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
Having the proper mattress can help reduce, prevent, and alleviate neck and back pain. Individuals spend around one-third of their life sleeping. However, when it comes to the mattress that we sleep on, there seems to be no consideration of how the mattress will affect our spines. No other piece of furniture in the house is used more often or affects overall health more than our beds. �
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Down to sleep
Everybody needs to sleep, as the proper amount of rest is an essential part of life. When there is a lack of sleep or sleep disorder, this contributes and leads to health issues of all types and increased/exacerbated pain.
Specifically, the spine benefits tremendously from a proper sleep cycle. The spine works all day supporting the body and its functions. Rest is essential to maintain this level of activity day in and out. But when the surface that we sleep on does not support our body and spine in the correct form, then proper sleep can be impossible to achieve.
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Proper Mattress Selection
The mattress we sleep on can make a significant difference in the quality of sleep we are getting on a regular basis. A mattress that does not provide optimal support for the spine can lead to muscle fatigue and sleep deprivation.
A proper mattress keeps the spine in the same natural alignment as when standing. When the body can rest in its natural position, the muscles are relaxed and the sleep is healthy following the five stages of a full sleep cycle.
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Healthy sleep means the individual needs to cycle through five stages: 1, 2, 3, 4, and rapid eye movement or REM sleep. A full sleep cycle takes around 90 to 110 minutes to complete. Once the five stages have finished, it starts over at stage 1. Here is a look at the stages:
Stage 1
This is the lightest stage and is characterized by slow eye movement and relaxed muscle activity.
Stage 2
Eye movement stops and brain waves slow down.
Stage 3
This is the first stage of deep sleep where brain waves appear but are extremely slow. It can be quite difficult to wake someone from this stage.
Stage 4
This is the second stage of deep sleep with no eye or muscle activity. Just like stage 3, it can be more difficult to wake someone in this stage.
REM sleep
This is the dream phase where breathing quickens, heart rate, blood pressure increase, and eyes begin to move around in different directions. REM sleep could be considered the most important stage, as researchers believe REM sleep contributes to storing memories, learning, and regulating mood. Most adults spend half of their total sleep time in stage 2, 20% in REM sleep, and 30% in the other stages. �
Innerspring mattresses can offer more variety in terms of firmness and support. However, individuals find other types of mattresses just as comfortable. What makes a proper mattress the best is that it is the one that offers you the most support and the most comfort.
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Foundation
This is usually called the box spring, which is just as important as the mattress. The box spring absorbs the weight along with the added stress of movement etc, from the mattress. Having the proper foundation extends the life of the mattress.
If possible try to purchase the box spring designed for the mattress. Using no box spring, an old box spring, or mixing the mattress and box spring can have a negative impact on the level of support and durability of the mattress.
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Firmness
The belief that the firmer the mattress is the better is not exactly true. A too-firm mattress does not support the body in a balanced fashion. Which means that only the body’s heaviest parts are supported. A too-soft mattress can sink, preventing the spine from keeping proper alignment. Too firm or too soft does not allow the muscles to relax and rest, because they have to keep working to find a comfortable position just to maintain correct posture.
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Comfort
Make sure to take the time to lie on the mattress and test it out when shopping. Lie down and position yourself the way you would when sleeping. Take turns turning/moving from side to side. If sleeping with a spouse or partner, try out the mattress together to make sure there is enough space to move around comfortably. Be sure that the mattress can support the spine and maintain its natural curve.
Beware, mattress manufacturers use different terms for comfort and firmnessthat could be confusing. Mattress makers will use a term like orthopedic but it does not have any actual medical merit or benefit. That is why trying out the mattress before buying is the way to go. It will definitely help to tell which one is the most supportive and comfortable.
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Durability
How long the mattress and materials that it’s made of will last determines the durability. Top-quality materials are what to aim for. Especially, the core and the cover. Prices are determined by:
What the mattress is made out of
The quality of the construction
The size
A proper mattress and box spring should last for around 8-10 years. Therefore it is an investment in your spine and quality health. Don’t automatically go for the mattresses on sale or that are the cheapest. Instead, search for the best quality and value.
