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Spinal Decompression Treatments

Dr. Alex Jmenez, Chiropractor Discusses: Spinal Decompression Therapies, Protocols, Rehabilitation and Advance Treatments Care Plans

At our offices, we offer conservative care for degenerative spinal conditions, including several treatment modalities. Thus, the traction distinguishes as it can elicit the body’s protective proprioceptive response to distraction, reducing intradiscal pressure and minimizing symptoms secondary to disc herniation and axial pain.
Our integrative treatments aim to determine the clinical effects of a short treatment course of motorized axial spinal decompression for patients with pain and physical impairment caused by either lumbar or cervical degenerative disc pathology with no immediate surgical indication.

Conservative care for mid to long-term degenerative spinal conditions with axial and irradiated pain generally includes pharmacological treatment, physical rehabilitation, or injections. Mechanical traction is an old treatment modality, which has been decreased in use facing other modern technologies or utilized in combination with other treatment modalities, such as manual therapy, exercises, heat, or electrotherapy. We, too, offer advanced spinal treatment workshops and boot camps to help educate patients on the dynamics of spinal hygiene.

Our patients get treated for chronic radicular axial spinal pain. This is a referred pain in the spinal axial skeleton and is considered a syndrome with both nociceptive and neuropathic pain components. Patients report improvement in symptoms with a reduction of the axial load in the spine.
Previous studies have shown a decrease of pressure in the intervertebral disc after traction, unloading of the spinal structure, and alleviating the inflammatory reaction of the nerve roots. Here, we present our patients’ literature and scientific background information to make educated decisions about the advanced spinal decompression protocols.

If you’re looking for a non-surgical solution for your persistent back or leg pain, you may want to try spinal decompression therapy. Unlike invasive or laparoscopic surgeries, spinal decompression does not require the patient to go under the knife. Instead, the patient’s spine is stretched to relieve back and leg pain. The goal of spinal decompression is to create an ideal healing environment for the affected areas.

This treatment is typically used for:
Bulging discs
Degenerating discs
Herniated discs

Call us today to schedule your first appointment! Our team in El Paso is happy to help.


Beating Back Pain from Long Desk Hours at Work

Beating Back Pain from Long Desk Hours at Work

Dr. Alex Jimenez at El Paso Back Clinic®: Beating Back Pain from Long Desk Hours

Beating Back Pain from Long Desk Hours at Work

Businesswoman experiences worsening back pain while sitting at her desk.

If your back pain gets worse the longer you sit at your desk, you are not alone. Many people in El Paso face this issue due to long hours spent in sedentary jobs. Sitting for extended periods can put pressure on the spine, tighten muscles, and reduce blood flow, leading to stiffness, aches, and, in some cases, chronic problems (Colorado Pain Care, n.d.). The positive news is that you can take simple steps to reduce the pain and prevent it from worsening. At El Paso Back Clinic® in El Paso, TX, the wellness chiropractic care team, led by Dr. Alex Jimenez, DC, APRN, FNP-BC, focuses on helping people just like you find natural, long-term relief through personalized plans.

Prolonged sitting stresses the lower back by increasing disc pressure by up to 90% compared to standing. It flattens the spine’s natural curve, strains muscles, and creates imbalances (Colorado Pain Care, n.d.). Slouching or leaning forward adds extra load to the neck and upper back. Over time, this can lead to tight hips, weak core muscles, and ongoing discomfort that affects daily life.

At El Paso Back Clinic®, our experts understand these issues caused by sedentary work. They use a holistic approach that combines chiropractic adjustments, functional medicine, and rehab to address root causes like poor posture and muscle imbalances from desk jobs (Jimenez, n.d.-a).

Here are practical changes to start today:

  • Move often: Get up every 30 minutes to stand, walk, or shift positions. Short 1-2 minute breaks improve circulation and ease tension (Huntsville Hospital Health System, n.d.; Sydney West Physio, n.d.).
  • Use regular breaks: Set a timer for quick walks to get water or to stretch. This habit prevents stiffness from building up throughout the day.
  • Add dynamic movement: While sitting, shift weight, uncross legs periodically, or use a footrest to change angles. These small actions keep the spine mobile (Colorado Pain Care, n.d.).

A proper ergonomic setup supports optimal posture and reduces strain.

Follow these key tips:

  • Set your chair so that your feet are flat on the floor, your knees are at 90 degrees, and your hips are level with or above your knees.
  • Add lumbar support (a small pillow or rolled towel works) to maintain the lower back’s curve.
  • Place your screen at eye level to avoid looking down or up too much.
  • Keep the keyboard and mouse close so elbows bend at 90 degrees and shoulders stay relaxed.
  • Avoid crossing legs for long, as it can tilt the pelvis (Senara Chiropractic & Med Spa, n.d.; Huntsville Hospital Health System, n.d.).

Consider alternating between sitting and standing with a standing desk. Even partial standing reduces spinal pressure.

Stretches help loosen tight spots from sitting, such as the hips, shoulders, and neck.

Try these simple ones:

  • Hip flexor stretch: Kneel on one knee, gently push hips forward, and hold 20-30 seconds per side.
  • Chest and shoulder opener: Clasp hands behind your back or use a wall to stretch forward.
  • Neck tilts: Slowly tilt the head side to side or forward/back; hold for 10-15 seconds.
  • Upper back extension: Hands behind head, gently arch upper back (Sydney West Physio, n.d.).

Do them hourly or during breaks for better flexibility.

Strengthening the core supports the spine and improves posture long-term.

Include these:

  • Planks: Hold forearm plank 20-30 seconds.
  • Cat-camel: On hands and knees, arch and round back slowly.
  • Bridges: Lie back, lift hips while squeezing glutes.
  • Walking or gentle yoga: Build overall strength (Huntsville Hospital Health System, n.d.; Sydney West Physio, n.d.).

Aim for 20-30 minutes of activity most days.

For lasting relief, professional care targets alignment, mobility, and personalized fixes. At El Paso Back Clinic®, Dr. Alex Jimenez leads a team offering integrated chiropractic care. This includes spinal adjustments to correct misalignments, non-surgical spinal decompression for disc relief, acupuncture, functional medicine for nutrition and stress, and rehab exercises tailored to desk-related issues.

Dr. Jimenez, with dual expertise as a chiropractor and nurse practitioner, emphasizes posture correction, mobility training, and the prevention of sedentary pain through evidence-based methods. The clinic helps restore function without drugs or surgery, focusing on root causes like imbalances from prolonged sitting (Jimenez, n.d.-a; Jimenez, n.d.-b).

Other options in El Paso exist, but El Paso Back Clinic® stands out for its comprehensive wellness approach, advanced diagnostics, and patient-centered plans that go beyond basic adjustments.

If pain includes numbness, tingling, or weakness in the legs, or persists despite changes, seek evaluation to rule out serious conditions (University of Maryland Medical System, n.d.).

Start small: improve movement, setup, and stretches. If needed, contact El Paso Back Clinic® for expert help. Many in El Paso regain comfort and stay active with this care.


References

Colorado Pain Care. (n.d.). Prolonged sitting & back pain. https://coloradopaincare.com/prolonged-sitting-back-pain/

Huntsville Hospital Health System. (n.d.). 7 ways to improve your spine health while working a desk job. https://hh.health/7-ways-to-improve-your-spine-health-while-working-a-desk-job/

Jimenez, A. (n.d.-a). Injury specialists. https://dralexjimenez.com/ (also associated with El Paso Back Clinic® at https://elpasobackclinic.com/)

Jimenez, A. (n.d.-b). Dr. Alexander Jimenez DC, APRN, FNP-BC, IFMCP, CFMP, ATN. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Senara Chiropractic & Med Spa. (n.d.). Surviving your desk job: Tips to avoid back pain. https://www.experiencesenara.com/physical-therapy-peoria/surviving-your-desk-job-tips-to-avoid-back-pain/

Sydney West Physio. (n.d.). 5 effective tips to reduce back pain from your office job. https://sydneywestphysio.com.au/physiotherapy/5-effective-tips-to-reduce-back-pain-from-your-office-job/

University of Maryland Medical System. (n.d.). Signs & symptoms. https://www.umms.org/health-services/spine/signs-symptoms

Spinal Hygiene Explained for Better Back Health

Spinal Hygiene Explained for Better Back Health

Spinal Hygiene Explained: Daily Habits to Keep Your Spine Strong and Pain-Free

Spinal Hygiene Explained for Better Back Health

A woman performs spinal hygiene exercises on a fitness ball at home, strengthening her back muscles.

Spinal hygiene is the practice of caring for your spine every day to keep it strong, flexible, and healthy. Just like brushing your teeth helps prevent cavities, spinal hygiene helps avoid back problems and keeps your body moving well. The spine supports your whole body, protects the nervous system, and lets you bend, twist, and stand tall. Good habits can make a big difference in how you feel now and as you get older.

What Spinal Hygiene Means

Spinal hygiene includes simple daily actions to protect the spine’s natural shape and movement. The spine has gentle curves that help absorb shock and allow smooth motion. When these curves stay balanced, and the spine moves freely, you feel better overall.

