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Clinical Neurology

Back Clinic Clinical Neurology Support. El Paso, TX. Chiropractor, Dr. Alexander Jimenez discusses clinical neurology. Dr. Jimenez provides an advanced understanding of the systematic investigation of common and complex neurological complaints including headache, dizziness, weakness, numbness, and ataxia. The focus will be on the pathophysiology, symptomatology, and management of pain in relation to headache and other neurologic conditions, with the capacity to distinguish serious from benign pain syndromes.

Our clinical focus and personal goals are to help your body heal itself naturally in a quick and effective manner. At times, it may seem like a long path; nevertheless, with our commitment to you, it’s sure to be an exciting journey. The commitment to you in health is to, never lose our deep connection to each one of our patients in this journey.

When your body is truly healthy, you will arrive at your optimal fitness level proper physiological fitness state. We want to help you live a new and improved lifestyle. Over the last 2 decades while researching and testing methods with thousands of patients we have learned what works effectively at decreasing pain while increasing human vitality. For answers to any questions you may have please call Dr. Jimenez at 915-850-0900.


Types of Dizziness and its Causes | El Paso, TX Chiropractor

Types of Dizziness and its Causes | El Paso, TX Chiropractor

Almost everyone can say that they’ve experienced a feeling of unsteadiness or a spinning/whirling sensation in their heads at one point in their lifetimes. Usually it’s narrowed down to dizziness, however, dizziness is a broad term that can mean different things to different individuals. It is a prevalent complaint which can also be serious. Dizziness has no specific medical definition, but there are four common conditions which can be considered types of dizziness:

 

  • Vertigo. The feeling of motion where there is no movement, as if you were spinning or your environment is whirling. Spinning/whirling yourself around and around, then abruptly stopping, can produce temporary vertigo. However, when it occurs throughout an individual’s regular course of living, it could mean that there’s an underlying health issue in the vestibular system of the inner ear, the body’s equilibrium system which tells you which way is up or down and senses the position of your head. About half of all dizziness complaints are diagnosed as vertigo.
  • Lightheadedness. Also referred to as near syncope or pre-syncope, lightheadedness is the feeling that you’re about to faint. It is commonly believed to occur from standing up too fast or by breathing deeply enough times to generate the sensation.
  • Disequilibrium. A problem with walking. People with disequilibrium feel unsteady on their feet or feel as if they will fall.
  • Anxiety. Individuals who are scared, worried, depressed, or fearful of open spaces can use the term “dizzy” to imply feeling frightened, depressed, or anxious.

 

Individuals who frequently suffer from dizziness may also ultimately complain of more than one type of dizziness. For instance, people with vertigo may also feel anxious. Dizziness may be a one-time event, or it can be a chronic, long-lasting issue. Nearly everyone who experiences some form of dizziness will recover over time. This is because an individual’s sense of balance is an intricate interaction between the brain, each ear’s different vestibular system, sensors in the muscles, and sense of vision. When one component experiences dysfunction, others can generally learn how to compensate. Below, we will be narrowing down the four common types of dizziness.

 

Vertigo, the sensation of spinning or whirling, can be divided into two different categories: peripheral vertigo and central vertigo. Peripheral vertigo is more common than central vertigo and it typically develops due to damage to the inner ear or CN VIII. This type of vertigo produces abnormal eye movements, referred to as nystagmus, which may be horizontal or rotary.

 

Nystagmus is usually jerky in nature with a fast and slow phase, however it is often named for the direction of the fast phase. Peripheral vertigo may worsen when the patient looks to the side of the fast phase of nystagmus. Furthermore, the severity of nystagmus can correlate with the severity of the patient’s vertigo. Peripheral vertigo is also characterized as having no other signs and/or symptoms of CNS dysfunction. Patient may describe having symptoms of nausea or may present difficulty when walking, but only due to vestibular dysfunction. The patient may also have hearing loss or tinnitus if the CN VIII or auditory mechanism function is damaged.

 

The causes of peripheral vertigo are typically benign, including: benign paroxysmal positional vertigo, or BPPV, cervicogenic vertigo, acute labyrinthitis/vestibular neuronitis, Meniere’s disease, perilymph fistula, and acoustic neuroma. Identifying a patient’s cause of vertigo can be determined by narrowing down the symptoms through proper diagnosis from a healthcare professional. If movements, especially of the neck and head, aggravate vertigo, it may be attributed to BPPV, vertebrobasilar artery insufficiency or cervicogenic vertigo. If noise manifests episodes of vertigo, it may be attributed to Meniere’s disease or perilymph fistula.

 

Common Causes of Dizziness

 

Vertigo can be Brought on by many things:

 

  • Infections, such as the ones which cause the frequent cold or diarrhea, can lead to temporary vertigo through an ear infection. This inner ear disease is generally viral, benign, and usually goes away in one to six weeks, however, drugs and/or medications are readily available if these become too severe.
  • Benign paroxysmal positional vertigo, or BPPV, is caused by the motion of a misplaced otolith, a tiny calcium particle the size of a grain of sand, from the component of the inner ear which senses gravity into the part that senses head position. The individual feels as if their head is turning when it isn’t. After diagnosis of BPPV using a special methods known as the Dix-Hallpike test, treatment done right in the doctor’s office can help move the otolith back where it belongs and fix the health issue. This therapy, known as the Epley maneuver, has been accounted to cure vertigo 80 percent of the time.
  • Meniere’s disease is a disorder characterized by long-lasting episodes of severe vertigo. Other symptoms of Meniere’s disease are tinnitus, or ringing in the ears, hearing loss, and fullness or pressure in the ear.
  • Dandy’s syndrome is a feeling of everything bouncing up and down. It may occur to individuals who take an antibiotic that is toxic to the ear. However, it usually improves over time.
  • Less frequent, deadly diseases may also result in vertigo, like tumors or stroke.

 

Below, we will be narrowing down some of the common causes of vertigo, described above, in further detail.

 

Benign Paroxysmal Positional Vertigo (BPPV)

 

Benign paroxysmal positional vertigo, or BPPV, may develop spontaneously, particularly in the elderly. It may also commonly develop as a result of head trauma or head injury, such as that resulting from an automobile accident. Vertiginous episodes associated with BPPV may manifest through specific movements, including, looking at a high shelf, referred to as top-shelf vertigo, bending over, and rolling over in bed at night. The onset of vertigo with BPPV can begin a few seconds after movement and often resolves within a minute. As mentioned above, the diagnostic test commonly utilized to diagnose BPPV is the Dix-Hallpike maneuver. Treatment procedures to treat BPPV include the Epley maneuver and Brandt-Daroff Exercises. Furthermore, benign paroxysmal positional vertigo may also resolve on its own as the loose crystals in the inner ear dissolve, however, it may take months and new otoliths can also become displaced.

 

Dix-Hallpike Test to Diagnose BPPV

 

 

Epley Maneuver to Treat BPPV

 

 

Cervicogenic Vertigo

 

Cervicogenic vertigo occurs after a neck or head injury, however, it is not very common. It’s generally accompanied by pain and/or joint restriction where vertigo and nystagmus are less severe than that in BPPV. Cervicogenic vertigo manifests with changes in head position but does not subside as quickly as it does with benign paroxysmal positional vertigo.

 

Vertebrobasilar Artery Insufficiency

 

Vertebrobasilar artery insufficiency occurs if the vertebral artery is compressed during head rotation or extension. In this instance, the onset of vertigo is delayed more than in BPPV or cervicogenic vertigo due to the fact that ischemia often takes up to 15 seconds to occur. Orthopedic tests for vertebrobasilar artery insufficiency may help in its diagnosis. Diagnostic tests include the�Barre?-Lie?ou sign, DeKlyn Test or Dix-Hallpike Maneuver, Hautant test, Underberg test and the vertebrobasilar after functional maneuver.

 

Acute Labyrinthitis and Vestibular Neuronitis

 

Acute labyrinthitis and vestibular neuronitis are not well understood, however, they’re believed to develop as a result of inflammation. These conditions generally follow after a viral infection or may occur seemingly without a cause.�Acute labyrinthitis and vestibular neuronitis are characterized by a single, monophasic attack of vertigo which typically resolves in days to a few weeks and generally does not reoccur.

 

Meniere’s Disease

 

Meniere’s disease is characterized by increased pressure in the endolymph which causes membrane ruptures and a sudden mixture of endolymph and perilymph. With Meniere’s disease, episodes of vertigo can last from 30 minutes to several hours, or until equilibrium between the fluids in the inner ears to be reached. Over time, these episodes can damage vestibular and cochlear hair cells, resulting in low-pitch buzzing tinnitus and the loss of hearing of low tones. In comparison to Meniere’s disease, Meniere’s syndrome is when the symptoms of Meniere’s disease are found to be secondary to another condition, such as: hypothyroidism, acoustic neuroma, superior semicircular canal dehiscence or SCDS, or perilymph fistula. True Meniere’s disease is idiopathic.

 

Perilymph Fistula

 

Perilymph fistula is an abnormal connection, or tear, which causes a small leak within the inner ear due to trauma or injury, especially barotrauma. Perilymph fistula can look very similar symptomatically to Meniere’s disease/syndrome and it’s often aggravated by changes in pressure causes by airplane rides or driving uphill. Another symptom of perilymph fistula includes Hennebert’s sign, where a vertigo or nystagmus episode is brought on by sealing pressure of the ear, such as by inserting an otoscope.

 

Central vertigo, another category of vertigo, is less common than peripheral vertigo, as described above. It is caused by damage to the processing center of vestibular information in the brain stem and the cerebral cortex. However, episodes of dizziness are considered to be less severe than with peripheral vertigo while episodes of nystagmus are more severe than the patient’s complaint or description. This specific nystagmus associated with central vertigo may go in multiple directions, including vertical. Central vertigo may or may not have other CNS findings upon diagnosis or examination and no changes in hearing can be expected with this form of vertigo. The most common causes of central vertigo include: cerebrovascular disease, such as transient ischemic attacks, multiple sclerosis, Arnold-Chiari malformation, damage to caudal brainstem or vestibulocerebellum and/or migraine condition.

 

Lightheadedness, or pre-syncope dizziness, is generally caused by some surrounding circumstance impairing blood flow into the brain when an individual is standing up. Blame this problem on our ancestors who learned to walk upright, placing our brain above our heart. It is a challenge for your heart to keep the brain supplied with blood and it is easy for this system to break down. When blood vessels in the brain become dilated, or enlarged, as a result of elevated fever, excitement or hyperventilation, alcohol ingestion, or prescription drugs and/or medications, such as antidepressants, it’s no wonder someone may commonly get lightheaded. There can also be serious causes, however, such as a stroke and cardiovascular disease.

 

Pre-syncope dizziness is specifically from cardiac origin, such as output disorders, arrhythmias, Holter monitor testing. It may also be caused by postural/orthostatic hypotension, which may be secondary to other health issues like diabetic neuropathy, adrenal hypofunction, Parkinsons, certain drugs and/or medications, etc. Light-headedness can involve vasovagal episodes accompanied by slow heart rate with low blood pressure often caused by stress, anxiety or hyperventilation. Finally, pre-syncope dizziness can be caused by migraine headaches due to cerebrovascular instability and blood sugar dysregulation.

 

Disequlibrium, can be caused by:

 

  • A type of arthritis in the neck called cervical spondylosis, which puts stress on the spinal cord.
  • Parkinson’s disease or related disorders that cause an individual to stoop forward.
  • Disorders involving part of the brain known as the cerebellum. The cerebellum is the part of the brain responsible for coordination and balance.
  • Diseases like diabetes that can lead to lack of sensation in the legs.

 

Disequilibrium is most common in the elderly and it generally occurs due to sensory deficits. In addition, disequilibrium has a gradual onset which worsens with reduced vision, darkness, eyes closed and visual acuity losses. However, it is improved by touching a stationary object which is often subjective as dizziness improves with a gait assistive device like a cane, walker, etc.

 

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Dr. Alex Jimenez’s Insights

If you’ve ever experienced a sudden spinning or whirling sensation or even felt faint, woozy or unsteady, you’re not alone. Dizziness is a term used to describe a range of sensations and it is one of the most common reasons why many adults visit their healthcare professionals. While these false sensations can rarely signal a life-threatening condition, frequent episodes can significantly affect an individual’s quality of life. Diagnosis and treatment of dizziness can depend largely on the cause of the symptoms. Fortunately, many treatment methods used to treat dizziness are considered safe and effective.

 

Other causes of dizziness can be attributed to psychological stress. In this instance, the patient will describe their dizziness as a “floating” sensation.�Dizziness in the kind of anxiety is frequently, but not always, caused by depression. In addition, it can be attributed to an anxiety disorder or anxiety. Various medications can also cause dizziness as a side effect. It’s essential for a healthcare professional to rule out this type of dizziness caused by hyperventilation as well as other types of dizziness. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

What is Ataxia? | El Paso, TX Chiropractor

What is Ataxia? | El Paso, TX Chiropractor

Ataxia is a medical term used to describe a lack of muscle control or coordination of voluntary movements, including everyday physical activities like walking or picking up objects. Often referred to as a symptoms of an underlying health issue, ataxia can affect various movements, causing difficulties with speech patterns and language, eye movement and even swallowing.

 

Persistent ataxia generally results from damage to the part of the brain which controls muscle coordination, known as the cerebellum. Many causes and conditions can lead to ataxia, such as alcohol abuse, certain drugs and/or medications, stroke, tumors, cerebral palsy, brain degeneration and multiple sclerosis. Inherited faulty genes have also been associated to lead to ataxia.

 

Diagnosis and treatment for ataxia depends largely on the cause and/or condition. Adaptive devices, including walkers or canes, can help patients with ataxia maintain their independence. Chiropractic care, physical therapy, occupational therapy, speech therapy and regular aerobic stretches and exercises can also help improve the symptoms associated with this health issue.

 

Symptoms of Ataxia

 

Ataxia is a health issue which can develop gradually over time or it can come on unexpectedly. As a symptom of a number of neurological disorders, ataxia may ultimately lead to:

 

  • Poor coordination
  • Unsteady walk along with a tendency to stumble
  • Difficulty with fine motor tasks, such as eating, writing or buttoning a shirt
  • Changes in speech
  • Involuntary back-and-forth eye movements, known as nystagmus
  • Difficulty swallowing

 

When to Visit a Doctor

 

In the instance that a patient is not aware of whether they may have an underlying health issue that causes ataxia, such as multiple sclerosis, it’s essential to visit a doctor immediately if the patient:

 

  • Loses equilibrium
  • Loses muscle coordination at a hand, leg or arm
  • Has difficulty walking
  • Slurs their speech
  • Has trouble swallowing

 

Causes of Ataxia

 

Damage, degeneration or loss of neural cells in the section of the brain which controls muscle coordination, or the cerebellum, often results in ataxia. The cerebellum is made up of two pingpong-ball-sized parts of folded tissue located at the base of the brain close to the brainstem. The right side of the cerebellum controls coordination over the right side of the body; the left side of the cerebellum controls coordination on the left side of the body. Diseases that damage the spinal cord and peripheral nerves which connect the cerebellum to the muscles can also lead to ataxia. Ataxia causes include:

 

  • Head trauma. Damage to the brain or spinal cord due to a blow to the head, such as in the case of an automobile accident, can cause acute cerebellar ataxia, which comes on unexpectedly.
  • Stroke. After the blood supply to part of the brain is interrupted or severely reduced, depriving brain tissue of nutrients and oxygen, brain cells die.
  • Cerebral palsy. This can be a general term for a group of disorders brought on by damage to a child’s brain during early development, before, during or shortly after birth, which affects the child’s ability to coordinate body movements.
  • Autoimmune diseases. Multiple sclerosis, sarcoidosis, celiac disease and other autoimmune conditions can cause ataxia.
  • Infections. Ataxia may be an uncommon complication of chickenpox and other viral ailments. It may manifest in the healing phases of the infection and can last for days or weeks. Generally, the ataxia resolves over time.
  • Paraneoplastic syndromes. These are rare, degenerative health issues triggered by the body’s own immune system’s reaction to a cancerous tumor, referred to as neoplasm, most frequently from lung, ovarian, breast or lymphatic cancer. Ataxia can appear months or years before the cancer is even diagnosed.
  • Tumors. A growth on the brain, cancerous, or malignant, or noncancerous, or benign, can also harm the cerebellum, leading to ataxia.
  • Toxic reaction. Ataxia is a possible side effect of certain drugs and/or medications, particularly barbiturates, like phenobarbital; sedatives, like benzodiazepines; as well as some kinds of chemotherapy. These are important to diagnose because the effects are usually reversible. Also, some drugs and/or medications can cause problems with age, which means a person may need to reduce their dose or discontinue its use. Alcohol and drug intoxication; heavy metal poisoning, such as from mercury or lead; and solvent poisoning, like from paint thinner, can also cause ataxia.
  • Vitamin E, vitamin B-12 or thiamine deficiency. Not getting enough of these nutrients, due to the inability to absorb them enough, alcohol misuse or other reasons, may also ultimately lead to ataxia.

 

For a number of adults that develop sporadic ataxia, no particular cause is found. Sporadic ataxia can take lots of forms, including multiple system atrophy, a progressive and degenerative disease.

 

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Dr. Alex Jimenez’s Insights

The cerebellum is the region of the brain which is in charge of controlling movement in the body. Electrical signals are transmitted from the brain through the spinal cord and into the peripheral nerves to stimulate a muscle to contract and initiate movement. Sensory nerves also gather data from the environment regarding position and proprioception. When one or more of these pathway components experiences a problem, it can subsequently lead to ataxia. Ataxia is a medical term utilized to describe the lack of muscle coordination when a voluntary movement is attempted. It can make any motion which requires muscles to function a challenge, from walking to picking up an object, even swallowing. Diagnosis and treatment can help manage and improve the symptoms associated with ataxia.

