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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


Chiropractic Injury Prevention for Work, Personal, and Sports Activities

Chiropractic Injury Prevention for Work, Personal, and Sports Activities

Injury prevention should be on everyone’s mind. All jobs, sports, and activities have the potential to cause some form of injury/s. Sustaining an injury, no matter how big or small can take a toll on the body. It can force an individual to take a lengthy break from work, school, sports, etc, or stop completely.  
11860 Vista Del Sol, Ste. 128 Chiropractic Injury Prevention for Work, Personal, and Sports Activities
 
Some form of rest is usually necessary to expedite the healing process but there are other ways to help with injury prevention. The most common type of injury that can be prevented is overuse/repetitive motion/s injuries. Many individuals realize that an underlying issue for injuries is spinal/body misalignment.  

Injury prevention

A few ways that injury prevention can be optimized for various activities:
  • Full body stretching regularly will keep the body flexible
  • A nutrient-rich diet
  • A regular strength training regimen
  • Avoiding getting into a sedentary lifestyle
  • Stress management methods/techniques
  • Developing the body’s ability to learn healthy movement/s
  • Regular chiropractic, physical therapy
  • Health coaching
 

Misalignment and injury

When the spine is out of alignment the entire body goes out of balance and begins to function improperly and eventually breaks down. The nerve, blood circulation energy is affected. This compromises:
  • Tissue health
  • The body�s natural healing abilities
  • Normal body coordination and movement
This increases the risk of injury/s. Proper posture and body mechanics have a primary role in injury prevention. Proper spinal alignment allows the body�s ability to coordinate effective, pain/injury-free movement. Better coordination promotes optimal performance with less effort and corrects/improves muscle strain, tissue damage, and enhances bone health.  
11860 Vista Del Sol, Ste. 128 Chiropractic Injury Prevention for Work, Personal, and Sports Activities
 

Proper spinal alignment

Chiropractic is a specialized expert approach that focuses on addressing core issues related to spinal alignment. Chiropractic treatment will locate and address spinal misalignments that individuals did not even know were there. The chiropractic approach will help establish a solid foundation for regular daily activities without injury. When the spine/body is properly-aligned nerve flow is restored and the body can move with reduced risk of injury or complication/s. Contact a chiropractic specialist and see what they can offer.

Body Composition Clinic

 
 

Too Much Sitting Health Consequences

When the body is in a seated position, the gluteal muscles, abdominal muscles, and legs remain static. When sitting for a long time day after day with no exercise/movement the muscles begin to degenerate/weaken and go into a pseudo form of atrophy from the lack of engaged movement/exercise. Metabolism is linked with body composition meaning that more muscle increases metabolism and helps burn more calories. Muscle loss, especially from the lower body which is the largest muscle group, can lead to continued fat gain if exercise is not implemented and an unhealthy diet is not changed. Gradual muscle loss from the lower body can hurt functional strength and with age increases the risk of falls.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
McClure, Roderick J. �What is this thing called injury prevention?.��Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention vol. 24,3 (2018): 177. doi:10.1136/injury prev-2018-042838
Chronic Inflammatory Response Balance Restored with Chiropractic

Chronic Inflammatory Response Balance Restored with Chiropractic

The body’s inflammatory response is a chemical one. It happens when the body’s tissues are damaged/injured from:
  • Bacteria
  • Trauma
  • Toxins
  • Heat
11860 Vista Del Sol, Ste. 128 Chronic Inflammatory Response Balance Restored with Chiropractic
 
The damaged cells release different chemicals that include:
 
These chemicals cause the blood vessels to leak out into the tissues and cause swelling. Redness, swelling, and warmth/heat connected to an inflammatory response are secondary symptoms brought on from an increased blood flow that mobilizes the cells to the specific area to engage the healing process from illness or injury. This process is vital in maintaining the body’s optimal health. The inflammatory response can become debilitating when it becomes chronic and leads to the onset or aggravation of a condition or disease. Chiropractic treatment will restore the body’s balance and reduce inflammation.  

