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Injury Care

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

Percussive Massage Therapy: Back Clinic

Percussive Massage Therapy: Back Clinic

The body’s musculoskeletal system consists of bones, cartilage, ligaments, tendons, and connective tissues. These parts get pushed to the extreme with everyday wear and tear, job, school, house chores, and tasks. All the flexing and contracting cause tightness, strain, and soreness that can contribute to negative muscle behavior that holds the muscles in an unhealthy position and in a semi-flexed or tightened state. An example is an unhealthy posture that becomes the norm for an individual. A percussive massage can release tightness, maintain flexibility, relieve discomfort, alleviate stress, and improve circulation.How Percussive Massage Therapy Works: Injury Chiropractor

Percussive Massage Therapy

A percussive/percussion massage is a form of physical therapy that utilizes vibration through repeated pressure bursts to massage muscles. Percussive therapy offers more control over targeted muscle groups than foam rollers and other static massagers. The treatment involves using an electric massage device to relieve muscle tension. Different massage heads for various therapeutic purposes move rapidly and forcefully, applying pressure directly to the soft tissues while the vibrations help release and loosen the areas.

How The Massage Works

  • Fascia, which wraps around the muscles and joints, can become tight and inflamed, causing soreness and pain.
  • Research shows that tight fascia can limit mobility and proper range of motion.
  • When a muscle group is stiff and limits the range of motion of a specific part of the body, the rest of the muscles and body will overcompensate. This increases the risk of serious injury.
  • Percussive therapy loosens the tissues and increases blood circulation.
  • Once the stiffness and soreness are relieved, continued percussive therapy can prevent tightness from reforming, improve the range of motion, and speed up muscle recovery.
  • Massage guns can penetrate up to an inch into the soft tissue, stimulating the muscles and helping release tension.


Improved mobility

  • Percussive massage distributes the thickened fascia fluid to relieve pressure and tightness.
  • Repeated pressure at high speed thins the fluids, making the fascia more workable so the muscles can move easily and efficiently.

Reduced Soreness

  • Lactic acid builds up in the muscles after working, physical activity, and exercise.
  • This build-up causes soreness and pain.
  • The percussion forces muscle fibers to release the lactic acid, reducing the soreness.

Decreased DOMS/Delayed Onset Muscle Soreness

  • It’s common to experience pain and soreness 24 to 72 hours after unfamiliar physical activity, such as a new job, exercise routine, or rehabilitation after injury or surgery.
  • This is known as delayed onset muscle soreness or DOMS, which results from tiny muscle fiber tears.
  • Percussive therapy increases skin temperature, blood flow, and hormonal responses to reduce inflammation and pain.

Increases Relaxation

  • After work, school, physical activities, and working out, a percussive massage session can help the body wind down and relax.
  • A percussive massage will help the muscles release and relax when the body is exhausted or overwhelmed.

How To Use A Percussive Massager

  • Before starting a new medical treatment, including percussion therapy, talk to your doctor, physical therapist, or chiropractor.
  • Ensure you know the difference between normal muscle soreness and pain from an injury.
  • Don’t use a massager on an injured muscle or body part, as the aggressive motion could aggravate the injury.
  • Avoid using the device on bones or joints.
  • Never use a massage gun directly on the neck; perform the massage on the shoulders and upper back.
  • Start with the lowest intensity level.
  • The low and medium settings should provide plenty of power for most users.
  • As you become more comfortable with the device, you’ll understand how your body reacts then you can try out the higher settings.
  • A percussive massager should be used in short bursts on small, targeted areas.
  • It is recommended to perform treatments for only a few minutes.
  • Seeing the muscles turning reddish during the massage signals that blood is flowing and it’s time to move on to another area.
  • If the massage gun makes the skin sore or sensitive, make tiny circles instead of holding the massager in one spot.
  • Some massagers have pressure-sensing technology to help apply the right amount of pressure.

Combined with chiropractic and professional massage, percussive therapy can help individuals maintain a relaxed musculoskeletal system. 

Best Massage Guns


Cafarelli, E et al. “Vibratory massage and short-term recovery from muscular fatigue.” International journal of sports medicine vol. 11,6 (1990): 474-8. doi:10.1055/s-2007-1024840

Cerciello, Simone, et al. “Clinical applications of vibration therapy in orthopedic practice.” Muscles, ligaments and tendons journal vol. 6,1 147-56. 19 May. 2016, doi:10.11138/mltj/2016.6.1.147

Cheatham, Scott W et al. “Mechanical Percussion Devices: A Survey of Practice Patterns Among Healthcare Professionals.” International journal of sports physical therapy vol. 16,3 766-777. 2 Jun. 2021, doi:10.26603/001c.23530

García-Sillero, Manuel et al. “Acute Effects of a Percussive Massage Treatment on Movement Velocity during Resistance Training.” International journal of environmental research and public health vol. 18,15 7726. 21 Jul. 2021, doi:10.3390/ijerph18157726

Jack Martin, “A critical evaluation of percussion muscle gun therapy as a rehabilitation tool focusing on lower limb mobility.” A literature review. Department of Health and Wellbeing. The University of Winchester.

Imtiyaz, Shagufta et al. “To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS).” Journal of clinical and diagnostic research: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971

Konrad, Andreas et al. “The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles’ Range of Motion and Performance.” Journal of sports science & medicine vol. 19,4 690-694. 19 Nov. 2020

Back Injuries From Vehicle Collisions Chiropractic Back Clinic

Back Injuries From Vehicle Collisions Chiropractic Back Clinic

Back injuries from vehicle collisions vary from person to person. Common injuries may include strains, sprains, herniated discs, and fractures, and individuals dealing with certain spinal conditions like spinal stenosis may cause the medical condition to accelerate. Still, the force and physical impact the body absorbs during a crash, no matter how minor the accident or how safe the car is, will cause bodily aches and pains with the potential for other spinal conditions. Chiropractic care, massage, decompression, and traction therapy can relieve symptoms and restore mobility and function.

Back Injuries From Vehicle Collisions Chiropractor

Back Injuries From Vehicle Collisions

Depending on how the impact affects the spine, problems can present in various areas of the back. The violent motion can sprain, strain, and fracture spinal components. Even minor incidents can impact mobility. Symptoms can stem from inflammation, compressed nerves, or fractures. Any damage can have long-lasting effects on the vertebrae, nerve roots, and back muscles. A vehicle collision can affect the following:

  • Lumbar vertebrae – lower back
  • Thoracic vertebrae – middle/upper back
  • Cervical vertebrae – neck

Each area consists of bones, tissues, muscles, nerves, tendons, and ligaments extending from the neck to the pelvis.

  • The most common back injuries are to the neck and lower back, where the most movement and shifting occurs, often causing nerve damage.
  • The central placement and rigid structure make middle back injuries less common.
  • Upper back injuries that connect the rib and chest region can affect breathing.
  • Soft tissue injuries might not show up immediately.


After a vehicle collision, it’s common to feel sore all over. The symptoms can range from manageable discomfort to complete immobility. Individuals may experience the following:

Muscle spasms

  • The muscle may repeatedly twitch, feel like hard knots, and feel tender to the touch.
  • Muscle spasms can vary in pain levels from mild to debilitating.


  • Individuals may not feel as flexible because of the muscle tension that activated during the crash to protect the body.
  • Stiffness can go away after light stretching or continue throughout the day.

Burning or Shooting Pain

  • A burning or shooting pain may travel down the back and buttocks through the back of one or both legs.
  • It can be mild, dull aches and pains that go away quickly or last for days.
  • Changing positions, such as sitting up after waking up or standing up after sitting, can cause sharp acute pain.
  • Facet disease may cause neck or shoulder pain.