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Flip or Rotate
Keeping the mattress in top form means flipping or rotating the mattress on a regular basis. This will ensure even wear and tear giving you optimal spine and body support. �
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Time for a new one
Even proper mattresses don’t last a lifetime. But like most of us, we wait way too long when it comes to replacing. For those who’ve had the same mattress for 10 years or more, it is definitely time for a new one. There are other signs letting you know it’s time to replace including:
Waking up tired and aching could signal that the mattress is no longer providing enough support for proper rest. Not feeling refreshed after sleep could be the sign it’s time for a new mattress.
If the mattress looks old, worn, or strained, and the box spring rocks and squeaks are all signs that the mattress and foundation are worn out.
The bed is no longer comfortable with the mattress sagging/sinking or leaving an impression where you sleep. Slipping or rolling toward the center along with the inability to find a comfortable position means it’s time to think about a new mattress.
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Sleep position makes a difference
Sleeping on the side, with knees bent or with a pillow between the knees is considered the best way to maintain proper body posture. However, if you must sleep on your back, place a pillow under the knees to support the normal curve of the spine.
Sleeping on the stomach or with the head elevated on an oversized pillow creates an unnatural arch of the spine. This increases pressure on the diaphragm and lungs. These positions usually lead to restless tossing and turning and loss of proper sleep. �
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Don’t Worry
If there is difficulty getting the right amount of sleep or you are waking up exhausted then this could be the time to take a look at where and how you sleep. A proper mattress and box spring will generate proper comfortable rest all the while maintaining posture and protecting the spine. Remember that sleep is an essential nutrient for our bodies. Therefore, the bed that we sleep on can make a significant difference.
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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
Pets have improved the lives of those living with chronic pain and can help alleviate the depression that comes with it. There’s no doubt that having a pet or interacting with a trained therapy animal can help reduce and alleviate the pain and improve the quality of life.
Animals and the companionship they offer seems to be a natural pain reliever, and significant research supports this theory. Here are some ways that our pets can help us live optimal lives even with chronic pain. �
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Ways Pets Can Relieve Pain
Our pets allow us to feel less stressed out. Research has shown even for those that are not into pets, that petting a dog for ten-fifteen minutes reducescortisol, which is a stress hormone. In a journal for pain, researchers studied the effects of quick therapy dog visits at a pain management clinic. Over 2-months they compared the individuals’ feelings of:
Pain
Fatigue
Stress
Tremendous improvements were reported for pain, state of mind, and other measures of stress among the individuals after the dog visit. Improvements were also seen in family, friends, and staff after the therapy dog visits.
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They Generate More Activity
Specifically, dog owners seem to be healthier than those without a dog. Cats are great but when it comes to activity/fitness, dogs require regular walks, which makes owners get up, go outside and move around. Walking a dog can help:
Improve balance
Combat fatigue
Improve flexibility
Reduce joint pain
Increase strength
Manage weight
Being active combined with walking helps to get a better night’s sleep and reduced pain. �
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They Make Us Feel Better Without Medication
Research has shown how the proper attitude impacts treatment outcomes. With a positive attitude, an individual is more likely to stick with a long-term pain treatment plan. Petting and playing with a furry friend can be the perfect medicine creating an improved mood literally relieving pain and reducing the need for pain meds.
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They Distract The Pain Away
Individuals living with chronic pain are constantly thinking about it. Having a pet changes the focus from pain to joy and happiness. With a pet to care for gives the day structure and life purpose. Pets need attention and because of their lovability are hard to ignore. �
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Animal-Assisted Therapy
This type of therapy is a legitimate option for chronic pain management. With the problems associated with opioids, doctors and patients are looking for alternative ways to treat pain. The American Academy of Family Physicians reports that nonpharmacological therapies, like animal-assisted therapy, are now included in chronic pain treatment plans. Other options for pain relief include:
Example: An individual has a pain syndrome/condition. When the pain flares up the individual becomes irritable and upset. The individual has a dog that recognizes these feelings. The dog comes over and starts playing, licking, etc. The individual picks up the dog, calming the individual, helping change the mood, and ease the pain.