  • Proper posture: Sit and stand with your shoulders back, head aligned over your spine, and pelvis in a neutral position to avoid extra strain.
  • Regular movement and exercise: Stay active with walking, swimming, or stretching to keep joints loose and muscles strong.
  • Proper body mechanics: Lift things by bending your knees, keeping objects close to your body, and avoiding twists to prevent injury.
  • Core strength: Build muscles around your midsection for better support and stability.
  • Hydration and nutrition: Drink plenty of water to keep spinal discs cushioned, and eat foods rich in calcium, vitamin D, magnesium, and omega-3 fatty acids to support bone and tissue health.
  • Stress management: Use deep breathing, meditation, or yoga to reduce tension that tightens back muscles.

These steps help maintain the spine’s integrity and prevent issues like stiffness or pain (Spinenpain.org, n.d.; Lifemovesmt.com, n.d.).

Neglecting spinal hygiene can lead to problems over time. Poor habits can cause muscle imbalances, joint wear, reduced motion, and conditions such as herniated discs or chronic back pain. This can affect your nervous system, since the spine houses nerves that control body functions. When the spine is out of alignment, it may press on nerves, leading to pain, weakness, or other issues (Servinglifedallas.com, n.d.; Drmmalone.com, n.d.).

Benefits of Good Spinal Hygiene

Taking care of your spine brings many advantages. It reduces the chance of back pain, improves how easily you move, and supports better posture. A healthy spine also helps the nervous system function smoothly, boosting energy, coordination, and overall well-being. Regular care can slow age-related changes, lower injury risk, and help you stay active longer.

  • Prevents muscle tightness and joint problems
  • Improves blood flow and nutrient delivery to spinal tissues
  • Enhances balance and reduces fall risk
  • Supports better sleep and less daily discomfort

Studies and experts note that these habits promote long-term health and vitality (Illinoisspinalcare.com, n.d.; Spinehealth.org, n.d.).

How Chiropractic Care Fits In

Chiropractic care plays a key role in spinal hygiene. Chiropractors use gentle adjustments to fix misalignments, called subluxations, that can stress the spine and nerves. These adjustments restore proper movement, reduce pain, and improve function. Regular chiropractic visits act as preventive maintenance, catching small issues before they grow.

Many people combine chiropractic with other habits for the best results. Adjustments improve alignment, while daily posture and exercise help maintain gains. This approach helps address common complaints such as neck or low back pain and supports recovery from injuries (Illinoisspinalcare.com, n.d.; Eastportlandchiropractor.com, n.d.).

The Power of Integrative Care with Chiropractors and Nurse Practitioners

An integrative approach brings together diverse experts to achieve stronger results. Chiropractors focus on the spine’s structure, alignment, and movement through adjustments and rehab. Nurse practitioners (NPs), especially those with advanced training, address broader health needs such as nutrition, stress management, hormone balance, and lifestyle changes.

This team effort addresses both the physical spine and daily habits that affect it. For example, a chiropractor might correct alignment after an injury, while an NP guides on anti-inflammatory foods or stress reduction to aid healing. Together, they create personalized plans that work better than one alone, especially for complex pain, chronic issues, or recovery from accidents.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, stands out in this field. As a Doctor of Chiropractic and board-certified Family Nurse Practitioner, he combines spinal adjustments, decompression therapy, and functional medicine. His practice emphasizes root-cause care, using nutrition, lifestyle tweaks, and advanced diagnostics for musculoskeletal problems, personal injuries, and overall wellness. Clinical observations from his work show that integrative methods restore mobility, reduce pain, and improve quality of life by treating the whole person—not just symptoms (Dralexjimenez.com, n.d.; A4m.com, n.d.).

Simple Ways to Start Spinal Hygiene Today

You can begin with easy changes that fit into daily life.

  • Posture checks: Set reminders to sit tall and take breaks from sitting every 30 minutes.
  • Daily stretches: Try cat-cow pose, child’s pose, or seated twists for 5-10 minutes.
  • Safe lifting: Always bend at the knees and use your legs.
  • Stay hydrated: Drink water throughout the day to keep your discs healthy.
  • Eat spine-friendly foods: Include leafy greens, fish, nuts, and dairy or alternatives for key nutrients.
  • Move often: Walk or do low-impact activity for at least 30 minutes most days.
  • Manage stress: Practice deep breathing or short meditation sessions.

Adding regular chiropractic check-ups can help monitor and maintain progress (Lifemovesmt.com, n.d.; Newlifefamilychiropractic.net, n.d.).

Final Thoughts

Spinal hygiene is a smart, everyday way to protect one of your body’s most important parts. By focusing on posture, movement, nutrition, and professional care when needed, you support a strong spine, healthy nerves, and a better quality of life. Small habits add up to big benefits, helping you stay active and pain-free for years.


References

A4m.com. (n.d.). Injury Medical & Chiropractic Clinic – Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP. https://www.a4m.com/alex-jimenez-injury-medical-amp-chiropractic-clinic-el-paso-tx.html

Dralexjimenez.com. (n.d.). El Paso, TX Chiropractor Dr. Alex Jimenez DC | Personal Injury Specialist. https://dralexjimenez.com/

Drmmalone.com. (n.d.). Why spinal hygiene is so important to your health. https://drmmalone.com/why-spinal-hygiene-is-so-important-to-your-health/

Eastportlandchiropractor.com. (n.d.). Spinal hygiene. https://eastportlandchiropractor.com/spinal-hygiene/

Illinoisspinalcare.com. (n.d.). Spinal hygiene: How taking care of your spine with chiropractic can help you live your best life now and as you age. https://illinoisspinalcare.com/spinal-hygiene-how-taking-care-of-your-spine-with-chiropractic-can-help-you-live-your-best-life-now-and-as-you-age/

Lifemovesmt.com. (n.d.). Love your spine: Tips for spinal hygiene. https://lifemovesmt.com/love-your-spine-tips-for-spinal-hygiene/

Newlifefamilychiropractic.net. (n.d.). Spinal hygiene. https://www.newlifefamilychiropractic.net/services/spinal-hygiene/

Servinglifedallas.com. (n.d.). Nurturing the nervous system: The importance of spinal hygiene. https://servinglifedallas.com/nurturing-the-nervous-system-the-importance-of-spinal-hygiene/

Spinehealth.org. (n.d.). Nutrition and the spine. https://spinehealth.org/article/nutrition-and-the-spine/

Spinenpain.org. (n.d.). Spinal hygiene – How it can help?. https://spinenpain.org/spinal-hygiene-how-it-can-help/

Innovations in Sciatica Treatment for Chronic Pain Relief

Innovations in Sciatica Treatment for Chronic Pain Relief

Innovations in Sciatica Treatment in 2026: A Shift Toward Targeted, Minimally Invasive, and Integrative Care

Innovations in Sciatica Treatment for Chronic Pain Relief
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https://teachmeanatomy.info/wp-content/uploads/Posterior-View-of-the-Lower-Limb-Anatomical-Course-of-the-Sciatic-Nerve.jpg

Sciatica is one of the most common causes of chronic lower back and leg pain. It occurs when the sciatic nerve—the longest nerve in the body—is irritated or compressed, often due to disc herniation, spinal degeneration, inflammation, or biomechanical imbalance. For years, treatment options focused mainly on pain medications, steroid injections, or surgery when symptoms became severe.

In 2026, sciatica care has entered a new phase. Treatment is no longer just about “blocking pain.” Instead, the focus is on precision diagnosis, nerve healing, inflammation reduction, and functional recovery, with fewer complications and faster healing times. These advances also emphasize integrated, interdisciplinary care, combining chiropractic treatment with the diagnostic and clinical oversight of nurse practitioners (NPs).

This article explains the most important innovations shaping sciatica treatment in 2026, using easy-to-understand language while staying grounded in current clinical research and real-world outcomes.


Understanding Sciatica: Why Better Solutions Were Needed

Sciatica is not a single disease. It is a symptom caused by pressure or irritation along the sciatic nerve, usually beginning in the lower spine and traveling into the buttock and leg. Pain can feel sharp, burning, electric, or aching and may include numbness or weakness.

Common contributors include:

  • Herniated or bulging lumbar discs

  • Spinal stenosis

  • Degenerative disc disease

  • Muscle imbalance or pelvic instability

  • Inflammation around nerve roots

Traditional treatments often relied on:

  • Long-term anti-inflammatory or pain medications

  • Opioids for severe cases

  • Epidural steroid injections

  • Surgery as a last resort

While these approaches helped some patients, they did not always address the underlying cause, and many carried risks such as dependency, complications, or prolonged recovery (Stanford Health Care, n.d.).


What Has Changed in 2026?

By 2026, sciatica treatment emphasizes early, targeted, and minimally invasive care. Research and clinical experience now show that addressing nerve irritation early and restoring healthy movement patterns can prevent chronic pain and disability (BioSpace, 2025).

