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.
Get insights into chiropractic care and see how it can facilitate recovery and help you regain your strength from ACL tears.
Introduction
Imagine twisting your knee during a soccer game, hearing a dreaded “pop,” and suddenly finding yourself unable to walk without pain. This is the reality for many who suffer an anterior cruciate ligament (ACL) injury, a common yet debilitating condition that can derail daily routines and athletic pursuits. With an estimated 150,000 ACL injuries annually in the United States, resulting in approximately $500 million in healthcare expenses, the impact is substantial (The Joint Chiropractic, 2017). While surgery and physical therapy are standard treatments, chiropractic care offers a complementary, non-invasive approach that may enhance recovery and restore function.
This comprehensive guide explores the clinical rationale for using chiropractic care to manage ACL injuries, drawing on evidence and insights from Dr. Alexander Jimenez, a distinguished chiropractor and family practice nurse practitioner in El Paso, Texas. We’ll explore how ACL injuries impact daily life, the role of chiropractic interventions, and Dr. Jimenez’s distinctive contributions, particularly in personal injury cases. With a touch of dark humor to lighten the mood—because who hasn’t felt like their knee is staging a mutiny?—this post aims to inform and engage readers at a high school reading level. However, the conclusion will adopt a serious tone, emphasizing the importance of professional care and including a disclaimer for clarity.
Understanding ACL Injuries
What Is the ACL?
The anterior cruciate ligament (ACL) is one of four major ligaments in the knee, connecting the femur (thigh bone) to the tibia (shin bone). It prevents excessive forward movement of the tibia and provides rotational stability, which is crucial for activities such as running, jumping, or pivoting (Vale Health Clinic, 2021). The knee joint also includes the patella (kneecap), the fibula, tendons, and cartilage (menisci), all of which work together to ensure smooth motion and stability.
Causes and Risk Factors
ACL injuries often result from sudden, high-stress movements, such as:
Sudden Stops or Changes in Direction: Common in sports like soccer, basketball, and skiing.
Jumping and Landing Incorrectly: A misstep can overstress the ligament.
Direct Trauma: Such as a collision in contact sports or accidents like car crashes.
Women are 7-8 times more likely to suffer ACL injuries due to anatomical differences, hormonal influences, and neuromuscular control variations (Vale Health Clinic, 2021). Everyday activities, like slipping on ice or tripping, can also cause ACL tears, making them relevant beyond athletics.
Symptoms and Diagnosis
An ACL tear typically presents with:
A popping sensation at the time of injury.
Severe pain and swelling within hours.
Instability or a feeling that the knee “gives out.”
Difficulty walking or bearing weight.
Diagnosis involves physical exams, such as the Lachman’s Test, Pivot Shift Test, and Anterior Drawer Test, which assess knee stability (Vale Health Clinic, 2021). Imaging, like X-rays to rule out fractures or an MRI to confirm ligament damage, is often used. Arthroscopy, a minimally invasive procedure, may provide a detailed view of the injury.
Impact on Daily Life
An ACL injury can turn simple tasks into Herculean challenges. Walking becomes a wobbly adventure, climbing stairs feels like scaling Everest, and sports may be sidelined indefinitely. For non-athletes, routine activities like carrying groceries or playing with kids become painful obstacles. Emotionally, the loss of mobility can lead to frustration or depression, especially for active individuals. Untreated, ACL injuries may lead to chronic instability, bone friction, and osteoarthritis, underscoring the need for effective treatment (Tri State Clinic North Chiropractic, 2018).
For complete ACL tears, particularly in active individuals or athletes, surgical reconstruction is often recommended. This involves replacing the torn ligament with a graft, typically from the patient’s patellar tendon, hamstring, or a donor. Surgery aims to restore knee stability and function but carries risks like infection, graft failure, or anesthesia complications. Recovery typically spans 6 to 12 months, requiring extensive rehabilitation (Physiopedia, n.d.).
Physical Therapy
For both post-surgical and non-surgical cases, physical therapy is crucial. It focuses on:
Restoring Range of Motion: Gentle exercises to regain flexibility.
Strengthening Muscles: Targeting quadriceps, hamstrings, and calves to support the knee.
Improving Proprioception: Balance and coordination training to prevent re-injury.
Physical therapy is effective but can be time-intensive, and some patients experience persistent pain or incomplete recovery.
Limitations of Traditional Approaches
While effective, traditional treatments have challenges:
Surgical Risks: Complications can delay recovery or affect outcomes.
Long Recovery Time: It may take up to a year to return to full activity.
Persistent Symptoms: Some patients report ongoing pain or instability.
Cost and Accessibility: Surgery and prolonged therapy can be expensive and inaccessible for some.
These limitations highlight the potential role of complementary therapies, such as chiropractic care, in enhancing recovery and addressing residual issues.
The Role of Chiropractic Care in ACL Injury Recovery
Chiropractic Techniques for ACL Injuries
Chiropractic care offers non-invasive methods to support ACL injury recovery, either as a standalone treatment for partial tears or as a complement to surgery. Key techniques include:
Chiropractic manipulation involves adjustments to the knee and surrounding joints (e.g., hip, ankle) to restore alignment and mobility, thereby reducing stiffness and improving function (Vale Health Clinic, 2021).
Therapeutic Ultrasound: Uses sound waves to generate heat, stimulating blood flow and promoting tissue healing.
Soft Tissue Therapy: Techniques such as massage or Active Release Technique help relieve muscle tension and break down scar tissue, thereby enhancing circulation (Kaizo Health, 2023).
Cold Laser Therapy: Reduces inflammation and accelerates tissue repair by stimulating cellular activity.
