Back Clinic Treatments. There are various treatments for all types of injuries and conditions here at Injury Medical & Chiropractic Clinic. The main goal is to correct any misalignments in the spine through manual manipulation and placing misaligned vertebrae back in their proper place. Patients will be given a series of treatments, which are based on the diagnosis. This can include spinal manipulation, as well as other supportive treatments. And as chiropractic treatment has developed, so have its methods and techniques.
Why do chiropractors use one method/technique over another?
A common method of spinal adjustment is the toggle drop method. With this method, a chiropractor crosses their hands and pressed down firmly on an area of the spine. They will then adjust the area with a quick and precise thrust. This method has been used for years and is often used to help increase a patient’s mobility.
Another popular method takes place on a special drop table. The table has different sections, which can be moved up or down based on the body’s position. Patients lie face down on their back or side while the chiropractor applies quick thrusts throughout the spinal area as the table section drops. Many prefer this table adjustment, as this method is lighter and does not include twisting motions used in other methods.
Chiropractors also use specialized tools to assist in their adjustments, i.e., the activator. A chiropractor uses this spring-loaded tool to perform the adjustment/s instead of their hands. Many consider the activator method to be the most gentle of all.
Whichever adjustment method a chiropractor uses, they all offer great benefits to the spine and overall health and wellness. If there is a certain method that is preferred, talk to a chiropractor about it. If they do not perform a certain technique, they may recommend a colleague that does.
A bone graft is defined as using bone-in spine fusion surgery. Spinal fusion’s purpose is to link or weld bones together, in this case, the spinal bones. There are a variety of spinal conditions cause instability and pain:
Degenerative disc disease
Scoliosis
Trauma from an auto accident, sports injury, slip, and fall accident
Spine surgeons use a bone graft to:
Stop motion between two or more vertebrae
Stabilize a spinal deformity
Repair fractures of the spine
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Spinal Fusion Stimulates New Bone Growth
A bone graft does not heal or fuse the spine instantly. Rather a bone graft sets up a foundational frame for the individual’s body to generate and grow new bone. A bone graft stimulates new bone production. It is when this new bone begins to grow and solidify, that fusion takes place.
With these types of surgeries, instrumentation like screws, and rods are typically used for the beginning stabilization. But it is the actual healing of the bone that welds the vertebrae together creating long-term stability.
A bone graft can be used for structural purposes for supporting the spine, usually this is done in place of a disc or bone that was removed. Or it can be an onlay, this means that a mass of bone fragments will grow together to stabilize the spine bridging the joint.
There are two generalized bone graft types:
Real bone
Substituted bone graft
Real bone can come from the patient, which is called an auto-graft or from a donor’s bone, called an allograft.
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The Individual’s Bone or Auto-graft
An auto-graft is bone taken or harvested from the individual’s body and transplanted to a specific area, in this case, the spine. An auto-graft is considered the gold standard because it is the individual’s own bone, which contains:
These all help to stimulate the healing of the fusion. There are advantages for an auto-graft, which include a higher probability for fusion success and a lower risk for disease transmission. The only real setback for individuals of an auto-graft is the post-operative pain that usually comes with the procedure when harvesting an individuals’ bone. Bone can be harvested from one of the individual’s:
Iliac crests
Pelvic bones
Ribs
Spine
� Bone graft harvesting creates a new set of risks. These include:
Because of these risks and the possibility that the bone could be poor quality, a surgeon could decide to use another type of bone graft. When this happens a surgeon could go with what is known as a local auto-graft. This is bone harvested from the decompression itself.
These are the parts that are removed to decompress the nerves. They usually consist of bone spurs, lamina, and portions of the spinous process. These same bone pieces can be reused to assist with the fusion of the decompressed areas.
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Donor Bone or Allograft
An allograft is a bone harvested from another person, usually from a tissue bank. Tissue banks harvest bone and other tissues from cadavers for medical purposes. An allograft is prepared by freezing or freeze-drying the bone or tissues. This helps limit the risk of graft rejection. Bone from an allograft does not have living bone cells and is not as effective at fusion stimulation when compared to an autograft. However, it still does work. Tissue banks:
Screen all their donors
Supervise bone recovery
Test donations
Sterilize donations
Store for use
Look for tissue banks that are accredited by the American Association of Tissue Banks. US Food and Drug Administration has strict regulations when it comes to human cell and tissue processing. These include rules about the eligibility of donors. These guidelines/protocols help reduce the risk of tissue contamination and the spread of disease.
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Bone Graft Substitute
These substitutes are man-made or are made from a manipulated version of a natural product. These alternatives are safe and can provide a solid foundation for the individual’s body to grow bone. Substitutes have similar properties of human bone, which include a porous structure and proteins that stimulate healing.
