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
Dr. Alex Jimenez, D.C., presents how anti-inflammatory phytochemicals can reduce inflammation and treat other chronic conditions that inflammation is correlated with. We dive into what medicines can trigger inflammatory cytokines and some treatments that work together to reduce chronic inflammation. We refer our patients to certified medical providers incorporating multiple therapies for many individuals suffering from chronic inflammation and its correlating symptoms affecting the body. We encourage each of our patients by mentioning them to associated medical providers based on their analysis appropriately. We understand that education is a delightful way when asking our providers questions at the patient’s request and understanding. Dr. Jimenez, D.C., only makes use of this information as an educational service. Disclaimer
How Medications Associate With Inflammation
Dr. Alex Jimenez, D.C., presents: When it comes to a person’s health and wellness, it is important to know that when you are introducing them to potential antigenic medication, that person’s immune system is already imbalanced and much more likely to make abnormal immune responses, which then can lead to inflammatory effects in the body’s system. You see them mostly with chimeric human marine antibodies, which are the ones that make antibodies for the immune system, to that point, will elicit a much higher immune response. When this happens, it becomes a challenge to long-term pharmacotherapy. So when people go to their doctors for a prescription, about 20-30% of medication prescriptions are never filled because, most of the time, the prescription will never fill them in the drugstore, which can cascade into various issues.
And when people follow their prescription, sometimes they’ll take it for a little while, and after six months, they stop taking it. So the drop in prescriptions taken for longer than six months is quite low. In the last article, we discussed NSAIDs, DMARDs, and biologics, and we will touch base with acetaminophen. Acetaminophen is another one that’s just really widely used, and it’s because it’s put into all of these different cold and flu, and pain products. They sneak it into many other medications; you must read the labels. This is because some people metabolize acetaminophen quickly, which can become toxic. This can lead to individuals getting random headaches throughout the day and causes their glutathiones to be used promptly. So when looking for cold and flu medicine, it is best to look at the labels for acetaminophen because it doesn’t have anti-inflammatory responses since it is used for pain control.
How Acetaminophen Affects the Immune System
Dr. Alex Jimenez, D.C., presents: So even though we do not know how exactly how the analgesic effects work when people take cold and flu medicines, however, we do know that when people take a ubiquitous amount of acetaminophen, it could increase the pain threshold by inhibiting nitric oxide pathways in the body through mediation through the receptors for NMDA and substance P. We still don’t have a great handle on that, but that’s how it works. So, these drugs can be quite useful in the short term, but long-term use has serious side effects.
When looking for medications, it is important to read the labels that have a black box warning, which is the highest warning that the FDA issues for any potential overlapping risk profiles that the FDA issues. This can include severe liver injuries or serious possible allergic reactions that can develop into chronic inflammation of the muscles and joints. Now there are ways to reduce inflammation and prevent the body from being in more pain by slowly introducing anti-inflammatory botanicals and phytochemicals to detoxify the medication causing these complications.
Some individuals may not realize that constant medication for various pains and issues affecting the body can mask other problems involving the body’s systems. This can include:
Endocrine system
Cardiovascular system
Gastrointestinal system
Reproductive system
When these systems have been affected by medications, they can develop inflammatory markers in the vital organs and cause lead to visceral-somatic dysfunction in the body. When pain medications target pain localized in one location, but the issue is in a different area, this is known as referred pain. Referred pain is where the pain is in one muscle group location but is felt in another area of the body. When the organs are involved, it can cause inflammatory symptoms in the system. To that point, this causes the immune system to be induced into autoimmunity.
How The Immune System Is Induced Into Autoimmunity
Dr. Alex Jimenez, D.C., presents: When the immune system has been induced with autoimmunity, the corticosteroids can develop side effects that can be long termed and delay the healing process. Some of the physical symptoms that are visible with autoimmunity include:
Muscle weakness
Diabetes
High blood pressure
Thin bones
Delay wound healing
Flare-ups
Rheumatoid arthritis
Mood changes
When dealing with these inflammatory symptoms associated with pain, there are fundamental functional treatment approaches that can reduce the inflammatory cytokines causing joint and muscle pain.
Treatments To Target Inflammation
Dr. Alex Jimenez, D.C., presents: Some of the treatments that target inflammation include the following:
Slowly incorporating healthy lifestyle choices into a person’s daily lifestyle can reduce the effects of inflammatory cytokines affecting the vital organs, muscles, and joints. It is important to know that incorporating antioxidants, phytonutrients, and anti-inflammatory supplements can reduce residual symptoms in the body. All these treatments are some of the foundations that can address these inflammatory triggers and help reduce muscle and joint pain associated with inflammation.
Anti-Inflammatory Vitamins & Supplements
Dr. Alex Jimenez, D.C., presents: Another important note about these treatments is that vitamins and supplements can combine to help treat inflammatory effects that are causing issues in the body. These anti-inflammatory botanicals and phytochemical agents can not only act on the different pathways in the body but also have different mechanisms similar to healthy nutritional foods. Incorporating anti-inflammatory botanicals and phytochemical agents into the body will help modulate the inflammatory cascades and provide multiple synergistic activities to the body.
