Back Clinic Injury Care Chiropractic and Physical Therapy Team. There are two approaches to injury care. They are active and passive treatment. While both can help get patients on the road toward recovery, only active treatment has a long-term impact and keeps patients moving.
We focus on treating injuries sustained in auto accidents, personal injuries, work injuries, and sports injuries and provide complete interventional pain management services and therapeutic programs. Everything from bumps and bruises to torn ligaments and back pain.
Passive Injury Care
A doctor or a physical therapist usually gives passive injury care. It includes:
Acupuncture
Applying heat/ice to sore muscles
Pain medication
It’s a good starting point to help reduce pain, but passive injury care isn’t the most effective treatment. While it helps an injured person feel better in the moment, the relief doesn’t last. A patient won’t fully recover from injury unless they actively work to return to their normal life.
Active Injury Care
Active treatment also provided by a physician or physical therapist relies on the injured person’s commitment to work. When patients take ownership of their health, the active injury care process becomes more meaningful and productive. A modified activity plan will help an injured person transition to full function and improve their overall physical and emotional wellness.
Spine, neck, and back
Headaches
Knees, shoulders, and wrists
Torn ligaments
Soft tissue injuries (muscle strains and sprains)
What does active injury care involve?
An active treatment plan keeps the body as strong and flexible as possible through a personalized work/transitional plan, which limits long-term impact and helps injured patients work toward a faster recovery. For example, in injury Medical & Chiropractic clinic’s injury care, a clinician will work with the patient to understand the cause of injury, then create a rehabilitation plan that keeps the patient active and brings them back to proper health in no time.
For answers to any questions, you may have, please call Dr. Jimenez at 915-850-0900
Functional Medicine: A Holistic Approach to Recovery from Motor Vehicle Accidents
Motor vehicle accidents (MVAs) can leave individuals with a range of injuries, from visible trauma to hidden damage that affects long-term health. Beyond the immediate physical pain, MVAs can cause indirect trauma, back and neck pain, and even intestinal damage, impacting overall well-being. Functional medicine offers a comprehensive, patient-centered approach to recovery by addressing the root causes of these injuries and promoting holistic healing. This blog post examines how functional medicine, when combined with chiropractic care, can aid individuals in recovering from motor vehicle accidents (MVAs), with a focus on the expertise of Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas. Written at a high school level, this 5,000-word guide is designed to educate and empower those seeking natural recovery options.
Understanding Motor Vehicle Accident Injuries
Motor vehicle accidents are a leading cause of injuries in the United States, with nearly 300,000 car accidents occurring annually in Texas alone, resulting in over 60,000 injuries (Jimenez, 2018). These injuries range from minor to severe, affecting various body systems. Common injuries include:
Whiplash and Neck Pain: Caused by the sudden acceleration and deceleration during a collision, whiplash affects the cervical spine, leading to muscle tightness, spasms, and headaches (Jimenez, 2018).
Back Pain: The force of an MVA can strain or tear muscles, ligaments, and discs in the lumbar or thoracic spine, causing acute or chronic pain (Jimenez, 2025).
Musculoskeletal Joint Pain: Joints, such as the shoulders, knees, or hips, can suffer from soft tissue damage or misalignment, leading to persistent discomfort (Jimenez, 2025).
Intestinal Damage and Gut Health Issues: Less obvious but equally significant, MVAs can disrupt gut health through stress-induced inflammation or physical trauma, potentially leading to conditions like leaky gut or irritable bowel syndrome. (Jimenez, 2025).
Indirect Trauma: Emotional and psychological stress from MVAs can manifest as post-traumatic stress disorder (PTSD), anxiety, or depression, which further complicates physical recovery (Visionary Law Group, n.d.).
These injuries often have interconnected effects, where physical trauma exacerbates mental health issues, and vice versa. Functional medicine addresses this complexity by treating the body as an integrated system, rather than focusing solely on isolated symptoms.
Functional medicine is a holistic, patient-centered approach that seeks to identify and address the root causes of health issues, rather than merely treating symptoms (Premier Functional Medicine, n.d.). In the context of MVA recovery, functional medicine offers individualized treatment plans that integrate chiropractic care, nutrition, physical therapy, and mental health support to restore balance across the body’s systems.
Key Principles of Functional Medicine
Individualized Care: Each patient receives a customized treatment plan tailored to their unique medical history, lifestyle, and injury profile.
Root Cause Analysis: Practitioners use advanced diagnostics to uncover underlying issues, such as inflammation, hormonal imbalances, or gut dysfunction, that may prolong recovery.
Holistic Healing: Treatment addresses physical, mental, and emotional health to promote overall well-being.
Preventive Focus: Functional medicine emphasizes the prevention of chronic conditions by addressing injuries early and optimizing overall health.
By focusing on these principles, functional medicine helps MVA victims recover faster and reduces the risk of long-term complications, such as chronic pain or gastrointestinal disorders.
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a board-certified chiropractor and family nurse practitioner in El Paso, Texas, with over 25 years of experience treating motor vehicle accident (MVA) injuries. (Jimenez, 2025). His dual licensure enables him to bridge chiropractic care with medical diagnostics, providing him with an unusual perspective on injury recovery. At his Injury Medical & Chiropractic Clinic, Dr. Jimenez combines functional medicine with evidence-based treatments to address the complex needs of motor vehicle accident (MVA) victims.
Clinical Rationale and Diagnostic Approach
Dr. Jimenez emphasizes the importance of thorough assessments to identify both obvious and hidden injuries. His clinical rationale includes:
Advanced Imaging: Magnetic resonance imaging (MRI) and X-rays are used to detect structural damage, such as herniated discs or fractures, that may not be immediately apparent (Jimenez, 2016).
