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Wellness

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

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

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

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


Getting Better Sleep with Inflammatory Spinal Arthritis

Getting Better Sleep with Inflammatory Spinal Arthritis

Inflammatory spinal arthritis can cause significant joint pain and severely damage sleep quality. Any of the following conditions can cause individuals to experience sleep problems:
  • Spondylosis (osteoarthritis)
  • Rheumatoid arthritis
  • Ankylosing spondylosis
  • Juvenile idiopathic arthritis
Dr. Jimenez from Injury Medical Chiropractic and Functional Medicine Clinic gives insight into how inflammatory spinal arthritis can disrupt healthy sleep, along with some tips to help individuals with joint pain restore healthy sleep.  
11860 Vista Del Sol, Ste. 128 Getting Better Sleep with Inflammatory Spinal Arthritis
 

Inflammatory Spinal Arthritis and Sleep

First, it is not just the joint pain of arthritis that is causing sleep problems. Research is discovering that more factors could be at play. A study in the journal SLEEP examined how individuals with chronic pain, including osteoarthritis slept. What was revealed was a strong connection between chronic pain and insomnia. Insomnia can lead to added joint pain because poor sleep can trigger inflammatory pathways that worsen arthritis pain. Plus a poor night of sleep can heighten an individual’s perception of pain the next day. Arthritis pain does not just impact the sleep of adults, but young individuals with juvenile idiopathic arthritis can also struggle with getting healthy sleep. Sleep, pain levels, and mood are strongly related.  
 

Sleep Tips

Achieving quality sleep and a well-rested body can be done. Things to consider to help secure a healthy sleep.  

Medication interference/side effects

Corticosteroids could be part of the sleep problem, as corticosteroid treatment has been linked to insomnia. If struggling to fall asleep, talk with a doctor about altering any prescribed medication regimen before sleep like taking aspirin or a nonsteroidal anti-inflammatory NSAID medication in its place.  

Adjust sleep position to joint pain

If the neck is sore/aching rest the head on a flat pillow so the cervical spine is in a neutral position. For low back joint pain, individuals might find relief by sleeping on their back or side with the knees and hips flexed at a 90-degree angle. For hip joint stiffness, sleeping on the side with a pillow between the legs is recommended.  
 

A firm mattress and support pillow

A firm mattress will support the body and help reduce pain. The right pillow/s are also important for healthy sleep. A lumbar and cervical pillow can help cushion tender areas.  

Readjust chores

Joint pain first thing in the morning needs time to adjust. For morning physical chores try to reschedule for later on in the day or if possible the night before. This could be fixing lunches, picking out clothes, preparing breakfast, or packing the work case, tools, etc. The extra time will reduce morning stress and allow the body to gently adjust.  
11860 Vista Del Sol, Ste. 128 Getting Better Sleep with Inflammatory Spinal Arthritis
 

Wake up and stretch

With joint pain in the morning, some gentle stretching can help. Doing some stretches before even getting out of bed will help minimize pain and allow the body to gradually prepare for movement. Follow the stretch session up with a hot shower to loosen stiff joints.  
 

Increase Sleep Quality

Sleep problems can affect anyone even those that don’t have inflammatory spinal arthritis/joint pain. There could be other issues causing sleep problems unrelated to joint pain. If still not getting quality sleep, talk to a rheumatologist about available options.

Body Composition

 

