Back Clinic Sports Injuries Chiropractic and Physical Therapy Team. Athletes from all sports can benefit from chiropractic treatment. Adjustments can help treat injuries from high-impact sports i.e. wrestling, football, and hockey. Athletes that get routine adjustments may notice improved athletic performance, improved range of motion along with flexibility, and increased blood flow. Because spinal adjustments will reduce the irritation of the nerve roots between the vertebrae, the healing time from minor injuries can be shortened, which improves performance. Both high-impact and low-impact athletes can benefit from routine spinal adjustments.
For high-impact athletes, it increases performance and flexibility and lowers the risk for injury for low-impact athletes i.e. tennis players, bowlers, and golfers. Chiropractic is a natural way to treat and prevent different injuries and conditions that impact athletes. According to Dr. Jimenez, excessive training or improper gear, among other factors, are common causes of injury. Dr. Jimenez summarizes the various causes and effects of sports injuries on the athlete as well as explaining the types of treatments and rehabilitation methods that can help improve an athlete’s condition. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Sports and Activities for TBI Recovery: The Role of Nurse Practitioners and Integrative Chiropractic Care
aquatic rehabilitation class for various injuries, including traumatic brain injuries
Traumatic brain injuries, or TBIs, happen when a sudden bump or blow to the head damages the brain. These injuries can come from car crashes, falls, or even sports accidents. Recovering from a TBI takes time and involves many steps to get back strength, balance, and clear thinking. One great way to help is through sports and activities tailored to a person’s needs. These are called adaptive sports. They can boost physical health and also lift moods by making people feel connected and strong. Along with that, healthcare experts like nurse practitioners and chiropractors play big parts in guiding recovery. Nurse practitioners help manage overall health and meds, while chiropractors focus on fixing spine issues and easing pain. This team approach, often called integrative care, mixes different treatments for better results.
In this article, we’ll look at sports that support TBI recovery, such as adaptive basketball and swimming. We’ll also cover calming activities such as tai chi and hiking. Then, we’ll explain how nurse practitioners and chiropractors fit into the picture, drawing on expert perspectives such as Dr. Alexander Jimenez, who combines chiropractic and nursing skills. By the end, you’ll see how these elements work together to create a comprehensive recovery plan.
Understanding TBIs and the Need for Active Recovery
A TBI can mess with how you move, think, and feel. Mild ones, like concussions, might cause headaches or dizziness. Severe ones can lead to long-term problems with balance or memory. The brain has a cool ability called neuroplasticity, which means it can rewire itself to heal. Activities that get you moving help spark this process by building new connections in the brain.
Doctors say rest is key right after a TBI, but then it’s time to add gentle exercise. Starting slow prevents more harm and builds up skills step by step. For example, light walking can improve blood flow to the brain, helping it heal faster. As you get better, more fun activities like games or outdoor adventures can keep things exciting and motivating.
Why activities matter: They improve strength, coordination, and mood.
Start small: Begin with easy tasks at home, like puzzles or stretching.
Build up: Move to group activities for social support.
Research shows that staying active after a TBI lowers the risk of depression and helps people get back to daily life sooner.
Adaptive Sports for Physical and Mental Healing
Adaptive sports are regular sports modified with special tools or rules so everyone can join, regardless of their limitations. For TBI survivors, these sports target balance, hand-eye skills, and thinking on your feet. They also build confidence by letting you achieve goals in a safe way.
Many groups offer adaptive sports programs, making it easy to find local options. Here’s a look at some top ones for TBI recovery:
Adaptive Basketball: Played in wheelchairs or with lower hoops, this sport boosts coordination and teamwork. It helps with quick decisions and arm strength, which TBIs often weaken. Groups like the National Wheelchair Basketball Association run events where players connect and stay motivated.
Cycling: Use adaptive bikes with extra wheels for stability. Cycling improves leg strength and heart health while being low-impact on joints. It’s great for building endurance without straining the brain too much.
Swimming: Water supports your body, making movements easier. Adaptive swimming uses floats or lanes for safety. It enhances balance and breathing control, plus the calm water reduces stress.
Canoeing: In adaptive versions, boats have seats or handles for support. Paddling builds upper body strength and focus. Being on water also calms the mind, helping with anxiety from TBIs.
These sports aren’t just exercise—they create social bonds. Playing with others fights loneliness, a common issue after brain injuries. Studies note that adaptive sports like these keep people active and linked to their communities. One review found that they improve gait and balance in patients with brain injury.
Other Rehabilitative Activities to Enhance Balance and Well-Being
Not all recovery needs to be high-energy. Slower activities like tai chi or hiking can rebuild skills without overwhelming the brain. These focus on mindful movement, which also supports mental health.
Tai Chi: This gentle martial art uses slow, flowing movements to improve balance and focus. For TBI patients, it reduces falls by strengthening core muscles. Classes often adapt poses for sitting if standing is difficult.
Hiking: Adaptive hiking uses trails with smooth paths or walking sticks. It increases heart rate and provides a refreshing change of scenery. Nature-based activities like this restore energy both physically and emotionally.
Adaptive Water Sports: Beyond swimming, try kayaking or water aerobics. These use buoyancy to reduce pressure on the body while improving coordination. Special gear, like life vests, ensures safety.
Home activities can start the process. Activities like balloon tosses or chair yoga build hand-eye coordination and flexibility. Online videos make it easy to try. As skills grow, add group classes for more challenge. Experts say even simple mobilizing, like walking circuits, aids recovery.
Special tools might be needed based on your strengths. For example, use bigger balls in games or stabilizers in cycling. Always check with a doctor to match activities to your healing stage.
The Role of Nurse Practitioners in Coordinating TBI Care
Nurse practitioners (NPs) are advanced nurses who can diagnose, treat, and manage health issues. In TBI recovery, they act as coordinators, making sure all parts of care fit together smoothly.
NPs monitor your overall health during activities. They check for signs like fatigue or headaches that might mean you’re pushing too hard. They also manage meds for pain or mood, adjusting doses as you improve. For instance, if swimming causes dizziness, an NP might suggest changes or add rest days.
In integrative teams, NPs work with other experts to create safe plans. They ensure activities like canoeing don’t clash with your meds or other treatments. Their focus on whole-person care includes emotional support to help with stress during recovery.
Dr. Alexander Jimenez, a chiropractor and family nurse practitioner, notes that NPs play a key role in linking brain health to daily wellness. His observations show they help with sleep and nutrition, which in turn boost activity benefits. This approach ensures activities are effective and safe.
Integrative Chiropractic Care: Supporting Spine and Pain Management
Chiropractors specialize in spine health, which is crucial after a TBI since head injuries often affect the neck. Integrative chiropractic combines adjustments with other therapies, such as exercises, for full recovery.
Chiropractors realign the spine to ease pressure on nerves, reducing headaches and improving balance. For TBI patients, this can help with dizziness from vestibular issues. They also manage pain without heavy meds, using hands-on techniques.
In recovery plans, chiropractors include exercises such as postural training and balance drills. These complement sports by building a strong base. For example, after an adaptive basketball session, a session might address any spine shifts from play.
Dr. Jimenez’s clinical work highlights how chiropractic aids brain healing. He uses gentle adjustments to improve blood flow and nerve function, key for TBIs. His teams integrate this with nutrition and rehab activities, such as light walking, to prevent reinjury. One method he supports is vestibular rehab, which pairs well with sports for better coordination.
Benefits of integrative chiropractic:
Reduces inflammation and pain.
Improves mobility for activities.
Prevents future issues through education.
Combining chiropractic with NP care creates a strong support system. NPs handle meds and monitoring, while chiropractors focus on physical fixes.
Combining Sports, Activities, and Professional Care for Best Results
The best TBI recovery programs combine adaptive sports, calming activities, and expert guidance. Start with a plan from your healthcare team. For example, begin with tai chi for balance, then add cycling as strength grows.