Dual-Scope Procedures: As both a chiropractor and nurse practitioner, Dr. Jimenez employs electromyography (EMG), functional movement screens, and neurologic exams to assess nerve injuries and musculoskeletal dysfunction (Jimenez, 2025).
Diagnostic Assessments: Tools like the Living Matrix help identify systemic contributors to pain, such as inflammation or gut dysfunction, which are often overlooked in traditional care (Jimenez, 2016).
This comprehensive approach ensures accurate diagnoses, which are critical for effective treatment and legal documentation in personal injury cases. Dr. Jimenez’s team meticulously documents injury timelines, treatment outcomes, and functional limitations, providing objective evidence for attorneys and insurance companies (Jimenez, 2025).
Addressing Specific MVA Injuries with Functional Medicine
Functional medicine, combined with chiropractic care, provides targeted strategies to address the diverse injuries resulting from motor vehicle accidents (MVAs). Below, we explore how these approaches tackle back and neck pain, musculoskeletal joint pain, intestinal damage, and indirect trauma.
Back and Neck Pain
Back and neck pain are among the most common MVA injuries, often resulting from whiplash or spinal misalignment. Functional medicine and chiropractic care address back and neck pain through the following methods:
Chiropractic Adjustments: Spinal manipulation restores alignment, reduces nerve interference, and alleviates pain (Jimenez, 2025). Dr. Jimenez uses gentle thrusts to improve flexibility and promote recovery.
Soft Tissue Therapy: Massage and myofascial release relieve muscle tension and reduce scar tissue, enhancing mobility (RX Wellness, n.d.).
Anti-Inflammatory Nutrition: A diet rich in omega-3 fatty acids, antioxidants, and anti-inflammatory foods, such as turmeric and leafy greens, can help reduce systemic inflammation that exacerbates pain (Jimenez, 2019).
Physical therapy exercises to improve range of motion (ROM) and strengthen supporting muscles can help prevent chronic pain. (Health Coach Clinic, 2025).
Dr. Jimenez’s protocols often include ultrasound therapy and muscle energy techniques to reduce inflammation further and restore function (Jimenez, 2025).
Musculoskeletal Joint Pain
Joint pain after an MVA can result from soft tissue damage, ligament sprains, or biomechanical imbalances. Functional medicine addresses these issues by:
Functional Movement Screens: These assessments identify compensatory movement patterns that contribute to joint pain, allowing for targeted rehabilitation (Jimenez, 2025).
Nutritional Support: Supplements like collagen, glucosamine, and vitamin D support joint repair and reduce inflammation (Health Coach Clinic, 2025).
Manual Therapies: Chiropractic adjustments and acupuncture restore joint alignment and improve circulation, reducing pain and stiffness (Altitude Health, n.d.).
Exercise Programs: Low-impact exercises, such as yoga or swimming, rebuild strength and flexibility without stressing injured joints (County Line Chiropractic, n.d.).
Dr. Jimenez’s multidisciplinary approach ensures that joint pain is addressed from both a structural and systemic perspective, preventing progression to chronic conditions.
Intestinal Damage and Gut Health
MVAs can indirectly affect gut health through stress, inflammation, or trauma to the abdominal region. For instance, the force of a collision can disrupt the gut microbiome, leading to symptoms like bloating, diarrhea, or food sensitivities (Jimenez, 2025). Functional medicine strategies include:
Gut-healing diets, such as elimination diets or protocols like the Specific Carbohydrate Diet (SCD), reduce inflammation and support gut repair (Jimenez, 2025).
Probiotics and Prebiotics: These supplements restore healthy gut flora, improving digestion and immune function (Pacific Natural Medicine, n.d.).
Stress Management: Techniques such as mindfulness, meditation, or biofeedback can help reduce cortisol levels, which can exacerbate gut dysfunction (Heartspring Health, n.d.).
Functional Testing: Stool analysis or food sensitivity tests identify underlying issues, such as leaky gut or dysbiosis, allowing for targeted interventions. (Balance Body Med, n.d.).
Dr. Jimenez’s expertise in functional medicine enables him to address gut health as a crucial component of MVA recovery, recognizing its significant role in systemic inflammation and overall well-being.
Indirect Trauma and Emotional Health
The psychological impact of MVAs can be profound, with victims experiencing PTSD, anxiety, or depression (Visionary Law Group, n.d.). Functional medicine addresses these issues through:
Mind-Body Therapies: Techniques such as cognitive-behavioral therapy (CBT), yoga, or acupuncture help manage stress and enhance mental resilience. (Heartspring Health, n.d.).
Nutritional Psychiatry: Diets rich in omega-3s, B vitamins, and magnesium support brain health and mood stability (Health Coach Clinic, 2025).
Herbal Support: Adaptogens, such as ashwagandha or rhodiola, help the body cope with stress and promote emotional balance (Pacific Natural Medicine, n.d.).
Chiropractic Care: By reducing physical pain, chiropractic adjustments can help alleviate stress and improve sleep, both of which are crucial for maintaining mental health. (Accident Care Chiropractic, n.d.).
Dr. Jimenez’s comprehensive approach guarantees the importance of emotional health in physical recovery.
The Connection Between MVA Injuries and Musculoskeletal Joint Pain
MVA injuries often contribute to the progression of musculoskeletal joint pain, as the trauma can disrupt the body’s biomechanical balance. For example, whiplash can cause cervical spine misalignment, leading to compensatory strain on the shoulders, hips, or knees (Jimenez, 2016). Similarly, inflammation from soft tissue injuries can spread systemically, affecting joint health and mobility (Jimenez, 2025).
