Select Page

Sports Injury

Back Clinic Sports Injury Chiropractic and Physical Therapy Team. Sports injuries occur when an athlete’s participation associated with a specific sport or physical activity leads to an injury or causes an underlying condition. Frequent types of sports injuries include sprains and strains, knee injuries, shoulder injuries, Achilles tendonitis, and bone fractures.

Chiropractic can help with injury prevention. Athletes from all sports can benefit from chiropractic treatment. Adjustments can help treat injuries from high-impact sports i.e. wrestling, football, and hockey. Athletes that get routine adjustments may notice improved athletic performance, improved range of motion along with flexibility, and increased blood flow.

Because spinal adjustments will reduce the irritation of the nerve roots between the vertebrae, the healing time from minor injuries can be shortened, which improves performance. Both high-impact and low-impact athletes can benefit from routine spinal adjustments. For high-impact athletes, it increases performance and flexibility and lowers the risk for injury for low-impact athletes i.e. tennis players, bowlers, and golfers.

Chiropractic is a natural way to treat and prevent different injuries and conditions that impact athletes. According to Dr. Jimenez, excessive training or improper gear, among other factors, are common causes of injury. Dr. Jimenez summarizes the various causes and effects of sports injuries on the athlete as well as explaining the types of treatments and rehabilitation methods that can help improve an athlete’s condition. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.

5 Things Your Sports Chiropractor Wishes You Would Stop Doing

5 Things Your Sports Chiropractor Wishes You Would Stop Doing

Sports Chiropractor: To figure out what these professionals dont want you to do before making an appointment, Runners World asked two chiropractors who specialize in running about what common training flaws are leading to patients ending up in their offices over and over again.

RELATED: When Should You See a Sports Chiropractor?

DONT Buy Shoes For Looks

sports chiropractor


While studies go back and forth on whether or not specific types of running shoes lead to injury, it’s still a good idea to opt for a proper fit over a pair of kicks that look cool or that you got for cheap. Ian Nurse, D.C., founder of Wellness in Motion Boston and a sub-2:30 marathoner, believes that many running injuries can start from not having the right shoes on your feet.

The nurse recommends going to a run specialty store and having someone watch your gait outside or on the treadmill. This will allow someone at the store to find a range of shoes that might work best for your specific running/walking mechanics. (You can find a nearby running store by checking out our Store Finder.) From there, you can go by what feels the best when running.

RELATED: How to Buy the Right Running Shoes

sports chiropractor

The nurse said he also asked his patients if there had been a change in running shoes from one style to another. For example, switching to a zero-drop shoe from a normal shoe, without easing into them, may increase your risk of injury. Like a fitter at a running store, a sports chiropractor like a Nurse may even look at your running gait in the office to diagnose imbalances in your foot’s motion mechanics.

The whole biomechanics starts in your foot, Nurse said. We all have different foot strikes. If it hits the ground in a certain way, the shoe has to support that. If you are a forefoot striker, rearfoot striker, overpronator, or under pronator, all of those foot strikes can lend themselves to various running injuries.

DONT Do Static Stretching Before A Run

sports chiropractor

Holding a static stretch for longer than 10 seconds can take away from your explosive muscular power before a run, according to Derek Vinge, D.C. at Fit Chiropractic & Sports Therapy in Courtenay, British Columbia. One study even showed that stretching cold muscles before a tough 3K left individuals starting their runs slower and at a greater perceived effort. And when your muscles aren’t signaling properly, it can lead to small injuries turning into larger problems over time.

You are better off with a series of dynamic stretches like lunges and squats to get the blood flowing in the body. (This 2-minute warmup should do the trick.) The benefits will be noticeable if you add five to 10 minutes of dynamic stretching before hitting the roads or trails.

If you do some activation and dynamic warmups, you will be a stronger, faster runner. I also forget to do a busy stretch, and I think maybe it is a time thing where you tell yourself  I’ll do this later. I’ll deal with it later, Vinge said.

DONT Overdo It On Foam Rollers

sports chiropractor

Foam rolling and other ways to work out a knot or refresh your legs can be a good thing in moderation. But less sometimes is more, according to Nurses.

I see a lot of people who tend to go overboard on that, Nurse said. They do so much foam rolling on their IT band and quads and are even more in pain. It’s more like a finesse, where you are trying to get blood flow into the area, but you aren’t trying to beat up the room so badly that you are causing more damage.

RELATED: 14 Foam Rollers, Balls, and Sticks to Work Knots Out

Stop if you’re working out on a foam roller and something continues to hurt or gets worse. Overdoing a problem spot may inflame it more. If you’re feeling relatively good, the Nurse suggests doing light work on the foam roller after a run to hit any problem areas for one to two minutes.

DONT Clam Up When You Get Into The Office

sports chiropractor

It would be best if you didn’t arrive at an office visit with pages and notes from WebMD. But you shouldn’t be silent and think a sports chiropractor has all the answers just by looking at you.

Going into an appointment, think about what has been consistently driving you crazy on a stiff run neck, a cranky left ankles that will allow a dog to focus on what’s bothering you.

Runners know their bodies a lot better than a lot of people, Nurse said. As we run, we are constantly checking in on different body parts, and people can recognize what is wrong, and they can tell if their gait is altered and what is hanging them up. The information I get from my patients helps me a lot.

DONT Forget To See Someone If You Need It & Listen To Your Sports Chiropractor

sports chiropractor

With training goals and miles to complete, runners often dont admit when there is something wrong. It’s almost a badge of honor to stay off the table for long periods.

But Vinge thinks there’s more to what he does than fixing injuries. Once an underlying issue is taken care of, you can teach your body to perform at a higher level than you thought was possible.

After they start to get better, then we can work on other issues to get some more performance out of them, said Vinge. If you’ve never been looked at, you have no idea what’s going wrong.


Muscle Cramps In The Calves? Might Be Trigger Point Pain

Muscle Cramps In The Calves? Might Be Trigger Point Pain


Various muscles help support the lower legs in the body and allow movement to the host. The lower extremities include the hips, pelvis, thighs, legs, knees, and feet. At the same time, the various muscles help provide support and stability to the upper body’s weight and incorporate mobility and movement for the entire body to go from one location to another. The legs have two sections connected with the knees; the upper portion has the hips and thigh muscles, while the lower legs have the calve muscles, shin muscles, and the Achilles tendon. The calve muscles have two groups of muscles, and when the calve intense exercises, or normal factors have overused muscles may potentially lead to muscle cramps associated with trigger points. Today’s article examines one of the calve muscles known as the gastrocnemius, how the calves are affected by trigger points and corrective actions to prevent muscle cramps in the calves. We refer patients to certified providers that incorporate various techniques in the lower body extremities, like lower leg and calve pain therapies correlating to trigger points, to aid many people dealing with pain symptoms along the gastrocnemius muscles, causing muscle cramps. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is an excellent way when asking our providers intricated questions at the patient’s request and understanding. Dr. Alex Jimenez, D.C., only utilizes this information as an educational service. Disclaimer


What Are The Gastrocnemius Muscles?


Have you been dealing with walking from one place to another? Do your calves feel hard or tense with the slightest touch or movement? Or are you feeling excruciating pain in your calves that make it hard to move? These pain-like symptoms are indicators of trigger points associated with the calves affecting the gastrocnemius muscles. The calves are mostly referred to as the posterior portion of the lower legs responsible for the foot and ankle plantarflexion while also engaging in activities like running or jumping. The two muscles that make up the calves are the gastrocnemius and the soleus. The gastrocnemius is a complex, superficial muscle fundamental to good posture or walking. This muscle has a casual relationship with the lower body as it affects hip movement and the lumbar area of the spine. The gastrocnemius provides a round shape for the calves to form and narrows down to the ankles, where it forms a tendon.


How Are The Calves Affected By Trigger Point Pain?