Inflammatory Response Causes

There are different causes for the body activating a full inflammatory response. When inflammation is caused by an acute injury, virus, or bacterial infection, inflammation is necessary to help restore the body�s homeostasis. Conversely, chronic inflammation leaves the body in a state of stress and imbalance. This depletes energy reserves making it impossible for the body to properly rejuvenate. Common causes of chronic inflammatory response include:
  • Chronic stress/anxiety
  • Poor sleep
  • Unhealthy diet
  • Sedentary lifestyle
  • Being overweight
  • Chronic diseases such as heart disease, cancer, and diabetes
  • Sensitivity to chemicals, environmental triggers, foods
  • Autoimmune diseases
11860 Vista Del Sol, Ste. 128 Chronic Inflammatory Response Balance Restored with Chiropractic
 

Inflammation Reduction

While inflammation is necessary for proper body health, knowing how to manage symptoms can help reduce unnecessary pain. Inflammation can be reduced by:
  • A nutrient-rich diet that focuses on fruits and vegetables
  • Reducing processed foods specifically sugars
  • Avoiding common food allergens like gluten and dairy products
  • Weight loss
  • Sleep hygiene
  • Regular physical activity
  • Stress management
  • Body balance

Spinal Alignment

The nervous system plays a significant role in inflammatory response management. The system coordinates proper cellular processes and signals. It also helps with body regulation and restoration when inflammation is no longer needed. A spinal misalignment can throw the entire process into chaos and be an underlying cause that contributes to chronic inflammation. Spinal misalignments block vital nerve energy that helps the body self-regulate. With chiropractic nerve circulation is restored allowing the body to properly and optimally coordinate necessary functions.  
 

Chiropractic Balance

Chiropractic is a science-oriented branch of medical care that focuses on optimizing spinal alignment. Addressing the root issue of spinal alignment will help restore the balance and energy needed to regulate the inflammatory response. Contact a chiropractic practitioner today and see what they can do for you and your health.

Car Accident Chiropractor

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Medzhitov, Ruslan. �Origin and physiological roles of inflammation.��Nature�vol. 454,7203 (2008): 428-35. doi:10.1038/nature07201
Multiple Traumas and Chiropractic Injury Rehabilitation

Multiple Traumas and Chiropractic Injury Rehabilitation

With an intense automobile, work, sporting/fitness accidents, and natural disasters, individuals can experience multiple traumas, also known as polytrauma. Recovery and rehabilitation can be challenging journeys. Multiple traumas are serious medical emergencies only given to individuals going through difficult situations. Polytrauma references multiple severe traumas that occurred at the same time. An individual can experience a:

 

Physical therapy and chiropractic rehabilitation could be part of a treatment program. This is to restore the body’s mobility, function and promote the body’s natural healing abilities. The importance of creating the proper rehabilitation program can make all the difference, and restoring the integrity of the spine is critical.

Spinal Stabilization

Any trauma, despite its severity, can have the potential to interfere/disrupt spinal functions.

  • Suffering a concussive hit to the head could cause damage to the cervical spine.
  • Falling off a ladder could shift the vertebral discs.
  • Hitting the knee on an object can cause a spinal misalignment from shifting the weight to the other leg for a day or two.
11860 Vista Del Sol, Ste. 128 Multiple Traumas and Chiropractic Injury Rehabilitation
 

Spinal misalignments and/or dysfunction are common in multiple trauma cases. Dealing with broken bones and substantial wounds often means the spine could need to be realigned even if there are no localized injuries to the back or neck. Spinal misalignment, translation/rotation, herniated discs, or other conditions can hinder the overall recovery process and present new health issues.  

Nerve Damage

Often, a lasting issue from multiple traumas is nerve damage. The severity can destroy nerve endings, making it impossible to regain feeling or movement in certain areas of the body. The nerve damage can be regenerated if the impediment is rooted in the spine and is addressed in time.