Osteoarthritis and Exercise

Obesity is a significant risk factor in the development of osteoarthritis. This is not only from the effects of extra weight on the body’s joints but also as a result of the pro-inflammatory effects of adipose tissue. The hips and knees are the weight-bearing joints. Excessive adipose tissue on the midsection and legs have been shown to negatively impact these weight-bearing joints. Promoting Lean Body Mass and encouraging weight loss can potentially lower the risk of osteoarthritis and improve the quality of life. Gentle exercise is regarded as safe for individuals with osteoarthritis and is a key component to improve body composition, reduce body fat mass, improve lean body mass and maintain a healthy weight. Improving body composition and utilizing exercise in weight management can have a direct and positive effect on joint 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
Myers W. 9 Ways to Rise and Shine With Osteoarthritis. Everyday Health.�http://www.everydayhealth.com/osteoarthritis/ways-to-rise-and-shine-with-osteoarthritis.aspx. Last updated September 25, 2014. Accessed April 18, 2017. Watson S. Why Osteoarthritis Could Disrupt Your Sleep�and Your Partner�s. Arthritis Foundation. www.arthritis.org/living-with-arthritis/comorbidities/sleep-insomnia/osteoarthritis-and-sleep.php. Accessed April 18, 2017.
Best Mattress Toppers for Back Pain Chiropractic Review

Best Mattress Toppers for Back Pain Chiropractic Review

A mattress topper for back pain can help by conforming closely to the body, correctly aligning the spine, and providing relief to the pressure points. The right quality mattress topper can provide relief when sleeping and can help keep the spine in proper alignment. Chiropractor Dr. Jimenez shares some top mattress toppers for back pain including:
  • Pros
  • What to consider when buying
  • Determine if a mattress topper is the best solution
11860 Vista Del Sol, Ste. 128 Best Mattress Toppers for Back Pain Chiropractic Review
 

Layla Memory Foam

Best Temperature Neutral

The Layla Memory Foam Topper is 2-inches thick and made from memory foam infused with copper. It’s enclosed in a polyester cover and becomes denser under deep compression points, like the hips and shoulders. The Layla brand is known for coming with cooling copper-infusion technology improving airflow and blood circulation. The copper helps an individual sleep cooler than most memory foam and is available at a reasonable price. All sizes cost less than $400 and come with free shipping and returns, a 120-night trial, and a 5-year warranty.  
 

Snuggle-Pedic Memory Foam

Best Memory Foam

The Snuggle-Pedic is a two-layer structure, with softer memory foam on the outer layer and a firm channeled base layer for spinal support. It is a versatile design that makes it appropriate for back, side, and stomach sleepers. Memory foam mattress toppers can be too soft, providing no support, or too firm. This topper finds the balance. One side is soft-to-the-touch, with the other providing twice the support. This double layer system is soft but supportive. It is available in all sizes for less than $300 and comes with free shipping, returns, and customizations.  
 

Saatva Latex Mattress Topper

Best Latex

The Saatva is 1.5 inches of latex and is covered in organic cotton. The latex has ventilation to aid in breathability and the cotton cover adds to the overall temperature neutrality. For individuals that prefer all-natural materials, this latex topper is recommended. The latex used is Talalay latex and is natural and breathable. It also has ventilation spots and is hypoallergenic. For individuals that sleep hot, want a natural option, or have allergies, this could be an option. It comes with a 120-night trial period, free shipping and costs less than $350 in all sizes.  
 

Zinus Memory Foam

Best For Side Sleepers

The Zinus topper measures four inches thick. It is a simple design with 2 inches of gel memory foam that is highly durable. Under the gel foam is a 2-inch-thick layer of support foam for added durability and support. This is an affordable option. The dual-layer provides cooling comfort, durable support and is designed to fit under any deep-pocket sheets. Side sleepers with hip and shoulder pain can appreciate the top layer�s softness and benefit from the durability of the bottom layer, preventing cradling and sinking.  
11860 Vista Del Sol, Ste. 128 Best Mattress Toppers for Back Pain Chiropractic Review
 

Linenspa

Fastest Relief

The Linenspa is made with three inches of memory foam that conforms to the body’s curves while sleeping. This mattress topper is infused with temperature-regulating gel beads that evaporates any heat. It is available in two-inch, three-inch profiles and the foam is made to distribute weight evenly. With every size available for less than $105, this is a comfortable and affordable way to rejuvenate a worn mattress or soften a mattress that is too hard.  
 