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Demineralized Bone Matrix – DBM
A demineralized bone matrix is an allograft that has gone through a process where the mineral content has been removed. This demineralization helps reveal bone-forming proteins like collagen, and growth factors hidden within the bone that can stimulate healing.
This procedure is often considered a bone graft extender. It is not considered a replacement. This is because its ability to fuse the human spine on its own has not been proven. DBM can be combined with the regular bone for more volume and is available in these forms:
Chip
Granule
Gel
Powder
Putty
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Ceramic-based Extenders
Ceramic-based extenders are mixed in combination with other sources of bone. This is because they consist of calcium matrix for fusion, but there are no cells or proteins to stimulate the healing process. These include:
Ceramic-based extenders do not present a risk for disease transfer but can cause inflammation. They are available in porous and mesh forms.
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Morphogenetic Protein – BMP
Different types of bone morphogenetic proteins or BMP’s are used to stimulate new bone growth. These proteins are found in human bone, however, they are trace amounts. They are then produced in larger amounts through genetic engineering.
This all depends on the type of spine surgery an individual undergoes. Bone morphogenetic protein could be considered an option in promoting new bone growth along with healing fusion.
Be sure to talk with your provider before taking or combining dietary and herbal supplements with prescription meds or over the counter medications. Individuals with chronic back/neck pain but want to get away from medication/s, and pain relievers, dietary and herbal supplements could be an option. There are dietary supplements as well as, herbal supplements that although used in nutrition, also have added benefits for pain and inflammation relief.
Individuals have found herbs and supplements to be helpful in reducing and alleviating their pain. It is important to understand that these are not a cure-all that will take the pain away or the depression that accompanies chronic spine-related conditions. These are made to help to manage back pain symptoms.
Nutrition and Dietary
A healthy diet includes plenty of fruit, vegetables, and whole grains which keeps the body in top form. Antioxidant foods like green leafy vegetables and berries help in fighting inflammation. Dietary and herbal supplements that research has found helpful in reducing inflammation and pain are listed. However, we must point out that several of these supplements can increase the risk of bleeding. Therefore have a discussion with your health care provider before taking any type of supplement.
Supplements
Omega-3 fatty acids
Flaxseed and Fish Oils
Omega-3 fatty acids can increase the risk of bleeding and conflict with blood-thinning medications like warfarin coumadin and aspirin.
Glucosamine/Chondroitin
Studies show these supplements can help relieve arthritis pain but have not been studied as a treatment for back pain.
Glucosamine and chondroitin can interfere with blood-thinning medications like warfarin coumadin and aspirin.
It can increase the risk of bleeding, so do not take this without consulting a health care provider
It can interact/interfere with antibiotic meds
Do not take if have a peptic ulcer
Herbal Supplements
Herbal supplements have been used by many cultures for health and dietary benefits for a very long time. These supplements are literally made from herbs/plants valued for their flavor, scent, and medicinal qualities. Examples of herbal supplements for pain include:
Cayenne reduces pain signal intensity
Devil’s claw relieves inflammation
Eucalyptus clears chest congestion
Benefits of Herbs
People prefer dietary and herbal supplements instead of standard/traditional drugs and medications for a variety of reasons.
Some because they provide pain relief without the side effects associated with medications. An example is white willow bark, that has been used for years for its anti-inflammatory benefits. And it doesn’t upset the stomach the way medications the way aspirin does.
Some prefer herbal supplements because they are natural.
Herbs come in pill, capsule, tablets, teas, and liquid extracts.
Turmeric
Reduces inflammation and pain
Turmeric can increase the risk of bleeding, especially for those taking blood-thinning medication
Devil’s claw
Reduces pain
Can increase the risk of bleeding and interact with diabetes meds
Can affect the heart and can cause issues for those with gallstones
Willow bark
Relieves pain
Do not take if taking aspirin or blood-thinning meds
Do not take if are allergic to aspirin or salicylates
Do not give to children under eighteen
Capsaicin cream
Reduces pain and inflammation
It is one of the main components in chili peppers
Things to Remember
Dietary and herbal supplements do not have to be approved by the U.S. Food and Drug Administration before they are sold.
Herbs can have medication-like effects on the body
Products sold as dietary supplements and promoted as a treatment, prevention, and/or cure for a disease or condition is considered an unapproved and illegal drug
While dietary supplements and herbal supplements are primarily used to help nutritional needs, these supplements can serve medicinal purposes. Explore alternatives from conventional medications with herbal supplements, as this could be an option. Check with your health care provider before taking supplements if you are pregnant, nursing a baby, or have a chronic medical condition like diabetes, hypertension, or heart disease.
Methods in treating inflammation are the focus of this video. Dr. Alex Jimenez presents a discussion of natural ways to treat inflammatory cascades. Knowing what are the best supplements are presented. This is a safe alternative that is well researched.