Enhancing Nervous System Function: Chiropractic adjustments optimize nervous system communication, which controls healing processes (The Joint Chiropractic, 2017).
For post-surgical patients, chiropractic care can accelerate recovery by addressing scar tissue and restoring joint mechanics, as demonstrated in a case study where a patient regained full function after completing a 12-week multimodal chiropractic program (Solecki & Herbst, 2011).
Benefits of Chiropractic Care
Non-Invasive: Avoids surgical risks and drug side effects.
Cost-Effective: Often covered by insurance with shorter wait times (Vale Health Clinic, 2021).
Holistic Approach: Addresses the whole body, not just the knee.
Prevention Focus: Reduces the risk of re-injury through biomechanical corrections.
However, the effectiveness of chiropractic care depends on the severity of the injury. Severe tears typically require surgical intervention, and chiropractic care is most beneficial as a complementary or preventative approach.
A notable case involved a 25-year-old man who suffered a complete ACL rupture, medial meniscus tear, and lateral meniscus tear after a basketball injury. Following surgical reconstruction, he underwent a 12-week chiropractic rehabilitation program including Active Release Technique, Graston Technique, and Kinesio Taping. Outcomes included:
Pain Relief: Numeric Pain Scale score dropped to 0/10.
Functional Recovery: Full restoration of range of motion and muscle strength.
Return to Activity: Resumed sports without complications.
Long-Term Success: No pain reported at one-year follow-up (Solecki & Herbst, 2011).
This case demonstrates the potential of chiropractic care in post-surgical recovery, particularly when a multimodal approach is employed.
Supporting Research
Knee Injury Management: A study in the Journal of Manipulative and Physiological Therapeutics found that chiropractic manipulation and soft tissue therapy reduced pain and improved function in patients with knee injuries, including ACL tears (Haldeman et al., 2008).
Muscle Activation: Research on gluteal muscle activation during walking suggests that strengthening supporting muscles, a common chiropractic focus, can enhance pelvic and knee stability, aiding recovery (Bullock-Saxton et al., 1993).
Preventative Benefits: Chiropractic care that addresses muscular imbalances and movement patterns may reduce the risk of ACL injuries (MSK Centre, 2023).
While the evidence is promising, more large-scale studies are needed to confirm the efficacy of chiropractic care for ACL injuries, particularly for non-surgical cases.
References
Bullock-Saxton, J. E., Janda, V., & Bullock, M. I. (1993). Reflex activation of gluteal muscles in walking: An approach to restoration of muscle function for patients with low-back pain. Spine, 18(6), 704-708. https://pubmed.ncbi.nlm.nih.gov/8516698/
Haldeman, S., Kohlbeck, F. J., & McGregor, M. (2008). Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: A review of sixty-four cases after cervical spine manipulation. Journal of Manipulative and Physiological Therapeutics, 31(1), 1-12.
MSK Centre. (2023, September 18). Minimize risks: Proven ACL injury prevention. https://mskcentre.ca/treatments/chiropractic/acl-injury-prevention/
Solecki, T. J., & Herbst, E. M. (2011). Chiropractic management of a postoperative complete anterior cruciate ligament rupture using a multimodal approach: A case report. Journal of Chiropractic Medicine, 10(1), 47-53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3110400/
Insights from Dr. Alexander Jimenez
Background and Expertise
Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a dual-licensed chiropractor and family practice nurse practitioner based in El Paso, Texas, with over 25 years of experience. His clinic, Injury Medical & Chiropractic Clinic, specializes in treating musculoskeletal conditions, including sports injuries like ACL tears. Dr. Jimenez’s unique qualifications allow him to integrate chiropractic care with advanced medical diagnostics, offering a holistic approach to recovery (A4M, n.d.).
Approach to ACL Injuries
While specific protocols for ACL injuries are not detailed on his website, Dr. Jimenez’s practice emphasizes:
Advanced Diagnostics: Using imaging (e.g., MRI, X-rays) and dual-scope procedures to assess injury severity and tailor treatments.
Multimodal Treatments: Combining chiropractic adjustments, soft tissue therapies, and rehabilitative exercises to address pain, mobility, and stability.
Functional Medicine: Incorporating nutrition and lifestyle changes to support healing and reduce inflammation.
Patient-Centered Care: Creating individualized plans based on the patient’s activity level and goals.
His focus on sports injuries suggests that he applies techniques, such as those described earlier, including manipulation, ultrasound, and Kinesio Taping, to ACL cases (Dr. Alex Jimenez, 2020).
Patient Testimonials
Patients praise Dr. Jimenez for his transformative care. One testimonial noted, “After my ACL surgery, I was struggling with persistent pain and stiffness. Dr. Jimenez’s chiropractic care helped me regain my strength and get back to my normal activities much faster than I expected” (Dr. Alex Jimenez, 2023). His ability to address complex injuries makes him a trusted provider in El Paso.
In El Paso, personal injury cases, such as those from car accidents or workplace incidents, often involve musculoskeletal injuries like ACL tears. Chiropractic care is a valuable option for these patients, offering non-invasive pain relief and functional restoration. Dr. Jimenez’s clinic is a go-to resource for personal injury victims, providing comprehensive care that addresses both immediate symptoms and long-term recovery (Dr. Alex Jimenez, 2019).
Dr. Jimenez’s Role as a Liaison
Dr. Jimenez’s dual licensure enables him to:
Provide Accurate Diagnoses: Using advanced imaging and diagnostic evaluations to document injuries thoroughly.
Offer Comprehensive Treatment: Combining chiropractic care with medical management for optimal outcomes.
Support Legal Documentation: Providing detailed medical reports is crucial for insurance claims and legal proceedings.