What to Look For

Mattress toppers can be beneficial for providing relief for aches and pains, but the best topper for back pain requires knowledge about materials, styles, and features that will provide relief. An overview of what to look for:  

Materials

  • Memory foam and latex are ideal for pressure relief because they conform to the body�s curves without sagging. Look for high-quality materials, like American Talalay latex and open-cell foam.

Body Conformity Amount

  • The ideal amount of conformity provides pressure relief for painful areas. An ideal level depends on weight and sleeping positions. Look for details about the mattress weight, type, and sleeping style.

Sleeping Position

  • Sleeping on the back is a way to naturally align the spine, but a firm topper that does not sag is needed to provide the proper support.
  • Stomach sleepers need a topper that does not sag in the midsection, which can lead to neck pain.
  • Side sleepers need a topper that conforms to the contoured areas, like the shoulders and hips.

Price

  • Prices for mattress toppers vary. There are high-quality mattress toppers available for $150. For luxury, prices will be in the $300s and above.

Durability

  • Sagging is the main issue to avoid. Optimal spinal support is the objective. Do the research, read reviews, consult a chiropractor, and take plenty of time before investing.

Thickness

  • Toppers differ in thickness and can measure from one to seven inches thick. Thicker does not mean more comfortable and thicker toppers tend to be softer. Thinner toppers are usually firmer, which is better for back and stomach sleepers. What feels right depends on an individual’s sleeping position, weight, and size, however, most toppers fall in the two to three-inch thickness range.

Back Pain Causes

Back pain can range from a dull ache to sharp sensations and can be the result of an auto accident, work injury, or personal injury that has developed over time. A sedentary lifestyle also contributes to low back pain. The following conditions are common sources of back pain:
  • Strains
  • Sprains
  • Disc degeneration
  • Herniated discs
  • Sciatica
  • Traumatic injury
  • Radiculopathy
Lifestyle-related risk factors:
  • Aging
  • Fitness level
  • Pregnancy
  • Weight gain
  • Occupation
  • Mental health
  • Genetics
Regardless of the cause or source, a mattress topper, which is more supportive than a mattress pad, can help alleviate back pain when sleeping, leading to a minimization of symptoms and improved quality of life.  

Possible Option

Aching muscles, shooting/stabbing pain, reduced range of motion, and flexibility are detrimental to work, and home life. Whatever the case, there�s an option out there. An overview of mattress topper benefits:
  • The current mattress is old or not supportive enough, but don�t want to invest in a new mattress.
  • The current mattress is too firm, but a partner is comfortable on it. Mattress toppers are available in split sizes to soften/firm up one side.
  • A sedentary lifestyle has increased the frequency of dull low-back pain. A topper can help with back pain prevention.
  • Improve the comfort of a guest bed without spending too much. Similar to the first scenario, a mattress topper can be an upgrade for just several hundred dollars.
One of the most affordable sleep innovations today, but remember that durability, materials, and sleep factors, like weight, position, and height, should all be considered.

Composition of The Body

 
 

Sleep Stages

Sleep researchers are divided into two types of sleep: REM sleep is when dreams occur and NREM sleep which is non-REM sleep. NREM sleep is divided into stages:

Stage 1

  • Stage 1 makes up just 5-10% of a sleep cycle and is known as light sleeping. In this stage, the brain remains semi-conscious and is in between wakefulness and sleep. The brain waves start to elongate from alpha to theta waves.

Stage 2

  • Stage 2 is the bulk of the sleep cycle and makes up around 55%. In this stage, the body/brain is fully asleep and brain waves slow down even more.

Stage 3

  • Stage 3 is the deepest sleep state and is marked by elongated brain waves and slowed brain activity. It is also called short wave sleep. Slow-wave sleep makes up 15-25% of sleep but is the most important sleep state for body composition because most of the body’s restoration happens during this cycle.

