Back Clinic Protective Services. The Texas Department of Family and Protective Services (DFPS) works with communities to protect children, the elderly, and people with disabilities from abuse, neglect, and exploitation. It also works to protect the health and safety of children in daycare, as well as foster care and other types of 24-hour care. We do this through investigations, services and referrals, regulation, and prevention programs.
DFPS has five major programs that do this important work:
Manages community-based programs that prevent juvenile delinquency and child abuse and neglect.
Please call the Texas Abuse Hotline if you suspect that a child or adult who is elderly or has disabilities is being abused, neglected, or exploited. For answers to any questions you may have please call Doctor Alex Jimenez at 915-850-0900
Tests Used for Brain Injuries at El Paso Back Clinic® in El Paso, TX
Doctor of Chiropractic and Nurse Practitioner show the imaging result to the patient post-auto-injury rehabilitation with mild brain injury
Brain injuries can strike without warning, from a simple slip at home to a tough hit during sports or a car crash on El Paso’s busy roads. At El Paso Back Clinic® in El Paso, TX, our team of wellness chiropractic care experts knows how vital it is to spot these issues early. We blend chiropractic skills with modern tools to help patients heal and get back to life. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic focuses on whole-body wellness, using safe, non-invasive methods to check for head injuries.
This article dives into the tests we use at El Paso Back Clinic® to find brain injuries. We cover hands-on checks, brain function tests, and high-tech scans. Our goal is to give you clear info so you can seek help fast. Early detection means better recovery and fewer long-term problems.
The Importance of Spotting Brain Injuries Early at Our Clinic
Traumatic brain injuries (TBIs) happen when a bump or jolt shakes the brain. Mild ones, like concussions, might cause short-term headaches or dizziness. Serious cases can lead to lasting memory issues or mood changes. At El Paso Back Clinic®, we see many patients from local accidents or sports-related injuries, and we emphasize prompt action.
Our integrative approach mixes chiropractic care with nurse practitioner expertise. Dr. Jimenez uses his dual training to create custom plans. We check the spine, nerves, and brain together because a head injury often affects the neck as well.
Common signs: Headaches, confusion, nausea, or trouble balancing.
Why act fast: Stops swelling or bleeding from getting worse.
Our edge: Our wellness focus means we look at lifestyle and nutrition, too.
Research backs our methods—early tests lead to stronger outcomes (Pickett et al., 2024). At our El Paso, TX clinic, we guide you through every step.
Starting with Neurological Assessments for Head Injuries
At El Paso Back Clinic®, every brain injury check begins with basic neurological tests. These quick exams help us see how the brain responds right away. No need for big machines; it’s all about skilled observation.
We rely on the Glasgow Coma Scale (GCS) to grade injury severity. The Glasgow Coma Scale (GCS), which scores from 3 to 15, assesses eye opening, verbal response, and motor response. High scores mean mild issues; low ones signal urgency. Our team, including Dr. Jimenez, uses GCS to quickly decide on next steps (Bussières et al., 2022).
We also use the Standardized Assessment of Concussion (SAC). This tests memory and focus with simple questions. For athletes, the Sport Concussion Assessment Tool 5 (SCAT5) adds balance and neck checks. Kids receive the Child SCAT5 version.
GCS breakdown:
Eyes: 1 (none) to 4 (spontaneous).
Verbal: 1 (silent) to 5 (oriented).
Motor: 1 (none) to 6 (obeys commands).
SAC quick tips: Asks things like “What month is it?” or repeats word lists.
SCAT5 extras: Includes symptom checklists and coordination drills.
Dr. Jimenez notes that these tests often reveal neck problems linked to head injuries. At our wellness clinic, we adjust spines to ease related pain.
Hands-On Physical Exams to Uncover Hidden Issues
Physical checks are key at El Paso Back Clinic®. We touch and move areas to find pain, weakness, or limits. This builds on your story about how the injury happened.
Reflex tests tap spots, like the knees, to check nerve pathways. Odd responses might point to brain trouble. The Balance Error Scoring System (BESS) tests stability—stand in poses and count errors. It’s useful for detecting dizziness associated with TBIs (Sillevis et al., 2018).
We measure how far you can move your neck or head without pain. Strength tests have you push against our hands. These help link head injuries to spine misalignments.
BESS poses:
These include the double-leg stance, single-leg stance, and tandem pose.
Perform the exercises on both firm ground and foam to increase the challenge.
The errors to avoid include having hands off the hips, keeping eyes open, and falling.
Reflex checks: Hammer taps for quick reactions.
Motion tests: Gentle turns to spot restrictions.
For El Paso locals in car wrecks, these exams guide our chiropractic adjustments. Dr. Jimenez observes that early physical checks prevent chronic issues.
Cognitive Testing to Measure Brain Function
Head injuries can fog thinking. At El Paso Back Clinic®, we use cognitive tests such as ImPACT to assess memory and reaction time. This computer-based tool is perfect for concussion assessment, as it allows you to compare your scores to norms or baselines.
ImPACT includes modules for word recall, symbol matching, and symptom rating. It’s objective and tracks progress over time. We use it for return-to-work or play decisions (ImPACT Applications, Inc., 2023a).
Our nurse practitioners add deeper checks if needed, like repeating stories or drawing shapes. These rule out other causes.
ImPACT features:
Visual memory: Recall designs.
Reaction time: Click on the colors fast.
Symptom scale: Rate 22 items like fatigue.
Baseline testing: Ideal for athletes before seasons.
Retesting: Every 7-10 days to monitor healing.
Dr. Jimenez integrates ImPACT with chiropractic care, noting better results when spine health supports brain recovery.
Advanced Imaging for Clear Views of Injuries
Imaging lets us see inside. At El Paso Back Clinic®, we start with X-rays for bone alignment and fractures. They’re fast and help plan adjustments.
For deeper looks, CT scans catch bleeds quickly. MRIs show soft-tissue damage, such as bruising or tears—no radiation involved. We order these through our network for full pictures (NYU Langone Health, n.d.).
Digital Motion X-ray (DMX) is a favorite here—it films spine movement to spot instability from whiplash.
X-ray basics: Views bones in still shots.
CT strengths: 3D slices for emergencies.
MRI details: Magnets reveal hidden swelling.
DMX unique: Real-time video of neck motion.
Dr. Jimenez uses imaging to confirm diagnoses, ensuring safe, targeted care at our El Paso wellness clinic.
We love tools that avoid invasives at El Paso Back Clinic®. Surface Electromyography (sEMG) measures muscle activity via skin sensors. It identifies imbalances related to nerve issues post-head injury (Injury 2 Wellness Centers, 2023a).
Our INSiGHT scanners combine scans: Thermal for inflammation, Core for posture, Pulse for stress via heart rate. These insights help us create personalized plan maps (CLA Insights, 2023a).
sEMG benefits:
Detects tense muscles around the neck.
Guides gentle adjustments.