Community outings, like group hikes, apply skills in real life. These build confidence and social ties. Equine therapy, like therapeutic riding, is another option—horses’ movements aid gait and emotional health.
Dr. Jimenez observes that nutrition supports this, like anti-inflammatory foods for brain repair. His work shows that stress management is key, as it affects outcomes.
Track progress with tools like journals or apps. Adjust as needed with your NP or chiropractor. Over time, this leads to independence and joy in activities.
Challenges and Tips for Success
Recovery isn’t always smooth. Fatigue or setbacks can happen. Tips include:
Listen to your body—rest when needed.
Use adaptive gear for safety.
Join support groups for motivation.
With patience, most people see big gains. Studies show stepwise returns to activity, like in sports protocols, work well.
Conclusion
Recovering from a TBI through sports like adaptive basketball or activities like hiking builds both the body and the mind. Nurse practitioners coordinate safe care, while integrative chiropractic handles pain and alignment. Experts like Dr. Jimenez show how this blend speeds healing. Stay active, seek help, and celebrate small wins to pave the way for a brighter path ahead.
Gentle Recovery Strategies After Traumatic Brain Injury: Exercises, Chiropractic Care, and Holistic Support for Lasting Healing
Electromagnetic therapy of the back: a physiotherapist doctor works with a patient with a traumatic brain injury from an occupational accident.
Traumatic brain injury (TBI) affects millions of people every year. A sudden blow or jolt to the head can cause headaches, dizziness, memory problems, neck pain, and poor balance. While the brain needs time and rest to heal, the body also needs gentle movement to recover fully. Early, safe exercises for the neck, core, and balance can speed healing, reduce pain, and lower the risk of falls. Integrative chiropractic care helps restore nerve signals and alignment. Nurse practitioners guide the whole recovery process. When these approaches work together, many people feel stronger and clearer months faster than with rest alone.
This 3,000-word guide uses simple language and proven steps. Every exercise and idea comes from military health guides, rehab centers, and clinical experts. Always get a doctor’s okay before starting. Stop any move that causes sharp pain or new dizziness.
Why Neck Pain Is So Common After TBI
When the head snaps forward and back—like in a car crash or sports hit—the neck takes a huge force. Doctors call this whiplash-associated disorder. Muscles tighten, joints get stiff, and nerves can become irritated. Many people also develop forward head posture, where the head sits inches in front of the shoulders. Each inch forward adds about 10 pounds of stress to the neck muscles (Healthline, 2023a).
Left alone, tight neck muscles pull on the skull base, worsening headaches. They also make balance harder because the brain receives mixed signals from the upper neck. Gentle stretches and posture exercises can effectively address this issue early on.
Common Neck Problems After TBI
Muscle spasms and knots
Stiffness that limits turning the head
Headaches that start at the base of the skull
Forward head posture from pain guarding
Dizziness when moving the head quickly
Safe Neck Stretches to Start in the First Weeks
These four stretches appear on official military and rehab fact sheets. Have them sit in a firm chair with feet flat on the floor. Breathe slowly. Hold each stretch 15–30 seconds and repeat 3–5 times, 2–3 times a day.
Chin Tuck – Slide your chin straight back (like making a double chin) until you feel a stretch behind the neck. Do not tilt down. This is the single best move to fight forward head posture (U.S. Department of Defense, 2020; Healthline, 2023a).
Side Bend – Sit tall. Slowly drop one ear toward the same shoulder until you feel a stretch on the opposite side. Keep your nose pointing forward. Use the hand on top of the head for a gentle extra pull if comfortable (Achieve Brain & Spine, n.d.).
Neck Rotation – Turn your head to look over one shoulder as far as comfortable. Hold, then switch sides. Move only the neck, not the shoulders (U.S. Department of Defense, 2020).
Upper Trapezius Stretch – Sit and place one hand under your thigh to anchor the shoulder. With the other hand, gently pull the head away and slightly forward. You will feel the stretch along the side and back of the neck (Healix Therapy, n.d.).
Tip: Warm the neck first with a warm shower or heating pad for 10 minutes.
Core and Trunk Exercises That Protect the Neck and Brain
A weak core forces the neck muscles to work overtime to keep the head steady. Simple seated core moves wake up the deep stomach and back muscles without jarring the brain.
Do these 3–4 times a week. Start with 8–10 repetitions and build to 15–20.
Sitting Marching – Sit tall with hands on thighs. Lift one knee toward the chest while keeping the back straight, then lower slowly. Alternate legs. This exercise turns on the lower abs and hip flexors (Flint Rehab, 2023a).
Lateral Trunk Flexion (Side Bends) – Sit tall. Slowly slide one hand down the side of the thigh as you bend to that side. Use the opposite core muscles to pull yourself back upright. Works the obliques and reduces side-to-side sway (Illinois Department of Central Management Services, n.d.).
Seated Trunk Extension – Cross arms over chest. Lean forward 10–15 degrees, then slowly sit back tall using the back muscles. Keep the chin tucked to protect the neck (Flint Rehab, 2023a).
Seated Weight Shifts – Scoot forward on the chair so feet are flat and knees are at 90 degrees. Shift weight side to side or front to back while keeping the trunk tall. This exercise is particularly beneficial for promoting early balance (Flint Rehab, 2023a).
Balance Exercises That Are Safe After TBI
Poor balance is one of the biggest fall risks after brain injury. Start every balance exercise seated or holding onto a sturdy surface.
Beginner Level (Weeks 1–4)
Reach in different directions while seated
Heel raises and toe raises while holding a counter
March in place, holding onto a chair
Intermediate Level (Weeks 4–8)
Stand with feet together, eyes open, then eyes closed for 10–20 seconds
Single-leg stance holding a chair (5–10 seconds each leg)
Stand on a firm cushion or folded towel (Neofect, n.d.)
Advanced Level
Tandem stance (heel-to-toe) with arms out
Walk heel-to-toe in a straight line
Step over small objects while watching your feet
Do balance work for 5–10 minutes daily. Progress only when the easier level feels straightforward.
Gentle Yoga and Breathing for Brain and Body Recovery
Modified yoga poses calm the nervous system and safely stretch the entire spine.
Seated Cat-Cow – Hands on knees. Inhale and arch the back while lifting the chest and chin slightly. Exhale and round the back while tucking the chin. Move slowly with the breath (Flint Rehab, 2023b).
Seated Side Stretch – Inhale arms overhead. Exhale and lean to one side, keeping both sit bones on the chair. Hold 3–5 breaths on each side.
Chair Warrior II – Sit sideways on the chair. Extend one leg back and bend the front knee. Reach arms out for a gentle chest and hip opener.
Yoga improves balance by 36% and reduces anxiety in brain-injury patients (Flint Rehab, 2023b).
How Integrative Chiropractic Care Helps TBI Recovery
Chiropractic care is not just about “cracking” the back. Doctors of chiropractic trained in brain-injury care use gentle techniques to:
Remove pressure on nerves, leaving the spine
Restore normal motion to stiff neck joints
Reduce muscle spasms with soft-tissue therapy
Improve blood flow and oxygen to the brain
Correct forward head posture that slows healing
Studies and clinical reports show that spinal adjustments can reduce headache frequency, improve sleep, and speed return to work after concussion (Calibration Mansfield, n.d.; Northwest Florida Physicians Group, n.d.; Pinnacle Health Chiropractic, n.d.).
Dr. Alexander Jimenez, DC, APRN, FNP-BC, a dual-credentialed chiropractor and family nurse practitioner in El Paso, Texas, has treated thousands of patients with TBI, including veterans. He combines precise cervical adjustments, soft-tissue work, and functional neurology exercises. “The upper neck houses sensors that tell the brain where the head is in space. When those joints are stuck, the brain gets fuzzy signals, and balance suffers,” Dr. Jimenez explains in his clinical teaching (Jimenez, 2025). His patients often report clearer thinking and less dizziness within weeks of starting care.
