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Clinic Wellness Team. A key factor to spine or back pain conditions is staying healthy. Overall wellness involves a balanced diet, appropriate exercise, physical activity, restful sleep, and a healthy lifestyle. The term has been applied in many ways. But overall, the definition is as follows.

It is a conscious, self-directed, and evolving process of achieving full potential. It is multidimensional, bringing together lifestyles both mental/spiritual and the environment in which one lives. It is positive and affirms that what we do is, in fact, correct.

It is an active process where people become aware and make choices towards a more successful lifestyle. This includes how a person contributes to their environment/community. They aim to build healthier living spaces and social networks. It helps in creating a person’s belief systems, values, and a positive world perspective.

Along with this comes the benefits of regular exercise, a healthy diet, personal self-care, and knowing when to seek medical attention. Dr. Jimenez’s message is to work towards being fit, being healthy, and staying aware of our collection of articles, blogs, and videos.

Burn More Fat with Walking: Tips and Benefits

Burn More Fat with Walking: Tips and Benefits

Can incorporating walking help accomplish health goals for individuals trying to burn fat?

Burn More Fat with Walking: Tips and Benefits

Walking To Burn Calories and Fat

Walking has many wonderful benefits that include:

  • Improving fitness
  • Strengthening bones
  • Easing joint pain
  • Improving mental health

What to know

Taking it easy at first and steadily working on the basics can help individuals reach their health goals. Two keys to burning more fat when walking are:

  1.  Walk with enough speed and intensity to burn fat for energy.
  2. The longer you walk, the more stored fat is burned instead of the sugars for quick bursts of exercise.

While any exercise can burn calories, brisk walking and other aerobic exercises are especially recommended for burning internal abdominal visceral fat. This fat contributes to the waistline and increases the risk of diabetes and heart disease. (Bairapareddy, K. C. et al., 2018)

Fat-Burning Zone

The American Heart Association categorizes brisk walking at a pace of 2.5 miles per hour as a moderate-intensity aerobic activity. (American Heart Association, 2024) The target heart rate for exercising at this level of intensity should be 50% to 70% of an individual’s maximum heart rate. For more vigorous activities, the heart rate should be about 70% to 85% of an individual’s maximum heart rate. (American Heart Association, 2021) Working out at a low to moderate intensity can help burn fat because the body uses stored fat as fuel compared with workouts of higher intensity that depend on carbohydrates. (Carey D. G. 2009)

The heart rate range for this zone varies by age. An age heart rate zone chart can help individuals find the right numbers. While exercising, take your pulse to check your heart rate. Heart rate apps and pulse monitors have been built into activity monitors and smartwatches. While exercising in this zone, breathing is heavier, and there is a feeling of increased exertion and sweating, but individuals should be able to carry on a conversation. (Centers for Disease Control and Prevention, 2022)

  • Beginners should gradually build up walking time and speed.
  • A beginner’s walking plan starts with 15 minutes daily, five days a week, and continued improvement in walking technique.
  • Increase walking time by 5 minutes per session each week.

Increasing Walking Intensity

If the heart rate is still below 60% of the maximum heart rate, individuals need to intensify the workout to burn fat. Ways to do this include:

Adding Distance and Time

Make the walk longer to keep the body working harder and maintain a brisk pace. Adding additional minutes will burn additional stored fat. However, since not everyone has the time there are other options.

Picking Up The Pace

Even for a short walk, make a goal to perform faster than normal, walking faster using correct posture, arm motion, and a powerful stride. It can help to time the walking route and challenge yourself to complete it faster each time. One study looked at individuals walking 3.6 miles per hour, 4.1 mph, and 4.6 mph. Accelerating to 4.6 mph burned more than 50% more calories than going from 3.6 mph to 4.1 mph. (Schwarz, M. et al., 2006)

Adding Intervals

Intervals add intensity and also help increase the overall pace. The aforementioned strategies to walk faster incorporate intervals, where individuals increase their speed for a set distance or time, alternating with a slower pace. Research on individuals with diabetes found that those who did interval walking for four months lost six times as much weight as those who walked steadily. (Karstoft K. et al., 2013)

Adding Hills and/or Stairs

Incorporating hills or stair-climbing into some walking sessions helps you stay challenged and makes workouts more intense. If there is no access to outdoor hills or stairs, use a treadmill – start with a slight incline and work up to a steeper one, or get on a stair-stepping machine at the gym. There is no need to walk briskly on hills, as one study showed that walking slowly on an incline was an effective workout that didn’t cause knee joint stress, especially for obese individuals. (Haight, D. J. et al., 2014)

Switch Up Workouts

Mix up different walking workouts like intervals, short and fast walks, and long and moderate walks. Meditative, mindful walks also have stress-reducing benefits that help lower cortisol, which can contribute to weight gain. Individuals who can’t spend 45 continuous minutes walking make the most of the available time. Try and fit in two to four 15-minute walks at a brisk pace. It’s also recommended to include other types of moderate-intensity exercise and activities that include:

  • Bicycle riding on level terrain
  • Water aerobics
  • Using an elliptical trainer
  • Ballroom dancing
  • Gardening
  • Doubles tennis or pickleball

Challenge the body in new ways to burn fat, build muscle, and raise basal metabolic rate. With a boosted metabolism, the body burns more calories all day.

Sample Walking Workout

You can use a treadmill or walk outside. Make sure you have athletic shoes that are flat and flexible and have the proper support and cushioning for a long walk. Wear breathable clothing, which allows freedom of movement and wicks away sweat.