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Pet Time
Owning a pet is a real responsibility, for those who are not interested in adopting, there are still benefits from pet medicine. Some ideas to consider:
Perhaps a family member or friend owns a pet that could have regular visits. This would be a good way to get a feel for the experience and see what it’s like to have a pet without committing.
Cats are an option if dogs are not your cup of tea. This could be because of allergies or residing in a location that does not permit them. Cats offer companionship along with the same psychological benefits as dogs. However, there is not much activity since they don’t need to be walked. But they still need to play/pretend hunt.
Try spending time at a pain management clinic that has an animal therapy program. Some of these clinics allow individuals to spend time with a therapy dog a few times per week. These are usually 15-minute sessions.
Unable to locate a clinic in the area, try looking into other organizations that could provide therapy animals and programs. Local vets and animal shelters can be a good source of information for animal therapy programs.
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Therapy and Service Dogs Are Not the Same
When it’s time you might be ready for a dog of your own. Before searching the local shelter’s website, consider everything that comes with pet ownership. Factor in costs like:
Veterinary care
Behavior classes
Food
Shelter
Toys
Travel
Think about the size of the animal and if you can safely manage a small or large pet. Remember this is a therapy for individuals with a health condition of chronic pain. An individual needs to be able to see what they can take given their level of pain at any given time.
If you’ve never owned a pet, there needs to be an understanding that housebreaking a pet can be quite a time-consuming and exhausting task. This could add more stress and worsen the pain.
It is important to remember that therapy dogs do not have the same training as assistance or service dogs. Service dogs are trained to perform and assist with specific tasks to help an individual that has a disability. This could be a seeing-eye dog helping their blind owner. Also, service dogs live with their owners and are granted special access to public places like planes, restaurants, places of business, etc.
The American Kennel Club defines therapy dogs as dogs that can accompany their owners to volunteer in schools, hospitals, and nursing homes where they work together as a team to improve the lives of other people.
There are definitely medical benefits to having pets in our lives. However, don’t expect them to remove chronic pain overnight. Pets are another tool that can bring relief and improve the quality of life for individuals living with pain.
Metabolic Syndrome & Inflammation
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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
A pain specialist is a medical or osteopathic doctor that treats pain caused by disease, disorder, and trauma. Also known as interventional pain management specialists, these doctors are often anesthesiologists or physiatrists.
Pain medicine involves multi-disciplines and team effort with a patient’s primary physician, other doctors, and specialists in radiology, psychiatry, oncology, nursing, chiropractic/physical therapy, alternative medicine, etc.
Education and Training
Upon completion of medical school and a one-year internship, the specialist enters a residency program in anesthesiology, physical medicine or other fields like neurology. Upon residency completion, the doctor completes a one-year fellowship for advanced training in pain medicine.
Pain medicine specialists continue medical training and education throughout their careers.
Pain Management Goals
Pain medicine is aimed at managing acute or chronic pain through pain frequency and intensity reduction and ultimately alleviation.
Multidisciplinary treatment programs are utilized to address functional goals and normal day to day chores and activities.
A pain treatment plan’s goal is to regain well-being, increasing your level of activities like returning to work, school, etc and eliminate medication dependency.
Pain Types & Treatment
Specialists treat all types of pain.
Acute pain is severe/sharp and can signal something is wrong.
Touching a hot stove or slamming a finger in a door are examples of acute pain.
Chronic pain lasts 6 months or longer.
This type varies from mild to severe and is constant.
Spinal arthritis (spondylosis) is an example of chronic pain.
It can be difficult to manage, but combining a variety of treatments can show positive results. The pain types include:
Degenerative disease
Facet joint pain
Sciatica
Cervical and lumbar spinal stenosis
Spondylolisthesis
Vertebral compression fracture
Whiplash
An appointment consists of
These are like most medical visits. The focus is on the pain, the cause, what factors are contributing, and creating an optimal treatment management plan.
A physical examination
Neurological examination
Review of medical history particularly pain history.
Questions can include:
From zero to 10, 10 being the worst, where’s your pain at?
When did it start?
What were you doing when it started?
Does it spread or radiate out other areas of the body?
Is the intensity constant?
Is it worse at different times of the day or night?
What helps relieve the pain?
What worsens the pain?
What types of treatments have you tried?