The Important Role of Nurse Practitioners in TBI Care
Nurse practitioners (NPs) are trained to manage complex patients from head to toe. In TBI recovery, they:
Watch for worsening symptoms (increased swelling, seizures, mood changes)
Coordinate physical therapy, chiropractic, counseling, and medications
Teach patients and families what is normal and what needs quick attention
Adjust care plans as healing progresses
Provide follow-up visits to catch problems early (Ackerman, 2012; Mayo Clinic, 2024; Nursing Center, 2023)
Because NPs spend more time with patients than many doctors, they often spot small improvements or setbacks first. Dr. Jimenez, who also holds APRN and FNP-BC credentials, uses this whole-person view in his clinic every day.
Sample 6-Week Gentle Recovery Plan
Week 1–2 (Very Gentle Phase)
5–10 minutes of chin tucks and side bends twice daily
Sitting, marching 2 sets of 10 each leg
Deep breathing for 3 minutes
Short walks with a partner
Week 3–4 (Add Core and Balance)
Add lateral trunk flexion and seated trunk extension
Begin seated weight shifts and reaching
One chiropractic visit for evaluation and gentle adjustment
Week 5–6 (Build Strength and Confidence)
Add standing balance drills with support
Try modified cat-cow and seated yoga stretches
Increase reps to 15–20
Weekly chiropractic care and NP follow-up
Rest for at least one full day between harder sessions. Keep a simple journal: note pain level (0–10), dizziness, and energy. Share it with your team.
Drink water all day (half your body weight in ounces)
Eat protein and colorful vegetables at every meal
Limit screen time in the first weeks—use blue-light glasses if needed
Join an online TBI support group for encouragement
Walk outside in nature when symptoms allow
When to Call the Doctor Right Away
Stop exercising and seek help if you have:
Sudden severe headache
Vomiting or vision changes
Worsening confusion or slurred speech
Seizure or loss of consciousness
Final Thoughts: Healing Is Possible and Often Faster Than You Think
A traumatic brain injury feels overwhelming at first, but the brain and body are built to heal. Gentle neck stretches, core work, balance drills, chiropractic adjustments, and strong nurse practitioner guidance give your recovery the best chance. Start small, stay consistent, and celebrate every tiny win.
Thousands of people—including veterans treated by Dr. Alexander Jimenez—return to work, sports, and family life after TBI by using exactly these safe, evidence-based steps. You can too.
Nourishing Your Brain: Diet and Integrative Care for Recovery After Brain Injury
A couple prepares a healthy meal after the husband sustained a major head trauma in a construction accident
Brain injuries can happen from accidents, sports, or falls. They affect how the brain works, leading to problems such as memory loss, headaches, or difficulty moving. Recovery takes time, but what you eat and how you care for your body can make a big difference. A good diet provides your brain with the building blocks it needs to heal. Supplements might add extra support, but always check with a doctor first. Integrative care, such as chiropractic methods, can address body issues related to the injury. This article looks at simple ways to eat better, use supplements wisely, and get expert help for better recovery.
Many people recover from brain injuries with the right support. Nutrition plays a big role because the brain uses a lot of energy and nutrients. After an injury, the body loses some key vitamins and minerals. Eating foods rich in protein, healthy fats, and antioxidants can rebuild cells and reduce swelling. Diets like the ketogenic or Mediterranean style are often suggested because they focus on whole foods that boost brain health (UCLA Health, 2023). Adding care from chiropractors and nurse practitioners can address pain and overall health.
Why Nutrition Matters in Brain Injury Recovery
The brain needs fuel to repair itself after an injury. Trauma can cause inflammation, cell damage, and energy shortages. A nutrient-rich diet helps fight these issues. For example, proteins help fix tissues, while good fats like omega-3s protect brain cells. Antioxidants from fruits and veggies help reduce the harm caused by free radicals, which are like harmful particles that damage cells.
Proteins are key because they provide amino acids for healing. The brain uses more protein after injury to rebuild.
Healthy fats, especially omega-3s, make up much of the brain’s structure. They help with thinking and memory.
Antioxidants fight swelling and protect against further damage.
Lean proteins keep energy steady without extra calories that could lead to weight gain.
Studies show that starting healthy nutrition early can improve outcomes. People who eat well have better cognition and less fatigue (Flint Rehab, 2023). Without proper nutrition, recovery might slow down because the body lacks essential nutrients.
Brain injuries often lead to changes in metabolism. The brain might crave sugar, but too much can cause crashes. Instead, focus on balanced meals. Hydration is also important—drink plenty of water to avoid dehydration, which worsens symptoms like tiredness.
Recommended Diets for Brain Injury Recovery
Two diets stand out for brain injury recovery: the ketogenic diet and the Mediterranean diet. Both emphasize whole foods and limit junk. The ketogenic diet is low in carbs and high in fats, which helps the brain use ketones for energy when glucose is hard to process after injury. The Mediterranean diet includes lots of plants, fish, and olive oil, which support long-term brain health.
The Ketogenic Diet
This diet shifts the body to burn fat for fuel. It’s helpful after a brain injury because the brain can struggle with sugar metabolism. Ketones provide a steady energy source.
Eat high-fat foods like avocados, nuts, and olive oil.
Include proteins such as eggs, cheese, and fatty fish.
Limit carbs from bread, pasta, and sweets.
Benefits include better cognition and reduced inflammation.
Animal studies show this diet boosts recovery, and it’s promising for humans (Flint Rehab, 2023). Start slowly and track how you feel.
The Mediterranean Diet
This diet is based on eating like people in Mediterranean countries. It’s rich in fruits, veggies, grains, and fish.
Focus on vegetables like spinach, kale, and broccoli for their vitamin content.
Add fruits such as berries for antioxidants.
Use whole grains like brown rice for steady energy.
Include fish twice a week for omega-3 fatty acids.
Use olive oil instead of butter.
This diet helps with memory and reduces cognitive decline. It’s easy to follow and tasty (Headway, n.d.). People recovering from TBI often see better brain function with this approach.
Both diets stress quality over quantity. Aim for colorful plates to get a mix of nutrients. For example, add berries to yogurt or salmon to salads.
Key Foods to Include in Your Diet
After a brain injury, pick foods that rebuild the brain. Focus on proteins, fats, and antioxidants. These help with healing and energy.
Proteins for Tissue Repair
Protein is like the building material for cells. After an injury, the body needs more to fix the damage.
Lean meats like chicken or turkey provide zinc, which is low after TBI.
Fish such as salmon offer protein plus omega-3s.
Plant options like beans and lentils are good for vegetarians.
Eggs provide choline for memory.
Eat protein at every meal to keep levels steady (Gaylord, n.d.).
Good Fats, Especially Omega-3s
Fats are essential for the structure of brain cell walls. Omega-3s reduce swelling and improve thinking.
Fatty fish: Salmon, mackerel, sardines.
Nuts and seeds: Walnuts, flaxseeds, pumpkin seeds.
Oils: Olive oil, flaxseed oil.
These fats protect against further damage (Lone Star Neurology, 2023).
Antioxidant-Rich Fruits and Vegetables
Antioxidants fight free radicals that harm cells after injury.
Berries: Blueberries, strawberries for flavonoids.
Citrus: Oranges, lemons for vitamin C.
Veggies: Broccoli, spinach, bell peppers.
Others: Dark chocolate, turmeric.
These foods boost brain growth factors like BDNF (Brain Injury Hope Foundation, n.d.).
Lean Proteins and Other Essentials
Choose lean sources to avoid extra fat.
Poultry and fish over red meat.
Legumes provide both fiber and protein.
Dairy, like Greek yogurt, for probiotics.
Combine these for balanced meals, like a salad with chicken, veggies, and nuts.
Supplements to Consider for Brain Injury Recovery
Supplements can fill gaps in your diet, but they’re not a replacement for food. Always talk to your doctor before starting, as they might interact with meds.
Omega-3 Fatty Acids
These help with inflammation and brain function.
Benefits: Improve memory, reduce swelling.
Sources: Fish oil supplements.
Caution: May thin blood.
