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Enhancing Mobility and Stability with Personalized Care

Enhancing Mobility and Stability with Personalized Care

Optimal Joint Movement: Enhancing Mobility and Stability at El Paso Back Clinic

Enhancing Mobility and Stability with Personalized Care

A chiropractor or Nurse Practitioner works with a patient in a rehabilitation center to improve joint mobility.

Optimal joint movement is essential for an active, pain-free life. At El Paso Back Clinic in El Paso, TX, we specialize in helping people achieve this through personalized chiropractic care. This article explains what optimal joint movement means, why it’s important, and how our clinic’s integrative approaches can restore it. Whether you’re dealing with back pain, sports injuries, or daily stiffness, our team, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, uses spinal adjustments, rehabilitation, and functional medicine to get you moving better. Discover how we support joint health to improve function in everyday tasks and athletic pursuits.

Understanding Optimal Joint Movement

Optimal joint movement is the ability to move your joints through their full natural range of motion (ROM) smoothly, without pain, and with good control. It’s often referred to as high-quality mobility, blending flexibility with strength for daily activities and sports (University of Colorado Anschutz Medical Campus, n.d.).

At El Paso Back Clinic, we define it as moving joints efficiently while maintaining balance between mobility (active movement) and stability (joint control). This ensures muscles, ligaments, and tendons work together properly (National Academy of Sports Medicine, n.d.; Mainstay Medical, n.d.). For instance, a healthy shoulder should lift overhead to 180 degrees without strain, allowing you to reach shelves or throw a ball (Verywell Health, 2023a).

When injury or prolonged sitting disrupts this, mobility declines, leading to awkward movements elsewhere in the body (University of Colorado Anschutz Medical Campus, n.d.). Our clinic addresses this through holistic care, combining adjustments, soft-tissue therapy, and exercises to reduce inflammation and improve coordination.

  • Key Elements of Optimal Movement:
    • Full ROM: Joints reach their natural limits, like knee flexion to 140 degrees for squatting (The GO KNEE, n.d.).
    • Smooth Control: No jerking or pain, thanks to strong muscles and clear nerve signals.
    • Balance: Mobility for range, stability to prevent wobbles or injuries (ACE Fitness, n.d.a).

The Importance of Mobility and Stability Balance

At El Paso Back Clinic, we emphasize the balance between mobility and stability for peak performance. Mobility allows free movement, while stability keeps joints secure during activities (ACE Fitness, n.d.b). This synergy is key in our treatments.

Think of the body as a chain: Ankles and hips need mobility for steps, while knees and lower back provide stability (Motus Physiotherapy, n.d.; NASM, n.d.). If an ankle stiffens due to injury, the knee compensates, increasing the risk of pain (Physical Therapy at MJC, n.d.). Our chiropractic adjustments and rehab programs restore this chain, enhancing joint function.

Integrative care at our clinic—including spinal decompression and strength training—supports this balance, reducing the risk of injury and improving mobility (Peninsula Wellness Partners, n.d.).

Common Disruptions to Joint Mobility

Life factors can hinder optimal joint movement. Injuries cause swelling and tightness, limiting ROM (Frozen Shoulder Clinic, n.d.; Musculoskeletal Key, n.d.). A sedentary lifestyle, common in desk jobs, tightens muscles and stiffens joints (Dr. Ong Kee Leong, n.d.).

At El Paso Back Clinic, we see this in patients with back pain or sciatica, where poor posture leads to compensation and strain in other areas (OMassageT, n.d.). Aging, arthritis, or repetitive motions worsen it (Arthritis Foundation, n.d.; Chesapeake Regional, n.d.).

  • Typical Causes:
    • Trauma: Sprains create hard end-feels, stopping movement early (Physiopedia, n.d.c).
    • Inactivity: Shortens tissues, reducing flexibility (Dr Ong Kee Leong, n.d.).
    • Health Conditions: Arthritis limits ROM, causing bony sensations (Physiopedia, n.d.c).
    • Habits: Bad ergonomics unbalance the kinetic chain (OMassageT, n.d.).

Without correction, this increases fall risk and reduces quality of life. Our clinic’s diagnostic tools, such as digital X-rays, identify issues early.

Why Prioritize Optimal Joint Movement?

Good joint movement enhances everything from walking to sports. It prevents pain and boosts efficiency (OneStep, n.d.). At El Paso Back Clinic, we help athletes improve power and reduce injuries through better ROM (Activ Therapy, n.d.).

For daily life, it means easier tasks without fatigue (Baliston, n.d.). In walking, ankle flexion aids balance; poor ROM shortens strides (Baliston, n.d.). Our programs keep joints lubricated and muscles strong (Arthritis Foundation, n.d.).

  • Everyday Benefits:
    • Pain Relief: Eases arthritis stiffness (Chesapeake Regional, n.d.).
    • Better Performance: Increases strength and speed (Muscle and Motion, n.d.).
    • Injury Prevention: Handles stress well (University of Colorado Anschutz Medical Campus, n.d.).
    • Mood Boost: Promotes endorphin release (Arthritis Foundation, n.d.).

Maintaining and Improving Joint Movement

At El Paso Back Clinic, maintenance starts with assessment. We measure ROM against norms using tools like goniometers (Physical Therapy at MJC, n.d.; Trainerize, n.d.). Then, we recommend exercises.

Regular activity, such as stretching, helps keep joints flexible (Arthritis Foundation, n.d.; Royal City Physiotherapy, n.d.). Our mobility drills focus on control for real-world use (Royal City Physiotherapy, n.d.).

  • Practical Tips:
    • Warm-Ups: Shoulder circles or ankle rolls (Chesapeake Regional, n.d.).
    • Stretching: Hold for 30 seconds on tight spots (Verywell Health, 2023a).
    • Strength Work: Squats for knee stability (ACE Fitness, n.d.b).
    • Activity: Low-impact, like swimming (Arthritis Foundation, n.d.).
    • Tools: Foam rollers for self-care (Muscle and Motion, n.d.).

Visit our East Side location for personalized plans.

Integrative Chiropractic Care at El Paso Back Clinic

Our clinic offers holistic chiropractic care to restore joint movement. Led by Dr. Alex Jimenez, we combine adjustments, therapy, and guidance (Peninsula Wellness Partners, n.d.; Evolved Health Chiropractic, n.d.).

Adjustments realign joints, easing inflammation and nerves (Rodgers Stein Chiropractic, n.d.a; Rodgers Stein Chiropractic, n.d.b). Soft tissue work and rehab build muscle support (Evolved Health Chiropractic, n.d.).

This approach enhances mobility, strengthens areas, and reduces risks (Core Integrative Health, n.d.; Duca Chiropractic, n.d.). Joint mobilization gently increases ROM (Smart Sports Medicine, n.d.).

  • Our Services:
    • Spinal Adjustments: Restore alignment for better ROM (Chiropractic Omaha, n.d.).
    • Decompression: Relieves disc pressure (TXMAC, n.d.).
    • Functional Medicine: Addresses root causes, such as nutrition (TXMAC, n.d.).
    • Rehab: Exercises for long-term health (Duca Chiropractic, n.d.).

Clinical Insights from Dr. Alex Jimenez at El Paso Back Clinic

Dr. Alex Jimenez, DC, APRN, FNP-BC, heads El Paso Back Clinic, with over 30 years of experience in integrative care. At our facilities, he blends chiropractic, functional medicine, and rehab for joint issues (Jimenez, n.d.a; Jimenez, n.d.b).

His observations: Adjustments alleviate nerve-related issues, restoring ROM in cases of back pain or sciatica (Jimenez, n.d.a). Patients from accidents or sports regain mobility through tailored plans (Jimenez, n.d.a).

Dr. Jimenez focuses on root causes with nutrition and exercises, preventing surgery (Jimenez, n.d.b). For hips or knees, agility programs balance mobility and stability (Jimenez, n.d.a). Our holistic model empowers patients and aligns with evidence supporting better function (Jimenez, n.d.b).

Contact us at +1-915-850-0900 for consultations.

Conclusion

At El Paso Back Clinic, optimal joint movement is achievable with our expert care. Balance mobility and stability to overcome disruptions. Visit elpasobackclinic.com or our El Paso locations for help from Dr. Jimenez’s team.


References

ACE Fitness. (n.d.a). Joint mobility and stability.

ACE Fitness. (n.d.b). Stability vs. mobility: What’s the difference?

Activ Therapy. (n.d.). Why improve joint movement for sporting success.

Arthritis Foundation. (n.d.). 8 ways exercise helps joints.

Baliston. (n.d.). How does your range of motion impact your quality of walking.

Chesapeake Regional. (n.d.). Exercise to improve your arthritis symptoms.

Chiropractic Omaha. (n.d.). What is joint mobility and how to maintain or improve it.

Core Integrative Health. (n.d.). Chiropractic care: Moving freely with great range of motion.

Dr Ong Kee Leong. (n.d.). Improve shoulder mobility.

Duca Chiropractic. (n.d.). The benefits of chiropractic care for long-term joint health.

Evolved Health Chiropractic. (n.d.). Chiropractic care for joint health: Maintaining mobility and flexibility for life.

Frozen Shoulder Clinic. (n.d.). MUA for frozen shoulder.

Indy Spine. (n.d.). The shoulder: The most mobile and troublesome joint in the body.

Jimenez, A. (n.d.a). Dr. Alex Jimenez.

Jimenez, A. (n.d.b). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN ♛ – Injury Medical Clinic PA | LinkedIn.