Discomfort When Walking or Standing

  • Certain physical activities can cause a throbbing sensation or mild pain when attempting to perform various tasks.

Tingling and/or Numbness

  • Tense muscles can pinch nerves leading to sensations of tingling or numbness in the legs, feet, arms, or hands.

Head Issues

  • Headaches, dizziness, or disorientation can present.

Spinal Disorders

Back injuries from vehicle collisions can result in a degenerative disc disorder months or years later. It can also speed up health issues individuals didn’t know they had before the crash. As the body ages, previous damage combined with degeneration can result in:

  • Pinched nerves
  • Sciatica
  • Bulging discs
  • Herniated discs
  • Spinal stenosis
  • Degenerative disc disease
  • Foraminal stenosis
  • Spondylolisthesis
  • Spinal osteoarthritis
  • Bone spurs
  • Degenerative scoliosis

Discogenic pain

  • Damage to spinal discs causes discogenic pain, often sharp impulses or shooting sensations.
  • Individuals can experience symptoms in different ways:
  • Some individuals feel better when standing, sitting, or lying down, while the positions or motions worsen the symptoms for others.

Chiropractic Care and Therapies

Chiropractic treatment can rule out critical issues and expedite recovery time. Benefits include:

Pain Symptom Relief

  • Chiropractic relieves pain in the affected areas and throughout the body.
  • Massaging and decompression release endorphins.

Inflammation Alleviation

  • Micro-tears within the muscles and ligaments are common and cannot be found through a standard x-ray.
  • Spinal adjustments can bring the spine back into alignment, producing natural anti-inflammatory properties to assist with discomfort and heal the tears.

Scar Tissue Breakdown

  • Muscles can get scarred, causing stiffness and soreness.
  • Chiropractic massage targets these areas and breaks down the build-up quicker than if it was left to heal on its own.
  • Less scar tissue means faster recovery.

Range of Motion and Mobility Restored

  • Back injuries can result in restricted mobility.
  • It may be difficult to turn or move when the muscles are inflamed.
  • Mobilizing the spine through adjustments restores the proper range of motion.

Decreased Medication Use

  • Prescription pain medications can turn into dependency.
  • Chiropractic adjustments can ensure that the injury is healed and the pain is not just masked.

Long-Term Benefits

  • Receiving chiropractic care can help prevent minor injuries from worsening into serious and chronic conditions.

Post Whiplash Symptoms


Erbulut, Deniz U. “Biomechanics of neck injuries resulting from rear-end vehicle collisions.” Turkish neurosurgery vol. 24,4 (2014): 466-70. doi:10.5137/1019-5149.JTN.9218-13.1

National Spinal Cord Injury Statistical Center. (2020) “Spinal Cord Injury: Facts and Figures at a Glance.” www.nspine

Rao, Raj D et al. “Occupant and Crash Characteristics of Elderly Subjects With Thoracic and Lumbar Spine Injuries After Motor Vehicle Collisions.” Spine vol. 41,1 (2016): 32-8. doi:10.1097/BRS.0000000000001079

Rao, Raj D et al. “Occupant and crash characteristics in thoracic and lumbar spine injuries resulting from motor vehicle collisions.” The spine journal: official journal of the North American Spine Society vol. 14,10 (2014): 2355-65. doi:10.1016/j.spinee.2014.01.038

Tendons and Ligaments Injuries Chiropractic Back Clinic

Tendons and Ligaments Injuries Chiropractic Back Clinic

Tendons and Ligaments: A tendon is a fibrous flexible, strong tissue similar to a rope that attaches the muscles to the bones. Tendons allow for the movement of the body’s limbs and help prevent muscle injury by absorbing muscles’ impact when running, jumping, or performing other actions. Ligaments are bands of solid elastic tissue that connect bone to bone, hold structures together and keep them stable, support the joints and limit their movement.Tendons and Ligaments Injuries Chiropractic Team

Tendons and Ligaments

  • Tendons are strong and non-flexible.
  • Ligaments are flexible and elastic.
  • Both comprise collagen and living cells, essential in joints and bones and integral to locomotion.
  • Tendons allow body movement by transmitting force from muscle to bone, allowing the body to stand, walk, and jump.
  • Ligaments work by allowing for the full range of motion.
  • Ligaments are around the knees, ankles, elbows, shoulders, and other joints.

Connective Tissue

  • The collagen connective tissue that makes up tendons and ligaments is the same; their patterns are different.
  • Tendon fibers are laid out in a parallel pattern.
  • Tendon connective tissue needs to have more elasticity to help move the muscles.
  • Ligament fibers are laid out in a crisscross pattern. 
  • Ligament connective tissue stabilizes and strengthens the bones’ joint structure.

Tendon Injury

A tendon that gets overstretched or torn is known as a strain. Common areas affected by strains are the:

  • Leg
  • Foot
  • Back

Strains often result from repetitive work movements, intense physical activity, and sports. Individuals who overuse their bodies without proper rest and muscle repair recovery have an increased risk of injury. Symptoms include:

  • Inflammation
  • Swelling
  • Pain
  • Cramping
  • Weakness

Ligament Injury

A ligament that gets overstretched or torn results in a sprain. Sprains can happen suddenly from a fall, awkward movement, or trauma. Sprains commonly occur in the:

  • Ankle
  • Knee
  • Wrist

Examples include:

  • Misstep causing the ankle to twist in an awkward position, snapping a ligament and causing unstableness or wobbliness.
  • There could be a popping sensation or the feeling of a tear when the injury occurs.
  • Wrist sprains often happen when reaching out and extending the hands to break a fall, and the wrist hyperextending back.
  • The hyperextension overstretches the ligament.

Symptoms of a sprained ligament include:

  • Inflammation
  • Swelling
  • Bruising
  • Pain
  • The joint may feel loose or weak and unable to take on weight.

The intensity of symptoms varies depending on whether the ligament is overextended or torn. Sprains are classified by grade:

  • Grade 1 – a mild sprain with slight stretching of the ligament.
  • Grade 2 – a moderate ligament tear, but not a complete tear.
  • Grade 3 – a complete ligament tear, making the joint unstable.

Chiropractic Care

Tendons and ligaments do not receive full blood circulation like other soft tissues. Depending on the severity of the injury, and the slower transfer of oxygen and nutrients, ligament and tendon injuries can take six to twelve weeks to heal, and repeatedly stressing the injured area from overuse can extend recovery. Chiropractic adjustments, and massage therapy, combined with corrective exercises and stretches, will reduce inflammation, decrease pain, improve the range of motion, increase nerve and muscle function, and strengthen the muscles. Chiropractic treatment involves:

  • Soft tissue work
  • Percussive massage
  • Cross friction massage
  • Deep tissue massage
  • Trigger point therapy
  • Rest
  • Ice
  • Compression
  • Elevation
  • Ultrasound
  • Anti-inflammatory nutritional recommendations

Knee Injuries Adjustment


Childress, Marc A, and Anthony Beutler. “Management of chronic tendon injuries.” American family physician vol. 87,7 (2013): 486-90.