  • Start with 5 to 10 minutes of easy walking, increasing speed gradually.
  • The warmup is important to burn stored blood sugar and deplete the ready energy stored in the muscles.
  • This signals the body that a longer exercise session is underway.
  • As a result, the body prepares to burn stored fat.

Pick Up The Speed

  • To burn fat, the body needs to be in the fitness zone, with a heart rate of 60% to 70% of the maximum heart rate.
  • Check heart rate every 10 minutes to stay in the zone.

Stay In The Fitness Zone

  • For 30 to 50 minutes or more.
  • If your heart rate dips, pick up the speed.

Cool Down

  • End with 5 to 10 minutes at an easier pace to cool down.

Injury Medical Chiropractic and Functional Medicine Clinic

Using an integrated approach to treat and prevent injuries and chronic pain syndromes, improve flexibility, mobility, and agility, and help individuals return to normal activities, Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers, trainers, and specialists to develop a personalized fitness program. Each case is different and requires reviewing individual medical history and physical examination to determine the proper training plan. Dr. Jimenez has partnered with top trainers, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments and fitness training plans.

Weight Loss Techniques


Bairapareddy, K. C., Maiya, A. G., Kumar, P., Nayak, K., Guddattu, V., & Nayak, V. (2018). Effect of aerobic exercise on echocardiographic epicardial adipose tissue thickness in overweight individuals. Diabetes, metabolic syndrome and obesity : targets and therapy, 11, 303–312.

American Heart Association. (2024). American Heart Association Recommendations for Physical Activity in Adults and Kids.

American Heart Association. (2021). Target Heart Rates Chart.

Carey D. G. (2009). Quantifying differences in the “fat burning” zone and the aerobic zone: implications for training. Journal of strength and conditioning research, 23(7), 2090–2095.

Centers for Disease Control and Prevention. (2022). Measuring Physical Activity Intensity. Retrieved from

Schwarz, M., Urhausen, A., Schwarz, L., Meyer, T., & Kindermann, W. (2006). Cardiocirculatory and metabolic responses at different walking intensities. British journal of sports medicine, 40(1), 64–67.

Karstoft, K., Winding, K., Knudsen, S. H., Nielsen, J. S., Thomsen, C., Pedersen, B. K., & Solomon, T. P. (2013). The effects of free-living interval-walking training on glycemic control, body composition, and physical fitness in type 2 diabetic patients: a randomized, controlled trial. Diabetes care, 36(2), 228–236.

Haight, D. J., Lerner, Z. F., Board, W. J., & Browning, R. C. (2014). A comparison of slow, uphill and fast, level walking on lower extremity biomechanics and tibiofemoral joint loading in obese and nonobese adults. Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 32(2), 324–330.

Stay Hydrated with a Homemade Electrolyte Drink

Stay Hydrated with a Homemade Electrolyte Drink

Replenishing electrolytes and maintaining hydration is essential for individuals who work out, fitness enthusiasts, and those who play recreational or serious sports and want to improve overall health. Can making a homemade sugar-free electrolyte drink help individuals achieve health goals faster?

Stay Hydrated with a Homemade Electrolyte Drink

Homemade Electrolyte Drink

Sports drinks can help replenish the body’s lost electrolytes. Individuals who follow a low-carb diet and exercise or who are on a low-carb diet and get sick need double the added electrolytes. There is evidence that electrolytes are very effective in regulating the body’s fluid balance, especially during and after exercise or illness, and for those on a strict low-carb diet. (Maughan R. J. 1991)

Why More Electrolytes Are Needed

On a low-carb diet, insulin levels drop, so the kidneys retain less sodium. As the body excretes water, important minerals, such as the electrolytes calcium, sodium, magnesium, chloride, and potassium, are also excreted from the body’s system. Therefore, it is important to replenish them to avoid negative symptoms like lightheadedness and dehydration—especially when exercising or ill. (Bostock E. C. S. et al., 2020)

  • Two tablespoons of lemon juice contain almost the same amount of potassium in an 8-ounce sports drink.
  • A pinch of salt supplies 110 milligrams of sodium, the same amount in 8 ounces of a sports drink.

Individuals can make a low-carb homemade electrolyte sports drink. Many sports drinks contain a lot of sugar and other additives. The science behind why many of these drinks contain sugar is that a quick hit of sugar provides glucose for replenishing energy stores. Most individuals benefit from having small amounts of carbohydrates during heavy exercise. However, those who want to avoid sugar might want a sugar-free option to replace fluids and electrolytes.

Basic Recipe

Homemade Electrolyte Drink Mix:

  • 1 cup or 8 ounces of non-carbonated water
  • Two tablespoons of lemon juice
  • A small pinch of salt—a teaspoon contains 2,300 milligrams of sodium, but the body needs 1/20th of a teaspoon.
  • Flavoring and sweetener for taste are optional. Try unsweetened Kool-Aid, Crystal Light Drink Mix, or sugar-free flavored syrups.
  • If avoiding artificial sweeteners, Stevia could be an option.

Sports Drink Ingredients

What goes into most sports drinks and adapting to a low-carb diet?


Water is a primary ingredient, as the goal is to hydrate the body.


Sports drinks can contain a lot of sugar, but only about half the sugar of most commercial beverages. For example,

  • A 20-ounce bottle of Gatorade has about 34 grams of sugar.
  • A 20-ounce soda has about 69 grams of sugar.

