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.
Post-Holiday Reset in El Paso: Support Your Body’s Natural Detox System (No Extreme Cleanses Needed)
Patient speaks with a doctor about maintaining health during the holidays.
If you feel a little “off” after the holidays, you’re not alone. Extra sugar, richer foods, late nights, travel, and more alcohol than usual can leave you feeling bloated, tired, foggy, and stiff. The good news: you don’t need an extreme cleanse to “fix” it.
At El Paso Back Clinic, we like to keep it simple and safe. Your body already has a detox system. Your liver helps process and break down substances, your kidneys filter waste into urine, and your digestive system helps move waste out. A smart “reset” means giving your body what it needs to do that job well—hydration, whole foods, fiber, sleep, and gentle movement—instead of stressing your system with harsh detox plans. (NCCIH, 2024) NCCIH
Below are friendly, realistic steps to support your natural detox pathways after holiday treats—plus how an integrative chiropractor and nurse practitioner team can help you build a plan that fits your life.
First: What “Detox” Really Means (And What It Doesn’t)
A lot of “detox” marketing makes it sound like toxins are stuck in your body and you must flush them out fast. But the truth is:
Your body is always “detoxing” through normal organ function.
Most extreme detox programs don’t have strong research behind them.
Some cleanses can backfire by cutting calories too low, reducing fiber, or pushing supplements your body doesn’t need.
The National Center for Complementary and Integrative Health explains that many “detox” programs are marketed to remove toxins, but research is limited, and many studies are of low quality. (NCCIH, 2024) NCCIH
The safer goal: lighten the load (less alcohol, less added sugar, fewer ultra-processed foods) and increase the basics (water, fiber, sleep, movement).
Step 1: Hydration That Supports Your Kidneys and Digestion
Hydration supports circulation and kidney filtration. It also helps your digestion move smoothly—especially when you increase your fiber intake.
A practical guideline from Mayo Clinic notes that total daily fluid needs vary, but gives general estimates (including fluids from food and drinks). (Mayo Clinic, n.d.) Mayo Clinic
Slow down at night so you don’t wake up to use the bathroom
Local note (El Paso): Dry air and big temperature swings can sneak up on you. If you’re outdoors, walking, or traveling, you may need more fluids than you think.
Step 2: Eat Whole Foods That “Nourish the Reset”
After a holiday stretch, your body usually does best with simple, colorful, balanced meals.
A “reset plate” you can repeat all week
½ plate: vegetables (raw, roasted, steamed, soups)
¼ plate: protein (fish, chicken, turkey, eggs, tofu, beans)
¼ plate: high-fiber carbs (oats, quinoa, brown rice, potatoes, fruit)
Many post-holiday reset guides emphasize returning to whole foods and cutting back on processed foods as a core step in recovery. (UPMC, 2015; Baptist Health, 2018) El Paso Back Clinic® • 915-850-0900+1
Step 3: Keep an Eye on Alcohol and Added Sugar
Two common holiday stressors on your system are alcohol and added sugar.
Alcohol: why “less is better” for a reset
The CDC notes your liver can only process small amounts of alcohol, and the rest can harm your liver and other organs as it moves through the body. (CDC, 2025) CDC The NIAAA also explains that alcohol affects many body systems—not only the liver. (NIAAA, 2025) NIAAA
Try this for 3–7 days:
Pick alcohol-free days
If you drink, slow down and alternate with water
Eat before drinking (not after)
Added sugar: a simple limit to remember
The FDA explains the Daily Value for added sugars is 50 grams per day (based on a 2,000-calorie diet), and the Dietary Guidelines recommend keeping added sugars under 10% of total calories. (FDA, 2024) U.S. Food and Drug Administration The CDC provides similar guidance and explains how added sugars can accumulate quickly. (CDC, 2024) CDC
Easy swaps that still feel satisfying
Replace soda with sparkling water + citrus
Replace candy with fruit + nuts
Replace pastries with Greek yogurt + berries
Replace sugary coffee drinks with lightly sweetened or unsweetened options
Step 4: Sleep Is One of Your Strongest “Reset Tools”
Sleep is not lazy. It’s repair time.
The CDC notes adults generally need at least 7 hours of sleep per night. (CDC, 2024) CDC When sleep drops, people often notice more cravings, a worse mood, and lower pain tolerance—so the reset gets harder.
A simple sleep reset checklist
Keep the same wake time most days
Get daylight in your eyes in the morning (even 5–10 minutes helps)
Stop heavy meals 2–3 hours before bed
Reduce screen time 30–60 minutes before sleep
Keep your room cool and dark
Dr. Jimenez also discusses how irregular sleep and late-night light exposure can disrupt your rhythm and contribute to brain fog and fatigue patterns. (Jimenez, n.d.) El Paso, TX Doctor Of Chiropractic
Step 5: Light Exercise Supports Circulation and Helps You Feel “Unstuck”
You don’t need a hard workout to support your body after the holidays. You need consistent, gentle movement.
El Paso Back Clinic often emphasizes circulation and movement as a supportive strategy for overall function, including how exercise helps blood and lymph flow and how integrative therapies can support the body’s natural processes. (Jimenez, 2025) El Paso Back Clinic® • 915-850-0900
Pick one simple movement option daily
10–30 minute walk
Gentle yoga flow
Light stretching + deep breathing
Easy cycling
Mobility work (hips, spine, shoulders)
“After-meal” movement (small but powerful)
5–10 minute walk after meals
Gentle spinal twists (seated or lying)
Calf raises or marching in place while cooking
Step 6: Stress, Digestion, and the Vagus Nerve Connection
After the holidays, stress can show up in the body as:
tight shoulders/neck
shallow breathing
bloating or “nervous stomach”
headaches
trouble sleeping
Dr. Jimenez explains that vagal tone is a key factor in maintaining calm and balance, influencing the stress response and digestion. (Jimenez, 2025) El Paso, TX Doctor Of Chiropractic
Two “reset” tools that take 2 minutes
Box breathing: inhale 4 seconds, hold 4, exhale 4, hold 4 (repeat 4 times)
These are small steps, but they can help your body shift from “fight or flight” to “rest and digest.”