Mainstay Medical. (n.d.). Relationship between joint mobility and stability.

Motus Physiotherapy. (n.d.). The joint-by-joint approach to physiotherapy: Understanding knee pain.

Muscle and Motion. (n.d.). Mobility: The key to optimal movement.

Musculoskeletal Key. (n.d.). Assessment and classification of uncontrolled movement.

National Academy of Sports Medicine. (n.d.). Mobility and stability: Joint functions when we move.

OMassageT. (n.d.). Understanding the kinetic chain: How body structure affects movement.

OneStep. (n.d.). The importance of range of motion.

Peninsula Wellness Partners. (n.d.). How integrative chiropractic care connects movement and recovery.

Physical Therapy at MJC. (n.d.). How to figure out if you have a range of motion deficit.

Physiopedia. (n.d.a). Range of motion normative values.

Physiopedia. (n.d.b). Joint range of motion during gait.

Physiopedia. (n.d.c). End-feel.

Rodgers Stein Chiropractic. (n.d.a). Why do adjustments enhance mobility and flexibility.

Rodgers Stein Chiropractic. (n.d.b). 5 ways chiropractic adjustments enhance flexibility.

Royal City Physiotherapy. (n.d.). Flexibility vs. mobility: They are different and what you should know.

Smart Sports Medicine. (n.d.). Enhancing joint health: The role of joint mobilization in manual therapy.

Stretch Affect. (n.d.). The eight components to movement health.

The GO KNEE. (n.d.). Understanding knee range of motion.

Trainerize. (n.d.). Understanding normal ranges of motion.

TXMAC. (n.d.). Why choose chiropractic for enhanced flexibility.

University of Colorado Anschutz Medical Campus. (n.d.). Blogs: Flexibility, mobility, stability, and injury prevention.

Verywell Health. (2023a). What is normal range of motion in a joint.

Anterior Hip and Leg Muscle Pain Relief Techniques

Anterior Hip and Leg Muscle Pain Relief Techniques

Anterior Hip and Leg Muscles: What They Are, What They Do, and Why They Hurt

Anterior Hip and Leg Muscle Pain Relief Techniques

A woman holds her aching anterior hip.

Pain in the front of the hip (often felt in the hip crease or groin area) and the front of the thigh is very common. It can show up when you stand up from a chair, climb stairs, run, kick, or even after sitting for a long time. The tricky part is this: front-hip pain is not always “just a tight hip flexor.” Sometimes it’s a muscle or tendon problem, but it can also be related to the hip joint, the pelvis, or the lower back.

This guide is written for everyday people in El Paso who want clear answers, plus a practical explanation of how an integrative chiropractic approach can help reduce pain and prevent flare-ups.

At El Paso Back Clinic, Dr. Alexander Jimenez and the team often observe a pattern: tight, overworked hip flexors, underactive glutes, and poor pelvic control—especially in people who sit a lot, train hard, or are recovering after an accident.


What “anterior hip and leg muscles” means

“Anterior” means the front side. The anterior hip and leg muscles are basically your “go-forward” and “stand-tall” muscles. They help you:

  • Lift your knee (hip flexion)

  • Step forward when walking or running

  • Stabilize your pelvis so your lower back doesn’t overwork

  • Straighten your knee (knee extension)

  • Control your leg when you climb stairs or squat

When these muscles get overloaded, they can feel tight, sore, weak, or sharp—depending on the cause.


The main anterior hip muscles (your hip flexors)

Hip flexors are not one muscle. They’re a group that works together.

Key hip flexor muscles

  • Iliopsoas (iliacus + psoas): the classic “deep hip flexor”

  • Rectus femoris: part of the quadriceps, crosses the hip and the knee

  • Sartorius: a long, strap-like muscle across the front of the thigh

  • Tensor fasciae latae (TFL): supports hip flexion and pelvic control

  • Pectineus (often grouped with hip flexors in clinical discussions)

Why iliopsoas matters so much

The iliopsoas helps:

  • Lift the thigh toward the trunk

  • Support the hip joint and pelvis

  • Add stability near the lumbar spine/pelvis connection

At El Paso Back Clinic, iliopsoas overuse is commonly discussed among athletes and active individuals who engage in sprinting, jumping, kicking, or repeated hip flexion.


The anterior thigh muscles (front of the thigh)

The main anterior thigh group is the quadriceps. They’re designed to extend the knee and help control motion during walking, stairs, squats, and landing.

Quadriceps muscles

  • Rectus femoris

  • Vastus medialis

  • Vastus lateralis

  • Vastus intermedius

The anterior thigh compartment is also supplied and controlled by key anatomical structures, such as the femoral nerve (often described as the L2–L4 roots) and the femoral artery system. That’s one reason pain patterns can sometimes feel confusing—muscles, nerves, and joints all influence the sensation you feel.


Why the anterior hip and leg muscles sometimes hurt sometimes

There are a few “big buckets” that explain most front-hip and front-thigh pain.

You’re asking the muscles to do too much, too often (overuse)

Overuse happens when the workload increases faster than your tissues can adapt. Common triggers include:

  • Sudden jump in running miles

  • More hills or speed work than usual

  • Lots of kicking (soccer, martial arts)

  • Heavy squats/lunges with poor control

  • Repetitive direction changes (basketball, football)

Overuse can irritate:

  • The muscle belly (soreness, tightness)

  • The tendon (tendinopathy-like pain)

  • The hip flexor attachment area near the front of the hip

Prolonged sitting keeps hip flexors in a “shortened” position

Sitting puts the hips into flexion. Over time, many people notice:

  • Hip tightness when standing up after sitting

  • A “pinchy” feeling in the front of the hip

  • Low back stiffness that shows up with hip tightness

Dr. Jimenez has emphasized in his recent writing that prolonged sitting can contribute to tight hip flexors and poor movement patterns, and that short movement breaks, along with targeted mobility work, can help many people feel better.

The hip flexors can be tight because other muscles are not doing their job

This is one of the most common “root causes” in stubborn cases:

  • Weak or underactive glutes

  • Weak deep core stabilizers

  • Limited hip mobility (the hip joint doesn’t move well)

  • Pelvic control issues (pelvis tips forward, rotates, or drops during gait)

El Paso Back Clinic explains that when the glutes weaken from inactivity and prolonged sitting, the hips and pelvis can become less stable and shift out of alignment, thereby increasing stress on surrounding tissues.

Sometimes the pain is not in the hip flexor at all

A major clinical point from family medicine guidelines is that hip pain often groups into:

  • Anterior (front)

  • Lateral (side)

  • Posterior (back)

…and the cause changes based on that pattern. Anterior hip pain may result from hip flexor injury, but it can also result from intra-articular hip joint problems (such as femoroacetabular impingement or labral pathology) or from referred pain.

A helpful “body map” concept is presented in educational videos that discuss what different hip pain locations can indicate, but a hands-on evaluation remains important when symptoms persist.


What the pain feels like: common patterns that guide the next step

These are not perfect rules, but they help you decide whether you’re dealing with a likely muscle/tendon issue or something deeper.

More likely muscle/tendon irritation (common hip flexor pattern)

  • Pain in the front hip crease

  • Worse with lifting the knee (stairs, marching)

  • Worse with running sprints, kicking, or hills

  • Tenderness in the front hip region

  • Feels tight after sitting

More likely hip joint involvement

  • Deep groin pain with hip rotation

  • Catching, clicking, locking, or “pinching”

  • Pain that persists despite basic stretching/rest

  • Range of motion feels blocked (especially flexion + rotation)

More likely low back/nerve referral

  • Front thigh pain plus low back symptoms

  • Numbness, tingling, and burning sensations

  • Symptoms that change with spine position


Why “stretching only” often fails

Stretching can feel good short-term, but it may not solve the real driver if the problem is:

  • Weak glutes and weak core control

  • A stiff hip joint or pelvic restriction

  • Poor movement strategy (how you squat, run, or stand)

  • A training load problem (too much too soon)

In other words, the hip flexors may be tight because they’re protecting you or compensating for something else.


How El Paso Back Clinic approaches anterior hip and leg pain

El Paso Back Clinic describes an integrative model that blends chiropractic care, rehabilitation concepts, and movement-based strategies, with a focus on mobility, flexibility, and the restoration of balanced function.

Here’s how that “integrative” approach commonly helps front-hip and front-thigh problems.

Identify the true driver (not just the sore spot)

A good evaluation typically includes:

  • History (training, sitting, injury, accident history)

  • Hip and pelvic range-of-motion testing

  • Strength checks (hip flexors, glutes, core, quads)

  • Movement screening (squat, step-down, gait)

  • Differentiation between hip joint vs. lumbar referral patterns

Dr. Jimenez has written about the importance of a structured hip evaluation to sort out the likely source of pain and match care to the pattern.

Restore joint motion and reduce protective “guarding”

When the pelvis/hip/lumbar spine isn’t moving well, the body often shifts load to the hip flexors and quads. Chiropractic-style care may focus on restoring smoother motion so the muscles stop overworking.

El Paso Back Clinic also discusses how muscle imbalance and chronic guarding can make it harder for muscles to “relax on their own,” especially after injuries.

Use soft tissue + targeted techniques to normalize muscle function

A common strategy is pairing hands-on care with neuromuscular techniques. El Paso Back Clinic specifically discusses assessing hip flexors with MET therapy (muscle energy technique) as part of reducing tightness and improving hip mobility.