Dr. Jimenez’s clinical observations highlight that untreated MVA injuries can lead to chronic conditions, such as osteoarthritis or fibromyalgia, due to persistent inflammation and biomechanical imbalances (Jimenez, 2025). His approach involves:
Early Intervention: Addressing injuries promptly to prevent scar tissue formation and joint degeneration.
Systemic Treatment: Using functional medicine to reduce inflammation and support joint repair through nutrition and supplementation.
Rehabilitation: Implementing strength training and mobility exercises to restore joint function and prevent further damage.
By addressing both the structural and systemic aspects of joint pain, Dr. Jimenez helps patients avoid long-term complications and regain their quality of life.
Personal Injury Cases in El Paso: Dr. Jimenez’s Expertise
In El Paso, Dr. Jimenez is a trusted provider for personal injury cases, particularly those involving motor vehicle accidents (MVAs). His clinic has treated thousands of patients, helping them navigate the medical and legal complexities of their injuries (Jimenez, 2019). His expertise is particularly valuable in:
Legal Documentation: Dr. Jimenez’s team provides detailed reports on injury timelines, treatment progress, and functional limitations, which are critical for personal injury claims (Jimenez, 2025).
Patient Advocacy: By combining chiropractic care with nurse practitioner-driven medical management, Dr. Jimenez ensures patients receive comprehensive care while supporting their legal rights (Jimenez, 2017).
Holistic Recovery: His functional medicine approach addresses the physical, emotional, and systemic effects of injuries, enabling patients to return to work and their daily activities. (Accident Care Chiropractic, n.d.).
Patient testimonials highlight Dr. Jimenez’s transformative impact, with many reporting significant improvements in pain, mobility, and quality of life (Jimenez, 2025). His commitment to evidence-based care and patient education empowers individuals to take an active role in their recovery.
Recovering from an MVA is not just about healing immediate injuries; it’s about preventing chronic conditions and optimizing health. Functional medicine offers long-term strategies to support sustained recovery:
Lifestyle Modifications: Regular exercise, stress management, and adequate sleep promote resilience and prevent pain recurrence (Heartspring Health, n.d.).
Nutritional Optimization: A balanced diet rich in anti-inflammatory foods and targeted supplements supports tissue repair and overall systemic health (Health Coach Clinic, 2025).
Mental Health Support: Counseling or mind-body therapies address lingering emotional trauma, ensuring comprehensive recovery (Visionary Law Group, n.d.).
Dr. Jimenez’s clinic offers virtual and in-person coaching to ensure patients maintain these strategies, empowering them to live pain-free and healthy lives (Jimenez, 2025).
Motor vehicle accidents can have far-reaching effects, from back and neck pain to intestinal damage and emotional trauma. Functional medicine, combined with chiropractic care, offers a holistic and effective approach to recovery by addressing the root causes of these injuries and promoting overall well-being. Dr. Jimenez’s expertise in El Paso, Texas, exemplifies this approach, blending advanced diagnostics, personalized treatment plans, and legal documentation to support MVA victims. By focusing on individualized care, systemic healing, and long-term prevention, functional medicine enables individuals to regain their health and quality of life following an accident. If you or a loved one has been injured in an MVA, consider consulting a functional medicine practitioner like Dr. Jimenez to explore natural, comprehensive recovery options.
How Motor Vehicle Accidents Impact Mobility and Flexibility: A Comprehensive Guide
Introduction to Motor Vehicle Accidents and Their Impact
Motor vehicle accidents (MVAs) are a leading cause of injuries that can significantly affect a person’s ability to move freely and comfortably. Whether it’s a minor fender-bender or a severe collision, these accidents often result in physical injuries that limit mobility and flexibility, as well as emotional challenges that impact overall well-being. According to the National Center for Biotechnology Information, traffic accidents are the primary cause of spinal cord injuries in the United States, underscoring their serious consequences. This post examines the types of injuries caused by motor vehicle accidents (MVAs), their impact on daily life, and the crucial role of treatment and rehabilitation, offering special insights from Dr. Alexander Jimenez, a renowned chiropractor and nurse practitioner in El Paso, Texas, who specializes in treating victims of MVAs.
MVAs can lead to a range of injuries, from soft tissue damage like whiplash to severe spine and joint issues. These injuries often cause pain, stiffness, and reduced range of motion, making everyday tasks challenging. Beyond physical harm, victims may experience emotional distress, such as anxiety or post-traumatic stress disorder (PTSD), which can further hinder recovery. Understanding these impacts is crucial for seeking timely medical care and legal support, especially in personal injury cases where accurate documentation is essential.
References
National Center for Biotechnology Information. (n.d.). Spinal Cord Injury.
Common Injuries from MVAs That Affect Mobility and Flexibility
MVAs can cause various injuries that impair mobility and flexibility. Below, we discuss three main categories: soft tissue injuries, spine injuries, and joint injuries, each with significant effects on movement and function.
Soft Tissue Injuries: Whiplash and Beyond
Whiplash is one of the most common injuries resulting from MVAs, affecting nearly 2 million Americans each year (Metairie Spine and Rehab). A sudden jerk of the head forward and backward strains the neck’s muscles and ligaments, causing whiplash. Symptoms include neck pain, stiffness, and a reduced range of motion, which can make it difficult to turn the head or perform tasks like driving or working at a computer. Other soft tissue injuries, such as sprains or strains, can cause swelling and pain, further limiting movement (Wall Family Chiropractic).
Spine Injuries: Herniated Discs and Spinal Cord Damage
Spine injuries are among the most severe outcomes of MVAs. Damage to the soft tissue between vertebrae, known as herniated discs, can result in pain, numbness, and weakness in the limbs, thereby limiting mobility. More severe cases, such as spinal cord damage, may lead to partial or complete paralysis, drastically altering a person’s ability to move. The National Center for Biotechnology Information notes that traffic accidents are the leading cause of spinal cord injuries in the U.S., highlighting their prevalence. These injuries often result in chronic pain and significant mobility loss (Cox & Cox Filo).