INSiGHT scans:
Heat patterns show hot spots.
Muscle scans check symmetry.
No risks: This procedure is safe for individuals of all ages.
These tools reduce the need for pokes or cuts, aligning with our wellness focus (Injury 2 Wellness Centers, 2023b). Dr. Jimenez says they boost patient involvement.
Nurse Practitioners’ Role in Comprehensive Testing
Our nurse practitioners at El Paso Back Clinic® expand options. They order blood tests for markers like inflammation or clotting risks. This rules out serious issues.
They incorporate a comprehensive approach by integrating chiropractic care into their holistic plans. If scans show problems, they coordinate referrals.
Blood work perks:
Checks for hidden infections.
Monitors healing proteins.
Team integration: NPs and chiros share findings.
Patient plans: Include rest, nutrition, and adjustments.
Dr. Jimenez, with his NP background, ensures seamless care.
Chiropractic Perspectives on Brain Injury Diagnosis
Chiropractors at our clinic see the spine-brain connection. Head hits often shift vertebrae, worsening symptoms. We use tools like Sigma for motion analysis (Kawa, n.d.).
Vestibular tests check eyes and balance. Does the patient experience pain during head movements? The source of the pain could be either the inner ear or the brain.
Spine focus:
Palpate for misalignments.
Grade Whiplash: 0-4.
Red flags: Send to ER for severe signs.
Recovery steps: Adjustments plus exercises.
Dr. Jimenez’s observations show that chiropractic care eases concussion symptoms more quickly.
Collaborative Care for Optimal Recovery
At El Paso Back Clinic®, teamwork rules. NPs order MRIs; chiros use them for adjustments. Shared tests like SCAT5 build complete views.
Plans cover therapy, diet, and follow-ups. Patients return stronger.
Benefits:
Full body healing.
Cost-effective.
Customized to you.
Success stories: Less pain, better function.
Dr. Jimenez’s integrative style shines in El Paso cases.
Insights from Daily Practice at the Clinic
We adapt tests to each patient. A work injury requires X-rays and ImPACT. Follow with BESS for balance gains.
Dr. Jimenez shares how INSiGHT scans catch early nerve stress, preventing long-term woes.
Patients love visual reports—they understand and stick to plans.
Overcoming Challenges in Brain Injury Detection
Access and cost can hinder. But our clinic offers affordable options and education.
Future tools, such as blood biomarkers, promise quicker diagnoses. We stay up to date for the best care.
Hurdles:
Rural limits in TX.
Insurance gaps.
Advances: AI for scan reads, more non-invasives.
Dr. Jimenez pushes for community awareness.
Final Thoughts: Seek Care at El Paso Back Clinic®
Brain injuries need prompt attention. At El Paso Back Clinic® in El Paso, TX, we use GCS, ImPACT, scans, and more for wellness-focused recovery.
If you’ve had a head hit, visit us. Our team, led by Dr. Jimenez, is here for you.
References
Bussières, A., et al. (2022). Concussion knowledge among North American chiropractors. Journal of the Canadian Chiropractic Association, 66(1), 17–26. https://pmc.ncbi.nlm.nih.gov/articles/PMC8791549/
Pickett, W., et al. (2024). Expanding concussion care in Canada: The role of chiropractors and policy implications. Journal of the Canadian Chiropractic Association, 68(2), 145–156. https://pmc.ncbi.nlm.nih.gov/articles/PMC11418793/
Sillevis, R., et al. (2018). Survey of chiropractic clinicians on self-reported knowledge and recognition of concussion injuries. Journal of the Canadian Chiropractic Association, 62(2), 84–95. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000952/
Gentle Recovery Strategies After Traumatic Brain Injury: Exercises, Chiropractic Care, and Holistic Support for Lasting Healing
Electromagnetic therapy of the back: a physiotherapist doctor works with a patient with a traumatic brain injury from an occupational accident.
Traumatic brain injury (TBI) affects millions of people every year. A sudden blow or jolt to the head can cause headaches, dizziness, memory problems, neck pain, and poor balance. While the brain needs time and rest to heal, the body also needs gentle movement to recover fully. Early, safe exercises for the neck, core, and balance can speed healing, reduce pain, and lower the risk of falls. Integrative chiropractic care helps restore nerve signals and alignment. Nurse practitioners guide the whole recovery process. When these approaches work together, many people feel stronger and clearer months faster than with rest alone.
This 3,000-word guide uses simple language and proven steps. Every exercise and idea comes from military health guides, rehab centers, and clinical experts. Always get a doctor’s okay before starting. Stop any move that causes sharp pain or new dizziness.
Why Neck Pain Is So Common After TBI
When the head snaps forward and back—like in a car crash or sports hit—the neck takes a huge force. Doctors call this whiplash-associated disorder. Muscles tighten, joints get stiff, and nerves can become irritated. Many people also develop forward head posture, where the head sits inches in front of the shoulders. Each inch forward adds about 10 pounds of stress to the neck muscles (Healthline, 2023a).
Left alone, tight neck muscles pull on the skull base, worsening headaches. They also make balance harder because the brain receives mixed signals from the upper neck. Gentle stretches and posture exercises can effectively address this issue early on.
Common Neck Problems After TBI
Muscle spasms and knots
Stiffness that limits turning the head
Headaches that start at the base of the skull
Forward head posture from pain guarding
Dizziness when moving the head quickly
Safe Neck Stretches to Start in the First Weeks
These four stretches appear on official military and rehab fact sheets. Have them sit in a firm chair with feet flat on the floor. Breathe slowly. Hold each stretch 15–30 seconds and repeat 3–5 times, 2–3 times a day.
Chin Tuck – Slide your chin straight back (like making a double chin) until you feel a stretch behind the neck. Do not tilt down. This is the single best move to fight forward head posture (U.S. Department of Defense, 2020; Healthline, 2023a).
Side Bend – Sit tall. Slowly drop one ear toward the same shoulder until you feel a stretch on the opposite side. Keep your nose pointing forward. Use the hand on top of the head for a gentle extra pull if comfortable (Achieve Brain & Spine, n.d.).
Neck Rotation – Turn your head to look over one shoulder as far as comfortable. Hold, then switch sides. Move only the neck, not the shoulders (U.S. Department of Defense, 2020).
Upper Trapezius Stretch – Sit and place one hand under your thigh to anchor the shoulder. With the other hand, gently pull the head away and slightly forward. You will feel the stretch along the side and back of the neck (Healix Therapy, n.d.).
Tip: Warm the neck first with a warm shower or heating pad for 10 minutes.
Core and Trunk Exercises That Protect the Neck and Brain
A weak core forces the neck muscles to work overtime to keep the head steady. Simple seated core moves wake up the deep stomach and back muscles without jarring the brain.
Do these 3–4 times a week. Start with 8–10 repetitions and build to 15–20.