 

Diagnosis of Ataxia

 

If an individual has developed symptoms of ataxia, a healthcare professional may perform a diagnosis in order to look for a treatable cause. Besides running a physical examination and a neurological examination, including assessing a patient’s memory and concentration, vision, hearing, balance, coordination, and reflexes, your doctor might request lab tests, including:

 

  • Imaging studies. A CT scan or MRI of a patient’s brain might help determine possible causes of ataxia. An MRI can sometimes reveal shrinkage of the cerebellum and other brain structures in people with ataxia. It might also demonstrate other findings that are treatable, such as a blood clot or benign tumor, which may be pressing on the cerebellum.
  • Lumbar puncture (spinal tap). A needle is inserted into the lower spine, or the lumbar spine, between two lumbar bones, or vertebrae, to remove a sample of cerebrospinal fluid. The fluid, which surrounds and protects the brain and spinal cord, is transported to a laboratory for testing.
  • Genetic testing. A healthcare professional might recommend genetic testing to determine whether a child has the gene mutation which causes hereditary ataxia. Gene tests are available for many but not all of the hereditary ataxias.

 

Furthermore, diagnosing ataxia may depend on which system is affected. For instance,�if the health issue lies in the vestibular system, the patient will experience dizziness, possibly having vertigo or nystagmus. They may also be unable to walk in a straight line and when walking, they will tend to veer to one side. If the health issue lies in the cerebellar system, cerebellar gaits present with a wide-base and generally involves staggering and titubation. Patient will also have difficulty doing the Rhomberg�s test with their eyes open or closed, because they cannot stand with their feet together, as described below.

 

Testing the Vestibular System

 

Testing the vestibular system to determine the diagnosis of ataxia can include the Fakuda Stepping Test and the Rhomberg Test. The�Fakuda Stepping Test is performed by having the patient march in place with their eyes closed and their arms raised to 90 degrees in front of them. If they rotate more than 30 degrees, the test is considered to be positive. It’s important to note that the patient will rotate toward the side of the vestibular dysfunction. The Rhomberg Test will confirm a diagnosis of ataxia if the patient sways a different direction every time their eyes are closed, as this may indicate vestibular dysfunction.

 

Testing the Cerebellar System

 

Testing the cerebellar system to determine the diagnosis of ataxia can include the piano-playing test and the hand-patting test as well as the finger-to-nose test. The piano-playing test and hand-patting test both assess for dysdiadochokinesia. Also in both tests, the patient will have more difficulty moving the limb on the side of cerebellar dysfunction. With the finger-to-nose test, the patient may be hyper/hypo metric in movement and intention tremor may be reveled.

 

Joint Position Sense

 

In patients with changes to their joint position sense, conscious proprioception may be diminished, especially in elderly patients and patients with neuropathy. Patients with joint position sense losses often rely on visual information to help compensate. When visual input is removed or diminished, these patient�s have exaggerated ataxia.

 

Motor Strength and Coordination

 

If the patient has reduced frontal lobe control, they may end up with an apraxia of gait, where they have difficult with the volitional control of movement. Extrapyramidal disorders, such as Parkinson disease, result in the inability to control motor coordination. Pelvic girdle muscle weakness due to a myopathy in this instance will produce an abnormal gait pattern.

 

Gait Examination

 

 

Gait Deviations

 

 

Treatment for Ataxia

 

There’s no specific treatment for ataxia. In some cases, treating the underlying health issue often resolves the ataxia, such as quitting the use of drugs and/or medications that cause it. In other cases, such as ataxia that results from chickenpox or other viral infection, it’s likely to resolve on its own. A healthcare professional might recommend treatment to manage symptoms, such as pain, fatigue or nausea, or they may recommend the use of adaptive devices or therapies to help with ataxia. Chiropractic care is a safe and effective, alternative treatment option which focuses on the treatment of a variety of injuries and/or conditions associated with the musculoskeletal and nervous system. A chiropractor commonly uses spinal adjustments and manual manipulations to correct any spinal misalignment, or subluxation, which may be causing a patient’s symptoms. In addition, a doctor of chiropractic, or chiropractor, may also recommend a series of appropriate lifestyle modifications, including nutritional advice and exercise plans, in order to restore a patient’s strength, mobility and flexibility. Chiropractic care together with the proper fitness routine can help speed up the patient’s recovery process.

 

Adaptive Devices

 

Ataxia brought on by conditions like multiple sclerosis or cerebral palsy might not be curable. In that circumstance, a healthcare professional might have the ability to recommend adaptive devices. These can include:

 

  • Hiking sticks or walkers for walking
  • Modified utensils for eating
  • Communication aids for speaking

 

Other therapies

 

A patient with ataxia might benefit from particular therapies, including: physical therapy to help improve coordination and enhance mobility; occupational treatment to help with daily living activities, such as eating on their own; and speech therapy to improve speech as well as aid with swallowing.

 

Coping and Support

 

The challenges a person face when living with ataxia or with a child with the condition might make the patient feel lonely or it may contribute to depression and anxiety. Talking to a counselor or therapist may help. Or perhaps the patient may find encouragement and understanding in a support group, possibly for ataxia or for their specific underlying condition, such as cancer or multiple sclerosis.

 

Although support groups aren’t for everyone, they may be good sources of advice. Group members often know about the newest treatments and tend to share their own experiences. If you’re interested, your healthcare professional may be able to recommend a group in your area. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Repositioning Maneuvers to Treat BPPV in El Paso, TX

Repositioning Maneuvers to Treat BPPV in El Paso, TX

Benign paroxysmal positional vertigo, or BPPV, is a mechanical issue in the inner ear. It occurs when some of the calcium carbonate crystals (otoconia) that are normally embedded in gel at the utricle become dislodged and migrate to at least one of those 3 fluid-filled semicircular canals, where they are not supposed to be. When enough of these particles accumulate in one of the canals they interfere with the normal fluid motion that these canals utilize to sense head motion, causing the inner ear to send false signals to the mind.

 

Fluid in the semi-circular canals doesn’t normally react to gravity. However, the crystals do proceed with gravity, thereby shifting the fluid when it normally would be still. When the fluid moves, nerve endings in the canal are eager and send a message to the brain the mind is moving, even though it is not. This false information doesn’t match what another ear is sensing, together with what the eyes are seeing, or with what the joints and muscles are doing, and also this mismatched information is perceived by the brain as a turning sensation, or vertigo, which generally lasts less than one minute. Between vertigo spells some people today feel symptom-free, while some feel a mild sense of imbalance or disequilibrium.

 

A healthcare professional will execute a collection of tests and evaluations in order to properly diagnose the individual’s BPPV. Regular medical imaging (e.g. an MRI) is not helpful in diagnosing BPPV, because it doesn’t show the crystals which have moved to the semi-circular canals. But when someone with BPPV has their own head moved into a position that produces the dislodged crystals move within a tube, the error signals cause the eyes to move in a very specific pattern, called”nystagmus”.

 

How the Inner Ear Balance System Works

 

 

The nystagmus will possess distinct characteristics that let a trained practitioner to identify which ear the crystals that are displaced are in, and then canal(s) they have moved into. Tests such as the Dix-Hallpike or Roll Tests involve moving the head into specific orientations, allowing gravity to move the dislodged crystals and activate the vertigo while the professional watches for the tell-tale eye movements, or nystagmus.�To execute the Dix-Hallpike test, a healthcare professional will ask the patient to sit on the test table with their legs stretched out. They will then turn the head 45 degrees to one side, which contrasts the right posterior semicircular canal with the sagittal plane of the body, then they are going to allow the patient to lie back quickly, while the eyes are open, so that their head hangs slightly over the edge of the desk.

 

When the health care provider has finished the diagnosis, then they can perform the appropriate treatment maneuver. The maneuvers make use of gravity to guide the crystals back to the room where they are supposed to be via a very specific series of head movements, commonly referred to as Repositioning Maneuvers. Repositioning maneuvers are highly effective in treating BPPV, inexpensive, and easy to apply.

 

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Dr. Alex Jimenez’s Insights

While the use of surgical interventions as well as that of drugs and/or medications are occasionally recommended to relieve the symptoms associated with benign paroxysmal positional vertigo, or BPPV, they do not treat the underlying health issue. Repositioning maneuvers, like the ones demonstrated below, are considered to be safe yet effective treatment options for BPPV. There is good evidence to support the treatment of BPPV with the Epley maneuver. Although less amounts of research studies have been conducted on other repositioning maneuvers, outcome measures of a variety of patients with BPPV have benefitted from the other treatment options for benign paroxysmal positional vertigo.

 

Considering that the therapeutic efficacy among maneuvers for every canal is comparable, the option of treatment is generally predicated on clinician preference, complexity of their maneuvers themselves, therapy response to certain maneuvers, as well as musculoskeletal considerations, such as arthritic changes and range of motion of the cervical spine. Below, many repositioning maneuvers are demonstrated, for instance, deep mind hanging maneuver, the Lempert (BBQ) maneuver and the Epley maneuver.

 

Deep Head Hanging Maneuver for BPPV

 

 

The deep head hanging maneuver is a repositioning maneuver which is used for one of the least common places where BPPV occurs, the superior semi-circular canal, amounting to only about 2 percent of most benign paroxysmal positional vertigo instances. However, the advantage of deep head hanging maneuvers is that they may be effectively performed without knowledge of the side involved. It consists of three steps with four position changes at intervals of approximately 30 seconds.

 

The deep head hanging maneuver is performed with the patient at the long-sitting position, while the head is brought to a minimum of 30� below the horizontal with the head straight up. When the nystagmus induced by this measure is finished, the head is brought up rapidly to touch the chest while the patient remains supine, and after 30 seconds, the individual has been brought back to a seated position with head flexion maintained. Finally, the patient will be brought back to a neutral head position.

 

Lempert (BBQ) Maneuver for BPPV

 

 

The Lempert maneuver, also referred to as the Barbeque maneuver or the Roll maneuver, is a repositioning maneuver commonly utilized to help treat canilithiasis of the horizontal and lateral canal. It might occur as a complication of posterior canal BPPV treatment repositioning maneuvers. The side with the most notable horizontal nystagmus is assumed to be the affected side.

 

To perform the Lempert maneuver, the patient should lie supine on the exam table, using the affected ear facing down. Afterward, the healthcare professional will quickly turn the head 90� towards the unaffected side, facing up, waiting 15-20 minutes between each head turn. The medical professional will subsequently turn the head 90� so the affected ear is currently facing up. The next step includes having the individual tuck their arms to their torso, in order to allow the doctor to roll the patient to a more moderate position with their head down. The individual must be turned on their side since the physician rolls their head 90� (returning them to their original position, with the affected ear facing down ). At length, the medical professional should place the patient so that they are face up and bring them into a sitting posture.

 

Treatment with the Lempert maneuver is efficient approximately 75% of the moment, however, the effectiveness can vary from individual to individual. It is important to keep in mind that longer periods of time between head turns may provoke nausea. This sort of repositioning maneuver shouldn’t be done on patients in which it isn’t safe to move their mind, including in the case of cervical spine injuries.

 

Epley Maneuver for BPPV

 

 

The most common repositioning maneuver for the treatment of benign paroxysmal positional vertigo, or BPPV, is known as the Epley maneuver. The Epley maneuver, occasionally referred to as the canalith repositioning maneuver, is a process which involves a series of head movements, normally performed by a healthcare professional who’s experienced and qualified in the treatment of vestibular disorders, so as to relieve the symptoms associated with BPPV, including dizziness.

 

The Epley maneuver is performed by placing the patient’s mind at an angle in where gravity can help alleviate the symptoms. Tilting the mind can move the crystals out of the semicircular canals of the inner ear. This means that they will quit displacing the fluid, relieving the dizziness and nausea they may have been causing. In this manner, the Epley maneuver alleviates the symptoms of BPPV. But, it may have to be repeated more than once, as occasionally, some head movements can once again displace the small crystals of the internal ear, once they had been repositions after the first treatment.

 

Research studies have shown that the Epley maneuver is a safe and effective treatment for the specific vertigo disorder, offering both long-term and immediate relief. The Epley maneuver, named after Dr. John Epley, has been named the canalith repositioning maneuver because it helps to reposition the small crystals at a person’s inner ear, which might be causing the sensation of dizziness.

 

Repositioning these tiny crystals called otoconia helps to ease BPPV symptoms.�There are two types of BPPV: one where the loose crystals can move freely in the fluid of the canal (canalithiasis), and, more rarely, one where the crystals are thought to be �hung up� on the bundle of nerves that sense the fluid movement (cupulolithiasis).�It is important to make this distinction, as each repositioning maneuver may affect each variant differently. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Epley Maneuver Used by Chiropractors for BPPV in El Paso, TX

Epley Maneuver Used by Chiropractors for BPPV in El Paso, TX

Benign paroxysmal positional vertigo is a common type of vertigo, a sensation of spinning or whirling and loss of balance, which has been reported to account for as many as 17 percent of all cases of dizziness. Benign paroxysmal positional vertigo, or BPPV, is believed to be caused by a health issue in the inner ear. While it is typically associated with aging, head injuries have also been found to cause BPPV.

 

BPPV occurs when several of the small crystals found in the inner ear, known as otoconia, become loose and wind up in one or more of the three fluid-filled semicircular canals of the ear. Whenever these crystals move around the inner ear, they can cause the fluid in the semicircular canals to become displaced. This ultimately results in a spinning or whirling sensation, otherwise referred to as vertigo. The symptoms of BPPV can often come on suddenly when an individual with benign paroxysmal positional vertigo moves their head in a certain position. By way of instance, symptoms may trigger when turning over in bed during night time. Symptoms of BPPV can last anywhere from several seconds to several minutes, and may include:

 

  • Dizziness;
  • A feeling that surroundings are spinning or moving (vertigo);
  • A loss of equilibrium or balance;
  • Nausea; and
  • Vomiting.

 

BPPV Treatment

 

Although many healthcare professionals often prescribe drugs and/or medications for BPPV, there is not enough evidence to support their use as treatment for this condition. In other, very rare cases, surgical interventions are considered. However, in the majority of instances, BPPV can safely and effectively be adjusted mechanically.

 

Once a healthcare professional specializing in vestibular disorders, such as a vestibular rehabilitation therapist, a chiropractor, a specially trained physical therapist, an occupational therapist or audiologist, or an ENT (ear, nose & throat specialist who specializes on vestibular disorders), has properly diagnosed the individual’s type of benign paroxysmal positional vertigo by performing tests like the Dix-Hallpike Test, then they’ll have the ability to understand which of the semicircular canal(s) the crystals are in, and whether it is canalithiasis, where the loose crystals can move freely in the fluid of the tube, or cupulolithiasis, where the crystals are believed to be ‘hung up’ on the bundle of nerves that feel the fluid motion, then they can recommend you the appropriate therapy maneuver.

 

Other Auditory & Vestibular Function Tests

 

The Dix-Hallpike Test is commonly used to diagnose BPPV, however, if the diagnosis is negative, healthcare professionals may utilize a variety of other auditory and vestibular function tests in order to properly diagnose the patient’s source of their symptoms.

 

Dix-Hallpike Test to Diagnose BPPV

 

 

The most common treatment for benign paroxysmal positional vertigo, or BPPV, is called the Epley maneuver. The Epley maneuver, sometimes referred to as canalith repositioning, is a procedure which involves a succession of head movements, normally performed by a healthcare professional who is qualified and experienced in the treatment of vestibular disorders, in order to relieve the symptoms associated with BPPV.

 

Research studies have demonstrated that the Epley maneuver is a safe and effective treatment for the condition, offering both immediate and long-term relief. The Epley maneuver, named after Dr. John Epley, has been named the canalith repositioning maneuver because it�helps reposition the small crystals in a individual’s ear, which may be causing the sensation of dizziness. Repositioning these small crystals, also known as otoconia, ultimately helps to relieve BPPV symptoms.

 

Epley Maneuver to Treat BPPV BPPV

 

 

The Epley maneuver is performed by placing the patient’s head at an angle from where gravity can help alleviate the symptoms. Tilting the head can move the crystals from the semicircular canals of the inner ear. This means that they will stop displacing the fluid, relieving the dizziness and nausea they may have been causing. In this way, the Epley maneuver alleviates the symptoms of BPPV. But, it may need to be repeated more than once, as occasionally, some head movements can once again displace the small crystals of the inner ear, once they had already been repositions after the initial treatment.

 

Epley Maneuver Diagram | El Paso, TX Chiropractor

 

When a healthcare professional carries out the Epley maneuver, they’ll perform the following measures:

 

  • Ask the patient to sit upright in an examination table, completely extending their legs out in front of them.
  • Rotate the patient’s head in a 45-degree angle to the side they’re experiencing the worst vertigo.
  • Instantly push the patient back, so they are lying with their shoulders touching the table. The patient’s head is retained facing the side most negatively affected by vertigo but at a 30-degree angle, so that it is lifted slightly off the table. The healthcare professional holds the patient in this position for between 30 seconds and two minutes, until their symptoms stop.
  • Rotate the patient’s head 90 degrees from the opposite direction, stopping when the other ear is 30 degrees away from the table. Again, the doctor holds the patient in this position for between 30 minutes and two minutes, until their symptoms cease.
  • Next, the healthcare professional will roll the patient in precisely the same direction that they are facing, onto their side. The moment they encounter the worst vertigo on will be facing upward. The physician holds the patient in this position for between 30 minutes and 2 minutes, until their symptoms stop.
  • Eventually, the healthcare professional will bring the patient back up into a sitting position.
  • The whole process is repeated up to three times, until the patients’s symptoms have been completely relieved.