Rebuild strength where it matters (glutes + core + hip control)

To prevent recurrence, the plan usually includes strengthening and control, especially:

  • Glute bridges and progressions

  • Hip abduction strength (side-lying or banded work)

  • Core stability (anti-rotation, controlled bracing)

  • Gradual reloading of hip flexors (instead of only stretching)

El Paso Back Clinic’s content repeatedly emphasizes that restoring balanced muscle function around the pelvis and hips supports daily movement and performance.


Practical tips you can start today (safe, simple, and realistic)

If your symptoms are mild and you’re not dealing with red flags, these are common first steps.

For desk workers and drivers (very common in El Paso)

  • Take 1–2 minute movement breaks every 30–60 minutes

  • Do a gentle hip flexor stretch (no sharp pinching)

  • Add a glute activation move (bridges or mini-band walks)

  • Keep your daily steps consistent (don’t go from 2,000 to 12,000 overnight)

For runners and athletes

  • Reduce aggravating volume for 1–2 weeks (not “stop forever,” just calm it down)

  • Avoid sprinting/kicking if it spikes sharp pain

  • Strengthen glutes and hip stabilizers 2–3x/week

  • Return to speed and hills gradually, not all at once

Quick self-check idea (mobility clue)

The Thomas Test is commonly used to screen for hip flexor tightness and may help distinguish whether the “tight feeling” is more iliopsoas- or quadriceps-based (rectus femoris). It’s not a diagnosis, but it can be a clue.


When you should get evaluated sooner rather than later

Don’t try to “stretch through it” if you have:

  • Severe pain after a fall or accident

  • Inability to bear weight

  • Fever or feeling unwell with hip pain

  • Worsening numbness/tingling or leg weakness

  • Persistent catching/locking and deep groin pain

A structured clinical examination is particularly important when hip pain may involve the hip joint or referral patterns.


The main takeaway

Your anterior hip and leg muscles—especially the hip flexors and quadriceps—are essential for walking, running, stairs, and posture. They often hurt because of:

  • Too much repeated load (overuse)

  • Too much sitting (hip flexors stay shortened)

  • Muscle imbalance (weak glutes/core causing hip flexors to overwork)

  • Hip joint or low back referral (pain “shows up” in the front)

An integrative chiropractic model—such as the one described in El Paso Back Clinic’s educational resources—focuses on identifying the underlying cause, restoring motion, improving muscle balance, and developing a plan to reduce the likelihood of recurrence.


References

Mobility Challenges in Mexican and Mexican Americans Explained

Mobility Challenges in Mexican and Mexican Americans Explained

Mobility Challenges in Mexican and Mexican American Communities: Insights from El Paso Back Clinic®

Mobility Challenges in Mexican and Mexican Americans Explained

Mexican-American with back pain at a construction site.

At El Paso Back Clinic® in El Paso, TX, we see many patients from Mexican and Mexican American backgrounds facing mobility issues. These problems often stem from tough jobs, health factors like obesity, and aging. Our wellness chiropractic care focuses on pain relief and improved movement. This article discusses common issues such as arthritis and back pain, supported by studies. We’ll explain how our team, including Dr. Alexander Jimenez, DC, APRN, FNP-BC, uses integrative approaches to help. If you’re in El Paso dealing with these, our clinic is here for you.

Common Musculoskeletal Mobility Issues We Treat

Musculoskeletal problems affect your bones, muscles, and joints, making it difficult to move freely. At our clinic, we see these issues often in our community, where many work in demanding fields like farming or construction.

Arthritis, especially in the knees, is a top concern. It causes joint wear-related swelling and pain. In Mexico, about 20-25% of adults aged 40+ have it, with higher rates among women (Villarreal Rizzo et al., 2025). Mexican Americans in the U.S. also face risks, like osteoporosis weakening bones in 16% of women (Wright et al., n.d.). At El Paso Back Clinic®, we help ease this with gentle adjustments and exercises.

Chronic low back pain hits hard, too. It comes from prolonged lifting or standing. In Mexico, it’s the leading cause of disability, with 840.6 cases per 100,000 in 2021 (Clark et al., 2023). Among farmworkers here in Texas, 46.9% report back issues affecting daily life (Weigel et al., 2013). Our chiropractic care targets this to get you moving again.

Work injuries often involve the shoulders, wrists, and legs. Repetitive tasks in jobs cause rotator cuff problems in 19.1% and elbow pain in 20.2% of Latino workers (Mora et al., 2014). Older adults in our area are at risk of frailty due to ongoing pain, leading to reduced mobility (National Institutes of Health, n.d.). Women face more disability in tasks like walking, with arthritis raising risks by 35% over time (Rodriguez et al., 2021).

Here are key facts we see in our patients:

  • Arthritis rates: 19.6% for knee issues in Mexicans over 40, up to 24.2% in women (Ciampi de Andrade et al., 2022).
  • Back pain: Affects 16.9% of farmworkers from repetitive strain (Mora et al., 2014).
  • Craft-related injuries: Neck and knee pain from activities like weaving (Jeanson et al., 2025).
  • Disability trends: Physical function declines by 0.18 points per year with arthritis (Rodriguez et al., 2021).

Jobs in agriculture and construction drive these, plus obesity adds joint stress. In our Mexican American patients, higher BMI initially slows strength loss but worsens it later (Davis & Al Snih, 2025). About 83% of Hispanic men are overweight, linked to less activity (Valdez et al., 2019). At El Paso Back Clinic®, we address this with personalized plans.

Neuromusculoskeletal Issues Addressed at Our Clinic

These issues combine nerve problems with muscle and bone pain, leading to numbness or weakness. Our wellness approach helps restore nerve function and reduce discomfort.

Chronic low back pain is common, often due to nerve compression. It’s the main cause of disability in Mexico (Alva Staufert et al., 2021). Knee and foot arthritis affects movement, with 25.5% showing joint changes (Ciampi de Andrade et al., 2022). We treat foot pain from standing jobs, seen in 4.8% of workers (Mora et al., 2014).

Shoulder injuries, such as rotator cuff tears, are associated with overhead work and affect 19.1% (Mora et al., 2014). Elbow issues, or epicondylitis, affected 20.2% due to tool use (Mora et al., 2014). MSDs in Mexico rose 57.3% over 30 years (Clark et al., 2023). Obesity plays a role, with 40% of Hispanic men affected (Valdez et al., 2019).

In border areas like El Paso, women report 29.8% low back and 38.3% upper back pain from factory jobs (Harlow et al., 1999). Older patients walk more slowly due to leg pain (Quiben & Hazuda, 2015).

Common issues we handle:

  • Low back pain: Top disability driver, tied to work and weight (Alva Staufert et al., 2021).
  • Knee/foot arthritis: More in women, causing stiffness (Ciampi de Andrade et al., 2022).
  • Rotator cuff: From arm overuse in construction (Mora et al., 2014).
  • Epicondylitis: Elbow strain, common in 20% (Mora et al., 2014).

How El Paso Back Clinic® Helps with Integrative Care

Our clinic combines nurse practitioners (NPs) and chiropractic methods for culturally sensitive help. We focus on pain management and rehab to fit our community’s needs.

NPs at our clinic offer full check-ups that consider culture and history. They suggest diets rich in veggies and yoga for detox and pain relief (Jimenez, 2026a). We team up for whole-body care (Jimenez, 2026b).

Chiropractic adjustments realign the spine to ease nerve compression. For sitting-related back pain, we restore curves and strengthen the core (El Paso Back Pain Clinic, n.d.). Access to this care is key, though Hispanics use it less (Roseen, 2023).

Dr. Alexander Jimenez shares from his experience: Chronic back pain worsens with poor posture, but adjustments and exercises help (Jimenez, n.d.). For sciatica, decompression relieves pressure on nerves, which is common in laborers. Neuropathy gets therapy for tingling (Jimenez, n.d.). He uses functional medicine to tackle stress, diet, and job factors in our Mexican American patients.

We include mindfulness and natural remedies. Cultural factors, such as family support, help recovery, but delays worsen pain (Arthritis Foundation, n.d.). Our NPs create home plans (Pérez-Stable et al., 2003).

Rehab strengthens areas such as the legs and shoulders (Mora et al., 2014). It cuts frailty risks (National Institutes of Health, n.d.). For farmworkers, it reduces disability (Weigel et al., 2013).

Our care benefits:

  • Cultural match: Understanding barriers like work migration (Harlow et al., 1999).
  • Pain control: Non-surgical adjustments (Jimenez, 2026c).
  • Strength building: Targeted exercises (Mora et al., 2014).
  • Prevention: Nutrition against obesity (Valdez et al., 2019).

Why Choose El Paso Back Clinic® for Your Mobility Needs

In El Paso, with our diverse community, these issues are common but treatable. Our clinic specializes in wellness chiropractic to help you stay active. Contact us for a consultation with Dr. Jimenez and our team.


References

Alva Staufert, M. F., et al. (2021). A look into the challenges and complexities of managing low back pain in Mexico. PubMed.

Arthritis Foundation. (n.d.). Arthritis in the Hispanic community. Arthritis.org.

Ciampi de Andrade, D., et al. (2022). Assessing the burden of osteoarthritis in Latin America: A rapid evidence assessment. PMC.

Clark, P., et al. (2023). Analysis of musculoskeletal disorders-associated disability in Mexico from 1990 to 2021. PubMed.

Davis, A. R., & Al Snih, S. (2025). Body mass index and trajectories of muscle strength and physical function over time in Mexican American older adults: Sex differences. ScienceDirect.