References
National Center for Biotechnology Information. (n.d.). Spinal Cord Injury.
Joint Injuries: Osteoarthritis and Long-Term Effects
Joint injuries, such as those to the knees, shoulders, or hips, are common in MVAs and can lead to long-term complications like osteoarthritis. This condition causes chronic pain and stiffness, which limits movement and affects daily activities. Research suggests that joint damage from MVAs may require ongoing medical treatment and rehabilitation to manage symptoms and prevent further deterioration (Kitchel Law).
How These Injuries Affect Daily Activities and Quality of Life
The injuries caused by motor vehicle accidents (MVAs) can profoundly impact a person’s ability to perform daily tasks and maintain a high quality of life. Physical limitations, such as difficulty walking, lifting, or bending, can make routine activities like household chores, work, or hobbies challenging. For example, whiplash-related neck stiffness may hinder driving or desk work, while a herniated disc could prevent lifting heavy objects (Simply PT).
Emotionally, MVA victims may experience frustration, depression, or anxiety due to their reduced independence and persistent pain. Indirect trauma, such as PTSD or adjustment disorder, affects over 30% of crash survivors, leading to symptoms like flashbacks, avoidance of driving, or emotional numbness (Michigan Auto Law). These psychological effects can exacerbate physical challenges, creating a cycle of pain and disability that lowers overall well-being.
Impact Area
Physical Effects
Emotional Effects
Daily Activities
Limited mobility, difficulty with tasks like lifting or walking
Frustration, reduced independence
Work
Inability to perform job duties, reduced productivity
Anxiety about job security
Social Life
Restricted participation in hobbies or social events
Isolation and depression due to limited engagement
The Role of Physical Therapy and Rehabilitation in Recovery
Physical therapy and rehabilitation are crucial for regaining mobility and flexibility after a motor vehicle accident (MVA). Physical therapists utilize targeted exercises, manual therapy, and education to alleviate pain and enhance function. For instance, therapeutic exercises can help strengthen muscles weakened by whiplash, while manual therapy can improve joint mobility. (Sage Hill Physio).
Chiropractic care, often combined with physical therapy, focuses on spinal alignment and musculoskeletal health. Spinal adjustments and soft tissue therapy can alleviate pain and restore normal movement patterns. Studies, such as those published in the Journal of Chiropractic Medicine, suggest that combining these approaches leads to better outcomes in terms of mobility and pain reduction. (Wall Family Chiropractic).
Treatment Type
Techniques
Benefits
Physical Therapy
Manual therapy, therapeutic exercises, and education
Insights from Dr. Alexander Jimenez: Clinical Observations and Treatment Approaches
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a leading expert in treating motor vehicle accident (MVA)-related injuries in El Paso, Texas. At the El Paso Back Clinic, he specializes in personal injury and auto accident care, addressing conditions like whiplash, ligamentous injuries, and sciatica. His approach integrates chiropractic adjustments, physical therapy, and functional medicine to promote natural recovery without the need for unnecessary surgeries or medications (Dr. Alex Jimenez).
Dr. Jimenez utilizes advanced diagnostic tools, including X-rays, MRIs, and CT scans, to accurately assess the extent of injuries. These tools allow him to develop tailored treatment plans that address each patient’s unique needs. His comprehensive evaluations, which include posture assessments and neurological exams, ensure precise diagnoses. This precision is critical not only for effective treatment but also for providing detailed medical documentation required in personal injury cases, where he collaborates with legal teams to support claims (El Paso Back Clinic).
Personal Injury Cases in El Paso: Dr. Jimenez’s Expertise
In El Paso, Dr. Jimenez has established a reputation for treating a wide range of injuries related to motor vehicle accidents (MVAs), from soft tissue damage to complex musculoskeletal conditions. His clinic handles cases involving whiplash, compression injuries, thoracic outlet syndrome, and delayed symptoms from auto accidents. By working with a multidisciplinary team, including chiropractors, nutritionists, and nurse practitioners, he provides comprehensive care that addresses both physical and functional recovery (El Paso Back Clinic).
Dr. Jimenez’s ability to provide detailed medical records and testify in court makes him a valuable asset in personal injury cases. His documentation supports claims for compensation by clearly linking injuries to the accident, ensuring victims receive the support they need for recovery and financial relief.
The Importance of Advanced Imaging and Diagnostic Assessments
Advanced imaging and diagnostic assessments are crucial for both treating motor vehicle accident (MVA) injuries and supporting legal claims. Tools like X-rays, MRIs, and CT scans provide detailed views of internal damage, such as fractures, herniated discs, or soft tissue injuries. Dr. Jimenez collaborates with top diagnostic imaging clinics to ensure accurate diagnoses, which inform his treatment plans and enhance patient outcomes (El Paso Back Clinic).
In personal injury cases, these diagnostics are equally important for legal documentation. Precise medical records, supported by imaging results, strengthen claims for compensation by demonstrating the extent of injuries and their impact on the victim’s life. Dr. Jimenez’s expertise in correlating clinical findings with diagnostic results bridges the gap between medical treatment and legal requirements, benefiting his patients both in recovery and in court.
Addressing Indirect Trauma: Psychological Impacts of MVAs
Beyond physical injuries, MVAs can cause indirect trauma, such as emotional and psychological distress. Conditions like PTSD and adjustment disorders can cause symptoms such as flashbacks, avoidance behaviors, and anxiety, affecting over 30% of crash survivors. These issues can significantly impair daily functioning and quality of life, often requiring professional mental health support alongside physical treatment (Michigan Auto Law).
