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Functional Medicine

Back Clinic Functional Medicine Team. Functional medicine is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms.

Practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.

By changing the disease-centered focus of medical practice to this patient-centered approach, our physicians are able to support the healing process by viewing health and illness as part of a cycle in which all components of the human biological system interact dynamically with the environment. This process helps to seek and identify genetic, lifestyle, and environmental factors that may shift a person’s health from illness to well-being.


Bulging, Herniated Discs and Digestive Problems

Bulging, Herniated Discs and Digestive Problems

There are different possible causes of abdominal pain and digestive problems. Sometimes a bulging disc is the cause. A bulging disc that is causing abdominal pain is rare but possible. When this happens, it’s usually a herniated disc in the upper back, known as the thoracic spine. When the disc bulges to the side, it can cause abdominal pain. One study found that half of the patients presenting with herniated discs also suffered from digestive problems, including irritable bowel syndrome.

Bulging, Herniated Discs and Digestive Problems

Thoracic Disc Herniation

The thoracic spine is the region between the base of the neck and the low back. This section is surrounded and stabilized by the ribcage, reducing the risk of disc herniation. Most herniated disc/s occur in the low back or the neck because those areas with a lot of movement are less stable than the thoracic spine. But they do happen and can contribute and/or cause abdominal pain. This is usually accompanied by pain in the mid-back and the chest. Because this is rare, physicians don’t immediately think that a herniation is causing abdominal pain. This can lead to unnecessary and expensive tests to find the problem.

Lateral Disc Herniation

This is not the most common type of disc herniation. The type of herniation that causes pain in the abdomen is known as lateral disc herniation. This is when the disc bulges laterally/sideways. What happens is it can compress and irritate the nerve root. This is what can cause pain in the abdomen. Types of disc herniations include:

Causes

Most thoracic herniations are caused by trauma to the upper back. This can come from a:

  • Fall
  • Auto accident
  • Sports injury
  • They can also be caused by degenerative disc disease. If this happens, the discs can become calcified, which could require surgery.

Movements like reaching up to get something or twisting motions like putting on a seatbelt can cause the pain to worsen. Most thoracic herniations happen in young individuals brought on by trauma to the area. Women tend to be affected more by thoracic disc herniation that causes abdominal pain.

Herniated Disc and Bloating

Bloating often comes with digestive problems. A herniated discs can also cause bloating along with abdominal and back pain. However, they are not always related because bloating, and other digestive issues can cause back and abdominal pain. Bloating and pain typically go away after a bowel movement. But it is important to see a medical professional if the problem lasts more than a few days.

Gas and a Herniated Disc

In certain cases, a herniated disc can cause gas. This is rare, but evidence suggests that nerve compression in the spine can affect the digestive system. If back pain, abdominal pain, and digestive issues are presenting, seeking out treatment is recommended.

Treatment

Chiropractors specialize in spinal care. The approach is to balance the entire body and heal the underlying issues. The nervous system travels through the spinal column. If injured or damaged, it can cause all kinds of issues. This includes abdominal pain and digestive problems. A chiropractor will:

  • Bring pain relief
  • Realign the spine
  • Balance the body
  • Recommend exercises and stretches
  • Offer nutritional recommendations
  • Recommend sleeping positions to prevent pain at night

They are different techniques to treat disc herniations. These include:

  • Full-body diagnosis
  • Detailed medical history
  • MRI, CT, or X-Rays
  • Laser therapy
  • Ultrasound
  • Ice and heat
  • Electrical stimulation
  • Massage
  • Physical therapy

Body Composition


Binge Eating

A common and powerful trigger of binge eating is restrictive dieting. This type of diet is a common weight-loss method for short-term goals. This is because a highly controlled program of calorie intake makes it easier to prevent overeating. The problem is that this type of restriction is not sustainable. Most individuals can avoid certain foods for only so long. However, this is not the only reason for binge eating. Many individuals use food as an emotional suppressor. They overeat during:

  • Levels of high stress
  • Boredom
  • Bouts of sadness
  • Exhaustion/excessively tired

The brain and body are conditioned to crave certain and usually addictive foods. When individuals want to get their minds off of something, cravings can activate and become overpowering. Although it is not an addiction to alcohol or drugs, food addiction is still an addiction. Working through addictive behavior toward any substance will improve the quality of life. Overcoming food addiction promotes physical health benefits and improved mental health. Recognizing addictive behaviors when it comes to food is the first step.

References

Al-Khawaja, Darweesh O et al. “Surgical treatment of far lateral lumbar disc herniation: a safe and simple approach.” Journal of spine surgery (Hong Kong) vol. 2,1 (2016): 21-4. doi:10.21037/jss.2016.01.05

Lara, F J Pérez et al. “Thoracic disk herniation, a not infrequent cause of chronic abdominal pain.” International surgery vol. 97,1 (2012): 27-33. doi:10.9738/CC98.1

Papadakos, Nikolaos et al. “Thoracic disc prolapse presenting with abdominal pain: case report and review of the literature.” Annals of the Royal College of Surgeons of England vol. 91,5 (2009): W4-6. doi:10.1308/147870809X401038

Polivy, J et al. “Food restriction and binge eating: a study of former prisoners of war.” Journal of abnormal psychology vol. 103,2 (1994): 409-11. doi:10.1037//0021-843x.103.2.409

Re-Energize From Lack of Energy and Fatigue With Bio-Chiropractic

Re-Energize From Lack of Energy and Fatigue With Bio-Chiropractic

Re-energize from a lack of energy and fatigue with Bio-chiropractic. Millions of individuals struggle to get through the day or night depending on work/school schedules because of deficient energy levels that result in fatigue. Unfortunately, many begin taking over the counter or prescription medication, drinking coffee or highly caffeinated/energy beverages, or taking days off to catch up on rest. There is a wide range of high-sugar and caffeine energy products to help with fatigue. But, research has shown how overconsumption of these products can contribute and/or cause:

  • High blood pressure
  • Cardiovascular disease
  • Diabetes
  • When a tired body takes in caffeinated energy, it is only for a temporary energy boost.
  • Energy products can mask the fatigue causation. This could be a disease, a type of condition, or an overlapping of causes.

 

Re-Energize From Lack of Energy and Fatigue With Bio-Chiropractic

Nervous System

The nervous system is the body’s life energy source. It is responsible for facilitating millions of functions that occur throughout the body every day. These include:

What often happens is that:

  • Poor posture
  • Accidents
  • Injuries
  • Birth trauma
  • Shifts the spine out of alignment, placing added pressure on the delicate nerves in the neck and back. 

The compression causes nerve interference that disrupts optimal nerve energy flow from reaching the organs. This leads to:

  • Fatigue
  • Pain
  • Organ dysfunction
  • Eventually disease

Bio-Chiropractic

Bio-Chiropractic is a scientific and researched based form of musculoskeletal corrective care. It aims to unblock nerve interference through the proper realignment of the spine, returning it to its proper curvature. As a result, many individuals under chiropractic care report immediate relief from neck or back pain, along with a vibrant, energized feeling, and with time their overall health improves.


Body Composition Feedback


Malnutrition

Malnutrition can be defined as a deficiency, excess, or imbalance in an individual’s intake of energy and nutrients. Protein-energy deficiency is a common form of malnutrition. It is a health condition that can have immediate/negative effects on body composition. This deficiency causes damage to skeletal muscle mass as the body progresses into starvation mode, breaking down its own protein stored in the muscles for fuel.

Micronutrient deficiency is a lack of nutrients like minerals and vitamins. These support important functions like cell regeneration, the immune system, and eyesight. Common examples are iron and/or calcium deficiencies. Micronutrient deficiency has the greatest impact on the body’s physiological functions/processes. They can occur at the same time that protein-energy deficiency is happening overlapping each other. Nutritional deficiencies can impact processes like:

References

Berkson, D L. “Osteoarthritis, chiropractic, and nutrition: osteoarthritis considered as a natural part of a three-stage subluxation complex: its reversibility: its relevance and treatability by chiropractic and nutritional correlates.” Medical hypotheses vol. 36,4 (1991): 356-67. doi:10.1016/0306-9877(91)90010-v

Jensen, Gordon L et al. “Recognizing malnutrition in adults: definitions and characteristics, screening, assessment, and team approach.” JPEN. Journal of parenteral and enteral nutrition vol. 37,6 (2013): 802-7. doi:10.1177/0148607113492338

Oakley, Paul A et al. “Restoring lumbar lordosis: a systematic review of controlled trials utilizing Chiropractic Bio Physics® (CBP®) non-surgical approach to increasing lumbar lordosis in the treatment of low back disorders.” Journal of physical therapy science vol. 32,9 (2020): 601-610. doi:10.1589/jpts.32.601

Chiropractic Improves Circulation That Can Help Increase Productivity

Chiropractic Improves Circulation That Can Help Increase Productivity

Brain fog, memory problems, concentration, and the inability to form clear thoughts is an issue that many will face at some point. The progression of losing the ability to focus or think clearly can lead to decreased productivity with normal daily tasks, work, or taking care of a household. It can be a short-term issue experience caused by sleep deprivation or stress. However, if these issues are allowed to continue it can negatively change an individual’s quality of life.
11860 Vista Del Sol, Ste. 128 Chiropractic Improves Circulation That Can Help Increase Productivity

Affected Productivity Factors

Causes that can lead to poor productivity include:
  • Sedentary lifestyle
  • Poor sleep habits
  • Chronic Stress
  • Chronic anxiety
  • Unhealthy diet
  • Chronic Pain
  • Allergies
  • Food allergies
  • Illness
  • Mental health difficulties
  • Hypothyroidism

Spinal Alignment Affects Brain Functions

The underlying issue/s associated with brain function and the ability to focus are connected to the spine being out of alignment. Individuals often have poor spinal alignment without even realizing it is happening. It affects the body’s blood and nerve transmitting abilities to complete normal daily tasks. Chiropractic treatment is an expert-based approach that focuses on restoring spinal alignment to increase an individual’s health and brain function. Proper spinal alignment allows the nerves to relay messages clearly and optimally through the spinal cord to the brain. This allows for:
  • Clear thinking
  • Improved memory
  • Better decision making
  • Staying focused on tasks
11860 Vista Del Sol, Ste. 128 Chiropractic Improves Circulation That Can Help Increase Productivity

Chiropractic Optimal Nerve Flow

When the central nervous system/brain/spinal cord is not transmitting properly it can lead to significant issues with concentration and productivity. When nerve energy and brain function is optimized productivity is improved. Research has shown that chiropractic can help:
  • Reduce the risk of disease
  • Prevent injuries
  • Prevent pain conditions
  • Improved quality of life
Chiropractic medicine can increase the ability to focus, optimize brain health, and more.

Body Composition


 

Tracing the sources of fatigue

There is a difference between being tired periodically from a long day and being tired daily. Being tired daily is also known as Chronic Fatigue Syndrome. This is a fatigue condition that has lasted longer than 6 months. It is typical to experience many of the symptoms of fatigue that disrupt the ability to achieve health goals like:
  • Weight loss
  • Muscle gain
  • Maintaining body weight
Symptoms include:
  • Constantly tired
  • Reduced appetite
  • Moodiness
  • Reaction time slows down
  • Memory Loss
  • Dizziness
The nature of hectic daily schedules can allow sources of fatigue to pile up. The objective is to find a balance between home, work, physical activity, diet, etc. Chiropractic medicine and health coaching can help develop an optimal plan to get healthy.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Craniocervical Junction Disorder. USC Spine Center Web site. http://spine.keckmedicine.org/treatments-services/craniocervical-junction-disorder/. Accessed August 25, 2017. Anderson, Brian, and Adam Pitsinger. “Improvement in chronic muscle fasciculations with dietary change: a suspected case of gluten neuropathy.” Journal of chiropractic medicine vol. 13,3 (2014): 188-91. doi:10.1016/j.jcm.2014.01.002 Ross, Amanda J, et al. “What is brain fog? An evaluation of the symptom in postural tachycardia syndrome.” Clinical autonomic research: official journal of the Clinical Autonomic Research Society vol. 23,6 (2013): 305-11. doi:10.1007/s10286-013-0212-z
Understanding The Difference Between Weight Loss and Fat Loss

Understanding The Difference Between Weight Loss and Fat Loss

Understanding the difference between weight loss and fat loss will help promote a healthy change and an improvement in an individual’s wellbeing. Fat loss can be a part of losing weight however, individuals lose more than just fat. For most individuals, fat loss is the goal, so taking a deliberate, focused approach will generate the best results. Here we discuss how individuals can optimize for fat loss.  
 

Understanding The Difference

  • Weight loss is the overall reduction in body weight
  • Fat loss is a reduction in body fat
When losing weight, the body is not just losing body fat, there are changes being made to each component of body composition. This includes:
  • Body fat
  • Lean Body Mass
  • Body Water
This is also true for weight gain. An individual cannot control how much is lost but can influence what is lost.  
11860 Vista Del Sol, Ste. 128 Understanding The Difference Between Weight Loss and Fat Loss
 

Weight Loss

There are hundreds of diet and exercise programs that can help achieve fat loss some better than others. The ones that tend to work better focus on the same thing, which is reducing energy intake from food/diet while increasing energy output through exercise and regular physical activity. This forces the body to make up for the missing energy by breaking down the body’s tissues, including fat and muscle. As an individual loses weight, they will also lose some muscle in the form of Lean Body Mass in addition to body fat.  

Fat Loss

Body fat is a combination of essential fat and storage fat. Storage fat is adipose tissue that has accumulated for reserved energy. This type of fat changes with diet modification and regular exercise. Too much storage fat can negatively impact physical and mental wellbeing, so this should be the focus for better health.  

Focus on fat loss and not weight loss

There is a clear association between obesity and chronic disease. Focusing on weight loss can lead to unintended consequences like eating disorders. This is why the focus on fat loss is key along with healthy body composition. This is the recommended approach because it encourages the individual to move more and eat healthily.  

Understanding health benefits of losing fat

Body fat percentage works better as a gauge of health than weight. Weight is composed of lean body mass, body fat, and water, so any changes that occur in these areas can lead to weight gain and not just fat loss. Excess body fat, specifically storage fat, has a close association to chronic diseases like:
  • Type 2 Diabetes
  • Hypertension
  • Heart Disease
  • Various Cancers
The key is understanding that a healthy body fat percentage will help reduce the risk of these diseases, improve mental health and overall health.  
11860 Vista Del Sol, Ste. 128 Understanding The Difference Between Weight Loss and Fat Loss
 

Different ways to measure fat loss

Tracking body fat loss means having body composition tracked and monitored. There are devices and methods for determining body composition, including: For truly accurate results get tested by a highly skilled professional who uses medical-grade tools for assessment. Cheap plastic calipers and at-home scales don’t tend to be the best options.  