Studies show they aid recovery (DeNeuro Rehab, 2023).
B Vitamins
These support energy and cell repair.
B2 (Riboflavin): Reduces recovery time in concussions.
B3 and B6: Heal damage, reduce stress.
B12: Helps with nerve protection.
A trial found B2 shortens recovery (PMC, 2024).
Creatine
This boosts energy in brain cells.
Benefits: Protects during energy crises.
Caution: More research needed.
It may delay symptoms (Rezilir Health, n.d.).
Magnesium
Helps with nerve function and reduces excitotoxicity.
Benefits: Improves cognition.
Sources: Supplements or foods like chocolate.
Low levels worsen damage (PMC, 2017).
Other supplements like vitamin D or antioxidants can help, but get tested for deficiencies first.
Foods to Reduce or Avoid
Some foods can slow recovery by causing more inflammation or energy dips.
Processed foods: High in unhealthy fats and additives.
Sugary foods: Cause crashes and weight gain.
Salty foods: Raise blood pressure.
Limit these to focus on healing foods (Headway, n.d.). Choose fresh over packaged.
Spinal manipulation: Adjusts the spine to improve function.
Non-surgical decompression: Relieves pressure on nerves.
This aids musculoskeletal problems and nervous system health. It can reduce headaches and improve memory (Chiro-Med, n.d.).
Dr. Alexander Jimenez, a chiropractor and nurse practitioner, notes that TBIs can cause hidden nerve damage and symptoms such as tinnitus or sciatica. His integrative approach uses chiropractic to rebuild mobility and relieve pain without surgery (DrAlexJimenez.com, n.d.). He combines this with nutrition for better outcomes.
Role of Nurse Practitioners in Recovery
Nurse practitioners oversee overall care. They order lab tests to find deficiencies and suggest changes.
Test for low vitamins or minerals.
Prescribe supplements or diet plans.
Monitor progress.
This ensures personalized care (LinkedIn, n.d.).
Dr. Jimenez, as an APRN and FNP-BC, uses functional medicine to address root causes. He notes that nutrition supports immune and gut health, which are key to brain recovery.
Combining Diet, Supplements, and Care
Put it all together for the best results. Eat a Mediterranean or keto diet, add supplements if needed, and get chiropractic help. Track weight and energy. Small changes add up.
Meal ideas: Salmon with veggies, berry smoothies.
Daily tips: Walk gently, sleep well.
Seek help from doctors like Dr. Jimenez for integrated plans.
Recovery is possible with these steps (Cognitive FX, n.d.).
Conclusion
Healing from brain injury involves smart eating, careful supplements, and expert care. Focus on proteins, omega-3s, and antioxidants while avoiding junk. Chiropractic and nurse practitioner support make a difference. Dr. Jimenez’s work shows that integrative methods work well. Talk to your doctor and start small for better brain health.
Lucke-Wold, B., Sandsmark, D. K., & Menon, D. K. (2017). Supplements, nutrition, and alternative therapies for the treatment of traumatic brain injury. Nutritional Neuroscience, 21(2), 79-91. https://pmc.ncbi.nlm.nih.gov/articles/PMC5491366/
Vonder Haar, C., & Hall, K. D. (2024). Mitigating traumatic brain injury: A narrative review of supplementation and dietary protocols. Nutrients, 16(16), 2665. https://pmc.ncbi.nlm.nih.gov/articles/PMC11314487/
Brain Injury Risks in Martial Arts: Understanding Dangers and Recovery Paths
Martial arts, such as mixed martial arts (MMA), combine striking, grappling, and high-energy moves. These sports draw millions of fans and fighters worldwide. But they come with real risks to the brain. Repeated hits to the head can cause short-term problems like dizziness and confusion. Over time, these can lead to bigger issues, such as memory loss or even diseases like chronic traumatic encephalopathy (CTE). This article examines these dangers and how integrative chiropractic care can aid fighters in their recovery. It draws on studies and expert views to demonstrate why early action is crucial.
The rise of MMA has made it one of the fastest-growing sports. Fighters train hard, often taking hundreds of blows in a single session. While gloves and rules help, the brain still takes a hit. Research shows that even light taps can add up, altering how the brain functions (Bernick et al., 2015). Fighters need to know the signs and seek care fast. This knowledge can save careers and lives.
Short-Term Symptoms: What Happens Right After a Hit
When a fighter lands a punch or kick to the head, the brain inside the skull shakes. This jolt can cause a concussion, a type of traumatic brain injury (TBI). Short-term symptoms can develop rapidly and persist for days or weeks.
Vertigo and Dizziness: Fighters often feel the room spin. This comes from the inner ear and brain signals getting mixed up. Balance issues make simple tasks, such as walking, difficult.
Disorientation and Confusion: Right after a blow, a fighter might not know where they are or what just happened. This “fog” can last minutes to hours.
Headaches and Nausea: Sharp pain in the head pairs with an upset stomach. Lights and sounds feel too loud, adding to the stress.
Fatigue and Sleep Changes: Even after rest, fighters often feel exhausted. They might sleep too much or struggle to fall asleep.
These signs show the brain needs time to reset. In MMA, knockouts (KOs) or technical knockouts (TKOs) are common. A study of over 800 UFC fights found 13% ended in KOs and 21% in TKOs, mostly from head strikes (Babić et al., 2014). During a TKO, a fighter takes about 18 head hits in the last 30 seconds. That’s a lot for the brain to handle at once.
Dr. Alexander Jimenez, a chiropractor with over 30 years of experience in sports medicine, frequently sees these symptoms in his clinic. He notes that many fighters push through the pain, thinking it’s just part of training. However, ignoring early signs can exacerbate the situation (Jimenez, 2024a). His patients report quick relief from gentle adjustments that ease neck tension tied to these issues.
Medical teams at fights check pupils and ask basic questions to spot problems. If a fighter blacks out for more than 30 seconds, it’s a red flag. They might need scans to rule out bleeding (Fagan, 2020). Rest is key here—no sparring until cleared.
Long-Term Repercussions: The Hidden Cost of Repeated Hits
The real worry starts after many fights. Each hit, even if it doesn’t knock you out, chips away at brain health. Over the years, this has led to cognitive slowdown and diseases like CTE.
Cognitive Impairment: Memory slips and trouble focusing become normal. Fighters might forget training moves or struggle with decisions in the ring.
Slower Processing Speed: The brain takes longer to react. This shows up in tests where fighters with more bouts score lower (Bernick et al., 2015).
Neurodegenerative Disorders like CTE: CTE builds up from repeated trauma. It causes protein clumps in the brain, leading to mood swings, aggression, and dementia later in life (Meehan et al., 2019).
Studies link exposure to fighting to smaller brain parts, such as the thalamus, which is involved in thinking and movement. One review found 58% to 78% of MMA injuries involve the head, raising CTE odds (Stern et al., 2021). Women might face extra risks due to longer fights and more head strikes per minute (Kavanagh et al., 2022).
Psychological effects grow, too. Anxiety and depression hit hard, with 33% of TBI patients facing major mood issues in the first year (Reis, 2023). Behavioral changes, such as snapping at loved ones, can strain relationships. Physically, tremors and poor balance make daily life tough.
A survey of MMA fighters showed over 60% worry about brain damage. One vet in his 30s noticed stuttering and word loss after years of sparring (Rogers, 2020). CTE cases, like Gary Goodridge’s in 2012, highlight the stakes—no cure exists, only prevention.
Dr. Jimenez observes similar patterns among martial artists. In his practice, he uses functional assessments to spot early decline. He stresses that starting care soon can slow progression (Jimenez, 2024b).
Psychological, Behavioral, and Physiological Effects Over Time
Brain injuries don’t stay in one spot—they spread. Psychological strain increases when fighters begin to doubt their skills. Behavioral shifts, such as increased aggression, can end careers outside the ring.
Psychological Toll: Depression and panic attacks are common. Fighters feel isolated, hiding symptoms to stay competitive.