How El Paso Back Clinic Can Help You Reset (The Integrative Way)
A post-holiday reset is easier when pain, stiffness, or stress is not getting in your way. El Paso Back Clinic describes a multidisciplinary approach that includes chiropractic care and functional medicine-style wellness support. El Paso Back Clinic® • 915-850-0900+1
Integrative chiropractic care may support your reset by helping you:
move better (so walking and exercise feel doable)
reduce tension patterns that build up during travel and long sitting
improve posture and mobility habits that affect breathing and comfort
Dr. Jimenez also writes about how travel and routine changes can increase postural strain, stiffness, and fatigue—and how chiropractic and integrative care can help people restore balance after those disruptions. (Jimenez, 2025) El Paso, TX Doctor Of Chiropractic
Nurse practitioner + functional medicine support can help you:
check for health issues that make fatigue worse (when appropriate)
create realistic nutrition and sleep plans (not extreme rules)
El Paso Back Clinic lists ways to connect, including calling 915-850-0900 and using online appointment options. El Paso Back Clinic® • 915-850-0900+1
A Simple 7-Day Post-Holiday Reset Plan (Doable, Not Perfect)
Days 1–2: Hydrate + simplify
Water on waking + water with meals
One big veggie-based meal per day (salad, soup, stir-fry)
10–20 minute walk
Lights out a little earlier
Days 3–5: Add fiber + cut added sugar
Add beans, oats, chia, berries, greens
Skip sugary drinks
Keep alcohol low or pause it
Add 5–10 minutes of stretching daily
Days 6–7: Lock in your “normal”
Choose 2–3 simple meals you can repeat next week
Pick your exercise rhythm (walks, yoga, mobility)
Keep the same sleep/wake schedule
Plan your next grocery run so your kitchen supports your goals
When to Get Checked Instead of “Resetting” at Home
Call a clinician if you have:
severe belly pain, ongoing vomiting, blood in stool
chest pain, fainting, or shortness of breath
yellowing of skin/eyes, dark urine, extreme fatigue
symptoms of dehydration that don’t improve
concerns about alcohol dependence or withdrawal
Also, if you have kidney disease, liver disease, heart conditions, or diabetes on medication, or you’re pregnant, avoid detox supplements and extreme plans. NCCIH recommends caution with many detox/cleanse products, citing limited evidence and potential safety concerns. (NCCIH, 2024) NCCIH
Takeaway: The Best “Detox” Is Basic Care Done Consistently
After holiday treats, your body usually doesn’t need punishment—it needs support:
And if pain, stress, or stubborn symptoms are blocking your progress, a team that blends chiropractic care + nurse practitioner support can help you reset in a smart, structured way. El Paso Back Clinic® • 915-850-0900+1
Beat Holiday Stress with Fun Movement and Smart Body Care
A man and a woman play table tennis to ease holiday stress.
The holiday season brings joy, family time, and tasty food, but it can also be stressful. Busy schedules, shopping, travel, and extra tasks can make anyone feel overwhelmed. One great way to feel better is through simple movement and exercise. Physical activity releases endorphins, chemicals in your brain that improve mood and reduce stress (Mayo Clinic, 2023). Even short sessions of fun activities can clear your mind and boost energy.
Many experts agree that almost any form of movement helps manage stress. It acts like a natural reset for your body and brain (Kitsap Physical Therapy, n.d.). Adding some holiday cheer to your routine makes it easier to stick with. This guide shares easy, enjoyable ways to stay active and calm during the holidays.
Why Movement Helps Reduce Holiday Stress
Exercise does more than keep you fit. It pumps up endorphins, boosting a happier feeling, and distracts you from worries. Activities like walking or dancing provide “meditation in motion,” helping you forget daily irritations (Mayo Clinic, 2023). Regular movement also improves sleep, builds confidence, and helps your body better handle stress.
During the holidays, people often move less due to cold weather or busy plans. This can make stress worse. But even one quick workout can lift your mood for hours (Gorman, 2022). Fun, low-pressure activities work best to avoid adding more pressure.
Releases feel-good chemicals to fight anxiety
Clears the mind and improves focus
Boosts energy and helps you sleep better
Builds strength to handle physical holiday demands, like carrying bags
Fun Sports-Inspired Activities to Boost Endorphins
Try activities that feel like play. Sports-inspired moves get your heart pumping and bring smiles.
Jumping rope: A quick cardio blast that raises your heart rate fast. Do it for 10-15 minutes while listening to holiday music (Avec Apartments, n.d.).
Dance breaks: Turn on your favorite songs and dance freely. Join a family dance party or try simple steps. Dancing combines rhythm and fun for great stress relief (NMC Health, n.d.; Triathlete Magazine, n.d.).
Pickup games: Play basketball, tennis, volleyball, or soccer with friends or family. These team sports combine exercise with social time, which further lowers stress (King Chiropractic, n.d.).
Shadowboxing: Punch the air like a boxer. This low-impact move releases tension without needing equipment. It’s perfect for a hotel room or living room (FightCamp, n.d.; Triathlete Magazine, n.d.).
These activities are easy to start and don’t require much space or gear.
Quick and Easy Bodyweight Exercises for Fast Relief
No gym? No problem. These simple moves use only your body and take little time.
Here are some top picks:
High knees: Run in place, lifting knees high. Do it for 1 minute to get your blood flowing (Echelon Fit, n.d.).
Planks: Hold a straight body position on your forearms and toes. Start with 30 seconds of core strength work (Echelon Fit, n.d.).
Bodyweight squats: Lower as if sitting in a chair, then stand up. Great for legs and glutes (Hydrow, n.d.).
Push-ups: Modify on knees if needed. Strengthen your upper body quickly (Hydrow, n.d.).
Jumping jacks: Classic move to warm up and boost mood (Echelon Fit, n.d.).
Try a 20-minute circuit: 30 seconds of each, with short rests in between. Repeat a few times (FightCamp, n.d.). Add holiday twists, like “present pick-up” squats—bend down as if grabbing gifts (Performance Health Academy, n.d.).
Mindful Practices for Calm and Flexibility
For gentler options, try mindful movements that focus on breath and flow.
Yoga flows: Simple poses like downward dog or warrior help stretch and center your mind. A 15-20 minute session reduces tension (Avec Apartments, n.d.; King Chiropractic, n.d.).
Tai Chi: Slow, flowing moves called “meditation in motion.” It improves balance and eases stress without strain (Mind Body Spine, n.d.; FightCamp, n.d.).
These practices calm the nervous system and pair well with busier days.
Outdoor Options: Walks and Hikes for Mind Clearing
Fresh air makes everything better. A brisk walk or hike builds endurance and clears thoughts.
Go for a festive neighborhood walk to see lights. Make it fun with a scavenger hunt for decorations (NMC Health, n.d.).
Hike in nature for extra calm. Being outdoors boosts positive feelings, such as gratitude (Triathlete Magazine, n.d.).
Add active games, such as playing in the yard or stair climbing, between tasks (Muscle MX, n.d.).
Aim for 30 minutes most days. No special gear needed—just good shoes (Club Getaway, n.d.).
Make It Festive: Holiday-Themed Active Fun
Keep things light by tying movement to celebrations.
Dance to holiday tunes or play charades that get everyone moving.
Try “Santa bag throws” or “candy cane curls” with simple weights or air motions (Performance Health Academy, n.d.).
Family games like obstacle courses or mini-golf indoors keep energy high and stress low (NMC Health, n.d.).
These ideas turn exercise into shared joy.
How Integrative Chiropractic Care Fits In
Physical tension from stress often shows up as tight muscles or misalignment. Integrative chiropractic care helps by using gentle adjustments to ease tension and support the nervous system. This improves your body’s stress response and promotes better flexibility (Chiropractic Works Collinsville, n.d.).
Chiropractors may suggest stretches or movements to help maintain alignment. This holistic approach complements exercise for full-body relief. Dr. Alexander Jimenez, a chiropractor and nurse practitioner with over 30 years of experience, notes that spinal health drives overall wellness. His integrative methods combine adjustments with posture exercises and stress management for better mobility and calm (Jimenez, n.d.; Jimenez, 2025a). He often sees that staying active and making adjustments help prevent holiday-related tension and support recovery (Jimenez, 2025b).
Pairing chiropractic visits with daily movement creates a balanced way to enjoy the season.
Tips to Get Started and Stay Consistent
Starting small is key during busy times.
Pick activities you enjoy to make it fun.