This makes him an invaluable ally for personal injury victims navigating the complex interplay of medical and legal systems (A4M, n.d.).
Case Example
Consider a car accident victim with an ACL sprain. Dr. Jimenez might use diagnostic imaging to confirm the injury, apply chiropractic adjustments to restore knee alignment, and prescribe exercises to strengthen supporting muscles. Simultaneously, he provides detailed medical records to help the patient’s legal claim, ensuring they receive appropriate compensation and care.
Correcting Muscle Imbalances: Strengthening weaker muscles like hamstrings to balance quadriceps dominance.
Improving Biomechanics: Adjusting joints to ensure proper movement patterns during activities like jumping or pivoting.
Enhancing Flexibility: Increasing joint range of motion to reduce stress on the ACL (MSK Centre, 2023).
Dr. Jimenez emphasizes preventative strategies, offering education on proper techniques and regular check-ups to catch issues early (Dr. Alex Jimenez, 2016).
Long-Term Knee Health
Regular chiropractic care supports long-term knee health by:
Maintaining Joint Alignment: Preventing undue stress on ligaments.
Strengthening Supporting Muscles: Enhancing stability through targeted exercises.
Promoting Overall Wellness: Integrating nutrition and lifestyle changes to reduce inflammation and support joint function.
For athletes, these interventions can enhance performance and resilience, allowing them to stay active safely.
ACL injuries can be a major setback, turning everyday tasks into painful challenges and sidelining athletes from their passions. Chiropractic care offers a promising complement to traditional treatments, utilizing techniques such as joint manipulation, therapeutic ultrasound, and rehabilitative exercises to alleviate pain, restore function, and facilitate recovery. Dr. Alexander Jimenez, with his dual expertise and integrative approach, stands out as a leading practitioner in El Paso, Texas, helping patients navigate both medical and legal aspects of their injuries.
For those facing an ACL injury, whether from sports or an accident, consulting a chiropractor like Dr. Jimenez can be a game-changer. His clinic, Injury Medical & Chiropractic Clinic, is dedicated to holistic healing, offering personalized care plans that address the root causes of pain and dysfunction. Contact the clinic at 915-850-0900 to explore how chiropractic care can support your recovery journey.
Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider, such as an orthopedic specialist or chiropractor, for any questions regarding an ACL injury or other medical condition. Do not disregard professional medical advice or delay seeking it because of information in this post.
How can one effectively manage the early signs of bunions?
Bunions
A bunion, also known as hallux valgus, is a bony, often painful protrusion on the side of the big toe. The most common cause of bunions is a misalignment of the big toe. Early symptoms of a bunion include redness, thicker skin, edema, and discomfort around the big toe joint. While you can’t stop a bunion from growing, you can manage the symptoms along the way. Early indicators of bunions include pain management measures and treatment choices. (MedlinePlus, 2024)
Early Visual Signs
Bunions are initially minor and don’t result in many noticeable issues. The following symptoms may be present in the early stages of a bunion around the metatarsophalangeal (MTP) joint, which joins the base of your big toe to the rest of your foot. (American Academy of Orthopaedic Surgeons, 2022)
Redness
Skin that is darker and swollen
Skin that has gotten thicker and harder
There is a bony bump
A bump where the big toe goes toward the second toe or even under it
Corns and calluses
Early Physical Signs
While bunions may not be visible immediately, they can cause discomfort even in the early stages. Here are some early physical indicators of a developing bunion. (MedlinePlus, 2024)
Pain in the foot and big toe
This pain is especially noticeable when walking or wearing tight, narrow-toed shoes.
Decreased movement of the big toe
Tenderness
Inflammation
Swelling
Stiffness
Heat
Stages
Bunions often worsen over time, a condition known as progressive. You could have problems if you don’t do anything to stop your bunions from getting bigger. Bunions in later stages might cause the following symptoms: (American Academy of Orthopaedic Surgeons, 2022)
Long-lasting, intense pain in and around the MTP joint and the sides and bottom of your foot
Bursitis causes a sac full of fluid to form at the bottom of your big toe.
The big toe bends toward and even crosses over the second toe.
Too much bone development on the side of your big toe
Not being able to wear your regular shoes
Hard to walk
Abnormalities known as “hammer toe” occur when your second, third, or fourth toes bend upward in the middle, resembling a hammer or claw.
Hallux rigidus is a form of arthritis affecting the big toe.
Manage the Progression
Bunions tend to remain in place once they start to develop. However, there are several steps you can take to prevent them from worsening or causing additional problems. These are some of them: (American Academy of Orthopaedic Surgeons, 2022)
Place spacers between your toes to prevent friction and chafing.
Use over-the-counter (OTC) pads made of felt, silicone, or foam to cover the bunion.
You should also stretch your calf muscles to improve joint alignment.
Managing Pain
Advil and Motrin (ibuprofen) are two examples of non-steroidal anti-inflammatory medicines (NSAIDs) that can aid with bunion pain. Studies also show that injecting Botox into the muscles in the forefoot can help with pain. (Hurn, S. E., et al., 2022)
Nonsurgical Early Stage Treatment
If your bunions continue to worsen despite using the self-care procedures listed above, you may need to consult a podiatrist (a foot expert) or another healthcare provider. A healthcare provider may recommend.
Orthotics, or foot orthoses
Foot orthoses, also known as orthotics, are customized inserts that help alleviate bunion pain and prevent chafing.