 

A healthcare professional specializing in vestibular disorders, such as a chiropractor or physical therapist, will utilize the Epley maneuver to help alleviate an individual’s dizziness and nausea, among other symptoms, when they have decided that BPPV is the cause. As mentioned before, the Epley maneuver isn’t suitable to treat vertigo brought on by another health issue aside from BPPV. If the individual is unsure of what is causing their vertigo, they ought to talk to a doctor and ask to be properly diagnosed. Other causes of vertigo may include:

 

  • Migraine headaches
  • Ear infections
  • Anemia
  • Cerebellar stroke

 

After performing the Epley maneuver, a doctor will advise the patient who has BPPV to prevent specific movements that may dislodge the crystals. These movements include:

 

  • Bending quickly
  • Lying down fast
  • Leaning the head
  • Moving the head back and forth

 

Many research studies have been done on the safety and effectiveness of therapy maneuvers for BPPV, such as the Epley maneuver, together with results and outcome measures demonstrating that the rates of recovery are well into the 90 percent range by 1 to 3 treatments. The more infrequent cupulolithiasis, or ‘hung-up’ version of BPPV, can be a little more stubborn to resolve, as this type of BPPV is generally the consequence of trauma or injury.

 

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Dr. Alex Jimenez’s Insight

If you’ve ever experienced a sudden spinning or whirling sensation, dizziness and nausea when you make certain head movements, especially while rolling over in bed at night or when getting out of bed in the morning, you may be suffering from a common condition called benign paroxysmal positional vertigo, or BPPV. This type of vertigo can be frustrating to deal with and it can tremendously affect an individual’s quality of life. A healthcare professional who specializes in vestibular disorders, including chiropractors and physical therapists, frequently diagnose BPPV using the Dix-Hallpike Test before following up treatment for benign paroxysmal positional vertigo using the Epley maneuver.

 

Benign Paroxysmal Positional Vertigo, or BPPV, is a frequent health issue, and will be encountered more and more as our population ages. The effect can vary from a mild annoyance to a highly debilitating condition, and can affect function and safety as well as increase the risk of falls. Fortunately, symptoms tend to decrease in intensity over time as the brain gradually adjusts to the strange signals it is receiving, or as the condition resolves on its own. However, with a healthcare professional who’s suitably qualified and experienced in the diagnosis and treatment of BPPV, most patients will find overall relief of their problem once it readily corrected and their world stops spinning or whirling. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Dix-Hallpike Test Used by Chiropractors for BPPV in El Paso, TX

Dix-Hallpike Test Used by Chiropractors for BPPV in El Paso, TX

Benign Paroxysmal Positional Vertigo, or BPPV, is the most common vestibular disorder and it is by far the most common cause of vertigo, a false sensation of rotational movement or spinning. BPPV isn’t life-threatening, it can come in unexpectedly in brief spells and it can trigger with certain head positions or motions. This might frequently occur when you tip your head down or up, when you lie down, or when you flip over or sit up in bed.

 

BPPV is a mechanical problem in the inner ear. It occurs when some of the calcium carbonate crystals, known as otoconia, that are typically embedded in gel at the utricle, become dislodged and migrate into at least one of the 3 fluid-filled semicircular canals, in which they are not supposed to be. When enough of these particles collect among the canals, they interfere with the fluid movement that these canals use to sense head motion, causing the internal ear to send false signals to the brain.

 

BPPV Diagram | El Paso, TX Chiropractor

 

Fluid from the canals does not normally respond to gravity. On the other hand, the crystals do interact with gravity, thereby shifting the fluid when it normally would remain still. After the fluid moves, nerve endings in the canal are triggered and send a message to the brain that the head is moving, even though it is not. This false information does not match what the other ear may be sensing, together with what the eyes are seeing, or using what the muscles and joints do, and this mismatched information is sensed by the brain as a spinning sensation, or vertigo, which normally lasts less than one minute. Between vertigo spells some people may feel symptom-free, while others feel a mild sense of imbalance or disequilibrium.

 

Symptoms of BPPV

 

The signs and symptoms of benign paroxysmal positional vertigo, or BPPV, may include:

 

  • Dizziness
  • A feeling that you or your surroundings are spinning or moving (vertigo)
  • A loss of equilibrium or balance
  • Nausea
  • Vomiting

 

The signs and symptoms of BPPV can come and go, with these generally lasting less than one minute. Episodes of benign paroxysmal positional vertigo can disappear for a while and then return. Activities that cause the signs and symptoms of BPPV may vary from person to person, but are nearly always brought on by a change in the placement of the head. Some people also feel out of balance when standing or walking. Abnormal rhythmic eye movements, known as nystagmus, usually follow the outward signs of benign paroxysmal positional vertigo, or BPPV.

 

It’s essential, however, to understand that BPPV will not give you continuous dizziness that is unaffected by motion or even a change in position. Also, it will not affect your hearing or produce fainting, headache or neurological signs, such as numbness, a sensation of “pins and needles,” difficulty speaking or difficulty coordinating your movements. If you have one or more of these additional symptoms, tell a healthcare professional immediately. Other disorders could be originally misdiagnosed as BPPV. By alerting a healthcare professional about any signs and symptoms you may be experiencing along with vertigo, they could reevaluate your illness and think about whether you might have another kind of disorder, instead of or in addition to BPPV.

 

BPPV is rather common, with an estimated prevalence of 107 per 100,000 annually plus a lifetime prevalence of 2.4 percent. It is thought to be quite rare in children but can affect adults of any age, particularly seniors. The wide majority of cases happen for no apparent reason, with many individuals describing how they simply went to get out of bed and the room began to spin. Nevertheless, associations have been made with injury, migraine headaches, inner ear infection or disease, diabetes, osteoporosis, intubation, presumably due to protracted time lying in bed, and reduced blood flow. There might also be a correlation with a person’s favorite sleeping side.

 

Diagnosis for BPPV

 

General practitioners normally refer patients to a healthcare professional specifically trained to take care of vestibular disorders, most commonly a vestibular rehabilitation therapist, such as a chiropractor, a specially trained physical therapist, or sometimes an occupational therapist or audiologist. An ENT (ear, nose & throat specialist) who specializes on vestibular disorders can also diagnose BPPV.

 

Normal medical imaging (e.g. an MRI) isn’t effective in diagnosing BPPV, because it doesn’t show the crystals that have moved to the semi-circular canals. However, when someone with BPPV has their own head moved into a position that makes the dislodged crystals go within a canal, the error signals have been known to cause the eyes to move in a very specific pattern, known as “nystagmus”.

 

The association between the internal ears and the eye muscles are what generally permit us to remain focused on our environment while the head is moving. Since the dislodged crystals make the brain think a person is moving when they are not, it causes the eyes to move, making it seem like the room is spinning. The eye movement is the indication that something is happening automatically in order to move the fluid in the inner ear canals when it shouldn’t be.

 

The nystagmus will have different characteristics that allow a healthcare professional to recognize which ear the displaced crystals are inside, as well as which canal(s) they have moved into. Evaluations like the Dix-Hallpike test involves moving the head into specific orientations, allowing gravity to move the dislodged crystals and activate the vertigo while the healthcare professional watches for the recognizable eye movements, or nystagmus.

 

Dix-Hallpike Test Diagram | El Paso, TX Chiropractor

 

Dix-Hallpike Test for BPPV

 

Healthcare professionals, such as chiropractors specializing in vestibular diseases, typically utilize the Dix-Hallpike test, sometimes called the Dix-Hallpike maneuver, to test for benign paroxysmal positional vertigo, or BPPV. To execute the Dix-Hallpike test, your doctor will ask you to sit on the test table with your legs stretched out. He’ll turn your head 45 degrees to one side, which contrasts the right posterior semicircular canal with the sagittal plane of the body, then they are going to allow you to lie back quickly, while the eyes are open, so that your head hangs slightly over the edge of the desk.

 

Dix-Hallpike Test to Diagnose BPPV

 

 

This motion may cause the loose crystals to move inside your semicircular canals. The healthcare professional will ask if you are feeling symptoms of vertigo and observe your eyes to find out how they move. As soon as you’ve got a few minutes to recover, your doctor may do the test on the opposite side of your head.

 

The latency, length and direction of nystagmus, if present, along with the latency and duration of vertigo, if present, should be noted. If the test is negative, it will demonstrate that�benign paroxysmal positional vertigo is a less probable diagnosis and central nervous system involvement ought to be considered. There are two sorts of BPPV: One at which loose crystals can move freely in the fluid of the canal (canalithiasis), and, more infrequently, one where the crystals are believed to be ‘wrapped up’ on the bundle of nerves that feel the fluid motion, or cupulolithiasis.

 

With canalithiasis, it requires less than a moment for those crystals to stop moving after a particular change in head position has triggered a twist. Once the crystals quit shifting, the fluid motion settles and the nystagmus and vertigo cease. With cupulolithiasis, the crystals trapped on the package of sensory nerves will make the nystagmus and vertigo last longer, until the head is moved out of the offending position. It is necessary to make the proper diagnosis, since the treatment is different for every variant. BPPV can be treated using various treatment methods, one of the most common being the Epley Maneuver.

 

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Dr. Alex Jimenez’s Insight

Chiropractic care is an alternative treatment option commonly utilized to help treat a variety of injuries and conditions associated with the proper alignment of the spine. Occasionally, a spinal misalignment, or subluxation, can develop into numerous health issues, causing a wide array of symptoms if left untreated for an extended period of time. However, many chiropractors can treat many other ailments not closely associated with the spine. In a clinical setting, chiropractic care has been used for the management of benign paroxysmal positional vertigo, or BPPV. Chiropractors will utilize the Dix-Hallpike test to diagnose a patient followed by the Epley maneuver to help treat patients with BPPV. Many patients have reported a reduction in symptoms.

 

The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

blog picture of cartoon paperboy big news

 

EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Neuropathy Presentation | El Paso, TX. | Part II

Neuropathy Presentation | El Paso, TX. | Part II

Neuropathy Presentation II:�El Paso, TX. Chiropractor, Dr. Alexander Jimenez�continues the overview with neuropathy part II. Continued are the most common neuropathies to be seen in practice. Because the human body is composed of many different kinds of nerves which perform different functions, nerve damage is classified into several types. Neuropathy can also be classified according to the location of the nerves being affected and according to the disease causing it. For instance, neuropathy caused by diabetes is called diabetic neuropathy. Furthermore, depending on which nerves are affected will depend on the symptoms that will manifest. The complications which follow neuropathy depends on the type of nerves that are damaged. According to Dr. Jimenez, different neuropathies can cause numbness and/or tingling sensations, increased pain or the loss of ability to feel pain, muscle weakness along with twitching and cramps, even dizziness and/or loss of bladder control function.

Sciatic Nerve Entrapment

  • Piriformis Syndrome
  • Peroneal Nerve Entrapment
  • Tarsal Tunnel Syndrome

neuropathy presentation el paso tx.

Sciatic N. Piriformis Syndrome

neuropathy presentation el paso tx.Causes

  • Anatomic variation
  • Piriformis overuse/tension

Exam

  • Positive Lase?gue test possible
  • Doctor extends patient�s leg passively, while patient is lying supine positive test if maneuver is limited by pain
  • Tenderness and palpable tension in piriformis muscle which elicits symptoms

Sciatic N. Peroneal Nerve Entrapment

  • Peroneal or Fibular branch of Sciatic nerve entrapped at the fibular head
  • Tinel�s sign may be present at fibular head/neck
  • Usually affects common peroneal nerve, therefore motor and sensory symptoms can be seen
  • Weakness of ankle dorsiflexion and eversion (tibialis anterior m.)
  • Sensory disruption on the dorsum of the foot and lateral aspect of the calf

Sciatic N. Tarsal Tunnel Syndrome

  • Tibial nerve impinged in the tarsal tunnel
  • Sensory changes in the sole of the foot
  • Tinel�s sign may be present with percussion posterior to the medial malleolus

neuropathy presentation el paso tx.Radiculopathy

  • A mononeuropathy � located in one specific area
  • Neuropathy involving spinal nerve roots
  • Presents as changes in sensory and/or motor function affecting a single or a few nerve root level(s)
  • Most commonly seen radiculopathies include:
  • Sciatica
  • Cervical radiculopathy

Common Causes Of Radiculopathy

  • Disc herniation
  • Osteophytes
  • Spinal Stenosis
  • Trauma
  • Diabetes
  • Epidural abscess or metastasis
  • Nerve sheath tumors (schwannomas and neurofibromas)
  • Guillain-Barre? syndrome
  • Herpes Zoster (shingles)
  • Lyme disease
  • Cytomegalovirus
  • Myxedema/Thyroid disorder
  • Idiopathic neuritis

Narrowing Down Common Causes Of Radiculopathy

  • Disc Herniation

  • Most commonly affected nerve roots are C6, C7, L5 & S1
  • Spinal Stenosis

  • Lumbar stenosis may produce neurogenic claudication
  • Pain & weakness with ambulation
  • Cervical stenosis may present with mixed picture of radiculopathy and myelopathy due to long tract involvement
  • Trauma

  • May cause compression, trauma or avulsion of the nerve roots
  • Diabetes

  • More likely to cause a polyneuropathy, but mononeuropathy is possible
  • Herpes Zoster (Shingles)

  • Most often on the trunk, accompanied by vesicular lesions in a single dermatome
  • If pain persits past vesicular regression = post-herpetic neuralgia

Patient History Of Radiculopathy

  • The patient will often complain of burning pain or tingling that radiates or shoots down an affected area in a dermatomal pattern.
  • Sometimes patient will complain of motor weakness, however if onset is recent, there is often no motor involvement

Exam Of Radiculopathy

  • Most often hypoesthesia in the affected dermatome level
  • Best to evaluate for pain, as light touch can be difficult for these patient�s to distinguish
  • Fasciculations and/or atrophy may be seen if radiculopathy is chronic, due to lower motor neuron being impinged
  • Motor weakness may be seen in muscles innervated by the same root level

Orthopedic tests:

  • Straight-leg raise test (SLR)
  • Pain between 10-60 degrees likely indicates nerve root compression
  • Well-leg raise/Crossed straight-leg raise test (WLR)
  • If positive, 90% specificity for L/S nerve root compression
  • Valsalva Maneuver
  • Positive if increase in radicular symptoms
  • Spinal Percussion
  • Pain may indicate metastatic disease, abscess or osteomyelitis

Examinations: Merck Manual Professional

How To Test Reflexes

How To Do A Sensory Exam

How To Do A Motor Examination

Dermatomes

neuropathy presentation el paso tx.Testing Cervical Nerve Roots

neuropathy presentation el paso tx.Testing Lumbosacral Nerve Roots

neuropathy presentation el paso tx.

Specific Radiculopathy Patterns

  • T1 radiculopathy can cause Horner�s syndrome
  • This is due to affect on cervical sympathetic ganglia
  • Ptosis, miosis, anhidrosis
  • Below L1, radiculopathies can cause Cauda Equina syndrome
  • Saddle anesthesia (sensory loss in S2-S5 distribution)
  • Urinary retention or overflow incontinence
  • Constipation, decreased rectal tone or fecal incontinence
  • Loss of erectile function
  • Must be referred for emergency care immediately to prevent permanent dysfunction

Other Patterns Of Neuropathy

  • Cape/Shawl distribution of symptoms
  • Intramedullary lesion
  • Syringomyelia
  • Intramedullary tumor
  • Central cord damage
  • Stocking and Glove Distribution of Symptoms
  • Diabetes mellitus
  • B12 deficiency
  • Alcoholism/hepatitis
  • HIV
  • Thyroid dysfunction/myxedema

Cape/Shawl Pattern

  • Intramedullary lesion such as tumor, syringomyelia or hyperextension injury in patient with C/S spondylosis

neuropathy presentation el paso tx.

  • Loss of pain and temp sensation in C/T dermatomes because of arrangement of lateral spinothalamic tract

neuropathy presentation el paso tx.Stocking & Glove Pattern

neuropathy presentation el paso tx.

  • Symmetrical polyneuropathy
  • Feet/legs usually affected first, followed by hands/arms
  • Vibration sensation in the smallest toes is usually the first thing lost and neuropathy progresses across foot to great toe and then upward through the ankle and leg, then hands, arms and finally trunk if sever
  • Most likely cause of this distribution is diabetes mellitus, but other possible causes include B12 deficiency, alcoholism, HIV, chemotherapy treatment, thyroid dysfunction and multiple other causes

Diabetic Neuropathy

  • Diabetic neuropathy often presents as a polyneuropathy but can also present as a mononeuropathy, usually with acute onset
  • Most common in CN III, femoral and sciatic nerves

Demyelinating Neuropathies

  • Acute inflammatory demyelinating polyneuropathy (Guillain-Barre? syndrome)
  • Chronic inflammatory demyelinating polyneuropathy

Guillain-Barre? Syndrome (AIDP)

  • Onset 1-2 weeks post viral infection
  • Progressive weakness
  • Loss of DTRs/areflexia
  • Paresthesia in hands and feet
  • More motor involvement than sensory
  • Potential autonomic fiber involvement
  • Elevated CSF protein
  • EMG/NCV studies indicate demyelination
  • May require treatment with plasmapheresis or IV Ig therapy

Chronic Inflammatory Demyelinating Polyneuropathy

  • Appears similar to AIDP but does not follow infection
  • Symptoms must be present for at least 8 weeks for this diagnosis to be considered
  • Anti-inflammatory treatments may help

By�Rachel Klein, ND, DC, DACNB

National University of Health Sciences Master of Science (MS) – Advanced Clinical Practice (ACP) MS ACP 551: Clinical Neurology � 2018

Sources

Blumenfeld, Hal. Neuroanatomy through Clinical Cases. Sinauer, 2002.

Evans, Ronald C. Illustrated Orthopedic Physical Assessment. Mosby/Elsevier, 2009.