Metabolism changes with weight loss

 
When losing weight there is more lost than fat. One loss can be Lean Body Mass, which is critical because the amount of Lean Body Mass that the body has directly influence Basal Metabolic Rate or the body’s metabolism. The Basal Metabolic Rate (BMR) is the number of calories the body naturally burns when resting. When focusing on weight loss and not making changes to minimize lean body mass loss, the individual decreases the size of their metabolism. However, if an individual continues with the same eating habits, this could be a setup for weight regain.  

Weight loss can slow down metabolism

Here is an example of a typical set of body composition results of someone who would be clinically diagnosed as obese.  
 
Along with weight and body fat mass measurements, the individual naturally developed muscles by carrying their body weight. This means that individuals that are obese also have relatively large metabolisms. Dramatic changes to Lean Body Mass and metabolism are not ideal, especially when the goal is maintaining healthy body weight. This is why it is important to come up with a focused/customized approach for gaining muscle, losing fat, and body recomposition, rather than just weight loss. The weight and body fat bars on the above chart are significantly over average, as well as, the Skeletal Muscle Mass bar. This is common for individuals that are obese. Individuals that are obese have developed this muscle by carrying a large amount of weight. Large amounts of muscle begin to develop to move the heavy body.  
 

Stopping weight regain

With weight loss, there will be some Lean Body Mass loss. This means a low metabolism, combined with non-regulated eating habits can lead to regaining weight. With no development of Lean Body Mass and skeletal muscle to help grow the metabolism, there is an increased chance for weight regain. It is crucial to focus on body composition, developing muscle, and Lean Body Mass. Along with continued changing eating habits after an individual reaches their target weight.  

Building muscle, losing fat for healthy body composition

The main areas to focus on to change body composition, overall health, and wellbeing.

Focus on body composition, not on weight loss

Instead, track changes in body composition. This means optimizing programs for fat loss while minimizing Lean Body Mass loss. Weight loss will occur, but combined with proper nutrition and strength training can minimize Lean Body Mass loss.  

Develop new eating habits

An important step is understanding how to improve eating habits by choosing a diet plan that will be fun and enjoyable. When optimizing for fat loss, it will take longer than weight loss. Effective dietary plans go for half to one pound of fat loss per week. This is a manageable and sustainable goal that will not cause negative effects on metabolism. Slow and steady is the better option and will lead to long-term changes.  

Start strength training to increase metabolism

Strength training/weight lifting is a great way to increase metabolism. Increased muscle benefits range from:
  • Increased ability to recover from disease/s
  • Reducing insulin resistance
  • Keeps the body mobile
  • Helps combat obesity by increasing BMR and metabolism
11860 Vista Del Sol, Ste. 128 Understanding The Difference Between Weight Loss and Fat Loss
 

Body composition in the long-term

Fat loss is more important than weight loss and will lead to long-term changes. Understanding that working out smarter and finding out body composition numbers will promote getting fit while keeping the fat off. It will take longer than expected, but dropping 30 pounds in less than a year then regaining it all back is counterproductive. Take the time to make small, impactful adjustments that will lead to a lifetime of optimal health.

InBody


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Hall, Kevin D et al. �Calorie for Calorie, Dietary Fat Restriction Results in More Body Fat Loss than Carbohydrate Restriction in People with Obesity.��Cell metabolism�vol. 22,3 (2015): 427-36. doi:10.1016/j.cmet.2015.07.021 Merlotti, C et al. �Subcutaneous fat loss is greater than visceral fat loss with diet and exercise, weight-loss promoting drugs and bariatric surgery: a critical review and meta-analysis.��International journal of obesity (2005)�vol. 41,5 (2017): 672-682. doi:10.1038/ijo.2017.31 Tobias, Deirdre K et al. �Effect of low-fat diet interventions versus other diet interventions on long-term weight change in adults: a systematic review and meta-analysis.��The lancet. Diabetes & endocrinology�vol. 3,12 (2015): 968-79. doi:10.1016/S2213-8587(15)00367-8
Body Composition Terminology Guide

Body Composition Terminology Guide

The world of health and fitness has evolved with all kinds of technical jargon and terminology that can require a guide to get a handle on things. It can become confusing and terms like Lean Body Mass and Lean muscle can get mixed up. Body composition analysis allows an individual to understand their body in a much clearer way with insight into the body’s health. Here we break down this technical terminology to get a basic understanding of how it is relevant to the body’s health. Think of this as a combination glossary, and action guide. �

11860 Vista Del Sol, Ste. 128 Body Composition Terminology Guide

Guide to Basic Body Composition

Percent Body Fat Body/Fat Percentage

  • Percent Body Fat is a reflection of how much of the body’s weight is made up of fat.
  • It is calculated by dividing the weight of body fat mass by total weight.
  • It helps to track progress whether trying to lose weight or gain muscle.

Takeaway

  • This percentage can be applied to set percent body fat ranges.
  • The healthy ranges are around 10-20% percent body fat for men and 18-28% for women.

Lean Body Mass/Fat-Free Mass Guide

Lean Body Mass is sometimes used interchangeably with Fat-Free Mass.

  • Lean Body Mass is the weight of everything in the body that is not fat.
  • This includes muscles, organs, bones, and body water.
  • Lean Body Mass is not the same as muscle.
  • Lean Body Mass is a collection of different types of body tissues that includes muscle.

Takeaway

  • Lean Body Mass plus Body Fat Mass make up entire body weight.
  • If the Lean Body Mass value is in pounds subtract this number from total body weight to get an approximation of Body Fat Mass.
  • Divide this number by body weight, results are percent body fat.
  • Lean Body Mass is closely related to the total number of calories the body needs every day.
  • The Lean Body Mass forms the core of the body’s metabolism, and this number can be used to help determine unique dietary needs.
  • No more basing nutrition off the 2,000-calorie diet. This is a poor one-size-fits-all approach to food intake.

Skeletal Muscle Mass Guide

  • Skeletal muscle is one of four major muscle types and governs all the movements that are consciously controlled. Everything from texting to deadlifting a barbell.
  • It is the muscle group that grows/builds when exercising.
  • Increased Skeletal Muscle Mass translates into increased strength.
  • When trying to build up the body and grow in size, this is the value to track and watch increase over time.
  • However, muscle is not just for strength.
  • Muscle is made up primarily of protein and can act as protein storage.
  • When the body is under severe stress like a traumatic injury, the recovery process is triggered and needs added protein, up to four times the amount.
  • When the body is not able to get the proper amount of protein from a normal diet, the body begins to get what it needs from the protein storage/muscles.

Basal Metabolic Rate/BMR

  • The Basal Metabolic Rate, or BMR, is the number of calories that the body needs to maintain Lean Body Mass. It is a significant component of overall metabolism.
  • An individual with more Lean Body Mass will have a higher Basal Metabolic Rate.
  • This is the reason why a 250-pound athlete needs to eat more than a 150-pound sedentary adult. Because the athlete has more Lean Body Mass.
11860 Vista Del Sol, Ste. 128 Body Composition Terminology Guide
  • BMR can help make a healthy diet plan designed for fat loss or muscle gain by helping understand how much energy/calories from food the body needs.
  • Multiplying the BMR with activity factor will estimate Total Daily Energy Expenditure or TDEE.
  • Using the TDEE as a baseline an individual can develop a nutritional plan based on body composition goals.

Body Water Guide

  • Body Water includes all the water in the body. This means everything from:
  1. The water in the blood
  2. Water in the organs
  3. The water inside the bones

Body water can be subdivided into two types:

  • Intracellular
  • Extracellular
  • Intracellular means inside the cells and includes the water in the organs, muscles, composing 2/3 of total body water.
  • The remaining 1/3 is extracellular outside the cells and includes the water in the blood.

Takeaway

  • When the body is generally healthy it maintains a healthy balance of intracellular to extracellular water with a ratio of around 3:2.
  • When the balance becomes unbalanced or falls apart water monitoring becomes important.
  • For example, individuals with severe health problems, like kidney ailments/failure, are unable to rid the body of extracellular water. This causes a buildup of water and requires removal through procedures like dialysis.

Dry Lean Mass

  • Lean Body Mass includes everything that�s not body fat and includes body water.
  • When all the water has been taken out what remains is known as Dry Lean Mass.

Lean Body Mass – Body Water = Dry Lean Mass

  • This amounts to the protein content of the muscles and the mineral content of the bones.
  • Most Dry Lean Mass will be found in these areas.

Takeaway

  • Water monitoring can help track real, physical changes in the body.
  • Lean Body Mass contains body water, and body water levels can be influenced by different factors like a recent workout or being low on carbohydrates.
  • Changes in body water are considered technical changes in Lean Body Mass.
  • When building muscle, the body is actually building new physical protein stores and reflects in Dry Lean Mass.
  • An increase in Lean Body Mass can signal muscle growth, or not.
  • However, an increase in Dry Lean Mass is a more favorable indicator that there is muscle growth.

Visceral Fat

  • Two major categories of body fat.
  • Subcutaneous fat is the fat under the skin and is the type that can be seen.
  • The second type is called visceral fat.
  • This fat collects inside the abdomen and wraps around the internal organs.
11860 Vista Del Sol, Ste. 128 Body Composition Terminology Guide

Takeaway

  • Just because it cannot be seen does not mean it is not there.
  • If it is there it is something definitely worth knowing about.
  • This is because visceral fat is not just extra pounds but an active organ that secretes harmful hormones into the body that triggers never-ending inflammation.
  • The more visceral fat, the greater risk of inflammation.
  • Inflammation over time places added stress on the heart that can lead to cardiovascular problems.

Get Tested Today

Hopefully, this guide has clarified some of the common body composition terminology. This is a basic overview designed to provide essential information about body composition and how it applies. A general understanding can help in making healthy lifestyle choices, like deciding to lose weight or dietary adjustments.


Body Health


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

References

Westerterp, Klaas R. �Exercise, energy balance, and body composition.� European journal of clinical nutrition�vol. 72,9 (2018): 1246-1250. doi:10.1038/s41430-018-0180-4

Borga, Magnus et al. �Advanced body composition assessment: from body mass index to body composition profiling.��Journal of investigative medicine: the official publication of the American Federation for Clinical Research�vol. 66,5 (2018): 1-9. doi:10.1136/jim-2018-000722

Mental Strategy Exercises For Chronic Pain Relief and Improvement

Mental Strategy Exercises For Chronic Pain Relief and Improvement

Mental strategy exercises for chronic pain relief and improvement. Living with chronic pain is difficult especially if a doctor is saying that it is all taking place in an individual’s head. However, the pain is very real and happening in the brain, literally. Neuroimaging studies show that certain areas of the brain become active when chronic pain presents. This is not the only way to know the brain’s role in how an individual experiences pain. What is also known is:
  • Anxiety, depression, and pain activate similar areas of the brain.
  • Certain psychiatric drugs used to relieve pain can also alter an individual’s mental state.
  • Chronic pain can lead to depression.
  • Clinical depression can cause physical symptoms, including back pain.
A health care provider could recommend/suggest psychological support for chronic pain. Psychological help and mental strategy exercises for chronic pain are not about how to reduce the pain, but more on how to reduce the dominance, interference, and impact of the pain and getting a healthy quality of life back. Consider a few evidence-based, psychological approaches to reduce back pain.  
11860 Vista Del Sol, Ste. 128 Mental Strategy Exercises For Chronic Pain Relief and Improvement
 

Cognitive-behavioral therapy

Cognitive-behavioral therapy or CBT trains an individual to modify specific thoughts and behaviors. Experts consider this approach a gold standard of psychological interventions for pain. It helps:
  • Reduce pain
  • Improves function
  • Improves quality of life
Individuals work on:
  • Pain coping strategies
  • Relaxation skills
  • Setting goals
  • Shifting perspectives on pain
A study found that two years after a two-week, intensive course of cognitive-behavioral therapy, patients took fewer pain meds than they did before the therapy.  
 

Mindfulness meditation

Meditation is not all about sitting with crossed legs, hands resting on the knees, although this is a recommended pose for meditative purposes. A modern approach can be done anywhere, in any position that�s comfortable and will help soothe back pain. By oneself or with help from a therapist mental strategies can include
  • Incorporating breathing techniques
  • Guided imagery
  • Intense focus on thoughts and feelings
A study suggests that mindfulness meditation can be highly beneficial for older adults that are not as able to get an adequate amount of physical activity to improve pain levels. A group of older adults that participated in eight weeks of a mindfulness program, which consisted of four days a week for 30 minutes per session physical function and pain reduction improved.  
11860 Vista Del Sol, Ste. 128 Mental Strategy Exercises For Chronic Pain Relief and Improvement
 

Mindfulness stress reduction

Mindfulness stress reduction is a program that teaches individuals meditation techniques, that include basic stretches and postures. It teaches how to separate the physical and psychological aspects of pain. Medical centers across offer this treatment option for a range of disorders, including chronic back pain. It helps reduce pain intensity and improves function in individuals with arthritis as well as back and neck pain from various causes. It has also been found to be effective for fibromyalgia, which can cause intense widespread pain. A study found that mindfulness stress reduction improved:
  • Wellbeing
  • Pain episodes
  • Sleep problems
  • Fatigue in participants with fibromyalgia
  • More than half reported significant improvement
 

Acceptance and commitment therapy

Acceptance and commitment therapy or ACT teaches acceptance and mindfulness strategies with commitment and behavior mental strategies, to change the way pain is experienced. Numerous studies along with the American Psychological Association validate this approach as an established treatment for chronic pain.  
 

Changing expectations

In one study several chiropractic patients who expected their back pain to improve were 58% more likely to improve than those who did not expect favorable outcomes. This mental strategy of manifesting a positive outcome through the power of positive thinking and beliefs about pain influence an individual’s actions. For example, when thinking that physical activity will cause back pain, individuals are less likely to be active. This is known as fear avoidance. For most individuals with back and neck pain, gentle physical activity is essential because avoiding it will worsen the pain. Having the right mental strategy can go a long way in battling chronic pain, at Injury Medical Chiropractic and Functional Medicine Clinic we can help individuals experiencing/dealing with chronic pain.