REM/Rapid Eye Movement

  • This is the stage where dreams occur. It�s very distinct from the other three in that brain activity becomes more active. An individual passes through these sleep stages every 90 minutes. Getting 7-8 hours of sleep every night means going through 4-5 cycles. Going through a complete sleep cycle ensures an individual will go through Stage 3, which has a significant effect on body 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
Bolash R, Drerup M. How to Beat Insomnia When You Have Chronic Pain. Cleveland Clinic Web site. health.clevelandclinic.org/2015/12/managing-insomnia-for-those-with-chronic-pain/. Published December 18, 2015. Accessed April 18, 2017. Improving Sleep: Special Health Report. Boston, MA: Harvard Medical School; 2015. What is Sleep? American Sleep Association Web site. www.sleepassociation.org/patients-general-public/what-is-sleep/. Accessed April 18, 2017.
Sleeping With Sciatica and A Better Night’s Rest

Sleeping With Sciatica and A Better Night’s Rest

Trying to get a proper night’s rest and healthy sleep with sciatica can be difficult. Here we discuss how to combat sciatica discomfort for a better night�s rest. The sciatic nerves are the two largest nerves in the body. They run from the low back through the:
  • Hips
  • Buttocks
  • Down each leg into the feet
 
When the nerve gets:
  • Irritated
  • Inflamed
  • Pinched
  • Compressed
Sciatica can cause pain, tingling, numbness in the butt, lower back, leg, calf, and foot. It is a common condition that affects many individuals.

Is It Sciatica

Sciatica happens when the nerve becomes pinched from a bulging or herniated disc. In rare cases, the pain can result from a tumor putting pressure on the nerve or damage to the nerve caused by disease. The location and intensity of the pain depend on where the injury or damage occurred and how bad it is. Sciatica pain can be described as:
  • Dull
  • Sore
  • Numbing
  • Jolting
  • Throbbing
  • Hot
  • Stabbing
  • Radiating
11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest
 
For many sciatica usually resolves within a matter of weeks. However, once sciatica has presented future episodes are almost guaranteed to resurface and if not treated properly can lead to more serious problems.

Symptoms

The sciatic nerve/s can affect several areas of the body, making symptoms vary. The most common include:
  • Lower back pain starts at the low back, runs along the hips and buttocks down each leg.
  • Pain radiates/spreads down the butt/leg area sometimes described as a shooting pain and usually occurs on just one side.
  • Pain while sitting for long periods of time places pressure on the gluteal muscles, lower back, and nerves. This can cause or worsen the condition. When having to sit for a while, it is recommended to get up every hour or so and walk/move around. This gets the blood flowing and stretches out the tightened muscles.
  • Hip pain, as the sciatic nerves run through the hip joint and in some cases can cause pain to settle in the hip. Injuries in the hip can mimic the symptoms of sciatica. If there is hip pain that does not improve with time get checked by a doctor to rule out other causes like osteoarthritis, bursitis.
  • Numbness, some experience weakness in the legs and an altered sensation of numbness. This is caused by a herniated disc in the lower lumbar region.
  • Burning/tingling like a pins and needles sensation, especially in the feet and toes.
 

Conditions/Causes

There are several conditions that can cause sciatica:
  • Degenerative Disc Disease is where the discs of the spine deteriorate and become susceptible to painful herniation.
  • Spondylolisthesis is a painful condition where the lower vertebrae slip forward onto the bone directly below impinging the sciatic nerve.
  • Muscle Spasms and involuntary contractions of the muscles can cause sciatica if they compress the nerve.
  • Pregnancy sciatica is not uncommon. As the baby grows it places pressure on the nerve causing aches and pains.
  • Lumbar spinal stenosis is when the spaces in the low back begin to narrow compressing and irritating the nerve.
  Risk factors include:
  • Age, as the spine gets older it becomes more susceptible to herniated discs and bone spurs, which are leading causes of sciatica.
  • Obesity and excess weight create added stress on the spine, which can inflame the nerves.
  • Occupation/work that requires standing/sitting for long periods or if a lot of heavy lifting is involved there is added pressure on the back increasing the risk for back problems.
  • Individuals with diabetes have an increased risk for nerve damage. When nerves are damaged, they can cause radiating pain.

