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Chronic Pain

Back Clinic Chronic Pain Chiropractic Physical Therapy Team. Everyone feels pain from time to time. Cutting your finger or pulling a muscle, pain is your body’s way of telling you something is wrong. The injury heals, you stop hurting.

Chronic pain works differently. The body keeps hurting weeks, months, or even years after the injury. Doctors define chronic pain as any pain that lasts for 3 to 6 months or more. Chronic pain can affect your day-to-day life and mental health. Pain comes from a series of messages that run through the nervous system. When hurt, the injury turns on pain sensors in that area. They send a message in the form of an electrical signal, which travels from nerve to nerve until it reaches the brain. The brain processes the signal and sends out the message that the body is hurt.

Under normal circumstances, the signal stops when the cause of pain is resolved, the body repairs the wound on the finger or a torn muscle. But with chronic pain, the nerve signals keep firing even after the injury is healed.

Conditions that cause chronic pain can begin without any obvious cause. But for many, it starts after an injury or because of a health condition. Some of the leading causes:

Arthritis

Back problems

Fibromyalgia, a condition in which people feel muscle pain throughout their bodies

Infections

Migraines and other headaches

Nerve damage

Past injuries or surgeries

Symptoms

The pain can range from mild to severe and can continue day after day or come and go. It can feel like:

A dull ache

Burning

Shooting

Soreness

Squeezing

Stiffness

Stinging

Throbbing

For answers to any questions you may have please call Dr. Jimenez at 915-850-0900


Extinguish Chronic Inflammation With Chiropractic

Extinguish Chronic Inflammation With Chiropractic

Chronic inflammation is quite common and can cause a variety of painful back conditions. Fortunately, chiropractic treatment can extinguish the inflammation at its core/root cause and bring long-lasting relief. Inflammation can be a significant factor in causing body and back pain. The proper and lasting treatment goes beyond anti-inflammatory medications. The objective is to extinguish the inflammation completely.  
 

Inflammation

The number of diseases associated with chronic inflammation is increasing exponentially. An estimated 60% of Americans deal with at least one chronic condition caused completely or in part by inflammation. Inflammation is the body’s immune response to something that is not right in the body. Typically, there is:
  • Swelling
  • Redness
  • Warmth/heat signaling an inflammatory response from injury or infection
Chronic inflammation can present through a series of symptoms, including:
  • General fatigue
  • Pain throughout the body
  • Off feeling/not focused
Inflammatory conditions can include:
  • Skin changes like a rash
  • Joint swelling
  • Lymph node swelling
  • Endocrine, heart, lung, and neurological complications
 
Inflammation can generate inflammatory back pain as well when this happens. This is because the immune system is trying to protect the body from whatever is trying to infiltrate. The cells and chemicals fight the attack and try to heal whatever is going on. Sometimes, there is nothing going on but the immune system becomes hyper-reactive and attacks itself. This is the case of autoimmune disease, or what becomes chronic inflammation. Chronic inflammation lasts longer than 3 months and can lead to diseases like:
  • Diabetes
  • Heart disease
  • Autoimmune inflammation can manifest in rheumatological disorders like rheumatoid arthritis

Inflammation and Inflammatory Conditions

Autoimmune inflammation that presents as ankylosing spondylitis and rheumatoid arthritis is in a different category. This is when the body begins attacking itself. This can be triggered by a viral infection, which stimulates the immune system. This can cause:
  • Joint destruction
  • Ligament pain
  • Soft tissue swelling
  • Some conditions are hereditary

Inflammatory Spinal Conditions

Inflammation can travel into the body�s spinal and neurological systems. This results in painful conditions that can affect an individual’s quality of life.

Ankylosing Spondylitis

Ankylosing spondylitis usually starts in the lower back and can spread up. It is a form of arthritis that causes the vertebrae to fuse together. It can also cause inflammation in the urological and ophthalmological systems. It is believed to have a somewhat genetic connection. There is a marker called HLA B27 that is usually positive in patients and is more common in young males.