While Dr. Jimenez’s primary focus is on physical injuries, his holistic approach, which includes functional medicine, may address overall well-being, and he may refer patients to mental health specialists when needed. Recognizing and treating these psychological impacts is essential for comprehensive recovery.
Motor vehicle accidents can have a profound impact on mobility and flexibility, causing injuries like whiplash, herniated discs, and joint damage that limit movement and disrupt daily life. These physical challenges, combined with emotional distress like PTSD, can significantly reduce quality of life. However, with timely intervention through physical therapy, chiropractic care, and advanced diagnostics, recovery is possible. Dr. Jimenez’s expertise in El Paso exemplifies how comprehensive care, supported by precise diagnostics, can restore mobility and support legal claims in personal injury cases. BBy addressing both the physical and psychological impacts, victims can work toward achieving a full recovery and improved well-being.
What are the advantages of having a team of nurse practitioners and chiropractors help maintain the health of your spine after a car accident?
Benefits of Chiropractic and Nurse Practitioners for Motor Vehicle Collisions
One of the main causes of spinal injuries, such as whiplash, herniated discs, and soft tissue injury, which can cause severe pain and impair movement, is motor vehicle collisions (MVCs). For both short-term symptoms and long-term rehabilitation, these injuries frequently necessitate a multimodal therapy strategy. While nurse practitioners, as advanced practice registered nurses, conduct medical evaluations, write prescriptions, and oversee overall health management, chiropractors focus on musculoskeletal care, including spine adjustments and manual therapies. These professionals’ collaboration aims to provide a comprehensive, patient-centered strategy for spine health following MVC. (Kent, R., et al., 2023)
For those recuperating from auto accident injuries, a chiropractic and nurse practitioner team can offer thorough spinal health care with an emphasis on pain management and increased mobility.
A chiropractic and nurse practitioner team can offer a comprehensive approach to spinal health after a car accident by addressing pain, improving mobility, and facilitating faster recovery.
Chiropractors focus on spinal alignment and joint mobility.
Nurse practitioners provide broader medical oversight and patient education.
The team approach can lead to more effective and personalized care for individuals recovering from car accident injuries. (Riva, J. J., et al., 2010)
Key advantages of this collaborative approach
A chiropractor and nurse practitioner (NP) therapy team can combine their skills to provide comprehensive care for spine health following a motor vehicle collision (MVC) and address acute and long-term requirements.
Care that is multidisciplinary and holistic
Collaboration between chiropractors and NPs to address structural and systemic issues enhances treatment outcomes, particularly for spine injuries related to motor vehicle collisions (MVC), as well as for chronic headaches and neck discomfort. (Riva, J. J., et al., 2010)
Plans for Treatment That Are Unique to You
Chiropractors and NPs create personalized patient treatment plans, focusing on their specific injuries and overall health, including pre-existing conditions and medication needs. This approach enhances outcomes by tailoring care to the patient’s unique circumstances.
Managing Pain Without Relying Too Much on Drugs
By using non-invasive methods to alleviate pain, chiropractic therapy may help reduce the use of opioids. NPs can prescribe short-term pain relief and monitor side effects, ensuring safe use and reducing dependency risks. Natural pain management combined with medical supervision lessens dependence and side effects. (Prater, C., Tepe, M., & Battaglia, P. 2020)
Quicker Recuperation and Rehabilitation
As demonstrated in the treatment of auto accidents, chiropractic adjustments can lessen muscle spasms and restore joint function. By referring patients to physical therapy and tracking their progress, NPs can hasten recovery and reduce the likelihood of developing persistent back pain. This integrated therapy not only reduces chronic back pain and other long-term problems, but it also accelerates healing.
Help with Insurance and the Law
Chiropractic and medical providers must carefully record injuries and treatments for insurance claims or legal cases after an MVC to ensure just reimbursement and coverage for care.
Why It Works After MVC
Following a motor vehicle collision (MVC), a chiropractor and nurse practitioner team offers a patient-centered approach to spine health. This team enhances recovery, lowers chronic risks, and improves patient outcomes by fusing NP’s medical management with chiropractic knowledge. This method ensures rapid alleviation and long-term health, especially helpful for complex spine injuries due to MVC.
Injury, Chiropractic, and Functional Medicine Clinic
Dr. Jimenez, a nurse practitioner, uses medical knowledge and chiropractic care to treat various conditions. The clinic provides tailored care programs incorporating functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic focuses on strength, agility, and flexibility for treating chronic pain syndromes and injuries. Patients of all ages and abilities benefit from comprehensive care plans and in-person and virtual health coaching, ensuring tailored treatment and wellness outcomes.
Personal Injury Rehabilitation
References
Kent, R., Cormier, J., McMurry, T. L., Johan Ivarsson, B., Funk, J., Hartka, T., & Sochor, M. (2023). Spinal injury rates and specific causation in motor vehicle collisions. Accident; analysis and prevention, 186, 107047. doi.org/10.1016/j.aap.2023.107047
Riva, J. J., Muller, G. D., Hornich, A. A., Mior, S. A., Gupta, A., & Burnie, S. J. (2010). Chiropractors and collaborative care: An overview illustrated with a case report. The Journal of the Canadian Chiropractic Association, 54(3), 147–154.
Prater, C., Tepe, M., & Battaglia, P. (2020). Integrating a Multidisciplinary Pain Team and Chiropractic Care in a Community Health Center: An Observational Study of Managing Chronic Spinal Pain. Journal of primary care & community health, 11, 2150132720953680. doi.org/10.1177/2150132720953680
Can bone growth stimulators help promote bone healing in cases where fractures or fusions fail to heal properly?