Splints
Bunion splints are orthotic devices that can help straighten out your toes. People typically use them at night. (Aebischer, A. S., & Duff, S. 2020)
Physical Therapy
A physical therapist can help you by giving you exercises that will help your feet and joints line up better. They might also do manual therapy to help with pain. (Hurn, S. E., et al., 2022)
Podiatrist
A podiatrist is a medical doctor (M.D.) who specializes in treating health problems that affect the feet, ankles, and lower legs. If you want help with your bunion issues, ask your doctor for a referral to a podiatrist. (American Podiatric Medical Association, 2025)
Chiropractic Treatment
Chiropractors and nurse practitioners (NPs) have distinct roles in managing bunions, which are bony bumps at the base of the big toe caused by joint misalignment, often resulting in pain, swelling, and restricted movement. Here’s how each can help:
Chiropractors:
Focus: Chiropractors primarily address musculoskeletal issues through manual adjustments and manipulations.
Bunion Support:
Foot Adjustments: They may perform adjustments to improve foot alignment and joint mobility, which can potentially reduce bunion-related discomfort.
Soft Tissue Therapy: Techniques such as massage or myofascial release can help alleviate tension in surrounding muscles and tissues.
Orthotics or Taping: Some chiropractors recommend custom orthotics or use taping to support proper foot mechanics.
Exercise Guidance: They may suggest stretches or exercises to strengthen foot muscles and improve alignment.
Limitations: Chiropractors don’t prescribe medications or perform surgeries, so severe cases requiring these interventions would need referral to a podiatrist or orthopedic specialist.
Evidence: While some patients report relief from chiropractic care for foot issues, evidence specifically for bunions is limited, and results vary.
Nurse Practitioners:
Focus: NPs are advanced practice registered nurses with broad medical training, able to diagnose, treat, and prescribe medications within their scope of practice.
Bunion Support:
Diagnosis and Assessment: NPs can evaluate bunion severity, often using physical examinations or ordering imaging, such as X-rays, to assess joint damage.
Pain Management: They may prescribe anti-inflammatory medications (e.g., ibuprofen) or corticosteroid injections for pain and swelling.
Conservative Treatments: NPs can recommend padding, splints, or orthotic devices to reduce pressure and improve alignment.
Lifestyle Advice: They provide guidance on footwear (such as wide-toed shoes) and weight management to reduce stress on the bunion.
Referrals: For severe cases, NPs can refer patients to podiatrists or orthopedic surgeons for surgical options, such as bunionectomies.
Scope: NPs offer a medical approach, bridging conservative care and coordination with specialists.
Key Differences:
Chiropractors focus on non-invasive, manual techniques and alignment, while NPs can incorporate medications and broader medical management.
NPs are more likely to coordinate with other healthcare providers for comprehensive care, whereas chiropractors tend to work more independently.
General Notes:
Both can assist in managing mild to moderate bunion symptoms, but neither can “cure” bunions, particularly if the structural deformity has progressed.
Consult a podiatrist or an orthopedic specialist for persistent or worsening symptoms, as severe cases may require surgical intervention.
Always verify the provider’s credentials and experience in treating bunions.
Injury Medical Chiropractic and Functional Medicine Clinic
Dr. Jimenez, a nurse practitioner, treats a wide range of conditions using a combination of medical knowledge and chiropractic care. The clinic offers personalized care plans that incorporate functional medicine, acupuncture, electroacupuncture, and sports medicine. The clinic treats chronic pain syndromes and injuries, focusing on strength, agility, and flexibility. Comprehensive care plans, when paired with in-person and virtual health coaching, offer personalized treatment and wellness outcomes for patients of all ages and abilities.
Enhance Your Performance with Functional Foot Orthotics
References
MedlinePlus (2024). Bunions. U.S. Department of Health and Human Services.
American Academy of Orthopaedic Surgeons. (2022). “Bunions.” OrthoInfo. from https://orthoinfo.aaos.org/en/diseases–conditions/bunions/.
Hurn, S. E., Matthews, B. G., Munteanu, S. E., & Menz, H. B. (2022). Effectiveness of Nonsurgical Interventions for Hallux Valgus: A Systematic Review and Meta-Analysis. Arthritis care & research, 74(10), 1676–1688. https://doi.org/10.1002/acr.24603
Aebischer, A. S., & Duff, S. (2020). Bunions: A review of management. Australian Journal of General Practice, 49(11), 720–723. https://doi.org/10.31128/AJGP-07-20-5541
American Podiatric Medical Association. (2025). “What is a podiatrist?” Advancing foot and ankle medicine and surgery. from https://www.apma.org/patients-and-the-public/what-is-a-podiatrist/.
In females, hernia symptoms are often smaller and deeper without a noticeable lump and can mimic gynecological issues, with misdiagnoses being common. Can knowing the risk factors and how female hernias are treated help women get relief?
Female Hernia
A hernia occurs when an internal structure pushes through a weak spot in the abdominal wall, the muscles, and the tissue covering the front of the torso. The more common include:
Groin hernia, known as an inguinal hernia.
Upper thigh or femoral hernia.
However, a hernia can develop anywhere from the ribcage to the upper thigh. Hernias are less common in women, have different symptoms than in men, and are often misdiagnosed. Lower abdominal and pelvic hernias present differently in women than men, who typically have a visible bulge. Instead, female hernias tend to be smaller, deeper, and less noticeable. They can also cause chronic pelvic pressure or pain that can be mistaken for gynecological problems.
