscle imbalance, including:
Anatomical variations- Everyone has uniquely shaped muscles, attachment points, and nerve pathways. These variations can make one side of the glutes more dominant or stronger.
Unhealthy posture.
Back pain symptoms can cause individuals to take on unhealthy postures and positioning, like leaning on one side.
Pre-existing injuries.
Inadequate rehabilitation from a previous injury.
Nerve injuries.
Ankle sprains can lead to reduced glute activation.
Improper training
Leg length discrepancies
Atrophy
Spine condition
Job occupation
Sports factors may prioritize one side of the body over the other.
Shifting the Body
When pain presents in one body area, signals are sent to caution the other muscles to contract/tighten as a protective mechanism to prevent further injury. These changes alter movement patterns, leading to muscular imbalances in the glutes and other areas. Individuals who do not rehabilitate from an injury properly can be left with an imbalance.
Chiropractic Relief and Restoration
This condition needs to be addressed to prevent further injuries and issues with posture. Treatment varies depending on the individual and the extent of the problem. A treatment plan to prevent and improve some forms of glute imbalance may include the following.
Spinal decompression will stretch out the body and muscles to a workable position.
Therapeutic massage will relax the muscles and increase blood flow.
Chiropractic adjustments to realign the spine and body.
Targeted stretches and exercises will be provided to maintain alignment.
Unilateral training or training one side of the body at a time can help build and strengthen the weaker side.
Core strengthening can work out the differences on both sides of the body.
Chiropractic Approach for Pain Relief
References
Bini, Rodrigo Rico, and Alice Flores Bini. “Comparison of linea alba length and core-muscles engagement during core and lower back orientated exercises.” Journal of Bodywork and movement therapies vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006
Buckthorpe, Matthew, et al. “ASSESSING AND TREATING GLUTEUS MAXIMUS WEAKNESS – A CLINICAL COMMENTARY.” International Journal of sports physical therapy vol. 14,4 (2019): 655-669.
Elzanie A, Borger J. Anatomy, Bony Pelvis and Lower Limb, Gluteus Maximus Muscle. [Updated 2023 Apr 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK538193/
Liu R, Wen X, Tong Z, Wang K, Wang C. Changes of gluteus medius muscle in the adult patients with unilateral developmental hip dysplasia. BMC Musculoskelet Disord. 2012;13(1):101. doi:10.1186/1471-2474-13-101
Lin CI, Khajooei M, Engel T, et al. The effect of chronic ankle instability on muscle activations in lower extremities. Li Y, ed. PLoS ONE. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581
Pool-Goudzwaard, A. L. et al. “Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to ‘a-specific’ low back pain.” Manual therapy vol. 3,1 (1998): 12-20. doi:10.1054/math.1998.0311
Vazirian, Milad, et al. “Lumbopelvic rhythm during trunk motion in the sagittal plane: A review of the kinematic measurement methods and characterization approaches.” Physical Therapy and Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5
A pinched, compressed, overly stretched, twisted, and entangled nerve can happen throughout the body. The most common locations are the neck, shoulder, upper back, upper chest, arm, elbow, hand, wrist, low back, legs, and feet. This disrupts the nerve’s ability to function properly. Each nerve stimulates muscles and detects sensations in specific areas of the skin or internal organs so they work properly. Common symptoms are tingling, numbness, pain, weakness, and musculoskeletal problems. The average pinched nerve duration can last a few days to as long as 4 to 6 weeks or, in some cases, longer, in which case individuals should see a doctor or neurologist. Injury Medical Chiropractic and Functional Medicine Clinic can relieve, release, and restore nerve health.
Pinched Nerve
A pinched nerve is caused by pressure from surrounding tissues that place added stress on it. Muscles, bones, cartilage, and tendons can all press, pull, or entangle a nerve. This can result in a loss of function, which can then lead to symptoms including:
Tingling
Numbness
Muscle weakness
Various types of pain – sharp, electrical, throbbing, aching, and radiating/spreading out to other areas.