El Paso Back Pain Clinic. (n.d.). El Paso back pain clinic. ElPasoChiropractorBlog.com.

Harlow, S. D., et al. (1999). The prevalence of musculoskeletal complaints among women in Tijuana, Mexico: Sociodemographic and occupational risk factors. PubMed.

Jeanson, A. L., et al. (2025). Assessing musculoskeletal injury risk and skeletal changes from backstrap loom weaving and traditional embroidery in Chiapas, Mexico. PLOS Global Public Health.

Jimenez, A. (n.d.). Injury specialists. DrAlexJimenez.com.

Jimenez, A. (2026a). Nurse practitioners and integrative chiropractic detox. ChiroMed.com.

Jimenez, A. (2026b). Relieving back pain from prolonged sitting. ChiroMed.com.

Jimenez, A. (2026c). Advancements in sciatica treatment in 2026. ChiroMed.com.

Mora, D. C., et al. (2014). Prevalence of musculoskeletal disorders among immigrant Latino farmworkers and non-farmworkers in North Carolina. PMC.

National Institutes of Health. (n.d.). Older Mexican American adults experiencing pain are at risk of developing frailty. NIH.gov.

Pérez-Stable, E. J., et al. (2003). Pain in Hispanic/Latino patients. PubMed.

Quiben, M. U., & Hazuda, H. P. (2015). Factors contributing to 50-ft walking speed and observed ethnic differences in older community-dwelling Mexican Americans and European Americans. PMC.

Rodriguez, M. A., et al. (2021). Arthritis, physical function, and disability among older Mexican Americans over 23 years of follow-up. PMC.

Roseen, E. J. (2023). New study finds racial and ethnic disparities persist in access to chiropractic care and physical rehabilitation for adults with low back pain. BMC.org.

Valdez, L. A., et al. (2019). Mexican origin Hispanic men’s perspectives of physical activity–related health behaviors. PMC.

Villarreal Rizzo, A., et al. (2025). Hospitalization and mortality among Mexican adults with arthritis: Findings from the Mexican Health and Aging Study. UTMB.edu.

Weigel, M. M., et al. (2013). Musculoskeletal injury, functional disability, and health-related quality of life in aging Mexican immigrant farmworkers. HIA.Berkeley.edu.

Wright, N. C., et al. (n.d.). Prevalence. BMUS-ORS.org.

Beating Back Pain from Long Desk Hours at Work

Beating Back Pain from Long Desk Hours at Work

Dr. Alex Jimenez at El Paso Back Clinic®: Beating Back Pain from Long Desk Hours

Beating Back Pain from Long Desk Hours at Work

Businesswoman experiences worsening back pain while sitting at her desk.

If your back pain gets worse the longer you sit at your desk, you are not alone. Many people in El Paso face this issue due to long hours spent in sedentary jobs. Sitting for extended periods can put pressure on the spine, tighten muscles, and reduce blood flow, leading to stiffness, aches, and, in some cases, chronic problems (Colorado Pain Care, n.d.). The positive news is that you can take simple steps to reduce the pain and prevent it from worsening. At El Paso Back Clinic® in El Paso, TX, the wellness chiropractic care team, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, focuses on helping people just like you find natural, long-term relief through personalized plans.

Prolonged sitting stresses the lower back by increasing disc pressure by up to 90% compared to standing. It flattens the spine’s natural curve, strains muscles, and creates imbalances (Colorado Pain Care, n.d.). Slouching or leaning forward adds extra load to the neck and upper back. Over time, this can lead to tight hips, weak core muscles, and ongoing discomfort that affects daily life.

At El Paso Back Clinic®, our experts understand these issues caused by sedentary work. They use a holistic approach that combines chiropractic adjustments, functional medicine, and rehab to address root causes like poor posture and muscle imbalances from desk jobs (Jimenez, n.d.-a).

Here are practical changes to start today:

  • Move often: Get up every 30 minutes to stand, walk, or shift positions. Short 1-2 minute breaks improve circulation and ease tension (Huntsville Hospital Health System, n.d.; Sydney West Physio, n.d.).
  • Use regular breaks: Set a timer for quick walks to get water or to stretch. This habit prevents stiffness from building up throughout the day.
  • Add dynamic movement: While sitting, shift weight, uncross legs periodically, or use a footrest to change angles. These small actions keep the spine mobile (Colorado Pain Care, n.d.).

A proper ergonomic setup supports optimal posture and reduces strain.

Follow these key tips:

  • Set your chair so that your feet are flat on the floor, your knees are at 90 degrees, and your hips are level with or above your knees.
  • Add lumbar support (a small pillow or rolled towel works) to maintain the lower back’s curve.
  • Place your screen at eye level to avoid looking down or up too much.
  • Keep the keyboard and mouse close so elbows bend at 90 degrees and shoulders stay relaxed.
  • Avoid crossing legs for long, as it can tilt the pelvis (Senara Chiropractic & Med Spa, n.d.; Huntsville Hospital Health System, n.d.).

Consider alternating between sitting and standing with a standing desk. Even partial standing reduces spinal pressure.

Stretches help loosen tight spots from sitting, such as the hips, shoulders, and neck.

Try these simple ones:

  • Hip flexor stretch: Kneel on one knee, gently push hips forward, and hold 20-30 seconds per side.
  • Chest and shoulder opener: Clasp hands behind your back or use a wall to stretch forward.
  • Neck tilts: Slowly tilt the head side to side or forward/back; hold for 10-15 seconds.
  • Upper back extension: Hands behind head, gently arch upper back (Sydney West Physio, n.d.).

Do them hourly or during breaks for better flexibility.

Strengthening the core supports the spine and improves posture long-term.

Include these:

  • Planks: Hold forearm plank 20-30 seconds.
  • Cat-camel: On hands and knees, arch and round back slowly.
  • Bridges: Lie back, lift hips while squeezing glutes.
  • Walking or gentle yoga: Build overall strength (Huntsville Hospital Health System, n.d.; Sydney West Physio, n.d.).

Aim for 20-30 minutes of activity most days.

For lasting relief, professional care targets alignment, mobility, and personalized fixes. At El Paso Back Clinic®, Dr. Alex Jimenez leads a team offering integrated chiropractic care. This includes spinal adjustments to correct misalignments, non-surgical spinal decompression for disc relief, acupuncture, functional medicine for nutrition and stress, and rehab exercises tailored to desk-related issues.

Dr. Jimenez, with dual expertise as a chiropractor and nurse practitioner, emphasizes posture correction, mobility training, and the prevention of sedentary pain through evidence-based methods. The clinic helps restore function without drugs or surgery, focusing on root causes like imbalances from prolonged sitting (Jimenez, n.d.-a; Jimenez, n.d.-b).

Other options in El Paso exist, but El Paso Back Clinic® stands out for its comprehensive wellness approach, advanced diagnostics, and patient-centered plans that go beyond basic adjustments.

If pain includes numbness, tingling, or weakness in the legs, or persists despite changes, seek evaluation to rule out serious conditions (University of Maryland Medical System, n.d.).

Start small: improve movement, setup, and stretches. If needed, contact El Paso Back Clinic® for expert help. Many in El Paso regain comfort and stay active with this care.


References

Colorado Pain Care. (n.d.). Prolonged sitting & back pain. https://coloradopaincare.com/prolonged-sitting-back-pain/

Huntsville Hospital Health System. (n.d.). 7 ways to improve your spine health while working a desk job. https://hh.health/7-ways-to-improve-your-spine-health-while-working-a-desk-job/

Jimenez, A. (n.d.-a). Injury specialists. https://dralexjimenez.com/ (also associated with El Paso Back Clinic® at https://elpasobackclinic.com/)

Jimenez, A. (n.d.-b). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Senara Chiropractic & Med Spa. (n.d.). Surviving your desk job: Tips to avoid back pain. https://www.experiencesenara.com/physical-therapy-peoria/surviving-your-desk-job-tips-to-avoid-back-pain/

Sydney West Physio. (n.d.). 5 effective tips to reduce back pain from your office job. https://sydneywestphysio.com.au/physiotherapy/5-effective-tips-to-reduce-back-pain-from-your-office-job/

University of Maryland Medical System. (n.d.). Signs & symptoms. https://www.umms.org/health-services/spine/signs-symptoms

Make Your Health Goals Stick in 2026 with Team Care

Make Your Health Goals Stick in 2026 with Team Care

Make Your Health Goals Stick in 2026: How El Paso Back Clinic’s Integrative Team Supports Real Change

Make Your Health Goals Stick in 2026 with Team Care

The patient uses a weight machine for injury rehabilitation under the supervision of a doctor of chiropractic and a nurse practitioner.

Most people don’t fail at New Year’s goals because they “don’t want it enough.” They fail because life gets busy, pain flares up, energy crashes, and stress piles on. When your body hurts or feels stiff, even simple plans—like walking more, lifting weights, or sleeping better—can feel harder than they should.