Key changes include:

  • Improved imaging and diagnostics

  • Precision-guided nerve procedures

  • Regenerative medicine options

  • Advanced neuromodulation technologies

  • Integrated chiropractic and NP-led care models


Advanced Diagnostic Imaging: Seeing the True Source of Pain

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https://www.frontiersin.org/files/Articles/1176001/fnhum-17-1176001-HTML/image_m/fnhum-17-1176001-g001.jpg

One of the biggest improvements in sciatica care is high-resolution MRI technology. Modern imaging allows clinicians to:

  • Identify the exact nerve root involvement

  • Distinguish disc-related pain from muscular or inflammatory causes

  • Detect subtle nerve inflammation missed in earlier imaging methods

Enhanced MRI protocols now guide treatment decisions more accurately, reducing unnecessary procedures and improving outcomes (Stanford Health Care, n.d.).

Nurse practitioners play a critical role here by:

  • Ordering and interpreting imaging

  • Correlating findings with physical symptoms

  • Coordinating referrals and follow-up care


Minimally Invasive Pain Procedures: Precision Without Surgery

Improved Nerve Blocks

Modern nerve blocks are no longer “blind injections.” In 2026, they are image-guided and highly targeted, delivering medication exactly where inflammation and irritation occur.

Benefits include:

  • Faster pain relief

  • Reduced medication dosage

  • Improved diagnostic clarity

  • Lower complication risk

Nerve blocks are now often used as diagnostic tools to help clinicians determine whether pain is mechanical, inflammatory, or neuropathic in origin (Apollo Spine & Pain, 2026a).


Radiofrequency Ablation (RFA)

Radiofrequency ablation uses controlled heat to disrupt pain signals traveling through irritated nerves. Newer RFA systems are more precise and selective than earlier versions.

Key advantages:

  • Long-lasting pain relief

  • Minimal tissue damage

  • Short recovery time

  • Reduced reliance on medications

RFA is especially helpful for chronic sciatica that does not respond to conservative care (Apollo Spine & Pain, 2026b).


Spinal Cord Stimulation: Rewiring Pain Perception

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Innovations in Sciatica Treatment for Chronic Pain Relief

Spinal cord stimulation (SCS) has evolved significantly. New devices are smaller, smarter, and more adaptive. They deliver gentle electrical signals that change how the brain interprets pain signals from the sciatic nerve.

Modern SCS systems offer:

  • Personalized stimulation patterns

  • Adjustable settings via external controllers

  • Reduced side effects compared to older models

SCS is now used earlier in care for select patients, helping many avoid surgery altogether (Pain and Spine Specialists, n.d.).


Regenerative Medicine: Supporting Nerve Healing

Platelet-Rich Plasma (PRP)

PRP therapy uses a patient’s own blood components to promote healing and reduce inflammation. In sciatica care, PRP is increasingly used around:

  • Inflamed nerve roots

  • Degenerative disc structures

  • Surrounding soft tissues

Research suggests PRP may:

  • Reduce inflammation

  • Support tissue repair

  • Improve long-term outcomes

While still evolving, regenerative therapies are driving growth in the global sciatica treatment market (Grand View Research, n.d.; PMC, 2024).


Therapeutic Exercise Innovations: Movement as Medicine

Nerve Flossing and Targeted Rehab

Exercise therapy in 2026 is more specific and personalized. One standout approach is nerve flossing, which involves controlled movements designed to improve nerve mobility and reduce irritation.

Benefits include:

  • Improved nerve glide

  • Reduced stiffness

  • Decreased pain during daily activities

Programs are now customized using imaging findings and functional testing, ensuring exercises match the patient’s specific condition (Goodman Campbell, 2026).


Chiropractic Care: A Drug-Free Foundation

Chiropractic care remains central to non-surgical sciatica treatment. Modern chiropractic approaches focus on restoring spinal alignment, reducing nerve compression, and improving movement patterns.

Common techniques include:

  • Spinal adjustments

  • Flexion-distraction therapy

  • Soft tissue mobilization

  • Low-level laser therapy

Research continues to associate chiropractic care with reduced opioid use and improved pain outcomes (ReachMD, 2024; UH Hospitals, 2025).


Integrated Care: Chiropractors and Nurse Practitioners Working Together

One of the most important shifts in 2026 is the collaborative care model. Instead of isolated treatment, patients benefit from coordinated care involving chiropractors and nurse practitioners.

This model allows for:

  • Accurate diagnosis and imaging oversight

  • Conservative, drug-free pain management

  • Monitoring of neurological symptoms

  • Reduced opioid exposure

Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, highlight that patients receiving coordinated chiropractic and NP care often experience:

  • Faster recovery

  • Better functional improvement

  • Fewer invasive interventions

  • Greater long-term pain control

His integrative approach emphasizes treating the cause of nerve irritation, not just the symptoms (Jimenez, n.d.).


Why These Innovations Matter

Together, these advances represent a major shift in sciatica care:

  • From surgery-first to conservative-first

  • From symptom masking to root-cause resolution

  • From isolated care to interdisciplinary teamwork

Patients now have more options, fewer risks, and better long-term outcomes.


Conclusion: The Future of Sciatica Care Is Personalized and Precise

By 2026, sciatica treatment has become more effective, safer, and patient-centered. Innovations in diagnostics, minimally invasive procedures, regenerative medicine, and integrative chiropractic-NP–NP care are reducing the need for surgery and long-term medication use.

The focus is no longer just pain relief—it is nerve health, mobility restoration, and sustainable recovery. As research and technology continue to evolve, patients suffering from sciatica can expect even more targeted, evidence-based solutions in the years ahead.


References

BioSpace. (2025). Sciatica market size to reach USD 3.4 billion by 2035.
https://www.biospace.com/press-releases/sciatica-market-size-to-reach-usd-3-4-billion-by-2035-impelled-by-advancements-in-regenerative-therapies

Stanford Health Care. (n.d.). Sciatica: Advanced treatment options.
https://stanfordhealthcare.org/medical-conditions/back-neck-and-spine/sciatica.html

Apollo Spine & Pain. (2026a). Sciatica pain management solutions.
https://www.apollospineandpain.com/sciatica-pain-management-solutions

Apollo Spine & Pain. (2026b). Pain management breakthroughs to watch in 2026.
https://www.apollospineandpain.com/pain-management-breakthroughs-watch-2026

Goodman Campbell. (2026). Most successful treatments for sciatica.
https://www.goodmancampbell.com/2026/01/what-is-the-most-successful-treatment-for-sciatica/

Pain and Spine Specialists. (n.d.). Sciatica pain relief devices.
https://painandspinespecialists.com/types-of-sciatica-pain-relief-devices/

UH Hospitals. (2025). Chiropractic care associated with reduction in opioid use disorder.
https://news.uhhospitals.org/news-releases/articles/2025/10/new-study-shows-chiropractic-care-associated-with-reduction-in-opioid-use-disorder

ReachMD. (2024). Chiropractic manipulation as an alternative to opioids for sciatica.
https://reachmd.com/news/chiropractic-manipulation-a-viable-alternative-to-opioids-for-sciatica/2471078/

Grand View Research. (n.d.). Sciatica treatment market report.
https://www.grandviewresearch.com/industry-analysis/sciatica-treatment-market-report

Jimenez, A. (n.d.). Clinical insights on integrative sciatica care.
https://dralexjimenez.com/
https://www.linkedin.com/in/dralexjimenez/

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Relieve Lower Back and Hip Pain with Squats, Core Exercises, and Chiropractic Care at El Paso Back Clinic®

Many people in El Paso suffer from lower back pain and hip discomfort due to daily activities, work demands, injuries, or long-term issues. These problems often stem from muscle strains, poor posture, tight hips or glutes, and weak supporting muscles. At El Paso Back Clinic® in El Paso, TX, we specialize in helping patients overcome these challenges through personalized chiropractic care, rehabilitation, and safe exercises.

Squats and core exercises, performed correctly, strengthen the muscles that support the spine, improve alignment, and enhance hip mobility. This reduces stress on the back during movement. They are effective for chronic low back pain, mild sciatica, and general aches from weak muscles. Proper form is essential—sharp pain, numbness, or weakness means you should seek professional evaluation first.

Dr. Alex Jimenez - Doctor of Chiropractic | El Paso, TX Back Clinic

Strong Core + Chiropractic for Lower Back and Hip Pain Relief

Why Lower Back and Hip Pain Often Occur Together

The lower back and hips are closely connected through shared muscles, joints, and nerves. Tight hips or glutes can tug on the back, leading to strain. Weak core muscles cause spinal instability and poor posture, leading to chronic pain.

  • Muscle imbalances force the back to overcompensate in everyday tasks.
  • Reduced hip mobility leads to excessive forward leaning, stressing the lower back.
  • Problems in ankle or upper back mobility contribute further.

These factors can result in lumbar instability or pain radiating from the hips to the back.

How Squats Benefit Lower Back and Hip Conditions

Squats strengthen the legs, glutes, and core. With proper technique, they relieve pressure from the lower back.

Proper squats maintain a neutral spine and engaged core, providing stability and minimizing lumbar strain. Activating core and hip muscles during squats supports the spine, preventing excessive arching or rounding.

