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Work Related Injuries

Back Clinic Work-Related Injuries Chiropractic and Physical Therapy Team. Work injuries and conditions can occur from a variety of circumstances, altering an individual’s lifestyle, however, those that occur in the work field can often also be debilitating and impairing, affecting an individual’s work performance. Work-related injuries can include bone fractures and muscle strains/sprains to conditions causing degeneration of many structures of the body, such as arthritis.

Also referred to as occupational injury, repetitive and constant motions of the hands, arms, shoulders, neck and back, among others, can gradually wear out the tissues, increasing the risk of injury which could eventually lead to further complications. A collection of articles depicts the causes and effects of many work-related injuries, carefully describing each variety. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.

Restaurant Work Shoulder and Hand Injuries

Restaurant Work Shoulder and Hand Injuries

Restaurant work takes a toll on the body with the repetitive moving, bending, twisting, reaching, prepping, cutting, serving, and washing. This is especially true of the shoulders, arms, and hands. When individuals avoid treating their aches and pains, this can lead to chronic pain conditions that can cause severe and permanent damage to the musculoskeletal system. Chiropractic can alleviate the tingling and pain by removing the compression, re-stretching/lengthening, and strengthening the muscles and nerves to perform at optimal levels.

Restaurant Work Shoulder and Hand Injuries

Restaurant Work

The arms and hands are designed to accomplish various tasks. When functioning normally, tasks can be performed flawlessly. Repetitive/Overuse or trauma can cause nerve compression, stiffness, and pain, decreasing function and affecting daily routines.

Carpal Tunnel

  • Carpal tunnel syndrome is one of the most common disorders that affect the arm and hands.
  • The carpal tunnel is a space where a nerve and several tendons pass. If the nerve becomes compressed, it can cause numbness, tingling in the fingers, pain, and muscle weakness, making it difficult to grip objects.
  • Discomfort and pain start gradually in one or both hands.
  • It can cause tightness and pain in the shoulder, forearm, wrist, and hand.
  • It can also cause numbness in the palm and fingers.
  • It can cause swelling and burning sensations.
  • Individuals often shake out the numbness and tingling sensations throughout the day or night.


  • Tendonitis can present with carpal tunnel symptoms except for the gradual starting pain.
  • Tendonitis comes from Overuse and repetitive motions.
  • The pain will be tender directly on the affected area.
  • To help prevent and avoid, ask about exercises that stretch the affected tendons.
  • Ask a doctor or chiropractor which exercises and stretches are the safest for the specific condition.
  • Depending on the severity of the condition, individuals may need corticosteroid injections, physical therapy, or surgery.

Injury Prevention Tips Restaurant Work

  • Learn to stop trying to carry everything in one trip.
  • Ask for help/support staff to servers who deliver large orders and for clearing.
  • Recommend changes if body posture increases injury risk.
  • Heavy trays and plates should be balanced on the palm for better weight distribution.
  • Healthy rotation ensures that one worker does not always have the chopping and cutting duties for hours.
  • Take frequent breaks from tasks that require repetitive motions.
  • Find various stretches and exercises to build strength and flexibility in the arms, wrists, and hands.
  • Avoid scheduling multiple consecutive long shifts for jobs that require repetitive hand motions.

Body Composition

Sticking To A Meal Plan

Identify personal motivation to stick to a meal plan other than improving body composition. To keep motivation high, individuals need to identify other reasons behind goals. This could be:

  • Saving money from the food budget.
  • Spending time with loved ones preparing a healthy recipe.
  • Setting an example to family and friends.
  • It can be whatever motivates you.
  • Reassess and tweak the meal plan as needed.
  • Nutritional needs or dietary preferences change.
  • Meal planning should be a dynamic process.
  • Don’t get disappointed if not going as planned.
  • Refocus by making changes as needed.

Gentzler, Marc D, and Janan A Smither. “Using practical ergonomic evaluations in the restaurant industry to enhance safety and comfort: a case study.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 5529-31. doi:10.3233/WOR-2012-0872-5529

Laperrière, Ève et al. “Work activity in foodservice: The significance of customer relations, tipping practices and gender for preventing musculoskeletal disorders.” Applied ergonomics vol. 58 (2017): 89-101. doi:10.1016/j.apergo.2016.05.013

Masear, V R et al. “An industrial cause of carpal tunnel syndrome.” The Journal of hand surgery vol. 11,2 (1986): 222-7. doi:10.1016/s0363-5023(86)80055-7

Szabo, R M. “Carpal tunnel syndrome as a repetitive motion disorder.” Clinical Orthopedics and related research,351 (1998): 78-89.

Job Related Back Injury

Job Related Back Injury

Any job-related back injury can significantly complicate an individual’s life. Dealing with the pain, trying to figure out how to get things done while in recovery, and workers’ compensation to protect individuals who are injured on the job, getting them healthy without the stress of worrying about losing money from missing work.

Job Related Back Injury

Job-Related Injury

According to the Occupational Safety and Health Administration or O.S.H.A, a job-related injury is one that either contributed to or is caused by something in the work environment that injures an individual or exacerbates/worsens a previous injury. This is a general overview of the definition, and there are some exceptions. For example, being at the place of work as a general public citizen and not working when an injury happens will not be covered. If not sure whether a back injury is job-related, it’s better to be cautious and report the incident as soon as it happens.

Common Back Injuries

Back injuries are the most common job-related injuries. Back injuries are the number one reason individuals cannot work, whether they hurt their back at home or on the job. The Bureau of Labor Statistics found that nearly 40% of all musculoskeletal injuries that resulted in lost workdays were because of back injuries. The most common back injuries include:

  • Sprains
  • Strains
  • Herniated Discs
  • Whiplash
  • Spinal Cord Injuries
  • Vertebral Fractures


Every state’s workers’ compensation program is different; however, the basic components are the same throughout. This means that if a workers’ compensation claim is approved and an individual cannot work because of their injury, they can expect to receive a regular base salary during treatment, rehabilitation, and recovery. Individuals also continue to receive medical coverage through the company, while the workers’ compensation fund should pay for treatment and diagnostics related to the injury.

When A Back Injury Occurs at Work

When a back happens at work, inform the employer as soon as possible. Do not be embarrassed or feel as it is not a big deal to seek workers’ compensation.  It is an insurance program for both the individual and the employer. An employer pays into the state’s workers’ compensation program for limited liability when employees get injured. Individuals don’t pay for the program, but it protects the individual in case something happens.

Letting an injury go untreated might not be anything at first, but months and years later, it can come back and be worse than when it first happened, causing greater damage, added medical costs, and procedures that the individual has to pay for out of their pocket. 

Once an individual knows they have a back injury, it is recommended to seek treatment as soon as possible to prevent worsening the injury or create new ones and develop a treatment, rehabilitation, and strengthening program. If an individual needs emergency care, tell the doctors about the work injury and precisely what happened. Emergency medical care should be sought out when:

  • There is a loss of function in any of the limbs.
  • There is a persistent numbness with the back pain.
  • There is nausea, dizziness, or vomiting after the injury.
  • There is a fever with back pain.
  • Loss of consciousness.
  • Loss of bowel or bladder control.

If the injury is not immediate and progresses gradually, but suspect that it is from work, it should be reported and examined by a medical professional.


Proper treatment for a back injury depends on the severity of the injury. Those that prefer non-invasive, medication-free treatment are able to recover with chiropractic or physical therapy. Chiropractic doctors are experts in the spine and the musculoskeletal system. Chiropractic treatment is safe, proven, and can help relieve the pain, restore function, to get back to work safely.

Body Composition

Resistance Exercise

Resistance workouts are made to stress the muscles resulting in muscle gain. Resistance exercise makes the body adapt by growing the muscles to make them more capable of handling intense forces without strain. The stress of resistance exercise causes the muscle fibers to tear at the cellular level. Then, special muscle cells, known as satellite cells, jump into action to repair, rebuild, and grow the muscle. These types of exercises include high-intensity workouts or compound exercises that increase muscle growth. However, there needs to be a healthy balance between workouts and rest to support healthy hormone levels and maximize muscle gain.