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Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST
Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas, discuss how chiropractic care can ultimately help treat sciatica or sciatic nerve pain. The sciatic nerve is the largest and longest nerve in the human body. It runs from the lower back, down the buttocks and hips, and into the legs, knees, and feet. Sciatica can be caused by a variety of health issues which result in the compression or impingement of the sciatic nerve. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas discuss sciatica or sciatic nerve pain in further detail to ultimately help educate patients on their symptoms. Diet and lifestyle modifications, including nutraceuticals and exercise or physical activity, can be beneficial for patients with sciatic nerve pain. Furthermore, sciatica or sciatic nerve pain is a collection of symptoms rather than a single injury or underlying condition. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, Alexander Jimenez, and Astrid Ornelas conclude the podcast by describing how they each can help patients achieve overall health and wellness. – Podcast Insight
If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.
Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST
Dr. Alex Jimenez, a chiropractor in El Paso, TX, Kenna Vaughn, Truide Torres, and Astrid Ornelas discuss what it is that they do and why they do it. Chiropractic care is a safe and effective, alternative treatment option that focuses on the diagnosis, treatment, and prevention of a variety of health issues associated with the musculoskeletal and nervous system, including neck pain, back pain, low back pain, and sciatica, among other health issues within the scope of chiropractic care. Dr. Alex Jimenez utilizes spinal adjustments and manual manipulations, among other well-known chiropractic care treatment methods and techniques, to help provide pain relief and promote overall health and wellness. Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, and Astrid Ornelas discuss how they patients, from chiropractic care to educating them on diet and lifestyle changes, to help patients achieve their nutrition and fitness goals. According to Dr. Alex Jimenez, Kenna Vaughn, Truide Torres, and Astrid Ornelas, chiropractic care and functional medicine are treatment options that can naturally support well-being. – Podcast Insight
If you have enjoyed this video and/or we have helped you in any way
please feel free to subscribe and share us.
Thank You & God Bless.
Dr. Alex Jimenez RN, DC, MSACP, CCST
Fender benders/automobile accidents are the number one cause of spinal cord injuries. Auto accidents have accounted for more than a third of all reported cases of spine injuries. On average, individuals drive 30-40 miles every day. We love our cars, and we love to drive. Nothing throws us out of our normal world faster than a fender bender.
Auto accidents also account for other injuries like:
Whiplash
Spinal fractures
Herniated discs
A crash causes bodily injury, stress, and, in some cases, ongoing legal matters. However, these injuries don’t present symptoms until weeks or even months after the accident. With the vast number of automobiles on the road, as well as drivers being distracted, increases an individual’s chances of being involved in an accident. If a fender bender happens to you, it is important to recognize and understand what has happened to keep you safe and your injuries to a minimum.
Understand the Situation
The way you react seconds after a crash can impact the situation tremendously. Determine where you are injured, and if you are in any immediate danger. If for example there is a fire get out fast. Otherwise, stay inside.
Analyze Injuries
How bad are the injuries? Even if you feel fine, your head, neck, and back could still have been impacted. Identify where you hurt, and the intensity of the pain.
Wait for the Ambulance/Police
Try to stay as calm as possible inside your car/truck and wait for the police and ambulance. If your vehicle has flipped and you are stuck from the seatbelt, stay put and wait for someone that knows what to do and can see what is happening. A good portion of head and neck injuries happen when the occupant/s release their seat belts after a crash, not realizing that it can exacerbate an injury or create new ones.
Inform EMT’s
Once paramedics arrive, explain if you can, the areas of pain and injury. If you’ve previously suffered from injury or medical condition to the neck, back, or spine, let them know, as there is increased risk to individuals who already deal with medical conditions or bodily injuries.
This information helps formulate how they will take the individual out of the vehicle and what type of emergency treatment to utilize. Be specific when telling the paramedics, use simple language and the 1-10pain scale to describe the level of pain and discomfort.
Chiropractor
If the injuries are minimal and you are released, be thankful. Still make an appointment with a chiropractor/physical therapist that specializes in fender bender treatment/therapy. Since some of these injuries can take a few days to show up, the fender bender could have impacted:
Bones
Joints
Ligaments
Nerves
This could have gone undiscovered at the initial post-crash examination. Therefore, ask for a complete examination, and talk with the chiropractor no matter how strange or insignificant the question may be. The chiropractor will understand what you are trying to explain. Your chiropractor may use a combination of spinal manipulation, manual therapy, and other techniques as part of a customized treatment program.
Minimize the chances
While we cannot control when a fender bender takes place we can take measures to guard against the occurrence, and give ourselves a higher chance of avoiding injury.