Schedule short sessions, like 10-20 minutes.
Involve family or friends for accountability.
Listen to your body—keep it light to avoid extra stress.
Combine with deep breathing for extra calm.
Consistency brings the best results. Even small efforts add up to less stress and more energy (American Fitness Professionals & Associates, n.d.).
By adding these fun movements and mindful care, you can handle holiday demands with ease. Focus on feeling good, not perfect. Your body and mind will thank you.
Avoiding Common Christmas Accidents: Prevention and Recovery at El Paso Back Clinic®
After lying in an awkward position, the woman is suffering from back pain on the couch at home.
The Christmas season fills homes with lights, laughter, and loved ones. But it can also bring unexpected risks. From slips on icy paths to burns in the kitchen, holiday accidents happen more often than you might think. In El Paso, Texas, where winter weather can mix with the festive rush, these issues send many seeking help. Distracted or drunk driving spikes too, making roads risky. At El Paso Back Clinic®, we focus on wellness chiropractic care to help you prevent and heal from these mishaps. This article explains common Christmas accidents, their causes, and tips for prevention. It also shows how our integrative approach, led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, offers holistic recovery. Using spinal adjustments, massage, nutritional guidance, and NP-partnered care, we support your body’s natural healing to help you have a pain-free holiday.
Common Christmas Holiday Accidents at El Paso Back Clinic®
At our clinic in El Paso, TX, we see a rise in holiday-related injuries each year. These range from home mishaps to road incidents. Here’s a list of the most common ones we treat.
Falls: Decorating ladders or icy El Paso sidewalks leads to slips. These cause sprains, fractures, or head trauma. Nationwide, about 160 decorating falls occur daily, accounting for half of decorating injuries. Kids might tumble from unstable trees or during outdoor fun.
Fires: Faulty lights, dry trees, or candles spark fires. In homes across Texas, Christmas tree fires average 155 per year, causing injuries and property damage. We advise checking decorations to avoid these dangers.
Burns: Holiday cooking with hot oil or deep fryers can result in scalds. Touching lit decorations adds risk. Turkey fryers alone cause 5 deaths and 60 injuries annually. Even hot foods like fried treats can burn mouths.
Cuts: Knife slips while wrapping or carving happen often. Broken glass ornaments or toy packaging lead to ER visits – about 6,000 yearly for gift-opening cuts.
Strains: Lifting decorations, gifts, or snow strains muscles. Back issues account for 15% of holiday accidents, and 11,500 ER visits are due to shoveling. In El Paso, our patients often come in after heavy lifting.
Alcohol-Related Incidents: Festive drinks cause falls or “holiday heart” – heart rhythm problems from overdrinking. This leads to dizziness and more.
Food Poisoning: Rushed meals with undercooked food or leftovers breed bacteria. About 48 million cases occur in the U.S. each year, peaking during holidays.
Injuries Related to Toys and Gifts: Choking on small parts injures 251,700 kids yearly. Faulty gifts cause cuts or trips.
Distracted or Drunk Driving: Busy El Paso roads see more crashes from texting or drinking. Drunk driving deaths rose to 1,013 in December 2021.
These issues increase ER visits by 5-12% in the U.S. and by over 80,000 in the UK during festivities. At El Paso Back Clinic®, we help locals recover quickly.
Causes of Holiday Injuries Seen at Our Clinic
Many injuries stem from everyday tasks gone wrong. To stop recurrences, we at El Paso Back Clinic® pinpoint these causes.
Overexertion: Heavy lifting, like trees or bags, strains backs. Bending incorrectly causes 80% of lower back pain. Travel luggage accounts for 72,000 doctor visits each year.
Cooking: Burns from oils or knives in busy kitchens. One in ten child injuries comes from cooking. Grease fires are frequent.
Decorating: Ladder falls, electrical shocks, or ornament cuts. Decorating sends 13,000 to ERs yearly. Cord trips cause 2,000 injuries.
Accidents on the Road or at Home: Distracted driving in El Paso’s traffic or at home. Stress slows reflexes.
Winter sports add 186,000 injuries, though they are less common here. Plants like mistletoe can poison if eaten.
Prevention Tips from El Paso Back Clinic®
Prevent accidents with simple steps. Our team at El Paso Back Clinic® shares these to keep your holidays safe.
For Falls: Use stable ladders and salt icy paths. Get help when climbing.
For Fires and Burns: Inspect wires, water trees, and use LED candles. Watch stoves closely.
For Cuts and Strains: Cut safely and lift with your knees. Team up for heavy items.
For Alcohol and Driving: Designate a driver or use a ride. Drink moderately.
For Food and Toys: Cook thoroughly and chill food fast. Pick safe, age-appropriate toys.
Keep a first aid kit handy and manage stress. Visit us for pre-holiday check-ups.
How Integrative Chiropractic Care at El Paso Back Clinic® Helps
If injured, turn to El Paso Back Clinic® for natural healing. Our integrative chiropractic care, in partnership with NPs, treats the whole person. Dr. Alexander Jimenez, with over 30 years in El Paso, observes that holiday injuries often stem from poor posture or stress, leading to misalignment of the spine. We use non-invasive techniques to ease pain without meds or surgery.
Adjustments for Spinal and Joint Pain: Realign the spine to relieve strain from falls or lifts. This boosts movement and cuts swelling.
Massage and Physiotherapy for Muscle Problems: Ease tension from overwork. Improves circulation for faster recovery.
NP-Led Care for Holistic Wellness: Our NPs manage overall health, including burn care and effects of poisoning, with a natural focus.
Nutrition Guidance: Counter rich holiday foods with diet tips to aid digestion and immunity. Fiber-rich choices help.
Managing Underlying Conditions: Reduce stress hormones for better sleep and mood. Prevents further harm.
Dr. Jimenez’s team uses functional medicine to develop personalized plans that address issues like sciatica from slips. Chiropractic enhances the nervous system for better health during the holidays.
Enjoy a Healthy Holiday with El Paso Back Clinic®
Make Christmas memorable for the right reasons. Know the risks, prevent them, and seek our care if needed. At El Paso Back Clinic®, we’re here for your wellness. Contact us in El Paso, TX, for expert chiropractic support. Happy holidays!
Best Magnesium Supplements for Pain Relief: Types, Benefits, and Chiropractic Insights
A chiropractor and nurse practitioner discuss magnesium supplements for pain relief.
Magnesium is a mineral that your body needs for many tasks. It helps muscles work, nerves send signals, and bones stay strong. Many people do not get enough magnesium from food like nuts, seeds, and greens. This can lead to problems such as muscle pain, fatigue, and stress. Supplements can help fill the gap. In this article, we look at how magnesium eases pain. We focus on forms such as malate, glycinate, and topical. These can help with muscle soreness, nerve pain, and more. Chiropractors often suggest them to boost treatments. We base this on health sites and expert views. Read on to learn which type might work for you.
Pain comes in many forms. It can be sore muscles after a workout or chronic issues like fibromyalgia. Magnesium helps relax muscles and calm nerves. It also cuts down on swelling. Studies show it can lower pain without strong drugs. For example, it supports energy production, helping counter fatigue associated with pain. Different forms absorb in unique ways. Oral pills go through the gut. Topical ones soak into the skin. This matters for how fast they help. Always talk to a doctor before starting supplements. They can check if it’s safe for you.
Understanding Magnesium’s Role in Pain Management
Magnesium plays a big part in how your body handles pain. It blocks pain signals in nerves and helps muscles relax. Low levels can make pain worse. About half of adults in the U.S. lack enough magnesium (Team Red White & Blue, n.d.). This leads to cramps, spasms, and soreness. Supplements fix this by boosting levels.
Here are key ways magnesium helps with pain:
Muscle Relaxation: It controls contractions to stop cramps and tension.
Nerve Calming: It balances signals to reduce nerve pain.
Less Swelling: It fights inflammation that causes discomfort.
Better Recovery: It supports energy for healing after injury.
Chiropractors use magnesium with adjustments. It improves treatment outcomes by loosening tight spots. For acute pain, like after surgery, it cuts down on opioid needs (MedCentral, n.d.). For long-term pain, it eases symptoms in conditions such as migraines and back pain.
Magnesium Malate: Effective for Muscle Soreness and Fatigue in Fibromyalgia
Magnesium malate mixes magnesium with malic acid. This form absorbs well in the gut. It boosts energy by helping make ATP, the body’s fuel (Miye Care, n.d.). That’s why it’s beneficial for fatigue and soreness. People with fibromyalgia often feel worn out and achy. This type can help manage those symptoms.
Benefits include:
Eases Muscle Soreness: Reduces pain after exercise or daily strain.
Fights Fatigue: Supports energy to lessen tiredness in chronic conditions.
Helps with Fibromyalgia: Limited studies show it may lower pain severity (Healthline, n.d.).
Good Absorption: Less likely to cause stomach upset than other forms.
Chiropractors like malate for chronic pain. It supports metabolism and reduces fatigue (Sonoma Sports Chiro, n.d.). Take 200-400 mg a day. Start low to see how your body reacts. It’s often available in pill or powder form.
Magnesium Glycinate: Suitable for Nerve Pain and Relaxation
Magnesium glycinate binds to glycine, an amino acid that calms the brain. This form is easily absorbed and gentle on the stomach (Trace Minerals, n.d.). It’s great for nerve pain and stress. It helps regulate signals to stop overexcitement that causes pain.
Key advantages:
Calms Nerves: Lowers anxiety and eases nerve-related pain.
Relaxes Muscles: Reduces tension and spasms.
Aids Sleep: Promotes rest, which helps pain recovery (NMB Chiro, n.d.).
Fewer Side Effects: No laxative issues like some types.
For chiropractic patients, it cuts inflammation and boosts adjustments (SanTe Chiropractic, n.d.). It’s ideal for back or joint pain. Dose is 300-400 mg daily, often at night.
Topical Magnesium Chloride or Sulfate: Direct Muscle Relief Through Baths or Oils
Topical magnesium goes on the skin. Chloride absorbs well and targets sore spots (Health.com, n.d.). Sulfate, or Epsom salts, is for baths. It soothes muscles without gut processing.
Why choose topical:
Localized Relief: Applies right to the painful areas.
Quick Action: Bypasses digestion for faster help.
No Stomach Issues: Avoids diarrhea from oral forms.
Good for Baths: Epsom salts relax the whole body (Team Red White & Blue, n.d.).
Absorption varies by skin type. Studies are mixed, but many feel relief from soreness (Pierce Chiropractic, n.d.). Use oils or soaks 2-3 times a week.
Selecting the Right Form: Malate for Energy, Glycinate for Nerves, Topical for Localized Pain
Choose based on your pain type. Absorption differs: Oral forms, such as malate and glycinate, are absorbed through the gut; topical forms are absorbed through the skin (Drugs.com, n.d.).
Selection tips:
For Energy and Chronic Pain: Pick malate.
For Nerve Calm: Go with glycinate.
For Spot Relief: Use topical chloride or sulfate.
Consider Absorption: Glycinate is best overall (MN Spine and Sport, n.d.).
Chiropractors’ Preferences: Glycinate and Malate for Pain Management
Chiropractors favor glycinate and malate. Glycinate calms muscles and nerves, aiding adjustments (Everybodys Chiropractic, n.d.). Malate boosts energy for recovery.
How they work together:
Relax Muscles: Lessens tension for better alignment.
Cut Inflammation: Reduces joint swelling.
Boost Nerve Function: Improves signals for less pain.
Support Healing: Speeds recovery after treatments (ChiroCredit, n.d.).
Even phosphate forms help energy and relaxation in care (Edinburgh Chiropractic, n.d.).
Clinical Observations from Dr. Alexander Jimenez
Dr. Alexander Jimenez, DC, APRN, FNP-BC, focuses on integrative pain care. His work stresses non-drug methods for back pain and neuropathy (Jimenez, n.d.). He sees magnesium fitting into plans that mix chiropractic with nutrition. It helps reduce reliance on opioids and boosts recovery. In his clinic, such approaches ease chronic pain by improving mobility and reducing inflammation.
Conclusion
Magnesium offers natural pain relief. Malate helps fight fatigue in fibromyalgia, glycinate calms nerves, and topical forms provide spot relief. Chiropractors use them to enhance care. Pick the right type for your needs. Always check with a health pro. This can lead to less pain and a better life.
Discover the importance of a clinical approach to opioid use disorder in developing effective intervention strategies.
Overcoming Barriers in Managing Opioid Use Disorder: Strategies for Effective Care
Many people today have a serious health problem called opioid use disorder (OUD). It is part of a bigger group of problems called substance use disorders (SUD). Treating OUD can be hard because everyone has different problems, such as other health issues or pain. Plans should be made for each patient by doctors and other health care workers. They also have to keep up with the latest laws, ethics, and ways to keep patient information safe. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is an example of a general rule that applies to all patients. However, there are extra rules for people who are getting help with drug or alcohol problems.
This guide talks about how to deal with problems that come up when managing OUD. We talk about patient-centered care, how to talk to patients, stigma, team-based approaches, and the law. Health care providers can help patients get better faster by using these methods. Keywords like “managing opioid use disorder,” “overcoming stigma in OUD,” and “patient-centered care for SUD” bring out important points that make it easier to find and understand.
Learning Objectives
Explain treatment planning methods that use patient-focused choices and proven ways to talk.
Name the three kinds of stigma and how they affect people with mental health issues, SUD, and especially OUD.
Talk about legal, ethical, and privacy concerns in caring for people with OUD.
Effective Treatment Planning with Patient-Centered Decisions
People with complex issues, like mental health problems, SUD, and pain, need special care. Each person shows up differently, so health systems are now focusing on care that puts the patient first.
Patient-centered care means building teams with doctors, patients, and families. They work together to plan, give, and check health care. This way ensures the patient’s needs are met, and their wishes, likes, and family situations are respected. It focuses on shared choices about treatments while seeing the patient as a whole person in their daily life (Dwamena et al., 2012; Bokhour et al., 2018).
Studies show key steps for a good patient-centered plan:
Take a full patient history and a check-up, reviewing old and new treatments.
Find all available drug and non-drug options.
Check the patient’s current health, recent changes, and patterns.
Look at risks for misusing or abusing opioids.
