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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


Sciatica Foot Symptoms: El Paso Back Clinic

Sciatica Foot Symptoms: El Paso Back Clinic

Sciatica can range from mild to severe. Most individuals are familiar with severe cases because of the intense shooting throbbing pain. On the other hand, mild cases can present with little to no discomfort or pain but involve tingling, pins and needles, electrical buzzing, and numbing sensations. This can make individuals think there is nothing wrong and their foot just fell asleep. It can come from nowhere, as there was no obvious back or leg trauma causing injury. However, somewhere along the nerve’s path, the nerve has become compressed, pinched, trapped, stuck, or twisted, most likely from a spasming muscle group in the low back, buttocks, or legs causing the sciatica foot symptoms. Chiropractic, massage, and decompression therapy can relax the muscles, relieve the symptoms, release the nerve, and restore function.

Sciatica Foot Symptoms: EP's Chiropractic Specialists

Sciatica Foot Symptoms

The sciatic nerve extends from the lower spine to the feet. Sciatica foot symptoms could be caused by several possibilities that range from piriformis syndrome to a developing slipped disc or spasming muscles. The symptoms travel through the nerve and can be felt anywhere along the nerve’s path, not necessarily at the source. This is why mild cases may only present with slight pricking/tingling sensations. However, left untreated, the cause can progress and develop into a severe case of sciatica.

Symptoms

The length of time that sciatica foot symptoms last will depend on the underlying cause. For example, if a herniated disc is the cause, the numbness may last for a few weeks or months until the disc heals. However, the numbness may be more long-lasting if sciatica is caused by degenerative disc disease. Sometimes, the nerve can be permanently damaged, leading to chronic pain and numbness. This is more likely to occur in individuals with diabetes or another condition that causes nerve damage.

  • A varying degree of leg weakness can present as the spinal nerve root issues interfere with effective signal communication between the brain and the leg muscles.
  • Leg weakness may also be interpreted as a pulling sensation in the leg.
  • Weakness in the foot or toe muscles can also present.
  • Leg movements such as walking, running, lifting the leg, or flexing the foot can also be affected.
  • The tingling and numbing sensations may worsen when sitting or standing for long periods or moving the back in certain ways.

Treatment

Chiropractic care is an excellent option for treating sciatica foot symptoms and starts with a personalized plan based on individual symptoms, injury, and medical history. Chiropractors are neuromusculoskeletal experts on the spine, vertebrae, surrounding muscles, tissues, and nerves. Treatment includes spinal and extremity adjustments to realign the body, decrease inflammation, relieve pressure, release the nerve, and ultimately allow the body to activate its natural healing processes.

Massage

  • Massage therapy can relieve muscle tension and spasms in the back and legs, reducing pressure on the sciatic nerve.
  • Massage also increases blood circulation and relaxes the muscles, speeding healing and recovery.

Electrical Stimulation

  • Electrical stimulation activates the nerves and muscles and reduces symptoms by blocking signals.

Physical Therapy

  • Physical therapy exercises can help stretch and strengthen the back and leg muscles.
  • Targeted exercises can be done at home to continue strengthening and maintaining the muscles.

Foot Orthotics

  • Using orthotic devices such as arch supports or heel cups can help relieve pressure on the feet.
  • Arch supports are especially helpful if sciatica foot symptoms are exacerbated by flat feet or other foot conditions.
  • Heel cups can help with the frequent use of high heels.

Sciatica Specialists


References

American Academy of Orthopaedic Surgeons. “Sciatica.” orthoinfo.org/en/diseases–conditions/sciatica/

Cleveland Clinic. “Sciatica.” my.clevelandclinic.org/health/diseases/12792-sciatica#management-and-treatment

Emary, Peter C. “Evidence-based prognostication in a case of sciatica.” The Journal of the Canadian Chiropractic Association vol. 59,1 (2015): 24-9.