Rheumatoid Arthritis

Rheumatoid arthritis/RA causes inflammation in synovial joints. These produce a fluid that helps lubricate and nourish the joints. RA is found most commonly in the hands, wrists, and knees, but can also present in the spine�s facet joints that connect vertebrae. There is some genetic association but is common with smoking and obesity. It is diagnosed with lab work, like inflammation markers, rheumatoid factor, and physical examination. RA pain typically presents in the cervical spine or neck region.  
11860 Vista Del Sol, Ste. 128 Extinguish Chronic Inflammation With Chiropractic
 

Transverse Myelitis and Multiple Sclerosis

These conditions are closely tied and caused by inflammation in the central nervous system/CNS. The immune system attacks the nerve cells and removes the fatty substance that insulates the nerves and helps them transmit impulses to and from the central nervous system. This causes:
  • Pain
  • Weakness
  • Numbness
  • Bladder/bowel issues
Transverse myelitis affects the spinal cord whereas multiple sclerosis can affect the brain and the spinal cord. Transverse myelitis is typically acute, whereas multiple sclerosis is long-term and can have an increasing/decreasing course of progressive symptoms. And transverse myelitis can be a symptom of multiple sclerosis. Certain lifestyle choices/habits can cause or worsen inflammation. Obesity, smoking, and an unhealthy diet can have a significant impact on chronic inflammation.  

Spinal Structures Affected

Inflammation can affect every area of the spine. From the lower back to inflammation of the vertebrae themselves. Injuries to the spine, that include the:
  • Bones
  • Discs
  • Ligaments
  • Joints
This can cause swelling and a build-up of fluid that can be found on an MRI. This is the preferred method of detecting inflammation. When the term itis is used this usually indicates a type of inflammation. For example, neuritis means inflammation of the nerve/s. This can be seen with nerve compression where the nerve is swollen on an MRI.  
11860 Vista Del Sol, Ste. 128 Extinguish Chronic Inflammation With Chiropractic
 

Extinguish Spinal Inflammation

Causes of inflammation can be traced back to lifestyle choices, but can also be alleviated through healthy lifestyle adjustments that turn into habits.

Nutritional Health Coaching

Recommended is to avoid or decrease processed foods, trans fats, and sugar. Consider supplementing vitamin D, magnesium, and omega 3s.

Quit Smoking

Quitting smoking will improve circulation and extinguish vascular inflammation.

Regular Physical Activity/Exercise

Aerobic exercises improve cardiac function and circulation as well as exercises that support the spine ergonomically. Core and pelvic stabilization are necessary for lower back pain.

Medication

For acute inflammation caused by injuries steroids and NSAIDs can help with severe pain and inflammation.  
 

Chiropractic Extinguisher

When the spine and the body’s joints are in proper alignment, and the nerves are functioning at optimal levels the body’s biomechanics return to normal. This stops neuropeptides from producing and helps extinguish inflammation.

Surgery

With the spine, surgery is not recommended as a first-line treatment unless it is an emergency or there is potential for permanent neurological damage. If medication, chiropractic, physical therapy, supplements, lifestyle changes, and/or complementary treatments like acupuncture do not help and quality of life and function are significantly impacted, then elective surgery can be considered.

Body Composition Spotlight

 

 

All-around Exercise Regimen

As individuals continue to struggle with obesity and functional fitness with age, exercise becomes more important than ever. It is crucial to combine diet and regular physical activity/exercise to lose weight, have a favorable impact on body composition and lifespan. A well-rounded exercise regimen that incorporates all types of fitness. Aerobic exercise helps maintain an elevated heart rate and helps get rid of fat-free mass. Resistance training helps to build lean muscle mass. Combining the two, with concurrent training, or utilizing a HIIT workout when there is not enough time will work wonders. Being better equipped and understanding why exercise is important for the body’s health, different types of exercise, and which ones are best suited for each individual’s needs will keep the body in top form for the long term.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico
References
What Is Inflammation?:�StatPearls.�(November 2020) �Chronic Inflammation��www.ncbi.nlm.nih.gov/books/NBK493173/ Types of Inflammatory Spinal Conditions:�Current Opinion in Rheumatology.�(January 2014) �When and Where Does Inflammation Begin in Rheumatoid Arthritis?��www.ncbi.nlm.nih.gov/pmc/articles/PMC4033623/
Activity Modification and Chiropractic To Help With Chronic Pain