Fenwick, Steven A et al. “The vasculature and its role in the damaged and healing tendon.” Arthritis research vol. 4,4 (2002): 252-60. doi:10.1186/ar416

Leong, Natalie L et al. “Tendon and Ligament Healing and Current Approaches to Tendon and Ligament Regeneration.” Journal of orthopedic research: official publication of the Orthopaedic Research Society vol. 38,1 (2020): 7-12. doi:10.1002/jor.24475–conditions/sprains-strains-and-other-soft-tissue-injuries

Scalcione, Luke R et al. “The athlete’s hand: ligament and tendon injury.” Seminars in musculoskeletal radiology vol. 16,4 (2012): 338-49. doi:10.1055/s-0032-1327007

Forklift and Lift Truck Accidents and Injuries Back Clinic

Forklift and Lift Truck Accidents and Injuries Back Clinic

Forklifts, also known as lift trucks, are used for loading, unloading, and transporting various goods and materials in construction, shipping, and retail industries. They are heavy-duty equipment and require extensive training to operate safely. Forklifts are involved in many serious workplace accidents causing thousands of injuries annually. Chiropractors specialize in injury care and rehabilitation from vehicle accidents and collisions. They can help restore optimal musculoskeletal function and health through adjustments, massage, decompression, and traction therapies.Forklift and Lift Truck Accidents and Injuries Chiropractor

Forklift Operation

The forklift is one of the most widely used pieces of equipment to raise, lower, or remove pallets, boxes, crates, or other containers and transport and stock goods and materials. There are a variety of lift trucks that include:


The weight, speed, and operation difficulty increase the risk of an accident, increasing the risk of injuries. Other factors include:

  • They can reach up to 20 miles per hour or more.
  • They have front braking systems making it harder to stop.
  • The weight distribution is in the back.
  • The rear wheels turn instead of the front, causing tip-overs.
  • Most carry their loads in front and can obstruct an operator’s view.
  • Lifting too heavy a load can destabilize a forklift and cause it to turn over.

Accident and Injury Causes

Federal work safety regulations require individuals to complete a training program to operate a forklift safely. The most common causes of accidents include:

  • Lack of training and experience.
  • Lack of safety equipment – helmets, seatbelts, grab handles, roll cages, cage guards, warning lights, and sirens.
  • Lack of maintenance – bent forks, no load backrest, unbalanced wheels, etc.
  • Improper loading – off center, damaged goods, loose loads.
  • Lifting, moving or tilting the mast too fast.
  • Riding with a raised load.
  • Speeding.
  • Improper backing-up techniques.
  • Poor communication.
  • Horseplay.
  • Giving rides.
  • Failing to immobilize the machine when the operator leaves.
  • Failing to pay attention to the position of the forks.
  • Failing to yield to pedestrians.
  • Traveling up or down unsafe inclines.
  • Driving off the side of a ramp.
  • Design or manufacturing defects.

Common Accidents

The most common type of accidents involve:

  • Tip-overs and Rollovers.
  • Falling off the lift.
  • Getting struck by falling materials or objects.
  • Pedestrian injuries like getting hit by the vehicle or tripping over the forks.
  • Getting caught in or compressed/crushed by the vehicle or objects.


The most common injuries that result from lift accidents include:

  • Contusions
  • Sprains
  • Muscle tears
  • Back pain disorders
  • Crush injuries
  • Fractures

Chiropractic Therapy and Rehabilitation

Chiropractic therapy can help heal and rehabilitate musculoskeletal injuries. A chiropractic team will relieve pain symptoms and restore the body’s alignment and function. Treatment includes:


  • To gently realign joints.
  • Decrease pain.
  • Increase range of motion.
  • Improves posture.

Soft-tissue massage

  • To relax tight muscles.
  • Relieve spasms.
  • Release tension in the connective tissue surrounding the muscles.
  • Reduces pain.
  • Improves the range of motion of the spine and joints.

Exercises and stretches

  • To restore and maintain flexibility, joint stability, and mobility.

Joint bracing and taping

  • To support sprained joints or muscles during healing.

Health Coaching

  • Guides diet and nutrition to reduce inflammation and promote healthy eating to manage weight.

Forklift Fails


Bage, T et al. “Forklift-related lower limb injuries: a retrospective case series study with patient-reported outcome measures (PROMs).” Annals of the Royal College of Surgeons of England vol. 103,10 (2021): 730-733. doi:10.1308/rcsann.2020.7124

Born, C T et al. “Patterns of injury and disability caused by forklift trucks.” The Journal of trauma vol. 40,4 (1996): 636-9. doi:10.1097/00005373-199604000-00020

Hong, Choon Chiet, et al. “Forklift-Related Crush Injuries of the Foot and Ankle.” Foot & ankle international vol. 36,7 (2015): 806-11. doi:10.1177/1071100715576486

Ull, Christopher et al. “Injuries after Forklift Trucks Accidents – Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance.” “Gabelstaplerunfälle – Verletzungsmuster, Therapie und Outcome im berufsgenossenschaftlichen Kontext.” Zeitschrift fur Orthopadie und Unfallchirurgie, 10.1055/a-1402-1649. 19 Apr. 2021, doi:10.1055/a-1402-1649

Waters, Thomas et al. “Lower back disorders among forklift operators: an emerging occupational health problem?.” American journal of industrial medicine vol. 47,4 (2005): 333-40. doi:10.1002/ajim.20146

Muscle Guarding After Strain or Injury Chiropractic Back Clinic

Muscle Guarding After Strain or Injury Chiropractic Back Clinic

Individuals that have experienced a muscle strain, pull, spasm, etc., that has healed can begin to behave overly cautious, avoiding putting full weight on the area or using full motion out of fear of re-injuring it. This can and does strain other body areas because of the imbalance and awkward positioning. It also leads to anxiety, emotional distress, and decreased self-confidence in everyday movement. Adjustments, massage, and decompression therapy can maintain musculoskeletal health, and a chiropractor can help retrain individuals on healthy posture and confident movement. Muscle Guarding After Strain or Injury Chiropractor

Muscle Guarding

Muscles can be held in a position of readiness to act, like the stress response of fight or flight. When this happens, the muscles are partially contracted in preparation for action and is a form of muscle-guarding. But once the fight or flight passes, the muscles relax into their normal position. With injury muscle guarding, the fears and stresses after recovering from an injury can cause the injured and non-injured muscles to stay in the guarded/semi-contracted position. The longer the muscle guarding continues, fatigue begins to set in, decreasing function, restricting mobility, and making the body more vulnerable to damage and injury.

The Brain

The discomfort, pain, or just the thought reinforces the need to guard the area. The brain will find a way to move without causing pain and create compensating but unhealthy movement patterns that strain the other areas of the body. The body adapts to not using the formerly injured muscles and now relies on the other muscles to perform the functions in a non-relaxed state that can become normal, causing stiffness, soreness, tenderness, tendon tension, and pain.

  • An example is a hip strain, pull or spasm that has been treated and has healed, but the individual is fearful of another injury or going through the painful experience again and begins walking by shifting all their weight to the other side and steps with a limp or some abnormal motion that strains and/or injures the rest of the body.

Chiropractic Treatment and Retraining

Individuals experiencing muscle guarding can find help through chiropractic to retrain their muscles to return to their normal position and regain confidence in their movements. The body will be rebalanced by releasing and relaxing the tight muscles. Then therapeutic repetitive movements, specialized exercises, stretches, and relaxation techniques will help the individual relearn to use the muscles without fear.

Protective Muscle Guarding


Hanlon, Shawn et al. “Examining Ankle-Joint Laxity Using 2 Knee Positions and With Simulated Muscle Guarding.” Journal of athletic training vol. 51,2 (2016): 111-7. doi:10.4085/1062-6050-51.3.06

Olugbade, Temitayo et al. “The relationship between guarding, pain, and emotion.” Pain reports vol. 4,4 e770. 22 Jul. 2019, doi:10.1097/PR9.0000000000000770

Prkachin, Kenneth M et al. “Pain behavior and the development of pain-related disability: the importance of guarding.” The Clinical journal of pain vol. 23,3 (2007): 270-7. doi:10.1097/AJP.0b013e3180308d28

Brachial Plexus Nerve Injury: Chiropractic Back Clinic

Brachial Plexus Nerve Injury: Chiropractic Back Clinic

The body’s nerves are the communication system that carries messages between the brain and the rest of the body. Some nerves transmit messages from the brain to muscles to make the body move, while others relay pain, pressure, or temperature signals. Tiny fibers bundled inside each nerve carry the messages with an outer layer/sheathing that insulates and protects the nerves. The brachial plexus is a network of nerves that send signals from the spinal cord to the shoulders, arms, and hands. A brachial plexus nerve injury occurs when the nerves are over-stretched, compressed, torn, cut, or ripped from the spinal cord.