Since the gastrocnemius provides the round shape to form the calves when the muscles have become overused or injured in a sports activity, it can cause the individual to have limited mobility. Studies reveal that a tear in the gastrocnemius muscles can implicate lower leg trauma and affect the muscle function to plantar flex the foot at the ankle joint and reduce flexion on the leg to the leg knee joint. When it comes to the development of trigger points along the gastrocnemius muscles that are affecting the calves, according to “Myofascial Pain and Dysfunction,” written by Dr. Janet Travell, M.D., the book states that latent trigger points along the gastrocnemius may cause individuals to complain about calf cramps on the legs, however, when the trigger points are active, the individual is aware of the calf pain and would complain about experiencing pain in the back of their knees. The book also mentioned that trigger points associated with the gastrocnemius muscle could be mistaken for other conditions like plantar foot pain or radiculopathy in the sacroiliac joints. When trigger points affect the calf muscles, it can lead to mobility issues and causes people to be unstable when walking. 


Trigger Point Of The Week: Gastrocnemius Muscle- Video

Have you been dealing with calf pain when walking for a short distance? Do your calf muscles ache or tense up when you put slight pressure when stepping down? Or do you feel that your calf muscles are hard when resting? Many of these issues affecting the calves are associated with trigger points affecting the gastrocnemius muscles. The gastrocnemius muscle is one of the muscles that make up the calves in the lower legs. This complex, superficial muscle provides a round shape to the calves and can become overused in various activities that can cause a person to have limited mobility. When the gastrocnemius muscle is overused, it can develop tiny nodules in the muscle fibers known as trigger points that mimic other conditions affecting leg mobility. The video above shows where this complex muscle is in the calves and where the trigger points are located in the muscle fibers. Trigger points along the affected muscle can cause referred pain while mimicking other conditions that can often confuse people about what they are feeling. All is not lost, however, as trigger points are treatable and can be managed through various treatments.

Corrective Actions To Prevent Muscle Cramps On The Calves


When the calf muscles like the gastrocnemius are causing symptoms of pain and muscle cramps due to trigger points, there are various treatments and corrective actions that can prevent muscle cramps from causing more issues in the legs and even help manage trigger points from re-forming in the muscle fibers. Some corrective actions that can help improve calve function are gently flexing the foot at the ankle joint to allow the calf muscles to tract and retract to reduce swelling and pain. Other correction actions that people should incorporate to prevent muscle cramping in the calves when they are sitting is to gently rock in a chair to reduce prolonged immobility to the calves and increase blood flow. Studies reveal that dry needling and other various treatments can help reduce muscle stiffness in the gastrocnemius and improve muscle strength in the calves.



The calves are part of the legs that allow plantarflexion at the ankle joint. Known as the gastrocnemius muscle, it makes up the calves’ round shape. The gastrocnemius muscle is complex and superficial as it forms a rounded shape at the calves and narrows down at the ankles. However, when the muscle has been through various activities and is constantly overstretched, it can affect a person’s walking mobility and develop tiny nodules known as trigger points. Trigger points in the gastrocnemius muscle can cause referred pain in the calve muscles and mimic conditions like plantar foot pain to the feet. Fortunately, various treatments and corrective actions can prevent referred pain from re-occurring in the calves and bring mobility back to the legs so a person can continue to their destination.



Albin, S R, et al. “The Effect of Dry Needling on Gastrocnemius Muscle Stiffness and Strength in Participants with Latent Trigger Points.” Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology, U.S. National Library of Medicine, 9 Oct. 2020,

Binstead, Justin T, et al. “Anatomy, Bony Pelvis and Lower Limb, Calf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 29 May 2022,

Bordoni, Bruno, and Matthew Varacallo. “Anatomy, Bony Pelvis and Lower Limb, Gastrocnemius Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 Apr. 2022,

Nsitem, Virginia. “Diagnosis and Rehabilitation of Gastrocnemius Muscle Tear: A Case Report.” The Journal of the Canadian Chiropractic Association, U.S. National Library of Medicine, Dec. 2013,

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.


Muscle Twitching Chiropractor: Back Clinic

Muscle Twitching Chiropractor: Back Clinic

Nerves control muscle fibers. Muscle twitching is an involuntary contraction of the muscle fibers. When individuals play sports/work out vigorously or for a long time, they may experience muscle twitching and can often see and/or feel the twitches happening. The most worked-out muscles are likely to twitch, which includes the biceps, thighs, and calves, but twitches can occur in any muscle. Chiropractic care, massage therapy, and functional medicine can help relax the muscles, improve circulation, restore function, and train individuals to prevent future episodes.

Muscle Twitching Chiropractor

Muscle Twitching

A muscle twitch often occurs after intense physical activity or a hard workout because the muscle or muscles have been overworked, and there is hyper-excitability of the nerve/s that makes the muscle/s continue to contract.

  • A muscle twitch that can be seen is called fasciculation.
  • A muscle twitch that cannot be seen is called fibrillation.
  • If there is pain or the twitching is prolonged, it is a muscle spasm.


The most common causes include the following:

  • Intense exercise and rigorous physical activity build up lactic acid in the muscles.
  • Dehydration is a very common factor for shaky muscles.
  • Vitamin D and calcium deficiencies could cause muscle spasms in the hand, calves, and eyelids.
  • Using caffeinated products to increase physical performance.
  • Not enough or a lack of healthy sleep.
  • Anxiety or stress.
  • Certain medications like estrogen and corticosteroids.
  • Nicotine and tobacco use.

Physical Activity/Exercise

  • Intense exercise and physical activity can cause muscle fatigue.
  • Muscle fatigue triggers twitching and cramping in overworked muscle fibers.
  • Electrolytes play a role in muscle contraction.
  • Electrolyte loss and imbalances within muscle fibers through sweating can lead to twitching.


  • Muscle mass comprises 75% water.
  • Water carries nutrients and minerals to muscles to support function.
  • Not being properly hydrated can cause twitching and cramping.

Vitamin D Deficiency

  • Nerves need vitamin D to relay messages to and from the brain to the body’s muscles.
  • A vitamin D deficiency can cause muscle weakness and twitching.

Magnesium Deficiency

  • Magnesium deficiency is known as hypomagnesemia.
  • Magnesium plays a role in maintaining nerve and muscle health.
  • Magnesium helps transport calcium across cell membranes to support nerve and muscle function.
  • A magnesium deficiency can cause twitching anywhere in the body, including the face.

Causes of magnesium deficiency include:

  • Poor diet
  • Diarrhea
  • Drinking too much alcohol
  • Not addressing magnesium deficiency can increase the risk of cardiovascular disease.


  • Caffeine is a stimulant.
  • Drinking too much coffee, tea, or energy drinks can cause fasciculation.

Not Enough Sleep

  • Brain chemicals or neurotransmitters transmit information from the brain to the nerves that control muscle contraction.
  • Sleep deprivation can affect how neurotransmitter receptors work.
  • This means excess neurotransmitters can build up in the brain.
  • Lack of sleep can affect neurotransmitter function.
  • A common site of fasciculation tiredness occurs in the eyelids.

Anxiety and Stress

  • Experiencing psychological stress or high anxiety levels can cause excess muscle tension.
  • This can lead to muscle twitching.
  • Muscle fasciculation caused by stress can occur anywhere in the body.

Certain Medications

  • Certain medications can lead to involuntary muscle twitching.
  • The reaction can be a side effect due to interactions with other medications.
  • Individuals should discuss side effects and medication interactions with their doctor when taking a new medication.

