Back Clinic Sciatica Nerve Pain Chiropractic, Physical Therapy Treatment Team. The common cause is a bulging or ruptured disc (herniated disc) in the spine pressing against the nerve roots that lead to the sciatic nerve. Sciatica nerve pain can also be a symptom of other conditions affecting the spine, such as narrowing of the spinal canal (spinal stenosis), bone spurs (small, bony growths that form along joints) caused by arthritis, or nerve root compression (pinched nerve) caused by injury. In rare cases, sciatica can also be caused by conditions that do not involve the spine, i.e. tumors or pregnancy.
What are the symptoms?
Pain that begins in your back or buttock and moves down your leg and may move into the foot. Weakness, tingling, or numbness in the leg may also occur.
Sitting, standing for a long time, and movements that cause the spine to flex (such as knee-to-chest exercises) may make symptoms worse.
Walking, lying down, and movements that extend the spine (such as press-ups) may relieve symptoms.For answers to any questions you may have please call Dr. Jimenez at 915-850-0900
The facet joints are the joints which are found behind the spine to counterbalance the intervertebral discs found between the vertebrae of the spine. These are ultimately essential for restricting the movements of the spine for the vertebrae to maintain proper alignment. Over time, the natural aging process can cause the facet joints to deteriorate or wear down. Facet joint arthritis can also gradually develop over time, as it may in any other joint. This is referred to as arthropathy. �
What are the Symptoms of Facet Arthropathy?
Individuals with facet arthropathy will generally experience low back pain which can often worsen with standing, twisting, or bending backward. The painful symptoms associated with facet joint arthropathy occur in one specific region of the spine. The pain and discomfort are commonly described as a dull ache on one or both sides of the lower back or lumbar spine.� �However, unlike the well-known signs and symptoms of sciatica, caused by the compression or impingement of the sciatic nerve in the lower back, facet arthropathy signs and symptoms generally don’t radiate down the buttocks or into the legs. �
However, the facet joint, in the same way as any other joint which has arthritis, can become enlarged and add pressure on nerve roots, causing pain and discomfort to radiate down the lower extremities. Facet arthropathy symptoms are generally relieved by bending forward. Bending your body forward into a spinal flexion position can help reduce painful symptoms. �
What Causes Facet Arthropathy?
The natural aging process is frequently considered to be one of the most common indirect sources of facet arthropathy. Other health issues which can affect the facet joints and ultimately cause facet arthropathy include: �
Osteoarthritis: Degeneration of joint cartilage and underlying bone, generally during middle age
Facet joint degeneration: Wear and tear on the facet joint brought on over time due to aging
Facet joint injury: Trauma to the facet joints caused by an impact, such as a fall or automobile accident
Synovial cyst: A fluid-filled sac which develops in the spine, generally as a result of aging
How is Facet Arthropathy Diagnosed?
If you’re experiencing chronic low back pain, make an appointment with a healthcare professional to determine a diagnosis and follow-up with the proper treatment. By performing a physical evaluation, your healthcare professional will then be able to analyze the source of your painful symptoms. The doctor will also ask you questions regarding your medical history and your symptoms as well as order several of the following tests to help diagnose facet arthropathy, including: �
CT scan or MRI scan: These imaging tests can show evidence of facet joint degeneration, even mild to moderate cases.
Bone scan: This test shows bone density to demonstrate any source of inflammation on the spine.
Anti-inflammatory steroid injection: An injection into your facet joint can determine facet arthropathy.
X-rays: These will help the healthcare professional evaluate the overall health and wellness of your spine.
Can Facet Arthropathy Cause Other Health Issues?
Facet arthropathy may cause bone spurs, tiny bone outgrowths. Bone spurs can decrease the distance available between nerve roots, causing a health issue known as spinal stenosis. Spinal stenosis may cause pain, weakness, and numbness on the buttocks, hips, and thighs. It’s frequently associated with other health issues which could lead to facet arthropathy. �
Arthritis caused by a variety of other health issues, such as degenerative disc disease, can occur due to the human body’s natural aging process, causing the discs between the vertebrae of the spine to lose their flexibility, elasticity, and capacity to absorb shock from walking and other physical activities. This may ultimately cause painful symptoms to develop. �
How is Facet Arthropathy Treated?