Night Time

Sleeping at night can be a challenge, especially not being able to get into a comfortable position. Sleep deficits and insufficient sleep can reduce the body�s tolerance to pain and worsen inflammation. Many wake up with increased symptoms. This is likely due to the fact that when the body is laying down the discs draw in and absorb fluid, which results in increased pressure within the disc, creating more pressure on the nerve. But there are some things to do to lessen pain and get a good night�s sleep. This includes changing sleep position, stretching, and practicing healthy sleep hygiene.  
11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest
 

Sleeping Positions

  • Sleeping on the back is considered the best sleeping position for sciatica because it eases pressure on the low back and discs where the nerves are located.
  • Sleeping on the side can be more comfortable and is a good position because it doesn�t place direct pressure on the muscles, discs, or sciatic nerve. But, it is important that the mattress is supportive enough to keep the spine aligned. If more support is needed place a pillow between the legs.
  • Sleeping with the knees elevated can help take the pressure off the low back. To achieve this place a pillow under the knees or, with an adjustable bed, use it to elevate the foot of the bed.
  • Sleeping with a body pillow provides extra comfort and helps the body remain in a certain position throughout the night. These pillows come in a variety of shapes, sizes.
 

Stretches

Stretching can provide relief. It�s important to stretch to keep the body flexible and to prevent pain. Gentle stretches before bed, and after waking up will loosen the muscles and ligaments surrounding the spine and joints.
  • Reclining pigeon pose is a yoga pose that opens the hips and eases lower back pain.
  • Lying on the back with both knees bent.
  • Lift the right leg and place the ankle on the top of the left knee. Hold the stretch for 15 to 30 seconds.
  • Repeat with the other leg.
  • Sitting pigeon pose stretch is similar to the reclining pigeon but is done while sitting.
  • Sitting on the floor with knees bent. Keep balance by placing the hands on the floor.
  • While seated, place the right ankle on the top of the left knee.
  • Lean forward and move the upper body forward. Hold for 15 to 30 seconds.
  • Repeat with the other leg.
  • Forward pigeon pose is a more advanced version of the pigeon stretch.
  • Start in a plank or push-up position.
  • Move the right leg in front so that the right knee is toward the right wrist and the right foot toward the left wrist.
  • Stretch the left leg out behind. The top of the foot should be on the ground and toes flat against the floor.
  • Shift the weight forward onto the hands or elbows. Feel the stretch in the right glute.
  • Repeat steps with other leg.
  • The knee�to the opposite shoulder is a simple stretch that is easy and pain-relieving.
  • Lie on back with legs extended.
  • Bend the right leg, grasp the knee and pull it toward the abdomen.
  • Straighten the leg and then repeat these steps with the left leg.
  • Do three times on each side.
  • Sitting spinal stretch can help open the vertebrae to relieve sciatica pain.
  • Sit on the floor with the legs extended.
  • Bend the right knee so that the foot is next to the inside of the left knee. Keep the right foot flat on the ground.
  • Move the left arm around so that the elbow is on the outside of the right knee. Place right hand behind for balance.
  • Gently turn toward the right, looking behind. Hold the position for 15 to 30 seconds.
  • Repeat with the other leg.
  • Standing hamstring stretch can ease pain in the hamstrings.
  • Stand and place one heel on an elevated surface, like a chair.
  • Fully extend the knee and flex the ankle by pointing the toes toward the ceiling.
  • Bend forward at the hips keeping the spine in a neutral position. Hold for 15 to 30 seconds.
  • Repeat with the other leg.
11860 Vista Del Sol, Ste. 128 Sleeping With Sciatica and A Better Night's Rest
 