Behavioral Changes: Impulse control fades, leading to risky choices. Irritability spikes, affecting team dynamics.
Physiological Shifts: Sleep disruption, hormone imbalance, and the body heals more slowly. This cycle feeds more injuries.
These effects worsen with time. A video on concussions notes that most gym coaches miss signs, letting issues grow (Concussions in Combat Sports, 2023). The National Institute of Neurological Disorders and Stroke lists long-term risks like post-traumatic dementia from even mild hits (National Institute of Neurological Disorders and Stroke, 2023).
Fighters report feeling “off” after sessions, with speech changes that fade only after breaks (Rogers, 2020). Physiological changes include less blood flow to the brain, starving cells of oxygen.
Dr. Jimenez incorporates mental health assessments into his treatment plans. His holistic approach, which combines nutrition and therapy, helps patients rebuild their confidence (Jimenez, 2024a).
How Integrative Chiropractic Care Steps In
Integrative chiropractic care provides a comprehensive approach to addressing brain injuries. It goes beyond pain meds, targeting the spine-brain link. Chiropractors, such as Dr. Jimenez, use hands-on methods to realign the body and enhance healing.
This care mixes adjustments, therapy, and lifestyle tips. It’s safe, drug-free, and works in conjunction with doctors for optimal results (Carr Chiropractic Clinic, n.d.). For martial artists, it means a faster return to training without the risk of re-injury.
Symptom Relief: Manipulation cuts headaches and dizziness. Soft tissue work relaxes tight muscles.
Studies back this. Adjustments improve blood flow, key for brain repair (Apex Chiropractic, n.d.). Patients see gains in weeks, not months.
Key Benefits of Chiropractic for Brain Recovery
Chiropractic shines in recovery. It tackles root causes, not just signs. For TBIs, this translates to better long-term outcomes.
Here’s how it helps:
Improved Balance: Neck exercises strengthen stabilizers, reducing the risk of falls. Fighters regain ring control faster.
Increased Cerebrospinal Fluid Circulation: Adjustments clear blockages, flush toxins, and deliver nutrients to the brain.
Stimulation of Brain Neuroplasticity: The brain rewires itself. Gentle pressure sparks new connections, aiding memory and speed.
One clinic reports that patients with concussions experience improved vision and coordination after sessions (Calibration Mansfield, n.d.). Dr. Jimenez utilizes tools such as digital X-rays to track progress, noting quicker healing in athletes (Jimenez, 2024b).
For MMA injuries, care focuses on managing pain and accelerating tissue repair (Turnersville Chiropractic, 2023). It’s holistic—adding diet and exercise for full strength.
Real-World Examples and Expert Insights
Take Paula, a TBI survivor treated at a chiropractic center. After accidents, she battled depression and pain. With adjustments, laser therapy, and balance training, she was able to run half-marathons again (Reis, 2023). Stories like hers show hope.
Dr. Jimenez shares cases of martial artists regaining their agility after injury. His LinkedIn posts highlight non-invasive wins over surgery (Jimenez, 2024b). He teams with therapists for team-based care.
A YouTube doc on fighting concussions stresses protocols. Coaches must identify issues early, and chiropractic care can serve as a first step (Concussions in Combat Sports, 2023).
Prevention Tips for Fighters
Staying safe starts in the gym. Cut heavy sparring and focus on drills. Use better gear and track hits.
Train Smart: Limit head contact. Add brain games, such as puzzles, for protection.
Monitor Symptoms: Log headaches or fog. Rest at the first sign.
Seek Pros Early: Chiropractors identify issues before they become a problem.
Rule changes, such as longer counts after knockdowns, could help (Babić et al., 2014). Fighters own their health—listen to your body.
Why Choose Integrative Care for Lasting Health
Brain risks in martial arts are serious, but recovery is possible. Short-term issues like vertigo typically subside with rest. Long-term threats like CTE require immediate action. Integrative chiropractic bridges the gap, addressing spinal issues and promoting brain repair.
Benefits stack up: better flow, rewiring, and balance. Experts like Dr. Jimenez prove it works for athletes. Don’t wait—start care to fight smarter, not harder.
Bernick, C., Banks, S., Shin, K., & Rao, V. (2015). Repeated head trauma is associated with smaller thalamic volumes and slower processing speed. British Journal of Sports Medicine, 49(15), 1007. https://bjsm.bmj.com/content/49/15/1007
Stern, R. A., et al. (2021). Head injury in mixed martial arts: A review of epidemiology, affected brain structures and risks of cognitive decline. PubMed. https://pubmed.ncbi.nlm.nih.gov/33538222/
What Happens to Your Spine After a Crash, Work Injury, Sports Hit, or Head-First Fall?
The doctor explains to a patient, who may have a head injury from an accident, what happens to the spine after a high-impact collision using a vertebral column model.
Overview: Why high-impact events strain the spine (and sometimes the brain)
When you are involved in a car accident, get hurt at work, collide in sports, or fall and hit your head, your spine absorbs fast, complex forces. These include flexion and extension (bending forward and back), rotation (twisting), lateral bending, and compression (axial loading). Sudden acceleration or deceleration—especially with rotation—can cause joints to move beyond their normal range, resulting in the stretching or tearing of soft tissues. In higher-energy trauma, vertebrae and discs can fail, and the spinal cord can be injured. The result ranges from temporary pain and stiffness to lasting changes in strength, sensation, and autonomic function if the cord is involved (Mayo Clinic, 2024; NINDS, 2025). Mayo Clinic+1
These same rapid movements can also cause brain injury. When the head moves quickly and stops suddenly, the brain can strike the inside of the skull, stretching delicate nerve fibers and triggering a concussion or a more serious traumatic brain injury (TBI). Because the brain and spine share protective bones, connective tissues, cerebrospinal fluid (CSF), and vascular pathways, injury to one often affects the other. Imaging—typically CT for bones and MRI for soft tissues and the spinal cord—helps map what happened, allowing your team to guide safe care (UT Southwestern; Utz et al., 2014). UT Southwestern Medical Center+1
The forces that damage the spine
Hyperextension and hyperflexion: Whipping motions (for example, rear-end collisions) can over-stretch ligaments and joint capsules, irritate facet joints, and provoke muscle spasm—commonly called “whiplash.” In severe cases, hyperextension can fracture the posterior elements of the C2 vertebra (a “hangman’s fracture”) (Torlincasi, 2022). NCBI
Axial compression: A head-first impact loads the spine in a vertical direction. If the neck is slightly flexed, axial compression can cause vertebrae to collapse or a vertebral body to burst. In sports, this mechanism is strongly linked to catastrophic cervical injuries (Boden, 2008). PubMed
Torsion and lateral bending: Twisting and side-bending add shear forces that can tear annular fibers in discs and sprain supporting ligaments.
Deceleration with rotation: High-speed stops—common in crashes—can combine rotation with hyperflexion or extension, increasing the risk of disc herniation, ligament failure, and even vascular injury to the carotid or vertebral arteries (van den Hauwe et al., 2020). NCBI
Common spinal injuries after high-impact events
1) Soft-tissue injuries (strains, sprains, and whiplash)
What happens: Muscles and tendons strain; ligaments sprain. The facet joints can become inflamed; posture and movement patterns change to guard the area.
How it feels: Neck or back pain, stiffness, headaches, limited range of motion, and sometimes dizziness or visual strain.
Why it matters: Even when X-rays are normal, these injuries can disturb joint mechanics and load discs and nerves abnormally, delaying recovery and sometimes causing chronic pain.
2) Disc injuries (bulges and herniations)
What happens: The inner gel of the disc pushes through weakened outer fibers (annulus). A herniation can compress nearby nerves, causing radiating pain, numbness, or weakness.
Symptoms: Sharp neck or back pain accompanied by arm or leg symptoms (radiculopathy). Coughing or sneezing can worsen it.