Sports drinks have less sugar to prevent gastrointestinal cramping during exercise and strenuous physical activity. Although Gatorade contains less sugar than soda, depending on individual health goals, it may not be the best option. Studies of nutritional needs during exercise for those restricting carbohydrates are not extensive. However, it is known that when individuals cut carbs, their bodies switch from primarily using carbohydrates to using fat for energy. This change, known as keto-adaptation, can take two to three weeks. Native populations, like the Inuit, traditionally ate a very low-carbohydrate diet and could maintain vigorous endurance for a long time without ill effects. (Phinney S. D. 2004) This suggests that bodies adapt to using fat for energy during physical activity and exercise over time. However, cutting carbohydrates too much and too soon can lead to symptoms like the keto flu. (Harvard Medical School, 2018). Individuals may need to replace carbohydrates during training for longer, more vigorous workouts, such as running longer than an hour. In addition, what is eaten before and after exercise can also affect physical performance. Working with a registered dietitian, nutritionist, or health coach could be helpful to achieve specific fitness goals.


Electrolytes are molecules of certain minerals that contain an electrical charge. The nervous system runs on those charges generated by manipulating molecules called ions. (Faber D. S. and Pereda A. E. 2018) Every body function that depends on the nervous system, which includes muscle movement, breathing, digestion, thinking, etc., requires electrolyte activity. Those who exercise strenuously for long periods, individuals who follow a low-carb diet, or those with illness may need extra salt and potassium. Sports drinks contain small amounts of sodium and potassium. A balanced diet will supply plenty of minerals for electrolyte needs for individuals engaged in moderate exercise.

Using an integrated approach to treat and prevent injuries and chronic pain syndromes, improve flexibility, mobility, and agility, and help individuals return to normal activities, Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment, nutrition, and fitness programs. Each case is different and requires reviewing individual medical history and physical examination to determine the proper and most effective plan.  Dr. Jimenez has teamed up with top trainers, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments and training.

Is Intermittent Fasting the Ultimate Weight Loss Hack?


Maughan R. J. (1991). Fluid and electrolyte loss and replacement in exercise. Journal of sports sciences, 9 Spec No, 117–142.

Bostock, E. C. S., Kirkby, K. C., Taylor, B. V., & Hawrelak, J. A. (2020). Consumer Reports of “Keto Flu” Associated With the Ketogenic Diet. Frontiers in nutrition, 7, 20.

Phinney S. D. (2004). Ketogenic diets and physical performance. Nutrition & metabolism, 1(1), 2.

Harvard Medical School, Harvard Health Publishing, Marcelo Campos, M., Contributor. (2018). What is keto flu? Harvard Health Blog.

Faber, D. S., & Pereda, A. E. (2018). Two Forms of Electrical Transmission Between Neurons. Frontiers in molecular neuroscience, 11, 427.

The Power of Intuitive Eating: Listening to Your Body’s Cues

The Power of Intuitive Eating: Listening to Your Body’s Cues

Can understanding the philosophy of intuitive eating help individuals achieve and maintain health goals by breaking free from diets and getting healthy by improving their relationship with food and exercise?

The Power of Intuitive Eating: Listening to Your Body's Cues

Intuitive Eating

Intuitive eating is a non-diet approach to eating that focuses on listening to the body with internal body cues. Strict food rules are the main reason diets don’t work and negatively impact overall health and well-being. (Linardon, J., & Mitchell, S. 2017) Intuitive eating is characterized by eating in response to physiological hunger and satiety cues rather than emotional cues. The body was born to eat when hungry and stop when full. However, this natural way of eating can get lost in emotions, food rules, and restrictions. Fortunately, getting back to intuitive eating is possible for everyone.

How Does It Work?

Intuitive eating is a non-diet approach that steps away from a diet mentality and applies healthy behaviors around food. It focuses on unlearning external rules, like diet rules and expectations of what and how much to eat, and emphasizes internal cues like hunger, fullness, and how foods make you feel. It is based on principles that help build a healthier relationship with food. Individuals become aware of what to eat, how much to eat, and when to eat naturally, without worry or guilt.

Mindful Eating

Mindful eating is not the same thing as intuitive eating. Individuals can think of mindful eating as a skill or practice, while intuitive eating is a philosophy.


Understanding the ten core principles and how they work together is important.

Remove The Diet Mentality

Let go of the quick fixes and gimmick diets. These offer false hope that weight loss is easy, quick, and permanent and can make individuals feel like failures for losing and regaining weight.

Honor Hunger

Hunger is a normal, biological process. The body requires adequate amounts of energy and carbohydrates to function properly. Ignoring these cues and hunger can lead to cravings, overeating, and binges. Learning to honor hunger cues sets the stage for rebuilding trust with food. A food scale can help determine proper portions.

Make Friends With Food

Allow yourself unconditional permission to eat what you want. This means including all foods without labeling them as good or bad. Once an individual tells themself they can’t have a certain food, they can feel deprived, and intense cravings can build that often lead to overeating, binges, and extreme food guilt.

Get the Food Police Out Of Your Head

Learn to say no to self-induced thoughts of good or bad based on what is being eaten or how many calories are involved. Diets often say eating too many calories or enjoying a cookie is bad. These rules and restrictions can lower self-esteem and cause feelings of guilt. Removing negative food thoughts, guilt, and other rules is critical to intuitive eating.

Respect The Body’s Fullness

Listen for body cues that say you are full. This means your body is no longer hungry and should stop eating. Enjoy the flavors, stay aware of satiety signals throughout meals, and always be aware of your fullness level.

Satisfaction Factor

Learn to find joy and satisfaction in the eating experience. Eating what they want in an inviting environment promotes happiness and satisfaction, and a positive eating experience has been shown to promote satisfaction with even less food.