Squats also increase hip mobility. Tight hip flexors are a common cause of back pain during deeper squats. Improved flexibility allows the hips to function better, sparing the back from overload.

  • Builds glutes and legs for stronger spinal support.
  • Enhances blood flow and reduces inflammation in the area.
  • Aids mild pain that improves with gentle activity.

Research supports that the correct form reduces risks associated with squats.

Core Exercises: A Key to Back and Hip Relief

Core exercises focus on deep muscles in the abdomen, back, and pelvis, acting as a natural spinal brace.

Strong core muscles enhance posture and balance, easing the load on spinal discs and preventing persistent pain from inadequate support. Studies show core stability exercises effectively reduce non-specific low back pain and improve function.

Core training also supports hip pain by stabilizing the pelvis, which is beneficial for conditions like arthritis or glute tightness.

  • Planks and bird-dogs develop endurance in stabilizing muscles.
  • Pelvic tilts and bridges safely activate deep muscles.
  • Standing core activities help relieve pain from prolonged sitting.

Evidence indicates that core exercises often outperform general workouts in reducing pain.

Mastering Proper Form for Safe Squats and Core Work

Incorrect squat form is a leading cause of lower back pain. Frequent mistakes include back rounding, knee collapse, or excessive weight.

Safe squat guidelines:

  • Position feet shoulder-width apart, toes slightly turned out.
  • Engage your core as if bracing for impact.
  • Hinge at the hips, keep the chest high, and descend until the thighs are parallel to the ground.
  • Drive up through heels, maintaining a neutral spine.

For core exercises, prioritize controlled movement. Hold planks straight with tight abs—avoid dipping or arching.

Begin with bodyweight versions and always warm up to boost circulation and lower injury risk.

Pain during squats typically indicates a weak core, tight hips, or mobility deficits. Address these with targeted stretches and progressive loading.

When Exercises Are Helpful and When to Get Professional Care

Squats and core exercises support:

  • Chronic low back pain from muscle weakness.
  • Mild sciatica by decreasing nerve pressure.
  • Hip tightness referring pain to the back.
  • Posture-related daily discomfort.

They foster long-term resilience and prevent compensatory back strain. Halt immediately if experiencing severe pain, numbness, weakness, or loss of balance—these may indicate serious conditions such as a disc herniation.

Consult a provider before beginning, especially if you have pre-existing injuries.

Integrative Care at El Paso Back Clinic®

At El Paso Back Clinic®, Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads a team that delivers comprehensive, integrative chiropractic and wellness care for lower back and hip pain. Our approach combines squats and core exercises with chiropractic adjustments, spinal decompression, physical therapy, functional medicine, and rehabilitation programs.

Chiropractic adjustments correct misalignments and joint dysfunctions. A reinforced core helps maintain these corrections by enhancing spinal stability.

Dr. Jimenez creates tailored plans that address root causes through evidence-based protocols, drawing on over 30 years of experience in complex injuries, sciatica, and chronic pain. This multidisciplinary method often yields superior, sustained results compared to isolated treatments.

Visit our main location at 11860 Vista Del Sol, Suite 128, El Paso, TX 79936, or call (915) 850-0900 to schedule your consultation.

Beginner Exercises to Try Under Guidance

Start with these fundamentals, supervised by our team:

  • Bodyweight Squats: 3 sets of 10-15 repetitions, emphasizing technique.
  • Glute Bridges: Lie on your back, and elevate your hips by engaging your glutes.
  • Bird-Dog: On hands and knees, extend opposite arm and leg while bracing core.
  • Planks: Maintain position for 20-30 seconds, gradually increasing duration.
  • Pelvic Tilts: On the back, press the lower back into the floor via a pelvic tilt.

Incorporate 2-3 sessions weekly. Include hip mobility work and advance gradually.

Regain Comfort and Mobility Today

At El Paso Back Clinic®, squats and core exercises form integral components of our rehabilitation strategies for lower back and hip pain. They fortify stabilizing muscles, correct alignment, and promote mobility to manage strains, poor posture, instability, and tightness.

Combined with expert chiropractic and integrative care under Dr. Alexander Jimenez, they deliver lasting strength and relief.

Reach out to El Paso Back Clinic® today. Our team will assess your needs and develop a customized plan for optimal recovery.


References

Burstein, I. (n.d.). The power of core strength: How a strong core enhances chiropractic adjustments. https://www.ilanbursteindc.com/the-power-of-core-strength-how-a-strong-core-enhances-chiropractic-adjustments

Cary Orthopaedics. (n.d.). Reduce low back pain with strong core. https://caryortho.com/reduce-low-back-pain/

El Paso Back Clinic®. (n.d.). Home. https://elpasobackclinic.com/

Harvard Health Publishing. (2011). Strengthening your core: Right and wrong ways to do lunges, squats, and planks. https://www.health.harvard.edu/blog/strengthening-your-core-right-and-wrong-ways-to-do-lunges-squats-and-planks-201106292810

Healthline. (n.d.). Lower back pain when squatting: Causes and treatments. https://www.healthline.com/health/back-pain/lower-back-pain-when-squatting

Jimenez, A. (n.d.). Injury specialists. https://dralexjimenez.com/

Mauger Medical. (n.d.). A combined approach to back pain treatment. https://www.drmauger.com/blog/posts/a-combined-approach-to-back-pain-treatment

Redefine Your Pain. (n.d.). Does squatting help or hurt lower back pain?. https://redefineyourpain.com/does-squatting-help-or-hurt-lower-back-pain/

Shamsi, M., et al. (2022). A systematic review of the effectiveness of core stability exercises in patients with non-specific low back pain. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC9340836/

Squat University. (2018). Core training: Bridging rehab to performance. https://squatuniversity.com/2018/11/01/core-training-bridging-rehab-to-performance/

Real-Life Posture Rehab for a Stronger Spine

Real-Life Posture Rehab for a Stronger Spine

Real-Life Posture Rehab: How El Paso Back Clinic Helps You Move Better Every Day

Real-Life Posture Rehab for a Stronger Spine

Move around and change posture positions throughout the day.

Improving posture is one of the fastest ways to feel stronger, breathe easier, and protect your spine—especially if you live with long commutes, heavy work, or hours at a desk, like many people in El Paso. At El Paso Back Clinic, Dr. Alexander Jimenez, DC, APRN, FNP-BC, and his team see every day how targeted physical activity, along with integrative chiropractic and nurse practitioner (NP) care, can turn slouching and stiffness into confident, upright movement. El Paso, TX Doctor Of Chiropractic+1

This article explains, in simple language:

  • What good posture really is

  • Recommended physical activities and exercises to enhance posture

  • How yoga, Pilates, and mind-body practices improve alignment

  • Easy desk and “tech neck” fixes

  • How integrative chiropractic care supports posture

  • How nurse practitioners help with medical, ergonomic, and lifestyle support

  • How the El Paso Back Clinic combines all of this in real-world care


What “Good Posture” Means (and Why It Matters in Daily Life)

Good posture means your body is stacked in a natural, balanced way:

  • Ears over shoulders

  • Shoulders over hips

  • Hips over knees and ankles

  • Spine holding its natural curves (neck, mid-back, low back)

When posture is poor—like slouching over a phone or leaning forward at a desk—stress builds up in your neck, shoulders, and back. Over time, this can lead to:

  • Chronic neck and back pain

  • Tension headaches

  • Fatigue and shallow breathing

  • Tight hip flexors and weak glutes

  • Early joint wear and tear

Research and clinical guides show that specific exercises and posture-friendly habits can reduce pain and improve alignment by strengthening postural muscles and keeping you moving throughout the day. Healthline+2Harvard Health+2

At El Paso Back Clinic, Dr. Jimenez often reminds patients that posture is not about “standing stiff.” It is about a strong, relaxed, and mobile spine that can handle work, sports, and life in the desert heat. El Paso, TX Doctor Of Chiropractic+1


Core Principles of Posture-Focused Exercise

Most effective posture plans share the same core goals:

  • Strengthen the core and back—so your spine has solid support

  • Activate glutes and shoulders—to counter slumping and hip stress

  • Improve flexibility—especially in chest, hip flexors, and hamstrings

  • Train body awareness—so you notice and correct slouching

  • Add low-impact cardio—to boost circulation and recovery

Think of Your Program in Simple Pieces

Try to include each week:

  • 2–3 days of core and back strengthening

  • 2–3 days of mobility and stretching

  • 2–4 days of low-impact cardio like walking or swimming

  • Daily micro-breaks from sitting or driving

That may sound like a lot, but many of these can be done in 10–20 minute blocks and woven into your normal day.


Foundational Strength Exercises for Better Posture

Many posture programs start with bodyweight moves you can do at home—no machines, no fancy equipment. Sources on physical therapy and spine health support these exercises. Healthline+2Primal Physical Therapy+2

Planks (Front and Side Planks)

Why they help:
Planks strengthen your deep core, shoulders, and glutes. A strong core keeps your spine from sagging or arching too much.