Burning sensation
A pinched nerve can become serious, cause chronic pain conditions and lead to permanent nerve damage.
More severe cases may require surgery.
Pinched Nerve Duration
Pinched nerve duration depends on the injury, which can happen suddenly or gradually. A temporary case with an acute cause, such as injury or poor posture, can last several days. Cases related to chronic conditions, like arthritis, may last longer. Treatment, as well as recovery, also vary based on the location of the injury and what’s causing the pressure.
Body Locations
Neck
A pinched nerve in the neck can cause tingling sensations and pain, which can travel to the shoulders and arms. This type can be caused by:
Sleeping position
Repetitive movements
Injuries
The pain will usually ease within several days unless a chronic health condition is the cause of the pinching.
Lower back
A pinched nerve in the lower back is often brought on by herniated discs that compress nerve roots.
It may also be caused by arthritis or injuries.
Individuals may feel a sharp pain in the lower back, as well as in the buttocks and back of the leg.
Sciatica may be a symptom.
Lower back pain may be acute, lasting only a few days.
If the injury doesn’t resolve, it may cause chronic back pain that can last 12 weeks or more.
Leg
The legs can develop pinched nerves from herniated discs or injuries.
If left untreated can lead to peripheral neuropathy.
This can develop over several weeks or years.
Hip
A pinched nerve in the hip can last a few days if related to an injury. If the pain lasts longer than a few days, consult a doctor. Possible causes of chronic hip pain may include:
Obesity
Bone spurs
Arthritis
Shoulder
Shoulder pain brought on by a pinched nerve usually starts in the upper spine and is caused by:
Injury
Tendinitis
Arthritis
To tell if the pain symptoms are from a pinched nerve and not a muscle strain, the pain tends to occur in one shoulder, and there is a sharpness to the aches.
Left untreated, arthritis or tendinitis can lead to chronic pain that can come and go for several weeks, months, or years.
Wrist
Repetitive overuse is commonly linked to pinched nerves in the wrist.
Pinched nerves can lead to carpal tunnel syndrome – pain and numbness extending through the arm, hand, and fingers.
Pain lasting over two months could indicate other underlying conditions, like arthritis.
Chiropractic Relief
Chiropractic adjustments identify the impacted nerve/s and use various therapies to remove the compression, relieving symptoms and the injury or issue. A personalized treatment plan can include the following:
Cornwall, R, and T E Radomisli. “Nerve injury in traumatic dislocation of the hip.” Clinical orthopedics and related research, 377 (2000): 84-91. doi:10.1097/00003086-200008000-00012
Dmytriv, Mariya, et al. “PT or cervical collar for cervical radiculopathy?.” The Journal of family practice vol. 59,5 (2010): 269-72.
Hochman, Mary G, and Jeffrey L Zilberfarb. “Nerves in a pinch: imaging of nerve compression syndromes.” Radiologic clinics of North America vol. 42,1 (2004): 221-45. doi:10.1016/S0033-8389(03)00162-3
Lopez-Ben, Robert. “Imaging of nerve entrapment in the foot and ankle.” Foot and ankle clinics vol. 16,2 (2011): 213-24. doi:10.1016/j.fcl.2011.04.001
Needham, C W. “Pinched nerves and signature signs.” Connecticut Medicine vol. 57,1 (1993): 3-7.