There are three primary hormones that stimulate muscle hypertrophy. They are:

  • Insulin-like growth factor 1 IGF-1
  • Growth hormone GH
  • Testosterone

Muscle protein synthesis is a critical process in muscle hypertrophy and happens after weight training. The hormones signal to the muscle to repair and rebuild after workout sessions. GH is released in high quantities during sleep, which is why proper sleep is needed to help reach body composition goals. When nutrition, workouts, and hormonal effects are combined, muscle-building happens. Figuring out the right balance is essential for reaching health goals.


Burton, A K, and E Erg. “Back injury and work loss. Biomechanical and psychosocial influences.” Spine vol. 22,21 (1997): 2575-80. doi:10.1097/00007632-199711010-00021

Marjorie L Baldwin, Pierre Côté, John W Frank, William G Johnson, Cost-effectiveness studies of medical and chiropractic care for occupational low back pain: a critical review of the literature, The Spine Journal, Volume 1, Issue 2, 2001, Pages 138-147, ISSN 1529-9430,

Randall, Sara. “1. Avoiding back injury.” The practicing midwife vol. 17,11 (2014): 10, 12-4.

Avoiding Back Injuries At Work

Avoiding Back Injuries At Work

High-impact labor jobs can cause back pain, as well as jobs that require sitting all day. Nowadays, everyone is at risk of developing some form of back pain at their place of work. Here are a few tips for avoiding back injuries at work. It does not matter what an individual does for a living, or how it is done. Sitting, standing, lifting, bending, twisting, reaching, pulling, and pushing, all can have a negative impact on the spine’s health and the muscles in the back.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work
According to the Occupational Safety and Health Administration or OSHA, work-related musculoskeletal disorders are a common reason for missing work or restricting work time. Back pain and injury prevention/avoiding is the goal along with seeking the proper treatment as soon as possible.  

The Risk for Back Pain

Work-related musculoskeletal disorders that affect the spine are a worldwide problem. The World Health Organization has stated in the United States that there is an estimated 149 million workdays lost every year because of back pain, with total costs estimated to be around 100-200 billion a year. And the World Health Organization identified low back pain as the leading cause of disability in the world. The National Institute for Occupations Safety and Health, which is a division of the CDC, listed five primary risk conditions for work-related musculoskeletal disorders:
  • Regularly lifting of objects
  • Regular exposure to whole-body vibration like using a jackhammer or driving a forklift
  • Regular reaching overhead work
  • Working with the spine in a chronic flexion position
  • Repetitive work/tasks

Office Back Pain

Individuals that stare at screens most of the day means their spines are at risk for cervical spinal flexion. This can lead to neck, shoulder, and upper back pain. And sitting for long bouts of time with poor posture adds tremendous pressure and weight on the low back. When the body is seated for a long time, the body is not utilizing its core abdominal muscles and back muscles that keep the body and foundation strong and flexible. The more these muscles are under-utilized the more the body begins to fall into the vicious cycle of slouching, slumping, poor posture, and increased stress on the back muscles.  
11860 Vista Del Sol, Ste. 128 Avoiding Back Injuries At Work

Avoiding Back Injury

With advancements in medicine, there are solutions for relieving pain and getting an individual back to regular work activity. Basic ways for avoiding injuries and keeping the spine healthy.
  • Lifting with the legs and not the back
  • Maintaining healthy weight
  • Healthy diet
  • Stretching before physical activity and also during work will keep the muscles active and optimal circulation
  • Overall physical fitness like taking a walk
  • Knowing when to rest giving the body a break
  • Focus on recovery during off-hours

Working with Spine Specialists

If the pain is constant or there is a high possibility of an injury, see a medical professional. The correct diagnosis leads to the right treatment, which can include:
  • Rest
  • Physical therapy
  • Chiropractic
  • Pain management
  • Medication
  • Injections
  • Surgery
There is no one-size-fits-all approach. Every individual will have a personalized treatment plan. A multi-approach is recommended, and the most therapeutic for long-term benefits. One treatment option to be very cautious about is opioids. A review in BMJ suggests opioids do not help individuals get back to work faster, and pain control is only short-term. Back pain inflammation is better addressed through anti-inflammatory medication, physical therapy, and exercise. If pain or a back problem currently exists, see a doctor, chiropractor, or spine specialist and find out about treatment options and avoiding back problems.

Body Composition


How Aging Affects the Body

The body’s muscles are constantly being broken down and repaired. When the muscles are used, microscopic tears happen from the regular wear and tear. This means rebuilding those tears with protein. However, as the body gets older, it stops rebuilding the muscles as efficiently. With time, there is a reduction in overall muscle mass and strength. That loss can come from a combination of factors including:
  • Hormone changes – for example, testosterone gradually decreases
  • Physical inactivity
  • Comorbid conditions like cardiovascular disease, diabetes, and cancer
But this reduction in muscle mass doesn�t just happen to the elderly. Research has shown that strength and development in an individual’s 20s peaks and begins to plateau in their 30s. For many, decreased strength translates to being less active, and routine activities become more difficult to execute. Inactivity means fewer calories burned, muscle development decrease, and negative changes to body composition including muscle loss, and percent body fat increase.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
�Work-Related Musculoskeletal Disorders & Ergonomics.� Centers for Disease Control and Prevention, Atlanta, GA.� OSHA Technical Manual,�Section VII, Chapter 1: Back Disorders and Injuries. Occupational Safety and Health Administration, Washington, DC.� �Cervical spine joint loading with neck flexion.��Ergonomics. January 2020.� �Back to Health.��Safety & Health.�The National Safety Council, Itasca, IL.�
Don’t Give Up On Physical Therapy For Back Pain

Don’t Give Up On Physical Therapy For Back Pain

When individuals stop working on their back pain therapy, the pain can come back. Don’t give up on the process and trust the therapists/providers. Many people experience their first episode of low back pain between the ages of 20 and 40. Often they are not sure what caused their back problems. There are a variety of factors that could be contributors like:
  • Old running shoes
  • A heavy box that was inappropriately lifted and carried
  • Exercise strain
  • Too much sitting
  • Poor posture
  • Work injury
  • Personal injury
  • Sports injury
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
After some time with the pain, a visit to the doctor is in order, hoping for clear answers and strong medicine. A diagnosis of non-specific back pain and a prescription for physical therapy is given. This is because doctors are now required to prescribe non-medication, non-invasive therapeutic approaches for any type of pain first. After three to four weeks of physical therapy, and there is still no improvement or signs of improvement will a doctor recommend medication/s and/or surgery.

Physical Therapy

Nonspecific back pain describes back pain that is not associated with a clear cause like:
  • Osteoporosis
  • Inflammatory arthritis
  • Tumor
  • Fracture
  • Infection
  • Structural deformity
Non-specific back pain is very common and often acute, meaning the symptoms usually go away on their own within a month. Physical therapy also known as PT can help expedite the healing process. Physical therapy can improve a variety of back-related problems, including those caused by disease and structural abnormalities. A study found that physical therapy works as well as surgery for lumbar spinal stenosis or the narrowing of the spinal canal in the low back.

Don’t Give Up On The Program

Unfortunately, many individuals do not follow through with the full course of physical therapy. Reasons include:
  • Time
  • Cost
  • Inconvenience
  • Low level of physical activity before treatment
  • Depression
  • Anxiety
  • Poor social support
  • Increased pain during exercise
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain
The problem with stopping physical therapy is that individuals can end up right where they began. Not following a treatment plan can have negative effects on outcomes and healthcare costs. Progress depends on how much follow-through an individual does on their own. Don’t give up on the program and maintain rehabilitative progress.

Scientifically Backed Benefits

Scientific proof means measuring results objectively to determine if a treatment works. Physical therapy has consistently proven to be highly effective. Researchers found that physical therapy led to positive health benefits when treating back pain. Specifically, individuals that followed a physical therapy program to the end had:
  • Less physical therapy visits
  • Their length of care was shorter
  • Prescription medications were used far less
  • Fewer visits to the doctor
  • Advanced imaging is used less
  • Cost savings
For example, spine stabilization exercises during an episode of low back pain can decrease pain, disability, and the risk of another episode.
11860 Vista Del Sol, Ste. 128 Don't Give Up On Physical Therapy For Back Pain

The Right Physical Therapy Clinic

Do research to find the best therapeutic clinic or professional. It is perfectly understandable to be picky about physical therapy. Several studies have shown that a healthy relationship between patients and physical therapists improves outcomes. When choosing a clinic, individuals should be aware that there are different models. The differences can influence the experience.
  • Some therapists treat more than one person at a time. This means the exercises will be shown how to do them properly, then the individual will be expected to continue on their own with the therapist returning to see the progress and start the next exercise.
  • Some therapists see the patient once, then an assistant takes over. Assistants will help with the exercise programs.
  • There are some clinics that could be out of network or do not accept insurance. Individuals can pay more, but the benefit is more one-on-one time/care with a physical therapist.
  • If an individual does not like the experience with one model, try another.
  • Remember that individuals need to advocate for their own health, treatment, and progress.
  • If an individual is not improving, then they need to have a discussion with the physical therapist.
  • The therapist can then problem solve and try a new treatment or refer the patient for additional care like imaging, medications, or a different intervention altogether. Don’t give up, relief from back pain is possible.

Don’t Give Up On Body Health



Body composition analysis an effective tool during physical therapy

Body composition is essential for understanding physiological makeup and to help guide a treatment plan to target specific areas in physical therapy programs. InBody analysis is non-invasive and convenient, making it ideal when used in conjunction with physical therapy rehabilitation programs. The InBody test provides results that can be used to educate and engage individuals to help track improvements throughout the physical therapy course. In less than 60 seconds, the test results are easy-to-understand, accurate, and objective. This helps to evaluate and monitor progress during rehabilitation. With the test a physical therapist can:
  • Assess muscle distribution
  • Focus on areas weakened by injury or surgery
  • Identify fluid imbalances related to inflammation
  • Monitor changes to determine the efficacy of the therapy program
  • Guide recommendations for long-term success
  • Don’t give up!

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
PLOS One.�(Jun 2016) �The Influence of Physical Therapy Guideline Adherence on Healthcare Utilization and Costs among Patients with Low Back Pain: A Systematic Review of the Literature.�� Pain and Therapy.�(Jan 2020) �Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.�� Spine.�(Apr 2012) �Management Patterns in Acute Low Back Pain: the Role of Physical Therapy.��
Workers� Compensation for Back Injuries Overview

Workers� Compensation for Back Injuries Overview

Getting workers� compensation for a back/spinal injury can be a daunting and overwhelming task. There are plenty of questions, and we have answers from both medical and legal professionals. Anyone can be affected by back pain at work.
  • Truck drivers
  • Manual laborers
  • Construction workers
  • Hairstylists
  • Automotive technicians
  • Teachers
  • Healthcare workers
  • Foodservice workers
  • Hospitality workers
  • Office workers
Work-related back injuries can be prevented by paying attention to posture, taking standing/moving breaks, stretching out, and lifting properly. However, if back pain at work stems from a work injury individuals could be entitled to workers� compensation benefits.  
11860 Vista Del Sol, Ste. 128 Workers� Compensation for Back Injuries Overview

Workers� Compensation

Workers’ compensation is an insurance program that helps with and provides benefits and medical care for workers that have been injured or fallen ill resulting directly from their job. This means if an individual is injured at work, employers have negotiated to free themselves of a majority of the liability by paying for the treatment and recovery. Companies that employ five-hundred or more are able to manage their own workers� compensation program. However, most workers� compensation programs are managed by state governments. Every state has its own workers� compensation program that employers pay into. The federal government handles the federal workers� compensation program for federal employees. The program is funded by the employer with the cost not affecting an individual’s paycheck.

Workers� Compensation Coverage

Compensation programs are different throughout the country. Typically workers� compensation pays for:
  • Initial emergency department
  • Urgent care visit
  • Diagnostic testing recommended by the emergency department
  • Follow-up physician
  • Surgical intervention
  • Rehabilitation
Under workers� comp back injury treatment/s are completely covered, meaning an individual does not have to meet a deductible or pay premiums, copayments, or coinsurance. Individuals continue to receive regular health insurance benefits from the employer. This could require a deductible, premiums, copays, and coinsurance. This is for the treatment of other health issues while receiving workers� compensation care. If an individual is unable to work because of a workers’ comp back injury, a worker can expect to be paid a base salary after taxes while being treated. Those whose salary is dependent on overtime creates a disadvantage. Workers� compensation can mean a pay cut for these individuals. Workers� comp pay depends on the state. Usually, there is a wage rate set by the state.

High Risk for Back Injury on the Job

Employees that are involved in physical labor like construction, factory work, and healthcare work have a higher risk of getting a back injury on the job. These injuries are often the result of:
  • Improper lifting techniques
  • Repetitively turning
  • Twisting while lifting
  • Holding something heavy
  • Lifting heavy objects above the head
  • Using the back muscles instead of the hips and legs when lifting bending of the knees and bringing heavy objects close to the core
Truck drivers also have a higher risk of back injuries. Sitting for long periods and reduced physical activity contributes to the back muscles losing their strength, endurance, and cardiovascular ability. Then when unloading the cargo the stress on the spine is doubled.  
11860 Vista Del Sol, Ste. 128 Workers� Compensation for Back Injuries Overview

Injury Report

A back injury should be reported to the supervisor or the company�s human resources department. Depending on the state, there is a statute of limitations to file an injury claim. For example, an individual has one year from the date of injury to file a workers� compensation claim with the supervisor or human resources department. However, it is best to report the injury and seek medical attention as soon as possible after being injured at work. The longer the wait, the more the employer could dispute the legal validity of a workers� compensation claim.

Injury Qualification

If injured at work, assume the injury will be covered by workers� compensation. However, it is not always completely clear. An individual could be injured at a work-related cookout or working from home and trip down the stairs. These are gray areas and are very new as more people working from home. These kinds of workers� comp claims are now starting to be seen. Whatever the event, report injury/s to the employer. If the situation is untraditional, there could be some back and forth with the employer.

Spine Specialist Referal

To receive work comp treatment patients with back injuries will be referred to an occupational therapy clinic. An occupational therapist or clinic will set up the treatment. This could include:
  • Chiropractic
  • Medication
  • Physical therapy
  • Hydrotherapy
  • MRI
  • CT scan
  • X-rays
For many that could be enough to get them back to work. If the initial treatments fail an individual could be referred to a spine specialist to set up an optimal treatment plan. A spine specialist could recommend additional therapy, medication, diagnostic imaging, spinal injections, or surgery. Occupational therapy usually goes on for four to six weeks before the individual is referred to a spine specialist. This all depends on the situation. Individuals can be referred immediately for specific spinal treatment or be told to wait for a specific time. It all depends on the medical situation.

Employer and the Spine Specialist

In most states, employers will request a copy of the treatment plan and spine surgeon�s clinical notes written about the case during office or telemedicine appointments. Doctors have to provide clinic notes and treatment plans to the human resources departments along with the workers� compensation insurance carrier. Consistent, active communication goes on between the primary doctor, the company�s human resources department, and the insurance carrier. Note that workers� compensation is exempt from HIPAA privacy regulations. Employers and the workers� compensation insurance carrier have access to medical records related to the back injury. But medical information unrelated to the injury is restricted.

Obtaining Workers� Compensation From a Doctor

Generally, no. Obtaining Workers� comp is between the individual and their employer, not the doctor. Sometimes doctors are asked to determine if an individual’s injury/s are work-related. This involves going through medical records but these requests are rare.  

Benefits Duration

It depends on the case and where an individual lives. Every state is its own system. In some states, treatment can be ongoing for as long as treatment is needed and is consistent. What is highly recommended is meeting with a workers� compensation attorney in your state when beginning the process to learn your rights and the process. This can help in preventing issues from popping up like an employer pressuring a worker to come back before a doctor has cleared them to return.

Making Most of Workers� Comp

Keep appointments and be compliant with the doctor’s treatment plan and recommendations. Be transparent with the doctor. Not telling them exactly what is happening will not help in their recovery. If there is an improvement from the treatment/s fantastic, but if there are minimal to no improvements be as descriptive as possible about what is happening and what does work. The goal is to work with a clinical team that can get an individual better back to work and normal activities.

Lower Back Bain Pain Chiropractic Relief


Dr. Alex Jimenez�s Blog Post Disclaimer

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

Sit-Stand Desks, The Spine, and What to Consider

Sit-stand desks are coming around, especially with so many of us working from home. Sitting is not a bad thing, it is just that we do it too much. Whether at home or work, too much-sitting causes health problems, and musculoskeletal problems, which can lead to a chronic back pain condition.

Too much sitting has been compared to smoking, and sitting in front of a computer for hours and hours has led to 85% of workers reporting discomfort/pain/ health issues at work. Fortunately, there is hope for the modern-day office known as the sit-stand desk or a standing office desk. Individuals are rapidly discovering the benefits of this ergonomic tool.

11860 Vista Del Sol, Ste. 128 Sit-Stand Desks, The Spine, and Things to Consider

Sit-stand desks encourage workers not to sit as much and stand for a while. This generates a spectrum of spine health benefits that range from reducing pressure on the back to burning a few extra calories just from changing positions. Thinking of investing in an adjustable desk, here are some key things to consider.

Get a new sit-stand desk or a unit that sits on top of my desk

This depends on the amount of space that is available. If there is plenty of space, specifically, to spread things out over a large desk area, then it can make sense to invest in a stand-alone sit-stand desk. If the current desk is right for you, then a sit-stand desk put on top of the current desk may be the better option.

Height Adjustment

It�s important that the height of the desk can be adjusted. This has to do with different heights for different work tasks. For example, an individual could prefer one height for writing and another height when working/keyboarding on the computer.

If the desk is going to be used by others, then it�s essential that the height can be adjusted to meet the needs of those with different heights and work preferences. The Business and Institutional Furniture Manufacturers Association recommends that the height range be 22.6? to 48.7?. Ultimately the range depends on those using the desk.


Depth of the desk

Depth is the front-to-back tabletop distance when facing the desk. A good choice is a desk that has a minimum depth of 30?. This allows those who prefer more desk space the ability to spread out the work. However, smaller depths are available.

Weight capacity

Sit-stand desks are built to handle the weight of the usual desktop items:

  • Computer
  • Monitor/s
  • Keyboard
  • Mouse
  • Speakers
  • Phone

With heavy items, it’s best to review the weight restrictions of the desk you will be using. Weight restrictions vary, but there are all kinds of desk models to fit your needs. �

Desk budget

This depends on your budget, work purposes, and quality. Sit-stand desks can be found in a wide range of prices. Opting for the cheapest desk is not the wisest thing to do. Remember these desks are an investment in the spine and overall health. Consider the quality of the desk and how long it will last along with a warranty to protect you if the desk malfunctions.

What to look for

Sit-stand desks come with all kinds of options, in terms of quality and convenience.

Noise level:

If a quiet work environment is important, then look into desks that offer a quiet action/transition when switching from sitting to standing and vice versa.


Some desks can take a long time to switch. Be careful with these because the use of the full functionality can diminish because of the length of time it takes. Look for the quick adjustment type.

Manual vs. electrical:

There are some desk models that operate using hand cranks, locking switches, etc. while others use electric/pneumatic lifts to raise and lower the desk with a power button. The method of movement chosen will have a distinct impact on the ease of use, speed, and noise level.


Some desks can be programmed with height preferences so they can be set to the desired position and saved.


If the desk needs to be able to function around privacy screens or specialized office equipment, a one-size-fits-all desk may not be the best option. This is something to consider if the desk needs to fit perfectly in an established environment. �

11860 Vista Del Sol, Ste. 128 Sit-Stand Desks, The Spine, and Things to Consider


Keeping the desk in the standing position

Some individuals may feel better standing all day. However, standing for long periods does as much damage to the spine as sitting all day. The best approach is to vary postures over a workday.

  • After sitting for an hour, get up and move around.
  • If you�ve been standing for a while, take a break and sit.

That is what sit-stand desks are made for. They are made to promote changing positions throughout the day, which is the best thing for the spine. Be prepared for a transition period. Standing at work can bring some unexpected fatigue if you’re used to sitting all day.

Getting into the flow of working while sitting then standing, then going back can be a bit daunting. The goal is to slowly build up the amount of time standing, switching to a sitting position, and getting comfortable doing it. Things that can help with the transition are to wear supportive shoes or get custom foot orthotics and use an ergonomic foot mat to make the transition more comfortable.

It will be a short-term adjustment period, but the long-term benefits are well worth it. Employers and employees along with their spines will be very thankful.


Chiropractic Podcast: Why Chiropractic Works


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Back/Spine Care and Standing Work  El Paso, Texas

Back/Spine Care and Standing Work El Paso, Texas

Back/spine injuries now rank either second or third overall for workplace injury/s. According to the Bureau of Labor Statistics, every year there are over 900,000 cases of back injuries that account for 1 in 4 non-fatal job-related injuries that involve work days missed.�


11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas

Backcare & Standing Work

Back injuries can be painful, debilitating, and life-changing. 8 out of 10 people will experience a back/spine injury that can lead to chronic pain and health conditions. We all need to know, especially those of us that work standing up is firsthand knowledge of how important it is learning how to improve spine health and take steps to prevent back injury.

In order to prevent low back disorders means that there needs to be an understandingof the spine when working along with knowledge of back injury risk factors.


Back/Spine Basics

The spine is a flexible structure that consists of 24 bones that move, shift, and contort, called vertebrae. There are:

  • 7 in the neck
  • 12 in the chest
  • 5 in the low back


11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas


These are connected by ligaments and separated by pads of cartilage, called intervertebral discs. These are the shock absorbers that allow the flexible movement of the spine, specifically at the neck and the low back.

When we stand, the spine naturally curves inwards and outwards. The inward curve is called lordosis, and curves towards the front of the body at the lower back and neck area. The outward curve is called kyphosis, and curves towards the back of the body around the chest area. When we bend over the vertebrae of the lower back change position and shift from being in lordosis to kyphosis when completely bent over and then back again when upright. With this information, it is easy to see how much we move around, bend, stretch and reach during a regular day. The lower back gets used the most, which is why low back pain and injury/s and disorders are the most common.


yoga standing forward bend pose

Causes of Low Back/Spine Pain:

  • Muscles or ligaments get strained
  • Added pressure on the intervertebral discs
  • Nerve/s get compressed or entrapped
  • Vertebra gets damaged from trauma�

The National Institute of Occupational Safety and Health concluded: �muscle strain is the most common type of work or nonwork back pain� (Bernard, 1997). This is good news for chiropractors and ergonomists because it means that we can find ways to reduce/change the way we work and the effort involved to minimize injury risks.


11860 Vista Del Sol, Ste. 126 Back/Spine Care and Standing Work  El Paso, Texas


Keeping the intervertebral discs healthy plays an extremely significant role in preventing back/spine injuries. If these discs get damaged and start to degenerate,�flexibility begins to fade away, stiffness and soreness sets in and the ability to absorb the daily pressure/forces that comes with standing, moving and working.

There is not a normal blood supply to the intervertebral discs. Instead, as the discs change shape when we move around, the nutrients that they need are absorbed into the discs as the waste products are pumped out. This is why moving the body and staying active is very important. Because as you move you are literally feeding your spine and expelling the bad stuff. Intermittently changing postures and positions helps change the force and weight on the discs so that not all one area is taking the brunt of the force. Remember to move around and keep your spine as healthy as possible.


Risk factors

Major risk factors for back injuries include:

  • Awkward postures
  • Bending
  • Twisting�
  • Heavy physical tasks
  • Lifting
  • Forceful movements
  • Whole-body vibration aka W.B.V.
  • Static or unmoving work postures

These risks can happen separately or could be a combination of them all, and if these risks are taking place at any one time the higher probability of an injury/s.

Standing Work

When we stand, the pressure on the�lower back discs is relatively low. Not that there is pressure but it is much lower than when seated with an unsupported backrest like bleachers for example. Standing up uses 20% more energy than sitting does. When we need to bend down to pick up objects or reach to get overhead objects there is an increase in the forces and pressure on the lower back, and this is when an injury is likely to happen.