There are numerous treatment approaches to help treat facet arthropathy symptoms. Treatments include: �
Anti-inflammatory drugs and/or medications
Avoidance of movements which cause pain and discomfort, such as repetitive twisting or lifting
Physical therapy
Chiropractic care
Epidural steroid injections
Facet joint ablation or the destruction of the facet nerves with electrical shocks
Spinal surgery when there is nerve-root compression
Differential Diagnosis of Hip Pain and Discomfort
� �
Facet joint arthropathy is a well-known health issue which can commonly occur due to the human body’s natural aging process, however, injury or underlying conditions may also cause facet joint arthropathy. Although facet joint arthropathy may cause pain, discomfort, and numbness in the lower back, the symptoms are different from sciatica in which these don’t radiate down the buttocks, legs, and/or feet. Diagnosis is essential for facet joint arthropathy to follow-up with treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
Degenerative disc disease is a health issue which occurs when one or more of the discs found between the vertebrae of the spine break down, causing painful symptoms and other problems. Common symptoms may include pain, tingling sensations, weakness, and numbness. Despite its name, degenerative disc disease is actually not a disease, but rather, a natural process which occurs with aging. The rubbery discs found between the vertebrae function like shock absorbers, allowing the back to flex and bend accordingly.� When they wear out, however, they no longer provide as much protection as before. �
Causes
The intervertebral discs also referred to as spinal discs or intervertebral fibrocartilage, provide the padding required between the vertebrae of the spine. The intervertebral discs are an elastic structure made from fibrocartilage tissue. The outer part of the disc is referred to as the annulus fibrosus. The annulus fibrosus is tough and it’s made up of many overlapping layers. The inner part of the disc is referred to as the nucleus pulposus. The nucleus pulposus is soft and gelatinous. The intervertebral discs cushion the stress of the spine, bears weight, and also helps the spine bend and flex. �
As people age, repeated daily stresses on the backbone and occasional trauma and/or injuries, including minor, undetected health issues, may ultimately damage the intervertebral discs in the back. Changes caused by damage may include: �
Decreased fluid: The intervertebral disks of a healthy young adult are made up of around 90 percent fluid. With age, the fluid material decreases, causing the disc to become thinner. The distance between each vertebra, in turn, becomes smaller and it makes them even less effective to function as a cushion or shock-absorber.
Disc structure: Small tears or cracks can become larger in the outer layer of the disc. The soft and gelatinous material from the inner part may push through the disc, causing a bulging or ruptured disc. The disc may break into fragments.
If the vertebrae have less padding between them, the backbone also becomes less stable. To compensate, the human body builds osteophytes, or bone spurs, small bony structures which develop along the edge of bones. These structures can compress or impinge the spinal cord or nerve roots. Other health issues caused by degenerative disc disease includes the breakdown of cartilage or the tissue which cushions the joints, a bulging disc, known as a herniated disc, and a narrowing of the spinal cord, also referred to as spinal stenosis. These changes can cause painful symptoms and lead to fatigue. �
Symptoms
Degenerative disc disease can either cause no symptoms or the pain and discomfort may be so severe, it can tremendously affect an individual’s quality of life. This health issue generally aggravates due to injury or trauma to the backbone, however, symptoms can also affect other parts of the human body, depending on the direct location of the degenerative disc disease. The pain and discomfort can range from mild to severe and it may often be debilitating. It may ultimately result in osteoarthritis, with pain and discomfort along with stiffness in the back. Fatigue can generally accompany other symptoms. �
If degenerative disc disease affects the low back or the lumbar spine, the pain and discomfort may radiate down the buttocks, hips, and thighs, into the knees and feet. There might also be tingling sensations and numbness, a collection of symptoms known as sciatica, caused due to the compression or impingement of the sciatic nerve. If degenerative disc disease affects the neck or the cervical spine, the pain and discomfort may radiate into the shoulders, arms, and hands. The painful symptoms may worsen when sitting, bending, twisting or lifting. Rest may help provide some pain relief. �
Diagnosis
A healthcare professional will ask the patient about their symptoms, including where and when the pain developed as well as whether there are tingling sensations or numbness. The doctor may also need to know which circumstances cause the most painful symptoms and if the patient suffered any injuries and/or aggravated conditions. A physical evaluation may examine pain and discomfort in response to touch or movement, muscle strength, flexibility, and performance, as well as nerve structure and function. The healthcare professional may also order diagnostic tests, such as MRI or CT scans. �
Treatment
Treatment for degenerative disc disease might include occupational therapy, physical therapy, chiropractic care, exercise or physical activity, drugs and/or medications, weight loss, and surgery. Medical options include injecting the joints next to the broken disc with steroids and a local anesthetic. Medicines include pain relief medicine, such as Tylenol, and non-steroidal anti-inflammatory medications, or NSAIDs, including ibuprofen. Muscle relaxers and steroids may also be prescribed. �
A corset or brace may also offer back support. Patients who don’t respond well to conservative treatment options might require surgery. Furthermore, a patient who develops osteoarthritis, a herniated disc, or spinal stenosis may require a combination of different types of treatment approaches to achieve pain relief. It’s fundamental for a healthcare professional to provide a patient with the proper diagnosis of their symptoms to follow-up with the most appropriate treatment. �
Differential Diagnosis of Hip Pain and Discomfort
�
Degenerative disc disease is characterized as the normal, gradual deterioration of the intervertebral discs with age, which may occasionally cause a variety of painful symptoms. Common symptoms associated with degenerative disc disease can include pain and discomfort, tingling sensations, and numbness, similar to sciatica. Painful symptoms may also cause fatigue and other health issues. Nearly everyone’s intervertebral discs will break down over time, however, not everyone will develop painful symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss degenerative disc disease and sciatica. Degenerative disc disease is often associated with pain, tingling sensations, and numbness, similar to the symptoms of sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
The spine consists of 33 bones, best known as vertebrae, which shield the spinal cord from experiencing injury or trauma. The bones of the spine permit an individual to remain upright, bend, and twist. The vertebrae are held in place by a collection of muscles, tendons, and ligaments. Nerves also extend from the spine to the upper and lower extremities, such as the arms and legs. The spine curves in an S-shape, which is essential for spinal health. These curves are accountable for equilibrium, shock absorption, and a range of movements.� Each section of the backbone has a specific name and function. They are the: �
Cervical spine or neck
Thoracic spine or middle back
Lumbar spine or lower back
Sacrum, which links the backbone to the hips
Coccyx or tail bone
Each vertebra is cushioned from each other with an intervertebral disk. This shields the vertebrae from rubbing over each other. When trauma or injuries occur, these intervertebral discs can become damaged and cause the compression or impingement of a nerve. Depending on which nerve is compressed, an individual can experience a variety of painful symptoms, including sciatica or sciatic nerve pain. Individuals can develop radiculopathy as a result of an injury, or it may occur seemingly without a cause. People within 30 to 50 years old are most likely to experience radiculopathy. �
Causes and Risk Factors
� �
Radiculopathy can ultimately develop due to a variety of injuries and/or aggravated conditions, including: �
Herniated discs, or when a disc protrudes, irritating the nerve root
Sciatica
Degenerative disc disease
Bone spurs
Tumors in the spine
Osteoarthritis or spinal arthritis
Spinal stenosis, or the narrowing of the spinal canal
Compression fractures
Spondylolisthesis, or when a vertebra slides over the vertebra beneath it
Scoliosis brought on by an abnormal curve in the backbone
Diabetes, caused by altered nerve blood flow
Cauda equine syndrome, or a condition where nerve root compression affects the pelvic organs and lower extremities
� �
Additional risk factors for developing radiculopathy include: � �
Aging
Being overweight or obese
Poor posture
Improper lifting methods and techniques
Repetitive movements
A family history of degenerative bone health issues
Signs and Symptoms
Since the nerve roots extending from the spinal cord travel throughout various areas of the human body, many individuals will experience different symptoms depending on the location where the nerve compression or impingement occurs. We will discuss the different symptoms an individual may experience depending on where the irritation occurs along the spine. �
Cervical Radiculopathy
Cervical radiculopathy develops when a nerve in the neck, or cervical spine, becomes compressed or impinged due to an injury and/or aggravated underlying condition. The symptoms associated with cervical radiculopathy include: �
Pain in the neck, shoulder, upper back, or arm
Weakness or numbness is generally experienced on a single side of the human body
Thoracic Radiculopathy
Individuals may commonly experience painful symptoms in their chest and torso when nerve compression or impingement occurs in the thoracic spine or middle back region of the spine. Thoracic radiculopathy may be frequently misdiagnosed as shingles, heart, abdominal, or gallbladder problems. The symptoms associated with thoracic radiculopathy include: �
Burning or shooting pain in the ribs, side, or abdomen
Tingling sensations and numbness
Lumbar Radiculopathy
Individuals may experience painful symptoms in the low back, hips, and legs when nerve compression or impingement occurs in the lumbar spine or low back region of the spine. Lumbar radiculopathy is also commonly referred to as sciatica or sciatic nerve pain. Sciatica symptoms include pain, tingling sensations, and numbness along the length of the sciatic nerve. Occasionally, the nerve roots in charge of controlling the bowel and bladder may become irritated, resulting in bowel or bladder incontinence as well as loss of control. Other generalized symptoms associated with lumbar radiculopathy include: �
Sharp pain extending from the low back to the foot
Sharp pain with sitting or coughing
Weakness or numbness in the lower extremities
Tingling sensations and numbness in the lower extremities
Hypersensitivity, or sensitivity and reflex alterations
Sharp pain radiating into the upper extremities
Intense pain and discomfort with movements of the head and/or neck
Diagnosis
Together with a physical evaluation and review of symptoms, healthcare professionals may diagnose radiculopathy utilizing: � �
Radiologic imaging with X-ray, MRI, and CT scans
Electrical impulse testing, referred to as electromyography or EMG, to examine and test nerve function
Treatment
Normally, any type of radiculopathy can ultimately be treated without the need for surgical interventions or surgery. Based on the severity of the radiculopathy, healthcare professionals may recommend a variety of treatment approaches, including: �
Non-steroidal drugs and/or medications, such as ibuprofen, aspirin, or naproxen
Oral corticosteroids or injectable steroids
Narcotic pain medicines
Physical therapy and chiropractic care
A soft cervical collar
Ice and heat therapy applications