If starting opioids or if the patient is already on them, think about opioid stewardship. This means checking harms, benefits, risks, side effects, pain control, daily function, drug tests, stop plans, and ways to spot OUD. These programs, sometimes called analgesia stewardship, help manage opioids safely (Harle et al., 2019; Coffin et al., 2022). Guides exist to set them up (American Hospital Association, n.d.; Shrestha et al., 2023).
Integrative chiropractic care can play a big role here. It uses spinal adjustments and targeted exercises to get proper spinal alignment. This helps reduce pain without relying only on drugs, making it a good fit for OUD patients with pain. For example, adjustments fix spine issues that cause pain, and exercises strengthen muscles to keep alignment right.
A Nurse Practitioner (NP) adds full management and ergonomic advice. They look at work setups to prevent pain, such as how to sit or lift. NPs coordinate care by reviewing options such as therapy, meds, and lifestyle changes, ensuring everything works together.
Dr. Alexander Jimenez, DC, APRN, FNP-BC, with over 30 years in chiropractic and as a family nurse practitioner, observes that blending these methods cuts opioid use. At his El Paso clinic, he uses functional medicine to address root causes through nutrition and non-invasive treatments. He notes that poor posture from modern life worsens pain, leading to OUD risks. His teams help patients with self-massage and VR for recovery, reducing drug needs (Jimenez, n.d.a; Jimenez, n.d.b).
Evidence-Based Ways to Communicate
Good talking skills are key to building a patient-centered plan (Schaefer & Block, 2009). There are proven methods for starting conversations and getting patients involved.
One method is BATHE:
Background: Ask, “How have things been since your last visit?”
Affect: Ask, “How does this make you feel?”
Trouble: Ask, “What bothers you most?”
Handling: Ask, “How are you coping?”
Empathy: Say, “That sounds hard.”
This uses open questions to let patients lead and feel supported (Stuart & Lieberman, 2018; Thomas et al., 2019).
Another is GREAT:
Greetings/Goals: Start with hello and set aims.
Rapport: Build trust.
Evaluation/Expectation/Examination/Explanation: Check and explain.
Ask/Answer/Acknowledge: Listen and respond.
Tacit agreement/Thanks: Agree and thank.
This guide talks well (Brindley et al., 2014).
Motivational interviewing is also useful. It’s a team-style talk to boost a patient’s desire to change. Build a bond, focus on the issue, spark a desire for change, and plan steps (Frost et al., 2018).
These methods emphasize listening, clear communication, and a structured approach to planning. For OUD patients with pain or mental issues, mix techniques for the best results.
Dr. Jimenez shares that in his practice, these talks help patients see non-drug options, such as chiropractic adjustments. He finds that empathy reduces stigma and fear, encouraging openness about OUD (Jimenez, n.d.a).
Understanding Stigma in Mental Health and Substance Use Disorders
Stigma blocks good talk for many with mental health or SUD. It’s attitudes, beliefs, actions, and systems that lead to unfair views and bad treatment (Cheetham et al., 2022).
Studies show stigmas like linking mental illness to violence (Perry, 2011). Media on shootings with mentally ill people strengthens this (McGinty et al., 2014; McGinty et al., 2016; Schomerus et al., 2022). For SUD, people think they’re more dangerous than those with schizophrenia or depression (Schomerus et al., 2011). Society blames people with SUDs more and avoids them (McGinty et al., 2015; Corrigan et al., 2012).
Views come from knowledge, contact with affected people, and the media. Public ideas are tied to norms on causes, blame, and danger. Race, ethnicity, and culture shape attitudes too (Giacco et al., 2014).
Health workers have biases. A survey of VA mental health providers showed awareness of race issues but avoidance of talks, using codes like “urban,” and thinking training stops racism (McMaster et al., 2021).
There are three stigma types:
Structural Stigma: The ways Society and institutions keep prejudice. In health, it’s worse care, less access to behavioral health. Less funding for mental vs. physical issues (National Academies of Sciences, Engineering, and Medicine, 2016).
Public Stigma: General or group attitudes, like police or church norms. Laws reinforce it, like broad mental illness rules implying all are unfit (Corrigan & Shapiro, 2010).
Self-Stigma: When people internalize stigmas, it leads to low self-worth and shame. “Why try” affects independent living (Corrigan et al., 2009; Clement et al., 2015).
Dr. Jimenez observes that stigma makes OUD patients hide symptoms, delaying care. In his integrative work, he addresses this through education on holistic options, showing that recovery is possible without judgment (Jimenez, n.d.b).
Overcoming Stigma and Addressing Social Factors
To fight stigma, use education, behavior changes, and better care. Laws like the ADA and MHPAEA help ensure equal coverage and prevent discrimination (U.S. Congress, 2009; U.S. Congress, 2008; U.S. Department of Health and Human Services, n.d.; Busch & Barry, 2008; Haffajee et al., 2019).
These address social determinants of health (SDOH), such as coverage, access, quality, education, and stability (Centers for Disease Control and Prevention, n.d.).
Community programs help too:
West Virginia’s Jobs and Hope: Training, jobs, education, transport, skills, record clearing for SUD people (Jobs and Hope, n.d.).
Belden’s Pathway: Rehab for failed drug tests, leading to jobs (Belden, n.d.).
Education boosts provider confidence in OUD meds, reducing barriers (Adzrago et al., 2022; Hooker et al., 2023; Campbell et al., 2021).
Overcoming stigma is key to success in mental health and SUD.
Interprofessional Team Work
Teams improve outcomes for patients with chronic pain and mental health or SUD (Joypaul et al., 2019; Gauthier et al., 2019).
Teams include doctors, nurses, NPs, pharmacists, PAs, social workers, PTs, therapists, SUD experts, and case managers.
Each helps uniquely:
Pharmacists watch meds, spot interactions.
Case managers link specialists, find resources, and support families (Sortedahl et al., 2018).
Teams set goals, max non-opioid treatments (Liossi et al., 2019).
Integrative chiropractic care includes adjustments and exercises for alignment, easing pain naturally.
NPs give full care, ergonomic tips to avoid pain triggers, and coordinate options.
Dr. Jimenez’s clinic shows this. As a DC and FNP-BC, he leads teams with therapists, nutritionists, and coaches. He observes interprofessional work cuts opioid use by addressing the roots with functional medicine, VR, and nutrition. For OUD, he blends chiropractic care for pain, NP coordination for plans, and stigma-fighting through team support (Jimenez, n.d.a; Jimenez, n.d.b).
The Power of Chiropractic Care in Injury Rehabilitation-Video
Legal and Ethical Issues in SUD Care
Providers must know laws and ethics for mental/SUD patients, like discrimination, aid, and privacy (Center for Substance Abuse Treatment, 2000).
Key Federal laws:
Americans with Disabilities Act (ADA) of 1990.
Rehabilitation Act of 1973.
Workforce Investment Act of 1998.
Drug-Free Workplace Act of 1988.
ADA and Rehabilitation ban discrimination in government and in business services like hotels, shops, and hospitals. Protect those with impairments limiting life activities (U.S. Department of Health and Human Services, n.d.).
Provisions:
Protect “qualified” people who meet the requirements.
Reasonable accommodations for jobs.
No hire/retain if there is a direct threat.
No denial of benefits, access, or jobs in funded places.
For SUD: Alcohol users are protected if qualified, no threat. Ex-drug users in rehab are the same. Current illegal drug users are protected for health/rehab, not others. Programs can deny if used during.