Activity Modification and Chiropractic To Help With Chronic Pain

Chronic pain and a healthy spine can require activity modification. This is so an individual can participate in activities in a way to help prevent pain from presenting. This could include:
  • Avoiding staying in static positions for too long
  • Continuous stretches throughout the day
  • Planning ahead when participating in physical activities that cause pain
  • Dietary adjustments to reduce inflammation and gain strength/flexibility
  • Customized exercise program
  • Health coaching guide
11860 Vista Del Sol, Ste. 128 Activity Modification and Chiropractic To Help With Chronic Pain
 

Activity Modification

Chiropractic treatment not only involves correcting spinal alignment but also continuing an individual’s health education. The objective is to treat the source, not the symptoms. The goal with activity modification is to change the habit into a positive technique. Rigorous spinal adjustments will only help to a point if the habit continues. Whether there are any underlying conditions or it is an individual’s lifestyle, variables like: These are the primary factors when it comes to spinal health. With recurring spinal problem/s, a chiropractor needs to trace back any kinetic behavior that could have contributed to inflammation causing pain symptoms. Recognizing poor kinetic habits and teaching activity modification are core objectives of chiropractic medicine.  
 

Identification

Poor habits need to be identified. Two common are forward head posture and anterior pelvic tilt. These are signs of bad habits that affect spine health. Misaligned biomechanics can be a first clue in understanding why the individual continues to experience pain. Consistent shifting of the body to not stay in one position for too long is recommended, but when there is recurring pain this is where a chiropractor can show an individual better methods and techniques of shifting to avoid the pain. Poor posture could be traced to sitting at a disproportionate desk with no ergonomic support. And a constant forward head position on the cervical spine, nerves, shoulders, can generate enormous strain.  

Modification

Precision adjustments will alleviate the effects of spinal misalignment. But modifications need to become second nature. Chiropractic modification approaches will correct poor posture and body mechanics. A chiropractor will educate an individual to be mindful of certain movements and reinforce proper positioning. Once an individual is familiar with a healthy way of moving/shifting to restore optimal mechanics, then the individual can learn to engage in other activities with the newfound activity modification tools. This will help break the cycle of chronic spinal misalignments.  
11860 Vista Del Sol, Ste. 128 Activity Modification and Chiropractic To Help With Chronic Pain
 

Positive Change

Corrective relief and teaching proactive wellness is the primary role of chiropractic medicine. Activity modification can be an individual’s first line of defense for changing poor habits responsible for chronic pain and recurring musculoskeletal problems. Educating individuals on how to preserve spinal adjustments and adopting long-term, healthy habits will promote overall wellness.

Chiropractic Care Crossfit Rehabilitation


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Geneen, Louise J et al. �Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews.��The Cochrane database of systematic reviews�vol. 4,4 CD011279. 24 Apr. 2017, doi:10.1002/14651858.CD011279.pub3
Chiropractic Testing and Treatment for Chronic Pain

Chiropractic Testing and Treatment for Chronic Pain

Finding ways to manage chronic pain is a priority. Chiropractic testing and treatment could be an option that is effective and affordable. Various chiropractic care can help manage chronic pain caused by a condition like herniated disc/s. Chiropractic testing involves diagnosing the root cause/origin of the pain. Getting a proper diagnosis usually involves:

  • X-rays
  • CT scan
  • MRI
  • DNA
11860 Vista Del Sol, Ste. 128 Chiropractic Testing and Treatment for Chronic Pain

Chiropractic testing

The correct diagnosis is essential to creating an optimal treatment plan. It is a complicated disorder that can be difficult to treat because it can present with no apparent cause. But, researchers are working to find answers to many of the questions surrounding chronic pain. When treating spine-related pain other tests can include:

  • Discography
  • Bone scans
  • Nerve studies
  • Electromyography
  • Nerve conduction study
  • Myelography