Brachial Plexus Nerve Injury Chiropractor

Brachial Plexus Nerve Injury

The injury involves the head or neck hitting or getting hit and shifting to one side while the shoulder is stretched/pulled in the opposite direction.

  • Minor brachial plexus injuries are commonly known as stingers or burners and are common in sports like football, wrestling, hockey, soccer, and basketball.
  • Severe brachial plexus injuries can cause arm paralysis and usually result from vehicle or motorcycle accidents.
  • Other conditions like inflammation or tumors can affect the brachial plexus.
  • Sometimes babies can sustain brachial plexus injuries during birth.
  • Pressure and stretching injuries do not physically sever the nerve but can disrupt communication.
  • Cutting injuries vary depending on the severity of the cut and because the nerves are in a protective canal that can also be fractured or broken. If the canal remains intact, the nerve fibers could grow back with time.
  • However, surgery is necessary to repair the damage if the canal is broken.
  • A neuroma/scar tissue can develop if left unrepaired, causing pain.


Signs and symptoms of a brachial plexus nerve injury can vary, depending on the severity and location of the injury. Usually, only one arm is affected.

Minor Injuries

Minor damage comes from over-stretching or mild compression.

  • An electric or burning sensation shoots down the arm.
  • Numbness and weakness in the arm.
  • Neck pain.
  • These symptoms usually last for a few seconds or minutes but can linger for days or longer.

Severe Injuries

More-severe symptoms result from injuries that impact, tear, or rupture the nerves.

  • The most severe injury occurs when the nerve root is torn from the spinal cord.

Symptoms include:

  • Intense pain.
  • Writhing neck pain.
  • Weakness or inability to use specific shoulder, arm, and/or hand muscles.
  • Complete lack of movement and feeling in the shoulder, arm, and/or hand.
  • Symptoms in both arms.


With time, most brachial plexus injuries in children and adults heal with minimal long-term damage. But some injuries can cause long-lasting problems that include:

Joint Stiffness

  • The joints can stiffen, making movement difficult.
  • Healthcare providers often recommend ongoing chiropractic and physical rehabilitation during recovery.


  • Nerves regrow slowly and can take some time to completely heal after the injury.
  • During that time, lack of use can cause the muscles to break down.

Chronic Pain

  • Nerve damage can cause pain signals to be constantly firing.


  • It can occur in the arm or hand, increasing the risk of worsening the injury or causing new injuries.


  • Recovery from a severe brachial plexus injury depends on age, damage, location, and severity.
  • Even with surgery, individuals can experience long-term muscle weakness or paralysis.

Chiropractic Treatment and Rehabilitation

Treatment depends on the severity of the damage. Chiropractic can help realign, rehabilitate, stretch, and strengthen the muscles, nerves, tendons, joints, and ligaments to expedite recovery. For less severe injuries:

  • Muscle strengthening and posture exercises help maintain motion.
  • Transcutaneous electrical nerve stimulation for pain control.
  • Therapeutic massage will stimulate circulation and keep the muscles loose.

For severe injuries:

  • Surgery
  • Continued chiropractic and physical rehabilitation to maintain thorough circulation, range of motion, and relaxed muscles.

The Brachial Plexus


Brucker, J et al. “Brachial plexus birth injury.” The Journal of neuroscience nursing: Journal of the American Association of Neuroscience Nurses vol. 23,6 (1991): 374-80. doi:10.1097/01376517-199112000-00006

Gutkowska, Olga, et al. “Brachial plexus injury after shoulder dislocation: a literature review.” Neurosurgical review vol. 43,2 (2020): 407-423. doi:10.1007/s10143-018-1001-x

Joyner, Benny, et al. “Brachial plexus injury.” Pediatrics in review vol. 27,6 (2006): 238-9. doi:10.1542/pir.27-6-238

Noland, Shelley S et al. “Adult Traumatic Brachial Plexus Injuries.” The Journal of the American Academy of Orthopaedic Surgeons vol. 27,19 (2019): 705-716. doi:10.5435/JAAOS-D-18-00433

Skateboarding Injuries Chiropractor: Back Clinic

Skateboarding Injuries Chiropractor: Back Clinic

Skateboarding is a popular activity among children, teenagers, and young adults. It is recreational, competitive, fun, and exciting but, like any sport, carries a risk of injury. There are around 70,000 skateboarding injuries requiring a visit to the emergency room every year. The most common injuries involve the shins, ankles, forearms, wrists, elbows, face, and skull, with many left untreated that worsen as they heal improperly, leading to further damages and complications. Chiropractic can treat the injuries, rehabilitate the muscles and joints, and strengthen the body to get the skater back on their board.

Skateboarding Injuries Chiropractor

Skateboarding Injuries

Skateboarding injuries can range from scrapes, cuts, and bruises to sprains, strains, broken bones, and concussions.

  • Shin injuries often happen during flip/twist tricks where the board or axle hits the shin causing bruising and swelling.
  • Shoulder, wrist, and hand injuries are common when skaters lose their balance and fall with outstretched arms.
  • Ankle injuries include rolls/sprains, as well as dislocations and fractures.
  • Dislocations usually happen to the shoulders, wrists, and fingers.
  • Facial injuries include teeth knocked out, broken nose, or jaw are typically caused by fast forward hard falls.
  • Severe injuries include concussions and head injuries.

Injury causes

Skateboarding injuries typically occur from:

  • Skating on irregular surfaces locks up wheels and affects balance, causing falls.
  • Losing balance or losing control of the board and falling hard/slamming into the pavement.
  • Inexperience, slow reaction times, and less coordination lead to falls and slams.
  • Skating into another skater, a person walking or cycling, a car, or a road hazard.
  • Trying an advanced trick/maneuver too soon and beyond their skill level.
  • The inexperience of knowing how to fall to prevent injuries.

Chiropractic Therapy

A chiropractor can work with other doctors and specialists to:

  • Assess and treat the skateboarding injury/s.
  • Reset the spine, hips, arms, hands, and feet.
  • Rehabilitate and strengthen the body.
  • Recommend safety and prevention education.
  • Help prevent further injuries and long-term effects.

Chiropractic Skateboarding Injury Treatment


Forsman, L, and A Eriksson. “Skateboarding injuries of today.” British journal of sports medicine vol. 35,5 (2001): 325-8. doi:10.1136/bjsm.35.5.325

Hunter, Jamie. “The epidemiology of injury in skateboarding.” Medicine and sport science vol. 58 (2012): 142-57. doi:10.1159/000338722

Partiali, Benjamin, et al. “Injuries to the Head and Face From Skateboarding: A 10-Year Analysis From National Electronic Injury Surveillance System Hospitals.” Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1590-1594. doi:10.1016/j.joms.2020.04.039

Shuman, Kristin M, and Michael C Meyers. “Skateboarding injuries: An updated review.” The Physician and sportsmedicine vol. 43,3 (2015): 317-23. doi:10.1080/00913847.2015.1050953

Knee Discomfort and Pain Chiropractic Clinic

Knee Discomfort and Pain Chiropractic Clinic

Many live with chronic discomfort and pain regularly in one or both knees. This could be from past injuries, being overweight, lack of physical conditioning, degeneration, or arthritis. Many take prescription or over-the-counter pain medication to deal with the discomfort. Pain medications only dull and mask the pain and discomfort associated with the symptoms. As a result, living with masked knee pain can worsen the condition, and the surrounding bones, joints, and tissues can begin to deteriorate. Chiropractic combined with massage, decompression, and traction therapy can significantly reduce or eliminate knee pain.