Sitting Marching – Sit tall with hands on thighs. Lift one knee toward the chest while keeping the back straight, then lower slowly. Alternate legs. This exercise turns on the lower abs and hip flexors (Flint Rehab, 2023a).
Lateral Trunk Flexion (Side Bends) – Sit tall. Slowly slide one hand down the side of the thigh as you bend to that side. Use the opposite core muscles to pull yourself back upright. Works the obliques and reduces side-to-side sway (Illinois Department of Central Management Services, n.d.).
Seated Trunk Extension – Cross arms over chest. Lean forward 10–15 degrees, then slowly sit back tall using the back muscles. Keep the chin tucked to protect the neck (Flint Rehab, 2023a).
Seated Weight Shifts – Scoot forward on the chair so feet are flat and knees are at 90 degrees. Shift weight side to side or front to back while keeping the trunk tall. This exercise is particularly beneficial for promoting early balance (Flint Rehab, 2023a).
Balance Exercises That Are Safe After TBI
Poor balance is one of the biggest fall risks after brain injury. Start every balance exercise seated or holding onto a sturdy surface.
Beginner Level (Weeks 1–4)
Reach in different directions while seated
Heel raises and toe raises while holding a counter
March in place, holding onto a chair
Intermediate Level (Weeks 4–8)
Stand with feet together, eyes open, then eyes closed for 10–20 seconds
Single-leg stance holding a chair (5–10 seconds each leg)
Stand on a firm cushion or folded towel (Neofect, n.d.)
Advanced Level
Tandem stance (heel-to-toe) with arms out
Walk heel-to-toe in a straight line
Step over small objects while watching your feet
Do balance work for 5–10 minutes daily. Progress only when the easier level feels straightforward.
Gentle Yoga and Breathing for Brain and Body Recovery
Modified yoga poses calm the nervous system and safely stretch the entire spine.
Seated Cat-Cow – Hands on knees. Inhale and arch the back while lifting the chest and chin slightly. Exhale and round the back while tucking the chin. Move slowly with the breath (Flint Rehab, 2023b).
Seated Side Stretch – Inhale arms overhead. Exhale and lean to one side, keeping both sit bones on the chair. Hold 3–5 breaths on each side.
Chair Warrior II – Sit sideways on the chair. Extend one leg back and bend the front knee. Reach arms out for a gentle chest and hip opener.
Yoga improves balance by 36% and reduces anxiety in brain-injury patients (Flint Rehab, 2023b).
How Integrative Chiropractic Care Helps TBI Recovery
Chiropractic care is not just about “cracking” the back. Doctors of chiropractic trained in brain-injury care use gentle techniques to:
Remove pressure on nerves, leaving the spine
Restore normal motion to stiff neck joints
Reduce muscle spasms with soft-tissue therapy
Improve blood flow and oxygen to the brain
Correct forward head posture that slows healing
Studies and clinical reports show that spinal adjustments can reduce headache frequency, improve sleep, and speed return to work after concussion (Calibration Mansfield, n.d.; Northwest Florida Physicians Group, n.d.; Pinnacle Health Chiropractic, n.d.).
Dr. Alexander Jimenez, DC, APRN, FNP-BC, a dual-credentialed chiropractor and family nurse practitioner in El Paso, Texas, has treated thousands of patients with TBI, including veterans. He combines precise cervical adjustments, soft-tissue work, and functional neurology exercises. “The upper neck houses sensors that tell the brain where the head is in space. When those joints are stuck, the brain gets fuzzy signals, and balance suffers,” Dr. Jimenez explains in his clinical teaching (Jimenez, 2025). His patients often report clearer thinking and less dizziness within weeks of starting care.
The Important Role of Nurse Practitioners in TBI Care
Nurse practitioners (NPs) are trained to manage complex patients from head to toe. In TBI recovery, they:
Watch for worsening symptoms (increased swelling, seizures, mood changes)
Coordinate physical therapy, chiropractic, counseling, and medications
Teach patients and families what is normal and what needs quick attention
Adjust care plans as healing progresses
Provide follow-up visits to catch problems early (Ackerman, 2012; Mayo Clinic, 2024; Nursing Center, 2023)
Because NPs spend more time with patients than many doctors, they often spot small improvements or setbacks first. Dr. Jimenez, who also holds APRN and FNP-BC credentials, uses this whole-person view in his clinic every day.
Sample 6-Week Gentle Recovery Plan
Week 1–2 (Very Gentle Phase)
5–10 minutes of chin tucks and side bends twice daily
Sitting, marching 2 sets of 10 each leg
Deep breathing for 3 minutes
Short walks with a partner
Week 3–4 (Add Core and Balance)
Add lateral trunk flexion and seated trunk extension
Begin seated weight shifts and reaching
One chiropractic visit for evaluation and gentle adjustment
Week 5–6 (Build Strength and Confidence)
Add standing balance drills with support
Try modified cat-cow and seated yoga stretches
Increase reps to 15–20
Weekly chiropractic care and NP follow-up
Rest for at least one full day between harder sessions. Keep a simple journal: note pain level (0–10), dizziness, and energy. Share it with your team.
Drink water all day (half your body weight in ounces)
Eat protein and colorful vegetables at every meal
Limit screen time in the first weeks—use blue-light glasses if needed
Join an online TBI support group for encouragement
Walk outside in nature when symptoms allow
When to Call the Doctor Right Away
Stop exercising and seek help if you have:
Sudden severe headache
Vomiting or vision changes
Worsening confusion or slurred speech
Seizure or loss of consciousness
Final Thoughts: Healing Is Possible and Often Faster Than You Think
A traumatic brain injury feels overwhelming at first, but the brain and body are built to heal. Gentle neck stretches, core work, balance drills, chiropractic adjustments, and strong nurse practitioner guidance give your recovery the best chance. Start small, stay consistent, and celebrate every tiny win.
Thousands of people—including veterans treated by Dr. Alexander Jimenez—return to work, sports, and family life after TBI by using exactly these safe, evidence-based steps. You can too.
Nourishing Your Brain: Diet and Integrative Care for Recovery After Brain Injury
A couple prepares a healthy meal after the husband sustained a major head trauma in a construction accident
Brain injuries can happen from accidents, sports, or falls. They affect how the brain works, leading to problems such as memory loss, headaches, or difficulty moving. Recovery takes time, but what you eat and how you care for your body can make a big difference. A good diet provides your brain with the building blocks it needs to heal. Supplements might add extra support, but always check with a doctor first. Integrative care, such as chiropractic methods, can address body issues related to the injury. This article looks at simple ways to eat better, use supplements wisely, and get expert help for better recovery.
Many people recover from brain injuries with the right support. Nutrition plays a big role because the brain uses a lot of energy and nutrients. After an injury, the body loses some key vitamins and minerals. Eating foods rich in protein, healthy fats, and antioxidants can rebuild cells and reduce swelling. Diets like the ketogenic or Mediterranean style are often suggested because they focus on whole foods that boost brain health (UCLA Health, 2023). Adding care from chiropractors and nurse practitioners can address pain and overall health.