A pain specialist might consult with and refer the individual to a neurosurgeon or orthopedic spine surgeon to determine if the pain requires surgery. This is because untreated and not fully treated chronic pain is one of the leading causes of limited mobility and flexibility. Other associated issues are:

There are some experts that believe tests like MRIs are overused. There is a fear that too many tests could expose individuals to unnecessary radiation and increase medical expenses. However, determining the cause/s holds the key to a successful treatment plan. Therefore, choosing the right diagnostic strategy will help in:

  • Creating the most effective and optimal treatment plan
  • Quality of life improvement
  • Prevent potential complications
  • Reduce the cost of diagnosis
  • Reduce the cost of treatment

Chiropractic Management

Chronic pain does not respond to typical pain management techniques. Chiropractic management deals with chronic pain inflammation and muscle tension. Chiropractors use a variety of non-surgical techniques like:

Soft Tissue

  • Manual release therapy stretches the muscle/s while pressure is applied
  • Trigger point therapy applies pressure on the area of the tensest muscle/s
  • Instrument-assisted soft tissue therapy uses a tool/s to apply gentle pressure.
11860 Vista Del Sol, Ste. 128 Chiropractic Testing and Treatment for Chronic Pain

Manual Therapy

When the joints are not moving correctly, a chiropractor may utilize this technique to regain a full range of joint motion. This is accomplished through joint mobilization which is slow, gentle stretches of the affected joint and manipulation, which are quick but gentle movement/thrusts that stretch the joint.

Exercise Therapy combined with Self-care

A chiropractor will provide simple therapeutic exercises and stretches that can be done at home to help with the pain and to help with prevention. Also provided:

  • Safe lifting techniques
  • Posture exercises/tips
  • Dietary strategies to manage pain and prevent re-injury

Once diagnosed with a pain condition, a chiropractor will develop a unique customized treatment plan. Don’t be afraid to talk with your chiropractor. The more they know the better the treatment plan. Once the pain is fully addressed, patients will be able to gradually increase daily activities.


Piriformis Syndrome Chiropractic Treatment


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Chronic Pain Treatment/Management

Chronic Pain Treatment/Management

There are various chronic treatment/management options available. Chronic pain treatment focuses on treating and managing the root cause and underlying condition that is causing the pain. The physical and psychological aspects of chronic pain need to be balanced in order for a treatment plan to work.

 

11860 Vista Del Sol, Ste. 128 Chronic Pain Treatment/Management

That is why a complete treatment plan can sometimes be necessary to address both the physical and psychological factors generating the pain. Because of this treatment plans often involve different pain specialists working in conjunction with a customized treatment/management plan according to the individual’s needs. This can include a combination of treatment protocols, like:

  • Health coaching
  • Psychological therapy
  • Chiropractic
  • Physical therapy
  • Medication
  • Acupuncture
  • Yoga, Pilates

Treatment/Management

The focus of chronic pain treatment is to:

  • Lessen pain frequency and intensity
  • Help individuals get back to work
  • Improve mobility and flexibility
  • Maintain quality of life
  • Reduce or eliminate reliance on pain meds
  • Reduce possible re-injury or new injury
  • Reduce mental and emotional symptoms like anxiety and depression

Pain Meds

 

hands of woman holding opioids

Non-Opioids

Nonsteroidal anti-inflammatory medications are usually the first treatment for chronic mild to moderate pain. Examples are ibuprofen, aspirin, and naproxen. These medications work by blocking enzymes and reduce prostaglandins throughout the body that cause pain and swelling. Acetaminophen used in Tylenol is similar to these medications but works differently. Instead, these meds block the production of inflammatory chemicals in the brain.

Opioids

Opioids are narcotics and can be extremely powerful pain relievers. These are used to relieve severe pain symptoms temporarily. Narcotics work by blocking the pain signals before they get to the brain. However, these meds are highly addictive and can lead to abuse. Doctors prescribe narcotics when non-opioids and all forms of non-pharmacological treatment/s fail or don’t work in providing sufficient pain relief. Examples include:

  • Buprenorphine
  • Fentanyl
  • Hydrocodone
  • Oxycodone
  • Hydromorphone
  • Methadone
  • Morphine
  • Tramadol

Anticonvulsants

Anticonvulsants or anti-epileptics are used to treat seizures. They can also help in relieving pain that is associated with nerve injury/damage and fibromyalgia. Examples include:

Muscle Relaxants

Muscle relaxants can be used for chronic pain but there is division among medical experts as to how effective they are and of their addictiveness. Plus there are few studies supporting their use in individuals with chronic pain.

