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.
The digestive system in the body helps with the process of digesting food that the host consumes. The food being digested goes through a bio-transformation where it turns into nutrients and is stored in the intestines, liver, and gallbladder, where it turns into bile to be excreted out of the system to ensure a healthy functional gut system and body. But when disruptive factors like poor eating habits or gut issues start to affect the body and gallbladder, this causes many problems that can make an individual miserable. This affects their quality of life since they are dealing with painful issues in their bodies that overlap the primary source risk profiles. Today’s article looks at the gallbladder, how it functions with the body and parasympathetic nervous system, and how referred shoulder pain and gallbladder dysfunction are connected. We refer patients to certified providers specializing in gastroenterology and chiropractic treatments that help those with issues that affect their shoulders and gallbladder. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
What Is The Gallbladder?
The digestive system comprises the mouth, the internal organs from the GI tract, the liver, the gallbladder, and the anus, where food is consumed, digested, and excreted out of the body to keep it healthy. The gallbladder is a small organ that store and releases bile at the appropriate time into the intestines to be mixed with the digested foods to be excreted out of the body. This pear-shaped organ inflates and deflates like a balloon when it stores and releases bile while having a casual relationship with the nerves and hormones that help regulate the gallbladder functioning properly. Studies reveal that the ganglia become the target of causing the hormone cholecystokinin and the parasympathetic nerve to up or downregulate the neurotransmission to the gallbladder. This causes the gallbladder to be functional in the body.
What Are Its Functions In The Parasympathetic Nervous System?
So what are the functions that the gallbladder provides to the body? For starters, the parasympathetic nervous system allows the body to rest and digest the consumed food to be turned into nutrients. The parasympathetic nervous system also provides gallbladder stimulation as studies reveal that the gallbladder receives innervation from the parasympathetic nervous system connected to the vagus nerve that transmits information to the spine and the brain. Keeping and releasing bile from this pear-shaped organ helps regulate the gastrointestinal tract. This causal relationship between the gallbladder and the parasympathetic nerve is essential because the body needs to know when to store and release bile from the gallbladder, or it might trigger some issues that can do more harm to the body and even affect the gallbladder itself.
Do You Have Shoulder Pain?- Video
Have you been experiencing gut issues causing a sharp or dull ache in your back or sides? How about questionable shoulder pain that seems to come out of nowhere? Or are your experiencing inflammation in your digestive system? Many of these symptoms are signs of visceral-somatic pain affecting the gallbladder. Visceral-somatic pain is defined when there is damage to the organ, and it starts to affect the muscles in a different location in the body. The video above gives an excellent example of visceral-somatic pain in the gallbladder and the shoulder. Now many people wonder how shoulder pain is the mediator of the gallbladder? Well, inflammation in the liver and gallbladder causes the nerve roots to be hypersensitive and compressed. This leads to overlapping profiles, triggering pain in the shoulder muscles and associated with upper mid-back pain.
Referred Shoulder Pain & Gallbladder Dysfunction
Now say the individual is experiencing shoulder pain; however, when they rotate their shoulder, there is no pain? Where is the source of shoulder pain localized, and what is causing the issue? And why is it correlating to the gallbladder? This is known as referred pain, where the source of pain is poorly localized when it is located elsewhere. Studies reveal that gallbladder dysfunctions like cholecystitis might be associated with acute thoracolumbar shoulder pain. So what does this mean? It means that any referred pain that is the causation of shoulder pain gives the impression that something is wrong with the gallbladder. This would provide much-needed information when individuals are being examined by their physicians.
Conclusion
The body needs the digestive system to help process food the host consumes and excretes for a healthy functioning system. The gallbladder stores and releases bile to the digested food. This ensures that the nutrients and bile are transported and passed out of the body. When disruptive factors cause gut issues and affect the gallbladder, it can correlate to different problems impacting the body. An example would be gallbladder issues associated with shoulder pain. This is referred to as pain, which is from an affected organ and associated with the muscle in a different location. This can make the individual feel miserable and wonder what is going on with their shoulders when it might be something associated with their gallbladder. Available treatments can provide better knowledge to determine the problem and how to alleviate the issues.