Chiropractic Care

Chiropractors are experts on the musculoskeletal system and have many techniques to treat muscle fasciculation and spasms. It often depends on the cause/s, and specific treatment varies on a case-by-case basis. Common chiropractic treatments include:

  • Massage therapy
  • Heat and ice therapy
  • Manual manipulation
  • Joint adjustments
  • Ultrasound
  • Stretches to keep the muscles flexible
  • Exercises to strengthen the muscles
  • Nutritional recommendations



Bergeron, Michael F.. Muscle Cramps during Exercise-Is It Fatigue or Electrolyte Deficit?. Current Sports Medicine Reports July 2008 – Volume 7 – Issue 4 – p S50-S55 doi: 10.1249/JSR.0b013e31817f476a

Gragossian A, Bashir K, Friede R. Hypomagnesemia. [Updated 2022 May 15]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from:

Küçükali, Cem Ismail, et al. “Peripheral nerve hyperexcitability syndromes.” Reviews in the neurosciences vol. 26,2 (2015): 239-51. doi:10.1515/revneuro-2014-0066

Maughan, Ronald J, and Susan M Shirreffs. “Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining.” Sports medicine (Auckland, N.Z.) vol. 49, Suppl 2 (2019): 115-124. doi:10.1007/s40279-019-01162-1

Miller, Kevin C et al. “Exercise-associated muscle cramps: causes, treatment, and prevention.” Sports health vol. 2,4 (2010): 279-83. doi:10.1177/1941738109357299

Riebl, Shaun K, and Brenda M Davy. “The Hydration Equation: Update on Water Balance and Cognitive Performance.” ACSM’s health & fitness journal vol. 17,6 (2013): 21-28. doi:10.1249/FIT.0b013e3182a9570f

Volleyball Back Pain Chiropractic Clinic

Volleyball Back Pain Chiropractic Clinic

The low back is a common source of discomfort and soreness among volleyball players because of repetitive jumping, bending, and rotating of the trunk. Adolescents have an increased risk of this injury because their vertebral bones are still developing, which increases the risk for stress fractures. Chiropractic care, massage therapy, decompression, rest, and athletic training can help expedite pain relief and heal the injury.Volleyball Back Pain Chiropractor

Volley Back Pain

Muscle or ligament strains are the most common injury from repetitive jumping, bending, rotating movements, and hyperextension during serving, hitting and setting. This can lead to excessive compression forces on the discs and joints, causing reduced blood circulation, increasing the risk of overload injuries. One study reported that low back pain is experienced in 63% of players. However, if low-back pain is accompanied by pain that runs down the leg along with numbness or weakness in the foot or ankle, the issue could be a herniated disc.


One common reason is endurance imbalances in the muscles that stabilize the low back. The core muscles provide stability to the low back and spine for all movements. If imbalances are present, a player may spike or serve the ball with intense turning and arching. The added actions cause increased pressure in the joints and hip, gluteal, and leg muscles, affecting the spine’s stability.

  • The gluteals run from the back of the pelvis/hip bones down to the outside of the thigh.
  • The gluteal muscles prevent the trunk and hips from overbending forward when landing.
  • If the gluteal muscles do not have the strength and endurance to perform this motion, the upper body will bend too far forward, causing poor landing posture and decreased spine stability.

Anterior Pelvic Tilt

Studies have shown that players with low back pain tend to stand and land with an anterior pelvic tilt. This is an unhealthy posture when the front of the pelvis tilts forward, and the back of the pelvis raises. Landing hard with an anterior pelvic tilt causes increased arching and increases the pressure in the joints.

Chronic back pain

Warning signs of a more serious back problem include:

  • Pain that has lasted for more than 1 week and is not improving or getting worse.
  • Pain that prevents sleep or causes the individual to constantly wake up.
  • Difficulty sitting.
  • Back soreness when performing basic tasks and chores.
  • Significant pain on the court when jumping, landing, or rotating.
  • Chronic pain ranges from aches to shooting or throbbing pain that can run down the buttocks and legs.

Chiropractic Care

A chiropractor can alleviate volleyball back pain, rule out a more severe injury, such as a stress fracture or herniated disc, and provide a healthier and faster recovery. According to a study, athletes who received chiropractic care showed better speed and mobility. Quick reflexes and hand-eye coordination depend on an optimal functioning nervous system. 90% of the central nervous system travels through the spine. When one or more spinal segments are misaligned, the effect on the nervous system can seriously impact and disrupt nerve circulation, affecting speed, mobility, reflexes, and hand-eye coordination. Chiropractic adjustments will:

  • Relax and reset the back muscles.
  • Realign and decompress the spine.
  • Remove the pressure around the nerve roots.
  • Strengthen the core.
  • Improve and increase range of motion, strength, and overall endurance.

Anterior Pelvic Tilt


Haddas R, Sawyer SF, Sizer PS, Brooks T, Chyu MC, James CR. “Effects of Volitional Spine Stabilization and Lower-Extremity Fatigue on the Knee and Ankle During Landing Performance in a Population With Recurrent Low Back Pain.” J Sport Rehabil. 2017 Sep;26(5):329-338. doi: 10.1123/jsr.2015-0171.

Hangai M. et al., Relationship Between Low Back Pain and Competitive Sports Activities During Youth, Am J Sports Med 2010; 38: 791-796; published online before print January 5, 2010, doi:10.1177/0363546509350297.

Jadhav, K.G., Deshmukh, P.N., Tuppekar, R.P., Sinku, S.K.. A Survey of Injuries Prevalence in Varsity Volleyball Players. Journal of Exercise Science and Physiotherapy, Vol. 6, No. 2: 102-105, 2010 102

Mizoguchi, Yasuaki, et al. “Factors associated with low back pain in elite high school volleyball players.” Journal of physical therapy science vol. 31,8 (2019): 675-681. doi:10.1589/jpts.31.675

Movahed,Marziehet al. (2019). “Single leg landing kinematics in volleyball athletes: A comparison between athletes with and without active extension low back pain.”

Sheikhhoseiniet al. (2018). “Altered Lower Limb Kinematics during Jumping among Athletes with Persistent Low Back Pain”

Skateboarding Injuries Chiropractor: Back Clinic

Skateboarding Injuries Chiropractor: Back Clinic

Skateboarding is a popular activity among children, teenagers, and young adults. It is recreational, competitive, fun, and exciting but, like any sport, carries a risk of injury. There are around 70,000 skateboarding injuries requiring a visit to the emergency room every year. The most common injuries involve the shins, ankles, forearms, wrists, elbows, face, and skull, with many left untreated that worsen as they heal improperly, leading to further damages and complications. Chiropractic can treat the injuries, rehabilitate the muscles and joints, and strengthen the body to get the skater back on their board.

Skateboarding Injuries Chiropractor

Skateboarding Injuries

Skateboarding injuries can range from scrapes, cuts, and bruises to sprains, strains, broken bones, and concussions.

  • Shin injuries often happen during flip/twist tricks where the board or axle hits the shin causing bruising and swelling.
  • Shoulder, wrist, and hand injuries are common when skaters lose their balance and fall with outstretched arms.
  • Ankle injuries include rolls/sprains, as well as dislocations and fractures.
  • Dislocations usually happen to the shoulders, wrists, and fingers.
  • Facial injuries include teeth knocked out, broken nose, or jaw are typically caused by fast forward hard falls.
  • Severe injuries include concussions and head injuries.

Injury causes

Skateboarding injuries typically occur from:

  • Skating on irregular surfaces locks up wheels and affects balance, causing falls.
  • Losing balance or losing control of the board and falling hard/slamming into the pavement.
  • Inexperience, slow reaction times, and less coordination lead to falls and slams.
  • Skating into another skater, a person walking or cycling, a car, or a road hazard.
  • Trying an advanced trick/maneuver too soon and beyond their skill level.
  • The inexperience of knowing how to fall to prevent injuries.

Chiropractic Therapy

A chiropractor can work with other doctors and specialists to:

  • Assess and treat the skateboarding injury/s.
  • Reset the spine, hips, arms, hands, and feet.
  • Rehabilitate and strengthen the body.
  • Recommend safety and prevention education.
  • Help prevent further injuries and long-term effects.

Chiropractic Skateboarding Injury Treatment


Forsman, L, and A Eriksson. “Skateboarding injuries of today.” British journal of sports medicine vol. 35,5 (2001): 325-8. doi:10.1136/bjsm.35.5.325

Hunter, Jamie. “The epidemiology of injury in skateboarding.” Medicine and sport science vol. 58 (2012): 142-57. doi:10.1159/000338722

Partiali, Benjamin, et al. “Injuries to the Head and Face From Skateboarding: A 10-Year Analysis From National Electronic Injury Surveillance System Hospitals.” Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons vol. 78,9 (2020): 1590-1594. doi:10.1016/j.joms.2020.04.039

Shuman, Kristin M, and Michael C Meyers. “Skateboarding injuries: An updated review.” The Physician and sportsmedicine vol. 43,3 (2015): 317-23. doi:10.1080/00913847.2015.1050953

Wrestling Injuries Chiropractic Team

Wrestling Injuries Chiropractic Team

Wrestling is a sport that requires speed, strength, and endurance that involves intense physical contact, pushing and pulling the muscles, tendons, ligaments, and joints to their limits. Wrestlers’ are constantly contorting their bodies. Pushing the body to its limits increases the risk of developing wrestling injuries that include:

Wrestling Injuries Chiropractor

Wrestling Injuries

The most common injuries usually occur from forceful contact or twisting forces. And if a wrestler has been injured, there is an increase for re-injury. Wrestling tournaments typically take place over days, often with back-to-back matches, which significantly fatigues the body and increases injury risk. The most common wrestling injuries include:

  • Muscle strains of the lower extremities and/or the back.
  • Chronic problems can result from hours in the forward stance posture and repetitive motions.
  • Trigger points.
  • Neck injuries.
  • Ligament knee injuries – Meniscus and MCL tears.
  • Pre-patellar bursitis/Osgood Schlatter’s syndrome from consistently hitting the mat.
  • Ankle injuries.
  • Hand and finger dislocations and fractures.
  • Dislocations and sprains of the elbow or shoulder from take-downs.
  • Cauliflower ear – is a condition that can cause ear deformity and develops from friction or blunt trauma to the ears.
  • Skin infections occur from constant contact, sweating, bleeding, and rolling on the mats. Infections include herpes gladitorium, impetigo, folliculitis, abscesses, and tinea/ringworm.
  • Concussions are usually caused by hard falls/slams or violent collisions with the other wrestler.

Injuries can cause wrestlers to alter/change their technique, exacerbating the existing damage and potentially creating new injuries.

Chiropractic Rehabilitation and Strengthening

There can be a variety of pain generators/causes when it comes to wrestling injuries. Joints and muscles can get overstretched, muscles can spasm, and nerves can become compressed and/or irritated. For example, a neck muscle spasm could be caused by nerve irritation from a shifted vertebrae. To determine the specific cause or causes of the injury/pain, a detailed chiropractic examination will be performed that includes:

  • Range of motion testing
  • Ligament tests
  • Muscle palpation
  • Gait testing

Injuries often relate to the proper weight, neuromuscular control, core strength, proper technique, hygiene, and hydration management. Successful treatment depends on identifying the root cause of the wrestling injury. Chiropractic restores proper alignment through massage, specific manual adjustments, decompression, and traction therapies. Adjustments can include the back, neck, shoulder, hips, elbows, knees, and feet. Once correct body alignment is achieved, rehabilitative exercises and stretches are implemented to correct and strengthen muscle function. We work with a network of regional medical doctors specializing in referral situations and strive to return the athlete to their sport as soon as possible.

Wrestling Match


Boden, Barry P, and Christopher G Jarvis. “Spinal injuries in sports.” Neurologic clinics vol. 26,1 (2008): 63-78; viii. doi:10.1016/j.ncl.2007.12.005

Halloran, Laurel. “Wrestling injuries.” Orthopedic nursing vol. 27,3 (2008): 189-92; quiz 193-4. doi:10.1097/01.NOR.0000320548.20611.16

Hewett, Timothy E et al. “Wrestling injuries.” Medicine and sport science vol. 48 (2005): 152-178. doi:10.1159/000084288

Mentes, Janet C, and Phyllis M Gaspar. “Hydration Management.” Journal of gerontological nursing vol. 46,2 (2020): 19-30. doi:10.3928/00989134-20200108-03

Wilson, Eugene K et al. “Cutaneous infections in wrestlers.” Sports health vol. 5,5 (2013): 423-37. doi:10.1177/1941738113481179

Athletic Referred Pain Care

Athletic Referred Pain Care

Referred pain is the interpretation of feeling pain in a different location than the actual cause. For example, a pinched nerve in the spine/back causes pain not to show up not where it is pinching but further down in the buttock, leg, calf, or foot. Similarly, a pinched nerve in the neck could translate to shoulder or elbow pain. Referred pain is often caused by the muscles overcompensating weaker ones, like feeling pain outside the knee, with the actual injury stemming from hip joint dysfunction caused by weakened lateral hip muscles. The athletic referred pain could have been brought on by an acute sports injury, an overuse injury from the repetitive motion/s.

Athletic Referred Pain

Athletic Referred Pain

Somatic referred pain originates from the muscles, skin, and other soft tissues and is not to be confused with visceral pain, which refers to the internal organs/viscera. However, the pain presents in regions supplied by the same nerve roots. Damaged or injured body structures can cause referred pain. This includes the muscles, nerves, ligaments, and bones.

Common Sites

Individuals can experience referred pain almost anywhere. Athletic referred pain commonly occurs in these areas:

  • The neck and shoulder where pain can be felt in the elbow, arm, and hand or cause headaches.
  • The back where pain can be felt in the hips, buttocks, and thighs.
  • The hip/s area, where pain can be felt in and around the low back and abdominal regions.
  • The groin, where pain can be felt in and around the abdominal region.

Problems with the vertebral discs, nerve root compression, muscle spasms, osteoarthritic changes, spinal fracture, or tumor/s can affect the body’s ability to transport sensory information, which can cause strange sensations and weakness of muscle tissues, and sometimes problems with coordination and movement. Part of an accurate diagnosis is knowing the patterns of referred pain in all the muscles and internal organs.

Pain Activation

Many nerve endings come together and share the same nerve cell group in the spinal cord. When signals travel through the spinal cord to the brain, some signals follow the same path as the pain signals from a different body part. Pain awareness is felt in a deeper center of the brain known as the thalamus, but the sensory cortex determines the perception of where the pain is coming from and the location of the pain. The intensity and sensation of the athletic referred somatic pain vary for different structures and depend on the inflammation level. For example:

  • Nerve pain tends to be sharp or shooting.
  • Muscle pain tends to be a deep dull aching or a burning sensation.
  • However, muscles can give a sensation of tingling where referred pain is presenting, but tingling is more commonly associated with a nerve injury.

Diagnosing referred pain injuries can be complex as there are various areas where the pain can show up. The source of damage needs to be identified; otherwise, achieving lasting pain relief will not last. A biomechanical analysis can help to find movement/motion patterns that may be causing pain and help identify the source.


Athletic performance and spinal health are interconnected. Chiropractic treatment involves whole-body wellness that involves the spine and nervous system. Routine chiropractic care relieves neck, shoulder, arm, back, leg, and foot conditions/injuries and helps prevent disorders of joints and muscles. It calms the mind, provides pain relief, and educates individuals on being more aware of the body. Chiropractic adjustments improve blood flow and nerve function to increase agility, reaction times, balance, strength, and expedited healing of the body.

DRX9000 Decompression


Kapitza, Camilla, et al. “Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol.” PloS one vol. 15,12 e0244137. 28 Dec. 2020, doi:10.1371/journal.pone.0244137

Murray, Greg M. “Guest Editorial: referred pain.” Journal of applied oral science: Revista FOB vol. 17,6 (2009): i. doi:10.1590/s1678-77572009000600001

Weller, Jason L et al. “Myofascial Pain.” Seminars in neurology vol. 38,6 (2018): 640-643. doi:10.1055/s-0038-1673674

Wilke, Jan, et al. “What Is Evidence-Based About Myofascial Chains: A Systematic Review.” Archives of physical medicine and rehabilitation vol. 97,3 (2016): 454-61. doi:10.1016/j.apmr.2015.07.023

Cyclist Chiropractic Decompression

Cyclist Chiropractic Decompression

Bicycling at any level is excellent healthwise, but the specific physical repetitive motions and postures can wear on a cyclist’s body, causing strains and injury to the:

  • Muscles
  • Ligaments
  • Tendons
  • Nerves
  • Spine

Injuries can be caused by falls, overused muscles, joints, posture, and/or balance problems, whether riding a bicycle for fun, health, or sport. Chiropractic decompression can treat cycling-related injuries and help prevent common injuries by helping cyclists with conditioning and exercises. Chiropractic adjustments, combined with health coaching and nutrition planning, can maximize the body’s overall athletic ability and increase/improve:

Cyclist Injuries Chiropractic Decompression

Common Cyclist Injuries

Competitive cyclists, commuters, and weekend riders all experience common cycling injuries that include:

Back Soreness and Pain

Many cyclists suffer from back pain overuse injuries that are caused by:

  • Incorrect saddle/seat height or an uneven seat/saddle
  • Not bending the knee at the end of a pedal stroke forces the cyclist to rock the pelvis side to side to generate enough power, placing added stress on the low back muscles.
  • Handlebars that are too far forward can cause over-stretching of the spine.
  • Constantly tilting the head can cause neck and shoulder pain.
  • Staying in the same position for an extended period strains the spine.
  • Repetitive hip flexion causes the muscles to become tight and perform less efficiently, straining the rest of the body to make up for the lost support.
  • Hamstrings that become tight can shorten in length, causing the body to pull on the pelvis and the spine.
  • Lack of core strength allows more stress to penetrate the glutes, back, and hips.
  • Riding on bumpy or rough terrain increases body jarring and spinal compression.

Chiropractic Decompression

Chiropractic decompression for cyclists can rehabilitate the body from injuries, alleviate pain, improve blood and nerve circulation and maintain the body’s flexibility. Advanced decompression techniques personalized to the individual realign and release the body from obstructions and toxins in the neural pathways. Nutritional and supplementation recommendations are incorporated to enhance the body’s natural healing abilities, and exercise/stretches to sustain the adjustments.

Spinal Decompress


Schultz, Samantha J, and Susan J Gordon. “Recreational cyclists: The relationship between low back pain and training characteristics.” International journal of exercise science vol. 3,3 79-85. 15 Jul. 2010

Silberman, Marc R. “Bicycling injuries.” Current sports medicine reports vol. 12,5 (2013): 337-45. doi:10.1249/JSR.0b013e3182a4bab7

Streisfeld, Gabriel M et al. “Relationship Between Body Positioning, Muscle Activity, and Spinal Kinematics in Cyclists With and Without Low Back Pain: A Systematic Review.” Sports health vol. 9,1 (2017): 75-79. doi:10.1177/1941738116676260

Thompson, M J, and F P Rivara. “Bicycle-related injuries.” American family physician vol. 63,10 (2001): 2007-14.

Virtanen, Kaisa. “Cyclist injuries.” Duodecim; laaketieteellinen aikakauskirja vol. 132,15 (2016): 1352-6.

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries: Golf is an enjoyable game that can be played at all ages. It involves the foundation of the body’s range of motion, the spine. Because of the repetitive nature of a golfer’s unique swing, the repetitive rotating/twisting of the spine slowly degrades the integrity of the spinal discs causing them to bulge, herniate, or rupture. The slightest shift causing misalignment can leave the spine vulnerable to further injury. Non-surgical motorized decompression combined with chiropractic musculoskeletal adjustments can restore and maintain optimal health.

Golfing Back Injuries Non-Surgical Spinal Decompression

Golfing Back Injuries

Golfing involves muscle memory. Going through the walk, bending to tee the ball, recoiling for the swing, swinging and following through, walking to the hole, and bending down to retrieve the ball are all repetitive motions that can lead to:

  • Soreness
  • Inflammation
  • Back, hip, leg, and foot pain.
  • Strains
  • Other injuries to the muscles and discs.

The bending and twisting are the least tolerated motions by the spine. More than half of injuries sustained involve the back and/or neck. Having the spine correctly aligned is vital to retaining accuracy, power, and injury prevention. Common injuries include:

Sacroiliac Joint/SI Joint Dysfunction

The sacroiliac joint is located between the spine and the hip. Symptoms of sacroiliac joint pain include:

  • Low back pain.
  • Hip pain
  • Pain in the buttocks.
  • Pain radiating down the legs.
  • Groin pain
  • Pelvis pain
  • Burning sensation in the pelvis.
  • Numbness and weakness in the pelvis and legs.

SI Joint Pain Causes

  • The sacroiliac joint requires supported stability when transferring a load from the torso to the legs, specifically during the swing.
  • If there is compression, misalignment, or weakness, the motion will begin to wear away this stability and leave the sacroiliac joint open to further injury.
  • Sacroiliac joint injuries often occur from minor multi-incidents and not one major trauma.
  • With time the SI joint becomes misaligned, exposing the cartilage between joints, causing inflammation known as Sacroiliitis.

Facet Joint Syndrome

  • The facet joints are located between two vertebrae, allowing the ability to bend and twist.
  • Healthy facet joints have cartilage all around them, allowing the vertebrae to move smoothly in all directions.
  • Facet joint syndrome causes pain between the vertebrae.

Facet Joint Syndrome Causes

  • The leading cause of facet joint syndrome is excessive and repetitive swing movement.
  • Misalignment can expose and irritate the joints, causing pain, swelling, and inflammation.
  • Multi-micro-traumas and not one major trauma are often the cause of injury/s.
  • Muscle spasms are common.


  • Highly reduced range of motion
  • Muscle pain
  • Numbness
  • Weakness
  • Cervical Facet Syndrome affects the neck, shoulders, arms, and hands.
  • Lumbar Facet Syndrome affects the buttocks, legs, and feet.

Spinal Decompression

Spinal decompression provides relief for golfing back injuries.

  • Decompression treatment varies from case to case.
  • The treatment is computer-controlled to provide gentle and painless decompression.
  • The therapist enters the program cycle.
  • The decompression table goes through brief moments of pulling and relaxing.
  • The spine’s bones are stretched slowly and methodically.
  • As the vertebrae are separated, a vacuum is formed, pulling the gel-cushion center of the disc back inside, removing the pressure on the spinal nerves and alleviating pain and disability.
  • The vacuum also draws oxygen and nutrients into the injured and degenerated discs to optimize healing.

DRX 9000

Long Term Success


Cole, Michael H, and Paul N Grimshaw. “The Biomechanics of the Modern Golf Swing: Implications for Lower Back Injuries.” Sports medicine (Auckland, N.Z.) vol. 46,3 (2016): 339-51. doi:10.1007/s40279-015-0429-1

Dydyk, Alexander M., et al. “Sacroiliac Joint Injury.” StatPearls, StatPearls Publishing, 4 August 2021.

Hosea, T M, and C J Gatt Jr. “Back pain in golf.” Clinics in sports medicine vol. 15,1 (1996): 37-53.

Lindsay, David M, and Anthony A Vandervoort. “Golf-related low back pain: a review of causative factors and prevention strategies.” Asian journal of sports medicine vol. 5,4 (2014): e24289. doi:10.5812/asjsm.24289

Smith, Jo Armour, et al. “Risk Factors Associated With Low Back Pain in Golfers: A Systematic Review and Meta-analysis.” Sports health vol. 10,6 (2018): 538-546. doi:10.1177/1941738118795425

Sports Chiropractic Athletes

Sports Chiropractic Athletes

Sports chiropractic athletes: A sports chiropractor is a specialist that works with athletes to improve their performance. These doctors specialize in assessing and treating sports injuries. Treatment also prevents future damage/injury by providing a customized rehabilitation, strengthening, flexibility, and mobility program, that includes:

  • Exercise prescription
  • Ergonomic recommendations
  • Health coaching/counseling
  • Therapeutic sports massage

Sports chiropractic deals with preventing, diagnosing, and treating sports-athletic-based injuries to muscles, tendons, ligaments, and joints. Sports chiropractors have extensive training in evaluating muscular-skeletal problems related to sports participation overuse. Diagnosis is acquired through:

Sports Chiropractic Athletes

Sports Chiropractic Athletes

Chiropractors are masters of the human body and trained to use advanced diagnostics tools. A sports chiropractor evaluates individuals from all levels of sports and fitness, including:

  • Athletes – professional or recreational
  • Weekend warriors
  • Military personnel

The objective is to identify musculoskeletal problems related to sporting activity or overuse, alleviate pain, rehabilitate, and strengthen to prevent future injury. They can diagnose and treat sports-related injuries from common overuse injuries like:

  • Hip pain from frequently running on pavement.
  • Shoulder pain from damage caused by continued overhead throwing or hitting.
  • Low back and leg issues from twisting, bending, jumping, and reaching.


Athletes need a healthy balance of endurance, strength, and structure. Through biomechanics training, sports chiropractic restores the body’s natural balance and proper function. The goal is to get the athlete re-engaged and protected against further injury and play without any problems or limitations. Sports chiropractic athletes can return in a short amount of time from injuries that include:

  • Torn ACLs
  • MCL Sprain
  • Ankle Sprain
  • Achilles Tendonitis
  • Rotator cuff tears
  • Quadriceps Strains
  • Hamstrings Strains
  • Shin Splints
  • Sports Hernia
  • Neck Pain
  • Back Pain
  • Spondylolisthesis

Prevention Regimen

They can recommend prevention programs to prevent potential problems before an athlete gets hurt. A chiropractor will detect developing muscle imbalances before they turn into a chronic condition that can lead to damage to the rest of the body. Additional therapies include:

  • Massage
  • Hot/cold treatments
  • Ultrasound therapy
  • Low-level laser therapy

Adjustments, stretching, core training, therapeutic sports massage, health coaching, and nutritional counseling will strengthen the body, allowing for performing physical activities and sports at optimum levels.

Body Composition

Sports Performance

Working with sports chiropractic athletes means achieving a balance of lean mass to maintain sports performance and reduce the risk of injury. Athletes, doctors, and trainers monitor gains over time to maximize performance and watch for signs of potential injury. A method of monitoring for potential injury is the ECW/TBW Analysis. When training and engaging in sports, the body is under physical stress. The proper amount of rest and recovery are needed to allow muscles to recover and regrow. Inflammation is reflected in the ECW/TBW by monitoring changes over time. A steady increase can indicate a sign of overtraining or improper recovery. Monitoring this progression can alert doctors and trainers that an athlete needs a less intense workout or longer recovery to reduce the potential for overtraining injury.


Corcoran, Kelsey L et al. “Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis.” Pain medicine (Malden, Mass.) vol. 21,2 (2020): e139-e145. doi:10.1093/pm/pnz219

Naqvi U, Sherman Al. Muscle Strength Grading. [Updated 2021 Sep 2]. In: StatPearls [Internet]. Treasure Island (F.L.): StatPearls Publishing; 2022 Jan-. Available from:

Nelson, Luke et al. “A descriptive study of sports chiropractors with an International Chiropractic Sports Science Practitioner qualification: a cross-sectional survey.” Chiropractic & manual therapies vol. 29,1 51. 13 Dec. 2021, doi:10.1186/s12998-021-00405-1

Williams, Sean et al. “Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness.” Sports medicine (Auckland, N.Z.) vol. 42,2 (2012): 153-64. doi:10.2165/11594960-000000000-00000

Leg Spasms and Cramping

Leg Spasms and Cramping

Leg spasms and cramps are common conditions where the muscles in the leg suddenly become tight and painful. They present with no warning and can cause excruciating and debilitating pain. They usually occur in the calf muscles but can affect any area of the leg, including the feet and thighs. After the cramping has passed, pain and tenderness can remain in the leg for several hours. Although many leg spasm episodes go away by themselves, they can disrupt normal activities, exercise regimens, and sleep if they continue and are left untreated.

Leg Spasms and Cramping


Leg Spasms and Symptoms

A leg spasm is a sudden, sharp contraction or tightening of a muscle in the leg. This can last a few seconds to a few minutes. Muscle cramps anywhere in the body cause sudden contraction of the muscle. This is an involuntary function and can include the following symptoms:

  • Soreness and discomfort can be mild to extreme.
  • Muscle tightening.
  • Hardening of the muscle.
  • Twitching of the muscle.
  • Pain.

Leg spasms are typically brief and go away on their own, but individuals are recommended to seek treatment if they are frequently experienced or last for extended periods.



  • Dehydration is a common cause of leg spasms and pain.
  • Lack of fluids can cause the nerve endings to become sensitized, triggering muscle contractions.

Peripheral Artery Disease

Mineral Deficiency

  • When the body sweats, it loses water and electrolytes.
  • When the body is low on electrolytes
  • Imbalances in:
  • Sodium
  • Calcium
  • Magnesium
  • Potassium
  • It can affect nerve transduction and lead to muscle spasms.


  • If the body does not produce sufficient thyroid hormone, this is known as hypothyroidism.
  • Over time, this deficiency can damage the nerves that send signals from the brain and spine to the legs.
  • Tingling, numbness, and frequent cramping can result.

Spinal Misalignment

  • Spinal misalignment can compress nerve roots that run down the leg.
  • This can cause radiating leg pain and spasms, specifically in the back of the thigh.

Muscle and Connective Tissue Injuries

  • Injuries like tears, strains, and sprains can lead to leg spasms and frequent cramping.


  • In the second and third trimesters of pregnancy, calcium and magnesium deficiency are common and can lead to leg spasms and cramps.


The proper course of treatment for leg spasms depends on the severity and underlying cause/s. A chiropractor can identify the cause and develop a personalized treatment plan to relieve and eliminate leg cramps.


  • Misalignments can compress the nerve roots radiating from the spine to the legs.
  • This can lead to radiating leg pain and/or leg spasms.
  • Realignment through chiropractic can relieve the pressure on compressed nerve roots, alleviating leg discomfort and pain.
  • A chiropractor will also recommend exercises and stretches to strengthen the legs and core muscles.

Physical Therapeutic Massage

  • A physical therapist will use various massage techniques to relax the leg muscles to prevent and reduce the severity of spasms.
  • Massage therapy will relieve any inflammation that accompanies leg spasms, decreasing pain and swelling in the area.

Health Coaching

  • Leg spasms can be caused by nutritional deficiency.
  • As a part of the treatment plan, a health coach will evaluate the individual’s diet and suggest changes that will help address any nutritional deficiencies contributing to leg spasms and cramps.

Body Composition

Track Inflammation and Fluid Imbalances From Injury or Surgery

Inflammation can occur with little to no visible symptoms following surgery or injury. Precision measurement of body water can detect water retention and inflammation to aid rehabilitation treatment. InBody effectively distinguishes water in the following compartments that comprise total body water.

  • Intracellular-ICW-within the tissues.
  • Extracellular-ECW-within the blood and interstitial fluids.
  • The Edema Index can be used to detect fluid imbalances resulting from inflammation from injury or recovery after surgery.

Assessing fluid balance in the body and specific segments can help identify inflammation and guide treatment to reduce the risk of re-injury or post-surgery complications. These measurements are provided for the whole body and can determine where fluid imbalances may be occurring for more precise analysis.


Araújo, Carla Adriane Leal de et al. “Oral magnesium supplementation for leg cramps in pregnancy. An observational controlled trial.” PloS one vol. 15,1 e0227497. 10 Jan. 2020, doi:10.1371/journal.pone.0227497

Garrison, Scott R et al. “Magnesium for skeletal muscle cramps.” The Cochrane database of systematic reviews vol. 2012,9 CD009402. 12 Sep. 2012, doi:10.1002/14651858.CD009402.pub2

Kang, Seok Hui et al. “Clinical Significance of the Edema Index in Incident Peritoneal Dialysis Patients.” PloS one vol. 11,1 e0147070. 19 Jan. 2016, doi:10.1371/journal.pone.0147070

Luo, Li et al. “Interventions for leg cramps in pregnancy.” The Cochrane database of systematic reviews vol. 12,12 CD010655. 4 Dec. 2020, doi:10.1002/14651858.CD010655.pub3

Mekhail, Nagy et al. “Long-term safety and efficacy of closed-loop spinal cord stimulation to treat chronic back and leg pain (Evoke): a double-blind, randomized, controlled trial.” The Lancet. Neurology vol. 19,2 (2020): 123-134. doi:10.1016/S1474-4422(19)30414-4

Young, Gavin. “Leg cramps.” BMJ clinical evidence vol. 2015 1113. 13 May. 2015

Video Gaming Injuries

Video Gaming Injuries

Video gaming has grown to over 150 million individuals in the United States playing. Around 60% of Americans play video games every day, with the average gamer being 34 years old. Playing video games for an extended amount of time takes a toll on the body. Individuals are experiencing the same kind of pains and aches from sitting and standing all day at work or school. Sitting positions, holding the controllers, and the different accessories can impact the nerves, muscles, and Posture. E-sports professionals understand the physical toll their bodies take with constant practice, tournaments, clinics, etc. They do cardiovascular conditioning, strength train, and stretch to improve their gaming abilities and also take into account:

  • The correct sitting position.
  • Ergonomic chairs.
  • Screen height.
  • Ergonomic controllers.
  • Hand/wrist supports.
  • Take regular breaks.

Taking steps can prevent strain, injuries and minimize the risk of long-term damage. If strain and injuries are present, professional chiropractic treatment can help alleviate the pain, rehabilitate/strengthen the muscles, ligaments, tendons, and recommend exercises and stretches.

Video Gaming Injuries

Video Gaming Posture

Proper Posture is vital to maintaining spinal as well as overall health. Poor Posture is the most common cause of back and neck pain.

Video Gaming Positions

Common gaming positions include the couch slouch where the gamer is slumped back into the couch with their feet up. This can lead to low back pain and sciatica. The full-on position is where the individual leans forward, elbows on their knees, head tilted forward, and staring up at the screen. Hours in these positions cause the neck, back, and other body areas to stiffen, generating soreness from the restricted movement. Many gamers use ergonomic gaming chairs. They have found that using the gaming chair improves Posture, eliminating the forward head and rounded shoulders. Gaming chairs can provide the health benefit of sitting correctly, reducing and eliminating neck and back tension or strain.

Injuries and Health Issues

Common musculoskeletal issues caused by excessive gaming and lack of movement include:

  • Eyestrain
  • Headaches
  • Neck pain
  • Elbow, arm, wrist  pain
  • Thumb pain
  • General hand pain
  • Carpal tunnel syndrome
  • Postural stress
  • Back pain

Chiropractic Treatment

Shoulder Massage

The intensity of gaming can cause the shoulders to tense up and stiffen. When using the controller, the shoulders can slightly lift, building up lactic acid, interrupting blood circulation, causing an accumulation of unwanted toxins inflaming trigger points. A chiropractic massage will release tightened muscles, provide relaxation, and increase the blood flow.

Hand and Wrist Treatment

The most used body parts for video games include the hands and wrist. Individuals grip the controllers or constantly use the keyboard and mouse. No matter what form of input is used, prolonged use can cause hand and wrist injuries. Injuries include:

  • Inflammation
  • Hand muscle aches

Chiropractic focuses on specific areas to help treat the body through a hand and wrist massage. Advanced techniques include electrical muscle stimulation to help stimulate and loosen the muscles. A chiropractor will recommend stretches and exercises, and hand/wrist supports, guards, or special gloves to alleviate muscle pains while still playing.

Neck and Back Adjustments

Poor posture can result in a misaligned spine or back muscle spasms. During extended game sessions, pain and fatigue can begin to present. A chiropractic adjustment can realign the muscles and set them back in place. The tissue surrounding the neck may thicken and focus on a specific area. Leaning too far forward or using a heavy gaming headset can result in a forward head posture placing a constant strain on the neck. Chiropractic adjustments will loosen the tissue and release any tension. Stretches and exercises will be recommended as well.


  • Set up the gaming station correctly.
  • The monitor or TV should be directly in front and around eye level, taking the strain off the neck.
  • Support the low back by maintaining the normal curve known as lordosis.
  • Use a lumbar support pillow or a small pillow behind the low back to prevent strain and pain.
  • Take frequent breaks every hour, take 10 minutes to get up, walk around, and stretch.
  • Physical activity/exercise 30-60 minutes a day to improve health.
  • Healthy diet

Body Composition

Body Composition

Body composition refers to how various substances in the body are proportioned. A few examples of the components that make up the body include:

  • Water
  • Protein
  • Fat
  • Minerals

All of these components generate balance in the body. When individuals exercise, they begin to notice changes in their body composition. For individuals that exercise regularly, it is vital to track weight gain, weight loss, and changes in body composition. This is to ensure that they aren’t losing muscle mass. As individuals exercise, muscle fibers are torn. During the recovery process, muscles are rebuilt. Overtraining can lead to muscle mass reduction because the body cannot catch up and rebuild the number of muscle fibers, eventually leading to lost muscle.


Emara, Ahmed K et al. “Gamer’s Health Guide: Optimizing Performance, Recognizing Hazards, and Promoting Wellness in Esports.” Current sports medicine reports vol. 19,12 (2020): 537-545. doi:10.1249/JSR.0000000000000787

Geoghegan, Luke, and Justin C R Wormald. “Sport-related hand injury: a new perspective of e-sports.” The Journal of hand surgery, European volume vol. 44,2 (2019): 219-220. doi:10.1177/1753193418799607

McGee, Caitlin, et al. “More Than a Game: Musculoskeletal Injuries and a Key Role for the Physical Therapist in Esports.” The Journal of orthopedic and sports physical therapy vol. 51,9 (2021): 415-417. doi:10.2519/jospt.2021.0109

McGee, Caitlin, and Kevin Ho. “Tendinopathies in Video Gaming and Esports.” Frontiers in sports and active living vol. 3 689371. 28 May. 2021, doi:10.3389/fspor.2021.689371

Zwibel, Hallie et al. “An Osteopathic Physician’s Approach to the Esports Athlete.” The Journal of the American Osteopathic Association vol. 119,11 (2019): 756-762. doi:10.7556/jaoa.2019.125

Acute and Chronic Sports Injuries

Acute and Chronic Sports Injuries

Acute and chronic sports injuries. Individuals that participate in sports or physical activities have an increased risk of experiencing an injury. These types of damages range from minor to severe and could require medical attention. Acute sports injuries happen suddenly and are usually the result of trauma to the area. A specific, identifiable incident is what causes an acute injury. Chronic sports injuries, also known as repetitive/overuse injuries, happen with time and are not caused by a single incident.

Acute and Chronic Sports Injuries

Acute and Chronic Sports Injuries Identification

Acute injuries can be identified by their cause. This could be a falling down during a run, sharp pain that presents in the shoulder after a throw, or a sprained ankle. The ability to focus on one cause usually means it’s acute. Acute injuries are characterized by:

  • Sudden pain in an area where there was none.
  • Swelling
  • Redness
  • Tenderness
  • Limited range of motion.
  • The inability of the injured area to support its weight.
  • A broken bone.
  • Dizziness
  • Headache
  • Nausea
  • Vomiting

Chronic injuries are different but are usually easy to identify. The pain begins gradually, usually over weeks or months. Repetitive activities like running, throwing, swinging can exacerbate the pain. However, it is difficult to point to a specific issue that first caused the discomfort or pain. Chronic sports injuries are characterized by:

  • Pain and tenderness in the area, especially during and immediately after activity.
  • Minor swelling and limited range of motion.
  • Dull pain when resting.

These two types of injuries have different causes – trauma for acute and wear-and-tear for chronic – they can both result in similar issues. For example, shoulder rotator cuff injuries are common, especially those that repeatedly use their shoulder to swing, throw, swim, etc. The individual needs to undergo a rotator cuff injury test to diagnose the injury correctly, whether the damage is acute or chronic. Chronic injuries can cause acute injuries, and acute injuries can lead to chronic injuries if left untreated.

Examples of Acute and Chronic Sports Injuries

Chronic and acute injuries are common in every type of sport. There’s an opportunity for both types of injuries. The most common include:

Acute Injuries:

  • Sprain and Strains
  • Burners and Stingers
  • A.C.L. Tears
  • Rotator Cuff Tear
  • Dislocated Shoulder
  • Broken Bones or Fractures
  • Concussion
  • Whiplash

Chronic Injuries:

  • Runner’s Knee
  • Achilles Tendon Issues
  • Shin Splints
  • Swimmer’s Shoulder
  • Lateral epicondylitis tennis elbow
  • Stress Fractures

Other injuries from trauma, overuse, or both include:

  • Nonspecific Back Pain
  • Herniated Disc/s
  • Spondylolysis


Minor acute injuries can be treated with rest, ice, compression, and elevation, aka R.I.C.E. Overuse injuries, are different as the injury has been gradually increasing in its severity, possibly causing scar tissue and ganglion cysts to develop. To prevent the injury from worsening, it’s recommended to see a sports injury chiropractor or physical therapist. These professionals can help heal the body and educate the individual on self-care and prevention.


The musculoskeletal system takes a beating. Chronic injuries usually affect the bones, joints, muscles, or a combination. Chiropractic helps keep the musculoskeletal system limber and in proper alignment. Adjustments include:

  • Neck adjustments
  • Arm and hand adjustments
  • Shoulder adjustments
  • Knee adjustments
  • Hip adjustments
  • Foot adjustments

Physical Therapy

Physical therapy for a chronic injury can help prevent future injuries. A physical therapist helps:

  • Improve range of motion
  • Reduces pain and swelling
  • Increases strength

Whether an athlete or are just staying active and having some fun with sports, acute and chronic injuries can sneak up and worsen if they are not treated properly. Healing with the help of a professional can quicken recovery time and prevent future injuries.

Body Composition

Maintain Muscle Mass While Losing Fat

Individuals that want to lose weight should focus on losing excess fat tissue, not muscle mass. Studies have shown that diet and exercise are crucial to preserving Skeletal Muscle Mass while losing weight. Losing weight healthily includes:

  • A healthy balance of cardio and resistance training to burn calories and build muscle.
  • A caloric deficit diet to burn through extra fat stores.
  • Get enough protein to support and maintain healthy muscle mass.

Cava, Edda et al. “Preserving Healthy Muscle during Weight Loss.” Advances in nutrition (Bethesda, Md.) vol. 8,3 511-519. 15 May. 2017, doi:10.3945/an.116.014506

Wörtler, K, and C Schäffeler. “Akute Sportverletzungen und chronische Überlastungsschäden an Vor- und Mittelfuß” [Acute sports injuries and chronic overuse stress damage to the forefoot and midfoot]. Der Radiologe vol. 55,5 (2015): 417-32. doi:10.1007/s00117-015-2855-3

Yang, Jingzhen et al. “Epidemiology of overuse and acute injuries among competitive collegiate athletes.” Journal of athletic training vol. 47,2 (2012): 198-204. doi:10.4085/1062-6050-47.2.198

The Stinger A Cervical Sports Injury El Paso, Texas

The Stinger A Cervical Sports Injury El Paso, Texas

A look at what a stinger or burner injury is and what they can do to the neck and shoulders. We will look at:

  • Symptoms
  • Treatment
  • Prevention

Contact sports, like:

  • Football
  • Hockey
  • Soccer
  • Basketball

This is a very common cervical injury that affects the neck and upper body. This is known as a stinger.

A stinger can also be called a burner and is an injury that happens when the head or neck gets hit to one side, which causes the shoulder to be pulled in the opposite direction.

Stingers/burners often happen at the high school level but can occur at all levels of play.


11860 Vista Del Sol Ste. 128 The Stinger A Cervical Sports Injury El Paso, Texas


Stinger/Burner neck injury cause

A stinger is caused by stretching the brachial plexus nerves.

These peripheral nerves that come out of:

  • Spinal cord
  • Run across the shoulders
  • Under the collarbone
  • Into the arms

The brachial plexus nerves give the arms their strength and sensation.

When a sideways hit to the head or hit to the shoulder occurs, the nerves can become:

  • Compressed
  • Stretched
  • Irritated


11860 Vista Del Sol Ste. 128 The Stinger A Cervical Sports Injury El Paso, Texas


Symptoms of a cervical stinger

This type of sideways collision causes immediate and intense pain, tingling or burning sensations that can run down the arm into the fingers.

Weakness in the affected arm or hand is common.

The weakness, numbness, and tingling sensations can last a few minutes or for a few weeks.


Stinger/burner injury treatment

Fortunately, most stinger injuries heal on their own with rest and relaxation of the neck muscles.

Athletes are placed on the disabled list until symptoms are gone and a doctor has cleared the athlete.

  1. Ice pack on the neck or shoulders
  2. Anti-inflammatory medication
  3. Chiropractic
  4. Massage
  5. Neck strength exercises

Players can return to sport once the pain is gone and they’ve regained:

  • Full range of motion
  • Strength
  • Normal sensation in neck and arms

Constant or recurring symptoms could indicate a more serious injury.

Cervical x-rays, a CT scan, or MRI could be used to rule out other conditions with similar symptoms.

Can stinger/burner injuries be prevented?

  • Strengthening exercises for the neck muscles are an important way for athletes and beginners to help prevent these injuries.
  • Using the proper and correct technique in contact sports to avoid spearing/spear tackles and head down tackling.
  • Safety equipment, like neck rolls, can help limit the backward movement of the neck.

Players who experience stinger symptoms should immediately report it to their coaches or team/personal physician.

Ignoring or playing through a stinger injury can lead to more severe injuries.


*Neck* Pain Chiropractic Care | El Paso, Tx



Following a balanced diet along with healthy lifestyle habits can help promote optimal health and wellness.

People with neck pain realize how much their symptoms affect their ability to engage in everyday activities.

Dr. Alex Jimenez helps patients achieve neck pain relief through chiropractic care, an alternative treatment option that carefully corrects any spinal misalignments or subluxations.�


NCBI Resources

  • Stretching is an outstanding complement to chiropractic care.
  • Blood flow to the muscles is increased, helps lower the risk of injury and improves performance.
  • Stretching is good for the joints, it helps them function through their full range of motion.
  • The benefits of stretching make it a great practice to do regularly.


Your *SPORTS* Injury Chiropractor | El Paso, Tx

Your *SPORTS* Injury Chiropractor | El Paso, Tx

Athletes participate in a variety of exercises and physical activities on a regular basis, however, this can increase the risk of injury. Proper sports injury therapy depends on the correct diagnosis in order for them to be able to return-to-play quickly. Dr. Alexander Jimenez, a chiropractor, helps many athletes recover to optimal performance through the use of chiropractic treatment.

Chiropractic utilizes adjustments and manual manipulations to restore the integrity of the spine. And this is to decrease injury symptoms and promote healing. Patients describe how Dr. Jimenez and his team helped them recover their life, health, and wellness. These patients highly recommend Dr. Jimenez as your sports injury chiropractor.

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.

We Are Ready To Help Get You Back To Optimal Performance!


11860 Vista Del Sol Ste. 128 Your *SPORTS* Injury Chiropractor | El Paso, Tx

The Foot Levelers Kiosk

The Kiosk helps guide patients in selecting the best custom-made orthotics for their condition and lifestyle. It’s�

  • Fast: Push the Start button and the scanner begins.
  • Easy to use: User-friendly easy touch screen.
  • Engaging: Videos explain the importance of healthy feet and the benefits of custom-made orthotics.
  • Cloud-based: Results can be securely accessed from anywhere.
  • Comprehensive: Easily retrieve previous scans to compare them to new scans and see the difference.

The Foot Levelers Kiosk helps you. It saves time so you can spend more time living your life.



11860 Vista Del Sol Ste. 128 Your *SPORTS* Injury Chiropractor | El Paso, Tx


Workouts & Working

Our uplifting southwest community surrounded by it infinite beauty is a fantastic place to live and enjoy our families; it is, therefore, our mission to help each of our patients to�live,�to�love,�to�matter�and�to�thrivepain-free�in this beautiful special place.





Health Grades:

Facebook Clinical Page:�…

Facebook Sports Page:�

Facebook Injuries Page:�…

Facebook Neuropathy Page:�…

Yelp: El Paso Rehabilitation Center:�

Yelp: El Paso Clinical Center: Treatment:�

Clinical Testimonies:�…


Information: Dr. Alex Jimenez � Chiropractor

Clinical Site:�

Injury Site:�

Sports Injury Site:�

Back Injury Site:�





Recommend: PUSH-as-Rx ��

Rehabilitation Center:�




NCBI Resources

When your body is truly healthy, you will arrive at your optimal fitness level proper physiological fitness state. �We want to help you live a new and improved lifestyle. Over the last two decades, while researching and testing methods with thousands of patients, we have learned what works effectively at decreasing pain while increasing human vitality.