Corticosteroids

Corticosteroids are hormone-based medications that help reduce inflammation. They are generated naturally in the body while some are synthesized in a laboratory. Injectable steroids can help relieve pain brought on from pinched nerves or joint disorders.

Antirheumatics

Antirheumatic meds are used to control and manage rheumatoid arthritis symptoms. They prevent or inhibit the immune system and help reduce joint damage. Examples include:

  • Methotrexate
  • Leflunomide
  • Hydroxychloroquine
  • Sulfasalazine

Antidepressants

Antidepressants are used to treat anxiety disorders and depression disorders but are also used to relieve chronic pain. They are used to treat pain caused by:

  • Arthritis
  • Migraine
  • Nerve damage
  • Fibromyalgia

These medications increase the brain’s chemical levels like serotonin, dopamine, and norepinephrine. They can also be used even when an individual has no depression symptoms. Examples include:

  • Amitriptyline
  • Venlafaxine
  • Paroxetine.

Alternative Treatment

Alternative treatment/management can also help with the pain. It’s recommended to discuss any type of alternative treatment with a doctor or medical professional. Doctors encourage alternative treatments along with keeping a journal of how an individual feels after a series of treatment sessions. If the individual feels better, and the treatment is working, then consider continuing for an extended period. Here are some alternative treatments/therapies to think about.

  • Acupuncture: Works by releasing endorphins, the natural pain-relieving chemicals, and affects the brain region that controls serotonin, the chemical that regulates mood.
  • Massage: Helps relieve pain by keeping muscles, ligaments loose and proper blood flow throughout the body
  • Meditation: Has been shown to help improve pain perception and reducing depressive symptoms
  • Hypnosis: Has been found to be useful in treating cancer and back pain
11860 Vista Del Sol, Ste. 128 Chronic Pain Treatment/Management

Psychological Therapy

Psychotherapy, also known as talking therapy could be part of a chronic pain treatment plan. What it does is to help improve the associated symptoms/conditions which include:

  • Depression
  • Anxiety
  • Fear of pain

Psychotherapy has shown promising results and has various forms. They are:

Acceptance/Commitment Therapy

Acceptance commitment therapy is short-term psychotherapy. There are two approaches to pain perception. One, it teaches the individual to accept things beyond what they control. Second, it encourages the individual to feel things the way they are, work towards relief instead of questioning and being skeptical. It opens an individual’s psychological perspective. It can be used to treat low back, leg, and neck pain.

Cognitive-Behavioral Therapy

This therapy educates individuals on pain, mood, behavior, and how they all relate to each other. It also trains an individual on relaxation strategies. Individuals learn techniques to replace negative thoughts concerning their pain with positive thoughts. Cognitive-behavioral therapy has been shown to be effective in treating pain caused by:

  • Spinal cord injury
  • Chronic migraines
  • Fibromyalgia
  • Rheumatoid arthritis
  • Irritable bowel syndrome
  • Osteoarthritis
  • Multiple sclerosis
  • HIV/AIDS
  • Cancer

Early and aggressive treatment/management of chronic pain can make a significant difference. Knowledge is power so make sure you understand all options before deciding which to take.