References
Carter, Chris T. “Acute Thoracolumbar Pain Due to Cholecystitis: A Case Study.” Chiropractic & Manual Therapies, BioMed Central, 18 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4683782/.
Jones, Mark W, et al. “Anatomy, Abdomen and Pelvis, Gallbladder.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK459288/.
Everyone around the world has dealt with pain that makes them feel uncomfortable and has them place their hands on the location where the pain is originating in their bodies. Many factors can become issues in the body, like a poor, unhealthy lifestyle that causes problems in the gut system and develop painful symptoms that affect the intestines. Stressful events that cause headaches that affect the neck and upper back muscles or gut issues that cause discomfort in the abdominal and back region. All these issues are known as referred pain, where a person feels pain in one part of their body, but it is caused by a different source of pain in a different location. An example would be an individual with back pain, but the pain is originating in their abdominal organs. Today’s article looks at various issues that mask low back pain in the body, how organ issues mimic low back pain, and how to alleviate these issues affecting the body. We refer patients to certified providers specializing in gastroenterology and chiropractic treatments that help those with issues that affect their back and gut system. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Different Issues Masking Low Back Pain
Have you experienced discomfort in your abdominal region causing pain in your lower back? How about pelvic issues that are causing bowel discomfort? Or constipation issues that are compressing the nerves in your lower back? These signs and symptoms correlate to visceral-somatic pain, defined as poorly localized pain characterized by irritated internal organs that cause muscle hypersensitivity from the same nerve. So what does this mean for a person experiencing back issues affecting their quality of life? Well, this might be an indication of the individual that might be suffering from gastrointestinal problems that are correlating to low back pain. Studies reveal any disturbances causing musculoskeletal or gastrointestinal complaints that could induce referred pain through the sympathetic nervous system. An example will be if the body suffers from infections from the kidneys that are associated with low back pain.
So how would the kidneys be associated with low back pain? What is the correlation? For example, a person is constantly eating foods with either a high salt content or a high protein in their system. These high food contents begin to form kidney stones in one or both organs, thus causing a sharp pain that triggers low back pain. As the kidney stones pass through the urinary tract, it administrates radiating pain to the body’s lower abdominal and pelvic region. Another example of issues that can mask low back is constipation in the abdominal area associated with pelvic dysfunction. How does this correlate to the lower back? Think of your abdominal organs overlapped by risk profiles associated with gut disorders. Signs like hypothyroidism, SIBO, celiac disease, or IBS can increase the risk associated with pelvic floor dysfunction, which causes bloating and constipation to the abdominal organs. These issues are co-morbidities to IBS as studies reveal that the pelvic floor and abdominal muscles are co-activated to increase spine stability and intra-abdominal pressure. Now it may seem not a bad thing to the body unless the individual is constantly standing for an extended period or is obese, thus becoming a mediator for the host to suffer from low back pain while being associated with pelvic dysfunction.
Organ Issues Mimicking Low Back Pain- Video
Have you been feeling muscle tenderness in the lower extremities of your body? How about gut issues that are associated with low back pain? Or are you feeling bowel dysfunction in your pelvic region? All these issues correlate to viscerosomatic pain, where the infected organ is causing issues to the muscle in a different location. The video above explains how various organ issues can mimic spinal and back pain in the body. One of the examples that the video explains is how kidney infections are associated with back pain. Studies reveal that visceral pain originating from the upper urinary tract coincidently correlates with the characteristics of referred pain and changes in the somatic tissues of the body.
Alleviating Issues Affecting The Body
Say an individual is suffering from low back pain issues; as they get their mandatory examination, they explain to their physician about their low back pain and what is happening. Once the suffering individual is situated, the physician begins to look over the body where the pain is located, either by physical examination or through the intake form they are looking over. So what does this implicates in the body? Well, studies have revealed that systemic pathologies of the visceral organs can mimic or mask musculoskeletal pain. An example would be someone who is experiencing gastrointestinal issues in their gut, and it’s triggering muscle spasms in the back. This causes the nerve roots to be hypersensitive to the visceral organs and increases the risk associated with low back pain.
Conclusion
Dealing with pain is no joke, primarily when the pain is located in a different body region. Sometimes the pain can be an organ issue that mimics muscle pain in the back. This is known as viscero-somatic pain, defined where infected organs are either mimicking or triggering muscle issues in different body locations. This causation is usually due to various factors like unhealthy lifestyle habits affecting the visceral organs and affecting the muscles that correspond to the organs, like IBS issues affecting the lower back. Available treatments are there to figure out what problems affect the body and provide a better understanding to alleviate them.
References
Basso, Francesca Lo, et al. “Manual Treatment for Kidney Mobility and Symptoms in Women with Nonspecific Low Back Pain and Urinary Infections.” De Gruyter, De Gruyter, 1 May 2021, www.degruyter.com/document/doi/10.1515/jom-2020-0288/html.
Bussey, Melanie Dawn, et al. “Is Pelvic Floor Dysfunction Associated with Development of Transient Low Back Pain during Prolonged Standing? A Protocol.” Clinical Medicine Insights. Women’s Health, SAGE Publications, 27 May 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6537301/.
J;, Stowell T;Cioffredi W;Greiner A;Cleland. “Abdominal Differential Diagnosis in a Patient Referred to a Physical Therapy Clinic for Low Back Pain.” The Journal of Orthopaedic and Sports Physical Therapy, U.S. National Library of Medicine, Nov. 2005, pubmed.ncbi.nlm.nih.gov/16355918/.
Lacy, Brian E, et al. “Management of Chronic Abdominal Distension and Bloating.” Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association, 1 Apr. 2020, www.cghjournal.org/article/S1542-3565(20)30433-X/fulltext.
PJ;, Pedersen KV;Drewes AM;Frimodt-Møller PC;Osther. “Visceral Pain Originating from the Upper Urinary Tract.” Urological Research, U.S. National Library of Medicine, 16 May 2010, pubmed.ncbi.nlm.nih.gov/20473661/.
The body is a set of complex systems, including bones, organs, nerves, muscles, and tissue. Breathing disorders are increasing, including chronic bronchitis, asthma, emphysema, and other conditions. Viscerosomatic reflexes include poor breathing quality brought on by allergies, breathing disorders like COPD that can cause intense coughing, sneezing, hunching, arching of the back, and heaving that causes back pain and referred pain.
The brain sends electronic impulses to the different areas of the body through the spine/nervous system. If the nerves get shifted, stretched, compressed, or knocked out of position, the brain could start sending messages of pain and discomfort, which can also cause other body systems to malfunction. If the body is constantly transmitting pain signals, it can disrupt sleep, dietary habits, and overall well-being. Misalignment can disrupt the information delivered by the nervous system, leading to inflammation, irritation, and imbalances in the body.
Regular chiropractic maintains the nervous system to operate the way it was designed. Proper alignment of the spine and body will improve the nervous system’s health and function, encouraging the brain to release endorphins achieving pain relief, and leading to optimal health. When the nervous system performs optimally, the other systems will follow, including better breathing quality.
Poor Breathing
Breathing difficulties are widespread with various causes that include:
Allergies
Environmental pollutants
Viral and bacterial infections that cause inflammation
An overactive immune response can all contribute to poor breathing quality.
Individuals might not notice that their breathing quality is poor but instead notice they are:
Frequent exhaustion
Having to stop constantly in the middle of activities.
Experience brain fog.
Memory issues/forgetfulness.
Physical performance – endurance, flexibility, and muscle is deteriorating.
The breathing quality impacts how well the body’s systems can carry out their essential functions and be prepared for unexpected events. The body adjusts oxygen intake capacity in line with the energy required to perform physical activity. All bodily systems, including the cardiovascular, immune, and muscular systems, depend on the respiratory system to generate energy.
Immune protection against viruses, bacteria, fungi, and other diseases.
Chiropractic
A crucial part of the respiratory system’s function is transporting nutrients and oxygen throughout the body. Chiropractic treatment releases tension by moving muscle fascia and the spine that may have become stuck, compressed, or shifted out of position, causing poor posture and injury. Chiropractic eliminates toxins and cellular waste from tight, knotted areas by breaking up stagnant tissues.
Circulation Improvement
Chiropractic increases circulation, allowing fresh blood, lymphatic fluid, nutrients, and oxygen to enter the deprived tissues. These regions include:
Muscles in the shoulder, neck, back
Bones and joints across the spine
Body tissues
Ligaments
Tendons
Chiropractic treatment can be manual/mechanical traction/decompression, combined with therapeutic tissue massage, exercise, and diet recommendations.
Decompression De La Espalda
References
McCarty, Justin C, and Berrylin J Ferguson. “Identifying asthma triggers.” Otolaryngologic clinics of North America vol. 47,1 (2014): 109-18. doi:10.1016/j.otc.2013.08.012
Purnomo, Ariana Tulus, et al. “Non-Contact Monitoring and Classification of Breathing Pattern for the Supervision of People Infected by COVID-19.” Sensors (Basel, Switzerland) vol. 21,9 3172. 3 May. 2021, doi:10.3390/s21093172
Schend, Jason, et al. “An Osteopathic Modular Approach to Asthma: A Narrative Review.” The Journal of the American Osteopathic Association vol. 120,11 (2020): 774-782. doi:10.7556/jaoa.2020.121
Everyone has headaches at some point throughout their lives, which can be excruciating, depending on the severity. Whether it is a heavy workload that causes a person to have severe tension on their foreheads, allergies that cause immense pressure in between the sinus cavity in the middle of the face, or common factors that seem to cause a pounding sensation in the head, headaches are no joke. Often, headaches seem to go away when it’s in their acute form but can become chronic when the pain doesn’t go away, causing issues to the eyes and muscles. Today’s article looks at how headaches affect the body and how they can become a somatovisceral problem for many individuals. We refer patients to certified, skilled providers specializing in neurological treatments that help those individuals that are suffering from headaches. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
How Headaches Affect The Body
Do you feel a pounding sensation in your forehead? Do your eyes seem to become dilated and sensitive to light? Do both arms or hands seem to lock up and have a pins-and-needles sensation that feels uncomfortable? These signs and symptoms are various forms of headaches affecting the head. The head helps protect the brain from damage as the neuron signals from the central nervous system are connected to the cervical regions of the spine. When factors like lifestyle habits, dietary food intake, and stress affect the central nervous system, they begin to co-mingle to form various forms of headaches. Each form of headache continuously shifts in many suffering individuals to never sit still for their clinicians to capture their specific profile. Some of the multiple headaches include:
Tension headaches
Migraines
Stress headaches
Sinus pressure
Clustered headaches
When headaches begin to affect the neck and head, research shows that these headaches cause a convergence between the cervical sections of the spine and the skull base. This becomes a mediator for the neck and head to develop referred pain. Referred pain is known as pain that occurs in one section of the body than where it is located. For example, say someone has been through a traumatic injury that causes them to have whiplash in their neck; that pain in their neck muscles can mimic a headache affecting one side of their head. Additional information has mentioned that migraine headaches can cause chronic inflammatory issues in the gut-brain axis, causing dysfunctional autonomic and enteric nervous systems and affecting the body.
How The Body Deals With Migraines-Video
Have you experienced throbbing in various sections of your face? Do you feel your muscles tense up around your neck or shoulders? Or does your body feel exhausted that noise seems to cause immense pain? The various forms of headaches can cause many problems not only in the neck but in the body as well. The video above shows what happens to the body when a person is suffering from a migraine. Research studies have noticed that individuals suffering from migraines will develop associated somatic comorbid symptoms like anxiety and depression, making migraine headaches more frequent. At the same time, being the top three of the most common forms of headaches, migraines may share a common underlying mechanism involving the overlapping profiles of the cerebrovascular system that is equivalent to a repetitive stress disorder affecting the central nervous system.
How Headaches Are A Somatovisceral Problem
Research studies have found that the severity of the headache in a person, especially in women, causes a synergetic relationship that causes somatic symptoms and depression to be so high. This is due to the overlapping risk profiles that affect the mechanisms of the sympathetic nervous system, causing the production of cervicogenic headaches and chronic migraines to form. This is because the junction of the brain stem and the spinal cord is called the trigeminocervical nucleus and overlaps the nociceptive cells. When this happens, The close anatomic pain fibers from the cervical spine and the trigeminal system start to be aggravated; it creates pain impulses from the neck to the head, causing headaches to be interpreted.
Conclusion
Overall, headaches are no joke when they start to affect the body and cause mimic pain in different parts of the body. When various factors begin to cause somatic issues that tense the muscles but also affect the surrounding nerves, it can cause headaches to form and become excruciating. Different forms of headaches can affect other regions of the face and can go away for a short period in their acute form. However, in its chronic condition, it can cause the body to be in so much pain. Finding ways to prevent headaches from progressing further can benefit the individual.
References
Castien, René, and Willem De Hertogh. “A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain.” Frontiers in Neurology, Frontiers Media S.A., 26 Mar. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6443880/.
Cámara-Lemarroy, Carlos R, et al. “Gastrointestinal Disorders Associated with Migraine: A Comprehensive Review.” World Journal of Gastroenterology, Baishideng Publishing Group Inc, 28 Sept. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5037083/.
Maizels, Morris, and Raoul Burchette. “Somatic Symptoms in Headache Patients: The Influence of Headache Diagnosis, Frequency, and Comorbidity.” Headache, U.S. National Library of Medicine, 2004, pubmed.ncbi.nlm.nih.gov/15546261/.
Tietjen;Brandes JL;Digre KB;Baggaley S;Martin V;Recober A;Geweke LO;Hafeez F;Aurora SK;Herial NA;Utley C;Khuder SA;, G E. “High Prevalence of Somatic Symptoms and Depression in Women with Disabling Chronic Headache.” Neurology, U.S. National Library of Medicine, 9 Jan. 2007, pubmed.ncbi.nlm.nih.gov/17210894/.
The lower half helps stabilize the body and provides movement from the legs and rotation in the hips. The lower abdominal organs help control bowel movement while the muscles allow movement by regulating internal abdominal pressure. Combined with the back muscles, the lower abdomen can keep the body stable while protecting the lumbar section of the spine. When external factors begin to affect the lower back or disrupt the lower abdominal organs, it can trigger different symptoms that correspond to other sections of the body, like knee or leg pain being associated with menstrual cramping in the lower abdominals or even having pelvic pain that is an associated mediator to having constipation. Today’s article looks at pelvic pain, how it affects the lower abdominals, and ways to treat pelvic dysfunction in the body. We refer patients to certified, skilled providers specializing in chiropractic treatments that help those suffering from pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
How Does Pelvic Pain Occur?
Have you suffered from frequent urination or irregular periods? Have you felt excruciating pain when bending down? Or feeling muscle weakness in the lower extremities of the body? Many of these symptoms are correlated to pelvic pain and can trigger different symptoms affecting the body’s lower half. Research studies have mentioned that pelvic pain in its chronic form is a non-cyclic pain located in the pelvis, and the multiple causations can make it difficult to source where the pain is coming from. The overlapping profiles of pelvic pain can be traced through the numerous nerve pathways that are connected to the spine that can become aggravated and become the mediators for pelvic pain. For example, a person having low back pain might experience uncontrollable urinary discharge in their pelvic region. This could be due to the lower sacral nerve root being impaired and causing an overlap of the profiles resulting from mechanical legions to the lumbar spine, thus increasing the risk associated with the pelvis.
How Does It Affect The Lower Abdominals?
The pelvic region ensures that the body’s lower half is stable and protects the lower abdominal organs from disruptive factors like pelvic pain. Research studies have shown that pelvic pain is a relatively common pain associated with comorbidities affecting the body. Some of the various associated symptoms of pelvic pain can cause a correlation to disturbances of the bladder and sexual function in both sexes while also triggering abdominal and low back pain. Additional research studies have found that chronic pelvic pain can cause a correlated issue with PBS or painful bladder syndrome. What PBS does is that it can make a person have a frequent need to urinate and can cause the pelvic muscles to become tense and sensitive. This coincidentally causes the lower sacral nerves to be aggravated and become a mediator for the genital region to be hypersensitive.
Pelvic Pain Overview-Video
Are you feeling stiffness or tenderness in the groin region? How about going to the bathroom constantly? Or have you been experiencing low back pain? Many of these symptoms correlate to pelvic pain and other symptoms associated with the body. The video above overviews pelvic pain and how it affects the body’s lower extremities. The pelvic region consists of lower sacral nerve roots connected to several different nerve pathways that correspond to the primary nerves and provide an extensive neurological connection to the other areas in the pelvis. When mediators cause an increased risk in the pelvic region, the pelvic splanchnic nerves start to trigger muscle dysfunction in the lower abdominal organs. This causes numerous combinations of symptoms and disorders that causes overlapping of profiles in the body. The lower sacral nerve that is aggravated in the pelvic region could be the causation of pelvic and leg pain.
Treatments For Pelvic Dysfunction
Since the pelvic region has many nerve roots that are intertwined and connect to the major nerves in the spinal cord, it can become aggravated by accompanying the lower lumbar and upper sacral nerve roots to be impaired. Research studies have found that pelvic pain can cause an overlap in risk profiles that involves either the visceral or somatic system and the encompassed structures that help the nervous system form a causal relationship to the spine and lower extremities. When the nerve roots become irritated and affect the pelvic region, treatments like chiropractic therapy and physical therapy can help relieve the pelvic area and even help alleviate other symptoms. Physical therapy helps strengthen the hip and abdominal muscles from becoming weak and can reduce overlapping pathologies. Chiropractic therapy can help manipulate the L-1 through 5 vertebrae in the lumbar region of the spine, causing low back pain and bladder dysfunction. Research studies have mentioned that spinal manipulation can help reduce lower sacral nerve root compression triggering low back pain associated with leg pain. This overlap of risk profiles may cause pelvic pain affecting the body and causing organ dysfunction.
Conclusion
The lower half of the body consists of the lower abdominal organs and the pelvic region that allows bowel movement and keeps the body stable when in motion. When external factors begin to affect the lower back or the lower abdominal organs, it can cause a triggering effect on different sections of the body. Pelvic pain can affect the internal organs in the lower abdominal and pelvic region and cause comorbidities affecting the body’s lower back and bladder function. Treatments that help strengthen the hips and abdominal muscles or manipulate the spine to reduce the encased nerves trapped in the pelvic muscles will provide relief to the body’s lower extremities and improve functionality.
References
Browning, J E. “Chiropractic Distractive Decompression in Treating Pelvic Pain and Multiple System Pelvic Organic Dysfunction.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Aug. 1989, pubmed.ncbi.nlm.nih.gov/2527938/.
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2011, www.ncbi.nlm.nih.gov/books/NBK554585/.
Grinberg, Keren, et al. “New Insights about Chronic Pelvic Pain Syndrome (CPPS).” International Journal of Environmental Research and Public Health, MDPI, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7246747/.
Hwang, Sarah K. “Advances in the Treatment of Chronic Pelvic Pain: A Multidisciplinary Approach to Treatment.” Missouri Medicine, Journal of the Missouri State Medical Association, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6143566/.
Lee, Dae Wook, et al. “Chronic Pelvic Pain Arising from Dysfunctional Stabilizing Muscles of the Hip Joint and Pelvis.” The Korean Journal of Pain, The Korean Pain Society, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5061646/.
Referred pain is the interpretation of feeling pain in a different location than the actual cause. For example, a pinched nerve in the spine/back causes pain not to show up not where it is pinching but further down in the buttock, leg, calf, or foot. Similarly, a pinched nerve in the neck could translate to shoulder or elbow pain. Referred pain is often caused by the muscles overcompensating weaker ones, like feeling pain outside the knee, with the actual injury stemming from hip joint dysfunction caused by weakened lateral hip muscles. The athletic referred pain could have been brought on by an acute sports injury, an overuse injury from the repetitive motion/s.
Athletic Referred Pain
Somatic referred pain originates from the muscles, skin, and other soft tissues and is not to be confused with visceral pain, which refers to the internal organs/viscera. However, the pain presents in regions supplied by the same nerve roots. Damaged or injured body structures can cause referred pain. This includes the muscles, nerves, ligaments, and bones.
Common Sites
Individuals can experience referred pain almost anywhere. Athletic referred pain commonly occurs in these areas:
The neck and shoulder where pain can be felt in the elbow, arm, and hand or cause headaches.
The back where pain can be felt in the hips, buttocks, and thighs.
The hip/s area, where pain can be felt in and around the low back and abdominal regions.
The groin, where pain can be felt in and around the abdominal region.
Problems with the vertebral discs, nerve root compression, muscle spasms, osteoarthritic changes, spinal fracture, or tumor/s can affect the body’s ability to transport sensory information, which can cause strange sensations and weakness of muscle tissues, and sometimes problems with coordination and movement. Part of an accurate diagnosis is knowing the patterns of referred pain in all the muscles and internal organs.
Pain Activation
Many nerve endings come together and share the same nerve cell group in the spinal cord. When signals travel through the spinal cord to the brain, some signals follow the same path as the pain signals from a different body part. Pain awareness is felt in a deeper center of the brain known as the thalamus, but the sensory cortex determines the perception of where the pain is coming from and the location of the pain. The intensity and sensation of the athletic referred somatic pain vary for different structures and depend on the inflammation level. For example:
Nerve pain tends to be sharp or shooting.
Muscle pain tends to be a deep dull aching or a burning sensation.
However, muscles can give a sensation of tingling where referred pain is presenting, but tingling is more commonly associated with a nerve injury.
Diagnosing referred pain injuries can be complex as there are various areas where the pain can show up. The source of damage needs to be identified; otherwise, achieving lasting pain relief will not last. A biomechanical analysis can help to find movement/motion patterns that may be causing pain and help identify the source.
Treatment
Athletic performance and spinal health are interconnected. Chiropractic treatment involves whole-body wellness that involves the spine and nervous system. Routine chiropractic care relieves neck, shoulder, arm, back, leg, and foot conditions/injuries and helps prevent disorders of joints and muscles. It calms the mind, provides pain relief, and educates individuals on being more aware of the body. Chiropractic adjustments improve blood flow and nerve function to increase agility, reaction times, balance, strength, and expedited healing of the body.
DRX9000 Decompression
References
Kapitza, Camilla, et al. “Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol.” PloS one vol. 15,12 e0244137. 28 Dec. 2020, doi:10.1371/journal.pone.0244137
Murray, Greg M. “Guest Editorial: referred pain.” Journal of applied oral science: Revista FOB vol. 17,6 (2009): i. doi:10.1590/s1678-77572009000600001
Weller, Jason L et al. “Myofascial Pain.” Seminars in neurology vol. 38,6 (2018): 640-643. doi:10.1055/s-0038-1673674
Wilke, Jan, et al. “What Is Evidence-Based About Myofascial Chains: A Systematic Review.” Archives of physical medicine and rehabilitation vol. 97,3 (2016): 454-61. doi:10.1016/j.apmr.2015.07.023
The spine has three areas: cervical, thoracic, and lumbar in the back, encased with muscles, tissues, ligaments, and joints that help protect the spinal cord from injuries. With the spinal cord being part of the central nervous system, this long cord has many nerve roots that are spread all over the body and help function each section of the body. When the back muscles become damaged or injured in the thoracic region of the spine, it can cause painful symptoms and other issues that correspond with the thoracic spine. Today’s article will look at the thoracic spine, how back pain in the upper-mid section of the back, and how visceral referred pain affects the thoracic region in the body. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments that help those suffering from chest pains and thoracic back pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
The Thoracic Spine
Have you been experiencing herniation in the upper-mid section of your back? Have you felt chest pain occur frequently? Do your back muscles feel stiff or constantly ache even after you stretch? All these symptoms are signs that affect the thoracic region of the spine. Research studies have defined the three spinal areas: the cervical, thoracic, and lumbar help keep the upper half of the body upright. The thoracic area of the spine has added support from the rib cage and allows the body to rotate and flex the upper body. The thoracic region of the spine is also the first curvature that is tight enough to protect the vital organs and loose enough to allow respiratory movement in the body. Additional research studies have also mentioned that the thoracic segments in the spine are susceptible to injuries that can affect the back entirely. The thoracic segments can succumb to structural alterations, disc herniation, and even trauma in the spine from environmental factors like lifting or carrying heavy objects, muscle strain, and forceful impact.
How Thoracic Pain Affect The Body
When the thoracic region of the spine begins to suffer from environmental factors or traumatic events, it can affect the body and aggravate the nerves that encase the spinal column. Research studies have found that when the thoracic spine has succumbed to injuries, it can affect the upper half of the body. Structural changes in the thoracic T 1 through 3 regions of the spine can cause the cervical area to develop neck pain. This causes restricted segmental mobility in the cervical and thoracic regions of the spine. Another research study has mentioned that individuals suffering from thoracic pain will often complain about paravertebral pain aggravated by prolonged standing, hyperextension, and even hyper rotation in the thoracic spinal column. When this happens, it can cause discomfort to the individual and limit their range of motion since their muscles are stiff. Thoracic pain can even affect the corresponding muscles connected to the body’s internal organs.
Referred Pain Affect The Thoracic Spine-Video
Have you felt muscle stiffness in your upper-middle back? Have you been dealing with neck or chest pain? Have inflammatory issues affecting your esophagus? Many of these are signs and symptoms of visceral referred pain affecting the thoracic region of the spine. The video above explains how visceral referred pain can affect the thoracic spine and the corresponding muscle and organs in the area. Research studies have defined pain as damaged nociceptive sensory nerves that affect the peripheral tissues in the face. The broken nerve roots can affect one portion of the body but also a different section of the body. Additional research studies have also found that visceral pain affecting the thoracic regions of the spine can impact the cardiovascular system. This is due to hypertension caused by chronic stress from environmental factors.
Visceral Referred Pain Affecting The Thoracic Region
Research studies have noticed that thoracic spinal pain can become a common site for inflammation, degenerative discs, and other issues contributing to pain and disability in the spine. Visceral pain is a complex disorder that can cause the surrounding muscles and organs in the thoracic region to be compromised. When the body is suffering from visceral referred pain, the thoracic region of the spine will also begin to suffer. Additional research studies have found that visceral referred pain that affects the thoracic neurons will also affect the esophageal and cardiac input to the cardiovascular and gut systems. When the affected thoracic neurons begin to cause heart and esophageal problems, these two organs become hypersensitive due to noxious stimulation.
Conclusion
The spine has three areas: the cervical, thoracic, and lumbar, which help keep the body upright and is encased with muscles, tissues, and ligaments that protect the spinal cord from injuries. Injuries that affect the thoracic regions of the back can cause problems to the corresponding muscles and the internal organs, especially in the gut and cardiovascular systems. These organs become hyper-sensitive and can make the body develop hypertension and other issues that can make the body dysfunctional. When individuals realize that their upper-middle back pain in the thoracic region can affect their cardiovascular system, they can find ways to treat their back pain and prevent cardiovascular issues from forming.
References
Briggs, Andrew M, et al. “Thoracic Spine Pain in the General Population: Prevalence, Incidence and Associated Factors in Children, Adolescents and Adults. A Systematic Review.” BMC Musculoskeletal Disorders, BioMed Central, 29 June 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2720379/.
Brumovsky, P R, and G F Gebhart. “Visceral Organ Cross-Sensitization – an Integrated Perspective.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, 16 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2818077/.
Gkasdaris, Grigorios, et al. “Clinical Anatomy and Significance of the Thoracic Intervertebral Foramen: A Cadaveric Study and Review of the Literature.” Journal of Craniovertebral Junction & Spine, Medknow Publications & Media Pvt Ltd, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5111324/.
Joshi, Shriya, et al. “Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature.” Asian Spine Journal, Korean Society of Spine Surgery, 3 June 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6773982/.
Murray, Greg M. “Guest Editorial: Referred Pain.” Journal of Applied Oral Science : Revista FOB, Faculdade De Odontologia De Bauru Da Universidade De São Paulo, 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC4327510/.
van Kleef , Maarten, et al. “10. Thoracic Pain.” Pain Practice : the Official Journal of World Institute of Pain, U.S. National Library of Medicine, 2010, pubmed.ncbi.nlm.nih.gov/20492577/.
Ward, John, et al. “Immediate Effects of Upper Thoracic Spine Manipulation on Hypertensive Individuals.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4459143/.
Waxenbaum, Joshua A, et al. “Anatomy, Back, Thoracic Vertebrae – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK459153/.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