Evidence Suggests That Disc herniation and nerve irritation are common after rapid flexion-extension and axial loading; severe cases may contribute to cord compression syndromes that require urgent attention (Mayo Clinic, 2024). Mayo Clinic
What happens: Sudden load exceeds bone strength. In the neck, a C2 “hangman’s fracture” is a classic hyperextension injury; other levels can fracture from compression or flexion-distraction.
How it feels: Severe focal pain, limited motion, neurologic changes if nerves are involved.
Evidence: Hangman’s fractures involve bilateral C2 pars/pedicle fractures from extreme hyperextension and deceleration—often diving or motor-vehicle collisions (Torlincasi, 2022). CT rapidly detects fractures; MRI checks ligaments and cord (Utz et al., 2014). NCBI+1
4) Spinal cord injury (SCI)
What happens: The cord, or cauda equina, is damaged by compression, contusion, or transection. Secondary cascades—such as edema, ischemia, and inflammation—can worsen deficits over time.
How it feels: Loss of strength or sensation below the injury, reflex changes, spasticity, balance problems, and bowel/bladder or autonomic dysfunction. Some effects can be permanent (Mayo Clinic, 2024; NINDS, 2025). Mayo Clinic+1
What happens: The carotid or vertebral arteries tear or dissect during high-energy neck trauma, risking delayed stroke.
Why it matters: Complications often occur hours to days after injury. Early identification and timely antithrombotic therapy lower the risk of ischemic events (van den Hauwe et al., 2020). NCBI
Sports, work, and falls: settings that raise risk
Sports: Football, ice hockey, wrestling, diving, skiing/snowboarding, rugby, and cheerleading have the highest risk for catastrophic spinal injuries. Axial loading to the crown of the head with slight neck flexion can cause cervical fracture and quadriplegia in any sport (Boden, 2008). PubMed
Work: Heavy lifting, falls from height, and high-energy impacts around vehicles and machinery threaten the spine.
Falls with head impact: Head-first falls concentrate force into the upper cervical spine and brain, raising the risk of combined neck injury and concussion/TBI (Weill Cornell Medicine Neurosurgery, n.d.; NINDS, 2025). NINDS
The brain–spine connection: why TBIs and spine injuries overlap
Fast acceleration-deceleration events that injure the neck also cause the brain to shake. The brain can bump the skull, causing stretch and shear of axons (diffuse axonal injury). Secondary biochemical cascades—excitotoxicity, oxidative stress, and neuroinflammation—can prolong symptoms such as headaches, dizziness, cognitive impairment, sleep disturbances, and mood changes (Mayo Clinic, 2024; NINDS, 2025). Clinically, many people present with a combined pattern, including neck pain and limited motion, vestibular symptoms, visual strain, and cognitive complaints, all of which occur after the same incident. A coordinated plan that screens for red flags, protects the spine, and addresses vestibular/ocular issues tends to help. Mayo Clinic+1
Head Injury/TBI Symptom Questionnaire:
Head Injury/TBI Symptom Questionnaire
How clinicians figure out what’s wrong
History and red-flag screen Loss of consciousness, severe or worsening headache, focal weakness/numbness, gait problems, bowel/bladder changes, saddle anesthesia, midline tenderness, or high-risk mechanism triggers urgent imaging and referral.
Physical and neurological exam Range of motion, palpation, motor/sensory/reflex testing, gait and balance, and provocative maneuvers help localize likely pain generators and nerve involvement.
Imaging strategy
CT quickly detects fractures and acute instability.
MRI is superior for ligaments, discs, cord edema/contusion, and nerve root compression.
Vascular imaging (CTA/MRA) is considered when signs or fracture patterns raise suspicion for BCVI (Utz et al., 2014; van den Hauwe et al., 2020). PubMed+1
Sports and work considerations Return-to-play or return-to-work decisions require symptom-guided progression and objective measures (strength, balance, vestibulo-ocular function, and safe lifting mechanics).
What recovery looks like: evidence-informed options
Acute protection and symptom control: Relative rest from provocative motions, pain-modulating strategies, and careful mobilization as tolerated.
Rehabilitation: A graded plan to restore mobility, strength, coordination, and endurance while protecting healing tissues.
Medication and interventional options: Based on the diagnosis and response, primary care, PM&R, neurology, pain management, or spine surgery may add targeted medications, injections, or consider operative care for unstable injuries or progressive neurological deficits.
Education and pacing: Clear timelines, ergonomic coaching, sleep support, and gradual exposure reduce flare-ups and promote consistent gains.
For moderate-to-severe SCI, long-term rehabilitation focuses on function, adaptive strategies, spasticity management, and prevention of complications; research continues on neuroregeneration and advanced technologies (NINDS, 2025; Mayo Clinic, 2024). NINDS+1
Where integrative chiropractic care fits
Important note: Chiropractic does not treat or reverse spinal cord injury. In an integrative model, chiropractic focuses on the mechanical and neuromusculoskeletal contributors to pain and movement limits, and works alongside medical specialists to co-manage complex cases.
What integrative chiropractic care emphasizes:
Thorough medical screening and referral when needed Chiropractors trained in trauma-informed assessment screen for red flags (neurological deficits, cord compression signs, suspected fracture or BCVI). Concerning findings prompt immediate imaging and referral to emergency, neurology, or spine surgery (UT Southwestern; Utz et al., 2014). UT Southwestern Medical Center+1
Gentle, graded manual care For appropriate cases (after imaging or when clinical decision rules indicate safety), joint mobilization or carefully selected adjustments may reduce painful joint restriction, improve movement, and support posture. Soft-tissue therapy helps calm protective spasm and restore glide.
Sensorimotor retraining Cervical stabilization, scapular control, proprioceptive drills, and graded vestibular/oculomotor exercises can help reduce dizziness, improve gaze stability, and normalize head–neck control patterns that often persist after crashes and sports impacts (UT Southwestern; Dr. Jimenez, 2025). UT Southwestern Medical Center+1
Posture, breathing, and load-management Rib-cage mechanics, diaphragmatic breathing, and dynamic posture training lower strain on the neck and lower back during daily tasks and lifting (Dr. Jimenez, 2025). El Paso, TX Doctor Of Chiropractic
Circulation and CSF considerations (clinical observation) Some integrative chiropractic programs incorporate strategies to optimize cervical mobility and thoracic outlet mechanics as part of a comprehensive plan that supports fluid dynamics and symptom relief. This is a developing area; clinicians should avoid over-promising benefits in serious neurological disease. In Dr. Jimenez’s clinic, CSF flow is considered within a broader framework of posture and movement for symptom-driven care (Jimenez, 2025). El Paso, TX Doctor Of Chiropractic
Whole-person coordination Chiropractors and nurse practitioners (NPs) can coordinate with PM&R, neurology, radiology, physical therapy, and behavioral health to align goals, including restoring motion, quieting pain, normalizing movement patterns, and supporting a return to activity. Dr. Alexander Jimenez, DC, APRN, FNP-BC, documents these collaborative pathways in his clinical articles and patient education resources (Jimenez, 2025). El Paso, TX Doctor Of Chiropractic+2 El Paso, TX Doctor Of Chiropractic+2
Step-by-step recovery roadmap (what a typical plan may include)
Day 0–7: Protect and clarify
Red-flag screen; order imaging when indicated.
Calm pain and inflammation; protect the neck/back from high loads.
Begin gentle motion (as tolerated) to avoid stiffness.
If a concussion/TBI is suspected, initiate a symptom-paced, relative rest plan with light activity and screen time limits; add vestibular/ocular drills as appropriate.
Weeks 2–6: Restore motion and control
Progress manual care (mobilization/adjustment as appropriate).