Knee Discomfort and Pain Chiropractor

Knee Discomfort and Pain

The knee’s joint and ligaments need to be strong and healthy to support activities. The most common issues that individuals develop include:

Acute Injuries

  • Knee injuries can be caused by auto accidents, physical strain, playing sports, work accidents, workplace ergonomics, and walking up and down stairs.
  • The most common acute knee injuries include:
  • Knee contusions.
  • Ligament sprain.
  • Muscle strains.
  • Puncture injuries.

Chronic Injuries

  • Chronic or inflammatory medical conditions can wear down the cartilage cushion between the upper and lower leg bones.
  • Most common include gout, septic arthritis, osteoarthritis, and rheumatoid arthritis.
  • Unhealthy postures and obesity can also contribute to the chronic degradation of the knee joint.

Knee discomfort and pain can present in various ways. Some might hear an acute popping in the knee followed by swelling. Others might notice the gradual development of stiffness and weakness over time. When injured or compromised, localized pain is one of the first indicators. Chronic knee and joint pain can lead to weakness, nerve damage, or create new injuries/problems. Not all knee pain is caused by injury; in many cases, a triggering incident, like an awkward step or misstep, a stretch that went too far, or a walk, can create an injury. Even a sedentary lifestyle can contribute to knee degeneration as the surrounding muscles can lose strength, placing unnecessary strain on the joints when movement is necessary.


A chiropractor will examine the knee through a series of analyses, including x-rays, digital imaging, and a physical exam. The chiropractor will develop a personalized treatment plan to treat, rehabilitate, and strengthen the knee. The treatment can include:

  • Physical therapy
  • Trigger point therapy
  • Myofascial release
  • Massage therapy
  • Hip manipulation
  • Knee manipulation
  • Posture correction to distribute body weight evenly, lessening the stress on an affected knee.
  • Targeted exercises and nutritional recommendations will ensure long-term healing.

Q Angle of the Knee


Cimino, Francesca, et al. “Anterior cruciate ligament injury: diagnosis, management, and prevention.” American family physician vol. 82,8 (2010): 917-22.

Donnell-Fink, Laurel A et al. “Effectiveness of Knee Injury and Anterior Cruciate Ligament Tear Prevention Programs: A Meta-Analysis.” PloS one vol. 10,12 e0144063. 4 Dec. 2015, doi:10.1371/journal.pone.0144063

Hoskins, Wayne, et al. “Chiropractic treatment of lower extremity conditions: a literature review.” Journal of manipulative and physiological therapeutics vol. 29,8 (2006): 658-71. doi:10.1016/j.jmpt.2006.08.004

Neogi, Tuhina, et al. “Sensitivity and sensitization in relation to pain severity in knee osteoarthritis: trait or state?.” Annals of the rheumatic diseases vol. 74,4 (2015): 682-8. doi:10.1136/annrheumdis-2013-204191

Rib Misalignment, Dysfunction, and Pain: Chiropractic Clinic

Rib Misalignment, Dysfunction, and Pain: Chiropractic Clinic

The ribs are designed to protect the lungs and heart and assist breathing. Twenty-four ribs start at the shoulders in the thoracic spine region and run down the mid-back covering the front, back, and side of the chest. Almost all ribs are attached in two places, including the spine in the back and the sternum in the front of the chest, by cartilage joints. Trauma, poor posture, intense coughing, sneezing, and heaving are a few factors that can cause mechanical rib dysfunction or rib misalignment.

Rib dysfunction and misalignment are typically caused by unhealthy postures like slumped back and rounded shoulders, weakened posterior muscles, and repetitive stress from work, sports, and intense physical activity. Any ribs can become misaligned, causing dysfunction and stress on the body. A chiropractor can adjust and reset the rib as they do for misaligned and compressed spinal joints.

Rib Misalignment, Dysfunction, Pain Chiropractor

Rib Cage Design

The ribcage is flexible and expands when inhaling. Each rib is attached to the spine by three joints in the back and the breastbone in the front. Breathing is an involuntary reflex that is impossible to avoid movement in these joints. The joints are small but allow flexing, so the ribs rise and fall with each breath. These rib joints can become inflamed from rib misalignment causing movement problems that can restrict breathing.

Rib Misalignment

Rib misalignment symptoms can include:

  • Difficulty breathing.
  • Difficulty when trying to sit up.
  • Dull, achy, deep pain next to the spine or under the shoulder blade.
  • Unexplained back pain.
  • Pain when moving or walking.
  • Painful sneezing and/or coughing.
  • Tenderness and pain in the front of the chest.
  • The formation of a lump over the affected rib.
  • Swelling and/or bruising in the region.
  • Numbness in nearby or surrounding ribs.
  • Radiating pain from the back to the front and vice versa.
  • Improvement when pressure is applied to the affected rib.

Rib Dysfunction

Up to 50% of emergency room visits for chest pain symptoms result from non-cardiac factors, with the majority being rib misalignment and the muscles and joints around the rib cage becoming irritated/inflamed.


There can be several reasons for a misaligned rib. The more common causes include:

Unhealthy Postures

  • Unhealthy postures stress the body that can place pressure on the posterior portion of the ribcage.
  • With time, the ribs can start to shift out of alignment.

Physical Activity, Exercise, and Sports

  • Working out intensely can cause the ribs to shift out of position.
  • Weight lifting improperly can cause the body to shift along with the muscles involved not being strong enough to handle the added weight and movement, causing rib misalignment.


  • As a woman’s body changes, the weight shifts to the front.
  • This can create a downward pull on the rib cage, increasing misalignment risk.

Intense Coughing or Sneezing

  • Excessive or severe coughing, associated with asthma, bronchitis, or pneumonia, can significantly strain the ribcage.
  • Coughing from a common cold can generate stress to cause a rib to dislocate.
  • Sneezing hard can also cause a rib to shift out of place.
  • Illnesses associated with constant coughing and sneezing can increase an individual’s susceptibility to rib misalignment because of the weakened state of the muscles.

Intense Vomiting

  • Vomiting intensely or heaving can cause the condition.
  • Vomiting does not necessarily involve the lungs, but the convulsive action can cause a rib shift/pop out.

Chiropractic Treatment

Chiropractic can diagnose and treat rib misalignment/dysfunction by using various stretching or massage techniques to loosen the area, making the muscles more flexible, then applying firm pressure to realign the rib back. The treatment plan will include specific stretches, postural exercises, diet, and other recommendations to prevent rib problems.

Spinal Decompression In 90 Seconds


Flodine TE, Thomas M. Osteopathic Manipulative Treatment: Inhaled Rib Dysfunction. [Updated 2021 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Jawed, Muzamil. and Bruno Bordoni. “Osteopathic Manipulative Treatment: Muscle Energy Procedure – Exhaled Ribs.” StatPearls, StatPearls Publishing, 19 February 2022.

Rib somatic dysfunction (417242001); Costal somatic dysfunction (417242001); Somatic dysfunction of rib (417242001)

Vemuri, Adithi. and Kiyomi K. Goto. “Osteopathic Manipulative Treatment: Counterstrain/FPR Procedure – Thoracic Vertebrae.” StatPearls, StatPearls Publishing, 15 November 2021.