Body Composition


 

Depression and physical health

Depression is debilitating and, in severe cases, a life-threatening disease that affects over 16 million people nationwide. Depression causes are not always clear and can be brought on by:
  • Biological factors – genetics
  • Individual brain chemistry
  • Certain medications
  • Stress
  • Unhealthy diet/nutrition
Mental illness and becoming overweight or obese often happen in conjunction, whether as a result of each other or from common risk factors that include:
  • Smoking
  • Poor diet
  • Lack of physical activity
  • Alcohol consumption
Prescribed medications for depression and anxiety disorders are have been shown to be successful in maintaining mental health. However, a side effect of these medications is weight gain. Like genetics, being educated on the potential side effects will help in reducing the risk of, and controlling weight gain when taking medication.  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Pain and Therapy.�(Jun 2020) �Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.��https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203283/ Journal of Psychosomatic Research. (Jan 2010) �Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice.� European Journal of Pain.�(Jan 2019.) �Beliefs about back pain and pain management behaviors, and their associations in the general population: A systematic review.��https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492285/
The Body’s Metabolism and Body Composition

The Body’s Metabolism and Body Composition

The body’s metabolism along with body composition go hand in hand. The higher the metabolism the faster the body burns calories. The slower the metabolism the longer it takes and leads to fat storage as well as other issues, which include:
  • Excess gas
  • Sugar cravings
  • Continued weight gain
  • Weight loss difficulties
  • Constant Feeling of Bloatedness
  • Hypothyroidism
  • Easy cellulite development
  • High blood sugar
Metabolism is linked with weight gain and loss because it is a biological process involved with energy and calories. The process of the body converting food and drink into energy. The process involves the calories in food and drinks that get combined with oxygen to release energy that the body needs to operate.  
11860 Vista Del Sol, Ste. 128 The Body's Metabolism and Body Composition
 

Body Composition Linked To Body’s Metabolism

Metabolism varies for every individual. Here are two body composition profiles.  

Individual A

 

Individual B

 
Individual A has a much smaller Basal Metabolic Rate than Individual B. This means individual B needs more calories than individual A to provide the body with the proper energy to function without losing weight. Because the Basal Metabolic Rate is bigger, the metabolism is bigger. The most important factor playing into Basal Metabolic Rate is the amount of Lean Body Mass every individual has. The more Lean Body Mass the greater the Basal Metabolic Rate will be. Strength training for muscle gain will increase lean body mass and is recommended to increase metabolism. For example: Take a look at Jane and Sarah, two individuals who are similar in age, height, weight, and gender.  

Jane

 

Sarah

 
Despite being similar in age, height, weight, and gender, these two individuals have very different body compositions, as well as have different Basal Metabolic Rates.  

Metabolism and Weight Gain

Take a deeper look at slow metabolism. It is not about being fast or slow but weight gain is almost always the result of caloric imbalance that goes on over a period of time. Two major factors are:
  • An individual’s energy level and how active they are
  • The thermic effect of food or the energy the body uses when digesting food
  • These taken together with Basal Metabolic Rate provide Total Daily Energy Expenditure (TDEE). This is the number of calories the body burns in a day.
To take a closer look into the body’s metabolism and weight gain, take the two individuals above, Jane and Sarah, and see what could happen in real treatment development that includes diet and exercise. First, the TDEE for Jane and Sarah needs to be estimated, using their BMRs as a guide. Based on their compositions, it’s fair to assume that Jane is involved in less physical activity/exercise than Sarah. So an activity level of sedentary for Jane will be assigned and light activity will be assigned for Sarah.  
11860 Vista Del Sol, Ste. 128 The Body's Metabolism and Body Composition
 
Using these numbers and multiplying them by the appropriate activity factor, Jane�s TDEE can be estimated to be 1573 calories and Sarah�s 1953 calories, a difference of 380 calories. When activity levels are factored in, the difference in actual caloric needs gets magnified. This is an estimate of the calories Jane and Sarah will need to burn in a day. The nutritionist and/or health coach place both of them on a diet of 1,800 calories a day. This is the estimated calorie intake recommended by the USDA for sedentary women between 26-30 years of age. Let’s say they both follow the diet perfectly without any extra, high-calorie snacks/treats. Jane will end each day with a surplus of 227 calories, while Sarah ends each day with a slight calorie deficit of 153 calories a day. When in a calorie surplus taking more calories and living a sedentary lifestyle, weight gain, specifically, fat storage will be experienced. 227 extra calories a day doesn’t seem like a lot, but that is a single soda. However, over time, 227 calories a day becomes 1,589 extra calories a week and 7,037 extra calories a month, which is around 2 pounds of fat gain every month.  
11860 Vista Del Sol, Ste. 128 The Body's Metabolism and Body Composition
 
So despite the same height, gender, similar weight, and similar ages, the difference between Jane and Sarah is their body compositions. Jane will experience weight gain over time while Sarah might experience some weight loss because of the calorie deficit, even though the diets are the same. This is because each individual’s caloric needs are different and may seem small at first, but increases to significant differences over time.  

Making The Body’s Metabolism Work

With the correct exercise and dietary plan, an individual can make their metabolism work for them. Because the body needs more energy to support itself when it has more Lean Body Mass, working to increase Lean Body Mass will increase Basal Metabolic Rate. Avoiding a decrease in metabolism can be done by maintaining the Lean Body Mass that is already present and also means maintaining Skeletal Muscle Mass. Skeletal Muscle Mass is not the same as Lean Body Mass but is the overall largest contributor. It is the muscles that will grow and develop through exercise.  
 
Skeletal Muscle Mass is effectively developed through strength training, resistance exercise, and a healthy diet. This will help maintain Skeletal Muscle Mass. This is especially important as the body ages. Activity levels tend to drop and a healthy diet can become harder to maintain as responsibilities increase. Poor nutrition can lead to loss of Lean Body Mass over time, which leads to a decrease in overall metabolism. Balancing diet and metabolism. The example of Jane shows a well-intentioned dietary plan that does not match the metabolism of the person practicing it. Even though Jane was told that 1,800 calories are right for her based on age and gender, her metabolism does not require that calorie intake. This will cause weight gain despite any efforts to eat a healthy diet. This is where a health coach and nutritionist come in. The first step is to get the information needed to get the answers by getting an accurate body composition analysis.

InBody Composition

 

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*  
References
Westerterp, Klaas R. �Exercise, energy balance, and body composition.��European journal of clinical nutrition�vol. 72,9 (2018): 1246-1250. doi:10.1038/s41430-018-0180-4 Mazzoccoli, Gianluigi. �Body composition: Where and when.��European journal of radiology�vol. 85,8 (2016): 1456-60. doi:10.1016/j.ejrad.2015.10.020
Support Full Body Detox With Chiropractic

Support Full Body Detox With Chiropractic

If dealing with chronic disease, condition, or just poor overall health, detox support combined with chiropractic/health coaching is definitely an option that will help. Toxicity in the body can initiate or worsen existing health conditions. A detox is not about a massive diet overhaul or spending a lot of time at some clinic. Detox support involves making small changes/adjustments that will help support the body�s natural detoxing process without radical changes. One way that a detox is supported is with chiropractic.  
11860 Vista Del Sol, Ste. 128. Support Full Body Detox With Chiropractic
 

Detoxing the Body

The body is exposed to chemicals/toxins every day from food, air, and other particles that the body comes in contact with. However, the body has a natural ability for managing exposure to toxins to maintain overall health. If the toxins become too much to handle it can lead to a range of symptoms. Symptoms can range from:

Methods

Reducing the toxic load can be accomplished by supporting the body�s natural detox pathways. The body has organs/systems that detoxify and keep the body in balance. These support detoxification and include:
 
Reducing toxin exposure is a long term strategy for improved health. Detox options include:
  • Increased water intake
  • Nutritional adjustments that focus on increased nutrient whole foods and reduced processed chemical foods
  • Regular exercise
  • More sleep
  • Improved stress management skills/techniques
  • Reducing environmental exposure with hygiene and cleaning product awareness
  • Cleansing supplements
  • Lifestyle changes
  • Fasting, intermittent or longer with nutritionist/health coach supervision

Chiropractic Can Help

When the body struggles with toxin overload, the body can begin storing some of these toxins. Common areas include visceral fat and joints, like the spine. If toxins buildup in the spine, spinal misalignment can be exacerbated as it affects blood and nerve circulation. Spinal alignment restoration will help open and support the body’s natural detox abilities and prevent unnecessary storage of toxins.  
11860 Vista Del Sol, Ste. 128. Support Full Body Detox With Chiropractic
 
A chiropractic practitioner specializes in naturally restoring spinal alignment and the body’s balance. This supplies the body with the energy it needs to process and rid itself of toxins. When the body is optimally supported and its detox pathways cleared overall optimal health can be achieved. Contact Injury Medical Chiropractic Clinic and experience what chiropractic support can do.

Body Composition Support


 

Food

Neutralizing oxidative stress, lowering inflammation, and boosting metallothionein expression, food can support the body when detoxifying and countering the effects like brain fog, and neurodegenerative disorders. However, foods and nutrients that detoxify can be a part of a healthy diet and lifestyle that includes a regular fitness routine.
References
Klein, A V, and H Kiat. �Detox diets for toxin elimination and weight management: a critical review of the evidence.��Journal of human nutrition and dietetics: the official journal of the British Dietetic Association�vol. 28,6 (2015): 675-86. doi:10.1111/jhn.12286
Heart Health, The Spine, and The Chiropractic Connection

Heart Health, The Spine, and The Chiropractic Connection

Heart health and proper function circulate millions of gallons of blood to the entire body. The circulation moves:
  • Oxygen
  • Fuel
  • Hormones
  • Essential cells
  • Other compounds
  • Removes metabolic waste products
11860 Vista Del Sol, Ste. 128 Heart Health, The Spine, and The Chiropractic Connection
 
If the heart stops, vital functions can fail almost instantly. Family history and genetics play a role in the development of heart disease, but lifestyle choices also play a part. Heart health disease prevention focuses on: Chiropractic treatment can help improve overall heart health.

Heart Health

If every nerve was disconnected, the heart would continue to beat. There is a small node of the heart muscle that rhythmically contracts and relaxes inherently, and sets the heartbeat pace. It can be thought of as a natural pacemaker and is called the sinoatrial node.  
 
In an average adult, the node maintains a rhythm of around 70 beats per minute. This natural pacemaker keeps the heart working, while the nerves that accelerate and decelerate (the sympathetic and parasympathetic nerves) can affect the sinoatrial node affecting the heartbeat.  

Sympathetic and Parasympathetic Nerves

The sympathetic and parasympathetic nerves are located in the thoracic and upper cervical spine. With chiropractic, any spinal misalignments, pressure, stress, and restrictions are properly addressed, and able to normalize the cardiac rhythm and heart rate. Corrective treatment of the cervical spine will also help lower blood pressure and remove any stress on the cardiovascular system. Heart and spinal health are vital, contact a local chiropractor today.  
11860 Vista Del Sol, Ste. 128 Heart Health, The Spine, and The Chiropractic Connection

Healthy Body Composition

 

Aerobic Training Strengthens The Heart

Aerobic exercise will strengthen the heart, as well as, train the heart to be more efficient in circulating blood. The chamber of the heart that pumps blood to the rest of the body literally gets larger and squeezes out more blood with each pump, meaning the stroke volume gets increased. This improves cardiac output, which is the quantity of blood pumped by the heart per minute. A strong, efficient heart is the objective to live a long and healthy life. When the heart is stronger and pumps more blood it doesn�t have to beat as much and as rapidly. Lowering the resting heart rate is associated with a reduced risk of cardiovascular disease. Cardiac adaptations are helped with an increase in blood volume that happens with aerobic exercise training. What happens is the expanded blood volume improves the heart�s contractility/fill capacity pumping more blood per beat. The heart contracts to move blood throughout the body. By making it stronger and more efficient, the heart�s responsibilities are lightened by decreasing the different types of resistance.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Yang, Jian et al. �Physical Exercise Is a Potential “Medicine” for Atherosclerosis.��Advances in experimental medicine and biology�vol. 999 (2017): 269-286. doi:10.1007/978-981-10-4307-9_15
Tired Of Being Sick Chiropractic and Health Coaching Wellness Benefits

Tired Of Being Sick Chiropractic and Health Coaching Wellness Benefits

Individuals are tired of feeling sick. Many doctors prescribe medications to just control the symptoms of the various ailments.
  • Headaches
  • Migraines
  • Nausea
  • Fatigue
  • Acid reflux
  • Asthma
  • Allergies
11860 Vista Del Sol, Ste. 128 Tired Of Being Sick Chiropractic and Health Coaching Wellness Benefits
 
Chiropractic care combined with Health coaching will:
  • Bring the body back into balance
  • Restore optimal circulation
  • Detox the body
  • Increase immune system response

Tired Nervous System

Many of these problems are rooted deep within the nervous system. This system controls pain, movement, organ function, and action/reaction in the body and needs consistent maintenance to continue to operate at an optimal level. Chiropractors are trained to detect nerve interference brought on from spinal misalignment. Chiropractic along with body scanning/imaging can detect nerve interference, and help identify any issues.  
11860 Vista Del Sol, Ste. 128 Tired Of Being Sick Chiropractic and Health Coaching Wellness Benefits
 

Nerve Interference

Nerve interference along the spine can lead to being tired, weakness, pain, discomfort, organ dysfunction, and disease if it is not addressed by a professional chiropractor. The interference can be a result of poor postural habits that have caused the spine to misalign. This places added and dangerous pressure on the delicate nerves flowing throughout the spine.  
 
Chiropractors can determine the root cause back to the region of the spine that is causing any type of impediments. Spinal rehabilitation and realignment will restore the spine back to health eliminating nerve interference. As the body is realigned health coaching recommendations that include diet, supplements, and learning healthy habits will enhance chiropractic maintenance. The end result is a healthy energetic body free of disease, dysfunction, and pain.

Body Composition

 
Body composition is a way of breaking down the body into components, which are: fat, protein, minerals, and body water. It describes an individual’s accurate weight and provides a new perspective on overall health than traditional methods. Proper body composition analysis will show changes in fat mass, muscle mass, and body fat percentage.