Hernia Symptoms For a Woman
Hernias in women tend to be smaller and deeper than male hernias, with no lump showing. Instead, female hernias can cause chronic, deep pelvic pain and occasional sharp, stabbing pain that comes on fast and lingers. (Köckerling F., Koch A., & Lorenz R. 2019) Hernia pain worsens with exercise, laughing, coughing, or straining to evacuate the bowels. The pain is often described as:
Dull
Aching
Pinching
Sharp
Shooting
Burning
Inguinal hernia pain is usually felt at or above the groin and may radiate to the hip, lower back, vulva, or thigh. Many women find the pain increases during their menstrual cycle. The pain can also be exacerbated by any activity that generates extra pressure on the pelvic floor, including:
Prolonged sitting or standing.
Bending
Getting in or out of bed.
Getting in or out of a car.
Sexual intercourse
Emergency
Hernias in the pelvic area are at risk of becoming incarcerated hernias. An incarcerated hernia occurs when a portion of the intestine or other abdominal tissue becomes trapped in the hernial sac, making it impossible to push it back into place. If this gets trapped or strangulated, it can cause tissue death. Strangulated hernias are a medical emergency. Symptoms include:
Deep red or purple tissues.
The hernia bulge does not shrink when you lie down.
Contact a healthcare provider or the emergency room if experiencing any of the above symptoms.
Types
Hernias can occur anywhere on the abdominal wall. They may be caused by:
Internal pressure, such as during pregnancy.
A sports injury
Tissue weakness
Hernias in the lower abdomen or groin are typically indirect inguinal hernias. The inguinal canal comprises multiple layers of muscles and fascia that the thin round ligament threads through. Other groin and pelvic hernias include:
A direct inguinal hernia
A femoral hernia at the top of the inner thigh.
An obturator hernia in the front upper thigh, although this type is rare.
Other common hernias in women are:
Incisional hernia – at the site of a surgical incision
Pregnancy and repeated pregnancies are linked to an increased risk of hernia. Types that are more common in pregnancy include:
Umbilical hernia
Ventral hernia
Inguinal hernia
Umbilical hernias are the most common. However, only a small percentage of pregnant individuals get them. (Kulacoglu H. 2018)
Diagnosis
A hernia diagnosis is made with a physical examination and, if needed, imaging studies. Patients are asked to describe their symptoms precisely, where the pain is located, and any activities that exacerbate it. To check for a hernia, the healthcare provider will palpate for a hernia while the patient sits, stands, or coughs. Imaging tests can include:
Ultrasound
CT scan
Endoscopy – a camera is used to see inside the esophagus and stomach.
Misdiagnoses
Female hernia symptoms can be vague, which often points healthcare providers in the wrong direction. Female hernias are commonly misdiagnosed as: (Köckerling F., Koch A., & Lorenz R. 2019)
Cysts in the reproductive organs
Endometriosis
Fibroid tumors
Treatment
A small hernia that does not cause problems or pain may be treated with a wait-and-evaluate protocol. A hernia often worsens over time and could eventually require surgery. (University of Michigan Health, 2024) Self-care treatments include:
Medical treatments usually start with conservative measures, including physical therapy, stretching, exercise, and rest. Physical therapists often use myofascial release techniques to relieve muscle spasms. Surgery may be needed to repair the weak area of the abdominal wall to relieve symptoms. (University of Michigan Health, 2024) Hernia repair surgery is typically performed as a laparoscopic surgery. (Köckerling F., Koch A., & Lorenz R. 2019) Most patients heal quickly from the surgery and can return to regular activities in a week or two.
Injury Medical Chiropractic and Functional Medicine Clinic
Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.
Lumbar Spine Injuries in Sports: Chiropractic Healing
References
Köckerling, F., Koch, A., & Lorenz, R. (2019). Groin Hernias in Women-A Review of the Literature. Frontiers in surgery, 6, 4. https://doi.org/10.3389/fsurg.2019.00004
Johns Hopkins Medicine. (2025). How to tell if you have a hernia. https://www.hopkinsmedicine.org/health/conditions-and-diseases/how-to-tell-if-you-have-a-hernia
Kulacoglu H. (2018). Umbilical Hernia Repair and Pregnancy: Before, during, after…. Frontiers in surgery, 5, 1. https://doi.org/10.3389/fsurg.2018.00001
University of Michigan Health. (2024). Inguinal hernia: Should I have surgery now, or should I wait? https://www.uofmhealth.org/health-library/za1162
American Academy of Orthopaedic Surgeons. (2022). Sports hernia. https://orthoinfo.aaos.org/en/diseases–conditions/sports-hernia-athletic-pubalgia/
Northeast Georgia Health System. (2022). Living with a hernia. Northeast Georgia Health System Improving the health of our community in all we do. https://www.nghs.com/2022/02/15/living-with-a-hernia
Can a knee brace relieve discomfort, provide support, and expedite recovery for individuals recovering from an injury or surgery?
Knee Brace
A knee brace is a medical device that supports and stabilizes the knee joint to help with pain and recovery after an injury or surgery. Many knee braces are made of various materials and offer a range of support levels. A healthcare provider or physical therapist can recommend the appropriate one for your condition and suggest the best one. Ask a healthcare provider if you’re unsure, as wearing a knee brace correctly and for the recommended time is important for healing. They are generally safe. However, individuals with health conditions such as poor circulation should be cautious when using them and consult their healthcare provider.
What They Do
The knee joint comprises bones, cartilage, ligaments, tendons, and muscles. A knee brace stabilizes these structures, preventing them from moving too much or too fast. Some braces redistribute the knee joint’s weight, decreasing the force the knee absorbs. (American Academy of Family Physicians, 2020)
Conditions
A knee brace is used after surgery to aid in healing and following an injury. This can be:
Knee braces differ in function and support level. Some stabilize the knee, while others completely immobilize the joint. A healthcare provider and/or physical therapist will explain what support is needed and how to use it. They can also check the brace’s fit and determine if adjustments or a different size are required.