Frost, Lydia R et al. “Deficits in foot skin sensation are related to alterations in balance control in chronic low back patients experiencing clinical signs of lumbar nerve root impingement.” Gait & posture vol. 41,4 (2015): 923-8. doi:10.1016/j.gaitpost.2015.03.345

Mayo Clinic. “Sciatica.” www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435?p=1

National Institutes of Health. “Sciatica.” medlineplus.gov/sciatica.html

Shakeel, Muhammad, et al. “An uncommon cause of sciatica.” Journal of the College of Physicians and Surgeons–Pakistan: JCPSP vol. 19,2 (2009): 127-9.

Tampin, Brigitte, et al. “Disentangling ‘sciatica’ to understand and characterize somatosensory profiles and potential pain mechanisms.” Scandinavian journal of pain vol. 22,1 48-58. 2 Aug. 2021, doi:10.1515/sjpain-2021-0058

Leg Adjustments: El Paso Back Clinic

Leg Adjustments: El Paso Back Clinic

The legs are important for standing and motion. Various problems can affect any part, including the bones, tendons, joints, blood vessels, and connective tissues of the entire leg, foot, ankle, knee, or hip. Common problems include unbalanced/unevenness, muscle sprains and strains, joint dislocations, nerve compression, and fractures. These issues can benefit from chiropractic leg adjustments to relieve the symptoms, realign the body, restore mobility, strengthen the muscles, and prevent further complications.

Leg Adjustments: EP's Chiropractic Functional Clinic Leg Adjustments

The legs are composed of two major sections: upper and lower. The ball-and-socket hip joint connects the upper portion, with only one bone comprising the upper leg, the femur, the largest bone in the body. The lower leg goes from the knee to the ankle and is composed of two bones, the fibula, and the tibia.

  • The tibia makes up the knee together with the base of the femur.
  • The fibula starts from the knee joint and is connected to the tibia.

Muscles

The leg muscles support standing and sitting, carry the body’s weight, and provide movement. Several muscles in the upper and lower legs work together to enable walking, running, jumping, flexing, and pointing the toes.

Upper Leg

The upper leg muscles support the body’s weight and movement. Their jobs include:

  • Anterior muscles: These muscles stabilize the body and help with balance. They also allow:
  • Bending and extension of the knees.
  • Flexion of the thigh at the hip joints.
  • Rotation of the legs at the hips.
  • Medial muscles assist in hip adduction – moving the leg toward the body’s center. They also allow flexion, extension, and rotation of the thigh.
  • Posterior muscles help move the leg from front to back and rotate at the hip socket.

Lower Leg

  • Anterior muscles are in the front/anterior part of the lower leg and help lift and lower the foot and toe extension.
  • Lateral muscles run outside the lower leg and stabilize the foot when walking or running. They also allow side-to-side movement.
  • Posterior muscles: These muscles are in the back of the lower leg. Some are superficial (close to the skin surface), and some sit deeper inside the leg. They help:
  • Flex and point the toes.
  • Jump, run and push off.
  • Lock and unlock the knee.
  • Maintain a healthy posture by stabilizing the legs.
  • Stand up straight by supporting the arch of the feet.

Causes

There are different causes of leg discomfort symptoms. Age, work, physical activity, sports, and misalignments can all cause leg issues to develop.

Musculoskeletal

  • Musculoskeletal system injuries, conditions, and disorders are related to the bones, muscles, tendons, and ligaments. This includes bruising, tendonitis, muscle strain, overuse, and fractures can all lead to musculoskeletal issues.

Neurological

  • Neurological symptoms are related to a problem with the nerves and the nervous system. Damaged and pinched nerves can contribute to leg issues.

Vascular

  • If there are blood vessel issues, it can also lead to leg symptoms. Depending on the cause, leg symptoms can vary from moderate to severe and may be non-stop or come and go.