Why Nutrition Matters in Brain Injury Recovery
The brain needs fuel to repair itself after an injury. Trauma can cause inflammation, cell damage, and energy shortages. A nutrient-rich diet helps fight these issues. For example, proteins help fix tissues, while good fats like omega-3s protect brain cells. Antioxidants from fruits and veggies help reduce the harm caused by free radicals, which are like harmful particles that damage cells.
Proteins are key because they provide amino acids for healing. The brain uses more protein after injury to rebuild.
Healthy fats, especially omega-3s, make up much of the brain’s structure. They help with thinking and memory.
Antioxidants fight swelling and protect against further damage.
Lean proteins keep energy steady without extra calories that could lead to weight gain.
Studies show that starting healthy nutrition early can improve outcomes. People who eat well have better cognition and less fatigue (Flint Rehab, 2023). Without proper nutrition, recovery might slow down because the body lacks essential nutrients.
Brain injuries often lead to changes in metabolism. The brain might crave sugar, but too much can cause crashes. Instead, focus on balanced meals. Hydration is also important—drink plenty of water to avoid dehydration, which worsens symptoms like tiredness.
Recommended Diets for Brain Injury Recovery
Two diets stand out for brain injury recovery: the ketogenic diet and the Mediterranean diet. Both emphasize whole foods and limit junk. The ketogenic diet is low in carbs and high in fats, which helps the brain use ketones for energy when glucose is hard to process after injury. The Mediterranean diet includes lots of plants, fish, and olive oil, which support long-term brain health.
The Ketogenic Diet
This diet shifts the body to burn fat for fuel. It’s helpful after a brain injury because the brain can struggle with sugar metabolism. Ketones provide a steady energy source.
Eat high-fat foods like avocados, nuts, and olive oil.
Include proteins such as eggs, cheese, and fatty fish.
Limit carbs from bread, pasta, and sweets.
Benefits include better cognition and reduced inflammation.
Animal studies show this diet boosts recovery, and it’s promising for humans (Flint Rehab, 2023). Start slowly and track how you feel.
The Mediterranean Diet
This diet is based on eating like people in Mediterranean countries. It’s rich in fruits, veggies, grains, and fish.
Focus on vegetables like spinach, kale, and broccoli for their vitamin content.
Add fruits such as berries for antioxidants.
Use whole grains like brown rice for steady energy.
Include fish twice a week for omega-3 fatty acids.
Use olive oil instead of butter.
This diet helps with memory and reduces cognitive decline. It’s easy to follow and tasty (Headway, n.d.). People recovering from TBI often see better brain function with this approach.
Both diets stress quality over quantity. Aim for colorful plates to get a mix of nutrients. For example, add berries to yogurt or salmon to salads.
Key Foods to Include in Your Diet
After a brain injury, pick foods that rebuild the brain. Focus on proteins, fats, and antioxidants. These help with healing and energy.
Proteins for Tissue Repair
Protein is like the building material for cells. After an injury, the body needs more to fix the damage.
Lean meats like chicken or turkey provide zinc, which is low after TBI.
Fish such as salmon offer protein plus omega-3s.
Plant options like beans and lentils are good for vegetarians.
Eggs provide choline for memory.
Eat protein at every meal to keep levels steady (Gaylord, n.d.).
Good Fats, Especially Omega-3s
Fats are essential for the structure of brain cell walls. Omega-3s reduce swelling and improve thinking.
Fatty fish: Salmon, mackerel, sardines.
Nuts and seeds: Walnuts, flaxseeds, pumpkin seeds.
Oils: Olive oil, flaxseed oil.
These fats protect against further damage (Lone Star Neurology, 2023).
Antioxidant-Rich Fruits and Vegetables
Antioxidants fight free radicals that harm cells after injury.
Berries: Blueberries, strawberries for flavonoids.
Citrus: Oranges, lemons for vitamin C.
Veggies: Broccoli, spinach, bell peppers.
Others: Dark chocolate, turmeric.
These foods boost brain growth factors like BDNF (Brain Injury Hope Foundation, n.d.).
Lean Proteins and Other Essentials
Choose lean sources to avoid extra fat.
Poultry and fish over red meat.
Legumes provide both fiber and protein.
Dairy, like Greek yogurt, for probiotics.
Combine these for balanced meals, like a salad with chicken, veggies, and nuts.
Supplements to Consider for Brain Injury Recovery
Supplements can fill gaps in your diet, but they’re not a replacement for food. Always talk to your doctor before starting, as they might interact with meds.
Omega-3 Fatty Acids
These help with inflammation and brain function.
Benefits: Improve memory, reduce swelling.
Sources: Fish oil supplements.
Caution: May thin blood.
Studies show they aid recovery (DeNeuro Rehab, 2023).
B Vitamins
These support energy and cell repair.
B2 (Riboflavin): Reduces recovery time in concussions.
B3 and B6: Heal damage, reduce stress.
B12: Helps with nerve protection.
A trial found B2 shortens recovery (PMC, 2024).
Creatine
This boosts energy in brain cells.
Benefits: Protects during energy crises.
Caution: More research needed.
It may delay symptoms (Rezilir Health, n.d.).
Magnesium
Helps with nerve function and reduces excitotoxicity.
Benefits: Improves cognition.
Sources: Supplements or foods like chocolate.
Low levels worsen damage (PMC, 2017).
Other supplements like vitamin D or antioxidants can help, but get tested for deficiencies first.
Foods to Reduce or Avoid
Some foods can slow recovery by causing more inflammation or energy dips.
Processed foods: High in unhealthy fats and additives.
Sugary foods: Cause crashes and weight gain.
Salty foods: Raise blood pressure.
Limit these to focus on healing foods (Headway, n.d.). Choose fresh over packaged.
Spinal manipulation: Adjusts the spine to improve function.
Non-surgical decompression: Relieves pressure on nerves.
This aids musculoskeletal problems and nervous system health. It can reduce headaches and improve memory (Chiro-Med, n.d.).
Dr. Alexander Jimenez, a chiropractor and nurse practitioner, notes that TBIs can cause hidden nerve damage and symptoms such as tinnitus or sciatica. His integrative approach uses chiropractic to rebuild mobility and relieve pain without surgery (DrAlexJimenez.com, n.d.). He combines this with nutrition for better outcomes.
Role of Nurse Practitioners in Recovery
Nurse practitioners oversee overall care. They order lab tests to find deficiencies and suggest changes.
Test for low vitamins or minerals.
Prescribe supplements or diet plans.
Monitor progress.
This ensures personalized care (LinkedIn, n.d.).
Dr. Jimenez, as an APRN and FNP-BC, uses functional medicine to address root causes. He notes that nutrition supports immune and gut health, which are key to brain recovery.
Combining Diet, Supplements, and Care
Put it all together for the best results. Eat a Mediterranean or keto diet, add supplements if needed, and get chiropractic help. Track weight and energy. Small changes add up.