Tips to Minimize Injury

Here are some tips to help minimize your risks of back/spine injury when you are doing standing work:

  1. Moving around is important to keep the spine healthy. Moving will help improve circulation and reduce muscle fatigue.
  2. Taking consistent short breaks will help reduce fatigue, discomfort and work other muscles.
  3. Gentle stretching during some of these breaks helps to ease muscle tension and gets circulation pumping.
  4. Pay attention to your posture and the way you stand as you work.
  5. Lean on a solid support to help reduce fatigue when you are standing with a support that you can put your back up against, lean against sideways, lean forwards against and to hold on to will increase safety.
  6. Keep your back strong and try to do exercises that will strengthen the back muscles. Activities, like Yoga, Crossfit, HITT or workouts focused on the spine for flexibility are the way to go.
  • Maintain a stable posture with your feet on a firm surface.
  • Avoid twisting the lower back around to reach for things.
  • Move your feet so that your whole body changes position.
  • Minimize bending, but when you have to, bend for objects in front of you and bend at the knees instead of the back. When bending for objects that are to the side of you change your stance so you are facing the object, and then bend down at the knees.
  • Don’t overreach but if you have to reach up to a high area to get something use a step-ladder.
  • Don’t reach over objects and move the obstruction or change your position before reaching for whatever it is.


Low Back Pain? Fix it with *FOOT ORTHOTICS* | El Paso, Tx



NCBI Resources

The one size fits all method just doesn�t cut it. A more focused approach for every individual leads to better results. Patients find that placing their bodies in certain positions and certain physical activities can:

  • Activate
  • Aggravate
  • Deactivate�their back pain.

Patients also find the pain being either better or worse. Understanding why sitting, standing, and walking can change the severity of low back pain can be helpful in diagnosis. These are important cues that help to diagnose and treat low back pain. People sit, stand, and walk all day. This is why so much research has been conducted on how these specific positions and activities contribute to low back pain.


A High-Risk Job, Your Spine, and Back Injury El Paso, Texas

A High-Risk Job, Your Spine, and Back Injury El Paso, Texas

Work/Job Ergonomics

In today’s workforce, many jobs place workers at a higher risk for a back injury. The list is pretty extensive and may surprise you! Individuals that have suffered a� neck or back injury at work know the cost goes beyond lost wages. The impact of these injuries on employees, employers, and the economy is staggering.

In a report published by the Bureau of Labor Statistics, there were 2.8 million cases of non-fatal occupational injuries and in 2018.� Of these cases, more than 50% lost time from work, transferred to a different job, or restricted work activity. Not all of these cases were spine-related injuries. However, 880,000 cases were back pain-related injuries.

The World Health Organization’s International Labour Office says that the problem is global.

Musculoskeletal diseases are a very common part of 270 million non-fatal work/job accidents where employees missed at least 3 workdays.


11860 Vista Del Sol, Ste. 126 A High-Risk Job, Your Spine, and Back Injury El Paso, Texas


Risky Jobs

Occupational safety experts gather all kinds of information that they factor. This includes job requirements, work environment, and work station set up. In compiling the list of risky occupations, here are some of the criteria:

  • Heavy physical work
  • Forceful lifting movements
  • Bending
  • Twisting
  • Awkward work postures
  • Whole-body vibration
  • Static work postures like standing/sitting but never changing position compounds the risks to workers.

Two occupations that lead the list of jobs placing workers at the highest risk are construction and nurses/nursing home workers. Workers in both of these jobs tend to share the under-reporting of work-related injuries. This happens as the employees fear they will lose their job and cannot afford to take any time off.

Construction Workers

Employees at a construction site are repeatedly lifting, bending, carrying, pulling, and tugging. These repetitive movements lead to overuse injuries and back strain/sprains are a common part of this. More than 30% of workers have to miss job time. Those that must climb ladders or work on scaffolds have a greater risk of falling. This is where some serious spinal injuries can occur, causing disability and sometimes being fatal.


11860 Vista Del Sol, Ste. 126 A High-Risk Job, Your Spine, and Back Injury El Paso, Texas

Nurses/Nursing Workers

Nursing homes and employment opportunities are growing from elderly population growth. These workers are at high risk for back pain and spine injury. This comes from transferring patients’ from their beds, bathtub, and bathroom facilities. All these actions require lifting, carrying, holding, pulling, pushing, and turning. The Bureau of Labor Statistics reports nearly all back and shoulder injuries are the result of moving patients.


back pain in el paso tx.

Warehouse Workers

This is another job that requires lifting, along with using forceful movements, bending, twisting, carrying, and placing the body in awkward positions. Sometimes these workers have to drive a truck or an industrial vehicle that creates whole-body vibration. Continual exposure to vibration can cause backache and soreness that can lead to lost work time.


11860 Vista Del Sol, Ste. 126 A High-Risk Job, Your Spine, and Back Injury El Paso, Texas

Dentists and Surgeons

Both of these professions involve prolonged standing, stooping, bending, and awkward body positioning. Not to mention the mental strain that diverts the doctor’s attention to proper posture and body mechanics that results in injury and pain.



The American Chiropractic Association puts landscapers in the top 10 list of jobs that cause back pain. This job puts these workers at a greater risk for cumulative trauma disorders. All the tasks that a landscaper has to do that include hedge trimming, tree pruning, and planting. These actions/movements involve lifting, reaching, bending, and stooping. This is a perfect set up for an overuse back injury.

Hand tools that get used over and over can cause painful conditions like carpal tunnel syndrome and thoracic outlet syndrome. Thoracic outlet syndrome is when the nerves and blood vessels become compressed between the neck and shoulder.


Store Cashier

Grocery and retail store cashiers require workers to stand in one place for a long time. This along with the repetitive motions of scanning, typing, opening, closing combined with bagging and lifting bags over and over can cause neck, shoulder, back, leg and foot pain. Over half of checkout workers complain of back pain.


Other High-Risk Jobs

  • Airline crews meaning pilots, baggage handlers,
  • Factory workers
  • Bakers
  • Bus
  • Cab drivers
  • Cable and telephone line installers
  • Carpenters
  • Electricians
  • Hairstylists
  • Plumbers
  • Carpet installers/cleaners
  • Dry cleaners
  • Medical technicians
  • Farmers
  • Firefighters
  • Police
  • Maintenance workers
  • Automotive technicians
  • Office personnel
  • Professional athletes


Job Injury Prevention

We may not be able to instantly change our occupation, but there are steps to help prevent neck and back injuries. The key is workplace ergonomics and safety. Be proactive to help reduce workplace risk for neck and back injury and share what you learn with co-workers.


*BEST* Heel Spurs Treatment | El Paso, Tx (2020)



NCBI Resources

Injuries that are caused by repetitive movements often develop gradually.�This is the time when the symptoms are mild and come and go, so the individual just works through it and doesn�t think about it. It�s�not until the symptoms get very painful and debilitating that the individual realizes that something is wrong, and then they seek medical attention. Don�t wait, as soon as you feel a tingle, slight pinch, or a little soreness�and you feel that it stems from your work�s repetitive movements, get in touch with a doctor or chiropractor before it becomes excruciating.


Work/Personal Injuries from Repetitive Movements El Paso, Texas

Work/Personal Injuries from Repetitive Movements El Paso, Texas

Certain jobs or�dailyactivities require us to do the same action over and over again. It can be enjoyable but these repetitive movements can cause serious injury to the body. Most affected are the:

  • Hands
  • Wrists
  • Elbows
  • Shoulders
  • Neck
  • Back

These injuries are quite common in the United States and are referred to as Repetitive Motion Disorders (RMDs).

11860 Vista Del Sol, Ste. 126 Work/Personal Injuries from Repetitive Movements El Paso, Texas


Repetitive Motion Disorders

Repetitive motion disorders are musculoskeletal conditions caused by movements/motions done over and over. RMDs can be caused by:

  • Muscle/ligament friction from unnatural or awkward motions like twisting the arm, wrist, hands or other areas of the body where repeated motions are used.
  • Incorrect posture/positioning when doing these movements.
  • Overdoing it, either trying to go faster or with added strength that really strains the muscles.

RMD’s cause symptoms because of muscle fatigue, inflammation, and swelling or compression of the nerve’s tissues. Examples include:

  • Carpal tunnel syndrome happens when the tunnel of bones and ligaments in the wrist begin to pinch the nerves in the fingers and the muscles around the thumb.
  • Bursitis is inflammation of the bursa that’s between the tendon and skin, or between a tendon and bone/s.
  • Tendonitis�is inflammation, irritation, and swelling of a tendon/s.
  • Epicondylitis (elbow pain) is inflammation, soreness, and pain on the outside of the upper arm around the elbow.
  • Ganglion cyst occurs when tissues surrounding specific joints get inflamed and swell up with fluid.
  • Tenosynovitis happens when the lining of the sheath that surrounds a tendon gets inflamed.
  • Trigger finger can be a painful or painless clicking, snapping, or locking of a finger/s.



All of the above conditions can be caused by other means and not repetitive movement/s.

RMD Work Risk

Jobs vary all over, but if repetitive movements are how the job gets done those individuals have a higher risk to get a repetitive motion disorder. There are professions and activities that increase the risk that include:

  • Assembly/factory linework
  • Carpentry
  • Computer work like typing, digital/graphic design where a digital pad/pen and mouse are the main tools that have to keep moving
  • Gardening
  • Lifting children like at daycare
  • Meatpacking
  • Playing musical instruments
  • Sewing
  • Sports


11860 Vista Del Sol, Ste. 126 Work/Personal Injuries from Repetitive Movements El Paso, Texas


RMD Symptoms

Symptoms of these disorders can include:

  • Pain, soreness, pinching and stiffness in the fingers, hands, wrists, forearms, elbows, shoulders, neck and back
  • Tingling or numbness.
  • Swelling or redness around the area.
  • Loss of flexibility and strength.
  • There could be no visible sign of injury or pain, but individuals find that the normal and easy tasks they’re used to become more and more difficult to do.

Injuries that are caused by repetitive movements often develop gradually. This is the time when the symptoms are mild and come and go, so the individual just works through it and doesn’t think about it. It’s not until the symptoms get very painful and debilitating that the individual realizes that something is wrong, and then they seek medical attention. Don’t wait, as soon as you feel a tingle, slight pinch, or a little soreness and you feel that it stems from your work’s repetitive movements, get in touch with a doctor or chiropractor before it becomes excruciating.


*BEST* Heel Spurs Treatment | El Paso, Tx (2020)


NCBI Resources

Safely Operating Tools that Cause Whole-Body Vibration

There are power tools that vibrate no matter what and�transmit vibration into the operator�s arms and hands, legs, and feet.�Using a tool like this can cause a condition called white finger or�Raynaud�s Phenomenon�to present.

The symptoms include:

  • Aching in the wrists and muscles of the forearm
  • Tingling sensations
  • Numbness
  • Whiteness in the fingers from restricted circulation

This type of vibration from riveting tools, grinders, pneumatic hammers, drills, and chain saws will affect the whole body�s well being.


Repetitive Motion Disorders (RMDs) and The Spine El Paso, TX.

Repetitive Motion Disorders (RMDs) and The Spine El Paso, TX.

How RMD’s affect the spine

Most repetitive motion injuries or RMDs affect the arms and hands. However, they can also happen in the spine.

The majority of back injuries, especially in the workplace, are often the result of long-term repetitive wear and tear on the:

  • Muscles
  • Ligaments
  • Tendons
  • Spinal discs

Repetitive work motions like:

  • Pulling
  • Reaching
  • Twisting
  • Bending

All of these movements can weaken and stress the spine and increase the risk of injury.


11860 Vista Del Sol, Ste. 126 Repetitive Motion Disorders (RMDs) and The Spine El Paso, TX.

Treatment for RMD’s

When first treating an RMD, the first step is to reduce or stop the motions that are causing the symptoms. Other therapies include:

  • Ice therapy reduces pain and swelling.
  • Medications like cortisone and anti-inflammatory’s also reduce pain and swelling.
  • Chiropractic/Physical therapy relieves soreness and pain in the muscles and joints and strengthens the muscles to help prevent future injuries.
  • Splints relieve pressure on the muscles and nerves.
  • Surgery in rare cases can help relieve symptoms and prevent permanent damage.


11860 Vista Del Sol Ste. 128 Change of Weather Worsening Back Pain El Paso, TX.


RMDs can be prevented. Here are some important tips to reduce�repetitive motion injury:

  • Take frequent breaks to avoid overuse of muscles with little rest breaks of whatever muscles/ligaments you are using.
  • Regular exercise along with stretching and relaxation helps build strength, increase mobility, range of motion and prevent future injury.
  • Look at your posture to make sure it is correct for the task at hand. This helps the elbows, wrists, hands, and spine maintain alignment during repetitive motions.
  • Don’t stay in a single position for too long. Change your posture frequently during any type of activity to relax one set of muscles and use another set, then switch and so on and so forth.
  • Practicing correct form and technique will go a long way in preventing a repetitive injury.
  • Avoid over-reaching, stretching and twisting.
  • Use protective equipment and gear.
  • Have a properly designed workstation with office or work equipment at the proper height, distance and allows you to work safely and comfortably.


11860 Vista Del Sol, Ste. 126 Repetitive Motion Disorders (RMDs) and The Spine El Paso, TX.

Staying Healthy

Staying healthy and avoiding RMD’s is first priority if you work at a job or regularly participate in activities where repetitive motion/s and movement/s are used.

Give yourself time to rest, exercise, and implement proper techniques. See a doctor or injury chiropractor if you are experiencing any of the symptoms listed. Ergonomically evaluating the causes is an important part of the diagnostic evaluation for patients with these conditions.

Therefore, mapping out a customized treatment plan for changing the way you work/perform these motions is the ultimate goal.

We focus on what works for you. We also strive to create fitness and better the body through researched methods and total wellness programs. These programs are natural and use the body�s own ability to achieve goals of improvement, rather than introducing harmful chemicals, controversial hormone replacement, surgery, or addictive drugs.

We want you to live a life that is fulfilled with more energy, a positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of every one of my patients.


The “LIFE CHANGING” Foot Orthotics | El Paso, Tx (2020)



NCBI Resources

Barring traumatic injury due to an accident, working in a factory environment can cause problems with mobility, pain, and flexibility. The�nature of the job�places specific demands on the human body that can lead to certain types of injuries and health conditions, which include:

  • Repetitive motion injury � When a worker performs the same task that involves the same movements over and over, it can lead to certain types of injuries. Carpal tunnel is a common repetitive motion injury.
  • Overexertion � Lifting, pulling, even standing can take a toll on the body, especially when it is done without adequate breaks. The person can get muscle fatigue, pulled muscles, and pulled tendons.
  • Body movement injuries � When the worker is continuously reaching, twisting, crawling, and bending, it can cause problems with the muscles and joints.


Working With an Ergonomic Keyboard and Mouse El Paso, TX.

Working With an Ergonomic Keyboard and Mouse El Paso, TX.

Keyboards and mice come in all sorts of colors and styles, which is great but for those that work on a computer for a job, using the right type is essential to prevent injury keeping the hands, wrists, and arms healthy and moving.

Overuse can cause painful musculoskeletal disorders like:

There are a variety of ergonomic designs for these devices. Keyboard designs include four separate key areas:

  • The alphanumeric area with letters, numbers, and control keys
  • An area with cursor keys
  • Numeric keypad
  • Function keys or the ‘F’ keys


11860 Vista Del Sol, Ste. 126 Working With an Ergonomic Keyboard and Mouse El Paso, TX.


Keyboard Key Combinations or The Mouse

Basic typing and many other actions can be performed on the keyboard using the:

  • Function keys
  • Cursor keys
  • Control keys
  • Keyboard macros

Pretty much all of these actions can be done with the mouse. Many users operate the computer with the mouse instead of using the key combinations.

To obtain correct posture when working align the center of your body with the center of the keyboard area used the most or during a task.

Keyboard Layout

The layout follows the original ASDF design from the first typewriter.

From the beginning of this design, there was a realization that angling and splitting the keys would reduce the bending of the hands. The first split keyboard typewriter was manufactured in 1886.

The idea of splitting and angling the keys was implemented into ergonomic keyboard designs with the alphanumeric keys being separated at an angle into two sloped sections. For a� non-touch typist, this can be difficult to use, as some keyboards only angle the keys without splitting into halves.

The split design reduces the sideways bending of the hand but also important is the reduction of vertical bending.

However, this can be overcome by taking some simple steps like:

  • Flattening the keyboard feet on the desk can keep the hands flat
  • Putting the keyboard on a vertical tilted tray can also help improve the hands’ posture
  • Keyboards are available in left and right-handed styles


Lady sitting with proper posture at office desk

Choosing a Mouse

The shape along with the location of the mouse in relation to the keyboard is important for maintaining a healthy hand posture. Here are some considerations when choosing a mouse. The mouse buttons should:

  1. Have easy clickability
  2. Is easy to move around/feels natural
  3. The screen cursor should move accurately with your movements

There are mice with programmable buttons allowing you to control additional functions. Important things to check:

  • Make sure the size and shape of the mouse feels natural in your hand
  • Hold the mouse in a neutral position meaning your hand should not be bent up, down or sideways
  • Position and operate the mouse with your upper arm relaxed and close to your body, and don’t reach too far forward or too far out to the side

There are keyboards with a separate numeric pad that allows the mouse to be located closer to the keyboard. Some keyboards include a cursor positioning device like a trackball, touchpoint or touchpad. These types eliminate having to reach for a mouse. However, it is a good practice to mix it up using the keyboard for certain operations and the mouse for others. This allows different muscles and ligaments to work while the others take a break.


11860 Vista Del Sol, Ste. 126 Working With an Ergonomic Keyboard and Mouse El Paso, TX.

The Ideal Setup

All keyboards and mice are designed differently. The key is to find well-made products that are built with ergonomic injury prevention as the focus. You can use trackballs, touchpads, and pen mice instead of a regular mouse.

Find what works for you, is ergonomic, comfortable and easy to use and will keep your hands in a neutral posture. If you do a lot of typing and mouse movement, your hands are going to get tired even with top designed keyboards and mice. Take frequent short rest and stretch breaks to let your muscles recover. The stretching exercises should include the:

  • Wrist
  • Forearm muscles
  • Shoulders
  • Neck
  • Upper back muscles

Working like this will protect you against over-use injuries.

Carpal Tunnel Chiropractic Treatment



NCBI Resources

Chiropractic care is one of the most common forms of treatment for carpal tunnel syndrome. Foremost, a doctor of chiropractic will evaluate the extent of the condition as well as diagnose the individual to determine any underlying cause behind the condition. Through a series of chiropractic adjustments and manual manipulations, the hand, wrist, and arm are adjusted to reduce the pressure around the median nerve, and ultimately reducing the symptoms.


Work Ergonomics, Injuries and Office Breaks

Work Ergonomics, Injuries and Office Breaks

Creating a healthy, safe ergonomic work environment is important to protect your back, neck and whole body. Just by taking simple breaks and enhancing your workspace with a sit-stand desk will protect your spine and general health.


11860 Vista Del Sol, Ste. 126 Work Ergonomics, Injuries and Office Breaks

Break Taking

Working in the same position and using the same muscles, joints, and ligaments for hours is not good for any part of your body. Ergonomists are lifestyle scientists that design spaces/equipment/tools to reduce discomfort, fatigue, and injury, agree that taking frequent and brief rest breaks is essential for total and optimal body health. And, it�s not just your legs that need a break every now and then.


At work, start practicing:

Eye breaks: Looking at the computer screen for a long time changes how the eyes work. What happens is you blink less and expose the eyes to the air. Therefore, every 15 minutes look away from the screen for a minute or two to a distant area that is at least 20 feet away or further. This allows the muscles in the eye to relax. Also, blink your eyes real quick for a few seconds. This refreshes the tear ducts and clears dust from the surface of the eyes.


Micro-breaks: These are breaks that are less than two minutes and perfect to utilize between office jobs. Most people work in bursts rather than continuously. So in between these bursts�take a rest in a:

  • Relaxed
  • Flat
  • Straight posture


11860 Vista Del Sol, Ste. 126 Work Ergonomics, Injuries and Office Breaks


These breaks are short but perfect for stretching, standing up, and moving around, or switching to a different task like making a phone call or making some copies, etc. These types of breaks are a break from using the same set of muscles over and over.

Rest breaks: These you want to do every 30 to 60 minutes. This is the break to, get up, move around, and do something else non-office related. Go get a beverage, quick conversation with a coworker, or take a walk around the office or building. As long it’s within reason. This allows your body and mind to empty and workout different muscles. Practice this and the feeling of tiredness will be a thing of the past.

Exercise breaks: This is purely a stretching and gentle exercise break to do to relieve muscle fatigue. These should be done every one to two hours.

Ergonomic software: It is easy to lose track of how long you’ve been working. There is software that monitors how long you’ve been on the computer and will alert you to take a break at different intervals and offer easy ergonomic exercises to keep your muscles loose and in top office shape.


Ergonomic Products

There are plenty of products out there to improve your workplace environment and promote top spine health. Consider an ergonomic chair, computer accessories, or sit-stand desk to help maintain proper posture.




These products can be adjusted and customized to your needs. They encourage healthy long-term habits that can reduce and prevent various types of injuries. Sit-to-stand desks allow transition from sitting to a standing position. Varying your posture throughout the day is highly beneficial to general health and even helps to burn extra calories.

These ergonomic products are for creating a healthy/safe work environment. Therefore take some time to research the product you are interested in before buying.� Here are a few questions to think about:

  • Do the manufacturer’s claims make sense or are too good to be true?
  • Is there evidence that can support their claims?
  • Is it a cheap knock-off? Knock off products should be avoided as they can worsen and create more injuries. However, when it comes to the brand name products, don’t go for the fully loaded models that could cost quite a bit, instead find something in the middle but that still meets ergonomic standards.
  • Are you comfortable using the product?
  • What do experts/reviews say about the product? If it’s not recommended then don’t use it.

Some products can feel strange or uncomfortable because they make you change the way you work. Don’t panic, as this is the point of the product that you have to get used to. But it will be beneficial to your overall health. However, if a product continues to feel uncomfortable or causes pain after short use, then discontinue using and try something else.

Improving spinal health and hygiene at work is as simple as taking breaks for light stretching, walking around, and utilizing ergonomic office products to stay fit and injury-free. Whatever you choose, understand how your back and neck are moving/functioning during the workday/night by using ergonomic practices that will keep your body/mind healthy and prevent office injuries.


Control *FOOT MOTION & POSTURE* with Functional Foot Orthotics | El Paso, Tx (2019)



NCBI Resources

Ergonomics is a scientific discipline that�s been in existence for many years. Keeping their work environments safe and efficient and traditionally concerned with factory workers, ergonomic professionals have expanded their work to include all types of workers from laborers to seniors to office workers & students.

It looks for means to improve our environment to lower the risks of illness and harm, enhance productivity, and improve the caliber of our work life.


Construction Workers Benefit From Chiropractic | El Paso, Tx.

Construction Workers Benefit From Chiropractic | El Paso, Tx.

Every day construction workers lift, stoop, bend, reach, push, pull, twist, and climb. It�s no wonder that 25% of construction worker injuries are to the back. An estimated 1 in every 100 construction workers misses work because of a back injury with an average of seven missed work days. Many just power through the pain which isn�t healthy and can lead to further injury and pain. Repeated back injury and failure to take care of the back by taking proactive steps to prevent injury, can lead to permanent damage, even disability. That can end a construction worker�s career.

Chiropractic care can help keep the spine healthy so construction workers can stay on the job and be pain-free. Regular treatment can offset the stress that is put on the body each day in this rigorous, physically demanding profession. There are several benefits that a construction worker can gain from seeing a chiropractor on a regular basis.

It helps to maintain mobility

When muscles are stiff and sore, it is natural to try to avoid moving too much. When a person has pulled muscles, or they have a muscle strain, their first instinct is to protect that area. This can lead to stiffness and lack of mobility, especially if the pain is in the back. A painful lower back can make it difficult to move your legs, bend, or even move about normally. Chiropractic helps to relieve the pain and reduce the stiffness so that mobility is restored.

The range of motion is improved

Stiffness can lead to a limited range of motion. If the spine is out of alignment, it can decrease flexibility and significantly limit the joint�s range of motion, whether it�s the back, shoulders, legs, or neck. Chiropractic brings the spine into the correct alignment which improves range of motion.

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Chiropractic helps to relieve back pain

Studies show that chiropractic is very effective in relieving back pain. It can significantly decrease the pain, but in most cases, it completely alleviates it.

In one study, 73% of the participants reported an improvement in their back pain. This means fewer missed days of work and much more productive on the job. This is one of the most common reasons that people seek chiropractic care, but it isn�t the only reason. It can help with so much more.

Corrects muscle imbalance

Workers who perform repetitive motions can experience muscular imbalance. This means that some muscles are tight (the ones being used) and others are not being worked as hard. It can cause pain in the area of the muscle as well as in other parts of the body.

A chiropractor can perform a technique called myofascial release to loosen the tight muscles. At the same time, they will recommend exercises for the muscles that don�t get worked as often so that the body can come back into balance. Muscular imbalance can also cause spinal misalignment so the chiropractor will also do an adjustment to bring the whole body back into balance.

Helps the body heal from injuries

Construction injuries are fairly common on a worksite. Most are fairly minor and tend to be ignored by the person until they are in so much pain they can�t function properly. Back strain is a common ailment among construction workers, and it can put someone out of commission for a week or more.

Chiropractic care helps the body heal faster and more efficiently by focusing on the whole body instead of just the part that hurts. The patient receives the treatments at the chiropractor�s office then goes home with advice on lifestyle changes, supplements, and exercises to facilitate and speed healing.

For anyone in the construction industry, especially if their position is physically demanding, regular chiropractic care just makes sense. It keeps the spine healthy and the body moving as it should. It is a simple, natural, effective way to help the body function correctly � because pain is not normal.

Lower Back Bain Pain Chiropractic Relief

How Chiropractic Can Keep You Moving On A Assembly Line

How Chiropractic Can Keep You Moving On A Assembly Line

Assembly lines have long been the standard for factory workers. Henry Ford got the ball rolling on December 1, 1913, when he created the very first assembly line to mass produce a car. Workers stood for hours, doing the same tasks over and over. Although Ford took steps to reduce at least some of the damage, many factory workers still went home with aching backs and feet, migraines, fallen arches, and repetitive motion injuries.

Now, more than a hundred year later, some things have changed. According to the United States Department of Labor Bureau of Labor Statistics, there were 1,834,000 assembly line and fabrication jobs in 2014. Technology is better, and some tasks can be automated making some people�s jobs more manageable � and, unfortunately, eliminating some as well.

Despite the great strides in technology, there are still some things that haven�t changed all that much. The working conditions in many factories are often still not as healthy as they could be. Many workers are still required to stand for long periods of time and perform repetitive motions for hours without a break. This can lead to injuries, pain, and certain conditions that can cause immobility, inflexibility, and even disability. The good news is, chiropractic can help.

Working in a Standing Position Can Be Bad For Your Health

Many assembly line jobs require that the worker stand for long periods of time. While standing is a natural posture for humans and, by itself does not pose any real harm or health problem, working in a standing position every day isn�t good for you. It can lead to muscle fatigue, stiff shoulders and neck, swelling of the legs and feet, low back pain, varicose veins, fallen arches, and sore feet � to name a few.

Another problem with standing for extended or frequent periods of time without any breaks (such as walking or stretching) can cause the joints in the feet, knees, hips, and spine to become locked or immobilized temporarily. If the behavior continues, it can cause degenerative damage, leading to rheumatic diseases because the ligaments and tendons become damaged.

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Other Assembly Line Related Health Problems

Barring traumatic injury due to an accident, working in a factory environment can cause problems with mobility, pain, and flexibility. The nature of the job places specific demands on the human body that can lead to certain types of injuries and health conditions, which include:

  • Repetitive motion injury � When a worker performs the same task that involves the same movements over and over, it can lead to certain types of injuries. Carpal tunnel is common repetitive motion injury.
  • Overexertion � Lifting, pulling, even standing can take a toll on the body, especially when it is done without adequate breaks. The person can get muscle fatigue, pulled muscles, and pulled tendons.
  • Body movement injuries � When the worker is continuously reaching, twisting, crawling, and bending, it can cause problems with the muscles and joints.

Chiropractic can Help Assembly Line Workers

Chiropractic care can help keep bodies flexible and help with range of motion. It is a very effective, non-invasive treatment for pain and can help with joint and muscular problems as well. Regular chiropractic treatments can help you better manage your body�s response to your work environment. It can also undo many of the ill effects that that type of work can cause.

You can enjoy more pain-free days without invasive surgeries or medications that leave you groggy, nauseous, or worse. When you sit down with your chiropractor, he or she will talk to you about your medical history as well as your current lifestyle. After a complete evaluation, you will be given a plan of action that may include lifestyle changes, dietary changes, and recommended supplements in addition to spinal manipulation. Chiropractic is all about whole body wellness, and that is what will help you perform better on your job and recover faster.

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Acute Injury Management: What Does the Acronym PRICE Stand For?

Acute Injury Management: What Does the Acronym PRICE Stand For?

When dealing with a sports injury or a similar type of injury, many people are familiar with the R.I.C.E. protocol for injury care. R.I.C.E. stands for Rest, Ice, Compression, and Elevation and has long been used when treating everything from sprained ankles to banged up knees. With acute injury patients, experts recommend adding �P� for protection because of the protection of the area is vital in the healing process. It is crucial that this is implemented as soon after the injury as possible and it should be maintained for anywhere from 24 hours to 72 hours afterward. Of course, this depends on the severity of the injury.

P is for Protection: Injuries hurt and pain can be a good thing because it prevents you from further injuring that area. It encourages you to protect it.

It is essential to listen to your body and protect the injured area through full or partial immobilization and restricted use. The way you do this depends on the body part.

An arm or shoulder injury can be protected with the use of a sling. An ankle injury may require a brace or splint, and you may have to avoid or limit weight bearing for a while. This means using crutches a walker, or a cane.

R is for Rest: The body needs rest to heal. This could mean complete rest, but in many cases, it means what is known as �relative rest.� This means that it allows for enough rest to heal but is not entirely restrictive which could slow or inhibit recovery.

This means avoiding activities that are stressful to the area to the point that they cause pain or that they might compromise healing. Many times, though, some movement is a good thing, even beneficial. Some gentle movements can speed recovery.

Isometric contractions of the muscles and joints that surround the injury and even some range of motion exercises can help. The key is to keep the movements gentle and to listen to your body for guidance on how much and how far to push.

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I is for Ice: Cryotherapy or cold treatments can come in the form of actual ice, or there can be other types such as a cold soak. When treating acute injuries at home, the best known, and probably most straightforward way is to put some crushed ice in a freezer bag with a zip lock closure and wrap it in a small towel to keep the pack from directly touching the skin.

Frozen vegetables, like green beans, peas, or edamame work well too � remember to use the towel as a barrier between the skin and the pack. You should not use the pack more than 10 to 15 minutes as a time. The recommended cycle is 10 to 15 minutes on and 1 to 2 hours off.

In some cases, you may not be able to apply ice directly to the site. In those cases, you can use the pack at the joint above the affected area. For instance, a tightly wrapped ankle can still benefit from ice, you just apply the ice pack to the back on the knee on the same leg.

C is for Compression: A compression wrap can offer mild support and reduce swelling. Typically, an elastic bandage is used to compress or apply pressure to the injured tissue.

When applying a compression bandage, start it several inches below the area that is injured. It should be applied directly to your skin.

Use some tension as you wrap, but not to the point that it cuts off circulation (characterized by tingling or numbness and the soft tissue should not change color). Wrap the bandage in a figure eight configuration or spiral, depending on the area, stopping a few inches above the injury.

E is for Elevation: When an injured joint or extremity is not elevated, fluid can pool in the area and swelling can occur. This can lead to increased pain and limited range of motion. Elevation helps prevent these things from happening and can even help to speed up recovery.

The key to elevation is positioning the injured area at a level that is above the heart. The most effective way to accomplish this is to keep the area elevated as much as possible while awake and prop it up with pillows while sleeping for at least the first 24 to 48 hours. Some injuries may require more time though, so listen to your body.

Skateboarding Injury Treatment