Basic front plank:

  • Start on your forearms and toes

  • Keep your body in a straight line from head to heels

  • Gently pull your belly toward your spine

  • Hold 20–30 seconds, rest, repeat 2–3 times

Side planks add extra stability for your sides and hips, which support upright posture. Woodlands Sports Medicine

Bird-Dog

Why it helps:
Bird-dog builds core and back strength while training balance and control.

How to do it:

  • Start on hands and knees

  • Extend your right arm forward and left leg back

  • Keep your hips level; don’t twist

  • Hold 3–5 seconds, then switch sides

  • Do 8–10 reps per side

Physical therapists often use this exercise to improve posture and relieve back pain. Primal Physical Therapy+1

Glute Bridges

Why they help:
Bridges work the glutes and hamstrings and relieve stress on the lower back.

  • Lie on your back, knees bent, feet flat

  • Press through your heels and lift your hips

  • Squeeze your glutes at the top

  • Hold 3–5 seconds, then lower

  • Repeat 10–15 times

Strong glutes help balance tight hip flexors from long periods of sitting, which is very common among drivers and office workers in El Paso. Primal Physical Therapy+1

Superman Exercise

Why it helps:
The Superman move targets the “posterior chain,” the muscles along the back of your body that help prevent slouching. Woman & Home

  • Lie face down

  • Lift your chest, arms, and legs slightly off the floor

  • Hold briefly and lower with control

  • Start with 5–8 reps

This move is especially useful if you sit a lot or look down at screens, as it helps your back muscles stay active.

Rowing Movements (Bands or Dumbbells)

Why they help:
Rowing exercises strengthen the upper back and shoulder stabilizers that pull your shoulders back.

  • Use a resistance band or light dumbbells

  • Pull your elbows back and squeeze your shoulder blades together

  • Avoid shrugging your shoulders toward your ears

  • Do 2–3 sets of 10–15 reps

Row-type motions are commonly recommended in posture rehab plans. Primal Physical Therapy+1


Mobility and Stretching: Releasing the “Posture Brakes”

If strength is the “engine,” tight muscles are the “brakes.” You need both to work well. Stretching and mobility exercises help open areas that tend to tighten up, such as the chest, neck, hips, and upper back. Illinois Back Institute+1

Key Posture Stretches

  • Chest Opens / Doorway Stretch

    • Stand in a doorway with your forearms on the frame

    • Gently lean forward until you feel a stretch across your chest

    • Hold 20–30 seconds

  • Chin Tucks barringtonortho.com+1

    • Sit or stand tall

    • Gently slide your chin straight back (like a mini “double chin”)

    • Hold 3–5 seconds

    • Repeat 10 times

  • Cat-Cow

    • On hands and knees

    • Slowly round your back toward the ceiling, then gently arch it

    • Move with your breath for 8–10 cycles

  • Hip Flexor Stretch

    • In a half-kneeling position, gently shift your hips forward

    • Keep your torso upright; avoid over-arching your back

    • Hold 20–30 seconds on each side

These stretches are simple but powerful when done daily—especially if you spend long hours driving I-10 or sitting at a workstation in El Paso. Illinois Back Institute+1


Mind-Body Practices: Yoga, Pilates, and Tai Chi

Mind-body exercises are excellent for posture because they combine strength, flexibility, and body awareness.

Yoga for Alignment and Awareness

Yoga routines often include:

  • Mountain Pose (Tadasana)—teaches what upright alignment feels like

  • Child’s Pose and Cat-Cow – gently move and decompress the spine

  • Bridge Pose – strengthens glutes and back

  • Chest opener poses—counter phone and computer hunching

Research-based guides show yoga can improve postural muscle endurance and help people become more aware of how they carry themselves. Healthline+1

Pilates for Core Control

Pilates focuses on:

  • Deep core strength

  • Controlled breathing

  • Smooth, precise movements

Many physical therapy and rehab programs use Pilates-style exercises to support spinal alignment and postural stability. Primal Physical Therapy+1

Tai Chi for Balance and Relaxed Upright Posture

Tai chi uses slow, flowing movements with calm breathing. It helps:

  • Improve balance and coordination

  • Encourage relaxed, upright posture

  • Reduce stress and muscle guarding

Chiropractic resources often recommend swimming, walking, yoga, and tai chi as ideal companions to chiropractic care. Muscle and Joint Chiropractic+1


Everyday Physical Activities That Support Posture

You don’t have to become a gym athlete to help your posture. Many everyday activities, done with good form, support a healthier spine.

Helpful posture-friendly options include:

  • Walking:

    • Encourages natural spinal motion

    • Easy to fit into breaks or evenings

  • Swimming:

    • Full-body, low-impact workout

    • Strengthens back and shoulder muscles with less joint stress

  • Dancing:

    • Builds coordination and body awareness

    • Helps you practice an upright chest and an active core

  • Cycling (with proper bike fit):

    • Strengthens hips and legs

    • Supports overall fitness and endurance

Clinics that treat back pain often highlight walking and swimming as key activities for long-term spinal health. Illinois Pain & Spine Institute+1


Desk, Phone, and “Tech Neck”: Quick Fixes You Can Actually Use

Long hours on a computer or phone are a major reason posture has become such a problem. Harvard Health and orthopedic clinics stress the importance of frequent movement breaks and simple desk exercises. Harvard Health+2barringtonortho.com+2

Desk-Friendly Posture Break Routine

Try this mini-routine a few times each day:

  • Chin tucks – 10 reps

  • Shoulder blade squeezes – hold 5 seconds × 10 reps

  • Seated Cat-Cow – 5–10 slow breaths

  • Forward fold stretch next to your desk—hold 20–30 seconds

Simple Ergonomic Tips

  • Keep feet flat on the floor

  • Hips and knees are near 90 degrees

  • Screen at or just below eye level

  • Use a small lumbar support or rolled towel behind your low back

  • Stand and walk at least every 30–60 minutes

Recent expert tips also support using standing desks, wireless headphones for “walking meetings,” and light resistance bands at your station to keep postural muscles awake. Harvard Health+1


How Integrative Chiropractic Care at El Paso Back Clinic Supports Posture

Chiropractic care focuses on the spine, joints, and nervous system. Integrative chiropractic care goes further, combining adjustments with corrective exercises, lifestyle coaching, and medical input from NPs. Advanced Spine & Posture+1

What a Posture-Focused Chiropractic Visit Often Includes

At El Paso Back Clinic, a posture evaluation usually involves: El Paso Back Clinic® • 915-850-0900+1

  • Posture and movement exam

    • Checking head position, shoulder level, spinal curves, and gait

  • Spinal and extremity adjustments

    • Gentle, specific forces to restore joint motion and alignment

  • Soft-tissue work

    • Releasing tight muscles and fascia that pull you out of alignment

  • Corrective exercises

    • Planks, bridges, bird-dogs, rows, and targeted stretches

  • Ergonomic and lifestyle coaching

    • Coaching for desk work, lifting, driving, and sleep positions

Studies and clinical reports note that regular chiropractic adjustments can:


The Nurse Practitioner’s Role in Supporting Posture

At El Paso Back Clinic, Dr. Jimenez works not only as a chiropractor but also as a board-certified family nurse practitioner, which provides a broader, medically informed perspective on posture-related problems. El Paso, TX Doctor Of Chiropractic+1

A nurse practitioner can:

  • Review your full medical history

    • Identify arthritis, osteoporosis, nerve issues, or autoimmune conditions that affect posture.

  • Order and interpret imaging and labs

    • X-rays, MRIs, and blood work when appropriate

  • Prescribe or adjust medications

    • Short-term pain or muscle-relaxant use when necessary

  • Coordinate referrals

    • Physical therapy, pain management, and surgical consults if needed

  • Give lifestyle and ergonomic counseling

    • Weight management, sleep, stress, and work setup

  • Use telemedicine for follow-up

    • To keep you on track with your exercise and pain management plan

This integrative model makes it easier to catch red flags early, adjust plans safely, and provide each patient with a personalized path rather than a one-size-fits-all list of exercises.


How Dr. Alexander Jimenez Combines Physical Activity, Chiropractic Care, and NP Expertise

With decades of experience in personal injury, sports, and functional medicine, Dr. Jimenez has seen the same pattern again and again: posture improves the most when hands-on care, smart exercise, and patient education are combined. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

In his clinical observations at El Paso Back Clinic:

  • Patients with neck and back pain do best when:

    • They receive specific spinal adjustments

    • PLUS core and hip strengthening

    • PLUS stretching and mobility work

  • Low-impact activities like walking, swimming, yoga, and tai chi speed up recovery and help keep adjustments holding longer. Muscle and Joint Chiropractic+2Illinois Pain & Spine Institute+2

  • Agility and functional training (such as controlled squats, lunges, and balance drills) help patients return to sports, warehouse work, or family life with greater resilience.

  • Posture work is often integrated with nutrition, sleep, and stress management, because tired, inflamed bodies struggle to maintain good alignment. El Paso, TX Doctor Of Chiropractic+1

This dual license (DC + APRN, FNP-BC) allows Dr. Jimenez to move comfortably between spine mechanics and whole-person health, which is ideal for complex posture and pain cases.