�Radial Nerve Entrapment: Background, Anatomy, Pathophysiology.� Medscape, 25 Oct. 2017, emedicine.medscape.com/article/1244110- overview#a8.

Neuropathy Presentation | El Paso, TX. | Part I

Neuropathy Presentation | El Paso, TX. | Part I

Neuropathy Presentation: El Paso, TX. Chiropractor, Dr. Alexander Jimenez�presents an overview of neuropathy. These are the most common neuropathies to be seen in practice.�Neuropathy is a medical term used to characterize damage or injury to the nerves, which refers to the peripheral nerves as opposed to the central nervous system. The complications which follow neuropathy depends largely on the type of nerves that are affected. According to Dr. Alex Jimenez, different neuropathies can cause numbness and tingling sensations, increased pain or the loss of ability to feel pain, muscle weakness along with twitching and cramps, even dizziness and/or loss of control over bladder function.

Neuropathy

Three primary classifications based on location of symptoms:

  • Mononeuropathy (focal)
  • Mononeuropathy multiplex (multifocal)
  • Polyneuropathy (generalized)
  • Can involve CNS and/or PNS
  • Can affect large and/or small diameter fibers
  • Can affect both sensory and motor fibers
  • Sometimes one more than the other, but often both
  • May be permanent or reversible

neuropathy presentation el paso tx.

*https://neupsykey.com/muscle-weakness-cramps-and-stiffness/

Assessment Of Neuropathy

Sensory Exam:

  • Determine What Sensory Modalities Are Involved

  • If sensory disruption is limited to certain modalities, it implies CNS is involved
  • If all sensation is affected in the area, implies PNS is involved
  • Determine Pattern Of Symptoms

  • Mononeuropathy (focal)?
  • Mononeuropathy multiplex (multifocal)?
  • Polyneuropathy (generalized)?
  • Motor Exam

  • Determine if there is change to muscle strength
  • Determine if there is a change in muscle tone
  • Determine which muscles are affected
  • Determine if there has been a change in reflexes
  • This information can help determine the level(s) of involvement
  • Check For Autonomic�Signs

  • Auscultate heart
  • Palpate palms
  • Auscultate abdomen
  • Assess autonomic history
  • For example, is patient complaining about sweating more on one side than another? Complaining of stress levels?
  • Suggest ANS involvement

Exams: Merck Manual Professional Version

How To Test Reflexes

How To Do The Sensory Exam

How To Do The Motor Examination

Classification Of Nerve Injuries Resulting In Neuropathy

  • Neurapraxia – This is a transient episode of motor paralysis with little or no sensory or autonomic dysfunction; no disruption of the nerve or its sheath occurs; with removal of the compressing force, recovery should be complete
  • Axonotmesis – This is a more severe nerve injury, in which the axon is disrupted but the Schwann sheath is maintained; motor, sensory, and autonomic paralysis results; recovery can occur if the compressing force is removed in a timely fashion and if the axon regenerates
  • Neurotmesis – This is the most serious injury, in which both the nerve and its sheath are disrupted; although recovery may occur, it is always incomplete, secondary to loss of nerve continuity

Brachial Plexopathies

  • Erb�s Palsy
  • Klumke�s Palsy

neuropathy presentation el paso tx.Erb�s Palsy

  • AKA Erb�Duchenne palsy or Waiter’s tip palsy
  • Most common mechanism of injury in adults is a patient who fall forward while holding onto something behind them
  • Can also happen to an infant during childbirth ? Results from damage to C5-6 nerve roots in the brachial plexus
  • Dermatomal distribution of sensory disruption
  • Weakness or paralysis in deltoid, biceps, and brachialis muscles resulting in �waiter�s tip� position

neuropathy presentation el paso tx.Klumke�s Palsy

  • AKA Dejerine�Klumpke palsy
  • Happens to infants during childbirth if arm is pulled overhead
  • Can also happen to adults with overhead traction injuries
  • Results from damage to C8-T1 nerve roots in the brachial plexus
  • Dermatomal distribution of sensory disruption
  • Weakness or paralysis in wrist flexors and pronators as well as muscles of the hand
  • May produce Horner�s syndrome due to T1 involvement
  • Results in a �claw hand� appearance
  • Forearm supinated with wrist hyperextended, with finger flexion

neuropathy presentation el paso tx.Entrapment Neuropathies

  • Thoracic Outlet Syndromes
  • Median Nerve Entrapment
  • Pronator Teres syndrome
  • Carpal Tunnel syndrome
  • Ulnar Nerve Entrapment
  • Cubital Tunnel syndrome
  • Tunnel of Guyon syndrome
  • Radial Nerve Entrapment
  • Spiral Groove Entrapment
  • Supinator Syndrome
  • Posterior Interosseous Syndrome (Radial Tunnel Syndrome)
  • Sciatic Nerve Entrapment
  • Piriformis syndrome
  • Fibular head entrapment
  • Tarsal tunnel syndrome

Thoracic Outlet Syndromes

neuropathy presentation el paso tx.

  • Neurogenic thoracic outlet syndrome

  • Compression of the brachial plexus
  • Vascular thoracic outlet syndrome

  • Veins (venous thoracic outlet syndrome) or arteries (arterial thoracic outlet syndrome) are compressed
  • Nonspecific-type thoracic outlet syndrome

  • Worsens with activity
  • Idiopathic

Causes

  • Cervical rib
  • Subclavius muscle tension
  • Postural – excessive thoracic kyphosis
  • Trauma
  • Repetitive activity
  • Obesity
  • Pregnancy

Tests

  • Adsons test
  • Allen maneuver
  • Costoclavicular maneuver
  • Halstead maneuver
  • Reverse bakody maneuver
  • Roos test
  • Shoulder compression test
  • Wright test

neuropathy presentation el paso tx.

Median Nerve Entrapment

  • Sensory disruption in the lateral portion (3.5 fingers) of the palmar aspect of the hand, and dorsal finger tips of the same fingers
  • Motor fibers affected in forearm if applicable, muscles of the thenar eminence
  • Abductor pollicis brevis
  • Opponens pollicis
  • Flexor pollicis brevis

neuropathy presentation el paso tx.Median N. Pronator Teres Syndrome

Etiology

  • Compression of the median nerve at the elbow

Causes

  • Repetitive movement
  • Pronator teres muscle inflammation
  • Thickened bicipital aponeurosis

Findings

  • Tenderness with palpation of the pronator teres muscle
  • Pain with resisted pronation of the arm
  • Flexor pollicus longus and flexor digitorum profundus involvement
  • Otherwise may appear similar to carpal tunnel syndrome in symptoms, but without positive wrist orthopedics

Median N. Carpal Tunnel Syndrome

neuropathy presentation el paso tx.

Etiology

  • Compression of the median nerve at the wrist

Causes

  • Repetitive motions
  • Hypothyroidism
  • Obesity
  • Rheumatoid Arthritis
  • Diabetes
  • Pregnancy

 

 

Orthopedic Tests

neuropathy presentation el paso tx.Tinel�s Sign

  • Positive if tapping over the median nerve reproduces/exacerbates symptoms

Phalen�s Maneuver/Prayer Sign

  • Hands together with wrists flexed
  • Repeat in reverse with wrists extended
  • Hold each for at least 60 seconds
  • Positive if tests reproduce/exacerbate symptoms

Wringing Test

  • Wringing a towel produces paresthesia

 

 

 

 

 

Ulnar Nerve Entrapment

  • Sensory disruption in the medial two digits of the palmar & dorsal aspects of the hand
  • Motor fibers affected in hand, all fingers besides the thumb weakened general hand weakness

Ulnar N. Cubital Tunnel Syndrome

neuropathy presentation el paso tx.Etiology

  • Compression of the ulnar nerve at the elbow

Causes

  • Repetitive motions
  • Hypothyroidism
  • Obesity
  • Diabetes
  • Trauma to the cubital tunnel
  • Prolonged sitting with pressure on bent elbow

Ulnar N. Tunnel Of Guyon Syndrome

neuropathy presentation el paso tx.

Etiology

  • Compression of the ulnar nerve at the wrist

Causes

Repetitive motions

  • Long term crutch use
  • Break of the hamate
  • Ganglion cyst
  • Hypothyroidism
  • Obesity
  • RheumatoidArthritis
  • Diabetes

 

 

 

Orthopedic Tests

neuropathy presentation el paso tx.

Tinel�s Sign

  • Present if test over the ulnar nerve at the wrist elicits symptoms

Wartenberg Sign

  • 5th digit abducts when patient performs hard grip strength test or attempts to squeeze fingers together
  • Reduced two-point discrimination in the hand

 

 

 

 

 

 

Radial Nerve Entrapment

neuropathy presentation el paso tx.

  • Sensory disruption in the lateral 3.5 digits of the dorsal aspect of the hand
  • Motor fibers affected in posterior arm and extensor compartment of the forearm
  • Wrist drop may be seen

Spiral Groove Entrapment

  • All radial nerve innervated muscles below entrapment are affected
  • �Saturday night palsy� (from sleeping on own arm)
  • Brachioradialis & triceps reflexes both diminished

Supinator Syndrome

  • Compression at the arcade of Frohse
  • No change in reflexes

Posterior Interosseous Syndrome (Radial Tunnel Syndrome)

  • No change in reflexes

By Rachel Klein, ND, DC, DACNB

National University of Health Sciences Master of Science (MS) – Advanced Clinical Practice (ACP) MS ACP 551: Clinical Neurology � 2018

Sources

Blumenfeld, Hal. Neuroanatomy through Clinical Cases. Sinauer, 2002.

Evans, Ronald C. Illustrated Orthopedic Physical Assessment. Mosby/Elsevier, 2009.

�Radial Nerve Entrapment: Background, Anatomy, Pathophysiology.� Medscape, 25 Oct. 2017, emedicine.medscape.com/article/1244110- overview#a8.

Common Clinical Neuropathies in El Paso, TX

Common Clinical Neuropathies in El Paso, TX

Neuropathy is a medical term used to describe a collection of general diseases or malfunctions which affect the nerves. The causes of neuropathy, or nerve damage, can vary greatly among each individual and these may be caused by a number of different diseases, injuries, infections and even vitamin deficiency states. However, neuropathy can most commonly affect the nerves that control the motor and sensory nerves. Because the human body is composed of many different kinds of nerves which perform different functions, nerve damage is classified into several types. Neuropathy can also be classified according to the location of the nerves being affected and according to the disease causing it. For instance, neuropathy caused by diabetes is called diabetic neuropathy. Furthermore, depending on which nerves are affected will depend on the symptoms that will manifest as a result. Below we will discuss several specific types of neuropathies clinically treated by chiropractors, physical therapists and physical medicine doctors alike, as well as briefly describing their causes and their symptoms.

 

Brachial Plexopathies

 

Brachial plexopathy is a type of peripheral neuropathy, which affects the nerves that transmit messages from the brain and the spinal cord to the rest of the body. This kind of nerve damage occurs when harm affects the brachial plexus, a region found on each side of the neck where nerve roots from the spinal cord branch out into each arm’s nerves. Damage, injury or a condition that impacts these nerve roots can result in pain, decreased mobility and reduced sensation in the arm and shoulder. In some cases, no cause can be identified.

 

Erb’s Palsy

 

Erb’s Palsy, also known as�Erb�Duchenne palsy or Waiter’s tip palsy, is identified as a paralysis of the arm caused by damage or injury to the nerves in the neck which form part of the brachial plexus. The most common mechanism of injury in adults with Erb’s Palsy is a patient who fell forward while holding onto something behind them. Erb�Duchenne palsy can also happen to an infant during childbirth, most commonly, but not exclusively, from shoulder dystocia during a difficult birth. To be more precise, this type of brachial plexopathy results from damage to the C5-C6 nerve roots along the brachial plexus in the neck. Symptoms of Erb’s Palsy include dermatomal distribution of sensory disruption followed by weakness or paralysis in the deltoid, biceps, and brachialis muscles, leading to the �waiter�s tip� position associated with this type of neuropathy. While many infants can recover on their own from this type of brachial plexopathy, some may require rehabilitation.

 

Erb's Palsy Image | El Paso, TX Chiropractor

 

Klumpke’s Palsy

 

Klumpke’s Palsy, also known as Klumpke’s paralysis or�Dejerine�Klumpke palsy, is a partial palsy in the nerve roots of the brachial plexus located along the cervical spine, or neck. It is named after�Augusta D�jerine-Klumpke, an American-born French medical doctor acknowledged for her work in neuroanatomy. Klumpke’s Palsy is characterized as a form of paralysis involving the muscles of the forearm and hand, which occurs to�infants during childbirth if their arm is pulled overhead.�Dejerine�Klumpke palsy can also occur to adults with overhead traction injuries caused by harm to the C8-T1 nerve roots in the brachial plexus and upper thoracic region of the spine. Symptoms of Klumpke’s paralysis include dermatomal distribution of sensory disruption, weakness or paralysis, in the wrist flexors and pronators as well as in the muscles of the hand. This type of brachial plexopathy may often lead to Horner�s syndrome, a collection of symptoms which manifest when a set of nerves, known as the sympathetic trunk, are damaged or injured due to T1 involvement. This form of neuropathy is identified by resulting�in a �claw hand� appearance, where the forearm is supinated with the wrist hyperextended, together with finger flexion.

 

Klumpke's Paralysis Image | El Paso, TX Chiropractor

 

Entrapment Neuropathies

 

Entrapment neuropathy, also known as nerve compression syndrome or compression neuropathy, is best-known as nerve damage or a type of neuropathy caused by direct pressure on a nerve. Common symptoms include pain and discomfort, tingling or burning sensations, numbness and muscle weakness which affects only a particular part of the human body, depending on which nerve is affected. A nerve can become compressed as a result of a constant external force or due to a lesion, such as a tumor. Additionally, some conditions can make the nerves more susceptible to compression, including diabetes, where the nerves are rendered more sensitive to minor degrees of compression due to their already compromised supply of blood. Nerve damage caused by a single episode of harm can be considered an entrapment neuropathy, however, it is generally not classified under this group of compression neuropathy or nerve compression syndrome.

 

Thoracic Outlet Syndromes

 

Thoracic outlet syndromes are a group of disorders which develop when the nerves or blood vessels between the collarbone and the thoracic outlet, located in the region of the first rib, are compressed. As a result, this can cause pain and discomfort in the neck and shoulders as well as numbness in the fingers. There are a number of types of thoracic outlet syndromes, including neurogenic, or neurological, thoracic outlet syndrome, specifically caused by the compression of the brachial plexus, vascular thoracic outlet syndrome, which is caused specifically by the compression of the veins, known as venous thoracic outlet syndrome, or arteries, known as arterial thoracic outlet syndrome, and nonspecific-type thoracic outlet syndrome, which is considered to be idiopathic and has been described to worsen with activity. Several healthcare professionals believe that nonspecific-type thoracic outlet syndrome doesn’t exist, while others claim it to be a common disorders. However, the majority of thoracic outlet syndromes are often classified as neurogenic.

 

Thoracic outlet syndromes are caused by the compression of the cervical rib, an extra “rib” in the seventh cervical vertebra, subclavius muscle tension, improper posture or�excessive thoracic kyphosis, physical trauma, repetitive activity, obesity and pregnancy. Thoracic outlet syndromes can vary depending on which structures are compressed. Thoracic outlet syndromes can be diagnosed using tests, such as the Adsons test, the Allen maneuver, the Costoclavicular maneuver, the Halstead maneuver, the�Reverse bakody maneuver, the Roos test, the Shoulder compression test and the Wright test. Thoracic outlet syndromes can cause permanent neurological damage if not diagnosed and treated early.

 

Thoracic Outlet Syndrome | El Paso, TX Chiropractor

 

Median Nerve Entrapment

 

Median nerve entrapment or median nerve entrapment syndrome, is a mononeuropathy, a condition that impacts only a single nerve or nerve group outside the brain and spinal cord, which affects the movement of or sensation in the hand. Median nerve entrapment is caused by the compression of the median nerve found in the elbow or distally in the forearm or wrist. Symptoms include sensory disruption in the lateral portion of the palmar aspect of the hand and dorsal finger tips of the same fingers. In addition, motor fibers may also be affected in the forearm, if applicable, including the muscles of the thenar eminence, such as the abductor pollicis brevis, the opponens pollicis, and the flexor pollicis brevis. Other forms of median nerve entrapment syndromes include: pronator teres syndrome and carpal tunnel syndrome.

 

Pronator teres syndrome is characterized as the compression of the median nerve at the elbow. It is considered rare compared to carpal tunnel syndrome. Pronator teres syndrome is caused by repetitive movement, pronator teres muscle inflammation and thickened bicipital aponeurosis. Clinical findings for this type of neuropathy include, tenderness with palpation of the pronator teres muscle, pain with resisted pronation of the arm, flexor pollicus longus and flexor digitorum profundus involvement, otherwise, symptoms manifestations for pronator teres syndrome may appear similar to carpal tunnel syndrome but without positive wrist orthopedics.

 

Carpal tunnel syndrome is characterized as the compression of the median nerve at the wrist. Carpal tunnel syndrome is identified by symptoms of pain and discomfort, tingling sensations in the thumb, index finger, middle finger and the thumb side of the ring fingers, and numbness. These can generally start gradually and may extend up the arm. Advanced instances of carpal tunnel syndrome may cause weakened grip strength where the muscles at the base of the thumb may waste away if left untreated for an extended period of time. In many cases, carpal tunnel syndrome may affect both hands or arms. Carpal tunnel syndrome is caused by repetitive movements, hypothyroidism, obesity, rheumatoid arthritis, diabetes and pregnancy. Orthopedic tests utilized to diagnose carpal tunnel syndrome include the use of the Tinel�s Sign, positive if tapping over the median nerve reproduces/exacerbates symptoms, the�Phalen�s Maneuver/Prayer Sign, performed by bringing the hands together, with wrists flexed, and is repeated in reverse with the wrists extended, for at least 60 seconds, and is considered positive if tests reproduce/exacerbate symptoms, and the�Wringing Test, if wringing a towel produces paresthesia.