Honor Feelings Without Using Food

Don’t fix problems with food. Learn healthy ways to cope with emotions like stress, anxiety, anger, or boredom without turning to food. Feeding emotional hunger only makes feelings worse and adds guilt to the mix.

Respect Your Body

Body size and shape are unique for each person. Acceptance is an important part of self-respect and love. Instead of being critical, embrace individual genetic blueprints.
Being unrealistic and critical about one’s body makes it difficult to reject the diet mentality.


Exercise doesn’t have to be intense or extreme to be effective. Individuals should focus on how good it feels to be active and moving their bodies rather than how many calories are burned during the workout sessions. Feeling great and motivated about exercise is easy when there is increased energy, better sleep, and improved quality of life.

Honor Health

Individuals don’t have to be perfect eaters. Infrequently eating a certain snack or meal won’t make you gain weight or cause health problems.
It’s what is eaten consistently over time that matters. Making food choices that taste good and nourish the body is what counts.

Weight Loss Benefits

Intuitive eating is not designed for weight loss. It aims to improve an individual’s relationship with food, including building healthier food behaviors and not focusing on the weight scale. However, learning to be an intuitive eater can help individuals lose weight by allowing the body to break the diet cycle and settle into its natural set point weight range.

Overall Health Benefits

Intuitive eating has been shown to have both physical and emotional health benefits that include:

  • Higher levels of contentment and satisfaction
  • Reduced stress
  • Increased self-esteem
  • Better body image outlook
  • Improved cholesterol levels
  • Improved metabolism
  • Lower rates of emotional and disordered eating

In a 24-study review that examined the psychosocial effect intuitive eating had on adult women was associated with the following positive results (Bruce, L. J., and Ricciardelli, L. A. 2016)

  • Decreased eating disorders
  • Improved positive outlook on body image
  • Higher emotional functioning

Another study compared restrictive diets and intuitive eating among men and women. The study found that intuitive eating uniquely and consistently presented lower levels of disordered eating and body image concerns. (Linardon, J., & Mitchell, S. 2017) Participants using intuitive eating expressed high levels of body appreciation, and researchers suggested promoting the practice within public health approaches to eating disorder prevention. The study also supported intuitive eating by promoting body acceptance and removing unhealthy thinking about food and eating.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment plan through an integrated approach to create personalized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Eating Smart To Feel Better


Linardon, J., & Mitchell, S. (2017). Rigid dietary control, flexible dietary control, and intuitive eating: Evidence for their differential relationship to disordered eating and body image concerns. Eating behaviors, 26, 16–22.

Bruce, L. J., & Ricciardelli, L. A. (2016). A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite, 96, 454–472.

Understanding Fish Nutrition: Calories and Health Benefits

Understanding Fish Nutrition: Calories and Health Benefits

For individuals trying to lose weight or improve their diet, can incorporating more fish help improve overall health?

Understanding Fish Nutrition: Calories and Health Benefits

Fish Nutrition

The American Heart Association recommends eating at least two servings of fish each week (American Heart Association, 2021). The type of fish chosen makes a difference, as fish nutrition and calories vary. Some can have a higher calorie count but contain healthy fat.


Comparing fish calories and nutrition data can be tricky. How it is prepared can significantly change its nutritional makeup, and the exact nutrition also varies depending on the variety. As an example, a half portion of a Wild Alaskan Salmon Fillet contains: (U.S. Department of Agriculture. FoodData Central. 2019)

  • Serving Size 1/2 fillet – 154 grams
  • Calories – 280
  • Calories from Fat – 113
  • Total Fat – 12.5 grams
  • Saturated Fat – 1.9 grams
  • Polyunsaturated Fat – 5 grams
  • Monounsaturated Fat – 4.2 grams
  • Cholesterol – 109 milligrams
  • Sodium – 86 milligrams
  • Potassium – 967.12 milligrams
  • Carbohydrates – 0 grams
  • Dietary Fiber – 0 grams
  • Sugars – 0 grams
  • Protein – 39.2 grams

The following guide includes other types of fish based on USDA nutrition data (U.S. Department of Agriculture. FoodData Central). Fish calories and nutrition are listed for a 100-gram or 3.5-ounce serving.


  • Raw with skin
  • 116 calories
  • 3 grams fat
  • 0 grams carbohydrate
  • 20 grams protein


  • Yellowfin, fresh, raw
  • 109 calories
  • Less than one gram of fat
  • 0 grams carbohydrate
  • 24 grams protein


  • Atlantic, raw
  • 82 calories,
  • 0.7 grams fat
  • 0 grams carbohydrate
  • 18 grams protein


  • Raw
  • 85 calories
  • 0.7 grams fat
  • 0 grams carbohydrate
  • 18.5 grams protein

Ocean Perch

  • Atlantic, raw
  • 79 calories
  • 1.4 grams fat
  • 0 grams carbohydrate
  • 15 grams protein

Research suggests that fatty fish is the best for weight loss and improved health. Certain types of fish contain an essential fatty acid called omega-3. This polyunsaturated fat provides the body with various health benefits, like reducing the risk of heart disease. Studies show that individuals who eat seafood at least once per week are less likely to die from heart disease. (National Institutes of Health. National Center for Complementary and Integrative Health, 2024) Researchers also believe that omega-3 fatty acids may help reduce symptoms of rheumatoid arthritis and could even improve brain and eye health. Essential omega-3 fatty acids can be taken as a supplement. However, research has not shown that supplements can provide the same benefits as eating omega-3 foods. (Rizos E. C. et al., 2012)