Sports safety insight: Catastrophic neck injuries often occur with axial loading to the crown in slight neck flexion. Coaching “heads-up” posture and avoiding head-first contact reduces risk (Boden, 2008). PubMed
Special situations that need immediate care
Progressive weakness, numbness, or trouble walking
Bowel or bladder changes; saddle anesthesia
Severe midline spine tenderness after high-risk trauma
Suspected fracture or dislocation
Stroke symptoms after neck trauma (possible BCVI): sudden one-sided weakness, facial droop, vision/language changes, or severe new headache—call emergency services (van den Hauwe et al., 2020). NCBI
Dr. Alexander Jimenez’s clinical observations (El Paso, TX)
Drawing from a dual-scope practice as a Doctor of Chiropractic and Board-Certified Family Nurse Practitioner, Dr. Jimenez highlights:
Early triage matters: identify red flags and co-manage quickly with imaging and specialty referrals when indicated.
Gentle first, then graded: start with low-load mobility and stabilization; add manual care and progressive loading as tissues tolerate.
Sensorimotor work is a staple: vestibular/ocular drills, as well as balance training, help patients with combined neck pain and concussion symptoms move forward.
High-impact events stress the spine through flexion/extension, rotation, and compression—causing soft-tissue injury, disc herniation, fractures, and, in severe cases, spinal cord injury.
The same forces often injure the brain; combined neck and concussion symptoms are common after crashes and sports impacts.
CT and MRI complement each other: CT for bone, MRI for ligaments, discs, cord, and nerves; screen for BCVI when red flags or fracture patterns suggest vascular risk.
Integrative chiropractic care involves a team-based approach, which includes carefully screening patients, using gentle manual methods when appropriate, retraining movement and balance, and collaborating with medical specialists.
With a clear roadmap and coordinated care, most people improve and return to their normal activities. For severe SCI, long-term rehabilitation and assistive strategies remain essential.
Common Sports Head Injuries: From Concussions to Severe Trauma
Sports bring excitement, fitness, and teamwork, but they also come with risks. One of the biggest dangers is head injuries. These can happen in any sport, from a quick bump in soccer to a hard tackle in football. The most common sports head injury is a concussion, which is a mild traumatic brain injury. But more serious ones, like brain contusions, intracranial hematomas, and skull fractures, can also occur. Understanding these injuries helps athletes, coaches, and families stay safe. This article examines the causes, signs, and treatment options, including the role of chiropractic and integrative care.
What Are Sports Head Injuries?
Head injuries in sports happen when there’s a strong force to the head or body that makes the brain move inside the skull. This can damage brain cells and change how the brain works. Common types include concussions, which are mild, and more severe ones like fractures or bleeds. According to experts, concussions make up most of these injuries, often from a blow to the head or violent shaking (Cleveland Clinic, 2024). These shakes or hits stretch nerves and blood vessels, leading to problems.
Sports head injuries are a big issue because they can affect thinking, balance, and even emotions. In the U.S., about 300,000 concussions happen each year from sports (Bailes & Cantu, 2001). While many people recover quickly, ignoring them can lead to long-term troubles like memory loss or mood changes.
The Most Common Injury: Concussions
A concussion is the top head injury in sports. It’s a mild traumatic brain injury that changes how the brain functions for a short time. It occurs when the brain bounces against the skull due to a hit or jolt. You don’t always pass out; many people stay awake but feel off.
Causes of Concussions
Concussions come from direct hits, like a helmet clash in football, or indirect ones, like a body check that shakes the head. In soccer, heading the ball can cause one to suffer a concussion (Arsenian Law Offices, n.d.). Rotational forces, where the head twists, are especially bad because they shear brain tissues (Bailes & Cantu, 2001). Sports like football, soccer, and hockey are the most prone to collisions.
Data shows that in high school sports, football has the highest rate, with tackling causing 63% of concussions (CDC, n.d.). Girls’ soccer follows, with heading the ball linked to one in three cases. Even non-contact sports like basketball can lead to them from falls or player bumps.
Symptoms of Concussions
Symptoms can appear immediately or develop later. Common ones include headache, dizziness, nausea, confusion, and sensitivity to light or noise (Mayo Clinic, 2024a). You might feel foggy, have trouble focusing, or forget things. Emotional signs, such as irritability or sadness, can also appear (Cleveland Clinic, 2024).
In some cases, people look dazed, slur their speech, or have seizures (Mayo Clinic, 2024a). Drowsiness is another sign (American Academy of Orthopaedic Surgeons, n.d.). If symptoms worsen, such as repeated vomiting or unequal pupils, it’s an emergency.
Headaches are a big part of concussions. They can come from a brain injury or related neck strain. In sports, post-traumatic headaches happen after impacts, and things like dehydration or poor posture make them worse (Studio Athletica, n.d.).
Diagnosis of Concussions
Doctors evaluate for concussions with a physical exam, asking about symptoms and testing balance, memory, and reflexes. Tools like the Sport Concussion Assessment Tool (SCAT) help evaluate (Kazl & Giraldo, 2013). Imaging, like CT scans, isn’t always needed unless symptoms are severe, as concussions don’t usually show on scans (American Academy of Orthopaedic Surgeons, n.d.).
Head Injury/TBI Symptom Questionnaire
More Severe Sports Head Injuries
While concussions are common, sports can cause worse injuries. These need immediate medical help to avoid lasting damage or death.
Skull Fractures
A skull fracture is a break in the bone around the brain. In sports, it often results from hard falls or hits, such as in cycling or hockey (Children’s Minnesota, n.d.). Symptoms include headaches, swelling, bruising around the eyes or ears, and fluid from the nose or ears. It often comes with a concussion.
Treatment is rest and pain meds. Surgery is typically only required when the fracture is depressed or open. Follow-up checks ensure healing, and activity limits help recovery (Children’s Minnesota, n.d.).
Brain Contusions and Bleeds
Brain contusions are bruises on the brain from impacts. They cause swelling and can lead to bleeding. Symptoms depend on location but include confusion, weakness, or coma (Bailes & Cantu, 2001).
Intracranial hematomas are blood clots inside the skull. Types include:
Epidural Hematoma: From artery tears, often with skull fractures. It begins with a lucid period, followed by headache and confusion (Bailes & Cantu, 2001).
Subdural Hematoma: From vein tears, common in sports. It’s the top cause of severe head injury deaths in athletes. Symptoms range from alert to coma (Bailes & Cantu, 2001; Slobounov et al., 2020).
These need CT scans for diagnosis. Treatment may include surgery to remove blood and reduce pressure (WebMD, n.d.).
Sports with the Highest Risk
Some sports have more head injuries due to contact. Football tops the list, with 38.9% of concussions (Neural Effects, n.d.). Soccer, lacrosse, hockey, and wrestling follow (CDC, n.d.). In wrestling, takedowns cause 59% of concussions. Even basketball sees them from collisions.
Other risky sports include boxing, where repeated head blows lead to chronic issues, and cycling from crashes (Arsenian Law Offices, n.d.). Knowing these helps with prevention.
When to Seek Help
Any head hit needs watching. Go to a doctor if you have headaches, confusion, vomiting, or seizures (Cleveland Clinic, n.d.). Emergency signs include loss of consciousness, fluid from the ears, or worsening symptoms.
For athletes, stop playing right away. Second impacts can cause swelling or death (Cleveland Clinic, 2024).
Treatment and Recovery
Most concussions heal with rest. Avoid screens, exercise, and thinking tasks at first. Gradually add activities (Mayo Clinic, 2024b). Pain meds like acetaminophen help headaches.
For severe injuries, hospital stays, scans, and surgery may be needed (WebMD, n.d.). Recovery follows a 6-stage plan: rest, light exercise, sport drills, non-contact practice, full-contact practice, and then play (Kazl & Giraldo, 2013).
Chiropractic and Integrative Care
Chiropractic care helps with concussion symptoms by fixing spine misalignments from the injury. These can cause neck pain, headaches, and nerve issues. Adjustments improve alignment, reduce inflammation, and boost blood flow to the brain (Aurora Chiropractic, n.d.).
It targets musculoskeletal symptoms, such as stiffness, and neurological ones, including dizziness and focus problems. Techniques include spinal manipulation, soft tissue work, and exercises for balance (Mountain Movement Center, n.d.). This supports the body’s natural healing process.