Sciatica Pain Treatment Relief


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Chronic Pain Diagnosis

Chronic Pain Diagnosis

Getting an accurate chronic pain diagnosis is essential to creating the most optimal, highly customized treatment plan for the individual. Depending on the severity and cause of pain, individuals could require various pain specialists/therapists combined with a primary physician. These could include:

  • Chiropractor
  • Physical therapist
  • Neurosurgeon
  • Pain medicine specialist
  • Physiatrist
  • Rheumatologist
  • Orthopedic spine surgeon

Chronic Pain Diagnosis

 

11860 Vista Del Sol, Ste. 128 Chronic Pain Diagnosis

Over time chronic pain symptoms can change or alter and need reevaluation. This could mean having to adjust treatment and management but that is exactly what it is, an adjustment to the treatment plan flowing with the symptoms as they come and go while keeping to the objective of. Chronic pain diagnosis entails a series of tests, as well as, a full review of symptoms and medical history. A doctor will ask a series of questions concerning symptoms and pain triggers. These questions could include:

  • When did the pain begin?
  • Describe and rate the pain, is it shooting, electrical, burning, throbbing, dull, or sharp?
biomarker el paso tx.
  • Has there ever been an injury at or around the problem area?
  • What activities/actions/movements relieve and worsen the pain?
  • Is there a history of mental illness, like depression or anxiety?
11860 Vista Del Sol, Ste. 128 Chronic Pain Diagnosis

Labs

Tests will be ordered to identify physical/non-physical causes that could be the cause or contributor. Possible tests include:

Blood

Blood tests are used in the diagnosis of infections and inflammation. Individuals with infection/s or inflammatory disorders have high levels of white blood cells and inflammatory reactive substances like C-reactive protein. Blood tests also help determine the presence of rheumatoid arthritis, gout, or cancer. If rheumatoid arthritis is present, the blood analysis will show positive results for proteins known as rheumatoid factor.

Urine

Urinalysis is commonly used to check for gout. This is a type of arthritis that causes high blood levels of uric acid. A doctor may order a urine test for a patient using prescription pain meds.

Spinal tap

A doctor inserts a needle into the lower back and a sample of cerebrospinal fluid is collected. Cerebrospinal fluid is clear and protects the brain and spinal cord. A cerebrospinal fluid analysis helps to diagnose disorders of the central nervous system and certain cancers. �

Musculoskeletal/Neurological tests

A musculoskeletal exam looks at posture, joint mobility, muscle stiffness, tightness, and swelling in or around the area, as well as the rest of the body. An example is a diagnosis of carpal tunnel syndrome. A detailed spine examination is done to identify deformities and moving/walking posture. A neurological examination is used to check:

  • Muscle strength
  • Touch reaction
  • Balance
  • Overall sensation

A neurological exam can also be used to test:

  • Memory
  • Alertness
  • Mood
  • Behavior

Imaging

Imaging provides detailed images of the body’s organs and bones. Doctors use these to:

  • Spot fractures or inflammatory alterations in the bone/s
  • Focus on details of a bone and surrounding structures
  • Differentiate between growths, infections, or fractures
  • Identify nerve/s injury or damage

X-Rays

X-rays are standard in the diagnosis of fractures. An arthrogram is an x-ray that uses a contrasting agent to check and identify joint disorders.

MRI

Magnetic resonance imaging uses a magnetic field and radio waves to create detailed images. Magnetic resonance imaging helps in diagnosing:

  • Low back pain
  • Fibromyalgia
  • Osteoarthritis
  • Migraine
  • Pelvic pain
  • Peripheral neuropathy

Electrodiagnostic

EMG – Electromyography

EMG’s are used to diagnose disorders of the muscles and nerves. Electrical activity in the muscles is recorded to see how the impulses/electrical signals are transmitting from the nerves to muscles. �

neurological studies el paso tx.

An EMG could be required if an individual has:

  • Numbness
  • Muscle weakness
  • Muscle pain
  • Tics

Electromyography is also used to identify conditions that can cause chronic pain like:

  • ALS – Amyotrophic lateral sclerosis
  • Carpal tunnel syndrome
  • Radiculopathy from pinched nerves in the spine
  • Muscular dystrophy

Nerve Conduction

A nerve conduction study measures the speed of electrical signals passing through a nerve. It can identify:

  • Carpal tunnel syndrome
  • Herniated disk disease
  • Sciatic nerve injury/damage/abnormality

A doctor can order both an EMG and NCS in combination.