The American Heart Association suggests eating a variety of low-calorie fish that include: (American Heart Association, 2021)


  • 3 ounces
  • 175 calories
  • 10 grams fat
  • 1.7 grams of omega-3 fatty acids


  • 3 ounces
  • 111 calories
  • 4 grams fat
  • 1.7 grams of omega-3 fatty acids

Pacific and Jack Mackerel

  • 3 ounces
  • 134 calories
  • 7 grams fat
  • 1.6 grams of omega-3 fatty acids

Pacific Black Cod

  • 3 ounces
  • 70 calories
  • 1 gram fat
  • 1.5 grams of omega-3 fatty acids


  • 3 ounces
  • 115 calories
  • 5 grams fat
  • 1.5 grams of omega-3 fatty acids

Albacore Tuna

  • 3 ounces, canned, packed in water
  • 109 calories
  • 3 grams fat
  • 0.7 grams of omega-3 fatty acids

Atlantic Herring

  • 3 ounces
  • 134 calories
  • 8 grams of fat
  • 1.4 grams of omega-3 fatty acids


  • 4 ounces
  • 145 calories
  • 3 grams of fat
  • 0.1 grams of omega-3 fatty acids

The way that the fish is prepared can change the calorie count. Baked, grilled, and broiled fish are usually the lowest in calories.

Storage and Safety

Fish experts suggest that individuals buy the freshest available. What questions should you ask when visiting the local market?

When was it caught?

The fresher, the better. Fish may remain edible for five days after being caught but may not taste as fresh.

How was it stored?

How the fish is stored and delivered to the market will impact its taste. Fish should be chilled immediately after catching and kept cold throughout delivery and transport.

How does it look and smell?

If the fish has a bad odor, it is likely not fresh. Fresh fish should smell like seawater. If buying fillets, look for a moist texture with clean-cut edges. If the fish is whole, look for clear eyes and a firm texture.

Where is it from?

Buying local fish from sustainable fisheries is recommended but not always possible, depending on where individuals live. There is a Smart Seafood Buying Guide that advises on buying American fish and provides a list of fish with lower mercury levels for health and safety. (Natural Resources Defense Council, 2024)

What is the best way to prepare this fish?

Sometimes, the fishmonger is the best source for simple and healthy recipes and preparation methods. Use fresh fish within two days, or store in the freezer. When ready to use frozen fish, thaw in the refrigerator and never at room temperature. For individuals who don’t like fish taste, there are a few things to help improve the taste. First, try less fishy types. For example, many report that around 100 calories per serving of red snapper tastes less fishy than heavier fish like salmon. Second, try adding fresh herbs and citrus to manage the taste.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment plan through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility programs to relieve pain and help individuals return to optimal function. Our providers use an integrated approach to create personalized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Nutrition Fundamentals


American Heart Association. (2021). Fish and Omega-3 Fatty Acids.

U.S. Department of Agriculture. FoodData Central. (2019). Fish, salmon, king (chinook), raw (Alaska Native). Retrieved from

National Institutes of Health. National Center for Complementary and Integrative Health. (2024). 7 things to know about omega-3 fatty acids. Retrieved from

Rizos, E. C., Ntzani, E. E., Bika, E., Kostapanos, M. S., & Elisaf, M. S. (2012). Association between omega-3 fatty acid supplementation and risk of major cardiovascular disease events: a systematic review and meta-analysis. JAMA, 308(10), 1024–1033.

Natural Resources Defense Council. (2024). The smart seafood buying guide: five ways to ensure the fish you eat is healthy for you and for the environment.

Heat-Related Illnesses and their Impact on the Musculoskeletal System

Heat-Related Illnesses and their Impact on the Musculoskeletal System

Do individuals with muscle pain know the difference between heat stroke and heat exhaustion and can find ways to stay cool?


As the temperature rises worldwide, many individuals are enjoying their time outside and getting more sun in their lives. However, rising temperatures also mean the rise of heat-related illnesses. The two most common heat-related illnesses are heat stroke and heat exhaustion, which can impact an individual’s musculoskeletal system and have different symptoms in terms of severity. Today’s article focuses on the differences between these two heat-related illnesses, how they affect the musculoskeletal system and treatments to stay cool while reducing muscle pain. We discuss with certified associated medical providers who consolidate our patients’ information to assess heat-related illnesses associated with muscle pain. We also inform and guide patients while asking their associated medical provider intricate questions to integrate treatments and ways to stay cool when temperatures rise and reduce muscle pain. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.


Heat Exhaustion VS Heat Stroke

By understanding the differences between heat stroke and heat exhaustion is crucial. Do you often feel overheated after simple activities? Have you experienced muscle pain or cramps? Or do you struggle to cool down? These are all signs of heat-related illnesses. Heat-related illnesses often occur when the body cannot dissipate heat, leading to dysfunctional thermoregulation. (Gauer & Meyers, 2019) The two most common types are heat exhaustion and heat stroke. While they share similar causes, they differ significantly in terms of severity, symptoms, and treatment. (Prevention, 2022)




Heat exhaustion is a mild condition that often occurs when the human body loses excessive water and salt from profusely sweating. This causes the external temperatures to be more moderate when associated with intense physical activity. (Leiva & Church, 2024) Additionally, when a person is dealing with heat exhaustion, some of the symptoms that they will experience include:

  • Heavy sweating
  • Fatigue
  • Headaches
  • Muscle cramps
  • Pale, cool, moist skin
  • Fast, weak pulse

Even though heat exhaustion is a mild heat-related condition, it can develop into severe heat-related conditions like heat stroke if not treated immediately. Heat stroke is a severe heat-related illness that is not only life-threatening but has two forms that can affect a person’s body temperature: classic and exertional. Classic heat stroke often affects elderly individuals who have chronic medical conditions, while exertional heat stroke affects healthy individuals who are doing strenuous physical activities. (Morris & Patel, 2024) Some of the symptoms associated with heat stroke include:

  • High body temperature (104°F or higher)
  • Hot, red, dry skin
  • Rapid, strong pulse
  • Confusion
  • Seizures
  • Loss of consciousness


How Do Both Conditions Affect The Muscles?