Claudication Pain

Claudication Pain

Claudication is muscle pain that presents when the body is active and stops when the body is at rest, also known as intermittent claudication. Individuals typically report dull aching, cramping, tingling, and/or numbness. Vascular claudication is caused by circulatory problems like poor blood circulation and peripheral artery disease. Still, spinal conditions can also cause neurogenic claudication caused by problems with the spine and nervous system.

Claudication Muscle and Nerve Pain

Neurogenic Claudication

Sciatica is the usual suspect when thigh, hip, buttock, calf, or total leg pain or other sensations are present; however, it could be spinal stenosis with neurogenic claudication. Spinal stenosis is sometimes called pseudo claudication, a narrowing of the space around the low back, which can put pressure on the spinal cord directly and compress the blood vessels around the spine, cutting off oxygen-carrying blood. Pain can start in the lower back and circulate down the legs and cause weakness, tingling, or numbness in the legs and feet. The most common areas of spinal compression include:

The narrowing can occur in any of these areas, with the most common cause being lumbar spinal stenosis brought on by lumbar degenerative disease.


The most common symptoms of neurogenic claudication include:

  • Pain in the lower extremities, including the buttocks, thighs, and calf, only manifests with activities like walking or standing around.
  • Pain that shows up equally on both sides.
  • There is no pain when sitting or not walking around.
  • Radiculopathy or nerve pain that radiates down an affected limb. Sciatica is a typical example.

However, the symptoms of claudication and radiculopathy are different.

  • Claudication will be felt all along the length of the nerve.
  • Radiculopathy pain is more localized to the buttock, thighs, and calves and can get worse with activity and is generally present even when at rest.


Non-surgical treatment of neurogenic claudication includes medication to help control pain, chiropractic manual therapy, non-surgical spinal decompression, physical rehabilitation therapy, and steroid shots to reduce inflammation. A doctor will recommend stretching, strengthening exercises, and types of activities to help improve the body’s ability to support itself. This could include swimming, walking, and stationary cycling. However, conservative treatment might not be an option for individuals with more severe cases. If conservative treatment options don’t work, surgery could be recommended. A healthcare provider can help explain treatment options. Successful outcomes have been seen in cases that are diagnosed and treated early.

Non-Surgical Spinal Decompression Chiropractor


Colak, Ahmet, et al. “A less invasive surgical approach in the lumbar lateral recess stenosis: a direct approach to the medial wall of the pedicle.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 17,12 (2008): 1745-51. doi:10.1007/s00586-008-0801-z

Munakomi S, Foris LA, Varacallo M. Spinal Stenosis And Neurogenic Claudication. [Updated 2022 Feb 12]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:

Cleveland Clinic. (2021) “Claudication.”

Outpatient Spine Surgeries

Outpatient Spine Surgeries

Many complex spinal surgeries take place in a hospital environment. The individual spends a night or two in the hospital, so medical staff can monitor them if any complications arise. However, outpatient surgeries have increased with new developments in minimally invasive procedures, pain management, and home rehabilitation. The improvements compared to traditional spinal surgical procedures are significant. These advancements have made it possible to perform more complex surgeries outside of a hospital. Outpatient surgeries have:

  • Accelerated recovery times
  • Decreased complications
  • Decreased infections
  • Healthier overall outcomes

Outpatient Spine Surgeries

Outpatient Surgery Candidates

Determining if outpatient surgery can be performed effectively depends on the injury/s and/or conditions that the individual is going through. An individual who is debilitated or has underlying medical conditions that increase their risk for complications or do not have support at home to assist with recovery and rehabilitation is recommended to have the surgery done in a hospital. To be considered for outpatient spine surgery, a surgeon looks at:

  • Age
  • Disease/s
  • Condition/s
  • Overall health
  • Weight
  • Body type

Individuals must also be a non-smoker or have quit before surgery, as smoking:

  • Interferes with proper healing
  • Can accelerate disc degeneration
  • Can cause ill effects on the spine and other areas of the body

Recovery times vary on a case-to-case basis and procedure type. Most procedures’ recovery time is between three weeks and three months.

Ambulatory Surgery Centers

An ambulatory surgery center or ASC is an outpatient clinic that offers surgical procedures. Standard outpatient procedures include:

  • Abdominal hernia repairs
  • Cataract surgeries
  • Skin therapies

Standalone ambulatory surgery centers offer same-day surgical procedures for individuals that meet specific criteria. Medical staff assess the patient’s condition and determine recovery at home. If issues arise, the individual can be transferred to a hospital. Some facilities are single-specialty facilities, focusing on one medical specialty, and others are multi-specialty, meaning they offer a range of medical services from:

  • Orthopedic
  • Podiatry
  • Pain management services


Anterior Cervical Discectomy and Fusion – ACDF

ACDF is a two-part surgery. First, the surgeon removes part of an intervertebral disc with bulged and compressed nerves from the spinal cord.  Because there is less cushion, the vertebrae above and below are fused to prevent and eliminate painful movement. The discectomy:

  • Provides more accessible access to the vertebrae
  • Reduces healing time
  • Causes less pain

ACDF outpatient procedure treats several neck conditions that include:

  • Cervical spinal stenosis
  • Cervical radiculopathy
  • Neck-related degenerative disc disease
  • Herniated disc
  • Cervical spinal fracture

Individuals recover in the surgical center for one to several hours following the surgery before returning home. Traditional ACDF procedure takes three weeks to three months to recover.

Lumbar Discectomy

A lumbar discectomy is a minimally invasive procedure that repairs a lower back herniated disc compressing the surrounding nerves. This procedure provides compression relief and allows the nerve to heal. A traditional lumbar discectomy takes four to six weeks to recover.

Lumbar Laminectomy

This minimally invasive procedure removes thickened ligaments and lamina from the lower back. This opens the spinal canal space, relieving pressure and bringing pain relief. The surgery commonly treats lower-back spinal stenosis. A traditional laminectomy takes four to six weeks to recover.

Lumbar Spinal Fusion

Outpatient lumbar spinal fusion permanently connects two or more vertebrae in the lower back. The surgery helps stabilize the spine from severe arthritis or herniated disc removal. Spinal fusion has been found to be effective for correcting certain spinal deformities. The surgery involves a short recovery time at the outpatient center, after which the individual can return home the same day. A traditional or open spinal fusion requires a two-to-three-day hospital stay. After four to six weeks and with a doctor’s clearance, individuals can return to light activities, with full recovery requiring six months.

Chiropractic Spinal Decompression


International Journal of Spine Surgery. (April 16, 2021) “The expanding frontier of outpatient spine surgery.”

Mayo Clinic. (n.d.) “Spinal fusion.”

Neurosurgeons of New Jersey. (July 21, 2019) “Lumbar discectomy recovery timeline: Your guide to recovery.”,discectomy%20recovery%20time%20should%20progress

Rothman Orthopaedics. (March 2, 2017) “Outpatient spine surgery: A new way to look at surgery.”

Vehicle Collision Injuries – Decompression Benefits

Vehicle Collision Injuries – Decompression Benefits

Any vehicle crash, collision, or accident can cause various injuries, with back pain issues as a primary injury or a side effect from other injuries. Usually, injury symptoms begin right after the collision, but in other cases, individuals may not start experiencing symptoms until hours, days, or even weeks later. This is from the adrenaline that rushes throughout the body during the collision/fight or flight response delaying the injury symptoms. There are reports of individuals who walk away from an accident unscathed but require urgent medical treatment a short while later. Chiropractic care can provide manual and spinal motorized decompression benefits.

Decompression Benefits

Vehicle Collision Injuries - Decompression Benefits

Head Injuries

  • Head injuries occur when drivers and/or passengers hit their heads on the steering wheel, windows, dashboard, metal frame, and sometimes each other.
  • A head injury is considered a severe condition that can cause concussions, skull fractures, comas, hearing loss, cognitive and memory issues, and vision problems.
  • A significant head injury can cause extensive and costly medical treatment with the possibility of long-term medical care.