In a variety of instances, healthcare professionals may recommend surgery to help treat the source of the nerve root compression or impingement. Several surgical interventions include repair of a herniated disc, widening of the spinal canal, eliminating a bone spur, or fusing the bones. Because each patient’s case is unique, healthcare professionals will discuss surgical recommendations in detail before following-up with the procedures. The options for surgery will depend on the cause of the radiculopathy and the overall health of the individual as well as other essential factors. �
Prevention
Several strategies may ultimately help prevent and protect against nerve compression or impingement. These include: �
Maintaining good posture, even if driving
Proper lifting methods and techniques
Participating in exercises or physical activities like weight-bearing exercises
Developing core strength
Maintaining a healthy weight
Taking frequent breaks and incorporating stretching
Avoiding tilting the head to hold the phone to the shoulder
Differential Diagnosis of Hip Pain and Discomfort
� �
Radiculopathy is characterized as the compression or impingement of a nerve root in the spine. The irritation of this well-known health issue can cause a wide variety of uncomfortable and painful symptoms, including pain and discomfort, tingling sensations, weakness, and numbness. Lumbar radiculopathy can also sometimes be referred to as sciatica. Sciatica is characterized as a collection of symptoms, similar to those previously described, due to the compression or impingement of the sciatic nerve in the low back. Proper diagnosis is essential for treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss radiculopathy and sciatica. Radiculopathy is often associated with common symptoms, including pain, tingling sensations, and numbness, similar to sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
An adductor muscle strain is characterized as an acute injury to the muscles of the groin. Although a variety of muscles in the human body can be injured, the adductor longus, medius, magnus, and the gracilis are some of the most well-known muscle groups to be affected by an injury.� Strains are muscle tears which generally occur due to the powerful contraction of the muscles against resistance, often during what is referred to as an eccentric load. � �
An eccentric load describes some muscle contraction while the muscle is lengthening, versus concentric, where the muscle is shortening during some muscle contraction. Most weight-lifting exercises and physical activities involve concentric contraction. By way of instance, bench press involves eccentric contraction. Moreover, tears can occur at the origin of the muscle, at the muscle-tendon junction, or inside the belly of the muscle(s). Tears most frequently happen at the muscle-tendon junction. The least common tendon injury occurs at the region of its bony attachment. �
Adductor muscle strains may be graded I-III depending upon their seriousness. A grade I injury involves a moderate strain with some pain and discomfort, tenderness, and bleeding, but no fiber disruption. The adductor muscle’s overall integrity is maintained although a Grade II injury involves further damage. A grade III injury involves disruption resulting in a loss of tendon integrity. Most adductor muscle strains are considered to be grade I or II injuries. �
Causes and Symptoms of an Adductor Strain
As previously mentioned above, an adductor muscle strain occurs during acute muscle contraction, such as during kicking, pivoting or skating. Factors which can predispose a person to injury include failure to properly stretch or warm up and fatigue from overuse. The risk of experiencing an adductor strain increases with sports involving strides like sprinting, soccer, and hockey. Sports with repeated movements like football, martial arts, and gymnastics can also substantially increase the risk of experiencing an adductor strain. Struggling to warm up, stretch or be properly conditioned can also cause injury. �
The symptoms associated with an adductor muscle strain most commonly involve a variety of painful symptoms which are most frequently related to other types of muscle strain. Common symptoms of an adductor muscle strain include a sudden onset of pain and discomfort, occasionally accompanied by the feeling of a pop in the inner section of the thigh as well as the inability to maintain action after the first onset of painful symptoms. Because an adductor strain may cause groin or hip pain, many patients and healthcare professionals may confuse this type of injury with sciatica or sciatic nerve pain. �
Diagnosis and Treatment for an Adductor Strain
A healthcare professional can diagnose an adductor muscle strain through the patient’s medical history and a physical evaluation. Clinical findings include tenderness to palpation or touch, bruising through the inner thigh, as well as swelling and heat within the region of the injury. With acute tears, there might be a palpable defect over the area of the injury. Motion testing of the hip is normal, however, pain generally occurs while the patient is asked to contract the muscles. In these cases, asking the patient to bring their leg towards midline can ultimately cause pain and is generally accompanied by weakness. �
X-rays are often not utilized to diagnose an adductor muscle strain, however, they are appropriate in instances in which there are tenderness at the site of bony insertion or in young patients and/or athletes. In children, the attachment sites of a muscle and/or tendon are weaker and vulnerable to fracture. MRI can provide the precise location of an injury and the extent might help estimate return to play, or in rare cases, help identify any other cases which may require surgical interventions. �
Many adductor muscle strains respond positively to conservative treatment. The utilization of ice therapy and anti-inflammatory medicine are appropriate for acute muscle strains. As symptoms improve, stretching and exercises are generally not recommended. The healthcare professional may suggest a physical therapy program. Surgery may be required for adductor muscle tendon tears. Repair entails an open incision within the site of injury and reattachment of the tendon. Surgery is also essential in patients who have chronic pain whose symptoms don’t respond to conservative therapy. �
What is Adductor Tendinopathy?