Correcting spinal discs that have shifted along with subluxations that can compress the nerves and interfere with signal communication can help restore the areas directly affected. Example: Broken arms or legs can lose sensations that can be regained by spinal realignment. Some arteries follow the spinal pathway. Proper circulation/blood flow is achieved when the spinal integrity is restored, which is essential in natural recovery.  

11860 Vista Del Sol, Ste. 128 Multiple Traumas and Chiropractic Injury Rehabilitation
 

Trauma Beyond the Injury

Developing the correct rehabilitation treatment plan could mean the difference in a speedy and healthy recovery. Chiropractic can be an integral part of the recovery process, especially for a body that has sustained severe musculoskeletal injuries. The spine is an extension of the central nervous system. This means that bringing relief to the spine can affect positive healing in the injured areas. The critical role of the spine in an individual’s rehabilitation and whole well-being is why no matter the extent of the trauma, we deliver relief.


Auto Accident Injury Treatment

 


References

Kroupa, J. K definici polytraumatu a polytraumatismu [Definition of “polytrauma” and “polytraumatism”].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca vol. 57,4 (1990): 347-60.

Falling Accidents and Injuries Ways To Reduce The Risk

Falling Accidents and Injuries Ways To Reduce The Risk

As individuals advance in age, the risk of falling starts to become a regular concern. An average of one in four adults over 65 suffers from a fall every year. Around twenty percent of falling accidents result in serious injury. However, experiencing one fall increases the risk of future falls significantly. The most common injuries sustained include:
  • Hip fracture
  • Head injury
These injuries usually necessitate hospitalization. Therefore minimizing the risks is important for increasing/enhancing an individual’s quality of life and help minimize the financial burdens that can come with these types of accidents.  
11860 Vista Del Sol, Ste. 128 Falling Accidents and Injuries Ways To Reduce The Risk
 

Risk Factors for Falling

Various factors can determine an increased risk of falling. If there are two or more at the same time, the risk goes up significantly. These factors include:
  • Poor or improper walking gait mechanics
  • Poor balance
  • Vision impairment
  • Low endurance
  • Weakened muscle strength
  • Sedentary lifestyle
  • Blood pressure issues like hypotension
  • Dizziness from certain movements like lying down to sitting/standing
  • Medication side effects that cause brain fog, dizziness, sleepiness, etc
  • Poor health/underlying conditions
  • Anxiety and/or fear of falling
 

Reducing The Risk/s

There are simple ways to reduce risk while optimizing the body’s health and vitality. These include:
  • Discussing health concerns with a doctor and/or chiropractor
  • Review medications with doctor or pharmacist, specifically those that cause sleepiness or dizziness
  • Exercise regimen
  • Balance exercises
  • Core strengthening exercises
  • A physical therapist or chiropractor can assess the home for safety and possible tripping hazards
  • Regular vision check-ups at least every two years
 

Spinal Health

Restoring balance to the body will make the biggest difference in increasing overall health. However, pain, stiffness, and poor health can make getting started a difficult challenge. With the right chiropractic and physical therapy team, getting started does not have to be as challenging, with the transition being made as easily and as smooth as possible. An essential building block for overall optimal health begins with spinal alignment. When the spine is misaligned it can lead to poor nerve circulation/energy. This slows down and interferes with the body’s functions. This is often manifested with poor balance, weakness, and pain. Chiropractic spinal alignment addresses whole-body health. A chiropractic practitioner is specialized in non-invasively and systematically restoring not only the alignment of the spine but the entire body.  
11860 Vista Del Sol, Ste. 128 Falling Accidents and Injuries Ways To Reduce The Risk
 

Chiropractic Health

Find a chiropractor and talk to them about any health concerns, including falls. A customized chiropractic adjustment treatment plan will be developed along with a fitness and stretching regimen, and dietary adjustments will significantly optimize health and help prevent falls.