Both heat-related illnesses can have a significant effect on the musculoskeletal system and cause muscle pain to not only the extremities but also the entire body system. The issue affects the musculoskeletal system and can lead to painful muscle cramps, involuntary muscle contractions, and muscle pain. Since muscle pain is a multi-factorial condition, heat-related illnesses like heat stroke and exhaustion can influence a person’s lifestyle and comorbid health factors. (Caneiro et al., 2021) When that happens, many individuals can seek treatments to stay cool from heat exhaustion and heat stroke and reduce muscle pain.


Secrets Of Optimal Wellness-Video

Treatments For Staying Cool & Reduce Muscle Pain

While it is important to understand the difference between heat stroke and heat exhaustion due to the crucial timing and effective interventions, finding various treatments to reduce muscle pain and find ways to stay cool is important. Many individuals can wear technology to monitor the person’s physiological status actively and prevent injuries while providing early detection for heat-related illnesses. (Dolson et al., 2022) This can reduce the chances of muscle pain and help regulate body temperature. For individuals dealing with heat exhaustion, they can:

  • Move to a cooler environment
  • Be well-hydrated with water and electrolyte-rich drinks
  • Rest
  • Wear cool clothes to lower body temperature

For individuals dealing with heat stroke, they can:

  • Call emergency services immediately
  • Apply cool clothes or ice packs to the body
  • Monitor vital signs

Both treatments can ensure positive results in preventing life-threatening situations that can affect the musculoskeletal system.



Given the significant impact both heat stroke and heat exhaustion can have on the musculoskeletal system, it’s essential to take proactive measures. Proper hydration, cooling, and rest can help manage and alleviate muscle pain associated with these heat-related illnesses. By staying informed, maintaining hydration, and taking proactive steps to protect yourself from excessive heat, you can significantly reduce the chances of these heat-related illnesses affecting your outdoor activities.



Caneiro, J. P., Bunzli, S., & O’Sullivan, P. (2021). Beliefs about the body and pain: the critical role in musculoskeletal pain management. Braz J Phys Ther, 25(1), 17-29.

Dolson, C. M., Harlow, E. R., Phelan, D. M., Gabbett, T. J., Gaal, B., McMellen, C., Geletka, B. J., Calcei, J. G., Voos, J. E., & Seshadri, D. R. (2022). Wearable Sensor Technology to Predict Core Body Temperature: A Systematic Review. Sensors (Basel), 22(19).

Gauer, R., & Meyers, B. K. (2019). Heat-Related Illnesses. American Family Physician, 99(8), 482-489.

Leiva, D. F., & Church, B. (2024). Heat Illness. In StatPearls.

Morris, A., & Patel, G. (2024). Heat Stroke. In StatPearls.

Prevention, C. f. D. C. a. (2022). Heat stress — heat related illness. The National Institute for Occupational Safety and Health (NIOSH) Retrieved from


Discover the Best Fruits Low in Sugar for a Balanced Diet

Discover the Best Fruits Low in Sugar for a Balanced Diet

Can fruit help with a sweet craving for individuals trying to limit sugar?

Discover the Best Fruits Low in Sugar for a Balanced Diet

Fruits Low In Sugar

Fruits and their natural sugars: Whether following a low-carbohydrate diet or having diabetes and watching your A1C, many have heard that fruit is either bad or okay because of its natural sugars. Sugars in fruit are natural. How they affect blood sugar depends on various factors, like which foods they’re paired with and if diabetes is a factor. Counting carbs or noting the glycemic index or glycemic load of foods being eaten, understanding low-sugar fruits can help make choices that best fit your dietary needs. Certain fruits are considered lower in sugar because they contain fewer carbohydrates and sugar, allowing you to consume a larger portion.

  • One serving of fruit has about 15 grams of carbohydrates.
  • A serving is one small apple, half a medium-sized banana, or a cup of berries.
  • Fruits like berries can be eaten in more significant portions for the same amount of carbohydrates but less sugar.


Low-sugar fruits include:

  • Lemons and Limes
  • Rhubarb
  • Apricots
  • Cranberries
  • Guava
  • Raspberries
  • Blackberries
  • Kiwi
  • Figs
  • Tangerines
  • Grapefruit

Natural Sugar

How much fruit an individual eats may differ if they follow a specific low-carb meal plan or are counting or modifying their carbohydrate intake because of diabetes. Adults should consume two cups of fruit or juice or a half-cup of dried fruit daily. (U.S. Department of Health and Human Services and U.S. Department of Agriculture, 2015) Most fruits have a low glycemic index/GI because of the amount of fiber they contain and because the sugar is mostly fructose. However, dried fruits like raisins, dates, sweetened cranberries, melons, and pineapples have a medium glycemic index. Sweetened dried fruits have an even higher glycemic index.