Symptoms

Symptoms typically include:

  • Muscle weakness.
  • Muscle stiffness.
  • Muscle tightness.
  • A feeling of tiredness and heaviness in the legs.
  • Decreased range of motion.
  • Difficulty in walking or moving the legs.
  • Leg cramps.
  • Tenderness.
  • Pain that may be dull or sharp.
  • Pain that gets worse as time goes on.
  • Bruising.
  • Swelling.
  • Tingling sensations.
  • Numbness.
  • Complete loss of sensation.
  • Edema – fluid retention.
  • Physical deformity of the legs.

Chiropractic Adjustments

Chiropractic care is a proven way of reducing swelling and discomfort throughout the body. Chiropractic leg adjustments help release restrictions and misalignments. This results in increased mobility of the joints, decreased inflammation, and improved function. A chiropractic adjustment on the leg is known as a long-axis distraction adjustment. This adjustment is designed to open the affected joint in the direction the chiropractor pulls. They can adjust their contact to open the femur from the acetabulum of the pelvis, the knee joint, the ankle joints, and the low back. This encourages proper joint space and motion in the affected areas, promoting healthy movement and space and allowing more nutrient flow and pressure removal from the surrounding nerves to help with symptom relief.


Hip Long Axis Distraction


References

Binstead JT, Munjal A, Varacallo M. Anatomy, Bony Pelvis, and Lower Limb, Calf. (www.ncbi.nlm.nih.gov/books/NBK459362/) [Updated 2020 Aug 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Accessed 12/29/2021.

Eid K, Tafas E, Mylonas K, Angelopoulos P, Tsepis E, Fousekis K. Treatment of the trunk and lower extremities with Ergon® IASTM technique can increase hamstrings flexibility in amateur athletes: A randomized control study. Phys Ther Sport. 2017;28:e12. doi:10.1016/J.PTSP.2017.08.038

Jeno SH, Schindler GS. Anatomy, Bony Pelvis, and Lower Limb, Thigh Adductor Magnus Muscles. (www.ncbi.nlm.nih.gov/books/NBK534842/) [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Accessed 12/29/2021.

McGee S. Stance and gait. In: McGee S. Evidence-Based Physical Diagnosis. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 6.

Ransom AL, Sinkler MA, Nallamothu SV. Anatomy, Bony Pelvis, and Lower Limb, Femoral Muscles. (www.ncbi.nlm.nih.gov/books/NBK500008/) [Updated 2020 Oct 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Accessed 12/29/2021.

Thompson PD Nutt JG. Gait disorders. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC. Bradley’s Neurology in Clinical Practice. 6th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 22.

Young G. Leg cramps. (www.ncbi.nlm.nih.gov/pmc/articles/PMC4429847/) BMJ Clinical Evidence. 2015 May 13;2015:1113. Accessed 12/29/2021.

Cold Fingers Causes: El Paso Back Clinic

Cold Fingers Causes: El Paso Back Clinic

In cold weather, it’s normal to experience cold hands and fingers. But if there is a coldness in only one finger while the rest of the hand is normal, changes to skin color, numbness, tingling, or pain symptoms could be a sign of poor circulation or an underlying medical condition. Cold fingers could indicate various problems, including overuse injuries, vitamin deficiencies, Raynaud’s syndrome, hypothyroidism, anemia, arterial disease, or an autoimmune condition. Chiropractic care and massage therapy can increase circulation, release compressed nerves, relax the muscles, and restore mobility and function.

Cold Fingers Causes: EP's Chiropractic Functional Clinic

Cold Fingers

Blood circulates throughout, nourishing and maintaining body warmth. When compression, obstructions, or narrowing paths inhibit blood flow, the body cannot achieve proper circulation. Unhealthy circulation can cause several symptoms, including:

  • Pins and needles sensations along the shoulder, arm, hand, and fingers.
  • Weakened arm and hand muscles.
  • Numbness.
  • Cold finger/s.
  • Muscles aches, soreness, and tightness.
  • Swelling.
  • Pale or bluish skin color.