Meal ideas: Salmon with veggies, berry smoothies.
Daily tips: Walk gently, sleep well.
Seek help from doctors like Dr. Jimenez for integrated plans.
Recovery is possible with these steps (Cognitive FX, n.d.).
Conclusion
Healing from brain injury involves smart eating, careful supplements, and expert care. Focus on proteins, omega-3s, and antioxidants while avoiding junk. Chiropractic and nurse practitioner support make a difference. Dr. Jimenez’s work shows that integrative methods work well. Talk to your doctor and start small for better brain health.
Lucke-Wold, B., Sandsmark, D. K., & Menon, D. K. (2017). Supplements, nutrition, and alternative therapies for the treatment of traumatic brain injury. Nutritional Neuroscience, 21(2), 79-91. https://pmc.ncbi.nlm.nih.gov/articles/PMC5491366/
Vonder Haar, C., & Hall, K. D. (2024). Mitigating traumatic brain injury: A narrative review of supplementation and dietary protocols. Nutrients, 16(16), 2665. https://pmc.ncbi.nlm.nih.gov/articles/PMC11314487/
Understanding the Gut-Brain Connection After Traumatic Brain Injury: How Chiropractic Care Can Help Restore Balance
A woman is experiencing gut pain symptoms after sustaining a head injury in a motor vehicle crash.
Traumatic brain injury, often called TBI, happens when a sudden blow or jolt to the head disrupts normal brain function. This can range from mild concussions to severe cases that change lives forever. However, many people are unaware that TBI doesn’t just affect the head—it can also impact the entire body, particularly the gut. The gut and brain communicate with each other constantly through a network known as the gut-brain axis. When TBI occurs, this chat becomes disrupted, leading to issues such as leaky gut, imbalanced gut bacteria, and poor digestion. These issues can exacerbate the brain injury by spreading inflammation throughout the body. On the other hand, simple changes like chiropractic adjustments may help alleviate issues by calming nerves, reducing inflammation, and strengthening the gut-brain connection.
In this article, we’ll break down how TBI harms the gut, the symptoms it causes, and why the gut matters for healing the brain. We’ll also examine how integrative chiropractic therapy—think spinal adjustments to enhance nerve signals—can alleviate digestive issues and promote recovery. Drawing from recent studies and expert insights, we’ll keep it straightforward so you can grasp the science without getting lost in jargon.
What Is Traumatic Brain Injury, and Why Does It Matter for Gut Health?
TBI strikes about 69 million people worldwide each year, from car crashes to sports hits (Dhar et al., 2024). Right after the injury, the brain swells and releases signals that stress the body. This stress doesn’t stay in the head; it travels down nerves and hormones to the belly. The gut-brain axis is like a two-way street: the brain instructs the gut when to digest food, and the gut sends back signals that influence mood and focus.
When TBI blocks this street, the gut suffers. One significant change is increased gut permeability, also known as “leaky gut.” Normally, the gut wall acts like a tight filter, letting nutrients in but keeping junk out. After a TBI, that filter loosens, allowing bacteria and toxins to slip into the blood. This sparks body-wide inflammation, which in turn inflames the brain further (Nicholson et al., 2019).
Here’s a quick list of how TBI disrupts the gut-brain axis:
Nerve Signal Glitches: The vagus nerve, a key player in the autonomic nervous system, gets thrown off, slowing gut movement and causing backups.
Hormone Shifts: Stress hormones, such as cortisol, spike, weakening the gut lining.
Immune Overdrive: Brain damage triggers alarm signals that activate gut immune cells, resulting in swelling.
These changes don’t just cause tummy troubles—they can drag out brain fog, fatigue, and even raise risks for long-term issues like depression or Alzheimer’s (Nicholson et al., 2019). Restoring the gut could significantly contribute to the recovery from traumatic brain injury.
The Gut’s Hidden Role in Brain Healing
Your gut isn’t just for breaking down lunch; it’s a powerhouse for brain health. It houses trillions of bacteria—the microbiome—that make feel-good chemicals like serotonin, which boosts mood and sleep. Approximately 90% of serotonin originates from the gut, rather than the brain (Nicholson et al., 2019). After a TBI, this factory slows down, leaving you irritable or exhausted.
The gut also absorbs key nutrients essential for brain repair, such as omega-3s for nerve growth and B vitamins for energy. When gut issues arise, you miss them, stalling the healing process. Additionally, healthy gut bacteria combat inflammation, facilitating the brain’s ability to rewire itself through neuroplasticity—the brain’s capacity to form new neural pathways.
Microbiome Magic: Good bacteria produce short-chain fatty acids (SCFAs) that calm brain swelling and support new cell growth.
Barrier Buddies: A strong gut wall blocks toxins that could cross the blood-brain barrier and worsen damage.
Mood Messengers: Gut signals via the vagus nerve influence stress and focus, key for rehab.
Studies indicate that TBI patients with gut imbalances have slower recovery and more cognitive slips (Hassan et al., 2020). However, nourishing the gut with the right foods or therapies can help reverse the situation.
How TBI Leads to Leaky Gut and Bacterial Imbalance
Leaky gut starts fast after TBI—sometimes in hours. Brain trauma intensifies stress responses, flooding the body with catecholamines that disrupt the gut’s tight junctions, the “zippers” that hold cells together (Pitman et al., 2021). Proteins like occludin and ZO-1 break down, letting bacteria sneak out.
This leakage triggers a firestorm: toxins enter the bloodstream, activating immune cells to release cytokines such as TNF-α and IL-6. These chemicals not only inflame the gut but also travel to the brain, fueling secondary damage (Dhar et al., 2024). In one study, TBI mice exhibited 2.5 times more gut leaks, which was linked to higher mortality rates from infections (Nicholson et al., 2019).
Dysbiosis, or bacterial imbalance, worsens. TBI alters the microbiome, with harmful bacteria, such as Proteobacteria, proliferating while beneficial ones, like Firmicutes, decline (Wang et al., 2021). This imbalance reduces SCFA production, which normally helps soothe inflammation. Human data support this—patients post-TBI have altered gut microbiomes for years, linked to poorer cognitive skills (Hassan et al., 2020).
Key signs of this gut takeover include:
Early Warning: Within days, slower gut motility leads to bloating and irregular poops.
Long Haul: Chronic dysbiosis increases the likelihood of ongoing inflammation and nutrient deficiencies.
Feedback Loop: Leaky gut feeds brain inflammation, which in turn worsens gut leaks—a vicious cycle.
Breaking this loop is crucial; without it, TBI recovery stalls (Cognitive FX, 2023).
Common Digestive Woes After a Brain Injury
TBI’s gut punch shows up in everyday gripes that sap energy and joy. Nausea strikes hard early on, often accompanied by vomiting or dry heaves, making eating a chore (Cognitive FX, 2023). Constipation is sneaky—slowed nerves mean food lingers too long, causing hard stools and belly pain. Diarrhea flips the script, from bacterial overgrowth or stress.