Sports Injuries Chiropractic Treatment

 
 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Hawk, Cheryl et al. �Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults.��Journal of manipulative and physiological therapeutics�vol. 32,6 (2009): 438-47. doi:10.1016/j.jmpt.2009.06.008
Tips to Help Reduce Back Pain While Driving

Tips to Help Reduce Back Pain While Driving

Driving with back pain can make trips a nightmare. Here are some driving tips to save your back when on the move. There is nothing like the freedom of hitting the open road. Family, friends, or solo, the destination along with new sights breezing by, refreshes the mind. With the COVID pandemic, many have turned to trucks, cars, SUVs, and RVs for a comfortable, safe mode of transportation.
11860 Vista Del Sol, Ste. 128 Tips to Help Reduce Back Pain While Driving
Back pain from driving can become a serious issue. Studies have shown how low back pain, and spending a significant amount of time driving are interconnected. And other studies have also shown living a sedentary lifestyle like sitting for a long time will lead to some form of back pain that can become exacerbated by elongated driving. Road trips and regular commuting can both impact an individual’s spine. It depends on the length of time drivers are behind the wheel as well as any present spinal conditions. Long commutes and road trips can take a toll on the body that can continue to increase in its severity. Individuals live most of their lives in a flexed/flexing posture. Meaning that there is the ability to shift positions and move around. This could be like Sleeping curled up, then on the back, sitting at a desk/workstation, then standing, stretching out, twisting, and bending. Driving creates a whole different type of spinal stress because of the physical mechanics involved. Automobiles generate different types of forces on the back. Factors such as accelerating, decelerating, swaying side to side, and vibrations all can contribute to back pain. To elaborate the feet and legs control the vehicle, and so are not able to help stabilize the spine, and vibration from uneven/loose gravel roads can cause issues with the spinal discs. Discomfort and pain can occur for the driver and passenger/s. Individuals with diagnosed back condition/s can experience a worsening of symptoms and an increase in pain. This could be a postural imbalance, sciatica, or arthritis. Here are some driving tips to show how to prevent back pain before, during, and after the trip.

Before Driving

Prevention is the best way to decrease back pain when driving. The following precautions are recommended:
  • Think about getting helpful sitting aids/lumbar support cushions, like memory foam and air-filled seat cushions.
  • If specifically dealing with tailbone pain, a support with a tailbone cutout is recommended.
  • Optimize the seat by placing the back a little beyond fully upright. From 100 to 105-110 degrees, so the individual maintains proper posture. Inclining more can lead to a forward-head posture that can cause neck pain.
  • Driving ergonomics need to be incorporated.
  • The seat should be close enough to the steering wheel to provide a relaxed upper body posture. However, make sure that the legs are not too close to the steering wheel and there is room to maneuver. The seat should be level around 5 degrees upward to provide support to the legs.
  • If unable to provide lumbar support rolling up a towel/thick sweater etc can be placed in the small of the back providing a quick fix.

The Drive

Eyes on the road and hands at 10 and 2 but don�t take the focus off the spine.
  • If driving for more than 20 minutes, it is recommended to make adjustments/changes in the seated position. Just a slight tweak can reduce the driving forces on the spine.
  • Driving for longer than an hour then short breaks are necessary. Pit stops are spine savers. Just like work breaks that involve standing, walking around, and stretching out, bending forward and leaning backward will keep the spine flexible, uncompressed with optimal blood flow.
  • Heated seats can help soothe tight back muscles. It acts as a heating pad.
  • Remove items from pockets, especially wallets or similar objects in the back pocket. This can lead to an asymmetrical position that leads to shifting weight/stress loads to one side creating an added strain on the spine and awkward postures.
11860 Vista Del Sol, Ste. 128 Tips to Help Reduce Back Pain While Driving

Stopping

After driving for an extended period, resting is vital to spine health. Utilize time out of the vehicle to continue prevention.
  • Sitting right after driving is not recommended.
  • Right after driving the body needs to move after being in the static driving/passenger position for some time.
  • Standing, walking, and doing some gentle stretches are recommended. Back extensions and side bending are examples.
  • Core exercises can help and should also be incorporated into a regular physical exercise regimen.
  • However, exercises after long or strenuous drives when the body is fatigued are not recommended, as intense exercise can lead to injury or worsening of back pain.