Overuse Injury

Repeating one movement or motion constantly over time can lead to overuse syndrome/repetitive motion disorder in the hands and arms. Certain jobs and activities can cause overuse syndrome, including:

  • Cashiers.
  • Food service work.
  • Graphic sign work.
  • Computer work.
  • Sewing work.
  • Landscaping.

All of these jobs and activities can put a lot of repeated stress on the hands and arms.

Vitamin B-12 Deficiency

Vitamin B-12 is required for proper red blood cell formation and neurological function. It is found in many foods, including eggs, fish, meat, poultry, and dairy products. A vitamin B-12 deficiency can cause neurological symptoms like numbness, tingling, and coldness in the hands and feet. Other symptoms include:

  • Anemia
  • Fatigue
  • Weakness
  • Difficulty maintaining balance
  • Depression
  • Soreness of the mouth

A doctor requires a blood sample to test for the deficiency. A common treatment is a high dose of an oral supplement or injections for individuals that have difficulties absorbing B-12 through the digestive tract.

Raynaud’s Syndrome

Raynaud’s syndrome is a condition that causes some areas of the body, usually the fingers, to feel cold and numb when exposed to cold temperatures or high-stress levels. This happens because the small arteries that supply blood to the skin are experiencing spasms. During an episode, the arteries narrow, which prevents blood from circulating correctly. The fingers can change color, going from white to blue to red. When the flare-up ends, and the blood flow returns to normal, there may be tingling, throbbing, or swelling. The condition isn’t usually debilitating, and treatment options often include medications that expand the blood vessels to improve circulation. These include calcium channel blockers, alpha-blockers, and vasodilators.

Hypothyroidism

Hypothyroidism is when the thyroid doesn’t produce enough hormones. Hypothyroidism comes on gradually and rarely generates symptoms in the early stages. Hypothyroidism doesn’t cause cold fingers but increases the body’s sensitivity to cold. Other symptoms include:

  • Fatigue
  • Muscle weakness, tenderness, and achiness.
  • Joint swelling, stiffness, and pain.
  • Puffiness.
  • Dry skin.
  • Hoarseness.
  • Weight gain.
  • High or elevated cholesterol levels.
  • Thinning hair and hair loss.
  • Depression.

Over time, the condition can cause complications such as obesity, joint pain, heart disease, and infertility. A doctor can detect hypothyroidism with a simple blood test. Treatment involves taking a daily dose of synthetic thyroid hormone.

Anemia

Anemia is when the blood has a lower-than-normal amount of red blood cells. It also occurs when the red blood cells lack a crucial iron-rich protein called hemoglobin. Hemoglobin assists red blood cells in delivering oxygen from the lungs to the rest of the body. A low supply of hemoglobin to carry oxygen to the hands can result in cold fingers. There may also be fatigue and weakness. Iron deficiency is what typically causes most cases. A doctor may suggest nutritional adjustments if blood work indicates low iron levels. An iron-rich nutritional plan and taking iron supplements can help relieve symptoms.

Arterial Diseases

Diseases that affect the arteries can reduce blood flow to the hands, causing cold fingers. This can be from plaque buildup or inflammation in the blood vessels. Any blockage in the blood vessels can prevent blood from circulating normally. Another arterial problem is primary pulmonary hypertension, which affects the lungs’ arteries and can lead to Raynaud’s syndrome.

Chiropractic Care

Chiropractic adjustments can remove misalignments, restore proper nerve communication, increase blood flow, and correct an overactive sympathetic nervous system. Massaging the shoulders, arms, and hands relaxes the nerves, and muscles, breaks up compressed tissues, and increase blood flow. The circulation of lymphatic fluid around the body is also promoted, which carries toxins away from the muscles and tissues. To improve circulation, the following may be utilized:

  • Deep tissue pressure is effective at relieving congestion and tension.
  • Percussive massage to break up scar tissue.
  • Non-surgical Decompression to stretch the spine and body out.
  • Lymphatic drainage is designed to improve the circulation of the fluid.
  • Reflexology

Carpal Tunnel Syndrome


References

Bilić, R et al. “Sindromi prenaprezanja u saci, podlaktici i laktu” [Overuse injury syndromes of the hand, forearm and elbow]. Arhiv za higijenu rada i toksikologiju vol. 52,4 (2001): 403-14.