Sleep Hygiene

Proper sleep hygiene helps prepare for a good night�s sleep. Here are some tips to help improve sleep hygiene.
  • A nighttime routine will help unwind the body before bedtime. Start the routine 30 minutes before planning to go to sleep. Some things to do to help unwind:
  • Take a warm bath
  • Listen to relaxing/soothing music
  • Meditation
  • Reading
  • Get a new mattress. An old, sagging mattress can worsen sciatica and strain the back. The best mattresses for sciatica pain combines contour comfort to ease pressure points at the hips and shoulders with the proper support to keep the spine aligned.
  • Eye masks can help with artificial light which can fool the mind along with the circadian clock into thinking it�s daylight. Keeping out unwanted light all night can help.
  • Avoid blue light too close to bedtime like lamps and device screens. These are great for the day, as they help boost attention, reaction time, and mood. But at night it can be disruptive. Turn off electronics at least 30 minutes before bed to help the body adjust.
  • Room temperature control has found that most sleep better in a cool room. The optimal temperature is between 60 and 67 degrees.
  • Avoid exercise close to bedtime. Working out before bed can interfere with sleep. This is because exercise releases adrenaline keeping the mind and body alert.
  • Avoid stimulants before bedtime like caffeine, sugar, etc. which will keep the body up.
 
 

Medical Intervention

Sciatica pain can be mild or severe. Stretching or changing up sleeping position can help ease discomfort. But if the pain is severe or chronic, and if it prevents getting a good night�s sleep, consult a chiropractic professional.

InBody Spotlight


 

Sleep And Body Composition

A lack of sleep makes it harder to gain muscle and harder to lose fat.
  • Sleeping less means fewer opportunities to secrete growth hormone and develop muscle
  • Testosterone is negatively affected by lack of sleep
  • Sleeping less can increase cortisol levels, impairing muscle development
  • Irregular sleep throws off the body’s cycles, making the body feel hungrier
  • Sleeping less is linked to eating more snacks, increasing energy levels
  • Lack of sleep can cause reductions in Basal Metabolic Rate by 20%, reducing total energy output
  • Being tired reduces spontaneous movements, reducing total energy output
If trying to get into shape and change body composition, sufficient sleep is vital. Any positive changes to get more sleep are going to have positive changes in efforts to change body 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
Siengsukon, Catherine F et al. �Sleep Health Promotion: Practical Information for Physical Therapists.��Physical therapy�vol. 97,8 (2017): 826-836. doi:10.1093/ptj/pzx057
Texas Supreme Court’s Decision in “Texas Board of Chiropractic Examiners et al v. Texas Medical Association” Case

Texas Supreme Court’s Decision in “Texas Board of Chiropractic Examiners et al v. Texas Medical Association” Case

After all of these years, I am happy to announce that the Texas Supreme Court has finally made a decision regarding the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. With great honor and gratitude, I’d like to continue to extend sincere thanks to everyone who worked hard on this case and whose tremendous efforts resulted in the decision. Thanks to the Supreme Court’s decision, chiropractors in Texas can now carry on their jobs accordingly. Below, I have provided a letter from Board President, Mark R. Bronson, D.C., F.I.A.N.M. on behalf of the Texas Board of Chiropractic Examiners stating the Texas Supreme Court’s decision in the Texas Board of Chiropractic Examiners et al v. Texas Medical Association case on January 29th, 2021. – Dr. Alex Jimenez D.C., C.C.S.T.

 


 

February 1, 2021

 

On behalf of the Texas Board of Chiropractic Examiners, I extend our sincere thanks and appreciation to everyone whose efforts resulted in the Texas Supreme Court’s decision in Texas Board of Chiropractic Examiners et al v. Texas Medical Association on January 29, 2021. Special thanks are due to all the attorneys at the Office of the Attorney General who worked on this case over these years.

 

The decision properly affirmed the validity of the Board’s scope of practice rule, which the court clearly said does not exceed our statutory scope of chiropractic practice. The court unequivocally held that the Board�s rules do not violate Occupations Code Chapter 201 or run counter to the chapter’s objectives set by the Texas Legislature, and in fact, carefully observe the statutory boundary between the medical and chiropractic professions. This decision, which recognizes the common sense and long-standing inclusion of associated nerves in chiropractic diagnosis and treatment, preserves and strengthens the essence of chiropractic.