Adductor tendinopathy is generally characterized as pain on palpation of the adductor tendons, adduction of the legs and/or of the injured leg. Pain can develop gradually or cause a sudden and severe, sharp pain. A swelling or a lump may also be experienced from the adductor muscle(s), stiffness at the groin area or an inability to contract or extend the adductors. In acute cases, exercises and physical activities will be restricted because the tendon can’t sustain repeated tensile loading. �
�
Causes and Symptoms of Adductor Tendinopathy
The adductors are triggered in many sports such as, running, soccer, horse riding, gymnastics, and swimming. The repetitive movements and the continuous change of direction in physical activities activate the adductor tendon, which makes athletes more prevalent to develop adductor tendinopathy and other groin injuries. Other causes of adductor tendinopathy can include over-stretching of the adductor tendons or a sudden increase in training, especially in the type of training. �
Adductor tendinopathy may occur due to considerable leg length discrepancy which affects gait pattern. Poor or abnormal movement patterns may also overly stress the adductor tendons. Muscular length gaps, strength imbalances or muscular weakness in the thoracic or the abdominals can also be powerful in developing adductor tendinopathy. Other causes include a failure to properly warm-up, inactivity, fatigue, obesity, age-related weaknesses, genetics or degeneration. �
Diagnosis and Treatment for Adductor Tendinopathy
A healthcare professional can safely and effectively develop an appropriate treatment plan following a thorough diagnosis or further investigations could be undertaken, including ultrasound, MRI or CT scans. Achieving pain relief through the utilization of NSAIDs may be ineffective due to the non-inflammatory nature of the injury. Steroid injections are also not necessarily recommended due to potential tendon rupture if these are injected directly into the tendon. �
Physical therapy is often recommended for the treatment of adductor tendinopathy, although there’s no golden standard for the proper rehabilitation of the adductor tendon. Recovery is extremely variable across individuals because the injury may be degenerative or even due to previously failed healing. Strengthening exercises and physical activities are also recommended to promote proper healing. Treatment should be customized to the patient to avoid recurrence. �
Other treatment for adductor tendinopathy generally consists of avoiding exercise or physical activity in the first 48 hours. The patient should then apply the RICE treatment three times per day for 10-20 minutes to help reduce swelling and inflammation from any sudden trauma. If the painful symptoms have decreased, blood flow stimulation therapy could be started to help promote the healing process. Active treatment is subsequently suggested to follow up with rehabilitation. �
Furthermore, the goal of rehabilitation is to restore the adductor muscle and tendon properties where strength training is beneficial to the adductor structure, muscle building, and biomechanics. Recent research studies have also demonstrated that an eccentric based exercise program is the most effective as well as heavy-slow eccentric and concentric exercises for enhancing both function and symptoms. For effective treatment identifying the stage of the tendinopathy is also essential. �
Differential Diagnosis of Hip Pain and Discomfort
�
Most commonly well-known as a groin strain, an adductor muscle strain is a type of injury which affects one of a group of muscles found at the top of the thigh. Meanwhile, adductor tendinopathy can affect the tendons of the adductor muscles. Both of these type of injuries can ultimately cause a variety of painful symptoms and they generally require time to heal properly. Because of the location of the injury, many patients and healthcare professionals may confuse groin injuries with sciatica without proper diagnosis. Proper diagnosis is essential to follow-up with proper treatment. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Fibromyalgia Magazine
The purpose of the article was to discuss adductor muscle strain, tendinopathy, and sciatica. It has also been observed that patients with adductor injuries may confuse their symptoms for sciatica. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 . �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
April Hermosillo achieves overall health and wellness every day by following proper nutrition and engaging in exercises or physical activities. As a regular fitness participant, however, April Hermosillo can experience back and low back pain which ultimately affects even her most basic daily tasks.
April Hermosillo struggled with spine health issues and sciatica before she received chiropractic care. Dr. Alex Jimenez is a chiropractor in El Paso, TX who has helped April Hermosillo achieve pain relief so she can return to her everyday fitness routines. April Hermosillo describes how Dr. Alex Jimenez has tremendously helped improve her overall symptoms. April Hermosillo highly recommends Dr. Alex Jimenez as the non-surgical choice for personalized spine and sciatica treatment and rehabilitation.
El Paso Back Clinic
We are blessed to present to you El Paso�s Premier Wellness & Injury Care Clinic.
Our services are specialized and focused on injuries and the complete recovery process. Our areas of practice includeWellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Treatment, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Stress Management, and Complex Injuries.
As El Paso�s Chiropractic Rehabilitation Clinic & Integrated Medicine Center, we passionately are focused on treating patients after frustrating injuries and chronic pain syndromes. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.
We want you to live a life filled with more energy, positive attitude, better sleep, less pain, proper body weight and educated on how to maintain this way of life.
A variety of health issues can cause common symptoms which may make it difficult for people to determine the source of their pain and discomfort. Because sciatica is a collection of symptoms rather than a single condition, sciatic nerve pain can often be a frequent symptom for many health issues. The purpose of the following article is to demonstrate the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement. �
What is Sciatica?