Siccoli, Alessandro, et al. “Tandem Disc Herniation of the Lumbar and Cervical Spine: Case Series and Review of the Epidemiological, Pathophysiological and Genetic Literature.” Cureus vol. 11,2 e4081. 16 Feb. 2019, doi:10.7759/cureus.4081
Throughout the world, pain and stress are related to musculoskeletal disorders affecting joints and muscles. Many musculoskeletal disorders will have correlating symptoms with overlapping risk profiles that can make a person’s life difficult. Pain and stress have two forms: acute and chronic, which are associated with numerous everyday factors that a person goes through. Even though pain and stress can impact a person’s life, there are multiple ways to reduce these two by calming the mind and doing meditative breathing techniques to relax the body and clear the mind. What is truly amazing is that meditative breathing techniques can be combined with stretching techniques like MET (muscle energy techniques. Today’s article looks at how stress and pain affect the musculoskeletal system, the breathing connection for musculoskeletal pain, and how MET therapy is combined with breathing exercises. We utilize and provide valuable information about our patients to certified medical providers who use soft tissue stretching methods like MET to reduce musculoskeletal stress on the body. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
Stress & Pain Affect The Musculoskeletal System
Have you been dealing with shoulder, neck, or back pain? What about feeling an overwhelming pressure that is causing you to stress out? Or do you feel muscle pain and joint stiffness affecting your daily routine? Many of these issues correspond with stress and pain from numerous factors associated with the musculoskeletal system. Research studies revealed that pain and stress are considered two sides of the same coin regarding the musculoskeletal system. Pain and stress are two distinguished symptoms that overlap each other when musculoskeletal disorders affect the body. Pain is a collection of emotional and sensory perceptions that work with musculoskeletal motor behavior. At the same time, stress is characterized by challenging emotional or physiological events that cause adaptive or maladaptive changes to regain homeostasis. With these two factors working together to affect the musculoskeletal system, the body may develop symptoms and cause the individual to be miserable.
The Breathing Connection For Musculoskeletal Pain & Stress
One of the major correspondents that work with pain and stress is anxiety. In “Clinical Applications of Neuromuscular Techniques,” authors Dr. Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., mentioned that anxiety aggravates all chronic pain and stress. However, there is a solution to reduce pain and stress in the musculoskeletal system. When pain and stress are combined with anxiety, it can cause breathing disorders and produce inflammatory cytokines and elevated cortisol levels to contribute. But incorporating some deep breathing techniques can help reduce stress and pain affecting the body. Research studies have revealed that slow deep breathing has been known to reduce the effects of musculoskeletal pain and help lower cortisol levels. Breathing techniques are popular in meditation and yoga practices. Deep breathing and mindfulness can help the body relax from everyday factors and calm the individual. Additional studies have mentioned that breathing exercise programs effectively improve lung function, reduce musculoskeletal pain associated with the back, and help improve a person’s quality of life.
The Natural Way To Heal- Video
Have you been dealing with musculoskeletal pain throughout your entire body? Do you feel constantly stressed throughout your whole life? Or have you felt anxious that it is making your muscles tense constantly? When many people feel constant stress and are in pain, it can lead to musculoskeletal disorders that can cause many individuals to be miserable. When this happens, overlapping risk profiles affect the musculoskeletal, organs, and nervous systems. At the same time, fortunately, numerous treatments can help reduce pain and stress that is affecting the body. Chiropractic care is non-invasive and can help many individuals be mindful of their bodies. The video above explains how chiropractic care can help realign the body from spinal subluxation and mitigate the effects of muscle pain and stress in the muscle fibers.
MET Therapy Combined With Breathing Exercises
When the body has been dealing with musculoskeletal pain on top of stress, it can cause the individual to be miserable and try to find some relief. Luckily there are available treatments that can help restore the body naturally and reduce the effects of stress and pain. Treatment like MET (muscle energy technique) and breathing exercises allow the muscles to relax and properly stretch to relieve muscle pain. Research studies have revealed that breathing exercises and MET therapy can reduce a person’s symptoms and help regain the muscle and joint range of motion. These two combined treatments can help many individuals dealing with musculoskeletal pain associated with stress to be more aware of what is affecting their bodies. They can help them along their health and wellness journey without medicine.
Conclusion
Overall, pain and stress are part of numerous conditions and disorders that can affect the musculoskeletal system and cause overlapping risk profiles that can cause the individual to be miserable. When pain and stress affect the body, it can cause the muscles, tissues, ligaments, joints, and organs to work harder than before and develop chronic musculoskeletal disorders. Fortunately, treatments like MET (muscle energy technique) and breathing exercises allow the body to relax and help reduce muscle pain symptoms affecting the body. When a person incorporates these treatments as part of their daily routine, they can become more aware of what is affecting their bodies and improve what is going on in their daily lives. This allows them to continue their health and wellness journey pain-free.