Bone Growth Stimulator
Individuals who sustain broken bones typically heal the fracture with appropriate treatment, which may include casts, realignment, and surgery. This type of surgery is performed on the spine and joints throughout the body; typically, the bone heals without a problem. Bone healing is a natural process, as bones are constantly replaced with new ones, and after an injury, the body can heal the damage to the bone. However, bone healing sometimes does not happen correctly and/or completely. Bone healing can take a long time, which is known as a delayed union, or it may not occur at all, or a nonunion. This is when a healthcare provider could recommend bone growth stimulation.
How They Work
Bone growth stimulators apply external or implanted electrical or ultrasonic energy to the fracture or fusion site, stimulating bone growth. These devices are often used when a fracture doesn’t heal within the expected timeframe (a nonunion fracture) or when a spinal fusion has not successfully fused. (FDA, 2022)
They come in various shapes, sizes, and technologies depending on the location of the fracture.
The most commonly used bone stimulators in orthopedics are electrical and ultrasound stimulators.
The stimulator emits a pulsed electromagnetic or ultrasonic impulse to the area where bone healing should occur.
Most modern bone stimulators are attached near the fracture site or fused with a small battery pack and worn for a period each day that may last minutes or hours.
Electrical Stimulation
Devices deliver low-level electrical pulses to the fracture site, which can stimulate bone cells to create new bone tissue.
Ultrasound Stimulation
They emit low-intensity pulsed ultrasound waves, which are absorbed by the bone and can promote bone healing.
Implantable vs. External
Some stimulators are surgically implanted, providing constant stimulation directly at the fracture site, while others are external and worn over the skin or cast.
The goal is to activate a series of receptors in the body to encourage a healing response. (Childs, S. G. 2003) The stimulator activates a pathway that releases chemicals within the body to promote fracture healing. This type of process in the body is called a cascade, and it happens when one signal stimulates another method, and so on until healing is complete. The bone stimulator ensures this cascade continues until the healing process is complete.
Effectiveness
Studies of bone stimulator effectiveness suggest two benefits:
Less pain is associated with the bone healing process.
Faster fracture healing.
However, these studies haven’t shown that these differences lead to improved patient functional outcomes. It would seem that if there is less pain and faster healing, then the patient should recover without complications. However, some researchers have suggested this is probably because the differences in pain and healing times are small and not necessarily noticeable. (Aleem, I. S. et al., 2016)
While bone growth stimulators can be effective, the results can vary, and their effectiveness is still under investigation.
Some studies have shown that stimulators can reduce pain and speed up healing time, while others have shown mixed results.
It’s important to discuss the benefits and risks of bone growth stimulation with a doctor to determine if it’s the right treatment option.
When Stimulation is Necessary
Bone stimulators are currently not used for routine fracture healing. It is certainly possible that bone healing stimulators will be used routinely in the future. They seem to show some benefit in non-healing fractures or fractures that are likely troublesome to heal. Some reasons individuals may have problems healing fractures are injuries to the blood supply to and around the fracture, injuries to specific bones, and overuse-related fractures. (Victoria, G. et al., 2009) These injuries may include (FDA, 2022)
Nonunion Fractures
When a fracture doesn’t heal within the expected timeframe.
Open fractures
Stress fractures
Scaphoid bone fractures
Talus fractures
Failed Fusions
When a spinal fusion hasn’t been successful.
High-Risk Patients
For individuals with factors that can hinder bone healing, such as smoking, diabetes, or certain medications
Bone healing typically proceeds without much problem. However, there are situations where people have issues healing after fractures or surgery. Bone stimulators are not used for routine bone healing but in situations where steps may be needed to help stimulate the body. While the improvement may be small, it may be critical if it is the difference between healing and nonhealing.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
Aleem, I. S., Aleem, I., Evaniew, N., Busse, J. W., Yaszemski, M., Agarwal, A., Einhorn, T., & Bhandari, M. (2016). Efficacy of Electrical Stimulators for Bone Healing: A Meta-Analysis of Randomized Sham-Controlled Trials. Scientific Reports, 6, 31724. doi.org/10.1038/srep31724
Victoria, G., Petrisor, B., Drew, B., & Dick, D. (2009). Bone stimulation for fracture healing: What’s all the fuss?. Indian Journal of Orthopaedics, 43(2), 117–120. doi.org/10.4103/0019-5413.50844
For individuals dealing with or experiencing muscle pain and stiffness, how long does it take to loosen tight muscles?
Length Of Time to Loosen Tight Muscles
Tight muscles are often caused by overuse or strain, combined with muscle soreness, a common symptom of tight muscles. The soreness peaks around the third day and begins to subside, typically resolving within a few days. But if tightness persists or is accompanied by other symptoms like numbness, inability to move, or swelling, it’s important to consult a medical provider. (Spine Medicine and Surgery of Long Island, 2024) However, it can take much longer for individuals who have never stretched and have had tight muscles for years, depending on the severity, injury history, and underlying causes.
Factors Influencing Timeline
Consistent stretching can take anywhere from a few weeks to a few months to noticeably loosen tight muscles and improve flexibility. The specific time frame depends on factors like the severity of the tightness, underlying causes, and individual consistency with stretching. (Peterson Physical Therapy, 2024)
Severity of Tightness
Muscle knots and significant limitations in range of motion may take longer to resolve than minor stiffness.
Underlying Causes
If tightness is due to a specific injury or condition, addressing that cause is important for lasting and maintaining improvements. (Healthline, 2023)
Individual Factors
Genetics, age, and overall health can influence how quickly muscles adapt to stretching.
Consistency
Regular stretching, ideally daily or several times a week, is essential for feeling progress. (Mayo Clinic, 2023)
Stretching Routine
The length of time can vary based on the starting flexibility level and the specific stretching routine. (Mayo Clinic, 2023) It typically takes several weeks of consistent stretching, at least 3-4 times a week, to notice flexibility improvements. Longer-term changes, beyond the initial feeling of being looser, usually take 8 to 12 weeks.
Longer holds (1-2 minutes) can provide deeper benefits.
Long-term Gains
For substantial and sustained improvements, stretching consistently for several months is recommended. (Mayo Clinic, 2023)
Initial Changes
Individuals may notice small improvements in the first few weeks, especially starting from a more inflexible position.
Influencing Factors and Results
Individual genetics, current flexibility level, and the specific exercises can affect how quickly improvements are seen and felt. (Peterson Physical Therapy, 2024)
What To Expect
Improvements
Within a few weeks, individuals might notice a decrease in the sensation of tightness or increased ease in reaching a stretch. (Peterson Physical Therapy, 2024)
Longer-Term Changes
Significant muscle length and flexibility improvements may take several weeks to months of consistent effort.
Consider professional guidance for specific concerns or limitations. Consult a physical therapist or healthcare provider for personalized recommendations.
The length of time to see results means consistency and patience are important.
Injury Medical Chiropractic and Functional Medicine Clinic
As a Family Practice Nurse Practitioner, Dr. Jimenez combines advanced medical expertise with chiropractic care to address various conditions. Our clinic integrates Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine to create customized care plans that promote natural healing, mobility, and long-term wellness. By focusing on flexibility, agility, and strength, we empower patients to thrive, regardless of age or health challenges. At El Paso’s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately focus on treating patients after injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility, and agility programs tailored for all age groups and disabilities. We use in-person and virtual health coaching and comprehensive care plans to ensure every patient’s personalized care and wellness outcomes.
What are the recommendations for a pulled muscle injury to fully recover?
Pulled Muscle Recovery Time
A pulled muscle, medically known as a strain, occurs when muscle fibers are stretched too far and sometimes tear. A pulled muscle injury typically starts to heal within days. Mild injuries can heal completely in one to three weeks, but more serious strains or tears, depending on the severity, can take six to 12 weeks or longer. (Fernandes T. L., Pedrinelli A., & Hernandez A. J. 2015) Rest, hydration, healthy foods, and slowly returning to activity can help expedite healing time.
Timeline
The timeline for recovering from a pulled muscle depends on the injury’s severity.
Pulled muscles are typically categorized into three grades based on the degree and size of pulled muscle fibers, as follows (Hospital for Special Surgery, 2024)
Grade 1 (mild)
Heals in a few days.
A microscopic tear or stretch in the muscle fiber.
It might feel sore, but you can still use the muscle.
Grade 2 (moderate)
Heals in four to six weeks.
A partial tear in the muscle causes noticeable pain and swelling, making it harder to move or use the injured muscle.
Grade 3 (severe)
Heals in several months
This type of muscle strain causes a complete tear, also known as a rupture.
It results in intense pain, significant swelling, and inability to use the muscle.
Surgery may be required in some cases.
Larger muscles, such as the hamstrings and quadriceps, may take longer to heal than smaller muscles due to their increased size and greater weight-bearing loads.
Body Parts More Susceptible To Injury
The following are more susceptible to muscle strains, pulls, or tears (Nölle L. V. et al., 2022)
Neck – levator scapulae and trapezius
Shoulders – rotator cuff muscles
Lower back – erector spinae
Groin – adductors
Front of the thigh – quadriceps
Behind the thigh – hamstrings
Calves – gastrocnemius and soleus
Healing Stages and Factors
Pulled muscles heal in three predictable stages, though the timing and progression may vary by individual and injury severity (Baoge L. et al., 2012).
Inflammatory Stage (zero to three days)
When pulling a muscle, the body reacts instantly with an inflammatory response that may include swelling, redness, bruising, and pain.
Rest is important during this stage to prevent the injury from getting worse.
Repair Stage (three to 21 days)
Damaged muscle fibers are repaired and regrow during this stage.
Collagen fills in any tears to rebuild damaged muscle tissue.
Gentle movement and easy activity can help the fibers line up properly and reduce stiffness.
Start slowly moving a pulled muscle as soon as possible, but avoid too much activity too soon, as it can delay and prolong healing.
Remodeling Stage (three weeks to one year)
Repaired tissue gets stronger and adapts to regular movement.
Gradually adding more activity, stretching, and strengthening exercises helps treat a pulled muscle and return to full strength and function but should be done carefully to avoid re-injury.
Avoid activities that cause pain, but move the muscle gently to prevent stiffness.
Prolonged rest can slow healing, so maintain a balance between rest and exercise.
Ice
Add ice for 10–20 minutes for the first 48 hours to reduce swelling and pain.
Ice helps control inflammation by limiting blood flow to the injured area.
Compression
Use compression stockings or wrap the injured part in bandages to help reduce swelling.
Ensure the binding is not too tight so circulation is not cut off.
Elevation
Raise the injured area above heart level throughout the day.
This helps reduce swelling by allowing fluids to drain away from the injury site.
Heat
After the first two to three days, heat therapy increases blood circulation and improves flexibility, helping the muscle heal.
Eat Healthy
Get enough protein for muscle repair.
Maintain Hydration
Drink plenty of water to help with circulation and muscle lubrication.
Massage and Physical Therapy
These hands-on interventions can improve circulation, help reduce scar tissue, and restore range of motion.
Over-the-counter Medications
If needed, over-the-counter nonsteroidal anti-inflammatory medications like Advil or Motrin (ibuprofen) and Aleve (naproxen sodium) can help with pain and swelling.
Only use as directed.
These steps can help promote faster healing and expedite returning to normal daily activities.
When to Resume Normal Activity
Individuals may need one to two weeks to recover before resuming normal activity for mild strains. However, for more severe injuries, it could take four to six weeks or longer to return to all daily activities. (Harvard Health Publishing, 2023) It’s essential to gradually return to daily activities to avoid reinjury, which can delay and prolong healing. Follow these recommendations to recover from a pulled muscle safely and quickly (Kraemer W., Denegar C., & Flanagan S. 2009)
Once the pain has subsided, the swelling has decreased, and the muscle feels better, start with low-impact exercises.
Slowly resume normal activities, avoiding overexerting the injured area.
Gradually increase activity levels and stop if there is any pain.
Avoid strenuous activities that place excessive stress on the injured muscle until the muscle is completely healed.
Contact a Healthcare Provider
While most pulled muscles heal with home care, seek medical attention if: (Penn Medicine, 2023)
Pain persists or worsens after seven to 10 days.
This can indicate a more serious injury, such as a severe torn muscle.
Significant pain, loss of motion and strength, and swelling disrupt daily activities or show signs of worsening despite rest and self-care.
It is difficult to move the affected area, or the muscle cannot bear weight, suggesting a more severe injury.
There are signs of infection, including redness, warmth, increased swelling, or fever, especially if the skin is cut or broken near the injured area.
There is unusual bruising or a visible deformity, which could indicate a bone fracture requiring professional evaluation.
A healthcare provider may recommend imaging studies, such as MRI, ultrasound, or X-rays, to assess the extent of the injury, rule out fractures, or check for muscle tears.
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Say Goodbye to Pain with Chiropractic Care
References
Fernandes, T. L., Pedrinelli, A., & Hernandez, A. J. (2015). MUSCLE INJURY – PHYSIOPATHOLOGY, DIAGNOSIS, TREATMENT, AND CLINICAL PRESENTATION. Revista brasileira de ortopedia, 46(3), 247–255. doi.org/10.1016/S2255-4971(15)30190-7
Nölle, L. V., Mishra, A., Martynenko, O. V., & Schmitt, S. (2022). Evaluation of muscle strain injury severity in active human body models. Journal of the mechanical behavior of biomedical materials, 135, 105463. doi.org/10.1016/j.jmbbm.2022.105463
Baoge, L., Van Den Steen, E., Rimbaut, S., Philips, N., Witvrouw, E., Almqvist, K. F., Vanderstraeten, G., & Vanden Bossche, L. C. (2012). Treatment of skeletal muscle injury: a review. ISRN orthopedics, 2012, 689012. doi.org/10.5402/2012/689012
Laumonier, T., & Menetrey, J. (2016). Muscle injuries and strategies for improving their repair. Journal of Experimental Orthopaedics, 3(1), 15. doi.org/10.1186/s40634-016-0051-7
Kraemer, W., Denegar, C., & Flanagan, S. (2009). Recovery from injury in sport: considerations in the transition from medical care to performance care. Sports Health, 1(5), 392–395. doi.org/10.1177/1941738109343156
Broken bones are common injuries. Because children’s bones grow rapidly, they have increased flexibility. When injuries, specifically fractures, occur, they do not always break cleanly across the bone or into pieces. What type of fracture is this, and how are they treated?
Greenstick Fracture
A greenstick fracture is a partial break in a bone that occurs when a bone bends and cracks instead of breaking into separate pieces. (Wolfe J. A. et al., 2019) The term is based on a young green branch that bends and splinters but does not break into pieces when bent. Only one side of the bone is broken, while the other side gets bent. Many children experience at least one fracture during their growing years. This is one of multiple fracture types seen in children. They can happen in adults but are uncommon.
Causes
Greenstick fractures mostly occur in infants or toddlers, sometimes in children during their early adolescent and pre-adolescent years. They are partial-thickness fractures (a break in a bone that doesn’t completely break it) characterized by a break on one side and a bend on the other. Buckle fractures and bow fractures are different types of partial-thickness fractures. Greenstick fractures commonly occur:
In children under 10 years old
Occurs when a child reaches out to break a fall
During motor vehicle collisions
Sports
Direct impacts
Non-accidental trauma
It is more common in long bones, including:
Radius
Ulna
Humerus
Fibula
Tibia
Clavicle
The fracture pattern often indicates a limb’s bending or contortion.
Deformity, such as the affected body part looking crooked or out of alignment.
Treatment
If the bone is not significantly bent out of alignment, a splint or cast may be all that is necessary to treat the break. If the bone is visibly out of alignment, it must be manually straightened before the limb is put into a cast. If the break is severe, surgery may be required. Fortunately, a growing skeleton can remodel bone, so fractured bones can often realign themselves over time with minimal intervention. Healing depends on various factors, including:
Sometimes, the fracture must be bent back and repositioned in a fracture reduction procedure. An anesthetic may be used as the doctor manually realigns the bone into the correct position. After the reduction, a cast or splint will stabilize the bone and maintain proper alignment. Depending on how quickly the bone heals, a cast may be necessary for a few weeks, months, or longer, depending on the patient and/or underlying conditions.
Healing
Healing involves specialized cells that gradually rebuild and fine-tune the new bone.
The average time for a greenstick fracture to heal completely may take four weeks.
Injury Medical Chiropractic & Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Building a Stronger Body
References
Wolfe, J. A., Wolfe, H., Banaag, A., Tintle, S., & Perez Koehlmoos, T. (2019). Early Pediatric Fractures in a Universally Insured Population within the United States. BMC pediatrics, 19(1), 343. doi.org/10.1186/s12887-019-1725-y
Pountos, I., Clegg, J., & Siddiqui, A. (2010). Diagnosis and treatment of greenstick and torus fractures of the distal radius in children: a prospective randomised single-blind study. Journal of children’s orthopaedics, 4(4), 321–326. doi.org/10.1007/s11832-010-0269-3
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