Sciatica is characterized as pain, tingling sensations, and numbness, due to compression or impingement anywhere along the length of the sciatic nerve. The sciatic nerve is the largest nerve in the human body and it stretches from the lower back through the hips and buttocks, down into the legs and feet. Sciatica can affect one or both sides of the human body. �
�
Symptoms
The characteristic symptoms of sciatica can range from mild to severe where the sciatic nerve pain is described as a dull ache to pain or as a sharp, searing, or electric-like pain. Symptoms differ from one person to another. By way of instance, some people may experience shooting pain while some people may only experience tingling sensations and/or numbness. � The common symptoms of sciatica, also known as sciatic nerve pain, include: �
Radiating pain along the length of the sciatic nerve
Discomfort, tingling sensations, and numbness
Muscle weakness in the lower back, hips, legs, and feet
A combination of pain, discomfort, tingling sensations and numbness
Painful sensations on one or both sides of the human body
Causes
Sciatica commonly occurs when an underlying health issue results in the compression or impingement of the sciatic nerve in the lower back. A bulging or herniated disk is one of the most common causes of sciatica. However, a variety of other underlying health issues can cause sciatica and determining what causes sciatica is necessary for proper treatment. � The most common causes of sciatic nerve pain, or sciatica, include: �
Bulging disk
Herniated disk
Degenerative disk disease
Bone spur osteophytes, or bone spurs
Spinal stenosis
Piriformis Syndrome
Arthritis
Treatments
Sciatica will often resolve on its own over several weeks. Healthcare professionals recommend the use of over-the-counter drugs and/or medications, ice or heat packs on the affected areas, stretches, and exercise, among other alternative treatment options to help reduce sciatica. If symptoms worsen or do not resolve on their own, seek immediate medical attention. � People with mild or moderate sciatica may find relief from any of the following treatments, including: �
Ice or heat therapy
Stretches and exercises
Physical therapy
Chiropractic care
Acupuncture
Alexander technique or Feldenkrais method
Yoga
Drugs and/or medications
If these approaches do not help reduce sciatica, the patient may need to take one or more imaging tests, such as an X-ray or magnetic resonance imaging (MRI), to diagnose the source of their symptoms. It’s important to note that sciatica is a collection of symptoms rather than a single condition. Sciatica may be caused by a variety of underlying health issues. �
What is Ischiofemoral Impingement?
Ischiofemoral impingement syndrome is a condition which occurs when the ischium and the head of the femur experience excessive amounts of pressure, generally due to trauma, overuse, or surgery. The trauma, overuse, or surgery, can also cause bone spurs to grow along the ischium. This gives the bones an abnormal shape which makes them no longer fit together. �
Because these don�t fit properly together anymore, the bones may then start to rub against each other during movement causing friction which can damage the joint and cause painful symptoms. As friction worsens, the pain may also increase and restrict movements. The symptoms for ischiofemoral impingement may vary and treatment can also depend on symptoms. �
Symptoms
The main symptom of ischiofemoral impingement syndrome is hip pain. The pain from this underlying health issue may start off as mild, however, it can often worsen as the rubbing of the bones causes more damage and inflammation. Ischiofemoral impingement syndrome can feel similar to a pulled hamstring but the pain is generally closer to the buttocks. �
Causes
Ischiofemoral impingement occurs due to excess friction between the top of the thighbone, or the femur, and the hip bone, or the ischium. These two bones generally touch in a way which allows them to move without causing pain, however, trauma, overuse, and surgery can ultimately damage the bone. Moreover, if the damage causes a bone spur to grow on the hip or femur, as described above, the extra piece of bone�can cause more damage and make the condition worse. �
People who experience pain in the hips, buttocks, or groin that does not go away, should seek immediate medical attention to determine the underlying cause of their symptoms. Several of the symptoms associated with ischiofemoral impingement syndrome may be similar to other health issues, including sciatica, muscle, ligament and tendon tears, or fractures. A healthcare professional can perform a diagnosis to rule out ischiofemoral impingement as well as these other conditions. �
Diagnosis
To diagnose an ischiofemoral impingement, the healthcare professional may perform a physical exam. During the evaluation, doctor may feel specific areas in the hips to determine the presence of an ischiofemoral impingement. If the healthcare professional suspects you may have ischiofemoral impingement syndrome, they may request additional imaging tests, such as an X-ray or MRI, to confirm the diagnosis. Treatment will depend on the diagnosis of the source of the symptoms. �
Ischiofemoral Impingement Syndrome is quite an uncommon diagnosis for hip and groin pain � thus it is important that more common conditions like those listed below, are ruled out by a qualified Medical Professional, Chiropractor or� Physiotherapist before considering it as a diagnosis: �
Lumbar disc disease
Spinal stenosis
Bursitis
Osteoarthritis
Rheumatoid arthritis
Cancer
Inguinal hernias
Inguinal lymphadenopathy
Menstrual conditions
Urinary tract problems
Pelvic inflammatory diseases
Femoroacetabular impingement/piriformis syndromes
Treatments
There is no single treatment which can be utilized to help improve ischiofemoral impingement syndrome. The healthcare professional might recommend a variety of alternative conservative treatment options. By way of instance, they may restrict physical activities or they may recommend rest as well as prescribe drugs and/or medications to help ease the symptoms. There are many dynamic treatment protocols that can assist in these diagnoses. If alternative treatment options do not help improve the ischiofemoral impingement, the healthcare professional may also recommend the utilization of injections which contain pain medicine and/or steroids to help control the pain. If neither of these treatment approaches helps relieve the symptoms, the healthcare professional may also recommend surgery. Due to the rarity of Ischiofemoral Impingement, treatment for the condition has varied on a case by case basis. However, conservative treatment is broadly recommended as a first line approach to resolving the condition. Current conservative treatment strategies in the literature for Ischiofemoral Impingement Syndrome include: �
Nonsteroidal anti-inflammatory drugs and Gabapentin for pain associated with quadratus femoris muscle and sciatic nerve irritation
Heat, Ultrasound, and Interferential current therapies applied around the hip area.