Workforce Act centralizes job programs; no refusal to SUD people (U.S. Congress, 1998).
Drug-Free Act requires drug-free policies for federal funds/contracts: statements, awareness, actions on violations (U.S. Code, n.d.).
States have their own laws; check the local laws.
Public Aid laws:
Contract with America Act (1996): No SSI/DI if SUD key factor (U.S. Congress, 1996).
Personal Responsibility Act (1996): Work after 2 years of aid, drug screens (U.S. Department of Health and Human Services, 1996).
These push work, sobriety.
Dr. Jimenez notes that legal awareness helps his practice by ensuring holistic plans comply and by reducing OUD risks through a non-drug focus (Jimenez, n.d.a).
Keeping Patient Info Private
Privacy is vital. Laws include:
HIPAA (1996): Protects PHI, sets use/disclosure rules (U.S. Department of Health and Human Services, n.d.).
42 CFR Part 2: Extra for SUD records. No disclosure of name or status without consent. Fines for breaks. Applies to federal-aided programs (Substance Abuse and Mental Health Services Administration, n.d.).
Consent needs: program name, receiver, patient name, purpose, info type, revoke note, expire date, signature, and date.
This fights discrimination fears, encouraging treatment (Center for Substance Abuse Treatment, 2000).
Wrapping Up
As we navigate the ongoing challenges of opioid use disorder (OUD), it’s clear that effective management requires a multifaceted approach that prioritizes patient well-being over quick fixes. From embracing patient-
It is clear that treating opioid use disorder (OUD) well requires a multi-faceted approach that puts the patient’s health and safety above quick fixes. Healthcare professionals play a pivotal role in transforming lives by implementing patient-centered decision-making and evidence-based communication, and by eradicating the three types of stigma—structural, public, and self—that hinder recovery. Interprofessional teams help people get the full treatment they need, and privacy laws like HIPAA and 42 CFR Part 2 make sure that people with disabilities can get help without being discriminated against.
Chiropractic therapy focuses on spinal adjustments and specific exercises to support proper alignment. It is a non-invasive way to ease pain and reduce dependence on opioids. Nurse Practitioners (NPs) make this better by providing comprehensive care, offering ergonomic advice to prevent injuries, and coordinating multiple treatment options, such as lifestyle changes and therapy. Dr. Alexander Jimenez, DC, APRN, FNP-BC, emphasizes in his clinical practice that these integrative approaches not only address physical symptoms but also empower patients through education and tailored strategies, leading to enduring recovery and diminished opioid consumption (Jimenez, n.d.a; Jimenez, n.d.b).
As we look ahead, new advancements in OUD therapy by 2025 show a trend toward making it easier to get and more tailored to each person. For instance:
Drugs like methadone, buprenorphine, and naltrexone that the FDA has approved are still the best way to treat OUD. They help with cravings and withdrawal symptoms and help people stay stable over time.
Precision medicine goes beyond one-size-fits-all methods by tailoring treatments to each person’s social, psychological, and genetic factors. This should lead to better results.
The World Health Organization’s 2025 updates put more emphasis on psychosocial support, with a focus on preventing overdoses in the community and making it easier for people to get care.
Declining Trends: The first yearly drop in opioid-related deaths since 2018 happened in 2023. This is a good sign because it shows that ongoing work in treatment, education, and lawmaking is having an effect.
We might be able to make OUD a treatable illness instead of a life sentence by combining these new ideas with collaborative care and reducing stigma. Policymakers, communities, and healthcare professionals must continue to advocate for equitable access to ensure that all individuals receive the evidence-based treatment they need. Overcoming problems in OUD management is about more than just getting better; it’s also about getting your dignity, hope, and a good quality of life back.
References
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Discover how a clinical approach to opioid therapy can transform pain management strategies for patients in a healthcare setting.
Key Points on Safe Pain Management with Opioids
Pain Affects Many People: Research suggests that about 100 million adults in the U.S. deal with pain, and this number might grow due to aging, more health issues like diabetes, and better survival from injuries. It’s important to address pain early to prevent it from becoming long-term (Institute of Medicine, 2011).
Non-Opioid Options First: Evidence leans toward starting with treatments like exercise, therapy, or over-the-counter meds before opioids, as they can be just as effective for common pains like backaches or headaches, with fewer risks (National Academies of Sciences, Engineering, and Medicine, 2019).
Team-Based Care Works Best: Studies show teams of doctors, nurses, and therapists can improve pain relief and daily life, though results vary. This approach seems likely to help more than solo care, especially for ongoing pain (Gauthier et al., 2019).
Opioids When Needed, But Carefully: Guidelines recommend low doses, short times, and regular check-ins to balance relief with risks like addiction. It’s complex, so talk openly with your doctor (Centers for Disease Control and Prevention, 2022).
Alternatives Like Chiropractic and NP Support: Integrative methods, such as chiropractic adjustments for spine alignment and ergonomic tips from nurse practitioners, can reduce reliance on meds. Clinical observations from experts like Dr. Alexander Jimenez highlight non-invasive approaches to managing pain effectively.
Understanding Pain Types
Pain can be short-term (acute), medium-term (subacute), or long-lasting (chronic). Acute pain often lasts less than three months and comes from injuries. If not treated well, it might turn chronic, affecting daily activities. Always respect someone’s pain experience—it’s personal and influenced by life factors (Raja et al., 2020).
Assessing Pain Simply
Doctors use tools like questions about when pain started, what makes it worse, and how it feels. Scales help rate it, from numbers (0-10) to faces showing discomfort. For kids or elders, special tools watch for signs like faster heartbeats (Wong-Baker FACES Foundation, 2022).
Treatment Basics
Start with non-drug options like rest, ice, or physical therapy. For chronic pain, meds like acetaminophen or therapies like yoga help. Opioids are for severe cases but come with risks—use them wisely (Agency for Healthcare Research and Quality, n.d.).
Role of Experts
According to clinical observations by Dr. Alexander Jimenez, DC, APRN, FNP-BC, who runs a multidisciplinary practice in El Paso, Texas (https://dralexjimenez.com/), combining chiropractic care with exercises targets root causes, such as misaligned spines, reducing opioid needs. As a nurse practitioner, he coordinates care and offers ergonomic advice to prevent pain from daily habits (LinkedIn Profile).
Comprehensive Guide to Safe and Effective Pain Management Using Opioid Therapy
Millions of people struggle with pain, which affects everything from hobbies to employment. Finding safe strategies to deal with pain is crucial, whether it’s a recent injury or persistent discomfort. This comprehensive handbook examines how to measure pain, available treatments, and responsible opioid use recommendations. We’ll discuss team-based treatment, non-opioid alternatives, and perspectives from professionals like Dr. Alexander Jimenez, who prioritizes holistic approaches. To help you locate trustworthy information online, keywords like “pain management strategies,” “opioid therapy guidelines,” and “non-opioid pain relief” are interwoven.
Introduction to Pain in America
The Institute of Medicine estimates that around 100 million American adults face acute or chronic pain daily. This number is expected to climb due to an aging population, rising rates of conditions like diabetes, heart disease, arthritis, and cancer, plus better survival from serious injuries and more surgeries that can lead to post-op pain (Institute of Medicine, 2011).