These agents down-regulate the inflammatory pathways caused by NF-kappaB. They can act as modulators that dissociate the cytokines from causing more issues like oxidative stress or infections triggering inflammation. However, we need inflammation to heal the body from wounds and infections. We mustn’t want the cytokines too high to cause inflammatory effects. So incorporating anti-inflammatory botanicals and phytochemicals provides a much safer option to the body and can be used in many chronic inflammatory conditions.
Conclusion
Since many botanicals and phytochemicals have anti-inflammatory properties, it can be difficult to find a good amount that the body needs to reduce chronic inflammation. Since many cultures and places have used many nutritional plants and herbs for years worldwide, it can be exhausting. Some of the botanical supplements include:
Zinc
Green tea extract
Capsaicin
S-adenosylmethionine
Ginger
To summarize how it is important to know which supplements have anti-inflammatory properties, doing research and incorporating small changes into a daily lifestyle can provide amazing results and allow the individual to be pain-free and have good health when combining botanicals and phytonutrients.
The iliopsoas muscle is a primary hip flexor that assists in the femur’s external rotation and maintains the hip joint’s strength and integrity. It also helps to stabilize the lumbar spine and pelvis. Athletes often overuse these muscles with all the sprinting, jumping, kicking, and changing directions when running, causing strains and/or tears. Repetitive hip flexion can result in chronic degenerative tendon changes. Chiropractic care and physical therapy can assist in the early phases of healing, safely transitioning to rehabilitation, and returning to physical activities.
Iliopsoas Muscle
The hip flexors are the group of muscles, including the iliac and psoas major muscles/iliopsoas and the rectus femoris/quadriceps. One of the largest and thickest muscles in the body, the psoas, extends from the lumbar vertebrae, crosses in front of each hip, and attaches to the inside top of the thigh bone. The muscle works by flexing the hip joint and lifting the upper leg towards the body. These fibers can tear if tension is more than the muscle can bear. An iliopsoas strain occurs when one or more of these hip flexor muscles become overly stretched or begin to tear.
Injury
The injury can occur from sports or everyday physical activities. This leads to inflammation, pain, and scar tissue formation. An iliopsoas injury is commonly caused by sudden movements, including sprinting, kicking, and changing direction fast while running. Individuals participating in any sports, especially cycling, running, dance, tennis, martial arts, and soccer, are more likely to experience this injury. Other contributing factors include:
Muscle tightness
Joint stiffness
Muscle weakness
Inadequate core stability
Not warming up correctly
Improper biomechanics
Decreased fitness and conditioning
Individuals will feel a sudden stinging pain or pulling sensation, usually on the front of the hip, groin, or abdominal area. Other symptoms include:
Healing and recovery depend on the severity of the injury. A minor iliopsoas muscle injury can take around three weeks to recover fully. More serious strains and tears take six to eight weeks before returning to activity, as the tissue needs time to repair before starting rehabilitation.
Chiropractic Rehabilitation and Recovery
The first steps when dealing with this injury should be P.R.I.C.E. protection, rest, ice, compression, and elevation. It is important to rest and seek treatment immediately; if left untreated, the condition could worsen, lead to a chronic condition, and require surgery. A chiropractic treatment and rehabilitation plan will consist of the following:
Soft tissue massage
Joint mobilization
A chiropractor may recommend crutches to keep the weight off the hip.
A brace can help compress and stabilize the hip flexor to expedite healing.
A flexibility and strengthening program will be implemented to target the muscles around the hip.
Core strengthening exercises will improve the stability of the pelvis area to prevent any further overuse problems.
Wearing compression clothing could also be recommended, as the clothing helps maintain muscle temperature.