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Stochkendahl, Mette Jensen, et al. �Can chiropractors contribute to work disability prevention through sickness absence management for musculoskeletal disorders? – a comparative qualitative case study in the Scandinavian context.� Chiropractic & manual therapies�vol. 26 15. 26 Apr. 2018, doi:10.1186/s12998-018-0184-0 Westerterp, Klaas R. �Exercise, energy balance, and body composition.��European journal of clinical nutrition�vol. 72,9 (2018): 1246-1250. doi:10.1038/s41430-018-0180-4
Chronic Fatigue, The Cervical Spine and Chiropractic Treatment

Chronic Fatigue, The Cervical Spine and Chiropractic Treatment

An examination of the cervical/neck region of the spine through chiropractic will help determine a thyroid diagnosis for individuals complaining of chronic fatigue. A thyroid dysfunction means going deeper into the body�s physiology and a thorough examination of the spine. Checking for subluxations in the cervical spine will reveal possible nerve blockage and any other contributing factors to a thyroid condition. Thyroid conditions tend to get overlooked because the symptoms are general. They range from:
  • Fatigue
  • Moodiness
  • Muscle pain
  • Brain fog
These are cornerstones of a thyroid condition. Under-active thyroid and/or thyroid cancer can have an impact on everyday life regardless of the severity. However, these symptoms can signify numerous other conditions.  
11860 Vista Del Sol, Ste. 128 Chronic Fatigue, The Cervical Spine and Chiropractic Treatment
 

The Cervical Spine

The nerves connected to the thyroid gland can be traced down the spine to the last neck/cervical vertebrae, which is C7. A chiropractor will examine this region when individuals complain of fatigue, brain fog, or moodiness. Subluxation, translation, or disc deterioration at C7 could mean that the nerve signals and blood circulation to the thyroid are limited, interrupted, or completely blocked.  
 

Linking cervical spine dysfunction to thyroid dysfunction

Spinal subluxations are not the full cause of thyroid dysfunction. A single vertebra might not show signs of movement, which means a chiropractor could have to look further into the spine. A chiropractic examination will search for problems that correlate with thyroid issues. For example, individuals with a cervical dysfunction could experience general nerve issues in this area. It could be a contributor to nerve signals not being delivered to the thyroid gland. Diagnosis of a root condition that has secondary effects on the gland is another way to qualify a thyroid condition.

Medical History

Questions that will be asked by a chiropractor during an exam could consist of:
  • Is there a family history of hyper/hypothyroidism?
  • Is the individual under intense stress from work, home, etc?
  • Are there other symptoms that could be associated with thyroid dysfunction?
All details are necessary for connecting nerve interruption to thyroid conditions then factoring how spinal manipulation could alleviate symptoms.  
11860 Vista Del Sol, Ste. 128 Chronic Fatigue, The Cervical Spine and Chiropractic Treatment
 

Cervical Misalignment Treatment

Combining the evidence of:
  • Subluxations
  • Blocked nerves
  • Cervical spine dysfunction
Any further symptoms/details will help form a complete picture of a thyroid condition. If that condition is being tested or treated by a general physician, it may still benefit from a chiropractic adjustment. Physicians could recommend diet and medication to bring the thyroid back to proper function, and chiropractic can help improve the nerve function of the gland. This includes:
  • Re-opening pinched pathways
  • Restored blood flow to the region
  • Helping nerve signals fire transmit properly
We advocate for an incremental, customized approach to restore cervical spine curvature and optimal nerve health. We have worked with a variety of individuals experiencing chronic fatigue, mental fog, and moodiness, and have helped link these symptoms to thyroid dysfunction. If it seems that there is constant confusion or disorganized thought patterns, schedule an appointment with us today to learn more about our chiropractic approach.

Neck Pain Chiropractic Care

��  

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Arick, Christopher T. �Chiropractic Management of a Patient With Chronic Fatigue: A Case Report.��Journal of chiropractic medicine�vol. 15,4 (2016): 314-320. doi:10.1016/j.jcm.2016.08.006
Metabolic Syndrome and Chiropractic Body Wellness

Metabolic Syndrome and Chiropractic Body Wellness

Metabolic syndrome is the term for a group of risk factors like heart disease, diabetes, along with other health issues. The number of individuals dealing with the condition could be as high as 1 in 4. An individual can have one risk factor but most have several in combination. When there are three of these risk factors it becomes metabolic syndrome. The syndrome is a collection of conditions, that culminate in a correlative diagnosis. Risk factors/Symptoms include some or all of the following:
  • High blood pressure
  • High blood sugar
  • Increased triglycerides
  • Low HDL cholesterol
  • Obesity
11860 Vista Del Sol, Ste. 128 Metabolic Syndrome and Chiropractic Body Wellness
 
The disease can lead to:
  • Gastrointestinal distress
  • Insulin resistance
  • Heart attack
  • Stroke
  • Heart disease
If left untreated and continued poor life choices that include unhealthy diet, lack of physical activity/exercise, and habit formation an individual can die from complications of the syndrome. The condition requires clinical treatment and medical assistance, however, chiropractic has been seen as a viable way to help treat the syndrome.

Causes

The syndrome can have several causes that progress together:
  • Age the risk goes up as an individual gets older
  • Genetics and family history
  • Weight issues
  • Physical inactivity
  • Insulin resistance, a condition where the body can’t use insulin properly
  • The resistance can lead to high blood sugar levels
Individuals with metabolic syndrome tend to have excessive blood clotting and inflammation throughout the body. However, research has not shown whether these conditions cause the syndrome or worsen it.
 

Chiropractic

Chiropractic�s role is to stabilize the spine and the body. Too much weight leads to spinal dislocation and vertebral compression issues. This can lead to nerve impingement and disc problems. Even a small subluxation can turn into an extreme condition/s with widespread symptoms. Individuals that are overweight require a spinal realignment in order to gain proper stability. A chiropractor will administer corrective adjustments to generate the body’s natural healing process in the affected areas. Restoring the nerve pathways will promote better blood flow and nutrient delivery to and through the spine. Chiropractic will set the tone for a metabolic syndrome reversal. The second phase of treatment will look at diet and exercise. This serves a dual purpose of introducing proper nutrition to the body, encouraging weight loss, and conditioning the individual’s mindset for the lifestyle adjustments/changes. A healthy/balanced spine will help those with metabolic syndrome get a proper foothold on turning their poor lifestyle into a healthy one.
11860 Vista Del Sol, Ste. 128 Metabolic Syndrome and Chiropractic Body Wellness
 

Reversal

The syndrome can be reversed with the right treatment approach. Usually, this begins with weight loss. Once the weight begins to reduce the secondary benefits kick in. This includes a reduction in blood pressure and a decrease in triglycerides. Once an individual’s spine is stable, they will then be educated on how to adapt and apply a long-term plan to maintain healthy habits for diet, physical activity, sleep, and stress relief strategies. As chiropractors focus on whole-body wellness, treatment plans will also look at: Remember, the spine is the root of the body. The key to wellness is total body balance. All-natural chiropractic medicine can help achieve optimal health.
 

Weight Loss Doctor of Chiropractic


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Samson, Susan L, and Alan J Garber. �Metabolic syndrome.��Endocrinology and metabolism clinics of North America�vol. 43,1 (2014): 1-23. doi:10.1016/j.ecl.2013.09.009
High Blood Pressure and Chiropractic Management

High Blood Pressure and Chiropractic Management

The heart never stops working. The efficiency of the heart and how it operates depends on various factors related to individual health. High blood pressure management can include chiropractic treatment for proper spinal alignment. This promotes improved nervous system function, regulation, and optimal blood flow throughout the body. High blood pressure is also known as hypertension, often it has no symptoms, and if left untreated, it could lead to heart conditions like heart disease and stroke. Blood pressure is the force the heart exerts on the arteries each time it contracts and relaxes. It is measured with a blood pressure cuff or monitor.
  • Normal is around 120/80 mmHg
  • A blood pressure reading of 130/90 mmHg or more, is categorized as high blood pressure.
11860 Vista Del Sol, Ste. 128 High-Blood Pressure and Chiropractic Management

High blood pressure

Any type of heart condition can place added strain on the body and can lead to poor quality of life, disease, and be fatal. When the body’s ability to pump the proper amount of blood gets compromised the body suffers from a lack of oxygenated blood. These issues can go undiagnosed for years. Often high blood pressure does not get associated with any specific symptoms other than general poor health. When left untreated, high blood pressure can lead to issues like:
  • Heart attack
  • Stroke
  • Kidney disease
  • Dementia
Prevention and regular monitoring are crucial for staying on top of any potential heart issues.

Heart conditions

Different heart conditions can cause pain in the chest, upper back, and shoulder(s):
  • Angina is when the heart muscle does not get enough blood causing chest pain.
  • A heart attack occurs when there is reduced or complete loss of blood supply from the blockage of an artery.
  • Pericarditis is the inflammation of the thin layers that surround the heart.
Heart conditions are commonly associated with chest pain but remember that chest pain is not always present or severe. Pain-related to the heart can also be felt in other areas, like the shoulder or upper back.

Risk factors

Risk factors associated with high blood pressure include:
  • An unhealthy diet high full of processed foods, sugar, and salt
  • Age
  • Sedentary lifestyle
  • Stress
  • Genetics
  • Metabolic disease/s like:
  1. Obesity
  2. Kidney disease
  3. Diabetes
The most common treatment for high blood pressure is medication. However, this does not address the root cause of the issue in relation to individual lifestyle and underlying imbalances of the body that include the spine.
11860 Vista Del Sol, Ste. 128 High-Blood Pressure and Chiropractic Management

Lifestyle

Lifestyle adjustments should be the first line of defense for managing, and reversing heart health issues. High blood pressure management includes:
  • Focus on nutrition
  • Exercise
  • Stress management

Chiropractic

Chiropractic is a specialized approach that focuses on identifying and addressing the root cause of musculoskeletal health issues and optimized organ function through restored impaired nerve function. Spinal misalignment can cause nerve signals to be impaired/damaged which can affect the heart and overall health. A chiropractic physician can help reduce the strain on the body�s functions by restoring nerve function/energy/blood flow with spinal adjustments that bring the body back into proper alignment. One primary cause of high blood pressure is over-activation of the autonomic nervous system, which regulates the stress response. When spinal alignment is achieved, there is improved regulation to prevent unnecessary spikes in stress affecting body homeostasis and organ function. Chiropractic can help an individual achieve the best possible heart health. Once the diagnosis is found, an effective customized treatment plan will be developed.
 

Chiropractor Near Me


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
References
Win, Ni Ni et al. �Effects of Upper and Lower Cervical Spinal Manipulative Therapy on Blood Pressure and Heart Rate Variability in Volunteers and Patients With Neck Pain: A Randomized Controlled, Cross-Over, Preliminary Study.��Journal of chiropractic medicine�vol. 14,1 (2015): 1-9. doi:10.1016/j.jcm.2014.12.005
Superfoods Can Help Achieve Optimal Health

Superfoods Can Help Achieve Optimal Health

Superfoods are nutrient-rich foods that can be incorporated into an individual’s diet to achieve optimal health. We look at which foods contain the most nutrients, and how to create meals with the best variety of foods to improve overall health and support strong body composition. Superfoods have a high-levels of antioxidants, along with many vast amounts of essential vitamins and minerals. These are fresh, colorful foods that are packed with nutrients. The more vibrant the color, the more antioxidant power. What to look for in different foods to optimize health and improve your body composition is the objective.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Superfoods

Superfoods can be defined as food that is rich in compounds that are highly beneficial for health. Foods like phytochemicals, fiber, and Omega-3 fatty acids. National nutritional guidelines consider these foods as powerhouse fruits and vegetables. Research shows that a diet rich in fruits and vegetables is associated with a reduced risk of chronic disease. Antioxidants like polyphenols have anti-inflammatory properties. Inflammation can be caused by infection, injury, and disease. A diet rich in antioxidants helps lead to faster recovery time from injury, illness, as well as, exercise-induced stress.
  • Antioxidants reduce free radicals, prevent and repair damage caused by oxidative stress. Oxidative stress happens when free radicals start to accumulate in the body. It can play a significant role in chronic and degenerative illnesses like cancer, arthritis, and cardiovascular disease.
  • Anthocyanins are a type of polyphenol that acts as antioxidants that can help reduce the chance of chronic disease. Pigments are found in plants, which give certain fruits and vegetables their vibrant colors. These include:
  1. Berries
  2. Cherries
  3. Peaches
  4. Pomegranates
  5. Black beans
  6. Eggplant
  7. Purple sweet potatoes

Evidence suggests that a diet rich in anthocyanins helps:

  • Reduce oxidative stress and inflammation
  • Prevent cardiovascular disease
  • Control of diabetes
  • Prevent diabetes

Superfoods can help individuals with:

  • Weight loss
  • Improved muscular function
  • Body composition improvement
  • Boosting the immune system

Key Nutrients

Antioxidant properties are found in many superfoods along with nutrients to be aware of. The nutrients listed can be beneficial in optimizing health. Remember to consult a doctor before making or supplementing dietary changes.
  • Vitamin B
  • Vitamin C
  • Omega-3 Fatty Acids
  • Magnesium
  • Zinc

Omega-3’s

Omega-3 fatty acids promote many health benefits, which include reduced risk of obesity, heart disease, and other chronic illnesses. Omega-3�s contain anti-inflammatory properties and help enhance recovery after exercise. A standard diet usually contains a higher ratio of Omega-6 fatty acids compared to Omega-3’s. This unbalance increases inflammation and reduces immune system response. Omega-6 acids include vegetable oils that do offer health benefits. However, it is important to keep a healthy balance between the two. Top sources of Omega-3’s include:
  • Fatty fish
  • Fish oils – salmon, mackerel, and cod liver
  • Oysters
  • Chia seeds
  • Flaxseeds

Magnesium

Magnesium supports the health of the immune system. It supports and maintains healthy bone structure, muscle function, and insulin levels. It assists the body with energy, metabolism, and acts as a calcium blocker. This reduces cramping and aids in muscle relaxation after working out. Magnesium is essential for over 300 biochemical reactions in the body. A deficiency can increase the risk of cardiovascular disease. Research shows that magnesium deficiency can lead to a higher risk of insulin resistance. Magnesium-rich foods like dark leafy greens, nuts, legumes, and whole grains are also high in fiber. Individuals that have a diet rich in magnesium have a higher intake of dietary fiber, as well. Fiber helps with digestion, control weight, reduce cholesterol, and stabilize blood sugar. The best sources of Magnesium include:
  • Green vegetables such as spinach, swiss chard, and turnip greens
  • Nuts such as almonds and cashews
  • Seeds
  • Legumes
  • Cocoa

Zinc

Zinc is an essential nutrient for overall immune function support. It is an antioxidant that helps with anti-inflammatory and oxidative stress responses. Chemical reactions within the body require zinc. Zinc is a necessary element for muscle protein synthesis and hormone regulation. Zinc deficiency is common in seniors and can be connected with degenerative diseases like rheumatoid arthritis, atherosclerosis, and age-related macular degeneration. Deficiency can also cause weight loss, delayed growth, and muscle atrophy. Zinc supplements are not recommended for healthy individuals as they can interfere with other essential vitamins and micronutrient interactions. Top sources of Zinc include:
  • Chicken
  • Red meat
  • Legumes
  • Nuts
  • Oysters

Vitamin C

Vitamin C is one of the immune systems supporting vitamins. It is an antioxidant that helps reduce free radicals and protects macromolecules from oxidative damage that could contribute to chronic diseases. Vitamin C deficiency has shown an increased risk of developing cardiovascular diseases, which include coronary heart disease, ischemic stroke, and hypertension. Vitamin C has a significant role in collagen synthesis and provides support in vascular function, which helps reduce inflammation and inflammatory diseases like atherosclerosis. Vitamin C has been found to play a role in possibly lowering blood pressure. Evidence suggests that vitamin C can help prevent obesity and obesity-related illnesses. Top sources of Vitamin C include:
  • Broccoli
  • Tomatoes
  • Citrus fruit
  • Strawberries
  • Cherries
  • Peppers

Vitamin B

Eight vitamins that make up the B vitamin complex all have various responsibilities for energy production and DNA synthesis. An increased intake of vitamin B is associated with improved metabolic pathways like glucose metabolism and reduces obesity risk. Consuming enough of the vitamins is essential. Having a deficiency in just one vitamin can lead to decreased energy, poor cognition, and muscle weakness.