References
Abdallah, Chadi G, and Paul Geha. “Chronic Pain and Chronic Stress: Two Sides of the Same Coin?” Chronic Stress (Thousand Oaks, Calif.), U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5546756/.
Anderson, Barton E, and Kellie C Huxel Bliven. “The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain.” Journal of Sport Rehabilitation, U.S. National Library of Medicine, 24 Aug. 2016, pubmed.ncbi.nlm.nih.gov/27632818/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Joseph, Amira E, et al. “Effects of Slow Deep Breathing on Acute Clinical Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Journal of Evidence-Based Integrative Medicine, U.S. National Library of Medicine, 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8891889/.
Zaccaro, Andrea, et al. “How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing.” Frontiers in Human Neuroscience, U.S. National Library of Medicine, 7 Sept. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/.
Pretty much everyone experiences a muscle cramp at some point. A muscle cramp is an involuntarily contracted muscle that does not relax, similar to a spasm, but a cramp lasts longer and is usually a forcible contraction. During a cramp, the muscles tighten without voluntary input from the brain and over-tighten. They can last anywhere from a few seconds to an hour or longer. They can be prevented through adequate nutrition and hydration, attention to safety when engaged in physical activity or exercise, and attention to posture and ergonomics. Injury Medical Chiropractic and Functional Medicine Clinic can develop personalized treatment plans for individuals experiencing musculoskeletal issues.
Muscle Cramp
Muscle cramps can occur in any muscle. The cramp may involve a portion of a muscle, the entire muscle, or several muscles that function together. A muscle or a few tissue fibers that involuntarily contracts is in a spasm. If the spasm is forcefully sustained, it turns into a cramp. They can cause a noticeable and/or hardening of the involved muscle/s. They can be experienced as mild twitches or can be excruciatingly painful. Some can involve the simultaneous contraction of muscles that normally move body parts in opposite directions. It is not uncommon for a cramp to flare up multiple times until it finally stops.
Causes
They can occur during physical activity, exercise, rest, or night, depending on the cause. There are various causes that, include:
Most times, they are not a cause for alarm; however, depending on the individual, their age, type of physical activity, and medical history, cramps could indicate a more serious underlying problem such as a thyroid disorder, liver cirrhosis, atherosclerosis, ALS, or a problem or condition of the spine or spinal nerves.
Muscles Involved
The muscles involved can indicate the mechanism and cause.
If the cramp is triggered by fatigue, a drop in muscle glycogen, dehydration, or an electrolyte imbalance, it’s most frequently to the calf muscles, feet, or back of the thigh/hamstring muscles.
This is typically due to a combination of fatigue and dehydration.
If it is triggered by nerve irritation, like a spinal disc injury, cramps tend to present in the forearm, hand, calf, and foot, depending on whether the disc injury is in the neck or lower back.
If there is a joint sprain in the neck, mid-back, or lower back, the cramp will present where the injury is and around the surrounding muscles.
A calf cramp happens when lying down because the foot points down, shortening the calf muscles.
A shortened muscle is more likely to go into spasm, especially if it is exhausted from activities and if the body is dehydrated, which is pretty common.
For two muscles that work together performing the same movement, called agonists, and the one muscle is weaker, the secondary muscle has to work harder, often going into a spasm or cramp from the added stress.
For example, if the buttock/gluteal muscles are weak, the hamstrings eventually spasm when exhausted.
Chiropractic
First, the cause needs to be identified through medical history and examination. There can be an underlying nerve irritation and interference, restricting the muscle or muscle group, which needs to be dealt with for the therapy to be effective. Chiropractic care, combined with therapeutic stretching and massage therapy, can:
Relieve muscle cramping
Improve blood circulation
Increase muscle movement
Improve musculoskeletal function
All help to diminish and prevent muscle cramping.
Adjustments will restore proper alignment and restore nerve communication. These treatments help to release toxins, loosen and relax the muscle tissues, and provide relief.
Say Goodbye to Pain With Chiropractic
References
Blyton, Fiona, et al. “Non-drug therapies for lower limb muscle cramps.” The Cochrane Database of systematic reviews vol. 1,1 CD008496. 18 Jan. 2012, doi:10.1002/14651858.CD008496.pub2
FIELDS, A. “Leg cramps.” California Medicine vol. 92,3 (1960): 204-6.
Garrison, Scott R et al. “Magnesium for skeletal muscle cramps.” The Cochrane Database of systematic reviews vol. 9,9 CD009402. 21 Sep. 2020, doi:10.1002/14651858.CD009402.pub3
Katzberg, Hans D. “Case Studies in Management of Muscle Cramps.” Neurologic clinics vol. 38,3 (2020): 679-696. doi:10.1016/j.ncl.2020.03.011
Miller, Kevin C et al. “An Evidence-Based Review of the Pathophysiology, Treatment, and Prevention of Exercise-Associated Muscle Cramps.” Journal of athletic training vol. 57,1 (2022): 5-15. doi:10.4085/1062-6050-0696.20
Miller, Timothy M, and Robert B Layzer. “Muscle cramps.” Muscle & nerve vol. 32,4 (2005): 431-42. doi:10.1002/mus.20341
An acute injury or changes to the upper body over time can cause a compressed/pinched nerve in the shoulder. A pinched nerve in the shoulder happens when a muscle, ligament, tendon, or bone irritates or presses on a nerve exiting the neck. Shoulder nerve pain can develop from various sources, such as overuse work injuries, sports injuries, household chores, tendinitis, arthritis, torn cartilage, and other medical conditions, and injuries can contribute to symptoms. Chiropractors are highly qualified to treat pinched nerves. They are trained in whole-body realignment and rehabilitation techniques that find the root source and relieve pressure on compressed nerves.
Shoulder Nerve Pain
The shoulder joint is one of the most complex joints because of its wide range of motion. It is used so frequently that repetitive motion strain is common, often leading to injury. It is usually because of the continued use combined with an unhealed strain/injury that leads to shoulder nerve injury or when surrounding tissues like cartilage or tendons irritate or compress the nerves.
Pinched nerves also occur when a nerve root in the neck is damaged through wear and tear or an acute injury.
Individuals 50 years and older are likely to experience pinched nerves because of degeneration in the cervical spine and/or arthritis.
A nerve can become pinched when bone spurs form around the spinal discs.
Bone spurs are formations of bone that grow when discs weaken with age.
Bone spurs grow around the discs putting pressure on the nerve root.
Symptoms
Compressed Pinched Nerve/Cervical Radiculopathy
Pain sensations in the shoulder.
Tingling and/or pins and needles in fingers or hand.
Weakness in shoulder and arm muscles.
Symptoms have been known to overlap with shoulder arthritis, frozen shoulder, swimmer’s shoulder, or rotator cuff tears, so it’s always best to consult a chiropractor to understand possible causes. Other conditions with symptoms to compare:
Shoulder Arthritis
Stiffness in the joint.
Aching inside the shoulder.
Grinding when moving the joint.
Frozen Shoulder/Adhesive Capsulitis
Stiffness in the joint.
Pain in one shoulder.
Decreased range of motion and movement.
Swimmer’s Shoulder/Impingement
Pain and discomfort in the shoulder.
Weakness in the surrounding area.
Stiffness or tightness in the joint.
Impeded range of motion.
Rotator Cuff Tears
Pain and discomfort symptoms when moving the shoulder.
Weakness in the arm.
Deep aching sensations along the top and side of the joint.
Chiropractic Treatment
Chiropractors are experts on the neuromusculoskeletal system. First, a thorough medical examination will be conducted, including health history and regular activities, to understand the nature of the symptoms. Depending on the type of injury, tests, and exams may be needed to help diagnose and pinpoint the cause. Then the chiropractor will develop a personalized treatment plan. The objective is to relieve pressure and tension on the nerves and relax the muscles. In addition to adjusting the joint or other impacted areas, the therapy team will provide at-home exercises and stretches to maintain the adjustments and expedite healing.
Chiropractic Rehab
References
Kokkalis, Zinon T et al. “Nerve Injuries around the Shoulder.” Journal of long-term effects of medical implants vol. 27,1 (2017): 13-20. doi:10.1615/JLongTermEffMedImplants.2017019545
Leider, Joseph D et al. “Treatment of suprascapular nerve entrapment syndrome.” Orthopedic reviews vol. 13,2 25554. 11 Jul. 2021, doi:10.52965/001c.25554
Matzkin, Elizabeth, et al. “Swimmer’s Shoulder: Painful Shoulder in the Competitive Swimmer.” The Journal of the American Academy of Orthopaedic Surgeons vol. 24,8 (2016): 527-36. doi:10.5435/JAAOS-D-15-00313
Neviaser, Andrew S, and Jo A Hannafin. “Adhesive capsulitis: a review of current treatment.” The American Journal of sports medicine vol. 38,11 (2010): 2346-56. doi:10.1177/0363546509348048
Safran, Marc R. “Nerve injury about the shoulder in athletes, part 1: suprascapular nerve and axillary nerve.” The American Journal of sports medicine vol. 32,3 (2004): 803-19. doi:10.1177/0363546504264582
Strakowski, Jeffrey A, and Christopher J Visco. “Diagnostic and therapeutic musculoskeletal ultrasound applications of the shoulder.” Muscle & Nerve vol. 60,1 (2019): 1-6. doi:10.1002/mus.26505
How a person walks or their gait performance can determine how their body’s balance and stability are functioning. Since the body has many muscles, ligaments, and tissues in the musculoskeletal system protecting the spine and the vital organs that work together to maintain proper functionality when a person is in motion; however, the body can succumb to numerous issues that can affect a person’s gait performance and cause the upper and lower extremities to develop myofascial trigger points in the muscle fibers. When these issues begin to cause dysfunction in the body, it can lead to many disorders associated with gait disturbances. Today we will focus on how to approach gait disturbances, how trigger points affect gait performances, and how treatment techniques like MET can help. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with gait disturbances associated with trigger points that correlate to how a person walks. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer
How To Approach Gait Disturbances?
Have you been dealing with mobility issues when walking? How about feeling stiffness in your hips or lower body extremities? Or have you experienced headaches or neck pain? Many of these issues are associated with gait disturbances that can affect your ability to walk. When it comes to gait disturbances, studies reveal that underlying systemic disorders or other environmental factors could trigger the prevalence of gait disturbances. Regarding gait disturbances, it is important to know that as the body ages, it can cause issues to the musculoskeletal system naturally, and environmental factors can further affect the central nervous system to cause gait disturbances. Additional studies have mentioned that gait disorders in the elderly could potentially lead to various issues that affect a person’s quality of life. When approaching gait disturbances, many doctors will examine to see the causes of these gait disturbances that correlate with the musculoskeletal system. It could be:
Orthopedic problems
Neurological conditions
Musculoskeletal disturbances
Metabolic disturbances
Many of these issues can cause the lower half of the body to shift the skeletal joints, leading to tight, stiff muscles and developing tiny hard nodules in the muscle fibers that can further affect gait performance.
How Do Trigger Points Affect Gait Performances
So how can these tiny hard nodules affect gait performance in the body? These small hard nodules are trigger points and often correlate with overlapping risk profiles associated with musculoskeletal disorders. “Clinical Application of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O, and Judith Walker DeLany, L.M.T., mentioned that various additional causes and maintaining factors may be associated with dysfunctional patterns that correlate with trigger point involvement. The book also says that different influences affecting the muscles can increase trigger point activity while inducing influences from acute or chronic soft tissue dysfunction. Research studies reveal that myofascial pain syndrome is a collection of sensory, motor, and autonomic symptoms that correlate with musculoskeletal symptoms like local/referred pain, decreased range of motion, and muscle weakness. When trigger points are causing problems in the muscle fibers, it can affect a person’s gait performance and cause them to lose function when walking.
Balance Issues Associated With Myofascial Trigger Points-Video
Have you been dealing with balancing issues when walking? Do your muscles feel tight in certain areas? Or do constant headaches or neck pain affect your day? The video above explains what can cause balancing issues that affect gait performance and cause numerous symptoms like headaches and neck pain. Many balance issues are associated with myofascial trigger points affecting your gait performance. Myofascial trigger points can overlap risk profiles that can affect the muscle fibers in the body. Many correlating factors can affect a person’s gait performance, leading to musculoskeletal disorders related to trigger points. When musculoskeletal disorders are correlated with myofascial trigger points, it can decrease a person’s health and wellness if not treated early on. Fortunately, some treatments incorporate techniques to reduce muscle and joint pain while alleviating symptoms associated with myofascial trigger points.
How The MET Technques Helps With Gait Performance & Trigger Points
When a person is dealing with imbalances affecting their gait performance and having overlapping risk profiles associated with trigger points, treatment techniques can help improve their gait while reducing pain-like symptoms. Many pain specialists will use the MET technique (muscle energy technique) to help stretch affected muscles that are stiff and help regain mobility back to the body. Therapies like chiropractic care utilize this technique combined with spinal manipulation to help realign the body while loosening up stiff muscles affecting gait performance. When a person continues treatment care to regain mobility, it allows them to be aware of how they walk and carry themselves without pain.
Conclusion
How a person walks is how their balance and stability function in different environments. A person’s gait performance has to maintain the functionality that allows the various muscles, ligaments, and tissues in the musculoskeletal system to move. When environmental factors or musculoskeletal disorders affect the different muscles, it can cause overlapping issues that affect gait performance. To that point, it leads to stiffness and pain associated with trigger points. Luckily techniques like the MET combined with chiropractic care can help realign the body and loosen up stiff muscles and joints to regain mobility back to the body and help improve overall gait performance.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.
Marshall, Frederick J. “Approach to the Elderly Patient with Gait Disturbance.” Neurology. Clinical Practice, U.S. National Library of Medicine, June 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3613197/.
Pirker, Walter, and Regina Katzenschlager. “Gait Disorders in Adults and the Elderly : A Clinical Guide.” Wiener Klinische Wochenschrift, U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5318488/.
Many people don’t often realize that stability and balance are two of the most reliable abilities to keep the body from falling, and it is often taken for granted from the earlier stages, where infants and toddlers are learning to stand upright, to adulthood where we are walking, running or performing any physical activities. Our bodies are complex machines comprised of upper and lower portions that provide balance and stability. The lower half of our bodies helps stabilize and balance the upper half weight and allows us to move around. This is known as gait. However, when the body begins to age naturally or chronic issues begin to affect the muscles and cause an imbalance in the lower half, it can lead to many disorders associated with these imbalances. Today’s articles examine what gait is, how gait disturbances are associated with the body, and how the MET technique improves gait. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with chronic conditions associated with gait disturbances that could affect a person’s ability to walk. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer
What Is Gait?
Have you been dealing with issues when walking for a short or long distance? Do your feet or ankles seem to feel tired or ache when stepping? Or have you been dealing with mobility issues in your hips? Many of these issues are associated with gait and can cause balance disturbances in the body. So what is gait? In the book by Leon Chaitow, N.D, D.O., and Judith Walker DeLany, L.M.T, titled “Clinical Applications of Neuromuscular Techniques,” gait is defined as how you walk and how each lower body section contributes to how you walk. This includes:
Feet
Ankles
Knees
Hips
Spine
The book also mentions how a person progresses from one location to another using muscular action and gravity to make them walk. Two functional units are in a casual relationship contributing to gait: the passenger and locomotor units. The passenger unit consists of the upper extremities, like the head, neck, arms, trunk, and pelvis, to be the center of gravity when moving forward. At the same time, the locomotor unit comprises the pelvis and lower extremities, like the legs, knees, feet, and ankles, to support the weight of the upper extremities and perform structural stability and mobility to make the body move forward.
Gait Disturbances Associated With The Body
So what happens when traumatic factors or natural aging begins to affect the body and causes gait disturbances. Research studies reveal that since gait depends on the interplay of the nervous, musculoskeletal, and cardiorespiratory system which can be influenced by age and other factors that can lead to issues in the lower extremities causing falls and injuries. Many factors can lead to gait disturbances that can affect how a person walks and how it can affect the joints and muscles, which can lead to pain-like symptoms. Additional studies mentioned that gait disorder affects elderly adults, increasing their fall risk and leading to mobility issues in their hips. Muscle shortening and joint health are other issues that can cause gait disturbances in the lower extremities. When the muscles in the lower extremities are tight and weak, it can cause them to be short and be accompanied by joint dysfunction. The health of the joints in the lower extremities depends on the balancing strength of the opposing flexor muscles. When the flexor muscles lose part or all of their function, it can cause the joint to be hyperextended. To that point, it causes abnormal joint stress, corresponding to lower back pain associated with gait disorders affecting a person’s ability to walk and keep their body balanced.
An Overview Of Gait Analysis-Video
Have you been dealing with mobility issues in your joints? Do you find yourself becoming unstable every time you walk? Or do your leg muscles feel tight? If you have been dealing with these issues, it could be due to a gait problem. Many people have different ways of walking; if there are issues, they can be pointed out in an examination. When there is an issue with gait, it can indicate pain and other revealing problems that can affect the entire body. The video above explains the gait cycle and gait analysis of a person’s walk. Gait analysis is often used in a normal examination to evaluate how a person walks, their body mechanics, and muscle activity to provide insight into the issue. A person’s gait can offer many important clues that doctors and pain specialists can see and identify the problem by developing a treatment plan to improve a person’s gait and reduce pain-like symptoms.
How The MET Technique Improves Gait
So many treatment plans can effectively improve balance and gait disorders in the body. Many pain specialists like chiropractors use manual spinal manipulation to re-align the spine to loosen stiff joints that may have contributed to imbalances in the lower extremities. MET (muscle energy technique) and physical therapy can help stretch the tight muscles and strengthen the muscle groups affected. MET and other approaches to improve gait allow many individuals to regain their stamina and adopt new strategies for their posture and movement. These therapy treatments will enable a person to feel more confident and more aware of how they walk while providing muscle strength to the affected muscles to prevent fatigue and decrease the chances of injuries in the future, as studies reveal.
Conclusion
Walking is determined by a person’s gait and how they move in different scenarios. Our bodies are comprised of upper and lower portions that correspond with gait and allow us stability and balance when we are in motion. When various issues like traumatic factors or just normal aging affect the body, the joints and muscles can cause problems with a person’s gait, leading to balance issues and fall injuries. Incorporating treatment plans to improve gait can help prevent future chances of injuries and help stretch and strengthen the affected muscles while loosening up stiff joints. This allows a person to regain their balance and improve stability in their bodies.
References
Baker, Jessica M. “Gait Disorders.” The American Journal of Medicine, U.S. National Library of Medicine, 27 Dec. 2017, pubmed.ncbi.nlm.nih.gov/29288631/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Pirker, Walter, and Regina Katzenschlager. “Gait Disorders in Adults and the Elderly : A Clinical Guide.” Wiener Klinische Wochenschrift, U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5318488/.
Van Abbema, Renske, et al. “What Type, or Combination of Exercise Can Improve Preferred Gait Speed in Older Adults? A Meta-Analysis.” BMC Geriatrics, U.S. National Library of Medicine, 1 July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4488060/.
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