Back Pain Chiropractic Care

 


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Anybody Can Have Chronic Pain

Anybody Can Have Chronic Pain

Anybody can have chronic pain. Adults typically complain of joint pain, low back pain, and neurogenic pain. While children and teenagers are more likely to have more headaches, abdominal pain, leg, and hand pain. Regardless there are individuals that have a higher risk because of their age, gender, and job. It isn’t always clear what causes chronic pain. There are several possibilities: �

 

11860 Vista Del Sol, Ste. 128 Anybody Can Have Chronic Pain
  • Injury – Even after the injury has healed, the nerves keep sending pain signals to and from the brain. Doctors are still not sure why this occurs.
  • Disease – Conditions can cause chronic pain like fibromyalgia and osteoarthritis.
  • Nerve problems – Part of the nervous system can be injured, the nerves themselves. This is called neuropathic pain.
  • Unknown Cause/s – Pain that presents with no obvious injury, disease, or nerve problem.

Military Veterans

Chronic pain is quite common in veterans according to a National Veterans Affairs Study. Around one in five veterans receiving primary care have chronic pain. While one in ten has chronic pain syndrome. Veterans recently served in a war, tend to report a variety of causes for their pain. This includes:

  • Multiple injuries
  • Brain trauma
  • Muscle injuries
  • Bone/s injuries

Athletes

Most sports require a certain level of fitness. Athletes train with all types of activities to help maintain their body’s. Unfortunately, they are still not immune to chronic pain. Chronic pain is common with:

  • Gymnasts
  • Football players
  • Soccer players
  • Runners
  • Basketball players
  • Ballet dancers

Common chronic conditions for athletes:

 

  • Low back pain
  • Leg pain
  • Stress fractures or cracks inside a bone
  • Tendinitis
  • Diabetes
  • Recurrent fractures
  • Spinal stenosis is a narrowed spinal canal, which creates added pressure on the nerves that travel through the low spine into the legs
chiropractor takes notes on lady with back pain in gym

Seniors

Age is a high-risk factor for chronic pain. Around 30-40% of individuals older than sixty-five have or are beginning to deal with chronic pain. The severity in anybody forty-five to sixty-five is the greatest. Common conditions that cause chronic pain in older adults are:

  • Cancer
  • Arthritis and gout
  • Heart disease
  • Kidney disease
  • Damaged nerves
  • Stroke
  • Shingles
11860 Vista Del Sol, Ste. 128 Anybody Can Have Chronic Pain

Women

Men and women experience pain differently. Several factors contribute to this. These include:

  • Hormones
  • Menstruation
  • Puberty
  • Reproductive health

Women have a higher risk of developing disorders that cause chronic pain. Examples include:

  • Arthritis
  • Brittle bones
  • Migraines
  • Irritable bowel syndrome

Anybody dealing with chronic pain, finding relief can be difficult and time-consuming. Individuals are often sent back and forth between primary care, specialists, and therapists for a solution.

Improved Nervous System

When there is a communication breakdown between the brain and the body�s tissues, organs, and cells it can lead to a variety of health problems. There are many chronic and even degenerative health conditions that are impacted by the nervous system. Studies have shown that chiropractic is a highly effective treatment for numerous neurological conditions which include:

  • Ataxia
  • Autism
  • Cerebral palsy
  • Epilepsy
  • Multiple sclerosis
  • Parkinson�s
  • Tourette�s Syndrome
  • Vertigo

Anybody can seek treatment and they will experience the benefits. Chiropractic provides a safe, effective treatment for an improved nervous system function. The type, frequency, and intensity of treatment depend on the patient and condition. Chiropractic positively affects the nervous system and as a result, positively affects the whole body.


Chronic Body Pain Treatment

 


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Causes of Chronic Pain

Causes of Chronic Pain

Several conditions and factors can cause chronic pain. Usually, these are conditions that accompany normal aging, which affect bones and joints. The top three are osteoarthritis, rheumatoid arthritis, and fibromyalgia. Other common causes are nerve damage and injuries that fail to heal properly.