The eight vitamins in the B complex are:

  • B1 – Thiamine
  • B2 – Riboflavin
  • B3 – Niacin
  • B5 – Pantothenic acid
  • B6 – Pyridoxine
  • B7 – Biotin
  • B9 – Folic acid
  • B12

The best sources for B vitamins include:

  • Asparagus
  • Avocado
  • Bananas
  • Beef /liver
  • Eggs
  • Lentils
  • Nuts
  • Spinach

Eating Superfoods

  • Leafy greens that are rich in vitamin A, C, and K, iron, and more
  • Salmon is a great source of Omega-3s
  • Cherries are rich in vitamin C and polyphenols
  • Berries are rich in Vitamin C and high in antioxidants
  • Nuts are packed with essential vitamins, minerals, and healthy fats
  • Garlic is a great source of Vitamin C and B-Complex
  • Turmeric contains potent anti-inflammatory and antioxidants
  • Cacao is packed with nutrients, and contain magnesium, zinc, iron, potassium, and more
  • Manuka Honey is packed with antioxidants and anti-inflammatory properties
  • Tea/s are filled with antioxidant properties and polyphenolic compounds

These superfoods have been shown to:

  • Improve body composition
  • Reduce the risk of chronic illnesses
  • Provide immune support
  • Antioxidant properties
  • Reduce inflammation, oxidative stress, and free radicals

Leafy Greens

Leafy greens like spinach, kale, turnip greens, and collard greens have been shown to reduce the risk for type II diabetes and cancer, which includes breast cancer, and they help protect against depression symptoms. Leafy greens contain many nutrients, which makes them a superfood staple. Leafy greens contain vitamins A, C, and K, iron, folate, zinc, and magnesium. They are a great source of fiber, carotenoids, and antioxidants that help to protect the cells.  
 

Salmon

Salmon is a perfect source of Omega-3s. These help in improving the immune system’s response, neuromuscular functioning, and enhanced cognition. Eating plenty of salmon, and other fatty fish helps reduce blood pressure and symptoms associated with coronary heart disease. Consuming whole-food proteins like salmon help with workout/exercise muscle protein synthesis better than a protein supplement. Omega-3’s can improve body composition because the fatty acids counteract muscle atrophy and promote recovery from muscles not being used brought on by surgery and inactivity.  
 

Cherries

Cherries contain a high source of vitamin C and polyphenols. Both contain antioxidant and anti-inflammatory properties that help reduce oxidative stress. Oxidative stress contributes to inflammation and atherosclerosis, which can contribute to cardiovascular disease. Cherries promote health, provide cardioprotective support, help to reduce blood pressure and LDL cholesterol.  
 

Berries

Berries are known for containing antioxidant properties. Berries like:
  • Blueberries
  • Strawberries
  • Lingonberries
  • Blackberries
All contain flavonoids and anthocyanins. Both of these help in reducing oxidative stress. Eating berries has been shown to improve cardiovascular health. Moderate consumption of berries helps improve blood platelet function and HDL cholesterol, as well as helps reduce blood pressure. Anthocyanins, flavonoids, and phytochemicals are believed to reduce the risk of cancer, primarily of the GI tract and breast. Berries can also provide neuroprotective support, that can help prevent a decrease in cognitive functions and dementia.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Nuts

Nuts are considered a nutritious superfood. They contain essential vitamins, minerals, and healthy fats. However, nuts are recommended in limited amounts because of their high-fat content. Also, nuts that are salted or flavored, lower health benefits. Individuals that eat a handful of nuts as part of a healthy diet have shown to be able to maintain and improve body composition. Healthy lifestyle diets like the DASH Diet and the Mediterranean Diet recommend moderate consumption of nuts. They help lower blood pressure, improve heart function, and reduce contributing factors to coronary heart disease and diabetes. Nuts include a variety of nutrients like vitamins:
  • B3
  • B6
  • B9
  • E
All help in the reduced risk of metabolic syndrome and related illnesses. Nuts also provide antioxidants which include phytochemicals:
  • Carotenoids
  • Polyphenols
  • Tocopherols
These compounds contain anti-inflammatory properties. And nuts have the potential to reduce the risk of cardiovascular disease, diabetes, and types of cancer.  
 

Garlic

Garlic is an antioxidant and has been shown to improve immune function along with the cardiovascular system. It is a good source of vitamin C and B-complex vitamins. Both enhance the effectiveness of immune system protection. Eating garlic has been shown to help lower cholesterol, blood pressure, delays the progression of atherosclerosis, and improves circulation. Studies have shown that garlic is highly effective in preventing yeast infections, as well as, treating ear infections. There is a compound known as allicin and helps shield the stomach from the spread of Helicobacter pylori, a bacterium related to gastrointestinal cancer.
 

Turmeric

Turmeric is another antioxidant. It helps manage inflammatory conditions like metabolic syndrome and arthritis. The polyphenol antioxidant is curcumin. It has been shown to help reduce inflammation, pain, and benefits the kidneys. Curcumin has been shown to reduce symptoms resulting from metabolic syndrome. Curcumin has been shown to:
  • Improve insulin sensitivity
  • Reduce the accumulation of fat storage that can lead to obesity
  • Lower blood pressure
  • Lower oxidative stress
 

Cacao

Cacao is chocolate in the purest form. It is packed with nutrients and contains:
  • Magnesium
  • Zinc
  • Iron
  • Potassium
  • Calcium
  • Copper
  • Manganese
Cocoa is the processed form that generally contains sugars and dairy products. The beans contain antioxidants and phytochemicals like polyphenols and flavonoids that protect cells against free radicals along with oxidative stress. There is a flavanol called epicatechin and is linked to improved cognition and a better mood. Dark chocolate helps reduce metabolic syndrome risk factors, including:
  • Reduced blood pressure
  • Improved insulin sensitivity
  • Stabilized glucose levels
Heart function is improved by reducing platelet reactivity and inhibiting oxidant production.  
 

Manuka Honey

Honey has antioxidant properties and provides anti-inflammatory and anti-cancer benefits. It is made up of:
  • Sugars
  • Flavonoids
  • Phenolic acids
  • Enzymes
  • Amino acids
  • Proteins
  • Other compounds have anti-tumor and anti-leukemic properties
Manuka honey also has antibacterial properties and is very beneficial in healing wounds. Store-bought honey should not be used to treat cuts and wounds. Manuka honey is darker, and thicker that comes specifically from the manuka plant. It has more microbial properties than other types of honey. All honey has antioxidants, but Manuka has high levels of organic compounds that correlate with increased antibacterial activity. It is among the most powerful antioxidants that benefit athletes. Honey can easily be incorporated into a daily diet as a sweetener for tea, or as a topping for yogurt or oatmeal. However, it is not recommended for infants under one year of age. This is because babies have a higher risk of contracting botulism.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Tea

Tea contains antioxidant properties and polyphenolic compounds. Studies show the polyphenols, specifically in green tea have anti-inflammatory properties. This is a common treatment for preventing osteoarthritis. The catechins are a type of phenol that helps reduce free radicals and the presence of oxidative stress. It has also been shown to effectively improve body composition. Drinking 3-4 cups of tea a day can significantly reduce weight gain and risks associated with metabolic syndrome. However, drinking 3-4 cups a day might not be the answer for everybody, it can be something to consider.  
11860 Vista Del Sol, Ste. 128 Superfoods Can Help Achieve Optimal Health
 

Incorporation

The objective is achieving optimal health, along with improved body composition. Choosing a diet that is nutrient-packed and includes a variety of fresh, whole foods is the primary focus. There is no miracle food or effective cure for cancer, but when nutrient and antioxidant-rich superfoods are part of an individual’s diet overall health will improve. These are known as lifestyle diets and are meant to change habits and are not just for losing weight. These lifestyle diets include:

Dash Diet

The DASH diet stands for Dietary Approaches to Stop Hypertension. This diet is non-restrictive and promotes the consumption of fresh, whole foods while focusing on serving and portion sizes. The National Institute of Health developed this as a means to reduce blood pressure and improve cardiovascular health.

Mediterranean Diet

This diet is based on the eating habits of those living in countries that surround the Mediterranean. Studies determined individuals living in this region were among the healthiest with the lowest chances of cardiovascular-related conditions/diseases, obesity, and improved mental wellbeing. It emphasizes physical activity and consistent consumption of fresh, whole foods, including heart-healthy foods like fish and various seafood.

Flexitarian Diet

The flexitarian is a semi-vegetarian diet that is primarily vegetarian with occasional meat or fish. It focuses on sustainability and recognizes the vitally important protein, vitamins, and other nutrients that meat contains. However, meat is not eaten every day. Individuals that switch from mostly meat diets to flexitarian have shown to improve body composition reduce the risk of developing metabolic syndrome along with diabetes, and cancer. Making adjustments do not have to be huge changes. Small changes will go a long way. Adding these essential superfood nutrients can promote significant benefits for overall health and well-being.

Detox Diet


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
What is Crohn’s Disease? An Overview

What is Crohn’s Disease? An Overview

Crohn�s disease is an inflammatory bowel disease (IBD). IBDs are health issues that affect the digestive tract by causing inflammation that lasts longer than an average upset stomach or mild infection. Most people think that the digestive tract only consists of the stomach, which stores and breaks down food, as well as the small and large intestines, which take the waste out of our systems through urine and feces. But it�s more than just that. The mouth and esophagus are also part of the digestive tract and problems within can make things difficult and painful down the line. While researchers have been researching Crohn�s disease for several decades, they have no undisputed answer on the cause of this disease. This article will take you on a journey through the history, causes, symptoms, diagnosis, and treatment of Crohn�s disease as well as what the future holds. According to the Crohn�s and Colitis Foundation of America, as many as 700,000 people in the United States suffer from Crohn�s disease while 3 million total have some sort of IBD. That is equivalent to the number of people living in Washington D.C.

 

Understanding Crohn’s Disease

 

Crohn�s disease was first described by Dr. Burrill B. Crohn in 1932 with the assistance of Dr. Leon Ginzburg and Dr. Gordon D. Oppenheimer. Crohn was born in 1884 in New York City as one of 12 children. He became a doctor because of the sympathy he had for his father who suffered terrible digestion problems. Crohn was part of an enormous group of doctors who joined many reputable medical schools at the beginning of the 20th century, graduating from Columbia University�s College of Physicians and Surgeons in 1907. At the university, he earned an M.A., Ph.D., and an MD� for his research on an intra-abdominal hemorrhage. He could not pay the high cost ($35) for the former two degrees because he did not want to ask his father for the money. He spent 2.5 years as an intern at the illustrious Mount Sinai Hospital, one of only 8 interns selected from 120 candidates. He found humor in his chosen profession which he quoted in his biography saying, �It has been my misfortune (or perhaps my fortune) to spend most of my professional life as a student of constipation and diarrhea. Sometimes I could wish to have chosen the ear, nose, and throat as a specialty rather than the tail end of the human anatomy.�

 

Most gastroenterologists of the time were surgeons, but Crohn�s research was such that he joined the American Gastroenterological Association in 1917, having been mentored by Dr. William J. Mayo whose clinic remains one of the foremost bodies of American medical knowledge more than 100 years later. Although he was married with two children, Crohn was consumed with his work and his patients, with daily and nightly house calls. Perhaps even more important was his work on �Affections of the Stomach� which he published in 1928. He worked with Dr. Jesse Shaprio at Mount Sinai who suffered from IBD himself. Crohn found that many Jews had the condition and, since Mount Sinai admitted many of them, he found plenty of patients to study. He ended up as the first head of Mount Sinai�s Gastroenterology Clinic and was associated with the hospital for 60 years. He joined the efforts of surgeon Dr. A. A. Berg along with Ginzburg and Oppenheimer to start a project dedicated to bowel tumors and strictures. Their combined research allowed Crohn to present a paper to the American Gastroenterological Association in May 1932 in Atlantic City called �Non-specific Granuloma of the Intestine� followed by a second called �Terminal Ileitis: A new clinical entity�. Crohn preferred the term regional ileitis because he believed it only existed in the distal part of the small intestine and was worried people would assume it was fatal when they saw the word �terminal�. Soon after, the term Crohn�s disease became the catch-all for any terminal or regional enteritis. Crohn did not want the �honor� but his colleagues insisted.

 

The history of the disease is recorded as far back as 850 AD, affecting England�s King Alfred. The populace believed that he was being punished for his sins, but the presence of fistulas and pain from eating speaks otherwise. About 150 years before Crohn�s disease got its name, an Italian physician named Giovanni Battista Morgagni described the disease in 1761. Crohn officially retired in 1948 but continued practicing medicine well into his mid-90s. He passed away on July 29, 1983, 11 months short of his 100th birthday. In his final year, his friends, family, and colleagues began the creation of the Burrill B. Crohn Research Foundation at Mount Sinai Hospital.

 

What Causes Crohn’s Disease?