Did it work and to what degree?
Do you take and what types of, over-the-counter medications, vitamins, and herbal supplements?
Do you take prescription medications?
A drawing of the body could be used to mark where the pain is felt, as well as indicate pain spread and type.
Diagnosis
Diagnosing the cause of pain is paramount to creating the proper management treatment plan. If the wrong diagnosis is made and the wrong treatment is initiated it might exacerbate the condition and/or create new injuries.
This can mean getting:
X-ray’s
CT scan
MRI
These imaging types help confirm the origin of the pain. When treating spine pain, arm, leg and foot symptoms may also be present. Therefore the correct diagnosis is essential to a successful treatment plan.
Spinal disorder pain treatment usually involves other specialists, like a primary care physician, neurosurgeon, orthopedic surgeon, radiologists, oncologists, nurses, chiropractors, physical therapists, and alternative medicine practitioners.
We focus on what works for you. We also strive to create fitness and better the body through researched methods and total wellness programs. These programs are natural and use the body�s own ability to achieve goals of improvement, rather than introducing harmful chemicals, controversial hormone replacement, surgery, or addictive drugs.
We want you to live a life that is fulfilled with more energy, a positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life. I have made a life of taking care of every one of my patients.
I assure you, I will only accept the best for you�
Back Pain Chiropractic Care El Paso, Texas
NCBI Resources
If you have low back pain�or have had it, you are not alone. Experts estimate that around�80% of people�will experience some type of back problem at some point in their lives.�The Global Burden of Disease 2010�lists low back pain as the number one cause of disability worldwide. The good news is the majority of back pain is mechanical in origin or is not organic.
Cyrex Laboratories is an advanced clinical laboratory that specializes in the functional approach in environmentally induced autoimmunity.� Cyrex works with the leading experts in medical research and provides arrays that address the cross-connections throughout the body systems. In addition to this, Cyrex�strives to deliver the best quality for the patients by always improving and using the most accurate and advanced technology.
Arrays
Cyrex has multiple arrays they use to test patients depending on their symptoms. These arrays range from Alzheimer�s to Joint auto-immune reactivity screenings. Often times, patients who have issues with their joints or headaches and pain, can be traced back to an underlying issue. When a patient comes to a doctor, the practitioner will evaluate and assess the patient based on the symptoms they bring.� From here, the practitioner can go to Cyrex and order the arrays that best suit their patient�s needs. The Cyrex system revolves around immune function and measures the identifiers that can affect multiple tissues in the body, including the brain, heart, pancreas, nervous system, liver, gastrointestinal system, bones, and joints.� The turn around time for these labs is fairly quick and helps highlight the underlying route of the patient�s symptoms.
Cyrex arrays use serum (a blood draw) as their main form of testing. No matter the array the doctor orders, the patient will receive the same kit. The requisition form that is inside the kit is what matters to the phlebotomist and lab as this is where the array ordered will be marked.
The kit is a small box labeled Cyrex Laboratories, Serum Collection Kit. On top of the kit held in place by a rubber band will be a shipping label and bag for the sample to go in once collected. Inside the kit is a smaller styrofoam box that includes a serum separator tube, a serum transport tube, tube labels, a biohazard bag, and collection instructions.
As one can see from the above photo, the different arrays test for different reactions/conditions. A doctor may order one or multiple arrays depending on the patient.
Array 2 is one of the most popular, as leaky gut is a condition that affects most Americans. This test screens for IgG, IgA, and IgM of Lipopolysaccharides and Occludin/Zonulin.
Integrative Testing
Often times, practitioners will use multiple lab companies on one patient. This is not because one is superior to the other, but rather because they specialize in different areas. Even though the doctor may order labs from different companies, it is in the patient�s best interest because it allows the practitioner to view multiple areas to truly understand the underlying issue.
Patients who come in with symptoms like aching joints, headaches, trouble falling asleep, difficulty staying asleep, leaky gut, and brain fog will certainly benefit from using multiple lab companies.
Using Cyrex array 2 and DUTCH + CAR the patient will get extremely accurate information in regards to what is occurring in their body. The Cyrex array test will show the practitioner if the patient has a leaky gut and how severe. While the DUTCH + CAR allows the doctor to determine the cortisol patterns in the individual�s body. Sometimes, these levels are not rising and falling at the right times, causing the patient to be tired or having trouble staying asleep.