 

Carpal Tunnel Syndrome | El Paso, TX Chiropractor

 

Ulnar Nerve Entrapment

 

Ulnar nerve entrapment is a condition where the ulnar nerve itself becomes physically trapped or pinched, resulting in symptoms of pain, numbness and weakness which extends throughout the little finger, the ulnar half of the ring finger and throughout the intrinsic muscles of the hand. Symptoms or ulnar nerve entrapment ultimately involve sensory disruption in the medial two digits of the palmar and dorsal aspects of the hand. Symptoms of ulnar nerve entrapment may vary depending on the specific location of the ulnar nerve compression or impingement. These may also be classified as motor, sensory or both, depending on the location of the injury. If motor fibers are affected in the hand, all fingers, besides the thumb, may become weakened, described as general hand weakness. The most common location of ulnar nerve entrapment is within the cubital tunnel. Other forms of ulnar nerve entrapment include: cubital tunnel syndrome and tunnel of Guyon syndrome.

 

Ulnar Nerve Entrapment | El Paso, TX Chiropractor

 

Cubital tunnel syndrome is identified by the compression or impingement of the ulnar nerve in the cubital tunnel at the elbow. It is considered to be the second most common entrapment neuropathy which affects the upper extremities, following carpal tunnel syndrome. Symptoms of cubital tunnel syndrome are characterized by pain and discomfort along the region of the ulnar nerve entrapment, along with sensory impairment, paresis and paresthesia.�Causes of cubital tunnel syndrome include, repetitive movements, hypothyroidism, obesity, diabetes, physical trauma or injury to the cubital tunnel, and prolonged sitting with pressure on bent elbow.

 

Tunnel of Guyon syndrome, or Guyon’s canal syndrome, is identified by the compression or impingement of the ulnar nerve at the wrist, particularly along an anatomical space in the wrist known as Guyon’s canal. Guyon’s canal syndrome may also be referred to as ulnar tunnel syndrome. Symptoms of tunnel of Guyon syndrome are similar to those of cubital tunnel syndrome with slight variations depending on the region of ulnar nerve entrapment.�Causes of tunnel of Guyon syndrome include, repetitive movements, long term crutch use, fracture of the hamate, a carpal bone, due to a ganglion cyst, hypothyroidism, obesity, rheumatoid arthritis and diabetes.�Orthopedic tests utilized to diagnose Guyon’s canal syndrome include the use of the�Tinel�s Sign, positive if test over the ulnar nerve at the wrist elicits symptoms, the Wartenberg Sign, positive if the 5th digit abducts when patient performs hard grip strength test or attempts to squeeze fingers together and reduced two-point discrimination in the hand.

 

Radial Nerve Entrapment

 

Radial nerve entrapment, also known as radial tunnel syndrome, is a condition caused by the compression of the radial nerve, which travels from the brachial plexus, to the hand and wrist. Healthcare professionals believe that radial tunnel syndrome occurs because the radial nerve becomes irritated or inflamed due to the friction caused by the impingement of the muscles in the forearm. Radial nerve entrapment manifests symptoms of sensory disruption in the lateral three and a half digits of the dorsal aspect of the hand. Motor�fibers may also be affected along the�posterior arm and extensor compartment of the forearm, and wrist drop may be seen. Other forms of radial tunnel syndrome include: spiral groove entrapment, where all radial nerve innervated muscles below entrapment are affected,�Saturday night palsy caused due to sleeping on your own arm and the brachioradialis & triceps reflexes are both diminished, supinator syndrome, caused by the compression at the arcade of Frohse with no change in reflexes. Posterior interosseous syndrome, or radial tunnel syndrome, also elicits no change in reflexes.

 

Sciatic Nerve Entrapment

 

Sciatic nerve entrapment is a condition caused by the compression of the sciatic nerve, the longest and largest nerve in the human body, which travels from the low back, down through the buttocks, thighs, legs and into the foot. The collection of symptoms which manifest as a result of sciatic nerve entrapment, including pain and discomfort, tingling and burning sensations, and numbness as well as weakness in the lower extremitites, is commonly known as sciatica. Sciatic nerve entrapment, or sciatica, can be caused by a variety of injuries and/or aggravated conditions which can lead to the compression of the sciatic nerve, including, but not limited to, disc herniation and spinal stenosis. However, symptoms of sciatic nerve entrapment may vary depending on the location of the compression of the sciatic nerve. Other conditions caused by the compression of the sciatic nerve include: piriformis syndrome, peroneal nerve entrapment and tarsal tunnel syndrome.

 

Sciatica | El Paso, TX Chiropractor

 

Piriformis syndrome is a condition which occurs due to the compression of the sciatic nerve as a result of the irritation or inflammation of the piriformis muscle. Symptoms of piriformis syndrome may include pain and discomfort, followed by numbness in the buttocks and down the leg. Symptoms may worsen with regular activities, such as sitting and running. Piriformis syndrome is caused by anatomic variation or due to piriformis overuse/tension. Piriformis syndrome diagnosis exams include, a positive Lase?gue test, where the healthcare professional�extends the patient�s leg passively, while the patient is lying supine,�test is positive if the maneuver is limited by pain, and through the use of tenderness and palpable tension in piriformis muscle which elicits symptoms.

 

Peroneal nerve entrapment is a condition which occurs when the peroneal or the fibular branch of the sciatic nerve are compressed at the fibular head. Tinel�s sign may be present at the fibular region of the head and/or neck. Peroneal nerve entrapment generally affects the common peroneal nerve, therefore, motor and sensory symptoms may manifest, including, weakness of the ankle dorsiflexion and eversion, or the tibialis anterior. Other symptoms of peroneal nerve entrapment may include sensory disruption on the dorsum of the foot and lateral aspect of the calf. Common peroneal nerve entrapement at the fibular head is the most common nerve entrapment syndrome in the lower extremities.

 

Tarsal tunnel syndrome, also known as posterior tibial neuralgia, is a condition caused by the compression of the tibial nerve as it travels through the tarsal tunnel, found along the region of the inner leg, posterior to the medial malleolus, or the bump on the inside of the ankle. Tarsal tunnel syndrome can manifest symptoms of pain and discomfort, burning or tingling sensations, and numbness along the big toe and the first three toes. However, symptoms may vary slightly depending on the area of compression, where the entire foot may manifest the symptoms previously described. Other symptoms associated with posterior tibial neuralgia include sensory changes in the sole of the foot. Tinel�s sign may be present with percussion posterior to the medial malleolus. The exact cause of tarsal tunnel syndrome may be difficult to determine and it is essential to receive a proper diagnosis to determine the source of the symptoms.

 

Radiculopathy

 

Radiculopathy is a mononeuropathy,�a condition that impacts only a single nerve or nerve group outside the brain and spinal cord, which affects the movement of or sensation in one specific area. It is often associated with neuropathy involving spinal nerve roots and presents as changes in sensory and/or motor function affecting a single or a few nerve root level(s). The most common types of radiculopathies include: sciatica and cervical radiculopathy. The most prevalent causes of radiculopathy include, disc herniation, osteophytes, spinal stenosis, trauma, diabetes, epidural abscess or metastasis, nerve sheath tumors, such as schwannomas and neurofibromas, Guillain-Barre? syndrome, Herpes Zoster, or shingles, Lyme disease, cytomegalovirus, myxedema and/or thyroid disorder, and idiopathic neuritis.

 

Narrowing down some of the most common causes of radiculopathy, symptoms can manifest due to disc herniation which most commonly affects the nerve roots along the C6, C7, L5 & S1 vertebrae of the spine, spinal stenosis and lumbar stenosis which may produce neurogenic claudication, and pain and weakness with ambulation. Cervical stenosis may present with mixed radiculopathy and myelopathy due to long tract involvement. Symptoms may also manifest due to trauma, because it may lead to compression, trauma or avulsion of the nerve roots, diabetes, which is most�likely to cause a polyneuropathy, but mononeuropathy is possible, and Herpes Zoster, or shingles, most often on the trunk, accompanied by vesicular lesions in a single dermatome. If pain persists past vesicular regression, radiculopathy may instead be considered post-herpetic neuralgia.

 

Patients with a history of radiculopathy will often complain of burning pain or tingling sensations which radiates or shoots down an affected area in a “dermatomal” pattern. Occasionally, patients will complain of motor weakness, however if onset is recent, there is often no motor involvement. The diagnosis of radiculopathy can depend on a variety of exams.�Most often, hypoesthesia may be present in the affected dermatome level. It’s recommended to�evaluate for pain, as light touch can be difficult for these patient�s to distinguish. Fasciculations and/or atrophy may be seen if radiculopathy is chronic, due to the lower motor neuron being compressed or impinged. Motor weakness may be seen in muscles innervated by the same root level. Orthopedic tests for the diagnosis of radiculopathy may include: the straight-leg raise test (SLR), where pain between 10 to 60 degrees likely indicates nerve root compression, the�Well-leg raise/Crossed straight-leg raise test (WLR), where if positive, 90 percent specificity for L/S nerve root compression may be present, the Valsalva Maneuver, where its considered positive if there is an increase in radicular symptoms, and spinal percussion, where pain may indicate metastatic disease, abscess or osteomyelitis.

 

How to Do the Motor Examination for Neuropathy

 

 

How to Do the Sensory Exam for Neuropathy

 

 

How to Test Reflexes

 

 

Specific radiculopathy patterns may also develop as a result of different regions being affected. Radiculopathy along the T1 can cause Horner�s syndrome, a combination of symptoms caused by the disruption of a nerve pathway from the brain to the face and eye on one side of the body. This is due to its effect on cervical sympathetic ganglia, includind ptosis, miosis, anhidrosis. Radiculopathy below the L1, can cause Cauda Equina syndrome, a condition caused by damage or injury to the bundle of nerves found below the end of the spinal cord, known as the cauda equina. This type of radiculopathy may manifest symptoms of saddle anesthesia, sensory loss in the S2-S5 distribution, urinary retention or overflow incontinence, constipation, decreased rectal tone or fecal incontinence, and loss of erectile function. Individuals with these signs and symptoms must be referred for emergency care immediately to prevent permanent dysfunction.

 

Other patterns of neuropathy can include the cape/shawl distribution of symptoms, identified by an intramedullary lesion, such as syringomyeli, intramedullary tumor and central cord damage. Stocking and glove distribution of symptoms may manifest as a result of diabetes mellitus,�B12 deficiency, alcoholism and/or hepatitis,�HIV, and thyroid dysfunction and/or myxedema.

 

The cape/shawl pattern of neuropathy is characterized by symptoms occurring due to an intramedullary lesion, such as a tumor, syringomyelia or a hyperextension injury in patient with C/S spondylosis. It can also be characterized by loss of pain and temperature sensation in C/T dermatomes because of the arrangement of the lateral spinothalamic tract. The stocking and glove pattern may progress gradually depending on its specific stage. It can also be characterized as a symmetrical polyneuropathy, where the feet and legs are generally affected first, followed by the hands and arms. A vibration-like sensation in the smallest toes are also typically the first to go and the neuropathy symptoms may progress across the foot to the big toe and then upward through the ankle and leg, then hands, arms and finally to the trunk if the condition becomes severe. The most likely cause of this pattern may be attributed to diabetes mellitus, but other possible causes include, B12 deficiency, alcoholism, HIV, chemotherapy treatment, thyroid dysfunction and multiple other causes.

 

Cape and Shawl Pattern of Neuropathy | El Paso, TX Chiropractor
Stocking and Glove Pattern of Neuropathy | El Paso, TX Chiropractor

 

Diabetic Neuropathy

 

Diabetic neuropathy is medically defined as a collection of nerve damaging disorders associated with diabetes. These conditions are believed to occur as a result of a diabetic microvascular injury involving the small blood vessels, known as the vasa nervorum, which supply the nerves. Additionally, macrovascular conditions have also been considered to accumulate and cause diabetic neuropathy.�Diabetic neuropathy often presents as a polyneuropathy, or the simultaneous damage or disease of many peripheral nerves throughout the body, but it can also present as a mononeuropathy, usually with acute onset. Diabetic neuropathy most commonly affects the CN III, femoral and sciatic nerves. Diabetic neuropathy can affect all peripheral nerves, including the sensory neurons, motor neurons and, although rarely, the autonomic nervous system. As a result, diabetic neuropathy can affect all organs and systems, as these are all innervated. Diabetic neuropathy can manifest into a wide array of symptoms, including, but not limited to, pain, burning or tingling sensations, numbness, dizziness and trouble with balance.

 

Demyelinating Neuropathies

 

Demyelinating neuropathies can be individually defined by its two types: Acute inflammatory demyelinating polyneuropathy, best known as�Guillain-Barre? syndrome, or Chronic inflammatory demyelinating polyneuropathy.�Guillain-Barre? syndrome, abbreviated as AIDP, is identified as a rapid-onset muscle weakness caused when the immune system damages, harms or destroys the peripheral nervous system. Onset has been reported by around one to two weeks following viral infection with progressive weakness, loss of DTRs/areflexia, paresthesia in the hands and feet, more motor involvement than sensory, potential autonomic fiber involvement, elevated CSF protein, and EMG/NCV studies indicating demyelination.�Guillain-Barre? syndrome may require treatment with plasmapheresis or IV Ig therapy.�Chronic inflammatory demyelinating polyneuropathy, abbreviated as CIDP,�is identified as an acquired immune-mediated inflammatory disorder of the peripheral nervous system which appears similar to AIDP but does not follow infection. Symptoms must be present for at least 8 weeks for this diagnosis to be considered positive.�Anti-inflammatory treatments may help treat CIDP.

 

The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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Neuropathy Signs and Symptoms Diagnosis in El Paso, TX

Neuropathy Signs and Symptoms Diagnosis in El Paso, TX

The vast array of symptoms caused by neuropathy, also known as peripheral neuropathy, reflect the fact that it may be caused by an equally broad range of ailments involving disease and damage to peripheral nerves.

 

Signs and Symptoms of Neuropathy

 

Depending on the reason and unique to each patient, signs and symptoms of neuropathy can include:�pain; tingling, burning or prickling sensations; increased sensitivity to touch; muscle weakness or wasting;�temporary or permanent numbness; paralysis; dysfunction in glands or organs; or impairment in urination and sexual functioning.

 

Such signs and symptoms are dependent on whether autonomic, sensory, or motor nerves, as well as a combination of them, are ultimately affected. Autonomic nerve damage can influence physiological functions like blood pressure or create gastrointestinal problems and issues. Damage or dysfunction in the sensory nerves may impact sensations and sense of equilibrium or balance, while harm to motor nerves may affect movement and reflexes. When both sensory and motor nerves are involved, the condition is known as sensorimotor polyneuropathy.

 

Diabetic Neuropathy Symptoms

 

Diabetic peripheral neuropathy, which affects between 12 and 50 percent of individuals with diabetes, is one of the most common types of neuropathy. Many times, symptoms include a gradual change in sensation, as well as pain and weakness in the feet and, although less commonly, the hands. As the neuropathy develops further, it can lead to a loss of sensation in the affected regions.

 

This lack of feeling raises the odds of harm to the affected areas, explains Matthew Villani, doctor of podiatric medicine at Central Florida Regional Hospital at Lake Mary. Without the pain to signal when there’s an issue, individuals with diabetic neuropathy may allow modest abrasions or blisters on their feet, for instance, to fester as sores or ulcers. “The ulcers can become infected since they are open wounds, which can also progress to bone infection. Unfortunately, it frequently requires amputations if it does progress to that point”, states Dr. Matthew Villani.

 

Chemotherapy-Associated Neuropathy Symptoms

 

Cancer patients may suffer with neuropathy induced by chemotherapy as well as by other drugs and/or medications used to treat the disease. Symptoms can include intense pain, impaired movement, changes in heart rate and blood pressure, issues with balance, difficulty breathing, paralysis, and even organ failure. After chemotherapy is done, the symptoms frequently abate swiftly, but occasionally they last more, or these may not go away at all.

 

HIV- and AIDS-Associated Neuropathy Symptoms

 

Individuals being treated for HIV or AIDS can develop neuropathy from effects of the virus and the drugs and/or medications used to treat it as well. Common symptoms include stiffness, burning, prickling, tingling, and loss of feeling in the toes and soles of their feet. Sometimes the nerves in the fingers, hands, and wrists are also affected. The drugs Videx (didanosine), Hivid (zalcitabine), and Zerit (stavudine) have been most commonly associated with neuropathic symptoms.

 

Inflammation-Associated Neuropathy Symptoms

 

Inflammation caused by infections, like herpes zoster (also known as shingles), Lyme disease, or hepatitis B and hepatitis C, may lead to neuropathy, as may inflammation caused by autoimmune disorders, such as vasculitis, sarcoidosis, or autoimmune disease. In such situations, the signs and symptoms generally include burning and tingling sensations or numbness.

 

Other Causes of Neuropathy Symptoms

 

Additional causes of neuropathy and associated signs and symptoms include metabolic disorders, such as hypoglycemia or kidney failure; autoimmune disorders, such as rheumatoid arthritis, lupus, Sjogren’s syndrome, and Guillain-Barr� syndrome; toxicity; hereditary disorders, such as Charcot-Marie-Tooth disorder; hormonal disorders; alcoholism; vitamin deficiencies; physical trauma or injury; compression; and repetitive stress. In addition, many individuals may experience idiopathic neuropathy signs and symptoms, meaning that healthcare professionals may not know the reason for their neuropathy.