Pain Continues After

If there was a small/low amount of pain or if it was a pain-free experience then perhaps the driving tips helped. If the pain continues and there was no help with these driving tips, it might be time to see a doctor or chiropractor. Minor aches and pains can be expected, but if there is pain lasting longer than a few days or limits function, then seeking out medical advice is recommended.

Car Accident Chiropractic Treatment


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
The Shoulder: Pain Symptoms, Causes, and Chiropractic

The Shoulder: Pain Symptoms, Causes, and Chiropractic

The shoulder/s are the joints where the upper-arm bones known as the humerus, the shoulder blades or scapula, and the collarbone/clavicle come together. The upper-arm bone fits into the scapula socket and is held in place by muscles and tendons. This is the rotator cuff. It covers and protects the upper-arm and allows for raising and movement of the arm. Pain in the shoulder can have a variety of causes.  
TheCauseofShoulderInjuriesDuringCarAccidents ElPasoChiropractor
 
Injuries can occur in a slip and fall or automobile accident. A task like painting the house could cause a repetitive/overuse injury. The�soft tissues in the shoulder, muscles, tendons, and ligaments�can get injured from excessive strain, falls, and improper motion. Shoulder pain can come from certain conditions like arthritis. And it can present from problems or issues in other parts of the body. This is known as referred pain. The shoulder takes on more than we realize. It is made up of an intricate network of ligaments and muscles, with the rotator cuff taking most of the load when moving. It is the most flexible joint in the human body, and one of the most unstable. It is�unstable because of its unique construction. Other joints like the ankle or elbow are limited in their range of motion. Shoulder injuries�are common, as the shoulder sustains more injuries than almost any other part of the body.

Injury Symptoms

Here are some questions to help figure out if there is a shoulder injury:
  • Does the arm move normally?
  • Is there extreme stiffness?
  • Is there pain and what type – throbbing, stinging, shooting
  • Does it feel like it could pop out of the socket?
  • Is it strong enough for normal activities?
Certain shoulder injuries can be treated at home for a few days with rest and ice. The shoulder can be bandaged with Kinesio tape to hold it in place if necessary. But serious injuries require professional medical help. Symptoms/signs that a medical professional is needed:
  • The shoulder joint looks deformed
  • The shoulder cannot be used at all
  • The pain is extreme and intense
  • The shoulder is swelling rapidly
  • The arm and/or hand is weak and/or numb
11860 Vista Del Sol, Ste. 128 The Shoulder: Pain Symptoms, Causes, and Chiropractic
 

Common injuries

Dislocation

When the shoulder gets pulled back hard or rotated too far, the top of the arm can get popped out of the socket. This can cause pain, weakness, swelling, numbness, and bruising.

Separation

This is an injury affecting the joint where the collarbone and shoulder blade come together. It is the acromioclavicular or AC joint. An accident, fall, or traumatic impact can tear the ligaments holding it together. If the collarbone gets shifted out of place, a bump on top of the shoulder will appear.

Fracture

After a fall or a hard hit, the bones can break or become cracked. The most common breaks are to the collarbone and the arm bone that is the closest to the shoulder. Pain presents along with bruising can occur. If the collarbone is broken, the shoulder may sag and there will be no ability to lift the arm.

Cartilage tear

The cartilage or rubbery padding that runs around the rim of the shoulder joint can suffer injury and/or get torn. Repetitive motions and overuse can lead to a tear. It can also be injured in a fall, or anytime it absorbs the brunt of the force. Pain can be felt when reaching over the head, or the shoulder feels/seems to be weak. Sensations like catching, locking, or grinding may also be felt.

Rotator cuff tear

The rotator cuff belongs to a group of muscles and tendons that hold the arm in place and allow for lifting the arm up and overhead. It can suffer damage through overuse or in an accident. The rotator cuff begins to show wear and tear with age. It can hurt at night and when trying to lift objects. Individuals have also reported a crackling sound when moving.

Frozen shoulder

This is a condition that limits how much the joint moves. Bands of tissue or adhesions build up in the joint and keep the shoulder from moving freely. This is where the freeze happens. It comes from the pain, causing the individual to not use it, this allows the adhesions to build.

Impingement

This is when the tendons of the rotator cuff become pinched within the bones of the shoulder. It can cause swelling and pain. It is often set off when lifting the arms over the head repetitively.

Bursitis

This is when the fluid-filled sacs or bursa that cushion the joints get swollen and irritated. Usually, the onset occurs from repetitive motions. However, it can also be caused by a fall or other injury. The pain occurs most when moving the shoulder.

Other causes

Osteoarthritis

Also known as degenerative joint disease. It is the most common form of arthritis. It can affect any joint, including the shoulders. The cartilage between the bones breaks down and allowing them to rub against each other causing pain and stiffness.

Rheumatoid arthritis

This is a disease that causes the immune system to attack the protective lining in the joints. It causes pain and stiffness in the shoulders.

Referred pain

There could be nothing wrong, yet pain or discomfort presents. This could be a sign of a condition involving the lungs, gallbladder, liver, nerves, etc.

Heart attack

Shoulder pain could be brought on from the tightness in the chest and trouble breathing. Get emergency medical help immediately.

Tendinitis

The tendons that make up the rotator cuff become inflamed. It can happen progressively over time or quickly from an accident, fall, or a direct hit to the shoulder.

Bone spurs

These are small, smooth pieces of bone that begin to rub up against the rotator cuff keeping the shoulder from proper movement. They can lead to tendonitis or a tear.  
11860 Vista Del Sol, Ste. 128 The Shoulder: Pain Symptoms, Causes, and Chiropractic
 

Diagnosis

A doctor or chiropractor will begin with a physical exam to check for structural problems to rule out anything involving the spine or neck. Next, is the range of motion exam to see how strong and flexible the shoulder is. This involves moving the arms in different ways, like:
  • Above the head
  • Across the body
  • Behind
  • Rotate 90 or 180 degrees
The doctor could recommend imaging tests to get a closer look:

X-rays

These can help find bone spurs, arthritis, and other bone-related causes of shoulder pain. The doctor could recommend an arthrogram. This involves using a dye to enhance the details allowing them to render more clearly.

MRI scan

Radio waves and a powerful magnet generate detailed images of the shoulder.

CT scan

This is a series of X-rays taken from various angles. When placed together, they allow for optimal views to be seen.

EMG

This measures electrical activity in the muscles to see if there are any problems with the nerves.

Arthroscopy

A surgical procedure that utilizes a tiny fiber-optic camera, allowing the doctor to see high-definition images. With certain cases, the doctor could be able to treat the problem during the procedure.  
 

Treatment

Dislocations, separations, and fractures require medical attention. Getting the shoulder back to the right position followed by a sling to hold it in place while healing and in recovery. For less serious issues, the doctor could recommend rest, heat/ice, and medicine like ibuprofen or aspirin to help with the pain and swelling. Chiropractic treatment for shoulder injury/s and pain. A Chiropractor can:
  • Relieve pain
  • Improve range of motion
  • Increase flexibility
  • Restore function to the joint
If the shoulder does not show improvement after the first steps, the doctor could recommend injecting an anti-inflammatory medication straight into the joint for the swelling and pain relief. There are times when cartilage tears, rotator cuff tears, and a frozen shoulder does not improve with rest, physical therapy, or medication. As a last resort, the doctor could recommend surgery. Any problem with the shoulder means that the treatment plan will probably include stretches and exercises to help strengthen the joint and improve the range of motion.

Prevention

Consider how often the shoulders are used at work and play. Then find ways to protect it:
  • If working at a desk, make sure the chair has proper back support and promotes proper posture.
  • Take several short breaks to move around at least once an hour.
  • If work requires heavy lifting, proper technique is essential.
  1. First face the object being lifted
  2. Keep the back straight
  3. Bend the knees using the legs for power
  • When reaching for a heavy object overhead, use a step-ladder to get a better position.
  • Ask the doctor or chiropractor about a strength and conditioning regimen for the muscles around the shoulders, to keep them strong and flexible.