Labral Tear
References
Dydyk AM, Sapra A. Psoas Syndrome. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK551701/
Lifshitz, Liran BPt, MSc, PT; Bar Sela, Shlomo BPt MPE; Gal, Noga BPt, MSc; Martin, RobRoy PhD, PT; Fleitman Klar, Michal BPt. Iliopsoas the Hidden Muscle: Anatomy, Diagnosis, and Treatment. Current Sports Medicine Reports 19(6):p 235-243, June 2020. | DOI: 10.1249/JSR.0000000000000723
Rauseo, Carla. “THE REHABILITATION OF A RUNNER WITH ILIOPSOAS TENDINOPATHY USING AN ECCENTRIC-BIASED EXERCISE-A CASE REPORT.” International journal of sports physical therapy vol. 12,7 (2017): 1150-1162. doi:10.26603/ijspt20171150
Rubio, Manolo, et al. “Spontaneous Iliopsoas Tendon Tear: A Rare Cause of Hip Pain in the Elderly.” Geriatric orthopedic surgery & rehabilitation vol. 7,1 (2016): 30-2. doi:10.1177/2151458515627309
Dr. Alex Jimenez, D.C., presents how anti-inflammatory botanicals and phytochemicals can reduce inflammatory cytokines that can cause pain-like issues in the body. We dive into how different pharmaceuticals could influence NF-kappaB and how chronic conditions can affect inflammation. We refer our patients to certified providers that incorporate techniques and multiple therapies for many individuals suffering from inflammation, and its correlating symptoms can affect the musculoskeletal system. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
How Does The Body Deal With Inflammation
Dr. Alex Jimenez, D.C., presents: Our objectives are to look at the evidence for using selective phytochemicals and botanicals as anti-inflammatory and analgesic agents. Controlled studies have grown into mass numbers over the years, and we can feel more confident in some of their findings because a lot of these studies have been done with good-quality investigators and well-designed studies. And even though we get those studies published, the problem is that we rarely hear about them. The media needs to pick them up, and they usually don’t make it into the medical community despite their studies. If you compare that to when pharmaceutical research is done, you know it often makes the headlines and news. Let’s look at some of these botanicals and phytochemicals today.
In autoimmune conditions, pain is a huge issue in the body, and we also want to use its analgesic properties. And then, we have to identify the most appropriate phytochemicals and botanicals for specific inflammatory and pain conditions. So, before we jump into that, we want to review some of the mechanisms of the pharmaceuticals that are very commonly prescribed for inflammatory and autoimmune conditions. Even some of the newer biologics we’ve referred to a little bit, we want to look into them and, and look at how they work and some of their drawbacks, and then we’ll delve into these botanicals that are at our disposal. So it is important to remind anyone that all degenerative diseases have this pro-inflammatory state or inflammation as part of their underlying biochemical ideology. And that inflammation is a final common pathway for all these different dysfunctions. Diabetes, Alzheimer’s, atherosclerosis, cancer, and even some psychiatric disorders like schizophrenia and depression all have inflammation as one of their root causes. Now in this module, we’re focusing on the ones that are in the circles and these.
As you know, most chronic diseases are linked to excessive, persistent inflammation. We’ve pounded that point home well enough, as chronic inflammation occurs when the injury is ongoing or when a predisposed immune system just doesn’t shut off. It fails at counter-regulation and acute inflammation, which is beneficial; however, it can turn into a chronic inflammation if left untreated. Many chronic diseases have been associated with excessive or persistent inflammation. When it comes to chronic inflammation develops when an injury or traumatic event is ongoing, causing the muscles to tense up or when the immune system begins to attack the body when there are no pathogens that are affecting the body. And that the conventional pharmacological treatment focuses on specific pathways that are often really downstream in that inflammatory process, and from a functional medicine perspective, we want to look a bit more upstream to figure out what is the cause of chronic inflammation that is causing this many issues to this person and how anti-inflammatory botanicals and phytochemicals can dampen these inflammatory effects in the body.
How Do Pharmaceuticals Affect The Body?
Dr. Alex Jimenez, D.C., presents: One of the factors that can enhance inflammatory markers is pharmaceutical drugs. So, for example, pharmacologic controls like NSAIDs can inhibit the COX enzyme, while leukotriene inhibitors inhibit the LOX enzyme. DMARDs can affect various immune mechanisms that can influence the development of chronic inflammation. Biologics can inhibit multiple cytokines in the body, including the TNF-alpha and steroids, which can affect NF-kappaB and phospholipase-A2. So there are numerous ways to influence the inflammatory pathway and cause muscle and joint pain issues.
Pharmaceuticals are not the only factors that can cause inflammatory triggers to affect the body; it can be the food we eat or the environment that we live in that can trigger NF-kappaB, which disassociates from I-kappaB while going into the nucleus and binding to the DNA. That point leads to the transcription of many different genes. The body’s genes not only make DNA but can make RNA. When the body makes RNA, it is then biotransformed into DNA, leading to the turning of different inflammatory pathways. So when the pharmaceutical starts entering the body, it can inhibit the other cytokines and enzymes from turning on and cause chronic inflammation, thus causing the anti-inflammatory markers to dampen and causing the immune system to focus on the NF-kappaB.
NSAIDs
Dr. Alex Jimenez, D.C., presents: So let’s start looking at the non-steroidal anti-inflammatories or NSAIDs, which are ubiquitous as they are very common for many people to reach for when they are in pain. And the reason they use them is that they do work. NSAIDs inhibit cyclooxygenase enzymes and prevent those inflammatory prostaglandins, which cause inflammation and pain in the muscles or joints. Now paracetamol is on here, or acetaminophen is not technically an NSAID, but we will look at that separately.