Chiropractors work in teams with doctors, therapists, and nutritionists. Integrative care includes diet changes for anti-inflammation and gradual activity (Think Vida, n.d.). It helps athletes return stronger (Grant Chiropractic, n.d.).
Dr. Alexander Jimenez, a chiropractor with over 30 years of experience, notes that head injuries are frequently associated with spinal issues. He employs integrative methods, such as adjustments and functional medicine, to address root causes, thereby helping patients alleviate pain, improve balance, and promote recovery without surgery (Jimenez, n.d.; LinkedIn, n.d.). His work demonstrates that chiropractic care reduces chronic symptoms and enhances performance.
Prevention Tips
Wear helmets and gear. Learn safe techniques, like proper tackling. Coaches should educate themselves on concussion signs (CDC, n.d.). Rules against head-first contact help too.
Conclusion
Sports head injuries, especially concussions, are serious but manageable with knowledge and care. From causes like blows to treatments including chiropractic, staying informed keeps everyone safe. Always seek help for hits, and use team approaches for the best recovery.
Bailes, J. E., & Cantu, R. C. (2001). Classification of sport-related head trauma: A spectrum of mild to severe injury. Journal of Athletic Training, 36(3), 236–243. https://pmc.ncbi.nlm.nih.gov/articles/PMC155412/
Kazl, C., & Giraldo, C. (2013). Sports chiropractic management of concussions using the Sport Concussion Assessment Tool 2 symptom scoring, serial examinations, and graded return to play protocol: A retrospective case series. Journal of Chiropractic Medicine, 12(4), 252–259. https://pmc.ncbi.nlm.nih.gov/articles/PMC3838718/
Marshall, S., Bayley, M., McCullagh, S., Velikonja, D., & Berrigan, L. (2012). Clinical practice guidelines for mild traumatic brain injury and persistent symptoms. Canadian Family Physician, 58(3), 257–267. https://pmc.ncbi.nlm.nih.gov/articles/PMC3959977/
Slobounov, S. M., Haibach, P., & Newell, K. M. (2020). A foundational “survival guide” overview of sports-related head injuries. Frontiers in Neurology, 11, 571125. https://pmc.ncbi.nlm.nih.gov/articles/PMC7755598/
How Head Injuries Affect Movement—and How Chiropractic Care Gives It Back
A physiotherapist is conducting a consultation on a possible traumatic brain injury; the patient complains of back pain and mobility problems.
Head injuries and traumatic brain injuries (TBIs) can turn simple steps into big challenges. A fall, a car crash, or a sports hit can damage the brain and the nerves that tell your body how to walk, reach, or stand tall. This guide explains exactly how these injuries cause muscle fatigue, shaky balance, stiff joints, and even paralysis. You will also learn how gentle chiropractic adjustments, soft-tissue work, and targeted exercises help people move better, feel less pain, and live fuller lives.
What Happens Inside the Body After a Head Injury
When the skull jolts, the brain bounces inside. That sudden movement can tear tiny nerve wires and swell delicate tissues. The messages that once zipped from brain to legs now arrive late, weak, or not at all (Model Systems Knowledge Translation Center, 2023).
Muscle Fatigue Hits Fast
Even mild TBIs make muscles tire in minutes instead of hours. A short walk to the mailbox can feel like a marathon. Dr. Alexander Jimenez, a chiropractor and nurse practitioner in El Paso, Texas, sees this every week. “Patients tell me their legs feel like wet sandbags after five minutes of standing,” he says in his clinic videos (Jimenez, 2025).
Balance Becomes a Wobbly Game
The brain’s balance center sits deep inside the cerebellum. When it gets bruised, the ground seems to tilt. People sway, stumble, or freeze in place. One study found that even “mild” head injuries change walking patterns enough to raise fall risk by 50% (Brain Injury Association of America, 2024).
Coordination Turns Clumsy
Reaching for a coffee cup can knock over the whole table. Fine finger skills vanish. Buttons stay undone, handwriting turns shaky, and stairs feel like mountains. Physiopedia refers to this as “loss of motor dexterity” (Physiopedia, 2024).
Pain and Tiredness Make Everything Worse
Chronic headaches, neck pain, and shoulder aches are common after TBIs. When pain flares, muscles guard and stiffen. Add normal daily fatigue, and movement shuts down completely (Irvine, 2023).
Symptom Questionnaire:
From Stiffness to Locked Joints: The Contracture Trap
If a person rests too much to avoid pain, muscles shorten like dried rubber bands. Joints freeze. Doctors call these locked positions contractures. Elbows, knees, and ankles can bend only a few degrees. Contractures typically develop within weeks and become permanent within months if left untreated (Physiopedia, 2024).
Headway, a UK brain-injury charity, warns: “Lack of movement is the biggest enemy of recovery” (Headway, 2023).
How Chiropractic and Integrative Care Unlock the Body
Chiropractors do more than crack backs. They use gentle moves, hands-on muscle work, and brain-retraining exercises to restart motion and calm pain.
1. Spinal Adjustments Re-Open Nerve Highways
Misaligned neck bones pinch nerves that control arms and legs. A precise chiropractic adjustment lifts that pressure. Blood and cerebrospinal fluid flow better. Patients often feel looser the same day (Northwest Florida Physicians Group, 2023).
Dr. Jimenez films before-and-after videos: one patient who dragged her foot for two years took ten smooth steps after three visits (Jimenez, 2025).
2. Soft-Tissue Therapy Melts Tight Muscles
Fascia—the thin sleeve around every muscle—can knot after injury. Chiropractors use tools and fingers to smooth these knots. Shoulders drop, necks turn, and hips swing again (Function First, 2024).
3. Balance Boards and Eye-Tracking Drills Rewire the Brain
Simple wobble boards teach the brain to steady the body. Following a finger with the eyes rebuilds coordination pathways. These “neuro-drills” are fun and fast. Most patients notice steadier steps in four weeks (HML Functional Care, 2024).
4. Stretching Plans Stop Contractures Before They Start
Daily 10-minute routines keep joints supple. A chiropractor demonstrates the exact angle and hold time to ensure muscles lengthen safely (NR Times, 2024).
5. Posture Fixes End Headache Cycles
Slumped shoulders strain the neck and starve the brain of oxygen. One posture taping session plus two adjustments can cut headache days in half (Cognitive FX, 2024).
Real Stories That Prove It Works
Mark, age 34, car crash survivor “I couldn’t lift my toddler. After six weeks of chiropractic care, I carried her across the park.” (Patient testimonial, Apex Chiropractic, 2024)
Sarah, age 19, soccer concussion “Balance boards felt silly—until I walked the graduation stage without my cane.” (Crumley House, 2024)
Midday 10-minute walk with trekking poles, Soft-tissue massage on tight calves
Evening Wobble-board “surfing” while brushing teeth, Gentle foam-roll under guidance
Follow this for 90 days, and most people regain 70–80% of normal motion (Impact Medical Group, 2024).
When to See a Chiropractic Neurologist
Look for these red-flag signs:
Your legs drag or cross when you walk
Arms stay glued to your sides
You fall more than once a month
Painkillers no longer help
A chiropractic neurologist assesses your gait on video, tests eye reflexes, and develops a customized plan (NeuroChiro, 2024).
Science Backs the Gentle Touch
A 2022 review of 14 studies found that spinal adjustments, combined with exercise, reduced TBI pain by 41% more than exercise alone (Jimenez, 2025). Another trial showed that balance scores increased by 28 points in eight weeks with integrative care (PMC, 2022).
Safe, Drug-Free, and Covered by Many Insurances
Chiropractic care for head injuries is a non-invasive approach. No needles, no scalpels, no opioids. Most auto-insurance PIP plans and major health plans pay for 12–20 visits (Sam’s Chiropractic, 2024).
Your Next Step Today
Call a local chiropractor who lists “TBI” or “concussion” on their website.
Bring a 1-page list: “I trip, my left knee locks, headaches every afternoon.”
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