 

Crohn�s disease has troubled doctors and researchers for decades because an exact cause can’t be found, which limits their ability to fully treat it. Poor diet habits together with high levels of stress were the original leading cause for the health issue, but over the years those have come to be thought of as factors that aggravate the condition, not cause it. Two factors that stand out in today�s research are heredity and a malfunctioning immune system.� Like many major diseases, if someone in your family has suffered from Crohn�s disease, there is a much higher chance that you will too. Anytime you go to a new doctor, this should be one of the first things you inform them of when filling out a family history chart. That way if any of these symptoms do manifest, your doctor will have a knowledge base from which to proceed. Despite believing that genetics plays a fundamental part, currently, doctors can’t predict who will get Crohn�s disease based on family history.

 

Another leading theory is that an invalid response by the body�s immune system can cause Crohn�s disease to develop. The theory suggests that some bacteria or viruses can trigger Crohn�s disease by causing an abnormal immune system response when the body is fighting it off. The response causes the immune system to attack its own cells in the digestive tract, leading to the inflammation. Crohn�s disease attacks people of all ages, genders, and ethnicities, however, these characteristics are thought of as leading to a greater chance of getting the condition.

 

  • Geography:�People who live in urban/industrialized areas are more likely to develop Crohn�s disease than those living in rural areas. This suggests that diets full of refined foods or heavy in fat are more likely to trigger Crohn�s disease, while people eating diets that are more fresh and free from additional chemicals are more likely to avoid it.
  • Family History:�Although plenty of people get Crohn�s disease without a single relative suffering the same, as many as 1 in 5 people with Crohn�s disease (20%) have a relative who also has it.� Between 1.5% and 28% of people with IBD have a first-degree relative (parent, sibling, child) that have an IDB as well.
  • Smoking:�Like many other diseases, smoking augments the severity of Crohn�s disease and is the single most controllable risk for developing it. No one can make you stop smoking, but if you are experiencing the initial signs of Crohn�s disease, it is the best thing you can do for yourself.
  • Ethnicity: One of the most frustrating parts of Crohn�s disease is the randomness it seems to possess in who it strikes. Caucasians are the highest risk group, particularly those of Eastern European Jewish descent. However, African-Americans and people of African descent that live in the United Kingdom have seen their numbers consistently rise over the past decades when it comes to developing Crohn�s disease.
  • Age:�Another rarity. Anyone at any age can Crohn�s disease, but it is usually diagnosed before the age of 30, suggesting it is tied to growth and maturity. It is among the rare diseases where your chance of developing it lessens as you get older.
  • Ingesting anti-inflammatory medications: Nonsteroidal medicines that include ibuprofen, naproxen sodium, diclofenac, etc., can lead to inflammation of the bowels, which worsens Crohn�s disease. If you have the symptoms of Crohn�s disease, do your best to avoid the likes of Aleve, Advil, Voltaren, Motrin IB, etc.

 

What are the Symptoms of Crohn’s Disease?

 

As Crohn�s disease begins to take hold of a person�s body, they will experience abdominal pain, fatigue, weight loss, malnutrition, and severe diarrhea. It does not follow a set pattern as Crohn�s disease can affect different parts of the digestive tract for different people. While there are many similarities, it is rare for two cases to be exactly alike. Crohn�s disease causes inflammation in the digestive tract that spreads deeper and deeper in the bowel tissue of the affected areas. Normal medicines can lessen the intensity of the pain, but the infection runs too deep for them to be able to do much more. These symptoms can be extremely painful, embarrassing for those who suffer from fatigue or severe diarrhea, and debilitating, making the sufferer miss days, weeks, or even months of work or school while seeking treatment and learning how to cope. The most commonly affected parts of the body for someone suffering from Crohn�s disease are the small intestine and the colon. The biggest problem with diagnosing Crohn�s disease early on and starting treatment for it is that many of its symptoms are similar to a host of other maladies, including:

 

  • Cases of diarrhea
  • Fever
  • Abdominal pain/cramping
  • Appearance of blood in the stool
  • Fatigue
  • Loss of appetite
  • Unexplained weight loss
  • Mouth sores
  • Fistulas around the anus causing pain or drainage

 

In most cases, the appearance of one or even a few of these symptoms could be attributed to any number of infections or viruses. A good doctor will rule out those first, often with a simple medication plan. If progress is not made, then the potential of Crohn�s disease heightens. The surefire symptoms that demand a trip to the doctor include: blood in your stool, multiple episodes of diarrhea that don�t stop with the application of over-the-counter medications; a fever that lasts more than two days without an explanation; losing weight without meaning to or without a proper explanation (food poisoning, a stomach bug, etc.) Loss of appetite, undereating, and fatigue are all signs of malnutrition. When your body isn�t getting the right nutrients from the food you eat, it is difficult for it to fight off illnesses and infections. Left untreated, the symptoms of Crohn�s disease become extremely serious, including:

 

  • Inflammation of the liver and/or bile ducts
  • Inflammation of joints
  • Inflammation of eyes
  • Inflammation of skin
  • In children, delayed growth and/or sexual development

 

What is the Diagnosis of Crohn’s Disease?

 

When one or more of the symptoms persist and your physician has ruled out more pedestrian causes, attention must focus on the possibility of Crohn�s disease as the cause. Different symptoms can mean different types of Crohn�s or even a different type of IBD. Types of Crohn�s disease include:

 

  • Ileocolitis:�This is the most common form of Crohn�s disease. It affects both intestines � the end of the small intestine, which is also known as the terminal ileum. Common symptoms include diarrhea, cramping, pain in the middle and lower-right abdomen, and significant weight loss.
  • Ileitis:�This type of Crohn�s disease only affects the ileum. Its symptoms are generally the same as ileocolitis. In severe cases, fistulas and inflammatory abscesses can appear in the lower right part of the abdomen.
  • Gastroduodenal Crohn�s Disease:�Affects the stomach and the beginning of the small intestine which is known as the duodenum. Symptoms can include weight loss, loss of appetite, frequent vomiting, frequent fits of nausea.
  • Jejunoileitis:�This type of Crohn�s disease affects the jejunum, which is the upper half of the small intestine. Patchy areas of inflammation in the upper half of the jejunum are typical of this type of Crohn�s disease. Symptoms are not as severe in this form, but no less important to have diagnosed. They include mild-to-intensive pain or cramps following meals in your stomach or abdomen; bouts of diarrhea; fistulas forming long term in severe cases or if the inflammation goes a long time without being treated.
  • Crohn�s Granulomatous Colitis: This type affects only the colon. Typical symptoms are diarrhea, rectal bleeding, conditions around the anus that include ulcers, fistulas, and abscess, and joint pain, or skin lesions.

 

No single test confirms a diagnosis of Crohn�s disease. Other conditions have the same symptoms, including bacterial infections, so it might take some time to actually get the diagnosis despite days, weeks, or months of the symptoms.

 

What Can You Expect From Your Doctor?

 

The first thing a doctor will do is to do a standard physical exam of your entire body including questions on your family history, daily routine as well as diet and nutrition. Answering all of these completely and honestly will allow your physician to rule out or narrow in on certain maladies a lot quicker. Diagnostic tests will come in the form of blood draws and stool samples. These can eliminate the presence of a lot of diseases and focus in on what might be the case. If those are inconclusive, most doctors will likely perform X-rays on your upper and lower GI tract, looking for things like inflammation and ulcers. A contrast test might also be ordered to see the clear difference between what should be there and what should not. Remember to bring a friend or family member with you to these appointments, as it can be overwhelming to go through all the possibilities and potential diagnosis of Crohn�s disease. As the tests progress, it is a good idea to contact your insurance company and let them know what is going on so they can give you information on what tests are covered and which might not be. Make sure to write down as much information as you can with your doctor and ask questions that you don�t understand.

 

If the initial X-rays are not successful in narrowing down the issue, your doctor might recommend an endoscopy. This is a procedure done by putting a tiny camera mounted with a light to look at your GI tract and intestines. They are much more invasive than chest X-rays, but many technological advancements have made it much more tolerable. A GI doctor can use a bit of local anesthesia and a small camera to deaden your throat and disable your gag reflex. This allows the GI to view your mouth, esophagus, stomach, and the first part of your small intestine, known as the duodenum, looking for tell-tale signs of inflammation or ulcers.

 

A second endoscopy is a bit more of a chore. Also known as a colonoscopy, it requires the total evacuation of your GI tract before doctors can take a look. This means you�ll take medicine to clear it out, which will induce quite a few trips to the bathroom and be none too pleasant. This procedure usually requires drinking a liquid that acts as a fairly extreme form of laxative and will require you to take time off from work or school for at least a day while its effects take place. Once you get to the medical facility, you will be given anesthesia to knock you out, which is a good thing as the camera will enter through your rectum and move up to look at your colon. If there are any unusual structures present in either endoscopy, doctors might want to collect a biopsy of your colon or another area. This is done by using a tool to remove a small bit of tissue from inside the intestine or inside some other part of your GI tract for analysis. There is zero pain associated with a biopsy.

 

During the colonoscopy, the doctor might want to do another procedure known as a chromoendoscopy. In this procedure, a blue liquid is sprayed into the colon. It reveals slight changes in the lining of your intestine which can be polyps or other changes that are believed to be precancerous. This means they might be precursors to changes to your body that can become cancer cells. If polyps are discovered, they can be removed and a biopsy is taken to determine if they are benign or malignant. If the blue liquid is used, bowel movements will have a definitive blue tinge to them for the next few days.

 

There are some parts of your small intestine that cannot be seen during either colonoscopy or endoscopy. This requires small intestine imaging which works using an oral contrast � something you drink � in conjunction with computer tomography (CT) scan or a magnetic resonance imaging scan (MRI). As radical as it sounds, this can involve swallowing a camera that size and shape of a bill which then takes pictures of your small intestine and bowel as it moves through your GI tract. It is harmlessly expelled during a future bowel movement. If parts of the intestine are too hard to reach, a balloon endoscopy can be used. It�s not a real balloon, but the concept is the same. The displacement of the structure with an air-filled object creates space for the camera to get in close and record.

 

What is Crohn�s Disease Activity Index (CDAI)?

 

The Crohn�s Disease Activity Index (CDAI) is a research tool that allows researchers, doctors, and patients to quantify how painful symptoms of Crohn�s disease are at any given time. It was first developed by W.R. Best and his colleagues at Illinois�s Midwest Regional Health Center in 1976. The index has eight factors that it considers, each weighted and then added together to reveal a final score. The CDAI helps major studies diagnose how well the medicine is effective for people suffering from Crohn�s disease. It is excellent for determining the quality of life for Crohn�s disease sufferers to give doctors a good grasp on how much pain a person can endure before their quality of life really begins to suffer. The eight variables involved in the CDAI are:

 

  • Percentage deviation from standard weight
  • Hematocrit of <0.47 (men) and 0.42 (women)
  • Presence of abdominal mass (0 if none, 2 if questionable, 5 if definite)
  • Is the patient taking Lomotil or opiates to reduce bouts of diarrhea?
  • How is the patient feeling in general on a scale from 0 (well) to 4 (terrible). This is accounted for every day for seven days straight.
  • Presence of complications
  • Abdominal pain graded from 0 (none) to 3 (severe) for seven days straight.
  • A recording of the number of liquid or soft stools for seven straight days.

 

These eight factors are all assigned different weights, with the presence of complications and taking of Lomotil or opiates getting the highest weights (x30 and x20). Points are also added for things like joint pain, inflammation of the irus, anal fistulas, and fissures, a fever, etc. When all of this information is tallied a number, usually three digits are presented. If a person has a score of more than 450, they are considered to have severe Crohn�s disease and actions are taken accordingly. If the CDAI is less than 150, a person is considered to be in remission. If a person�s CDAI score drops 70 or more points be responding to treatment. A working version of the CDAI scale can be found here. Although it is very helpful, the CDAI has also been met with some criticism. The fact that it does not consider the typical quality of life, fatigue, endoscopic factors, protein loss, or other systemic features.

 

What are the Complications of Crohn’s Disease?

 

Similar to many other severe diseases, the lack of treatment of Crohn�s disease or the worsening of it despite treatment can lead to several other complicated illnesses, some of them life-threatening. They include:

 