Sample Weekly Posture-Boosting Plan (General Example)

This is a general example for educational purposes, not a personal prescription. Always consult your provider—especially if you have pain, injuries, or medical conditions.

Weekly Outline

Day 1 – Core and Glutes

  • Front plank: 3 × 20–30 seconds

  • Glute bridges: 3 × 12–15

  • Bird-dog: 2 × 10 per side

  • 10 minutes of chest and hip flexor stretches

Day 2 – Yoga and Mobility

  • 20–30 minutes of yoga (Mountain, Child’s Pose, Cat-Cow, gentle twists) Healthline+1

  • Chin tucks: 2 × 10

  • Shoulder blade squeezes: 2 × 10

Day 3 – Upper Back and Cardio

  • Resistance band or dumbbell rows: 3 × 12

  • Wall angels: 2 × 10 Outside Online

  • 20–30 minutes of brisk walking

Day 4 – Pilates-Style Core

  • 20 minutes of Pilates or core routine (e.g., dead bugs, “hundreds,” side-lying leg lifts) Primal Physical Therapy+1

  • 10 minutes of hamstring and hip stretches

Day 5 – Mind-Body and Balance

  • 20–30 minutes of tai chi or a gentle balance practice

  • Single-leg stands: 3 × 20 seconds per leg

Day 6 – Whole-Body Low-Impact

Day 7 – Recovery and Reset

  • Gentle stretching or yoga flow

  • Posture check around your home and car: adjust chairs, pillows, and monitor height

Patients at El Paso Back Clinic often have a plan customized to their injury type (auto accident, work injury, or sports strain) and their job or sport. El Paso Back Clinic® • 915-850-0900+1


Safety Tips: When to Get Help

Stop and get professional care if posture exercises cause:

  • Sharp or stabbing pain

  • Numbness or tingling in arms or legs

  • New weakness or loss of coordination

  • Trouble walking or standing

  • Loss of bladder or bowel control (emergency—seek urgent care)

A chiropractor can evaluate your spine and joints; a nurse practitioner can check for underlying medical causes. At El Paso Back Clinic, the team works together to decide whether you need imaging, medication, rehab, or a referral to another specialist. El Paso, TX Doctor Of Chiropractic+1


Bringing It All Together

To enhance posture and protect your spine:

  • Strengthen your core, back, and glutes with planks, bridges, bird-dogs, rows, and Supermans

  • Stretch your chest, neck, and hips to release tight, “slouching” muscles

  • Use mind-body practices like yoga, Pilates, and tai chi to build body awareness

  • Add low-impact activities like walking and swimming to support overall spine health

  • Fix your desk and phone habits with regular movement breaks and better ergonomics

At El Paso Back Clinic, integrative chiropractic care and nurse practitioner support bring all of these pieces together. With Dr. Alexander Jimenez’s dual training, patients receive:

  • Spinal and joint adjustments

  • Corrective exercise and posture coaching

  • Medical evaluation, imaging, and medication management when needed

  • Telemedicine and follow-up plans that fit real life in El Paso

The goal is simple: help you stand taller, move with less pain, and feel stronger in everything you do—from lifting kids or boxes at work to walking the trails of the Franklin Mountains.


References

Advanced Medical Group. (2025, March 5). Can a chiropractor help with posture? Advanced Medical Group.
https://advancedmedicalgroupnj.com/can-a-chiropractor-help-with-posture/ Advanced Medical Group

Advanced Spine & Posture. (2024). Poor posture and chiropractic adjustments. Advanced Spine & Posture.
https://advancedspineandposture.com/blog/poor-posture-and-chiropractic-adjustments/ Advanced Spine & Posture

Alter Chiropractic. (n.d.-a). 7 ways to improve posture naturally. Alter Chiropractic.
https://alterchiropractic.com/7-ways-to-improve-posture-naturally/

Alter Chiropractic. (n.d.-b). Enhance your posture with professional care. Alter Chiropractic.
https://alterchiropractic.com/enhance-your-posture-with-professional-care/

Artisan Chiropractic Clinic. (n.d.). Improve your posture with chiropractic adjustments: The benefits and techniques. Artisan Chiropractic Clinic.
https://www.artisanchiroclinic.com/improve-your-posture-with-chiropractic-adjustments-the-benefits-and-techniques/

Barrington Orthopedic Specialists. (2020, June 9). Three simple exercises you can do at work to improve your posture. Barrington Ortho.
https://www.barringtonortho.com/blog/three-simple-exercises-you-can-do-at-work-to-improve-your-posture barringtonortho.com

Cronkleton, E. (2025, April 14). Posture exercises: 12 exercises to improve your posture. Healthline.
https://www.healthline.com/health/posture-exercises Healthline

Fitness Education. (n.d.). Exercises to improve posture. Fitness Education.
https://www.fitnesseducation.edu.au/blog/health/exercises-to-improve-posture/

Fitness Stack Exchange. (n.d.). How to retain a proper posture when sitting, standing, walking? Fitness Stack Exchange.
https://fitness.stackexchange.com/questions/22489/how-to-retain-a-proper-posture-when-sitting-standing-walking

Harvard Health Publishing. (n.d.-a). In a slump? Fix your posture. Harvard Medical School.
https://www.health.harvard.edu/staying-healthy/in-a-slump-fix-your-posture Harvard Health

Harvard Health Publishing. (n.d.-b). Is it too late to save your posture? Harvard Medical School.
https://www.health.harvard.edu/exercise-and-fitness/is-it-too-late-to-save-your-posture

Illinois Back & Pain Center. (2024, July 22). Activities that can improve your posture. Illinois Back & Pain Center.
https://illinoisbackpain.com/activities-that-can-improve-your-posture/ Illinois Back Institute

Jimenez, A. (n.d.-a). El Paso, TX doctor of chiropractic. DrAlexJimenez.com.
https://dralexjimenez.com/ El Paso, TX Doctor Of Chiropractic

Jimenez, A. (n.d.-b). Dr. Alex Jimenez DC, Injury Medical & Chiropractic Clinic | Chiropractors El Paso TX. ElPasoBackClinic.com.
https://elpasobackclinic.com/dr-alex-jimenez-dc-injury-medical/ El Paso Back Clinic® • 915-850-0900

Jimenez, A. (n.d.-c). Why choose Dr. Jimenez and clinical team? DrAlexJimenez.com.
https://dralexjimenez.com/why-choose-dr-jimenez-and-clinical-team/ El Paso, TX Doctor Of Chiropractic

Outside Online. (2025, November 16). 3 exercises for better posture, approved by a physical therapist. Outside.
https://www.outsideonline.com/health/training-performance/exercises-for-better-posture/ Outside Online

Outside Online. (2023, August 26). 3 thoracic mobility exercises to improve your posture and form. Outside.
https://www.outsideonline.com/health/training-performance/thoracic-mobility-exercises/ Outside Online

Primal Physical Therapy. (2025, September 2). 6 best physical therapy posture exercises to reduce pain. Primal Physical Therapy.
https://primalphysicaltherapy.com/best-physical-therapy-posture-exercises/ Primal Physical Therapy+1

Primal Physical Therapy. (2024, July 25). Physical therapy techniques for chronic back pain relief. Primal Physical Therapy.
https://primalphysicaltherapy.com/physical-therapy-techniques-for-chronic-back-pain-relief/ Primal Physical Therapy

Sanctuary Wellness Institute. (2024, May 27). What are the best stretches for posture? Sanctuary Wellness Institute.
https://sanctuarywellnessinstitute.com/blog/what-are-the-best-stretches-for-posture/ sanctuarywellnessinstitute.com

Texas Spine & Sports Therapy Center. (n.d.). 5 muscle strengthening exercises to do at home for posture. Texas Spine & Sports Therapy Center.
https://texasspineandsportstherapy.com/5-muscle-strengthening-exercises-to-do-at-home-for-posture/

Thrive Chiropractic Cedar Falls. (2024, March 5). 7 exercises that complement quality chiropractic care. Thrive Chiropractic Cedar Falls.
https://www.thrivecedarfalls.com/lowbackpain/quality-chiropractic-care-exercises/

Tooele Muscle & Joint Chiropractic. (2024, August 29). 6 physical activities that complement your chiropractic treatments. Muscle & Joint Chiropractic.
https://tooelechiropractor.com/physical-activities-complement-chiropractic/ Muscle and Joint Chiropractic

Woodlands Sports Medicine. (n.d.). 10 exercises to improve posture and relieve lower back pain. Woodlands Sports Medicine.
https://www.woodlandssportsmedicine.com/blog/10-exercises-to-improve-posture-and-relieve-lower-back-pain Woodlands Sports Medicine

Woman & Home. (2025, August). The Superman exercise is so simple, yet improves posture and back strength “like nothing else.” Woman & Home.
https://www.womanandhome.com/health-wellbeing/fitness/superman-exercise/ Woman & Home

Faster Recovery After Spine Surgery Strategies

Faster Recovery After Spine Surgery Strategies

Faster Recovery After Spine Surgery: Enhanced Surgical Recovery (ESR) Programs at El Paso Back Clinic® in El Paso, TX

Faster Recovery After Spine Surgery Strategies

The doctor administers a local anesthetic into the patient’s affected area, using ultrasound to visualize the spine’s anatomical components.