At El Paso Back Clinic, the goal is to make health changes easier to achieve and maintain through a team-based, integrative approach. That means bringing together the strengths of chiropractic care (movement, structure, mobility, and recovery) with the strengths of nurse practitioner care and wellness coaching (nutrition, sleep, stress, and whole-body support). The clinic describes this as a blend of injury care, wellness strategies, mobility programs, and integrated medicine designed to improve function and quality of life. El Paso Back Clinic® • 915-850-0900+2El Paso Back Clinic® • 915-850-0900+2

This kind of care supports common goals like:

  • increasing fitness and mobility

  • managing pain so you can stay active

  • improving energy and sleep

  • lowering stress and improving your stress response

  • building habits that last longer than a few weeks

El Paso Back Clinic’s content and services focus on restoring movement and supporting whole-body wellness—not just “cracking backs.” El Paso Back Clinic® • 915-850-0900+2El Paso Back Clinic® • 915-850-0900+2


What “Integrative” Means at El Paso Back Clinic

“Integrative care” means your plan isn’t built around only one angle. Instead, it connects the pieces that usually get separated:

  • How you move

  • How you recover

  • How you eat

  • How you sleep

  • How you manage stress

  • How do you build habits that fit your real life

El Paso Back Clinic describes integrative chiropractic benefits as going beyond traditional adjustments by combining care approaches that support overall wellness and function. El Paso Back Clinic® • 915-850-0900

Why this matters for resolutions

Many resolutions are difficult to maintain because the plans ignore the real barriers. For example:

  • You want to exercise more—but your back pain spikes.

  • You want to lose weight—but your sleep is poor and your stress is high.

  • You want more energy—but your nutrition is inconsistent, and you’re not recovering.

An integrative plan helps because it aims to reduce the friction that makes healthy habits feel impossible.


The Team Approach: Chiropractor + Nurse Practitioner Mindset

Many clinics talk about how chiropractic care supports goals such as mobility, stress reduction, better sleep, and improved performance. gotcore.net+2Freedom Chiropractic+2
At El Paso Back Clinic, that support is often strongest when chiropractic care is paired with whole-person planning.

The chiropractor’s lane: move better with less strain

Chiropractic care commonly focuses on:

  • joint motion and spinal mechanics

  • posture and movement habits

  • mobility and flexibility

  • recovery support when you start working out again

  • helping reduce strain patterns that keep pain looping

The descriptions of services at El Paso Back Clinic emphasize spine-focused care and the restoration of function for back and musculoskeletal concerns. El Paso Back Clinic® • 915-850-0900+1

The NP/wellness lane: build a plan that supports your body from the inside out

A nurse practitioner and wellness-minded team approach can support:

  • nutrition planning that fits your schedule

  • sleep improvement routines

  • stress management strategies

  • health screening and medical risk review when appropriate

  • coaching that makes change more realistic to sustain

This matches the habit-focused guidance many health organizations recommend: set realistic goals, build routines, and avoid extreme “all at once” changes. Prism Health North Texas

Dr. Alexander Jimenez’s clinical observations (El Paso context)

Dr. Alexander Jimenez (DC, APRN, FNP-BC) frequently describes a dual-scope approach that connects biomechanics (how you move) with broader health planning (nutrition, functional assessments, and recovery strategies). His published clinic content also highlights the use of assessments and, when needed, imaging and integrated care planning to support recovery and function. LinkedIn+3El Paso, TX Doctor Of Chiropractic+3El Paso, TX Doctor Of Chiropractic+3


Why Resolutions Often Fail (And How an Integrative Plan Fixes That)

Here are common “resolution killers” and what a coordinated plan can do differently:

  • Too much, too fast → Start with small steps and progress safely. Prism Health North Texas+1

  • Pain blocks movement → Address mobility limits and movement mechanics so activity feels doable. National Spine & Pain Centers+1

  • Low energy → Improve sleep, nutrition consistency, and recovery structure. gotcore.net+1

  • Stress overload → Add stress skills and routines that calm the system and support follow-through. NIH News in Health+1

  • No accountability → Regular check-ins and plan adjustments keep you from quitting after a setback. drmmalone.com+1

A key idea in habit-based care is that early wins create a “positive feedback loop”—you feel better, so it becomes easier to keep going. drmmalone.com


1) Increase Fitness and Mobility (Without Getting Injured)

If your goal is to work out more, the priority is often moving well enough to train consistently.

Many chiropractic resources emphasize mobility, flexibility, and injury prevention as people increase activity at the start of the year. 5280 Balanced Health Center+2Freedom Chiropractic+2
El Paso Back Clinic also emphasizes flexibility, mobility, and agility programs to improve ability and quality of life. El Paso Back Clinic® • 915-850-0900

A simple evidence-based target

For general health, adults are commonly advised to aim for 150 minutes of moderate activity per week, plus 2 days of muscle-strengthening activities. CDC+1
That can be split into smaller chunks—like 30 minutes, 5 days a week.

What the integrative plan can look like

  • Assess mobility limits (hips, spine, shoulders) and address movement friction

  • Build a realistic weekly schedule

  • Progress intensity slowly, so you don’t crash or flare

Easy “start small” movement ideas:

  • 10–20 minute walk after meals

  • 2 strength sessions per week (basic full-body)

  • 5-minute mobility routine daily

Progression rules that keep people consistent:

  • Add time before you add intensity

  • Keep at least 1–2 recovery days weekly

  • Measure consistency, not perfection


2) Manage Pain So You Can Stay Active

Pain goals often work better when you focus on function—not “zero pain tomorrow.” A pain-focused plan might aim to reduce flare-ups and increase what you can do safely. National Spine & Pain Centers

El Paso Back Clinic positions its care around helping people with frustrating injuries and chronic pain syndromes improve mobility and function. El Paso Back Clinic® • 915-850-0900

Practical pain goals that tend to stick

  • “Walk 20 minutes, 4 days/week without a flare.”

  • “Lift twice/week with pain staying under a 3–4/10.”

  • “Sleep through the night most nights.”

How integrative care helps pain goals

Helpful pacing ideas (simple but powerful):

  • Use shorter workouts more often

  • Stop just before your “flare threshold”

  • Build capacity gradually rather than “weekend warrior” bursts


3) Boost Energy the Smart Way

Energy is not just “motivation.” If you’re tired, your plan needs better recovery.

Many chiropractic sources link better sleep and reduced tension with feeling more capable and consistent over time. gotcore.net+1
El Paso Back Clinic also describes a wellness-focused approach aimed at improving energy, sleep, and overall function. El Paso Back Clinic® • 915-850-0900

Common energy drains

  • inconsistent sleep schedule

  • high stress with no recovery routine

  • skipping meals, then crashing

  • pushing too hard without rest

Energy supports that don’t require perfection:

  • consistent bedtime “window” (same 60–90 minutes nightly)

  • protein-forward breakfast 3–5 days/week

  • short walks for circulation and stress relief

  • mobility routine before bed


4) “Boost Immunity” by Strengthening the Basics

It’s common to hear people say they want to “boost immunity.” A safe and practical way to think about this is:

You can support overall wellness by improving sleep, physical activity, and stress management—foundations that matter for health.

  • Regular physical activity is widely recommended for health. CDC

  • Mindfulness-based approaches have evidence supporting their effectiveness for stress, sleep, and pain management. NIH News in Health

So instead of chasing extreme detoxes or perfect diets, an integrative plan often focuses on steady basics:

  • sleep routine

  • movement most days

  • nutrition consistency

  • stress skills

That’s the kind of “quiet consistency” that makes resolutions last.


5) Lower Stress and Improve Stress Response

Stress shows up in the body: tight shoulders, headaches, jaw tension, shallow breathing, gut tension, and poor sleep.

Mindfulness-based treatments have evidence supporting reduced anxiety/depression symptoms and improved sleep, and may help people cope with pain. NIH News in Health
Many chiropractic sources also connect care with stress reduction and better sleep as part of overall wellness. gotcore.net+1

Simple “stress reset” tools (easy to repeat)

  • 4–6 slow breaths with longer exhales

  • 5–10 minute walk outdoors

  • Gentle mobility work for neck/hips

  • Short mindfulness practice (1–3 minutes) NIH News in Health

A key point: stress plans work best when they are small enough to do daily. It’s important to avoid making big, dramatic changes once a week.


Habit Design: The Real Key to Long-Lasting Change

If you only rely on motivation, you’ll struggle. If you build habits, you’ll progress even during busy weeks.

Health habit coaching often emphasizes:

A simple habit framework that works

  • Pick one main goal (fitness OR pain, energy, OR stress)

  • Add two support habits

  • Track consistency weekly

  • Adjust every 2–4 weeks

Examples of “support habits”:

  • protein at breakfast

  • 20-minute walk 4x/week

  • 5 minutes of mobility daily

  • bedtime routine 5 nights/week


A Simple 4-Week Plan (El Paso Back Clinic Style: Practical, Not Perfect)

This is a general example you can personalize with your provider team.

Week 1: Reduce friction

  • Identify mobility limits and pain triggers

  • Set one realistic activity goal

  • Begin a simple nutrition and sleep routine

Week 2: Build consistency

  • Add a second strength or mobility day

  • Keep intensity moderate

  • Track sleep and energy patterns

Week 3: Progress carefully

  • Increase walking time or training volume slightly

  • Add a stress routine you can repeat

  • Adjust the plan based on how your body responds

Week 4: Lock in your system

  • Keep what’s working

  • Simplify what isn’t

  • Create a “busy week version,” so you don’t fall off

This approach fits the clinic’s overall theme of improving function through mobility, recovery, and whole-person planning. El Paso Back Clinic® • 915-850-0900+1


When to Get Checked Right Away

If you have severe or unusual symptoms, don’t “push through.” Seek urgent medical care for red flags like:

  • chest pain, severe shortness of breath, fainting

  • sudden weakness, facial droop, confusion

  • loss of bowel/bladder control

  • fever with severe spine pain

  • major trauma with worsening symptoms


Bottom Line: Your Best Results Come From a Whole Plan

At El Paso Back Clinic, an integrative model supports real-life resolutions by combining:

You don’t need a perfect year. You need a plan that helps you move better, recover better, and repeat the basics long enough to see real change.