The patient�s health should always come first, and when doctors are knowledgable enough to use more than one lab, the patient benefits are outstanding. By using the companies together, the doctor is able to check multiple areas, leaving no guesswork when it comes to a treatment protocol. However, it is important to remember that labs vary on patient needs. Some patients are able to use the same company for all labs and obtain the accurate results they need.
Cyrex tests for many conditions and has multiple arrays. Although many
Cyrex labs are a great tool for practitioners and health coaches to use! By using these arrays, it helps the practitioner not only treat the symptoms, but it allows them the insight they need to treat the problem at the route source. The tools that Cyrex provides go a long way in evaluating the complex disorders the human body may have. By using Cyrex and coupling it with other tests from DUTCH or labrix, the patient is able to get proper treatment and get back to the hobbies they used to love and enjoy. These companies are all fantastic and provide specialities in different areas. By using more than one company, the pateint truly gets the best results and the doctors are able to construct a solid treatment protocol with all of the information obtained.�� Kenna Vaughn, Senior Health Coach�
*All information was obtained from Cyrex.com
The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. We use functional health protocols to treat injuries or chronic disorders of the musculoskeletal system. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Individuals dealing with chronic pain talk about their symptoms and how they have affected their overall health. After getting chiropractic treatment, patients describe how local chiropractor Dr. Alex Jimenez helped them get back to their normal lives.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center,�we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities. �
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
We Can Get You Back On Track!
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Individuals with diabetes have a 35 percent risk of developing neck pain and back pain, according to a recent research study. The researchers conducted eight research studies on separate occasions which revealed that individuals with diabetes have a higher chance of developing neck pain and back pain. According to the researchers, chronic pain is common in people with diabetes.
Approximately 80 percent of the population will experience some type of back pain throughout their lifetime and nearly half of that number will also suffer from neck pain, according to researchers. Meanwhile, diabetes has become an increasingly common health issue. About 382 million individuals have been diagnosed with type 2 diabetes, according to the World Health Organization.
Despite the outcome measures, it seems there’s still inadequate evidence in the research study to establish a causal connection between diabetes and chronic pain,” stated Manuela Ferreira, Ph.D., the research study’s senior author and associate professor in the university’s Institute of Bone and Joint Research. “The evidence requires further evaluation of this institution,” he explained.
“Type 2 diabetes and chronic back pain both have a strong connection with lack of physical activity or exercise and obesity. Thus, a logical development of the research study may be required to evaluate these outcome measures in further detail,” he explained. “Our evaluation adds to the proof that weight management and physical activity or exercise play essential roles in health and wellness.”
The research study also demonstrated that diabetes drugs and/or medications might also influence chronic pain, possibly via its effect on blood sugar levels. However, this connection also requires further research studies. Additionally, the research study advocated that health professionals should consider screening for diabetes in patients looking for chronic pain relief, such as back pain or neck pain.
Chronic pain affects many individuals with diabetes. The most common type of chronic pain frequently reported by patients with diabetes include neck pain, back pain, and neuropathic pain in the hands and feet. Chronic pain can affect an individual’s daily physical activities. According to researchers, individuals with diabetes have a higher risk of developing chronic pain, or painful symptoms which persist for more than six months.
Dr. Alex Jimenez D.C., C.C.S.T. Insight
The scope of our information is limited to chiropractic, spinal health issues, and functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Acute Back Pain
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly, Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download
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Although oral devices, such as splints and bite guards, are the most prevalent treatments for facial pain associated with temporomandibular disorders, or TMD, patients have found that these remedies are frequently less effective than self-care techniques, such as jaw exercises or warm compresses, according to a new research study published by researchers at the New York University (NYU) College of Dentistry in New York City.
The research study, published in the journal Clinical Oral Investigations, demonstrates that self-care techniques should primarily be utilized to help treat muscle-related temporomandibular disorders or TMD.