Other hits:
Bloating and Gas: Trapped air from poor motility feels like a balloon in your gut.
Appetite Crash: Loss of hunger leads to weight drops and missing nutrients.
Acid Issues: Reflux or heartburn from weakened barriers irritates the throat.
These aren’t just annoyances; they link to brain symptoms. For example, gut inflammation can amp up headaches or dizziness (Flint Rehab, 2023). In severe cases, feeding intolerance affects up to 50% of patients, hiking infection risks (Dhar et al., 2024). Spotting these early lets you act fast.
Inflammation: The Bridge Between Gut Chaos and Brain Strain
Inflammation is the troublemaker tying gut woes to brain hurt. After a TBI, damaged brain cells release danger signals (DAMPs) that alert the immune system. This revs up gut cytokines, which leak through the damaged wall and reach the brain, causing swelling of neurons (Pitman et al., 2021).
The gut, which contains 70% of immune cells, amplifies this process. Dysbiosis releases pro-inflammatory signals, while low SCFAs allow swelling to run rampant (Wang et al., 2021). Result? A body-wide storm that delays healing and sparks issues like epilepsy or PTSD (Hassan et al., 2020).
Chronic Creep: Lingering inflammation is linked to diseases years later, according to long-term studies.
Taming this fire is key; therapies that cool gut swelling often ease brain fog too (Nicholson et al., 2019).
Enteric Nervous System: The Gut’s Brain Goes Haywire
The enteric nervous system (ENS), your gut’s own nerve web, acts like a mini-brain, controlling wiggles and juices. TBI zaps it via vagus glitches and hormone floods, leading to dysfunction (Nicholson et al., 2019). Serotonin levels in the colon decrease, slowing peristalsis—the wave that propels food through the digestive tract (Traumatic brain injury alters the gut-derived serotonergic system, 2022).
This means gastroparesis (stomach paralysis) or spasms, which can worsen leaks and dysbiosis. ENS glia, support cells, become reactive, adding to swelling (Dhar et al., 2024). In patients, this ties to incontinence or pain lasting months.
Quick facts on ENS fallout:
Signal Static: Vagus tone drops, cutting anti-inflammatory acetylcholine.
Peristalsis Problems: Uneven waves cause backups or rushes.
Repair Potential: Boosting vagal signals can reset the ENS, per animal tests.
Restoring ENS flow could smooth digestion and brain signals alike.
Chiropractic Therapy: A Natural Treatment for Gut-Brain Blues
Integrative chiropractic care excels in this area, utilizing spinal adjustments to optimize the nervous system. Misaligned vertebrae, common after TBI whiplash, pinch nerves and disrupt gut chats (Auburn Chiropractors, 2023). Adjustments realign the spine, easing pressure and boosting vagus tone to promote better motility and reduced swelling.
Vagal Revival: A higher tone helps combat dysbiosis and leaky gut, according to studies on autonomic shifts.
Dr. Alexander Jimenez, a chiropractor with over 20 years in functional medicine, observes this in practice. At his clinic, TBI patients report less nausea and steadier bowels after adjustments, thanks to better spine-gut links. “Spinal care isn’t just for backs—it’s key to whole-body healing, including the gut-brain tie,” Jimenez notes in his wellness posts (Jimenez, 2023). His approach combines adjustments with nutrition, aligning with research on multi-modal solutions.
Real Ways Chiropractic Eases Digestive Drama Post-TBI
Patients under chiropractic care see quick wins. Adjustments lower cortisol, easing stress that tightens gut junctions (Eugene Chiropractor, 2023). A study-linked review shows reduced gastrointestinal symptoms in brain injury cases through vagus stimulation (Northwest Florida Physicians Group, 2023).
Benefits include:
Motility Makeover: Faster transit cuts constipation by 30–50%, according to some reports.
Barrier Build: Less permeability means fewer toxins, aiding brain clarity.
Pain Peace: Fewer headaches from gut-brain loops.
When combined with probiotics, it becomes a potent combination—Jimenez frequently pairs them for microbiome resets (Jimenez, 2023).
Blending Chiropractic with Other Gut-Healing Tools
Chiropractic isn’t a solo approach; it often teams with diet and supplements. Eat anti-inflammatory foods like salmon and greens to feed beneficial bacteria (Flint Rehab, 2023). Probiotics, such as Lactobacillus, help rebuild diversity by reducing cytokines (Li et al., 2024).
Nutrient Power: Omega-3s and fibers repair leaks.
Stress Soothers: Yoga plus adjustments amp vagal calm.
Med Check: Swap gut-hurting pills for gentler options.
Jimenez emphasizes the importance of personalization: “Tailor care to the patient’s axis—test microbiome, adjust spine, track progress” (Jimenez, 2023). This holistic approach aligns with studies on enteral nutrition following TBI (Zhang et al., 2024).
Long-Term Outlook: Healing the Gut for Lasting Brain Gains
Gut fixes post-TBI pay off big. Early action reduces chronic risks, such as neurodegeneration (Wang et al., 2021). Patients with balanced microbiomes show better memory and mood years out (Hassan et al., 2020).
Future paths? More trials on chiropractic for TBI patients, according to experts (Psychology Today, 2025b). Jimenez pushes for integrated clinics: “Chiro plus gut therapy—it’s the future for TBI survivors.”
Wrapping Up: Take Charge of Your Gut-Brain Health
TBI disrupts the gut-brain axis, but knowledge and action can help rebuild it. From leaky gut to dysbiosis, these hits cause real pain—but chiropractic offers a gentle reset. Start with a check-up, tweak your plate, and align your spine. Your body thanks you.
Dhar, R., et al. (2024). Dysregulated brain-gut axis in the setting of traumatic brain injury: Review of mechanisms and anti-inflammatory pharmacotherapies. PMC, 11083845. https://pmc.ncbi.nlm.nih.gov/articles/PMC11083845/
How Spinal Misalignment Affects Digestive Health: A Chiropractic Solution
At El Paso Back Clinic, we understand the intricate connection between your spine and overall health, including digestion. Under the expertise of Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic specializes in addressing how spinal misalignments can contribute to digestive issues like bloating and constipation. This article explores this connection, the benefits of chiropractic care, and how our integrative approach helps patients recover from injuries and improve gut health.
Understanding Spinal Misalignment and Digestive Issues
Your spine is the backbone of your nervous system, which controls vital functions like digestion. When vertebrae shift out of alignment—a condition called subluxation—they can press on nerves that send signals to your digestive organs, leading to issues like bloating or constipation. For example, misalignments in the lower back (lumbar spine) can disrupt nerve signals to the intestines, slowing waste movement and causing constipation. Similarly, mid-back (thoracic spine) issues may affect stomach function, resulting in bloating (Medical News Today, n.d.).