As people learn more about pain relief options and gain better access through laws like the Affordable Care Act (ACA), more folks—especially older ones—seek help. Passed in 2010, the ACA requires insurers to cover essential pain management benefits, including prescription drugs, chronic disease care, mental health support, and emergency services (111th Congress, 2009-2010). To use these effectively, healthcare providers need a solid grasp of pain assessment, classification, and treatment.
What Is Pain?
The International Association for the Study of Pain defines it as an unpleasant feeling associated with real or potential tissue damage. It’s subjective, shaped by biology, emotions, and social life. People learn about pain through experiences—some seek help right away, others try home remedies first. Respect their stories (Raja et al., 2020).
Pain falls into three main types, though definitions overlap:
Acute Pain: Lasts less than 3 months, or 1 day to 12 weeks; often limits daily activities for a month or less.
Subacute Pain: Sometimes seen as part of acute, or separate; lasts 1-3 months, or 6-12 weeks.
Chronic Pain: Persists over 3 months, or limits activities for more than 12 weeks (Banerjee & Argáez, 2019).
Poorly managed short-term pain can become chronic, so early action is important (Marin et al., 2017).
Assessing Pain Thoroughly
Pain is complex, influenced by body, mind, and environment. A full check includes history, physical exam, pain details, other health issues, and mental states like anxiety.
Basic pain evaluation covers:
When it started (date/time).
What caused it (injury?).
How does it feel (sharp, dull?)?
How bad it is.
Where is it?
How long does it last?
What worsens it (moving?).
What helps it?
Related signs (swelling?).
Impact on daily life.
Mnemonics help remember these. Here’s a table comparing common ones:
Pain scales provide information but aren’t diagnoses because they’re subjective. Single-dimensional ones focus on intensity:
Verbal: Mild, moderate, severe.
Numeric: 0 (none) to 10 (worst).
Visual: Like Wong-Baker FACES®, using faces for kids, adults, or those with barriers (Wong-Baker FACES Foundation, 2022). An emoji version works for surgery patients (Li et al., 2023).
Multi-dimensional scales check intensity plus life impact. The McGill Pain Questionnaire uses words like “dull” to rate sensory, emotional, and overall effects; shorter versions exist (Melzack, 1975; Main, 2016). For nerve pain, PainDETECT helps (König et al., 2021). Brief Pain Inventory scores severity and interference with mood/life (Poquet & Lin, 2016).
For babies, watch heart rate, oxygen, and breathing. Tools like CRIES rate crying, oxygen need, vitals, expression, sleep (Castagno et al., 2022). FLACC for ages 2 months-7 years checks face, legs, activity, cry, consolability (Crellin et al., 2015). Older kids use Varni-Thompson or draw pain maps (Sawyer et al., 2004; Jacob et al., 2014).
Elders face barriers like hearing loss or dementia. PAINAD assesses breathing, sounds, face, body, and consolability on a 0-10 scale (Malara et al., 2016).
The Joint Commission sets standards across various settings, which affect tool choice (The Joint Commission, n.d.).
Building Treatment Plans
Plans depend on pain type, cause, severity, and patient traits. For acute: meds, distraction, psych therapies, rest, heat/ice, massage, activity, meditation, stimulation, blocks, injections (National Academies of Sciences, Engineering, and Medicine, 2019).
Re-check ongoing acute pain to avoid chronic shift. Goals: control pain, prevent long-term opioids. Barriers: access to docs/pharmacies, costs, follow-ups.
For chronic: meds, anesthesia, surgery, psych, rehab, CAM. Non-opioids include:
Oral Meds:
Acetaminophen.
NSAIDs (celecoxib, etc.).
Antidepressants (SNRIs like duloxetine; TCAs like amitriptyline).
Anticonvulsants (gabapentin, etc.).
Muscle relaxers (cyclobenzaprine).
Memantine.
Topical: Diclofenac, capsaicin, lidocaine.
Cannabis: Medical (inhaled/oral/topical); phytocannabinoids (THC/CBD); synthetics (dronabinol) (Agency for Healthcare Research and Quality, n.d.).
Opioid use has risen, raising concerns (National Academies of Sciences, Engineering, and Medicine, 2019).
Key plan elements:
Quick recognition/treatment.
Address barriers.
Involve patients/families.
Reassess/adjust.
Coordinate transitions.
Monitor processes/outcomes.
Assess outpatient failure risk.
Check opioid misuse (Wells et al., 2008; Society of Hospital Medicine, n.d.).
Team Approach to Pain
Studies support the use of interprofessional teams for better results (Gauthier et al., 2019). Teams include docs, nurses, NPs, pharmacists, PAs, social workers, PTs, behavioral therapists, and abuse experts.
A 2017 report showed that teams improved pain/function from baseline, though not always compared with controls (Banerjee & Argáez, 2017). A meta-analysis found that teams were better at reducing pain after 1 month and sustained benefits at 12 months (Liossi et al., 2019).
Integrative chiropractic care fits here. It involves spinal adjustments—gentle manipulations to correct misalignments—and targeted exercises, such as core strengthening, to maintain alignment and reduce pressure on nerves/muscles. Dr. Alexander Jimenez observes that this helps sciatica/back pain without opioids, using tools like decompression (dralexjimenez.com).
Nurse Practitioners (NPs) provide comprehensive management, including ergonomic advice (e.g., better sitting postures) to prevent strain. They coordinate by reviewing options, referring to specialists, and overseeing plans, as seen in Dr. Jimenez’s practice, where his FNP-BC role includes telemedicine for holistic care (LinkedIn, n.d.).
Beyond Adjustments: Chiropractic and Integrative Healthcare- Video
Managing Opioids Safely
CDC’s 2022 guidelines cover starting opioids, dosing, duration, and risks (Centers for Disease Control and Prevention, 2022).
1. Starting Opioids:
Maximize non-opioids first—they match opioids for many acute pains (back, neck, etc.). Discuss benefits/risks (Recommendation 1, Category B, Type 3).
Review labels, use the lowest dose/shortest time. Set goals, exit strategy. For ongoing, optimize non-opioids (Recommendation 2, A, 2).
2. Choosing/Dosing Opioids:
Immediate-release (hydromorphone, etc.) over ER/LA (methadone, etc.). Studies show no edge for ER/LA; avoid for acute/intermittent (Recommendation 3, A, 4).
No rigid thresholds—guideposts. Risks rise with dose; avoid high if benefits dim (Recommendation 4, A, 3).
Taper slowly to avoid withdrawal (anxiety, etc.). Collaborate on plans; use Teams. If there is disagreement, empathize and avoid abandonment (Recommendation 5, B, 4).
3. Duration/Follow-Up:
For acute, prescribe just enough—often 3 days or less. Evaluate every 2 weeks. Taper if used for days. Avoid unintended long-term (Recommendation 6, A, 4).
Follow-up 1-4 weeks after start/escalation; closer for high-risk (Recommendation 7, A, 4).
4. Risks/Harms:
Screen for SUD/OUD. Offer naloxone for overdose risk (Recommendation 8, A, 4).
Check PDMPs for scripts/combos (Recommendation 9, B, 4).
Toxicology tests are performed annually to assess interactions (Recommendation 10, B, 4).
Caution with benzodiazepines (Recommendation 11, B, 3).
For OUD, use DSM-5 (2+ criteria/year); offer meds like buprenorphine (Recommendation 12, A, 1) (Hasin et al., 2013; American Psychiatric Association, 2013).
OUD signs: Larger amounts, failed cuts, time spent, cravings, role failures, social issues, activity loss, hazardous use, continued despite problems, tolerance, withdrawal.
Treatment: Meds, counseling, groups. Coordinate with specialists.
Conclusion
Finally, relying only on opioids is not necessary for efficient pain management. We can improve the lives of millions of people by giving priority to non-opioid alternatives like acetaminophen, physical therapy, or mindfulness and by taking opioids only when necessary under strict supervision. Teams of professionals, such as physicians, nurses, pharmacists, and specialists like chiropractors, collaborate to develop individualized strategies that lower dangers like addiction. By emphasizing spinal adjustments and targeted exercises, integrative chiropractic therapy may help restore normal alignment and reduce pain naturally, often eliminating the need for medication. Complete management, ergonomic guidance to prevent problems, and treatment coordination for optimal outcomes are all ways nurse practitioners provide value.
According to experts like Dr. Alexander Jimenez, these approaches target underlying issues using non-invasive treatments and functional medicine, promoting long-term well-being. Future developments in pain management seem promising, including FDA-approved non-opioid medications and distraction technologies such as virtual reality. In the end, everyone is empowered to address pain head-on, enhancing everyday activities and general health, when patients are included in decision-making and kept informed. Early evaluation and balanced treatment are crucial; discuss your options with your healthcare professional to determine what is best for you.
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Maintaining Gut Health During the Holidays: Causes, Symptoms, and Integrative Solutions
A woman grates cheese for a holiday meal.
The holiday season brings joy, family time, and lots of food. But it can also lead to stomach problems. Many people face issues like bloating, gas, indigestion, heartburn, diarrhea, and constipation. These happen because of rich foods, extra drinks, stress, and changes in daily habits. All this can upset your digestive system and the good bacteria in your gut. This can cause reflux, cramps, or even make conditions like IBS worse.
During holidays, people often eat more fatty, sugary, and heavy meals. They might drink more alcohol, too. Stress from planning and less sleep add to the mix. Diets may have less fiber from fruits and veggies. These factors strain the gut and change its bacterial balance. This leads to swelling in the stomach. Integrative health experts, like chiropractors and nurse practitioners, can help. They examine the main causes and offer ways to address them. This includes managing stress with mindfulness and exercise, giving diet tips for more fiber and water, and using supplements like probiotics and Vitamin D. They might also use hands-on therapy to calm the nervous system. This helps control symptoms and boosts long-term gut health.
Common Causes of Holiday Gut Issues
Holidays change how we eat and live. Large, rich meals with lots of fat and spice can trigger acid reflux. This causes stomach acid to flow back into the esophagus, causing heartburn. Overeating and indulgent foods add to discomfort. Foods high in fat, sugar, and alcohol can cause gas and bloating.
Stress plays a big role, too. High stress can slow or speed up digestion. It releases hormones, such as cortisol, that slow blood flow to the gut and cause swelling. Holiday stress affects the gut-brain link, making issues like IBS or GERD worse.
Alcohol and fizzy drinks are common triggers. They can lead to bloating and cramps. In winter, cold weather slows digestion and reduces blood flow to the gut. Less thirst means people drink less water, causing dehydration and constipation.
Diets shift to more sugary and processed foods. This harms the gut microbiome, the beneficial bacteria that help digest food. Low fiber from missing fruits and veggies adds to constipation.
Overindulgence in food and drink: 61% of people link issues to this.
Eating different foods: 59% say this worsens symptoms.
Stress and low moods: 50% eat more due to winter blues.
Specific items like Brussels sprouts, cream, or fizzy drinks.
These causes combine to make gut problems common. About 67% of adults face issues like reflux or indigestion during the holidays. A third say symptoms get worse at Christmas.
Symptoms to Watch For
Gut troubles show up in many ways. Bloating feels like fullness or pressure from overeating or fatty meals. Gas comes from swallowed air, carbonated drinks, or certain foods. Indigestion and heartburn happen when acid backs up.
Constipation is common due to low fiber intake and reduced activity. Diarrhea might be caused by food poisoning or by rich foods. Cramps and pain can signal IBS flare-ups.
Other signs include:
Abdominal pain or excessive gas.
Loss of appetite or overeating.
Reflux or GERD symptoms, such as chest burning.
Changes in bowel habits lasting more than a few days.
If symptoms last for more than 2 weeks or include blood, weight loss, or severe pain, see a doctor.
How Holidays Affect the Gut Microbiome
The gut microbiome is trillions of bacteria that help digest food and keep you healthy. Holidays can disrupt this balance. Sugary and fatty foods alter the types of bacteria, leading to inflammation.
Stress reduces the number of good bacteria and allows bad bacteria to grow. Alcohol harms the gut lining and bacteria. Low fiber starves beneficial bacteria.
This imbalance causes:
Slower digestion and bloating.
Weakened immune system.
More inflammation that lasts into the new year.
Winter adds to this with fewer diverse foods and more indoor time.
The Role of Integrative Practitioners
Integrative experts focus on whole-body health. They identify root causes such as stress or diet. Chiropractors and nurse practitioners use natural ways to help.
The brain-gut connection explains why. Stress affects the gut, and gut issues affect mood. Treatments calm the stress response and reduce swelling.
Dr. Alexander Jimenez, a chiropractor and nurse practitioner, observes that gut health links to inflammation and chronic issues. He uses functional medicine to assess diet, lifestyle, and genes. In his practice, he combines adjustments with nutrition to restore balance. He notes that holiday eating causes dysbiosis, leading to fatigue and pain. His approach includes supplements and lifestyle changes for long-term health.
Stress Management Techniques
Stress worsens gut issues, so managing it helps. Try mindfulness practices, such as deep breathing or meditation. Yoga calms the nervous system.
Take walks after meals to aid digestion.
Plan ahead to avoid rushing.
Get 7–9 hours of sleep a night.
Use apps for breathing exercises.
These boost the “rest and digest” response.
Dietary Advice for Better Gut Health
Eat more fiber to keep things moving. Choose fruits, veggies, and whole grains. Stay hydrated with at least 8 cups of water daily.
Tips include:
Use smaller plates for portion control.
Eat slowly and chew well.
Add fermented foods like yogurt or kimchi for probiotics.
Limit sugar, fat, and alcohol.
Follow the 80/20 rule: be healthy 80% of the time and indulge 20%.
Supplements like probiotics help restore gut bacteria. Vitamin D supports immune and gut health, especially in winter.
Manual therapy, such as chiropractic adjustments, helps balance the nervous system. This reduces inflammation and aids digestion. Dr. Jimenez uses this in his integrative practice for post-holiday recovery.
Probiotics from food or pills.
Digestive enzymes for heavy meals.
Fiber supplements, if needed.
Preventing Issues and Long-Term Health
Prevent problems by planning meals and staying active. Avoid trigger foods like dairy or gluten if sensitive.
For the long term, keep healthy habits year-round. This reduces inflammation and boosts energy. Integrative care helps maintain balance.
Dr. Jimenez sees that addressing gut health prevents chronic diseases. His observations show nutrition and adjustments improve outcomes.
Holidays don’t have to hurt your gut. With smart choices and expert help, you can enjoy the season and feel satisfied.
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