TMD, occasionally known as TMJ after the temporomandibular joint, is a collection of prevalent painful conditions which develop in the jaw joint and its surrounding muscles. Myofascial temporomandibular disorder, or mTMD, is a muscular condition which affects over 10 percent of women. Individuals with TMD often suffer from other chronic pain conditions. Research studies found that 7 to 18 percent of people with TMD also experience fibromyalgia, a condition characterized by widespread pain.
Treatments for TMD and Fibromyalgia
Dentists and patients utilize an assortment of treatments to help manage facial pain, such as oral devices like splints and bite guards, pain medicines, including nonsteroidal anti-inflammatory drugs, and self-care methods like jaw exercises and hot compresses.
Oral devices are a prevalent first-line treatment for TMD, regardless of research study outcome measures regarding their advantages, stated Vivian Santiago, Ph.D., MPH, research study scientist at the Department of Oral and Maxillofacial Pathology, Radiology, and Medicine at NYU College of Dentistry, and the research study’s leading author.
“While oral splints have been discovered to have some benefits, they have yet to be found to be as successful for patients who have widespread pain when treating mTMD,” she explained.
In this research study, the researchers evaluated what non-medication remedies women with mTMD utilized to handle their pain as well as how successful patients perceived these remedies. The researchers interviewed a total of 125 women including 26 women who had fibromyalgia and mTMD, so as to find out whether treatment differed for patients.
The most frequent treatments reported were oral devices (utilized by 59 percent of participants), physical therapy (utilized by 54 percent of participants), and at-home jaw exercises (utilized by 34 percent of participants). The least frequent treatments reported were acupuncture (utilized by 20 percent), chiropractic care (utilized by 18 percent), trigger point injections (utilized by 14 percent), yoga (utilized by 7 percent), and meditation (utilized by 6 percent). Participants frequently used more than one treatment.
Participants reported the most improvement in their pain from well-known self-care techniques, such as jaw exercises, yoga, meditation, massage, and warm compresses, with over 84 percent reporting that these techniques helped reduce painful symptoms. Only 64 percent of participants who used the oral devices reported that they helped improve their pain. About 11 percent of women who used oral devices stated that these made their pain worse, an area which warrants further research studies.
Oral devices failed to outperform self-care techniques in improving facial pain, according to Karen Raphael, Ph.D., professor at the Department of Oral and Maxillofacial Pathology, Radiology, and Medicine at NYU College of Dentistry, and the research study’s co-author.
“Our outcome measures encourage utilizing self-care techniques as the first line of treatment for mTMD before contemplating more costly interventions,” stated Raphael.
The researchers didn’t find substantial differences between the amount of remedies reported by women with and without fibromyalgia. While the use of alternative treatment options for mTMD was reported among women with fibromyalgia, further research studies are still required. Pain relief tended to be greater through the use of self-care techniques in women with and without fibromyalgia.
“While fibromyalgia is diagnosed by a healthcare professional, such as a rheumatologist, TMD is typically diagnosed and treated by a dentist,” said Santiago. “Our research study demonstrates that dentists must ask patients with facial pain if they also have widespread chronic pain because this might provide more information to help plan their treatment.”
Fibromyalgia is a health issue characterized by widespread chronic pain accompanied by fatigue, sleep, memory and mood problems. Fibromyalgia has been associated with a variety of other health issues, such as TMD and/or TMJ. Individuals with this painful disorder may often struggle to engage in their everyday physical activities. As a qualified and experienced chiropractor, I’ve helped treat numerous patients with fibromyalgia. It’s important for patients to know that they are not alone when it comes to treating their painful symptoms. Chiropractic care is an alternative treatment option which can help treat a variety of health issues, including fibromyalgia.
Dr. Alex Jimenez D.C., C.C.S.T. Insight
The scope of our information is limited to chiropractic, spinal health issues, and functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 .
Curated by Dr. Alex Jimenez
Additional Topic Discussion: Acute Back Pain
Back pain is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as herniated discs, can eventually lead to symptoms of back pain. Sports injuries or automobile accident injuries are often the most frequent cause of back pain, however, sometimes the simplest of movements can have painful results. Fortunately, alternative treatment options, such as chiropractic care, can help ease back pain through the use of spinal adjustments and manual manipulations, ultimately improving pain relief.
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