But these NSAIDs, you know, aren’t without issues, as 70 million prescriptions for NSAIDs are written in the U.S. annually. And that over-the-counter uses included 30 billion doses of NSAIDs. That’s an enormous amount, and it’s no wonder most of us have taken them; we’re part of that 30 billion. However, that amount can lead to a leaky gut in our body system. We know their association with peptic ulcers and G.I. bleeding while inhibiting that resolving pathway, which is important to shut off the inflammatory response. So let’s look at DMARDs or disease-modifying anti-rheumatic agents. They’re the first-line therapy for rheumatoid arthritis. And one of the reasons they’re the first line of treatment is that they’re inexpensive but are slow acting and do decrease inflammation, but they don’t work very well to relieve pain directly.
So methotrexate is hydroxychloroquine, or Plaquenil is a very well-known one right now, especially with its use today. Still, methotrexate inhibits RNA and DNA synthesis, which has been used as a chemotherapy agent in cancer. And when it inhibits, it affects the dihydrofolate reductase, which is needed to make DNA and RNA; however, it also suppresses T and B-cell activation while inhibiting IL1 beta from binding to its receptors. So, unfortunately, even though they’re the first-line therapy, they come with several fairly severe side effects. But we keep talking about this idea of side effects; it’s no side effects. They’re the direct effects of the medication.
The Effects Of Pharmaceuticals
Dr. Alex Jimenez, D.C., presents: You know, they may be unwanted effects like rashes, stomach upset, liver, bone marrow, toxicity, congenital disabilities, and, of course, which we’ll see repeatedly. Any time that you shut down your immune system, you open yourself up for infections. So you become much more susceptible to infections. So, look at these biological DMARDs, which work as TNF-alpha blockers. These biological DMARDs work by curbing either T-cell activation or blocking TNF, which is the most common one, but they also can stop things like IL-six, deplete T-cells, and work in other ways. These biologics are called biologics because they’re actually monoclonal antibodies. And so these monoclonal antibodies, as antibodies do, they have very strong specific binding affinities.
And so, using antibodies as medications has been a great advance. Now, as we’re going to see, they may not be the ultimate solution for treating autoimmune disease, but they hold a lot of promise, especially when we need their specificity. So there are many chronic conditions that NSAIDs DMARDs or Biologic DMARDs that can mask inflammation and cause pain to the muscles and joints. Some of the chronic conditions include:
Ankylosing-spondylitis
Arthritis
Crohn’s disease
Endometriosis
Psoriasis
Rheumatoid Arthritis
Osteoarthritis
Fibromyalgia
Lupus
Conclusion
Dr. Alex Jimenez, D.C., presents: These pharmaceuticals can reduce the pain that the person is experiencing with these conditions, but they are short-termed and only mask the issue until a person goes into treatment. When a person has an autoimmune or chronic disorder associated with inflammation, the cost of any medication is high. Even though good pharmaceuticals are important, we need to look at treatments that can examine the lesser-known or rarer conditions that can reduce the inflammatory effects that cause joint and muscle pain. Incorporating anti-inflammatory botanicals and supplements like:
Fish oil
Curcumin
Ginger extract
Green Tea Extract
Resveratrol
All have anti-inflammatory properties that can reduce inflammatory cytokines from the muscle and joints and combine with physical therapy. Physical therapy can allow the body to heal itself and will enable the individual to be pain-free naturally.
The various muscles and ligaments that encompass the back help protect the spine’s thoracic region. The spine has three sections: cervical, thoracic, and lumbar, which assist the body with bending, turning, and twisting. For the thoracic spine, various muscles like the rhomboid, trapezoid, and other superficial muscles provide functionality to the scapula or shoulder blades to stabilize the ribcage. When the body succumbs to injuries or traumatic forces, it can develop myofascial pain syndrome associated with upper back pain. Upper back pain can lead to unwanted symptoms affecting their quality of life. Fortunately, various exercises target the upper portion of the back and can strengthen multiple muscles from injuries. Today’s article looks at the effects of upper back pain in the body and shows a few stretches and exercises that can support the various muscle groups in the upper back region. We refer our patients to certified providers that incorporate techniques and multiple therapies for many individuals suffering from upper back pain and its correlating symptoms that can affect the musculoskeletal system in the neck, shoulders, and thoracic region of the spine. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
The Effects Of Upper Back Pain In The Body
Have you been experiencing stiffness around or near your shoulder blades? Do you feel muscle strain when you are rotating your shoulders? Or does it hurt when you stretch your upper back in the morning? Many of these issues are signs and symptoms of upper back pain. Studies reveal that back pain is one of the most common complaints many individuals would go for emergency care. Back pain can affect the different regions in the back and cause unwanted symptoms in various areas in the upper back. Additional studies mentioned that persistent pain in the thoracic region could cause hyper-sensitization of the intercoastal nerves that mimic other conditions affecting the back. Some of the causes and effects that can lead to the development of upper back pain include:
When this happens, it can lead to overlapping conditions that mimic other issues and, if not treated right away, leave individuals with chronic disabling symptoms that correlate with upper back pain.