Spinal Cord and the Nerves of the Corresponding Organs

 

11860 Vista Del Sol, Ste. 128 Causes of Chronic Pain

Fibromyalgia

Individuals with fibromyalgia experience unexplained pain in almost every part of their bodies. Doctors and scientists are still trying to figure out what causes fibromyalgia. Currently, scientists think a part of the condition comes from an imbalance of certain chemicals in the brain. They believe the imbalances play a critical role. Fibromyalgia can create:

  • Tender areas
  • Muscle pain
  • Headaches
  • Long-term back pain
  • Long-term neck pain

Osteoarthritis

Osteoarthritis causes severe sporadic or non-stop aches and pain in the knees, hips, spine, and feet. Associated symptoms include joint stiffness, swelling, and limited joint mobility. Individuals with osteoarthritis could have some pain throughout their lives. According to the CDC, around fifteen million adults with arthritis have severe pain in their joints.

facetogenic neuropathic, osteoarthritis and headaches pain el paso tx.

Rheumatoid Arthritis

Rheumatoid arthritis causes continual aching that affects multiple joints. The hands, wrists, and knees are the most affected joints. Individuals with rheumatoid arthritis can present alternate symptoms, like joint stiffness, swelling, and fever.

Multiple Sclerosis

Multiple sclerosis is a disease of the brain and the spinal cord. What happens is the immune system targets and damages the protective covering of the nerves themselves. The brain can’t properly and effectively communicate with the body. Multiple sclerosis causes pain in the legs, feet, arms, and hands. Associated symptoms include burning, prickling, or stabbing pain just about every day. �

11860 Vista Del Sol, Ste. 128 Causes of Chronic Pain

Sciatica

Sciatica can cause mild to sharp, electrical burning pain that travels from the lower back through the buttocks to the back of the leg and even into the foot. Chronic sciatica lasts for three months or more. The condition is more common in adults age 40 and older.

Carpal Tunnel Syndrome

Carpal tunnel syndrome causes pain and numbness in the:

  • Hand
  • Wrist
  • Forearm
  • Thumb
  • Index finger
  • Middle finger
  • Ring finger

Common causes include:

Injury Trauma

Around half of the cases involving chronic pain are linked to physical trauma and injury. Individuals hospitalized after a serious injury often report chronic pain symptoms within the first year. Scientists are still unsure of how injuries lead to chronic pain. They believe several factors increase the risk. These include:

  • Pre-injury depression
  • Anxiety
  • Alcohol use
  • Family history of chronic pain

Individuals that have sustained multiple injuries are at higher risk for chronic pain. �

Spinal Injuries

One of the most common causes of chronic back pain. The lower back is the area likely to be affected. Certain types of chronic pain can have more than one cause. For example, general back pain could be caused by a single factor or a combination of factors like:

  • Poor posture
  • Improper lifting of heavy objects
  • Improper carrying of heavy objects
  • Being overweight places added strain on the back and knees
  • Abnormal curvature of the spine
  • Wearing high heels too often
  • Sleeping on a worn-out mattress
  • Degenerative disc changes

Combat Injuries

More than half of combat-related injuries are the result of explosions, from landmines, and shrapnel. Nearly all injured soldiers have to deal with some type of pain and many have a traumatic brain injury. A traumatic brain injury can cause chronic headaches. Delayed treatment and repeated injuries in injured soldiers make up for most chronic pain cases. �

11860 Vista Del Sol, Ste. 128 Causes of Chronic Pain

Sports Injuries

Sports injuries and chronic pain is nothing new. Studies found that 1 in 2 football players deal with chronic pain in their retirement. This along with sleep problems and mild-severe depression. Both can contribute to chronic pain. Athletes are continuously exposed to high-risk injury situations. Having the pressure of performing optimally and winning can take a toll on an athlete’s health. �

Weight

Obesity does not directly cause chronic pain, but it does raise the risk. Around 40% of individuals that are obese also experience mild to severe chronic pain. Plus, individuals that are severely overweight are more likely to develop a condition that can cause chronic pain like diabetes, arthritis, and fibromyalgia. �

The source of chronic pain can be very complex. It can start with an injury or illness and develop slowly without the individual realizing it until it has become a full-blown chronic condition. This fact alone makes recommending a single course of treatment risky and is why health care providers recommend a number of different types of treatment options.


Chiropractic Care on Personal Injury

 


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*