Dr. Jimenez has observed this link in patients at El Paso Back Clinic. Those with chronic digestive complaints often show spinal misalignments, which, when corrected, lead to significant relief. Conditions like scoliosis or poor posture from injuries can further aggravate these problems, sometimes contributing to irritable bowel syndrome (IBS) symptoms (Posture Pump, n.d.).
The central nervous system (CNS), housed within the spine, regulates digestion. When the spine is misaligned, nerve communication to the stomach, intestines, or colon can weaken, leading to irregular bowel movements or bloating. Specific spinal regions directly influence digestive organs: the thoracic spine affects the stomach, while the lumbar spine controls the lower intestines. Misalignments here can disrupt these processes, creating a cycle of discomfort (Bronson Heritage Chiropractic, n.d.).
At El Paso Back Clinic, Dr. Jimenez sees patients with digestive issues tied to spinal injuries from motor vehicle accidents (MVAs), work, or sports. His clinical observations show that addressing spinal health can significantly improve gut function, offering a non-invasive solution to persistent digestive problems (Jimenez, n.d.).
Chiropractic Care: A Natural Approach to Gut and Spine Health
Chiropractic care at El Paso Back Clinic focuses on realigning the spine to relieve nerve pressure, improving communication between the brain and digestive system. Adjustments target specific areas, such as the thoracic spine for stomach issues or the lumbar spine for constipation. By restoring proper alignment, chiropractic care enhances nerve function, reducing bloating and promoting regular bowel movements (Spring Hill Premier Chiro, n.d.).
Dr. Jimenez’s approach is holistic, addressing both the symptoms and root causes. His patients, including those recovering from MVAs or sports injuries, often report better digestion after regular adjustments. This natural method avoids medications, focusing on long-term health (Jimenez, n.d.).
Enhancing Nerve Function Through Chiropractic Adjustments
Chiropractic adjustments restore nerve function by removing interference caused by spinal misalignments. For example, a misaligned neck may affect the vagus nerve, which regulates gut motility, leading to bloating. Adjustments to the cervical or lumbar spine can relieve this pressure, improving digestion (Imagine Wellness Chiropractic, n.d.). At El Paso Back Clinic, Dr. Jimenez uses precise techniques to target these areas, helping patients experience relief from digestive discomfort.
This approach not only addresses immediate symptoms but also supports long-term gut health. Dr. Jimenez’s experience with injury-related misalignments ensures tailored care that enhances overall well-being (Jimenez, n.d.).
Dr. Jimenez’s Expertise in Injury Recovery and Digestive Health
Dr. Alexander Jimenez, a chiropractor and nurse practitioner, brings a unique dual perspective to El Paso Back Clinic. Specializing in injuries from work, sports, personal incidents, and MVAs, he uses advanced diagnostics like X-rays and imaging to identify spinal misalignments and nerve issues. His treatment plans combine chiropractic care with medical insights, addressing both injuries and related digestive problems (Jimenez, n.d.).
Dr. Jimenez’s ability to handle legal paperwork for personal injury cases sets him apart, ensuring patients receive comprehensive support. His focus on root causes helps patients recover fully, whether from whiplash, back pain, or digestive issues tied to spinal health (Jimenez, n.d.).
El Paso Back Clinic offers a comprehensive approach to recovery, blending chiropractic care with targeted exercise, massage therapy, acupuncture, and integrative medicine. Chiropractic adjustments realign the spine, while exercises strengthen supporting muscles to prevent future issues. Massage therapy reduces muscle tension, and acupuncture enhances nerve function and blood flow to the gut (Dallas Accident and Injury Rehab, n.d.).
Integrative medicine, including nutritional guidance, addresses inflammation and supports gut health, complementing treatments for injuries and digestive issues. This holistic approach promotes natural healing, helping patients avoid long-term complications and achieve optimal health (Dr. Schaer Institute, n.d.).
Spinal health and digestive function are deeply connected, and at El Paso Back Clinic, Dr. Jimenez and our team are dedicated to helping you address both. Through chiropractic care, integrative therapies, and personalized treatment plans, we tackle the root causes of injuries and digestive issues like bloating and constipation. Whether you’re recovering from an MVA or seeking relief from chronic discomfort, our holistic approach ensures lasting wellness.
Can healthcare professionals implement H.E.A.R.T. protocols for trafficked individuals while providing a safe space?
Introduction
Across the world, many local media and organizations are paying close attention to a phenomenon that many people should be aware of. This phenomenon is known as trafficking, and it can be associated with numerous activities, from forced labor to sex labor, and can affect a person’s sense of self-worth. While many people will correlate that trafficking affects many women and children, it can affect many individuals regardless of age, gender, and background. While many survivors of trafficking are dealing with the psychological and physical injuries that they obtain from their traffickers, many medical professionals can implement protocols and roles through the implementation of H.E.A.R.T. to provide a safe space for individuals suffering from trafficking. Today’s article focuses on the definition of trafficking, what H.E.A.R.T. is, and how it is used in a clinical setting. We discuss with certified associated medical providers who consolidate our patients’ information to assess and identify trafficking in a clinical approach while providing a safe space. We also inform and guide patients while asking their associated medical provider intricate questions to formulate customized treatment plans for their pain and provide them with a safe space and positive experience. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.
The Definition Of Trafficking
When it comes to defining trafficking, it can be challenging as it is frequently associated with other issues. However, the main definition for trafficking is “recruiting, transporting, transferring, or harboring many individuals or a person that are threatened or forced to achieve the consent of a person having control of the individuals for exploitation.” With human trafficking being a pressing public concern that affects all races, social classes, demographics, and genders, it can impact society and the individual who is being trafficked. (Toney-Butler et al., 2024) Additionally, many people often mistake trafficking and smuggling as they are completely different. Smuggling requires a person to be transported into a nation through voluntary illicit means. While trafficking can come in two forms, which are labor and commercial sex, it can happen within the person’s own home. (Rambhatla et al., 2021) This is because many survivors who are going to get healthcare services will feel various emotions of fear or shame that can prevent them from asking for help due to what they have been through with their trafficker. However, when many individuals who are trafficking survivors are suffering from significant physical, mental, and social health problems and are seeking healthcare services, many healthcare professionals play an important role by creating a safe and responsive space for them. (The Lancet Regional Health-Western, 2022)
Beyond the Surface: Understanding the Effects of Personal Injury- Video
What is H.E.A.R.T In A Clinical Setting
When it comes to creating a safe and positive space in a clinical setting, many healthcare professionals often miss the signs of trafficking due to a lack of training or confidence to identify and treat patients who are trafficking victims. (Lee et al., 2021) However, healthcare protocols should be implemented, and H.E.A.R.T. should be incorporated into a clinical approach to assess and develop a customized treatment plan for the patient. Healthcare professionals can engage with the patient in a one-on-one discussion away from their trafficker and can offer important medical and psychological care resources. (Exeni McAmis et al., 2022) By incorporating H.E.A.R.T. protocols in a healthcare clinic, many doctors and medical professionals can help many patients be in a safe environment. Below is what H.E.A.R.T. stands for.