  • Bowel obstruction: When Crohn�s disease inflames the digestive tract it can thicken the intestinal wall, which causes parts of the bowel to develop scar tissue and begin to narrow, making for irregular bowel movements. If the passage becomes too narrow it will actually block the flow of your digestive system, causing its contents to become stuck and form a barrier of their own. This will start as constipation but will eventually become obvious that something more severe is going on as treatments are applied. Surgery, usually done quickly after the diagnosis is made, will be required to remove the part of your bowel that has become scarred. If the bowel obstruction is complete, it requires emergency surgery. This sort of surgery is done under general anesthesia, meaning you are asleep for the procedure and will not feel any pain as it is performed. A surgeon makes a cut into the belly to see the intestines. Sometimes this is done laparoscopically to minimize how much cutting has to be done. From there, the surgeon will find the part of your intestines that is blocked and unblock it. This is not the extent of the procedure, however. If any part of the bowel is damaged, it must either be removed or replaced. This is known as bowel resection. If it is removed, the healthy �ends� on either side of the removed section are connected together, using either staples or stitches, which can either dissolve or be removed with another procedure, this one much more likely to involve laparoscopy. There are some incidences where the ends cannot be connected because such a large part of the intestine has to be removed. When this happens, the surgeon brings out one end through an opening in the abdominal wall via a colostomy or ileostomy. The key is to perform the surgery before blood flow in the bowel is affected. The surgery has many risks including more scar tissue forming, damage to nearby organs, and more bowel obstructions.
  • Ulcers:�When parts of the body are chronically inflamed, they lead to open sores that do not heal like normal. These are called ulcers and can be found almost anywhere in your body, inside or out. For people suffering from Crohn�s disease, they can be found in the mouth, the anus, the stomach, or in the genital area. Ulcers along the GI tract are often the first sign of the disease, although since they are undetectable except in the mouth, for most people, they are often missed until other symptoms form. Ulcers can also form in your duodenum, appendix, small intestine, and colon. A similar condition, known as ulcerative colitis, only forms in the colon and is not as serious as Crohn�s disease. If an ulcer breaks through the intestinal wall it can form a fistula, a connection between the intestine and the skin or different parts of the intestine. This is a very dangerous condition that may lead to food bypassing your bowels or even bowels draining onto your skin. If they develop into abscesses they can be life-threatening. Ulcers can also cause a person to become anemic if there is more than one of them in the small intestine or the colon. This can cause frequent loss of blood and can require surgery.
  • Anal Fissure: This is a small tear in the tissue of your anus or the skin around it that can become infected. It results in painful bowel movements. It can heal naturally, but left untreated threatens to come to a perianal fistula.
  • Malnutrition: Anyone suffering from diarrhea, abdominal pain, and cramping is likely to not be getting enough nutrients into their body for proper function. Common results are anemia from not intaking enough iron or enough B-12. If the small intestine is inflamed, it can cause problems with digesting food and absorbing nutrients. If the problem is in the large intestine, including the rectum and the colon, the problems include the body�s inability to absorb water and electrolytes. What causes malnutrition? There are several ways that it can form. One that most people have experienced over the course of their lifetimes is severe diarrhea. Have you ever had food poisoning that resulted in multiple incidents of bad diarrhea or vomiting? The next time you step on a scale you might be astonished to see that you have lost several pounds in a single day, maybe even as many as 10 or 12! When your body detects something in your GI tract, it makes every effort to evacuate it one way or another. This results in the body using fluids to transport the foreign elements out of the system and can lead to dehydration as fluids, nutrients, and electrolytes such as zinc, phosphorus, magnesium, potassium, and sodium get ejected along with it. � Other causes of malnutrition include abdominal pain and nausea. If you�re a woman who has ever been pregnant and dealt with morning sickness, you know how these feel, and when they strike, eating is the last thing on your mind. However, it also makes it tough for your body to gather sufficient nutrients and the correct number of calories, which makes it weaken over time. Rectal bleeding, both painful and embarrassing, also causes malnutrition because the ulcers in your intestines are leading to deficiencies. Frequent trips to the bathroom can also cause malnutrition because people will seek to cut down on this habit by eating less to avoid embarrassment. But cutting back on your body�s calorie intake can lead to malnutrition and weight loss. An even tougher pill to swallow is that certain IDB medicine damages your ability to say nourished. Prednisone, which is a common corticosteroid, can cause a decrease in healthy muscle mass over long-term use. Other treatments, like sulfasalazine and methotrexate, can interfere with the absorption of folic acid, which is crucial in healthy cell growth.
  • Colon cancer:�The �Big C� rears its ugly head in association with Crohn�s disease, unfortunately. Having Crohn�s disease increases your risk of colon cancer. People without a family history of Crohn�s disease or colon cancer are advised to get a colonoscopy every 10 years beginning at age 50 to check. If you have a family history, ask a doctor about having it done sooner and more frequently. Colon cancer starts in the colon or rectum when cells grow abnormally. Most starts as a growth called a polyp on the inner lining of the colon or rectum. There are two types of polyps: Adenomatous and Hyperplastic/Inflammatory. The latter are generally not cancerous and are more common. The former sometimes change into cancer. If they are larger than 1 cm, this is more often the case, or if more than two are found. A condition called dysplasia also is a warning sign of cancer. This means that after the polyp is removed, there are areas in the polyp or in the lining that don�t look normal, suggesting they are cancerous in origin.
  • Other health problems:�Any number of maladies can befall someone stricken by Crohn�s disease. How it affects the rest of the body is different from person to person. Common problems can include anemia, skin disorders, arthritis, liver disease, and gallbladder disease.
  • Malabsorption:�A complication of malnutrition, it makes it difficult for vital nutrients such as fats, sugars, vitamins, minerals, and proteins to make it through the small intestine. Inflammation of the intestines, a symptom of� Crohn�s disease, can also make this possible.
  • Decreased Bone Strength:�A complication of malnutrition, it increases your risk of bone fractures. If your body is not getting enough Vitamin D, is not absorbing enough calcium, or you have long-term inflammation, this is more likely to happen.
  • Growth Delays:�A dangerous complication for kids suffering from� Crohn�s disease is a lack of growth due to IBD. About one-third of kids with� Crohn�s disease and 1/10th of those with ulcerative colitis in the US will be shorter than expected. Children with either of these diseases should have a dietitian consulted by their parents.

 

What is the Treatment for Crohn’s Disease?

 

Hearing that there is no known cure for Crohn�s disease can be a debilitating blow to people suffering from it. However, developments in therapy allow for the ability to greatly reduce it symptoms and even invoke long-term remission in some patients. Given proper treatment and with a commitment by the sufferer, people afflicted with Crohn�s disease can function well and lead a long, healthy life. The good news is that if one treatment option does not work well, there are others to try. It�s a balancing act for most people, and the need to titrate that balance between medicine, changes to their diet and nutrition routines, and sometimes surgical procedures is the best way forward to getting on track and healthy.

 

  • Medication: Medication is what most people think about when they get sick, and such is the case here. Medicine for Crohn�s disease is designed to suppress the response of your immune system to the inflamed parts of your GI tract. Suppressing that inflammation can go a long way to reducing the pain from fever, pain, and diarrhea. It also gives your body time to heal up. The medication can help you avoid flare-ups (see below) and extended periods of remission to great and greater lengths of time. We�ll talk about remission later in this book.
  • Combination Therapy:�Combination therapy is exactly what it sounds like; using more than one source of treatment to get Crohn�s disease under control. This sort of treatment can also up the risk of side effects or even toxicity, so your doctor needs to analyze both you and the treatment plan to see what makes the most sense.
  • Diet & Nutrition:�The amount of diseases that get dramatically better when one starts to make drastic changes in their diet and nutrition habits is truly astounding. Good nutrition via eating the right kinds of foods for your specific form of Crohn�s disease can really lessen the painful symptoms of the disease and prevent flare-ups. Understanding your body�s needs in terms of proteins, fats, carbohydrates, water, vitamins, and minerals can give you a great education on why you�re developing certain side effects and how to lessen their effect. Much like when you get food poisoning or an upset stomach, reverting to a bland diet � the universally known Bananas, Apple Sauce, Rice, Toast (BRAT) method is a great way to lessen the discomfort that may occur when eating spicy foods or those that cause flare-ups.
  • Surgery:�No one wants to have a surgery especially in an area as sensitive as your GI tract. However, statistics say that as many as 66%-75% of people with Crohn�s disease will require surgery at some point. That number is daunting, but since most people don�t understand or can identify that they have Crohn�s disease until they have suffered inflammation of the intestines. Surgery is necessary when medications are not working or if the inflammation has turned into an obstruction, fissure, or fistula, that is not allowing your intestines or anus to work correctly. As mentioned earlier, these surgeries include removing a diseased portion of the bowel, known as resection, and taking the remaining healthy portions and moving them together (anastomosis). Although this sort of surgery can make a huge difference and send someone suffering from Crohn�s disease into remission, it is not a cure. Post-surgery statistics show that 30% of patients that have surgery related to Crohn�s disease have a return of symptoms within three years, and as many as 60% have a return of symptoms within 10 years.

 

How Can You Avoid and Contain Crohn’s Disease Flare-ups?

 

Flare-ups are an unfortunate but expected part of suffering from Crohn�s disease. Very rare are the patients who are diagnosed with Crohn�s disease, get treatment, and they are in remission for the rest of their lives. Eventually, a flare-up will come to any Crohn�s disease sufferer. Being prepared and understanding the causes is very important to keep a flare-up from becoming a longer-term suffering session. When a flare-up does happen, sufferers of Crohn�s disease must be on their guard to take care of themselves but also to identify possible causes of the flare-up. Doing so will make it much easier to avoid them in the future.

 

The first thing to check on when you have a flare-up is your recent diet. Lots of foods can exacerbate your GI tract and cause inflammation anywhere along the tract, from your mouth to your intestines. Foods that contain spices like garlic, chili powder, onions, paprika, and so on are among the types of food that can easily agitate the digestive tract and cause inflammation that can cause severe pain and severe diarrhea. A great way to pinpoint what foods might be causing the flare-up is to keep a food diary in which you record everything you eat. This way you can really target foods that when consumed are followed by a flare-up. It might not even be food but an actual ingredient that causes the flare-up. Knowing what foods cause these symptoms in you makes it easy to avoid them. If you are struggling to define what foods are safe for you and which ones trigger your Crohn�s disease, ask a doctor about the possibility of consulting a dietician about the matter.

 

If you�ve ruled food out as a probable cause of a flare-up, your next best bet is to analyze your patterns for taking medicine. Skipping a dose, taking the wrong dosage, or even taking pills at different times than normal can trigger a reaction or lessen the potency of the drug�s effectiveness at quelling your Crohn�s disease symptoms. If you are an adult or a teenager, the only person who can make you take your pills on time and in the correct dosage is you. If you are a parent of a child with Crohn�s disease, you must ensure they are taking the exact dosage at the exact time each day. If you are finding your current dose to not be taking good enough care of your symptoms, you must contact your doctor, explain what is going on, and work with them to find a solution or possibly change the medication itself, how often you take it, when you take it, or the dosage you are taking. Doctors want to help you find that healthy medium between being too drugged up and being in too much pain.

 

If it�s not your Crohn�s disease medication bothering you, it might be another form of medication, particularly nonsteroidal anti-inflammatory drugs (NSAIDS). Despite that tongue-twister of a name, these are some of the most well-known drugs in the world with more common names like aspirin and ibuprofen. Unfortunately for sufferers of Crohn�s disease, these analgesics also have painful side effects that can irritate the bowel and kick up inflammation quickly. If you suffer from frequent fevers, headaches, or other body pain, ask your doctor if it is safe for you to take acetaminophen (commonly found in Tylenol) to avoid the NSAIDs.

 

Another medicine that can cause flare-ups are antibiotics, frequently prescribed to treat bacterial infections. If you�ve ever been prescribed antibiotics, you�ll know that the doctor, the nurse, and the pharmacist will all insist you take them with food to lessen the chance of an upset stomach. This still happens in even the healthiest of people because it changes the balance of the bacteria in your intestines. That can cause diarrhea, and when diarrhea appears in the tract of someone suffering from Crohn�s disease, it can spell trouble.

 

If your diet is good and you are avoiding medicines that are known to cause flare-ups, there are still two more places to look among the likeliest causes. The first is if you are a smoker. Look, we all know that smoking is bad for you for any number of reasons, increasing your risk for stroke, heart attack, and lung cancer among others. That same risk holds true for patients suffering from Crohn�s disease. Introducing smoke and tobacco to your digestive system is one of the worst ideas you can have. If you are tempted to smoke while going through Crohn�s disease, be aware that you are much more likely to need surgery because of it. One other cause of flare-ups is increased stress. Stress was originally thought of as one of the causes of Crohn�s disease, but in fact, it is more commonly believed to be an agitator of the disease. If you are struggling with stress and can feel it spilling over into you Crohn�s disease, consult a doctor on how to incorporate stress-management techniques. If your need is immediate, things like taking a warm bath or a long shower can help relax your muscles. Other ideas are to exercise or simply take a walk to pull out the strain from muscles you did not even know you were clinching. You can also try yoga or meditation, for which there are thousands of online resources to get you started.

 

What Can You Do When You Have a Crohn’s Disease Flare-Up?

 

It�s hard not to feel stress and/or panic when you have a flare-up of your Crohn�s disease. Some last a day, some for a week, and some a month as it really depends on the person, the circumstances, and how well they are able to handle it. Although it has no true healing powers, a positive frame of mind that this condition is temporary and that you will improve can greatly affect the mindset of a person suffering a flare-up.

 

  • Maintain a healthy diet:�It could very well be something you ate that is driving you into a flare-up, but that does not mean you should stop eating or try some radical purge diet. Proper nutrition is the essential foundation of dealing with Crohn�s disease on a day-in, day-out basis. If you have bouts of diarrhea that drain your body of fluid, adjust accordingly by increasing your fluid intake and eating bland foods that are much less likely to have spicy ingredients or high concentrations of fat that can lead to more inflammation.
  • Stay regular with your diagnostic tests:�When you are first diagnosed with Crohn�s disease and your doctor provides you with prescriptions and treatment plans, part of that plan should be regular scheduled diagnostic tests to see how your body is faring. If you have a flare-up, call your doctor and let them know about it, as well as any guesses on your part on what could have caused it. The doctor might want to move up a diagnostic test to see what sort of side effects are occurring and why you had the flare-up, this can allow the doctor to analyze what is causing it and how to prevent it from happening again.
  • Set up a support system:�No one should have to go through any disease along, particularly one like Crohn�s disease that has so many miserable side effects. No matter your age, your marital status, or what you do for a living, you�ll need a network of friends and family you can rely on for emotional and physical support when you suffer a flare-up. This will involve an initial period where you let them know what you are suffering from and give them transparency and knowledge about what Crohn�s disease is and what it does to people. While it can be very embarrassing, the more open and honest you are with the people who care about you, the easier it will be to reach out when you need help. This can be anything as simple as driving to the doctor or as serious as picking your kids up at school because you have to go to the emergency room. Other times, it�s just someone who can lend an ear and talk when you are frustrated by the flare-up in particular or what the future might bring. Make sure at least one member of your support network works or lives close-by in case of an emergency.
  • Maintain a great relationship with your doctor: We all get how busy most people are. You find a doctor, get your prescriptions filled, and see them again in 6-12 months. That�s not how things work when you�re battling against Crohn�s disease. Having a doctor you know, trust, and feel confident about in his or her ability to accurately and honestly get you on the right path from the get-go. This extends past your primary care physician as well. Getting on good terms with his or her office staff front desk, nurses, any other physicians, such as a dietician or a counselor can have enormous benefits down the line.
  • Respect your prescribed treatment: Too many people get into their heads that they know the best overtime on how their treatment should go. These are the types that end up altering their dosage, not taking medicine at the right time, or not taking it altogether. Doctors aren�t just diagnosing you to hear themselves think. They are using all the tools at their disposal to make you feel better and let your body heal. Consider that the next time you don�t feel like taking a pill.
  • Try Corticosteroids:�This medication is often prescribed to treat flare-ups for the short term. They are not recommended over a long period of time as patients can either get addicted to them or become resistant to them.
  • Get better sleep:� Research has shown that patients with Crohn�s disease are more likely to have relapses if they do not get enough sleep at night. The poor sleeping in a study of 3,173 adult patients with IBD found that many 60% of patients suffering from flare-ups reported poor sleep, linking it to the likes of depression, tobacco use, and use of corticosteroids.

 

What is Remission Like with Crohn’s Disease?