 

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Dr. Alex Jimenez’s Insight

Neuropathy can be caused by a variety of injuries and/or aggravated conditions, often manifesting into a plethora of associated signs and symptoms. While every type of neuropathy, such as diabetic neuropathy or autoimmune disease-associated neuropathy, develops its own unique group of signs and symptoms, many patients will often report common complaints. Individuals with neuropathy generally describe their pain as stabbing, burning or tingling in character. If you experience unusual or abnormal tingling or burning sensations, weakness and/or pain in your hands and feet, it’s essential to seek immediate medical attention in order to receive a proper diagnosis of the cause of your specific signs and symptoms. Early diagnosis may help prevent further nerve injury.

 

What are the Common Signs and Symptoms of Neuropathy?

 

“Although there’s a wide array of signs and symptoms associated with neuropathy, the type of pain that people encounter may be common in many aspects of the disorder”, notes Vernon Williams, MD, a sports neurologist and director of the Center for Sports Neurology and Pain Medicine at Cedars-Sini Kerlan-Jobe Institute in Los Angeles. “The character and quality of neuropathic pain will often be pain that is burning or electric in character.” Furthermore, he describes that the pain will frequently be associated with different symptoms, like paresthesia, or a lack of normal sensation associated with pain; allodynia, or a painful reaction to a stimulus that wouldn’t normally trigger pain signals; and hyperalgesia, or a striking or severe pain in response to a stimulus that normally causes moderate pain.

 

How is Neuropathy Diagnosed?

 

If you think you’re having any of the above neuropathy signs and symptoms, consult a healthcare professional. A number of tests can be done to diagnose neuropathy. “There are certain patterns of complaints that indicate neuropathy,” stated Dr. Williams, “so taking down a patient’s history which includes a description of these complaints is an important first step.”

 

“After that, your healthcare professional can perform a physical evaluation, including checking motor and sensory function, assessing deep tendon reflexes, as well as looking for signs and symptoms like allodynia and hyperalgesia,” Williams says. “Then we can even perform electrodiagnostic testing; the most common being electromyography and nerve conduction testing, where we can stimulate nerves and document responses, calculate the rate at which signals are being transmitted and see whether there are some areas where nerves are not transmitting signals normally,” Williams continues.

 

How to Do the Motor Examination for Neuropathy

 

 

How to Do the Sensory Exam for Neuropathy

 

 

How to Test Reflexes

 

 

With needle tests, Williams states, “We can put modest needles into human muscles, and, according to what we see and listen together with all the needle in the muscle, we get details about the way the nerves supplying those muscle tissues are functioning. There are a number of unique tests that could be handy to identifying neuropathy, in addition to localizing where the abnormality is the most likely to be coming from”, concluded Dr.�Vernon Williams.

 

Often, blood tests may test for elevated blood glucose to see whether your neuropathy signs and symptoms could possibly be associated to type 2 diabetes, nutritional deficiencies, toxic elements, hereditary disorders, and evidence of an abnormal immune response. Your healthcare professional may also do a nerve biopsy, which normally involves removing a small segment of a sensory nerve to search for abnormalities, or even a skin biopsy to see if there’s a reduction in nerve endings.

 

To give yourself the best chance of an accurate diagnosis as well as relief from your neuropathy signs and symptoms, be prepared to describe everything you are experiencing in detail, even when you experience them, how long an episode persists, and the amount of pain, discomfort or loss of sensation or movement you experience. The more specific you are on the signs and symptoms you’re experiencing, the easier it’ll be for your doctor to understand what’s happening. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

 

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What is Neuropathy? | El Paso, TX Chiropractor

What is Neuropathy? | El Paso, TX Chiropractor

Neuropathy affects about 8 percent of individuals over the age of 55. Your nervous system is composed of 2 parts: the central nervous system and the peripheral nervous system. The nerves of your peripheral nervous system transmit messages between your central nervous system, that is your brain and spinal cord, along with the rest of the body.

 

These nerves regulate a massive range of functions throughout the body, such as voluntary muscle movement, involving the motor nerves, involuntary organ action, through the autonomic nerves, and also the perception of stimuli, involving the sensory nerves. Peripheral neuropathy, which is often simply referred to as “neuropathy,” is a state that happens when your nerves become damaged or injured, often times simply disrupted. It’s estimated that neuropathy affects roughly 2.4 percent of the general populace and approximately 8 percent of people older than age 55. However, this quote doesn’t include people affected by neuropathy caused by physical trauma to the nerves.

 

Types of Neuropathy

 

Neuropathy can affect any of the three types of peripheral nerves:

 

  • Sensory nerves, which transmit messages from the sensory organs, such as the eyes, nose, etc., to your brain;
  • Motor nerves, which track the conscious movement of your muscles; and
  • Autonomic nerves, which regulate the involuntary functions of your own body.

 

Sometimes, neuropathy will only impact one nerve. This is medically referred to as mononeuropathy and instances of it include:

 

  • Ulnar neuropathy, which affects the elbow;
  • Radial neuropathy, which affects the arms;
  • Peroneal neuropathy, which affects the knees;
  • Femoral neuropathy, which affects the thighs; and
  • Cervical neuropathy, which affects the neck.

 

Sometimes, two or more isolated nerves in separate regions of the body can become damaged, injured or disrupted, resulting in mononeuritis multiplex neuropathy. Most often, however, multiple peripheral nerves malfunction at the same time, a condition called polyneuropathy. According to the National Institute for Neurological Disorders and Stroke, or the NINDS, there are over 100 kinds of peripheral neuropathies.

 

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Dr. Alex Jimenez’s Insight

Neuropathy is medically defined as a disease or dysfunction of one or more peripheral nerves, accompanied by common symptoms of pain, weakness and numbness. The peripheral nerves are in charge of transmitting messages from the central nervous system, the brain and the spinal cord, to the rest of the body. Neuropathy can affect a wide array of nerves. It is also associated with numerous underlying medical conditions and it has been reported to affect approximately 20 million individuals in the United States alone. While physical trauma, infection or exposure to toxins can cause neuropathy, diabetes has been considered to be the most common cause for neuropathy.

 

Causes of Neuropathy

 

Neuropathies are often inherited from birth or they develop later in life. The most frequent inherited neuropathy is the neurological disease Charcot-Marie-Tooth disease, which affects 1 in 2,500 people in the USA. Although�healthcare professionals are sometimes not able to pinpoint the exact reason for an acquired neuropathy, medically referred to as idiopathic neuropathy, there are many known causes for them, including: systemic diseases, physical trauma, infectious diseases and autoimmune disorders.

 

A systemic disease is one which affects the whole body. The most frequent systemic cause behind peripheral neuropathy is diabetes, which can lead to chronically high blood glucose levels that harm nerves.

 

A number of other systemic issues can cause neuropathy, including:

 

  • Kidney disorders, which permit high levels of nerve-damaging toxic chemicals to flow in the blood;
  • Toxins from exposure to heavy metals, including arsenic, lead, mercury, and thallium;
  • Certain drugs and/or medications, including anti-cancer medications, anticonvulsants, antivirals, and antibiotics;
  • Chemical imbalances because of liver ailments;
  • Hormonal diseases, including hyperthyroidism, which disturbs metabolic processes, potentially inducing cells and body parts to exert pressure on the nerves;
  • Deficiencies in vitamins, such as E, B1 (thiamine), B6 (pyridoxine), B12, and niacin, that can be vital for healthy nerves;
  • Alcohol abuse, which induces vitamin deficiencies and might also directly harm nerves;
  • Cancers and tumors that exert damaging pressure on nerve fibers and pathways;
  • Chronic inflammation, which can damage protective tissues around nerves, which makes them more vulnerable to compression or vulnerable to getting inflamed and swollen; and
  • Blood diseases and blood vessel damage, which may damage or injure nerve tissue by decreasing the available oxygen supply.

 

Additionally, if a nerve suffers from isolated bodily injury, it can become damaged, resulting in neuropathy. Nerves may suffer a direct blow that severs, crushes, compresses, or stretching them, even to the point of detaching them from the spinal cord. Common causes for these injuries are automobile accidents, falls, and sports injuries.

 

Nerve damage can also arise from powerful pressure on a nerve, like from broken bones and poorly fitted casts. Prolonged pressure on a nerve can also cause neuropathy, as in carpal tunnel syndrome, which occurs when the median nerve at the wrist becomes pinched. Also, persistent physical stress could inflame muscles, tendons, and ligaments, placing substantial pressure on the nerves.

 

Numerous infections from bacteria and viruses can lead to neuropathy by attacking nerve tissues directly or indirectly, for instance:

 

  • HIV
  • Shingles
  • Epstein-Barr virus
  • Lyme disease
  • Diphtheria
  • Leprosy

 

In addition, various autoimmune disorders, in which the body’s immune system attacks and destroys body tissue that is healthy, may result in nerve damage, including:

 

  • Multiple sclerosis
  • Rheumatoid arthritis
  • Guillain-Barr� syndrome (acute inflammatory demyelinating neuropathy)
  • Chronic inflammatory demyelinating polyneuropathy
  • Lupus
  • Sjogren’s syndrome

 

Complications of Neuropathy

 

Peripheral neuropathy may result in several complications, as a result of disease or its symptoms. Numbness from the ailment can allow you to be less vulnerable to temperatures and pain, making you more likely to suffer from burns and serious wounds. The lack of sensations in the feet, for instance, can make you more prone to developing infections from minor traumatic accidents, particularly for diabetics, who heal more slowly than other people, including foot ulcers and gangrene.

 

Furthermore, muscle atrophy may cause you to develop particular physical disfigurements, such as pes cavus, a condition marked by an abnormally high foot arch, and claw-like deformities in the feet and palms. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Physical Therapy for Cerebral Palsy in El Paso, TX

Physical Therapy for Cerebral Palsy in El Paso, TX

There are many different treatments for cerebral palsy available today, however each case of cerebral palsy is as unique as the individual it affects. Because cerebral palsy can ultimately affect the normal functioning of the brain, treatment approaches which enhance the connection between the brain and the body are essential. Various treatments will work for different patients. A treatment known as physical therapy, or physiotherapy, is categorized as a non-medicinal treatment of cerebral palsy with the usage of massage, exercise, heat, and other external means of treatment.

 

Physiotherapy can be used to help cerebral palsy patients improve motion and motor abilities. Since cerebral palsy is a physical and movement disorder that disrupts the brain’s ability to correctly control muscle movement, physiotherapy can work wonders in helping cerebral palsy patients achieve mobility. Cerebral palsy physical therapy techniques are dependent on the degree of physical limitations of the person, and what’s going to be most beneficial to the cerebral palsy patient. Chiropractic care, can also include physical therapy techniques. Because the brain is believed to be lacking proper stimulation for functioning through cerebral palsy, chiropractic care can offer proprioception of touch for the assistance of mobility for the increased sensory stimulation of the brain through spinal adjustments and manipulations.

 

Physiotherapy for Cerebral Palsy

 

Cerebral palsy is the most common physical disability in children and it also represents the most frequent diagnosis in children who receive physical therapy. The harshness of limitations in gross motor function among children with cerebral palsy varies greatly, as some can walk without helping devices while some must use battery-powered wheelchairs. Physical therapists help children discover better ways to balance and move, as well as learn to walk, use their wheelchair, stand up with help, or go up and down stairs safely. The physical therapists engaged in physiotherapy reduce further growth of musculoskeletal problems by preventing muscle weakening, deterioration, and contracture during the suitable physiotherapy methods.

 

Physiotherapy usually consists of a couple kinds of treatment and helps a cerebral palsy patient to improve their gross motor abilities. Motor abilities that utilize the big muscles in the body, such as those in the arms and legs, are called gross motor abilities. This kind of physical therapy can help improve a cerebral palsy patient’s balance and motion.

 

Physical therapy for cerebral palsy patients consists of activities and education to enhance flexibility, strength, mobility, and function. A physical therapist also designs, modifies, and orders elastic gear to be used in the rehabilitation. Physical therapy can take place in clinics, hospitals, schools, and ought to continue in the home through a workout program. Physical treatment for cerebral palsy patients won’t be effective without an ongoing daily home program.

 

Physical Therapy Methods for Cerebral Palsy

 

A physical therapy program must include lots of exercises that include stretching, strengthening, and positioning. To elongate the muscles, the arms and legs must be transferred in ways that produce a slow, steady pull on the muscles to keep them loose. Because of the greater muscle tone of the cerebral palsy patient, they tend to have tight muscles. Therefore, it’s extremely important to perform daily stretches to maintain the arms and legs limber, allowing the child to continue to move and function. Strengthening exercises work specific muscle groups to enable them to encourage your system better and increase function. Positioning requires your system to be set in a particular position to achieve long stretches. Some places help minimize unwanted tone. Positioning can be achieved in many different ways. Bracing, abduction pillows, knee immobilizers, wheelchair inserts, sitting recommendations, and handling techniques are a part of placement techniques utilized in physical therapy for cerebral palsy patients.

 

New methods of physical therapy for cerebral palsy patients have taken into the water. Aquatic-based rehabilitation employs the physical properties of water to either resist or help in the operation of exercises. Cerebral palsy patients undergo muscle shortening in the majority of their involved extremities and it becomes a difficult job to lengthen the affected musculature with regular stretching while needing to manage the effects that gravity has on the spastic leg or arm. In earlier times there was clinical bias against strengthening activities for this population. But, recent study findings are revealing that kids with cerebral palsy may gain from strengthening applications and that strength is directly associated with motor function. Some of the recorded advantages are optimization of neuromuscular responses, improved motor unit contraction synchrony and facilitation of maximal muscle contraction combined with a wide available selection of motion.

 

Physical treatment for cerebral palsy patients does not heal spasticity but can improve impairments and limitations. Physical treatment for cerebral palsy patients is an important step towards an independent lifestyle. If these changes happen only in the therapy gym, the disability remains unchanged. Therapy must improve skills to carry out meaningful tasks in everyday life. Changing the level of handicap is the ultimate aim of physical therapy for cerebral palsy.

 

Occupational therapy is another element of physiotherapy used for cerebral palsy patients, and it’s used for aiding in the development of fine motor skills. Fine motor skills focus on the use of smaller muscles, such as those from the face, fingers, toes, palms, and feet. Fine motor skills have been used during daily living skills such as eating, dressing, writing, etc., and are fine tuned by occupational physiotherapy.

 

Physiotherapy also entails picking the right sort of adaptive equipment that could enhance a cerebral palsy patient’s motor abilities. Wheelchairs, walkers, special eating utensils and other adaptive equipment supply a patient with the liberty to accomplish some tasks on their own.

 

Additional types of physiotherapy like language and speech therapy might also be incorporated into a cerebral palsy patient’s program. Physiotherapy in the form of language and speech therapy that enables a cerebral palsy patient to communicate more easily with other people by developing the facial and jaw muscles, enhancing speech or sign language messages, and introducing communication resources such as computers and other visual aids.

 

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Dr. Alex Jimenez’s Insight

Cerebral palsy is a lifelong group of movement disorders with no cure. However, several treatment options can help improve the quality of life of a patient with cerebral palsy. Chiropractic care and physical therapy, or physiotherapy, are some of the most common treatment approaches utilized to help restore strength, flexibility and mobility for individuals and children with cerebral palsy, without the need for drugs/medications and surgery. Chiropractic care can help improve many aspects associated with cerebral palsy due to the stimulation of the brain through touch, using spinal adjustment and manual manipulations to enhance sensory receptors in patients with this movement disorder. A physical therapist, as well as a chiropractor, may generally recommend a series of stretches and exercises which can improve range of motion in patients with cerebral palsy. Chiropractic care and physical therapy have the ability to develop self-sufficiency in cerebral palsy patients where it was previously absent.

 

Chiropractic Care for Cerebral Palsy

 

Several other physical therapy options can also help provide some form of relief from painful symptoms for cerebral palsy patients. Chiropractic care has become a popular, alternative treatment approach which focuses on maintaining as well as improving the overall health of the body through the use of spinal adjustments and manual manipulations. Because different areas of the body can be affected in individuals and children with cerebral palsy, chiropractic care can be beneficial towards helping those limbs regains some strength, flexibility and mobility. A chiropractor who specializes in patients with cerebral palsy can also offer several rehabilitation and physical therapy stretches and exercises to achieve the desired semblance of activity from the cerebral palsy patient. Because chiropractic care utilizes touch through spinal adjustments and manual manipulations to enhance the structure and function of the brain and the body, the sensory stimulation provided by a chiropractor can promote the migration of the brain in order to help change the receptors of the brain.

 

Furthermore, chiropractic care can help treat other, less noticeable aspects of the motor disorder. When used as a part of a rehabilitation and physical therapy program, chiropractic care can help improve some of the more problematic symptoms associated with cerebral palsy, including muscle spasms, seizures, and leg and arm issues through touch mobility protocols. The connection between the body and the brain has long been the center focus of chiropractic care, which is why spinal adjustments and manual manipulations are commonly utilized to enhance the stimulation of the brain, the spine, the nerves and the remaining structures of the body, especially in the case of patients with cerebral palsy, where the proper stimulation of the brain is necessary in order to restore function and improve quality of life. By carefully working to restore the natural alignment of the spine, a doctor of chiropractic, or chiropractor, can improve symptoms of back pain which may often be caused by the stress being placed on the spine�in patients with cerebral palsy. The purpose of chiropractic care and physical therapy is to improve physical movement and coordination, speech, vision and intellectual development�for patients with cerebral palsy.