H-Hearing
The “H” in H.E.A.R.T. is for hearing as many medical professionals not only to hear but to see what is going on in the clinic and to establish environmental awareness. This is due to looking at the patient and who is accompanied by them. With healthcare providers being at the front, they interact with patients and may not know what health concerns are affecting them. This could be due to the following:
By incorporating the hearing aspect in H.E.A.R.T., many healthcare professionals can provide a safe, thoughtful, and engaging approach to the patient and know what to look for when a patient is coming in for treatment.
E-Evaluating
The “E“ in H.E.A.R.T. is used to evaluate its importance in enhancing patient interactions in a trauma-informed care facility. This is highly important because the individual is seeking health care. For the patients being trafficked, it is important to notice the red flags the individual is experiencing. Some of the red flags that many healthcare providers should look for are:
Physical health
Behavioral Health
The patient is with a controlling person
The patient does not have possession of their I.D.
Additionally, it is always important to show compassion, be sensitive to the individual while addressing their needs and concerns, and use a non-judgmental approach during the interview process. This helps the individual ensure they are in a safe environment when discussing sensitive topics. At the same time, it is important not to let the patient be re-traumatized while avoiding the impulse to rescue and overpromise the patient to mental health as we want them to have their self-worth. At the same time, it is best to remember the four “Rs“ when doing a trauma-informed approach; they are:
Realize: Understanding how trauma can affect people.
Recognize: Recognizing the signs of trauma.
Respond: Have all staff trained, use evidence-based practices, and provide a safe environment.
Resist Re-trauma: Recognizing how some practices may trigger painful memories while avoiding re-traumatizing the patient.
By implementing the four “Rs“ and the “E“ in H.E.A.R.T., many healthcare professionals can provide valuable resources to trafficking survivors with a strong support system.
A-Activating
The “A“ in H.E.A.R.T. stands for activating, where healthcare professionals must have proper protocols to engage all employees. This allows the healthcare providers to understand how beneficial it is to develop a protocol for a person who is being trafficked, understand their state and federal reporting laws, and list key elements of effective trauma-informed screening procedures when assessing the patient. This allows a foundational structure to support a response for suspected patients who are being trafficked. At the same time, by following HIPAA laws and organization policies, many healthcare providers must explain the reporting process to the right officials. Additionally, the benefits of developing a protocol for trafficking are by:
Clarifying procedures
Enhance staff training
Optimize the interactions with the trafficking patients
Improve staff confidence
Prepare for any threatening situations
Maximizing preparedness to aid trafficking patients
Optimize support for patients
Develop collaborative outside resources
R-Resourcing
The “R“ in H.E.A.R.T. stands for resourcing, as many healthcare providers must identify the referral systems. This allows healthcare professionals to understand the important message to convey when assessing trafficking victims and the importance of responding to safety, emergency, and reporting requirements. When assessing and interviewing the patient, many will have to recognize that their patient may be a possible victim of trafficking, what their immediate needs are, and what long-term resources can help.
T-Training
The “T” in H.E.A.R.T. stands for training, as it is important that many healthcare providers continuously train to spot trafficking; this provides confidence to many healthcare workers and can help save a person’s life. By implementing H.E.A.R.T. protocols, the “T” allows the doctor to respect the individual’s decision to want help, providing a positive support system while encouraging them to come back, offering to help with a safety plan, and building a resource network. This is because if the patient is accompanied by someone who is controlling and answering for the patient, handing out information discreetly can provide a bit of hope to the individual to make the move. At the same time, providing local and immediate assistance resources can help the individual in the long run. This allows healthcare providers to build a trusting relationship and even help individuals to have a safe and positive experience on their health and wellness journey.
References
Exeni McAmis, N. E., Mirabella, A. C., McCarthy, E. M., Cama, C. A., Fogarasi, M. C., Thomas, L. A., Feinn, R. S., & Rivera-Godreau, I. (2022). Assessing healthcare provider knowledge of human trafficking. PLOS ONE, 17(3), e0264338. https://doi.org/10.1371/journal.pone.0264338
Gutfraind, A., Yagci Sokat, K., Muscioni, G., Alahmadi, S., Hudlow, J., Hershow, R., & Norgeot, B. (2023). Victims of human trafficking and exploitation in the healthcare system: a retrospective study using a large multi-state dataset and ICD-10 codes. Front Public Health, 11, 1243413. https://doi.org/10.3389/fpubh.2023.1243413
Lee, H., Geynisman-Tan, J., Hofer, S., Anderson, E., Caravan, S., & Titchen, K. (2021). The Impact of Human Trafficking Training on Healthcare Professionals’ Knowledge and Attitudes. J Med Educ Curric Dev, 8, 23821205211016523. https://doi.org/10.1177/23821205211016523
Rambhatla, R., Jamgochian, M., Ricco, C., Shah, R., Ghani, H., Silence, C., Rao, B., & Kourosh, A. S. (2021). Identification of skin signs in human-trafficking survivors. Int J Womens Dermatol, 7(5Part B), 677-682. https://doi.org/10.1016/j.ijwd.2021.09.011
Domestic abuse: October is a�Domestic Violence Awareness Month, so it�is time to get a closer look at this increasing form of violent behavior. By and large, the general public is unaware of the effects domestic abuse has on its victims, other family members and society as a whole. Therefore, attempts are being made to heighten society�s awareness of the many facets of this violent crime that plagues America today.
Because people should be aware of the types of abuse crimes that fall into the category of domestic abuse, and who the victims of domestic abuse are, the center is answering questions, such as �Does one have to be a spouse or other immediate family member to be considered a victim of domestic abuse?�
WHAT IS DOMESTIC ABUSE?
This is a crime that involves abuse of family members, romantic partners, and others. The crimes of domestic abuse are numerous, ranging from verbal abuse to murder. They include emotional abuse, such as intimidation and threats, assault, battery (with or without the use of a deadly weapon), sexual abuse (i.e. spousal rape), kidnapping, and detaining one against his or her will.
When considering crimes of domestic abuse, most states consider certain relationships to be �domestic relationships.� In these states, the relationships usually include spouses, former spouses, persons who share a common child together, persons currently residing together or those that have previously shared a domestic living arrangement together, in their criteria for domestic relationships.
DOMESTIC VIOLENCE TODAY
The problem of Domestic violence is on the rise and becoming ever more dangerous to its victims who live in fear. However, the average person in the United States today is unaware of just how serious and out of hand the crime of domestic violence is becoming. This could possibly be because many Americans do not live with conflict and violence in their homes.
Conversely, many victims of domestic violence do not even realize that they are victims of the crime of domestic violence. They�ve been misled by their abusers and believe that the abuse they are victimized by, really is not abuse at all, but just �a way of life.�
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