Most Commonly Used
Prophylactic Brace
This is a protective knee pad that shields the kneecap from direct impact.
A knee unloader is typically used to control discomfort due to inflammatory conditions like tendonitis and osteoarthritis.
Functional
This brace limits motion in the joint after an injury or prevents dislocation.
Bledsoe Brace
This brace has straps to wrap around the thigh and shin and support brackets on the inside and outside of the knee joint.
A small mechanism locks the knee into full extension or allows the knee to bend a specific amount.
Knee Immobilizer
A knee immobilizer keeps the knee in one position.
It is a long cloth brace that runs the length of the shin and thigh.
Knee Brace vs Knee Support
A knee support or sleeve is usually a tight-fitting fabric garment. It provides compression to help reduce swelling and discomfort. A knee brace offers more support and can also be set to limit mobility.
Wearing The Brace
Individuals may need to wear a knee brace all day or only when performing specific tasks and operations. It depends on the individual and the condition the brace is being used for. Some may only need to wear a knee brace during certain activities or a flare-up of pain. (Mayo Clinic, 2022) Wearing a brace for unnecessarily long periods can cause skin abrasion, joint stiffness, and muscle atrophy. (American Academy of Family Physicians, 2020) Conversely, neglecting to wear it can cause more susceptibility to injury or extend and or impair healing time. Ask a healthcare provider when you should and should not wear the brace. This could be when:
Sitting
Walking
Driving
Sleeping
Stretching
Contraindications
Some medical conditions can make an individual susceptible to injury and adverse effects from wearing a knee brace. These include: (Holden, M. A. et al., 2021)
Poor circulation
Superficial wounds on the knee
Psoriasis
Eczema
Arterial insufficiency
Severe varicose veins
A history of thrombophlebitis
Injury Medical Chiropractic and Functional Medicine Clinic
If you have one of these conditions, a healthcare provider will decide if a knee brace is safe. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to build optimal health and wellness solutions. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.
Best Knee Injury Chiropractor
References
American Academy of Family Physicians. (2020). Knee Bracing: What Works? https://familydoctor.org/knee-bracing-what-works/
Sprouse, R. A., McLaughlin, A. M., & Harris, G. D. (2018). Braces and Splints for Common Musculoskeletal Conditions. American family physician, 98(10), 570–576.
American Academy of Pediatrics. (2019). Knee pain: how to choose the right knee brace for your child. https://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Knee-Pain-and-braces.aspx
Mayo Clinic. (2022). To brace or not to brace: What’s the best answer? https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/to-brace-or-not-to-brace#:~:text=If%20you%20have%20early%20onset%2C%20mild%20arthritis,below%20the%20knee%20for%20compression%20and%20comfort.
Holden, M. A., Callaghan, M., Felson, D., Birrell, F., Nicholls, E., Jowett, S., Kigozi, J., McBeth, J., Borrelli, B., Jinks, C., Foster, N. E., Dziedzic, K., Mallen, C., Ingram, C., Sutton, A., Lawton, S., Halliday, N., Hartshorne, L., Williams, H., Browell, R., … Peat, G. (2021). Clinical and cost-effectiveness of bracing in symptomatic knee osteoarthritis management: protocol for a multicentre, primary care, randomised, parallel-group, superiority trial. BMJ open, 11(3), e048196. https://doi.org/10.1136/bmjopen-2020-048196
Can athletic individuals with ACL injuries find relief through non-surgical treatments to restore knee mobility?
Introduction
The body’s lower extremities help the individuals to be mobile but also help stabilize the body’s upper weight. From the hips to the feet, many people are on their feet and using every muscle group to allow functionality. Athletic individuals use their lower extremities to do various physical activities and are susceptible to injuries. An ACL injury is one of the most common and feared injuries that can impact an athletic person’s performance. These types of injuries affect the knees of the individual and can make a person feel miserable. However, numerous surgical and non-surgical treatments can help the recovery process of an ACL injury while helping the individual restore their motion to their lower extremities. Today’s article looks at what an ACL injury is, how it affects the knees, and how non-surgical treatments can help restore knee mobility from ACL injuries. We discuss with certified associated medical providers who consolidate our patients’ information to assess ACL injuries affecting their mobility. We also inform and guide patients while asking their associated medical provider intricate questions to integrate and provide them with numerous non-surgical treatments to be incorporated into their personalized treatment plan. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.
What Is An ACL Injury?
Do you feel aches or pains around your knees after a long exercise regime? Do you feel or hear a loud popping sensation in your knees? Or do you experience pain and swelling affecting your ability to be mobile? Many of these pain-like scenarios are correlated with ACL injuries, that is amongst the most common and feared injuries for athletic individuals and non-athletic individuals. However, we must look at the ACL itself to better understand ACL injuries. The ACL (anterior cruciate ligament) plays an important role as it helps with knee joint stabilization, prevents excessive forward movements from the tibia (shin bone), and limits rotational knee movements. (Yoo & Marappa-Ganeshan, 2024) This ligament is one of the most injured structures affecting athletic performance. ACL injuries and tears can lead to many individuals having knee instability and an increased risk of future knee osteoarthritis. (Atik, 2024) This is because ACL injuries typically occur during physical activities involving sudden stops, jumps, or directional impacts to the knees.
How Does It Affect The Knees?