Neck Injuries

  • Neck injuries are common in vehicle collisions.
  • The most common is whiplash, with the head and neck-snapping from indirect blunt force, like being rear-ended.
  • Whiplash can cause significant damage to the ligaments and muscles, like swelling and neck pain, and temporary paralysis of the vocal cords.
  • Injury patterns of whiplash can differ depending on the speed, force, and overall health of the individual involved.

Back Injuries

  • Back injuries can range in severity from sprains to significant damage involving the nerves and/or the spinal cord.
  • If the damage is severe, it can lead to loss of sensation in the body, loss of limb control, or permanent paralysis.
  • Disc herniation/s can lead to disability, muscle weakness, tingling and numbness in the limbs, and radiating body pain.

Chest and Torso Injuries

  • Vehicle collision forces can result in severe chest injuries that include broken ribs.
  • Broken ribs might not sound dangerous by themselves; they can puncture the lungs leading to other injuries and internal bleeding.
  • Traumatic cardiac arrest can occur from the force of the impact.
  • Other injuries include:
  • Abdominal injuries to internal organs.
  • Damage to the pelvis.

Broken Bones

  • The legs, feet, arms, and hands are frequently injured, broken, and sometimes dislocated.
  • Motorcyclists are also at a higher risk for significant injury that includes:
  • Multiple fractures, internal injury, head injuries, and severe ligament damage.
  • Pedestrians struck by a vehicle have an increased risk for a combination of all injuries at once.

Non-Surgical Decompression Benefits

  • Chiropractors are trained to identify and treat injuries from vehicle collisions.
  • Non-surgical spinal decompression gently stretches the spine using a motorized traction device to help reposition the spine and remove the pressure.
  • As the pressure is taken off, the spinal discs regain their natural height, relieving the pressure on the nerves and other spinal structures.
  • Optimal healing is promoted by an improved circulation of nutrients, water, and oxygen to the injury site.
  • Decompression helps to strengthen the muscles in the affected area.
  • It provides positive spinal structural changes.
  • Improves nervous system function.

Non-surgical decompression is a tool for correcting injuries and relieving pain, allowing optimal health for the individual.

DOC Decompression Table


Apfel, Christian C et al. “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study.” BMC musculoskeletal disorders vol. 11 155. 8 Jul. 2010, doi:10.1186/1471-2474-11-155

Koçak, Fatmanur Aybala et al. “Comparison of the short-term effects of the conventional motorized traction with non-surgical spinal decompression performed with a DRX9000 device on pain, functionality, depression, and quality of life in patients with low back pain associated with lumbar disc herniation: A single-blind randomized controlled trial.” Turkish Journal of physical medicine and rehabilitation vol. 64,1 17-27. 16 Feb. 2017, doi:10.5606/tftrd.2017.154

Macario, Alex, and Joseph V Pergolizzi. “Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain.” Pain practice: the Official Journal of World Institute of Pain vol. 6,3 (2006): 171-8. doi:10.1111/j.1533-2500.2006.00082.x

Complications Poor Posture

Complications Poor Posture

As the body gets older, slouching, little to no physical activity, and regular stretching cause muscle fatigue, weakness, tension, leading to poor posture complications. The complications include:

  • Back and neck pain
  • Rounded shoulders
  • Spinal dysfunction
  • Joint degeneration
  • Sleep problems
  • Chronic pain

Posture can be improved along with overall spinal health and a better quality of life through chiropractic treatment. Chiropractic will improve posture through adjustments, postural exercise training and stretching, education on ergonomics, and nutrition to strengthen the body.

Complications Poor Posture

Complications Poor Posture


Symptoms vary as they depend on the severity of the case and condition.

  • Muscle fatigue/weakness
  • Body aches and soreness
  • Back pain
  • Rounded shoulders
  • Standing and/or walking problems
  • Headaches
  • Potbelly


Poor posture leads to dysfunction and interference with the body’s postural mechanisms. These include:

Muscle Fibers

Skeletal muscle comprises two types of muscle fiber. They are static or slow-twitch muscles and phasic or fast-twitch muscles. Static muscle fibers are found in the deeper muscle layers. Static fibers burn energy slowly and keep working without tiring. They help the body maintain posture without effort and contribute to balance by sensing the body’s position and transmitting the information to the brain. Phasic muscle fibers are used for movement and activity but can quickly run out of energy. Poor posture causes muscle fatigue because the phasic fibers are used rather than the static fibers to maintain the body’s proper position.

Muscle Strength and Length

Over time, the body constantly needs support from the phasic muscle fibers. This causes the deeper supporting muscles to waste away because they are not being used. Weak, unused muscles begin to tighten, causing a shortening of muscle length that can compact the spine’s bones and cause back complications.

Nervous System Feedback

The deeper layers of muscle sense the body’s position in space and relay this information to the brain. The brain does not receive complete transmission if the phasic muscle fibers take over this function. The brain assumes that the body needs to be propped up/corrected to counteract the poor posture effects, triggering further muscle contraction, adding to the fatigue and pain.

Listening To The Body

The objective is to form a habit of regularly listening to what the body is saying. Make minor adjustments while standing and sitting throughout the day/night. Often what happens is individuals become so immersed in their work, school tasks that they ignore any physical discomfort and push through and forget to change positions/move around to get the muscles moving and the blood pumping. If there is muscle tension or fatigue, don’t just work through the pain; move into another healthy position.

Posture Improvement

Suggestions include:

Body Composition

Strength Training

As the body ages, it loses muscle mass, known as sarcopenia. Between the ages of 30 and 80, both men and women can lose 30-50 percent of their muscle strength. Decreasing strength can make it a challenge to lead an active lifestyle or have energy levels to complete the daily errands. Individuals can be reluctant to improve fitness levels through resistance workouts believing there is nothing left after years of inactivity. This is not true as anybody can strength train. With the right mindset, and health coaching team, goals can be set to:

  • Improve body composition
  • Improve energy levels
  • Maintain an active lifestyle

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

Deliagina, Tatiana G et al. “Physiological and circuit mechanisms of postural control.” Current opinion in neurobiology vol. 22,4 (2012): 646-52. doi:10.1016/j.conb.2012.03.002

Korakakis, Vasileios et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004

Pollock, A S et al. “What is balance?.” Clinical rehabilitation vol. 14,4 (2000): 402-6. doi:10.1191/0269215500cr342oa

Waters, Thomas R, and Robert B Dick. “Evidence of health risks associated with prolonged standing at work and intervention effectiveness.” Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses vol. 40,3 (2015): 148-65. doi:10.1002/rnj.166

Pinched Nerve Healing Signs

Pinched Nerve Healing Signs

A pinched nerve may not feel like it is healing. This is because of the soreness, aches, discomfort, and tingling feelings/sensations around the affected area. This could be the neck, shoulder, arm, hands, back, legs, and feet. However, when the achiness and tingling move around and shift, it is a sign of the pinched nerve healing.

Pinched Nerve Healing Signs

Amount of Time For Pinched Nerve Healing

Waiting for the nerve to heal is not a recommended treatment option, as most pinched nerves do not fully recover on their own. A pinched nerve usually takes around six weeks to heal with proper treatment. The longer the nerve stays pinched, the more likely there will be permanent damage. To keep the pinched nerve from returning and getting worse, individuals are recommended to incorporate a pre-habilitation plan that involves continuing rehabilitation exercises to strengthen and keep the muscles, ligaments, and nerves loose, and adjusting posture, work, exercise, and diet habits to prevent re-injuring the nerve or cause new injury/s. 