 

Remission is the stage of Crohn�s disease where the symptoms go dormant. The inflammation which infects your digestive tract goes away and the damage to your bowel, colon, and other parts of the GI tract ceases. Your immune system stops attacking your own body and returns to its normal functioning. During this time, you will notice fatigue and pain diminishing and you will cease having bouts of severe diarrhea. Diagnostic blood tests by your doctor will likely show your inflammation levels have returned to normal and lesions found in your bowel, colon, stomach, anus, esophagus, and mouth will close and start to heal. No one can say what causes remission or how long it lasts, but it clearly is a cycle. After the first flare that triggers the diagnosis of Crohn�s disease, about 10%-20% of patients report long-term remission. This statistic is on the uptrend thanks to advance studies and research that better prepare doctors and patients to deal with Crohn�s disease more rapidly and effectively. There are several types of remission associated with Crohn�s disease, with accompanying characteristics. They are:

 

  • Clinical remission: This means you have zero symptoms associated with Crohn�s disease at the time. This can happen naturally or it can be the result of the diligent taking of medicine. Note that if your remission is a result of taking corticosteroids, it�s not really considered remission, mostly because these drugs are meant only for short-term use as they can become addictive or the body can become resistant to them.
  • Endoscopic remission:�This means your doctor does not find any sign of disease when he checks your colon during an endoscopy. If there is no inflammation and no lesions or polyps are present. This can also be termed as deep healing or mucosal healing. It does not really guarantee remission however, as there is a lot more to Crohn�s disease than simply what is going on in the colon. Inflammation can occur anywhere on the GI tract, but the colon is a major part of this.. Nevertheless, the colon is a major player in the disease and is one of the most painful parts of the process, so a clean bill of health there is worth celebrating.
  • Histologic remission: This term refers to the condition where cells are removed from your colon during endoscopy and tested as normal under a microscope. This indicates there is no presence of cancer nor inflammation commonly associated with Crohn�s disease. This remission is discovered when a follow-up to a surgical procedure is done and a lack of disease activity is found, especially is the procedure involved an ileocolonic resection, which is the most common surgery associated with Crohn�s disease. In this procedure, the area where the small and large intestines meet each other, known as the terminal ileum, is removed.
  • Biochemical remission:�Blood and excrement do not contain substances that signal the presence of inflammation. This is proven by blood tests and stool samples.

 

The path to remission is different for every Crohn�s disease patient, which can make it all the more vexing when you have a much harder time than someone else in achieving it. Doctors will try lots of different medications to get you going, while others will try more aggressive routes. Here are some of the routes that your doctor might take in his or her pursuit of remission for you.

 

Medications

 

Medicine is the obvious first choice for any sufferer of Crohn�s disease. Drugs have been tested for years before gaining approval from the Federal Drug Association (FDA) and most side effects are known. Since there is no real known cause for Crohn�s disease, patients are more than likely to be put on more than one drug at a time in order to titrate a cocktail that works for you. The goals in taking medications for Crohn�s disease include reducing chronic symptoms like pain and diarrhea, helping intestines heal from the damage that the inflammation has caused, and ease the inflammation itself. The following drugs are all used to fight Crohn�s disease:

 

Steroids

 

  • Prednisone:�Also used to treat arthritis, blood disorders, severe allergies, breathing problems, eye problems, and cancer, it is the most well-known corticosteroids. It decreases the immune system�s response time. Is addictive, and the body can also start to resist its effects if taken for too long.

 

Drugs to Slow Down Your Immune System

 

Vigilant immune systems are a big cause of Crohn�s disease, although no one has been able to figure out why. Slowing the reaction and response time of the immune system can limit the inflammation damage it does on your GI tract. These drugs include:

 

  • Azathioprine: Commonly used to prevent organ rejection in people that have had a kidney transplant. Also used to treat rheumatoid arthritis. It�s an immunosuppressant that weakens the immune system. It can be taken by injection or by mouth.
  • Cyclosporine:�Used to prevent organ rejection for people who have had a liver, kidney, or heart transplant. Is taken orally once per day.
  • Mercaptopurine:�This drug is a cancer medication that interferes with the growth of cancer cells, slowing their growth and spread across the body. It is largely used to take on leukemia. It has rough side effects that are fairly similar to Crohn�s disease, including nausea, diarrhea, and loss of appetite, as well as temporary hair loss, mouth sores or pain, and symptoms of liver disease.
  • Methotrexate:�It is classified as an antimetabolite that works by slowing or stopping the growth of cancer cells and suppressing the immune system. It is often used to stop juvenile rheumatoid arthritis and comes in tablet form. It is a strong medication that requires lots of water consumption to get it out of the kidneys.

 

TNF Inhibitors

 

TNF Inhibitors are drugs that help stop inflammation. In addition to Crohn�s disease, they are useful for fighting rheumatoid arthritis, juvenile arthritis, psoriatic arthritis, plaque psoriasis, and ulcerative colitis. The three most frequently used with Crohn�s disease are:

 

  • Adalimumab:�Used to reduce pain and spelling in arthritis, it also is used in certain skin conditions. It works by blocking a protein found in the immune system that causes joint swelling and red, scaly patches.
  • Certolizumab:�Also used to kill tumors, it can defeat a certain type of spine condition in addition to treating Crohn�s to a degree and battling arthritis.
  • Infliximab:�A champion for chronic plaque psoriasis, it also treats Crohn�s disease and arthritis. It works by blocking the tumor necrosis factor-alpha in the body. It also decreases swelling while weakening the immune system.

 

Doctors typically start with mild drugs and then move into more strong ones to try and get you into remission. If your Crohn�s disease is atypically severe when you are first diagnosed, the opposite might be true and treatment will start with stronger drugs, drifting toward milder ones once you are in remission.

 

Surgery

 

If drugs or steroids aren�t working for you, or if your Crohn�s disease is particularly severe by the time it is first diagnosed, doctors might skip the drug regiment altogether and head straight for surgery. Up to 50% of all people diagnosed with Crohn�s disease will need surgery at some time in their life. The most common surgery will see a doctor remove parts of your intestine where there is too much damage for it to function properly. They then use staples or stitches to reconnect the healthy areas. After this kind of procedure, you will be out of commission for a while, and it might take several months before you feel completely normal again.

 

After the surgery, you will be fed through a feeding tube with liquid food or even have it injected into your veins to give your bowel the chance to both heal and rest. Once the intestines are determined to be rested and ready to return to active duty, you will be encouraged to eat a low-fiber diet in order to make your body conducive to smaller stools that reduce the risk of bowel blockage. Within a month to four months, you should start seeing the real results of such a procedure.

 

Understanding Crohn�s Disease in Children

 

Parents fear any type of health issue for their children, but being diagnosed with a problem, particularly one with no known cure can open up a lot of feelings of panic for both children and their parents. Since most people diagnosed with Crohn�s disease are 30 years old or younger, it stands to reason that it affects many children. And because it can cause malnutrition and other problems that affect growth and development, learning about Crohn�s disease can’t be understated for parents. The best way to talk to your child about having Crohn�s disease is to tell them in a language they can understand that involves the whole family, their doctors, their school, etc. Having a prepared, informed child will make what is to come much easier on them and reduce a lot of their fears of the unknown. If your child is a teenager and more responsible for the food they eat, guiding them in diet and nutrition is a big deal. Honesty is always the best answer for older children on how to manage Crohn�s disease. This is not a temporary condition that has an attainable cure right now. Helping them understand that controlling it will be their responsibility as adults are something that must come into play as well. Clearly, younger children will need more of a hands-on approach. But don�t do everything for them. Unless they are very young, this is a great chance to teach them a gradual taking of responsibility. For younger kids, there are going to be several new events happening that will be either scary or unfamiliar that you can help them transition into. These include:

 

Taking Medication

 

For younger children, being sick usually means taking a cough syrup or something similar for a few days and then feeling better. For children with Crohn�s disease, this can elevate to taking pills, getting injections, or sitting during lengthy intravenous transfusions. Taking medication over a long period of time is a new thing for most children. Many will fear it, even something as simple as swallowing pills. Start by introducing them to the medicine � what it looks like, how to take it without chewing it, and explain what the medicine. Let them know that the medicine is the bridge between them feeling bad and having to stay home feeling sick and them feeling good and being able to get out and enjoy some of their favorite pastimes.

 

It�s also important to remember that children don�t have as good as memories as we do, especially when it comes to remembering what days certain things are taking place. Well into elementary school plenty of kids don�t always know the day of the week or the time of the day without consulting a grownup. That�s why a family calendar with dates marked for medications is a great way to keep everyone on the same page. Make a big deal out of each pill swallowed and appointment completed. Praise is important. When your child feels they are doing the right thing to battle their illness, they will feel better about themselves.

 

Also, be aware that different medicines do different things and have different side effects. Make your child know that their feelings are important and valid. Ask them how the medicine is making them feel. Better or the same? Explain to them what side effects are and let them know that there are no wrong answers here. If the medicine is making them feel bad, they need to let you know, so you can let the doctor know. Medicine not working is not a sign of defeat, it just means that it�s not the right medicine for them.

 

Emotional Support

 

Emotional support is the best medicine for kids diagnosed with Crohn�s disease. It�s not a one-time conversation you have and then move forward with treatment and never talk about it again. Your child is going to have questions as they get older that manifest in many different ways. They will want and need someone to share their thoughts, their fears, and their hopes for the future. The question of �Why me?� is probably going to come up a lot, particularly for children who believe heavily in a particular faith. Some will wonder if the religious figure they worship is punishing them for some wrong they�ve committed. If someone else in the family also suffers from Crohn�s disease, the child might lash out at this relative and blame them for the illness. It is extremely difficult for a child to be different from their peers because of a physical condition, especially when it is one that deals with an already sensitive subject and one that can be rife for bullying at pretty much any age.

 

If it is too much for your child to take or if you are seeing trouble arise with their schoolwork, friends, or other previously healthy relationships, consider consulting a mental health professional, particularly one who specializes in childhood diseases and how to cope with them. Therapy, medication, or counseling (or some combination of the three) could be just what your child needs to get back on track and learn the process of coping with their illness. Older children and teenagers might need a completely different remedy � space and time alone to rationalize their feelings and decide how best to deal with it. This can include time talking to the doctor alone, without parental involvement. This should not be construed as a panic sign, but a positive that your child is taking charge of his or her own care and wants to discuss with a doctor how to cope with certain conditions. Don�t think you as the parent is in charge of every decision being made. Your child is the one with Crohn�s disease, and that will last a lifetime.

 

What is a 504 Accommodation Plan?

 

A 504 accommodation plan, also known as a 504 plan, is a government-approved legally binding document that requires a school to give your child special accommodations due to their disability. It is your job to inform your child�s school of the disability and you�ll be required to give proof of it � a simple doctor�s note will do. The plan covers your child having an unexpected flare-up of Crohn�s disease at school or if they are hospitalized and miss time. Accommodations will vary from child to child, but you must advocate for their rights at all times to ensure the school staff knows exactly what procedures must be followed, particularly in the event of a flare-up. Flare-ups can make anyone feel extremely uncomfortable as it can cause diarrhea or irregular bowel movements. In a school setting, this can be scary, humiliating, and embarrassing for a child, so all precautions must be in place, such as your child having the right to visit the bathroom at any time during the school day without being questioned, or bringing another pair of clothes to school in case of an accident. The school nurse in particular should be made aware of the situation, as she will usually be the most knowledgeable of Crohn�s disease and the best suited to help your child should they have an accident or need help during the day. If your child misses a lot of school for doctor�s appointments or hospital stays, the 504 plan should include provisions to allow them extra time to do assignments or things like take-home tests to give them the time and atmosphere to perform their best.

 

How Can You Handle Your Job When Your Child Has Crohn�s Disease?

 

Most jobs these days make all sorts of allowances for employees when it comes to paid time off (PTO) in the form of sick days and personal days. Having a child with Crohn�s disease can seem like a very personal issue and one that you don�t necessarily want to share with a lot of people, but it is necessary to inform your job, especially our human resources (HR) representative of the situation so you can best handle your responsibilities at work while also being there for your child. Your job will most likely be sympathetic to your child�s needs and do its best to accommodate you when you need to stay home with him or her or if you need to take them to the hospital. However, try and let your job know about planned hospital visits or procedures as far in advance as possible to give them the best chance to schedule someone to do your assigned tasks. If your job allows you to work remotely, try and see if you can make the accommodation for days that you might need to stay home with your child. Do everything possible to do your work, even if it is not at the precise date and time as everyone else in the office. Share your child�s schedule for surgery, blood draws, imaging, or any other scheduled appointment with your supervisor and your HR representative so they can appropriately deduct the time missed from your PTO, sick days, or family leave days, however, your company works it out. The more information that you can give your job about your schedule, the more likely they are to work with you. A company cannot legally fire you for a child�s illness, but if you do not communicate with them on the amount of time you take off, or if you are only informing them of time you need off with very little or no notice, you could find yourself getting dismissed for being unable to perform your duties and an unwillingness to keep an open dialogue.

 

Children�s Health Insurance and Crohn�s Disease

 

Your child is covered by either you or your spouse�s health insurance, but you�ll need more information than that to make sure that your child gets the best care possible. Once a diagnosis has been made by your child�s doctor, set aside some time to call your insurance company, explain the situation, and get all of your questions answered. Your insurance plan will have operating procedures based on the coverage plan you have preselected. These will include a deductible that you will likely have to meet before all expenses are paid for, co-pays for your child�s visits to the doctor, and possibly a number of treatments that are covered as part of the plan. During this meeting, you should also ask questions about prescription medications as well as which brands and drugs are covered under your plan. If certain drugs are too expensive, you can contact drug companies or look for discounts and coupons online. For health issues like Crohn�s disease, manufacturers and discount organizations often work hard to make otherwise unattainable drugs more affordable for suffering patients.

 

 

Crohn’s disease is an inflammatory bowel disease or IBD. Although healthcare professionals today still don’t know the true cause of this health issue, several doctors and researchers believe that factors like poor diet and stress can aggravate the symptoms associated with this health issue. Common symptoms associated with Crohn’s disease can include pain and inflammation. Proper diagnosis and treatment for this health issue are essential because it can lead to a variety of complications, including joint pain and arthritis, among other health issues, if left untreated. Diet and lifestyle modifications, stress management, medication, and surgery, can ultimately help improve Crohn’s disease. For people following several of the previously mentioned treatment options, chiropractic care and physical therapy can also help relieve joint pain and arthritis, among other health issues, associated with inflammation. – Dr. Alex Jimenez D.C., C.C.S.T. Insight

 

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas*& New Mexico*�

 

Curated by Dr. Alex Jimenez D.C., C.C.S.T.