So, how do ACL injuries affect the knees of the individual? As stated earlier, the ACL is a crucial ligament that stabilizes the knee joint during movement. When that ligament is injured, it can cause pain-like symptoms like:
Pain
Limited range of motion
Knee instability
Altered biomechanics
This causes many people to have reduced physical activity levels, which can become a great economic burden to their daily routine. (Wang et al., 2020) When dealing with ACL injuries, it can also affect the meniscus in the knees as cartilage erosion often accelerates and can potentially lead to early osteoarthritis, which correlates with ACL injuries. (Key et al., 2022) However, when a person is dealing with ACL injuries, there are numerous treatments to reduce the pain-like symptoms caused by ACL injuries and help restore knee mobility.
Overcoming An ACL Injury-Video
Non-Surgical Treatments For ACL Injuries
When finding the right treatment for ACL injuries, many individuals can incorporate non-surgical treatments as part of their customized treatment plan. Non-surgical treatments can vary and may be suitable for individuals with partial ACL tears and knee instability and who have been involved in low-impact sports. When athletic individuals are dealing with ACL injuries, by incorporating non-surgical treatments, they can address the impairments, achieve functional stability, and safely return to their physical activities while improving the neuromuscular system to achieve functional knee stability. (Diermeier et al., 2020) Non-surgical treatments can positively impact many individuals by relieving the overlapping pain-like issues affecting the knees and the severity of ACL injuries.
Chiropractic Care
Chiropractic care is one of the many non-surgical treatments that can benefit individuals dealing with ACL injuries. Chiropractic care incorporates mechanical and manual manipulation to diagnose and treat any musculoskeletal issues associated with ACL injuries and emphasizes the body’s natural ability to heal itself. For many athletic and non-athletic individuals with ACL injuries, chiropractic care can offer several benefits:
Pain management
Enhancing mobility and flexibility
Improving balance
Strengthening supporting muscles
Chiropractic care can help individuals by stretching and strengthening weak muscles and soft tissues that can help break down scar tissues that may have surrounded the knee while improving blood flow to the injured area. Chiropractors can also incorporate specific rehabilitation exercises and physical therapy for the individual, focusing on strength, flexibility, and stability in the knees and surrounding muscles.
Physical Therapy
Another form of non-surgical treatment is through physical therapy. Physical therapy can help many individuals with ACL injuries through strength training, balance, and range of motion exercises that are catered to strengthen the surrounding muscles and help maintain the knee’s stability, flexibility, and mobility. Stretching exercises like Pilates and Tai Chi are favorable for ACL rehabilitation as they are important for functional outcomes and ACL stability. (Giummarra et al., 2022) Additionally, many individuals can utilize a functional knee brace to provide additional support to the knees when doing any physical therapy, as they can help stabilize the knee and prevent unwanted movements that could exacerbate the ACL injury. While ACL injuries are serious, non-surgical treatments offer viable alternatives for many athletes. Individuals can effectively manage their injuries and lead active, fulfilling lives by focusing on physical therapy, utilizing supportive braces, and adopting lifestyle modifications.
References
Atik, O. S. (2024). The risk factors for second anterior cruciate ligament (ACL) tear after ACL reconstruction. Jt Dis Relat Surg, 35(2), 255-256. https://doi.org/10.52312/jdrs.2024.57920
Diermeier, T., Rothrauff, B. B., Engebretsen, L., Lynch, A. D., Ayeni, O. R., Paterno, M. V., Xerogeanes, J. W., Fu, F. H., Karlsson, J., Musahl, V., Svantesson, E., Hamrin Senorski, E., Rauer, T., Meredith, S. J., & Panther Symposium, A. C. L. T. C. G. (2020). Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group. Knee Surg Sports Traumatol Arthrosc, 28(8), 2390-2402. https://doi.org/10.1007/s00167-020-06012-6
Giummarra, M., Vocale, L., & King, M. (2022). Efficacy of non-surgical management and functional outcomes of partial ACL tears. A systematic review of randomised trials. BMC Musculoskelet Disord, 23(1), 332. https://doi.org/10.1186/s12891-022-05278-w
Key, S., Baygin, M., Demir, S., Dogan, S., & Tuncer, T. (2022). Meniscal Tear and ACL Injury Detection Model Based on AlexNet and Iterative ReliefF. J Digit Imaging, 35(2), 200-212. https://doi.org/10.1007/s10278-022-00581-3
Wang, L. J., Zeng, N., Yan, Z. P., Li, J. T., & Ni, G. X. (2020). Post-traumatic osteoarthritis following ACL injury. Arthritis Res Ther, 22(1), 57. https://doi.org/10.1186/s13075-020-02156-5
Golfing wrist injuries are common with treatment requiring 1-3 months of rest and immobilization and if tears are present surgery. Can chiropractic treatment help avoid surgery, expedite recovery, and rehabilitation?
Golfing Wrist Injuries
Golfing Wrist Injuries: According to a study, there are over 30,000 golf-related injuries treated in American emergency rooms every year. (Walsh, B. A. et al, 2017) Nearly a third are related to a strain, sprain, or stress fracture.
This causes pain and inflammation and is usually accompanied by a grinding sensation when moving the thumb and wrist.
Chiropractic Treatment
Given the nature of these injuries, medical attention should be sought out for image scans to look at any damage and properly immobilize the wrist. Once a fracture has been ruled out or healed, golfing wrist injuries can benefit from chiropractic and physical therapy. (Hulbert, J. R. et al, 2005) A typical treatment may involve a multifaceted approach involving various therapies including:
Active release therapy, myofascial release, athletic taping, corrective exercise, and stretching.
A chiropractor will examine the wrist and its functioning to determine the nature of the injury.
A chiropractor may recommend using a splint to immobilize the wrist, particularly in cases of overuse.
They will relieve pain and swelling first, then focus on strengthening the joint.
They may recommend a regimen of icing the hand.
Adjustments and manipulations will relieve pressure on the nerves to reduce swelling and restore mobility.
Peripheral Neuropathy Successful Recovery
References
Walsh, B. A., Chounthirath, T., Friedenberg, L., & Smith, G. A. (2017). Golf-related injuries treated in United States emergency departments. The American journal of emergency medicine, 35(11), 1666–1671. https://doi.org/10.1016/j.ajem.2017.05.035
Moon, H. W., & Kim, J. S. (2023). Golf-related sports injuries of the musculoskeletal system. Journal of exercise rehabilitation, 19(2), 134–138. https://doi.org/10.12965/jer.2346128.064
Ray, G., Sandean, D. P., & Tall, M. A. (2023). Tenosynovitis. In StatPearls. StatPearls Publishing.
Zouzias, I. C., Hendra, J., Stodelle, J., & Limpisvasti, O. (2018). Golf Injuries: Epidemiology, Pathophysiology, and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 26(4), 116–123. https://doi.org/10.5435/JAAOS-D-15-00433
Tan, H. K., Chew, N., Chew, K. T., & Peh, W. C. (2014). Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture. Singapore medical journal, 55(10), 517–521. https://doi.org/10.11622/smedj.2014133
Hulbert, J. R., Printon, R., Osterbauer, P., Davis, P. T., & Lamaack, R. (2005). Chiropractic treatment of hand and wrist pain in older people: systematic protocol development. Part 1: informant interviews. Journal of chiropractic medicine, 4(3), 144–151. https://doi.org/10.1016/S0899-3467(07)60123-2
A peroneal nerve injury/peroneal neuropathy can be caused by direct trauma to the outer knee with symptoms and sensations of numbness, tingling, pins-and-needles sensations, pain, or weakness in the foot that can cause a condition known as foot drop. Chiropractic can perform spinal manipulation, realignment, and decompression to restore the nerve’s function. They can also help with walking and mobility by providing muscle strengthening and stretching exercises to correct abnormal gait caused by foot drop and increase the range of motion in the ankle.
Peroneal Nerve Injury
The peroneal nerve begins near the sciatic nerve at the glutes/hip and buttocks. It travels down the back of the thigh to the knee, which wraps around the front of the leg and extends into the feet to the toes. It provides sensory input from the lateral aspect of the lower leg and the top of the foot. It also provides motor input to the muscles responsible for lifting the foot off the ground lifting the toes and ankles and turning the foot outwards.
Causes
Structural problems in the spine or misalignment can affect the functionality of the nervous system and lead to peroneal neuropathy. Traumatic nerve injury causes include musculoskeletal injury, peroneal nerve paralysis, compression, or laceration. Injuries by trauma and nerve compression include:
Compression of the nerve in the leg.
Knee dislocation.
Knee or hip replacement surgery.
Knee or leg fracture. Fractures of the tibia or fibula, especially in the areas closer to the knee, can injure the nerve.
Ankle fracture.
Blood clot.
Compression by a nerve sheath tumor or cyst.
Certain underlying medical conditions can cause symptoms of peroneal nerve injury. It is recommended to be evaluated by a medical professional who can diagnose and offer appropriate treatment options. Neurologic disorders that can cause similar symptoms:
Herniated lumbar disc
Multiple sclerosis
Parkinson’s disease
Amyotrophic lateral sclerosis – ALS or Lou Gehrig’s disease.
Metabolic syndromes – diabetes, alcohol abuse, exposure to toxins.
Symptoms
Nerve injury symptoms include:
Numbness, tingling, or loss of sensation in the top of the foot or outer part of the lower leg.
Inability to flex toes or ankles upward/dorsiflexion.
Inability to flex the ankle to take a step forward.
Inability to move the foot.
Weakness in foot eversion/rotating outward.
Flopping or slapping sounds when walking.
Gait changes – dragging the toes or lifting the knee higher than the other to raise the foot off the ground.
Tripping often.
Pain in the foot or lower leg.
Diagnosis
In diagnosing a peroneal nerve injury, a healthcare provider examines the leg and analyzes symptoms. Tests can include:
Imaging tests – CT scan, ultrasound, or MRI.
Magnetic resonance – MR – neurography is a specialized high-resolution MRI of the nerves.
An electromyogram measures how muscles react to nerve stimulation.
Treatment for a peroneal nerve injury depends on the severity and can be surgical or non-surgical. Non-surgical options include orthotic footwear, chiropractic care, and physical therapy. A physical therapy program could consist of the following:
Icing
Massage
Manual manipulation
Stretching
Strengthening exercises
Mobilization exercises
Balancing exercises
Ankle bracing
Ankle taping
Shoe inserts – splints, braces, or orthotics can improve gait.
Longo, Diego, et al. “The Muscle Shortening Maneuver: a noninvasive approach to treating peroneal nerve injury. A case report.” Physiotherapy theory and practice, 1-8. 31 Jul. 2022, doi:10.1080/09593985.2022.2106915
Milenković, S S, and M M Mitković. “Common peroneal nerve schwannoma.” Hippokratia vol. 22,2 (2018): 91.
Radić, Borislav et al. “PERIPHERAL NERVE INJURY IN SPORTS.” Acta clinica Croatica vol. 57,3 (2018): 561-569. doi:10.20471/acc.2018.57.03.20
Thatte H et al. (2022). Electrodiagnostic evaluation of peroneal neuropathy. ncbi.nlm.nih.gov/books/NBK563251/
T Francio, Vinicius. “Chiropractic care for foot drop due to peroneal nerve neuropathy.” Journal of bodywork and movement therapies vol. 18,2 (2014): 200-3. doi:10.1016/j.jbmt.2013.08.004
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