References

Centers for Disease Control and Prevention. (2025, December 4). Adding physical activity as an adult. CDC. CDC

Centers for Disease Control and Prevention. (2023, December 20). Adult activity: An overview. CDC. CDC

El Paso Back Clinic. (n.d.). Blog | El Paso Back Clinic. El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic. (n.d.). About us. El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic. (n.d.). Spine care. El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic. (2019). Back pain specialist | El Paso, TX. El Paso Back Clinic® • 915-850-0900

El Paso Back Clinic. (2025). Integrative chiropractic care benefits in El Paso. El Paso Back Clinic® • 915-850-0900

Freedom Chiropractic. (2024, December 15). How chiropractic care supports your New Year’s resolutions in 2025. Freedom Chiropractic

Grovetown Chiropractic. (2023, May 17). Four New Year’s resolutions a chiropractor can help with. Grovetown Chiropractic

Malone, M. (2025). Why health habits beat resolutions—and how chiropractic helps. drmmalone.com

National Institutes of Health. (2021, June). Mindfulness for your health. NIH News in Health. NIH News in Health

Prism Health North Texas. (2025, December 9). Health-related 2026 New Year’s resolutions that actually stick. Prism Health North Texas

TreatingPain.com. (2023, December 4). Practical New Year’s resolutions to manage pain. National Spine & Pain Centers

River of Life Chiropractic. (2025, January 9). New year, new you: How chiropractic care supports your health goals in 2025. Website

CORE Health Centers. (2024, December 31). 5 benefits of chiropractic care for the new year. gotcore.net

5280 Balanced Health Center. (2025). Why chiropractic care should be part of your New Year’s resolutions. 5280 Balanced Health Center

Jimenez, A. (n.d.). Dr. Alex Jimenez, chiropractor and injury recovery. DrAlexJimenez.com. El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). Safe chiropractic care in El Paso: What to expect. DrAlexJimenez.com. El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). Personalized chiropractic nutrition counseling strategies. DrAlexJimenez.com. El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). Dr. Alex Jimenez (website). El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.). Dr. Alexander Jimenez LinkedIn profile. LinkedIn

Faster Recovery After Spine Surgery Strategies

Faster Recovery After Spine Surgery Strategies

Faster Recovery After Spine Surgery: Enhanced Surgical Recovery (ESR) Programs at El Paso Back Clinic® in El Paso, TX

Faster Recovery After Spine Surgery Strategies

The doctor administers a local anesthetic into the patient’s affected area, using ultrasound to visualize the spine’s anatomical components.

Spine surgery can help treat serious back problems, such as pain from injuries, disc issues, or aging. At El Paso Back Clinic® in El Paso, TX, we focus on helping patients recover faster and more safely through modern methods. Enhanced Surgical Recovery (ESR), also called Enhanced Recovery After Surgery (ERAS), is a team-based plan that reduces the need for strong pain medications, shortens hospital stays, and lowers the risk of readmission. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic combines chiropractic care, nurse practitioner expertise, and new tools to support healing. This article explains the main parts of ESR for spine surgery, how it cuts opioid use, shortens hospital stays, and reduces readmissions. We also cover the big roles of integrative chiropractic care and nurse practitioners, plus exciting new tech like virtual reality (VR) for building strength after surgery.

Many people in El Paso face back pain from work, accidents, or daily life. Surgery may be necessary, but traditional methods can make recovery challenging. ESR improves this process by planning care before, during, and after the operation. It uses simple steps, such as teaching patients, eating better, and moving early. Studies show these measures can cut opioid use a lot and help people go home sooner (Dagal et al., 2023). At El Paso Back Clinic®, we work with surgeons to add non-drug options for even better results.

What Is Enhanced Surgical Recovery (ESR)?

ESR is a proven plan to make surgery recovery easier and quicker. It started in other surgeries, but now helps a lot with spine operations, such as fusions or disc repairs. The idea is to lower body stress and speed natural healing. Instead of staying in bed and taking many pain pills, patients move soon and use gentler pain control.

Key parts of ESR include:

  • Team Approach — Doctors, nurses, chiropractors, and therapists all work together.
  • Step-by-Step Care — Planning starts before surgery and continues at home.
  • Personal Plans — Care fits each person’s health needs.

Research shows ESR helps with many spine issues, from small fixes to big ones (Zaed et al., 2023). Reviews find that most programs use around 12 key steps, such as better pain management and early walking (Berk et al., 2025).

Main Components of ESR for Spine Surgery

ESR has steps before, during, and after surgery to make things smoother.

Before Surgery (Pre-Op)

Getting ready early helps avoid problems.

  • Teaching Patients: Learn what to expect, how to manage pain, and why moving matters. This lowers worry and helps follow the plan (Zaed et al., 2023).
  • Better Nutrition: Check for low energy or anemia. Eat protein and carbs to build strength. Nutritious food helps healing (Soffin et al., 2022).
  • Pain Prep: Start gentle meds like acetaminophen. Quit smoking to lower risks (American Association of Nurse Anesthesiology, n.d.).
  • Prehab Exercises: Build strength with walks or stretches.

These make surgery safer.

During Surgery (Intra-Op)

The team uses ways to protect the body.

  • Better Anesthesia: Short drugs to wake up fast. Add non-opioid options (Dagal et al., 2023).
  • Careful Fluids: Just the right amount to avoid issues.
  • Small Cuts: Less muscle damage for quicker recovery (Dietz et al., 2019).
  • Pain Blocks: Numb the area for hours after.

Patients feel better right away.

After Surgery (Post-Op)

Focus on rapid healing.

  • Early Walking: Get up soon and walk daily (Zaed et al., 2023).
  • Mixed Pain Control: Use non-opioids, ice, and movement.
  • Quick Eating: Start foods and drinks early.
  • Checks for Safety: Watch for clots or other issues.

These steps lower risks.

How ESR Reduces Opioid Use

Strong pain drugs like opioids help, but can lead to problems like addiction. ESR cuts its use by at least half (Dagal et al., 2023). At El Paso Back Clinic®, we add chiropractic methods for even less need.

  • Mixed Pain Options: Non-opioids first, like NSAIDs and nerve meds. Some programs use almost no IV opioids (HCA Healthcare, n.d.).
  • Teaching Non-Drug Ways: Ice, breathing, and adjustments.
  • Blocks and Early Move: Numb areas and walk to ease pain.

In fusions, opioids dropped considerably without worse pain (Dagal et al., 2023). This helps avoid side effects and promotes natural healing.

Shortening Hospital Stays with ESR

Long hospital time raises costs and risks. ESR cuts stay by 1-2 days (HCA Healthcare Today, 2022).

  • Early Movement: Prevents issues and builds strength.
  • Fast Nutrition: Energy for recovery.
  • Good Pain Control: Less bedtime.
  • Team Reviews: Go home when ready.

One example shows noticeable shortened stays (Dagal et al., 2023). Patients heal better at home.

Lowering Readmission Rates

Going back to the hospital is tough. ESR lowers this risk (HCA Healthcare Today, 2022).

  • Home Care Teaching: Know warning signs.
  • Follow-Ups: Calls from our team at El Paso Back Clinic®.
  • Fewer Problems: Better prep means fewer infections.
  • Full Care: Controls swelling early.

Fewer complications overall (Berk et al., 2025).

Integrative Chiropractic Care at El Paso Back Clinic®

Chiropractic care fits perfectly with ESR. At our clinic, Dr. Jimenez uses hands-on adjustments to align and relieve symptoms.

  • Before Surgery: Improve posture and movement.
  • Pain Without Drugs: Soft tissue work eases tension.
  • After Surgery: Reduce scar tissue and build mobility (New York City Spine, n.d.).
  • Nerve Help: Better signals for less pain.

We complement therapy for smoother recovery (Active Health Center, n.d.).

Role of Nurse Practitioners

Nurse practitioners (NPs) like Dr. Jimenez coordinate care.

  • Team Links: Connect everyone.
  • Teaching and Meds: Focus on safe, non-opioid options.
  • Tracking Progress: Adjust plans.

NPs help stick to ESR paths (American Association of Nurse Anesthesiology, n.d.).

New Tech: Virtual Reality (VR) for Recovery

VR uses games and guides to make rehab more enjoyable. It helps spine patients build strength.

  • Fun Exercises: Improves engagement and movement.
  • Less Pain Feel: Distraction helps.
  • Strength Gains: Tailored for muscles and focus.
  • Home Options: Practice alone.

Recent studies show VR speeds recovery after spine issues, like in cervical cases or general neurorehab (Bolton et al., 2025; various 2025 trials).

Insights from Dr. Alexander Jimenez at El Paso Back Clinic®

Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads El Paso Back Clinic® with dual expertise in chiropractic and nursing. He uses team care for pain management and rehab after injuries or surgery. His plans include adjustments, nutrition, and integrative methods for better mobility without heavy drugs. He stresses whole-body healing for lasting results (Dr. Alex Jimenez, n.d.; LinkedIn, n.d.).

Conclusion

ESR programs accelerate spine surgery recovery and make it safer. With education, nutrition, movement, and team support, they reduce opioids, shorten stays, and lower readmissions. At El Paso Back Clinic® in El Paso, TX, we add chiropractic care and NP guidance for full support. New VR tech adds exciting ways to build strength. If facing spine surgery, ask about ESR and our integrative options. Contact us at 915-850-0900 for help.