 

Thanks to the court’s decision, our licensees can now fulfill their duties as vital portal-of-entry healthcare providers in Texas without fear. The court’s decision reaffirms the principles of economic freedom that have made Texas the best state in the nation to be a chiropractor.

 

Sincerely,

 

Mark R. Bronson, D.C., F.I.A.N.M. Board President
Texas Board of Chiropractic Examiners

 

 


 

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*

 

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
The Health of The Spine and Chiropractic For Optimal Body Performance

The Health of The Spine and Chiropractic For Optimal Body Performance

The health of the spine and optimal body performance go hand in hand. When thinking about chiropractic treatment thoughts of cracking, popping, or fixing spinal kinks are what usually come to mind. This is true, however, chiropractic goes much deeper than just adjustments. Regular chiropractic will help maintain overall/optimal health and prevent: Learn more about the treatment options and benefits that chiropractic can provide.  
11860 Vista Del Sol, Ste. 128 The Health of The Spine and Chiropractic For Optimal Body Performance
 

How Chiropractic Supports The Health Of The Spine

The main focus of chiropractic is on the health of the spine. This is because the spine’s health is the base for all other aspects of the body’s health. When the spine is properly aligned, nerve energy/communication and blood circulation are optimized to support the body’s function. When the body is in proper form the health benefits are numerous. These include:
  • Pain alleviation
  • Increased energy
  • Increased productivity
  • Clear thinking
  • Improved biomechanics movement
  • Improved mood
The chiropractic approach is science-based and is highly recommended for achieving positive health results.  
11860 Vista Del Sol, Ste. 128 The Health of The Spine and Chiropractic For Optimal Body Performance
 

Treatment Options

Chiropractic builds-up the body’s nervous system, immune system, and strengthens the musculoskeletal system. What to expect from treatment sessions depends on each individual’s specific conditions, needs, and goals. Treatment can include:

Spinal adjusting

  • Spinal adjustments combined with other treatment techniques are needed to maintain the body’s health long term.

Health Coaching

  • Understanding the causes of ill health/conditions will help manage and prevent issues. A chiropractor and a health coach can discuss positive lifestyle modification factors that will help like:
  • Posture education
  • Exercise tips
  • Stress management techniques
  • Sleep modification
  • Developing healthy diet habits

Deep/Soft tissue massage

  • Soreness, stiffness, and connective tissue flexibility problems are common with misalignment. Addressing these areas with physical therapeutic massage will help reinforce proper body alignment.

Prescribed exercise program

  • A chiropractic practitioner will recommend exercises for strengthening and stretching muscles, tendons will provide support for optimal body alignment and overall health.
 

Health Potential

Seeking treatment options for improved health, consider a chiropractic provider. They will address the root cause to help bring out the best on every level. Chiropractic providers are in high demand and will get the body back to its full potential. See what the possibilities can be.

Body Composition Benefits


 

Best Diet for Weight Loss

Life is about balance and is important to remember that all macronutrients are needed to function properly. Protein does not just affect muscle, it also acts on hormones, enzymes, and antibodies. Carbs are an energy source that the red blood cells use, and without enough fat in the diet, an individual can gain weight by eating more filler foods. The body is a well-refined machine that does not function on fad diets. The function is obtained through balance and variety in a healthy diet. The best diet for weight loss is not complicated or high-tech. The focus should be on whole unrefined foods, reduced red meat consumption, and plenty of vegetables. But, the food does not have to taste bad or have no taste at all. A too rigid diet can make individuals more likely to revert back into unhealthy eating habits. Try a salad with leafy greens, brown rice, sweet potatoes, avocado, black beans, and cilantro lime dressing. It may be a surprise, how healthy eating can taste amazing.

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
Meeker, William C, and Scott Haldeman. �Chiropractic: a profession at the crossroads of mainstream and alternative medicine.��Annals of internal medicine�vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
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