Deep Specialized Myofascial protocols can be used.
An individually prescribed exercise program by a Physiotherapist or joint specialist targeting muscles like the quadriceps femoris, piriformis in order to adequately reduce pain and increase the range of motion in the hip joint.
CT-guided steroid and local anesthetic injection around the QFM may provide pain relief
Surgical intervention in order to correct/decompress anatomical pathology such as that first described by Johnson in 1977 is reserved for cases that do not respond to conservative therapy. Potential surgical interventions include excision of the lesser trochanter (in those experiencing pain post hip surgery), and more recent/popular peri-articular endoscopic decompression around the hip 2,7. Further research is required to better understand Ischiofemoral Impingement Syndrome � its causes, at-risk populations, and optimal management strategies- both conservative and surgical. As this condition is not yet widely recognized and understood. �
Differential Diagnosis In Proximal Hip Pain Syndroms
� �
Sciatica, or sciatic nerve pain, commonly characterized by pain and discomfort, tingling sensations, and numbness, can be a common symptom for a variety of underlying health issues, such as ischiofemoral impingement. Because sciatica is well-known as a collection of symptoms, rather than a single condition or disorder, patients with sciatic nerve pain should seek immediate medical attention to determine if their painful symptoms are caused by another underlying health issue. Treatment for both sciatica and ischiofemoral impingement will depend on the symptoms and diagnosis. There are many treatment options for these complex cases – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
�
�
The article above demonstrates the differences between true sciatica and painful symptoms associated with other health issues, such as ischiofemoral impingement, to help provide a diagnosis and treatment. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
�
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
�
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
� �
References Singer, Adam D., Ty K. Subhawong, Jean Jose, Jonathan Tresley, and Paul D. Clifford. �Ischiofemoral impingement syndrome: a meta-analysis.� Skeletal radiology 44, no. 6 (2015): 831-837 Johnson, K. A. �Impingement of the lesser trochanter on the ischial ramus after total hip arthroplasty. Report of three cases.� JBJS 59, no. 2 (1977): 268-269 Spencer-Gardner, Luke, Asheesh Bedi, Michael J. Stuart, Christopher M. Larson, Bryan T. Kelly, and Aaron J. Krych. �Ischiofemoral impingement and hamstring dysfunction as a potential pain generator after ischial tuberosity apophyseal fracture non-union/malunion.� Knee Surgery, Sports Traumatology, Arthroscopy 25, no. 1 (2017): 55-61 Lee, Soyoung, Inhwan Kim, Sung Moon Lee, and Jieun Lee. �Ischiofemoral impingement syndrome.� Annals of rehabilitation medicine 37, no. 1 (2013): 143
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain which is also generally accompanied by fatigue, sleep, memory, and mood health issues. The most common symptoms associated with fibromyalgia include muscle pain and tenderness, however, many people with this painful condition also experience sciatica, a collection of symptoms characterized by pain, discomfort, tingling sensations, and numbness along the length of the sciatic nerve in the lower back. �
Because fibromyalgia can cause painful symptoms throughout several regions of the human body, many people with fibromyalgia may also be diagnosed with other health issues which may overlap with their present symptoms, such as sciatica. It’s essential for patients to seek immediate medical attention from a healthcare professional to receive a proper diagnosis of all of their symptoms as these other health issues may generally require different treatment approaches. �
Sciatica is one of the most common health issues to coexist with fibromyalgia. Fibromyalgia doesn’t necessarily cause sciatica or sciatic nerve pain, however, these can ultimately exist together. It’s also essential for people with fibromyalgia to understand what sciatica is and how these painful symptoms can affect their health and wellness. Healthcare professionals believe that fibromyalgia amplifies painful sensations by affecting the way the human brain processes pain signals. Moreover, fibromyalgia can affect a variety of other structures and functions in the human body, such as the gastrointestinal tract. �
Fibromyalgia and Digestion Problems
Along with muscle pain and tenderness, patients with this painful disorder also experience digestive health issues. About 70 percent of people with fibromyalgia suffer from irritable bowel syndrome symptoms, including gas, bloating, constipation, and diarrhea. Although the causes of digestion health issues and fibromyalgia are unknown, healthcare professionals have demonstrated that there is an undeniable connection between fibromyalgia and digestive health issues. �
The gastrointestinal, or GI, system consists of several fundamental parts including, the esophagus, the stomach, the small intestine, and the bowel. When digestion slows down or a food intolerance, described in further detail below, disrupts the natural process of digestion, a chain of events can cause pain and discomfort, among other symptoms, throughout the entire gastrointestinal, or GI, tract. Patients with fibromyalgia commonly report frustrating digestive problems, such as: �
Acid reflux. When the gastric juices are not being utilized in the stomach, they can often travel back up through the esophagus, causing heartburn or a painful sensation in the chest, known as acid reflux.