Ernst, E. “Manual therapies for pain control: chiropractic and massage.” The Clinical journal of pain vol. 20,1 (2004): 8-12. doi:10.1097/00002508-200401000-00003

InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. How does the blood circulatory system work? 2010 Mar 12 [Updated 2019 Jan 31]. Available from: www.ncbi.nlm.nih.gov/books/NBK279250/

Pal, B et al. “Raynaud’s phenomenon in idiopathic carpal tunnel syndrome.” Scandinavian journal of rheumatology vol. 25,3 (1996): 143-5. doi:10.3109/03009749609080004

Waller, D G, and J R Dathan. “Raynaud’s syndrome and carpal tunnel syndrome.” Postgraduate medical journal vol. 61,712 (1985): 161-2. doi:10.1136/pgmj.61.712.161

Over Rotated Vertebrae: El Paso Back Clinic

Over Rotated Vertebrae: El Paso Back Clinic

It is a common scenario, whether sitting or standing when we need to bend down or forward, and suddenly there is a sharp sting on one side of the low back. The sensation can cause the knees to buckle. So we stand up slowly to assess the condition and realize it is almost impossible to stand completely straight and even harder to bend forward. So we sit back down to try and relieve the pressure. It helps a little, but the injury has caused the back muscles to spasm and get tighter and tighter. When we try to get up, there can be one big or several mild to severe electrical shock sensations traveling through the back. A severely over-rotated vertebrae could be the cause and require chiropractic care, massage, and/or decompression therapy. 

Over Rotated Vertebrae: EP Chiropractic Functional Team

Over Rotated Vertebrae

The spinal column is made of 26 interconnected vertebrae. When in motion, each vertebra moves, and as the torso rotates, the spine must rotate as well. The spine can move in several ways, including:

  • Bending
  • Rounding forward.
  • Extending or arching backward.
  • Twisting
  • Tilting sideways uses some of the same muscles when twisting.

Although the spine can move in various directions, there are limits to how far it can and should go. For example, when bending forward to lift an object, an individual can unknowingly over-extend and over-rotate vertebrae. This is where the risk of injury increases. A rotational injury of the spine occurs when the torso turns too far, and the spinal cord can’t handle it. This can stretch the ligaments in the spine to the point of snapping, causing the facet joints to dislocate. Ligament strains and facet dislocations are two of the most common rotational spine injuries.

Complications

An over-rotated vertebrae injury can also lead to complications that include.

Chronic Pain

  • Spinal nerve damage can lead to chronic pain conditions.

Mobility Problems

  • Mobility problems are common following an injury of the spine.
  • This comes from damage to the nerves that innervate the legs, causing weakness and coordination problems.

Pressure Ulcers

  • Numbness following a spine injury can cause individuals not to notice pressure ulcers developing.
  • These can lead to infections and could require hospitalization.

Individuals accumulate tension and/or weakness in the oblique abdominal muscles and other trunk muscles that can lead to chronic tightness and weakness, affecting movement and decreasing the range of motion.

Chiropractic Treatment Plan

Depending on the time and severity of the injury, a personalized treatment plan may consist of the following:


Facet Syndrome Treatment


References

Janssen, Michiel M A, et al. “Pre-existent vertebral rotation in the human spine is influenced by body position.” 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. 19,10 (2010): 1728-34. doi:10.1007/s00586-010-1400-3

Kruger, Erwin A et al. “Comprehensive management of pressure ulcers in spinal cord injury: current concepts and future trends.” The Journal of spinal cord medicine vol. 36,6 (2013): 572-85. doi:10.1179/2045772313Y.0000000093

Passias, Peter G et al. “Segmental lumbar rotation in patients with discogenic low back pain during functional weight-bearing activities.” The Journal of bone and joint surgery. American volume vol. 93,1 (2011): 29-37. doi:10.2106/JBJS.I.01348

Shan, X., Ning, X., Chen, Z. et al. Low back pain development response to sustained trunk axial twisting. Eur Spine J 22, 1972–1978 (2013). doi.org/10.1007/s00586-013-2784-7

Knee Neuropathy: El Paso Back Clinic

Knee Neuropathy: El Paso Back Clinic

Individuals dealing with aching knees is one of the most common health problems and affects people of all ages. The knee is the largest joint in the body, comprised of muscles, tendons, ligaments, cartilage, and bones. The knees support walking, standing, running, and even sitting. Constant use makes them highly susceptible to injuries and conditions. The knees are also surrounded by a complex network of nerves that transmit messages to and from the brain. Damage to the nerves from an injury or disease can create various symptoms of discomfort in and around the knee joint.

Knee Neuropathy: EP's Chiropractic Team

Knee Neuropathy

Causes

Knee discomfort symptoms can be brought on by injury, degenerative disorders, arthritis, infection, and other causes, including:

Rheumatoid arthritis

  • This is a chronic inflammatory disorder that causes the knees to swell and causes damage to the cartilage.

Osteoarthritis

  • This type of arthritis causes the cartilage to steadily wear away, causing damage to the joints and various symptoms.

Cartilage Issues

  • Overuse, muscle weakness, injury, and misalignments can cause compensating postures and movements that can wear down and soften the cartilage, generating symptoms.

Several factors can increase the risk of developing knee neuropathy, including:

  • Previous knee injury
  • Undiagnosed and untreated knee injury
  • Unhealthy Weight
  • Gout
  • Compromised leg muscle strength and/or flexibility

Symptoms

Symptoms associated with a knee injury or disorder can vary, depending on the severity and damage. Symptoms can include:

  • Joint stiffness
  • Swelling in the joint.
  • Reduced movement/flexibility in the joint.
  • Increased instability/feeling of weakness in the knee.
  • Changes in skin color around the knee joint, like increased redness or pale discoloration.
  • Numbness, coldness, or tingling in and/or around the joint.
  • Pain symptoms could be a dull ache or throbbing felt throughout the knee.
  • Sharp, stabbing discomfort in a specific area.

If left untreated, knee neuropathy could permanently affect the ability to walk and lead to partial or total loss of knee function and mobility. Doctors recommend taking note of the following:

  • What activity/s generates symptoms?
  • Where are the symptoms located?
  • What the pain feels like?

Treatments available for knee pain

Chiropractic treatment offers various approaches to addressing the pain caused by nerve damage. Standard treatment includes chiropractic adjustments, therapeutic massage, non-surgical decompression, stretching, posture and movement training, and nutritional anti-inflammatory plans. Our medical team specializes in non-surgical treatments that decrease symptoms and increase strength, flexibility, mobility, and restore function.


Knee Injuries Adjustment


References

Edmonds, Michael, et al. “The current burden of diabetic foot disease.” Journal of clinical orthopedics and trauma vol. 17 88-93. 8 Feb. 2021, doi:10.1016/j.jcot.2021.01.017

Hawk, Cheryl, et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181

Hunter, David J et al. “Effectiveness of a new model of primary care management on knee pain and function in patients with knee osteoarthritis: Protocol for THE PARTNER STUDY.” BMC musculoskeletal disorders vol. 19,1 132. 30 Apr. 2018, doi:10.1186/s12891-018-2048-0

Kidd, Vasco Deon, et al. “Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How.” JBJS essential surgical techniques vol. 9,1 e10. 13 Mar. 2019, doi:10.2106/JBJS.ST.18.00016