Fruits from Lowest to Highest Content

Fruits are a healthy way to satisfy a sweet craving. The fruits listed are ranked from lowest to highest sugar content, providing a quick way to assess sugar content. The fruits lowest in sugar have some of the highest nutritional values, plus antioxidants and other phytonutrients.

Limes and Lemons

Limes contain:

  • 1.1 grams of sugar
  • 7 grams of carbs
  • 1.9 grams of fiber per fruit

Lemons contain:

  • 1.5 grams of sugar
  • 5.4 grams of carbs
  • 1.6 grams of fiber per fruit


Rhubarb contains:

  • 1.3 grams of sugar
  • 5.5 grams of carbs
  • 2.2 grams of fiber per cup


Apricots contain:

  • 3.2 grams of sugar
  • 3.8 grams of carbs
  • 0.7 grams of fiber per small apricot

Apricots are available fresh in spring and early summer. They can be eaten whole, skin and all. However, watch portions of dried apricots as they shrink when dried.


Cranberries contain:

  • 3.8 grams of sugar
  • 12 grams of carbs
  • 3.6 grams of fiber per cup when fresh.

While they’re low in sugar, be aware that they are usually sweetened when dried or used in a recipe.


Guava contains:

  • 4.9 grams of sugar
  • 7.9 grams of carbs
  • 3 grams of fiber per fruit

They can be sliced or dipped in salty sauce, including the rind.


These fruits generally have the lowest sugar content and are among the highest in fiber, antioxidants, and other nutrients. Berries, lemon, and lime can be added to flavor water.


Raspberries contain:

  • 5.4 grams of sugar
  • 14.7 grams of carbs
  • 8 grams of fiber per cup

Eat a handful, or use them as a topping or ingredient. Fresh in summer or frozen year-round.


Blackberries contain:

  • 7 grams of sugar
  • 13.8 grams of carbs
  • 7.6 grams of fiber per cup

Strawberries contain:

  • 7.4 grams of sugar
  • 11.7 grams of carbs
  • 3 grams of fiber per cup

Berries are excellent choices for a snack, a fruit salad, or an ingredient in a smoothie, sauce, or dessert.


Blueberries contain:

  • 15 grams of sugar
  • 21 grams of carbs
  • 3.6 grams of fiber per cup

While blueberries are higher in sugar than other berries, they’re packed with powerful antioxidants.


Kiwis contain:

  • 6.2 grams of sugar
  • 10.1 grams of carbs
  • 2.1 grams of fiber per kiwi

Kiwis have a mild flavor, and the seeds and skin can be eaten.


Figs contain:

  • 6.5 grams of sugar
  • 7.7 grams of carbs
  • 1.2 grams of fiber per small fig

These figures are for fresh figs, and it may be harder to estimate for dried figs of different varieties, which can have 5 to 12 grams of sugar per fig.


Tangerines contain:

  • 8 grams of sugar
  • 10.1 grams of carbs
  • 1.3 grams of fiber per medium fruit

These low-sugar citrus fruits have less sugar than oranges and are great for salads. They are also portable, making them healthy additions to packed lunches and snacks.


Grapefruit contains:

  • 8.5 grams of sugar
  • 13 grams of carbs
  • 2 grams of fiber per half fresh grapefruit

Individuals can enjoy fresh grapefruit in a fruit salad or by itself, adjusting the amount of sugar or sweetener.

Low-Carb Diets

Individuals following a low-carb eating plan should remember that while some popular diet plans factor in the glycemic index or glycemic load of foods, others only factor in the number of carbohydrates.

20 Grams of Carbohydrates or Less

  • Individuals will likely not consume fruit or rarely substitute it for other food items with less than 20 grams of carbohydrates daily.
  • Nutrients are obtained from vegetables.
  • Some diets don’t even allow low-sugar fruits in the first phase.

20-50 Grams of Carbohydrates

  • These eating plans allow 20 to 50 grams of carbs daily, allowing room for one daily fruit serving.

50-100 Grams of Carbohydrates

  • If the eating plan allows 50 to 100 grams of carbs per day, individuals may be able to follow the FDA guidelines for two fruit servings a day, as long as other resources of carbohydrates are limited.
  • Other popular plans, like the Paleo diet and Whole30, don’t place a limit on fruit.
  • Although not necessarily a low-carb diet, Weight Watchers also allows fruit.

In general, individuals following a low-carb diet are recommended to try to eat fruits low in sugar.


Fruit choices when managing diabetes will depend on the type of diet being followed. For example, when counting carbohydrates, individuals should know that 1/2 cup of frozen or canned fruit has about 15 grams of carbohydrates.

  • Enjoy 3/4 to 1 cup of fresh berries, melon, or 17 grapes for the same carbs.
  • If using the plate method, add a small piece of whole fruit or 1/2 cup of fruit salad to the plate.
  • When using the glycemic index to guide food choices, remember that most fruits have a low GI and are encouraged.
  • Melons, pineapples, and dried fruits have medium GI index values, so watch portion size.

Individuals with diabetes may want to consult their primary doctor or a registered dietitian to help design an eating plan that incorporates fruit appropriately.

Body In Balance: Chiropractic, Fitness, and Nutrition


U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available at

Boost Your Health with Cycling and Osteoarthritis

Boost Your Health with Cycling and Osteoarthritis

Can individuals with osteoarthritis can incorporate cycling to reduce joint pain and regain their joint mobility?