 

Physiotherapy is an integral part in the vast majority of many cerebral palsy patients’ lives. Physiotherapy has the ability to develop self-sufficiency in cerebral palsy patients in which it was previously absent. A kid with cerebral palsy can start physiotherapy in just about any age. Speak with your child’s doctor about setting up physiotherapy program today. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Types of Treatment for Cerebral Palsy in El Paso, TX

Types of Treatment for Cerebral Palsy in El Paso, TX

Children with cerebral palsy have various needs. Some children have problems with motor skills and spasticity, but normally pick up things pretty fast. Others have a full range of issues from motor skills to esophageal and respiratory problems. Since so many kids with cerebral palsy have an array of different medical needs, there isn’t one particular type of treatment which may help each and every child. Luckily, there are a number of different therapeutic remedies to select from, which range from holistic care, water therapy, and much more.

 

Acupuncture

 

Whilst generally not adopted in Western Medicine, acupuncture has been used for centuries by Asian countries and is viewed as a medicinal art. Some families with children who have cerebral palsy take their kids to an acupuncturist to try and relieve the frequent pain related to the disorder. Other kids find relief in acupuncture for painful birth injuries such as spina bifida, Erb’s palsy, and brain damage. Acupuncture uses needles to ease pain, often instead of medication.

 

Aquatherapy

 

Aquatherapy is among the most popular and beneficials form of treatment for children with cerebral palsy, as they suffer from limb maladiess, but this might also be advantageous for children who suffer with Erb’s palsy and are trying to regain movement in their arm.

 

Under the supervision of a trained and experienced professional therapist, kids may gain from the strength exercise and training afforded by the anti-gravity character of a pool. In this soothing environment, a child can have a respite from some of the pain which comes with the disability (occasionally cerebral palsy causes stress on the musculoskeletal frame by simply gravity and body weight), and they can still work through the natural curative and restorative nature of water.

 

Behavioral Therapy (Psychotherapy)

 

Some birth injuries involve an intellectual disability that impacts how kids interact in social scenarios. Other children might have had physical constraints that included them being house-bound for a long time, causing them to have a deficiency in social skills or cues. Behavioral therapy, also known as psychotherapy, allows patients to work through problems they may have within their social and mental health with a behavioral health professional.

 

Chiropractic Care and Massage Therapy

 

Children with cerebral palsy may benefit from chiropractic care and massage therapy for a few different reasons. Because some children with cerebral palsy may have experienced lots of strain or stress on their musculoskeletal system as a result of the disorder, requiring chiropractic care may ultimately be fundamental towards their proper spinal alignment as well as for their overall health and wellness.

 

Chiropractic care is a well-known alternative treatment option which utilizes spinal adjustments and manual manipulations to treat a variety of injuries and/or conditions associated with the musculoskeletal and nervous system, including back pain.

 

Another reason that a patient with cerebral palsy might need chiropractic care or massage treatment is for the basic goal of extending and stretching muscles. When muscles relax as they perform through such therapies, they are more inclined to become stronger and healthier which is needed if they are going to correctly learn how to walk. This kind of treatment isn’t generally suggested for kids suffering from spina bifida because the raw exposed nerves could be inadvertently mishandled, causing more problems.

 

Furthermore, chiropractic care can be used to help treat other, less noticeable aspects of cerebral palsy. The theory of chiropractic care is that by healing the central area around the spine, the extremities and other parts of the body affected by the disorder can become more normalized, allowing for improved function and quality of life. Chiropractic care can also help improve strength, mobility and flexibility in children with cerebral palsy and its associated symptoms.

 

Conductive Education

 

Some children with neurological or mobility impairment found in almost any brain-related birth trauma need help performing activities that regular people learn through daily exercise, learning, and experience. Since these children don’t often have the same sorts of experiences that non-disabled people have, conductive education is a form of special education that functions as a kind of study group for life.

 

Conductive education provides opportunities of every day learning experiences so that kids can have the exact same general education that non-disabled individuals do.

 

Hippotherapy

 

Using equine motion and connections with horses, children with all kinds of birth injuries could learn basic occupational and speech therapy. Hippotherapy is not therapeutic horseback riding, but rather a trained practitioner introduces the child to the horse and uses the horse to access the child in ways which were previously thought of as unconventional.

 

Hyperbaric Oxygen Therapy

 

Normally short-term treatment and frequently only experienced once or twice, Hyperbaric Oxygen Therapy is a method of fast-healing for some kids that have suffered oxygen deprivation (anoxic, hypoxic, HIE, birth asphyxia, and perinatal asphyxia). If an infant is delivered and does not breathe for the upcoming instant minutes, hyperbaric oxygen treatment is a great way to introduce a lot of oxygen into the blood stream preventing or lessening the seriousness of birth injuries such as cerebral palsy.

 

Occupational Therapy

 

Occupational therapy’s main objective is to work on creating balance, strength, and gait. An occupational therapist might consult with an orthopedic surgeon to operate on strengthening and firming muscles, in which following the occupational therapist can delegate casts and orthopedic devices which also help strengthen and form muscles. These methods are to help patients learn how to walk, and also to create control and strength to stop spasticity.

 

The occupational therapist also trains patients to function on decision-making, abstract reasoning, problem-solving, perception, memory, sequencing, and much more.

 

Play Therapy

 

Utilizing play with a variety of different toys in various public places, kids with all kinds of birth injuries can learn to appreciate themselves. Often children with birth injuries can feel that they’re different or that they have health issues and end up stressing about their difficulties more than having fun.

 

While they’re having fun in play therapy, they can learn the way to interact with other kids, learn about themselves, and to construct self-confidence.

 

Physiotherapy and Physical Therapy

 

Physiotherapy and physical therapy both operate on the rehabilitation of muscle groups. This is extremely important for children with shoulder dystocia, Erb’s palsy, Klumpke’s palsy, or Brachial Plexus palsy, and, in fact, kids suffering from these birth injuries won’t regain use of their hand or arm without physical and physiotherapy. Through this type of treatment, therapists strive to receive the perfect movement from their patients through an assortment of different challenges and exercises.

 

This can be like occupational therapy, though the focus is mainly on what the muscle groups are doing, and not on so many different targets like occupational therapy. A physical therapist is often like a personal trainer in a gym, training, cheering, and challenging.

 

Respiratory, Digestive, and Dietician Therapy

 

Some kids with cerebral palsy encounter respiration and esophageal problems. Consequently they can experience issues with eating, breathing, and drinking, which divides into digestive and dietician treatment, addressing what foods and drinks should be consumed. Respiratory treatment may primarily tackle breathing exercises to strengthen and optimize lung development, but may also address these other concerns.

 

Speech and Language Therapy

 

Speech and language therapy can be very important for kids with cerebral palsy and other forms of brain-related birth harm. Approximately, 1 out of every 4 patients with cerebral palsy don’t have the capability to speak. Speech and language therapy helps them to work on exercises which progress the learning of speech and get kids closer to communicating effectively.

 

Some speech and language therapists utilize programs that help patients understand the operation of language inside individuals, and these programs also provide communication boards using pre-formed responses so that children can get in the habit of responding with particular answers until they consider trying to verbalize these answers.

 

Vocational Counseling

 

This has many different sorts of therapists, a few children could be confused or jeopardized by visiting a lot of individuals, or, worse, by having so many people invade their home. One way of approaching treatment is by using a vocational counselor, one individual who can master several distinct types of treatment.

 

As vocational counselors might not have exactly the exact same depth in all of these subjects as one therapist would have regarding one subject, this might be a great first step for treatment with your little one. By getting your child to adjust to only one person interacting within their lifetime, they’re more inclined to concentrate on the subjects at hand.

 

Afterwards, if more obstacles and more depth is required, your kid may have more assurance in different areas (and with a few social abilities from connecting with this particular counselor) and may be able to handle other therapists more efficiently.

 

Yoga Therapy

 

Normally prescribed under the direction of an occupational or physical therapist, yoga therapy is a fantastic alternative for kids whose muscles need to be loosened or lengthened. Children with cerebral palsy suffer from particularly tight muscles, so yoga therapy helps them to work on extending and on making the muscles more limb. This type of treatment might be incorporated to other sorts of therapy, and it might also be delegated as “homework” to kids with cerebral palsy for optimal flexibility and, ultimately, optimal freedom.

 

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Dr. Alex Jimenez’s Insight

Cerebral palsy is a lifelong set of movement disorders with no cure. However, various types of treatment options can help provide some forms of relief for individuals and children with cerebral palsy as well as help restore some function and quality of life. Because cerebral palsy can affect patients differently, people with the disorder can benefit from many different therapies, including chiropractic care and physical therapy. Chiropractic care is a popular, alternative treatment option which focuses on the diagnosis and treatment of several kinds of injuries and/or conditions, including cerebral palsy. Through the use of spinal adjustments and manual manipulations, a chiropractor can help improve strength, mobility and flexibility in people with cerebral palsy.

 

The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Chiropractor Cerebral Palsy Specialists in El Paso, TX

Chiropractor Cerebral Palsy Specialists in El Paso, TX

What is Chiropractic Intervention?

 

Chiropractic care, recognized as a complementary or alternative health practice in the U.S., is becoming a sought after treatment for pain control in children and adults, alike. Chiropractic interventions are used to improve forms of musculoskeletal pain, including low back, shoulder, neck, headaches, hand and foot problems, as well as for particular health conditions, such as Cerebral Palsy, fibromyalgia and attention deficit hyperactivity disorder.

 

The Greek word “chiropractic” means “hand practice” or therapy done by hand. Chiropractic care is a hands on approach to treatment which often centers around the adjustment to the joints and spine in a way that influences the human body’s nervous system and natural defense mechanisms for the purpose of alleviating pain and improving health and wellness.

 

There are 2 million children and nearly 18 million adults in the United States who’ve received chiropractic or osteopathic manipulation during a 12 month period, based on the 2007 National Health Interview Survey, or NHIS. The analysis found that children who have parents that use complementary and alternative medicine, or CAM, services are twice as likely as other children to utilize complementary health services, as well.

 

As a matter of fact, in 2007 the CDC National Health Statistics Report #12 indicated that rehabilitation and chiropractic services would be the next most popular form of CAM treatments used on children. CAM therapies were most widely used on children for the following purposes:

 

  • Back and neck pain, 6.7 percent
  • Head or chest cold, 6.6 percent
  • Anxiety and stress, 4.8 percent
  • Other musculoskeletal health issues, 4.2 percent
  • Attention deficit hyperactivity disorder, 2.5 percent
  • Insomnia, 1.8 percent

 

Although there is little in the way of formal studies on the effects of chiropractic care for use on individuals with Cerebral Palsy, you will find reports from the chiropractic community that demonstrated improvements for the following conditions:

 

  • Arthritis
  • Back pain or other problems
  • Breathing
  • Drooling (release of the TMJ-muscles)
  • Gait patterns
  • Hypertonic musculature
  • Joint pain or stiffness
  • Muscle contractures
  • Neck pain or other problems
  • Pain and tension
  • Scoliosis or curvature of the spine
  • Seizures
  • Sleep difficulties
  • Other musculoskeletal conditions

 

Simply explained, the brain communicates with the body. Chiropractic care is established in improving the manner in which brain control and muscles work together. The neuromuscular system sends messages from your brain, down the spine and in the nerves. When there’s interference, the body isn’t able to be effective.

 

Chiropractic intervention aims to enhance the structural facets of the body to clear the pathway for the brain to communicate with the nerves. This can result in improved strength, balance, flexibility and coordination abilities, especially in the extremities. One intervention does not fix all, instead the intervention chosen and the location of treatment are relative to the symptom being addressed. Since Cerebral Palsy affects people differently, assorted chiropractic treatment methods are utilized to address specific issues.

 

History of the Evolution of Chiropractic Care

 

Launched in Davenport, Iowa in the late 1890s, chiropractic care has been rooted in holistic notions that, for several decades, rendered the practice controvesial. The contention of those in the chiropractic community that the only source of pain has been spinal dysfunction called vertebral subluxation has been contested by conventional medical practitioners. Additionally, physicians and other critics have questioned the capability of chiropractic care in treating ailments which aren’t connected to the neuromusculoskeletal system.

 

Although chiropractic care recently has gained acceptance by the medical community because of manual therapy due to its ability to alleviate pain, the practice remains rooted in spinal adjustments and manipulations as a gateway to enhancing a person’s overall health and wellness. Currently, there are chiropractors in practice which are purists, and others that think scientific research has a place in chiropractic care.

 

There is evidence that chiropractic care can be helpful to children with Cerebral Palsy. Some research suggests that kids that received spinal adjustments may sit and stand with more ease. Also, the research indicated that some children became active, digested food better, slept more peacefully, and appreciated improved coordination following chiropractic care.

 

In the publication, “Chiropractic Care of Special Populations,” writer Robert D. Mootz reports on some special treatments which have been reported to have enhanced some circumstances of Cerebral Palsy:

 

  • Adjustment of the atlanto-occipital subluxations helped with children who had difficulty with sleeping, personality disturbances, and hypertonic musculature.
  • Upper cervical spine adjustments created clinical improvements in a 5-year-old male with quadriplegic Cerebral Palsy.
  • Adjustments can be helpful in cases of cranial dysfunction in the sphenobasilar junction in children who have a history of birth trauma or head injury where motor tracts of the medulla may be compromised.
  • Manual release of the TMJ-related muscles, such as the masseter and temporalis, may ease excessive drooling.
  • Myofascial release may be used to assist in decreasing the severity of spinal distortion and aid in stabilizing gait patterns in children with spastic Cerebral Palsy who have muscle contractures in the paraspinals, lateral thigh muscles, lower extremity abductors, Achilles tendons, and wrist extensors.

 

What is Chiropractic Care?

 

Chiropractic care is considered a manipulative and body-based therapeutic system which has an impact on the human body’s systems and structures, such as the bones, joints, soft tissues, and neuromuscular system, which are manipulated beyond their passive range of movement and with proper use of force. It is a treatment which uses the adjustment and manipulation of the spine and joints to ease pain. The spinal manipulations are made using the chiropractor’s hands, and therefore are known as “adjustments.” The dysfunctions or abnormalities at the joints of the spine are known as “vertebral subluxations.” Vertebral subluxations are a group of symptoms in the spine.

 

Many people seek chiropractic care to address:

 

  • Neck pain
  • Back pain
  • Spinal discomfort
  • Inability to sit or stand

 

Chiropractic care is determined by three main concepts, which are:

 

  • Reductionism: attributing the cause of pain or illness to vertebral subluxation alone.
  • Conservatism: committing to non-invasive interventions as a mode of treatment.
  • Homeostasis: emphasizing self-healing.

 

These three notions are heeded by both traditional, purist chiropractors and “mixers” chiropractors which are influenced by evidence-based scientific findings and fundamentals. Mixers can introduce other treatments to bring relief to people including:

 

  • Ice and heat
  • Vitamins and nutritional supplements
  • Homeopathic or holistic medicine
  • Herbs

 

However,� all chiropractors use the simple tenet of this profession, vertebral subluxation, as the centerpiece of all clinical treatments, together with a combination of other interventions.

 

Which are the Advantages of Chiropractic Treatment, also When is Care Advised?

 

Although there have been several studies that assess the impact of chiropractic care on children with Cerebral Palsy, several of which have been completed have shown that children respond well to treatment.

 

In a 2006 study, initially published in the Journal of Vertebral Subluxation Research suggested that kids with Cerebral Palsy that were determined to have subluxations showed improvement in their mobility after one month of chiropractic care. One child demonstrated improvement in her ability to sit up, walk, and ambulate following 22 spinal alterations.

 

In a research published by the Journal of Pediatric, Maternal & Family Health, it was determined that a 2-year-old boy with Cerebral Palsy was relieved of many symptoms that interfered with his freedom and ability to sleep. Following seven months of care, he was able to pull himself into an upright position and was sleeping frequently. Although, other characteristics of his condition, such as uncontrolled movements, persisted.

 

Individuals in several walks of life, by the elderly to children, seek chiropractic care. Many indicate that they recognize significant relief from spinal adjustments and manual manipulations. However, individual advantages are dependent on a child’s condition at the beginning of care; parents with the advice of the child’s primary care physician, will want to ascertain how chiropractic care fits in with a child’s overall treatment program.

 

What Happens During Chiropractic Care?

 

At the start of a chiropractic appointment, a complete medical history will be taken to acquaint the practitioner of the symptoms that an individual is coping with. From there, a series of exams and evaluations will happen.

 

Among the very first of these will be an X-ray, which ought to offer some valuable information about the condition of a child’s spinal column. This information often includes:

 

  • Curvature
  • Misalignments (subluxations)
  • Abnormalities
  • Muscle tone changes
  • Tissue abnormalities

 

A physical examination will assist the chiropractor to find a child’s source of pain. When the assessment is finished, the chiropractor will recommend a plan of treatment, which is very likely to include adjustments. If they suspect that another condition is causing pain or discomfort, a referral will be issued.

 

A chiropractor will utilize several techniques to ascertain in which a subluxation, or misalignment, is present. The most frequent procedures which will help the chiropractor decide which adjustments will be necessary to bring relief to a child are:

 

  • Static palpitation � when a practitioner uses his or her hands to detect signs of misalignment
  • Motion palpitation � when a doctor moves bones to separate them
  • Leg check � moving the legs to reveal spinal subluxation

 

An adjustment is finished when the joints of the spine are moved past the point at which they would normally proceed in a way where it does not damage or dislocate the joints. Doing so will require the chiropractor to use gentle force and educated expertise to finish the moves. Notice, untrained individuals should not attempt to perform these procedures on another person.

 

There are several specific kinds of adjustment which can be used to aid a child. They include, but are not limited to:

 

  • Diversified movement � full spine manipulation
  • Activator technique � using a device to adjust the spine
  • Cox technique � low-force adjustment
  • Gonstead technique � using a specific path to adjust the spine

 

These adjustments will be created over a period of time, comprising of several appointments, to help a patient recover motion and minimize discomfort.

 

Chiropractors most often operate private practices, but often, their services can be found in other medical settings such as:

 

  • Hospitals
  • Physician�s office
  • Clinics
  • Assisted living centers
  • Residential facilities and nursing homes

 

Who Offers Chiropractic Care?