Krishnan, Yamini, and Alan J Grodzinsky. “Cartilage diseases.” Matrix biology: journal of the International Society for Matrix Biology vol. 71-72 (2018): 51-69. doi:10.1016/j.matbio.2018.05.005

Speelziek, Scott J A, et al. “Clinical spectrum of neuropathy after primary total knee arthroplasty: A series of 54 cases.” Muscle & nerve vol. 59,6 (2019): 679-682. doi:10.1002/mus.26473

Ladder Falls and Injuries: El Paso Back Clinic

Ladder Falls and Injuries: El Paso Back Clinic

The ladder is one of the most utilized tools. Most individuals have a ladder or two in their homes or at work and never consider the dangers. Falling off a ladder can lead to serious injuries like muscle tears, broken bones, damage to the spinal cord, skull fractures, or traumatic brain injury. The objective is to educate homeowners and workers on being more alert, increasing awareness, and reinforcing safety protocols.Ladder Falls and Injuries: Injury Medical Chiropractic Team

Ladder Falls and Injuries

According to the Centers for Disease Control and Prevention, ladder falls account for more than 500,000 injuries and 300 deaths annually. Even professionals with experience in safety can make simple mistakes like carrying too heavy a load or not spotting signs of wearing or a defect that leads to injury.

Causes

Causes can arise from defects or user mistakes. These include:

A Defective Ladder

  • Old worn-out
  • Damaged or broken
  • Loose or cracking rungs
  • Ladders folding during use
  • Using the improper type of ladder for the job or task

Incorrect Ladder Use

  • Carrying dangerous objects or heavy loads
  • Stretching or reaching too far out
  • Failing to secure the ladder properly
  • Recklessness or horseplay

Injuries

Common falls can cause injuries severe enough to require professional medical care. Around one in five falls, on average, cause serious injuries that include.

  • Muscle sprains and/or tears
  • Neck and back injuries
  • Herniated discs
  • Hip injuries and fractures
  • Broken bones
  • Spinal cord injuries
  • Skull fractures
  • Traumatic brain injuries

Any of these injuries could cause permanent disabilities or chronic conditions.

Chiropractic Care

A fall can damage joints, muscles, bones, and ligaments without realizing there is a problem or injury. The back and spine are most likely to be affected. When landing flat on your back, the joints that connect the spinal column can slip, causing inflammation and joint swelling. To prevent chronic pain and alleviate acute pain, seeking medical attention and chiropractic care as soon as possible is recommended. After confirming the spine is not fractured or broken, a chiropractor can bring relief and restore mobility and function. Injury Medical Chiropractic and Functional Medicine Clinic are committed to helping individuals rehabilitate and recover from injuries. We develop a personalized plan to maximize the potential of recovering and returning to daily activities as soon as possible.


Safer In Seconds


References

Cabilan, C J et al. “Impact of ladder-related falls on the emergency department and recommendations for ladder safety.” Emergency medicine Australasia: EMA vol. 30,1 (2018): 95-102. doi:10.1111/1742-6723.12854

Hicks, Cameron, et al. “Ladder Use in Older People: Type, Frequency, Tasks, and Predictors of Risk Behaviours.” International journal of environmental research and public health vol. 18,18 9799. 17 Sep. 2021, doi:10.3390/ijerph18189799

“Ladder falls.” Health news (Waltham, Mass.) vol. 4,2 (1998): 7.

Muir, L, and S Kanwar. “Ladder injuries.” Injury vol. 24,7 (1993): 485-7. doi:10.1016/0020-1383(93)90156-z

Partridge, R A et al. “Causes and patterns of injury from ladder falls.” Academic emergency medicine: official journal of the Society for Academic Emergency Medicine vol. 5,1 (1998): 31-4. doi:10.1111/j.1553-2712.1998.tb02571.x

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.

Benefits

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


References

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. osf.io/preprints/sportrxiv/j9ya8/

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