Spine surgery can help treat serious back problems, such as pain from injuries, disc issues, or aging. At El Paso Back Clinic® in El Paso, TX, we focus on helping patients recover faster and more safely through modern methods. Enhanced Surgical Recovery (ESR), also called Enhanced Recovery After Surgery (ERAS), is a team-based plan that reduces the need for strong pain medications, shortens hospital stays, and lowers the risk of readmission. Led by Dr. Alexander Jimenez, DC, APRN, FNP-BC, our clinic combines chiropractic care, nurse practitioner expertise, and new tools to support healing. This article explains the main parts of ESR for spine surgery, how it cuts opioid use, shortens hospital stays, and reduces readmissions. We also cover the big roles of integrative chiropractic care and nurse practitioners, plus exciting new tech like virtual reality (VR) for building strength after surgery.

Many people in El Paso face back pain from work, accidents, or daily life. Surgery may be necessary, but traditional methods can make recovery challenging. ESR improves this process by planning care before, during, and after the operation. It uses simple steps, such as teaching patients, eating better, and moving early. Studies show these measures can cut opioid use a lot and help people go home sooner (Dagal et al., 2023). At El Paso Back Clinic®, we work with surgeons to add non-drug options for even better results.

What Is Enhanced Surgical Recovery (ESR)?

ESR is a proven plan to make surgery recovery easier and quicker. It started in other surgeries, but now helps a lot with spine operations, such as fusions or disc repairs. The idea is to lower body stress and speed natural healing. Instead of staying in bed and taking many pain pills, patients move soon and use gentler pain control.

Key parts of ESR include:

  • Team Approach — Doctors, nurses, chiropractors, and therapists all work together.
  • Step-by-Step Care — Planning starts before surgery and continues at home.
  • Personal Plans — Care fits each person’s health needs.

Research shows ESR helps with many spine issues, from small fixes to big ones (Zaed et al., 2023). Reviews find that most programs use around 12 key steps, such as better pain management and early walking (Berk et al., 2025).

Main Components of ESR for Spine Surgery

ESR has steps before, during, and after surgery to make things smoother.

Before Surgery (Pre-Op)

Getting ready early helps avoid problems.

  • Teaching Patients: Learn what to expect, how to manage pain, and why moving matters. This lowers worry and helps follow the plan (Zaed et al., 2023).
  • Better Nutrition: Check for low energy or anemia. Eat protein and carbs to build strength. Nutritious food helps healing (Soffin et al., 2022).
  • Pain Prep: Start gentle meds like acetaminophen. Quit smoking to lower risks (American Association of Nurse Anesthesiology, n.d.).
  • Prehab Exercises: Build strength with walks or stretches.

These make surgery safer.

During Surgery (Intra-Op)

The team uses ways to protect the body.

  • Better Anesthesia: Short drugs to wake up fast. Add non-opioid options (Dagal et al., 2023).
  • Careful Fluids: Just the right amount to avoid issues.
  • Small Cuts: Less muscle damage for quicker recovery (Dietz et al., 2019).
  • Pain Blocks: Numb the area for hours after.

Patients feel better right away.

After Surgery (Post-Op)

Focus on rapid healing.

  • Early Walking: Get up soon and walk daily (Zaed et al., 2023).
  • Mixed Pain Control: Use non-opioids, ice, and movement.
  • Quick Eating: Start foods and drinks early.
  • Checks for Safety: Watch for clots or other issues.

These steps lower risks.

How ESR Reduces Opioid Use

Strong pain drugs like opioids help, but can lead to problems like addiction. ESR cuts its use by at least half (Dagal et al., 2023). At El Paso Back Clinic®, we add chiropractic methods for even less need.

  • Mixed Pain Options: Non-opioids first, like NSAIDs and nerve meds. Some programs use almost no IV opioids (HCA Healthcare, n.d.).
  • Teaching Non-Drug Ways: Ice, breathing, and adjustments.
  • Blocks and Early Move: Numb areas and walk to ease pain.

In fusions, opioids dropped considerably without worse pain (Dagal et al., 2023). This helps avoid side effects and promotes natural healing.

Shortening Hospital Stays with ESR

Long hospital time raises costs and risks. ESR cuts stay by 1-2 days (HCA Healthcare Today, 2022).

  • Early Movement: Prevents issues and builds strength.
  • Fast Nutrition: Energy for recovery.
  • Good Pain Control: Less bedtime.
  • Team Reviews: Go home when ready.

One example shows noticeable shortened stays (Dagal et al., 2023). Patients heal better at home.

Lowering Readmission Rates

Going back to the hospital is tough. ESR lowers this risk (HCA Healthcare Today, 2022).

  • Home Care Teaching: Know warning signs.
  • Follow-Ups: Calls from our team at El Paso Back Clinic®.
  • Fewer Problems: Better prep means fewer infections.
  • Full Care: Controls swelling early.

Fewer complications overall (Berk et al., 2025).

Integrative Chiropractic Care at El Paso Back Clinic®

Chiropractic care fits perfectly with ESR. At our clinic, Dr. Jimenez uses hands-on adjustments to align and relieve symptoms.

  • Before Surgery: Improve posture and movement.
  • Pain Without Drugs: Soft tissue work eases tension.
  • After Surgery: Reduce scar tissue and build mobility (New York City Spine, n.d.).
  • Nerve Help: Better signals for less pain.

We complement therapy for smoother recovery (Active Health Center, n.d.).

Role of Nurse Practitioners

Nurse practitioners (NPs) like Dr. Jimenez coordinate care.

  • Team Links: Connect everyone.
  • Teaching and Meds: Focus on safe, non-opioid options.
  • Tracking Progress: Adjust plans.

NPs help stick to ESR paths (American Association of Nurse Anesthesiology, n.d.).

New Tech: Virtual Reality (VR) for Recovery

VR uses games and guides to make rehab more enjoyable. It helps spine patients build strength.

  • Fun Exercises: Improves engagement and movement.
  • Less Pain Feel: Distraction helps.
  • Strength Gains: Tailored for muscles and focus.
  • Home Options: Practice alone.

Recent studies show VR speeds recovery after spine issues, like in cervical cases or general neurorehab (Bolton et al., 2025; various 2025 trials).

Insights from Dr. Alexander Jimenez at El Paso Back Clinic®

Dr. Alexander Jimenez, DC, APRN, FNP-BC, leads El Paso Back Clinic® with dual expertise in chiropractic and nursing. He uses team care for pain management and rehab after injuries or surgery. His plans include adjustments, nutrition, and integrative methods for better mobility without heavy drugs. He stresses whole-body healing for lasting results (Dr. Alex Jimenez, n.d.; LinkedIn, n.d.).

Conclusion

ESR programs accelerate spine surgery recovery and make it safer. With education, nutrition, movement, and team support, they reduce opioids, shorten stays, and lower readmissions. At El Paso Back Clinic® in El Paso, TX, we add chiropractic care and NP guidance for full support. New VR tech adds exciting ways to build strength. If facing spine surgery, ask about ESR and our integrative options. Contact us at 915-850-0900 for help.


References

Active Health Center. (n.d.). Rehabilitation after surgery: Integrating chiropractic care into recovery. https://activehealthcenter.com/rehabilitation-after-surgery-integrating-chiropractic-care-into-recovery/

American Association of Nurse Anesthesiology. (n.d.). Enhanced recovery after surgery. https://www.aana.com/practice/clinical-practice/clinical-practice-resources/enhanced-recovery-after-surgery/

Berk, M., et al. (2025). Enhanced recovery after surgery (ERAS) in spine surgery: A systematic review and meta-analysis. https://pmc.ncbi.nlm.nih.gov/articles/PMC12592135/

Bolton, W.S., et al. (2025). Recovr reality – Recover after injury or surgery to the brain and spinal cord with virtual Reality: ideal stage 2a clinical feasibility study. https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01499-3

Dagal, A., et al. (2023). Adoption of enhanced surgical recovery (ESR) protocol for lumbar fusion decreases in-hospital postoperative opioid consumption. https://pmc.ncbi.nlm.nih.gov/articles/PMC10189339/

Dietz, N., et al. (2019). Enhanced recovery after surgery (ERAS) protocols: Time to change practice?. https://www.medrxiv.org/content/10.1101/2020.08.16.20175943v1.full

Dr. Alex Jimenez. (n.d.). El Paso, TX, doctor of chiropractic. https://dralexjimenez.com/

HCA Healthcare. (n.d.). With ESR, our patients report…. https://www.hcadam.com/api/public/content/f42a4095a6f9451baa991b5a56cad568?v=4786eda4&download=true

HCA Healthcare Today. (2022). HCA Healthcare’s innovative approach to surgical recovery. https://hcahealthcaretoday.com/2022/12/13/hca-healthcares-innovative-approach-to-surgical-recovery-promotes-better-outcomes-decreased-opioid-usage-and-faster-recovery-times-for-patients/

LinkedIn. (n.d.). Dr. Alexander Jimenez, DC, APRN, FNP-BC. https://www.linkedin.com/in/dralexjimenez/

New York City Spine. (n.d.). How a chiropractor can aid spinal fusion recovery. https://newyorkcityspine.com/how-a-chiropractor-can-aid-spinal-fusion-recovery/

Soffin, E. M., et al. (2022). Enhanced recovery after surgery (ERAS) protocol in spine surgery. https://pmc.ncbi.nlm.nih.gov/articles/PMC9293758/

Zaed, I., et al. (2023). Enhanced recovery after surgery (ERAS) protocols for spine surgery – review of literature. https://pmc.ncbi.nlm.nih.gov/articles/PMC10156499/

Foods to Heal Disc Herniations for Fast Recovery

Foods to Heal Disc Herniations for Fast Recovery

Best Foods and Hydration Tips to Heal Spinal Disc Herniations Naturally

Foods to Heal Disc Herniations for Fast Recovery

A chiropractor gives a thumbs-up to promote spine health.