Common Nerve Sites

Nerves run throughout the body, so it’s possible to experience a pinched nerve anywhere. The most common pinched nerve sites occur at joints where there is constant movement. These areas include:

  • Neck
  • Shoulders
  • Lower Back
  • Arms
  • Hands
  • Feet

Healing Signs

Individuals often believe that their pinched nerve is getting worse because of soreness, aches and pains, and weird sensations. When the pain stays in one area, that could be a sign that the nerve has not been fully stretched/released and/or that there is still compression taking place. Treatment and healing include feeling the symptoms but in a different way. The symptoms will move up, down, or around depending on where the pinched nerve is. Treatment takes the nerve/s and stretches/elongates them, but the pinch created a nerve crimp, crease, fold that wants to return to the pinched position. This is why continued treatment and stretching are recommended, as a spasm, trauma, or some awkward movement can cause the nerve to re-fold to the pinched position or cause a whole new pinch.

Chiropractic Release

Chiropractic treats pinched/compressed nerves with several therapeutic modalities. These include:

  • Body Adjustments
  • Flexion-distraction
  • Therapeutic massage
  • Traction
  • Inversion
  • Laser therapy
  • Ultrasound

Combined, these methods can help heal pinched nerves and keep them from recurring.

Body Composition

Skeletal Muscle

Skeletal muscle is a major muscle group. These muscles are attached to the bone by the tendons. Skeletal muscles incorporate nerves, blood vessels, and connective tissue to operate as a unit. Each skeletal muscle consists of cells that come together that form bundles of skeletal muscle fibers.

  • Strength training stimulates the muscle fibers. When combined with proper nutrition causes hypertrophy/muscle growth.
  • Muscles contract and shorten to pull bones and joints, allowing body movement.
  • The nervous system signals the nerves in the muscle/s and triggers these contractions.
  • Skeletal muscle helps the body:
  • Maintain posture
  • Generate body heat
  • Stability to the bones and joints

Bowley, Michael P, and Christopher T Doughty. “Entrapment Neuropathies of the Lower Extremity.” The Medical clinics of North America vol. 103,2 (2019): 371-382. doi:10.1016/j.mcna.2018.10.013

Campbell, W. “Diagnosis and management of common compression and entrapment neuropathies.” Neurologic clinics vol. 15,3 (1997): 549-67. doi:10.1016/s0733-8619(05)70333-9

England, J D. “Entrapment neuropathies.” Current opinion in neurology vol. 12,5 (1999): 597-602. doi:10.1097/00019052-199910000-00014

Kane, Patrick M et al. “Double Crush Syndrome.” The Journal of the American Academy of Orthopaedic Surgeons vol. 23,9 (2015): 558-62. doi:10.5435/JAAOS-D-14-00176

Neuroregeneration: Growing Nerve Cells

Neuroregeneration: Growing Nerve Cells

Neuroregeneration could become an option for spinal cord injury treatments in the future. A spinal cord injury or SCI is when there is damage to the bundle of nerves and cells that send and receive signals from the brain and body. A spinal cord injury can be caused by direct trauma/injury to the cord or damage to the tissue and vertebrae. The damage can result in temporary or permanent changes in:

  • Sensation
  • Movement
  • Strength
  • Body function/s below the injury site.

There are incomplete and complete injuries. Injuries that cause limited or no cell death can achieve a full recovery. Injuries that are more serious and/or are higher on the spinal cord can cause permanent damage and/or paralysis. Automobile crashes, accidents, and serious falls are the most common causes of spinal cord injuries.

  • An incomplete injury means the cord can still transmit messages, but there is interference/disturbance.
  • A complete injury means communication and motor function/voluntary body movement is not transmitting.

Neuroregeneration: Growing Nerve Cells


Symptoms of a spinal cord injury include:

  • Unnatural or awkward positioning of the spine or head.
  • Pain or pressure in the head, neck, or back.
  • Numbness
  • Tingling
  • Loss of or changes in sensation in the hands and feet.
  • Problems with walking.
  • Weakness or inability to move parts of the body.
  • Loss of movement.
  • Paralysis can occur immediately or develop over time as swelling and bleeding affect the cord.
  • Loss of bladder and bowel control.
  • Changes in sexual function.
  • Difficulty breathing.

SCI Damage Control

A spinal cord injury affects the central nervous system, the body’s central headquarters. Damage can cause complications through what’s called the secondary injury cascade, which is a series of chemical reactions the body activates to help the situation. However, if the chemical response does not stop and stays active, it can worsen the injury. The body recognizes that an emergency has occurred and tries to go into a shut-down mode that kills off some of the cells in the central nervous system. When a spinal injury happens, treatment focuses on stopping the damage as quickly as possible to stop the injury cascade and prevent as much cell death as possible. This act is called neuropreservation, meaning that the team is trying to preserve and save as many nerve cells as possible.

Injury Neuroregeneration Treatment Studies

While current treatment primarily focuses on stopping as much damage as possible then going through physical therapies to maintain spinal alignment and rehabilitate the body, the future of injury treatment is looking towards regrowing and repairing the damaged nerve cells through a process known as neuroregeneration. Repairing nerves that have been damaged could change life for many. Neuroregeneration Treatments being studied include:


  • A study in The Lancet Neurology presents how getting surgery as soon as possible after an injury can provide significant benefits.
  • The findings could change all of the guidelines for spinal cord injury.


  • A study on Riluzole, a medication that has shown promise to slow down nerve cell damage.
  • A team completed a randomized controlled trial for the medication; soon, the final results will be available.

Antibody treatment

Antibodies are being studied in two ways.

  • To stop nerve cells from being damaged.
  • To help damaged nerve cells regenerate.

Stem cells

  • Scientists are studying ways to grow new nerve cells from an individual’s stem cells without the need for embryonic stem cells.
  • Specialized stem cells could also be used to help other nerve cells regenerate.

Electrical stimulation

  • Another approach is using electrical stimulation to restore function in the spinal cord.
  • Therapy that could help a paralyzed individual walk again.

The Future of Neuroregeneration

Aside from early surgery intervention, most neuroregenerative treatments are not ready or accessible yet. There’s still much more research before it can become a mainstream treatment option. Treatment that involves regenerating nerve cells will take longer than a treatment designed to protect nerve cells. However, more clinical trials are expected to be done in the next few years, with stem cell therapies taking the longest. Some of these therapies could be ready to be used on actual patients in 5-10 years.

Body Composition

The Importance of Measuring Body Composition

Most diet and fitness programs focus on weight loss or gain. However, they tend to overlook that individuals have completely different body compositions. Body composition describes the amount of:

  • Fat
  • Bone
  • Water
  • Muscle
  • In the body.

Measuring body composition can tell a body’s unique makeup and help identify areas to work on to improve overall health and wellness. Body composition analysis provides a snapshot of an individual’s health/fitness levels to help achieve health goals from the inside out.


Aguilar, Juan et al. “Spinal cord injury immediately changes the state of the brain.” The Journal of neuroscience: the Official Journal of the Society for Neuroscience vol. 30,22 (2010): 7528-37. doi:10.1523/JNEUROSCI.0379-10.2010

Badhiwala, Jetan H; Wilson, Jefferson R; Witiw, Christopher D; et al. (February 2021). The Lancet Neurology Vol. 20, No. 2, P. 117. The Influence of Timing of Surgical Decompression for Acute Spinal Cord Injury: A Pooled Analysis of Individual Patient Data. DOI: 10.1016/S1474-4422(20)30406-3

Chari, Aswin et al. “Surgical Neurostimulation for Spinal Cord Injury.” Brain sciences vol. 7,2 18. 10 Feb. 2017, doi:10.3390/brainsci7020018