References

Active Health Center. (n.d.). Rehabilitation after surgery: Integrating chiropractic care into recovery. https://activehealthcenter.com/rehabilitation-after-surgery-integrating-chiropractic-care-into-recovery/

American Association of Nurse Anesthesiology. (n.d.). Enhanced recovery after surgery. https://www.aana.com/practice/clinical-practice/clinical-practice-resources/enhanced-recovery-after-surgery/

Berk, M., et al. (2025). Enhanced recovery after surgery (ERAS) in spine surgery: A systematic review and meta-analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC12592135/

Bolton, W.S., et al. (2025). Recovr reality – Recover after injury or surgery to the brain and spinal cord with virtual Reality: ideal stage 2a clinical feasibility study. https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01499-3

Dagal, A., et al. (2023). Adoption of enhanced surgical recovery (ESR) protocol for lumbar fusion decreases in-hospital postoperative opioid consumption. https://pmc.ncbi.nlm.nih.gov/articles/PMC10189339/

Dietz, N., et al. (2019). Enhanced recovery after surgery (ERAS) protocols: Time to change practice?. https://www.medrxiv.org/content/10.1101/2020.08.16.20175943v1.full

Dr. Alex Jimenez. (n.d.). El Paso, TX, doctor of chiropractic. https://dralexjimenez.com/

HCA Healthcare. (n.d.). With ESR, our patients report…. https://www.hcadam.com/api/public/content/f42a4095a6f9451baa991b5a56cad568?v=4786eda4&download=true

HCA Healthcare Today. (2022). HCA Healthcare’s innovative approach to surgical recovery. https://hcahealthcaretoday.com/2022/12/13/hca-healthcares-innovative-approach-to-surgical-recovery-promotes-better-outcomes-decreased-opioid-usage-and-faster-recovery-times-for-patients/

LinkedIn. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC. https://www.linkedin.com/in/dralexjimenez/

New York City Spine. (n.d.). How a chiropractor can aid spinal fusion recovery. https://newyorkcityspine.com/how-a-chiropractor-can-aid-spinal-fusion-recovery/

Soffin, E. M., et al. (2022). Enhanced recovery after surgery (ERAS) protocol in spine surgery. https://pmc.ncbi.nlm.nih.gov/articles/PMC9293758/

Zaed, I., et al. (2023). Enhanced recovery after surgery (ERAS) protocols for spine surgery – review of literature. https://pmc.ncbi.nlm.nih.gov/articles/PMC10156499/

Telemedicine Sciatica Management: Expert Care Online

Telemedicine Sciatica Management: Expert Care Online

How Telemedicine Can Assist in the Management of Sciatica (with Integrative Chiropractic Care)

Telemedicine Sciatica Management: Expert Care Online

A man at home consults a chiropractor via telemedicine for back pain and sciatica.

Sciatica can make even simple tasks—like getting out of bed, sitting at a desk, or driving—feel almost impossible. When pain shoots down your leg or feels like burning, stabbing, or tingling, the idea of driving across town to sit in a waiting room can be overwhelming.

Telemedicine offers a way to get expert help for sciatica without leaving home. Telemedicine can significantly improve the quality of life for many individuals experiencing limited mobility or frequent flare-ups of pain. Spine specialists and integrative chiropractic teams now use secure video visits to evaluate symptoms, design treatment plans, and follow patients through recovery. UT Southwestern Medical Center+1

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a dual-licensed chiropractor and nurse practitioner in El Paso, Texas. His integrative model combines medical decision-making (such as imaging and prescriptions) with chiropractic and functional medicine. This blended approach fits perfectly with telemedicine because it allows him to assess nerve pain, guide movement, and adjust treatment plans over time—even when the patient is at home. El Paso, TX Doctor Of Chiropractic


What Is Sciatica?

Sciatica is not a disease by itself. It is a pattern of symptoms caused by irritation or compression of the sciatic nerve. This nerve starts in the lower back, runs through the hips and buttocks, and travels down each leg.

Common symptoms include:

  • Sharp or burning pain in the lower back, buttocks, and legs

  • Numbness, tingling, or “pins and needles” in the leg or foot

  • Weakness when trying to stand, walk, or lift the leg

  • Pain that worsens with sitting, coughing, or bending

Sciatica is usually caused by:

  • Herniated or bulging discs pressing on a nerve root

  • Spinal stenosis (narrowing of the spinal canal)

  • Degenerative disc disease

  • Muscle or joint dysfunction in the pelvis and lower back

  • Less commonly, tumors, infections, or serious conditions

Because sciatica can have many causes, proper evaluation and treatment planning are very important—this is where telemedicine can help you start sooner and stay on track.


What Is Telemedicine and How Does It Work for Back and Nerve Pain?

Telemedicine (also called telehealth) is health care delivered via secure video or phone rather than an in-person visit. You use a smartphone, tablet, or computer to speak with your provider, similar to a video call with family or friends.

Clinics that treat spine and nerve problems have made telemedicine a core part of their care model. They use it for first visits, follow-ups, second opinions, and surgical planning, especially for conditions like back pain, neck pain, and sciatica. UT Southwestern Medical Center+1

During a typical telemedicine visit for sciatica, your provider can:

  • Ask detailed questions about your pain pattern

  • Watch how you move on camera

  • Guide simple movement and strength tests

  • Review MRI, X-ray, or CT results

  • Explain treatment options, including chiropractic, physical therapy, injections, or surgery if needed

Many clinics report that they can accurately diagnose spine issues through video visits and that most telemedicine-based surgical plans do not require major changes after in-person exams. UT Southwestern Medical Center


Why Telemedicine Is Especially Helpful for Sciatica

People with sciatica often have trouble sitting, driving, or walking long distances. Telemedicine meets them where they are—literally.

Key benefits for sciatica patients

  • Less travel and less pain getting to care

    • No long car rides or sitting in waiting rooms

    • Easier for patients who have mobility issues or rely on others for transportation Southeast Texas Spine+1

  • Faster access to evaluation and treatment

    • Many clinics can schedule telemedicine visits sooner than in-person visits

    • You can start treatment earlier instead of waiting weeks to be seen

  • Better continuity of care

    • Telemedicine makes it easier to attend follow-ups, especially during long recovery plans

    • Providers can adjust medications, exercises, and activity limits in real time Southeast Texas Spine+1

  • Home-based evaluation of your real environment

    • Your provider can see your work setup, couch, bed, or home office

    • They can give specific advice on posture, ergonomics, and movement at home tigardchiropracticautoinjury.com+1

For many patients, this means less time in cars and clinics and more time actually healing.


How Telemedicine Helps Diagnose Sciatica

Telemedicine does not replace all in-person care, but it is surprisingly powerful for diagnostic work, especially when combined with imaging.

A telemedicine evaluation for sciatica often includes:

  • Detailed history

    • When the pain started

    • Where it travels (buttock, thigh, calf, foot)

    • What makes it better or worse (sitting, walking, bending)

    • Past injuries, surgeries, or chronic conditions Southeast Texas Spine+1

  • Guided home exam

    • Simple range-of-motion tests

    • Straight-leg raise or seated leg raise while on camera

    • Heel and toe walking to assess nerve strength

    • Balance and gait observation

  • Imaging and tests

    • Your nurse practitioner or physician can order MRI, X-rays, or CT scans when needed

    • They may also recommend nerve tests (EMG/NCS) through in-person referrals

Spine centers and orthopedic clinics report that telemedicine visits can help determine when conservative care is sufficient and when urgent in-person care or surgery is needed. UT Southwestern Medical Center+1


Integrative Chiropractic Telemedicine for Sciatica

Integrative chiropractic telemedicine combines:

  • Medical care—history, diagnosis, imaging orders, prescriptions, and referrals

  • Chiropractic care—movement analysis, spinal and pelvic mechanics, and guided home-based therapies

Dr. Jimenez’s dual-scope role as a chiropractor and nurse practitioner is a strong example of this model. In his practice, he uses telemedicine to:

  • Review MRI and other imaging results with patients

  • Coordinate conservative care (chiropractic, physical therapy, massage, acupuncture, and functional medicine)

  • Monitor nerve symptoms and red flags that require fast in-person intervention

  • Work with attorneys and adjusters in personal-injury cases while keeping patient care at the center El Paso, TX Doctor Of Chiropractic

What an integrative telemedicine visit may look like

During a virtual visit with an integrative chiropractor and NP:

  • The NP side of the provider:

    • Reviews your medical history and medications

    • Screens for red flags (such as severe weakness, fever, or loss of bladder/bowel control)

    • Orders imaging when needed

    • Manages medications (anti-inflammatories, muscle relaxers, short-term pain medications if appropriate) Everlywell+1

  • The chiropractic side of the provider:

    • Analyzes your posture and movement on camera

    • Looks for patterns of dysfunction in the lower back, pelvis, and hips

    • Guides you through gentle tests and movements

    • Designs a home exercise and stretching plan

    • Educates you about ergonomics, sleep positions, and movement habits

Even without hands-on adjustments, chiropractic expertise is used to understand mechanics and guide safe self-care at home. Evolve Chiropractic+2HealthCentral+2


Telemedicine and Medication Management for Sciatica

Telemedicine is also useful for medication oversight and pain management. Virtual pain management services can:

  • Review current medications and supplements

  • Start or adjust anti-inflammatory drugs, muscle relaxers, or nerve pain medications when appropriate

  • Help taper short-term medications to avoid long-term dependence

  • Coordinate with other therapies like physical therapy and chiropractic care Everlywell+1

This is important because the goal is not just to reduce pain for a few days but to manage it safely while addressing the underlying cause.


Guided Home Exercises and Self-Care for Sciatica via Telemedicine

A large part of sciatica management involves what you do every day at home. Telemedicine allows your integrative provider to coach you in real time.

Types of exercises a provider may guide over video

Always follow your own provider’s instructions. The list below is for education, not a personal prescription.

  • Gentle nerve glides and stretches

    • Seated or lying hamstring stretches

    • Gentle sciatic nerve gliding movements

    • Piriformis stretches (for deep hip muscles) HealthCentral+1

  • Core and hip stability

    • Pelvic tilts

    • Bridge exercises

    • Clamshells for hip stabilizers

  • Posture and movement training

An integrative chiropractor, such as Dr. Jimenez, will often blend chiropractic reasoning (how joints and muscles are moving) with physical therapy-style exercise progressions to build strength and reduce nerve irritation over time. Integrative Medical of DFW+1


Telemedicine and Physical Therapy for Sciatica

Physical therapy is a key part of long-term sciatica care. Telemedicine makes it easier for your team to coordinate and supervise this care.

An NP–chiropractor team can:

  • Refer you to in-person physical therapy when you need hands-on manual work

  • Work with therapists to align goals: pain reduction, nerve mobility, strength, and posture

  • Review PT progress notes with you by video

  • Add or modify home exercises between in-person therapy visits

Modern integrative clinics describe physical therapy as treatment focused on your goals, your function, and your time—whether you are recovering from an acute episode of sciatica or managing long-term spine issues. Integrative Medical of DFW+1


Telemedicine for Office Workers and Remote Workers with Sciatica

Many people with sciatica sit for long periods at desks or work remotely at kitchen tables, couches, or beds. Poor ergonomics can worsen nerve pain.

Telemedicine allows providers to see your real work setup and give specific advice.

They may help you:

  • Adjust chair height, screen level, and keyboard position

  • Use lumbar support, cushions, or footrests

  • Create a schedule for movement breaks

  • Learn simple stretches you can do between meetings tigardchiropracticautoinjury.com+1

Chiropractic-based telemedicine visits for office workers often focus on spinal alignment, hip position, and load sharing between joints — even if the provider cannot physically adjust the spine during the visit, they can teach you how to move better and reduce pressure on the sciatic nerve. tigardchiropracticautoinjury.com+1


How to Prepare for a Telemedicine Visit for Sciatica

Preparing well can make your telemedicine visit smoother and more helpful.

Before your appointment

  • Check your technology

    • Test your camera, microphone, and internet connection

    • Charge your device and have a backup (like a phone) ready

  • Choose your space

    • Find a quiet, private room

    • Make sure you have enough room to stand, walk, and lie down if needed

  • Gather information

    • List your current medications and supplements

    • Have your medical history and imaging reports handy

    • Write down your main questions and goals for the visit Southeast Texas Spine+1

During the visit

  • Wear clothes you can move in (shorts, leggings, and a T-shirt)

  • Use a stable surface (wall, chair, or counter) for balance if you need to do standing tests

  • Be honest about your pain, function, and fears—this helps your provider design a realistic plan

Many spine clinics provide telemedicine checklists so patients feel confident and ready for their virtual appointment. Southeast Texas Spine+1


Limitations of Telemedicine in Sciatica Care

Telemedicine is powerful, but it is not the answer for every situation.

Telemedicine cannot:

  • Replace emergency care for severe symptoms

  • Perform hands-on spinal adjustments, manual therapy, or injections

  • Completely substitute in-person care when surgery or complex procedures are needed

Red-flag symptoms requiring urgent in-person evaluation or ER care

If you have any of the following, seek emergency or same-day in-person care:

  • Loss of bladder or bowel control

  • Numbness in the groin or “saddle area”

  • Sudden, severe weakness in the leg or foot

  • Fever with severe back pain

  • History of cancer, major trauma, or infection with new, intense back pain

In an integrative practice like Dr. Jimenez’s, telemedicine is used alongside in-person visits. The goal is to decide:

  • What can safely be managed at home

  • What needs an in-person evaluation

  • When to involve surgeons, neurologists, or pain specialists


How an Integrative Chiropractor–NP Team Follows You Over Time

Sciatica often improves, but it can also come and go. Long-term success usually requires ongoing guidance. Telemedicine makes this easier to maintain.

Follow-up telemedicine visits may include:

  • Reviewing pain levels, function, and activity

  • Adjusting exercise intensity or adding new movements

  • Fine-tuning posture and ergonomics as your work or home situation changes

  • Checking for side effects or problems with medications

  • Discussing lifestyle factors such as sleep, stress, and weight management Southeast Texas Spine+2apollospineandpain.com+2

Dr. Jimenez’s clinical experience shows that when patients feel seen and supported—through regular check-ins, education, and coordinated care—they are more likely to stay consistent with their home program and achieve better long-term outcomes. El Paso, TX Doctor Of Chiropractic+1


Practical Tips for Getting the Most from Telemedicine for Sciatica

Here are some simple strategies to make telemedicine work for you:

  • Treat the visit like an in-person appointment

    • Show up on time and minimize distractions

    • Have a notebook handy for instructions

  • Be specific about your goals

    • “I want to sit for 30 minutes without pain”

    • “I want to walk around the block again”

    • Clear goals help your provider design better plans

  • Use photos or videos

    • Take a short video of how you walk or how you get out of a chair during painful times

    • Share this with your provider if their platform allows

  • Stay consistent with home exercises

    • Put reminders in your phone

    • Tie exercises to habits (after brushing teeth, after lunch, etc.)

  • Ask for a written or emailed summary

    • Many clinics send a visit summary through the patient portal

    • This can include your diagnosis, exercise plan, and red-flag symptoms


The Future: Telemedicine, Sciatica, and Integrative Care

Telemedicine is no longer just an emergency backup plan—it is a core part of modern spine and pain care. Spine centers, pain clinics, and integrative practices across the country use telemedicine to: UT Southwestern Medical Center+2NJ Spine & Orthopedic+2

  • Speed up diagnosis and treatment

  • Improve convenience for patients in pain

  • Coordinate care between specialists, therapists, and primary providers

  • Support long-term recovery with flexible follow-ups

For people with sciatica, this means you can:

  • Get expert guidance without leaving your home

  • Partner with an integrative chiropractor and nurse practitioner who can see both the nerve problem and the whole person

  • Combine remote consultations, at-home exercises, and lifestyle changes into a comprehensive plan

Under the care of a dual-licensed provider like Dr. Alexander Jimenez, telemedicine becomes more than a video call. It becomes a bridge between medical science, chiropractic biomechanics, and day-to-day life—helping you move from intense nerve pain toward safer movement, better function, and long-term relief. El Paso, TX Doctor Of Chiropractic+2Evolve Chiropractic+2


References

UT Southwestern Medical Center. (2025, November 19). Virtual visits, real pain relief: Telemedicine brings convenient care for back issues. https://utswmed.org/medblog/telemedicine-for-back-and-spine-issues/

The Spine Institute of Southeast Texas. (n.d.). How does telemedicine work? https://www.southeasttexasspine.com/blog/how-does-telemedicine-work

The Spine Institute of Southeast Texas. (n.d.). How can telemedicine work to help treat my sciatica? https://www.southeasttexasspine.com/blog/how-can-telemedicine-work-to-help-treat-my-sciatica

The Spine Institute of Southeast Texas. (n.d.). 6 benefits of telemedicine. https://www.southeasttexasspine.com/blog/6-benefits-of-telemedicine

The Spine Institute of Southeast Texas. (n.d.). How to prepare for your telemedicine appointment. https://www.southeasttexasspine.com/blog/how-to-prepare-for-your-telemedicine-appointment

Everlywell. (n.d.). How telemedicine pain management works. https://www.everlywell.com/blog/virtual-care/telemedicine-pain-management/

NJ Spine & Orthopedic. (n.d.). What is telemedicine and can it work for back pain? https://www.njspineandortho.com/what-is-telemedicine-and-can-it-work-for-back-pain/

Apollo Spine & Joint. (n.d.). Enhance pain management with telemedicine. https://www.apollospineandpain.com/enhance-pain-management-with-telemedicine

Tigard Chiropractic & Auto Injury. (n.d.). Sciatica solutions: How chiropractic care can help office professionals find relief. https://www.tigardchiropracticautoinjury.com/blog/sciatica-solutions-how-chiropractic-care-can-help-office-professionals-find-relief

Tigard Chiropractic & Auto Injury. (n.d.). Dealing with pain from working remotely. https://www.tigardchiropracticautoinjury.com/blog/dealing-with-pain-from-working-remotely

Evolve Chiropractic. (n.d.). When sciatica strikes: How chiropractic care can provide relief. https://myevolvechiropractor.com/when-sciatica-strikes-how-chiropractic-care-can-provide-relief/

HealthCentral. (n.d.). Chiropractor for sciatica: Causes, symptoms, & diagnosis. https://www.healthcentral.com/condition/sciatica/chiropractic-treatment-sciatica

Integrative Medical of DFW. (n.d.). Physical therapy: Treatment focused on your goals. https://www.integrativemedical.com/physical-therapy

Jimenez, A. (n.d.). El Paso, TX chiropractor Dr. Alex Jimenez DC | Personal injury specialist. https://dralexjimenez.com/

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