Chiropractic Treatment Shoulder Pain


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation

Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation

Studies reveal that swimming and aquatic exercises can help in relieving back pain. Done properly it is a highly recognized form of cardio exercise as well as injury recovery and rehabilitation, especially when dealing with back pain. Other types of cardiovascular exercise/s are great and are recommended for individuals with back pain that is already being managed. This could be light walking and mild aerobics. However, those in severe pain and more than likely not in the best shape, cardio can be hard on the body. Swimming is great for all body types, those with weight issues that contribute to their back pain, those that have trouble moving, the young, elderly plus it burns calories, builds muscle, and is very refreshing.
11860 Vista Del Sol, Ste. 128 Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation
 
Swimming has been utilized as a non-impact form of exercise and is recommended for individuals in injury recovery, surgery, and for those where performing high-impact exercise/s like running would be painful and dangerous. The buoyancy or upthrust of the water counters gravity decreasing the compression on the spine. Aqua or hydrotherapy allows cardio activity without increasing or worsening pain, which is very therapeutic. Regular cardiovascular exercises/activities are beneficial for pain reduction. Figuring out and determining the right exercise/stroke for the patient’s specific ailment and length of time those exercises should be done without causing fatigue or increased pain is the objective. Strengthening the paraspinal muscles is essential to help with spinal support and reducing back pain. Utilizing the up-thrust of the water, enables patients to exercise these muscle groups more efficiently and effectively.  
 

Preparation

Wherever the swimming therapy will take place, it is vital that the individual feels comfortable at the location, in the water, knows how to swim as this puts an individual at ease, not worrying about their surroundings and able to focus completely on their therapy/rehab. If an individual is not a confident swimmer, the therapy can be done in shallow water or a rehabilitation pool and if cleared with a doctor taking swimming lessons with back pain in mind could be part of a therapy program. Once confident in the water warm-up in the shallow end or do some walking/cycling before actual swimming.

Therapeutic Strokes

Strokes for the therapeutic workout will be determined by the doctor, specialist, chiropractor, therapist, etc. These strokes are recommended to protect the spine while keeping pain at bay. Although individual cases are completely unique, and a doctor/therapist could recommend other strokes, the safest strokes found for back pain are the freestyle and the backstroke. Strokes like the butterfly or breaststroke cause a natural extension/arch in the low back, which can be quite painful. So a patient does not have to lift their heads, which could cause them to arch their backs as well, could benefit using a center snorkel.  

Regimen Frequency, Length

Like all forms of exercise, especially when dealing with back pain moderation is the way to go avoiding repetitive/overuse injuries. Soreness after the workout that goes away within a few hours is normal. But if the soreness lasts to the next day, this could the body warning the patient they are doing too much. For swimming, therapists usually recommend three days a week 20 to 30-minute workout. With activity response being used as a guide to progress or decrease the intensity or volume of the exercise. A gradual increase in activity until the patient reaches a workout regimen that fits:
  • Age
  • Condition level
  • Physical ability

Considerations

When swimming or performing any exercise/s the benefits are completely dependent on the individual and back condition. It is difficult to determine how well therapeutic swimming will work, as every individual and the condition/s they are dealing with are different. Individuals with arthritis or spinal stenosis have been shown to do well using hydrotherapy because of decreased spinal compression. Each patient might have to make certain adjustments based on their condition and the doctor’s, chiropractor, specialist’s treatment plan. For example, someone with cervical spine arthritis or stenosis could have a difficult time lifting their head to breathe. In this case, they could be instructed to swim using only the backstroke or using a customized stroke so they don’t have to lift the head. Every patient needs to try and see what works for their specific condition. What works for one patient, may not work for another. Find out if swimming could be a treatment option for your back condition. With this in mind, finding a form of aqua/swimming exercise that suits you can be achieved.  
11860 Vista Del Sol, Ste. 128 Swimming Non-Impact Exercise for Back Pain, Injury, and Rehabilitation

 

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