Always wear a seatbelt
Get out of the habit of distracted driving
Maintain your vehicle’s brakes and tires
Pay attention to traffic signs
Plan ahead if you know of construction closures so you can avoid those highly congested areas
Drive the speed limit depending on the traffic and weather conditions. Be courteous and think about all the drivers and people all around you. Maintaining a clear head and following this little bit of advice, you can minimize the chance of being in an auto accident or being seriously injured. We all have to be somewhere, if we cooperate we can get there on time, safely, and efficiently.
Individuals can develop a herniated, slipped or bulging disc in the neck or back.�Too much stress on the disc/s whether from poor posture, being overweight, injury, aging, and an unhealthy lifestyle can increase the risk for disc problems. Herniation can be caused by a combination of factors or physical injury. Several common questions about disc problems are answered.
Can Discs Slip
A slipped disc can mean a ruptured or herniated disc. We use the term slipped disc, however, the discs do not slip. Each disc is sandwiched between two vertebrae that are supported by a system of ligaments that hold the spine together. A bulging or herniated disc is the proper term.
Difference Between a Bulging and Herniated Disc
Disc disorders are categorized as contained or non-contained. Bulging disc is an example of a contained disc disorder.
Bulging
A bulging disc has not broken open meaning the nucleus is still contained inside the annulus fibrosus. The disc could protrude into the spinal canal without breaking open. The gel, the jelly interior does not leak out. The disc stays intact except a small bubble pops out.
Herniated/Ruptured
A non-contained disc has either partially or completely broken open, and that is a herniated/ruptured disc. Imagine a closed tube�being squeezed placed under pressure, which causes the contents to move wherever they can. If a portion of the tube is weak or there is too much pressure, the contents could leak or burst out. When a disc herniates the gel-like contents could spread out to the spinal cord and nerves.
Herniation Can Cause Pain
The disc’s gel-like nucleus has a chemical that irritates the nerves and causes them to become inflamed and swell. The chemical stays and continues to press on the irritated nerves. Sometimes fragments from the disc wall or the tube break off from the disc and drift into the spinal canal causing other nerves to inflame and swell. Based on the type of injury and condition of the discs, more than one disc could herniate, rupture, or bulge. Sometimes injury causes a combination of disc disorders.
Symptoms
Symptoms of a herniated disc can include:
Dull
Shooting pain
Muscle spasms
Cramping
Weakness
Tingling
Referred or radiating/traveling pain
Sometimes, however, a herniated disc does not cause any symptoms at all. When this happens it is called an asymptomatic herniated disc. Disc/s could be bulging or herniated, but if it or they are not applying pressure on the spinal nerve/sor the cord, symptoms like pain may not present. This makes a point about herniated disc symptoms that they are dependent on where you have a herniated disc.
Cervical Herniation Symptoms
With a herniated or bulging disc in the neck, then you could experience:
Neck soreness/pain
Muscle tightness
Cramping in the neck
Pain that travels down the arm/s
Tingling in the arm/s or hand/s
Weakness in the arm/s or hand/s
Lumbar Herniation Symptoms
With a herniated disc in the low back the following symptoms could happen:
Low back pain
Muscle tightness
Cramping in and around the low back
Radiating pain that travels down the leg/s
Tingling in your leg/s or foot/feet
Weakness in the leg/s or foot/feet
Referred Pain
Referred pain means that you have pain in another part of the body from the disc problem. An individual could have a bulging or herniated slipped disc in the low back and have pain in the leg. This is lumbar radiculopathy or sciatica. Usually, just one leg is affected. If you have a herniated disc in the neck, there could be referred pain going down the arm and into the hand.
Chiropractic Cares
A chiropractor can help relieve back pain and other herniated disc symptoms. A chiropractor will go through your medical history, do a physical exam, and perform orthopedic and neurological tests. They are looking at several things. Orthopedic and neurological exams can help the chiropractor figure out what’s going on.
Are reflexes functioning properly?�Meaning are your nerves sending messages correctly. An example is a reflex test is when a doctor taps the knee with a hammer and the leg kicks.
Is there a loss of muscle strength?
Signs of muscle/s wasting away?
Is there a loss of sensation, tingling or numbness along the nerve/s path?
They will carefully look at posture, and will probably order an X-ray or MRI to help with the diagnosis.
Chiropractors evaluate the entire spine. Even if you only have lower back pain, your chiropractor will examine your neck, too. They want to see how well your spine is functioning overall. Remember what happens to one area of your spine can influence another part of the spine and/or body.
Pain from a herniated disc can make it difficult to enjoy daily life. Walking, sitting, and sleeping normally/comfortably can become a nightmare. You should make an appointment with a doctor or chiropractor if your herniated slipped disc symptoms last for more than two weeks.
Herniated Disc Treatment
NCBI Resources
In the United States alone, acute cases of lower back pain are the fifth most frequent reason for doctor visits and cause 40% of missed days off work. What�s more, it is the leading cause of disability worldwide.
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