The joints in the musculoskeletal system allow the individual to be mobile while allowing the extremities to do their jobs. Just like the muscles and ligaments of the body, the joints can also wear and tear through repetitive motions, leading to joint pain in the extremities. Over time, the wear and tear from the joints can lead to the potential development of osteoarthritis, which then can affect joint mobility and lead to a life of pain and misery for individuals. However, numerous ways exist to reduce osteoarthritis’s pain-like symptoms and help restore joint mobility through cycling. Today’s article looks at how osteoarthritis affects the joints, how cycling is incorporated for osteoarthritis, and how it can reduce joint pain. We discuss with certified associated medical providers who consolidate our patients’ information to assess osteoarthritis and its associated pain symptoms affecting the joints in the extremities. We also inform and guide patients while asking their associated medical provider intricate questions to integrate cycling into their personalized treatment plan to manage the pain correlated with osteoarthritis affecting their joints. Dr. Jimenez, D.C., includes this information as an academic service. Disclaimer.


Osteoarthritis Affecting Joint Mobility

Do you feel pain and stiffness every morning in your joints only for it to feel better throughout the day? Do you experience pain in your knees, hips, and hands? Or have you noticed that your range of motion has decreased drastically? Many individuals, both young and old, can be affected by these pain-like issues and could be at risk of developing osteoarthritis in their joints. Osteoarthritis is the largest and most common musculoskeletal condition that causes a disturbance of the inflammatory cytokine balance, damaging the cartilage and other intra-articular structures surrounding the joints. (Molnar et al., 2021) This is because osteoarthritis develops over time, causing the cartilage to wear away and causing the connecting bones to rub against each other. This, in turn, can affect the extremity’s joint mobility, causing symptoms of stiffness, pain, swelling, and reduced range of motion to the joints.



Additionally, osteoarthritis is multifactorial as it can cause an imbalance in the joints due to genetics, environmental, metabolic, and traumatic factors that can contribute to its development. (Noriega-Gonzalez et al., 2023) This is because repetitive motions and environmental factors can impact the body and cause overlapping risk profiles to correlate with osteoarthritis. Some overlapping risk profiles associated with osteoarthritis are pathological changes in the joint structure that cause abnormal loading on the joints, which causes joint malalignment and muscle weakness. (Nedunchezhiyan et al., 2022) This causes many people to be in constant pain and trying to find relief from joint pain associated with osteoarthritis.


Chiropractic Solutions For Osteoarthritis-Video

Cycling For Osteoarthritis

Engaging in physical activities may seem daunting when managing osteoarthritis symptoms, but it can help restore joint mobility while reducing the pain associated with osteoarthritis. One of the physical activities that has little impact and does not impact the joints is cycling. Cycling for osteoarthritis has many beneficial properties as it can:

  • Strengthen surrounding muscles
  • Retain joint mobility
  • Improve range of motion
  • Weight management
  • Enhancing cardiovascular health

Cycling can help the individual focus on strengthening the lower extremity muscles surrounding the joints, which can help improve pain and functionality. (Katz et al., 2021) This, in turn, helps provide better support and stability to the joints, thus reducing overload on the body while minimizing the risk of injuries. Additionally, cycling can help improve many individuals looking for a healthier change and increase bone mineral density in the joints, thus decreasing the risk of fractures. (Chavarrias et al., 2019)


Cycling Reducing Joint Pain

Cycling is a safe and effective exercise for anyone, whether they’re just starting or haven’t been active for a while. The key to optimal recovery and joint functionality is to consult a doctor. This ensures that cycling is a safe option for you, helps you choose the right bike, and provides guidance on how to start slowly, warm up and stretch, maintain proper form, and stay consistent with the cycling sessions. This professional guidance is crucial, as it allows many individuals with joint pain to achieve complete functional recovery to their joints. (Papalia et al., 2020) Cycling is an excellent way to manage osteoarthritis and its associated symptoms. For many individuals with osteoarthritis, this low-impact exercise can be a game-changer, promoting muscle strengthening, improving joint range of motion, and helping alleviate osteoarthritis symptoms.



Chavarrias, M., Carlos-Vivas, J., Collado-Mateo, D., & Perez-Gomez, J. (2019). Health Benefits of Indoor Cycling: A Systematic Review. Medicina (Kaunas, Lithuania), 55(8).

Katz, J. N., Arant, K. R., & Loeser, R. F. (2021). Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA, 325(6), 568-578.

Molnar, V., Matisic, V., Kodvanj, I., Bjelica, R., Jelec, Z., Hudetz, D., Rod, E., Cukelj, F., Vrdoljak, T., Vidovic, D., Staresinic, M., Sabalic, S., Dobricic, B., Petrovic, T., Anticevic, D., Boric, I., Kosir, R., Zmrzljak, U. P., & Primorac, D. (2021). Cytokines and Chemokines Involved in Osteoarthritis Pathogenesis. Int J Mol Sci, 22(17).

Nedunchezhiyan, U., Varughese, I., Sun, A. R., Wu, X., Crawford, R., & Prasadam, I. (2022). Obesity, Inflammation, and Immune System in Osteoarthritis. Front Immunol, 13, 907750.

Noriega-Gonzalez, D., Caballero-Garcia, A., Roche, E., Alvarez-Mon, M., & Cordova, A. (2023). Inflammatory Process on Knee Osteoarthritis in Cyclists. J Clin Med, 12(11).

Papalia, R., Campi, S., Vorini, F., Zampogna, B., Vasta, S., Papalia, G., Fossati, C., Torre, G., & Denaro, V. (2020). The Role of Physical Activity and Rehabilitation Following Hip and Knee Arthroplasty in the Elderly. J Clin Med, 9(5).