 

Chiropractors offer a wide range of services and, based on where an individual resides, the scope of their duties may vary. In a small number of countries, chiropractors are allowed to perform minor surgeries and write prescriptions, for others, these functions are prohibited.

 

Internationally, demands to practice as a chiropractor vary. In the United States, a chiropractor needs to complete a professional degree program. Accredited programs require an applicant to complete 90 credit hours of undergraduate instruction, and many others require students to earn a bachelor’s degree.

 

Doctors of chiropractic, nevertheless, must complete an intensive program that revolves around healing arts that many consider to be challenging in a medical college. A doctor of chiropractic, or chiropractor generally pursues a bachelor’s of science degree prior to attending a chiropractic college.

 

Bachelor’s degree coursework contains:

 

  • Biology
  • Chemistry
  • Physics
  • Nutrition
  • Psychology
  • Anatomy
  • Physiology

 

Chiropractic college curriculums include further coursework, in addition to hands-on instruction and clinical study that lasts four or five years.

 

Licensure is required to practice in the USA. Most states will grant licenses for those who have successfully completed an accredited program and passed an examination administered by the National Board of Chiropractic examiners.

 

Healthcare practitioners that choose to provide additional services such as acupuncture or massage might have to pursue other courses of research and certificates if they intend to supply these services personally.

 

Are There Special Considerations or Risks for Chiropractic Therapy?

 

Generally, chiropractic care is considered safe. In the hands of a fully-qualified practitioner, chiropractic care may cause some mild discomfort, but it should not be painful. If a child complains that treatment is extremely uncomfortable, or painful, a parent must inquire into the issue by requesting the chiropractor why this is happening. If a parent is uncomfortable with the answer, he or she should seek the care of another healthcare practitioner or chiropractor.

 

Often throughout the process of making an adjustment, a child and their parents will hear a popping noise. This occurs when gases escape from fluids that surround joints. This is similar to popping that happens in the joints of the feet or ankles; it isn’t indicative of a critical illness. Also, to the untrained eye, the quick and quirky alterations could appear alarming to people unfamiliar with chiropractic interventions.

 

Tips for Choosing a Chiropractor

 

According to the National Center for Complementary and Alternative Medicine, or NCCAM, a division of the National Institute of Health, which is considered the lead agency for scientific research on diverse medical and health care practices, when choosing a chiropractor, the individual must inquire:

 

  • Their experience in coordinating care with conventional health care providers
  • Their experience in delivering care to children
  • Their education, training and licensure

 

You also need to inquire about their experience and expertise in treating children, or adults, with Cerebral Palsy.

 

NCCAM also recommends that when considering an alternative and complementary wellness approach for a child:

 

  • Make sure the child has an accurate diagnosis from a licensed healthcare provider.
  • Understand the potential risks, benefits and effectiveness of the specific strategy.
  • Discuss any and CAM approaches with the child’s primary care physician before agreeing to this therapy protocol, particularly with the physician that abroad your child’s care plan so that there’s not any conflict with other kinds of therapy.
  • Never use any health product or practice which hasn’t been shown safe and effective to substitute or delay conventional care or prescribed drugs.
  • When a health care practitioner indicates a CAM approach, don’t increase the dosage or length of this treatment beyond what is advocated without professional approval.
  • Discuss any and all concerns about the effects of a CAM strategy with your child’s main health care provider.
  • To ensure coordinated and secure care, inform all your child’s healthcare providers about any CAM strategy your child uses, giving them a full picture of what you do to manage your child’s wellbeing.

 

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Dr. Alex Jimenez’s Insight

More so now, than ever before, people are turning to alternative and complementary medicine to treat a variety of injuries and/or conditions, especially Cerebral Palsy. An increase of CAM treatment methods can offer more therapy options for people or children with CP. Although CP has no cure, a person with Cerebral Palsy can benefit from alternative and complementary medicine. Chiropractic care has been demonstrated to help improve other symptoms associated with CP. Furthermore, chiropractic care used together with physical therapy and rehabilitation can help restore some strength, mobility and flexibility for people and children with Cerebral Palsy.

 

The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

Referenced from:Cerebralpalsy.org

 

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Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

blog picture of cartoon paperboy big news

 

EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Traditional & Alternative Treatment Options for Cerebral Palsy

Traditional & Alternative Treatment Options for Cerebral Palsy

Cerebral palsy, or CP, is a medical term used to describe developmental motor conditions that cause impairment or disability. Cerebral palsy is not contagious and it isn’t regarded as a disease. Although it is not hereditary, many cases of CP are believed to be caused throughout pregnancy or birth, therefore they are typically referred to as a congenital condition. Cerebral palsy might be related to infection, radiation, or lack of oxygen during brain growth, as well as premature birth and birth trauma. Damage can occur up to age 3.

 

What is Cerebral Palsy?

 

Cerebral palsy, caused by “a permanent, non-progressive defect” in the brain, affects movement, posture, and muscle tone. Cerebral palsy is not paralysis, however, the motor centers of the brain become altered with the condition. Eyesight health issues and depth perception, cognition and communication challenges, and musculoskeletal issues can result from cerebral palsy. All cerebral palsy types involve “abnormal muscle tone”, and problems with motor development and reflexes.

 

Symptoms of CP include spasms, spasticity, involuntary movement, and balance and gait difficulties, including “foot walking” and “scissor walking”. The degree of disorder falls on a continuum, from “slight clumsiness” to severe impairments. Babies with the severe types of CP have bodies which may be rigid or floppy, with irregular posture. There can also be other birth defects as a result of cerebral palsy. Over the course of a child’s growth, symptoms may change or appear. It is generally when the baby becomes mobile that cerebral palsy becomes more evident. Speech problems, from respiratory and muscular difficulties, can also frequently occur.

 

A number of the secondary conditions related to CP include sensory impairments, eating problems, seizures, epilepsy, behavior and learning disabilities, mental retardation, and continence disorders. Speech impairments or disabilities and language delays are also commonly associated with CP. Early intervention is necessary. Patients with cerebral palsy may also have different leg lengths and shorter height, as CP affects skeletal bone growth. Spasticity and gait problems influence the vertebral development. Cerebral palsy can also interfere with sleep and cause pain and discomfort. It’s essential for individuals or families of children with cerebral treatment to seek treatment options to help relieve some of the symptoms associated with this developmental motor condition.

 

Traditional Treatments for Cerebral Palsy

 

Long-term care, from a team of healthcare professionals, can help patients with cerebral palsy properly handle their symptoms. Traditional treatments can come from physiatrists, neurologists, orthopedic surgeons, physical and occupational therapists, speech and development therapists, and from social workers, special education teachers, and mental health specialists.

 

Because CP patients may have tight muscles and spasticity pain, some drugs and/or medications may be prescribed. To treat “generalized spasticity”, muscle relaxants (i.e. baclofen, diazepam) could be offered. Some of the drugs/medications, however, have dependency hazards and side effects, such as nausea and sleepiness, which is why it’s important to first consult a healthcare professional who specializes in cerebral palsy, regarding the most recommended traditional treatments. To treat “isolated spasticity”, Botox injections may be used. The side effects of Botox injections include fatigue, bruising, as well as trouble swallowing and breathing. Additionally, there are also anti-drooling drugs and/or medications.

 

Some surgical interventions might also be proposed, such as orthopedic surgery or the severing of nerves to improve symptoms. However, other treatment options should be considered before turning to surgery for CP, unless properly recommended by a healthcare professional. Cerebral palsy patients might also have to wear braces or splints, or use canes, wheelchairs, or walkers. Muscle training and other exercises are also general prescribed as part of traditional treatments.

 

Chiropractic Care for Cerebral Palsy

 

While there is no cure for cerebral palsy, many traditional treatments can be used to help manage the symptoms associated with it. Alternative treatment options are safe and effective treatment methods utilized to help improve symptoms of cerebral palsy without the use of drugs and/or medications or surgical interventions. Chiropractic techniques are a type of health care which utilizes spinal adjustments and other bone structure associated treatment methods in order to aid a person’s body in conforming to a more normal position.

 

Children with cerebral palsy might benefit from chiropractic care for a few different reasons. In individuals with cerebral palsy, distinct body parts may be affected, such as one or both arms and legs. Chiropractic theory suggests that extremities and other body components can become “normalized” if the “central place around the spine” is healed and chiropractic care may be useful in assisting those limbs recover some semblance of activity. Chiropractic care can be used for the fundamental goal of extending and lengthening muscles. When muscles unwind as they do through such therapies, they’re more likely to be stronger and healthier, which is necessary if they’re likely to properly learn how to walk.

 

In addition, because cerebral palsy is usually caused by a brain injury, chiropractic care may be used in treating other, less noticeable, facets of the motor condition. Some individuals or children with CP have experienced a lot of strain on their musculoskeletal system, requiring the use of chiropractic techniques for basic spinal alignment and overall health and wellness. Behind the doctrine of chiropractic healing lays the idea that the brain and central nervous system control all aspects of the body’s functioning. One study showed “progress in paraspinal muscle tone” with chiropractic care, for many children who had cerebral palsy from birth injury. Another case study demonstrated marked improvement in a child with “hypotonic cerebral palsy”.

 

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Dr. Alex Jimenez’s Insight

Cerebral palsy is believed to be a neurological disorder caused by a non-progressive brain injury or malformation which occurs during the stages of a child’s brain development. Cerebral palsy, or CP, affects body movement, muscle control, muscle coordination, muscle tone, reflex, posture and balance. It can also impact fine motor skills, gross motor skills and oral motor functioning. Although there is no cure for cerebral palsy, several traditional as well as alternative treatment options can help improve the symptoms associated with this neurological disorder. Chiropractic care is an alternative treatment option which can help return some levels of range of motion, mobility, strength and flexibility for individuals with cerebral palsy.

 

Chiropractic care cannot cure cerebral palsy, but it might help with some of the symptoms and its associated health issues, with no side effects and dangers of drugs/medications and surgery. Chiropractic care is gentle, and it can also improve symptoms such as seizures, spasms, and arm and leg issues. As research on the effectiveness of chiropractic techniques come to light, there are more encouraging signs for the growth of a successful course of action for individuals with cerebral palsy. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Additional Topics: Sciatica

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

blog picture of cartoon paperboy big news

 

EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

MORE TOPICS: EXTRA EXTRA: El Paso Back Clinic | Back Pain Care & Treatments

Chiropractic Rehabilitation & Neuromuscular Reeducation for Cerebral Palsy

Chiropractic Rehabilitation & Neuromuscular Reeducation for Cerebral Palsy

Cerebral palsy is a lifelong set of movement disorders with no cure. There are, however, many options for either retraining patients with cerebral palsy or supplying some kind of relief for individuals with cerebral palsy. Among the more untraditional yet commonly sought after types of treatment for cerebral palsy is visiting a chiropractor which specializes in patients with cerebral palsy.

 

There is no clear reason behind the development of cerebral palsy. In most cases, though, it is believed to be caused by some injury shortly before, during, and after pregnancy. This injury is to the unborn embryo or the baby after it is delivered. Many cases of cerebral palsy are being found to have happened during the delivery process. Lack of oxygen and/or failure to detect fetal distress are all believed to be the most common reasons for the development of cerebral palsy. As previously mentioned, individuals with cerebral palsy can benefit from a variety of treatment options, including chiropractic care, rehabilitation and neuromuscular reeducation.

 

Chiropractic Care and Cerebral Palsy

 

Chiropractic techniques are a sort of healthcare which uses spinal adjustments and manual manipulations, together with other treatment procedures, in order to aid a person’s body in adapting to a more normal position. In patients with cerebral palsy, different body parts can and are generally affected, such as one or both arms and legs, and chiropractic care may be helpful in assisting those limbs regain some semblance of strength, mobility and flexibility.

 

Additionally, because cerebral palsy is generally believed to be caused by a brain injury, chiropractic treatment methods can be used in healing other, less noticeable, aspects of the motor disease. Behind the doctrine of chiropractic healing lays the idea that the brain and central nervous system control all facets of the body’s functioning. The concept of chiropractic care is that by correcting health issues and symptoms around the central area of the spine, the extremities as well as other areas of the body can regain some stability.

 

With the rise of “unconventional” medical clinics, chiropractic care has also turned into one of the most popular types of Complementary and Alternative Medicine techniques. In 2004, a report revealed that chiropractic was in the top five kinds of complementary and alternative therapies used for the treatment of a variety of injuries and/or conditions in the United States, including cerebral palsy.

 

When utilized as an alternative treatment option for cerebral palsy, chiropractic techniques could assist in helping to improve some of the problematic symptoms associated with the movement disorder, including reducing muscle spasms, seizures, and arm and leg issues. As research on the effectiveness of chiropractic care for the safe and effective treatment of many health issues comes to light, there are more encouraging signals for the growth of a successful course of action for individuals with cerebral palsy.

 

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Dr. Alex Jimenez’s Insight

As a qualified and experienced chiropractor in the treatment of a variety of injuries and/or conditions, including genetic neuromuscular disorders, many of our patients with cerebral palsy have experienced tremendous improvements in their quality of life through chiropractic care. Chiropractic care can provide assistance in the improvement of several range of motion aspects associated with cerebral palsy as well as offer significant relief of other symptoms related to this movement disorder. Patients with cerebral palsy currently receiving chiropractic care have experienced improved mobility and an improved gait or ability to walk, including restored sleeping habits. Our treatment methods for patients with cerebral palsy include, upper thoracic pain release, full-body mobility exercises, where multiple joint complexes are moved to increase range of motion, and two-men protocols, to safely and effectively assist the individual throughout their treatment process.

 

Rehabilitation and Cerebral Palsy

 

You will find an assortment of rehabilitation alternatives for individuals and children with cerebral palsy. Some are dependent on which kind of cerebral palsy the patient has. Each one of the rehabilitations, however, usually center on creating a few important regions of improvement including physical motion and coordination, language, vision, and intellectual development. Cerebral palsy rehabilitation will invariably involve some type of long-term physical therapy, or physiotherapy. These slight exercises will often involve stretching the individual’s range of motion and to concentrate primarily on developing fundamental motor abilities.

 

Ongoing treatments and options are becoming more available that could make life with cerebral palsy better. Most rehabilitation centers and treatments use some mix of physical therapy, biofeedback, occupational and speech therapy, occasional use of drugs and/or medications, and on rare cases even surgery.�There are several techniques touted in the field of cerebral palsy rehabilitation, such as the Bobath technique. The Bobath technique centers on positive reinforcement of voluntary movements on the individual’s part and on gradual physical conditioning. The physical therapy may also include external aids such as wheelchairs, walkers, braces, and how to use them for maximum mobility.

 

Neuromuscular Reeducation and Cerebral Palsy

 

Chiropractors handle a number of soft-tissue injuries. Unstable or injured muscles can become a source of chronic pain. The only way to remedy the challenge is by dividing those scar tissues and supporting the body to heal in healthy ways. Neuromuscular reeducation accomplishes this in several ways, for example, exercises, deep-tissue massage and vibration therapy.

 

Exercises for neuromuscular reeducation are often a part of chiropractic care or other rehabilitation program which focuses on helping to improve various adverse conditions that occur from faulty nerve and muscle activities. Neuromuscular reeducation is particularly beneficial for unnatural movement patterns. The purpose of neuromuscular reeducation is to improve balance, coordination, posture and proprioception involving a natural mind-body connection.�Neuromuscular reeducation exercises aim to restore natural movement patterns, optimize joint biomechanics and reduce pain that may result from neuromuscular deficiencies.

 

Neuromuscular reeducation exercises include a variety of functional strengthening, stretching, balancing and coordination activities. Practitioners that administer these exercises encourage patients to focus on joint positioning and movement.�A variety of stretching and bending movements on an exercise ball also have neuromuscular applications.

 

Whole body vibration (WBV) treatment is also helpful in the treatment of many physical conditions. WBV lowers inflammation, builds muscle, increases flexibility and breaks apart scar tissues and fused bone fragments. The technology is used to treat an endless number of injuries, along with ailments like scoliosis and cerebral palsy.

 

As vibrations affect your body, your muscles engage and relax in rapid success in an effort to enhance your movements. This burst of activity helps to break apart these deep scar tissues. The process also can help promote healthy recovery by placing your muscle bands under short spurts of increased stress. For the identical reason, Whole body vibration, or WBV, is very effective in increasing bone density and muscle mass.

 

In addition, when guided by a trained therapist, you may use vibration treatment to reeducate your muscles on how to respond to stimulation without getting hurt. Partly, While a lot of the process is occurring beneath the surface, WBV may require the individual to perform specific work in the clinic or on their own. This takes a combination of unconscious muscle training and altering habits to protect vulnerable areas while building strength and enhancing mobility and flexibility. The scope of our information is limited to chiropractic as well as to spinal injuries and conditions. To discuss the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .

 

Curated by Dr. Alex Jimenez

 

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Additional Topics: Sciatica

 

Sciatica is medically referred to as a collection of symptoms, rather than a single injury and/or condition. Symptoms of sciatic nerve pain, or sciatica, can vary in frequency and intensity, however, it is most commonly described as a sudden, sharp (knife-like) or electrical pain that radiates from the low back down the buttocks, hips, thighs and legs into the foot. Other symptoms of sciatica may include, tingling or burning sensations, numbness and weakness along the length of the sciatic nerve. Sciatica most frequently affects individuals between the ages of 30 and 50 years. It may often develop as a result of the degeneration of the spine due to age, however, the compression and irritation of the sciatic nerve caused by a bulging or herniated disc, among other spinal health issues, may also cause sciatic nerve pain.

 

 

 

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EXTRA IMPORTANT TOPIC: Chiropractor Sciatica Symptoms

 

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