Cramping and constipation. When the process of peristalsis, or the smooth muscle contractions which move food through the gastrointestinal tract, becomes affected due to the irritation of the intestines, it can begin to cramp and prevent the movement of waste through the bowel, causing cramping and constipation.
Diarrhea. When the digestive process slows down or stops, undigested food can move from the stomach and into the intestine, where it can irritate the lining of the colon and produce IBS symptoms, such as diarrhea.
Gas. The longer food stays in your stomach and intestines, the longer the natural GI bacteria has to break down the compounds and the more methane gas is produced from bacteria metabolism, resulting in gas.
Research studies have utilized brain scans to demonstrate the physiological responses of patients with irritable bowel syndrome, or IBS, and patients with fibromyalgia. According to the research studies, both groups of patients demonstrated higher neurological responses to pain. Patients with IBS and fibromyalgia also demonstrated higher pain awareness. Due to the similar brain activity to pain stimulus, researchers suspect that the two health issues may share underlying causes. �
Many people with fibromyalgia frequently report that certain types of foods irritate their stomach or exacerbate their fibromyalgia symptoms. Dairy and gluten, among other foods, can worsen fibromyalgia. Many people have food intolerances which can be challenging to diagnose. Another common explanation for the digestion problems of patients with fibromyalgia involves the autonomic nervous system, which is in charge of regulating the structure and function of internal organs. �
This autonomic nervous system is made up of two subsystems: the sympathetic nervous system and the parasympathetic nervous system, which rarely work together simultaneously. In patients with fibromyalgia, the sympathetic nervous system, which is largely responsible for increasing blood pressure, heart rate and adrenaline, is almost always active, causes the parasympathetic system, which is largely responsible for relaxation and digestion, to become inactive. Fortunately, patients with fibromyalgia and its associated symptoms like sciatica and digestive problems, can find relief through treatment.
�
Patients with fibromyalgia commonly experience widespread pain and discomfort, however, research studies have demonstrated a connection between other symptoms and health issues, such as sciatica and digestive problems. The purpose of the following article is to educate as well as discuss how fibromyalgia may be connected to other symptoms like sciatica and irritable bowel syndrome, among other digestive problems. By understanding how these symptoms and health issues are associated with fibromyalgia, patients and doctors can safely and effectively treat this painful condition and its symptoms. – Dr. Alex Jimenez D.C., C.C.S.T. Insight
Non-Invasive Treatments for Chronic Low Back Pain
�
Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by a variety of symptoms. Many people with this painful condition also experience sciatica and digestive problems. The scope of our information is limited to chiropractic, musculoskeletal and nervous health issues as well as functional medicine articles, topics, and discussions. To further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900�. �
Curated by Dr. Alex Jimenez �
Additional Topic Discussion: Severe Sciatica
Back pain�is one of the most prevalent causes of disability and missed days at work worldwide. Back pain attributes to the second most common reason for doctor office visits, outnumbered only by upper-respiratory infections. Approximately 80 percent of the population will experience back pain at least once throughout their life. Your spine is a complex structure made up of bones, joints, ligaments, and muscles, among other soft tissues. Injuries and/or aggravated conditions, such as�herniated discs, can eventually lead to symptoms of sciatica, or sciatic nerve pain. Sports injuries or automobile accident injuries are often the most frequent cause of painful symptoms, however, sometimes the simplest of movements can have these results. Fortunately, alternative treatment options, such as chiropractic care, can help ease sciatic nerve pain, or sciatica, through the utilization of spinal adjustments and manual manipulations, ultimately improving pain relief. �
�
Formulas for Methylation Support
XYMOGEN�s Exclusive Professional Formulas are available through select licensed health care professionals. The internet sale and discounting of XYMOGEN formulas are strictly prohibited.
Proudly,�Dr. Alexander Jimenez makes XYMOGEN formulas available only to patients under our care.
Please call our office in order for us to assign a doctor consultation for immediate access.
If you are a patient of Injury Medical & Chiropractic�Clinic, you may inquire about XYMOGEN by calling 915-850-0900.
� For your convenience and review of the XYMOGEN products please review the following link.*XYMOGEN-Catalog-Download �
* All of the above XYMOGEN policies remain strictly in force. �
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
� 
�
If you have enjoyed this video and we have helped you in any way, please feel free to subscribe and recommend us.
Recommend: Dr. Alex Jimenez – RN, DC, MSACP, CCST
Health Grades: 
�
�
