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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.


Anterior Hip and Leg Muscle Pain Relief Techniques

Anterior Hip and Leg Muscle Pain Relief Techniques

Anterior Hip and Leg Muscles: What They Are, What They Do, and Why They Hurt

Anterior Hip and Leg Muscle Pain Relief Techniques

A woman holds her aching anterior hip.

Pain in the front of the hip (often felt in the hip crease or groin area) and the front of the thigh is very common. It can show up when you stand up from a chair, climb stairs, run, kick, or even after sitting for a long time. The tricky part is this: front-hip pain is not always “just a tight hip flexor.” Sometimes it’s a muscle or tendon problem, but it can also be related to the hip joint, the pelvis, or the lower back.

This guide is written for everyday people in El Paso who want clear answers, plus a practical explanation of how an integrative chiropractic approach can help reduce pain and prevent flare-ups.

At El Paso Back Clinic, Dr. Alexander Jimenez and the team often observe a pattern: tight, overworked hip flexors, underactive glutes, and poor pelvic control—especially in people who sit a lot, train hard, or are recovering after an accident.


What “anterior hip and leg muscles” means

“Anterior” means the front side. The anterior hip and leg muscles are basically your “go-forward” and “stand-tall” muscles. They help you:

  • Lift your knee (hip flexion)

  • Step forward when walking or running

  • Stabilize your pelvis so your lower back doesn’t overwork

  • Straighten your knee (knee extension)

  • Control your leg when you climb stairs or squat

When these muscles get overloaded, they can feel tight, sore, weak, or sharp—depending on the cause.


The main anterior hip muscles (your hip flexors)

Hip flexors are not one muscle. They’re a group that works together.

Key hip flexor muscles

  • Iliopsoas (iliacus + psoas): the classic “deep hip flexor”

  • Rectus femoris: part of the quadriceps, crosses the hip and the knee

  • Sartorius: a long, strap-like muscle across the front of the thigh

  • Tensor fasciae latae (TFL): supports hip flexion and pelvic control

  • Pectineus (often grouped with hip flexors in clinical discussions)

Why iliopsoas matters so much

The iliopsoas helps:

  • Lift the thigh toward the trunk

  • Support the hip joint and pelvis

  • Add stability near the lumbar spine/pelvis connection

At El Paso Back Clinic, iliopsoas overuse is commonly discussed among athletes and active individuals who engage in sprinting, jumping, kicking, or repeated hip flexion.


The anterior thigh muscles (front of the thigh)

The main anterior thigh group is the quadriceps. They’re designed to extend the knee and help control motion during walking, stairs, squats, and landing.

Quadriceps muscles

  • Rectus femoris

  • Vastus medialis

  • Vastus lateralis

  • Vastus intermedius

The anterior thigh compartment is also supplied and controlled by key anatomical structures, such as the femoral nerve (often described as the L2–L4 roots) and the femoral artery system. That’s one reason pain patterns can sometimes feel confusing—muscles, nerves, and joints all influence the sensation you feel.


Why the anterior hip and leg muscles sometimes hurt sometimes

There are a few “big buckets” that explain most front-hip and front-thigh pain.

You’re asking the muscles to do too much, too often (overuse)

Overuse happens when the workload increases faster than your tissues can adapt. Common triggers include:

  • Sudden jump in running miles

  • More hills or speed work than usual

  • Lots of kicking (soccer, martial arts)

  • Heavy squats/lunges with poor control

  • Repetitive direction changes (basketball, football)

Overuse can irritate:

  • The muscle belly (soreness, tightness)

  • The tendon (tendinopathy-like pain)

  • The hip flexor attachment area near the front of the hip

Prolonged sitting keeps hip flexors in a “shortened” position

Sitting puts the hips into flexion. Over time, many people notice:

  • Hip tightness when standing up after sitting

  • A “pinchy” feeling in the front of the hip

  • Low back stiffness that shows up with hip tightness

Dr. Jimenez has emphasized in his recent writing that prolonged sitting can contribute to tight hip flexors and poor movement patterns, and that short movement breaks, along with targeted mobility work, can help many people feel better.

The hip flexors can be tight because other muscles are not doing their job

This is one of the most common “root causes” in stubborn cases:

  • Weak or underactive glutes

  • Weak deep core stabilizers

  • Limited hip mobility (the hip joint doesn’t move well)

  • Pelvic control issues (pelvis tips forward, rotates, or drops during gait)

El Paso Back Clinic explains that when the glutes weaken from inactivity and prolonged sitting, the hips and pelvis can become less stable and shift out of alignment, thereby increasing stress on surrounding tissues.

Sometimes the pain is not in the hip flexor at all

A major clinical point from family medicine guidelines is that hip pain often groups into:

  • Anterior (front)

  • Lateral (side)

  • Posterior (back)

…and the cause changes based on that pattern. Anterior hip pain may result from hip flexor injury, but it can also result from intra-articular hip joint problems (such as femoroacetabular impingement or labral pathology) or from referred pain.

A helpful “body map” concept is presented in educational videos that discuss what different hip pain locations can indicate, but a hands-on evaluation remains important when symptoms persist.


What the pain feels like: common patterns that guide the next step

These are not perfect rules, but they help you decide whether you’re dealing with a likely muscle/tendon issue or something deeper.

More likely muscle/tendon irritation (common hip flexor pattern)

  • Pain in the front hip crease

  • Worse with lifting the knee (stairs, marching)

  • Worse with running sprints, kicking, or hills

  • Tenderness in the front hip region

  • Feels tight after sitting

More likely hip joint involvement

  • Deep groin pain with hip rotation

  • Catching, clicking, locking, or “pinching”

  • Pain that persists despite basic stretching/rest

  • Range of motion feels blocked (especially flexion + rotation)

More likely low back/nerve referral

  • Front thigh pain plus low back symptoms

  • Numbness, tingling, and burning sensations

  • Symptoms that change with spine position


Why “stretching only” often fails

Stretching can feel good short-term, but it may not solve the real driver if the problem is:

  • Weak glutes and weak core control

  • A stiff hip joint or pelvic restriction

  • Poor movement strategy (how you squat, run, or stand)

  • A training load problem (too much too soon)

In other words, the hip flexors may be tight because they’re protecting you or compensating for something else.


How El Paso Back Clinic approaches anterior hip and leg pain

El Paso Back Clinic describes an integrative model that blends chiropractic care, rehabilitation concepts, and movement-based strategies, with a focus on mobility, flexibility, and the restoration of balanced function.

Here’s how that “integrative” approach commonly helps front-hip and front-thigh problems.

Identify the true driver (not just the sore spot)

A good evaluation typically includes:

  • History (training, sitting, injury, accident history)

  • Hip and pelvic range-of-motion testing

  • Strength checks (hip flexors, glutes, core, quads)

  • Movement screening (squat, step-down, gait)

  • Differentiation between hip joint vs. lumbar referral patterns

Dr. Jimenez has written about the importance of a structured hip evaluation to sort out the likely source of pain and match care to the pattern.

Restore joint motion and reduce protective “guarding”

When the pelvis/hip/lumbar spine isn’t moving well, the body often shifts load to the hip flexors and quads. Chiropractic-style care may focus on restoring smoother motion so the muscles stop overworking.

El Paso Back Clinic also discusses how muscle imbalance and chronic guarding can make it harder for muscles to “relax on their own,” especially after injuries.

Use soft tissue + targeted techniques to normalize muscle function

A common strategy is pairing hands-on care with neuromuscular techniques. El Paso Back Clinic specifically discusses assessing hip flexors with MET therapy (muscle energy technique) as part of reducing tightness and improving hip mobility.

Rebuild strength where it matters (glutes + core + hip control)

To prevent recurrence, the plan usually includes strengthening and control, especially:

  • Glute bridges and progressions

  • Hip abduction strength (side-lying or banded work)

  • Core stability (anti-rotation, controlled bracing)

  • Gradual reloading of hip flexors (instead of only stretching)

El Paso Back Clinic’s content repeatedly emphasizes that restoring balanced muscle function around the pelvis and hips supports daily movement and performance.


Practical tips you can start today (safe, simple, and realistic)

If your symptoms are mild and you’re not dealing with red flags, these are common first steps.

For desk workers and drivers (very common in El Paso)

  • Take 1–2 minute movement breaks every 30–60 minutes

  • Do a gentle hip flexor stretch (no sharp pinching)

  • Add a glute activation move (bridges or mini-band walks)

  • Keep your daily steps consistent (don’t go from 2,000 to 12,000 overnight)

For runners and athletes

  • Reduce aggravating volume for 1–2 weeks (not “stop forever,” just calm it down)

  • Avoid sprinting/kicking if it spikes sharp pain

  • Strengthen glutes and hip stabilizers 2–3x/week

  • Return to speed and hills gradually, not all at once

Quick self-check idea (mobility clue)

The Thomas Test is commonly used to screen for hip flexor tightness and may help distinguish whether the “tight feeling” is more iliopsoas- or quadriceps-based (rectus femoris). It’s not a diagnosis, but it can be a clue.


When you should get evaluated sooner rather than later

Don’t try to “stretch through it” if you have:

  • Severe pain after a fall or accident

  • Inability to bear weight

  • Fever or feeling unwell with hip pain

  • Worsening numbness/tingling or leg weakness

  • Persistent catching/locking and deep groin pain

A structured clinical examination is particularly important when hip pain may involve the hip joint or referral patterns.


The main takeaway

Your anterior hip and leg muscles—especially the hip flexors and quadriceps—are essential for walking, running, stairs, and posture. They often hurt because of:

  • Too much repeated load (overuse)

  • Too much sitting (hip flexors stay shortened)

  • Muscle imbalance (weak glutes/core causing hip flexors to overwork)

  • Hip joint or low back referral (pain “shows up” in the front)

An integrative chiropractic model—such as the one described in El Paso Back Clinic’s educational resources—focuses on identifying the underlying cause, restoring motion, improving muscle balance, and developing a plan to reduce the likelihood of recurrence.


References

Chiropractic Prevents Future Injuries in Athletes Today

Chiropractic Prevents Future Injuries in Athletes Today

How Integrative Chiropractic Care Prevents Future Injuries in Athletes Using Functional Movement Assessments

Chiropractic Prevents Future Injuries in Athletes Today

Sports: an athlete is in action on the field, ready to hit the ball during the game.

Athletes often push their bodies hard during training and competition. Small problems can build up over time and turn into painful injuries that force time off from sports. To catch these issues early, many athletes now ask for functional movement assessments as part of integrative chiropractic care. This method spots hidden imbalances like muscle tightness, weak spots, or stiff joints before pain starts. By addressing these problems with adjustments, soft-tissue work, and targeted exercises, practitioners help athletes stay healthy, move better, and avoid overuse injuries.

Functional movement assessments check how the body moves during everyday and sport-specific actions. These tests look at mobility, stability, balance, and coordination. Common movements include squats, lunges, reaching overhead, or stepping in different directions. The goal is to find areas where the body does not move smoothly or evenly. Even if nothing hurts yet, these assessments reveal subclinical imbalances—small issues that do not cause pain right away but can lead to bigger problems later.

  • Early detection of poor posture or uneven weight distribution
  • Spotting a limited range of motion in the hips, shoulders, or ankles
  • Identifying weak core or glute muscles that affect overall stability
  • Noting tight muscles that pull joints out of proper alignment

Integrative chiropractic care

Integrative chiropractic care combines spinal adjustments, soft-tissue therapies, and corrective exercises to effectively address these findings. Gentle adjustments move joints back into better positions, improving nerve signals and reducing pressure on surrounding tissues. Soft tissue work, such as massage or instrument-assisted techniques, loosens tight muscles and breaks up scar tissue. Corrective exercises then build strength and teach proper movement patterns. Together, these steps enhance nervous system function, optimize biomechanics, and stop the body from developing harmful compensation patterns.

The nervous system controls every muscle movement. When the spine or joints are misaligned, nerve messages can get disrupted. This leads to weaker muscle coordination or slower reaction times. Chiropractic adjustments help restore clear nerve pathways, so muscles fire at the right time and with the right force. Better biomechanics means joints move through their full, natural range without extra stress. This reduces wear and tear on knees, hips, shoulders, and the lower back.

Compensation patterns occur when one part of the body works harder to compensate for a weakness elsewhere. For example, tight hip flexors or a tilted pelvis in runners can cause the knees to track incorrectly, leading to pain or stress fractures over time. Faulty shoulder mechanics in swimmers or weightlifters can overload the rotator cuff. Integrative care addresses these root causes rather than just treating symptoms later.

Common subclinical imbalances identified through functional movement assessments include:

  • Muscle tension in the lower back or hamstrings that limits forward bending
  • Weak glute muscles that fail to stabilize the pelvis during running or jumping
  • Joint restrictions in the ankles that change walking or landing mechanics
  • Uneven shoulder mobility that affects throwing or overhead lifting
  • Poor core stability causes excessive arching in the lower back during lifts

By addressing these early, athletes lower their injury risk and maintain consistent training. Regular care also speeds recovery if minor issues arise, resulting in less downtime overall.

Practitioners often start with a thorough history and physical exam. They watch the athlete perform key movements and note any asymmetries or compensations. Based on the results, they create a personalized plan. Spinal adjustments realign the vertebrae to take pressure off nerves. Soft tissue therapies release tight fascia and muscles. Then, corrective exercises strengthen weak areas and retrain proper form. Over time, these steps improve balance, coordination, flexibility, and power output.

Key benefits of combining functional movement assessments with integrative chiropractic care:

  • Reduced chance of sprains, strains, tendonitis, and stress fractures
  • Improved joint mobility and muscle flexibility for better performance
  • Faster reaction times and coordination through better nerve function
  • Less inflammation and quicker recovery between workouts
  • Longer sports careers by preventing chronic overuse problems

Runners frequently show pelvic imbalances that tilt the hips and strain the iliotibial band or shins. Chiropractic adjustments and exercises that strengthen the glutes and core help keep the pelvis level, improving stride efficiency and cutting injury risk. Weightlifters with restricted shoulder mobility may compensate by excessively arching their backs, which can lead to low-back strain. Targeted soft tissue work and mobility drills correct this pattern before pain develops.

Football players and other contact-sport athletes benefit from regular checks of spinal alignment to better handle impacts. Swimmers gain from improved shoulder mechanics that prevent rotator cuff irritation. Weekend warriors who lift weights or cycle also see gains in endurance and reduced soreness. The approach works for athletes of all levels because it focuses on the root causes rather than waiting for symptoms.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, brings valuable clinical observations to this field. As a chiropractor and board-certified family nurse practitioner with certifications in functional medicine, he emphasizes non-invasive, root-cause approaches. His work highlights how chiropractic adjustments, combined with functional assessments of mobility and biomechanics, help treat sports injuries, sciatica, and musculoskeletal imbalances. Dr. Jimenez observes that addressing nerve compression, inflammation, and movement dysfunction early—through adjustments, nutrition support, and tailored rehabilitation—enhances recovery and prevents recurrence in athletes and active individuals. His integrative practice in El Paso integrates chiropractic care with functional medicine to optimize performance, reduce chronic pain, and support long-term wellness.

This holistic view aligns with broader chiropractic principles that view the body as interconnected. When one area is restricted, it affects the whole kinetic chain. Integrative care breaks that cycle by restoring proper alignment and teaching sustainable movement habits.

Additional advantages athletes notice include:

  • Better posture during daily activities and sports
  • Enhanced proprioception (body awareness) for safer landings and cuts
  • Decreased muscle fatigue during long training sessions
  • Greater overall strength and power from efficient mechanics
  • Support for mental focus through reduced nagging discomfort

Preventing injuries this way also saves time and money by avoiding expensive treatments or missed competitions later. Many athletes report feeling stronger, more balanced, and more confident in their movements after consistent care.

To maintain results, athletes typically schedule regular visits. Frequency depends on training intensity, sport demands, and individual findings. Some come weekly during heavy training periods, while others maintain monthly check-ins. Between visits, they perform prescribed exercises at home or in the gym to reinforce new patterns.

Education plays a big role, too. Chiropractors teach proper warm-up routines, cool-down stretches, and body mechanics for specific sports. Nutritional guidance can sometimes complement care to support tissue repair and reduce inflammation. Collaboration with coaches, physical therapists, or trainers creates a complete support team.

In summary, functional movement assessments allow integrative chiropractic care to identify subclinical imbalances long before pain appears. Adjustments restore joint function, soft tissue therapies release restrictions, and corrective exercises build resilience. This combination enhances nervous system communication, optimizes biomechanics, and prevents compensation patterns that cause overuse injuries. Athletes—from runners dealing with pelvic tilts to lifters correcting shoulder mechanics—benefit by training more consistently, performing at higher levels, and enjoying longer, healthier careers. By addressing small issues proactively, this approach helps athletes stay in the game without painful interruptions.


References

Prevention of Sports Injuries Rhythm of Life Chiropractic. (n.d.).

Sports Injury Chiropractor: Ultimate Guide 2025 Stanlick Chiropractic. (2025).

Unlocking Athletic Potential: The Chiropractic Advantage AnySpine. (2024, October 1).

Functional Movement Assessments Joint Pain Relief Springfield MO 417 Spine. (n.d.).

The Athlete’s Guide to Preventative Chiropractic Care The KC Chiro. (2024, March 17).

Sports Injuries Treated With Chiropractic Care Advanced Spine & Posture. (n.d.).

Integrating Chiropractic Care with Sports Medicine Dallas Accident and Injury Rehab. (n.d.).

Chiropractic Care for Athletes: Enhancing Performance and Preventing Injuries Hilltop Integrated Healthcare. (n.d.).

Dr. Alexander Jimenez Clinical Insights Jimenez, A. (n.d.).

Dr. Alexander Jimenez LinkedIn Profile Jimenez, A. (n.d.).

Sports Injuries and How El Paso Back Clinic Heals Athletes

Sports Injuries and How El Paso Back Clinic Heals Athletes

Common Sports Injuries in El Paso and How El Paso Back Clinic Supports Full Recovery

Sports Injuries and How El Paso Back Clinic Heals Athletes
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https://www.orthoinfo.org/globalassets/pdfs/thumbs/knee_resize.jpg

Sports and physical activity are part of everyday life in El Paso. From running and weight training to football, soccer, and basketball, people of all ages stay active year-round. While this active lifestyle is healthy, it also leads to a high number of sports-related musculoskeletal injuries—especially when combined with the region’s heat, rough ground, and uneven terrain.

At El Paso Back Clinic, sports injury care focuses on restoring spinal alignment, joint mobility, muscle balance, and overall movement quality. When chiropractic care is combined with nurse practitioner (NP) support, athletes receive complete, coordinated care that promotes healing, performance, and long-term injury prevention.

Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC, show that athletes recover more efficiently when spine health, joint mechanics, muscle function, and medical oversight are addressed together rather than separately.


Why Sports Injuries Are So Common in El Paso

El Paso presents unique physical challenges for athletes and active individuals. The environment itself can increase stress on the musculoskeletal system.

Common contributing factors include:

  • High temperatures, which increase fatigue and dehydration

  • Hard and uneven surfaces, stressing feet, ankles, knees, and hips

  • Year-round activity, limiting rest and recovery

  • High-impact sports, such as football and basketball

  • Repetitive movement patterns, common in running and training

When the spine and joints are not moving properly, the body compensates. Over time, these compensations increase injury risk and slow healing (NIAMS, n.d.).


Common Sports-Related Musculoskeletal Injuries Seen in El Paso

Sprains and Strains

Sprains and strains are among the most frequently treated injuries at El Paso Back Clinic.

  • Sprains affect ligaments

  • Strains affect muscles or tendons

Common areas include:

  • Ankles

  • Knees

  • Hamstrings

  • Lower back

These injuries often occur during quick movements, twisting, jumping, or improper warm-ups (Orthospine Centers, n.d.).


Knee Injuries (ACL, Meniscus, Runner’s and Jumper’s Knee)

Knee injuries are especially common in sports that involve cutting, jumping, or sudden stops.

Typical knee problems include:

  • ACL tears

  • Meniscus tears

  • Patellar tendonitis (jumper’s knee)

  • Runner’s knee

Misalignment in the spine, hips, or feet can increase stress on the knee joint, making chiropractic care an important part of recovery (Spectrum Therapy Consultants, n.d.).


Tendonitis and Overuse Injuries

Tendonitis develops when tendons are repeatedly stressed without enough recovery.

Common forms include:

  • Tennis elbow

  • Golfer’s elbow

  • Achilles tendonitis

  • Patellar tendonitis

These injuries often worsen slowly and are common in athletes who push through pain (Woodlands Sports Medicine, n.d.).


Shin Splints and Stress Fractures

Lower-leg injuries are common in runners and field athletes.

These include:

  • Shin splints

  • Foot stress fractures

  • Tibial stress injuries

Hard surfaces, worn footwear, and poor biomechanics increase the risk of these injuries (CTX Foot & Ankle, n.d.).


Hip Labral Tears

Hip labral tears affect the cartilage that stabilizes the hip joint.

Common symptoms include:

  • Deep hip or groin pain

  • Clicking or locking sensations

  • Reduced range of motion

These injuries are common among athletes who frequently twist, pivot, or sprint (Texas Spine Clinic, n.d.).


Rotator Cuff and Shoulder Injuries

Shoulder injuries often occur in athletes who lift, throw, or absorb contact.

Common issues include:

  • Rotator cuff strains or tears

  • Shoulder impingement

  • Joint instability

Shoulder pain is often linked to spinal and postural imbalances that chiropractic care addresses (Marque Medical, n.d.).


Lower Back Pain and Sciatica

Lower back pain is one of the most common complaints among athletes.

Contributing factors include:

  • Muscle strain

  • Core weakness

  • Poor posture

  • Spinal joint restrictions

When spinal alignment is compromised, nerve irritation such as sciatica may occur (Marque Medical, n.d.).


How Chiropractic Care at El Paso Back Clinic Helps Sports Injuries

Chiropractic care at El Paso Back Clinic focuses on restoring proper motion to the spine and joints. This allows the nervous system, muscles, and joints to work together efficiently.

Chiropractic treatment may include:

  • Spinal adjustments

  • Extremity joint adjustments (knees, hips, ankles, shoulders)

  • Soft-tissue therapy

  • Mobility and flexibility work

  • Postural correction

Improving alignment reduces stress on injured tissues and supports natural healing (Vista Hills Chiropractic, n.d.).


Benefits of Chiropractic Care for Athletes

Athletes receiving chiropractic care often experience:

  • Reduced pain and stiffness

  • Improved joint mobility

  • Better balance and coordination

  • Faster recovery times

  • Lower risk of repeat injuries

Clinical experience shows that addressing spinal alignment early improves outcomes across many sports injuries (Jimenez, n.d.).


The Role of Nurse Practitioners in Integrated Sports Injury Care

Nurse practitioners (NPs) play an important role in sports injury management by providing medical oversight and coordination of care.

NPs may assist by:

  • Performing initial evaluations

  • Ordering diagnostic imaging (X-ray, MRI)

  • Managing pain and inflammation

  • Coordinating physical therapy

  • Monitoring healing progress

This medical support ensures injuries are accurately diagnosed and treated safely (NIAMS, n.d.).


Functional and Preventive Approach to Recovery

NPs often use a functional approach that looks beyond the injured area.

This includes evaluating:

  • Movement patterns

  • Training load

  • Nutrition and hydration

  • Sleep and recovery habits

  • Inflammation levels

Addressing these factors helps athletes heal fully and return stronger.


Coordinated Care: Chiropractic, NP, and Rehabilitation

One of the strengths of El Paso Back Clinic is coordinated care. Chiropractic care and NP oversight work together with rehabilitation to create a clear recovery plan.

A coordinated plan may include:

  • Chiropractic adjustments for alignment

  • Rehabilitation exercises for strength and stability

  • Medical monitoring for healing progress

  • Gradual return-to-sport planning

This team-based approach improves outcomes and reduces setbacks (Southwest Chiropractors, n.d.).


PRP Therapy and Advanced Recovery Options

For certain injuries, platelet-rich plasma (PRP) therapy may be recommended.

PRP may support healing for:

  • Tendon injuries

  • Ligament sprains

  • Knee injuries

  • Early osteoarthritis

NPs evaluate whether PRP is appropriate and coordinate care alongside chiropractic treatment and rehabilitation (Desert Institute of Sports Medicine, n.d.).


Clinical Example: Knee Injury Recovery at El Paso Back Clinic

Based on clinical observations from Dr. Jimenez, a typical knee injury recovery plan may include:

  1. NP evaluation to diagnose the injury

  2. Imaging to assess ligament or cartilage damage

  3. Chiropractic care to improve spinal, hip, and knee alignment

  4. Rehabilitation exercises to restore strength and stability

  5. PRP therapy, when appropriate

  6. Performance monitoring to prevent re-injury

This integrated approach supports long-term joint health and athletic performance.


Preventing Future Sports Injuries

Prevention is a major focus at El Paso Back Clinic.

Key strategies include:

  • Proper warm-ups and mobility work

  • Strengthening core and stabilizing muscles

  • Maintaining hydration in hot conditions

  • Correcting posture and movement patterns

  • Allowing adequate recovery time

Chiropractic and NP care help identify small problems before they become serious injuries (Texas Children’s Hospital, n.d.).


Long-Term Benefits of Integrated Sports Injury Care

Athletes who receive integrated care often experience:

  • Faster recovery

  • Fewer recurring injuries

  • Improved flexibility and strength

  • Better overall performance

  • Greater confidence in movement

Treating the spine, joints, muscles, and nervous system together leads to a more complete recovery.


Conclusion

Sports injuries are common in El Paso due to the climate, terrain, and high levels of physical activity. Injuries such as sprains, strains, knee injuries, tendonitis, back pain, and stress fractures can limit performance if not treated properly.

At El Paso Back Clinic, chiropractic care restores alignment and mobility, while nurse practitioners provide diagnostics, medical oversight, and coordinated treatment options. Together, this approach supports full recovery, injury prevention, and long-term performance.

Clinical experience from Dr. Alexander Jimenez shows that athletes recover best when care focuses on the whole musculoskeletal system—not just the painful area.


References

El Paso Center Family & Sports Medicine. (n.d.). Musculoskeletal injuries. https://www.elpasocenterfamilyandsportsmed.com/services/musculoskeletal-injuries

Orthospine Centers. (n.d.). Understanding common sports injuries. https://orthospinecenters.com/understanding-common-spring-sports-injuries-prevention-techniques-and-the-role-of-the-musculoskeletal-system/

Spectrum Therapy Consultants. (n.d.). Sports injuries and physical therapy. https://spectrumtherapyconsultants.com/physical-therapy-services/sports-injuries/

Texas Spine Clinic. (n.d.). Sports injuries. https://www.texasspineclinic.com/sports-injuries/

Gonzalez, C. (n.d.). Sports medicine in El Paso. https://www.carlosgonzalezmd.com/sports-medicine-el-paso.html

Texas Children’s Hospital. (n.d.). Most common sports injuries. https://www.texaschildrens.org/content/wellness/most-common-sports-injuries

NIAMS. (n.d.). Sports injuries. https://www.niams.nih.gov/health-topics/sports-injuries

Marque Medical. (n.d.). Most common sports injuries. https://marquemedical.com/most-common-sports-injuries-by-vanessa-fitzgerald/

Woodlands Sports Medicine. (n.d.). Common sports injuries. https://www.woodlandssportsmedicine.com/blog/6-common-sports-injuries

CTX Foot & Ankle. (n.d.). Top sports injury diagnoses. https://www.ctxfootankle.com/top-sport-injury-diagnoses/

Vista Hills Chiropractic. (n.d.). Sports injury chiropractic care. https://www.vistahillschiropracticelpasotx.com/sports-injury

Desert Institute of Sports Medicine. (n.d.). PRP therapy services. https://desertinstituteep.com/services-1

Jimenez, A. (n.d.). Clinical insights. https://dralexjimenez.com/

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/

Sports Injury Help Online: Your Virtual Recovery Guide

Sports Injury Help Online: Your Virtual Recovery Guide

Fast Sports Injury Help Online: How Telemedicine Guides Diagnosis, Rehab, and Return to Play

Sports Injury Help Online: Your Virtual Recovery Guide

A massage therapist treats the injury of a professional athlete at El Paso Back Clinic

Telemedicine is changing how athletes get help after an injury. When a chiropractor and a nurse practitioner (NP) work together online, they can guide recovery from many sports injuries without the need for an in-office visit. This is especially helpful for athletes who travel, live far from clinics, or are balancing school, work, family, and training.

In this article, we’ll break down how an integrated chiropractor–NP telemedicine team can:

  • Do virtual exams from a distance

  • Share treatment plans and coordinate care

  • Support at-home rehab, nutrition, and mental health

  • Help with urgent issues like a possible concussion during games

  • Reduce unnecessary ER visits while still protecting your safety


1. Why telemedicine matters for sports injuries

Telemedicine is more than a video call. It is a structured way to deliver health care at a distance using secure video, phone, apps, and online tools. Johns Hopkins Medicine notes that telemedicine improves comfort, convenience, and access, especially for people who would otherwise struggle to travel or fit visits into a busy schedule. Hopkins Medicine

For athletes, that matters because:

  • Practices and games already take up time.

  • Travel teams may compete hours away from home.

  • Injuries often happen suddenly—during a weekend tournament, camp, or late-night match.

Telehealth physical therapy and sports services now let athletes receive full evaluations and guided rehab sessions from home, with real-time video coaching. SportsMD+1 Research shows telehealth physical therapy is effective for many orthopedic and sports-related conditions, including non-surgical and post-surgical rehab. PMC

At the same time, sports medicine researchers have shown that telehealth can support concussion care, including baseline testing, diagnosis, and follow-up—especially in rural or resource-limited settings. PMC+1


2. What is an integrated chiropractor + NP telemedicine team?

An integrated team means the chiropractor and nurse practitioner work together instead of in separate silos.

  • The nurse practitioner (NP) focuses on your overall health, medical history, medications, imaging, and underlying conditions (like asthma, diabetes, or heart issues).

  • The chiropractor focuses on your spine, joints, muscles, and movement patterns, using guided tests, posture checks, and therapeutic exercises delivered remotely.

In Dr. Alexander Jimenez’s clinical model in El Paso, Texas, the same provider is both a board-certified family nurse practitioner and a chiropractor, which allows one clinician to blend medical and musculoskeletal care through telemedicine for neck pain, low back pain, headaches, and sports injuries. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

When the chiropractor and NP are separate providers, they can still share:

  • Notes and findings in the same electronic health record

  • Imaging reports and lab results

  • Exercise programs and rehab goals

  • Messages with athletic trainers, physical therapists, and coaches

This two-pronged approach helps create one unified plan that covers:

  • Medical needs (diagnosis, prescriptions, imaging)

  • Musculoskeletal needs (joint mechanics, muscle balance, posture)

  • Functional goals (return to sport, position-specific demands)


3. How a virtual sports injury exam works

A telemedicine visit is structured and systematic, not just a quick chat.

3.1 Before the visit

You’ll usually:

  • Complete an online intake form about symptoms, past injuries, and sport.

  • Upload any previous X-rays, MRIs, or reports, if available.

  • Test your camera, microphone, and Wi-Fi connection. SportsMD+1

3.2 During the visit: what the NP does

The nurse practitioner can:

  • Take a detailed medical history:

    • How the injury happened

    • Any prior concussions, surgeries, or chronic conditions

    • Current medications and allergies

  • Screen for red flags like chest pain, severe shortness of breath, uncontrolled bleeding, or signs of serious head injury. telehealth.hhs.gov+1

  • Order diagnostic imaging (X-ray, MRI, CT) if needed.

  • Write or adjust prescriptions, such as:

    • Pain medications (when appropriate)

    • Muscle relaxants

    • Anti-inflammatory medications

  • Coordinate referrals to orthopedics, neurology, or emergency care if telemedicine alone is unsafe. OrthoLive+1

3.3 During the visit: what the chiropractor does

Over secure video, the chiropractor can:

  • Observe posture and alignment (standing, sitting, walking).

  • Guide you through movement tests, for example:

    • Bending, rotating, or side-bending the spine

    • Squats, lunges, or single-leg balance

    • Shoulder or hip range of motion

  • Identify pain patterns that suggest sprain, strain, tendinopathy, or joint irritation. sportsandexercise.physio+1

  • Teach safe at-home movements, such as:

    • Gentle mobility drills

    • Core stability exercises

    • Isometrics to protect healing tissue

In his telemedicine work, Dr. Jimenez describes using these virtual exams to track changes in pain, strength, and mobility from week to week, adjusting exercise progressions and ensuring athletes are not overloading injured tissue. El Paso, TX Doctor Of Chiropractic+1

3.4 Typical flow of a telemedicine sports injury visit

  • NP and chiropractor (or dual-licensed provider) review your history and goals.

  • Guided movement and functional tests help narrow down the likely diagnosis.

  • The NP decides whether imaging or labs are needed.

  • The chiropractor designs initial movement and pain-reduction strategies.

  • You leave with a clear home plan and follow-up schedule.


4. Building a shared treatment plan online

After the virtual exam, the team builds a plan that blends medical and musculoskeletal care. Telehealth orthopedic and sports practices report four consistent benefits from this style of care: improved access, reduced costs, better quality and safety, and higher patient satisfaction. OrthoLive

Typical parts of a shared plan include:

  • Diagnosis and injury stage

    • Example: Grade I ankle sprain, acute hamstring strain, patellofemoral pain, mild lumbar strain.

  • Medical actions (NP)

    • Medication plan

    • Imaging orders

    • Clear guidelines for when to go to urgent care or ER

  • Chiropractic and movement actions

    • Joint and spinal stabilization work

    • Mobility and flexibility progression

    • Posture and movement training specific to your sport position

  • Rehab schedule

    • How often you meet on video

    • How many daily or weekly exercises

    • When to retest speed, strength, or sport-specific skills

Telehealth sports physiotherapy services emphasize that virtual care works best when the athlete receives personalized exercise programs, regular online check-ins, and careful progression from injury to return to play. sportsandexercise.physio+1


5. Conditions that respond well to integrated telemedicine care

Research and real-world practice show that many sports injuries can be evaluated and managed, at least partly, through telemedicine. SportsMD+1

5.1 Common injuries suited for telemedicine

  • Mild to moderate ankle sprains

  • Knee pain related to overuse (patellofemoral pain, mild tendinopathy)

  • Hamstring or quadriceps strains

  • Shoulder overuse injuries (swimmer’s shoulder, rotator cuff strain)

  • Back and neck pain from training load, lifting, or collisions

  • Mild muscle contusions without signs of fracture

Telehealth physical therapy has shown promise in non-operative and post-operative sports rehab, especially when therapists guide exercise, monitor progress, and adjust programs in real time. PMC+1

5.2 How the NP and chiropractor divide roles

The NP can:

  • Confirm whether the injury is stable enough for home care.

  • Check for other health issues (asthma, heart conditions, bleeding disorders).

  • Manage medications and monitor side effects.

The chiropractor can:

  • Analyze movement patterns that caused or worsened the injury.

  • Design sport-specific rehab drills (for pitchers, runners, lifters, etc.).

  • Coordinate with physical therapists and athletic trainers to align load, volume, and recovery strategies. El Paso, TX Doctor Of Chiropractic+1

Dr. Jimenez’s clinical work often combines telemedicine visits with in-clinic follow-ups, advanced imaging review, and collaboration with physical therapy and sports training teams to keep athletes progressing without re-injury. El Paso, TX Doctor Of Chiropractic+1


6. Telemedicine and concussion: quick decisions from a distance

Concussions and suspected head injuries are a special case. A missed or delayed diagnosis can put an athlete at serious risk.

A systematic review found that telehealth has been used successfully for concussion baseline testing, diagnosis, and management, especially in military and rural settings. PMC+1 Another review focused on sideline telehealth, where sports medicine physicians assist trainers in real time through video connections during games. PMC+1

SportsMD describes “teleconcussion,” where athletes can quickly access concussion specialists via telehealth instead of waiting days or weeks for in-person care. SportsMD

6.1 How telemedicine helps when you suspect a concussion

During or shortly after a game, a telemedicine visit can help:

  • Review how the head impact occurred (direct hit, whiplash, fall).

  • Check acute symptoms, such as:

    • Headache

    • Dizziness

    • Nausea or vomiting

    • Vision changes

    • Confusion or memory loss

  • Guide a brief neurological exam and balance checks via video. PMC+1

  • Decide whether the athlete must leave the game immediately and seek emergency care.

Telemedicine programs in school sports have also been used to minimize risk by providing teams with rapid access to sports medicine expertise, rather than relying solely on coaches to decide whether a player is safe to continue. NFHS+1

6.2 Role of the integrated team

  • The NP can determine whether emergency imaging or ER evaluation is needed, arrange teleconcussion follow-ups, and manage symptom-relief medications when appropriate.

  • The chiropractor can later help with neck pain, posture, and vestibular-related issues—such as balance and coordination problems—once the acute phase is stable and medical clearance is given.


7. At-home rehab and return-to-play through telemedicine

Telehealth lets rehab follow you to your home, hotel room, or training camp.

Telehealth physical therapy programs show several key benefits: increased accessibility, reduced travel burden, and the ability to continue personalized plans even when athletes are on the road. SportsMD+2SportsMD+2

7.1 Common tele-rehab tools

An integrated chiropractor–NP team may use:

  • Video exercise sessions where the provider:

    • Demonstrates exercises

    • Watches your form from different angles

    • Makes real-time corrections

  • Secure messaging for quick questions about pain flare-ups or modifications. ATI+1

  • Remote monitoring apps, where you log:

    • Pain levels

    • Step counts or training minutes

    • Completion of home exercises

  • Progress checks every 1–2 weeks to advance the plan or adjust if pain increases.

7.2 Examples of tele-rehab goals

  • Acute phase (first days)

    • Protect the injured area

    • Control swelling and pain

    • Maintain gentle mobility where safe

  • Subacute phase (1–4 weeks)

    • Restore the normal range of motion

    • Begin light strengthening and balance work

    • Fix faulty movement patterns

  • Return-to-play phase

    • Add power, agility, and sport-specific drills

    • Monitor for any return of pain or instability

    • Clear the athlete for full competition once the criteria are met

Telehealth sports physio services emphasize a “injury to return-to-play” continuum, where the same remote team oversees each phase to avoid gaps in care. sportsandexercise.physio+1


8. Lifestyle, nutrition, and mental health support from afar

Sports injuries are never just physical. Pain, sudden time off from sport, and stress about losing a starting spot can weigh heavily on athletes.

Telemedicine makes it easier to address the whole person, not just the injured body part:

  • Nutrition – Remote visits can cover:

    • Protein and calorie needs during healing

    • Anti-inflammatory food choices

    • Hydration strategies for training and games SportsMD+1

  • Sleep and recovery habits – Online coaching about sleep routines, stretching, and scheduling lighter days can support healing. SportsMD

  • Mental health – some telemedicine platforms connect athletes with sports psychologists or counselors for stress, anxiety, or mood changes after injury. Programs that highlight telemedicine for athlete health care note that virtual visits help athletes stay engaged in care without derailing their training or school schedules. Nully Medical LLC+2Nully Medical LLC+2

In Dr. Jimenez’s integrative model, telemedicine visits often combine pain management, mobility training, nutritional guidance, and coaching on long-term wellness so that athletes return to sport stronger and healthier, not just “cleared.” El Paso, TX Doctor Of Chiropractic+2LinkedIn+2


9. Benefits for remote and traveling athletes

Telemedicine is especially valuable if you:

Telehealth platforms built for sports and orthopedic care highlight these advantages:

  • Faster access to specialists who may be in another city or state. OrthoLive+1

  • Fewer missed practices or school days.

  • Less time sitting in traffic or waiting rooms.

  • Continuous oversight of rehab, even during road trips. SportsMD+1

In school and youth sports, telemedicine programs have also been used to minimize risk by providing real-time medical input during events and improving response to injuries. NFHS+1


10. When telemedicine is not enough: red flags

Telemedicine is powerful, but it is not a replacement for emergency or in-person care when certain warning signs are present. National telehealth guidance stresses that some situations require hands-on exams or urgent evaluation. telehealth.hhs.gov+1

If you experience any of the following, seek in-person or emergency care immediately:

  • Loss of consciousness, seizure, or severe confusion after a hit to the head

  • Repeated vomiting, severe headache, or worsening neurologic symptoms

  • Clear deformity of a bone or joint, or inability to bear weight at all

  • Suspected fracture with severe swelling or visible misalignment

  • Chest pain, shortness of breath, or signs of allergic reaction

  • Suspected spinal injury with numbness, weakness, or loss of bowel/bladder control

In these cases, telemedicine can still play a role after emergency care—for follow-up visits, rehab planning, and coordination between specialists, the NP, and the chiropractor. PMC+1


11. Clinical observations from Dr. Alexander Jimenez, DC, APRN, FNP-BC

Dr. Alex Jimenez’s clinics in El Paso integrate telemedicine, chiropractic care, and nurse practitioner services for personal injury and sports trauma. His clinical experience offers several practical insights: El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2

1. Telemedicine speeds up early decisions.
Athletes can be evaluated within hours of an injury—sometimes the same day—without waiting for an in-person slot. This helps determine quickly whether an athlete can manage at home, needs imaging, or must seek urgent or emergency care.

2. Dual-scope evaluation reduces gaps.
Because Dr. Jimenez is both a chiropractor and an NP, he can:

  • Interpret imaging and lab results

  • Address inflammation, pain, and sleep issues medically

  • Analyze biomechanics, joint function, and movement patterns

  • Coordinate with attorneys and athletic organizations when injuries occur in organized sports or school settings El Paso, TX Doctor Of Chiropractic+1

3. Telemedicine helps keep athletes compliant.
Through secure messaging and remote check-ins, many athletes are more likely to complete their exercises and follow nutrition or recovery plans. This lines up with broader telehealth research showing high patient satisfaction and good adherence when care is accessible and flexible. OrthoLive+1

4. Hybrid care works best.
Dr. Jimenez often uses a hybrid model: telemedicine for triage, education, home-based rehab progressions, and imaging review, plus targeted in-clinic visits for hands-on care when necessary. This mirrors national trends where telemedicine is integrated into, not replacing, in-person sports and orthopedic care. El Paso, TX Doctor Of Chiropractic+1


12. Practical tips for athletes using telemedicine for sports injuries

To get the most out of a telemedicine visit with an NP and chiropractor, prepare like you would for a big game.

Before your visit

  • Write down:

    • When and how the injury happened

    • What makes it better or worse

    • Medications and supplements you take

  • Set up your space:

    • Good lighting

    • Enough room to walk, squat, or lie down

    • A stable surface for your phone or laptop

  • Have gear ready:

    • Resistance bands or light weights (if you have them)

    • A chair, wall, or countertop for balance work

During your visit

  • Be honest about your pain level and limitations.

  • If you are worried about a concussion, clearly describe all symptoms, even if they seem minor. SportsMD+1

  • Ask about clear return-to-play criteria:

    • Pain goals

    • Strength targets

    • Functional tests (jumping, sprinting, cutting)

After your visit

  • Follow the home exercise program and track your progress.

  • Use the patient portal or app to ask questions if pain changes or if you have trouble with a movement. ATI+1

  • Schedule regular follow-up telehealth visits so your plan can be adjusted as you improve.


13. Putting it all together

An integrated chiropractor and nurse practitioner telemedicine team gives athletes a powerful, flexible way to:

  • Get fast evaluations after a sports injury

  • Receive coordinated medical and musculoskeletal care

  • Follow individualized rehab plans at home

  • Access nutrition and mental health support

  • Lower the chance of unnecessary ER visits, while still protecting safety

From major health systems like Johns Hopkins to specialized sports platforms, and from youth leagues to professional levels, the evidence continues to grow that telemedicine—when used wisely—can make sports medicine more accessible, more coordinated, and more athlete-friendly. InjureFree+3Hopkins Medicine+3OrthoLive+3

In real-world practice, clinicians like Dr. Alexander Jimenez show how blending chiropractic care, nurse practitioner expertise, and telemedicine can keep athletes moving forward—even when they are injured, on the road, or far from a clinic. El Paso, TX Doctor Of Chiropractic+2El Paso, TX Doctor Of Chiropractic+2


References

Hasselfeld, B. W. (2025). Benefits of telemedicine. Johns Hopkins Medicine. Hopkins Medicine

InjureFree Team. (2024). Technology Fridays “Breaking boundaries – the power of telemedicine in sports expertise at your fingertips!”. InjureFree. InjureFree

Kim, B. I., et al. (2022). Telehealth physical therapy for sports medicine and orthopedic care. Journal of Telemedicine and Telecare. (Summary from PMC article). PMC

National Federation of State High School Associations. (2015). Telemedicine programs provide latest in risk minimization. NFHS. NFHS

Nully Medical LLC (Savoie, L.). (2025). The power of telemedicine in athlete health care. Nully Medical. Nully Medical LLC+1

Sports & Exercise Physio. (n.d.). Telehealth physiotherapy for sports injuries. Retrieved December 3, 2025. sportsandexercise.physio

SportsMD Editors. (2023). Concussion urgent care specialist near you – consider teleconcussion. SportsMD. SportsMD

SportsMD Editors. (2025). The benefits of telehealth physical therapy. SportsMD. SportsMD+2SportsMD+2

Subramanyam, V., et al. (2021). The role of telehealth in sideline management of sports-related injuries. Current Sports Medicine Reports. PMC+1

Telehealth.hhs.gov. (2025). Telehealth for physical therapy: Getting started. U.S. Department of Health and Human Services. telehealth.hhs.gov

Toresdahl, B. G., et al. (2021). A systematic review of telehealth and sport-related concussion: Baseline testing, diagnosis, and management. Orthopaedic Journal of Sports Medicine. PMC+1

Jimenez, A. (2025a). How Dr. Alex Jimenez uses telemedicine, chiropractic, and NP care to treat pain. DrAlexJimenez.com. El Paso, TX Doctor Of Chiropractic

Jimenez, A. (2025b). Telemedicine injury care: Virtual assessments and follow-up. DrAlexJimenez.com. El Paso, TX Doctor Of Chiropractic

Jimenez, A. (2025c). How telemedicine keeps injury patients on track: Clinical and legal benefits. LinkedIn. LinkedIn

Jimenez, A. (n.d.). El Paso, TX Doctor of Chiropractic. DrAlexJimenez.com. Retrieved December 3, 2025. El Paso, TX Doctor Of Chiropractic

Ortholive. (2018). Five ways telehealth helps sports doctors improve their practice. OrthoLive Blog. OrthoLive

Ortholive. (2021). How can telehealth help the orthopedic practice?. OrthoLive Blog. OrthoLive

Cora Physical Therapy. (2024). How telehealth physical therapy works. CORA Blog. CORA Physical Therapy

ATI Physical Therapy. (n.d.). Online physical therapy services. Retrieved December 3, 2025. ATI

Telemedicine in Integrative Injury Care Benefits

Telemedicine in Integrative Injury Care Benefits

The Role of Telemedicine in Integrative Injury Care at El Paso Back Clinic: Providing Full Support for Car Accident, Work, and Sports Injuries in El Paso, TX

Telemedicine in Integrative Injury Care Benefits

A doctor of chiropractic and a nurse practitioner review the MRI of a patient following a motorcycle collision.

In El Paso, TX, getting injured in a car crash, at work, or during sports can be tough. But at El Paso Back Clinic®, a top wellness chiropractic care spot, new tools like telemedicine make getting help simpler. Telemedicine uses video calls and online apps to let health experts care for you from home. This article explores how the clinic’s integrative nurse practitioner (NP) and chiropractor team up with telemedicine to provide comprehensive injury care. This covers virtual check-ups, treatment planning, and long-term help. It’s super useful for folks who can’t easily move or get to the clinic. The team also shares tips on eating, working out, and daily habits to speed up healing. They keep everything organized and documented for the best outcomes.

El Paso Back Clinic® focuses on functional medicine and holistic healing. Led by Dr. Alexander Jimenez, who is both a chiropractor (DC) and a family nurse practitioner (FNP-BC), the clinic combines conventional medicine with natural approaches to treat injuries. Telemedicine here means you can get exams, diagnoses, and follow-ups without leaving home. This is great for busy El Paso residents or for those who are hurting too much to travel. The clinic’s approach considers your whole body, with the NP and chiropractor working together to create plans that fit your life.

What Is Integrative Care at El Paso Back Clinic?

At El Paso Back Clinic®, integrative care means a team of doctors, therapists, and nutritionists working together to fully heal you. For car accident injuries like whiplash or back strains, the chiropractor adjusts your spine while the NP manages pain and checks for deeper issues. They make custom plans using evidence-based methods.

  • Common Injuries Treated: Neck pain from crashes, work lifts causing strains, or sports-related twists leading to sprains.
  • Why Choose Integrative?: It targets the cause, not just pain, blending adjustments with lifestyle changes.
  • Telemedicine’s Role: Allows remote care, so you start healing right away from home.

This method helps with lasting health. For sports fans in El Paso, tips on better nutrition can speed up recovery (Dallas Accident and Injury Rehab, n.d.).

Head Injury/Traumatic Brain Injury Symptom Questionnaire

Virtual Examinations: How El Paso Back Clinic Does It Remotely

Telemedicine at El Paso Back Clinic® starts with virtual exams. You connect via secure video from your phone or computer. Dr. Jimenez or the team talks to you about your injury.

For a car accident, they ask about the crash and pain spots. They watch you move, like bending or walking, to check for swelling or stiffness. Even without hands-on involvement, they spot many problems, such as muscle pulls or nerve issues (Personal Injury Firm, 2025).

Work injuries, like slips, get quick virtual checks to stop things from getting worse. The chiropractor guides home tests, such as balance checks.

  • Tools in Virtual Exams: Video for movement, apps for sharing photos of injuries, or devices for vital signs.
  • When It’s Not Enough: Some need in-person touches, so they schedule clinic visits at their El Paso locations.
  • Sports Injury Perks: Athletes demo their moves, helping find repeat strains.

This remote setup makes getting checked easy, especially in El Paso, where traffic can be a hassle (CK Firm, 2024).

Diagnoses Through Telemedicine at the Clinic

After the exam, the team at El Paso Back Clinic® diagnoses remotely. Common ones from car accidents include whiplash or disc problems. The NP might order X-rays or MRIs, which are performed locally and shared online.

Chiropractors like Dr. Jimenez spot spinal shifts that can cause leg pain, such as sciatica. They explain it clearly on video. The NP assesses whole-body health, including whether swelling worsens.

All sessions are recorded for official documents, insurance keys, or personal injury claims (ChiroMed, n.d.).

  • Diagnosis Examples: Work-related back pain, sports-related nerve hits, and crash-neck strains.
  • Team Collaboration: NP handles meds; chiropractor does adjustments.
  • Tips for Accuracy: Describe pain and show motions well.

This reduces wait times, allowing you to start your El Paso recovery sooner (Complete Care, n.d.).

Managing Treatment Plans Remotely from El Paso Back Clinic

The NP and chiropractor create a treatment plan together, updated via telemedicine. For a sports knee sprain, it might include rest, ice, and shown exercises.

Dr. Jimenez demonstrates stretches on camera. The NP monitors pain and adjusts treatments.

They coordinate to avoid overlaps. For work injuries, plans cover safe job returns. Everything’s online for easy tracking.

  • Plan Essentials: Pain relief, movement work, and prevention advice.
  • Integrative Touches: Diet tweaks to cut swelling, like more omega-3 foods.
  • Telemedicine Updates: Regular video calls to tweak based on progress.

This saves time and money for El Paso patients (Jimenez, n.d.-a).

Ongoing Support and Follow-Up Care at the Clinic

Recovery needs steady help, and El Paso Back Clinic® uses telemedicine for easy follow-ups. Log in to chat about how you’re doing.

For car crash back pain, they check therapy effects and offer encouragement. Support includes mental health tips, as injuries can stress you.

Chiropractors guide home exercises on video. NPs watch for treatment side effects.

  • Support Types: Mood talks, progress logs, specialist referrals.
  • How Often: Weekly, early on, then less.
  • For El Paso Athletes: Safe return-to-play tips, like warm-ups.

This prevents pain from lasting, helping you get back to life fast (Prescient National, n.d.).

Benefits for El Paso Residents with Mobility or Access Issues

Injuries make moving hard, especially in spread-out El Paso. Telemedicine brings care to you.

No travel needed, perfect for remote areas or difficult days. For work injuries, it means less downtime. See pros from home.

  • Who Gains Most: Those pained by walking, without transport, or packed schedules.
  • Access Help: Shorter waits than office visits.
  • Legal Benefits: Docs care for claims without hold-ups.

This makes healing equal for all in El Paso (CK Firm, 2024).

Integrative Advice on Diet, Exercise, and Lifestyle from the Clinic

El Paso Back Clinic® shines with holistic telemedicine tips. They suggest anti-inflammatory foods, such as fruits, to aid healing.

Exercise advice includes easy yoga for pain, demonstrated online. Lifestyle shifts cover better sleep or stress cuts, like apps for calm.

For sports, they teach form to prevent re-injury.

  • Diet Ideas: Omega-3 for nerves, antioxidants for fixes.
  • Workout Suggestions: Stretches for range, walks for build-up.
  • Life Changes: Posture tweaks, drop bad habits.

This addresses root causes for better long-term health (Dallas Accident and Injury Rehab, n.d.).

Coordination and Documentation Between NP and Chiropractor at El Paso Back Clinic

The team shares notes easily on telemedicine platforms. Dr. Jimenez, as both NP and chiropractor, bridges the roles seamlessly.

Records from calls build your file, showing progress for insurance or courts.

Therapies align, like adjustments with rest plans.

  • Coordination Methods: Shared digital files, joint calls.
  • Record Value: Shows timely, excellent care.
  • Your Part: Update honestly for the top plans.

This leads to smooth recoveries in El Paso (Jimenez, n.d.-b).

Insights from Dr. Alexander Jimenez at El Paso Back Clinic

Dr. Alexander Jimenez, DC, APRN, FNP-BC, shares hands-on views from over 30 years at El Paso Back Clinic®. He uses telemedicine for same-day injury exams, like after crashes or sports.

He stresses integrative care for body and mind. For head injuries, he advises sleep, diet, and exercise. His dual license allows him to prescribe medications and adjust spines remotely when possible.

Jimenez highlights tests, such as MRIs, shared online. He combines adjustments in nutrition with other interventions for issues like gut health post-trauma.

  • Main Observations: Injuries are linked to overall health, like nerves and digestion.
  • Telemedicine in Practice: Quick virtual help for accidents, with shipped braces.
  • Tips: Use posture drills and supplements for healing.

His approach shows how the clinic’s NP-chiropractor team excels (Jimenez, n.d.-a; Jimenez, n.d.-b; Jimenez, n.d.-c).

Challenges and Future of Telemedicine at El Paso Back Clinic

Telemedicine has limits, such as the need for touch for some exams. Tech glitches can happen.

But the future is promising. Better apps and AI will improve diagnoses. More insurance covers it.

The clinic trains in remote teamwork.

  • Fixing Issues: Have in-person backups, help with tech.
  • Coming Trends: Wearables for live data.
  • Importance: Makes care more accessible and affordable in El Paso.

Conclusion

At El Paso Back Clinic® in El Paso, TX, telemedicine transforms injury care for car, work, or sports-related injuries. The integrative NP and chiropractor team, led by Dr. Jimenez, offers virtual exams for ongoing support. It includes holistic advice for better living. Ideal for mobility challenges. As Dr. Jimenez proves, this leads to quicker, fuller healing. If injured, reach out to El Paso Back Clinic® for easy, top-notch care at 915-850-0900 or visit their site.


References

ChiroMed. (n.d.). Recovering from motor vehicle accidents: A holistic approach to healing musculoskeletal injuries, back pain, neck pain, nerve injuries, and sciatica. https://chiromed.com/recovering-from-motor-vehicle-accidents-a-holistic-approach-to-healing-musculoskeletal-injuries-back-pain-neck-pain-nerve-injuries-and-sciatica/

CK Firm. (2024). What role does telemedicine play in personal injury claims?. https://www.ckfirm.com/blog/2024/11/what-role-does-telemedicine-play-in-personal-injury-claims/

Complete Care. (n.d.). Walk-in & same-day appointments & telemedicine services in Central Florida. https://www.complete-care.com/treatment-and-services/walk-in-same-day-appointments-telemedicine/

Dallas Accident and Injury Rehab. (n.d.). Integrating chiropractic expertise and holistic sports medicine for enhanced athletic well-being. https://dallasaccidentandinjuryrehab.com/integrating-chiropractic-expertise-and-holistic-sports-medicine-for-enhanced-athletic-well-being/

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

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

Jimenez, A. (n.d.-c). The vital role of chiropractors and nurse practitioners in personal injury cases: A comprehensive guide to recovery and compensation. https://www.linkedin.com/pulse/vital-role-chiropractors-nurse-practitioners-personal-dr-alexander-nkebc

Personal Injury Firm. (2025). The role of telemedicine in personal injury claims. https://www.personalinjuryfirm.com/blog/2025/may/the-role-of-telemedicine-in-personal-injury-clai/

Prescient National. (n.d.). The benefits of using telemedicine for workplace injuries. https://www.prescientnational.com/the-benefits-of-using-telemedicine-for-workplace-injuries/

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