Spinal disc herniations happen when the soft center of a disc pushes out through a crack in the tough outer layer. This can press on nerves, causing pain, numbness, or weakness. Good news: the right foods and plenty of water can help the body heal tissue, cut swelling, and keep the spine strong. Protein builds new tissue. Omega-3 fatty acids calm swelling. Vitamins and minerals protect cells and support bones. Water keeps discs plump and flexible. Adding these to daily meals, along with gentle care like chiropractic adjustments, can ease pressure on discs, improve nerve signals, and speed recovery without surgery.

Why Nutrition Matters for Disc Herniations

Discs act as cushions between the vertebrae. They are mostly water and collagen, a type of protein. When a disc herniates, the body needs extra building blocks to fix the damage. Poor nutrition can slow healing and worsen swelling. A diet rich in healthy nutrients does the opposite—it speeds repair and reduces pain (The Pain Relief Doctor, n.d.).

Protein is the star for repair. It produces collagen, which holds discs together. Without enough, cracks stay open longer. Studies show people who eat more protein heal connective tissue faster (Frisco Spine, n.d.). Omega-3 fatty acids fight swelling around the herniated area. Less swelling means less nerve pain. Vitamins like C and D help make collagen and keep bones dense. Minerals such as magnesium relax tight muscles that pull on the spine.

Dr. Alexander Jimenez, a chiropractor and nurse practitioner, sees this in his clinic every day. Patients who add anti-inflammatory foods notice less back stiffness in weeks. He tells them, “Feed the spine like you feed a muscle after a workout” (Jimenez, n.d.; Jimenez, LinkedIn profile).

Top Foods Rich in Protein for Tissue Repair

Lean meats, fish, eggs, and plant sources provide the body with amino acids to rebuild collagen. Chicken breast, turkey, salmon, and tuna top the list. A 4-ounce piece of salmon has about 25 grams of protein plus omega-3s. Eggs supply complete protein and vitamin D for bone support. For plant eaters, lentils, chickpeas, Greek yogurt, and quinoa are excellent options. One cup of cooked lentils offers 18 grams of protein and fiber to keep weight down—extra pounds stress discs (Bonati Spine Institute, n.d.; Texas Back Institute, n.d.).

Dr. Jimenez advises patients to aim for 20–30 grams of protein at each meal. In his El Paso clinic, people who follow this plan report stronger cores and fewer flare-ups. He pairs food advice with light core exercises to lock in the gains.

Omega-3 Fatty Acids to Lower Inflammation

Swelling makes herniated discs hurt more. Omega-3s act like natural pain relievers. Fatty fish—salmon, mackerel, sardines, and anchovies—lead the pack. Two servings a week can drop inflammation markers by 20% (Healthline, 2023). Plant sources include chia seeds, flaxseeds, and walnuts. A handful of walnuts delivers 2.5 grams of omega-3s plus magnesium.

Clinical notes from Dr. Jimenez indicate that patients who switch from red meat to salmon experience relief within 10–14 days. He often hands out a simple meal card: grilled salmon, steamed broccoli, and brown rice. The combination promotes healing and simultaneously soothes nerves.

Berries and Leafy Greens for Vitamins and Antioxidants

Bright berries and dark greens fight cell damage. Blueberries, strawberries, and raspberries pack vitamin C and antioxidants. Vitamin C is key for collagen cross-links that make discs tough. One cup of strawberries gives 98 mg of vitamin C—more than an orange (Spine Orthopedic Center, n.d.). Spinach, kale, and Swiss chard provide vitamins A and K, as well as folate. They also carry potassium to balance fluids inside discs.

Antioxidants in berries mop up free radicals that weaken tissue. People who eat 2 cups of mixed berries daily show lower oxidative stress on blood tests (Illinois Back Institute, n.d.). Dr. Jimenez tells patients to toss berries into oatmeal or blend spinach into smoothies. The habit builds spine armor over the course of months.

Nuts and Seeds for Magnesium and Healthy Fats

Almonds, walnuts, pumpkin seeds, and chia seeds bring magnesium, zinc, and beneficial fats. Magnesium relaxes back muscles and stops spasms that pinch herniated discs. One ounce of almonds has 80 mg of magnesium—20% of the daily goal. Seeds add fiber to help control weight and stabilize blood sugar, both of which are helpful for spine loads (417 Spine, n.d.; Spine Health, n.d.).

Dr. Jimenez keeps pumpkin seeds in his office for quick snacks. Patients who grab a handful between adjustments say cramps fade faster. He warns against salted versions; plain or lightly roasted keep sodium low to avoid water retention.

The Power of Hydration for Disc Health

Discs are 70–80% water. Dehydration shrinks them, making herniations worse. Drinking eight to ten glasses of plain water daily keeps the jelly-like center plump. It also flushes toxins that cause swelling. Caffeine and alcohol pull water out, so balance them with extra glasses (Anssi Wellness, n.d.).

Dr. Jimenez starts every visit by asking about water intake. He finds that patients who carry a 32-ounce bottle and sip throughout the day cut morning stiffness in half. A simple trick: add lemon or cucumber for taste without sugar.

Sample Daily Meal Plan

  • Breakfast: Greek yogurt with blueberries, chia seeds, and a boiled egg.
  • Lunch: Grilled chicken salad with spinach, strawberries, walnuts, and olive oil dressing.
  • Snack: Apple slices with almond butter.
  • Dinner: Baked salmon, quinoa, steamed broccoli.
  • Drinks: 80–100 ounces of water, and herbal tea is okay.

This plan hits 80–100 grams of protein, 2 grams of omega-3s, and plenty of vitamins in under 2,000 calories.

Integrative Care Beyond the Plate

Chiropractic adjustments take pressure off herniated discs. When combined with nutrition, results add up. Gentle spinal decompression opens space for discs to rehydrate. Soft tissue work relaxes tight muscles. Dr. Jimenez uses both in his protocols. Patients who pair weekly adjustments with the meal plan above return to light activity in 4–6 weeks (Park Slope Chiropractor, n.d.).

Other non-invasive helpers include walking 20 minutes daily, yoga for core strength, and magnesium oil rubs at night. Sleep on a medium-firm mattress to keep the spine neutral.

Foods to Limit

Cut processed snacks, sugary drinks, and trans fats. They spike swelling and weight. Fried foods and excess salt pull water from discs. One study linked high-sugar diets to faster disc wear (Elite Spine FL, n.d.).

Putting It All Together

Start small: add one protein source, one colorful fruit or veggie, and one extra glass of water today. Track pain in a notebook. Most people notice less ache in 7–10 days. Work with a chiropractor or doctor to tweak the plan. Dr. Jimenez says, “Consistency beats perfection. Feed the spine daily, and it rewards you with movement.”

Healing a herniated disc takes teamwork between smart eating, hydration, and gentle care. The body has built-in repair tools—give it the right fuel, and recovery follows.


References

417 Spine. (n.d.). Foods that fight inflammation & support a healthy spine: Springfield, Missouri.

Anssi Wellness. (n.d.). Best foods for a stronger back: Diet tips for healthy bones and discs.

Bonati Spine Institute. (n.d.). 5 best foods for spine health.

Discseel. (n.d.). Herniated disc natural treatment.

Dr. Alexander Jimenez. (n.d.). Home.

Elite Spine FL. (n.d.). Eating the right diet while healing from a disc injury.

Frisco Spine. (n.d.). Best diet for spinal disc recovery.

Healthline. (2023). 13 anti-inflammatory foods.

Illinois Back Institute. (n.d.). Diet for low back pain.

Jimenez, A. (n.d.). Alexander Jimenez. [LinkedIn profile].

Orthopedic and Laser Spine Surgery. (n.d.). What foods are good for spinal health?

Park Slope Chiropractor. (n.d.). Eating for herniated discs.

Spine Health. (n.d.). Nutrition and the spine.

Spine Orthopedic Center. (n.d.). The role of nutrition in spine health.

Texas Back Institute. (n.d.). Herniated disc.

The Pain Relief Doctor. (n.d.). What are the top 5 foods for degenerative disc disease?

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