Upper Back Pain Relief-Video
Have you been experiencing stiffness in your shoulders or neck? Do you feel aches and pains when stretching your arms? Or what about feeling muscle strain when lifting a heavy object? Many of these factors correlate with upper back pain affecting the thoracic spine region. When this happens, it can lead to overlapping risk profiles that can develop into different issues that can cause even more pain to the body. There are various ways to prevent upper back pain from causing further issues to the individual and can relieve the pain associated with it. Many people would go to chiropractic therapy to have their spine re-aligned to bring adequate relief or incorporate upper back exercises and stretches to relieve tension accumulated in the neck and shoulder regions. The video above explains how stretches work for different muscle regions in the upper back and provide relief to the thoracic spine.
Exercises For Upper Back Pain
Regarding the upper back, it is important to understand that incorporating various exercises that target the thoracic region can cause prolonged injuries. Studies reveal that different back exercises focus not only on the back but the shoulders, arms, chest, core, and hips providing stability, balance, and coordination to the individual. This allows the muscles in the back region to improve strength and endurance over time when a person continues to work out. More studies reveal that protocols like the McKenzie back exercise are effective programs to treat various musculoskeletal conditions that can cause pain in the back. Many physical therapists use this protocol on their patients to relieve back pain and help improve their muscular structure to have better posture.
Warm Up
Just like any individual that is starting to get back to their health and wellness through exercise, the most important step that anyone has to do is warming up their muscles before getting into a workout. Warming up each muscle group can prevent future injuries and increase blood flow before starting the exercise. Many individuals would incorporate stretches and foam rolling for 5-10 minutes to ensure that each muscle is ready to perform with maximum effort.
Exercises
After the body is warmed up, it is time to begin the exercise regime. Many different exercise movements target each muscle group and help build muscle mass and improve functionality. It is important to build up momentum when it comes to working out. Starting slowly with minimum reps and sets is important to ensure the exercise is done correctly. Afterward, the individual can increase the workout reps and go with a heavier weight. Below are some of the exercise routines that are suited for the upper back.
Superman
Lie on your stomach and extend your arms above the head
Keep neck in a neutral position and lift legs and arms off the floor at the same time
Make sure to use the back and glutes to lift
Briefly pause at the top, then return to starting position
Complete three sets of 10 reps
This exercise helps strengthen the spine and surrounding muscles to support the spine and reduce any future injuries from upper back pain.
Reverse Dumbbell Flies
Grab light weighted dumbbells
Hinge at the waist at 45 degrees while standing
Make sure the arms are hanging down with the weights
Keep the neck in a neutral position while gazing down
Lift the arms (with the dumbbells) out to the side and upwards
Squeeze the shoulders together at the top during this movement
Complete three sets of 8-12 reps
This exercise is excellent for strengthening the muscles that surround the shoulder and upper back.
Rows
Use a resistance band or a light weighted dumbbell.
For the resistance band, affix the band to a stable surface above eye level. For the light weighted dumbbells, extend the arms in front of the body above eye level.
Use an overhead grip when holding the resistance band handles and the light weighted dumbbells.
Pull resistance bands or dumbbells toward the face.
Flare out the upper arms to the sides
Squeeze the shoulders together
Pause for a bit and then return to starting position
Complete three sets of 12 reps
This exercise helps strengthen the shoulder muscles and prevent future injuries from occurring in the upper back.
Conclusion
Some various muscles and ligaments encompass the back and help protect the spine’s thoracic region. These muscles help with the stabilization of the ribcage and help provide the functionality to the upper back. When multiple factors cause traumatic injuries to the upper back, it can lead to pain-like symptoms that can cause overlapping features and affect a person’s quality of life. Luckily, various exercises target the upper back and surrounding muscle groups. Each activity targets all the muscles in the upper back and allows a person to regain health and wellness without constant pain.
References
Atalay, Erdem, et al. “Effect of Upper-Extremity Strengthening Exercises on the Lumbar Strength, Disability and Pain of Patients with Chronic Low Back Pain: A Randomized Controlled Study.” Journal of Sports Science & Medicine, U.S. National Library of Medicine, 1 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5721192/.
Casiano, Vincent E, et al. “Back Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.
Louw, Adriaan, and Stephen G Schmidt. “Chronic Pain and the Thoracic Spine.” The Journal of Manual & Manipulative Therapy, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4534852/.
Mann, Steven J, et al. “McKenzie Back Exercises – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK539720/.
When issues like autoimmune disorders start to affect the body for no reason, it can lead to chronic problems and conditions that can affect the various muscles and vital organs that cause overlapping risk profiles to the host. The body is a complex machine that allows the immune system to release inflammatory cytokines to the affected area when a person has acute or chronic pain. So when a person has an autoimmune disorder like fibromyalgia, it can affect their quality of life while amplifying painful sensations in their musculoskeletal system. Today’s article focuses on fibromyalgia and its systems, how this autoimmune disorder correlates with myofascial pain syndrome, and how chiropractic care can help reduce fibromyalgia symptoms. We refer our patients to certified providers that incorporate techniques and various therapies for many individuals with fibromyalgia and its correlating symptoms, like myofascial pain syndrome. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
What Is Fibromyalgia?
Have you been dealing with unquestionable pain that is affecting your daily life? Do you feel fatigued when you are barely getting out of bed? Or have you been dealing with brain fog and aches all over your body? Many of these symptoms overlap with an autoimmune disorder known as fibromyalgia. Studies reveal that fibromyalgia is an autoimmune condition characterized by widespread chronic musculoskeletal pain that can correlate with neurosensory disorders that affect the nervous system. Fibromyalgia can affect about 4 million adults in America and roughly 2% of the general adult population. When people with fibromyalgia go through a physical examination, the test results would appear to be normal. That is because fibromyalgia can include multiple tender points in specific body areas and manifest as a primary or secondary condition while extending far beyond the defining criteria. Additional studies reveal that the pathogenesis of fibromyalgia could potently be linked with other chronic factors that affect the following systems:
Inflammatory
Immune
Endocrine
Neurological
Intestinal
The Symptoms
Many individuals, especially women, have fibromyalgia, which causes symptoms of multiple somato-visceral issues. To that point, it can often overlap and accompany fibromyalgia. Unfortunately, fibromyalgia is challenging to diagnose since the pain can last for several months to years. Studies have shown that even though fibromyalgia is challenging to diagnose when many other factors like genetics, immunological, and hormonal factors potentially play a part in this autoimmune disorder. Also, additional symptoms and specific diseases like diabetes, lupus, rheumatic diseases, and musculoskeletal disorder can be associated with fibromyalgia. Some of the following symptoms that many fibromyalgia individuals deal with include:
Have you been having trouble getting a good night’s sleep? Do you feel pain in different areas of your body? Or have you been dealing with cognitive issues like brain fog? Many of these symptoms correlate with an autoimmune disorder known as fibromyalgia. Fibromyalgia is an autoimmune disorder that is challenging to diagnose and can cause immense pain to the body. The video above explains how to notice the signs and symptoms of fibromyalgia and what associated conditions correlate with this autoimmune disorder. Since fibromyalgia causes widespread musculoskeletal pain, it can even affect the peripheral and central nervous systems. This causes the brain to send out neuron signals to cause an increase in sensitivity to the brain and spinal cord, which then overlaps with the musculoskeletal system. Since fibromyalgia causes pain to the body, it can present unrecognized symptoms that can be difficult to recognize and can be arthritis-related.
How Fibromyalgia Is Correlated With Myofascial Pain Syndrome
Since fibromyalgia can correlate with different chronic conditions, one of the most chronic disorders can mask the effects of fibromyalgia in the body: myofascial pain syndrome. Myofascial pain syndrome, according to Dr. Travell, M.D.’s book, “Myofascial Pain Syndrome and Dysfunction,” mentions that when a person has fibromyalgia causes musculoskeletal pain, overtime if not treated, can develop trigger points in the affected muscles. This causes muscle stiffness and tenderness in the taut muscle band. Additional studies mentioned that since myofascial pain syndrome and fibromyalgia have common muscular pain symptoms, they can cause tenderness and refer pain to different body locations. Fortunately, available treatments can help reduce the muscular pain symptoms caused by fibromyalgia associated with myofascial pain syndrome.
Chiropractic Care & Fibromyalgia Associated With Myofascial Pain
One of the available treatments that can help relieve the muscular pain from fibromyalgia associated with myofascial pain syndrome is chiropractic therapy. Chiropractic therapy is a safe, non-invasive treatment option that can help alleviate symptoms of body pain and swelling from a spinal subluxation. Chiropractic care uses manual and mechanical manipulation to re-align the spine and improve nerve circulation while increasing blood flow back to the joints and muscles. Once the body has been re-balanced from chiropractic therapy, the body can manage symptoms better and reduce the effects of fibromyalgia. Chiropractic therapy also provides a customized treatment plan and works with associated medical professionals to achieve maximum results and ensure the highest quality of life for the individual.
Conclusion
Fibromyalgia is one of the most common autoimmune disorders that affect most of the population and can be challenging to diagnose. Fibromyalgia is characterized by widespread chronic musculoskeletal pain that can correlate with neurosensory disorders and cause pain symptoms in the body. People with fibromyalgia also deal with myofascial pain syndrome, as both disorders cause muscle and joint pain. Luckily, treatments like chiropractic therapy allow spinal manipulation of the body to be re-aligned and restore functionality to the host. This reduces the symptoms caused by fibromyalgia and causes the individual to be pain-free and function normally.
References
Bellato, Enrico, et al. “Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment.” Pain Research and Treatment, U.S. National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3503476/.
Bhargava, Juhi, and John A Hurley. “Fibromyalgia – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 10 Oct. 2022, www.ncbi.nlm.nih.gov/books/NBK540974/.
Gerwin, R D. “Myofascial Pain and Fibromyalgia: Diagnosis and Treatment.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 1 Jan. 1998, pubmed.ncbi.nlm.nih.gov/24572598/.
Simons, D. G., and L. S. Simons. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
Siracusa, Rosalba, et al. “Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update.” International Journal of Molecular Sciences, U.S. National Library of Medicine, 9 Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/.
Making healthy posture adjustments is a process, especially for individuals that have been practicing unhealthy postures for years. Not only does the body have to relearn how to position itself correctly, but the muscles, especially those that haven’t been working, also have to adjust. This takes time and is usually at the beginning of postural training that individuals want to give up. This is because of the discomfort and soreness that goes with reactivating the core muscles. This is why it is recommended to go through the process with chiropractic care. A chiropractic therapy team can relieve sore muscles, strengthen the body, and help individuals gradually develop and maintain a healthy posture.
Posture Adjustments
Unhealthy postures shift the body out of balance, straining and stressing the muscles, especially those that have to work overtime every day. This causes the muscles to stiffen and tighten up to the point that they begin to pull the skeletal system in different directions, causing various symptoms that can lead to chronic conditions. Muscles can stay tight for years, with individuals getting used to the feeling. Individuals stretch out, thinking the muscles are loose but don’t realize that they return to their tight position because of the unhealthy muscle memory that developed.
Muscle Imbalance
Muscle imbalances usually progress over time and are typically caused by daily habitual physical routines.
This causes premature and advanced wear and tear on the body.
Postural Dysfunction
Individuals all have positions they spend a lot of time in.
Postural dysfunction begins with unhealthy positioning that shifts the spine and other joints out of balance and alignment.
The muscles become compromised, which leads to various neuromusculoskeletal symptoms.
Muscle fatigue and weakness occur from being overworked.
Headaches can present throughout the day.
Chiropractic Realignment
The muscles have become like tough meat, and the underlying imbalances are straining the neuromusculoskeletal system. The muscle tissues need to be broken up/tenderized and loosened up. Then they can be thoroughly stretched and strengthened to optimal health. Chiropractic care will identify and correct the underlying imbalance, and massage therapy will break up and release the compacted muscle tissue. A personalized treatment plan will consist of the following:
Mobilizing the joints and stretching/releasing shortened tight muscles and soft tissues.
Strengthening the elongated, weaker muscles to correct the body’s alignment and movement control.
Health coaching to identify and recommend lifestyle and nutritional adjustments.
This will restore the bio-mechanical systems, ensuring that equal muscle length and strength on both sides of the system joint or motion segment are maintained.
Posture Adjustments and Foot Orthotics
References
Aino, Masaki, et al. “Comparison of spinal column alignment and autonomic nervous activity using the intersegmental tenderness test in the segment above.” Journal of physical therapy science vol. 33,8 (2021): 570-575. doi:10.1589/jpts.33.570
Creze, Maud, et al. “Posture-related stiffness mapping of paraspinal muscles.” Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978
Joshi, Reema, and Nishita Poojary. “The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail.” International journal of therapeutic massage & bodywork vol. 15,2 14-21. 1 Jun. 2022, doi:10.3822/ijtmb.v15i2.673
Langford, M L. “Poor posture subjects a worker’s body to muscle imbalance, nerve compression.” Occupational health & safety (Waco, Tex.) vol. 63,9 (1994): 38-40, 42.
McLean, Linda. “The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region.” Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 15,6 (2005): 527-35. doi:10.1016/j.jelekin.2005.06.003
Szczygieł, Elżbieta et al. “The Impact of Deep Muscle Training on the Quality of Posture and Breathing.” Journal of motor behavior vol. 50,2 (2018): 219-227. doi:10.1080/00222895.2017.1327413
The body is a complex machine with various muscles, tendons, ligaments, and vital organs that each play a specific role in maintaining functionality and stability to the host. The body allows movement and mobility from the neck down to the feet. When the body suffers from pain or has been affected by various issues that correlate with pain, two things can occur, one, where acute pain can affect the body and cause the individual to be sore for a few days or two, where the body suffers from chronic pain that leads to the development of myofascial pain syndrome that can lead to referred pain in different muscle groups and cause the body to dysfunction. Today’s article examines how to diagnose myofascial pain syndrome, how the body reacts to this condition, and how various treatments can reduce myofascial pain syndrome in the body. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with myofascial pain syndrome affecting different body areas and causing functionality. By locating where the trigger points are coming from, many pain specialists utilize a treatment plan to reduce the effects that trigger points are causing on the body while coming up with a diagnosis to minimize the referred pain impacting the body. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
How To Diagnose Myofascial Pain Syndrome
Have you been experiencing pain in different locations in your body? Do you have any areas of complaint that affect your daily lifestyle? Or do you have issues of stability and mobility when you are out and about? More often than not, approximately 25% of Americans are in some pain that can impact their lives and, if not treated right away, can cause the body to be dysfunctional. When there is constant pain in the body, it can cause overlapping risk profiles, known as myofascial pain syndrome. Myofascial pain syndrome is often defined as pain that originates along the musculoskeletal muscle groups and causes hyperirritable spots within the muscle fibers’ taut band, causing trigger points to develop. This means repetitive motions cause muscle strain and tightness along the muscle fibers when the body goes through repetitive movements daily.
When many people are dealing with myofascial pain syndrome, they would go to their primary doctor and explain that they are dealing with pain in different areas of their bodies, including their head, neck, shoulders, back, hips, etc. Afterward, their doctors conduct an examination to see where the issue is occurring. Many doctors often ask numerous questions to their patients about their daily activities before coming up with a diagnosis that myofascial pain syndrome is affecting their bodies. Studies reveal that the etiology of myofascial pain syndrome is not fully understood. Still, when the muscles, ligaments, and tissues are inflamed or undergo repetitive trauma, it can be accompanied by correlating conditions and disorders. To that point, doctors will work with their associated medical providers to develop a personalized treatment plan to diagnose and reduce myofascial pain syndrome associated with chronic conditions affecting the body.
How Does The Body React To Myofascial Pain Syndrome
Now when the body is dealing with myofascial pain syndrome, studies reveal that it can be a major health problem when it is not treated right away; it can cause the following:
Impaired mobility
Pain
Muscle hypersensitivity
Sleep issues
Neurological issues
According to “Myofascial Pain and Dysfunction: The Trigger Point Manual,” by Dr. Janet G. Travell, M.D., the book mentioned that when myofascial pain syndrome becomes aberrant, it can lead to a disorder known as myofascial pain modulation disorder. This means that when a person is dealing with trigger points in their bodies, it can distort their referred pain patterns when being diagnosed. Active trigger points normally project pain in different body locations, known as referred pain. However, with myofascial pain modulation disorder, the pain is not localized but aberrant, which causes distortion to the central nervous system and sends pain signals to cause structural damage to the affected muscles in the body.
An Overview Of Referred Pain- Video
Have you been experiencing pain in different locations in your body? Do you have mobility issues when turning your neck or hips? Do you feel like you are losing your quality of life? If you have been dealing with pain-like problems in your body, it could be due to myofascial pain syndrome causing these issues. Myofascial pain syndrome is when the body goes through repetitive motions or trauma that causes symptoms of muscle strain and stiffness that are correlated with referred pain. The video above explains what referred pain does to the body and how it can affect the muscles and the corresponding organs. This is known as somato-visceral dysfunction, where the muscles and the related vital organs are affected, causing pain. An example would be chest pain associated with cardiovascular issues that mimic a heart attack. Various treatments can now treat myofascial pain syndrome associated with trigger points that can reduce the localized pain affecting the body.
Various Treatments To Reduce Myofascial Pain Syndrome
Several available treatments can help the body and bring back a person’s quality of life when it comes to reducing pain-like symptoms associated with myofascial pain syndrome. As stated earlier, when a person is diagnosed with myofascial pain syndrome by their primary doctors, their doctors will work with other pain specialists, like physical therapists, massage therapists, and chiropractors, that can locate where the referred pain is in the body and alleviate the symptoms. This allows the treatment plan to be personalized and catered to the individual. When myofascial pain syndrome causes the muscles to become tight and stiff due to repetitive factors, the pain specialists work with the body to restore functionality and help loosen the muscles. Not only that, but many individuals would take up meditative practices to allow their bodies to relax and reduce future trigger points from developing. This will enable them to have a clear mind and be pain-free.
Conclusion
Myofascial pain syndrome is when the body has pain-like symptoms affecting different muscle groups. It can cause numerous symptoms associated with pain that can cause mobility and dysfunction in the individual. Since the body is a complex machine that incorporates various muscles, tendons, ligaments, and vital organs to maintain functionality, myofascial pain can cause referred pain to a different location of the body and can be a major health problem. However, available treatments can reduce the pain-like symptoms caused by myofascial pain syndrome. When doctors work with associated medical providers specializing in myofascial pain syndrome, they can develop a personalized treatment plan to reduce future pain-like symptoms associated with myofascial pain syndrome from causing more issues to the body and even reduce correlating conditions that overlap that trigger myofascial pain.
References
Cao, Qi-Wang, et al. “Expert Consensus on the Diagnosis and Treatment of Myofascial Pain Syndrome.” World Journal of Clinical Cases, U.S. National Library of Medicine, 26 Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8017503/.
Desai, Mehul J, et al. “Myofascial Pain Syndrome: A Treatment Review.” Pain and Therapy, U.S. National Library of Medicine, June 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4107879/.
Niddam, D M, et al. “Brain Structural Changes in Patients with Chronic Myofascial Pain.” European Journal of Pain (London, England), U.S. National Library of Medicine, Jan. 2017, pubmed.ncbi.nlm.nih.gov/27352085/.
Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
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Posture Adjustments
